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2023 Agency Overview

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The Health Resources and Services Administration (HRSA), an agency of the Department of Health and Human Services (HHS), supports equitable health care for the nation’s highest-need communities, including:

HRSA serves those most in need, including:

  • More than 30.5 million people in rural and underserved communities
  • More than 58 million pregnant women, infants, and children
  • More than 560,000 people with HIV
  • More than 1,900 rural counties and municipalities across the country
  • Nearly 22,000 health care providers through loan repayment and scholarship programs

In Fiscal Year 2023 (FY23), HRSA delivered on the HHS priorities of improving health care access and equity, maternal health, health workforce, and behavioral health through our efforts to expand equitable access to health care services, address the maternal mortality crisis, strengthen the well-being of children and families, integrate behavioral health into primary care, and develop and grow the health care workforce. 

Increasing equitable access to health care services

HRSA has designed, implemented, and managed critical programs that are delivering vital health care services and improving equitable access to quality care.

Over the past year, HRSA has: 

  • Delivered primary health care services to more than 30.5 million people in rural and underserved communities regardless of their ability to pay through the Health Center Program, which supports approximately 1,400 health centers that operate nearly 15,000 sites throughout the country. HRSA provided additional resources to increase health centers’ capacity to conduct developmental screenings for children for the first time and increase cancer screenings.
  • Served nearly a million children through HRSA-funded school-based health centers, an increase of 24% in the past two years. In FY23, for the first time, HRSA required school-based health centers receiving new HRSA awards to provide mental health services.
  • Secured passage of the bipartisan Securing the U.S. Organ Procurement and Transplantation Network (OPTN) Act, part of the Biden-Harris Administration’s OPTN Modernization Initiative, which represents the first major reform of the OPTN in nearly four decades and will help to improve health outcomes for more than 100,000 people on the national organ transplant waiting list.
  • Achieved viral suppression in nearly 9 out 10 of people with HIV who received medical services through the Ryan White HIV/AIDS Program, meaning the virus cannot be transmitted and clients can live longer, healthier lives. The percentage of Black/African American clients, Hispanic/Latino clients, and youth and young adult clients receiving care through the program and reaching viral suppression all far exceed overall national viral suppression rates.
  • Served nearly 38,000 clients new to care or re-engaged in care in support of the Ending the HIV Epidemic in the U.S. (EHE) Initiative. More than 20% of people brought into care in the first 2 years of EHE were undiagnosed or not previously in care. 

Strengthening the well-being of children and families 

HRSA supports America’s children and their families through bolstering access to high-quality, equitable health services and expanding the maternal and child health workforce. 

Outcomes this year include:

  • Implemented the first year of bipartisan renewal of the Maternal, Infant, and Early Childhood Home Visiting Program, which doubles funding for the program over five years. The program supports direct in-home care from nurses and social workers for new parents and their children. Over 840,000 voluntary home visits were provided in the last year, expanding access to care and improving health outcomes. 
  • Supported newborn screenings for 97% of babies born in the United States through our maternal and child health programs, which provide screenings for genetic and metabolic conditions like cystic fibrosis, thyroid diseases, sickle cell, and immunodeficiency conditions.
  • Doubled the number of states operating maternal depression teleconsultation programs, helping OB/GYNs connect with mental health experts in real-time to support their patients.
  • Provided support to more than double the number of state Maternal Health Task Forces, which collect maternal mortality and morbidity data, and drive state-focused strategic plans to improve maternal health outcomes.
  • Supported more than 100 community-based Healthy Start projects, which help pregnant and new parents and their children gain access to care, immunizations, and community health education to improve health outcomes before, during, and after pregnancy.
  • Reached a milestone of more than 1,900 birthing facilities participating in the HRSA-supported Alliance for Innovation on Maternal Health, a program under which hospitals and other facilities adopt proven strategies to increase safe births and reduce negative birth outcomes. 

Integrating behavioral health into primary care

HRSA continues to expand access to mental health and substance use disorder care, while advancing innovative efforts to grow the behavioral health workforce.

This year, HRSA: 

  • Supported training and field internships for nearly 7,000 behavioral health providers, increasing the number of behavioral health providers and improving access to services in underserved and rural communities.
  • Established and expanded medication-assisted treatment at 230 sites to treat opioid use disorder in rural communities.
  • Supported over 7,200 substance use disorder providers who are working to combat the opioid crisis, with more than 2,600 providing care in rural communities.
  • Provided nearly 20,000 people with immediate support through the National Maternal Mental Health Hotline (1-833-TLC-MAMA/1-833-852-6262), which provides 24/7, free, confidential support from professional counselors to new moms and their families before, during, and after pregnancy. Support is available by phone or text, and in English and Spanish.
  • Increased the number of states and regions operating pediatric mental health care teams by more than 40%. These teams provide direct behavioral health tele-consultation to pediatricians and other children’s primary care providers through the Pediatric Mental Health Care Access Program.

Growing the health care workforce

HRSA continues to lead HHS efforts to grow, sustain, and diversify the health workforce. 

This past year, HRSA:

  • Awarded scholarships and provided loan repayment to more than 22,000 clinicians in return for practicing in underserved communities through the National Health Service Corps and workforce programs. Approximately 86% of participants continue to serve in rural and underserved communities after their service commitment is completed. 
  • Provided loan repayment to over 2,800 advanced nursing students who agreed to serve as nurse faculty after completing their programs, combating the national shortage of qualified nurse educators.
  • Supported 16 new Teaching Health Center Graduate Medical Education programs, which train primary care physicians and dentists in community-based outpatient settings and help to increase access to care in underserved areas. 
    • These programs trained over 1,000 physician residents and over 480 nurse practitioner residents through community-based outpatient and behavioral health integrated settings where they’re most likely to practice.
  • Provided new grants to 46 new community-based outpatient health providers to develop Teaching Health Center medical residency programs, to expand the number of community-based outpatient settings that will train primary care physicians where they are most likely to practice and increase access to care in underserved areas.
  • Created 12 newly-accredited Rural Residency Medical Programs approved for over 150 physician residency positions, expanding the physician workforce in underserved rural communities. 

Read in Spanish: Administración de Recursos y Servicios de Salud Visión general de la agencia para 2023

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