Healthy Communities, Healthy People
The Programs We Deliver
 Community Health Centers

 National Health Service Corps

 Workforce Training for Primary 
Care, Public Health, Medicine,

Dentistry, Nursing, and Geriatrics 
 Workforce Diversity

 Children’s Hospital GME

 Practitioner Databanks

 Maternal and Child Health

 Healthy Start

 Stop Bullying Now!
 Poison Control

Ryan White HIV/AIDS
Rural Health Policy & Programs
Telehealth
Health Care for the Homeless
Migrant Health Centers
Native Hawaiian Health
Vaccine Injury Compensation
Hansen’s Disease (Leprosy)
340B Drug Pricing
Organ Donation &
Transplantation
And more…
The People We Serve
• 20.2 million patients served through HRSA-funded health
centers.
• Over 500,000 people living with HIV/AIDS receive HRSA’s
Ryan White services. Two-thirds are members of minority
groups.
• 34 million women, infants, children, and adolescents
benefit from HRSA’s maternal and child health programs.
• About 14,000 safety net providers participate in HRSA’s
340B program that provides access to discount drug
purchases.
• Over 10,000 National Health Service Corps clinicians are
working in underserved areas in exchange for loan
repayment or scholarships.
• In 2011, 28,535 people received organ transplants involving
14,145 donors and 5,709 blood stem cell transplants were
facilitated.
HRSA and the Affordable Care Act
HRSA and the Affordable Care Act
• HRSA has been assigned 63 provisions under the law, all
with a focus on three key goals:
–
Improving access to quality primary health care and
services
–
Strengthening the health care workforce
–
Improving health equity and eliminating disparities in
access to health care
HRSA and the Affordable Care Act
•
Increasing Access to Primary Care Services
•
Investing in the Health Care Workforce
•
Supporting Maternal and Child Health
•
Broadening Access to 340B Drug Discounts
•
Other HRSA Programs
Increasing Access to Primary Care Services
Health Center Program Growth:
National Impact 2008-2010
20,000,000
Patients
Sites
8,400
135,000
19,000,000
8,200
130,000
18,500,000
8,000
125,000
18,000,000
7,800
120,000
7,600
115,000
7,400
110,000
7,200
105,000
7,000
100,000
19,500,000
17,500,000
17,000,000
16,500,000
16,000,000
15,500,000
2008
2009
2010
2008
Year
Patients
Sites
Jobs
2009
2010
Jobs
2008
2009
2010
Year
Year
2008
2009
2010
Growth from 20082010 (% Increase)
17,122,535
7,518
113,059
18,753,858
7,892
123,012
19,469,467
8,156
131,660
2,346,932 (13.7%)
638 (8.5%)
18,601 (16.5%)
Source: Uniform Data System and
HRSA Electronic Handbooks
8
Health Centers and the Affordable Care Act
• The Affordable Care Act provides $11 billion in funding over the
next 5 years for the operation, expansion, and construction of
health centers throughout the Nation.
• $9.5 billion is targeted to:
– Support ongoing health center operations.
– Create new health center sites in medically underserved areas.
– Expand preventive and primary health care services, including oral health,
behavioral health, pharmacy, and/or enabling services, at existing health
center sites.
• $1.5 billion will support major construction and renovation
projects at community health centers nationwide.
2012 Primary Care Funding Opportunities
• Health Center Capital Development
• Health Center New Access Points
• Health Center Controlled Networks
• Health Center Expanded Services
• School-based Health Center Capital Program
Investing in the Health Care Workforce
National Health Service Corps and
the Affordable Care Act
The Affordable Care Act reauthorizes the NHSC through 2015
When you don't have access to primary care, small health problems
grow into big ones. Chronic conditions that could be managed spiral
out of control … Thanks to the National Health Service Corps, more
Americans can see a doctor and get the health care they need. The
investments we made are improving health, creating access to care,
(and) fueling economic activity nationwide.
- Secretary Kathleen Sebelius
National Health Service Corps
The Affordable Care Act:
• Increases the maximum annual loan repayment award from $35,000
to up to $60,000
• Establishes permanent half-time service opportunities for NHSC
scholars and loan repayers with the creation of 2- and 4-year
contracts for the Loan Repayment Program
• Allows NHSC participants to receive up to 20 percent service credit for
teaching (and up to 50 percent in future Teaching Health Centers)
• Simplifies the NHSC site application and approval process
• Provides additional flexibilities
Workforce Training Expansion
• Primary Care Residency Expansion
• Advanced Nursing Education Expansion
• Expansion of Physician Assistant Training Program
• Nurse Managed Health Clinics
• Public Health Training Centers
• State Health Workforce Development Grants
Supporting Maternal and Child Health
Maternal, Infant, and Early Childhood
Home Visiting Program
• Provide evidenced-based home visit services to at-risk
communities
• $1.5 billion has been appropriated between 2010 and 2015
• Home visiting is a strategy that has been used by public
health and human services programs to foster child
development and address problems such as infant mortality
and healthy child development.
• HRSA and the Administration for Children and Families are
working collaboratively on this program.
Other HRSA Programs and Benefits
of the Affordable Care Act
The Affordable Care Act and
People Living with HIV/AIDS
• The Patient’s Bill of Rights makes it illegal for insurance
companies to:
– Deny coverage to children because of a pre-existing condition like
HIV/AIDS.
– Put a lifetime cap on how much care they will pay for if you get sick.
– Cancel your coverage when you get sick by finding a mistake on
your paperwork.
• Creates a temporary high risk pool program for people
who are uninsured and have a pre-existing condition.
For More Information
On the Affordable Care Act, please visit
www.healthcare.gov
On HRSA, please visit:
www.hrsa.gov
www.hrsainyourstate.gov