Bill Text: NY S08175 | 2021-2022 | General Assembly | Amended


Bill Title: Enacts the "recruit, empower, support, pay, educate, connect and train (RESPECT) nurses act" for the purpose of supporting current nurses, nursing students, and increasing the number of nurses within the state.

Spectrum: Partisan Bill (Democrat 8-0)

Status: (Introduced - Dead) 2022-01-31 - PRINT NUMBER 8175A [S08175 Detail]

Download: New_York-2021-S08175-Amended.html



                STATE OF NEW YORK
        ________________________________________________________________________

                                         8175--A

                    IN SENATE

                                    January 31, 2022
                                       ___________

        Introduced  by  Sen. REICHLIN-MELNICK -- read twice and ordered printed,
          and when printed to be committed to the Committee on Higher  Education
          --  committee  discharged,  bill amended, ordered reprinted as amended
          and recommitted to said committee

        AN ACT to amend the education law, the state  finance  law,  the  public
          health  law,  the retirement and social security law, and the tax law,
          in relation to  establishing  the  "recruit,  empower,  support,  pay,
          educate, connect and train (RESPECT) nurses act"

          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:

     1    Section 1. This act shall be known and may be cited as  the  "recruit,
     2  empower, support, pay, educate, connect and train (RESPECT) nurses act".
     3    §  2.  Subdivisions  1  and  4  of section 669-e of the education law,
     4  subdivision 1 as amended by chapter 329 of the laws of 2018 and subdivi-
     5  sion 4 as amended by section 1 of part BB of chapter 56 of the  laws  of
     6  2018, are amended to read as follows:
     7    1.  Undergraduate  students who are matriculated in an approved under-
     8  graduate  program  leading  to  a   career   in   science,   technology,
     9  engineering,  nursing or mathematics at a New York state public institu-
    10  tion of higher education for the purpose  of  subdivision  two  of  this
    11  section,  or  a  New  York  state private degree granting institution of
    12  higher education for the purpose of subdivision two-a of  this  section,
    13  shall  be  eligible for an award under this section, provided the appli-
    14  cant: (a) graduates from a high school located in New York state  during
    15  or after the two thousand thirteen--fourteen school year; and (b) gradu-
    16  ates within the top ten percent of his or her high school class; and (c)
    17  enrolls  in  full-time  study each term beginning in the fall term after
    18  his or her high school graduation in an approved  undergraduate  program
    19  in  science, technology, engineering, nursing or mathematics, as defined
    20  by the corporation, at a New York state institution of higher education;
    21  and (d) signs a contract with the corporation agreeing that his  or  her
    22  award will be converted to a student loan in the event the student fails
    23  to  comply  with  the  terms of this program as set forth in subdivision
    24  four of this section; and (e) complies with the applicable provisions of

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD14091-04-2

        S. 8175--A                          2

     1  this article and all requirements promulgated by the corporation for the
     2  administration of the program.
     3    4.  The corporation shall convert to a student loan the full amount of
     4  the award given pursuant to this section, plus interest, according to  a
     5  schedule  to  be determined by the corporation if: (a) a recipient fails
     6  to complete an approved undergraduate program  in  science,  technology,
     7  engineering,  nursing  or  mathematics or changes majors to a program of
     8  undergraduate study other  than  in  science,  technology,  engineering,
     9  nursing  or  mathematics;  or  (b) upon completion of such undergraduate
    10  degree program a recipient fails to either (i) complete  five  years  of
    11  continuous full time employment in the science, technology, engineering,
    12  nursing  or  mathematics  field  with a public or private entity located
    13  within New York state, or (ii) maintain residency in New York state  for
    14  such  period  of  employment;  or  (c)  a  recipient fails to respond to
    15  requests by the corporation for the status of his  or  her  academic  or
    16  professional  progress.  The  terms  and  conditions of this subdivision
    17  shall be deferred for individuals who  graduate  with  a  degree  in  an
    18  approved  undergraduate  program  in  science,  technology, engineering,
    19  nursing or mathematics and enroll on at least a  half-time  basis  in  a
    20  graduate or higher degree program or other professional licensure degree
    21  program  until  they  are conferred a degree, and shall also be deferred
    22  for any interruption in undergraduate study or employment as established
    23  by the rules and regulations of the corporation. The  terms  and  condi-
    24  tions of this subdivision may also be deferred for a grace period, to be
    25  established  by the corporation, following the completion of an approved
    26  undergraduate program in science, technology,  engineering,  nursing  or
    27  mathematics  a  graduate  or higher degree program or other professional
    28  licensure degree program. Any obligation to comply with such  provisions
    29  as  outlined  in  this  section shall be cancelled upon the death of the
    30  recipient. Notwithstanding any provisions of  this  subdivision  to  the
    31  contrary,  the  corporation  is authorized to promulgate rules and regu-
    32  lations to provide for the waiver or suspension of any  financial  obli-
    33  gation which would involve extreme hardship.
    34    §  3.  The education law is amended by adding a new section 679-c-1 to
    35  read as follows:
    36    § 679-c-1. Nursing shortage area scholarship. 1. Purpose. The New York
    37  state nursing shortage area scholarship is hereby  established  for  the
    38  purpose  of  granting  scholarships  to  students  enrolled in a nursing
    39  program within the state.
    40    2. Eligibility. To be eligible for such awards, an applicant must:
    41    a. be a New York state resident;
    42    b. have graduated from a New York state high school;
    43    c. be enrolled, on a full-time basis,  in  an  approved  undergraduate
    44  nursing  program of study in a New York state post-secondary institution
    45  as of the two thousand twenty-two--two  thousand  twenty-three  academic
    46  year or thereafter; and
    47    d.  sign  a contract with the corporation agreeing to reside and prac-
    48  tice exclusively in the state as a  registered  nurse  in  a  healthcare
    49  setting on a full-time basis in a designated nursing shortage area.
    50    3. Priority. a. The president is authorized to make scholarship awards
    51  pursuant  to  this section to provide financial support to applicants to
    52  enter or continue in an undergraduate nursing  program  of  study.  Such
    53  awards shall be made to eligible applicants in the following priority:
    54    (i)  first, to applicants who have received payment of an award pursu-
    55  ant to this section in a prior year and remain in good  academic  stand-
    56  ing; and

