national hispanic medical association

National Hispanic Medical Association15th Annual Conference

CAPT Phil BudashewitzDirector, Office of Policy and Program Development

March 19, 2011

Washington, D.C.

Supporting Dedicated Providers

Increasing Access to Care Scholarship & Loan

Repayment Programs• National Health Service

Corps• Nursing • Faculty • Native Hawaiian• State

Resources and Contacts

Bureau of Clinician Recruitment & Service

(BCRS)

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BCRS Programs

Loan Repayment ScholarshipNational Health Service Corps (NHSC)

National Health Service Corps (NHSC)*Application cycle opens April 2011

Nursing Education Loan Repayment Program (NELRP)

Nursing Scholarship Program (NSP)*Application cycle opens April 2011

Faculty Loan Repayment Program (FLRP) *Application cycle opens this month

Native Hawaiian Health Scholarship Program

State Loan Repayment Program (SLRP)

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National Health Service Corps

(NHSC)

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NHSC Mission

Build healthier communities by supporting qualified health care providers dedicated to

working in areas of the U.S. with limited access to care

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Improve the health of the Nation’s underserved Increase access to primary health care services Provide quality, culturally competent care to

those most in need Develop community leaders

The Beginning of NHSC

NHSC was created in response to health care crises that emerged in the U.S. in the 1950’s and 1960’s

More physicians retired, leaving many areas of the country without medical services

Rural states appealed to Congress for help, thus establishing what is now known as the National Health Service Corps

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40 Year History70’s

• NHSC Created

• First Scholarships Awarded

• First NHSC Scholar In Service

• HPSA Scoring Established

• 1,200 Clinicians In Service

80’s• 3,100 Clinicians

In Service

• Loan Repayment Program (LRP) Added

• Reduced Budgets

90’s• Early 90s - Only

1,000 Clinicians In Service

• Mental Health Disciplines Added to LRP

• 2,400 Clinicians In Service

2000’s• Retention Study

– 50% stay; up to 15 years

• 2009 Recovery Act – Unprecedented Growth

• Health Care Reform – $1.5 Billion

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Recent Expansion American Recovery and

Reinvestment Act (ARRA) included $300 million in expansion funds for the NHSC 4,000+ New Loan Repayment Awards 200+ Scholarship Awards

Affordable Care Act (ACA) authorizes and appropriates $1.5 billion for the NHSC through 2015

FY2011:  $290 million FY2012:  $295 million FY2013:  $300 million FY2014:  $305 million FY2015:  $310 million

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Full-to-Half-Time ConversionTo provide additional flexibility for Corps clinicians and sites, NHSC announced a new half-time option for Corps clinicians and are now accepting requests for Full-to-Half-Time Conversions.    Teaching CreditNHSC announced an additional option for Corps members serving at HRSA-approved Teaching Health Centers (THCs). Full-time NHSC members teaching in these facilities are now allowed to count up to 20 hours per week spent teaching towards their service obligation HRSA’s Bureau of Health Professions has designated 11 centers as HRSA-approved THCs to date.

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Recent NHSC Policy Changes

NHSC family consists of more than 7,500 clinicians currently serving

More than 30,000 clinicians have served as Corps members

NHSC Today

Physicians25% Nurse

Midwife2%

Nurse Practitioner

16%

Physician Assistant

14%

Dentist12%

Dental Hygienist

2%

Mental Health29%

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NHSC Tomorrow

FY2011 projected Field Strength is 10,500

By 2012, it is projected that nearly 10,700 clinicians will be caring for more than 13 million people, almost tripling clinicians in service since 2008

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Program Details

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NHSC ProgramsLoan repayment program (LRP) Offers tax-free loan repayment for

qualifying educational loans, in addition to a salary provided by site

FY2011 application cycle opened Nov. 22, 2010 and will close May 26, 2011

Scholarship program (SP) Pays tuition, required fees, and some

other education costs, tax free, for up to 4 years

Application cycle will open in April 2011

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Loan Repayment Program

Financial and other Benefits

Up to $60,000 for 2 years of full time service; 4 year commitment for part time service

Up to $170,000 for completing a 5 year service commitment

Option to pay off all student loans for service beyond 5 years

20% service credit for teaching; up to 50% in future Teaching Health Centers

Where Members Serve

NHSC-approved site

Application Requirements

U.S. citizen or U.S. national

Tax Liability Not taxable

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Scholarship Program

Financial Benefits

Funding for a maximum of four years including: Tuition Required fees Reasonable educational costs Monthly support stipend

Service Commitment 1-year service commitment per scholarship year

for full time students 2-year minimum, 4-year maximum commitment

Where Members Serve NHSC-approved site

Application Requirements

U.S. citizen or U.S. national

Tax Liability Only stipend is taxable

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Primary Care Physicians Primary Care Nurse

Practitioners Physician Assistants Certified Nurse Midwives Dentists

Dental Hygienists Psychiatric Nurse Specialists Health Service Psychologists Licensed Clinical Social

Workers Licensed Professional

Counselors Marriage and Family Therapists

Eligible Disciplines

16NOTE: Scholar and LRP Eligible; LRP Eligible Only

Sites and Communities

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NHSC Sites Provide comprehensive primary care

medicine, primary care dentistry and/or primary care, mental and behavioral health services

Ensure access to ancillary, inpatient and specialty referrals

To qualify sites must: Be located in a HPSA Provide services on a discounted fee

schedule Accept patients covered by Medicare,

Medicaid, and the Children's Health Insurance Program

Document sound fiscal management Have the capacity to maintain a competitive

salary, benefits, and malpractice coverage package for clinicians 18

Types of NHSC Sites Federally Qualified Health Center and Look Alikes

Certified Rural Health Clinic Indian Health Service Site

(Federal or Tribal) Solo or Group Partnership or

Practice Hospital-Affiliated Primary Care

Practice Managed Care Network State or Federal Prison U.S. Immigration, Customs and

Enforcement Site Public Health Department

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Scholarship & Loan Repayment Programs Con’d

NURSINGEDUCATION LOAN REPAYMENT PROGRAM

• 85% of educational loans with service at critical shortage of nurse facilities

NURSE SCHOLARSHIP PROGRAM

• Scholarships with service at critical shortage of nurses facilities

FACULTY LOAN REPAYMENT PROGRAM

• Loan repayments are offered to health professions graduates from disadvantaged backgrounds with service at eligible health professions colleges or universities

NATIVE HAWAIIAN HEALTH SCHOLARSHIP PROGRAM

• Scholarships to Native Hawaiians pursuing careers in designated health professions for delivery of primary health care services to underserved Native Hawaiian

STATE LOAN REPAYMENT PROGRAM

• Federal-State matching partnership

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Resources for Clinicians

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Medical Spanish for Health Care Providerswww.practicingspanish.com

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Find Us Online

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NHSC website nhsc.hrsa.gov

Recruitment & Retention Assistance Application nhsc.hrsa.gov/communities/

Facebookfacebook.com/nationalhealthservicecorps

Twittertwitter.com/#!/NHSCorps

YouTubeyoutube.com/hrsatube

Contact UsPhilip M. Budashewitz, RPh, MACAPT, U.S. Public Health ServiceDirector, Office of Policy and Program Development Bureau of Clinician Recruitment & Service Health Resources Services Administration U.S. Department of Health and Human Services5600 Fishers Lane, Room 8A-08 Rockville, MD 20857 Tel  301-443-1372 E-mail pbudashewitz@hrsa.gov

HRSA Call Center: 1-800-221-9393  

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Thank You

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