AB619,3,64 20.235 (1) (dd) Dental student grant and dentist loan assistance program.
5Biennially, the amounts in the schedule for dental student grants and dentist loan
6assistance under s. 39.465.

AB619,4,28 20.235 (1) (jd) Dental student grant and dentist loan assistance program;
9repayments. All moneys received under s. 39.465 (5), to be used for dental student

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1grants and dentist loan assistance under s. 39.465 and for costs associated with
2repayment of those grants and that loan assistance under s. 39.465 (5).

AB619,4,104 20.235 (1) (kd) Dental student grant and dentist loan assistance program;
5Indian gaming receipts. Biennially, the amounts in the schedule for dental student
6grants and dentist loan assistance under s. 39.465. All moneys transferred from the
7appropriation account under s. 20.505 (8) (hm) 6t. shall be credited to this
8appropriation account. Notwithstanding s. 20.001 (3) (b), the unencumbered
9balance on June 30 of each odd-numbered year shall revert to the appropriation
10account under s. 20.505 (8) (hm).

AB619,4,1312 20.285 (1) (qj) (title) Physician and dentist and health care provider loan
13assistance programs; critical access hospital assessment fund.

AB619,4,1816 20.505 (8) (hm) 6r. In each fiscal year $488,700 $278,700 to the Board of
17Regents of the University of Wisconsin System for loan repayments under ss. 36.60
18and 36.61.

AB619,4,2120 20.505 (8) (hm) 6t. The amount transferred to s. 20.235 (1) (kd) shall be the
21amount in the schedule under s. 20.235 (1) (kd).

AB619,4,23 2336.60 (title) Physician and dentist loan assistance program.

AB619,5,52 36.60 (2) (a) 1. Except as provided in subd. 2., the board may repay, on behalf
3of a physician or dentist, up to $50,000 in educational loans obtained by the physician
4or dentist from a public or private lending institution for education in an accredited
5school of medicine or dentistry or for postgraduate medical or dental training.

AB619,5,107 36.60 (2) (b) A physician or dentist who is a participant in the national health
8service corps scholarship program under 42 USC 254n, or a physician or dentist who
9was a participant in that program and who failed to carry out his or her obligations
10under that program, is not eligible for loan repayment under this section.

AB619,5,1812 36.60 (3) (am) The board shall enter into a written agreement with the dentist,
13in which the dentist agrees to practice at least 32 clinic hours per week for 3 years
14in one or more dental health shortage areas in this state or in a rural area. The
15dentist shall also agree to care for patients who are insured or for whom dental health
16benefits are payable under medicare, medical assistance, or any other governmental
17program. The board may not enter into an agreement under this paragraph with a
18dentist after June 30, 2012.

AB619,6,222 36.60 (5) (b) 1. The degree to which there is an extremely high need for medical
23care in the eligible practice area, health professional shortage area, or rural area in
24which a physician desires to practice and the degree to which there is an extremely

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1high need for dental care in the dental health shortage area or rural area in which
2a dentist desires to practice.

AB619,6,74 36.60 (5) (b) 2. The likelihood that a physician will remain in the eligible
5practice area, health professional shortage area, or rural area, and that a dentist will
6remain in the dental health shortage area or rural area, in which he or she desires
7to practice after the loan repayment period.

AB619,6,119 36.60 (5) (b) 3. The per capita income of the eligible practice area, health
10professional shortage area, or rural area in which a physician desires to practice and
11of the dental health shortage area or rural area in which a dentist desires to practice.

AB619,6,1813 36.60 (5) (b) 4. The financial or other support for physician recruitment and
14retention provided by individuals, organizations, or local governments in the eligible
15practice area, health professional shortage area, or rural area in which a physician
16desires to practice and for dentist recruitment and retention provided by individuals,
17organizations, or local governments in the dental health shortage area or rural area
18in which a dentist desires to practice.

AB619,6,2420 36.60 (5) (b) 5. The geographic distribution of the physicians and dentists who
21have entered into loan repayment agreements under this section and the geographic
22distribution of the eligible practice areas, health professional shortage areas, dental
23health shortage areas, and rural areas in which the eligible applicants desire to
24practice.

AB619,7,3

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136.60 (5) (d) An agreement under sub. (3) does not create a right of action
2against the state on the part of the physician, dentist, or lending institution for
3failure to make the payments specified in the agreement.

AB619,7,86 36.60 (6m) Penalties. (intro.) The board shall, by rule, establish penalties to
7be assessed by the board against physicians and dentists who breach agreements
8entered into under sub. (3). The rules shall do all of the following:

AB619,7,1210 36.60 (8) (b) Identify eligible practice areas and rural areas with an extremely
11high need for medical care and dental health shortage areas and rural areas with an
12extremely high need for dental care.

