TO: /
The Honorable the Members of the Board of Regents
FROM: / Frank MuñozSUBJECT: / Designation of Regents Physician Shortage Areas (RPSAs)
DATE: / January 24, 2011
AUTHORIZATION(S):
Summary
Issue for Decision (Consent Agenda)
Should the Board of Regents approve the updates to the list of Regents Physician Shortage Areas as recommended by the Department of Health?
Reason(s) for Consideration
Required by Chapter 576 of the Laws of 1975 and Section 605 of the Education Law.
Proposed Handling
This item will come before the full Board at its February 2011 meeting where it will be voted on and action taken.
Procedural History
The Department of Health annually recommends updates to the list of Regents physician shortage areas. These updates include modifications to the following: Health Professions Shortage Areas (HPSAs) – Primary Care Shortage Areas, Facility Physician Shortage Areas, State Facility Shortage Areas, and Mental Health Professions Shortage Areas.
Background Information
In 1987, the Board of Regents approved a system for identifying and designating areas of physician shortage. In September 1995, the Board made a decision to update the shortage area list once a year. In addition, at its September 1997 meeting, the Board of Regents modified the system by adding a category of Mental Health Professions Shortage Areas, along with the following categories of shortage areas:
· Health Professions Shortage Areas (HPSA)
Federal Health Professions Shortage Areas (HPSAs) are used by the Federal government to identify areas of primary care physician shortages. The Federal government requires that all HPSA designations be updated every three years using the HPSA criteria. The basic eligibility criterion is the physician-to-population ratio; in addition, infant mortality, physician availability in contiguous areas, and other factors are also considered. The NYS Department of Health reviews and comments on all requests for Federal HPSA designation.
· County Non-Primary Care Specialty Shortage Areas
Counties where less than one-third of the recommended number of specialists in the 15 most common specialties are available.
· Hospital Non-Primary Care Specialty Shortage Areas
Hospitals are designated as RPSAs for non-primary care specialties as approved by the Board of Regents in 1987. In order to receive credit toward fulfillment of a service obligation, non-primary care specialists are required to devote at least 50 percent of their practice to Medicaid recipients and/or the uninsured. The most recent data available on percentages of Medicaid and self-pay days are used to identify hospitals where service-obligated specialists may fulfill this obligation.
· State Facility Physician Shortage Areas
Facilities operated by the Office for People with Developmental Disabilities, the Office of Mental Health, and the Department of Correctional Services are identified.
· Facilities Providing Services to Special Populations Shortage Areas
Facilities are designated as serving special populations identified by the Regents as experiencing special barriers to health care.
· Mental Health Professions Shortage Areas
Mental Health Professions Shortage Areas are counties identified as having less than one-third of the recommended number of mental health professionals and specific areas and facilities designated by the federal government.
The Department of Health is now recommending updates to the list of Regents physician shortage areas approved in November 2009. Attachment 1 consists of recommended amendments to the various categories of shortage areas.
Recommendation
The Regents should approve the changes in the lists of designated physician shortage areas described in Attachment 1 with an effective date of January 1, 2011.
Timetable for Implementation
The changes to the list of designated physician shortage areas will be effective January 1, 2011.
REGENTS
DESIGNATED PHYSICIAN
SHORTAGE AREAS
In
NEW YORK STATE
The University of the State of New York
THE STATE EDUCATION DEPARTMENT
Office of K-16 Initiatives and Access Programs
Scholarships and Grants Administration Unit
Room 967, Education Building Addition
Albany, NY 12234
Effective January 1, 2011
THE UNIVERSITY OF THE STATE OF NEW YORK
Regents of The University
Merryl H. Tisch, Chancellor, B.A., M.A., Ed.D. New York
Milton L. Cofield, Vice Chancellor, B.S., M.B.A., Ph.D. Rochester
Robert M. Bennett, Chancellor Emeritus, B.A., M.S. Tonawanda
James C. Dawson, A.A., B.A., M.S., Ph.D. Plattsburgh
Anthony S. Bottar, B.A., J.D. Syracuse
Geraldine D. Chapey, B.A., M.A., Ed.D. Belle Harbor
Harry Phillips, 3rd, B.A., M.S.F.S. Hartsdale
James R. Tallon, Jr., B.A., M.A. Binghamton
Roger Tilles, B.A., J.D. Great Neck
Karen Brooks Hopkins, B.A., M.F.A. Brooklyn
Charles R. Bendit, B.A. Manhattan
Betty A. Rosa, B.A., M.S. in Ed., M.S. in Ed., M.Ed., Ed.D. Bronx
Lester W. Young, Jr., B.S., M.S., Ed. D. Oakland Gardens
Christine D. Cea, B.A., M.A., Ph.D. Staten Island
Wade S. Norwood, B.A. Rochester
Commissioner of Education
President of The University of the State of New York
David M. Steiner
Counsel and Deputy Commissioner for Legal Affairs
Erin O’Grady-Parent
Chief Operating Officer
Valerie Grey
Deputy Commissioner for Higher Education
Joseph P. Frey
Executive Coordinator, Office of K-16 Initiatives and Access Programs
Stanley S. Hansen, Jr.