        S. 8175--A                          3

     1    (ii) second, to applicants in descending order based on the unmet need
     2  to  reach  the full cost of attendance as indicated on the financial aid
     3  award letter.
     4    However,  in  the  program's  first  year,  first priority shall be in
     5  accordance with subparagraph (ii) of this paragraph.
     6    b. The regents, after consultation with the  commissioner  of  health,
     7  shall  designate  those areas of New York state which have a shortage of
     8  nurses for the purposes of this subdivision, and, should it be necessary
     9  may establish relative rankings of  those  areas,  shall  determine  the
    10  number of scholarships to be awarded each year and shall direct that the
    11  awards  are  distributed  to  ensure  appropriate distribution among the
    12  areas identified as nursing shortage areas.
    13    4. Award. a. The corporation shall grant  such  awards  in  an  amount
    14  equal  to  the amount of undergraduate tuition for residents of New York
    15  state enrolled in a nursing  program  of  study  charged  by  the  state
    16  university  of New York or actual tuition charged, whichever is less, in
    17  calculating such award the corporations shall account  for  the  average
    18  cost  of  books  and fees; provided, however, (i) a student who receives
    19  educational grants and/or scholarships that  cover  the  student's  full
    20  cost  of  attendance  shall  not  be  eligible  for  an award under this
    21  program; (ii) for a student who receives educational grants and/or scho-
    22  larships that cover less than the student's  full  cost  of  attendance,
    23  such  grants and/or scholarships shall not be deemed duplicative of this
    24  program and may be held concurrently with an award under  this  program,
    25  provided  that  the  combined  benefits do not exceed the student's full
    26  cost of attendance; and (iii) an  award  under  this  program  shall  be
    27  applied to tuition after the application of all other educational grants
    28  and  scholarships  limited  to tuition and shall be reduced in an amount
    29  equal to such educational grants and/or scholarships. Upon  notification
    30  of  an  award under this program, the institution shall defer the amount
    31  of tuition equal to the award. No award shall be final until the recipi-
    32  ent's successful completion of a term has been certified by the institu-
    33  tion.
    34    b. The corporation shall convert to a student loan the full amount  of
    35  the  award given pursuant to this section, plus interest, according to a
    36  schedule to be determined by the corporation if: (i) a  recipient  fails
    37  to complete an approved undergraduate nursing program or changes majors;
    38  or  (ii)  upon completion of such undergraduate nursing degree program a
    39  recipient fails to either (a) complete five years  of  continuous  full-
    40  time  employment  as a registered nurse in a designated nursing shortage
    41  area within New York state, or (b) maintain residency in New York  state
    42  for  such period of employment; or (iii) a recipient fails to respond to
    43  requests by the corporation for the status of his  or  her  academic  or
    44  professional  progress.  The  terms  and  conditions of this subdivision
    45  shall be deferred for individuals who  graduate  with  a  degree  in  an
    46  approved undergraduate program in nursing and enroll on at least a half-
    47  time  basis  in  a graduate nursing or higher degree nursing program and
    48  shall also be deferred for any interruption in  undergraduate  study  or
    49  employment  as  established  by  the rules and regulations of the corpo-
    50  ration. The terms  and  conditions  of  this  subdivision  may  also  be
    51  deferred  for  a  grace  period,  to  be established by the corporation,
    52  following the completion of an approved undergraduate program in nursing
    53  or a graduate nursing or higher degree nursing program.  Any  obligation
    54  to  comply  with  such  provisions  as outlined in this section shall be
    55  cancelled  upon  the  death  of  the  recipient.    Notwithstanding  any
    56  provisions  of  this  subdivision  to  the  contrary, the corporation is

