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  • sdadmin
    September 21, 2018 at 12:11 pm #1515
    1. WHEREAS, On June 15, 2012, the Secretary of Homeland Security announced the Deferred
    2. Action for Childhood Arrivals (DACA) program, where undocumented individuals who came to
    3. the United States before the age of 16, have not been convicted of a felony or significant
    4. misdemeanor, and qualify under other specific criteria could apply for deferred action for a period
    5. of two years, subject to renewal, allowing them to receive work authorization1; and
    1. WHEREAS, On July 21, 2018, the AOA demonstrated their support for undocumented students by
    2. approving a resolution which states “the American Osteopathic Association (AOA) supports
    3. Deferred Action for Childhood Arrivals (DACA) medical students, residents and physicians,”2; and
    1. WHEREAS, Approximately 20% of osteopathic medical schools currently accept undocumented
    2. students3; and
    1. WHEREAS, sixteen states have passed legislation that allows undocumented students to receive
    2. in-state tuition rates, including California (AB540), Colorado (S33), Connecticut (H6390 &
    3. H6844), Florida (H851), Illinois (H60), Kansas (H2145), Maryland (S167), Minnesota (S1236),
    4. Nebraska (L239), New Jersey (S2479), New Mexico (S582), New York (S7784), Oregon (H2787),
    5. Texas (H1403), Utah (H144 and S253), and Washington (H1079)4, 5, 6, 7; and
    1. WHEREAS, four additional states, Hawaii, Michigan, Oklahoma, and Rhode Island, allow for in-
    2. state tuition for undocumented students through various state university systems, often following
    3. approval from the Board of Regents4; and
    1. WHEREAS, access to in-state tuition for undocumented students would affect approximately 16%
    2. of osteopathic medical school locations, as eight locations currently offer in-state tuition: six being
    3. public and two being private8; and
    1. WHEREAS, offering in-state tuition to undocumented students could increase tax revenues. For
    2. example, it is estimated that Georgia can earn roughly $10 million per year in tax revenues from a
    3. more skilled and educated workforce if they allow undocumented students to receive in-state
    4. tuition. The projected economic growth would only be possible if Georgia removes their current
    5. bill, S492, which states “noncitizen students shall not be classified as in-state for tuition purposes
    6. unless the student is legally in the state”4, 9; and
    1. WHEREAS, “The Comptroller of Texas estimated that more than five dollars is generated in the
    2. economy for every dollar invested in immigrant students’ education”10; and
    1. WHEREAS, granting in-state tuition to undocumented students does not increase the financial
    2. burden for students who are citizens11; and

    1. WHEREAS, increased numbers of undocumented students in medical school could improve access
    2. to care in minority and non-English speaking populations, as DACA applicants are typically
    3. bilingual and bicultural and are more likely to work in populations where physician shortages are
    4. most prominent12; and
    1. WHEREAS, the Stritch School of Medicine, the first medical school to accept applications from
    2. undocumented immigrants, states “Physicians who share ethnic, cultural or racial backgrounds with
    3. underserved patients are more likely to choose to serve those underserved populations, produce
    4. improved outcomes, and can become role models within the community”13, 14; and
    1. WHEREAS, the Association of American Medical Colleges (AAMC) reports that by 2030, the
    2. United States could have a shortage of up to 120,000 physicians, between 14,800 and 49,300 of
    3. those being primary care physicians15; and
    1. WHEREAS, undocumented students could potentially alleviate these shortages, as estimates have
    2. shown that the DACA program could allow between 5,400 and 31,860 largely underrepresented
    3. minority physicians to be trained in the coming decades16, 17; now, therefore, be it
    1. RESOLVED, that the American Osteopathic Association (AOA) will advocate to state legislatures
    2. for in-state tuition for all undocumented medical students who meet the following requirements of
    3. state residency for tuition purposes:
    4. 1. The student has attended primary or secondary school in the state for at least 3 years
    5. 2. The student graduated from a high school or received a GED from the state in which they
    6. are applying for reduced tuition
    7. 3. If the student no longer resides in the state, they must demonstrate that they have lived in
    8. the state in which they are applying for reduced tuition during high school, and that their
    9. parent(s) or legal guardian continues to reside in the state
    10. 4. The student will sign an affidavit with their anticipated university of attendance stating
    11. that they will attempt to apply to become a permanent resident6

