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The Oregon Administrative Rules contain OARs filed through March 15, 2014
 
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OREGON STUDENT ACCESS COMMISSION

 

DIVISION 71

RURAL HEALTH SERVICES PROGRAM

 

575-071-0000

Definitions

For the purposes of the Rural Health Services Program the following definitions shall be used:

(1) "Commission" means the Oregon Student Assistance Commission.

(2) "Dentist" means any person licensed to practice dentistry under ORS chapter 679.

(3) "Nurse Practitioner" means any person licensed under ORS 678.375.

(4) "Physician Assistant" means any person licensed under ORS 677.495 and 677.505 to 677.525.

(5) "Physician" means any person licensed under ORS Chapter 677.

(6) "Pharmacist" means an individual licensed under ORS Chapter 689.

(7) "Qualifying Loan" means any loan made to a medical student, pharmacy student, physician assistant student, dental student or nursing student under:

(a) The Common School Fund Loan Program administered under ORS 348.040 to 348.090;

(b) Programs under Title IV, Parts B, D, and E, of the Higher Education Act of 1965, as amended; and

(c) The Health Profession's Student Loan Program, Nursing Student Loan Program, Health Education Assistance Loan Program and Primary Care Loan Program administered by the U.S. Department of Health and Human Services.

(8) "Qualifying practice site" means:

(a) A rural hospital as defined in ORS 442.470;

(b) A federally certified Rural Health Clinic;

(c) A pharmacy that is located in a medically underserved rural community in Oregon as determined by the Office of Rural Health or a federally designated health professional shortage area and that is not part of a group of six or more pharmacies under common ownership; or

(d) Another practice site in a medically underserved rural community in Oregon as determined by the Office of Rural Health.

(9) "Practice Full-Time" means on-site clinical service, excluding on-call time, in a relevant health care discipline for no less than 32 working hours per week during no less than 48 weeks in a year.

Stat. Auth.: ORS 442.555 & SB 404
Stats. Implemented: ORS 442.550 - 442.570
Hist.: SSC 2-1992, f. & cert. ef. 2-28-92; SSC 5-1994, f. & cert. ef. 1-25-94; OSAC 1-2002, f. & cert. ef. 2-4-02; OSAC 3-2006, f. & cert. ef. 3-1-06; OSAC 1-2007, f. & cert. ef. 10-3-07

575-071-0010

Administration

(1) The Commission shall be responsible for the administration of this program.

(2) The Commission shall be responsible for making such rules as are required for the administration of the program.

(3) The Commission, in consultation with the Office of Rural Health, shall develop criteria to select program participants from the pool of eligible applicants.

(4) The Commission will utilize criteria adopted by the Oregon Office of Rural Health to determine the Oregon communities, which are participating 'qualifying practice sites' for the purposes of this program; to determine medically underserved communities and for compliance with federal public Law 95-210, establishing rural health clinics.

Stat. Auth.: ORS 442.555 & SB 404
Stats. Implemented: ORS 442.550 - 442.570
Hist.: SSC 2-1992, f. & cert. ef. 2-28-92 SSC 5-1994, f. & cert. ef. 1-25-94; OSAC 3-2006, f. & cert. ef. 3-1-06; OSAC 1-2007, f. & cert. ef. 10-3-07

575-071-0020

Purpose of the Program

The purpose of this program is to provide student loan repayments on behalf of physicians, pharmacists, dentists, physician assistants, and nurse practitioners who enter into agreements to practice in 'qualifying practice sites'; and who fulfill minimum terms of such practice specified in OAR 575-071-0040(2) and (4).

Stat. Auth.: ORS 442.550 - 442.565 & SB 404
Stats. Implemented: ORS 442.550 - 442.570
Hist.: SSC 2-1992, f. & cert. ef. 2-28-92; OSAC 3-2006, f. & cert. ef. 3-1-06; OSAC 1-2007, f. & cert. ef. 10-3-07

575-071-0030

Application and Selection

(1) To be eligible to participate in this program a prospective physician, pharmacist, dentist, physician assistant, or nurse practitioner shall contact the Commission.

(2) When funds are available, the Commission will provide application materials and information about the selection process to qualified individuals who have contacted the Commission.

(3) Applicants selected for participation in this program shall sign an agreement with the Commission, which sets forth the terms that the applicant must meet in order to qualify for benefits under this program.

(4) Subject to available resources, the Commission may enter into agreements with no more than ten prospective physicians, ten prospective pharmacists, ten prospective dentists, ten prospective physician assistants, and ten prospective nurse practitioners each year.

Stat. Auth.: ORS 442.555, SB 81, Sec. 52 & SB 404
Stats. Implemented: ORS 442.550 - 442.570
Hist.: SSC 2-1992, f. & cert. ef. 2-28-92; SSC 5-1994, f. & cert. ef. 1-25-94; OSAC 1-2002, f. & cert. ef. 2-4-02; OSAC 3-2006, f. & cert. ef. 3-1-06; OSAC 1-2007, f. & cert. ef. 10-3-07

575-071-0035

Selection Criteria

(1) Priority in selection of participants will be given to eligible applicants who:

(a) Have demonstrated a commitment to rural practice.

