Programs/Projects To Increase Access:
Projects and programs such as the National Health Service Corps, rural health outreach grants, assistance on applying for J-1 visa waivers, a North Carolina project, and other creative solutions are contained in this section.
Doctors Across New York is a state-funded initiative enacted in 2008 to help train and place physicians in underserved communities in a variety of settings and specialties to care for New York’s diverse population. In October 2008, the New York State Department of Health is expected to release Request For Applications (RFAs) for the Physician Loan Repayment and the Physician Practice Support Programs.
For more information contact:
NYS Council on Graduate Medical Education
Bureau of HCRA Operations and Financial Analysis or Workforce Development Unit GME@health.state.ny.us
Council on Graduate Medical Education Website.
Articles and Resources
Exciting projects to improve access to medical care are described in these articles.
- American Assn. of Community Psychiatrists, Position on Access to Psychiatric and Psychopharmacology Services in Underserved Areas, 2007.
- Rural Psychiatry Residency Bridges MH Care Gap
- http://www.americantelemed.org/files/public/standards/EvidenceBasedTelementalHealth_WithCover.pdf Evidence-Based Practice for Telemental Health, American Telemedicine Assn., 2009.
- ftp://ftp.hrsa.gov/telehealth/licensure.pdf Telemedicine Licensure Report, Center for Telemedicine Law, 2003.
- ftp://ftp.hrsa.gov/telehealth/licen.pdf Telemedicine Reimbursement Report, Center for Telemedicine Law, 2003
- http://ap.psychiatryonline.org/cgi/reprint/31/6/419 Putting “Rural” Into Psychiatry Residency Training Programs, Academic Psychiatry, Nov-Dec 2007.
Examples of state legislation offer proposals on loan repayment, J-1 waiver programs, physician recruitment, tax credits, integrated care projects, and psychiatry development programs.
http://www.leginfo.ca.gov/pub/07-08/bill/sen/sb_0001-0050/sbx1_21_bill_20071011_introduced.pdf Authorizes California personal income tax credits for a medical professional practicing in rural areas
Authorizing use of telemedicine in mental health services under Colorado Medicaid http://www.leg.state.co.us/clics/clics2008a/csl.nsf/fsbillcont3/E43CE26A3A408E228725737D0058E579?open&file=068_enr.pdf
http://www.capitol.hawaii.gov/session2008/bills/HB2569_.htm Establishes an integrated behavioral health pilot project in federally qualified health centers on the Island of Hawaii.
http://legislature.idaho.gov/legislation/2009/S1076.pdf Establishes “Idaho Conrad J-1 Via Waiver Program” to authorize 30 foreign-trained physicians annually to locate in workforce shortage communities.
http://coolice.legis.state.ia.us/Cool-ICE/default.asp?category=billinfo&service=billbook&GA=82&hbill=HF624 Iowa bill for recruitment and retention of psychiatrists
http://www.in.gov/legislative/bills/2009/PDF/HB/HB1214.2.pdf Creates Indiana public sector psychiatry development program
http://www.ilga.gov/legislation/95/HB/PDF/09500HB0494lv.pdf Adds Psychiatry to definition of “primary care physician” in Illinois
http://www.ilga.gov/legislation/publicacts/fulltext.asp?Name=095-0016 Enacted in 2007, Act 95-0016 requires the Illinois Health and Family Services Department to pay psychiatrists and federally-qualified health centers for telepsychiatry ser
MAINE & NEW HAMPSHIRE
http://tie.telemed.org/labels/telemedicine.html -- How ME and NH Passed Laws Mandating Insurer Payment for Telemedicine
http://open.nysenate.gov/legislation/bill/A4577B Establishes the NY child psychiatry access demonstration project
http://www.legis.state.pa.us/CFDOCS/Legis/PN/Public/btCheck.cfm?txtType=PDF&sessYr=2005&sessInd=0&billBody=H&billTyp=B&billNbr=2987&pn=4723 Establishes child psychiatrist loan forgiveness program in Pennsylvania
http://www.scstatehouse.gov/sess116_2005-2006/bills/643.htm Reimburses student loan payments of physicians completing fellowships in geropsychiatry who practice in South Carolina for five years
http://leg1.state.va.us/cgi-bin/legp504.exe?101+ful+CHAP0222+pdf Virginia S.B. 675, enacted in 2010, requires insurers to cover medical services delivered by video or audio conferencing media.
http://www.ama-assn.org/amednews/2010/03/15/gvbf0315.htm -- Payment for Telemedicine Required in Virginia