        S. 8175--A                          4

     1  authorized to promulgate rules and regulations to provide for the waiver
     2  or suspension of any financial obligation which  would  involve  extreme
     3  hardship.
     4    5.  Rules. The corporation is authorized to promulgate rules and regu-
     5  lations, and may promulgate emergency  regulations,  necessary  for  the
     6  implementation  of  the  provisions  of this section, including, but not
     7  limited to, the rate of interest charged for repayment  of  the  student
     8  loan  and  the criteria for distributing the awards, which may include a
     9  lottery or other form of random selection for awards distributed  pursu-
    10  ant to subdivision two of this section.
    11    §  4.  The education law is amended by adding a new section 679-c-2 to
    12  read as follows:
    13    § 679-c-2. Pathway to nursing scholarship for healthcare  workers.  1.
    14  Purpose.  The  New  York  state pathway to nursing scholarship is hereby
    15  established for the purpose of granting scholarships to students who are
    16  currently employed  as  a  healthcare  worker  within  the  state.  Such
    17  students must be enrolled in an undergraduate nursing program on a part-
    18  time basis or an approved practical nursing program of study in New York
    19  state.  The  intent  of  the  program is to augment or increase training
    20  programs for nurses and those seeking to become  nurses.  Grant  funding
    21  shall  not  be  used  to offset existing expenditures the institution or
    22  program has obligated or intends to obligate for such training programs.
    23    2. Eligibility. To be eligible for such awards, an applicant must:
    24    a. be a New York state resident;
    25    b. be currently employed as an eligible  healthcare  professional,  as
    26  determined by the president;
    27    c.  be,  as  of the two thousand twenty-two--two thousand twenty-three
    28  academic year or thereafter, enrolled in either: (i) an approved  under-
    29  graduate  nursing  program of study, on a part-time basis, in a New York
    30  state post-secondary institution; or (ii) an approved practical  nursing
    31  program of study in New York state; and
    32    d.  sign  a contract with the corporation agreeing to reside and prac-
    33  tice exclusively in the state as a  registered  nurse  in  a  healthcare
    34  setting on a full-time basis in a designated nursing shortage area.
    35    3. Priority. a. The president is authorized to make scholarship awards
    36  pursuant  to  this section to provide financial support to applicants to
    37  enter or continue in  an  undergraduate  nursing  or  practical  nursing
    38  program  of  study.  Such awards shall be made to eligible applicants in
    39  the following priority:
    40    (i) first, to applicants who have received payment of an award  pursu-
    41  ant  to  this section in a prior year and remain in good academic stand-
    42  ing; and
    43    (ii) second, to applicants in descending order based on the unmet need
    44  to reach the full cost of attendance as indicated on the  financial  aid
    45  award letter.
    46    However,  in  the  program's  first  year,  first priority shall be in
    47  accordance with subparagraph (ii) of this paragraph.
    48    b. The regents, after consultation with the  commissioner  of  health,
    49  shall  designate  those areas of New York state which have a shortage of
    50  nurses for the purposes of this subdivision and, should it be necessary,
    51  may establish relative rankings of those areas. The regents shall deter-
    52  mine the number of scholarships to be awarded each year and shall direct
    53  that the awards are distributed to ensure appropriate distribution among
    54  the areas identified as nursing shortage areas.
    55    4. Award. a. The corporation shall grant  such  awards  in  an  amount
    56  equal  to  the amount of undergraduate tuition for residents of New York

        S. 8175--A                          5

     1  state enrolled in a nursing  program  of  study  charged  by  the  state
     2  university  of New York or actual tuition charged, whichever is less, in
     3  calculating such award the corporations shall account  for  the  average
     4  cost  of  books  and fees; provided, however, (i) a student who receives
     5  educational grants and/or scholarships that  cover  the  student's  full
     6  cost  of  attendance  shall  not  be  eligible  for  an award under this
     7  program;
     8    (ii) for a student who receives educational grants and/or scholarships
     9  that cover less than the student's full cost of attendance, such  grants
    10  and/or  scholarships shall not be deemed duplicative of this program and
    11  may be held concurrently with an award under this program, provided that
    12  the combined benefits do not exceed the student's full cost  of  attend-
    13  ance; and
    14    (iii)  an  award  under this program shall be applied to tuition after
    15  the application of all other educational grants and scholarships limited
    16  to tuition and shall be reduced in an amount equal to  such  educational
    17  grants  and/or  scholarships.  Upon  notification of an award under this
    18  program, the institution shall defer the amount of tuition equal to  the
    19  award.  No  award  shall  be  final  until  the  recipient's  successful
    20  completion of a term has been certified by the institution.
    21    b. The corporation shall convert to a student loan the full amount  of
    22  the  award given pursuant to this section, plus interest, according to a
    23  schedule to be determined by the corporation if: (i) a  recipient  fails
    24  to complete an approved undergraduate nursing program or changes majors;
    25  or  (ii)  upon completion of such undergraduate nursing degree program a
    26  recipient fails to either (a) complete five years  of  continuous  full-
    27  time  employment  as a registered nurse in a designated nursing shortage
    28  area within New York state, or (b) maintain residency in New York  state
    29  for  such  period  of employment; or (c) a recipient fails to respond to
    30  requests by the corporation for the status of his  or  her  academic  or
    31  professional progress.
    32    c.  The terms and conditions of this subdivision shall be deferred for
    33  individuals who graduate with a  degree  in  an  approved  undergraduate
    34  program  in nursing and enroll on at least a half-time basis in a gradu-
    35  ate nursing or higher degree nursing program and shall also be  deferred
    36  for any interruption in undergraduate study or employment as established
    37  by  the  rules  and regulations of the corporation. The terms and condi-
    38  tions of this subdivision may also be deferred for a grace period, to be
    39  established by the corporation, following the completion of an  approved
    40  undergraduate  program in nursing or a graduate nursing or higher degree
    41  nursing program. Any  obligation  to  comply  with  such  provisions  as
    42  outlined in this section shall be cancelled upon the death of the recip-
    43  ient.  Notwithstanding any provisions of this subdivision to the contra-
    44  ry, the corporation is authorized to promulgate rules and regulations to
    45  provide for the waiver or suspension of any financial  obligation  which
    46  would involve extreme hardship.
    47    5.  Stipends.  a.  The  president  is  authorized to grant stipends to
    48  students receiving an award pursuant to this section. Stipends shall  be
    49  awarded as follows:
    50    (i)  a stipend of not less than one hundred fifty dollars and not more
    51  than two hundred dollars for each day the student attends school;
    52    (ii) a stipend in an amount to cover the cost of such student's trans-
    53  portation to and from school;
    54    (iii) a stipend in an amount to cover child  care  services  for  such
    55  student, if such student has one or more children; and
    56    (iv) a stipend in an amount to cover tutoring services.

