Division of Nursing and Public Health

CDR Jacqueline Rodrigue, MSWU.S. Department of Health and Human ServicesHealth Resources and Services Administration

April 13, 2011Arlington, VA

Vision• Healthy Communities, Healthy People

Mission• To improve health and achieve health equity

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

Health Resources and Services Administration (HRSA)

Legislative Authority Public Health Services Act, Title VIII of 1964

• Title VIII programs focus on training advanced practice nurses, increasing the number of minority and disadvantaged students enrolling in nursing programs, and improving nurse retention through career development and improved patient care systems.

• In 1998, Title VIII was amended to authorize student loan repayment and scholarships programs to fund education and training for public health nurses, registered nurses, nurse midwives, and other nurse specialties.

Nursing Reinvestment Act of 2002 • Addressed the current nursing shortage.

• Provides scholarships for nursing students and loan repayment programs.

Legislative Authority cont’d

Patient Protection and Affordable Care Act of 2010 (‘‘PPACA”, Public Law Public Law 111–148)

• The Faculty Loan Repayment Program Bulletin (Section 5310) expanded eligibility to include schools offering physician assistant education programs.

• The Nursing Education Loan Repayment Program for Nurse Faculty (Section 10501(d)) extended loan repayments to nurse faculty up to twenty percent of the total loan amount.

Legislative Authority cont’d

Growing population of hospitalized patients who are older and more acutely ill

Increasing healthcare costs Need to stay current with rapid advances in

medical knowledge and technology Existing shortage of nurses Aging nurse workforce Prospects of a worsening nurse shortage

Challenges Facing Nursing

Source: Addressing New Challenges Facing Nursing Education, Solutions for a Transforming Healthcare Environment, 8th Annual Report, National Advisory Council on Nurse Education and Practice, March 2010.

The Bureau of Clinician Recruitment and Service (BCRS), through the Division of Nursing and

Public Health (DNPH), addresses the nationwide shortage of nurse professionals through

scholarship and loan repayment programs that help underserved communities and critical

shortage facilities recruit and retain qualified nurse professionals.

BCRS’ Division of Nursing and Public Health

Nursing Scholarship Program (NSP)Nursing Education Loan Repayment Program

(NELRP)Faculty Loan Repayment Program (FLRP)Native Hawaiian Health Scholarship Program

(NHHSP)

DNPH’s Programs

Program NSP NELRP FLRP

Description Nursing students are eligible to receive funding for their training in exchange for working at health care facilities with a shortage of nurses, known as a Critical Shortage Facilities.

Registered nurses and nurse Faculty working in health care clinics with a deficit of nurses, known as a Critical Shortage Facilities, are eligible for loan repayment assistance. Nurse Faculty can work in Universities.

Faculty members from disadvantaged backgrounds with a professional health care degree/certificate may receive loan repayment assistance in exchange for teaching at educational institutions that provide training for health care professionals.

Eligible Disciplines

Accepted or enrolled in a professional registered nurse program (baccalaureate, graduate, associate degree, or diploma) at accredited school of nursing located in a U.S. state or territory.

Registered Nurses with a Diploma, Associate’s, undergraduate or graduate degree.

Allopathic, Osteopathic, Podiatry, Veterinary, Dentist, Dental Hygienist, Pharmacy, Optometry, Nursing (RN or higher), Public Health, Physician Assistant, Graduate Level Behavioral and Mental Health, Allied Health Professions.

DNPH’s Programs At-A-Glance

Program NSP NELRP FLRP

Service Commitment

1-year service commitment per scholarship year for full-time status students, with a 2-year minimum.

Part-time status students will have their enrollment aggregated to determine its full-time equivalent.

2 years of full-time service; optional 3rd year.

2 years of service; sequential contracts available.

Financial Benefits

Funding for tuition, required fees, other reasonable educational costs, and a monthly support stipend.

Loan repayment assistance of 60% of nursing educational debt for 2 years of ser vice. During the 3rd optional year, participants receive loan repayment assistance of 25% of their original nursing educational debt.

Loan repayment assistance up to $40,000 and funding to offset the tax burden. Matching funds from the employing institution (unless the school receives a waiver.).

Tax Liability Taxable Taxable Taxable; Participants receive a tax liability benefit equal to 39% of the loan repayment amount.

DNPH’s Programs At-A-Glance

DNPH’s Programs At-A-GlanceProgram NSP NELRP FLRP

Where Clinicians/ Members

Serve

Critical Shortage Facilities:Ambulatory Surgical Centers, Federally Qualified Health Centers/Look-alikes, Home Health Agencies, Hospice, Hospitals, Nursing Homes, Indian Health Service Health Centers, Rural Health Clinics, State or local Public Health Departments.

