Back 

Primary Care State Profiles

Primary Care: State Profiles 

Percentage of Population Living in a Designated Primary Care Health Professional Shortage Area, 2011 

  49% - 62%   34% - 48%   19% - 33%   4% - 18%   Less than 4%

If unable to see the map, refer to the table below.

Updated November 2011 

State have long invested in their primary care systems, because a strong primary care system eliminates redundancy of high cost test and other services, increases patient compliance with provider instructions, and increases the use of preventive care.  These profiles give brief snapshots of state actions to improve the primary care system as well as key primary contact information in the states. 

Alabama | Alaska | Arizona | Arkansas | California | Colorado |  ConnecticutDelawareFloridaGeorgiaHawaiiIdaho |  IllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippi |  MissouriMontanaNebraskaNevadaNew Hampshire | New Jersey | New Mexico | New York | North Carolina | North Dakota | OhioOklahomaOregonPennsylvaniaRhode Island | South Carolina | South DakotaTennessee TexasUtahVermontVirginiaWashingtonWashington, D.C. |  West VirginiaWisconsinWyoming 

State Primary Care Contacts

State Profile 

Alabama

Alabama Primary Health Care Association
1345 Carmichael Way
Montgomery, AL 36106
Phone: (334) 271-7068

 

Office Primary Care & Rural Health
Alabama Department of Public Health
201 Monroe Street, P.O. Box 303017
Montgomery, AL 36104
Phone: (334) 206-5396
Fax: (334) 206-5434

Overview
Fifteen community health centers operate 120 sites, serving more than 320,000 patients annually. 

State Funding
Alabama provides no direct state funding for community health centers, but community health centers receive state funding to provide prostate cancer screenings. In FY 2010, $90,000 was appropriated for prostate screening.

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas.

In 2009, Alabama created the Alabama State Loan Repayment Program in order to attract health care professionals to designated Health Professional Shortage Areas (HPSA) in the state. The program is funded by a federal Health Resources and Services Administration grant and a 50 percent match from the employing public or nonprofit health clinic. The Alabama Primary Health Care Association sits on the review committee for the program.

Health Information Technology
In 2009, the Alabama Primary Health Care Association was selected by the governor to serve on the Alabama Health Information Exchange team and the Alabama Health Information System Planning Commission.

In 2010, the Alabama Health Information Exchange Advisory Commission was established to develop a statewide health information exchange. One seat on the commission is reserved for a member from the Alabama Primary Health Care Association, representing community health centers.

APHCA was awarded a subcontract with the USA Alabama Regional Extension Center to assist its members in achieving meaningful use.  APHCA is currently delivering those services to its members.

Outreach and Enrollment
The Alabama Primary Health Care Association developed an outreach and enrollment program for uninsured children. The program provides educational and enrollment kiosks located in community health centers throughout the state. The program is funded through federal grants.

Access
For information on Alabama's access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
No other statewide action.

Return to the Community Health Centers Main page

Alaska

Alaska Primary Care Association
903 W. Northern Lights Blvd., Ste. 200
Anchorage, AK 99503
Phone: (907) 929-2722
Fax: (907) 929-2734

 

Health Planning and Systems Development
Alaska Department of Health and Social Services
Division of Health Care Services
P.O. Box 110601
Juneau, AK 99811-0601
Phone:  (907) 465-3091
Fax: (907) 465-6861

Overview
Twenty-five community health centers operate 142 delivery sites, serving more than 86,000 patients annually.

State Funding
In FY 2011, state funding was increased to $7,171,000, up from $350,000 allocated for the previous year. The FY 2011 budget includes $6,605,000 for facilities and equipment for community health centers, $566,000 for community health center primary care operating funds, and $2.35 million for facilities and equipment for four non-CHC rural primary care clinics.

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas.

Alaska attracts health care providers to community health centers through the Supporting Health Care Access through Loan Repayment (SHARP) program, which was started in FY 2010. The program repays educational loans for 23 practitioners that agree to work in designated Health Professional Shortage Areas in Alaska. The SHARP program is funded by a federal Health Resources and Services Administration grant and a 50 percent match provided by the Alaska Mental Health Trust Authority and three community health centers.  

Health Information Technology
In 2008, Senate Bill 221 appropriated $2.5 million out of the capital budget to fund the creation of the Alaska Community Health Integrated Network (ACHIN). In 2009, Senate Bill 133 created a statewide electronic health information exchange (HIE) system. 

Outreach and Enrollment
No recent statewide action

Access
For information on Alaska's access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
In 2010, Senate Bill 172 established the Alaska Health Care Commission as a permanent entity in the Department of Health and Social Services. The goal of the commission is to address issues of quality, access, and availability of health care for residence of Alaska. The bill reserved a seat on the commission for a representative of a community health center.

Return to the Community Health Centers Main page

Arizona

Arizona Association of Community Health Centers
700 E. Jefferson St., Ste. 100
Phoenix, AZ 85034
Phone: (602) 253-0090
Fax: (602) 252-3620
Email: info@aachc.org

 

Bureau of Health Systems Development
Arizona Department of Health Services
1740 West Adams, Room 410
Phoenix, AZ 85007
Phone: (602) 542-1219
Fax: (602) 542-2011

Overview
Sixteen community health centers operate 121 sites, treating more than 376,000 patients annually. 

State Funding
Community health centers received no state funding for FY 2011. In FY 2010, funding for community health centers was suspended for seven months and then reinstated when the governor  funded the program with $11.6 million from state ARRA funds.  The program was eliminated in the FY 2010 budget. 

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas. 

Arizona recruits health practitioners to community health centers through the Arizona Primary Care Physician Loan Repayment program to attract health care providers to federally designated Health Professional Shortage Areas. This program is funded through a federal Health Resources and Services Administration grant and state contributions. Arizona also recruits practitioners to community health centers through the Student/Resident Experiences and Rotations in Community Health (SEARCH) Program, which allows community health centers to serve as teaching and training centers for medical students and residents. Primary care providers for health centers also come from the National Health Service Corps program. This program, which forgives medical school loans for providers who agree to serve in underserved areas is an important resource for Arizona health centers. Under the Affordable Care Act, the NHSC received additional funding to help expand the pool of primary care providers.

Health Information Technology
Established in 2007 by request of the governor, the Arizona Health-e Connection is a nonprofit that works to establish a statewide health information exchange and adopt health information technology.

The Arizona Association of Community Health Centers was awarded a Medicaid Transformation Grant on January 25, 2007 to develop and implement a web-based health information exchange (HIE) utility to give all Medicaid providers instant access to patients' health information at the point of service.

Arizona Health Query (AZHQ) is an integrated database that is a collaborative project between Arizona State University (ASU), School of Engineering, Department of Informatics and health care partners (including FQHCs) across the State. AZHQ serves as a repository of health care data from public and private data partners throughout Arizona, and includes data from the Arizona Health Care Cost Containment System (AHCCCS).

Arizona also has an online immunization registry for children and adults, the Arizona State Immunization Information System. The Arizona State Immunization Information System (ASIIS) is an immunization registry designed to capture immunization data on individuals within the state. Providers are mandated under Arizona Revised Statute (A.R.S. §36-135) to report all immunizations administered to children from birth to 18 years of age to the state's health department. The registry serves as a receptacle for accommodating these reported data.

Arizona also received a large Regional Extension Center (REC) grant to assist providers with their HIT needs and to help them achieve full meaningful use with their HIT/EHR systems.

In 2011, the Arizona Legislature passed a bill, HB2620, that removes barriers to a statewide Health Information Exchange program.

Outreach and Enrollment
Arizona’s Medicaid agency, AHCCCS, oversees the statewide, on-line eligibility system known as Health-E-Arizona. This program enables applicants to apply for medical assistance, food stamps and cash assistance online. Community Health Centers, hospitals and social service agencies contract with AHCCCS to determine eligibility (income and legal status) and ensure a timelier enrollment process.

Recent legislative changes to the AHCCCS program included moving redetermination of enrollees from 12 months to 6 months.

Access
For information on Arizona's access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
Budget Cuts and policy changes to the AHCCCS program:

In 2000, Arizona voters passed Proposition 204, which used money from a large court settlement with tobacco companies, tobacco taxes and available state general fund dollars to expand Medicaid services from 33% FPL to 100% FPL for all Arizona citizens.

The Governor of Arizona has issued demonstration waivers that seek to place a freeze on the childless adult population starting July 1, 2011, a freeze on the Medical Expenditure Deduction program (MED) starting May 1, 2011, a freeze on AHCCCS parents between 75%-100% FPL and a number of co-pays in order to reduce the number of people enrolled in AHCCCS to reduce state Medicaid expenditures. There is a potential for these reforms to contradict Proposition 204, which will likely lead to legal challenges regarding the authority of voter enacted policies.

Return to the Community Health Centers Main page

Arkansas

Community Health Centers of Arkansas, Inc.
420 W. 4th St., Ste. A
North Little Rock, AR 72114
Phone: 1-877-666-2422
Fax: (501) 374-9734
Email: chughes@chc-ar.org

 

Office of Rural Health and Primary Care
Arkansas Department of Health
4815 West Markham Street - Slot 22
Little Rock, AR 72205
Phone: (501) 280-4560
Fax: (501) 280-4706

Overview
Twelve community health centers operate 73 sites, serving more than 150,669 patients annually.

State Funding
Community health centers will receive $9.9 million in FY 2011 and FY2012. In FY 2010, community health centers received $10,600,103 in state funding, a 471 percent increase from the previous year.

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas. 

Arkansas has played an active role in recruitment and retention of health care professionals in community health centers and rural areas. In 2005, Senate Bill 578 created the Rural Practice Scholarship Program for residents of Arkansas who are enrolled at the University of Arkansas for Medical Sciences College of Medicine. The program is run by the Arkansas Rural Medical Practice Student Loan and Scholarship Board and funded by the State. In 2007, Act 1058 created the Community Match Rural Physician Recruitment Program. Funding is split evenly between the State and the community in which the participant practices.

