{ "id": "R44970", "type": "CRS Report", "typeId": "R", "number": "R44970", "active": true, "source": "CRSReports.Congress.gov, EveryCRSReport.com", "versions": [ { "source_dir": "crsreports.congress.gov", "title": "The National Health Service Corps", "retrieved": "2022-02-03T04:03:48.406601", "id": "R44970_10_2022-01-04", "formats": [ { "filename": "files/2022-01-04_R44970_70fbe83aac97c086cfc286e55cf007885e265053.pdf", "format": "PDF", "url": "https://crsreports.congress.gov/product/pdf/R/R44970/10", "sha1": "70fbe83aac97c086cfc286e55cf007885e265053" }, { "format": "HTML", "filename": "files/2022-01-04_R44970_70fbe83aac97c086cfc286e55cf007885e265053.html" } ], "date": "2022-01-04", "summary": null, "source": "CRSReports.Congress.gov", "typeId": "R", "active": true, "sourceLink": "https://crsreports.congress.gov/product/details?prodcode=R44970", "type": "CRS Report" }, { "source": "EveryCRSReport.com", "id": 584851, "date": "2018-04-26", "retrieved": "2019-12-20T21:31:21.545859", "title": "The National Health Service Corps", "summary": "The National Health Service Corps (NHSC) provides scholarships and loan repayments to health care providers in exchange for a period of service in a health professional shortage area (HPSA). The program places clinicians at facilities\u2014generally not-for-profit or government-operated\u2014that might otherwise have difficulties recruiting and retaining providers. \nThe NHSC is administered by the Health Resources and Services Administration (HRSA), within the Department of Health and Human Services (HHS). Congress created the NHSC in the Emergency Health Personnel Act of 1970 (P.L. 91-623), and its programs have been reauthorized and amended several times since then.\nThe Patient Protection and Affordable Care Act of 2010 (ACA; P.L. 111-148) permanently reauthorized the NHSC. Prior to the ACA, the NHSC had been funded with discretionary appropriations. The ACA created a new mandatory funding source for the NHSC\u2014the Community Health Center Fund (CHCF), which was intended to supplement the program\u2019s annual appropriation. However, between FY2012 and FY2017, the CHCF entirely replaced the NHSC\u2019s discretionary appropriation. For FY2018, the NHSC received $105 million from discretionary appropriations in P.L. 115-141 to support awards to expand and improve access to opioid and other substance use disorder treatment providers. The law also reserves $30 million from the $105 million for the new Rural Communities Opioid Response initiative administered by the Federal Office of Rural Health Policy within HRSA. For FY2018, CHCF funding represents 75% of the program\u2019s appropriation. \nThe CHCF is time-limited. Initially an appropriation from FY2011 through FY2015, the CHCF was subsequently extended in the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA, P.L. 114-10) through FY2017 and then extended for an additional two years (i.e., through FY2019) in the Bipartisan Budget Act of 2018 (BBA 2018, P.L. 115-123). \nFrom FY2011 through FY2017, the most recent year of final data available, the NHSC offered more than 39,000 loan repayment agreements and scholarship awards to individuals who have agreed to serve for a minimum of two years in a HPSA. In FY2017, the NHSC made 5,711 awards. The number of awards the NHSC makes is only one component of program size, because not all awardees are currently serving as NHSC providers; some are still completing their training (e.g., scholarship award recipients). As such, the NHSC also measures its field strength: the number of NHSC providers who are fulfilling a service obligation in a HPSA in a given year. In FY2017, total NHSC field strength was 10,179. NHSC providers are currently serving in a variety of settings throughout the entire United States and its territories. The majority of NHSC providers serve in outpatient settings, most commonly at federally qualified health centers.", "type": "CRS Report", "typeId": "REPORTS", "active": true, "formats": [ { "format": "HTML", "encoding": "utf-8", "url": "https://www.crs.gov/Reports/R44970", "sha1": "5e236de3db20ccaaaba9a81c2b8d1077808d5b07", "filename": "files/20180426_R44970_5e236de3db20ccaaaba9a81c2b8d1077808d5b07.html", "images": { "/products/Getimages/?directory=R/html/R44970_files&id=/1.png": "files/20180426_R44970_images_26d51a4e8696eaf0da0f5108ec2dfd2aff02be7d.png", "/products/Getimages/?directory=R/html/R44970_files&id=/0.png": "files/20180426_R44970_images_33bbd054c28a55a9cda92f4efa97aa740ab778dc.png", "/products/Getimages/?directory=R/html/R44970_files&id=/3.png": "files/20180426_R44970_images_4cb31d85dfb4ab28aef4099ed31fb1c04af954fd.png", "/products/Getimages/?directory=R/html/R44970_files&id=/2.png": "files/20180426_R44970_images_1d393c23edbb3805a7e14786344d4b0eec62aff3.png" } }, { "format": "PDF", "encoding": null, "url": "https://www.crs.gov/Reports/pdf/R44970", "sha1": "5c4b0e675754b859468f9b81c92f66d63d8add3c", "filename": "files/20180426_R44970_5c4b0e675754b859468f9b81c92f66d63d8add3c.pdf", "images": {} } ], "topics": [ { "source": "IBCList", "id": 4788, "name": "Health Care Delivery" }, { "source": "IBCList", "id": 4932, "name": "Public Health Services & Special Populations" } ] }, { "source": "EveryCRSReport.com", "id": 579104, "date": "2018-03-09", "retrieved": "2018-04-03T13:45:59.972997", "title": "The National Health Service Corps", "summary": "The National Health Service Corps (NHSC) provides scholarships and loan repayments to health care providers in exchange for a period of service in a health professional shortage area (HPSA). The program places clinicians at facilities\u2014generally not-for-profit or government-operated\u2014that might otherwise have difficulties recruiting and retaining providers. \nThe NHSC is administered by the Health Resources and Services Administration (HRSA), within the Department of Health and Human Services (HHS). Congress created the NHSC in the Emergency Health Personnel Act of 1970 (P.L. 91-623), and its programs have been reauthorized and amended several times since then.\nThe Patient Protection and Affordable Care Act of 2010 (ACA; P.L. 111-148) permanently reauthorized the NHSC. Prior to the ACA, the NHSC had been funded with discretionary appropriations. The ACA created a new mandatory funding source for the NHSC\u2014the Community Health Center Fund (CHCF), which was intended to supplement the program\u2019s annual appropriation. However, since FY2012, the CHCF has entirely replaced the NHSC\u2019s discretionary appropriation.\nThe CHCF is time-limited. Initially an appropriation from FY2011 through FY2015, the CHCF was subsequently extended in the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA, P.L. 114-10) through FY2017 and then extended for an additional two years (i.e., through FY2019) in the Bipartisan Budget Act of 2018 (BBA 2018, P.L. 115-123). \nFrom FY2011 through FY2016, the most recent year of final data available, the NHSC offered more than 33,500 loan repayment agreements and scholarship awards to individuals who have agreed to serve for a minimum of two years in a HPSA. In FY2016, the NHSC made 6,129 awards. The number of awards the NHSC makes is only one component of program size, because not all awardees are currently serving as NHSC providers; some are still completing their training (e.g., scholarship award recipients). As such, the NHSC also measures its field strength: the number of NHSC providers who are fulfilling a service obligation in a HPSA in a given year. In FY2016, total NHSC field strength was 10,493. NHSC providers are currently serving in a variety of settings throughout the entire United States and its territories. The majority of NHSC providers serve in outpatient settings, most commonly at federally qualified health centers.", "type": "CRS Report", "typeId": "REPORTS", "active": true, "formats": [ { "format": "HTML", "encoding": "utf-8", "url": "http://www.crs.gov/Reports/R44970", "sha1": "f6f55114b129bb8f9d5d59ab6c246d71b8f1a77f", "filename": "files/20180309_R44970_f6f55114b129bb8f9d5d59ab6c246d71b8f1a77f.html", "images": { "/products/Getimages/?directory=R/html/R44970_files&id=/1.png": "files/20180309_R44970_images_9d96ad6b48848625636cff738b0cc6afa339f054.png", "/products/Getimages/?directory=R/html/R44970_files&id=/0.png": "files/20180309_R44970_images_8f72e54259d3668bef141b3cdb467f5b4b5d712e.png", "/products/Getimages/?directory=R/html/R44970_files&id=/3.png": "files/20180309_R44970_images_792d94eff8ea4a9496c983d776e010a985a80474.png", "/products/Getimages/?directory=R/html/R44970_files&id=/2.png": "files/20180309_R44970_images_1d393c23edbb3805a7e14786344d4b0eec62aff3.png" } }, { "format": "PDF", "encoding": null, "url": "http://www.crs.gov/Reports/pdf/R44970", "sha1": "5afa421fbe2727cff2551cca7d2cb5e2e00f9d32", "filename": "files/20180309_R44970_5afa421fbe2727cff2551cca7d2cb5e2e00f9d32.pdf", "images": {} } ], "topics": [ { "source": "IBCList", "id": 4788, "name": "Health Care Delivery" }, { "source": "IBCList", "id": 4932, "name": "Public Health Services & Special Populations" } ] }, { "source": "EveryCRSReport.com", "id": 573594, "date": "2017-09-27", "retrieved": "2017-10-02T22:10:06.306656", "title": "The National Health Service Corps", "summary": "The National Health Service Corps (NHSC) provides scholarships and loan repayments to health care providers in exchange for a period of service in a health professional shortage area (HPSA). The program places clinicians at facilities\u2014generally not-for-profit or government-operated\u2014that might otherwise have difficulties recruiting and retaining providers. \nThe NHSC is administered by the Health Resources and Services Administration (HRSA), within the Department of Health and Human Services (HHS). Congress created the NHSC in the Emergency Health Personnel Act of 1970 (P.L. 91-623), and its programs have been reauthorized and amended several times since then.\nThe Patient Protection and Affordable Care Act of 2010 (ACA; P.L. 111-148) permanently reauthorized the NHSC. Prior to the ACA, the NHSC had been funded with discretionary appropriations. The ACA created a new mandatory funding source for the NHSC\u2014the Community Health Center Fund (CHCF), which was intended to supplement the program\u2019s annual appropriation. However, since FY2012, the CHCF has entirely replaced the NHSC\u2019s discretionary appropriation.\nThe CHCF is time-limited. Initially an appropriation from FY2011 through FY2015, the CHCF was subsequently extended in the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA, P.L. 114-10) for two years (FY2016 and FY2017). As of the date of this report, no funding has been approved for the NHSC in FY2018. The program does not currently receive discretionary appropriations; consequently, funding for this program was not included in the continuing resolution for FY2018 (P.L. 115-56). \nFrom FY2011 through FY2016, the most recent year of final data available, the NHSC offered more than 33,500 loan repayment agreements and scholarship awards to individuals who have agreed to serve for a minimum of two years in a HPSA. In FY2016, the NHSC made 6,129 awards. The number of awards the NHSC makes is only one component of program size, because not all awardees are currently serving as NHSC providers; some are still completing their training (e.g., scholarship award recipients). As such, the NHSC also measures its field strength: the number of NHSC providers who are fulfilling a service obligation in a HPSA in a given year. In FY2016, total NHSC field strength was 10,493. NHSC providers are currently serving in a variety of settings throughout the entire United States and its territories. The majority of NHSC providers serve in outpatient settings, most commonly at federally qualified health centers.", "type": "CRS Report", "typeId": "REPORTS", "active": true, "formats": [ { "format": "HTML", "encoding": "utf-8", "url": "http://www.crs.gov/Reports/R44970", "sha1": "ccbda7912dd94f134660f068502f300750bf9e53", "filename": "files/20170927_R44970_ccbda7912dd94f134660f068502f300750bf9e53.html", "images": { "/products/Getimages/?directory=R/html/R44970_files&id=/1.png": "files/20170927_R44970_images_9d96ad6b48848625636cff738b0cc6afa339f054.png", "/products/Getimages/?directory=R/html/R44970_files&id=/0.png": "files/20170927_R44970_images_8f72e54259d3668bef141b3cdb467f5b4b5d712e.png", "/products/Getimages/?directory=R/html/R44970_files&id=/3.png": "files/20170927_R44970_images_792d94eff8ea4a9496c983d776e010a985a80474.png", "/products/Getimages/?directory=R/html/R44970_files&id=/2.png": "files/20170927_R44970_images_1d393c23edbb3805a7e14786344d4b0eec62aff3.png" } }, { "format": "PDF", "encoding": null, "url": "http://www.crs.gov/Reports/pdf/R44970", "sha1": "80d58b6f82157c393efc77f65dbf0e4c27d4a05f", "filename": "files/20170927_R44970_80d58b6f82157c393efc77f65dbf0e4c27d4a05f.pdf", "images": {} } ], "topics": [ { "source": "IBCList", "id": 4788, "name": "Health Care Delivery" }, { "source": "IBCList", "id": 4932, "name": "Public Health Services & Special Populations" } ] } ], "topics": [ "Health Policy" ] }