Credit for health care preceptors working in health professional shortage areas - legislative declaration - definitions.

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(1) (a) The general assembly finds, determines, and declares that:

  1. It is vital to the well-being, quality of life, and economic development of the entirestate that excellent health care be available in all regions of the state, including rural and frontier areas;

  2. Rural areas of the state currently suffer from a shortage of primary health care providers and, as a result, these communities experience reduced access to such providers and poorer health care outcomes; and

  3. A consistent problem is a lack of professional instruction, training, and supervisionin rural and frontier areas that allows students studying primary care to obtain the requisite professional mentoring and supervision to allow them to practice in such areas upon obtaining a professional degree.

  1. The general assembly intends that the tax credit created in this section is to be usedto provide sufficient financial incentives to encourage preceptors to offer professional instruction, training, and supervision to students seeking careers as primary health care providers in rural and frontier areas of the state.

  2. The general assembly further intends that the tax credit provide sufficient financialincentives to encourage preceptors to offer professional instruction, training, and supervision to students matriculating at Colorado institutions of higher education seeking careers as primary health care providers in rural and frontier areas of the state.

(2) As used in this section, unless the context otherwise requires:

  1. "AHEC" or "AHEC program" means the area health education center.

  2. "Frontier area" means a county in the state that has a population density of six orfewer individuals per one square mile.

  3. "Graduate student" means an individual matriculating at the graduate level at anyaccredited Colorado institution of higher education seeking a degree either in the areas of doctor of medicine, doctor of osteopathy, advanced nursing practice, doctor of dental surgery, or doctor of dental medicine, or as a physician assistant.

  4. "Preceptor" means a medical doctor, doctor of osteopathic medicine, advanced practice nurse, physician assistant, doctor of dental surgery, or doctor of dental medicine who has been licensed in his or her primary health care field in the state by the applicable licensing authority.

  5. "Preceptorship" means an uncompensated mentoring experience in which a preceptorprovides a program of personalized instruction, training, and supervision for a total of not less than four working weeks or twenty business days per calendar year that is offered to eligible graduate students to enable the students to obtain eligible professional degrees.

  6. "Primary health care" means health care provided by a health care professional withwhom a patient has initial contact, who is the principal point of continuing care for the patient, and who coordinates other specialist care that the patient may need.

  7. "Rural area" means a county that is located in a nonmetropolitan area in the state thateither has no municipality within its territorial boundaries with fifty thousand or more permanent residents based upon the most recent population estimates published by the United States census bureau or that satisfies alternate criteria for the designation of a rural area as may be promulgated by the federal office of management and budget.

  8. "Taxpayer" means a preceptor who files an income tax return under this article.

(3) (a) For income tax years commencing on or after January 1, 2017, but prior to January 1, 2023, and subject to the requirements of subsection (3)(b) of this section, a taxpayer is allowed a credit against the income taxes imposed by this article 22 in an amount equal to one thousand dollars for a preceptorship provided by him or her during the applicable income tax year for which the credit is claimed.

(b) Notwithstanding any other provision of this section:

  1. The aggregate amount of the credit awarded to any one taxpayer under this sectionshall not exceed one thousand dollars for any one income tax year regardless of the number of preceptorships undertaken by the taxpayer during the applicable income tax year or the number of eligible graduate students the taxpayer instructs, trains, or supervises during the applicable income tax year;

  2. A taxpayer is eligible to claim the credit allowed by this section if he or she performs a preceptorship that lasts a total of not less than four working weeks or twenty business days during the income tax year in which the credit is claimed and the preceptor is practicing in his or her primary health care field in a rural or frontier area; and

  3. Not more than two hundred preceptors are entitled to claim the credit authorized bythis section for any one income tax year. The department shall promulgate by rule, in accordance with article 4 of title 24, C.R.S., a method for determining the manner in which taxpayers who have obtained certification under subsection (4) of this section are able to claim the tax credit.

  1. To qualify for the credit provided by this section, the taxpayer shall submit a certification form with each income tax return. Certification may be provided by either the institution for which the taxpayer teaches, whether it is an institution of higher education or a hospital, clinic, or other medical facility, or by the particular regional office of the AHEC program with jurisdiction over the area in which the preceptor's medical practice is located. In the case of certification by an institution for which the taxpayer teaches, the institution must execute the form certifying that the taxpayer has satisfied the requirements for allowance of the tax credit as specified in this section. In the case of certification by the AHEC program, the certification form must be obtained from the particular regional office of the AHEC program with jurisdiction over the area in which the preceptor is practicing, which office shall certify that the taxpayer has satisfied the requirements for allowance of the tax credit as specified in this section. The AHEC program may charge the taxpayer a reasonable fee for providing such certification, which fee shall not exceed the actual costs incurred by the AHEC in completing the certification.

  2. Where a taxpayer claims the credit provided by this section but fails to satisfy therequirements of this section during the income tax year for which the credit is claimed, the taxpayer shall repay the entire amount of the total credit that is attributed to him or her pursuant to this section. The taxpayer shall report the recapture required by this subsection (5) by increasing his or her income tax liability by the amount of the total credit claimed for the year in which the recapture occurs.

  3. If the amount of the credit allowed pursuant to this section exceeds the amount of theincome tax otherwise due on the taxpayer's income in the income tax year for which the credit is being claimed, the amount of the credit not used as an offset against income taxes in the income tax year is not allowed as a refund but may be carried forward and applied against the income tax due in each of the five succeeding income tax years, but must first be applied against the income tax due for the earliest of the income tax years possible.

  4. Nothing in this section modifies or changes the definition of "public employee" specified in section 24-10-103 (4)(b)(II) and (4)(b)(V), C.R.S.

  5. Repealed.

Source: L. 2016: Entire section added, (HB 16-1142), ch. 229, p. 891, § 1, effective August 10. L. 2017: (2)(e) amended, (SB 17-294), ch. 264, p. 1418, § 119, effective May 25. L.

2019: (2)(e), (3)(a), and (3)(b)(II) amended and (8) repealed, (HB 19-1088), ch. 363, p. 3355, § 1, effective August 2.


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