Health Information Technology
Arkansas has established the Arkansas Health Information Exchange (HIE) Project to establish a statewide network to share electronic health records between individuals and health care providers. The Community Health Centers of Arkansas, Inc. serves on the governor's Health Information Technology Taskforce and is a member of the Governance, Technical Infrastructure, Business and Technology Operations, and Finance Workgroups on the Arkansas HIE Project. Community Health Centers of Arkansas, Inc. received a Health Center Controlled Network Grant, funds from which have helped six community health centers implement electronic health records.  As of June 1, 2011, 100 Arkansas community health centers have implemented electronic health records in 70 of their 73 health center locations. The Arkansas General Assembly passed legislation in March 2011 to create the Office of Health Information Technology.

Outreach and Enrollment
In FY 2010, community health centers received $735,814 for outreach and enrollment programs. The Department of Human Services, Division of County Operations cancelled all contracts with the community health centers for their employing outreach and enrollment staff. 

Access
For information on Arkansas' access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
The state works closely with community health centers in the Child Health Advisory Committee, which was established in 2003 by House Bill 2893. The committee was created to address issues related to childhood obesity. One seat on the committee is reserved for a member of a community health agency. The state also included a community health center Executive Director to serve on the governor’s Health Care Roundtable  and invited the CEO of Community Health Centers of Arkansas, Inc. to serve as an observer/commenter.  Community Health Centers of Arkansas Inc. serves on Workgroups for each of the state’s four major initiatives: Health Information Exchange, Workforce Development, Insurance Exchanges, and Medicaid/Health Care Transformation and Payment Reform.

Return to the Community Health Centers Main page

California

California Primary Care Association
1231 I St., Ste. 400
Sacramento, CA 95814
Phone: (916) 440-8170
Fax: (916) 440-8172
Email: webmaster@cpca.org

 

Healthcare Workforce Development Division
Office of Statewide Health Planning & Development
400 R Street, Suite 330
Sacramento, CA 95811
Phone: (916) 326-3600

Fax: (916) 322-2588

Overview
In California, 118 community health centers operate 1,049 sites, serving more than 2.8 million patients annually.

State Funding
In FY 2010, community health centers received $11 million in state funding.

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas. 

The Health Professions Education Foundation Health Professions Loan Repayment Program provides state funding to a variety of health care workers who practice in a medically underserved area of the state. The Steven M. Thompson Physician Corps Loan Repayment Program also provides funding to residents of California who agree to practice medicine in a medically underserved area of the state. The program is funded by state funds, the Medical Board of California, and private donors.

California has a large number of other programs designed to augment training for medical professionals in underserved areas and provide scholarships and loan forgiveness for qualified health care education programs. California also recruits practitioners to community health centers through the Student/Resident Experiences and Rotations in Community Health (SEARCH) Program, which allows community health centers to serve as teaching and training centers for medical students and residents.

Health Information Technology
The state has designated Cal eConnect as the nonprofit entity to oversee the development of a statewide health information exchange.

Outreach and Enrollment
No recent statewide action.

Access
For information on California's access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
No other recent statewide action.

Return to the Community Health Centers Main page

Colorado

Colorado Community Health Network
600 Grant St., Ste. 800
Denver, CO 80203
Phone: 303-861-5165
Fax: 303-861-5315

 

Primary Care Office 
Colorado Department of Public Health & Environment
4300 Cherry Creek Drive, South
Denver, CO 80246-1530
Phone: (303) 692-2466
Fax: (303) 782-5576

Overview
Fifteen community health centers operate 125 delivery sites, serving more than 458,000 patients utilizing over 1.8 million visits annually. 

State Funding
In FY 2011,community health centers were projected to have received $28 million for indigent health care programs. The Primary Care Office also received $250,000 in state funding for loan repayment, the operation of the Colorado Health Service Corps and an existing faculty loan repayment program. Since state fiscal year 2009, community health centers have received approximately $33,000,000 in cuts to funding received from the state. These cuts include reductions in Medicaid reimbursement, reductions in funding for indigent health care programs and service specific grants.

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas. 

In 2010, House Bill 1138 strengthened the Colorado State Health Care Professional Loan Repayment program and changed the name to the Colorado Health Service Corps. The program provides funding to health care professionals who practice in a federally designated Health Care Professional Shortage Area. The program is funded by state, federal and private funds. The Colorado Health Service Corps is administered through the Colorado Primary Care Office.

Health Information Technology
Colorado’s 15 community health centers are members of the Colorado Associated Community Health Information Exchange (CACHIE).  This project focuses on data warehousing and analytics for its member health centers for quality improvement and payer initiatives.  Colorado Community Managed Care Network (CCMCN) manages CACHIE and was awarded a subcontract under The Colorado Regional Health Information Organization’s (CORHIO) federal contract to serve as the state’s Regional Extension Center (REC).  In addition to its REC work CORHIO is working to develop a statewide health information exchange. CCMCN is also providing support in various capacities to community health centers related to the Colorado Accountable Care Collaborative (ACC) program. The goals of the Colorado ACC program are to improve health outcomes through a coordinated, patient centered system that proactively addresses patient health needs while also demonstrating a 7% reduction in aggregate costs by reducing avoidable, duplicative, variable, and inappropriate use of health care resources.

Outreach and Enrollment
In FY 2011, Colorado’s Medicaid and CHIP state agency awarded (via a federal grant) over $1 million to 25 community organizations, including four community health centers, to support outreach, enrollment, and retention activities aimed at new expansion populations of children, parents, and pregnant women. In addition, Colorado launched a website to provide applicants and clients with a self service option to apply for certain medical, food, and cash assistance programs and report changes to their existing case.

Covering Kids and Families, a project at CCHN, released an update to The Maze One Year Later, which provides a snapshot of the progress made on the specific recommendations from the original report to improve Colorado’s outreach and enrollment system and capacity.

Access
For information on Colorado's access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
2007 House Bill 1022, 2007 Senate Bill 146 and 2008 House Bill 1391 created pilot programs involving community mental health centers focused on rural areas, veterans, and victims of child abuse respectively 2006. House Bill 1396 created a grant program for school-based health centers, including those operated in cooperation with community health centers.

In 2009, the following bills were of importance to Community Health Centers: House Bill (HB) 09-1293 created the Health Care Affordability Act, which, due to increased funding from a hospital provider fee, allows for expansions of the Medicaid and Child Health Plan Plus programs; and, Community Health Centers supported HB09-1111, which helped to strengthen the state’s health care professional loan repayment program.

In 2010, the following bills were of importance to Community Health Centers: HB10-1033: Added Screening Brief Intervention Referral to Treatment (SBIRT) as a Medicaid billable service; HB10-1138: Changed the name of the state’s health care professional loan repayment program to Colorado Health Service Corps and moved administration of other health care professional loan repayment programs to the Primary Care Office and expended eligible professions and the governor-appointed advisory council of the program; HB10-1330: Directed the creation of an advisory committee to make recommendations and work on creating an all-payer health claims database to assist in gathering health care information.

In 2011, the following bills were of importance to Community Health Centers: HB11-1019 allows School-Based Health Centers to waive the copayment fee for providing health care; HB11-1101 exempt FQHCs from state licensure requirements, saving hundreds of thousands of dollars in CHC capital and remodel costs, as well as administrative time and resources; HB11-1242 requires the Colorado Department of Health Care Policy and Financing to review policies that impact the ability to provide both physical and mental health care services to a patient during the same appointment as part of an integrated system of patient care; HB11-1281, further prioritizes the funding for the Colorado Health Service Corps and transfers administration of an existing faculty loan forgiveness program to the Primary Care Office; SB11-008 increases the current Medicaid income eligibility threshold of 100 percent of the Federal Poverty Level (FPL) for children between 6 and 19 years of age to 133 percent FPL; SB11-192 allows health care providers to check a statewide registry prior to prescribing a controlled substance for patient history of prescription misuse; and, SB11-200 creates the Colorado Health Benefit Exchange and Governing board that will focus on establishing the governance for Colorado’s Exchange, which will be a health insurance marketplace for individuals between 133 and 400 percent FPL and small businesses to purchase health insurance.

The Primary Care Office was one of few to receive a HRSA Workforce Development Planning Grant to increase the primary care workforce by 25% over the next decade.  Although the funding for the next phase of implementation was cut from HRSA’s budget in the current fiscal year, the Primary Care Office is still moving forward with efforts to implement portions of the plan, as implementation funding will be revisited in FY 12.

The Primary Care Office; Colorado Community Health Network, Colorado’s Primary Care Association; and Colorado Rural Health Center, Colorado’s nonprofit office of rural health worked to combine four existing loan repayment programs to form what it now known as The Colorado Health Service Corps, taking the state loan repayment program from $200,000 annually to over a $12 million dollar program over the next several years.  

Return to the Community Health Centers Main page

Connecticut

Community Health Center Association of Connecticut
375 Willard Avenue
Newington, CT 06111
Phone: (860) 667-7820
Fax: (860) 667-7835

 

Connecticut Department of Public Health
410 Capitol Avenue, Mail stop #11 MAT
Hartford, CT  06134
Phone: (860) 509-8074
Fax: (860) 509-7720

Overview
Fourteen community health centers operate 283 sites, serving more than 290,000 patients annually.

State Funding
In FY 2011, community health centers received $5.1 million in state funding. This amounts to a drop in over 25 percent from FY 2010’s allocation of $6.9 million in state funding. e from the previous year.

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas. 

The Connecticut State Loan Repayment Program provides loan repayment assistance for primary care practitioners who agree to practice full time at a public or nonprofit health center in a federally designated Health Professional Shortage Area. The program is funded by matching state and federal funds.  Twenty providers received assistance with their Loan repayment (CSLRP) in the past year.  All contracts have since expired and will not be renewed. 

Health Information Technology
In 2007, the Connecticut General Assembly passed Public Act 07-2, which authorized the Connecticut Department of Public Health to develop a statewide health information technology plan. The Department of Public Health contracted with a private firm to aid in the creation of the plan.

Outreach and Enrollment
Outreach Eligibility Workers are stationed at each Federally Qualified Community Health Center. The role of these workers is to identify families eligible for the state's Medicaid and CHIP programs (better known as HUSKY) and help get them enrolled in the program. Outreach workers also provide referrals for other services, such as food and housing assistance programs.

