Between 2010 and 2016, community health centers experienced major patient growth. The accompanying table and figures present this growth data for the nation as well as individual states. The source of these data is the Uniform Data System, a nationwide annual reporting system in which all community health centers participate. These data show that over a six-year time span, health centers nationwide experienced a one-third (33%) patient growth. Within this overall figure, state-by-state growth varied significantly in terms of both overall percentage growth rates and the number of patients served. As the following table and figures show, whether measured by growth in patient numbers or as a percentage increase in patients served, the health center patient surge was evident across the country. Both the Affordable Care Act's (ACA) Medicaid expansion and non-expansion states were among those whose health centers experienced highest patient growth, whether measured in terms of the number of patients served or percentage of patient growth. This suggests that although adoption of the ACA Medicaid expansion has been shown to be a significant factor associated with health center growth, non-Medicaid expansion states such as Texas and Florida also have experienced a major surge. The fact that this surge reached all states underscores the role played by the Affordable Care Act's health center fund, which was most recently extended by Congress in the Balanced Budget Act of 2018.
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