Community Health Centers

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Click & Print: 2018 HOUSE-SENATE CALENDAR

Community Health Centers

  • Overview from CRS:  
    • The Health Center Program, which is administered by HHS, awards grants to outpatient health care facilities that provide care to medically underserved populations.
    • The program’s annual funding has more than tripled between FY2002 and FY2016, increasing from $1.3 billion to $5.1 billion.
    • This funding increase—a result of both increases in annual discretionary appropriations and supplemental funding—has resulted in more health centers, more patients seen, and more services available to these patients.
    • The program’s funding increase is due, in part, to the Community Health Center Fund (CHCF), a mandatory multibillion-dollar fund established in the ACA.  This fund is available between FY2011 and FY2017. It was intended to increase health center appropriations above the level the program received in FY2008; however, the CHCF has partially supplanted annual appropriations since it began. The CHCF represents more than 70% of the Health Center Program’s FY2016 funding.
    • Funding for the CHCF was extended in the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA, P.L. 114-10), which provided $3.6 billion to support health center operations in each of FY2016 and FY2017 (a total of $7.2 billion).
  • Jan. 17, 2018: Senate Dems push for health center funding in spending bill
  • Nov. 3, 2017:  House passes HR 3922, extending funding for community health centers and several other public health programs for two years.  CBO cost estimate
  • Background:  Expiration of funding for community health centers
  • CRS: Federal Health Centers – An Overview  May 2017
  • CRS:  Community Health Center Fund  Jan 2017
  • KFF:  Community Health Centers: Recent Growth and the Role of the ACA  Jan 2017