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Second Opinion

Learn about policy issues important to medical schools and teaching hospitals, with Executive Vice President Atul Grover, M.D., Ph.D.

Title VII and Title VIII Reauthorization

The Affordable Care Act (P.L. 111-148 and P.L. 111-152) included numerous provisions that reauthorized the health professions education and training programs under Title VII and VIII of the Public Health Service Act for the first time in a decade.

The legislation also authorized several new workforce education and training programs under Title VII, including training programs for rural physicians, direct care workers, mental and behavioral health professionals, public health workers, and loan repayment programs for the pediatric and public health workforce, among others.

Before the Health Resources and Services Administration (HRSA) can offer grants for many of the new programs and initiatives, funding will need to be appropriated in the annual Labor-HHS-Education spending bill. Congress has yet to fund any of the new programs.

Many of the changes to existing Title VII programs became effective in FY 2010, prompting HRSA to withdraw, revise, and reissue guidance for several open funding opportunities to implement the programmatic revisions in the law.

Additionally, as directed by the ACA, HRSA published in the May 26 Federal Register an interim final rule (IFR) defining "underserved rural community" to determine eligibility for the newly authorized Rural Physician Training Grant Program.

The definition published in the interim final rule became effective June 26, 2010, and will not apply to any program other than the Rural Physician Training Grant program. HRSA combined existing definitions for "underserved" (as defined by the Office of Rural Health Policy's Rural Health Grant programs) and "rural" (based on HRSA's Office of Shortage Designation's definition of Health Professions Shortage Area, HPSA, and Medically Underserved Area, MUA).

AAMC Analyses of Title VII Provisions in ACA

Summary of HRSA's Health Professions and other PHSA Workforce Programs Provisions

The AAMC has summarized provisions in the Affordable Care Act pertaining to the health professions education and training programs authorized under Title VII of the Public Health Service Act. Through these programs, the Health Resources and Services Administration (HRSA) provides grants to medical and other health professions schools to improve the diversity, distribution, and supply of the health professions workforce with an emphasis on primary care and interdisciplinary education and training. The ACA also updates or establishes several additional workforce programs authorized in other parts of the Public Health Service Act, and the document summarizes these programs as well.


Comparison Table of Title VII and Title VIII Appropriations and New Authorizations

AAMC has prepared a table comparing Title VII and Title VIII funding levels authorized in the the Affordable Care Act with funding levels appropriated for the Title VII and VIII programs in recent years. Before HRSA can offer grants for many of the new and existing health workforce training programs, Congress will need to appropriate funding in the annual Labor-HHS-Education spending bill.

Contact

Tannaz Rasouli
Sr. Director, Public Policy & Strategic Outreach
Telephone: 202-828-0525
Email: trasouli@aamc.org