Texas Register, Volume 30, Number 42, Pages 6835-6972, October 21, 2005 Page: 6,887
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SUBCHAPTER D. TEXAS RURAL PHYSICIAN
ASSISTANT LOAN REIMBURSEMENT
PROGRAM
10 TAC 257.101, 257.103, 257.105, 257.107, 257.109
The amendments are proposed under the authority of Chapter
487 487.052 of the Texas Government Code which authorizes
the Executive Committee to adopt rules to implement the provi-
sions of this chapter.
There are no other codes, articles or statutes affected by these
proposed amendments.
257.101. Purpose, Administration and Delegation of Powers and
Duties.
(a) The purpose of the Rural Physician Assistant Loan Reim-
bursement Program is to encourage qualified physician assistants to
practice in areas in rural Texas where there is a high need for primary
health care providers.
(b) TheOffice [Center for Rural Health Initiativeo - or its sue-
eessor or successors], shall administer the Rural Physician Assistant
Loan Reimbursement Program.
(c) The Executive Committee delegates to the Executive Di-
rector the necessary powers, duties and functions to administer the pro-
gram. The Executive Director shall enter into an interagency contract
with the Texas Medical Board [Texas State Board of Medical Examin-
ers] to specify the mechanisms for the annual transfer of program funds
from the Texas Medical Board [Texas State Board of Medical Exam-
iners ].
257.103. Definitions.
The following words and terms, when used in this subchapter, shall
have the following meanings, unless the context clearly indicates oth-
erwise:
(1) Approved Program--A physician assistant or surgeon
assistant training program accredited by the American Medical Asso-
ciation's Committee on Allied Health Education and Accreditation or
the American Osteopathic Association.
[(2) Center-The Center for Rural Health Initiatives estab-
lisL edby the Omnibus Health are Rescue Act paed by the 74-- Ss-
sion of the Texas Legislature.
(2) [-3)] Executive Committee--The nine member govern-
ing body of the Office [Center for Rural Health Initiatives] appointed
by the governor, lieutenant governor and speaker.
(3) [(4)] Executive Director--The chief executive officer of
the Office [Center for Rural Health Initiatives].
(4) Office--The Office of Rural Community Affairs as cre-
ated in Chapter 487 of the Texas Government Code.
(5) Rural Health Professional Shortage Area (HPSA)--
[Any area in Texas that is not designated as a Metropolitan Statistical
Area by the United States Bureau of the Census that is recommended
by the Texas Department of Health to the Office of Shortage Analysis,
Bureau of Health Gare Delivery and Assia .ce, of the United States
Department of Health and Human Se , . or its suuessors, as having
a shortage of primary health care physi-ians The degree athotae.
de ls e...os aiso determined by the tnted States Department of
Health and Human See range from groups ene to feu with ene
representing the highest degree of shortage.](A) a rural area, which need not conform to the geo-
graphic boundaries of a political subdivision and which is a rational
area for the delivery of health services, which the Secretary of the U.S.
Department of Health and Human Services (hereinafter Secretary) de-
termines has a health manpower shortage and which is not reasonably
accessible to an adequately served area,
(B) a population group which the Secretary determines
has such a shortage, or
(C) a public or nonprofit private medical facility or
other public facility which the Secretary determines has such a
shortage. All Federally qualified health centers and rural health
clinics, as defined in section 1861(aa) of the Social Security Act (42
U.S.C. 1395x (aa)), that meet the requirements of section 254g of
title 42 of the United States Code, shall be automatically designated
as having such a shortage.
(6) Rural Medically Underserved Area (MUA)--An area
designated by the United States secretary of health and human services
as having: [Any area in Texas that is not designated as a Metropolitan
Statistical Area by the United States Bureau of the Census that is ree-
emmended by the Texas Department of Health to the Office of Shortage
Analysis Bureau of Health are Delivery and Assistance, of the United
StatesO Department of Health and Human Services or its s ucessor, as
an area with a demonstrated shortage f personal health services Ar-
eas with the lowest index of Medical ttdeme ce (TMU) .ore alse
determined by the United States Department of Health and Human Ser-
vices, are the most severely medically underserved.]
(A) a shortage of personal health services or a popula-
tion group that has such a shortage a provided by 42 U.S.C. Section
300e-1(7); or
(B) a health professional shortage as provided by 42
U.S.C. Section 254e(a)(1).
(7) RPALR Program--The Rural Physician Assistant Loan
Reimbursement Program established by the Physician Assistant Li-
censing Act found in 204.104 of the Texas Occupations Code [passed
by the 73rd Session of the Texas Legislature].
(8) Service obligation period--A consecutive 12 calendar-
month period immediately preceding the date of application and during
which a physician assistant provided health care services as a physician
assistant in a rural health professional shortage area or rural medically
underserved area.
257.105. Dissemination of Information.
(a) The Office [Center] shall disseminate information about
the Rural Physician Assistant Loan Reimbursement Program to all in-
terested parties.
(b) The Office [Center] shall publish and send information
about the program to health care institutions of higher education,
physician assistant training programs, appropriate state agencies,
interested professional associations, and, upon request, to individuals.
257.107. Requirements for an Eligible Educational Loan, an Eligi-
ble Lender or Holder and an Eligible Physician Assistant.
(a) An educational loan is eligible for repayment if it was ob-
tained through an eligible lender for purposes of attending a post-sec-
ondary institution.
(b) An educational loan is not eligible for repayment if it:
(1) was a self-made educational loan from one's own in-
surance policy or pension plan or from the insurance policy or pension
plan of a spouse or other relative;
(2) involves a service obligation; orPROPOSED RULES October 21, 2005 30 TexReg 6887
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Texas. Secretary of State. Texas Register, Volume 30, Number 42, Pages 6835-6972, October 21, 2005, periodical, October 21, 2005; Austin, Texas. (https://texashistory.unt.edu/ark:/67531/metapth97315/m1/53/?q=%22%22~1: accessed July 16, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu; crediting UNT Libraries Government Documents Department.