PRIOR PRINTER'S NO. 600                        PRINTER'S NO. 691

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 546 Session of 1975


        INTRODUCED BY MESSRS. SHANE, HAMMOCK, MRS. KELLY, MESSRS.
           DiCARLO, BELLOMINI, IRVIS, VANN, GALLAGHER, SHUPNIK, LINCOLN,
           COHEN, O'DONNELL, RHODES, COWELL, PANCOAST, DeMEDIO, WAGNER,
           M. E. MILLER, JR., LAUGHLIN, GEORGE, ZELLER, BERLIN,
           MISCEVICH, MILANOVICH, REED, LINCOLN, ZORD, MISS SIRIANNI,
           MRS. TOLL, MESSRS. PARKER, LETTERMAN, DREIBELBIS, DOYLE,
           MORRIS, VALICENTI, HOPKINS, HASKELL, MUSTO, WARGO, WANSACZ,
           FLAHERTY, TRELLO, GEISLER, MRS. GILLETTE, MR. WALSH,
           MRS. KERNICK, MESSRS. NOYE, R. W. WILT, ZWIKL, GOODMAN,
           MRKONIC, PETRARCA, KOLTER, A. K. HUTCHINSON, SALOOM, BRUNNER,
           YAHNER, STOUT, GREEN, BRADLEY, McLANE, OLIVER, RUGGIERO,
           BARBER, DiDONATO, KNEPPER, CESSAR, FEE, FISCHER, FISHER,
           USTYNOSKI, GRIECO, TAYLOR AND GARZIA, FEBRUARY 19, 1975

        AS REPORTED FROM COMMITTEE ON EDUCATION, HOUSE OF
           REPRESENTATIVES, AS AMENDED, MARCH 3, 1975

                                     AN ACT

     1  Creating the Pennsylvania Medical Education Council;
     2     establishing the powers and duties of such council; creating
     3     Regional Advisory Boards to such council; regulating certain
     4     appropriations to medical schools and schools of osteopathy;
     5     and making an appropriation.

     6     The General Assembly of the Commonwealth of Pennsylvania
     7  hereby enacts as follows:
     8     Section 1.  Short Title.--This act shall be known and may be
     9  cited as the "Pennsylvania Medical Education Planning Act".
    10     Section 2.  Legislative Findings.--The Commonwealth of
    11  Pennsylvania is fortunate in the number and quality of medical
    12  schools located therein. However, there is no integrated system
    13  of medical education covering the entire State which assures an