        S. 8175--A                          6

     1    b.  Stipends  granted  pursuant to this subdivision are not subject to
     2  the provisions of paragraph b of subdivision four of this section.
     3    6.  Rules. The corporation is authorized to promulgate rules and regu-
     4  lations, and may promulgate emergency  regulations,  necessary  for  the
     5  implementation  of  the  provisions  of this section, including, but not
     6  limited to, the rate of interest charged for repayment  of  the  student
     7  loan  and  the criteria for distributing the awards, which may include a
     8  lottery or other form of random selection for awards distributed  pursu-
     9  ant to subdivision two of this section.
    10    §  5. Paragraphs 2 and 3 of subdivision a and subdivision b of section
    11  679-d of the education law, as amended by section 2 of part E-3 of chap-
    12  ter 57 of the laws of 2007, are amended to read as follows:
    13    (2) To be eligible for an award pursuant to this  subdivision,  appli-
    14  cants  shall  (i)  be  licensed as a registered professional nurse; (ii)
    15  have an outstanding student loan debt  from  a  nursing  degree  program
    16  acquired  on  or  after  January  first,  two thousand one; (iii) have a
    17  master's degree in nursing or doctoral degree  that  qualified  them  as
    18  nursing  faculty  or  adjunct  clinical  faculty;  (iv) be employed as a
    19  faculty member at a nursing school located in New York  state;  and  (v)
    20  comply  with  [subdivisions  three  and] subdivision five of section six
    21  hundred sixty-one of this part.
    22    (3) An award of [eight] fifteen thousand dollars shall be made annual-
    23  ly to recipients who have provided classroom or clinical instruction  of
    24  not  less than twelve academic credit hours, or its equivalent, as nurs-
    25  ing faculty or in clinical teaching service in the academic year preced-
    26  ing the granting of the award, provided that no recipient shall  receive
    27  cumulative  awards, pursuant to this section, in excess of [forty] sixty
    28  thousand dollars.
    29    b. Duration. Loan forgiveness awards shall be made annually to  appli-
    30  cants  whom  the  corporation has certified are eligible to receive such
    31  awards and have provided  nursing  faculty  or  clinical  nurse  faculty
    32  services required pursuant to this article; provided that no award shall
    33  be granted for more than [five] four years.
    34    §  6.  The education law is amended by adding a new section 679-d-1 to
    35  read as follows:
    36    § 679-d-1. New York state nursing shortage loan forgiveness  incentive
    37  program. a. Purpose. (1) The president shall grant student loan forgive-
    38  ness  awards  for  the  purpose  of  increasing the number of registered
    39  professional nurses, licensed practical nurses, and nurse  practitioners
    40  working for healthcare providers or facilities in a setting or region of
    41  the state designated as having a shortage of nurses.
    42    (2)  To  be eligible for an award pursuant to this subdivision, appli-
    43  cants shall (i) be licensed as a  registered  professional  nurse;  (ii)
    44  have  an outstanding student loan debt from a recognized nursing program
    45  as of January first, two thousand two; (iii) be employed as a nurse by a
    46  healthcare provider or facility in  the  state;  and  (iv)  comply  with
    47  subdivision five of section six hundred sixty-one of this part.
    48    (3)  An  award  of  eight  thousand  dollars shall be made annually to
    49  recipients who have practiced on a  full-time  basis  in  a  setting  or
    50  region  of  the state designated as having a shortage of nurses pursuant
    51  to subdivision three of section six hundred seventy-nine-c-1 and  subdi-
    52  vision  three  of  section six hundred seventy-nine-c-2 of this chapter,
    53  provided that no recipient shall receive cumulative awards, pursuant  to
    54  this section, in excess of forty thousand dollars.
    55    (4) Award recipients shall be eligible to apply for other awards.