Supervisor, Scholarships and Grants Administration
Lewis J. Hall
The State Education Department does not discriminate on the basis of age, color, religion, creed, disability, marital status, veteran status, national origin, race, gender, genetic predisposition or carrier status, or sexual orientation in its educational programs, services and activities. Portions of this publication can be made available in a variety of formats, including braille, large print or audio tape, upon request. Inquiries concerning this policy of nondiscrimination should be directed to the Department’s Office for Diversity, Ethics, and Access, Room 530, Education Building, Albany, NY 12234. Requests for additional copies of this publication may be made by contacting the Publications Sales Desk, Room 309, Education Building, Albany, NY 12234.
Regents - Designated Physician Shortage Areas (RPSA's)
Table of Contents
Page
General Information regarding the Regents-Designated Service Shortage Areas,
Counties, and Census Tracts in New York State 1
Primary Care Regents Physician Shortage Areas by County 3
Facilities Eligible for Primary Care and Psychiatry Shortage Area Designation
by County 17
New York State Operated Facilities Designated as Regents Physician Shortage
Areas for Primary Care Physicians and Psychiatrists 22
Other Facilities Eligible for Primary Care Shortage Area Designation Only, by
County 25
Additional Facilities Designated as Primary and Non-Primary Care Shortage Areas
for Service to a Special Population 27
Non-Primary Care Shortage Areas by County 28
Hospitals Eligible for Primary Care and Non-Primary Care Shortage Area
Designation 31
Mental Health Regents Physician Shortage Areas 36
GENERAL INFORMATION REGARDING
REGENTS-DESIGNATED SERVICE SHORTAGE AREAS (RPSAs),
COUNTIES, AND CENSUS TRACTS
IN NEW YORK STATE
How to use the Regents Physician Shortage Area (RPSA) Listing
Primary Care Regents Physician Shortage Areas by County: This section, one of several within the book applicable for primary care physicians, is applicable to primary care physicians only, and lists shortage areas by Service Area and Population Group within the indicated county.
Examples: To be eligible for any program for which Regents shortage areas pertain:
1. A primary care physician working in Bronx County (Borough) and practicing in the Morris Heights area would have to be working in a census tract (C.T.) (e.g., 53.02, 235.01, 237.01, etc.) listed in this section. To identify the C.T. of a practice site address, you can go to the following website: http://www.ffiec.gov/geocode/default.htm. Enter the address of the site. Click on “search” and note the “Tract Code.” If the address is located in an underserved area, the C.T. number will be listed in one of the Service Areas or Population Groups in the appropriate county.
2. A primary care physician working in Clinton County would have to work within the Service Area of Greater Clinton County in the towns of Au Sable, Beekmantown, Black Brook, Champlain, or Chazy,for example. or provide services to a Low-Income population group in the town of Altona, Clinton or Ellenburg.
3. A primary care physician would have to work in listed facilities (e.g., Metropolitan Correctional Center in New York county), which are applicable for primary care physicians only, as indicated within the appropriate counties.
Facilities Eligible for Primary Care and Mental Health Shortage Area Designation by County: This section lists individual facilities, by county, applicable for either primary care or mental health physicians.
NY State Operated Facilities Designated as Regents Physician Shortage Areas for Primary Care Physicians and Psychiatrists: This section lists New York State facilities applicable for either primary care physicians or psychiatrists.
Additional Facilities Designated as Primary and Non-Primary Care Shortage Areas for Service to a Special Population: This section is applicable to both primary and non-primary care physicians. Physicians who were recipients of the Regents Health Care Scholarship and are practicing in a specialty may apply services provided to indicated populations at specified facilities in this section as part, or all of, their service obligation.
Non-Primary Care Shortage Areas by County: This section is applicable only to non-primary (specialist) physicians who seek approval for limited New York State medical licenses and those who have incurred, and seek to repay, obligated service under the New York State Regents Health Care Scholarships in Medicine.
Hospitals Eligible for Primary Care and Non-Primary Care Shortage Area
Designation: This section is applicable to both primary and non-primary (specialist) physicians who seek approval for limited New York State medical licenses and those who have incurred, and seek to repay, obligated service under the New York State Regents Health Care Scholarships in Medicine or the New York State Regents Physician Loan Forgiveness Award Program.
Regents Psychiatric Shortage Areas: This section is applicable to psychiatrists who seek approval for limited New York State medical licenses and those who have incurred, and seek to repay, obligated service under the New York State Regents Health Care Scholarships in Medicine or the New York State Regents Physician Loan Forgiveness Award Program
NOTE TO PRIMARY CARE PRACTITIONERS AND PROVIDERS
The National Health Service Corps loan repayment program is available to primary care physicians, nurse practitioners, physician assistants and midwives interested in serving in federally designated underserved communities in New York State. For more information about the National Health Service Corps, call 1-800-221-9393, or visit the following website:
http://nhsc.bhpr.hrsa.gov/
For information about federally designated shortage areas eligible for federal scholarship and loan repayment programs, visit the following websites:
http://hpsafind.hrsa.gov/
http://datawarehouse.hrsa.gov/GeoAdvisor/ShortageDesignationAdvisor.aspx
NOTE: Entries that are double-underlined are proposed additions; strikeouts indicate proposed deletions for 2011.
