National Health Service Corps Loan Repayment

 

The purpose of the NHSC LRP is to recruit and retain medical, nursing, dental, and behavioral/mental health clinicians in eligible communities of need designated as Health Professional Shortage Areas (HPSAs). The purpose of the NHSC SUD Workforce LRP is to recruit and retain medical, nursing, and behavioral/mental health clinicians with specific training and credentials to provide evidence-based SUD treatment and counselling in eligible communities of need designated as HPSAs. The purpose of the NHSC Rural Community LRP is to recruit and retain medical, nursing, and behavioral/mental health clinicians with specific training and credentials to provide evidence-based SUD treatment in rural communities designated as HPSAs. The purpose of the NHSC S2S LRP is to enter into contracts with students who are in their last year of medical or dental school to provide loan repayment assistance in return for a commitment to provide primary health services in eligible communities of need designated as HPSAs.

General information about this opportunity
Last Known Status
Active
Program Number
93.162
Federal Agency/Office
Health Resources and Services Administration, Department of Health and Human Services
Type(s) of Assistance Offered
C - Direct Payments For Specified Use
Program Accomplishments
Fiscal Year 2018 Since its inception in 1972, the National Health Service Corps (NHSC) has worked to support qualified health care providers dedicated to working in underserved communities in urban, rural, and tribal areas. Across the nation, NHSC clinicians serve patients in Health Professional Shortage Areas (HPSAs) – communities with limited access to health care. As of September 30, 2018, there were 6,815 primary care HPSAs, 5,632 dental HPSAs, and 4,929 mental health HPSAs. The NHSC seeks clinicians who demonstrate a commitment to serve the Nation’s medically underserved populations at NHSC-approved sites located in HPSAs. NHSC-approved sites provide care to individuals regardless of ability to pay; currently, there are over 16,400 NHSC-approved sites. Eligible sites include Federally Qualified Health Centers (FQHC) and FQHC Look-Alikes, American Indian and Native Alaska health clinics, rural health clinics, critical access hospitals and hospitals managed or owned by the Indian Health Service (IHS), school-based clinics, mobile units, free clinics, community mental health centers, state or local health departments, community outpatient facilities, federal facilities such as the Bureau of Prisons, U.S. Immigration and Customs Enforcement, IHS, and private practices. In particular, the NHSC has partnered closely with HRSA-supported FQHCs to help meet their staffing needs. Over 60 percent of NHSC clinicians serve in Health Centers around the nation, and 15 percent of clinical staff at FQHCs are NHSC clinicians. The NHSC also places clinicians in other community-based systems of care that serve underserved populations, targeting HPSAs of greatest need. As of September 30, 2018, there are 10,939 primary care medical, dental, and mental and behavioral health practitioners providing service nationwide in the following programs.
Authorization
Section 338B of the Public Health Service (PHS) Act (42 United States Code Section 254l-1), as amended; Section 331(i) of the PHS Act (42 USC 254d(i)), as amended; Medicare Access and CHIP Reauthorization Act of 2015 (P.L. 114-10).
Consolidated Appropriations Act, 2018, Title II (Public Law No. 115-141, Title II) Department of Defense and Labor, Health and Human Services, and Education Appropriations Act, 2019 and Continuing Appropriations Act, 2019
Who is eligible to apply/benefit from this assistance?
Applicant Eligibility
For specific program and eligibility requirements, please see: http://nhsc.hrsa.gov/
Beneficiary Eligibility
Primary care, oral health, mental and behavioral health and SUD professionals are eligible for the Loan Repayment Program(s). Specific specialties within these professions are selected for LRP awards based on community demand for health services.
Credentials/Documentation
Applicants should review the individual HRSA Application and Program Guidance issued under this CFDA program for any required proof or certifications which must be submitted prior to or simultaneous with submission of an application package.
What is the process for applying and being award this assistance?
Pre-Application Procedure
Preapplication coordination is not applicable.
Application Procedure
2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. This program is excluded from coverage under 2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. Applicants may receive additional information about the application process at http://nhsc.hrsa.gov/loanrepayment/applicationprocess/index.html.
Award Procedure
NHSC loan repayment awards are made based on the highest need as determined by descending health professional shortage area scores. Priority will be given to individuals who demonstrate a commitment to practicing in underserved communities and those from disadvantaged backgrounds. In addition, priority may be given to applicants whose training is in a health discipline or specialty determined by the Secretary of Health and Human Services to be needed by the NHSC and who the Secretary determines are committed to serve in health professional shortage areas. The HRSA program official with delegated authority is responsible for final selection and funding decisions. NHSC SUD Workforce LRP awards are made based on the highest need as determined by descending health professional shortage area scores. Priority is given to applicants trained and licensed in SUD treatment which has been determined by the Secretary of Health and Human Services to be needed by the NHSC. NHSC Rural Community LRP awards are made based on the highest need as determined by descending health professional shortage area scores. Priority is given to applicants trained and licensed in SUD treatment and serving in a rural community which has been determined by the Secretary of Health and Human Services to be needed by the NHSC. NHSC S2S LRP awards are prioritized based on having a disadvantaged background and characteristics likely to remain in a HPSA as identified by their essays and letters of recommendation.
Deadlines
Contact the headquarters or regional location, as appropriate for application deadlines
Approval/Disapproval Decision Time
Notifications to all applicants are made no later than September 30th of the application year.
Appeals
Not applicable.
Renewals
NHSC LRP and S2S LRP: Contract continuations will be considered according to the availability of appropriated funds and eligibility criteria applied to the individual and the site at which that individual is employed.
How are proposals selected?
NHSC LRP - Priority will be given to individuals who demonstrate a commitment to practicing in underserved communities and those from disadvantaged backgrounds. In addition, priority may be given to applicants whose training is in a health discipline or specialty determined by the Secretary of Health and Human Services to be needed by the NHSC and who the Secretary determines are committed to serve in health professional shortage areas. NHSC SUD Workforce LRP - Priority will be given to individuals who demonstrate a commitment to practicing in a NHSC SUD treatment facility in underserved communities within health professional shortage areas. Priority is also given to applicants trained and licensed in SUD treatment which has been determined by the Secretary of Health and Human Services to be needed by the NHSC. NHSC Rural Community LRP - Priority will be given to individuals who demonstrate a commitment to practicing in a NHSC Rural SUD treatment facility in underserved communities within health professional shortage areas. Priority is also given to applicants trained and licensed in SUD treatment serving in a rural community, which has been determined by the Secretary of Health and Human Services to be needed by the NHSC. NHSC S2S LRP- Priority will be given to applicants who have a disadvantaged background and characteristics likely to remain in a HPSA as identified by their essay and letters of recommendation.
How may assistance be used?
NHSC LRP - Awards provide payments of up to $50,000 towards participants' qualified educational loans in exchange for 2 years of full time practice (up to $25,000 for 2 years of half time practice) at an approved National Health Service Corps Service Site under a written agreement with this program. NHSC SUD Workforce LRP - Awards provide payments of up to $75,000 towards applicants trained and licensed in SUD treatment with qualified educational loans in exchange for 3 years of full time practice (up to $37,500 for 3 years of half time practice) at an NHSC-approved SUD treatment facility. NHSC Rural Community LRP - Awards provide payments of up to $100,000 towards applicants trained and licensed in SUD treatment with qualified educational loans in exchange for 3 years of full time practice (up to $50,000 for 3 years of half time practice) at a rural NHSC-approved SUD treatment facility. NHSC S2S LRP - Awards provide payments of up to $120,000 to participants in their last year of school for qualified educational loans in exchange for 3 years of full time practice (up to $120,000 for 6 years of half time practice) at an NHSC-approved Service Site.
What are the requirements after being awarded this opportunity?
Reporting
Not applicable.
Auditing
Not applicable.
Records
Not applicable.
Other Assistance Considerations
Formula and Matching Requirements
Statutory formula is not applicable to this assistance listing.