AB619,7,1514 36.60 (8) (d) Publicize the program under this section to physicians, dentists,
15and eligible communities.

AB619,7,1817 36.60 (8) (e) Assist physicians and dentists who are interested in applying for
18the program under this section.

AB619,7,2120 36.60 (8) (f) Assist communities in obtaining physicians' and dentists' services
21through the program under this section.

AB619,7,2523 36.60 (8) (h) Notwithstanding subs. (3) (b) and (5) (a) and (b), ensure that
24moneys appropriated under s. 20.285 (1) (qj) are used under this section only to repay
25loans on behalf of physicians and dentists who agree to practice in a rural area.

AB619,8,92 36.60 (9) Expanded loan assistance program. (intro.) The board may agree to
3repay loans as provided under this section on behalf of a physician or dentist under
4an expanded physician and dentist loan assistance program that is funded through
5federal funds in addition to state matching funds. The board may not agree under
6this subsection to repay a loan on behalf of a dentist after June 30, 2012. To be eligible
7for loan repayment under the expanded physician and dentist loan assistance
8program, a physician or dentist must fulfill all of the requirements for loan
9repayment under this section, as well as all of the following:

AB619,8,1912 36.60 (9) Expanded loan assistance program. (intro.) The board may agree to
13repay loans as provided under this section on behalf of a physician or dentist under
14an expanded physician and dentist loan assistance program that is funded through
15federal funds in addition to state matching funds. The board may not agree under
16this subsection to repay a loan on behalf of a dentist after June 30, 2012. To be eligible
17for loan repayment under the expanded physician and dentist loan assistance
18program, a physician or dentist must fulfill all of the requirements for loan
19repayment under this section, as well as all of the following:

AB619,8,2121 36.60 (9) (a) The physician or dentist must be a U.S. citizen.

AB619,8,2423 36.60 (9) (b) The physician or dentist may not have a judgment lien against his
24or her property for a debt to the United States.

AB619,9,2

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136.60 (9) (c) (intro.) The physician or dentist must agree to do all of the
2following:

AB619,9,74 36.60 (9) (c) 2. Use a sliding fee scale or a comparable method of determining
5payment arrangements for patients who are not eligible for medicare or medical
6assistance and who are unable to pay the customary fee for the physician's or
7dentist's services.

AB619,9,119 36.60 (9) (c) 3. Practice at a public or private nonprofit entity in a health
10professional shortage area, if a physician, or in a dental health shortage area, if a
11dentist.

AB619,9,1613 36.61 (1) (ag) "Dental health shortage area" has the meaning given in s. 36.60
14(1) (ad) means an area that is designated by the federal department of health and
15human services under 42 CFR part 5, appendix B, as having a shortage of dental
16professionals.

AB619,9,2018 36.62 (1) Advise the board on matters related to the physician and dentist loan
19assistance program under s. 36.60 and the health care provider loan assistance
20program under s. 36.61.

AB619,9,23 2239.465 Dental student grant and dentist loan assistance program. (1)
23Definitions. In this section:

AB619,9,2524 (a) "Accredited school of dentistry" means a school of dentistry that is
25accredited, as defined in s. 447.01 (1).

AB619,10,3

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1(b) "Dental health shortage area" means an area that is designated by the
2federal department of health and human services under 42 CFR part 5, appendix B,
3as having a shortage of dental professionals.

AB619,10,54 (c) "Dentist" means a dentist, as defined in s. 447.01 (7), who is licensed under
5ch. 447 and who practices general or pediatric dentistry.

AB619,10,86 (d) "Educational loan" means any loan that the board determines is exclusively
7for educational purposes and that was obtained by a dentist from a public or private
8lending institution for education at an accredited school of dentistry.

AB619,10,13 9(2) Dental student grants. (a) The board shall establish a grant program to
10defray the cost of tuition, fees, and expenses for resident students who are enrolled
11full time in a program of study leading to a doctor of dental surgery (D.D.S.) degree
12at an accredited school of dentistry in this state and who agree to practice dentistry
13or to provide dental services as provided in par. (c).

AB619,10,2414 (b) Beginning in the 2012-13 fiscal year, the board shall make grants under this
15subsection from the appropriations under s. 20.235 (1) (dd), (jd), and (kd). The
16maximum amount of a grant that a student may receive under this subsection during
17a fiscal year is $30,000 or an amount equal to the cost of tuition, fees, and expenses
18charged to attend the school of dentistry in which the student is enrolled for an
19academic year, whichever is less. The maximum total amount that a student may
20receive under this subsection is $120,000 or an amount equal to the cost of tuition,
21fees, and expenses charged to attend the school of dentistry in which the student is
22enrolled for 4 academic years, whichever is less. Grants awarded under this
23subsection shall be disbursed directly to the school of dentistry in which the student
24is enrolled.

AB619,11,13

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1(c) The board shall enter into a written agreement with a recipient of a grant
2under this subsection under which the grant recipient agrees that, after he or she has
3completed the program described in par. (a), the grant recipient will either practice
4dentistry in a dental health shortage area for the same number of years as the grant
5recipient received a grant under this subsection or will provide dental services to not
6less than 50 individuals who are residents of this state and who are recipients of
7Medical Assistance under subch. IV of ch. 49 in the first year of the agreement, not
8less than 100 such individuals in the 2nd year of the agreement, not less than 150
9such individuals in the 3rd year of the agreement, and not less than 200 such
10individuals in the 4th year of the agreement. For purposes of counting the
11individuals for whom a grant recipient is required to provide dental services, an
12individual may be counted only once for a year regardless of the number of visits to
13the dentist during that year.

AB619,11,20 14(3) Dentist loan assistance. (a) The board shall establish a loan assistance
15program to repay the educational loans of dentists who agree to practice dentistry
16or to provide dental services as provided in par. (c) or sub. (4). A dentist who is a
17participant in the National Health Service Corps Scholarship Program under 42
18USC 254n, or who was a participant in that program and who failed to carry out his
19or her obligations under that program, is not eligible for loan assistance under this
20subsection or sub. (4).

AB619,12,221 (b) Beginning in the 2012-13 fiscal year, the board shall provide loan assistance
22under this subsection and sub. (4) from the appropriations under s. 20.235 (1) (dd),
23(jd), and (kd). The maximum total amount of loan assistance that a dentist may
24receive under this subsection and sub. (4) during a fiscal year is $20,000. The

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1maximum amount that a dentist may receive under this subsection and sub. (4) is
2$100,000.

AB619,12,143 (c) 1. The board shall enter into a written agreement with a recipient of loan
4assistance under this subsection or sub. (4) under which the recipient agrees that he
5or she will either practice dentistry in a dental health shortage area for 5 years or
6will provide dental services to not less than 50 individuals who are residents of this
7state and who are recipients of Medical Assistance under subch. IV of ch. 49 in the
8first year of the agreement, not less than 100 such individuals in the 2nd year of the
9agreement, not less than 150 such individuals in the 3rd year of the agreement, not
10less than 200 such individuals in the 4th year of the agreement, and not less than
11250 such individuals in the 5th year of the agreement. For purposes of counting the
12individuals for whom a recipient is required to provide dental services, an individual
13may be counted only once for a year regardless of the number of visits to the dentist
14during that year.

AB619,12,1715 2. The term of an agreement under subd. 1. shall be for 5 years, except that at
16the end of 2 years either the board or the recipient may elect either to terminate the
17agreement or to continue the agreement for the remaining 3 years of the agreement.

AB619,12,2018 3. An agreement under subd. 1. shall specify that the responsibility of the board
19to provide loan assistance under the agreement is subject to the availability of funds
20in the appropriations under s. 20.235 (1) (dd), (jd), and (kd).

AB619,13,6 21(4) Expanded dentist loan assistance. The board may also agree as provided
22in sub. (3) to repay the educational loans of a dentist under an expanded dentist loan
23assistance program that is funded through federal funds in addition to state
24matching funds. To be eligible for loan assistance under the expanded dentist loan
25assistance program, a dentist must be a U.S. citizen, may not have a judgment lien

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1against his or her property for a debt to the United States, and must agree to practice
2dentistry at a public or private nonprofit entity in a dental health shortage area for
35 years, to accept medicare assignment as payment in full for services or articles
4provided, and to use a sliding fee scale or a comparable method of determining
5payment arrangements for patients who are not eligible for medicare or medical
6assistance and who are unable to pay the customary fee for the dentist's services.

AB619,13,18 7(5) Breach of agreement. If a grant or loan assistance recipient breaches his
8or her agreement under sub. (2) (c), (3) (c), or (4), the board shall require the recipient
9to repay the entire amount of grant or loan assistance provided, plus interest at a rate
10of 5 percent per year from the date on which the grant or loan assistance was provided
11to the date of repayment in full of the entire amount of grant or loan assistance
12provided. The board shall also require the grant or loan assistance recipient to pay
13a penalty of $5,000 for each year in which the recipient is in breach of his or her
14obligations under the agreement. The board shall transfer to the secretary of
15administration all repayments, interest, and penalty payments received under this
16subsection to the secretary of administration for deposit in the general fund. The
17secretary of administration shall credit all amounts transferred under this
18subsection to the appropriation account under s. 20.235 (1) (jd).

AB619,13,19 19(6) The board shall promulgate rules to implement and administer this section.