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                                                      PRINTER'S NO. 1642

THE GENERAL ASSEMBLY OF PENNSYLVANIA


SENATE BILL

No. 1256 Session of 2001


        INTRODUCED BY MOWERY, RHOADES, MURPHY, EARLL, KUKOVICH,
           HELFRICK, ORIE, WAUGH, MADIGAN, STACK, TARTAGLIONE, HOLL,
           LOGAN, MUSTO, PUNT, CORMAN, STOUT, TOMLINSON, WAGNER,
           BOSCOLA, COSTA, GERLACH, O'PAKE, D. WHITE, LEMMOND, ROBBINS,
           ERICKSON, DENT, SCARNATI, THOMPSON, GREENLEAF, KASUNIC,
           MELLOW, SCHWARTZ AND M. WHITE, DECEMBER 21, 2001

        REFERRED TO EDUCATION, DECEMBER 21, 2001

                                     AN ACT

     1  Amending the act of March 10, 1949 (P.L.30, No.14), entitled "An
     2     act relating to the public school system, including certain
     3     provisions applicable as well to private and parochial
     4     schools; amending, revising, consolidating and changing the
     5     laws relating thereto," further providing for definitions and
     6     for nursing loan forgiveness program; establishing the
     7     Pennsylvania Nurse Scholarship Program; providing for
     8     administration of the program; further providing for annual
     9     report; and providing for minimum nursing data set.

    10     The General Assembly of the Commonwealth of Pennsylvania
    11  hereby enacts as follows:
    12     Section 1.  The definitions of "approved nursing program" and
    13  "nursing school applicant" in section 2203-A of the act of March
    14  10, 1949 (P.L.30, No.14), known as the Public School Code of
    15  1949, added October 30, 2001 (P.L.828, No.83), are amended and
    16  the section is amended by adding definitions to read:
    17  Section 2203-A.  Definitions.
    18     The following words and phrases when used in this article
    19  shall have the meanings given to them in this section unless the


     1  context clearly indicates otherwise:
     2     * * *
     3     "Approved course of study."  A program or curriculum offered
     4  by a postsecondary educational institution that provides
     5  instruction in nursing and has been approved by the State Board
     6  of Nursing.
     7     * * *
     8     ["Approved nursing program."  An institution located in this
     9  Commonwealth and accredited to grant professional and academic
    10  degrees or diplomas in nursing as defined in the act of May 22,
    11  1951 (P.L.317, No.69), known as The Professional Nursing Law.]
    12     "Board."  The State Board of Nursing of the Commonwealth.
    13     * * *
    14     "Licensed practical nurse."  An individual licensed under the
    15  laws of this Commonwealth to practice practical nursing.
    16     ["Nursing school applicant."  An individual who is a resident
    17  of this Commonwealth and is enrolled in an approved nursing
    18  program.]
    19     * * *
    20     Section 2.  Section 2213-A of the act, added October 30, 2001
    21  (P.L.828, No.83), is amended to read:
    22  Section 2213-A.  [Loan forgiveness program.] Pennsylvania Nurse
    23             Loan Forgiveness Program.
    24     [(a)  Establishment of program.--The agency shall administer
    25  a loan forgiveness program for nursing school applicants on a
    26  Statewide basis. The agency may provide loan forgiveness as
    27  provided in subsection (b) for recipients of loans who by
    28  contract with the agency agree to practice professional nursing
    29  in this Commonwealth upon attainment of the required license.
    30     (b)  Loan forgiveness.--Agency-administered, federally
    20010S1256B1642                  - 2 -

