Health Resources and Services Administration (HRSA)

Federal Scholarship and Loan Repayment Opportunities for

Health Professionals W. Gary Hlady, MD, MS

Regional SupervisorBureau of Clinician Recruitment & Service

Health Resources & Services AdministrationUS Department of Health and Human Services

ghlady@hrsa.gov

Advisory Board MeetingCommunity Clinic Association of Los Angeles County

November 23, 2010

HRSA Update

Scholarship programs

Loan repayment programs

SEARCH

Contact information

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

NHSC Scholarship Program

Certified Nurse Midwives

Dentists

Family Nurse Practitioners

Physician Assistants

Psychiatrists

Primary Care Physicians (FP, IM, PEDS, & OB/GYN)

NHSC Scholarship Program

Available Scholars

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

NHSC Loan Repayment Program (LRP)

NHSC Loan Repayment Program (LRP) Eligible Disciplines

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

LRP Option for Half-Time Service LRP Option for Half-Time Service (20 to 39 hours each week, at least 45 weeks each year)(20 to 39 hours each week, at least 45 weeks each year)

Four year service commitment for $60,000 or 2-year Four year service commitment for $60,000 or 2-year commitment for $30,000 commitment for $30,000

Potential for additional years of support with 1- or 2-year Potential for additional years of support with 1- or 2-year continuation contracts continuation contracts

May convert from full-time to half-time at any point after May convert from full-time to half-time at any point after first 90 daysfirst 90 days

Same eligible disciplines as full-time Loan Repayment Same eligible disciplines as full-time Loan Repayment ProgramProgram

For more information and to sign-up for notification: For more information and to sign-up for notification: http://nhsc.hrsa.gov/ http://nhsc.hrsa.gov/

NHSC Site Eligibility

Types of Practice Setting

Public or private entity Community Health CentersRural Health ClinicsPrivate practicesIndian Health Service (federal/tribal)Prisons – State and FederalCommunity Mental Health CentersDoes not have to be non-profit

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

NHSC Site Eligibility

Site Agreements with NHSC Clinicians

* 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.

ARRA-funded initiatives for the NHSC Loan Repayment Program (LRP)

Lowered HPSA threshold for site eligibility

Increased LRP award limits per site

HRSA Nursing Education HRSA Nursing Education

Loan Repayment ProgramLoan Repayment Program (NELRP)(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 60 percent of the total qualifying nursing education loan balanceloan balance

For an optional third year of service, participants may For an optional third year of service, participants may receive 25 percent of their original total qualifying receive 25 percent of their original total qualifying nursing education loan balancenursing education loan balance

* taxable

HRSA NELRPHRSA NELRP

Eligible SitesEligible Sites

There is no list of eligible sites There is no list of eligible sites The following The following non-profitnon-profit facilities are eligible: facilities are eligible:– Hospitals Hospitals – Federally Qualified Health Centers and Look-AlikesFederally Qualified Health Centers and Look-Alikes– Indian Health Service Health CentersIndian Health Service Health Centers– Native Hawaiian Health CentersNative Hawaiian Health Centers– Rural Health Clinics Rural Health Clinics – Nursing Homes Nursing Homes – State or Local Public Health or Human Services Department State or Local Public Health or Human Services Department – Hospice Programs Hospice Programs – Home Health Agencies Home Health Agencies – Skilled Nursing Facilities Skilled Nursing Facilities – Ambulatory Surgical CentersAmbulatory Surgical Centers

HRSA NELRPHRSA NELRP

Funding PreferencesFunding Preferences Applicants whose total qualifying educational loans are Applicants whose total qualifying educational loans are >>40 percent of their base annual salary 40 percent of their base annual salary Applicants who work at:Applicants who work at:– Disproportionate Share HospitalDisproportionate Share Hospital– Critical Access HospitalCritical Access Hospital– Federally Qualified Health Center or Look-AlikeFederally Qualified Health Center or Look-Alike– Indian Health Service Health CenterIndian Health Service Health Center– Native Hawaiian Health CenterNative Hawaiian Health Center– Rural Health ClinicRural Health Clinic– Nursing HomeNursing Home– State or Local Public Health or Human Services DepartmentState or Local Public Health or Human Services Department

For more information on the NELRP: For more information on the NELRP: http://www.hrsa.gov/loanscholarships/repaymenthttp://www.hrsa.gov/loanscholarships/repayment/nursing/ /nursing/

HRSA Nursing Scholarship Program HRSA Nursing Scholarship Program (NSP)(NSP)

