Maryland Primary Care Office (PCO) Advisory Council

Meeting

Thursday, April 29, 20101:30 p.m. – 3:30 p.m.

Office of Health Policy and Planning, Family Health Administration, State of Maryland, Department of Health and Mental Hygiene

Introductions Chairperson Council Members

Health Care Reform E-Mail Attachments/Handouts

Affordable Healthcare for America Community Health Centers and Health Reform Health Center Related Provisions In Health

Reform Legislation

Health Care Reform: Health Care Workforce

Expands and reinforce the nation’s health workforce by increasing investments in training health care professionals.

Decreases shortages in primary care and workforce by investing in scholarship, loan repayment, and training grant programs.

Primary Care and Workforce Development Benefits Provides 10% Medicare bonus for primary

care services provided by primary care physicians through 2016.

Increases Medicaid reimbursement. Provides $1.5 billion in mandatory

spending for the National Health Service Corps.

Provides $11 billion for building new and expands existing community health centers.

Primary Care and Workforce Development Benefits (Cont’d)

Strengthens grant programs for primary care training, especially programs that prioritize training in patient-centered medical homes.

Redistributes unused Medicare-funded residency slots to programs that agree to train more primary care physicians.

Promotes the training of practitioners in the outpatient setting. http://docs.house.gov/energycommerce/WORKFORCE.pdf

Health Care Reform: Shortage Designation Impact Establishes a negotiated rulemaking

committee for development of methodology and criteria for designating medically underserved populations and health professions shortage.

Expected date for publication of the new rule is no later than July 1, 2010.

  124 Stat 119, 677 -679 

Health Reform: Community Health Centers

Community Health Centers and National Health Service Corps Trust Fund

Medicaid Expansions Payment Protections and Improvements Teaching Health Centers

http://www.nachc.com/client/Summary%20of%20Final%20Health%20Reform%20Package.pdf

Establishing Sub-Committees: Categories of Interest

Access Data Workforce Shortage Designations PCO Webcast PCO Project Officer, Melvin Whitfield

Primary Care Practitioners’ Recruitment and Training in Maryland Medical Education Futures – March 8

Newsletter National Health Service Corps Regional

Information Update

Medical Education Futures - March 8 Newsletter

http://community.icontact.com/p/medicaleducationfutures/newsletters/mefs08/posts/medical-education-futures-march-8-newsletter

National Health Service Corps Update

In FY 2009 (7/1/08-6/30/09), the PCO reviewed and recommended 26 site applications for the National Health Service Corp (NHSC).

March 2010, part-time health care professionals are able to apply to the National Health Service Corps demonstration program for the Part-time Loan Repayment. Extended to 5/25/10.

Regional Meetings

Shortage Designation UpdateCY 2009 45 areas and facilities have been

reviewed; 20 new designations, 7 renewals, and 18 updates.

Shortage Designation Update (Cont’d)

CY 2010 (from Jan. to March, 2010) 18 areas and facilities have been

reviewed; 15 new designations, 2 renewals, and 1 update.

Shortage Designation Update (Cont’d)

Renewals due in 2010:Primary Care HPSAs Low Income - West Central Baltimore City Low Income - East Baltimore City Lower Park Heights – Baltimore City Garrett County

Shortage Designation Update (Cont’d)

Renewals due in 2010: Dental HPSAs Low Income - Allegany County Low Income - West Baltimore City Charles County Low Income - Garrett County

Shortage Designation Update (Cont’d)

Renewals due in 2010Mental Health HPSAs: Baltimore City Detention Center Metro Transition Center Maryland Reception and Diagnostic Center Central Booking and Intake Facility Garrett County

HPSA: Primary Care

HPSA: Dental

HPSA: Mental Health

MUA/P and FQHC