     1  insured student loans for higher education provided to a nursing
     2  school applicant may be forgiven by the agency as follows:
     3         (1)  The agency may forgive 50% of the loan, not to
     4     exceed $50,000, if a loan recipient enters into a contract
     5     with the agency that requires the recipient upon successful
     6     completion of an approved nursing program and licensure as a
     7     registered nurse to practice nursing in this Commonwealth for
     8     a period of not less than three consecutive years.
     9         (2)  Loan forgiveness awards made pursuant to paragraph
    10     (1) shall be forgiven over a period of three years at an
    11     annual rate of 33 1/3% of the award and shall be made from
    12     funds appropriated for this purpose.
    13         (3)  The contract entered into with the agency pursuant
    14     to paragraph (1) shall be considered a contract with the
    15     Commonwealth and shall include the following terms:
    16             (i)  An unlicensed recipient shall apply for a
    17         registered nurse's license to practice in this
    18         Commonwealth at the earliest practicable opportunity upon
    19         successfully completing a degree in nursing.
    20             (ii)  Within six months after licensure, a recipient
    21         shall engage in the practice of nursing in this
    22         Commonwealth according to the terms of the loan
    23         forgiveness award.
    24             (iii)  The recipient shall agree to practice in a
    25         licensed health care facility in the provision of direct
    26         patient care on a full-time basis.
    27             (iv)  The recipient shall permit the agency to
    28         determine compliance with the work requirement for nurses
    29         and all other terms of the contract.
    30             (v)  Upon the recipient's death or total or permanent
    20010S1256B1642                  - 3 -

     1         disability, the agency shall nullify the service
     2         obligation of the recipient.
     3             (vi)  If the recipient is convicted of or pleads
     4         guilty or no contest to a felony or if the licensing
     5         board has determined that the recipient has committed an
     6         act of gross negligence in the performance of service
     7         obligations or has suspended or revoked the license to
     8         practice, the agency shall have the authority to
     9         terminate the recipient's service in the program and
    10         demand repayment of the amount of the loan as of the date
    11         of the conviction, determination, suspension or
    12         revocation.
    13             (vii)  Loan recipients who fail to begin or complete
    14         the obligations contracted for shall pay to the agency
    15         the amount of the loan received under the terms of the
    16         contract pursuant to this section. Providing false
    17         information or misrepresentation on an application or
    18         verification of service shall be deemed a default.
    19         Determination as to the time of default shall be made by
    20         the agency.
    21         (4)  Notwithstanding 42 Pa.C.S. § 8127 (relating to
    22     personal earnings exempt from process), the agency may seek
    23     garnishment of wages in order to collect the amount of the
    24     loan following default under paragraph (3)(vii).]
    25     (a)  Establishment of program.--There is hereby established
    26  in this Commonwealth the Pennsylvania Nurse Loan Forgiveness
    27  Program. The Pennsylvania Nurse Loan Forgiveness Program shall
    28  be for repayment of student loans for nurses providing direct
    29  patient care in licensed health care facilities and shall be
    30  administered by the agency.
    20010S1256B1642                  - 4 -

     1     (b)  Repayment assistance.--The agency may provide assistance
     2  to a nurse who has borrowed through and has a current
     3  outstanding balance with the agency-guaranteed Stafford or
     4  Consolidation Loan programs for education at an approved
     5  institution of higher learning. Repayment assistance may not be
     6  made for a loan that is in default at the time of the
     7  application or for an agency-administered federally insured
     8  student loan being repaid through any other loan repayment
     9  assistance program. Repayment shall be made by the agency to the
    10  lending institution on behalf of the loan recipient.
    11     (c)  Eligibility.--Consideration for loan repayment
    12  assistance shall be as follows:
    13         (1)  The applicant must be an individual who:
    14             (i)  has completed an approved course of study;
    15             (ii)  has been licensed by the board as a licensed
    16         practical nurse or a registered nurse;
    17             (iii)  is employed full time as a nurse in the
    18         provision of direct patient care in a licensed health
    19         care facility; and
    20             (iv)  is a resident of this Commonwealth.
    21         (2)  An applicant who is qualified under paragraph (1)
    22     must agree to practice in a licensed health care facility as
    23     a nurse for not less than three years.
    24     (d)   Amount of loan forgiveness.--
    25         (1)  A licensed practical nurse who is eligible under
    26     subsection (c) shall be eligible to receive up to $3,000 in
    27     loan repayments based on the following repayment schedule:
    28             (i)  Year one, 30% of the total loan amount, not to
    29         exceed $900.
    30             (ii)  Year two, 35% of the total loan amount, not to
    20010S1256B1642                  - 5 -