For full-time students in baccalaureate, graduate, For full-time students in baccalaureate, graduate, associate degree, or diploma nursing programs associate degree, or diploma nursing programs The Nursing Scholarship Program pays: The Nursing Scholarship Program pays: – tuition tuition – required fees required fees – other reasonable costs, including required books, clinical other reasonable costs, including required books, clinical

supplies, laboratory expenses, etc. supplies, laboratory expenses, etc. – monthly stipend ($1,269 for the 2009-2010 school year) monthly stipend ($1,269 for the 2009-2010 school year)

Period of service is 2-4 years based on number of years of scholarship supportParticipants may satisfy their service obligations on Participants may satisfy their service obligations on either a full-time or part-time basis either a full-time or part-time basis Preference to applicants with the greatest financial needPreference to applicants with the greatest financial need

HRSA NSPHRSA NSP

Eligible SitesEligible Sites

Health care facilities with a critical shortage of nurses, Health care facilities with a critical shortage of nurses, including: including:  – Ambulatory Surgical CentersAmbulatory Surgical Centers– Federally Qualified Health Centers and Look-Alikes Federally Qualified Health Centers and Look-Alikes – Home Health AgenciesHome Health Agencies– Hospice ProgramsHospice Programs– Hospitals (including outpatient services) Hospitals (including outpatient services) – Indian Health Service Health CentersIndian Health Service Health Centers– Native Hawaiian Health CentersNative Hawaiian Health Centers– Nursing HomesNursing Homes– Rural Health ClinicsRural Health Clinics– Skilled Nursing FacilitiesSkilled Nursing Facilities– State or local Public Health Departments, including Public Health State or local Public Health Departments, including Public Health

Clinics within the  Departments Clinics within the  Departments

Faculty Loan Repayment ProgramFaculty Loan Repayment Program

for faculty from disadvantaged backgroundsfor faculty from disadvantaged backgroundsup to $40,000 for repayment of student loans up to $40,000 for repayment of student loans minimum two-year commitment for full-time or part-time minimum two-year commitment for full-time or part-time facultyfaculty– Allopathic Medicine Allopathic Medicine – Osteopathic Medicine Osteopathic Medicine – Podiatric Medicine Podiatric Medicine – Veterinary Medicine Veterinary Medicine – Dentistry Dentistry – Pharmacy Pharmacy – Nursing Nursing – Allied Health Allied Health – Public Health Public Health – graduate programs in behavioral and mental health graduate programs in behavioral and mental health

FY 2010 Award EstimatesProgramProgram AwardsAwards

NHSC LRPNHSC LRP 33453345

NHSC Half-time NHSC Half-time LRPLRP

400400

NHSC SPNHSC SP 145145

Nursing Nursing EducationEducation

LRPLRP

11151115

Nursing Nursing ScholarshipScholarship

470470

FLRPFLRP 2525

Native Hawaiian Native Hawaiian ScholarshipScholarship

77

Health Care Reform – NHSCHealth Care Reform – NHSCReauthorization of NHSC Programs through 2015 Reauthorization of NHSC Programs through 2015

Increases maximum loan repayment amount from up to Increases maximum loan repayment amount from up to $35,000 to $50,000$35,000 to $50,000

Half-Time Loan Repayment; 2 & 4 year contractsHalf-Time Loan Repayment; 2 & 4 year contracts

Community Health Centers and NHSC FundsCommunity Health Centers and NHSC Funds– FY 2011:FY 2011: $290,000,000$290,000,000– FY 2012:FY 2012: $295,000,000 – Increases by $5 million each year $295,000,000 – Increases by $5 million each year

going forward through FY 2015going forward through FY 2015

Teaching as Clinical Practice – up to 20% credit of Teaching as Clinical Practice – up to 20% credit of obligated serviceobligated service

Teaching Health Center Graduate Medical Program – up Teaching Health Center Graduate Medical Program – up to 50% credit of obligated serviceto 50% credit of obligated service

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Student/Resident Experiences and Student/Resident Experiences and Rotations in Community Health Rotations in Community Health

(SEARCH)(SEARCH)

HRSA-funded state-based program HRSA-funded state-based program (State Primary Care Offices, Primary Care Associations, Offices of (State Primary Care Offices, Primary Care Associations, Offices of Rural Health, Area Health Education Centers and others)Rural Health, Area Health Education Centers and others)

students and residents serve clinical students and residents serve clinical rotations in underserved communities rotations in underserved communities

typically includes clinical practice and a typically includes clinical practice and a community service projectcommunity service project

includes stipendincludes stipend

Contact InformationNHSC 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