Health Resources and Services Administration
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|Formed||October 1, 1982|
|Jurisdiction||Federal government of the United States|
|Headquarters||North Bethesda, Maryland (Rockville mailing address)|
|Annual budget||$10.5 billion USD (2016)|
|Parent agency||United States Department of Health and Human Services|
|("HRSA" is pronounced // by initiates; // is an often-heard spelling pronunciation)|
The Health Resources and Services Administration (HRSA) is an agency of the U.S. Department of Health and Human Services located in North Bethesda, Maryland. It is the primary federal agency for improving access to health care services for people who are uninsured, isolated or medically vulnerable.
Comprising six bureaus and 13 offices, the Health Resources and Services Administration provides leadership and financial support to health care providers in every state and U.S. territory. Health Resources and Services Administration's grantees provide health care to uninsured people, people living with HIV/AIDS, and pregnant women, mothers and children. They train health professionals and improve systems of care in rural communities.
The Health Resources and Services Administration oversees organ, bone marrow and cord blood donation. It supports programs that prepare against bioterrorism, a program to compensate people who experience vaccine adverse events, and maintains databases that protect against health care malpractice and health care waste, fraud and abuse.
The Health Resources and Services Administration has five primary goals:
- Goal I: Improve Access to Quality Care and Services
- Goal II: Strengthen the Health Workforce
- Goal III: Build Healthy Communities
- Goal IV: Improve Health Equity
- Goal V: Strengthen Its Own Program Management and Operations
- The Health Resources and Services Administration's programs reach into every corner of America. The agency's $10 billion budget (FY 2015) provides direct health care to 23 million people.
- The Health Resources and Services Administration's health center program supports medical, oral and behavioral health services to uninsured and underinsured individuals through a nationwide network of community-based clinics and mobile medical vans. By bringing comprehensive primary and preventive health care services to inner-city and rural communities that otherwise would be without them, health centers improve the health of their communities and relieve pressure on overburdened hospital emergency rooms. The agency also recruits doctors, nurses, dentists and others to work in areas with too few health care professionals.
- The Health Resources and Services Administration funds life-sustaining medication and primary care to about half of the estimated number of people living with HIV/AIDS in the United States. The agency also furnishes funds and expertise that save and improve the lives of millions of mothers and children.
- The Health Resources and Services Administration oversees all organ, tissue, and blood-cell donations. It is the federal agency primarily responsible for pediatric poison control. The Health Resources and Services Administration also maintains databases that track cases of health care malpractice and compensates individuals thought[by whom?] to be harmed by vaccinations.
- The Health Resources and Services Administration monitors trends in the health care workforce and forecasts future demand. Scholarships and academic loan programs encourage greater minority participation in the health professions and seek to maintain an adequate supply of primary care professionals.
Primary health care
The Health Resources and Services Administration funds almost 1,400 health center grantees that operate more than 10,400 clinics and mobile medical vans. Health centers deliver primary and preventive care to over 16 million low-income patients in every state, the District of Columbia, Puerto Rico, the U.S. Virgin Islands, and U.S. possessions in the Pacific.
The Health Resources and Services Administration's Ryan White HIV/AIDS Program provides primary care, support services and antiretroviral drugs for about 530,000 low-income people. The program also funds training, technical assistance and demonstration projects designed to slow the spread of the epidemic in high-risk populations. These services avert more costly in-patient care and improve the quality of life for those living with the virus.
Maternal and child health bureau
The Health Resources and Services Administration administers a broad range of programs for pregnant women, mothers, infants, children, adolescents and their families, and children with special health care requirements. The largest of the programs, the Maternal and Child Health Services Block Grant to States, supports local efforts to reduce infant mortality and childhood illness and control costs associated with poor pre- and neo-natal care. The Block Grant includes State Formula Block Grants, Special Projects of Regional and National Significance (SPRANS), and Community Integrated Service Systems (CISS) projects. Other vital missions include Universal Newborn Hearing Screening, Traumatic Brain Injury, Healthy Start, Sickle Cell Service Demonstrations, Family to Family Health Information Centers, Emergency Medical Services for Children, and autism.
Among the most successful public health initiatives in U.S. history, the Health Resources and Services Administration's Maternal and infant health programs annually serve more than 34 million people.
In order to make health care more accessible for the 60 million residents of rural America, the Health Resources and Services Administration funds programs that integrate and streamline existing rural health care institutions and aid in the recruitment and retention of physicians in rural hospitals and clinics. The Health Resources and Services Administration's telehealth program uses information technology to link isolated rural practitioners to medical institutions over great distances. Many of these activities are designed and operated out of the Agency's Office of Rural Health Policy.
Clinician recruitment and service
The agency strives to ensure a health care workforce that is diverse, well-trained and adequately distributed throughout the nation. In exchange for financial assistance through National Health Service Corps scholarships and student loan repayment programs, more than 28,000 clinicians have served in some of the most economically deprived and geographically isolated communities in America over the past 35 years.
Many regions of the country—and various health disciplines—face serious workforce shortages. The Health Resources and Services Administration safeguards the foundations of the U.S. health care system by targeting grants to academic institutions to support post-graduate faculty retention; administering scholarships to increase staff in critical specialties, such as nursing; and funding leadership development programs. These programs leverage the educations of about 10,000 clinicians annually.
The Health Resources and Services Administration oversees the nation's organ and tissue donation and transplantation systems, by way of supervising the work of the United Network for Organ Sharing, a nonprofit organization that is contracted to run the complex organ and tissue donation and transplantation system in the U.S.
The Health Resources and Services Administration oversees a drug discount program for certain safety-net health care providers.
The Health Resources and Services Administration agency also supports the nation's poison control centers and vaccine injury compensation programs, which distribute awards to individuals and families who have been injured by certain vaccines, after proving it to the National Vaccine Injury Compensation Program. The awards come from a trust fund that is funded by an excise tax on all vaccines. Whenever anyone gets a vaccine, there is a $.75 excise tax. The fund currently has almost $4 billion available (as of September 2019) for compensations to petitioners and for attorneys fees and costs iun the program.
The Health Resources Administration and the Health Services Administration have worked to improve the health of needy people since 1943.
Health Resources and Services Administration was established on October 1, 1982, when the Health Resources Administration and the Health Services Administration were merged. Dr. Robert Graham was the first administrator of the Health Resources and Services Administration.
In November 2019, Thomas Engels was appointed administrator of the Health Resources and Services Administration, replacing administrator George Sigounas.
- Peterson, Cass (August 26, 1982). "Executive Notes". The Washington Post. p. A17.
- "HRSA Strategic Plan". Health Resources and Services Administration. Retrieved February 16, 2018.
- "About HRSA". Health Resources and Services Administration. Retrieved 1 June 2015.
- "New Transplants Are Changing Lives". University Wire May 22, 2018.
- Bernstein, Lenny (April 30, 2018). "Group running organ transplant network may face competition". The Washington Post. p. A5.
- Burgess, Michael C. (July 13, 2018). "House Energy and Commerce Committee, Health Subcommittee Hearing on Opportunities to Improve to 340B Drug Pricing Program]". United States House oF Representatives. Political Transcript Wire.
- "FY 2019 Vaccine Injury Compensation Reports - 75X8175". TreasureyDirect. Retrieved 19 December 2019.
- "About the National Vaccine Injury Compensation Program". Health Resources & Services Administration. June 2019. Retrieved 19 December 2019.
- Pear, Robert (December 7, 1982). "New Rules Seek to Separate Abortion and Family Clinics". The New York Times. p. A18.
- "Thomas J. Engels". Health Resources and Services Administration.