     1         exceed $1,050.
     2             (ii)  Year three, 35% of the total loan amount, not
     3         to exceed $1,050.
     4         (2)  A registered nurse who is eligible under subsection
     5     (c) shall be eligible to receive up to $20,000 in loan
     6     repayments based on the following repayment schedule:
     7             (i)  Year one, 25% of the total loan amount, not to
     8         exceed $5,000.
     9             (ii)  Year two, 25% of the total loan amount, not to
    10         exceed $5,000.
    11             (iii)  Year three, 25% of the total loan amount, not
    12         to exceed $5,000.
    13             (iv)  Year four, 25% of the total loan amount, not to
    14         exceed $5,000.
    15     (e)  Administration.--
    16         (1)  A recipient of loan repayment assistance shall enter
    17     into a contract with the agency which shall be considered a
    18     contract with the Commonwealth. The contract shall include,
    19     but not be limited to, the following terms and conditions:
    20             (i)  The applicant shall agree to practice not less
    21         than three full years in a licensed health care facility
    22         at a repayment assistance schedule as provided in
    23         subsection (d).
    24             (ii)  The applicant shall agree to practice on a
    25         full-time basis.
    26             (iii)  The nurse shall permit the agency to monitor
    27         compliance with the work requirement.
    28             (iv)  The agency shall certify compliance with the
    29         terms of the contract for purposes of receipt by the
    30         nurse of loan repayment awards for years subsequent to
    20010S1256B1642                  - 6 -

     1         the initial year of the loan.
     2             (v)  The contract shall be renewable on an annual
     3         basis upon certification by the agency that the nurse has
     4         complied with the terms of the contract.
     5             (vi)  Upon the recipient's death or total or
     6         permanent disability, the agency shall nullify the work
     7         requirement of the recipient.
     8             (vii)  If the board has determined that the recipient
     9         has committed an act of gross negligence or has suspended
    10         or revoked the license to practice, the agency shall have
    11         the authority to terminate the recipient's service in the
    12         program and demand repayment of the assistance rendered
    13         to date.
    14             (viii)  Loan recipients who fail to begin or complete
    15         the obligations contracted for shall reimburse to the
    16         Commonwealth all amounts received under this article and
    17         interest thereon as determined by the agency.
    18         Falsification or misrepresentation on an application or
    19         in verification of service shall be construed to be a
    20         default. Determination as to the time of breach of
    21         contract shall be made by the agency. Both the recipient
    22         and the agency shall make every effort to resolve
    23         conflicts in order to prevent a breach of contract.
    24         (2)  The agency shall have the authority to seek
    25     garnishment of wages for the collection of damages provided
    26     for in paragraph (1)(viii).
    27         (3)  The agency may deny loan forgiveness to a student
    28     who is convicted under section 8.2 of the act of January 25,
    29     1966 (1965 P.L.1546, No.541) referred to as the Higher
    30     Education Scholarship Law.
    20010S1256B1642                  - 7 -

     1         (4)  Any person who knowingly or intentionally procures,
     2     obtains or aids another to procure or obtain loan forgiveness
     3     under this article through fraudulent means shall be
     4     disqualified from participation and shall be liable to the
     5     agency for an amount equal to three times the amount
     6     obtained.
     7         (5)  The agency shall monitor and verify a student's
     8     fulfillment of all requirements under this article.
     9         (6)  Loan repayment assistance awarded under the
    10     Pennsylvania Nurse Loan Forgiveness Program shall be limited
    11     to funds appropriated for that purpose. First priority for
    12     awarding loan repayment assistance shall be given to renewal
    13     applicants. In the event that funding is insufficient to
    14     fully fund loan forgiveness for all eligible applicants, the
    15     agency shall utilize a random lottery system for determining
    16     which applicants receive loan forgiveness.
    17     Section 3.  The act is amended by adding a section to read:
    18  Section 2213.1-A.  Pennsylvania Nurse Scholarship Program.
    19     (a)  Establishment.--There is hereby established the
    20  Pennsylvania Nurse Scholarship Program within the agency, to
    21  consist of the Nursing Baccalaureate Degree Scholarship and the
    22  Nursing Program Scholarship.
    23     (b)  Issuance of grants.--The agency may provide scholarship
    24  grants to an eligible student who is a resident of this
    25  Commonwealth upon confirmation from an approved institution of
    26  higher education that the student is enrolled in an approved
    27  course of study. Scholarship grants shall only be for the amount
    28  set forth in sections 2213.2-A(a) and 2213.3-A(a) and shall only
    29  be used for educational costs as determined by the agency.
    30     (c)  Other funding.--Prior to making a grant under this
    20010S1256B1642                  - 8 -

