University Daily Kansan / Monday, November 5, 1990
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Doctors' bill to benefit Kansas
By Courtney Eblen
Kansan staff writer
Medically underserved areas, including 18 Kansas counties, may have a better chance of receiving care than those awaiting the president's signature.
The National Health Service Corps Revitalization Act of 1990, sponsored by Rep. Jim Slattery, D-2nd District, reinstates a scholarship and loan program for medical students. More than 450,000 students for the corps during fiscal year, 1991.
Nancy Malir, Slatter's press secretary, said Slatter reintroduced the bill as a way of attracting more physicians to rural areas, which suffer in comparison with the more structured city practices.
Malir said that the House passed the original bill in Jify and that the latest approval was given Oct. 28 by the House-Senate Conference report.
Slattery, who was campaigning across Kansas during the weekend, was unavailable for comment.
Janet Murgula, legislative assistant to Stattery, said the original health service corps peaked in 1980, when more than 3,000 physicians nationwide participated in the program.
But the program all but fell apart during the 1980s, and by 1988, fewer than 50 physicians were given loans
or scholarships from the program, she said. None of those 50 went to Kansas.
The 1990 program will have two main components, a field service program and a scholarship and loan repayment program.
The field service program encourages physicians to move to rural, medically underserved areas by offering financial incentives. Physicians should use mostly their hospitals or clinics but receive federal backing as well.
The scholarship program also has a state network in Kansas. Physicians choose to take part in the scholarship program while they are still in medical school. For every year of school that is financed, students agree to serve in a medically underserved area.
The loan repayment program starts when physicians begin practicing. If physicians agree to practice in areas that are geographically isolated or in areas that offer payment well below what could pay off medical school loans, they can be reimbursed up to $35,000 per year.
Murgiaul said physicians had been using the loan repayment program to pay past due medical school tuition. Unlike the scholarship program, the Murgiaul program gives physicians their choice of work environment. The
inner-city jobs usually are the first taken.
"Sometimes, with some of these communities, you can't pay people enough to go out there." Murgiau guidance to leave the city for a rural life
"Young physicians are trained at a high-tech institute," he said. "It's cultural shock to go from the Kansasropolitan area to the Colorado border."
William Reals, dean of the University of Kansas Medical School-Wichita, has devoted much of his research to developing students to work in rural Kansas.
Reals said that often when new doctors move to smaller, less-equipped hospitals, they felt unprepared to serve their patients.
Despite the bill, extremely small towns may never get a physician to locate there, he said. Reals wants physicians instead to group together with their hospitalists and then have more doctors to help patients in nearby rural areas.
The 18 Kansas counties benefiting from the legislature will be Jackson, Nemaha, Leavenworth, Geary, Rawlins, Gove, Lincoln, Ellsworth, Benton, Washington, Wabausean, Osage, Coosey, Woodson, Linn, Marshall and Morris.
Child care programs to aid Kansas
By David Roach
Kansan staff writer
Two new child care programs that will funnel millions of dollars into Kansas survived last month's budget war on Capitol Hill.
Provisions in the new federal budget will provide $2.5 billion during three years to states for child-care programs and an additional $19 billion in earned income tax credits during the next five years for low-income parents with children in day care.
Barbara Conent, a Social and Rehabilitation Services spokesperson, said Kansas would receive $22 million in federal money during the next three years to enhance the state's child care programs.
The programs would range from direct aid for income-eligible parents to beeping up the state's day-care distribution and licensing staff. Conen said.
She said that 25 percent of the money would go to early childhood and latch-key programs and that the rest of the money could be spent at the state's discretion on a variety of child-care programs.
"It looks at this point that we can use it to increase the level of child-care services and our ability to monitor those services." she said. He added, "In the way the money can be spent that we can look at a lot of options."
Joan Reiber, director of Hilton Child Development Center, said the legislation was the first significant child care measure passed at the national level since the Head Start program.
She said children's advocates had been trying to get similar legislation passed for more than two years.
However, Helen Blank, senior child-care associate for the Children's Defense Fund, said the legislation would make national 'nation's child care needs adequately.
The Children's Defense Fund is a non-profit children's advocacy group in Washington, D.C.
"This is a really important first step." Blank said. "You have to begin somewhere."
She said the state would receive $6.5 million in September, $7.3 million the next year and $8.2 million the following year.
Blank said the legislation also would provide for about $19 billion over a five-year period in earned money for families making less than $416. It
An earned-income tax credit is a
dollar-for-dollar credit on income taxes a person owes, as opposed to an income-tax deduction which reduces gross taxable income.
Blank said the legislation would not be effective in making child care available to poor families because the tax credits would not offset the about $3,000 a year it costs to keep a child in day care.
"We think it's more important to give poor families a voucher to make sure they can pay for child care," she said. "It's a great way to give more money to poor families. We just don't see this as a child care program."
Conent said the programs would help Kansas.
"There's a lot of need out there," she said. "This is something that's a starting point for parents getting off public assistance. Any money that goes into programs like this is a big help."
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Did you know?
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- The Trafficway's Final Environmental Impact Statement contains measures to improve the Baker Wetlands and construct additional wetlands and critical habitat.
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