Since 2003, the Kentucky State Loan Repayment Program (KSLRP) has served as a recruitment and retention tool to reduce health workforce shortages in rural and underserved locations throughout the state. Applicants selected to participate in the competitive program are required to commit to working full time for two years, providing primary care services at an eligible site in the state. Participants receive tax-free student loan repayment in exchange for their service commitment.