Legislature(1997 - 1998)

04/25/1997 09:06 AM Senate HES

Audio Topic
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
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              SB 170 REPAY GRADUATE EDUCATION AID                             
                                                                              
 Number 001                                                                    
                                                                               
  CHAIRMAN WILKEN  called the Senate Health, Education & Social                
 Services Committee (HES) to order at 9:06 a.m. and introduced                 
 SB 170  as the first order of business before the committee.                  
                                                                               
  JOE AMBROSE , Staff to Senator Taylor, read the following Sponsor            
 Statement into the record:                                                    
                                                                               
 Senate Bill 170 was introduced at the request of constituents                 
 interested in preserving the WAMI Medical Education Program.  This            
 is a companion measure to House Bill 193 and its introduction is              
 intended to compliment that effort.  These bills would convert the            
 Alaska program into a loan program.  The state of Montana has                 
 already made this conversion.                                                 
                                                                               
 WAMI has been a program of financial assistance named for the                 
 participating states of Washington, Alaska, Montana, and Idaho.  It           
 is intended to facilitate the education of medical professionals.             
 Alaska participated to the tune of $1,309,000 in FY97.                        
                                                                               
 WAMI has been criticized because there has been no real incentive             
 for a student to return to the state upon completion of their                 
 education.                                                                    
                                                                               
 By converting this program to a loan program and including a                  
 provision for loan forgiveness, proponents feel young Alaskans will           
 be more likely to bring their new skills back to Alaska.                      
 The House sponsor has been working with the Postsecondary Education           
 Commission and has developed a committee substitute.  Senator                 
 Taylor recommends adopting the same language as a substitute for              
 SB 170.                                                                       
                                                                               
  SENATOR GREEN  moved that CSSB 170(HES) be placed before the                 
 committee.  Without objection, CSSB 170(HES) was before the                   
 committee.                                                                    
                                                                               
  SENATOR LEMAN  inquired as to the impact on the borrower.  When does         
 the pay back schedule for the WAMI loan begin?   JOE AMBROSE  pointed         
 out the language on page 2, lines 7-9 "Interest imposed under this            
 subsection begins to accrue when the person terminates studies                
 under the graduate education program."  Mr. Ambrose believed the              
 legislation allows for the internship.  Mr. Ambrose directed                  
 Senator Leman to page 2, lines 27-29 "A person employed in a                  
 medical residency program is not required to begin repayment to the           
 state as long as the person remains in the medical residency                  
 program."  With regard to the impact on the borrower, Mr. Ambrose             
 deferred to the Postsecondary Education Commission.                           
                                                                               
 Number 115                                                                    
                                                                               
  LAURA BURLESON , UAF Pre-Med student, supported SB 170.  WAMI is             
 important to Alaskan pre-med students because WAMI gives Alaskans             
 preference for admission and tuition.  WAMI treats Alaskan pre-med            
 students as residents for admission purposes.  Ms. Burleson                   
 informed the committee that a school to which she recently applied            
 had received over 10,000 applicants for 113 positions while another           
 school had 8,000 applicants for 32 out of state positions.  With              
 those odds, Alaskan students do not have much of a chance because             
 Alaska does not have a medical school to provide in state admission           
 preference.  SB 170 is a compromise to the alternative of                     
 eliminating the program.  Without WAMI, the challenge of the                  
 numbers of getting into a medical school out of state would be very           
 difficult.  Furthermore, this bill could help WAMI students                   
 applying for the program.  In the past the return rate for students           
 returning to the state is relatively low.  The return or repayment            
 clause in SB 170 would help those students who do intend to return            
 to the state and practice.                                                    
                                                                               
  WENDY REDMAN , Vice President of the University of Alaska statewide          
 system, thanked Representative Bunde and Senator Taylor for their             
 work on this issue.  WAMI is very important to the university.  The           
 University of Alaska-Anchorage offers the first year of the medical           
 program which provides the basis of a biomedical program.  Ms.                
 Redman was supportive of this legislation if it is a means to                 
 maintain WAMI.  Ms. Redman hoped that the Senate action deleting              
 WAMI will be worked out.  Ms. Redman suggested that the pay back              
 provision for the first year be eliminated.  The first year of the            
 program is offered in Alaska and is important to the university and           
 the state by drawing medical research here.  Ms. Redman recognized            
 that the WAMI program is an expensive program, but it is                      
 substantially less expensive than having a medical school.  The               
 decision to bring back WAMI students to Alaska is a policy call               
 which SB 170 addresses.  Currently, 48 percent of the WAMI                    
 participants do return to Alaska which is higher than the national            
 average for other medical schools.  The WAMI program is a bargain             
 for Alaska and Alaskan students.  Ms. Redman urged the committee to           
 continue the WAMI program and consider an amendment that would                
 provide that the first year of pay back be eliminated.                        
                                                                               