Access
For information on Connecticut's access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
Connecticut has created a emergency room diversion program in order to reduce costs associated with emergency room visits that could have been handled at a community health center. The program created a web-based platform known as My Health Direct, which allows hospitals to search for and schedule appointments at six participating community health centers for non-emergency patients. This eliminates the excessive costs of treating the patient in the emergency room.

Return to the Community Health Centers Main page

Delaware

Mid-Atlantic Association of Community Health Centers
4319 Forbes Blvd
Lanham, MD 20706
Phone: (301) 577-0097
Fax: (301) 577-4789
Email: info@machc.com

 

Division of Public Health
Delaware Department of Health & Social Services
417 Federal Street
Dover, DE 19901
Phone: (302) 744-4555
Fax: (302) 739-3313

Overview
Three organizations operate 10 sites, serving more than 33,000 patients annually.

State Funding
In FY 2011, community health centers received $153,720 through the state Grant-in-Aid bill. Although this represents a loss of $16,180 in funding over the previous fiscal year, that loss of funding represents funding previously allocated to a now defunct health center.  Each remaining health center received a 20 percent increase in their allocations.

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas. 

Delaware recruits health care practitioners to medically underserved areas through a state loan repayment program (SLRP). The program is funded by a combination of state and federal funds. Depending on the type and location of the practice site, some awards are funded by state and federal matching funds, and others by state-only funds. 

The J-1 Visa Waiver Program allows foreign medical graduates to obtain a waiver of the two-year home residence requirement if they agree to practice in a federally designated Health Professional Shortage Area.

Health Information Technology
The Delaware Health Information Network (DHIN) became the first operational statewide health information exchange in the country in May 2007. It provides secure delivery of clinical results and patient information between laboratories, hospitals, and physicians throughout Delaware. The system includes a patient record search with clinical and medication history available in DHIN on a need to know basis. It has both a web-based portal for those without an electronic medical record. All Delaware community health centers participate in DHIN and all centers use the same EMR system.   DHIN now delivers more than 7 million clinical results and reports each year to nearly 400 practices and health care organizations around the state. As of March 2011 more than 75% of Delaware providers were enrolled in DHIN.  In recognition of this growth and success, the General Assembly granted DHIN legislative authority to become its own self-governing entity effective January 1, 2011.

Outreach and Enrollment
All Delaware health centers receive funding from the state to participate in the Delaware Community Health Care Access (CHAP) Program. These funds help support staff at the centers whose primary role is to do outreach and assist uninsured clients with applications for Medicaid, SCHIP, Screening for Life, prescription assistance programs, and the CHAP program itself. Centers also receive additional funding from Astra Zeneca to help support the outreach and enrollment efforts.  Effective July 1, 2011, CHAP and the Screening for Life Program are being combined to streamline enrollment through one application process.                  

Access
For information on Delaware's access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
No other recent statewide action.

Return to the Community Health Centers Main page

Florida

Updated September 2010

Florida Association of Community Health Centers
2340 Hansen Lane
Tallahassee, FL 32301
Phone: (850) 942-1822
Fax: (850) 942-9902
Email: fachc@fachc.org

 

Division of Health Access and Tobacco
Office of Health Professional Recruitment
Florida Department of Health
4052 Bald Cypress Way, Bin C-15
Tallahassee, FL 32399-1735
Phone: (850) 245-4446
Fax: (850) 922-6296

Overview
Forty-four community health centers operate 280 delivery sites, serving more than 980,000 patients annually.

State Funding
In FY 2010, community health centers received $18,276,000 in state funding, a 20 percent increase from the previous year.

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas. 

The Florida Department of Health runs two programs to recruit health care professionals to medically underserved areas of the state. The Nursing Student Loan Forgiveness Program provides funds in exchange for practicing full-time in an area with a critical nursing shortage. The J-1 Visa Waiver (State 30) Program allows foreign medical graduates to obtain a waiver of the two-year home residence requirement if they agree to practice for three years in a federally designated Health Professional Shortage area.

Health Information Technology
The Florida Agency for Health Care Administration created the Florida Health Information Network (FHIN), which serves as a clearinghouse for information relating to the use of health information technology.

Outreach and Enrollment
No recent statewide action.

Access
For information on Florida's access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
No other recent statewide action.

Return to the Community Health Centers Main page

Georgia

The Georgia Association for Primary Health Care
315 W. Ponce de Leone Avenue,Suite 1000
Decatur, GA 30030
Phone: (404) 659-2861
Fax: (404) 659-2801
Email: information@gaphc.org

 

State Office of Rural Health
Georgia Department of Community Health
502 South 7th Street
Cordele, GA 31015-1443
Phone: (229) 401-3094
Fax: (229) 401-3077

Overview
Twenty-eight community health centers operate 163 delivery sites, serving more than 275,000 patients annually.

State Funding
In FY 2011, community health centers received $1,339,000 in state funding. This amounts to less than half of the $3,110,600 received in FY 2010.

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas. 

Georgia recruits medical practitioners to rural and underserved areas through a variety of programs. The State Medical Education Board (SMEB) Scholarship Program awards up to $20,000 a year for medical school tuition to residents of Georgia who agree to practice full-time in rural counties of the state. The program is funded completely by the state. The SMEB Physicians for Rural Areas Assistance program offers up to $25,000 a year to repay medical school loans. It is funded by a combination of state and federal funds. 

Georgia administers the federal National Health Service Corps (NHSC) program. This program provides clinicians with financial support in the form of loan repayment and scholarships. Clinicians agreeing to a service obligation in a health professional shortage area are eligible to participate in the NHSC program. A clinician may receive up to $170,000 in loan repayment for a five-year service commitment. 

Health Information Technology
The Georgia Department of Community Health Office of Health Information Technology and Transparency oversees major health information technology projects and programs. Two major efforts currently in progress are the Medicaid Incentive Program and development of a statewide health information exchange. The Medicaid Incentive Program offers incentives to Medicaid providers to adopt, implement, or upgrade a certified electronic health record. The statewide Georgia Health Information Exchange (GHIE) is a public-private collaborative that will allow the secure and timely exchange of individual’s health information.

Outreach and Enrollment
No recent statewide action.

Access
For information on Georgia's access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
The Georgia Association for Primary Health Care has worked with Gateway Behavioral Health Services to integrate and improve access to primary care and behavioral health services in community health centers. The program is funded by the state. 

The state has issued a grant to the Georgia Association for Primary Health Care to establish new and expand current community health centers.

The Georgia legislature annually designates a day in February as Community Health Centers Day.

Return to the Community Health Centers Main page

Hawaii

Hawaii Primary Care Association
345 Queen St., Ste. 601
Honolulu, HI 96813
Phone: (808) 536-8442
Fax: (808) 524-0347

 

Primary Care Office
Office of Planning, Policy & Program Development
Hawaii Department of Health
1250 Punchbowl Street
Honolulu, Hawaii 96813
Phone: (808) 586-4188
Fax: (808) 586-4193

Overview
Fourteen community health centers operate 82 delivery sites, serving more than 127,000 patients annually.

State Funding
In FY 2011, community health centers will receive approximately $15.8 million in state funding. This includes $8.5 million in the community health center special fund, a $3 million increase over FY 2010.  For FY 2011-2012, community health centers are anticipating $9.85 million in state funding.  This includes $6.6 million for covering uninsured patients, $550,000 for covering immigrants, and $800,000 for use towards outreach.

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas. 

The Community Health Workforce Development Project is a program started in 2002 by the Hawaii Rural Development Project and the University of Hawaii system to train Community Health Workers and staff. The project is funded by a federal grant.

In 2008, Act 242 created a working group to develop a plan to establish a program known as the Hawaii Health Corps Program to address physician and dentist shortages in the state through a loan repayment program.

Health Information Technology
In 2009, the Hawaii Health Information Exchange (a nonprofit organization) was designated by the state to develop and implement a statewide health information exchange that will ultimately connect to the national information network. In the time since, the HHIE has partnered with the Pacific Innovations Collaborative, the Big Island Beacon Community Consortium and community health centers to implement, or be in the process of implementing, electronic health records to all health center sites. The Hawaii Primary Care Association is also an active collaborator to identify common measures that all data systems must have and to develop systems of active data capture.

Outreach and Enrollment
The Outreach and Education Project places outreach workers in community health centers and other nonprofit safety-net providers to educate and assist people with enrollment process for services such as Medicare, Medicaid, TANF, and public housing. 

The Hawaii Covering Kids program works to identify, enroll, and retain eligible children in health insurance programs. The program is funded by a combination of state funds, federal funds, and private charitable foundations.  The program is funded by a combination of state funds, federal funds, and private charitable foundations.

The Hawaii Primary Care Association has begun an active education campaign, using on-site visits with community boards and members to provide knowledge about current advocacy issues and mobilize grass roots effort.  

Access
For information on Hawaii's access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
Hawaii has made a special licensure procedure, which allows out-of-state dentists to practice as fully licensed and reimbursable providers in Hawaii without having to apply for the state specific license, given that they agree to work at a community health center. 

Hawaii has four community health centers that serve as training sites for dental students in their residency.  Other health centers also serve as training centers or rotation sites for medical residency students.

The Hawaii Primary Care Association is currently organizing and facilitating a community-wide collaboration to draft the state plan amendment for the Patient Centered Medical Home.  The Medical Home is a statewide-initiative undertaken by Governor Neil Abercrombie to improve health outcomes across the state and to ease financial strain on state Medicaid.

The Hawaii Primary Care Association also occupies a seat on the Hawaii Health Insurance Exchange board, tasked with developing the statewide exchange that will provide health insurance to over 107,000 previously uninsured.

Return to the Community Health Centers Main page

Idaho

Idaho Primary Care Association
1087 W. River St., Ste. 160
Boise, ID 83702
Phone: (208) 345-2335
Fax: (208) 345-2336
Email: info@idahopca.org

 

State Office of Rural Health & Primary Care
450 West State Street, 4th Floor
P.O. Box 83720
Boise, ID 83720-0036
Phone: (208) 334-5993
Fax: (208) 332-7262

Overview
Thirteen community health centers operate 70 delivery sites, serving more than 130,000 patients annually.

