
<oai_dc:dc xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
  <dc:title>Community health centers ten years after the Affordable Care Act : a decade of progress and the challenges ahead</dc:title>
  <dc:title>Policy issue brief (Geiger Gibson/RCHN Community Health Foundation Research Collaborative)</dc:title>
  <dc:creator>Rosenbaum, Sara, author.</dc:creator>
  <dc:creator>Sharac, Jessica, author.</dc:creator>
  <dc:creator>Shin, Peter, author.</dc:creator>
  <dc:creator>Velasquez, Maria, author.</dc:creator>
  <dc:subject>United States.</dc:subject>
  <dc:subject>Community Health Centers -- legislation &amp; jurisprudence</dc:subject>
  <dc:subject>Community Health Centers -- statistics &amp; numerical data</dc:subject>
  <dc:description>By insuring the poorest Americans and creating a Community Health Center Fund to directly support expansion, the Affordable Care Act (ACA) enabled community health centers to reach millions of new patients. Between 2010 and 2018, the number of patients served by health centers grew by 8.9 million, from 19.5 million to 28.4 million. As the ACA reaches its tenth anniversary, the enormous growth of community health centers represents one of its greatest achievements. Community health centers located in Medicaid expansion states have experienced the most robust transformation in size and capacity, but in all states, community health centers have added locations, expanded the range of services they offer, and are treating more complex patients, including those with HIV/AIDS and substance use disorders. Several key factors will determine the continued strength of community health centers: the survival of the Affordable Care Act; stable Medicaid policies and a rejection of eligibility restrictions; adoption of the ACA Medicaid expansion by all states; sustaining and stabilizing the CHC Fund; and a workforce that is able to grow to meet the need.</dc:description>
  <dc:publisher>[Washington, D.C.] : Milken Institute School of Public Health, George Washington University, March 2020</dc:publisher>
  <dc:contributor>Geiger Gibson/RCHN Community Health Foundation Research Collaborative issuing body.</dc:contributor>
  <dc:contributor>Geiger Gibson Program in Community Health Policy, issuing body.</dc:contributor>
  <dc:contributor>George Washington University, issuing body.</dc:contributor>
  <dc:contributor>Milken Institute School of Public Health, issuing body.</dc:contributor>
  <dc:type>Technical Report</dc:type>
  <dc:format>Text</dc:format>
  <dc:format>Illustrations</dc:format>
  <dc:format>1 online resource (1 PDF file (13 pages))</dc:format>
  <dc:identifier>nlm:nlmuid-101773718-pdf</dc:identifier>
  <dc:identifier>101773718</dc:identifier>
  <dc:identifier>http://resource.nlm.nih.gov/101773718</dc:identifier>
  <dc:language>English</dc:language>
  <dc:coverage>United States</dc:coverage>
  <dc:rights>Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. http://creativecommons.org/licenses/by/4.0</dc:rights>
</oai_dc:dc>