Health Professional Shortage Area/Maps
Health Professional Shortage Areas (HPSAs) and Medically Underserved Areas/Populations (MUA/Ps), established
under the U.S. Public Health Service Act (Sections 330 (MUA/P) and 332 (HPSA)), are federal designations of
geographic areas, population groups, or facilities which meet the criteria as needing additional primary care
In addition, Healthcare Safety Net Amendments (2002) authorized automatic facility HPSA designations
for federally qualified health centers (FQHCs) and the FQHC look-a-likes. FQHCs include community health
centers, public housing centers, outpatient health programs funded by the Indian Health Service (including urban
Indian organizations receiving funds under Title V of the Indian Healthcare Improvement Act and tribal 638
programs), and programs serving migrants and the homeless. These amendments also authorized facility
designations for rural health clinics through a simple application. The authority for designations is delegated
to the Bureau of Primary Healthcare's Division of Shortage Designation.
Currently, over 37 federal programs use the HPSA and MUA/MUP Designation for eligibility or preference including
Health Resources & Services Administration (HRSA)/Division of National
Health Service Corps (scholarship and loan repayment programs), HRSA's Primary Care: The Health
Center Program (Community and Migrant Health Centers and federally qualified health center
for Medicare and Medicaid Services (Physicians Bonus Payment Program), Conrad "State-30"
Program, J-1 Visa Waiver Program, State Health Departments, HRSA/BHPR Title VII and Title VIII Grants, Rural
Health Clinic Act, and Substance Abuse & Mental Health Services Administration.
Information regarding shortage designations is provided free of charge to all North Dakota communities.