State Funding
In FY 2010, the state appropriated no funding for community health centers. In FY 2009, community health centers received $1 million in state funding for infrastructure improvements.

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas. 

In 2003, the Idaho Legislature established the Idaho Rural Physician Incentive Program to recruit physicians to medically underserved and rural areas of the state. The program provides up to $10,000 a year for repayment of medical school loans in exchange for practicing full-time in a medically underserved area of the state (maximum of five years). The program is funded by fees assessed to all Idaho students participating in the WWAMI and University of Utah state-supported medical education programs.

The Idaho Primary Care Association also recruits practitioners to community health centers and other qualifying entities through the Student/Resident Experiences and Rotations in Community Health (SEARCH) Program, which allows community health centers to serve as teaching and training centers for medical students and residents.

The Idaho Conrad J-1 Visa Waiver Program allows medically underserved communities to recruit and hire a foreign-trained, non-immigrant primary care physician or psychiatrist as an option of last resort.

Health Information Technology
The Idaho Health Data Exchange (IHDE) is a nonprofit organization that oversees the development of a statewide health information exchange.  IHDE is monitored by the Health Quality Planning Commission, which was established by the Legislature in 2006. The IHDE is working to connect Idaho’s healthcare community by creating a secure system for sharing clinical information, creating a virtual health record and connecting EHRs of various providers. The Washington & Idaho Regional Extension Center (WIREC) has also been created to provide technical assistance to outpatient primary care practices to help them achieve meaningful use standards.

Outreach and Enrollment
No recent statewide action.

Access
For information on Idaho's access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
The Idaho Primary Care Association (IPCA) is one of five entities in the country to be awarded funding to develop the patient-centered medical home model of care in safety-net clinics. Serving as the regional coordinating center, IPCA is working with 13 Idaho primary care practices over a four-year period to help transform them into medical homes.  IPCA is also working to further spread the model to other community health centers throughout the state, and is supporting payment reform efforts to better align reimbursement with PCMH care delivery.

Return to the Community Health Centers Main page

Illinois

Illinois Primary Health Care Association
500 S. Ninth St.
Springfield, IL 62701
Phone: (217) 541-7300
Fax: (217) 541-7301

 

Center for Rural Health
Illinois Department of Public Health
535 West Jefferson Street
Springfield, IL 62761
Phone:  (217) 782-1624
Fax:  (217) 782-2547

Overview
Thirty-six community health centers operate 447 delivery sites, serving more than two million patients annually.

State Funding
In FY 2011, community health centers received $3 million in state funding for the Community Health Center Expansion Program, down from $10 million in 2009, and a reappropriation of $50 million in capital funds for the Community Health Center Construction program (passed by the state legislature in 2009). The first round of competitive grants is expected to be released in summer 2011.

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas.

Several scholarship and loan repayment programs have been established in order to recruit medical practitioners to rural and medically underserved areas of the state.  The Illinois State Loan Repayment Program provides financial assistance to repay medical education loans for a variety of health care professionals in exchange for agreeing to practice full-time in a federally designated Health Professional Shortage Area of the state. The program is funded by federal Health Resources and Services Administration funds and a contribution from participating health clinics.

Illinois also recruits practitioners to community health centers through the Student/Resident Experiences and Rotations in Community Health (SEARCH) Program, which allows community health centers to serve as teaching and training centers for medical students and residents.

In 2010, House Bill 5053 Created the Psychiatry Practice Incentive Act. The act establishes a program providing for grants, loans, and loan forgiveness for the purpose of recruiting and retaining psychiatric physicians in designated shortage areas of the state.

Health Information Technology
The Illinois Office of Health Information Technology (OHIT) was created by Executive Order 2010-1, signed by Governor Pat Quinn on February 12, 2010. OHIT works to promote the development of health information technology, increase the adoption and meaningful use of electronic health records, assure the privacy and security of electronic health information, and direct the State's Health Information Exchange (HIE) planning efforts. On December 21, 2010, the Illinois HIE Strategic and Operation Plan was approved by the Office of the National Coordinator (ONC). The funding through this cooperative agreement will allow Illinois to proceed with its implementation of a statewide Health Information Exchange.

Outreach and Enrollment
No recent statewide action.

Access
For information on Illinois' access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
The state of Illinois amended its Public Aid Code to require that the Illinois Department of Healthcare and Family Services provide a report to the General Assembly by January 1, 2012, regarding the feasibility and potential consequences of centralizing administrative functions for applicants applying only for medical assistance.

Return to the Community Health Centers Main page

Indiana

Indiana Primary Health Care Association
1006 E. Washington St., Ste. 200
Indianapolis, IN 46202
Phone: (317) 630-0845
Fax: (317) 630-0849
Email: info@indianapca.org

 

Primary Health Care Office
Indiana State Department of Health
2 N. Meridian St. 2 J
Indianapolis, IN 46204
Phone: (317) 233-7546
 Fax:  (317) 233-7761

Overview
Nineteen federally qualified community health centers and 28 community health centers operate 56 delivery sites, serving more than 255,000 patients annually.

State Funding
In FY 2011, community health centers received $20 million in state funding, a 14 percent increase from the previous year.  FY 2012-2013 includes $15 million per year in state funding for community health centers.

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas.

Indiana offers a State Loan Repayment Program that is available to health care practitioners who agree to practice in a federally designated health professional shortage area for two years. This program is run through the Indiana State Department of Health.

The J-1 Visa Waiver Program allows foreign medical graduates to obtain a waiver of the two-year home residence requirement if they agree to practice in a federally designated health professional shortage area or a medically underserved area.

Health Information Technology
Indiana has five independent, private sector, and regionally–based Health Information Organizations (HIOs). Each HIO has been operational and sustainable for five years. Twelve million patient records and twelve thousand physicians state-wide are part of the Indiana Health Information Exchange network.

Additionally, Indiana Medicaid implemented the Medicaid Electronic Health Record (EHR) Incentive Program in May 2011. Registration for eligible physicians (EP) and eligible hospitals (EH) began on May 2, 2011.

Outreach and Enrollment
In January 2010, the state began a gradual rollout of a new “hybrid” outreach and enrollment system (i.e., a combination of electronic and face-to-face interactions between the Division of Family Resources staff and program recipients). As of June 2011, the hybrid system has been implemented in 60 of Indiana’s 92 counties.

Access
For information on Indiana's access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
In 2003, Senate Bill 462 established the Health Policy Advisory Committee and reserved one spot on the committee for someone representing the interests of community health centers.

Return to the Community Health Centers Main page

Iowa

Iowa/Nebraska Primary Care Association
9943 Hickman Rd., Ste. 103
Urbandale, IA 50322
Phone: (515) 244-9601
Fax: (515) 243-3566
Email: info@ianepca.com

 

Primary Care Office
Iowa Department of Public Health
321 East 12 St., 4th fl. Lucas Bldg
Des Moines, IA 50319
Phone: (515) 281-7223
Fax: (515) 242-6384

Overview
Thirteen community health centers (and one health-center look-alike) operate 83 delivery sites, serving more than 154,000 patients annually.

State Funding
In FY 2011 the Iowa Collaborative Safety Net Provider Network received $1,027,601 in state funding to bring together the state’s community health centers, free clinics, rural health clinics, family planning agencies, maternal and child health clinics, and local boards of health to address common challenges. This amount is less than half of the $1,322,788 received in FY 2010.

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas including public/private partnerships funding loan repayment for dentists, nurses, chiropractors, and primary care medical providers.

The Primary Care Recruitment and Retention Endeavor (PRIMECARRE) recruits medical practitioners to medically underserved areas through the Iowa Loan Repayment Program, which is funded by matching federal and state funds.

In 2008, the Iowa Legislature created a Medical Home System Advisory Council and a Health & Long-Term Access Advisory Council which address certain aspects of health workforce, access, and quality of healthcare statewide.

Health Information Technology
In 2008, the Iowa Health Care Reform Bill (HBF 2539) established the Iowa e-Health initiative to improve collection of patient information through electronic health records and facilitate data sharing through a statewide health information exchange.

Outreach and Enrollment
In 2010, the Iowa Legislature expanded the “IowaCare” program – a limited benefit insurance program for low-income childless adults – to community health centers. Prior to expansion, IowaCare members had to go to the one state University hospital in Eastern Iowa. The expansion has led to improved access to care for thousands of IowaCare members.

Access
For information on Iowa's access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
In 2011, the Iowa Legislature passed the first of what is expected to be a series of statewide mental health system reforms
In 2005, the General Assembly established the Iowa Collaborative Safety Net Provider Network. The network allows community health centers, free clinics, and rural health clinics to work together to address the health care needs of underserved and uninsured populations in the state. The General Assembly identified seven areas for the network to focus on: training, information technology, financial resource development, a referral system for ambulatory care, a referral system for specialty care, pharmaceuticals, and recruitment of health professionals.

Return to the Community Health Centers Main page

Kansas

Kansas Association for the Medically Underserved
1129 S. Kansas Ave., Ste. B
Topeka, KS 66612                
Phone: (785) 233-8483
Fax: (785) 233-8403
Email: kspca@kspca.org

 

Office of Local & Rural Health
Kansas Department of Health and Environment
1000 Southwest Jackson, Suite 340
Topeka, KS 66612
Phone: (785) 368-8110
Fax: (785) 296-1231

Overview
Thirteen community health centers operate 33 delivery sites, serving more than 141,000 patients annually.

State Funding
In FY 2011, community health centers received $3,762,513 in state funding, an 18 percent increase from the previous year.

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas.

The Kansas State Loan Repayment Program provides financial assistance to repay medical education loans for a variety of health care professionals in exchange for agreeing to practice full-time in a federally designated Health Professional Shortage Area for a minimum of two years. The program is partially funded by federal Health Resources and Services Administration funds.

