Health Resources and Services Administration
reliable, independent, third-party sources. (April 2018) ) |
Maryland (Rockville mailing address) | |
Employees | 1,996 |
---|---|
Annual budget | US$12.1 billion (2021) |
Agency executives |
|
Parent agency | United States Department of Health and Human Services |
Website | www.hrsa.gov |
Footnotes | |
("HRSA" is pronounced /ˈhɜːrsə/ HUR-sə by initiates; /ˌeɪtʃ ɑːr ɛs ˈeɪ/ "H-R-S-A" is an often-heard spelling pronunciation) |
The Health Resources and Services Administration (HRSA) is an agency of the
Comprising six bureaus and twelve offices, HRSA provides leadership and financial support to health care providers in every state and U.S. territory. Its grantees provide health care to uninsured people, people living with
HRSA 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.
Functions
HRSA's $10 billion budget (FY 2015)
HRSA funds life-sustaining
Organization
Primary health care
HRSA 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.
HIV/AIDS
HRSA's
Maternal and child health
HRSA 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
Among the most successful public health initiatives in U.S. history, HRSA's Maternal and infant health programs annually serve more than 34 million people.
Rural health
In order to make health care more accessible for the 60 million residents of rural America, HRSA 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. HRSA'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.
Health workforce
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.
Healthcare systems
HRSA oversees the nation's organ and tissue donation and transplantation systems,[6][7] 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.[8][9]
HRSA oversees a drug discount program for certain safety-net health care providers.[10]
HRSA 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)[11] for compensations to petitioners and for attorneys fees and costs of the program.[12]
History
Predecessors
Most of HRSA's bureaus have predecessors within the Public Health Service (PHS), coming from either its Bureau of Medical Services or the Community Health Divisions of its Bureau of State Services.[13][14] During the PHS reorganizations of 1966–1973, these were both absorbed into the short-lived Health Services and Mental Health Administration (HSMHA).[15][16] The goal was to coordinate divisions with similar focus with a holistic rather than fragmented approach;[17][18] however, it came to be seen as large and unwieldy.[19][20]
In 1973, HSMHA was abolished and split into four parts: the Center for Disease Control and National Institute of Mental Health were spun off within PHS, and the remaining functions were split between the newly established Health Services Administration and Health Resources Administration.[16]
A few of HRSA's programs have origins outside PHS, though. The Maternal and Child Health Bureau originates from a 1969 split of the Children's Bureau, with its special projects, training, and research programs moving into PHS.[21] The Bureau of Primary Health Care's system of Community Health Centers were initially part of the Office of Economic Opportunity, but were moved into PHS in 1974.[22][23]
Establishment and later history
HRSA was established on October 1, 1982, when the Health Resources Administration and the Health Services Administration were merged.[16][1] Dr. Robert Graham was the first administrator of the Health Resources and Services Administration.[24]
In November 2019, Thomas Engels was appointed administrator of the Health Resources and Services Administration,[25] replacing administrator George Sigounas. Engels left the post on January 20, 2021.[26]
On January 20, 2021, the incoming
On August 1, 2022, the HRSA vaccine injury database revealed that 6,088 claims had been made for injuries/deaths attributed to the COVID-19 vaccination, only a very small number of which had been denied, but no payouts had yet occurred. Any payout resulting from the remaining granted claims will automatically trigger a Congressional review of the PREP Act's medical fraud section, as vaccines were certified to Congress as being "safe and effective."[29][30] In addition, under the 1986 Healthcare Quality Improvement Act, Congress is responsible for reviewing the HRSA vaccine injury database every three years.[31]
References
- ^ a b Peterson, Cass (August 26, 1982). "Executive Notes". The Washington Post. p. A17.
- ^ "Carole Johnson". Official web site of the U.S. Health Resources & Services Administration. 31 January 2022. Retrieved 16 February 2022.
- ^ "About HRSA". Health Resources and Services Administration. Retrieved 1 June 2015.
- ^ "Countermeasures Injury Compensation Program (CICP) Data | HRSA". www.hrsa.gov. Retrieved 2022-09-06.
- ^ "Filing For Benefits | HRSA". www.hrsa.gov. Retrieved 2022-09-07.
- ^ US Government Accounting Office (18 July 2018). "United Network for Organ Sharing". gao.gov. File: B-416248: Comptroller General of the United States. Archived from the original (Decision) on 14 October 2018. Retrieved 15 June 2022.
part of HRSA's organ donation and transplantation program, and serves as "the national system that allocates and distributes donor organs to individuals waiting for an organ transplant." Healthcare Systems Bureau
{{cite web}}
: CS1 maint: location (link) - ^ "New Transplants Are Changing Lives". University Wire May 22, 2018.
- PMID 30378753.
- ^ 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.
- ^ "Reorganization and functions of the Public Health Service". United States Senate. 1943. pp. 4–6. Archived (PDF) from the original on 2020-09-09. Retrieved 2020-09-15 – via Internet Archive.
- ^ Executive Reference Book (Public Health Service Portion). U.S. Department of Health, Education, and Welfare. 1957. pp. 20–21.
- ^ "Records of the Public Health Service [PHS], 1912-1968". National Archives. 2016-08-15. Sections 90.3, 90.3.3, 90.7, 90.8. Retrieved 2020-08-28.
- ^ a b c "Records of the Health Resources and Services Administration [HRSA]". National Archives. 2016-08-15. Section 512.2, 512.4. Retrieved 2020-08-29.
- ^ Johnson, Jr., Charles C. (1969). "A New Approach to Consumer Protection and Environmental Health" (PDF). Retrieved 2020-08-29.
- PMID 4983910.
- ^ History, mission, and organization of the Public Health Service. U.S. Public Health Service. 1976. pp. 3–4, 20, 22.
- ^ Querec, Linda (1990-10-29). "Request for Records Disposition Authority: Unscheduled Health Services Records" (PDF). pp. 1, 3–4.
- ^ Robin Harwood; Stella Yu; Laura Kavanagh. "100 Years of the Maternal and Child Health Research Program". mchb.hrsa.gov. Footnote 116. Retrieved 2020-08-31.
- ^ "The Health Center Program: An Overview". Bureau of Primary Health Care. Archived from the original on August 9, 2010. Retrieved October 5, 2010.
{{cite web}}
: CS1 maint: unfit URL (link) - ^ Erickson, Anna. "A Policy History of the Community Health Centers Program: 1965-2012" (PDF). University of Michigan. Retrieved 2020-08-30.
- ^ 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. 31 March 2017.
- ^ a b Mirga, Tom. "Biden Appoints Acting Leaders at HRSA, CMS, and HHS". 340breport.com. Retrieved 7 July 2021.
- ^ "HHS Secretary Xavier Becerra Welcomes Carole Johnson Back to HHS as New HRSA Administrator". HHS.gov. 17 December 2021.
- ^ "New Administrator Carole Johnson Joins HRSA, $48 Million to Increase the Public Health Workforce in Rural and Tribal Communities, Newly Published Year in Review, and more". HRSA. Retrieved 16 February 2022.
- ^ "COVID-19 Vaccination". 11 February 2020.
- ^ https://www.phe.gov/Preparedness/legal/prepact/Pages/prepqa.aspx#:~:text=The%20PREP%20Act%20authorizes%20the%20Secretary%20of%20the,credible%20risk%20of%20a%20future%20public%20health%20emergency.
- ^ "U.S. Code: Title 42".