Adopted and Filed

Health care professional recruitment program, amendments to ch 14

Untitled document

ARC 5967C


Adopted and Filed

Rule making related to health care professional recruitment program

The College Student Aid Commission hereby amends Chapter 14, "Health Care Professional Recruitment Program," Iowa Administrative Code.

Legal Authority for Rule Making

This rule making is adopted under the authority provided in Iowa Code section 261.3.

State or Federal Law Implemented

This rule making implements, in whole or in part, Iowa Code chapter 261 and 2021 Iowa Acts, House File 196.

Purpose and Summary

This rule making implements amendments enacted by 2021 Iowa Acts, House File 196. House File 196 expands loan repayment eligibility to health professionals who graduate from Iowa Regents universities and Iowa private colleges and universities, and who agree to practice in rural Iowa. In addition, House File 196 includes athletic trainers and occupational therapists as eligible health care professionals.

This rule making also provides a definition of "eligible rural community," a term that is consistently used in programs administered by the Commission; implements criteria to prioritize awards in the event that funding is not sufficient to award all new applicants; and ensures that recipients do not receive awards in other loan repayment programs administered by the Commission.

Public Comment and Changes to Rule Making

Notice of Intended Action for this rule making was published in the Iowa Administrative Bulletin on August 11, 2021, as ARC 5855C. No public comments were received. No changes from the Notice have been made.

Adoption of Rule Making

This rule making was adopted by the Commission on September 17, 2021.

Fiscal Impact

This rule making has no fiscal impact to the State of Iowa.

Jobs Impact

After analysis and review of this rule making, no impact on jobs has been found.


Any person who believes that the application of the discretionary provisions of this rule making would result in hardship or injustice to that person may petition the Commission for a waiver of the discretionary provisions, if any, pursuant to 283—Chapter 7.

Review by Administrative Rules Review Committee

The Administrative Rules Review Committee, a bipartisan legislative committee which oversees rule making by executive branch agencies, may, on its own motion or on written request by any individual or group, review this rule making at its regular monthly meeting or at a special meeting. The Committee's meetings are open to the public, and interested persons may be heard as provided in Iowa Code section 17A.8(6).

Effective Date

This rule making will become effective on November 10, 2021.

The following rule-making actions are adopted:

Item 1. Rescind 283—Chapter 14, preamble.

Item 2. Amend rule 283—14.1(261), definitions of "Eligible rural community" and "Health care professional," as follows:

"Eligible rural community" means a medically underserved rural Iowa community which agrees to match state funds on at least a dollar-for-dollar basis for the loan repayment of a health care professional who practices in the community city with a population of less than 26,000 that is located more than 20 miles from a city with a population of 50,000 or more. Locations and distances between cities will be consistently measured and verified by calculating the shortest travel distance on paved roads.

"Health care professional" means an individual who holds a practitioner's license issued by an agency or board under the Iowa department of public health and is employed as a an athletic trainer, occupational therapist, physician, physician assistant, podiatrist, or physical therapist.

Item 3. Adopt the following new definitions of "Eligible institution" and "Matching funds" in rule 283—14.1(261):

"Eligible institution" means an institution of higher learning governed by the state board of regents or an accredited private institution as defined in Iowa Code section 261.9. Eligible institutions seeking to participate must complete an application provided by the commission and agree to place health care professionals in eligible rural communities.

"Matching funds" means at least a dollar-for-dollar loan repayment match to the state health care professional recruitment program award.

Item 4. Amend rule 283—14.2(261) as follows:

283—14.2(261) Health care professional loan repayment program.

14.2(1) Recruitment. The university eligible institution shall recruit and place health care professionals in eligible rural communities that agree to provide matching funds for communicate the availability of the health care professional loan repayment program to current students training to become health care professionals and alumni who are health care professionals. The commission will ensure, to the extent possible, that an equal number of new agreements are available to health care professionals in each occupation category. Selection of new applicants within each occupation category will be prioritized as follows:

a. Students in their final year of a degree program leading to a license to practice as a health care professional;

b. The most recent graduates of a degree program leading to a license to practice as a health care professional, with the most recent academic year graduates given priority;

c. Date of application.

14.2(2) Health care professional service requirement. The health care professional service requirement for the health care professional loan repayment program is four years. The health care professional must annually verify, in a format acceptable to the commission, that the health care professional practiced in an eligible rural community for 12 consecutive months for each year of required service. An award will be prorated based on the months of service provided in a state fiscal year if less than 12 months. An award will also be prorated if the individual is employed on a less than full-time basis.

14.2(3) Award. The health care professional may receive up to $50,000 in state-funded repayment benefits when a an eligible rural community agrees to fund matching benefits provide matching funds of an equal or greater amount. At least a dollar-for-dollar match must be provided. Matching funds from an eligible rural community totaling less than $50,000 will result in an equally lower state health care professional recruitment program award.

14.2(4) and 14.2(5) No change.

14.2(6) Restrictions. A recipient of a loan repayment award under Iowa Code section 261.113, 261.114, or 261.115 shall not be eligible for an award under this chapter. A health care professional who is in default on a Stafford loan, SLS loan, Grad PLUS loan, or a Perkins/National Direct/National Defense student loan or who owes a repayment on any Title IV grant assistance or state award shall be ineligible for repayment benefits. Eligibility for state aid may be reinstated upon payment in full of the delinquent obligation or by commission ruling on the basis of adequate extenuating evidence presented in appeal under the procedures set forth in 283—Chapter 5, Iowa Administrative Code.

14.2(7) No change.

[Filed 9/17/21, effective 11/10/21]

[Published 10/6/21]

Editor's Note: For replacement pages for IAC, see IAC Supplement 10/6/21.

College Student Aid Commission

This Organization is a part of the Education Department

Official Document

  • Health care professional recruitment program, amendments to ch 14
  • Published on 10/6/2021
  • Adopted and Filed

The official published PDF of this document is available from the Iowa General Assembly’s Administrative Rules page.

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View the Iowa Administrative Bulletin for 10/6/2021.

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Related Notices

Administrative Rule References

The following administrative rule references were added to this document. You may click a reference to view related notices.

Rule 283-14.1 Rule 283-14.2

Iowa Code References

The following Iowa code references were added to this document. You may click a reference to view related notices.

Iowa Code 261.113 Iowa Code 261.114 Iowa Code 261.115 Iowa Code 261.9
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