     1  article, the agency shall first apply Federal Pell Grant and
     2  State grants available for educational costs as determined by
     3  the agency related to an undergraduate program prior to
     4  determining the amount of the scholarship grant.
     5     (d)  Eligibility.--To receive a scholarship grant under this
     6  article, a student shall meet all of the following requirements:
     7         (1)  Graduation from a high school in this Commonwealth,
     8     or earned general educational development (GED) diploma or
     9     the equivalent thereof.
    10         (2)  Maintenance of domicile in Pennsylvania during the
    11     term of the scholarship grants.
    12         (3)  Compliance with any conditions placed on the
    13     scholarship grant by the agency.
    14         (4)  Maintenance of satisfactory progress as established
    15     by the approved institution of higher education's written
    16     policies.
    17         (5)  Enter into a written agreement with the agency to:
    18             (i)  Complete an approved course of study.
    19             (ii)  Commence employment involving direct patient
    20         care with a licensed health care facility in this
    21         Commonwealth within one year after completion of an
    22         approved course of study for a period of one year for
    23         each academic year the student received a scholarship
    24         grant under this article unless the agency determines
    25         that there are extenuating circumstances.
    26             (iii)  Reimburse the Commonwealth all amounts
    27         received under this article and interest thereon, as
    28         determined by the agency, if the student fails to comply
    29         with subparagraphs (i) and (ii).
    30     (e)  Application.--A student shall apply to the agency for a
    20010S1256B1642                  - 9 -

     1  scholarship grant as prescribed by the agency, to include the
     2  provision of all information and documentation required by the
     3  agency. The application of a student under 18 years of age shall
     4  include the signature of a parent or guardian.
     5     (f)  Work requirement.--The work requirement under subsection
     6  (d)(5)(ii) shall begin after completion of the approved course
     7  of study.
     8     (g)  Termination.--If a student terminates enrollment in the
     9  approved institution of higher education during the academic
    10  year or prior to completion of the approved course of study, the
    11  approved institution of higher education shall notify the agency
    12  in writing and shall return all unused portions of the
    13  scholarship grant. Returned amounts shall be used to fund other
    14  scholarship grants under this article.
    15     (h)  Transfer.--A scholarship under this article may only be
    16  transferrable to another approved institution of higher
    17  education if approved by the agency.
    18     (i)  Limitation.--Grants awarded under the Pennsylvania Nurse
    19  Scholarship Program shall be limited to funds appropriated for
    20  that purpose. First priority for awarding grants shall be given
    21  to renewal applicants. In the event that funding is insufficient
    22  to fully fund grant awards for all eligible applicants, the
    23  agency shall utilize a random lottery system for determining
    24  which applicants receive grant awards.
    25     (j)  Minors.--A person under 18 years of age who otherwise
    26  qualifies for scholarship grants under this section shall not be
    27  disqualified based upon age.
    28     (k)  Ineligibility.--The agency may deny a scholarship grant
    29  to a student who is convicted under section 8.2 of the act of
    30  January 25, 1966 (1965 P.L.1546, No.541), referred to as the
    20010S1256B1642                 - 10 -