    Explanatory Statement


    1. U.S. Citizenship and Immigration Services. Consideration of Deferred Action for Childhood Arrivals (DACA). Retrieved September 14, 2018, from https://www.uscis.gov/archive/consideration-deferred-action-childhood-arrivals-daca
    2. RES. NO. H-637 – A/2018. Supporting Policy That Accommodates DACA Status (pp. 68-70). Retrieved September 13, 2018, from https://osteopathic.org/wp-content/uploads/A2018-600-Series-WITHACTION.pdf.
    3. American Association of Colleges of Osteopathic Medicine. (2017, September 8). AACOM Releases Statement on DACA Rescission [Press release]. Retrieved September 14, 2018, from https://www.aacom.org/news-and-events/news-detail/2017/09/08/090817_DACA
    4. Mendoza, G. (2015, January 15). Tuition Benefits for immigrants. Retrieved September 13 from http://www.ncsl.org/research/immigration/tuition-benefits-for-immigrants.aspx
    5. Illinois Coalition for Immigrant and Refugee Rights. (2016). An Undocumented Student’s Guide to College. Retrieved from http://www.icirr.org/content/documents/student_guide_2016_update.pdf
    6. Illinois General Assembly. Bill Status for HB0060. Retrieved September 14, 2018, from http://www.ilga.gov/legislation/BillStatus.asp?DocNum=60
    7. California Student Aid Commission. (2017). California Dream Act FAQ for Parents & Students. Retrieved from https://www.csac.ca.gov/sites/main/files/file- attachments/california_dream_act_faq.pdf
    8. A. (2018). Osteopathic Medical College Information Book. Retrieved September 13, 2018, https://www.aacom.org/docs/default-source/cib/aacom-cib-2019-all-web.pdf?sfvrsn=95e22597_8
    9. Johnson, M. (2015). Georgia’s Workforce Development, Economy Damaged by Barriers to Higher Education for Undocumented Students. Retrieved from https://gbpi.org/wp-content/uploads/2015/09/Tuition-Equity-for-Undocumented-Students-Report.pdf
    10. Ruge, T. R., & Iza, A. D. (2005). Higher Education for Undocumented Students: The Case for Open Admission and In-State Tuition Rates for Students without Lawful Immigration Status. Indiana International & Comparative Law Review, 15(2), 257-278. Retrieved September 13, 2018, from http://journals.iupui.edu/index.php/iiclr/article/view/17838/18009
    11. Amuedo-Dorantes, C., & Sparber, C. (2014). In-state tuition for undocumented immigrants and its impact on college enrollment, tuition costs, student financial aid, and indebtedness. Regional Science and Urban Economics, 49, 11–24. Retrieved from https://www.sciencedirect.com/science/article/pii/S0166046214000799?via%3Dihub
    12. Talamantes, E., & Moreno, G. (2015). Immigration Policies and the U.S. Medical Education System: A Diverse Physician Workforce to Reduce Health Disparities. Journal of General Internal Medicine, 30(8), 1058–1059. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4510230/
    13. Nakae, S. Dreamers of DACA Status Welcome: Loyola University Chicago Health Sciences Division. Retrieved September 14, 2018, from https://ssom.luc.edu/daca/
    14. NBC Chicago. (2013, June 14). Undocumented Immigrants Can Apply to Loyola Medical School. NBC Chicago. Retrieved from https://www.nbcchicago.com/news/local/Undocumented-Immigrants-Apply-Loyola-Medical-School-211537961.html
    15. Association of American Medical Colleges. (2018, April 11). New Research Shows Increasing Physician Shortages in Both Primary and Specialty Care [Press release]. Retrieved September 14, 2018, from https://news.aamc.org/press-releases/article/workforce_report_shortage_04112018/
    16. American Medical Association, & Madara, J. L. (2017, September 5). AMA Urges Congress to Take Action to Retain DACA Program Protections [Press release]. Retrieved September 13, 2018, from https://www.ama-assn.org/ama-urges-congress-take-action-retain-daca-program-protections
    17. Balderas-Medina Anaya, Y., Del Rosario, M., Doyle, L., & Hayes-Bautista, D. E. (2014). Undocumented Students Pursuing Medical Education. Academic Medicine, 89(12), 1599–1602. Retrieved from https://journals.lww.com/academicmedicine/fulltext/2014/12000/Undocumented_Students_Pursuing_Medical_Education__.14.aspx

    18. Submitted by:
      Renee Wakulski, OMS II – Chicago College of Osteopathic Medicine
      Clara Hofman, OMS II – Chicago College of Osteopathic Medicine
      Nikita Deval, OMS II – Arkansas College of Osteopathic Medicine
      Angela Pluguez, OMS II – NYIT College of Osteopathic Medicine at Arkansas State

      Action Taken:


      Effective Time Period: Ongoing

  1. Tyler King
    NYITCOM Arkansas
    October 1, 2018 at 6:45 pm #1953

    While I appreciate the attempt to be specific with qualifying factors, It might be best to keep this more vague. The resolved statement could read:

    “RESOLVED, that the American Osteopathic Association (AOA) advocate state legislatures to award in-state tuition to all undocumented students admitted to an osteopathic or allopathic medical school who meet the same in-state tuition qualifications required of U.S. citizens.”

    NOTE: I did make some wording changes here as well.
    NOTE #2: I previously suggested to you that it might be best to keep this issue separate from permitting undocumented students from obtaining U.S. government student loans. Since most DO schools are private, it might be worth considering to add an amendment that asks for advocacy around student loans as well. The additional resolved statement could read:

    “RESOLVED, that the American Osteopathic Association (AOA) advocate the U.S. Federal Government to award Federal Unsubsidized Loans and Grad PLUS Loans to all undocumented students admitted to an osteopathic or allopathic medical school.”

    As the authors, consider suggesting this as an amendment in the Open Session on Saturday and during the HOD on Sunday.

  2. Wessley Square
    October 2, 2018 at 6:42 pm #1962

    I agree, that it is best to keep these general so that they are relevant to a wider assortment of cases and avoid getting bogged down with specifics. This will allow a degree of interpretation on the part of individual schools and adaptability overtime if for instance the instate tuition requirements change in a given state.

    I would encourage an amendment to add Resolved identical to that proposed by Tyler but specifying that “the Student Osteopathic Medical Association shall advocate for..” And I would consider including some wording about working with AACOM as well.

    I would however avoid any amendment about federal loans at this time and suggest they be raised in a separate resolution at our Spring Convention so that they may more easily sink or stand on their own. Having seen tough debate this July at the AOA House of Delegates on something as simple as advocating for osteopathic medical students and residents currently covered under DACA, I feel that both loans and tuition rates would face tough criticism and tethering them together under the same resolution at this time may be unwise.