The Kansas Bridging Program provides up to $26,000 for primary care medical students in their residency in exchange for agreeing to practice full-time in a rural area of Kansas. Funding for the program is split evenly between state funds and the community/rural health organization that agrees to hire the physician.

Kansas also recruits practitioners to community health centers through the Student/Resident Experiences and Rotations in Community Health (SEARCH) Program, which allows community health centers to serve as teaching and training centers for medical students and residents.

Health Information Technology
In 2007, Executive Order 3 established the Kansas Health Information Exchange Commission to study and plan the creation of a statewide health information exchange.

The Kansas Health Information Network was created in March 2011 by a group of stakeholders in the state, including the Kansas Medical Society, Kansas Hospital Association, eHealthAlign, and Wichita Health Information Exchange. This expanded on efforts from the previous e-Health Advisory Council created by the Kansas Department of Health and Environment.

Outreach and Enrollment
The Kansas Association for the Medically Underserved works with the Kansas Health Policy Authority to place outreach and enrollment workers at community health centers and nonprofit clinics throughout the state. The program is funded by a multi-year federal grant.

Access
For information on Kansas' access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
No other recent statewide action.

Return to the Community Health Centers Main page

Kentucky

Kentucky Primary Care Association
226 West Main Street
Frankfort, KY 40601
Phone: (502) 227-4379
Fax: (502) 223-7654

 

Health Care Access Branch
Kentucky Department of Public Health
275 East Main Street, HS2W-B
Frankfort, KY 40621
Phone: (502) 564-8966
Fax: (502) 696-5231

Overview
Twenty community health centers operate 86 delivery sites, serving more than 267,000 patients and utilizing more than one million patients visits annually.

State Funding
In FY 2010, community health centers received no state funding.

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas.

The Kentucky State Loan Repayment Program awards up to $35,000 a year for two years to primary care providers in exchange for working full-time for a public or nonprofit health center in a federally designated Health Professionals Shortage Area. Funding for the program is split evenly between federal funds and the participating provider.

Health Information Technology
2005 Senate Bill 2 created the Health Care Infrastructure Authority and the e-Health Network Board to oversee the development, implementation and operation of a statewide electronic health network.

Outreach and Enrollment
No recent statewide action.

Access
For information on Kentucky's access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
No other recent statewide activity.

Return to the Community Health Centers Main page

Louisiana

Louisiana Primary Care Association
4550 North Boulevard, Suite 120
Baton Rouge, LA 70806
Phone: (225) 927-7662
Fax: (225) 927-7688
Email: lpca@lpca.net 


Bureau of Primary Care and Rural Health
Louisiana Department of Health & Hospitals
628 North 4th Street
Baton Rouge, LA 70802
Phone: (225) 342-9513
Fax: (225) 342-5839

Overview
Twenty-four community health centers operate 80 delivery sites, serving more than 202,000 patients annually.

State Funding
In 2008, Louisiana’s Federally Qualified Health Centers received $41.5 million from the state Legislature to expand and build new sites. In 2010, the last of the appropriation will be spent, but no new funds have been appropriated.

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas.

The Louisiana State Loan Repayment Program is available to primary care practitioners who work full time at a public or nonprofit health center in a federally designated Health Professionals Shortage Area. The program is funded by matching state and federal funds. In 2009, House Bill 772 revised the State Healthcare Professional Development Program by adjusting eligibility requirements and scholarship amounts.

The J-1 Visa Waiver Program allows foreign medical graduates to obtain a waiver of the two-year home residence requirement if they agree to practice in a federally designated shortage area.

Health Information Technology
In 2008, Senate Bill 332 established the Health Care Information Technology and Infrastructure Advisory Collaborative composed of representatives from the Louisiana Rural Health Information Exchange, the Health Information Technology Committee of the Louisiana Health Care Quality Forum, and any other current or future regional health information exchange. The collaborative is responsible for overseeing the adoption of health information technology and the development of a statewide health information exchange.

In 2009, Senate Bill 246 established the Electronic Health Records Loan Program to make loans to rural hospitals and other rural health care providers to acquire electronic health record and telemedicine technology.

Outreach and Enrollment
No recent statewide action.

Access
For information on Louisiana's access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
The Louisiana Primary Care Association operates the Louisiana Community HealthCorps, which places AmeriCorps members in community health centers to help with education and outreach efforts.

Return to the Community Health Centers Main page

Maine

Maine Primary Care Association
73 Winthrop St.
Augusta, ME 04330
Phone: (207) 621-0677
Fax: (207) 621-0577

 

Office of Rural Health & Primary Care
Maine DHHS, Center for Disease Control and Prevention
286 Water Street, Key Plaza
Augusta, ME 04333-0011
Phone:  (207) 287-5524
Fax: (207) 287-5431

Overview
Nineteen community health centers operate 138 delivery sites, serving more than 200,000 patients annually.

State Funding
Community health centers received a portion of the state’s tobacco settlement funds in 2001, but have received no state funding since. 

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas.

Maine recruits practitioners to community health centers through the Student/Resident Experiences and Rotations in Community Health (SEARCH) Program, which allows community health centers to serve as teaching and training centers for medical students and residents. Students training in other primary care disciplines such as dentists, physician assistants and family nurse practitioners are also welcomed into SEARCH.  Maine Primary Care Association actively supports the NHSC and its efforts in the state. 

MPCA is applying the Idaho Community Apgar project to an assessment of the strengths and challenges of underserved areas in Maine vis-a-vis their recruitment profile and strategies.

Health Information Technology
In 2010, by executive order, the governor of Maine created the Office of the State Coordinator for Health Information Technology and appointed a health information technology coordinator. The office will operate from within the Governor's Office of Health Policy and Finance.

The Maine Primary Care Association developed a health center controlled network for the adoption and implementation of health information technology, known as the Collaborative Network for New Integration of Information and Communication Technology (CONNECT).

On behalf of the primary care safety net in Maine, MPCA is part of (a subcontractor or "wholesaler") of the Maine Regional Extension Center, supporting FQHCs attain Meaningful Use.

MPCA built and is connecting FQHCs to a statewide data warehouse that provides interfaces with the state's public health systems and quality reporting for participating organizations. 

By the end of 2011, over 90% of Maine’s community health centers will have adopted an electronic medical records system. 

Outreach and Enrollment
MPCA worked with the former Office of Integrated Access to Services and other organizations (e.g., Maine Equal Justice Partners) to formulate and execute a simplified, universal enrollment process for a cascade of benefits, MaineCare and SNAP included.  MPCA also synced safety net practice management system information with the state's eligibility and enrollment database to proactively identify patients due for reenrollment so as to avoid churning of eligible patients and maintain access to primary and preventive care services in particular.  Currently, MPCA is conducting a patient navigation project with the State's Maine Breast and Cervical Health Program to afford earlier entry into screening and treatment. 

Access
For information on Maine's access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
The Maine Primary Care Association is providing a statewide PCMH Collaborative operating in coordination with the multi-payor pilot (limited to 26 practices, including 7 practices of 3 FQHCs), with a strong emphasis on behavioral health integration. Twelve FQHCs are engaged in this effort, seeking to gain NCQA certification as PCMH practices. 
The MPCA operates the Maine Community HealthCorps, which places AmeriCorps members in community health centers to help with education and outreach efforts.

Return to the Community Health Centers Main page

Maryland

Mid-Atlantic Association of Community Health Centers
4483-B Forbes Blvd.
Lanham, MD 20706
Phone: (301) 577-0097
Fax: (301) 577-4789
Email: info@machc.com

 

Primary Care Organization
Office of Health Policy & Planning
Department of Health & Mental Hygiene
201 West Preston Street, Room 423
Baltimore, MD 21201
Phone:  (410) 767-5300
Fax: (410) 333-7501

Overview
Sixteen community health centers operate 94 delivery sites, serving more than 261,000 patients annually.

State Funding
Capital bond funding was given to help support the development and growth of community health centers and Mental Health, Addictions, and Developmental Disability facilities in Maryland. The application for funds in fiscal year 2013 is now available.

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas. 

The Maryland Loan Assistance Repayment Program provides financial assistance for health care providers in exchange for agreeing to practice in a medically underserved area of the state. The program is a collaborative effort among state and federal offices, including the Maryland Department of Health and Mental Hygiene, the Maryland Higher Education Commission, and the federal Health Resources and Services Administration.

Health Information Technology
The Maryland Health Care Commission and Chesapeake Regional Information Systems for Our Patients are collaborating to implement and update health information technology throughout Maryland. 

In 2005, Senate Bill 251 established the Task Force to Study Electronic Health Records to study the possibility of implementing health information technology. In addition, the Maryland Health Care Commission and the Health Services Cost Review Commission are developing a strategic plan to establish a statewide health information exchange.

Outreach and Enrollment
The Maryland Department of Health and Mental Hygiene’s Family Health Administration developed the Primary Care Office (PCO) Advisory Council. The PCO Advisory Council represents a diverse group of individuals from the public and private sector. The council advises and assists the PCO to help address statewide primary care needs, establish collaborative relationships, and help meet the requirements of the federal grant and other funding sources.

Access
For information on Maryland's access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
In 2011 a bill was passed to expand the duties of the Maryland Community Health Resources Commission (MCHRC) to provide assistance with the implementation of healthcare reform.  The MCHRC ,created in, 2005 to increase access to care for low-income Legislators developed the Maryland Community Health Resource Commission (MCHRC). The purpose of the MCHRC is to increase access to care for low-income, under- and uninsured Marylanders by providing support to community health resources. 

Return to the Community Health Centers Main page

Massachusetts

Updated September 2010

Massachusetts League of Community Health Centers
40 Court St., 10th Floor
Boston, MA 02108
Phone: (617) 426-2225
Fax: (617) 426-0097
Email: massleague@massleague.org

 

Primary Care Office
Massachusetts Department of Public Health
250 Washington Street, 5th Floor
Boston, MA 02108-4619
Phone: (617) 624-6060
Fax: (617) 624-6062

Overview
Thirty-six community health centers (including the nation's oldest) operate 333 delivery sites, serving more than 535,000 patients annually.

