Maryland Primary Care Office (PCO) Advisory Council Meeting Thursday, April 29, :30 p.m. – 3:30 p.m. Office of Health Policy and Planning, Family Health Administration, State of Maryland, Department of Health and Mental Hygiene

Introductions  Chairperson  Council Members

Health Care Reform  Attachments/Handouts Affordable Healthcare for America Community Health Centers and Health Reform Health Center Related Provisions In Health Reform Legislation

Health Care Reform: Health Care Workforce  Expands and reinforce the nation’s health workforce by increasing investments in training health care professionals.  Decreases shortages in primary care and workforce by investing in scholarship, loan repayment, and training grant programs.

Primary Care and Workforce Development Benefits  Provides 10% Medicare bonus for primary care services provided by primary care physicians through  Increases Medicaid reimbursement.  Provides $1.5 billion in mandatory spending for the National Health Service Corps.  Provides $11 billion for building new and expands existing community health centers.

Primary Care and Workforce Development Benefits (Cont’d)  Strengthens grant programs for primary care training, especially programs that prioritize training in patient-centered medical homes.  Redistributes unused Medicare-funded residency slots to programs that agree to train more primary care physicians.  Promotes the training of practitioners in the outpatient setting.

Health Care Reform: Shortage Designation Impact  Establishes a negotiated rulemaking committee for development of methodology and criteria for designating medically underserved populations and health professions shortage.  Expected date for publication of the new rule is no later than July 1, Stat 119,

Health Reform: Community Health Centers  Community Health Centers and National Health Service Corps Trust Fund  Medicaid Expansions  Payment Protections and Improvements  Teaching Health Centers 0Reform%20Package.pdf

Establishing Sub-Committees: Categories of Interest  Access  Data  Workforce  Shortage Designations  PCO  Webcast  PCO Project Officer, Melvin Whitfield

Primary Care Practitioners’ Recruitment and Training in Maryland  Medical Education Futures – March 8 Newsletter  National Health Service Corps Regional Information Update Medical Education Futures - March 8 Newsletter newsletters/mefs08/posts/medical-education-futures- march-8-newsletter

National Health Service Corps Update  In FY 2009 (7/1/08-6/30/09), the PCO reviewed and recommended 26 site applications for the National Health Service Corp (NHSC).  March 2010, part-time health care professionals are able to apply to the National Health Service Corps demonstration program for the Part-time Loan Repayment. Extended to 5/25/10.  Regional Meetings

Shortage Designation Update CY 2009  45 areas and facilities have been reviewed;  20 new designations,  7 renewals, and  18 updates.

Shortage Designation Update (Cont’d) CY 2010 (from Jan. to March, 2010)  18 areas and facilities have been reviewed;  15 new designations,  2 renewals, and  1 update.

Shortage Designation Update (Cont’d) Renewals due in 2010: Primary Care HPSAs  Low Income - West Central Baltimore City  Low Income - East Baltimore City  Lower Park Heights – Baltimore City  Garrett County

Shortage Designation Update (Cont’d) Renewals due in 2010: Dental HPSAs  Low Income - Allegany County  Low Income - West Baltimore City  Charles County  Low Income - Garrett County

Shortage Designation Update (Cont’d) Renewals due in 2010 Mental Health HPSAs:  Baltimore City Detention Center  Metro Transition Center  Maryland Reception and Diagnostic Center  Central Booking and Intake Facility  Garrett County

HPSA: Primary Care

HPSA: Dental

HPSA: Mental Health

MUA/P and FQHC