Recruitment of Sites for Assignment of Corps Personnel Obligated Under the National Health Service Corps Loan Repayment Program (FY 2011), 68368-68370 [2010-28083]
Download as PDF
68368
Federal Register / Vol. 75, No. 214 / Friday, November 5, 2010 / Notices
(Catalogue of Federal Domestic Assistance
Program Nos. 93.115, Biometry and Risk
Estimation—Health Risks from
Environmental Exposures; 93.142, NIEHS
Hazardous Waste Worker Health and Safety
Training; 93.143, NIEHS Superfund
Hazardous Substances—Basic Research and
Education; 93.894, Resources and Manpower
Development in the Environmental Health
Sciences; 93.113, Biological Response to
Environmental Health Hazards; 93.114,
Applied Toxicological Research and Testing,
National Institutes of Health, HHS)
Dated: October 29, 2010.
Jennifer S. Spaeth,
Director, Office of Federal Advisory
Committee Policy.
Dated: November 1, 2010.
Jennifer S. Spaeth,
Director, Office of Federal Advisory
Committee Policy.
[FR Doc. 2010–28069 Filed 11–4–10; 8:45 am]
BILLING CODE 4140–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
[FR Doc. 2010–28070 Filed 11–4–10; 8:45 am]
Recruitment of Sites for Assignment of
Corps Personnel Obligated Under the
National Health Service Corps Loan
Repayment Program (FY 2011)
BILLING CODE 4140–01–P
AGENCY:
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
SUMMARY:
Health Resources and Services
Administration, HHS.
ACTION: General notice.
National Institutes of Health
National Heart, Lung, and Blood
Institute; Notice of Closed Meeting
mstockstill on DSKH9S0YB1PROD with NOTICES
Pursuant to section 10(d) of the
Federal Advisory Committee Act, as
amended (5 U.S.C. App.), notice is
hereby given of the following meeting.
The meeting will be closed to the
public in accordance with the
provisions set forth in sections
552b(c)(4) and 552b(c)(6), Title 5 U.S.C.,
as amended. The grant applications and
the discussions could disclose
confidential trade secrets or commercial
property such as patentable material,
and personal information concerning
individuals associated with the grant
applications, the disclosure of which
would constitute a clearly unwarranted
invasion of personal privacy.
Name of Committee: Heart, Lung, and
Blood Initial Review Group, Heart, Lung, and
Blood Program Project Review Committee.
Date: December 1, 2010.
Time: 8 a.m. to 5 p.m.
Agenda: To review and evaluate grant
applications.
Place: Hyatt Regency Bethesda, One
Bethesda Metro Center, 7400 Wisconsin
Avenue, Bethesda, MD 20814.
Contact Person: Jeffrey H Hurst, PhD,
Scientific Review Officer, Review Branch/
DERA, National Heart, Lung, and Blood
Institute, 6701 Rockledge Drive, Room 7208,
Bethesda, MD 20892–7924, 301–435–0303,
hurstj@nhlbi.nih.gov.
(Catalogue of Federal Domestic Assistance
Program Nos. 93.233, National Center for
Sleep Disorders Research; 93.837, Heart and
Vascular Diseases Research; 93.838, Lung
Diseases Research; 93.839, Blood Diseases
and Resources Research, National Institutes
of Health, HHS)
VerDate Mar<15>2010
17:16 Nov 04, 2010
Jkt 223001
The Health Resources and
Services Administration (HRSA)
announces that the listing of entities,
and their Health Professional Shortage
Area (HPSA) scores, that will receive
priority for the assignment of National
Health Service Corps (NHSC) Loan
Repayors (Corps Personnel, Corps
members) during the period October 1,
2010, through September 30, 2011, is
posted on the HRSA Web site at
https://datawarehouse.hrsa.gov/
HGDWReports/OneClickRptFilter.aspx?
rptName=NHSCAppSite
List&rptFormat=HTML3.2. This list
specifies which entities are eligible to
receive assignment of Corps members
who are participating in the NHSC Loan
Repayment Program (LRP), and Corps
members who have become Corps
members other than pursuant to
contractual obligations under the LRP.
Please note that not all vacancies
associated with sites on this list will be
for Corps members, but could be for
individuals serving an obligation to the
NHSC LRP through the Private Practice
Option.