     1  Higher Education Scholarship Law.
     2     (l)  Fraud.--Any person who knowingly or intentionally
     3  procures, obtains or aids another to procure or obtain a grant
     4  under this article through fraudulent means shall be
     5  disqualified from participation in the Pennsylvania Nurse
     6  Scholarship Program and shall be liable to the agency for an
     7  amount equal to three times the amount obtained.
     8  Section 2213.2-A.  Nursing Baccalaureate Degree Scholarship.
     9     (a)  Amount of grants.--The agency shall award a Nursing
    10  Baccalaureate Degree Scholarship in the amount of $3,000 per
    11  academic year, or a lesser amount following application of
    12  Federal and State grants under section 2213.1-A(c) to a student
    13  enrolled full time in an approved institution of higher
    14  education pursuing a bachelor's degree in nursing. The student
    15  shall take at least 12 semester hours per semester, or its
    16  equivalent, in an approved course of study.
    17     (b)  Term of grant.--The grant shall be for a maximum of four
    18  academic years.
    19  Section 2213.3-A.  Nursing Program Scholarship.
    20     (a)  Amount of grants.--The agency shall award a Nursing
    21  Program Scholarship in the amount of $1,500 per academic year or
    22  a lesser amount following application of Federal or State grants
    23  under section 2213.1-A(c) to a student enrolled full time in an
    24  approved institution of higher education pursuing an associate's
    25  degree, diploma or certificate. A student who is enrolled part
    26  time and is pursuing an associate's degree, diploma or
    27  certificate is eligible for a grant of 50% of educational costs
    28  per academic year as determined by the agency, not to exceed
    29  $1,500 per academic year.
    30     (b)  Term of grant.--The grant shall be for a maximum of two
    20010S1256B1642                 - 11 -

     1  academic years or for up to three academic years if the student
     2  is enrolled in an approved course of study that, according to
     3  the board, requires three academic years to complete. In order
     4  to qualify for a grant in a third academic year, the student
     5  must be in compliance with section 2213.1-A(d) and the
     6  institution must determine that the student is making
     7  satisfactory progress toward completing an associate's degree or
     8  the requirements of the diploma or certificate program.
     9  Section 2213.4-A.  Administration.
    10     (a)  Verification.--The agency shall monitor and verify a
    11  student's fulfillment of all work requirements under this
    12  article.
    13     (b)  Enforcement.--The agency shall enforce repayment of all
    14  scholarship grants for a student who does not comply with the
    15  provisions of this article, to include use of all lawful
    16  collection procedures and the use of private collection
    17  agencies.
    18     (c)  Financial assistance.--Scholarship grants received by a
    19  student under this article shall not be considered financial
    20  assistance or appropriations to the approved institution of
    21  higher education.
    22     (d)  Customized job training.--No funds under this article
    23  shall be granted to a person enrolled in a customized job
    24  training partnership program or continuing education course from
    25  a postsecondary educational institution for which an employer is
    26  providing over 50% of the financial support, directly or
    27  indirectly, and for which the student is not being charged
    28  tuition or fees.
    29     Section 4.  Sections 2214-A and 2231-A of the act, added
    30  October 30, 2001 (P.L.828, No.83), are amended to read:
    20010S1256B1642                 - 12 -

     1  Section 2214-A.  Tax applicability.
     2     Loan forgiveness repayments and scholarships received by a
     3  student under this article shall not be considered taxable
     4  income for purposes of Article III of the act of March 4, 1971
     5  (P.L.6, No.2), known as the Tax Reform Code of 1971.
     6  Section 2231-A.  Annual report.
     7     (a)  Development of report.--The agency shall publish a
     8  report by September 1, 2002, and every year thereafter for the
     9  immediately preceding fiscal year. The report shall include
    10  information regarding the operation of the programs established
    11  under this article, including:
    12         (1)  The number of applications received, and the number
    13     and amount of loan guarantees and loan contracts executed and
    14     renewed and scholarships awarded for eligible applicants in
    15     medicine, biomedicine or life sciences and under the nursing
    16     loan forgiveness program and nursing scholarship program.
    17         (2) The number and amount of nursing loan forgiveness
    18     contracts executed and renewed for nursing school applicants.
    19         (3)  The number of defaulted nursing loan forgiveness
    20     contracts, reported by cause.
    21         (4)  The number, type and amount of Nursing Baccalaureate
    22     Degree Scholarships and Nursing Program Scholarships awarded.
    23         (5)  The number of scholarship grantees who withdraw from
    24     the scholarship programs, reported by cause.
    25         [(4)] (6)  The number of nurses participating in the
    26     nursing loan forgiveness program and full-time and part-time
    27     students receiving scholarships under this article, reported
    28     by type of institution attended, including four-year
    29     educational institutions, community colleges, independent
    30     two-year colleges, private licensed schools, hospital-based
    20010S1256B1642                 - 13 -