        S. 8175--A                          7

     1    b.  Duration. Loan forgiveness awards shall be made annually to appli-
     2  cants whom the corporation has certified are eligible  to  receive  such
     3  awards  and  have  provided  nursing  services required pursuant to this
     4  article; provided that no award shall be  granted  for  more  than  five
     5  years.
     6    c.  Amount. The corporation shall grant such awards within the amounts
     7  appropriated for such purpose and based on availability of funds  in  an
     8  amount not to exceed the total cost of the student loan debt.
     9    § 7. Article 14 of the education law is amended by adding a new part 6
    10  to read as follows:
    11                                   PART VI
    12          NEW YORK NURSING FACULTY STUDENT LOAN REFINANCING PROGRAM
    13  Section 694-c. Definitions.
    14          694-d. New York nursing faculty student loan refinancing program
    15          694-e. Program eligibility.
    16          694-f. Program.
    17          694-g. Repayment.
    18    §  694-c.  Definitions. For purposes of this part, the following terms
    19  shall have the following meanings:
    20    1. "Education loan" shall mean any student loan that the  state  refi-
    21  nances  under  the  program  that  was  obtained  by  a borrower for the
    22  purposes of acquiring an  undergraduate  nursing  and  graduate  nursing
    23  degree  from  a  college  or  university located in the state, provided,
    24  however, that  loans  provided  by  the  federal  government,  or  loans
    25  provided  at  an interest rate at or lower than the current federal loan
    26  interest rate shall not be eligible for refinancing under the program.
    27    2. "Participant" shall mean an individual  who  has  incurred  student
    28  loan  debt  from  a  lending  institution or lender to cover the cost of
    29  tuition associated with an undergraduate nursing  and  graduate  nursing
    30  degree from a college or university located in the state and has applied
    31  to participate and been accepted to participate in the program.
    32    3.  "Lending  institution"  or "lender" shall mean any entity that has
    33  itself or through an affiliate provided student  loans  to  an  eligible
    34  participant.
    35    4.  "Program"  shall  mean  the  New York nursing faculty student loan
    36  refinancing program.
    37    5. "Fund" shall mean the New York nursing faculty student  loan  refi-
    38  nancing  program  fund established pursuant to section ninety-nine-oo of
    39  the state finance law.
    40    § 694-d. New York nursing faculty student  loan  refinancing  program.
    41  1.  The  New  York  nursing  faculty student loan refinancing program is
    42  hereby established for the purposes of relieving student debt by direct-
    43  ly paying an eligible participant's loan debt to the lending institution
    44  or lender and providing a repayment plan whereby payments will be depos-
    45  ited in the fund.
    46    2. The corporation shall promulgate  rules  and  regulations  for  the
    47  administration of this program and shall manage the fund in consultation
    48  with the office of the comptroller.
    49    3.  The corporation shall determine additional requirements for eligi-
    50  ble participants, other than those  specified  in  section  six  hundred
    51  ninety-four-e  of  this  part,  shall  set a fixed interest rate for the
    52  repayment of refinanced loans, which shall be  lower  than  the  average
    53  market  rate  for private student loans, and shall establish an applica-
    54  tion process for the program.
    55    4. The corporation shall determine appropriate payment  deferment  and
    56  forbearance options for loss of employment or extreme hardship.

        S. 8175--A                          8

     1    §  694-e.  Program  eligibility.  To  be  eligible  for this program a
     2  participant shall:
     3    1. be licensed as a registered professional nurse;
     4    2.  have  an  outstanding  student  loan  debt  from  a nursing degree
     5  program;
     6    3. have a master's degree in nursing or doctoral degree from a college
     7  or university in the state that qualified them  as  nursing  faculty  or
     8  adjunct clinical faculty;
     9    4. be employed as a faculty member at a nursing program located in New
    10  York state;
    11    5.  agree  to  sign  a contract with the corporation to allow a direct
    12  withdrawal of payments from their pay checks until the  debt  obligation
    13  is paid in full; and
    14    6. sign a contract with the corporation agreeing to provided classroom
    15  or  clinical  instruction of not less than twelve academic credit hours,
    16  or its equivalent, as nursing faculty or in  clinical  teaching  service
    17  for at least five academic years.
    18    §  694-f.  Program. 1. The corporation shall make lump sum payments to
    19  lending institutions or lenders to pay eligible participants'  education
    20  loans out of the funds appropriated to the fund for the purposes of this
    21  program in amounts not to exceed fifty thousand dollars per participant.
    22    2.  Loans that the participant acquired from the federal government or
    23  those loans that have a fixed interest rate provided at an interest rate
    24  at or lower than the current federal loan interest  rate  shall  not  be
    25  eligible for acquisition under the program.
    26    §  694-g. Repayment. 1. Participants shall repay the total cost of the
    27  debt obligation to the fund at an interest rate determined by the corpo-
    28  ration according to the following:
    29    a. During the first five years of participation in  the  program,  the
    30  participant shall pay three percent of the salary earned per year during
    31  each of those years;
    32    b.  During  the  next  five years of participation in the program, the
    33  participant shall pay five percent of the salary earned per year  during
    34  each of those years;
    35    c.  During the eleventh year of participation and each year thereafter
    36  until the debt obligation is paid in full,  the  participant  shall  pay
    37  eight percent of the salary earned per year during each of those years.
    38    2.  There  shall  be  no  pre-payment  penalties under the program and
    39  repayment schedules may be calculated at a higher  percentage  rate  per
    40  year of salary if the participant chooses or requests a faster repayment
    41  option.
    42    § 8. The state finance law is amended by adding a new section 99-oo to
    43  read as follows:
    44    §  99-oo.  New  York  nursing faculty student loan refinancing program
    45  fund. 1. There is hereby established within the custody of the New  York
    46  state  higher  education  services corporation, in consultation with the
    47  state comptroller, or his or her designee, a fund to be known as the New
    48  York nursing faculty student loan refinancing program.
    49    2. All monies received  pursuant  to  the  New  York  nursing  faculty
    50  student  loan  refinancing  program shall be deposited into the fund and
    51  shall be managed pursuant to part six of article fourteen of the  educa-
    52  tion law.
    53    3.  All  necessary  rules  and regulations for the successful adminis-
    54  tration, investment and management of such fund shall be promulgated  by
    55  the  New  York state higher education services corporation, in consulta-
    56  tion with the state comptroller, or his or her designee.