     1  appropriate distribution of physicians throughout the
     2  Commonwealth. The lack of such an integrated system results in a
     3  loss to both the medical schools and the community at large. The
     4  medical schools are unable to take advantage of the various
     5  medical facilities and the talents of individuals located
     6  throughout the Commonwealth. Many parts of the community at
     7  large are without sufficient health care while those parts which
     8  do have health care cannot take advantage of the advanced
     9  knowledge available at the medical schools. It is essential that
    10  an integrated Statewide medical education plan be developed for
    11  the benefit of both the medical schools and the community at
    12  large.
    13     Section 3.  Pennsylvania Medical Education Council.--There is
    14  hereby created an independent council to be known as the
    15  Pennsylvania Medical Education Council which shall consist of
    16  the following persons: the Secretary of Health and the Secretary
    17  of Education, or their respective designees; the deans of each    <--
    18  of the accredited medical schools and schools of osteopathy in
    19  Pennsylvania; THE CHIEF EXECUTIVE OFFICERS, OR THEIR DESIGNEES,   <--
    20  OF THE COLLEGES OR UNIVERSITIES IN PENNSYLVANIA OF WHICH EACH
    21  ACCREDITED MEDICAL SCHOOL OR SCHOOL OF OSTEOPATHY IS A PART; two
    22  physicians licensed to practice in Pennsylvania who are
    23  professionally qualified in a field of primary care appointed by
    24  the Governor; one representative from a Pennsylvania teaching
    25  hospital appointed by the Governor from a list of at least three
    26  names submitted by the Council of Teaching Hospitals; two
    27  members of the House of Representatives, one from each political
    28  party, selected by the Speaker of the House; and two members of
    29  the Senate, one from each political party selected by the
    30  President pro tempore of the Senate. The council shall select a
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     1  chairman from among its members. Members shall receive no
     2  compensation, but shall be reimbursed for actual expenses
     3  incurred. The Secretary of Health shall provide the necessary
     4  administrative personnel and services. A quorum shall consist of
     5  a majority of the total membership of the council and a majority
     6  vote of those present shall be sufficient in the resolution of
     7  any matter.
     8     Section 4.  Powers and Duties of the Council.--The council
     9  shall have the following powers and duties:
    10     (1)  Develop an integrated Statewide medical education plan
    11  which shall include the establishment of residency programs in
    12  community hospitals by the medical schools with the cooperation
    13  of the medical profession, hospitals, and clinics throughout the
    14  Commonwealth.
    15     (2)  Divide the Commonwealth into regions and determine which
    16  medical schools will operate in each region relative to the
    17  implementation of such integrated Statewide medical plan.
    18     (3)  Give priority in the development of such an integrated
    19  plan to those areas of the Commonwealth which have been
    20  designated as medically deprived by the Secretary of Health.
    21     (4)  Cooperate with any agency or political subdivision of
    22  the Commonwealth or any other public or private agency in the
    23  development of such an integrated plan including the right to
    24  enter into contracts with such agencies and to receive monetary
    25  aid or grants.
    26     (5)  Cooperate with the office of the Governor or any
    27  designated agency in the establishment of a Statewide
    28  communication system which will enable the medical profession,
    29  hospitals, and clinics throughout the Commonwealth to have a
    30  direct tie line and instantaneous communication with computer
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     1  banks and specialists at the medical schools and medical
     2  centers.
     3     (6)  Contract with such consultants as may be deemed
     4  necessary to carry out the provisions of this act.
     5     Section 5.  Regional Advisory Boards.--In each region
     6  established by the council pursuant to clause (2) of section 4
     7  of this act, there is hereby created a Regional Advisory Board
     8  to the Pennsylvania Medical Education Council. Each such board
     9  shall consist of seven persons appointed by the Governor: Four
    10  of whom shall be involved with the delivery of health care; and
    11  three of whom shall not be involved with the delivery of health
    12  care and shall be consumer representatives. Members of the board
    13  shall serve for a four year term except those first appointed in
    14  which case; three shall be appointed for a three year term; and
    15  four shall be appointed for a four year term. Vacancies shall be
    16  made in the manner of the original appointments for the
    17  remainder of the unexpired term. The members of the board shall
    18  also represent a geographical balance of the region. Members of
    19  each board shall select a chairman from among its members and a
    20  majority of the members shall constitute a quorum. A majority
    21  vote of those present shall be sufficient in the resolution of
    22  any matter. The advisory boards shall meet at least twice during
    23  each year. Members shall receive no compensation but shall be
    24  reimbursed for actual expenses incurred.
    25     The function of each board shall be to act in an advisory
    26  capacity to the council relative to the unique problems existing
    27  in the board's region to enable the council to have the best
    28  available information in the performance of the council's
    29  duties.
    30     Section 6.  Regulation of Certain Appropriations to Medical
    19750H0546B0691                  - 4 -

     1  Schools and Schools of Osteopathy.--Whenever any Commonwealth
     2  appropriation is made to any medical school or school of
     3  osteopathy on a student per capita basis, such appropriation
     4  shall be expended in the following manner unless otherwise
     5  specifically designated in the act making such appropriation:
     6     (1)  Eighty per cent of such appropriation may be used at the
     7  discretion of the medical school or school of osteopathy;
     8     (2)  Twenty per cent of the first such appropriation made
     9  after the effective date of this act shall be used by the
    10  medical school or school of osteopathy to create a fund from
    11  which loans are made to students. For each year thereafter, such
    12  percentage of an appropriation shall first be used in an amount
    13  which shall maintain such loan fund at an amount equal to twenty
    14  per cent of the total appropriation for that year. Any amount
    15  remaining after such maintenance of the loan fund may be used at
    16  the discretion of the medical school or school of osteopathy.
    17  This loan program shall be administered either by the medical
    18  school or school of osteopathy, or in the alternative, the
    19  medical school or school of osteopathy shall have the power to
    20  enter into an agreement with the Pennsylvania Higher Education
    21  Assistance Agency for the purpose of the administration of such
    22  loan program. Such agreement may provide for the payment of
    23  costs of administration to such agency from the loan fund. The
    24  Pennsylvania Higher Education Assistance Agency is hereby
    25  authorized to enter into such agreements and to administer such
    26  loan programs in accordance with the terms of such agreements
    27  and the provisions of this act. Such loan program shall provide
    28  that for each year a graduate practices in any area of the
    29  Commonwealth designated as medically deprived by the Secretary
    30  of Health twenty per cent of the total of such loan shall be
    19750H0546B0691                  - 5 -

     1  forgiven.
     2     Section 7.  Appropriation.--The sum of $350,000, or as much
     3  thereof as may be necessary, is hereby appropriated to the
     4  Pennsylvania Medical Education Council for the purposes of this
     5  act. Every year thereafter, the General Assembly shall
     6  appropriate that amount of funds as it deems necessary to carry
     7  out the purposes of this act.
     8     Section 8.  Effective Date.--This act shall take effect
     9  immediately.














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