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 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 Growth from (% Increase) Patients17,122,53518,753,85819,469,4672,346,932 (13.7%) Sites7,5187,8928, (8.5%) Jobs113,059123,012131,66018,601 (16.5%) 8 Source: Uniform Data System and HRSA Electronic Handbooks

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

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 and the Affordable Care Act

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 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. The Affordable Care Act and People Living with HIV/AIDS

For More Information On the Affordable Care Act, please visit On HRSA, please visit: