1. Health Resources and Services Administration State Office of Rural Health Regional Partnership Meeting/Region C Lansing, MI August 12, 2015 Tamara J. Cox Deputy Regional Administrator, Region V- Chicago Office of Regional Operations

2. 2 Improving health and health equity through access to quality services, a skilled health workforce and innovative programs

3. 3 HRSA.gov

4. FY 2015 HRSA Budget: $10 Billion ProgramDollars (in Millions) Health Center Program$5,000,633 HIV/AIDS$2,318,781 Maternal and Child Health$1,254,238 Health Workforce$1,057,784 Rural Health$147,471 Healthcare Systems$110,693 Program Management$154,000 Total$10,043,600 4

5. FY 2016 HRSA Budget President’s FY 2016 HRSA budget request totals $10.1 billion Supports 90-plus programs that HRSA administers Provides services to tens of millions of individuals Medicare Access and CHIP Reauthorization Act of 2015 provides mandatory funding that expires at the end of the fiscal year for the following HRSA programs: Health Centers Program National Health Service Corps Teaching Health Centers Graduate Medical Education Home Visiting Program Family-to-Family Health Information Centers 5

6. Agency Objectives Increase Access to Quality Health Care and Services Strengthen the Health Workforce Build Healthy Communities Improve Health Equity Strengthen Program Operations 6

7. Increase Access to Quality Health Care and Services One in 3 people living at or below the poverty level relies on a HRSA-supported health center for primary medical care One in 2 people diagnosed with HIV receives care through the Ryan White HIV/AIDS Program 9.7 million people living in health professional shortage areas receive primary medical, dental or mental health care from a National Health Service Corps clinician 7

8. Increase Access to Quality Health Care and Services More than half of pregnant women and a more than a third of infants and children benefit from maternal and child health block grants More than 700,000 rural Americans receive health services thanks to rural community-based grants About 115,500 parents and children participate in the national Home Visiting Program About 6,000 life-saving unrelated blood stem cell transplants facilitated annually 8

9. Strengthen the Health Workforce 11,400 medical, dental, and mental and behavioral health care providers in the National Health Service Corps and NURSE Corps work in health professional shortage areas 1,100 students, residents, and health providers in training receive NHSC scholarships to work in underserved communities upon graduation and licensure Support for targeted health professions training programs focused on inter-professional care, geriatrics and autism, among others, as well as programs that increase workforce diversity 9

10. Strengthen the Health Workforce 10 Support health centers that employ multi-disciplinary teams – 10,700+ physicians and 8,000+ nurse practitioners, physician assistants, and certified nurse midwives Support primary care residency programs in 60 Teaching Health Centers to help train more than 550 residents annually Trained 4,000 new mental health providers to increase access to mental health services, and make schools safer

11. Build Healthy Communities Coordinate health care activities for 57 million rural Americans Support providers in rural and isolated areas improve patient care with the use of telehealth, telemedicine and health IT Improve perinatal health outcomes and reduce racial and ethnic disparities by using community-based service delivery through Healthy Start 11

12. Improve Health Equity Provide linguistically appropriate enabling services (e.g., housing, food, and job support) to more than two million patients through community health centers Ryan White HIV/AIDS clients’ viral suppression rates improved nine percent in three years – from 70% to 79% from 2010 to 2013. Viral suppression rates improved the most within disproportionally affected demographic groups, decreasing health disparities 12 Save qualified safety net organizations about $3.8 billion annually through the 340B Drug Pricing Program

13. Strengthen Management and Operations 13 Customer Satisfaction Innovation Results-Oriented Employee Recruitment and Retention

14. Regional Office Locations

15. U.S. Department of Health and Human Services Regional Offices Presence 15

16. Region V, Office of Regional Operations Rick Wilk, Regional Administrator rwilk@hrsa.gov To find a health center near you: Findahealthcenter.hrsa.gov Apply for federal grants: Grants.gov 16

17. Office of Regional Operations (ORO) ORO Core Functions External Affairs and Outreach Foster greater alignment and collaboration between HRSA programs and other public and private programs working in communities to pursue common goals and integrated systems of care. Strategic Stakeholder Partnerships Generate collaborative efforts between state health care leaders and HRSA improve public health and health care systems. Regional Surveillance Conduct surveillance and analysis of regional / state health care environmental trends and recommends ways to improve policies and programs. Regional Management Provides leadership on HRSA's mission, goals, priorities and initiatives in regions, states and territories. Technical Assistance Provide technical assistance to HRSA grantees.

18. ORO FY 2015 Essential Topics Affordable Care Act Outreach and Enrollment Rural Health Tribal Affairs Behavioral Health Region Specific Topics: Primary Care and Public Health Integration HIV / AIDS Maternal and Child Health Native Hawaiians / Pacific islanders Transgender Persons Homelessness Veterans

19. Affordable Care Act Outreach and Enrollment

20. Consumer Assistance Roles Established to Facilitate Marketplace Outreach, Education, and Enrollment Navigators Non-Navigator Assistance Personnel Certified Application Counselors Agents and Brokers

21. Planning for the next open enrollment season begins now New Partnerships Training and Preparation Local assistor coalitions Ideas for enrollment outreach and activities Open Enrollment is November 1, 2015 – January 31, 2016 Healthcare.gov 1-800 318-2596 TTY: 1-855 889-4325

22. Coverage To Care https://marketplace.cms.gov

23. Resources TAMARA J. COX TCOX@HRSA.GOV (312) 353-8121 23