National Hispanic Medical Association

1. National Hispanic Medical Association 15th Annual Conference CAPT Phil Budashewitz Director, Office of Policy and Program Development March 19, 2011 Washington, D.C.

2. Bureau of Clinician Recruitment & Service (BCRS) • Supporting Dedicated Providers • Increasing Access to Care • Scholarship & Loan Repayment Programs • National Health Service Corps • Nursing • Faculty • Native Hawaiian • State • Resources and Contacts 2

3. BCRS Programs 3

4. National Health Service Corps (NHSC) 4

5. 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 • 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 5

6. 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

7. 40 Year History 2000’s 70’s 80’s 90’s • Retention Study – 50% stay; up to 15 years • 2009 Recovery Act – Unprecedented Growth • Health Care Reform – $1.5 Billion • NHSC Created • First Scholarships Awarded • First NHSC Scholar In Service • HPSA Scoring Established • 1,200 Clinicians In Service • Early 90s - Only 1,000 Clinicians In Service • Mental Health Disciplines Added to LRP • 2,400 Clinicians In Service • 3,100 Clinicians In Service • Loan Repayment Program (LRP) Added • Reduced Budgets 7

8. 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

9. Recent NHSC Policy Changes 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 perweek spent teaching towards their service obligation HRSA’s Bureau of Health Professions has designated 11 centers as HRSA-approved THCs to date. 9

10. NHSC Today • NHSC family consists of more than 7,500 clinicians currently serving • More than 30,000 clinicians have served as Corps members 10

11. 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 11

12. Program Details 12

13. 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 2011 13 13

14. Loan Repayment Program 14

15. Scholarship Program 15

16. Eligible Disciplines • 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 16 NOTE: Scholar and LRP Eligible; LRP Eligible Only

17. Sites and Communities 17

18. 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

19. 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

20. Scholarship & Loan Repayment Programs Con’d 20

21. Resources for Clinicians 21

22. 22

23. Medical Spanish for Health Care Providers www.practicingspanish.com 23

24. Find Us Online • NHSC websitenhsc.hrsa.gov • Recruitment & Retention Assistance Application • nhsc.hrsa.gov/communities/ • Facebookfacebook.com/nationalhealthservicecorps • Twittertwitter.com/#!/NHSCorps • YouTubeyoutube.com/hrsatube 24

25. 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 20857 Tel  301-443-1372 E-mail pbudashewitz@hrsa.gov HRSA Call Center: 1-800-221-9393 25

26. Thank You 26