Eligible HPSAs and Entities
To be eligible to receive assignment of
Corps personnel, entities must: (1) Have
a current HPSA designation by the
Office of Shortage Designation, Bureau
of Health Professions, HRSA; (2) not
deny requested health care services, or
discriminate in the provision of services
to an individual because the individual
is unable to pay for the services or
because payment for the services would
be made under Medicare, Medicaid, or
the Children’s Health Insurance
Program; (3) enter into an agreement
with the State agency that administers
Medicaid and the Children’s Health
Insurance Program, accept assignment
under Medicare, see all patients
PO 00000
Frm 00054
Fmt 4703
Sfmt 4703
regardless of their ability to pay, and use
and post a discounted fee plan; and (4)
be determined by the Secretary to have
(a) A need and demand for health
manpower in the area; (b) appropriately
and efficiently used Corps members
assigned to the entity in the past; (c)
general community support for the
assignment of Corps members; (d) made
unsuccessful efforts to recruit; (e) a
reasonable prospect for sound fiscal
management by the entity with respect
to Corps members assigned there; and (f)
demonstrated a willingness to support
and facilitate mentorship, professional
development and training opportunities
for Corps members. Priority in
approving applications for assignment
of Corps members goes to sites that (1)
provide primary medical care, mental
health, or oral health services to a
primary medical care, mental health, or
dental HPSA of greatest shortage,
respectively; (2) are part of a system of
care that provides a continuum of
services, including comprehensive
primary health care and appropriate
referrals or arrangements for secondary
and tertiary care; (3) have a documented
record of sound fiscal management; and
(4) will experience a negative impact on
its capacity to provide primary health
services if a Corps member is not
assigned to the entity. In order for a site
to be eligible for placement of NHSC
personnel, it must be approved by the
NHSC through the successful
submission of a Site Application. The
Site Application approval is good for a
period of 3 years from the date of
approval.
Entities that receive assignment of
Corps personnel must assure that (1) the
position will permit the full scope of
practice and that the clinician meets the
credentialing requirements of the State
and site; and (2) the Corps member
assigned to the entity is engaged in the
requisite amount of clinical service, as
defined below, to meet his or her service
obligation:
Full-time clinical practice
‘‘Full-time clinical practice’’ is defined as a
minimum of 40 hours per week for at least
45 weeks per service year. The 40 hours per
week may be compressed into no less than
4 work days per week, with no more than 12
hours of work to be performed in any 24-hour
period. Time spent on-call does not count
toward the full-time service obligation.
For all health professionals, except as
noted below, at least 32 of the minimum 40
hours per week must be spent providing
direct patient care or teaching in the
outpatient ambulatory care setting(s) at the
NHSC-approved service site(s) during
normally scheduled office hours. The
remaining 8 hours per week must be spent
providing clinical services for patients or
teaching in the approved practice site(s),
E:\FR\FM\05NON1.SGM
05NON1
Federal Register / Vol. 75, No. 214 / Friday, November 5, 2010 / Notices
mstockstill on DSKH9S0YB1PROD with NOTICES
providing clinical services in alternative
settings as directed by the approved practice
site(s), or performing practice-related
administrative activities. Teaching activities
at the approved service site shall not exceed
8 hours of the minimum 40 hours per week,
unless the teaching takes place in a HRSAapproved Teaching Health Center. Teaching
activities in a Teaching Health Center shall
not exceed 20 hours of the minimum 40
hours per week.
For obstetrician/gynecologists, certified
nurse midwives (CNMs), family medicine
physicians who practice obstetrics on a
regular basis, providers of geriatric services,
pediatric dentists, and behavioral/mental
health providers, at least 21 of the minimum
40 hours per week must be spent providing
direct patient care or teaching in the
outpatient ambulatory care setting(s) at the
NHSC-approved service site(s), during
normally scheduled office hours. The
remaining 19 hours per week must be spent
providing clinical services for patients or
teaching in the approved practice site(s),
providing clinical services in alternative
settings as directed by the approved practice
site(s), or performing practice-related
administrative activities. No more than 8
hours per week can be spent performing
practice-related administrative activities.
Teaching activities at the approved service
site shall not exceed 8 hours of the minimum
40 hours per week, unless the teaching takes
place in a HRSA-approved Teaching Health
Center. Teaching activities in a Teaching
Health Center shall not exceed 20 hours of
the minimum 40 hours per week.
