Direct State Funding

Health centers rely on state government funding to sustain operations. NACHC works closely with state primary care associations to document for legislators the services that might be lost with funding cuts, or sustained and expanded with additional state support. The following NACHC reports show funding gains and losses at the state level.

Reports

Funding

State Funding for Community Health Centers (Fiscal Year 2016, State Policy Report #58

State Fiscal Year 2015 Funding for Community Health Centers, State Policy Report #53

State Fiscal Year 2014 Funding for Community Health Centers, State Policy Report #49

State Fiscal Year 2013 Funding for Community Health Centers: State Funding Continues to Decrease as Demand Increases – State Policy Report #42

Calculating the Cost: State Budgets and Community Health Centers – State Policy Report #39

Entering the Era of Reform: The Future of State Funding for Health Centers – State Policy Report #33, October 2010

From the Ground Up: Statewide Capital Development Initiatives, November 2009

Weathering the Storm: State Funding to Health Centers During an Economic Crisis – State Policy Report #29

Losing Ground: State Funding to Health Centers Declines Amid Economic Downturn – State Policy Report #21 – A 50 state survey of non-Medicaid state funding for health centers, and Medicaid / SCHIP changes in eligibility, cost-sharing, and benefits for fiscal year 2009.

Gaining Ground II: State Funding, Medicaid Changes and Health Centers – State Policy Report #18 – A 50 state survey of non-Medicaid state funding for health centers, and Medicaid / SCHIP changes in eligibility, cost-sharing, and benefits for fiscal year 2008.

Securing State Direct Funding for Health Centers – State Policy Report #13 – A 50 state survey of direct state funding to community health centers, as well as a description of several of the most common formularies and procedures state legislatures use to allocate health center funds.

County and Local Collaborations

Community Health Centers and Public Health Services-NACHC/NACO report on a 2002 survey of county public health officials, managers and administrators, and county clerks about county sponsorship of community and public health care.

Partners in Health Care: Primary Care Associations Reach Out to County and Local Governments-State Policy Report # 3, August 2004.

Fact Sheets

State Funding to Health Centers Overview 2004-2010—Rising medical costs are making it difficult for community health centers to provide the affordable, high-quality of care that they are striving for. Federal reimbursements via Medicaid and Medicare are vital to the survival of the community health center program, as are federal grants. However, state funding is becoming increasingly important to assist health centers facing complex challenges.

What State Legislators Can Do to Support Health Centers – A two-page fact sheet describing health center needs and fiscal constraints, what legislators can do to help, and the significant return on health center investments.

State-Specific Reports and Best Practices

Open Wide: State Initiatives to Expand the Oral Health Workforce – Promising Practices #8.

Community Health Center Incubator Programs: Providing State Support to Leverage Federal Dollars – Promising Practices #9

Community Health Centers in Indiana: State Investments and Returns – Geiger Gibson/RCHN Community Health Foundation Research Collaborative Policy Research Brief No. 12, July 2009.

Protecting State Funding for Health Centers Through Statute-Promising Practices #4-The New Jersey example.

Leveraging Resources: Developing a Capital Grant and Loan Program for Health Centers in Hawaii – A Power Point presentation focused on successful capital grant and loan programs in the District of Columbia, Missouri, Indiana, Louisiana and Arkansas.  The presentation discusses key capital funding sources, such as the New Markets Tax Credit, as well as strategies for developing political will within state legislatures.

Nevada’s J-1 Visa Waiver Program