In 2006, the Massachusetts legislature enacted comprehensive health care reform. The law targets various uninsured populations and contains an "individual mandate" that required almost all residents to have health insurance by July of 2007. 

State Funding
In FY 2010, community health centers received $52 million in state funding, a 23 percent decrease from the previous year.

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas.

The Massachusetts State Loan Repayment Program is available to primary care practitioners who work full time at a public or nonprofit health center in a federally designated Health Professionals Shortage Area. The program is funded by matching state and federal funds.

Massachusetts also recruits practitioners to community health centers through the Student/Resident Experiences and Rotations in Community Health (SEARCH) Program, which allows community health centers to serve as teaching and training centers for medical students and residents.

Health Information Technology
2007 Senate Bill 2863 established the Health Information Technology Council to oversee the adoption of electronic health records in health care facilities throughout the state.

Outreach and Enrollment
Community health centers play a heightened outreach role in educating patients about the reform's individual mandate and helping to enroll them in public plans or new options offered through the Commonwealth Connector. This outreach effort has been supported by $2.7 million in grants from the state to health centers and other community organizations. Health centers also provide a medical home for many of these newly insured individuals.

Access
For information on Massachusetts' access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
The Massachusetts League of Community Health Centers operates the Massachusetts Community HealthCorps, which places AmeriCorps members in community health centers to help with education and outreach efforts.

Return to the Community Health Centers Main page

Michigan

Michigan Primary Care Association
7215 Westshire Drive
Lansing, MI 48917
Phone: (517) 381-8000
Fax: (517) 381-8008
Email: info@mpca.net

 

Health Policy, Regulation, and Professions
Michigan Department of Community Health
Capitol View Building, 7th Floor
201 Townsend
Lansing, MI 48913
Phone: (517) 241-2966
Fax: (517) 241-1200

Overview
Thirty two community health centers operate 170 delivery sites, serving more than 600,000 patients annually.

State Funding
State funding for FQHCs was cut by 15% in the fiscal year 2012 budget.

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas.

The Michigan Essential Health Provider Program awards up to $140,000 ($35,000 awarded per year over four years) to health care practitioners in exchange for agreeing to practice full-time in a federally designated Health Professional Shortage Area in Michigan. The program receives federal funding through the National Health Service Corps of the Health Resources and Services Administration and is equally matched with local funds contributed by health care employers.

Michigan recruits practitioners to community health centers through the Student/Resident Experiences and Rotations in Community Health (SEARCH) Program, which allows community health centers to serve as teaching and training centers for medical students and residents.

Health Information Technology
In 2005, two bills were passed relating to health information technology. House Bill 6039 established the Healthcare Information Technology and Infrastructure Development Fund to develop  healthcare information technologies. House Bill 5336 established the Health Information Technology Commission to promote the design, implementation, operation and maintenance of an interoperable health care information infrastructure in the state.

Outreach and Enrollment
The Michigan Primary Care Association (MPCA), YMCA of Greater Grand Rapids (YMCA) and American Indian Health and Family Services (AIHFS) were each granted federal children’s health insurance outreach and enrollment funding through the Centers for Medicare and Medicaid Services.

The Michigan Primary Care Association, in partnership with the Michigan Health and Hospital Association and the Middle Cities Education Association, has also launched a complimentary state-wide campaign called “Enroll Michigan” focused on enrolling children during the 2011 back-to-school season.

Access
For information on Michigan's access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
The Michigan Primary Care Association operates the Community HealthCorps, which places AmeriCorps members in community health centers to help with education and outreach efforts.

Return to the Community Health Centers Main page

Minnesota

Minnesota Association of Community Health Centers
1113 East Franklin Ave., Ste. 401
Minneapolis, MN 55404
Phone: (612) 253-4715
Fax: (612) 872-7849

 

Office of Rural Health and Primary Care
Minnesota Department of Health
P.O. Box 64882
St. Paul, MN 55164-0882
Phone:  (800) 366-5424
Fax: (651) 201-3830

Overview
Eighteen community health centers operate 80 delivery sites, serving more than 180,000 patients annually.

State Funding
In FY 2011, community health centers received $2.5 million in state funding, which is the same as in FY 2010. Several received funding to help meet health care home certification standards through Minnesota Department of Health mini-grants. One community health center received $175,000 for electronic health record (EHR)  implementation through the Minnesota EHR Loan Program.

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas.

The Minnesota State Loan Repayment Program provides up to $20,000 per year for primary care practitioners who agree to practice full time in a federally designated Health Professionals Shortage Area. The program is funded by matching state and federal funds.

Minnesota Department of Health administer several Loan Forgiveness Programs for health care practitioners who agree to work in rural or federally designated Health Professional Shortage Areas. The programs are funded completely by the state.

Health Information Technology
Minnesota Statute, § 62J.495 requires providers to have interoperable electronic health records systems in place by 2015. Minnesota Statute, § 62J.497 required providers to establish, maintain and use an electronic prescription drug program by January 1, 2011. In 2010, Minnesota Statute, § 62J.495 was revised to include a requirement that the provider’s electronic health record system must be connected to a state-certified health information organization either directly or through a connection facilitated by a state-certified health data intermediary.

Outreach and Enrollment
No recent statewide activity.

Access
For information on Minnesota' access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
No other recent statewide action.

Return to the Community Health Centers Main page

Mississippi

Updated September 2010

Mississippi Primary Health Care Association
6400 Lakeover Road, Suite A
Jackson, Mississippi 39213
Phone: (601) 981-1817
Fax: (601) 981-1217

 

Primary Care Office
Mississippi Office of Rural Health & Primary Care
Mississippi State Department of Health
P.O. Box 1700
Jackson, MS 39215-1700
Phone: (601) 576-7216
Fax: (601) 576-7530

Overview
Twenty-one community health centers operate 178 delivery sites, serving more than 296,000 patients annually.

State Funding
In FY 2010, community health centers received $3,751,267 in state funding, a 6 percent increase from the previous year.

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas. 

The State Medical Education Loan/Scholarship Program provides tuition assistance to Mississippi residents attending the University of Mississippi Medical Center School of Medicine. In exchange for the tuition assistance, the student must agree to practice full time in a medically underserved area of the state. The program is completely funded by the state

Health Information Technology
In 2007, Executive Order 979 established the Mississippi Health Information Technology Infrastructure Task Force to develop a plan for creating a statewide electronic health information exchange.

In 2010, the Mississippi State Legislature passed HB914, that established the Mississippi Health Information Network (MHIN) and a plan for a statewide health information exchange.

Outreach and Enrollment
Community Outreach Specialists (COS) have been placed at community health centers to provide application assistance with Mississippi Medicaid and CHIP.

Access
For information on Mississippi's access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
No other recent statewide action.

Return to the Community Health Centers Main page

Missouri

Missouri Primary Care Association
3325 Emerald Lane
Jefferson City, MO 65109
Phone: (573) 636-4222 
Fax: (573) 636-4585

 

Office of Primary Care & Rural Health
Missouri Department of Health & Senior Services
920 Wildwood Drive
P.O. Box 570
Jefferson City, MO 65102-0570
Phone:  1-800-891-7415
Fax: (573) 522-8146

Overview
Twenty-one community health centers operate 185 delivery sites, serving more than 392,785 patients annually.

State Funding
In FY 2011, direct state funding was subject to a withhold and was reduced from $9.25 million to $7.85 million, a decrease of over 15 percent. The appropriated level of state funds for FY12 is $4,020,000.

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas.

MO Health Professional Placement Services helps communities recruit and retain dedicated healthcare providers who have expressed an interest in practicing in areas of Missouri.

The Health Professional Loan Repayment Program provides financial assistance for health care providers in exchange for agreeing to practice full time in a rural or medically underserved area of the state. The program is completely funded by the state.

Professional and Practical Nursing Student Loans provide financial aid to Missouri residents attending a nursing program in Missouri. The loans can be forgiven in exchange for working in a medically underserved area of the state. 

The J-1 Visa Waiver Program allows foreign medical graduates to obtain a waiver of the two-year home residence requirement if they agree to practice in a federally designated Health Professional Shortage area for a minimum of three years.

The MO Student / Resident Experiences and Rotations in Community Health (SEARCH) Program enables health professional students and residents to complete clinical rotations in underserved areas throughout Missouri. 

Health Information Technology
In 2007, Executive Order 2007-12 created the Healthcare Information Technology Task Force to aid in the development of a statewide health information exchange. Also in 2007, each community health center received state funding to acquire electronic health record systems and collectively developed a data repository for clinical quality measures reporting. As of July, 2010, the Task Force had completed its operational plans for a statewide health information exchange and is currently searching for personnel to run the newly created Missouri Statewide Health Information Organization.

Outreach and Enrollment
In 2008, the Missouri Legislature added Community Health Centers as authorized entities to perform eligibility determination for children below 150% of the federal poverty level. Children deemed eligible receive care the day that they are seen and are assisted with the formal application process to receive full benefits through Missouri HealthNet for Kids.

Access
For information on Missouri's access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
No other recent statewide action.

Return to the Community Health Centers Main page

Montana

Montana Primary Care Association
1805 Euclid Avenue
Helena, MT 59601
Phone: (406) 442-2750
Fax: (406) 449-2460
Email: mbfrideres@mtpca.org

 

Montana Primary Care Office
Montana Department of Public Health & Human Sciences
P.O. Box 202951
Helena, MT 59620-2951
Phone (406) 444-3934
Fax: (406) 444-7465

Overview
Fourteen community health centers (and one state-wide migrant health program) operate 86 delivery sites, serving more than 96,682 patients annually.

State Funding
In FY 2010, community health centers received $63,316 in state funding, a 97 percent decrease from the previous year.  Most community health centers are contractors with the State Medicaid office, and receive reimbursement to administer the care management piece of the Medicaid Health Improvement Program for chronic disease management services for high cost/high risk Medicaid patients (health center and non-health center patients). A few receive some funding from other public health programs.

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas.

The Montana Rural Physician Incentive Program offers up to $100,000 to primary care physicians to repay medical school loans in exchange for working in a medically underserved area of the state.

