[Congressional Record (Bound Edition), Volume 155 (2009), Part 14]
[Extensions of Remarks]
[Pages 19645-19646]
[From the U.S. Government Publishing Office, www.gpo.gov]




                          EARMARK DECLARATION

                                 ______
                                 

                          HON. MARY BONO MACK

                             of california

                    in the house of representatives

                         Tuesday, July 28, 2009

  Mrs. BONO MACK. Madam Speaker, pursuant to the Republican Leadership 
standards on earmarks, I am submitting the following information 
regarding earmarks I received as part of H.R. 3293--Departments of 
Labor, Health and Human Services, and Education, and Related Agencies 
Appropriations Act, 2010
  Requesting Member: Mary Bono Mack
  Bill Number: H.R. 3293
  Account: Health Resources and Services Administration (HRSA)--Health 
Facilities and Services
  Entity Requesting: California State University, San Bernardino, 5500 
University Parkway, San Bernardino, CA 92407
  Description of Earmark: $100,000 is provided for California State 
University, San Bernardino, to equip a nursing lab in its Health 
Sciences building at the Palm Desert campus. The need for nursing and 
health science education has been voiced throughout the

[[Page 19646]]

Coachella Valley. The Palm Desert Campus of California State 
University, San Bernardino has responded by establishing new health 
sciences programs, including a R.N. to B.S.N. that enrolls registered 
nurses currently working in local hospitals and enables them to upgrade 
their skills, preparing them for more responsible roles in local 
hospitals. I am asking for appropriated funds to help outfit the 
simulation lab (sim lab) of the Health Sciences Building, which will 
provide the necessary real-life experience needed by nursing students. 
The sim lab would help the University deal with the decline in clinical 
placements sites through the use of human patient simulation. The sim 
lab provides a computer-model-driven, full-sized human patient 
simulator that delivers true-to-live experiences.
  Spending Plan: With local and state funding, a new Health Science 
Building is being constructed to house traditional classrooms and 
computer labs, science labs, as well as specialized labs for nursing, 
including a hospital-like simulation lab with projected completion by 
end of FY09. California State University provides both the programming 
and staff, and it will be responsible for future expansion as needed.
  Project Budget Breakout: Human Patient Simulator Base Unit--$259,835; 
Pediatric Human Patient Simulator Base Unit--$262,400; Second Human 
Patient Simulator Base Unit--$227,835; Equipment for lab to support 
mannequins (computers, replacement equipment, etc. Mannequins are run 
on Apple Mac G4's.)--$150,930; Clinical Simulation programs scenarios--
$35,000; Eight Stryker Bed Secure 2 Beds (or Hillrohm equivalent) with 
monitoring equipment @ $6,000/ea--$48,000; Eight portable crash carts 
(Intermetro Industries or equivalent) @ $2,000/ea--$16,000; Total: 
$1,000,000
  Requesting Member: Mary Bono Mack
  Bill Number: H.R. 3293
  Account: Health Resources and Services Administration (HRSA)--Health 
Facilities and Services
  Entity Requesting: Eisenhower Medical Center, 39000 Bob Hope Drive, 
Rancho Mirage, CA 92270
  Description of Earmark: $350,000 is provided for Eisenhower Medical 
Center to meet the needs of a growing medically underserved community 
in need of health care services in the fast-growing East Coachella 
Valley. Eisenhower Medical Center is developing a health center in La 
Quinta, California to address this need. The first phase will house an 
academically affiliated physician group, an imaging center, a radiation 
oncology center, a breast and bone screening satellite, Express Clinic, 
a satellite lab and pharmacy, and prevention and wellness programs. 
This center will combine conventional medicine and cutting edge 
technologies with preventative practices. This will ensure that the 
Health Center in La Quinta will serve as the focal point for 
integrative health, wellness education and treatment, addressing more 
than the management of disease, but the pursuits of optimal health in 
the Coachella Valley. This clinic will also provide much needed job 
opportunities for the east valley. A study conducted as recently as 
2006 showed that the Coachella Valley is 100 primary care physicians 
short of meeting the current demand. The Health Center is designed to 
provide an additional 15 primary care physicians and 80 to 100 health 
care professionals in the first four years and will provide services to 
a population of 80,000 to 100,000 people. Eisenhower Medical Center, a 
not-for-profit organization, exists to serve the changing health care 
needs of our region by providing excellence in patient care with 
supportive education and research and therefore believes community 
education and health are of utmost importance.
  Spending Plan: EMC is committed to meeting the rapidly growing, 
critical community needs of the East Valley and to provide the best 