Half-Time Clinical Practice
‘‘Half-time clinical practice’’ is defined as a
minimum of 20 hours per week (not to
exceed 39 hours per week), for at least 45
weeks per service year. The 20 hours per
week may be compressed into no less than
2 work days per week, with no more than 12
hours of work to be performed in any 24-hour
period. Time spent on-call does not count
toward the half-time service obligation.
For all health professionals, except as
noted below, at least 16 of the minimum 20
hours per week must be spent providing
direct patient care in the outpatient
ambulatory care setting(s) at the NHSCapproved service site(s), during normally
scheduled office hours. The remaining 4
hours per week must be spent providing
clinical services for patients or teaching in
the approved practice site(s), providing
clinical services in alternative settings as
directed by the approved practice site(s), or
performing practice-related administrative
activities. Teaching and practice-related
administrative activities shall not exceed a
total of 4 hours of the minimum 20 hours per
week.
For obstetrician/gynecologists, certified
nurse midwives (CNMs), family medicine
physicians who practice obstetrics on a
regular basis, providers of geriatric services,
pediatric dentists, and behavioral/mental
health providers, at least 11 of the minimum
20 hours per week must be spent providing
direct patient care in the outpatient
ambulatory care setting(s) at the NHSCapproved service site(s), during normally
VerDate Mar<15>2010
17:16 Nov 04, 2010
Jkt 223001
scheduled office hours. The remaining 9
hours per week must be spent providing
clinical services for patients or teaching in
the approved practice site(s), providing
clinical services in alternative settings as
directed by the approved practice site(s), or
performing practice-related administrative
activities. Teaching and practice-related
administrative activities shall not exceed 4
hours of the minimum 20 hours per week.
In addition to utilizing NHSC assignees in
accordance with their full-time or half-time
service obligation (as defined above), sites
receiving assignment of Corps personnel are
expected to (1) Report to the NHSC all
absences, including those in excess of the
authorized number of days (up to 285 work
hours per service year in the case of full-time
service and up to 142 hours per service year
in the case of half-time service); (2) report to
the NHSC any change in the status of an
NHSC clinician at the site; (3) provide the
time and leave records, schedules, and any
related personnel documents for the NHSC
assignees (including documentation, if
applicable, of the reason(s) for the
termination of an NHSC clinician’s
employment at the site prior to his or her
obligated service end date); and (4) submit a
Uniform Data System (UDS) report. The UDS
allows the site to assess the age, sex, race/
ethnicity of, and provider encounter records
for its user population. The UDS reports are
site specific. Providers fulfilling NHSC
commitments are assigned to a specific site
or, in some cases, more than one site. The
scope of activity to be reported in UDS
includes all activity at the site(s) to which the
Corps member is assigned.
Evaluation and Selection Process
In approving applications for the
assignment of Corps members, the Secretary
shall give priority to any such application
that is made regarding the provision of
primary health services to a HPSA with the
greatest shortage. For assignments made
under the NHSC LRP resulting from loan
repayment awards made using FY 2011
funding from October 1, 2010, to September
30, 2011, HPSAs of greatest shortage for
determination of priority for assignment of
Corps personnel will be defined as follows:
HPSAs (appropriate to each discipline) with
scores of 10 and above are authorized for
priority assignment of Corps members who
are participating in the LRP. HPSAs with
scores below 10 will be eligible to receive
assignment of Corps personnel participating
in the LRP only after assignments are made
of those Corps members matching to HPSAs
receiving priority for placement of Corps
members through the LRP (i.e., HPSAs
scoring 10 or above). Placement made
through the Loan Repayment Program in
HPSAs with scores below 10 will be made by
decreasing HPSA score, and only to the
extent that funding remains available. All
sites on the list are eligible sites for
‘‘volunteers’’—i.e., individuals wishing to
serve in an underserved area but who are not
contractually obligated under the NHSC
Scholarship or Loan Repayment Programs. A
listing of HPSAs and their scores is posted
at https://hpsafind.hrsa.gov/.
