BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                         AB 174


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       ASSEMBLY THIRD READING


       AB  
       174 (Gray)


       As Amended  June 1, 2015


       2/3 vote


        ------------------------------------------------------------------- 
       |Committee       |Votes |Ayes                  |Noes                |
       |                |      |                      |                    |
       |                |      |                      |                    |
       |----------------+------+----------------------+--------------------|
       |Higher          |12-1  |Medina, Baker, Bloom, |Harper              |
       |Education       |      |Chávez, Irwin,        |                    |
       |                |      |Jones-Sawyer, Levine, |                    |
       |                |      |Linder, Low,          |                    |
       |                |      |Santiago, Weber,      |                    |
       |                |      |Williams              |                    |
       |                |      |                      |                    |
       |----------------+------+----------------------+--------------------|
       |Appropriations  |16-1  |Gomez, Bigelow,       |Gallagher           |
       |                |      |Bonta, Calderon,      |                    |
       |                |      |Chang, Daly, Eggman,  |                    |
       |                |      |Eduardo Garcia,       |                    |
       |                |      |Gordon, Holden,       |                    |
       |                |      |Jones, Quirk, Rendon, |                    |
       |                |      |Wagner, Weber, Wood   |                    |
       |                |      |                      |                    |
       |                |      |                      |                    |
        ------------------------------------------------------------------- 


       SUMMARY:  Would appropriate $1.255 million from the General Fund to the  








                                                                         AB 174


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       University of California (UC) to, commencing with the 2016-17 Fiscal  
       Year, admit up to 12 students per year and operate the program with up  
       to 48 participants from across the four-year curriculum.
       FISCAL EFFECT:  According to the Assembly Appropriations Committee,  
       costs of $1,225,000 in 2016-17, $1,645,000 in 2018-19, and $1,855,000  
       in 2019-20 and each year thereafter.


       COMMENTS:  Currently, UC operates the largest health sciences  
       instructional program in the nation, enrolling more than 14,000  
       students across 17 schools at seven campuses; six are medical schools  
       (Davis, Irvine, Los Angeles, Riverside, San Diego, and San Francisco). 


       In 2004, UC launched a systemwide medical education initiative,  
       Programs in Medical Education (PRIME), intended to help address state  
       needs and focus on the needs of medically underserved communities.  UC  
       Irvine launched the first UC PRIME focusing on the growing needs of  
       California's Latino communities.  Three other UC schools (Davis, San  
       Diego and San Francisco) admitted their first classes in Fall 2007 in  
       programs focused on rural health and telemedicine (Davis), health  
       equity (San Diego), and the urban underserved (San Francisco).  In  
       2008, UCLA launched its PRIME program, training physicians to  
       proactively address the needs of diverse disadvantaged communities by  
       delivering culturally competent clinical care, providing leadership for  
       health delivery systems and conducting research on health disparities.



       UC Merced currently offers degrees in fields that satisfy medical  
       school preparatory requirements and is developing plans intended to  
       lead to a School of Medicine.  In 2010, UC Merced opened a PRIME  
       program in partnership with the UC Davis School of Medicine and UC San  
       Francisco focused the health needs of the San Joaquin Valley.  Students  
       admitted to UC Merced PRIME spend their first two years at the UC Davis  
       campus in Sacramento.  The groups' third and fourth years are spent  
       conducting clinical rotations at San Joaquin Valley clinics and  
       hospitals. 









                                                                         AB 174


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       According to UC, as of the 2014-15 academic year, UC will enroll 333  
       medical students in PRIME.  UC notes, however, that only 78 PRIME  
       positions are currently funded by the state.  UC indicates that a  
       permanent funding source must be identified to continue this enrollment  
       level for PRIME.  



       Analysis Prepared by:                        Laura Metune / HIGHER ED.  
       / (916) 319-3960  FN: 0000687