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                              FY 2019 - Goal 1  Objective 4
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FY 2019 Annual Performance Plan and Report - Goal 1. Objective 4








  
  
    

  
      



Fiscal Year 2019

Released April, 2018



**Topics on this page:** Goal 1. Objective 4 | Objective 1.4 Table of Related Performance Measures

Goal 1. Objective 4: Strengthen and expand the health care workforce to meet America’s diverse needs

The Department defines access to health services as “the timely use of personal health services to achieve the best health outcomes.”  It involves gaining entry into the health care system, usually through payment; gaining access to diverse options for receiving treatment, services, and products, including physical locations and online options; and having a trusted relationship with a health care provider.  Efforts to improve access to care are not limited to physical health care.  Improving access to behavioral and oral health care, including through innovative solutions that use health information technology, also is critical, especially for populations experiencing disparities in access.

To improve outcomes in this objective, HHS is working to address the high cost of care, lack of availability of services, and lack of culturally competent care. Strategies related to promoting affordability and strengthening the workforce are addressed in Strategic Objectives 1.1 and 1.4. This Strategic Objective focuses on how HHS, rather than instituting government mandates, is giving people more control over how they access care, through increasing the spectrum of consumer options and expanding competition among health care providers, including by removing barriers to participation in the health care sector for religious, faith-based, and other providers.

The Office of the Secretary leads this objective.  The following divisions are responsible for implementing programs under this strategic objective: ACL, CMS, HRSA, IHS, IOS, OCR, OGA, and SAMHSA.

Objective 1.4 A Table of Related Performance Measures

Support field strength of the National Health Service Corps (NHSC) through scholarship and loan repayment agreements (Lead Agency - HRSA; Measure ID - 4.I.C.2) **[11]**



FY 2012
			FY 2013
			FY 2014
			FY 2015
			FY 2016
			FY 2017
			FY 2018
			FY 2019Target
			9,193
			persons
			7,128
			persons
			7,522
			persons
			8,495
			persons
			9,153
			persons
			9,219
			persons
			8,705
			persons
			8,810
			personsResult
			9,908
			persons
			8,899
			persons
			9,242
			persons
			9,683
			persons
			10,493
			persons
			10,179
			persons
			Dec 31,
			2018
			Dec 31,
			2019Status
			Target
			Exceeded
			Target
			Exceeded
			Target
			Exceeded
			Target
			Exceeded
			Target
			Exceeded
			Target
			Exceeded
			Pending
			PendingThe National Health Service Corps (NHSC) addresses the nationwide shortage of health care providers in health professional shortage areas (HPSAs) by providing recruitment and retention incentives in the form of scholarship and loan repayment support to health professionals committed to a career in primary care and service to underserved communities.  The NHSC field strength indicates the number of providers actively serving with the NHSC in underserved areas in exchange for scholarship or loan repayment support.

As of September 30, 2017, 10,179 primary care medical, dental, and mental and behavioral health practitioners were providing service nationwide through the following programs: NHSC Scholarship Program, NHSC Loan Repayment Program, NHSC Students to Service Loan Repayment Program, and the State Loan Repayment Program.  These programs collectively serve the immediate needs of underserved communities and support the development and maintenance of a pipeline of health care providers capable of meeting the needs of these communities in the future.  In FY 2018 and 2019, NHSC will continue to assist students through scholarships and loan repayments and professionals through loan repayment awards as incentives to practice in underserved communities.



[11] NHSC field strength data include awards made from the FY 2017 Zika Supplemental, which supported providers in the U.S. territories.

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Goal 2. Objective 1 >>

                    
  


Content created by Office of Budget (OB) Content last reviewed September 19, 2022 Back to top
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