By: Bivins, et al. S.B. No. 940 A BILL TO BE ENTITLED 1-1 AN ACT 1-2 relating to the establishment of the Joint Admission Medical 1-3 Program to assist certain economically disadvantaged students in 1-4 preparing for and succeeding in medical school. 1-5 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: 1-6 SECTION 1. Chapter 51, Education Code, is amended by adding 1-7 Subchapter V to read as follows: 1-8 SUBCHAPTER V. JOINT ADMISSION MEDICAL PROGRAM 1-9 Sec. 51.821. DEFINITIONS. In this subchapter: 1-10 (1) "Council" means the Joint Admission Medical 1-11 Program Council established under this subchapter. 1-12 (2) "General academic teaching institution" means a 1-13 four-year general academic teaching institution as defined by 1-14 Section 61.003. 1-15 (3) "Private or independent institution of higher 1-16 education" means an institution as defined by Section 61.003(15) 1-17 that grants baccalaureate degrees and offers a program in 1-18 premedical education. 1-19 (4) "Participating medical school" means each of the 1-20 following entities: 1-21 (A) the medical school at The University of 1-22 Texas Health Science Center at Houston; 1-23 (B) the medical school at The University of 1-24 Texas Southwestern Medical Center at Dallas; 1-25 (C) the medical school at The University of 2-1 Texas Health Science Center at San Antonio; 2-2 (D) the medical school at The University of 2-3 Texas Medical Branch at Galveston; 2-4 (E) the medical school at Texas Tech University 2-5 Health Sciences Center; 2-6 (F) the Baylor College of Medicine; 2-7 (G) the college of osteopathic medicine at the 2-8 University of North Texas Health Science Center at Fort Worth; and 2-9 (H) the medical school at The Texas A&M 2-10 University System Health Science Center. 2-11 (5) "Participating student" means an eligible 2-12 undergraduate student who is admitted to the program and who 2-13 maintains eligibility for continued participation in the program. 2-14 (6) "Program" means the Joint Admission Medical 2-15 Program established under this subchapter. 2-16 Sec. 51.822. JOINT ADMISSION MEDICAL PROGRAM. The Joint 2-17 Admission Medical Program is a program administered by the Joint 2-18 Admission Medical Program Council to: 2-19 (1) provide services to support and encourage highly 2-20 qualified, economically disadvantaged students pursuing a medical 2-21 education; 2-22 (2) award undergraduate and graduate scholarships and 2-23 summer stipends to those students; and 2-24 (3) guarantee the admission of those students to at 2-25 least one participating medical school, subject to the conditions 2-26 under Section 51.827 and under other provisions of this subchapter 3-1 Sec. 51.823. COMPOSITION OF COUNCIL. (a) The participating 3-2 medical schools shall jointly establish the Joint Admission Medical 3-3 Program Council consisting of one faculty member employed by and 3-4 representing each of the participating medical schools. 3-5 (b) A person may not serve on the council for more than six 3-6 consecutive years. 3-7 (c) The council shall select one of its members to serve as 3-8 council chair for a term of two years. 3-9 Sec. 51.824. COUNCIL DUTIES. (a) The council shall: 3-10 (1) recruit eligible undergraduate students for 3-11 admission to the program; 3-12 (2) establish an application process for admitting 3-13 eligible undergraduate students to the program; 3-14 (3) evaluate applications for admission to the program 3-15 according to the selection requirements of Subsection (b); 3-16 (4) monitor the implementation of the program; 3-17 (5) assist in developing services to support and 3-18 encourage the pursuit of a medical education by participating 3-19 students and, as applicable, nontraditional students described by 3-20 Section 51.832; 3-21 (6) establish a process for participating students to: 3-22 (A) be matched to an internship program as 3-23 described by Subsection (c); 3-24 (B) be matched to any required undergraduate 3-25 mentoring program as described by Subsection (d); 3-26 (C) apply for admission to participating medical 4-1 schools; 4-2 (D) be matched to a participating medical school 4-3 as described by Subsection (e); and 4-4 (E) enroll in that school; 4-5 (7) award to participating students undergraduate 4-6 scholarships and summer stipends, including a summer stipend for a 4-7 student who is required to participate in an internship program in 4-8 the summer immediately following the student's senior year; 4-9 (8) award graduate scholarships to participating 4-10 students and, as applicable, nontraditional students described by 4-11 Section 51.832; 4-12 (9) enter into an agreement with each student admitted 4-13 to the program, each participating medical school, and each general 4-14 academic teaching institution or private or independent institution 4-15 of higher education as required by this subchapter; and 4-16 (10) take any other action necessary to implement the 4-17 program. 