        S. 8175--A                          9

     1    § 9. The public health law is amended by adding a new  section  2801-i
     2  to read as follows:
     3    §  2801-i.  Nurse training; certain required training. 1. Each general
     4  hospital and nursing home licensed pursuant to the  provisions  of  this
     5  article  which  offers  clinical  placements for registered professional
     6  nurses, licensed practical  nurses,  nurse  practitioners  or  certified
     7  nurse  specialists  may  not  charge any fee for such clinical placement
     8  either to the student, or to the institution, for any costs it incurs in
     9  hosting such clinical hours.
    10    2. Nothing contained herein, shall prevent a hospital from charging an
    11  institution an administrative fee for the provision of administrative or
    12  recordkeeping requirements as part of the program provided such  amounts
    13  do not exceed one thousand dollars per annum.
    14    3.  The  commissioner  shall  be  empowered  to promulgate regulations
    15  necessary to ensure access to such  clinical  placements  and  shall  be
    16  empowered to promulgate such regulations on an emergency basis.
    17    §  10.  The  education  law is amended by adding a new section 6912 to
    18  read as follows:
    19    § 6912. Authorization for the use of simulation  training.    Notwith-
    20  standing  any other law, rule or regulation to the contrary, the commis-
    21  sioner shall be authorized to permit no more than fifty percent  of  the
    22  clinical  training  requirements  for  licensure or license renewal as a
    23  practical nurse, registered professional nurse, nurse  practitioner,  or
    24  clinical nurse specialist to be satisfied through simulation training in
    25  such form as the department shall require.
    26    § 11. Section 212 of the retirement and social security law is amended
    27  by adding a new subdivision 4 to read as follows:
    28    4.  Notwithstanding the provisions of subdivisions one and two of this
    29  section, such earning limitations shall not apply to  a  retired  person
    30  who  is  licensed  as  a  registered  professional  nurse  and currently
    31  employed as a faculty member at a nursing program located  in  New  York
    32  state.
    33    §  12.  Subsection  (i)  of  section  601 of the tax law is relettered
    34  subsection (j) and a new subsection (i) is added to read as follows:
    35    (i) A retired person, as defined by section two  hundred  ten  of  the
    36  retirement  and  social  security law, subject to the provisions of this
    37  section, who is licensed as a registered professional nurse and current-
    38  ly employed as a faculty member at a nursing program located in New York
    39  state shall have no more than one-half of their taxable income taxed  by
    40  the state.
    41    §  13.  Temporary  authorization  for  the  teaching of nurse courses.
    42  Notwithstanding any other law, rule or regulation to the contrary, for a
    43  period not to exceed five years from the effective date of this section,
    44  the department of education shall allow an eligible  registered  profes-
    45  sional nurse to teach nursing courses at an institution of higher educa-
    46  tion.  To be eligible, such registered professional nurse shall have the
    47  necessary credentials and years of work experience as determined by  the
    48  department of education.
    49    §  14.  Section  6502  of the education law is amended by adding a new
    50  subdivision 8 to read as follows:
    51    8. 1. a. Notwithstanding any other law,  rule  or  regulation  to  the
    52  contrary,  the  commissioner  shall  be  authorized  to allow registered
    53  professional nurses, licensed practical nurses, and nurse  practitioners
    54  licensed  and  in current good standing in New York state but not regis-
    55  tered in New York state to practice in New York state without  civil  or
    56  criminal  penalty  related  to  lack of registration, provided that such

        S. 8175--A                         10

     1  registered professional nurses, licensed  practical  nurses,  and  nurse
     2  practitioners  gain  direct  employment  with  a  healthcare provider or
     3  facility in a setting or region of the state designated by the  regents,
     4  in consultation with the commissioner of health, as having a shortage of
     5  nurses.
     6    b.  Notwithstanding any other law, rule or regulation to the contrary,
     7  the commissioner shall be authorized to allow clinical nurse specialists
     8  who have an unencumbered license and in current  good  standing  in  New
     9  York  state but not registered in New York state to practice in New York
    10  state without civil or criminal penalty related to lack of registration,
    11  provided that such clinical nurse  specialists  gain  direct  employment
    12  with  a  healthcare  provider  or facility in a setting or region of the
    13  state designated by the regents, in consultation with  the  commissioner
    14  of health, as having a shortage of nurses.
    15    2.  Such  registered  professional  nurses, licensed practical nurses,
    16  nurse practitioners, and clinical nurse specialists shall be required to
    17  fulfill the registration requirements pursuant to this article and arti-
    18  cle one hundred thirty-nine of this chapter  no  later  than  two  years
    19  after gaining such employment.
    20    3. The commissioner is authorized to promulgate rules and regulations,
    21  and  may promulgate emergency regulations, necessary for the implementa-
    22  tion of the provisions of this subdivision.
    23    § 15. The education law is amended by adding a  new  section  6517  to
    24  read as follows:
    25    §  6517. Nurses not licensed by the state. 1.  (a) Notwithstanding any
    26  other law, rule or regulation to the contrary, the commissioner shall be
    27  authorized to allow registered nurses, licensed  practical  nurses,  and
    28  nurse  practitioners  and  substantially  similar titles licensed and in
    29  current good standing in any state in the United States to  practice  in
    30  New  York  state,  or  any province or territory of Canada, or any other
    31  country as approved by the department of health, to practice in New York
    32  state without civil or criminal penalty related to  lack  of  licensure,
    33  provided  that  such  registered professional nurses, licensed practical
    34  nurses, and nurse practitioners and substantially  similar  titles  gain
    35  direct employment with a healthcare provider or facility in a setting or
    36  region identified as having a shortage of nurses pursuant to subdivision
    37  three  of  section six hundred seventy-nine-c-1 and subdivision three of
    38  section six hundred seventy-nine-c-2.
    39    (b) Such registered nurses, licensed practical nurses, and nurse prac-
    40  titioners and substantially similar titles shall be required to  fulfill
    41  the licensure and registration requirements pursuant to this article and
    42  article  one hundred thirty-nine of this chapter no later than two years
    43  after gaining such employment.
    44    2. (a) Nurses not certified by the state.  Notwithstanding  any  other
    45  law,  rule  or  regulation  to  the  contrary, the commissioner shall be
    46  authorized to allow clinical nurse specialists and substantially similar
    47  titles certified and in current good standing in any state in the United
    48  States, or any province or territory of Canada, or any other country  as
    49  approved by the department of health to practice in New York state with-
    50  out civil or criminal penalty related to lack of certification, provided
    51  that such registered professional nurses, licensed practical nurses, and
    52  nurse practitioners gain direct employment with a healthcare provider or
    53  facility  identified as having a shortage of nurses pursuant to subdivi-
    54  sion three of section six hundred seventy-nine-c-1 and subdivision three
    55  of section six hundred seventy-nine-c-2.

