Recent data has shown a decline in Physician numbers in the Paradise State, this trend has been caused by Physician retirement and younger Physicians leaving for better opportunities elsewhere. This in turn has lead to a demand for Nurse Practitioners and Physician Assistants. Hawaii is one of the highest paying states for NPs & PAs. The Hawaii State Loan repayment program (HSLRP) is a federal grant to pay off educational loans for primary care and behavioral Providers who care for patients at non-profit organizations in designated Health Professional shortage areas of Hawaii.