The J-1 Visa Waiver Program (State Conrad 30 Program) allows foreign medical graduates to obtain a waiver of the two-year home residence requirement if they practice in a federally designated Health Professional Shortage area for at least three years.

Montana has a Federal/State NHSC State Loan Repayment Program for assisting mid-level providers, dentists and dental hygienists, and mental health professionals with their educational loans.

Health Information Technology
The 2011 State Legislature included the federal Medicaid Incentive Payment funds in the state budget, allowing financial support to primary care practices implementing Electronic Health Records.

In 2007, Senate Joint Resolution 19 supported the development of statewide health information exchange. In the same year, HealthShare Montana was founded to plan a statewide health information exchange.

Outreach and Enrollment
No recent statewide action.

Access
For information on Montana's access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
In 2003, House Bill 65 allowed dental students to perform supervised services before attaining their license if the services are provided for free.

In 2007, House Bill 406, known as the Community Health Center Support Act, established a grant program for community health centers and created a community health center advisory group, with two seats reserved for executive employees of community health centers.

In 2009, House Bill 280 specifies that new, nonfederally funded community health centers can receive state funding for up to of six years.

Return to the Community Health Centers Main page

Nebraska

Iowa/Nebraska Primary Care Association
9943 Hickman Rd., Ste. 103
Urbandale, IA 50322
Phone: (515) 244-9601
Fax: (515) 243-3566
Email: info@ianepca.com

 

Office of Rural Health & Primary Care
Department of Health & Human Services
301 Centennial Mall South
Lincoln, NE 68509-5026
Phone: (402) 471-0148
Fax: (402) 471-0180

Overview
Six community health centers operate 26 delivery sites, serving more than 52,000 patients annually. The state also has sixty five critical access hospitals and 132 certified rural health clinics.

State Funding
In FY 2010, community health centers received $3,293,190 in state funding, a 3 percent increase from the previous year. The appropriations included $1,850,875 for uncompensated care, $42,315 in general funds, and $1.4 million for the Nebraska Health Care Cash Fund.

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas.

Nebraska is partnering with HRSA representatives to create a Primary Care Taskforce which will evaluate past research and submit a recommended plan to all policy and educational leaders in the summer of 2011.

The Nebraska State Loan Repayment Program awards up to $40,000 a year for primary care practitioners who agree to practice full time in a state-designated shortage area. The program is funded by matching state and local funds.

Health Information Technology
Nebraska has established a health information exchange. The state also has a statewide telehealth network, which consists of not-for-profit hospitals, public health departments and a pilot of six certified rural health clinics and five community mental health clinics.

Outreach and Enrollment
No recent statewide action.

Access
For information on Nebraska's access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
Through collaborative education, workshops, services and family supports, Nebraska and other partners are working to serve returning veterans.

Return to the Community Health Centers Main page

Nevada

Great Basin Primary Care Association of Nevada
515 West 4th Street
Carson City, NV 89703
Phone: (775) 887-0417
Fax: (775) 887-3562
Email: healthcare@gbpca.org

 

Primary Care Office
Bureau of Health Planning and Statistics
Nevada State Health Division
Department of Health and Human Services
4150 Technology Way, Suite 104
Carson City, NV 89706
Phone:  (775) 684-4218
Fax:  (775) 684-4156

Overview
Two community health centers operate 26 delivery sites.

State Funding
In FY 2010 and FY 2011, community health centers in Nevada received no state funding.

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas.

The Nevada Health Service Corps provides loan repayment assistance for health care practitioners in exchange for agreeing to practice in a medically underserved area of the state. The Office of Rural Health administers this program, which has slowed down recently, due to the poor economy and the inability to raise funds. The Rural Obstetrical Access Program, established by the state legislature in 1993, provides funding to offset medical malpractice insurance for health care professionals specializing in obstetrics and prenatal care. Due to budget cuts, this program is operating on a limited basis, only in Lyon County as of June 2011.

Health Information Technology
The Office of Health Information Technology within the Nevada Department of Health and Human Services is responsible for facilitating the establishment of a statewide health information exchange system, pursuant to the ARRA HITECH Act and Nevada’s ARRA HITECH State Health Information Exchange Cooperative Agreement. Senate Bill 43, the necessary enabling legislation, was passed by the Nevada Legislature and approved by the Governor.

In 2009, by executive order, the governor of Nevada established the Nevada Health Information Technology Blue Ribbon Task Force to oversee the implementation of a statewide health information exchange. The Task Force completed its work in January 2011, and sunset June 30, 2011.

Outreach and Enrollment
No recent statewide action.

Access
For information on Nevada's access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
No other recent statewide action.

Return to the Community Health Centers Main page

New Hampshire

Bi-State Primary Care Association
3 South Street
Concord, NH 03301
Phone: (603) 228-2830
Fax: (603) 228-2464

 

Rural Health and Primary Care
New Hampshire Department of Health and Human Services

29 Hazen Drive
Concord, NH 03301
Phone: (603) 271-5934
Fax: (603) 271-4506

Overview
Sixteen community health centers operate 32 delivery sites, serving more than 125,000 patients annually.

State Funding
In FY 2011, community health centers received $4.3 million in state funding, this represents a decrease from the FY 2010 level. The reductions were made to help address the state’s budget shortfall. In FY 2010, community health centers received $4.5 million in state funding,  the same as in FY 2009.

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas.

The New Hampshire State Loan Repayment Program provides funding to primary care practitioners who agree to work in a federally designated Health Professionals Shortage Area or a medically underserved area of the state. The program is funded by state funds. Local communities or health centers are asked to provide matching funds. This program is also available to part-time providers and general surgeons who work for a Critical Access Hospital.

In 2010, legislation created the Primary Care Workforce Issues Commission which will meet for 5 years to address statewide primary care workforce issues.

The Rural Medical Scholars Program conducts a monthly seminar to train medical students in providing care to rural and underserved populations. The program is funded by the state.

The J-1 Visa Waiver Program allows foreign medical graduates to obtain a waiver of the two-year home residence requirement if they agree to practice in a federally designated Health Professional Shortage area at least three years.

Health Information Technology
HB 489 of 2011 creates a governance structure that will oversee the state's HIE infrastructure. The governance structure containing the bill is known as a public instrumentality – this means a public-private corporation that ideally brings to the board the transparency associated with public member participation with the financial rigor associated with private enterprise.

Executive Order 2008-06 directed the Citizens Health Initiative to develop a health information technology plan, which was issued on Jan. 1, 2009.

Outreach and Enrollment
No recent statewide action.

Access
For information on New Hampshire's access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
In 2007, House Bill 1402 required the Board of the Business Finance Authority to develop a better financing mechanism for community health centers.

2007 House Bill 305 established a task force to develop legislation to increase the availability of affordable health insurance. One seat on the task force was reserved for a representative from a New Hampshire community health center.

2009 Senate Bill 147 requires Federally Qualified health Centers, hospitals, and certain other health care providers to submit an annual data report on their uninsured patients.

In 2010, HB 1692 established a Commission on Primary Care Workforce Issues advocate for policy changes to strengthen an effective primary care workforce, with special concern for rural and underserved areas.

The recently passed FY 2012-2013 biennial budget requires the New Hampshire Department of Health and Human Services to implement a Medicaid Managed Care Program. 

The budget also cut funding for other significant programs such as:  family planning, STD testing and prevention, alcohol and substance abuse treatment and prevention services, community mental health, and uncompensated care payments to hospitals. 

Return to the Community Health Centers Main page

New Jersey

New Jersey Primary Care Association
3836 Quakerbridge Rd., Ste. 201
Hamilton, NJ 08619
Phone: (609) 689-9930
Fax: (609) 689-9940

 

Office of Primary Care and Rural Health
New Jersey Department of Health & Senior Services
50 East State Street, 6th Floor
P.O. Box 364
Trenton, NJ 08625-0364
Phone: (609) 292-1495
Fax: (609) 292-9599

Overview
Twenty community health centers operate 103 delivery sites, serving more than 430,000 patients annually.

State Funding
In FY 2010, community health centers received $45,550,000 in state funding, a 10 percent decrease from the previous year. The appropriations included $40 million for uncompensated care, $1.9 million to support pregnant undocumented women, $3 million in stabilization funds, $250,000 for a disease collaborative program, and $400,000 for disaster preparedness.

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas.

The New Jersey Primary Care Loan Redemption Program provides funds to repay educational loans for primary care practitioners in exchange for agreeing to work in a medically underserved area of the state.

New Jersey also recruits practitioners to community health centers through the Student/Resident Experiences and Rotations in Community Health (SEARCH) Program, which allows community health centers to serve as teaching and training centers for a variety of health care students and residents.

Health Information Technology
In 2006, the Health Information Technology Promotion Act (Assembly Bill 4044) established the Health Information Technology Commission in order to develop a statewide health information network. On October 16, 2009, the commission released the New Jersey Plan for Health Information Technology which detailed the development strategy for implementing a statewide health information exchange.

Outreach and Enrollment
The Community Outreach program is a statewide campaign to educate the public about community health centers and their role as safety net providers. The program helps community health centers develop marketing, outreach, and enrollment strategies.

Access
For information on New Jersey's access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
No other recent statewide action.

Return to the Community Health Centers Main page

New Mexico

Updated September 2010

New Mexico Primary Care Association
4206 Louisiana NE
Albuquerque, NM 87109
Phone: (505) 880-8882
Fax: (505) 880-8885

 

Primary Care/Rural Health Office
New Mexico Department of Health
300 San Mateo NE, Suite 900
Albuquerque, NM
Phone: See individual contacts
Fax: (505) 841-5885

Overview
Fifteen community health centers operate 133 delivery sites, serving more than 259,000 patients annually.

State Funding
In FY 2010, community health centers received $17,995,000 in state funding, a 2.5 percent increase from the previous year. The appropriations included $14,170,000 for operating expenses, $1,331,000 for outreach efforts, $1,200,000 in capital funding, $377,000 for diabetes supplies for the uninsured, and $285,000 for recruitment and retention contracts.

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas.

