1. 11/29/2015 1 HPSA and MUA/P NEGOTIATED RULEMAKING REVISED DRAFT ROAD MAP HOW DO WE GET FROM HERE TO WHERE WE NEED TO BE?

2. 11/29/20152 COMMITTEE ACTIVITIES MARCH –HEALTH STATUS/SOCIAL DETERMINANTS REVIEW OF INITIAL TESTING OF REVISED SDI FINAL CONSENSUS ON SDI/HEALTH STATUS COMPONENT –BARRIERS TO ACCESS REPORT AND DISCUSSION/PRELIMINARY CONSENSUS FOR TESTING SUBPOP STREAMLINED MODEL - PRELIMINARY CONSENSUS –PRACTITIONER TO POPULATION FINAL CONSENSUS ON PROVIDER COUNTS FINAL CONSENSUS ON POPULATION/DEMAND COUNTS DISCUSSION OF SCALING OPTIONS FOR TESTING COMBINED P2P –OTHER FACILITY DESIGNATION REPORT/PRELIMINARY CONSENSUS RATIONAL SERVICE AREA CONSENSUS FURTHER DISCUSSION OF THRESHOLDS INITIAL DISCUSSION OF METHODOLOGY FOR COMBINING AND WEIGHTING OF COMPONENTS OF THE MODEL IMPACT TESTING PLAN - WHAT DO WE NEED TO MAKE FINAL DECISIONS –ANALYSIS PLAN HEALTH STATUS/SDI P2P BARRIERS –PROGRESS REPORT TO THE SECRETARY

3. APRIL –REVIEW OF ANALYTICAL RESULTS: BARRIERS SDI P2P –revisions if needed –DISCUSSION/FINAL CONSENSUS: FACILITY PROPOSAL –FINAL CONSENSUS: SUBPOP STREAMLINED PROPOSAL –FURTHER DISCUSSION/PRELIMINARY CONSENSUS: HOW TO COMBINE THE ELEMENTS, WEIGHTS, ETC. –DISCUSSION: FULL IMPACT TESTING DESIGN WITH ALL COMPONENTS IMPLEMENTATION ISSUES; TIMING, EXPECTATIONS, ETC. –HRSA: BEGIN DRAFT OF COMMITTEE REPORT AND FEDERAL REGISTER NOTICE PREAMBLE AND OUTLINE 11/29/2015 3

4. MAY –VARIOUS OPTIONS FOR COMBINING SDI/BARRIERS/P2P REVIEW ANALYTICAL RESULTS SET WEIGHTS/THRESHOLDS –FINAL DECISION: METHODOLOGY COMPONENTS REVISION TO MODEL FOR FURTHER TESTING –FULL MODEL: REVISION FOR FURTHER TESTING FINALIZE IMPACT TESTING –CONSIDER TESTING AGAINST EXISTING DESIGNATIONS –REVIEW: IMPACT OF STREAMLINING FACILITY PROPOSALS DRAFT NOTICE LANGUAGE –PRELIMINARY CONSENSUS: IMPLEMENTATION PLAN PHASE IN PERIOD 11/29/2015 4

5. 5 JUNE –IMPACT TESTING: REVIEW RESULTS ADDITIONAL ANALYSIS PLAN –FURTHER CHANGES TO MODEL FOR TESTING –IMPLEMENTATION PLAN: FINAL CONSENSUS –CONTINUED REVIEW OF DRAFT LANGUAGE

6. JULY –IMPACT TESTING REVIEW OF RESULTS REVISIONS AND FURTHER IMPACT TESTING PLANS –REVIEW OF DRAFT REPORT AND DRAFT FED REG NOTICE INCORPORATING FINAL DECISIONS TO DATE 11/29/2015 6

7. AUGUST –MODEL Review of latest testing Further Testing/Final Testing –DRAFTS TO SECRETARY AND FED REG Review Consensus on drafts Recommendations 11/29/2015 7

8. SEPTEMBER –IMPACT TESTING Final Review Final Revisions –REVIEW AND APPROVAL Draft Final Report to Secretary Draft Regulation 11/29/2015 8

9. 9 OCTOBER OCTOBER: FINAL EDITS TO REPORT OCTOBER 31: FINAL REPORT SUBMITTED TO SECRETARY