4-18 (b) From each general academic teaching institution, the 4-19 council annually shall select for admission to the program at least 4-20 two eligible undergraduate students who are enrolled as freshmen at 4-21 that institution. The council shall allocate 10 percent of the 4-22 total program openings on a rotation basis to private or 4-23 independent institutions of higher education. The council shall 4-24 allocate the remaining program openings to general academic 4-25 teaching institutions in proportion to the average size of each 4-26 institution's entering freshman class during the four-year period 5-1 preceding the allocation. 5-2 (c) The council shall match each participating student with 5-3 appropriate internship programs offered by participating medical 5-4 schools during the summers immediately following the student's 5-5 freshman, sophomore, and junior years. A participating medical 5-6 school to which a participating student is matched under Subsection 5-7 (e) may require the student to participate in an internship program 5-8 offered by the medical school during the summer immediately 5-9 following the student's senior year. 5-10 (d) The council shall match each participating student with 5-11 any appropriate undergraduate mentoring program required of the 5-12 student by the council. 5-13 (e) During a participating student's senior year, the 5-14 council shall match the student with an appropriate participating 5-15 medical school as necessary to fill the percentage of enrollment 5-16 capacity set aside by each medical school under the program. To 5-17 the extent possible, the council shall accommodate the preferences 5-18 of participating students regarding medical school placement. A 5-19 participating medical school may not make an offer of admission to 5-20 a participating student before the student is matched by the 5-21 council to a medical school as described by this subsection. 5-22 Sec. 51.825. COUNCIL DELEGATION. The council may delegate 5-23 the performance of the council's administrative functions, 5-24 including its matching functions, to the Texas Medical and Dental 5-25 Schools Application Service operated through The University of 5-26 Texas System. 6-1 Sec. 51.826. ELIGIBILITY FOR ADMISSION TO PROGRAM. (a) To 6-2 be eligible for admission to the program, an undergraduate student 6-3 must: 6-4 (1) enroll at a general academic teaching institution 6-5 or a private or independent institution of higher education not 6-6 later than the first fall semester following the student's 6-7 graduation from high school; 6-8 (2) be a Texas resident for purposes of tuition under 6-9 Subchapter B, Chapter 54; 6-10 (3) successfully complete at least 15 semester credit 6-11 hours during the fall semester of the student's freshman year at 6-12 the general academic teaching institution or the private or 6-13 independent institution of higher education; 6-14 (4) apply for admission to the program at the 6-15 beginning of the spring semester of the student's freshman year at 6-16 the general academic teaching institution or the private or 6-17 independent institution of higher education; and 6-18 (5) meet criteria established by the council 6-19 regarding: 6-20 (A) minimum high school and undergraduate grade 6-21 point averages; 6-22 (B) financial need and any other indication of 6-23 economic disadvantage; and 6-24 (C) any other matter the council considers 6-25 appropriate. 