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PROPOSED RULE WOULD CHANGE THE WAY HEALTH PROFESSIONAL SHORTAGE AREAS ARE DETERMINED
The Department of Health and Human Services has issued a proposed rule that would consolidate the processes for designating medically underserved populations (MUPs) and health professional shortage areas (HPSAs). The rules are intended to simplify and improve the way underserved areas are designated by incorporating up-to-date measures of health status and access barriers and eliminating inconsistencies and duplication of effort. HPSA designation is important since many J-1 physicians must seek positions in HPSAs in order to qualify for home residency waivers. Also, the proposed H-1C nurse visa would require a nurse to be working in a HPSA. Under current rules for most waiver programs, the physician can look to the MUP or the HPSA. Now that the lists are being merged, there will be just one source to which to look.
According to DHS, the designation processes and criteria are being revised to accomplish several goals and alleviate problems associated with the existing methods of designation. The goals include consolidation and simplification, proactivity and automation and an increased role for states.
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