national hispanic medical association
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National Hispanic Medical Association. 15 th Annual Conference. CAPT Phil Budashewitz Director, Office of Policy and Program Development March 19, 2011 Washington, D.C. . Bureau of Clinician Recruitment & Service (BCRS). Supporting Dedicated Providers Increasing Access to Care - PowerPoint PPT PresentationTRANSCRIPT
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 [email protected]
HRSA Call Center: 1-800-221-9393
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Thank You
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