Criteria for designation of health professional shortage areas; promulgation of regulations
The Secretary shall establish by regulation criteria for the designation of areas, population groups, medical facilities, and other public facilities, in the States, as health professional shortage areas. In establishing such criteria, the Secretary shall take into consideration the following:
The ratio of available health manpower to the number of individuals in an area or population group, or served by a medical facility or other public facility under consideration for designation.
Indicators of a need, notwithstanding the supply of health manpower, for health services for the individuals in an area or population group or served by a medical facility or other public facility under consideration for designation.
The percentage of physicians serving an area, population group, medical facility, or other public facility under consideration for designation who are employed by hospitals and who are graduates of foreign medical schools.
Maternity care health professional target areas
The Secretary, acting through the Administrator of the Health Resources and Services Administration, shall identify, based on the data collected under paragraph (3), maternity care health professional target areas that satisfy the criteria described in paragraph (2) for purposes of, in connection with receipt of assistance under this subchapter, assigning to such identified areas maternity care health professionals who, without application of this subsection, would otherwise be eligible for such assistance. The Secretary shall distribute maternity care health professionals within health professional shortage areas using the maternity care health professional target areas so identified.
For purposes of paragraph (1), the Secretary shall establish criteria for maternity care health professional target areas that identify geographic areas within health professional shortage areas that have a shortage of maternity care health professionals.
For purposes of this subsection, the Secretary shall collect and publish in the Federal Register data comparing the availability and need of maternity care health services in health professional shortage areas and in areas within such health professional shortage areas.
In carrying out paragraph (1), the Secretary shall seek input from relevant provider organizations, including medical societies, organizations representing medical facilities, and other organizations with expertise in maternity care.
For purposes of this subsection, the term ‘full scope maternity care health services’ includes during labor care, birthing, prenatal care, and postpartum care.
Nothing in this subsection shall be construed as—
requiring the identification of a maternity care health professional target area in an area not otherwise already designated as a health professional shortage area; or
affecting the types of health professionals, without application of this subsection, otherwise eligible for assistance, including a loan repayment or scholarship, pursuant to the application of this section.
[July 1, 1944, ch. 373], title III, § 332, as added [Pub. L. 94–484, title IV, § 407(b)(3)], Oct. 12, 1976, [90 Stat. 2270]; amended [Pub. L. 95–142, § 7(d)], Oct. 25, 1977, [91 Stat. 1193]; [Pub. L. 96–32, § 7(d)], July 10, 1979, [93 Stat. 84]; [Pub. L. 97–35, title IX, § 986(b)(4)], title XXVII, § 2702(a), (b), (c), Aug. 13, 1981, [95 Stat. 603], 903, 904; [Pub. L. 100–77, title VI, § 602], July 22, 1987, [101 Stat. 515]; [Pub. L. 100–177, title III, § 302], Dec. 1, 1987, [101 Stat. 1003]; [Pub. L. 100–607, title VIII, § 802(b)(2)], Nov. 4, 1988, [102 Stat. 3169]; [Pub. L. 100–628, title VI, § 602(b)(2)], Nov. 7, 1988, [102 Stat. 3242]; [Pub. L. 101–597, title I, § 102], title IV, § 401(b)[(a)], Nov. 16, 1990, [104 Stat. 3014], 3035; [Pub. L. 107–251, title III, § 302(a)], (d)(2), title VI, § 601(a), Oct. 26, 2002, [116 Stat. 1643], 1645, 1664; [Pub. L. 108–163, § 2(f)(1)], Dec. 6, 2003, [117 Stat. 2021]; [Pub. L. 110–355, § 3(b)], Oct. 8, 2008, [122 Stat. 3993]; [Pub. L. 115–320, § 2], Dec. 17, 2018, [132 Stat. 4437].)