Clarification of Sliding Fee Discount Program Requirements

Tuesday, September 11, 2012

The Health Center Program, authorized in section 330 of the Public Health Service Act, as amended, provides grants to support primary health care services to medically underserved communities and vulnerable populations.  A requirement of the Health Center Program is for a health center to establish a “sliding fee discount program” that includes a schedule of discounts for services, or “sliding fee discount schedule,” that ensures financial barriers to care are minimized for patients who meet certain eligibility criteria.  All section 330-funded health centers and Federally Qualified Health Center Look-Alikes must utilize a sliding fee discount schedule that provides discounts to eligible patients based on their family size and income.  A new Policy Information Notice (PIN) provides clarification on the sliding fee discount program and related requirements.  HRSA/BPHC is making a draft of this PIN available for comment.

When providing comments, please be as specific as possible, and reference the section of the PIN and/or page number(s).  Comments will be reviewed and analyzed, and a final PIN, along with a summary and general response to comments, will be published as soon as possible after the comment submission deadline.  Comments should be submitted to by close of business September 28, 2012