     1     courses of study and certificate programs.
     2         [(5)] (7)  The number and type of enforcement actions
     3     taken by the agency.
     4     (b)  Submission.--The annual report shall be submitted to the
     5  Governor, the chair and minority chair of the Appropriations
     6  Committee of the Senate, the chair and minority chair of the
     7  Appropriations Committee of the House of Representatives, the
     8  chair and minority chair of the Education Committee of the
     9  Senate, the chair and minority chair of the Education Committee
    10  of the House of Representatives, the chair and minority chair of
    11  the Public Health and Welfare Committee of the Senate and the
    12  chair and minority chair of the Health and Human Services
    13  Committee of the House of Representatives.
    14     Section 5.  The act is amended by adding a section to read:
    15  Section 2235-A.  Minimum nursing data set.
    16     (a)  Duty of State Board of Nursing.--It shall be the duty of
    17  the State Board of Nursing to collect, store and make available
    18  nursing work force information regarding all of the categories
    19  of nurses.
    20     (b)  Information.--The information to be collected as part of
    21  the routine licensure renewal process on nurses shall include,
    22  but not be limited to:
    23         (1)  Demographics, including:
    24             (i)  Year of birth.
    25             (ii)  Ethnicity, Hispanic/Latino; Native Americans;
    26         Alaskan Native; Asian; Pacific Islander; African
    27         American/Black, not of Hispanic origin; White, not of
    28         Hispanic origin.
    29             (iii)  Zip code of residence.
    30         (2)  Basic education, including:
    20010S1256B1642                 - 14 -

     1             (i)  Program type, LPN, hospital-based, ADN, BSN and
     2         MS.
     3             (ii)  Year graduated.
     4             (iii)  State in which basic program is located.
     5         (3)  Highest education attained, including:
     6             (i)  Program type, LPH, hospital-based, AA/AND,
     7         BS/BSN, MS/MSN and PhD/EdD.
     8             (ii)  Year graduated.
     9             (iii)  Preparation as Advanced Nurse Practitioner,
    10         Nurse Practitioner, Nurse Midwife, Clinical Nurse
    11         Specialist and Nurse Anesthetist.
    12         (4)  Employment, including:
    13             (i)  Current employment.
    14             (ii)  Number of hours worked in typical week.
    15             (iii)  Setting of primary employer, hospital, long-
    16         term care, ambulatory care, physician office, public
    17         health, home health or other.
    18             (iv)  Setting of secondary employer, hospital, long-
    19         term care, ambulatory care, physician office, public
    20         health, home health or other.
    21             (v)  Type of position, staff nurse, educator,
    22         management, utilization/case management, advanced
    23         practice or other.
    24             (vi)  Zip code of primary employer.
    25             (vii)  Currently unemployed in nursing, student,
    26         seeking nursing employment, seeking employment in other
    27         health-related field; seeking employment in other field;
    28         employed in other health-related field, employed in other
    29         field, not seeking nursing employment; not seeking
    30         employment or retired.
    20010S1256B1642                 - 15 -

     1             (viii)  Intention to remain employed in nursing, one
     2         to three years; three to five years; five to ten years or
     3         greater than ten years.
     4         (5)  Licensure, including:
     5             (i)  State issuing first license.
     6             (ii)  Year first license issued.
     7             (iii)  States where current licensure is held.
     8             (iv)  Name under which license issued or number of
     9         license for each state in which nurse is licensed.
    10     (c)  Duty of Department of Labor and Industry.--It shall be
    11  the duty of the Department of Labor and Industry, through its
    12  Center for Workforce Information and Analysis, to regularly
    13  analyze and publish the information collected by the State Board
    14  of Nursing in combination with information obtained from
    15  employers to better understand the supply and demand for nurses
    16  in Pennsylvania and to assist in work force planning and
    17  development.
    18     Section 6.  This act shall take effect in 60 days.








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