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What are the possible effects of failing to extend the community health center fund?

Series Title(s):
Policy research brief (Geiger Gibson / RCHN Community Health Foundation Research Collaborative)
Author(s):
Shin, Peter, author
Sharac, Jessica, author
Gunsalus, Rachel, author
Rosenbaum, Sara, author
Contributor(s):
Geiger Gibson / RCHN Community Health Foundation Research Collaborative, issuing body.
Geiger Gibson Program in Community Health Policy, issuing body.
George Washington University, issuing body.
Milken Institute School of Public Health, issuing body.
Publication:
[Washington, D.C.] : Milken Institute School of Public Health, George Washington University, September 21, 2017
Language(s):
English
Format:
Text
Subject(s):
Community Health Centers -- economics
Community Health Centers -- statistics & numerical data
Community Health Services -- economics
Community Health Services -- statistics & numerical data
Community Health Services -- trends
Financing, Government -- economics
Financing, Government -- trends
Community Health Centers -- trends
Community Health Services
Community Mental Health Services -- statistics & numerical data
Dental Health Services -- statistics & numerical data
Forecasting
Health Workforce
Insurance Coverage -- statistics & numerical data
Medically Uninsured -- statistics & numerical data
Humans
United States
United States.
Genre(s):
Technical Report
Abstract:
In order to expand access to primary health care in medically underserved urban and rural communities, the Affordable Care Act established the Community Health Center Fund (CHC Fund). Between 2010 and 2016, the CHC Fund in turn helped propel a 22 percent increase in the number of health centers, a 50 percent increase in the number of health center sites, and a 33 percent increase in the number of patients served, from 19.5 million in 2010 to 25.9 million in 2016. In 2015, Congress extended the CHC Fund through Fiscal Year 2017, and like federal CHIP funding, the CHC Fund is set to expire if Congress does not act. Without an extension, health centers will experience a 70 percent loss in grant funding. Such a drop in grant funding carries far-reaching implications, affecting health centers' ability to reach new communities, staff existing sites, and increase care to medically vulnerable populations. Ending the CHC Fund will result in a $3.6 billion drop in health center funding in Fiscal Year 2018. This figure translates into a loss of 51,000 clinicians and other health center staff and a loss of access to care for 9 million people--over one-third of all patients served by health centers currently. Health centers most at risk under this scenario are those that rely most heavily on grants to operate. These health centers share certain key characteristics: location in non-Medicaid-expansion states; rural location; and smaller health centers serving fewer than 5,000 patients annually.
Copyright:
Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
Extent:
1 online resource (1 PDF file (13 pages))
Illustrations:
Illustrations
NLM Unique ID:
101735611 (See catalog record)
Series Title(s):
Policy research brief (Geiger Gibson / RCHN Community Health Foundation Research Collaborative)
Author(s):
Shin, Peter, author
Sharac, Jessica, author
Gunsalus, Rachel, author
Rosenbaum, Sara, author
Contributor(s):
Geiger Gibson / RCHN Community Health Foundation Research Collaborative, issuing body.
Geiger Gibson Program in Community Health Policy, issuing body.
George Washington University, issuing body.
Milken Institute School of Public Health, issuing body.
Publication:
[Washington, D.C.] : Milken Institute School of Public Health, George Washington University, September 21, 2017
Language(s):
English
Format:
Text
Subject(s):
Community Health Centers -- economics
Community Health Centers -- statistics & numerical data
Community Health Services -- economics
Community Health Services -- statistics & numerical data
Community Health Services -- trends
Financing, Government -- economics
Financing, Government -- trends
Community Health Centers -- trends
Community Health Services
Community Mental Health Services -- statistics & numerical data
Dental Health Services -- statistics & numerical data
Forecasting
Health Workforce
Insurance Coverage -- statistics & numerical data
Medically Uninsured -- statistics & numerical data
Humans
United States
United States.
Genre(s):
Technical Report
Abstract:
In order to expand access to primary health care in medically underserved urban and rural communities, the Affordable Care Act established the Community Health Center Fund (CHC Fund). Between 2010 and 2016, the CHC Fund in turn helped propel a 22 percent increase in the number of health centers, a 50 percent increase in the number of health center sites, and a 33 percent increase in the number of patients served, from 19.5 million in 2010 to 25.9 million in 2016. In 2015, Congress extended the CHC Fund through Fiscal Year 2017, and like federal CHIP funding, the CHC Fund is set to expire if Congress does not act. Without an extension, health centers will experience a 70 percent loss in grant funding. Such a drop in grant funding carries far-reaching implications, affecting health centers' ability to reach new communities, staff existing sites, and increase care to medically vulnerable populations. Ending the CHC Fund will result in a $3.6 billion drop in health center funding in Fiscal Year 2018. This figure translates into a loss of 51,000 clinicians and other health center staff and a loss of access to care for 9 million people--over one-third of all patients served by health centers currently. Health centers most at risk under this scenario are those that rely most heavily on grants to operate. These health centers share certain key characteristics: location in non-Medicaid-expansion states; rural location; and smaller health centers serving fewer than 5,000 patients annually.
Copyright:
Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
Extent:
1 online resource (1 PDF file (13 pages))
Illustrations:
Illustrations
NLM Unique ID:
101735611 (See catalog record)