cancer treatment services to the communities with the new Health Center 
in LaQuinta.
  Construction: $45,000,000; Equipment/Furnishings/Fixtures: 
$6,000,000; Total: $51,000,000
  Requesting Member: Mary Bono Mack
  Bill Number: H.R. 3293
  Account: Health Resources and Services Administration (HRSA)--Health 
Facilities and Services
  Entity Requesting: Riverside Community College District, 4800 
Magnolia Avenue, Riverside, CA 92506-1299
  Description of Earmark: $150,000 is provided for Riverside Community 
College District to equip their Allied Health Sciences Program. A lack 
of skilled workers, advances in medical science, and an aging 
healthcare workforce are producing a national and regional shortage of 
allied healthcare professionals such as Physician Assistants, 
Laboratory Technicians, Paramedics, and Physical Therapists. To begin 
filling the shortage, RCCD seeks to expand existing Allied Health 
Sciences Program and Funds would be used to purchase equipment for this 
program, enabling RCCD to graduate 300 percent more medical 
professionals over five years. RCCD's Allied Health Sciences program 
has been recognized as the best program in California in terms of 
graduating allied health services professionals, topping USC and 
Stanford in a recent competition. RCCD serves a region which is 
severely medically underserved. The Inland Empire has the state's 
lowest number of physicians per 100,000, with a projected shortfall of 
1,140 physicians by 2015. This ratio also holds for allied health 
service professionals, making the Inland Empire one of the most 
medically underserved areas in the nation. Cutting-edge equipment at 
the Allied Health Sciences program will increase the effectiveness and 
efficiency of training efforts through close interaction, exchange and 
collaboration within and between various disciplines. Further, a 
program equipped with the latest technology will also attract more 
high-quality students and new faculty.
  Spending Plan: The State of California recently awarded RCCD $495,000 
for equipment purchases. RCCD will undertake a private fundraising 
effort to raise the delta between $1.25 million, the State funds, and 
any federal appropriations. These efforts will be similar to those 
which netted $100,000 per year over five years from Tri-Dental to 
establish and grow RCCD's Dental Hygienist program. While the acute 
need for such workers will spur private donations from professional 
organizations, federal funds will allow the program to fill the worker 
shortage more quickly.
  Requesting Member: Mary Bono Mack
  Bill Number: H.R. 3293
  Account: Health Resources and Services Administration (HRSA)--Health 
Facilities and Services
  Entity Requesting: University of California--Riverside, 900 
University Ave., Riverside, CA 92521
  Description of Earmark: $3,400,000 is provided for University of 
California--Riverside for the UC Riverside School of Medicine. The 
planned School of Medicine at the University of California, Riverside 
(UCR) will address the severe physician shortage in Inland Southern 
California by training a diverse physician workforce. The UCR medical 
school will also respond to 21st century health care needs by 
incorporating advances in medical education, science and technology for 
the benefit of the population of Inland Southern California. The 
medical school at UCR is being built on the strong foundation already 
established by the campus' joint medical education program with the 
University of California Los Angeles School of Medicine. This 
partnership of more than 30 years has produced more than 700 practicing 
physicians. UCR is uniquely positioned to launch its own four-year 
School of Medicine. The campus lies in the heart of Southern 
California's Inland Empire, one of the most rapidly growing regions in 
the nation.
  The first incoming class of 50 medical students is projected to 
enroll in the UCR School of Medicine in fall 2012. Concurrently, the 
medical school will launch residency programs to offer the required 
training for postgraduate medical students to achieve board 
certification. Enrollment will ramp up gradually to a total of 400 
medical students, 160 residents and 160 graduate students. With the 
regional physician shortfall forecast to be as high as 53 percent by 
2015, the Inland Empire faces a health care challenge of crisis 
proportions. Since physicians tend to practice near where they complete 
their residencies, building a medical school in the region is an 
effective means of mitigating some of the area's physician shortfall. 
The regional focus of the medical school's research and clinical 
enterprises will address the poor health outcomes for many residents of 
Riverside and San Bernardino counties.
  Spending Plan: Health Sciences Building construction (financing + 
campus funds): $39,689,000; Health Science Building 1st/2nd fl. fit-
out, vivarium (funding unidentified): 10,311,000; Anatomy Lab 
Renovation (this request): 2,500,000; Biomedical Sciences Renovation 
(this request): 2,975,000; PRIME Telemedicine (state general obligation 
bond funding): 5,000,000; TOTAL COST: $60,475,000

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