In order to implement the statutory
directive to place NHSC clinicians in the
PO 00000
Frm 00055
Fmt 4703
Sfmt 4703
68369
highest need areas and to assure appropriate
geographic distribution of NHSC resources,
the number of new NHSC LRP placements
(full-time or half-time) allowed at any one
site during FY 2011 is limited to the
following:
HPSA Score: 0–9
Primary Medical Care
No more than 12 allopathic (MD) or
osteopathic (DO) physicians; and no more
than a combined total of 12 nurse
practitioners (NPs), physician assistants
(PAs), or CNMs.
Dental
No more than 12 dentists and 12 dental
hygienists.
Mental Health
No more than 12 psychiatrists (MD or DO);
and no more than a combined total of 12
health service psychologists (clinical or
counseling psychologists), licensed clinical
social workers, licensed professional
counselors, marriage and family therapists, or
psychiatric nurse specialists.
HPSA Score: 10–13
Primary Medical Care
No more than 15 allopathic (MD) or
osteopathic (DO) physicians; and no more
than a combined total of 15 NPs, PAs, or
CNMs.
Dental
No more than 15 dentists and 15 dental
hygienists.
Mental Health
No more than 15 psychiatrists (MD or DO);
and no more than a combined total of 15
health service psychologists (clinical or
counseling psychologists), licensed clinical
social workers, licensed professional
counselors, marriage and family therapists, or
psychiatric nurse specialists.
HPSA Score: 14–26
Primary Medical Care
No more than 18 allopathic (MD) or
osteopathic (DO) physicians; and no more
than a combined total of 18 NPs, PAs, or
CNMs.
Dental
No more than 18 dentists and 18 dental
hygienists.
Mental Health
No more than 18 psychiatrists (MD or DO);
and no more than a combined total of 18
health service psychologists (clinical or
counseling psychologists), licensed clinical
social workers, licensed professional
counselors, marriage and family therapists, or
psychiatric nurse specialists.
Application Requests, Dates, and Address
The list of HPSAs and entities that are
eligible to receive priority for the placement
of Corps personnel may be updated
periodically. Entities that no longer meet
eligibility criteria, including those sites
whose NHSC 3-year approval has lapsed or
whose HPSA designation is withdrawn, will
be removed from the priority listing. New
entities interested in being added to the high
E:\FR\FM\05NON1.SGM
05NON1
68370
Federal Register / Vol. 75, No. 214 / Friday, November 5, 2010 / Notices
priority list must submit a Site Application
to: National Health Service Corps, 5600
Fishers Lane, Room 8A–30, Rockville, MD
20857, fax 301–594–2721. These applications
must be postmarked on or before the
submission deadline date of June 30, 2011.
Applications submitted by clinicians for loan
repayment will be processed as they are
received. Applicants must be employed, or
be starting employment within 30 days of
their NHSC LRP application, at an entity
with a currently approved Site Application,
in order to be selected for an LRP award.
Therefore, we strongly encourage all sites to
have current NHSC-approved Site
Applications and vacancies on file. Site
applications submitted after June 30, 2011
will be considered for placement on the
priority list in the following application
cycle.
Entities interested in receiving application
materials may do so by calling the HRSA call
center at 1–800–221–9393. They may also get
information and download application
materials from: https://nhsc.hrsa.gov/
communities/apply.htm.
Additional Information
Entities wishing to provide additional data
and information in support of their inclusion
on the proposed list of HPSAs and entities
that would receive priority in assignment of
Corps members, must do so in writing no
later than [30 days after FRN publish date].
This information should be submitted to:
Marty Bond, Chief, Site and Community
Development Branch, Division of Site and
Clinician Recruitment, Bureau of Clinician
Recruitment and Service, 5600 Fishers Lane,
Room 8A–55, Rockville, MD 20857. This
information will be considered in preparing
the final list of HPSAs and entities that are
receiving priority for the assignment of Corps
personnel.
Paperwork Reduction Act: The Site
Application has been approved by the Office
of Management and Budget under the
Paperwork Reduction Act. The OMB
clearance number is 0915–0230 and expires
September 30, 2011.
The program is not subject to the
provisions of Executive order 12372,
Intergovernmental Review of Federal
Programs (as implemented through 45 CFR
part 100).
Dated: October 25, 2010.
Mary K. Wakefield,
Administrator.