6-26 (b) For purposes of Subsection (a)(2), a student is not a 7-1 Texas resident as described by that subdivision solely because the 7-2 student is eligible to pay tuition at the resident tuition rate. 7-3 Sec. 51.827. ELIGIBILITY TO CONTINUE PARTICIPATION IN 7-4 PROGRAM. (a) To be eligible to continue participation in the 7-5 program, an undergraduate student who is admitted to the program 7-6 must: 7-7 (1) meet criteria established by the council 7-8 regarding: 7-9 (A) courses taken and minimum grade point 7-10 average for those courses during enrollment at the general academic 7-11 teaching institution or the private or independent institution of 7-12 higher education; 7-13 (B) progress in those courses; 7-14 (C) achievement of an acceptable score on the 7-15 Medical College Admission Test or any equivalent examination taken 7-16 as a precondition for enrollment in or admission to a participating 7-17 medical school; and 7-18 (D) any other matter the council considers 7-19 appropriate; 7-20 (2) participate in: 7-21 (A) internship programs described by Section 7-22 51.824(c) in: 7-23 (i) the summers immediately following the 7-24 student's freshman, sophomore, and junior years; and 7-25 (ii) if required, the summer immediately 7-26 following the student's senior year; and 8-1 (B) any undergraduate or graduate mentoring 8-2 program required by the council; and 8-3 (3) exhibit intelligence, integrity, and personal and 8-4 emotional characteristics that are considered necessary for the 8-5 student to become an effective physician. 8-6 (b) If an undergraduate student who is admitted to the 8-7 program fails to meet the requirements of Subsection (a) without 8-8 good cause as determined by the council, the council may terminate 8-9 that student's participation in the program at the end of the 8-10 semester during which the student failed to meet the requirements 8-11 of that subsection. A student's participation in the program is 8-12 automatically terminated if the student fails to meet the 8-13 requirements of Subsection (a) for two consecutive semesters 8-14 without good cause. 8-15 Sec. 51.828. COUNCIL AGREEMENT WITH STUDENT ADMITTED TO 8-16 PROGRAM. (a) A student admitted to the program must enter into an 8-17 agreement with the council under which the student agrees to: 8-18 (1) maintain eligibility for continued participation 8-19 in the program; and 8-20 (2) repay any scholarship or stipend received under 8-21 the program if the student enrolls in a public or private medical 8-22 school in another state, other than temporary enrollment occurring 8-23 as a result of an exchange program. 8-24 (b) At the time the student enters into an agreement under 8-25 this section, the council shall provide the student with 8-26 information regarding: 9-1 (1) available program benefits, including 9-2 undergraduate and graduate scholarships and summer stipends; and 9-3 (2) repayment of scholarship and stipend benefits 9-4 received under the program. 9-5 Sec. 51.829. COUNCIL AGREEMENT WITH PARTICIPATING MEDICAL 9-6 SCHOOL. (a) Each participating medical school must enter into an 9-7 agreement with the council under which the medical school agrees 9-8 to: 9-9 (1) select a faculty member employed by the medical 9-10 school to serve on the council; 9-11 (2) commit faculty and administrative resources to the 9-12 program; 9-13 (3) set aside for participating students or, if 9-14 necessary, nontraditional students described by Section 51.831 at 9-15 least 10 percent of the medical school's enrollment capacity for 9-16 each entering class, except as provided by Subsection (b); 9-17 (4) admit participating students who are matched to 9-18 the medical school under the program; 9-19 (5) provide internship programs for participating 9-20 students who have been matched to or are required to participate in 9-21 those programs as described by Section 51.824(c) and coordinate the 9-22 administration of those programs with general academic teaching 9-23 institutions or private or independent institutions of higher 9-24 education as necessary; 9-25 (6) provide for participating students any mentoring 9-26 programs required by the council at the undergraduate level and 10-1 coordinate the administration of those programs with general 10-2 academic teaching institutions or private or independent 10-3 institutions of higher education as necessary; and 10-4 (7) provide support services, including 10-5 postbaccalaureate mentoring programs required by the council, to 10-6 participating students and, as applicable, nontraditional students 10-7 described by Section 51.832 who enroll in the medical school. 10-8 (b) The Baylor College of Medicine must agree under 10-9 Subsection (a) to set aside under Subsection (a)(3) not less than 10-10 10 percent of its enrollment capacity set aside for students who 10-11 are entitled to pay tuition at the rate provided by Chapter 54 for 10-12 resident students. 