1. Maryland Primary Care Office (PCO) Advisory Council Meeting Thursday, April 29, 2010 1:30 p.m. – 3:30 p.m. Office of Health Policy and Planning, Family Health Administration, State of Maryland, Department of Health and Mental Hygiene

2. Introductions  Chairperson  Council Members

3. Health Care Reform  E-Mail Attachments/Handouts Affordable Healthcare for America Community Health Centers and Health Reform Health Center Related Provisions In Health Reform Legislation

4. Health Care Reform: Health Care Workforce  Expands and reinforce the nation’s health workforce by increasing investments in training health care professionals.  Decreases shortages in primary care and workforce by investing in scholarship, loan repayment, and training grant programs.

5. Primary Care and Workforce Development Benefits  Provides 10% Medicare bonus for primary care services provided by primary care physicians through 2016.  Increases Medicaid reimbursement.  Provides $1.5 billion in mandatory spending for the National Health Service Corps.  Provides $11 billion for building new and expands existing community health centers.

6. Primary Care and Workforce Development Benefits (Cont’d)  Strengthens grant programs for primary care training, especially programs that prioritize training in patient-centered medical homes.  Redistributes unused Medicare-funded residency slots to programs that agree to train more primary care physicians.  Promotes the training of practitioners in the outpatient setting. http://docs.house.gov/energycommerce/WORKFORCE.pdf

7. Health Care Reform: Shortage Designation Impact  Establishes a negotiated rulemaking committee for development of methodology and criteria for designating medically underserved populations and health professions shortage.  Expected date for publication of the new rule is no later than July 1, 2010. 124 Stat 119, 677 -679

8. Health Reform: Community Health Centers  Community Health Centers and National Health Service Corps Trust Fund  Medicaid Expansions  Payment Protections and Improvements  Teaching Health Centers http://www.nachc.com/client/Summary%20of%20Final%20Health%2 0Reform%20Package.pdf

9. Establishing Sub-Committees: Categories of Interest  Access  Data  Workforce  Shortage Designations  PCO  Webcast  PCO Project Officer, Melvin Whitfield

10. Primary Care Practitioners’ Recruitment and Training in Maryland  Medical Education Futures – March 8 Newsletter  National Health Service Corps Regional Information Update Medical Education Futures - March 8 Newsletter http://community.icontact.com/p/medicaleducationfutures/ newsletters/mefs08/posts/medical-education-futures- march-8-newsletter

11. National Health Service Corps Update  In FY 2009 (7/1/08-6/30/09), the PCO reviewed and recommended 26 site applications for the National Health Service Corp (NHSC).  March 2010, part-time health care professionals are able to apply to the National Health Service Corps demonstration program for the Part-time Loan Repayment. Extended to 5/25/10.  Regional Meetings

12. Shortage Designation Update CY 2009  45 areas and facilities have been reviewed;  20 new designations,  7 renewals, and  18 updates.

13. Shortage Designation Update (Cont’d) CY 2010 (from Jan. to March, 2010)  18 areas and facilities have been reviewed;  15 new designations,  2 renewals, and  1 update.

14. Shortage Designation Update (Cont’d) Renewals due in 2010: Primary Care HPSAs  Low Income - West Central Baltimore City  Low Income - East Baltimore City  Lower Park Heights – Baltimore City  Garrett County

15. Shortage Designation Update (Cont’d) Renewals due in 2010: Dental HPSAs  Low Income - Allegany County  Low Income - West Baltimore City  Charles County  Low Income - Garrett County

16. Shortage Designation Update (Cont’d) Renewals due in 2010 Mental Health HPSAs:  Baltimore City Detention Center  Metro Transition Center  Maryland Reception and Diagnostic Center  Central Booking and Intake Facility  Garrett County

17. HPSA: Primary Care

18. HPSA: Dental

19. HPSA: Mental Health

20. MUA/P and FQHC