[FR Doc. 2010–28083 Filed 11–4–10; 8:45 am]
mstockstill on DSKH9S0YB1PROD with NOTICES
BILLING CODE 4165–15–P
VerDate Mar<15>2010
17:16 Nov 04, 2010
Jkt 223001
DEPARTMENT OF HOMELAND
SECURITY
National Protection and Programs
Directorate
[Docket No. DHS–2010–0071]
Agency Information Collection
Activities: Office of Infrastructure
Protection; Chemical Security
Awareness Training Program
National Protection and
Programs Directorate, DHS.
ACTION: 30-day notice and request for
comments; extension of a currently
approved Information Collection: 1670–
0009.
AGENCY:
The Department of Homeland
Security (DHS), National Protection and
Programs Directorate (NPPD), Office of
Infrastructure Protection (IP), SectorSpecific Agency Executive Management
Office (SSA EMO), will submit the
following information collection request
(ICR) to the Office of Management and
Budget (OMB) for review and clearance
in accordance with the Paperwork
Reduction Act of 1995 (Pub. L. 104–13,
44 U.S.C. Chapter 35). NPPD is
soliciting comments concerning the
extension of a currently approved
information collection request (ICR) for
the Chemical Security Awareness
Training Program. DHS previously
published this ICR in the Federal
Register on August 27, 2010 at 75 FR
52768, for a 60-day public comment
period. DHS received no comments. The
purpose of this notice is to allow an
additional 30 days for public comments.
DATES: Comments are encouraged and
will be accepted until December 6,
2010. This process is conducted in
accordance with 5 CFR 1320.10.
ADDRESSES: Interested persons are
invited to submit written comments on
the proposed information collection to
the Office of Information and Regulatory
Affairs, OMB. Comments should be
addressed to OMB Desk Officer,
Department of Homeland Security,
Office of Civil Rights and Civil Liberties.
Comments must be identified by DHS–
2010–0071 and may be submitted by
one of the following methods:
• Federal eRulemaking Portal: https://
www.regulations.gov.
• E-mail:
oira_submission@omb.eop.gov. Include
the docket number in the subject line of
the message.
• Fax: (202) 395–5806.
Instructions: All submissions received
must include the words ‘‘Department of
Homeland Security’’ and the docket
number for this action. Comments
SUMMARY:
PO 00000
Frm 00056
Fmt 4703
Sfmt 4703
received will be posted without
alteration at https://www.regulations.gov,
including any personal information
provided.
OMB is particularly interested in
comments that:
1. Evaluate whether the proposed
collection of information is necessary
for the proper performance of the
functions of the agency, including
whether the information will have
practical utility;
2. Evaluate the accuracy of the
agency’s estimate of the burden of the
proposed collection of information,
including the validity of the
methodology and assumptions used;
3. Enhance the quality, utility, and
clarity of the information to be
collected; and
4. Minimize the burden of the
collection of information on those who
are to respond, including through the
use of appropriate automated,
electronic, mechanical, or other
technological collection techniques or
other forms of information technology,
e.g., permitting electronic submissions
of responses.
SUPPLEMENTARY INFORMATION: The
Chemical Sector-Specific Agency,
within the DHS/NPPD/IP/SSA EMO,
provides an online voluntary training
program to improve security in the
chemical industry sector. Information is
automatically collected in a computer
database as result of individuals
engaging in the training. Explicit
reporting or recordkeeping is not
required. The training is designed for
the general chemical facility employee.
U.S. chemical industry direct
employment is about 850,000 (2009 per
American Chemistry Council);
approximately 400,000 employees are
estimated as potential participants.
Estimated duration in the first year to
complete the registration, training, and
survey is 60 minutes, and less if
individuals complete refresher training
in succeeding years. Minimal
participation data is collected as
trainees complete the online exercises.
Upon completion, a Certificate of
Completion is generated at the trainee’s
computer work station, printed, and
optionally e-mailed to a facility
supervisor. DHS will monitor program
participation, success in training, and
basic distribution variables submitted
upon registration.
Analysis
Agency: Department of Homeland
Security, National Protection and
Programs Directorate, Office of
Infrastructure Protection, SectorSpecific Agency Executive Management
Office.
E:\FR\FM\05NON1.SGM
05NON1
Agencies
[Federal Register Volume 75, Number 214 (Friday, November 5, 2010)]
[Notices]
[Pages 68368-68370]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-28083]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Recruitment of Sites for Assignment of Corps Personnel Obligated
Under the National Health Service Corps Loan Repayment Program (FY
2011)
AGENCY: Health Resources and Services Administration, HHS.