Critical Shortage Facilities:Ambulatory Surgical Centers, Federally Qualified Health Centers/Look-alikes, Home Health Agencies, Hospice, Hospitals, Nursing Homes, Indian Health Service Health Centers, Rural Health Clinics, State or local Public Health Departments.

Teaching in classrooms at health professional schools offering degrees in: Medicine (MD/DO), Podiatric Medicine, Veterinary Medicine, Dentistry, Pharmacy, Nursing, Allied Health, Public Health, Behavioral/Mental Health.

Application Requirements

U.S. Citizen (U.S. born or naturalized) or U.S. national or Lawful Permanent Resident.

U.S. Citizen (U.S. born or naturalized) or U.S. national or Lawful Permanent Resident.

U.S. Citizen (U.S. born or naturalized) or U.S. National, School-produced certification to demonstrate having grown up with a disadvantaged based on environmental and/or economic factors, Full-time or part-time faculty position for a minimum of 2 years (at an eligible health professions school).

Web Site www.hrsa.gov/loanscholarship/scholarships/Nursing

www.hrsa.gov/loanscholarship/repayment/nursing/overview.html

www.hrsa.gov/loanscholarships/repayment/faculty

Scholarship Selection

• Availability of Funds• Financial Need-Based• Other Selection Factors

– Strong Academic Background – Strong and passionate commitment to

providing care in an underserved community– Leader/Advocate in their community – Engaged in civic activism/volunteerism/

research

NSP Funding Preferences• First Funding Preference

– Given to qualified application who have a zero expected family contribution (EFC) and are enrolled or accepted for enrollment in an accredited undergraduate nursing program as a full-time student

• Second Funding Preference – Given to qualified applicants who have a zero EFC and are enrolled or

accepted for enrollment in an accredited graduate nursing program as a full-time student

• Third Funding Preference– Given to qualified applicants who have a zero EFC and are enrolled or

accepted for enrollment in an accredited undergraduate or graduate nursing program as a part time student

• 2010 Awards– Made 458 initial awards plus 18 continuation awards

NELRP Funding Preferences

• Greatest Financial Need - Debt/Salary Ratio• Facility Preference Type

• Nurse Faculty – accredited educational institution• Base (Preference 1): DSH; Critical Access

Hospital; Nursing Home; State or Local Public Health or Human Services; Federally Designated Health Center (and Look-Alike); Indian Health Service Health Center; Native Hawaiian Health Center; Rural Health Clinic

• 2010 Awards– Made 1139 initial awards plus 135 continuation awards

FLRP Funding PreferencesFirst Funding Preference• Qualified applicants working full-time

Second Funding Preference• Qualified applicants working part-time will be funded at a

reduced level

2010 Awards• Received 265 eligible applications, made 23 awards

Native Hawaiian Health Scholarship Program• Purpose

– Provides Federal financial support for Native Hawaiians who are students of health professions school, in return for a commitment to provide primary health services to the Native Hawaiian population in the State of Hawaii

• Service Commitment– Any one of the five Native Hawaiian

Health Care Systems, or– Medically Underserved Area ( MUA) or

a Health Professional Shortage Area (HPSA) located in the State of Hawaii, or a geographic area or facility in the State of Hawaii that is similarly federally designated

ProgramPlanned Awards

NSP 450

NELRP 1,385

FLRP 20

NHHSP 6

DNPH Awards Expected FY ‘11

Creating Partnerships

DNPH seeks to develop and foster partnerships to attract high quality applicants and target geographical areas with low numbers of NSPs, NELRPs, and FLRPs. Partners include:•Area Health Education Centers•Nursing Organizations and Associations•State Primary Care Offices•State and Regional Primary Care Associations

Dates to Remember • April 2011 (Release) –

NSP Application Program & Guidance

• May 4, 2011 – NSP Technical Assistance Webcast for application process.

Contact Us:Jacqueline Rodrigue, MSW

CDR, USPHS

Deputy Director

Division of Nursing & Public Health

HRSA/Bureau of Clinician Recruitment and Services

jrodrigue@hrsa.gov

(301) 443-0176

Angela Sheffie, MPA

Public Health Analyst

Division of Nursing & Public Health

asheffie@hrsa.gov

(301) 443-0813

Parklawn Building, Room 8-30

5600 Fishers Lane

Rockville, MD 20857

PH: (301) 594-4098 Main Line

FX: (301) 451-5629 NSP

FX: (301) 443-1627 NELRP/FLRP