 Number 263                                                                    
                                                                               
  SENATOR ELLIS  asked if the return rate was expected to                      
 substantially increase with the Sisters of Providence family                  
 practice residency program.  Senator Ellis projected that a                   
 substantial increase in the return rate would occur due to the                
 availability of the residency program within the state.   WENDY               
 REDMAN  agreed with Senator Ellis that students tend to become                
 permanent residents in the community in which the student did                 
 residency.  Therefore, the family practice residency in Alaska                
 would make a big difference.                                                  
                                                                               
  SENATOR ELLIS  inquired as to the average debt load of a student             
 after seven years of medical training.   WENDY REDMAN  informed               
 everyone that the average loan is $45,000 to $80,000 per the                  
 information of the Postsecondary Commission.  With SB 170, $56,000            
 would be added if all four years pay back are included or $44,000             
 if the first year of pay back is eliminated.  That would total                
 about $100,000 to $130,000 of debt.  Ms. Redman pointed out that              
 these are family practitioners, not cardiac surgeons which could              
 possibly absorb that debt.                                                    
                                                                               
  SENATOR ELLIS  stated that the higher the debt load, the more likely         
 someone is to specialize and practice in a major urban center in              
 order to pay off the debt.  The lower the debt load, the more                 
 likely someone would choose to deliver babies in a rural setting.             
                                                                               
  SENATOR GREEN  noted that students could accumulate $50,000 in post          
 graduate debt before beginning the WAMI program as well as the debt           
 the WAMI program would incur.  When does repayment begin for the              
 debt incurred in the post graduate education?   WENDY REDMAN                  
 explained that the Postsecondary Commission would provide deferment           
 on the baccalaureate loans while the student is attending medical             
 school on a loan.  Ms. Redman pointed out that the loans are                  
 additive.  If a student has a loan from Alaska, the first                     
 baccalaureate loan would be deferred while the student continues              
 his/her education.  At the time the student graduates from medical            
 school and one year afterwards, the entire loan would begin                   
 repayment.                                                                    
                                                                               
  SENATOR GREEN  asked if the student's record was clean with a                
 deferment; is there a bad debt record being assessed against the              
 student or the institution?                                                   
                                                                               
 Number 322                                                                    
                                                                               
  DIANE BARRANS , Executive Director of Postsecondary Education                
 Commission (PSEC), stated that there are provisions for deferment             
 that do not damage a student's credit history.                                
                                                                               
  SENATOR LEMAN  inquired as to the tax consequences of WAMI; is the           
 program treated like a scholarship which is nontaxable?   DIANE               
 BARRANS  explained that it would be categorized as gift aid.  Since           
 the loan is not associated directly with an individual, there is              
 simply a contractual fee paid to the University of Washington.                
 Therefore, the WAMI loan would not relate to an individual's                  
 scholarship or loan limits.   SENATOR LEMAN  ascertained then that            
 there is no obligation by the party benefiting to pay the IRS any             
 portion of that benefit.   DIANE BARRANS  replied no.                         
                                                                               
  SENATOR LEMAN  asked if a loan program with forgiveness was created,         
 would that be a taxable benefit?   DIANE BARRANS  understood that in          
 the past, the tax code made some provisions for those receiving a             
 benefit related to specific employment or service.  In the early              
 1990s, the IRS did contact PSEC and required the disclosure of                
 forgiveness benefits upon which people were taxed.  However, Ms.              
 Barrans said that at that time there was no provision in the tax              
 code for people to receive a benefit simply because the person                
 resided in a particular area.  Ms. Barrans said that it is                    
 difficult to receive tax advice from the IRS, therefore a tax                 
 accountant or tax attorney should be contacted.   SENATOR LEMAN  did          
 not want to inadvertently establish a cash drain away from Alaska             
 or Alaskans to the IRS.  Senator Leman expressed the need to make             
 the tax consequences benefit Alaska or Alaskans who participated.             
                                                                               
 Number 370                                                                    
                                                                               
 In answer to the first half of Senator Leman's question,  DIANE               
 BARRANS  explained that the student with a WAMI loan would be                 
 borrowing the differential between the resident and the non-                  
 resident University of Washington School of Medicine rate of                  
 tuition.  Currently, the student pays the resident rate of tuition            
 which is about $8,000 per year.  The student would be borrowing the           
 additional amount that is charged to residents.  Ms. Barrans                  
 pointed out that was calculation 2 in the committee packet.                   
                                                                               
  SENATOR LEMAN  determined then that the student is responsible for           
 the resident tuition rate and may borrow that under other loan                
 programs, but not specifically under the WAMI loan program.   DIANE           
 BARRANS  agreed with that assessment.                                         
                                                                               
  CHAIRMAN WILKEN  requested that the concerns with SB 170 be                  
 addressed and the Chair held SB 170.                                          

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