Primary Care Regents Physician Shortage Areas by County
Albany
Service Area: WesterloRensselaerville
Parts: Towns of: Rensselaerville, Westerlo
Allegany
Service Area: Entire County
Bronx
Service Area: High Bridge
Parts: C.T. 53.01, 57, 59.01, 187, 189, 193, 195, 197, 199, 201, 205, 211, 213.01, 213.02, 215.01, 215.02, 217.01, 217.02, 219, 221, 223, 227.01, 227.02, 233.01
Service Area: Hunts Point/Mott Haven
Parts: C.T. 5, 11, 15, 17, 23, 25, 27.01, 27.02, 31, 33, 35, 37, 39, 41, 43, 47, 49, 59.02, 61, 65, 67, 69, 71, 73, 75, 77, 79, 81, 83, 85, 87, 89, 91, 97, 99, 105, 115.01, 115.02, 119, 121.02, 127.02, 129.02
Service Area: Morrisania
Parts: C.T. 121.01, 123, 125, 127.01, 129.01, 131, 133, 135, 137, 139, 141, 143, 145, 147, 149, 151, 153, 155, 157, 161, 163, 165, 167, 169, 171, 173, 175, 177, 179, 181, 183, 225, 227.03, 229.02, 367, 369.02
Service Area: Morris Heights
Parts: C.T. 53.02, 235.01, 237.01, 239, 241, 243, 245, 247, 249, 251, 253, 255, 257
Population Group: Medicaid-Eligible -Soundview
Parts: C.T. 2, 4, 16, 20, 24, 28, 36, 38, 40.01, 40.02, 44, 46, 48, 50, 52, 54, 56, 58, 62, 64, 66, 68, 70, 72, 74, 78, 84, 86, 88, 98, 102, 214
Population Group Medicaid Eligible – Tremont
Parts C.T. 229.01, 231, 233.02, 235.02, 237.02, 334, 365.01, 365.02, 369.01, 371,, 373, 375.01, 375.02, 375.03, 377, 379, 381, 383, 385, 387, 389, 391, 393, 397, 399.02
Population Group: Medicaid-Eligible --West Farms
Parts: C.T. 60, 216.01, 216.02, 218, 220, 236, 240, 359, 361, 363
Broome
Service Area: Deposit
Parts: Towns of: Colesville, Sanford, Windsor
Service Area: Whitney Point
Parts: Towns of: Barker, Lisle, Nanticoke, Triangle
Population Group: Medicaid Population - Greater Binghamton Service Area
Parts: Barker, Binghamton, Chenango, Conklin, Dickinson, Fenton, Kirkwood, Lisle, Maine, Nanticoke, Triangle, Union, Vestal
Cattaraugus
Service Area: Olean SA
Towns of: Allegany, Carrollton, Coldspring, Conewango, Ellicottville, Franklinville, Great Valley, Hinsdale, Humphrey, Ischua, Little Valley, Lyndon, Mansfield, Napoli, New Albion, Olean Town, Portville, Randolph, Red House, Salamanca Town, South Valley
Cities of: Salamanca and Olean
Service Area: Rural Chautauqua SA
Parts: Towns of: Dayton, Leon, Otto, Perrysburg, Persia
Population Group: Seneca Nation
Parts: Allegany Reservation
Cattaraugus Reservation
Cayuga
Service Area: Aurora
Parts: Towns of: Genoa, Ledyard, Scipio, Springport, Venice
Service Area: Cato
Parts: Towns of: Cato, Conquest, Ira, Victory
Population Group: Low Income-Auburn
Parts: Towns of: Aurelius, Brutus, Fleming, Mentz, Montezuma, Owasco, Sennett, Throop
City of: Auburn
Population Group: Medicaid Eligible - Southern Cayuga
Parts: Towns of: Locke, Moravia, Sempronius, Summerhill
Population Group: Low IncOswego SA
Parts: Towns of: Sterling
Chautauqua
Service Area: Rural Chautauqua SA
Parts: Towns of: Arkwright, Charlotte, Chautauqua, Cherry Creek, Clymer, Dunkirk, Ellery, Ellington, French Creek, Gerry, Hanover, Harmony, Mina, North Harmony, Pomfret (Fredonia), Portland, Ripley, Sheridan, Sherman, Stockton, Villenova, Westfield
City of: Dunkirk
Service Area: Low-Income Jamestown
Parts: Towns of: Busti, Carroll, Ellicott, Kiantone, Poland
City of: Jamestown
Chenango
Population Group: Low IncomeChenango County
Clinton
Service Area: Low Income – Greater Clinton
Parts: Towns of: Au Sable, Beekmantown, Black Brook, Champlain, Chazy, Dannemora, Mooers, Peru, Plattsburgh, Saranac, Schuyler Falls
City of: Plattsburgh
Population Group: Low Income – Northern Franklin County
Parts: Towns of: :Altona, Clinton, Ellenburg