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State Loan Repayment Program Service Requirements for Clinician Awardees

A service obligation is a contractual commitment. National Health Service Corps (NHSC) State Loan Repayment Program (SLRP) non-federal entities (NFEs)/grantees award eligible clinicians, who then must adhere to a set of requirements.

What is a clinician’s length of service?

Full-time service

  • A minimum of two years full-time
  • 40 hours per week, of which 32 hours is spend providing direct patient care
  • A minimum of 45 weeks each service year

Half-time service

  • Four years, half-time
  • Between 20 and 39 hours per week, of which 16 hours is spent providing direct patient care

State and federal statutes and program and grant policies may require clinicians to follow more specific terms and conditions.

Can clinicians extend their service?

If a clinician chooses to apply for a contract extension, s/he must continue to meet the same program requirements for the duration of the contract.

What happens if a clinician is unable to complete their service?

If a clinician breaches their NHSC SLRP obligation, they will be responsible for repaying an amount equal to the sum of the following:

  1. The amounts paid to the participant for any period not served;
  2. The number of months not served, multiplied by $7,500; and
  3. Interest on (A) and (B).

If the amount resulting from the above formula is less than $31,000, then the clinician owes $31,000. The clinician must pay the amount owed within one year of breach.

Where must clinicians complete their service?

States receiving SLRP grants assign clinicians to public and nonprofit private sites in federally-designated Health Professional Shortage Areas (HPSAs).

There are three HPSA categories:

  • Primary medical care
  • Dental health
  • Mental health

All clinicians must work in a HPSA that corresponds with their training (e.g., a dentist must work in a dental HPSA).

How does a facility get a HPSA designation?

Communities or facilities must directly contact their respective State Primary Care Offices (PCO).

The PCO submits HPSA applications to HRSA for review and approval.

Eligible Site Types

*This site may be an eligible auto-approved site.

Sliding Fee Requirements

Eligible practice sites must provide discounts—via a sliding fee schedule—for individuals with limited incomes.

  • For individuals with annual incomes at, or below 100% of the HHS Poverty Guidelines:
    • Sites must provide services at no charge, or at a nominal charge.
  • For individuals with annual incomes between 100% and 200% of the HHS Poverty Guidelines:
    • Sites must provide a schedule of discounts, which should reflect a nominal charge covered by a third party (either public or private), which is authorized or under legal obligation to pay the charges.

Contact Us

Call 1-800-221-9393
(TTY: 1-877-897-9910)
M – F, 8 am - 8 pm ET
(except federal holidays)

Fact Sheet

NHSC SLRP Fact Sheet (PDF - 241 KB)