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HRSA Site Visit Protocol Updates: November 2025

On November 20, 2025, HRSA released an updated Health Center Program Site Visit Protocol (SVP), the tool reviewers use to assess compliance during Operational Site Visits (OSVs).

Behind the scenes, HRSA made more than a thousand edits; when you strip out formatting, you’re still left with hundreds of meaningful changes that affect how compliance is tested and documented.

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Verifying Cognitive Fitness

HRSA updated the Health Center Program Site Visit Protocol in May of 2021 (Effective May 27, 2021) and added an additional question regarding fitness for duty verification. The health center must now be able to explain, “how the health center has verified fitness for duty to ensure all clinical staff have the physical and cognitive ability to safely perform their duties”.

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