        S. 8175--A                         11

     1    (b) Such clinical nurse specialists and substantially  similar  titles
     2  shall  be required to fulfill the certification requirements pursuant to
     3  this article and article one hundred  thirty-nine  of  this  chapter  no
     4  later than two years after gaining such employment.
     5    3. The commissioner is authorized to promulgate rules and regulations,
     6  and  may promulgate emergency regulations, necessary for the implementa-
     7  tion of the provisions of this section.
     8    § 16. The public health law is amended by adding a new section 2807-mm
     9  to read as follows:
    10    § 2807-mm. Nurse loan repayment program. 1. (a) Funds  shall  be  made
    11  available,  subject to appropriations, for purposes of loan repayment in
    12  accordance with the provisions  of  this  section.  Notwithstanding  any
    13  contrary  provision of this article, sections one hundred twelve and one
    14  hundred sixty-three of the state finance  law,  or  any  other  contrary
    15  provision  of  law,  such funding shall be allocated by the commissioner
    16  among areas identified as having a shortage of nurses pursuant to subdi-
    17  vision three of section six  hundred  seventy-nine-c-1  and  subdivision
    18  three  of  section six hundred seventy-nine-c-2 and shall be distributed
    19  in a manner to be determined by the commissioner without  a  competitive
    20  bid or request for proposal processes.
    21    (b) To be eligible for such funding an applicant shall:
    22    (i) be a New York state resident;
    23    (ii) be licensed as a registered professional nurse;
    24    (iii)  have an outstanding student loan debt from a recognized nursing
    25  program as of January first, two thousand two;
    26    (iv) be employed as a nurse by a nursing home licensed pursuant to the
    27  provisions of this article; and
    28    (v) sign a contract with the department agreeing to reside  and  prac-
    29  tice  exclusively  in  the state as a registered nurse in a nursing home
    30  setting on a full-time basis in a designated nursing shortage area.
    31    (c) Applicants shall receive funding for up to twenty-five percent  of
    32  their  total  qualified  debt.  Annual payments to such nurses shall not
    33  exceed eight thousand dollars per year and not  exceed  the  total  loan
    34  debt held by the nurse.
    35    (d) When a nurse is not actually practicing in such an area, he or she
    36  shall  be deemed to be practicing in such an area if he or she practices
    37  in a nursing facility that primarily serves an underserved population as
    38  determined by the commissioner, without regard to whether the population
    39  or nursing facility is located in such an area. Such funding may be used
    40  to repay educational loans incurred by such nurses  or  to  support  the
    41  costs incurred by such nurses to join facilities located in such areas.
    42    (e) Loan repayment awards made to a nurse pursuant to paragraph (a) of
    43  this  subdivision shall not exceed the total qualifying outstanding debt
    44  of the nurse from student loans  to  cover  tuition  and  other  related
    45  educational  expenses  made  by  or  guaranteed  by the federal or state
    46  government, or made by a lending  or  educational  institution  approved
    47  under  title  IV  of  the  federal  higher education act. Loan repayment
    48  awards shall be used solely to repay such outstanding debt.
    49    2. In the event that a four-year commitment pursuant to the  agreement
    50  referenced  in  paragraph  (b) of subdivision one of this section is not
    51  fulfilled, the recipient shall be responsible for repayment in full plus
    52  interest, according to a schedule to be determined by the commissioner.
    53    3. The commissioner may postpone, change or waive  the  service  obli-
    54  gation  and repayment amounts in individual circumstances where there is
    55  compelling need or hardship.

