Determination of Need Requirement

As part of offering employment to an ITP, the hiring authority of the government of Guam funded healthcare facility such as the CEO/Administrator of GMH, the Director of the DPHSS, the Chief Executive Officer of the FQHCs as applicable, or the Director of GBHWC upon receiving approval, as applicable, from their respective board or council, shall demonstrate the need to hire an ITP to provide adequate coverage in the provision of medical care at their healthcare agency to the Board by filing a Determination of Need statement that includes the following attestations:

(a)There are not sufficient individuals able, willing, qualified, and available at the location of employment with the government of Guam-funded healthcare agency at the time of the offer; and

(b)The employment of the ITP will not adversely affect the wages and working conditions of individuals similarly employed at the qualifying location. A copy of the job offer for employment with the government of Guam-funded healthcare agency must be submitted to the Board, along with the filing of the Determination of Need statement.