Vote Recommendation | Economic Freedom | Property Rights | Personal Responsibility | Limited Government | Individual Liberty |
---|---|---|---|---|---|
Neutral | Neutral | Neutral | Neutral | Neutral | Neutral |
5/19/15 Update:
The bill has been amended since we reported on it, and the
House Higher Education Committee introduced a committee substitute.
The Amendment, introduced on the Senate floor, would require
that immediately after the completion of the actuarial study, the commissioner
determine whether a necessity exists to suspend the association’s authority to issue
new insurance policies pending a future enactment by the legislature that
becomes law or the expiration of the subchapter, whichever occurs earlier. If
the commissioner was to decide that such a necessity exists, then the
association would have to stop issuing new policies immediately; otherwise, it
could keep on renewing policies in effect.
The committee substitute introduced by the House Higher
Education Committee would require that the board award additional grants to
fund eligible graduate medical education programs that, for the state fiscal
year ending on August 31, 2015, received a grant awarded under Section 58A.023
or 58A.024 or under Section 61.511, as that section existed immediately before
September 1, 2015, if those programs continue to meet the applicable grant
requirements that existed at the time of the initial award.
The committee substitute would also slightly alter the
research necessary to be conducted, removing the information needed on health
care needs for the state of Texas in terms of primary care vs. non-primary care
physicians.
The committee substitute would also not repeal Section 58A.026
of the Education Code (relating to Grants for additional years of residency).
First chamber
analysis below:
5/19/15 Update:
The bill has been amended since we reported on it, and the House Higher Education Committee introduced a committee substitute.
The State of Texas has a critical need to find a way to retain its medical students and to increase the number of physicians available to the growing population. One solution is to increase the number of first-year residency positions made available to medical students. Because there are currently not enough first-year residency spots available for all medical students in the state of Texas, many students that cannot find a residency position in Texas go to another state to complete their residency, and often never come back to Texas. This is a loss to the state of Texas.
Senate Bill 18 would try to remedy that problem by offering additional grants to medical programs that would create or add first-year residency positions. The amount available from the newly created fund would come from the remaining assets of the Texas Medical Liability Insurance Underwriting Association.
Because Senate Bill 18 doesn't seek new appropriations while trying to solve a real problem for the state of Texas, we will remain neutral on this bill.
An additional solution to the problem of a shortage of physicians facing a growing Texan population would be to consider expanding the scope of practice for other medical, including nurse, practitioners.