National Hispanic Medical Association 15 th Annual Conference CAPT Phil Budashewitz Director, 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) 2

BCRS Programs Loan RepaymentScholarship 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) 3

National Health Service Corps (NHSC) 4

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 5  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 6

40 Year History 70’s NHSC Created First Scholarships Awarded First NHSC Scholar In Service HPSA Scoring Established 1,200 Clinicians In Service 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 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 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 Retention Study – 50% stay; up to 15 years 2009 Recovery Act – Unprecedented Growth Health Care Reform – $1.5 Billion 7

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 8

Full-to-Half-Time Conversion To 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 Credit NHSC 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. 9 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 10

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

Program Details 12

NHSC Programs Loan 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

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 LiabilityNot taxable 14

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 ServeNHSC-approved site Application Requirements U.S. citizen or U.S. national Tax LiabilityOnly stipend is taxable 15

 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 16 NOTE: Scholar and LRP Eligible; LRP Eligible Only

Sites and Communities 17

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 19

Scholarship & Loan Repayment Programs Con’d 85% of educational loans with service at critical shortage of nurse facilities NURSINGEDUCATION LOAN REPAYMENT PROGRAM Scholarships with service at critical shortage of nurses facilities NURSE SCHOLARSHIP PROGRAM Loan repayments are offered to health professions graduates from disadvantaged backgrounds with service at eligible health professions colleges or universities FACULTY LOAN REPAYMENT PROGRAM Scholarships to Native Hawaiians pursuing careers in designated health professions for delivery of primary health care services to underserved Native Hawaiian NATIVE HAWAIIAN HEALTH SCHOLARSHIP PROGRAM Federal-State matching partnership STATE LOAN REPAYMENT PROGRAM 20

Resources for Clinicians 21

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Medical Spanish for Health Care Providers 23

Find Us Online 24 NHSC website nhsc.hrsa.govnhsc.hrsa.gov Recruitment & Retention Assistance Application nhsc.hrsa.gov/communities/ Facebook facebook.com/nationalhealthservicecorps facebook.com/nationalhealthservicecorps Twitter twitter.com/#!/NHSCorps twitter.com/#!/NHSCorps YouTube youtube.com/hrsatube youtube.com/hrsatube

Contact Us Philip M. Budashewitz, RPh, MA CAPT, U.S. Public Health Service Director, Office of Policy and Program Development Bureau of Clinician Recruitment & Service Health Resources Services Administration U.S. Department of Health and Human Services 5600 Fishers Lane, Room 8A-08 Rockville, MD Tel HRSA Call Center:

Thank You 26