(b) Have signed an agreement to practice, or has begun to practice within the past year, in a 'qualifying practice site' as determined by the Office Rural Health.

(c) Have signed an agreement to practice in a 'qualifying practice site' that has contributed to the Rural Health Service Fund.

Stat. Auth.: ORS 442.555, SB 81, Sec. 52 & SB 404
Stats. Implemented: ORS 442.550 - 442.570
Hist.: SSC 5-1994, f. & cert. ef. 1-25-94; OSAC 3-2006, f. & cert. ef. 3-1-06; OSAC 1-2007, f. & cert. ef. 10-3-07

575-071-0040

Terms of Agreement

Prospective physicians, pharmacists, dentists, physician assistants, and nurse practitioners who wish to participate in the Rural Health Services Program shall agree that:

(1) For each year of medical, pharmacy, dental, physician assistant, or graduate school, the applicant shall designate an amount from the student loans borrowed by him or her, not to exceed $25,000 as a qualifying loan subject to repayment through this program.

(2) In the time period immediately following the completion of all residency requirements or the time period immediately following the execution of a Rural Health Services Agreement, whichever comes later, a physician or dentist applying to participate in the Rural Health Services Program agrees to practice full-time in a 'qualifying practice site' for at least three full years.

(3) For not less than three years, nor more than five years, that a physician or dentist participating in the Rural Health Services Program serves in a 'qualifying practice site', the Commission shall annually pay to the participant an amount that is a percentage of the total of all qualifying loans through the programs described in ORS 442.550.

(4) In the time period immediately following the completion of all pharmacy residency requirements or the five years following the execution of a Rural Health Services agreement with the commission, whichever comes later, a pharmacist agrees to practice for at least three full years in a 'qualifying practice site'.

(5) For not less than three nor more than five years that a pharmacist serves in a 'qualifying practice site', the commission shall annually pay an amount that is a percentage of the total of all qualifying loans made to the pharmacist through the programs described in ORS 442.550.

(6) In the time period immediately following the completion of physician assistant or graduate school or the time period immediately following the execution of a Rural Health Services Agreement, whichever comes later, a physician assistant or nurse practitioner applying to participate in the Rural Health Services Program agrees to practice full-time in a 'qualifying practice site' for at least two full years.

(7) For not less than two nor more than four years that a physician assistant or nurse practitioner practices in a 'qualifying practice site', the Commission shall annually pay to the participant an amount that is a percentage of the total of all qualifying loans through the programs described in ORS 442.550.

(8) If the participant does not complete the full service obligation set forth in section (2), (4) or (6) of this rule, the Commission shall collect 100 percent of any payments made by the Commission to the participant under this program. In addition, a penalty equal to 50 percent of the qualifying loans and interest paid by the Commission shall be assessed by the Commission, to be credited to and deposited in the Rural Health Services Fund established under ORS 442.570.

Stat. Auth.: ORS 442.560, SB 81, Sec. 53 & SB 404
Stats. Implemented: ORS 442.470 & 442.550 - 442.570
Hist.: SSC 2-1992, f. & cert. ef. 2-28-92; SSC 5-1994, f. & cert. ef. 1-25-94; OSAC 3-2006, f. & cert. ef. 3-1-06; OSAC 1-2007, f. & cert. ef. 10-3-07

575-071-0050

Waiver of Minimum Service Obligation

The Commission may waive all or part of the fees and penalties owed to the Commission under the following circumstances:

(1) Upon receiving written documentation acceptable to the Commission of the death of the participant; or

(2) Upon receiving written documentation acceptable to the Commission of the total and permanent disability of the participant; or

(3) After consideration by the Commission and the Office of Rural Health of a written appeal from the participant for a waiver of the minimum service obligation.

Stat. Auth.: ORS 442.550 - 442.570
Stats. Implemented: ORS 442.550 - 442.570
Hist.: SSC 2-1992, f. & cert. ef. 2-28-92; SSC 6-1992, f. & cert. ef. 9-28-92; OSAC 3-2006, f. & cert. ef. 3-1-06

575-071-0060

Availability of Tax Credit

The tax credit available to certain health practitioners under ORS 316.143 to 316.146 and 317.142 is available to participants in the Rural Services Program.

Stat. Auth.: ORS 442.560 & HB 2443, Sec. 13(8)
Stats. Implemented: ORS 442.550 - 442.570
Hist.: SSC 2-1992, f. & cert. ef. 2-28-92; SSC 5-1994, f. & cert. ef. 1-25-94; OSAC 3-2006, f. & cert. ef. 3-1-06

575-071-0070

Rural Health Services Fund

There is established in the State Treasury a fund, separate and distinct from the General Fund, to be known as the Rural Health Services Fund, for investments as provided by ORS 293.701 to 293.776 and 293.820, for the payment of expenses of the Commission in carrying out the purposes of ORS 316.143 to 316.144, 317.142, 352.095, 442.470, 442.503 and 442.550 to 442.570. Interest earned by the account shall be credited to the account.

Stat. Auth.: ORS 442.550 - 442.570
Stats. Implemented: ORS 442.550 - 442.570
Hist.: SSC 2-1992, f. & cert. ef. 2-28-92; OSAC 3-2006, f. & cert. ef. 3-1-06

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