ACTION: General notice.
-----------------------------------------------------------------------
SUMMARY: The Health Resources and Services Administration (HRSA)
announces that the listing of entities, and their Health Professional
Shortage Area (HPSA) scores, that will receive priority for the
assignment of National Health Service Corps (NHSC) Loan Repayors (Corps
Personnel, Corps members) during the period October 1, 2010, through
September 30, 2011, is posted on the HRSA Web site at https://datawarehouse.hrsa.gov/HGDWReports/OneClickRptFilter.aspx?rptName=NHSCAppSiteList&rptFormat=HTML3.2. This
list specifies which entities are eligible to receive assignment of
Corps members who are participating in the NHSC Loan Repayment Program
(LRP), and Corps members who have become Corps members other than
pursuant to contractual obligations under the LRP. Please note that not
all vacancies associated with sites on this list will be for Corps
members, but could be for individuals serving an obligation to the NHSC
LRP through the Private Practice Option.
Eligible HPSAs and Entities
To be eligible to receive assignment of Corps personnel, entities
must: (1) Have a current HPSA designation by the Office of Shortage
Designation, Bureau of Health Professions, HRSA; (2) not deny requested
health care services, or discriminate in the provision of services to
an individual because the individual is unable to pay for the services
or because payment for the services would be made under Medicare,
Medicaid, or the Children's Health Insurance Program; (3) enter into an
agreement with the State agency that administers Medicaid and the
Children's Health Insurance Program, accept assignment under Medicare,
see all patients regardless of their ability to pay, and use and post a
discounted fee plan; and (4) be determined by the Secretary to have (a)
A need and demand for health manpower in the area; (b) appropriately
and efficiently used Corps members assigned to the entity in the past;
(c) general community support for the assignment of Corps members; (d)
made unsuccessful efforts to recruit; (e) a reasonable prospect for
sound fiscal management by the entity with respect to Corps members
assigned there; and (f) demonstrated a willingness to support and
facilitate mentorship, professional development and training
opportunities for Corps members. Priority in approving applications for
assignment of Corps members goes to sites that (1) provide primary
medical care, mental health, or oral health services to a primary
medical care, mental health, or dental HPSA of greatest shortage,
respectively; (2) are part of a system of care that provides a
continuum of services, including comprehensive primary health care and
appropriate referrals or arrangements for secondary and tertiary care;
(3) have a documented record of sound fiscal management; and (4) will
experience a negative impact on its capacity to provide primary health
services if a Corps member is not assigned to the entity. In order for
a site to be eligible for placement of NHSC personnel, it must be
approved by the NHSC through the successful submission of a Site
Application. The Site Application approval is good for a period of 3
years from the date of approval.
Entities that receive assignment of Corps personnel must assure
that (1) the position will permit the full scope of practice and that
the clinician meets the credentialing requirements of the State and
site; and (2) the Corps member assigned to the entity is engaged in the
requisite amount of clinical service, as defined below, to meet his or
her service obligation:
Full-time clinical practice
``Full-time clinical practice'' is defined as a minimum of 40
hours per week for at least 45 weeks per service year. The 40 hours
per week may be compressed into no less than 4 work days per week,
with no more than 12 hours of work to be performed in any 24-hour
period. Time spent on-call does not count toward the full-time
service obligation.
For all health professionals, except as noted below, at least 32
of the minimum 40 hours per week must be spent providing direct
patient care or teaching in the outpatient ambulatory care
setting(s) at the NHSC-approved service site(s) during normally
scheduled office hours. The remaining 8 hours per week must be spent
providing clinical services for patients or teaching in the approved
practice site(s),
[[Page 68369]]
providing clinical services in alternative settings as directed by
the approved practice site(s), or performing practice-related
administrative activities. Teaching activities at the approved
service site shall not exceed 8 hours of the minimum 40 hours per
week, unless the teaching takes place in a HRSA-approved Teaching
Health Center. Teaching activities in a Teaching Health Center shall
not exceed 20 hours of the minimum 40 hours per week.
For obstetrician/gynecologists, certified nurse midwives (CNMs),
family medicine physicians who practice obstetrics on a regular
basis, providers of geriatric services, pediatric dentists, and
behavioral/mental health providers, at least 21 of the minimum 40
hours per week must be spent providing direct patient care or
teaching in the outpatient ambulatory care setting(s) at the NHSC-
approved service site(s), during normally scheduled office hours.