        S. 8175--A                         12

     1    4. In making criteria and determinations as to whether an area  is  an
     2  underserved  area  or  whether a nursing home primarily serves an under-
     3  served population, the  commissioner  may  make  separate  criteria  and
     4  determinations for different specialties.
     5    §  17.  The  public  health  law  is  amended  by adding a new section
     6  2807-mmm to read as follows:
     7    § 2807-mmm. Nursing preceptor support fund. 1. Definitions. a.  "Nurs-
     8  ing  preceptor  clinician"  means  a  (i)  registered professional nurse
     9  licensed pursuant to section sixty-nine hundred five  of  the  education
    10  law,  (ii)  nurse  practitioner certified pursuant to section sixty-nine
    11  hundred ten of the education law, or  (iii)  clinical  nurse  specialist
    12  certified pursuant to section sixty-nine hundred eleven of the education
    13  law, or, who provides a clinical preceptorship or preceptorships.
    14    b.  "Nursing clinical preceptorship" means a clinical nursing practice
    15  supervised  by  a  nursing  preceptor  clinician  for  nursing  students
    16  enrolled in a New York state based educational program approved pursuant
    17  to  title eight of the education law to become a registered professional
    18  nurse, nurse practitioner,  or  clinical  nurse  specialist,  and  which
    19  preceptorship provides preceptor instruction.
    20    2.  Nursing  preceptor  support  fund. a. Notwithstanding any contrary
    21  provision of this section, sections one hundred twelve and  one  hundred
    22  sixty-three of the state finance law, or any other contrary provision of
    23  law,  such  funding  shall  be  allocated to hospitals and nursing homes
    24  licensed pursuant to the provisions of this article in a  manner  to  be
    25  determined by the commissioner.
    26    b.  Funding  awarded  pursuant to the provisions of this section shall
    27  not exceed two hundred thousand dollars  for  any  hospital  or  nursing
    28  home.  Awards shall be used to:
    29    (i) provide additional compensation to preceptors;
    30    (ii)  provide  stipends  to  students  enrolled  in a nursing graduate
    31  program of study located  in  the  state  to  provide  nursing  clinical
    32  preceptorships;
    33    (iii)  ensure  nursing preceptor clinicians are given a certain number
    34  of dedicated hours, to be determined by  the  commissioner,  to  monitor
    35  nursing  students  and  teach  the  didactic portion of nursing clinical
    36  preceptorships; and
    37    (iv) cover the costs associated with any continuing education require-
    38  ments the nursing preceptor clinician must satisfy.
    39    § 18. The public health law is amended by adding a new section  2801-j
    40  to read as follows:
    41    §  2801-j.  Nursing  residency program in hospitals and nursing homes.
    42  1. Each general hospital and  nursing  home  licensed  pursuant  to  the
    43  provisions of this article may partner with a post-secondary institution
    44  within  the state to create a proposal for the development and implemen-
    45  tation or improvement and continuation of a nursing  residency  program.
    46  Such proposals shall be subject to approval by the department.
    47    2.  The  purpose of such nursing residency programs shall be to assist
    48  recent graduates transition to  specialty  practice  areas  as  well  as
    49  assist  experienced  nurses  in  transitioning  to a different specialty
    50  practice area.
    51    3. The department shall, in collaboration  with  the  state  education
    52  department,  determine if the proposals submitted appropriately incorpo-
    53  rate an evidence-based curriculum designed to decrease turnover, improve
    54  decision-making skills, enhance clinical nursing  leadership  practices,
    55  promote  the use of research-based evidence into practice and accomplish
    56  any other goals as determined by the commissioner.

        S. 8175--A                         13

     1    4. If the commissioner determines the proposals submitted satisfy  the
     2  purpose  and  criteria  detailed  in  subdivisions two and three of this
     3  section, the commissioner may release funds to the general  hospital  or
     4  nursing  home which submitted the plan to offset the costs of developing
     5  and implementing the nursing residency program.
     6    5.  The corporation is authorized to promulgate rules and regulations,
     7  and may promulgate emergency regulations, necessary for the  implementa-
     8  tion of the provisions of this section.
     9    §  19.  1.  The  commissioner  of  education  in consultation with the
    10  commissioner of health is hereby authorized and directed  to  conduct  a
    11  study  on  the  reasons  registered  professional  nurses  are no longer
    12  employed in a health care setting and if there is an incentive or incen-
    13  tives that would encourage registered professional nurses to  return  to
    14  employment  in  a health care setting. Such study shall include, but not
    15  be limited to:
    16    (a) the demographics of registered  professional  nurses  who  are  no
    17  longer  employed in a health care setting, including, but not limited to
    18  age, race, gender and place of residence;
    19    (b) the reasons registered professional nurses are no longer  employed
    20  in  a  health  care  setting, including, but not limited to stress, work
    21  hours, location of employment and salary;
    22    (c) the number of registered professional nurses who are not  employed
    23  in a health care setting; and
    24    (d)  the  incentive  or  incentives  that  would  encourage registered
    25  professional nurses to return to employment in a health care setting.
    26    2. Within one year of the effective date of this act, the commissioner
    27  of education shall post  a  report  on  the  department  of  education's
    28  website and deliver such report to the governor, the temporary president
    29  of  the  senate, the speaker of the assembly, the minority leader of the
    30  senate and the minority leader of the assembly. The report shall include
    31  recommendations for legislation and administrative actions that  can  be
    32  undertaken to retain or encourage registered professional nurses to work
    33  in a health care setting.
    34    § 20. This act shall take effect immediately.
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