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5103 - Health Care Workforce Assessment

 
Implementation Status 
Statutory Text 

Summary

Establishes a National Center for Health Workforce (“the Center”) to, among other things, coordinate with the National Health Care Workforce Commission to provide for the development of information describing and analyzing the health care workforce and workforce related issues; and develop performance measures/benchmarks for and conduct annual evaluations of programs/grants authorized under Title V.

Requires that grants be awarded at the state and local levels to support the Center in these efforts.  With respect to such grants, eligible entities include: states, state workforce investment boards, public health or health professions schools, academic health centers, or appropriate public or private nonprofit entities.  Authorizes increased funding to support eligible entities in conducting longitudinal evaluations.

Makes amendments to PHSA-authorized advisory committees such that these committees, including the Advisory Council on GME, must implement performance measures for applicable programs and develop and publish guidelines for longitudinal evaluations, among other revised duties.

Authorizes to be appropriated (but does not delineate a separate Congressional appropriation) $7.5 million for each of FYs 2010-2014 to the National Center; $4.5 million for each of FYs 2010-2014 to state and regional centers; and such sums as may be necessary for FYs 2010-2014 for longitudinal evaluation grants.

Implementation Status

 
Summary 
Statutory Text 

Prior to January 2013

The Center was established within HRSA and grants have been issued pursuant the ACA (e.g., see here).  Mr. Ed Salsberg, formerly of the Association of American Medical Colleges (AAMC), was appointed to serve as director on August 16, 2010 (see related press release).  For more details regarding the Center, including access to various reports, visit the Center’s homepage.  With respect to the Council on Graduate Medical Education (COGME), which was originally authorized in 1986 and whose administrative authority was re-designated under the ACA, refer to the COGME homepage.

2014

On March 10, 2014, HRSA issued a notice soliciting applications from nominees (that were due by March 31) to serve on its Council on Graduate Medical Education (COGME).

Also, on March 28, HRSA posted an information collection pertaining to a reconciliation tool for the THCGME program on which public comments are due on the underlying data collection extension within 30 days of publication, putting the deadline for comments on or around May 28, 2014.

On August 4, 2014 HRSA’s National Center for Health Workforce Analysis released a report (key findings) on the future labor supply of non-primary care specialty and subspecialty clinicians for years 2010 through 2025. Specifically, the report examines projected trends in the supply of these providers across 35 predefined non-primary care specialty and subspecialty fields. Based on its findings, HRSA anticipates the physician supply across non-primary care fields of practice to increase, though notes “substantial variation across fields.” Furthermore, according to the report, the supply of non-primary care advanced practice nurses (APNs) and physicians assistants (PAs) is expected to outpace the growth of physicians.

2015

On June 9, HRSA posted a funding opportunity soliciting applications for the Health Workforce Research Center (HWRC) program. The program is “designed to support rigorous, policy-oriented data collection, analysis and research projects that can enhance the government’s understanding of emerging issues and trends in the health care workforce.” One cooperative agreement is anticipated. Eligible applicants include: a State, a State workforce investment board, a public health or health professions school, or an appropriate public or private nonprofit entity. Applications are due July 23.

2016 

In July 2016, HRSA announced a nomination opportunity for its Council on Graduate Medical Education (COGME). Details.

In October 2016, COGME convened a meeting via teleconference to discuss their ongoing work to produce their 23rd report. Additionally, the Council discussed their plan to center the forthcoming report around one main recommendation: the establishment of a GME Strategic Planning Committee (GSPC). This would be an independent, non-partisan, evidence-based body, with members committed to GME in the public interest. Details.

2018

In May, HRSA announced it was seeking nominations for consideration for appointment to the Council on Graduate Medical Education (COGME). Details.