The remaining 19 hours per week must be spent providing clinical
services for patients or teaching in the approved practice site(s),
providing clinical services in alternative settings as directed by
the approved practice site(s), or performing practice-related
administrative activities. No more than 8 hours per week can be
spent performing practice-related administrative activities.
Teaching activities at the approved service site shall not exceed 8
hours of the minimum 40 hours per week, unless the teaching takes
place in a HRSA-approved Teaching Health Center. Teaching activities
in a Teaching Health Center shall not exceed 20 hours of the minimum
40 hours per week.
Half-Time Clinical Practice
``Half-time clinical practice'' is defined as a minimum of 20
hours per week (not to exceed 39 hours per week), for at least 45
weeks per service year. The 20 hours per week may be compressed into
no less than 2 work days per week, with no more than 12 hours of
work to be performed in any 24-hour period. Time spent on-call does
not count toward the half-time service obligation.
For all health professionals, except as noted below, at least 16
of the minimum 20 hours per week must be spent providing direct
patient care in the outpatient ambulatory care setting(s) at the
NHSC-approved service site(s), during normally scheduled office
hours. The remaining 4 hours per week must be spent providing
clinical services for patients or teaching in the approved practice
site(s), providing clinical services in alternative settings as
directed by the approved practice site(s), or performing practice-
related administrative activities. Teaching and practice-related
administrative activities shall not exceed a total of 4 hours of the
minimum 20 hours per week.
For obstetrician/gynecologists, certified nurse midwives (CNMs),
family medicine physicians who practice obstetrics on a regular
basis, providers of geriatric services, pediatric dentists, and
behavioral/mental health providers, at least 11 of the minimum 20
hours per week must be spent providing direct patient care in the
outpatient ambulatory care setting(s) at the NHSC-approved service
site(s), during normally scheduled office hours. The remaining 9
hours per week must be spent providing clinical services for
patients or teaching in the approved practice site(s), providing
clinical services in alternative settings as directed by the
approved practice site(s), or performing practice-related
administrative activities. Teaching and practice-related
administrative activities shall not exceed 4 hours of the minimum 20
hours per week.
In addition to utilizing NHSC assignees in accordance with their
full-time or half-time service obligation (as defined above), sites
receiving assignment of Corps personnel are expected to (1) Report
to the NHSC all absences, including those in excess of the
authorized number of days (up to 285 work hours per service year in
the case of full-time service and up to 142 hours per service year
in the case of half-time service); (2) report to the NHSC any change
in the status of an NHSC clinician at the site; (3) provide the time
and leave records, schedules, and any related personnel documents
for the NHSC assignees (including documentation, if applicable, of
the reason(s) for the termination of an NHSC clinician's employment
at the site prior to his or her obligated service end date); and (4)
submit a Uniform Data System (UDS) report. The UDS allows the site
to assess the age, sex, race/ethnicity of, and provider encounter
records for its user population. The UDS reports are site specific.
Providers fulfilling NHSC commitments are assigned to a specific
site or, in some cases, more than one site. The scope of activity to
be reported in UDS includes all activity at the site(s) to which the
Corps member is assigned.
Evaluation and Selection Process
In approving applications for the assignment of Corps members,
the Secretary shall give priority to any such application that is
made regarding the provision of primary health services to a HPSA
with the greatest shortage. For assignments made under the NHSC LRP
resulting from loan repayment awards made using FY 2011 funding from
October 1, 2010, to September 30, 2011, HPSAs of greatest shortage
for determination of priority for assignment of Corps personnel will
be defined as follows: HPSAs (appropriate to each discipline) with
scores of 10 and above are authorized for priority assignment of
Corps members who are participating in the LRP. HPSAs with scores
below 10 will be eligible to receive assignment of Corps personnel
participating in the LRP only after assignments are made of those
Corps members matching to HPSAs receiving priority for placement of
Corps members through the LRP (i.e., HPSAs scoring 10 or above).
Placement made through the Loan Repayment Program in HPSAs with
scores below 10 will be made by decreasing HPSA score, and only to
the extent that funding remains available. All sites on the list are
eligible sites for ``volunteers''--i.e., individuals wishing to
serve in an underserved area but who are not contractually obligated
under the NHSC Scholarship or Loan Repayment Programs. A listing of
HPSAs and their scores is posted at https://hpsafind.hrsa.gov/.
