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Fiscal Year 2008 Justification of Estimates for Appropriations Committees

 

Health Professions

Interdisciplinary, Community-Based Linkages

Area Health Education Centers:  

Authorizing Legislation - Section 751 of the Public Health Service Act.

  FY 2006 Actual  FY 2007
CR
FY 2008
PB
Increase or Decrease
Budget Authority $28,661,000 $28,681,000 ---  -$28,681,000

FY 2008 Authorization.........................................................................................................Expired

Statement of the Budget Request - The FY 2008 Budget does not request funding for this program. This is $28,681,000 below the FY 2007 Continuing Resolution (CR).

Program Description - The AHEC Program provides cooperative agreements to medical and nursing schools to encourage the establishment and maintenance of community based training programs in off-campus rural and underserved areas. Interdisciplinary teams of students, faculty and practitioners are trained in community-based settings such as Federally Qualified Health Centers (FQHCs) i.e., Community/Migrant Health Centers, Rural Health Clinics, National Health Service Corps sites, local health departments and other underserved area sites. Emphasis is placed also on enhancing the diversity of the health personnel workforce and improving the practice environment and the quality of care available in underserved areas.

Rationale for the Budget Request - The FY 2008 Budget does not request funding for the AHEC Program. This is $28,681,000 below the FY 2007 CR. The AHEC Programs have been well received and it is anticipated that they may be supported entirely by State and local resources in the future.

Funding levels for the AHEC Program during the last five years reflect this effort and are as follows:

FY $
2003 32,946,000
2004 29,206,000
2005 28,971,000
2006 28,661,000
2007 28,681,000

Outputs:

  FY 2006
Actual
FY 2007
CR
FY 2008
PB
No. of medical students trained in community sites in rural/underserved areas 20,000 20,000 --
No. of associated health professions students trained in community sites in rural/underserved areas 20,000 20,000 --
No. of training linkages with community/migrant health centers and other underserved area sites 1,500 1,500 --
No. of local providers who received continuing education on Women’s Health, Diabetes, Hypertension, Obesity, Health Disparities, Cultural Competence, Bioterrorism Response 315,000 315,000 --
No. of elementary/high school students receiving health career guidance and information from the Kids Into Health Careers in the AHEC Programs 330,000 330,000 --
No. of minority/disadvantaged students participating in a hlth. career trng. and/or academic enhancement experience 42,000 42,000 --
No. of States with AHEC Programs 46 46 --

Performance Analysis - Most of the Health Professions’ Title VII and Title VIII programs were reviewed as a unit during the FY 2004 budget cycle using the Program Assessment Rating Tool (PART). This program was included in that assessment. These programs, in the aggregate, received a rating of Ineffective. New performance measures are being established for the Health Professions program overall.

Interdisciplinary, Community-Based Linkages

Allied Health and Other Disciplines:

Authorizing Legislation - Section 755 of the Public Health Service Act.

  FY 2006 Actual  FY 2007
CR
FY 2008
PB
Increase or Decrease
Budget Authority $3,957,000

$3,960,000

---

-$3,960,000


FY 2008 Authorization..........................................................................................................Expired

Statement of the Budget Request - The FY 2008 Budget does not request funding for this program. This is $3,960,000 below the FY 2007 CR.

Program Description - Under Allied Health and Other Disciplines, funds support the Allied Health Projects Grant Program which makes grants to eligible entities to assist them in meeting the costs associated with expanding or establishing an allied health professions program. Funds support the Chiropractic Demonstration Project grants, and Grants to Support Graduate Psychology Education. Chiropractic Demonstration Project grants support research in which chiropractors and physicians collaborate to identify and provide effective treatments for spinal and/or lower back conditions. Graduate psychology education grants support post-baccalaureate education within accredited psychology training programs, in collaboration with two or more medical or behavioral health disciplines. Eligible entities include accredited health profession schools, universities, and other public or private nonprofit entities, including faith-based and community-based organizations.

Rationale for the Budget Request - The FY 2008 Budget does not request funding for the Allied Health and Other Disciplines Program. This is $3,960,000 below the FY 2007 CR. The budget focuses on activities that fund the placement of more doctors, nurses, and other health care professionals in the regions and pockets of the country that face shortages. Many of the community-based interdisciplinary training programs using telemedicine and other distance learning education and training techniques have been institutionalized and will continue to provide training in the future. The Chiropractic Demonstration Projects and Podiatric Medicine Primary Care programs are also relatively small efforts that can be supported by other sources of funding.

Funding levels for the Allied Health and Other Disciplines Program during the last five years reflect this effort and are as follows:

FY $
2003 11,922,000
2004 11,849,000
2005 11,753,000
2006 3,957,000
2007 3,960,000

Outputs:   

  FY 2005
Actual
FY 2006
Appropriation
FY 2007
Estimate
Allied Health  Number of graduates
Number of URM graduates
  Percent of URM graduates
  No. of graduates entering practice in MUCs
  Percent of graduates entering practice in MUCs
-- --
--
--
--
--
--
--
--
--
--
Graduate Geropsychology
Number of Grantees
--
Graduate Psychology
   Number of Grantees
-- --
Chiropractic Demonstration Projects
   Number of awards
   No. of chiros. involved in research projects
--
--
--
--
--
--
Podiatry
   Number of Grantees
--
--
--

Performance Analysis - Most of the Health Professions’ Title VII and Title VIII programs were reviewed as a unit during the FY 2004 budget cycle using the Program Assessment Rating Tool
(PART). This program was included in that assessment. These programs, in the aggregate, received a rating of Ineffective. New performance measures are being established for the Health Professions program overall.