HBA-DMH H.B. 2421 77(R) BILL ANALYSIS Office of House Bill Analysis H.B. 2421 By: Hawley Public Health 4/23/2001 Committee Report (Amended) BACKGROUND AND PURPOSE In rural areas, health care practitioner recruitment and retention rates are significantly lower than those in urban and suburban areas, creating a shortage of physicians. Other states have successfully implemented programs to recruit students from rural areas to practice the health care profession in rural areas. House Bill 2421 establishes a rural physician recruitment program under the Center for Rural Health Initiatives to increase the number of physicians practicing in medically underserved rural areas. RULEMAKING AUTHORITY It is the opinion of the Office of House Bill Analysis that this bill does not expressly delegate any additional rulemaking authority to a state officer, department, agency, or institution. ANALYSIS House Bill 2421 amends the Health and Safety Code to require the Center for Rural Health Initiatives (center) to develop a program to recruit medical school students from rural communities and encourage them to return to rural communities to practice medicine. The bill requires the center to: _encourage high school and college students from rural communities to pursue a career in medicine; _develop a screening process to identify rural students most likely to pursue a career in medicine; _establish a rural medicine curriculum, a mentoring program for rural students, and a rural practice incentive program; and _provide rural students with information about financial aid resources available for postsecondary education. The bill authorizes the center to accept gifts, grants, and donations to support the rural physician recruitment program. EFFECTIVE DATE September 1, 2001. EXPLANATION OF AMENDMENTS Committee Amendment No. 1 requires the Center for Rural Health Initiatives (center) to develop a program to recruit students interested in studying medicine, rather than medical school students, from rural communities and encourage them to enroll in medical school and to return to rural communities to practice medicine. The amendment also requires the center to promote and sponsor rural electives in medical school curriculum, rather than requiring the center to establish a rural medicine curriculum.