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5203 - Health Care Workforce Loan Repayment Programs

 
Implementation Status 
Statutory Text 

Summary

Requires the Secretary of HHS to establish a pediatric specialty loan repayment program to support certain pediatric providers, including certain mental and behavioral health providers.  Qualifying individuals must commit to work in or for a provider serving a health professional shortage area (HPSA) or medically underserved area (MUA), or to serve a medically underserved population (MUP).  Authorizes to be appropriated (but does not delineate a separate Congressional appropriation) $30 million for each of FYs 2010-2014 (for loans to pediatric medical specialists and pediatric surgical specialists) and $20 million for each of FYs 2010-2013 (for loans to child and adolescent mental and behavioral health providers).

Last updated: (May 9, 2016)  

Implementation Status

 
Summary 
Statutory Text 

2013

Though the President’s FY 2013 budget proposal included an additional $5 million over FY 2012 for a new Pediatric Loan Repayment program, no funding has be appropriated to date and thus no loan repayments have been issued pursuant to this provision.

On June 27, HRSA announced the availability – via its website – of lists of designated primary medical care, mental health and dental health professional shortage areas current as of May 11, 2013.

2014

On June 25, 2014, HRSA published a notice announcing that lists of all geographic areas, population groups and facilities designated as primary medical care, mental health and dental HPSAs soon will be available on the agency’s website, http://www.hrsa.gov/shortage/. Specifically, the HPSA section of the HRSA website is pending an update to reflect the latest listings. The lists will reflect an annual update, superseding HPSA lists appearing in the Federal Register on June 27, 2013, and will be current as of May 23, 2014. HRSA also incorporates daily updates to HPSAs here. As discussed on p. 2 of the notice, HPSAs affect site eligibility for the NHSCs; priority for certain HRSA Bureau of Health Workforce clinical residency training site grants; and qualifying providers’ eligibility for increased Medicare reimbursement when practicing in an HPSA geographic area, among other impacts.

On Sept. 25, the National health Service Corps scheduled an October 1 teleconference to provide information to medical students on service loan repayment.

2016

On Mar. 30, HRSA published a grant opportunity, “Dental Faculty Development and Loan Repayment Program.”

Statutory Text

 
Implementation Status 
Summary 

SEC. 5203. HEALTH CARE WORKFORCE LOAN REPAYMENT PROGRAMS. Part E of title VII of the Public Health Service Act (42 U.S.C. 294n et seq.) is amended by adding at the end the following: ‘‘Subpart 3—Recruitment and Retention Programs ‘‘SEC. 775 ø42 U.S.C. 295f¿. INVESTMENT IN TOMORROW’S PEDIATRIC HEALTH CARE WORKFORCE. ‘‘(a) ESTABLISHMENT.—The Secretary shall establish and carry out a pediatric specialty loan repayment program under which the eligible individual agrees to be employed full-time for a specified period (which shall not be less than 2 years) in providing pediatric medical subspecialty, pediatric surgical specialty, or child and adolescent mental and behavioral health care, including substance abuse prevention and treatment services. ‘‘(b) PROGRAM ADMINISTRATION.—Through the program established under this section, the Secretary shall enter into contracts with qualified health professionals under which— ‘‘(1) such qualified health professionals will agree to provide pediatric medical subspecialty, pediatric surgical specialty, or child and adolescent mental and behavioral health care in an area with a shortage of the specified pediatric subspecialty that has a sufficient pediatric population to support such pediatric subspecialty, as determined by the Secretary; and ‘‘(2) the Secretary agrees to make payments on the principal and interest of undergraduate, graduate, or graduate medical education loans of professionals described in paragraph (1) of not more than $35,000 a year for each year of agreed upon service under such paragraph for a period of not more than 3 years during the qualified health professional’s— ‘‘(A) participation in an accredited pediatric medical subspecialty, pediatric surgical specialty, or child and adolescent mental health subspecialty residency or fellowship; or ‘‘(B) employment as a pediatric medical subspecialist, pediatric surgical specialist, or child and adolescent mental health professional serving an area or population described in such paragraph. ‘‘(c) IN GENERAL.— ‘‘(1) ELIGIBLE INDIVIDUALS.— ‘‘(A) PEDIATRIC MEDICAL SPECIALISTS AND PEDIATRIC SURGICAL SPECIALISTS.—For purposes of contracts with respect to pediatric medical specialists and pediatric surgical specialists, the term ‘qualified health professional’ means a licensed physician who— ‘‘(i) is entering or receiving training in an accredited pediatric medical subspecialty or pediatric surgical specialty residency or fellowship; or ‘‘(ii) has completed (but not prior to the end of the calendar year in which this section is enacted) the training described in subparagraph (B). ‘‘(B) CHILD AND ADOLESCENT MENTAL AND BEHAVIORAL HEALTH.—For purposes of contracts with respect to child and adolescent mental and behavioral health care, the term ‘qualified health professional’ means a health care professional who— ‘‘(i) has received specialized training or clinical experience in child and adolescent mental health in psychiatry, psychology, school psychology, behavioral pediatrics, psychiatric nursing, social work, school social work, substance abuse disorder prevention and treatment, marriage and family therapy, school counseling, or professional counseling; ‘‘(ii) has a license or certification in a State to practice allopathic medicine, osteopathic medicine, psychology, school psychology, psychiatric nursing, social work, school social work, marriage and family therapy, school counseling, or professional counseling; or ‘‘(iii) is a mental health service professional who completed (but not before the end of the calendar year in which this section is enacted) specialized training or clinical experience in child and adolescent mental health described in clause (i). ‘‘(2) ADDITIONAL ELIGIBILITY REQUIREMENTS.—The Secretary may not enter into a contract under this subsection with an eligible individual unless— ‘‘(A) the individual agrees to work in, or for a provider serving, a health professional shortage area or medically underserved area, or to serve a medically underserved population; ‘‘(B) the individual is a United States citizen or a permanent legal United States resident; and ‘‘(C) if the individual is enrolled in a graduate program, the program is accredited, and the individual has an acceptable level of academic standing (as determined by the Secretary). ‘‘(d) PRIORITY.—In entering into contracts under this subsection, the Secretary shall give priority to applicants who— ‘‘(1) are or will be working in a school or other pre-kindergarten, elementary, or secondary education setting; ‘‘(2) have familiarity with evidence-based methods and cultural and linguistic competence health care services; and ‘‘(3) demonstrate financial need. ‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There is authorized to be appropriated $30,000,000 for each of fiscal years 2010 through 2014 to carry out subsection (c)(1)(A) and $20,000,000 for each of fiscal years 2010 through 2013 to carry out subsection (c)(1)(B).’’.

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  • III-Improving the Quality and Efficiency of Health Care
  • IV-Prevention of Chronic Disease and Improving Public Health
  • V-Health Care Workforce
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