10-13 Sec. 51.830. COUNCIL AGREEMENT WITH GENERAL ACADEMIC 10-14 TEACHING INSTITUTION. Each general academic teaching institution 10-15 must enter into an agreement with the council under which the 10-16 institution agrees to: 10-17 (1) provide academic counseling to a participating 10-18 student enrolled at that institution; 10-19 (2) as soon as practicable, implement or expand 10-20 appropriate degree programs as necessary to provide participating 10-21 students with sufficient preparation for enrollment in 10-22 participating medical schools; and 10-23 (3) select a faculty director to assist in 10-24 implementing the program at the institution and in implementing or 10-25 expanding the institution's degree programs as necessary under 10-26 Subdivision (2). 11-1 Sec. 51.831. COUNCIL AGREEMENT WITH PRIVATE OR INDEPENDENT 11-2 INSTITUTION OF HIGHER EDUCATION. Each private or independent 11-3 institution of higher education must enter into an agreement with 11-4 the council under which the institution agrees to: 11-5 (1) provide academic counseling to a participating 11-6 student enrolled at the institution; 11-7 (2) as soon as practicable, implement or expand 11-8 appropriate degree programs as necessary to provide participating 11-9 students with sufficient preparation for enrollment in 11-10 participating medical schools; 11-11 (3) select a faculty director to assist in 11-12 implementing the program at the institution and in implementing or 11-13 expanding the institution's degree programs as necessary under 11-14 Subdivision (2); and 11-15 (4) provide a scholarship to a participating student 11-16 in the amount required for a participating student attending a 11-17 general academic teaching institution, but not to exceed the amount 11-18 of tuition and fees that the student is charged. 11-19 Sec. 51.832. NONTRADITIONAL STUDENTS. (a) If for any 11-20 reason a participating medical school does not fill the percentage 11-21 of enrollment capacity set aside for participating students under 11-22 the program, the medical school shall fill the remaining openings 11-23 with economically disadvantaged students who: 11-24 (1) are 25 years of age or older; 11-25 (2) have been admitted to the medical school 11-26 independently of the program; 12-1 (3) are referred by the medical school to the council 12-2 and admitted to the program by the council; and 12-3 (4) are entitled to pay tuition at the rate provided 12-4 by Chapter 54 for resident students. 12-5 (b) Nontraditional students admitted to the program under 12-6 this section are subject only to the program benefits and 12-7 requirements applicable to participating students after their 12-8 enrollment in a participating medical school and must sign an 12-9 agreement to that effect. 12-10 Sec. 51.833. FUNDING. (a) The council may solicit and 12-11 accept gifts and grants from any public or private source for the 12-12 purposes of this subchapter. 12-13 (b) The legislature may appropriate money for the purposes 12-14 of this subchapter. 12-15 Sec. 51.834. REPORT. (a) The council shall deliver a 12-16 report on the program to the governor, the lieutenant governor, and 12-17 the speaker of the house of representatives not later than December 12-18 31 of each even-numbered year. 12-19 (b) The report must contain detailed information regarding: 12-20 (1) any problems the council identifies in 12-21 implementing the program, with recommended solutions for those 12-22 problems; 12-23 (2) the expenditure of any money received under this 12-24 subchapter, including legislative appropriations; and 12-25 (3) the number of students who are admitted to the 12-26 program and who are enrolled in each year of a baccalaureate, 13-1 graduate, or professional degree program offered by a general 13-2 academic teaching institution, a private or independent institution 13-3 of higher education, or a participating medical school, as 13-4 applicable. 13-5 SECTION 2. The Joint Admission Medical Program Council is 13-6 required to implement this Act only if the legislature appropriates 13-7 money specifically for that purpose. If the legislature does not 13-8 appropriate money specifically for that purpose, the council may, 13-9 but is not required to, implement this Act using other 13-10 appropriations available for the purpose. 13-11 SECTION 3. This Act takes effect immediately if it receives 13-12 a vote of two-thirds of all the members elected to each house, as 13-13 provided by Section 39, Article III, Texas Constitution. If this 13-14 Act does not receive the vote necessary for immediate effect, this 13-15 Act takes effect September 1, 2001.