Statutory Text

 
Implementation Status 
Summary 

SEC. 5103. HEALTH CARE WORKFORCE ASSESSMENT. (a) IN GENERAL.—Section 761 of the Public Health Service Act (42 U.S.C. 294m) is amended— (1) by redesignating subsection (c) as subsection (e); (2) by striking subsection (b) and inserting the following: ‘‘(b) NATIONAL CENTER FOR HEALTH CARE WORKFORCE ANALYSIS.— ‘‘(1) ESTABLISHMENT.—The Secretary shall establish the National Center for Health Workforce Analysis (referred to in this section as the ‘National Center’). ‘‘(2) PURPOSES.—The National Center, in coordination to the extent practicable with the National Health Care Workforce Commission (established in section 5101 of the Patient Protection and Affordable Care Act), and relevant regional and State centers and agencies, shall— ‘‘(A) provide for the development of information describing and analyzing the health care workforce and workforce related issues; ‘‘(B) carry out the activities under section 792(a); ‘‘(C) annually evaluate programs under this title; ‘‘(D) develop and publish performance measures and benchmarks for programs under this title; and ‘‘(E) establish, maintain, and publicize a national Internet registry of each grant awarded under this title and a database to collect data from longitudinal evaluations (as described in subsection (d)(2)) on performance measures (as developed under sections 749(d)(3), 757(d)(3), and 762(a)(3)). ‘‘(3) COLLABORATION AND DATA SHARING.— ‘‘(A) IN GENERAL.—The National Center shall collaborate with Federal agencies and relevant professional and educational organizations or societies for the purpose of linking data regarding grants awarded under this title. ‘‘(B) CONTRACTS FOR HEALTH WORKFORCE ANALYSIS.— For the purpose of carrying out the activities described in subparagraph (A), the National Center may enter into contracts with relevant professional and educational organizations or societies. ‘‘(c) STATE AND REGIONAL CENTERS FOR HEALTH WORKFORCE ANALYSIS.— ‘‘(1) IN GENERAL.—The Secretary shall award grants to, or enter into contracts with, eligible entities for purposes of— ‘‘(A) collecting, analyzing, and reporting data regarding programs under this title to the National Center and to the public; and ‘‘(B) providing technical assistance to local and regional entities on the collection, analysis, and reporting of data. ‘‘(2) ELIGIBLE ENTITIES.—To be eligible for a grant or contract under this subsection, an entity shall— ‘‘(A) be a State, a State workforce investment board, a public health or health professions school, an academic health center, or an appropriate public or private nonprofit entity; and ‘‘(B) submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require. ‘‘(d) INCREASE IN GRANTS FOR LONGITUDINAL EVALUATIONS.— ‘‘(1) IN GENERAL.—The Secretary shall increase the amount awarded to an eligible entity under this title for a longitudinal evaluation of individuals who have received education, training, or financial assistance from programs under this title. ‘‘(2) CAPABILITY.—A longitudinal evaluation shall be capable of— ‘‘(A) studying practice patterns; and ‘‘(B) collecting and reporting data on performance measures developed under sections 749(d)(3), 757(d)(3), and 762(a)(3). ‘‘(3) GUIDELINES.—A longitudinal evaluation shall comply with guidelines issued under sections 749(d)(4), 757(d)(4), and 762(a)(4). ‘‘(4) ELIGIBLE ENTITIES.—To be eligible to obtain an increase under this section, an entity shall be a recipient of a grant or contract under this title.’’; and (3) in subsection (e), as so redesignated— (A) by striking paragraph (1) and inserting the following: ‘‘(1) IN GENERAL.— ‘‘(A) NATIONAL CENTER.—To carry out subsection (b), there are authorized to be appropriated $7,500,000 for each of fiscal years 2010 through 2014. ‘‘(B) STATE AND REGIONAL CENTERS.—To carry out subsection (c), there are authorized to be appropriated $4,500,000 for each of fiscal years 2010 through 2014. ‘‘(C) GRANTS FOR LONGITUDINAL EVALUATIONS.—To carry out subsection (d), there are authorized to be appropriated such sums as may be necessary for fiscal years 2010 through 2014.’’; and (4) in paragraph (2), by striking ‘‘subsection (a)’’ and inserting ‘‘paragraph (1)’’. (b) TRANSFERS.—Not later than 180 days after the date of enactment of this Act, the responsibilities and resources of the National Center for Health Workforce Analysis, as in effect on the date before the date of enactment of this Act, shall be transferred to the National Center for Health Care Workforce Analysis established under section 761 of the Public Health Service Act, as amended by subsection (a). (c) USE OF LONGITUDINAL EVALUATIONS.—Section 791(a)(1) of the Public Health Service Act (42 U.S.C. 295j(a)(1)) is amended— (1) in subparagraph (A), by striking ‘‘or’’ at the end; (2) in subparagraph (B), by striking the period and inserting ‘‘; or’’; and (3) by adding at the end the following: ‘‘(C) utilizes a longitudinal evaluation (as described in section 761(d)(2)) and reports data from such system to the national workforce database (as established under section 761(b)(2)(E)).’’. (d) PERFORMANCE MEASURES; GUIDELINES FOR LONGITUDINAL EVALUATIONS.— (1) ADVISORY COMMITTEE ON TRAINING IN PRIMARY CARE MEDICINE AND DENTISTRY.—Section 748(d) of the Public Health Service Act is amended— (A) in paragraph (1), by striking ‘‘and’’ at the end; (B) in paragraph (2), by striking the period and inserting a semicolon; and (C) by adding at the end the following: ‘‘(3) develop, publish, and implement performance measures for programs under this part; ‘‘(4) develop and publish guidelines for longitudinal evaluations (as described in section 761(d)(2)) for programs under this part; and ‘‘(5) recommend appropriation levels for programs under this part.’’. (2) ADVISORY COMMITTEE ON INTERDISCIPLINARY, COMMUNITY-BASED LINKAGES.—Section 756(d) of the Public Health Service Act is amended— (A) in paragraph (1), by striking ‘‘and’’ at the end; (B) in paragraph (2), by striking the period and inserting a semicolon; and (C) by adding at the end the following: ‘‘(3) develop, publish, and implement performance measures for programs under this part; ‘‘(4) develop and publish guidelines for longitudinal evaluations (as described in section 761(d)(2)) for programs under this part; and ‘‘(5) recommend appropriation levels for programs under this part.’’. (3) ADVISORY COUNCIL ON GRADUATE MEDICAL EDU- CATION.—Section 762(a) of the Public Health Service Act (42 U.S.C. 294o(a)) is amended— (A) in paragraph (1), by striking ‘‘and’’ at the end; (B) in paragraph (2), by striking the period and inserting a semicolon; and (C) by adding at the end the following: ‘‘(3) develop, publish, and implement performance measures for programs under this title, except for programs under part C or D; ‘‘(4) develop and publish guidelines for longitudinal evaluations (as described in section 761(d)(2)) for programs under this title, except for programs under part C or D; and ‘‘(5) recommend appropriation levels for programs under this title, except for programs under part C or D.’’.

Browse ACA Titles

  • I-Quality, Affordable Health Care for all Americans
  • II-Role of Public Programs
  • III-Improving the Quality and Efficiency of Health Care
  • IV-Prevention of Chronic Disease and Improving Public Health
  • V-Health Care Workforce
  • VI-Transparency and Program Integrity
  • VII-Improving Access to Innovative Medical Therapies
  • VIII-Community Living Assistance Services and Supports (CLASS ACT)
  • IX-Revenue Provisions

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