Finance and Operations

FQHC Policy

The Health Resources and Services Administration (HRSA) is the primary federal agency tasked with improving access to health care services for people who are uninsured, isolated or medically vulnerable. Within the HRSA, the Bureau of Primary Health Care (BPHC) is the leading provider of guidance on health center policy, including specifications on legislation and program expectations, updates for current issues like Federal Tort Claims Insurance and the 340 drug program and funding opportunities. Here, you can find up-to-date guidance from the BPHC and links to resources and support.

Gap Insurance

The Federal Tort Claims Act (FTCA) governs nearly all claims against the United States for torts committed by government employees. Under the Federally Supported Health Centers Assistance Act (FSHCAA) of 1991 and 1995, employees of eligible Health Centers funded under the Public Health Service Act can be deemed to be federal employees for purposes of medical malpractice claims. This program is designed to reduce or eliminate the need to purchase malpractice insurance.


Activities that are outlined in the scope of the approved project(s) are covered. Activities that step outside of the approved projects are not covered. As to activities which are outside of an approved project a "GAP" insurance program is recommended to provide insurance coverage for any such activities. This "GAP" program provides malpractice coverage for the entity and its employees, including physicians. Normally, entities carry $1,000,000 per occurrence/$3,000,000 aggregate for this policy, although additional limits are available.

MY IPHCA