Matching requirements are not applicable to this assistance listing.

MOE requirements are not applicable to this assistance listing.
Length and Time Phasing of Assistance
NHSC LRP - Loan repayments for 2 year of obligated service will be made no later than the end of the fiscal year in which the individual completes such year of service. NHSC SUD Workforce LRP - Loan repayments for 3 years of obligated service will be made no later than the end of the fiscal year in which the individual completes such year of service. NHSC Rural Community LRP - Loan repayments for 3 years of obligated service will be made no later than the end of the fiscal year in which the individual completes such year of service. NHSC S2S LRP- Loan repayments for 3 years of obligated service will be made no later than the end of the fiscal year in which the individual completes such year of service. Payments are made to individuals for the program stated above via electronic direct deposit through Program Support Center (PSC). Payments are made to individuals via electronic direct deposit through Program Support Center (PSC).
Who do I contact about this opportunity?
Regional or Local Office
None/Not specified.
Headquarters Office
Israil Ali, National Health Service Corps, Loan Repayment Branch, Division of National Health Service Corps, Bureau of Health Workforce, Health Resources and Services Administration, Department of Health and Human Services,
5600 Fishers Lane, Room 14N48
Rockville, MD 20857 US
Iali@hrsa.gov
Phone: (301) 594-4400
Website Address
http://nhsc.hrsa.gov/
Financial Information
Account Identification
75-0350-0-1-550
Obligations
(Direct Payments for Specified Use) FY 18$149,888,000.00; FY 19 est $164,349,000.00; FY 20 est $167,000,000.00; FY 17$0.00; FY 16$0.00; -
Range and Average of Financial Assistance
Not Applicable.
Regulations, Guidelines and Literature
Please see application process for NHSC LRP at http://nhsc.hrsa.gov/.
Examples of Funded Projects
Not applicable.