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5601 - Spending for Federally Qualified Health Centers

 
Implementation Status 
Statutory Text 

Summary

Authorizes to be appropriated (though does not delineate a separate Congressional appropriation) for grants to FQHCs roughly the following: $3 billion for FY 2010; $4 billion for FY 2011; $5 billion for FY 2012; $6 billion for FY 2013; $7 billion for FY 2014; $8 billion for FY 2015.  Specifies an applicable formula relative to the appropriations for FYs 2016 and each subsequent FY.  Contains a rule of construction relative to RHCs.

 

#Budget, #Health Equity

Implementation Status

 
Summary 
Statutory Text 

2014

HHS announced the award of $35.7 million in Affordable Care Act funding to 147 health centers across 44 states, the District of Columbia, and Puerto Rico. The funding is intended support the construction of 21 new projects and 126 facility alterations for patient-centered medical homes. The full list of individual grants is available here.

Additionally, On August 11, 2014 HRSA celebrated America’s health centers 45 years of care to underserved areas during National Health Center week. Specifically HRSA noted the “21.7 million patients receive health care services from the nearly 1,300 health centers operating more than 9,200 primary care sites across the nation.”

On Nov. 19, 2014 HRSA announced the availability of three separate grants to support the Health Center Program funding through a “variety of community-based and patient-directed public and private nonprofit organizations that serve an increasing number of the Nation’s underserved.”

On Nov. 24, HRSA announced the availability of roughly $1.1M to fund health centers working to improve the health of underserved communities and vulnerable populations. These grants “support a variety of community-based and patient-directed public and private nonprofit organizations that serve an increasing number of the Nation’s underserved.”

2016

On June 16, 2016, HRSA awarded $156 million in funding to support 420 health centers in 47 states, the District of Columbia and Puerto Rico to increase access to integrated oral health care services and improve oral health outcomes for Health Center Program patients.

On Aug. 4, 2016 HHS announced more than $8.6 million in funding for 246 health centers in 41 states, the District of Columbia, the Federation of Micronesia and the Northern Mariana Islands.

In December 2016, HHS announced over $50 million in funding for 75 health centers in 23 states, Puerto Rico, and the Federated State of Micronesia.

2017

On Sept. 14, HRSA announced the award of over $200 million in grants to 1,178 health centers and 13 rural health organizations in the Health Center Program to increase access to substance abuse and mental health services in the primary care setting.

Sept. 15, HHS announced the award of nearly $105 million in FY 2017 Health Center Quality Improvement grant awards. Funds were granted to 1,333 health centers in all states, territories and D.C., which will be used to further improve the quality, efficiency, and effectiveness of the healthcare delivered to the communities they serve.

Statutory Text

 
Implementation Status 
Summary 

SEC. 5601. SPENDING FOR FEDERALLY QUALIFIED HEALTH CENTERS
(FQHCS).
(a) IN GENERAL.—Section 330(r) of the Public Health Service
Act (42 U.S.C. 254b(r)) is amended by striking paragraph (1) and
inserting the following:
‘‘(1) GENERAL AMOUNTS FOR GRANTS.—For the purpose of
carrying out this section, in addition to the amounts authorized
to be appropriated under subsection (d), there is authorized to
be appropriated the following:
‘‘(A) For fiscal year 2010, $2,988,821,592.
‘‘(B) For fiscal year 2011, $3,862,107,440.
‘‘(C) For fiscal year 2012, $4,990,553,440.
‘‘(D) For fiscal year 2013, $6,448,713,307.
‘‘(E) For fiscal year 2014, $7,332,924,155.
‘‘(F) For fiscal year 2015, $8,332,924,155.
‘‘(G) For fiscal year 2016, and each subsequent fiscal
year, the amount appropriated for the preceding fiscal year
adjusted by the product of—
‘‘(i) one plus the average percentage increase in
costs incurred per patient served; and
‘‘(ii) one plus the average percentage increase in
the total number of patients served.’’.
(b) RULE OF CONSTRUCTION.—Section 330(r) of the Public
Health Service Act (42 U.S.C. 254b(r)) is amended by adding at the
end the following:
‘‘(4) RULE OF CONSTRUCTION WITH RESPECT TO RURAL
HEALTH CLINICS.—
‘‘(A) IN GENERAL.—Nothing in this section shall be construed
to prevent a community health center from contracting
with a Federally certified rural health clinic (as
defined in section 1861(aa)(2) of the Social Security Act),
a low-volume hospital (as defined for purposes of section
1886 of such Act), a critical access hospital, a sole community
hospital (as defined for purposes of section
1886(d)(5)(D)(iii) of such Act), or a medicare-dependent
share hospital (as defined for purposes of section
1886(d)(5)(G)(iv) of such Act) for the delivery of primary
health care services that are available at the clinic or hospital
to individuals who would otherwise be eligible for
free or reduced cost care if that individual were able to obtain
that care at the community health center. Such services
may be limited in scope to those primary health care
services available in that clinic or hospitals.
‘‘(B) ASSURANCES.—In order for a clinic or hospital to
receive funds under this section through a contract with a
community health center under subparagraph (A), such
clinic or hospital shall establish policies to ensure—
‘‘(i) nondiscrimination based on the ability of a patient
to pay; and
‘‘(ii) the establishment of a sliding fee scale for
low-income patients.’’.

Browse ACA Titles

  • I-Quality, Affordable Health Care for all Americans
  • II-Role of Public Programs
  • III-Improving the Quality and Efficiency of Health Care
  • IV-Prevention of Chronic Disease and Improving Public Health
  • V-Health Care Workforce
  • VI-Transparency and Program Integrity
  • VII-Improving Access to Innovative Medical Therapies
  • VIII-Community Living Assistance Services and Supports (CLASS ACT)
  • IX-Revenue Provisions

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