Primary Health Care practitioners (family physicians, pediatricians, internists, obstetricians, and dentists; along with certified nurse midwives, physician assistants, and certified registered nurse practitioners) provide the basis for access to the health care system for most people.
This fundamental role makes it especially important to continually assess and assure both a sufficient supply of primary care practitioners, and an appropriate level of access to primary care, regardless of ability to pay for services.
Act 113 of 1992 established the Primary Health Care Practitioner Program and charged the Pennsylvania Department of Health with the responsibility of developing a comprehensive program to support the supply and distribution of primary care practitioners.
Overview of Programs
The Community-Based Health Care Program was established with Act 10 of 2013. The program will work to provide funding to community-based health care clinics to:
- Expand and improve health care access and services such as preventive care, chronic care, disease management, maternal and newborn care, dental treatment, behavioral health and pharmacy services;
- Reduce unnecessary use of hospital emergency services by providing an effective alternative health care delivery system; and
- Encourage collaborative relationships among community-based health care clinics, hospitals and other health care providers.
The LRP encourages primary care practitioners (including dentists) to practice at an approved site in a Health Professional Shortage Area (HPSA).
The Physician Visa Waiver Program may waive exchange visitor visa requirements for an international medical graduate completing primary care training in the United States if he/she agrees to practice at an approved site in a HPSA for a minimum of three years.
The NIW is for primary care physicians to gain quick access to permanent residency status provided the physician agrees to complete an additional two-year commitment in a HPSA after completion of the J-1 commitment.
The NHSC offers two programs in recruitment and retention of practitioners. Learn more about NHSC Students to Service Loan Repayment Program and NHSC Scholarship Program.
Health professional shortage designations are developed using Federal criteria that determine whether or not a geographic area, population group, or facility is a Health Professional Shortage Area (HPSA), Medically Underserved Area (MUA), or Medically Underserved Population (MUP). HPSAs may be designated as having a shortage of primary medical care, dental, or mental health providers. They may be urban or rural areas; population groups; or medical or other public facilities.