W. Gary Hlady, MD, MS Regional Supervisor Bureau of Clinician Recruitment & Service

1. Health Resources and Services Administration (HRSA)Federal Scholarship and Loan Repayment Opportunities for Health Professionals W. Gary Hlady, MD, MS Regional Supervisor Bureau of Clinician Recruitment & Service Health Resources & Services Administration US Department of Health and Human Services ghlady@hrsa.gov Advisory Board Meeting Community Clinic Association of Los Angeles County November 23, 2010

2. HRSA Update • Scholarship programs • Loan repayment programs • SEARCH • Contact information

3. NHSC Scholarship Program • Scholarships to students who commit to practicing primary care in HPSAs of greatest need (HPSA score >17*) • Period of service is 2-4 years based on number of years of scholarship support * HPSA threshold re-calculated annually, beginning July 1

4. NHSC Scholarship Program Available Scholars • Certified Nurse Midwives • Dentists • Family Nurse Practitioners • Physician Assistants • Psychiatrists • Primary Care Physicians (FP, IM, PEDS, & OB/GYN)

5. NHSC Loan Repayment Program (LRP) Repayment of educational loans for full-time primary care clinicians Two-year service commitment with options for additional years Maximum repayment during the required initial two-year contract is $60,000 (tax-free) Site/vacancy must be approved and clinician must also make a separate application to the NHSC

6. Primary Care Physicians (FP, IM, gerontology, PED, & OB/GYN) Primary Care Nurse Practitioners Physician Assistants Certified Nurse Midwives Dentists Dental Hygienists Psychiatrists Health Service Psychologists Clinical Social Workers Licensed Professional Counselors Marriage and Family Therapists Psychiatric Nurse Specialists NHSC Loan Repayment Program(LRP) Eligible Disciplines

7. LRP Option for Half-Time Service (20 to 39 hours each week, at least 45 weeks each year) • Four year service commitment for $60,000 or 2-year commitment for $30,000 • Potential for additional years of support with 1- or 2-year continuation contracts • May convert from full-time to half-time at any point after first 90 days • Same eligible disciplines as full-time Loan Repayment Program • For more information and to sign-up for notification: http://nhsc.hrsa.gov/

8. NHSC Site EligibilityTypes of Practice Setting • Public or private entity • Community Health Centers • Rural Health Clinics • Private practices • Indian Health Service (federal/tribal) • Prisons – State and Federal • Community Mental Health Centers • Does not have to be non-profit

9. NHSC Site Eligibility Site Agreements with NHSC Clinicians • When hiring NHSC clinicians, sites agree: • Full-time clinical practice* • No reduction in salary because of NHSC • Communicate changes in employment • Only allow practice at approved site(s) • Make available personnel/practice records • Not restrict communication between clinician and NHSC * At least 32 hours per week in direct patient care. No more than 8 hours administration. No more than 12 hours per day. No more than 35 days a year off for any reason.

10. ARRA-funded initiatives for the NHSC Loan Repayment Program (LRP) • Lowered HPSA threshold for site eligibility • Increased LRP award limits per site

11. HRSA Nursing Education Loan Repayment Program(NELRP) • Repayment* of educational loans for full-time licensed nurses (diploma, associate, baccalaureate or graduate)employed at non-profit health care facilities • Two-year initial service commitment • Maximum repayment during the initial two-year contract is 60 percent of the total qualifying nursing education loan balance • For an optional third year of service, participants may receive 25 percent of their original total qualifying nursing education loan balance * taxable

12. HRSA NELRPEligible Sites • There is no list of eligible sites • The following non-profit facilities are eligible: • Hospitals • Federally Qualified Health Centers and Look-Alikes • Indian Health Service Health Centers • Native Hawaiian Health Centers • Rural Health Clinics • Nursing Homes • State or Local Public Health or Human Services Department • Hospice Programs • Home Health Agencies • Skilled Nursing Facilities • Ambulatory Surgical Centers

13. HRSA NELRPFunding Preferences • Applicants whose total qualifying educational loans are >40 percent of their base annual salary • Applicants who work at: • Disproportionate Share Hospital • Critical Access Hospital • Federally Qualified Health Center or Look-Alike • Indian Health Service Health Center • Native Hawaiian Health Center • Rural Health Clinic • Nursing Home • State or Local Public Health or Human Services Department • For more information on the NELRP: http://www.hrsa.gov/loanscholarships/repayment/nursing/

14. HRSA Nursing Scholarship Program (NSP) • For full-time students in baccalaureate, graduate, associate degree, or diploma nursing programs • The Nursing Scholarship Program pays: • tuition • required fees • other reasonable costs, including required books, clinical supplies, laboratory expenses, etc. • monthly stipend ($1,269 for the 2009-2010 school year) • Period of service is 2-4 years based on number of years of scholarship support • Participants may satisfy their service obligations on either a full-time or part-time basis • Preference to applicants with the greatest financial need

15. HRSA NSPEligible Sites • Health care facilities with a critical shortage of nurses, including:  • Ambulatory Surgical Centers • Federally Qualified Health Centers and Look-Alikes • Home Health Agencies • Hospice Programs • Hospitals (including outpatient services) • Indian Health Service Health Centers • Native Hawaiian Health Centers • Nursing Homes • Rural Health Clinics • Skilled Nursing Facilities • State or local Public Health Departments, including Public Health Clinics within the  Departments

16. Faculty Loan Repayment Program • for faculty from disadvantaged backgrounds • up to $40,000 for repayment of student loans • minimum two-year commitment for full-time or part-time faculty • Allopathic Medicine • Osteopathic Medicine • Podiatric Medicine • Veterinary Medicine • Dentistry • Pharmacy • Nursing • Allied Health • Public Health • graduate programs in behavioral and mental health

17. FY 2010 Award Estimates

18. Health Care Reform – NHSC Reauthorization of NHSC Programs through 2015 Increases maximum loan repayment amount from up to $35,000 to $50,000 Half-Time Loan Repayment; 2 & 4 year contracts Community Health Centers and NHSC Funds FY 2011: $290,000,000 FY 2012: $295,000,000 – Increases by $5 million each year going forward through FY 2015 Teaching as Clinical Practice – up to 20% credit of obligated service Teaching Health Center Graduate Medical Program – up to 50% credit of obligated service 18

19. Student/Resident Experiences and Rotations in Community Health (SEARCH) • HRSA-funded state-based program (State Primary Care Offices, Primary Care Associations, Offices of Rural Health, Area Health Education Centers and others) • students and residents serve clinical rotations in underserved communities • typically includes clinical practice and a community service project • includes stipend

20. Contact Information • NHSC Scholarship and Loan Repayment • Toll-free helpline: (800) 221-9393 • Website: http://www.nhsc.hrsa.gov • HRSA Nursing Scholarship • Website: http://bhpr.hrsa.gov/nursing/scholarship/ • HRSA Nursing Education Loan Repayment • Website: http://www.hrsa.gov/loanscholarships/repayment/nursing/ • Faculty Loan Repayment Program • Website: http://www.hrsa.gov/loanscholarships/repayment/faculty/ • SEARCH • Website: http://nhsc.hrsa.gov/search/ • Facebook • Website: http://www.facebook.com/nationalhealthservicecorps • YouTube • Website: http://www.youtube.com/hrsatube