In order to implement the statutory directive to place NHSC
clinicians in the highest need areas and to assure appropriate
geographic distribution of NHSC resources, the number of new NHSC
LRP placements (full-time or half-time) allowed at any one site
during FY 2011 is limited to the following:
HPSA Score: 0-9
Primary Medical Care
No more than 12 allopathic (MD) or osteopathic (DO) physicians;
and no more than a combined total of 12 nurse practitioners (NPs),
physician assistants (PAs), or CNMs.
Dental
No more than 12 dentists and 12 dental hygienists.
Mental Health
No more than 12 psychiatrists (MD or DO); and no more than a
combined total of 12 health service psychologists (clinical or
counseling psychologists), licensed clinical social workers,
licensed professional counselors, marriage and family therapists, or
psychiatric nurse specialists.
HPSA Score: 10-13
Primary Medical Care
No more than 15 allopathic (MD) or osteopathic (DO) physicians;
and no more than a combined total of 15 NPs, PAs, or CNMs.
Dental
No more than 15 dentists and 15 dental hygienists.
Mental Health
No more than 15 psychiatrists (MD or DO); and no more than a
combined total of 15 health service psychologists (clinical or
counseling psychologists), licensed clinical social workers,
licensed professional counselors, marriage and family therapists, or
psychiatric nurse specialists.
HPSA Score: 14-26
Primary Medical Care
No more than 18 allopathic (MD) or osteopathic (DO) physicians;
and no more than a combined total of 18 NPs, PAs, or CNMs.
Dental
No more than 18 dentists and 18 dental hygienists.
Mental Health
No more than 18 psychiatrists (MD or DO); and no more than a
combined total of 18 health service psychologists (clinical or
counseling psychologists), licensed clinical social workers,
licensed professional counselors, marriage and family therapists, or
psychiatric nurse specialists.
Application Requests, Dates, and Address
The list of HPSAs and entities that are eligible to receive
priority for the placement of Corps personnel may be updated
periodically. Entities that no longer meet eligibility criteria,
including those sites whose NHSC 3-year approval has lapsed or whose
HPSA designation is withdrawn, will be removed from the priority
listing. New entities interested in being added to the high
[[Page 68370]]
priority list must submit a Site Application to: National Health
Service Corps, 5600 Fishers Lane, Room 8A-30, Rockville, MD 20857,
fax 301-594-2721. These applications must be postmarked on or before
the submission deadline date of June 30, 2011. Applications
submitted by clinicians for loan repayment will be processed as they
are received. Applicants must be employed, or be starting employment
within 30 days of their NHSC LRP application, at an entity with a
currently approved Site Application, in order to be selected for an
LRP award. Therefore, we strongly encourage all sites to have
current NHSC-approved Site Applications and vacancies on file. Site
applications submitted after June 30, 2011 will be considered for
placement on the priority list in the following application cycle.
Entities interested in receiving application materials may do so
by calling the HRSA call center at 1-800-221-9393. They may also get
information and download application materials from: https://nhsc.hrsa.gov/communities/apply.htm.
Additional Information
Entities wishing to provide additional data and information in
support of their inclusion on the proposed list of HPSAs and
entities that would receive priority in assignment of Corps members,
must do so in writing no later than [30 days after FRN publish
date]. This information should be submitted to: Marty Bond, Chief,
Site and Community Development Branch, Division of Site and
Clinician Recruitment, Bureau of Clinician Recruitment and Service,
5600 Fishers Lane, Room 8A-55, Rockville, MD 20857. This information
will be considered in preparing the final list of HPSAs and entities
that are receiving priority for the assignment of Corps personnel.
Paperwork Reduction Act: The Site Application has been approved
by the Office of Management and Budget under the Paperwork Reduction
Act. The OMB clearance number is 0915-0230 and expires September 30,
2011.
The program is not subject to the provisions of Executive order
12372, Intergovernmental Review of Federal Programs (as implemented
through 45 CFR part 100).
Dated: October 25, 2010.
Mary K. Wakefield,
Administrator.
[FR Doc. 2010-28083 Filed 11-4-10; 8:45 am]
BILLING CODE 4165-15-P