The Health Professional Loan Repayment program awards up to $35,000 a year to health care providers who work in a federally designated Health Professional Shortage Area or a medically underserved area of the state. The program is funded by state and federal funds.

The Medical Loan-for-Service Program awards up to $25,000 a year in medical school loan forgiveness in exchange for working in a medically underserved area of the state. The program is available to residents of New Mexico attending the University of New Mexico School of Medicine.

Health Information Technology
The New Mexico Health Information Collaborative was created in 2004 and serves as the state's health information exchange network.

Outreach and Enrollment
The Integrated Medicaid Enrollment Program is a joint effort of the New Mexico Primary Care Association and the New Mexico Human Services Medical Assistance Division. The program works with community health centers to help people enroll in Medicaid.

Access
For information on New Mexico's access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
No other recent statewide action.

Return to the Community Health Centers Main page

New York

Community Health Care Association of New York State
535 8th Ave., 8th Floor
New York, NY 10018
Phone: (212) 279-9686

 

New York State Department of Health
Tower Building, Room 1084
Empire State Plaza
Albany, NY 12237-0053
Phone:  (518) 473-4700
Fax: (518) 474-0572

Overview
More than sixty-five community health centers operate 470 delivery sites, serving more than 1.4 million patients annually.

State Funding
In FY 2011, community health centers received $37,109,246 in state funding. The appropriations included $36,786,746 for indigent care, and $322,500 for migrant health programs.

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas.

The Regents Physician Loan Forgiveness Award Program provides up to $10,000 per year to physicians in exchange for agreeing to work in a medical shortage area of the state, as designated by the New York State Board of Regents. The program is funded by the state. The Regents Health Care Scholarship for Medicine and Dentistry provides funding for minority and economically disadvantaged medical and dental students in New York in exchange for agreeing to work in a designated shortage area of the state. The program is also funded by the state.

In 2008, the state created the Doctors Across New York initiative to recruit health care providers to rural and medically underserved areas of the state. The initiative runs several loan repayment programs, including the Physician Loan Repayment and Physician Practice Support Programs. All programs are funded by the state.

New York also recruits practitioners to community health centers through the Student/Resident Experiences and Rotations in Community Health (SEARCH) Program, which allows community health centers to serve as teaching and training centers for medical students and residents.

The NY State Department of Health operates the New York "State 30" Program as authorized under federal Public Law 103-416. Under this program, the state can sponsor up to thirty physicians annually who hold J-1 visas and who seek waivers of the home residence requirement. In return, these physicians must agree to practice in, or serve, federally designated underserved areas of the state for a period of three years.

Health Information Technology
In 2008, the Community Health Care Association of New York State (CHCANYS) was the recipient of a $4 million state grant to support the introduction of electronic health records to 9 health center sites in the New York City borough of Brooklyn.  in implementation and use of electronic health records.

In 2007, the Office of Health Information Technology Transformation was established within the New York Department of Health to coordinate the development of a statewide health information network. In 2009, the office released the New York State's Health IT Strategic Plan. The New York eHealth Collaborative is a public-private partnership that works with the Office of Health Information Technology Transformation to develop the Statewide Health Information Network of New York (SHIN-NY).

Outreach and Enrollment
The Community Health Care Association of New York State operates the New York Community HealthCorps, which places AmeriCorps members in community health centers to help with education and outreach efforts. The goal of Community HealthCorps is to increase access and eliminate health disparities for the medically underserved.

Access
For information on New York's access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
No other recent statewide action.

Return to the Community Health Centers Main page

North Carolina

North Carolina Community Health Center Association
2500 Gateway Centre Blvd., Ste. 100
Morrisville, NC 27560
Phone: (919) 469-5701
Fax: (919) 469-1263
Email: office@ncchca.org

 

Office Rural Health and Community Care
North Carolina Department of Health & Human Services
311 Ashe Avenue
Raleigh, NC 27606
Phone: (919) 733-2040
Fax: (919) 733-8300

Overview
Twenty-six community health centers operate 134 delivery sites, serving more than 400,000 patients annually. Two community health center “look alikes” operate an additional six sites.

State Funding
In State FY 2010-2011, community health centers received $1,404,514 in state funding through the Community Health Grant program.

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas.

The North Carolina State Loan Repayment Program provides funding to primary care practitioners who work in a federally designated Health Professionals Shortage Area, or a medically underserved area of the state. The program is funded by state and federal funds.

North Carolina also recruits practitioners to community health centers through the Student/Resident Experiences and Rotations in Community Health (SEARCH) Program, which allows community health centers to serve as teaching and training centers for medical students and residents. The program is funded by the U.S. Department of Health and Human Services, Health Resources and Services Administration.

The J-1 Visa Waiver Program allows foreign medical graduates to obtain a waiver of the two-year home residence requirement if they agree to practice in a federally designated Health Professional Shortage Area.

After passage of the 2010 health care reform law, the North Carolina Institute of Medicine formed  8 workgroups tasked with helping the state implement parts of the Patient Protection and Affordable Care Act. One of these work groups, the Health Professionals Workforce Workgroup, has begun drafting recommendations that will be compiled into a report to be presented to the North Carolina General Assembly.

 Calling for a study to explore how to increase the number of primary care residencies in underserved areas of the state, a proposed bill (SB 696) recently passed through the state Senate and awaits House approval.

Health Information Technology
In 2009, Executive Order 19 established the North Carolina Health Information Technology Collaborative to oversee the development of a statewide health information exchange.

In 2010, the state received a notice of award from the Office of the National Coordinator for Health Information Technology in the amount of $12.9 million and has begun the process of developing the North Carolina Health Information Exchange, an independent non-profit organization projected to be operational by the end of calendar year 2011.

Outreach and Enrollment
The North Carolina Families Accessing Services through Technology (NC FAST) program was designed by the North Carolina Department of Health and Human Services to improve the enrollment and case management of the state’s social services recipients. Though parts of the program are still in the development phase, implementation of the case management software began roll out to all 100 counties in August of 2010.

Access
For information on North Carolina's access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
No other recent statewide action.

Return to the Community Health Centers Main page

North Dakota

Community HealthCare Association of the Dakotas
1003 East Interstate Avenue, Suite 6
Bismarck, ND 58503
Phone: (701) 221-9824
Fax: (701) 221-0615

 

Office of Community Assistance
North Dakota Department of Health
600 E. Boulevard, Department 301
Bismarck, ND 58505-0200
Phone: (701) 328-4839
Fax: (701) 328-1890

Overview
Five community health centers operate 23 delivery sites, serving more than 26,000 patients annually.

State Funding
In FY 2010 and FY 2011, community health centers received no state funding.

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas.

The State Community Matching Physician Loan Repayment Program is available to physicians who practice in an area of need in North Dakota. The program is funded by state funds and an equal match from the community, hospital, or clinic employing the physician. The Medical Personnel Loan Repayment Program provides the same funding opportunity, but for nurse practitioners, nurse midwives, and physicians assistants. This program is also funded by state funds with an equal match from the community employing the health care provider.

Health Information Technology
In 2007, House Bill 1021 established the Health Information Technology Steering Committee to develop infrastructure for a statewide health information exchange network. In 2009, Senate Bill 2332 established a Health Information Technology Office and a Health Information Technology Advisory Committee to establish the statewide health information exchange. In addition, the bill created the Health Information Technology Loan Fund to help health care providers to upgrade to electronic health records. Loan applications are reviewed and approved by the Health Information Technology Office.

Outreach and Enrollment
No recent statewide action.

Access
For information on North Dakota's access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
No other recent statewide action.

Return to the Community Health Centers Main page

Ohio

Ohio Association of Community Health Centers
4150 Indianola Ave.
Columbus, OH 43214
Phone: (614) 884-3101
Fax: (614) 884-3108

 

Primary Care and Rural Health Program
Ohio Department of Health
246 North High Street, 6th Floor
Columbus, OH 43215
Phone: (614) 728-3700
Fax: (614) 644-9850

Overview
Twenty-seven community health centers operate 160 delivery sites, serving more than 500,000 patients annually.

State Funding
In FY 2010, community health centers received $2.68 million in state funding, a 17 percent decrease from the previous year. As of June, 2011, the state budget for FYs 12 and 13 is pending before the Ohio General Assembly, but Ohio’s Health Centers are poised to continue to receive level funding through GRF and authorization to repurpose unspent tobacco dollars as GRF. Between the two funding streams, community health centers would receive level funding in both years of the upcoming biennium.

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas.

The Ohio Physician Loan Repayment Program is available to health care professionals who agree to practice in a federally designated Health Professional Shortage Area. The program is funded through physician licensure fees. The Bureau of Health Professions State Loan Repayment Program also recruits health professionals to medically underserved areas.

Ohio also recruits practitioners to community health centers through the Student/Resident Experiences and Rotations in Community Health (SEARCH) Program, which allows community health centers to serve as teaching and training centers for medical students and residents.

The J-1 Visa Waiver Program allows foreign medical graduates to obtain a waiver of the two-year home residence requirement if they agree to practice in a federally designated Health Professional Shortage Area.

Health Information Technology
In 2007, Executive Order 30 established the Ohio Health Information Partnership Advisory Board to oversee the development of a statewide health information exchange. In 2009, the state established the Ohio Health Information Partnership, a nonprofit to help health providers upgrade to electronic health records and help establish a statewide health information exchange.

Outreach and Enrollment
Ohio performs presumptive eligibility for children. A provision in the budget bill (which was pending as of June 2011 and had not yet passed the General Assembly) would also require the state to do presumptive eligibility for pregnant women as well.

Access
For information on Ohio's access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
No other recent statewide action.

Return to the Community Health Centers Main page

Oklahoma

Oklahoma Primary Care Association
4300 North Lincoln Blvd., Ste. 203
Oklahoma City, OK 73105
Phone: (405) 424-2282
Fax: (405) 424-1111

 

Office of Primary Care
Oklahoma State Department of Health
1000 NE 10th Street, Room 511
Oklahoma City, OK 73117
Phone: (405) 271-8428
Fax: (405) 271-5493

Overview
Seventeen community health centers operate 40 delivery sites, serving more than 118,000 patients annually.

State Funding
For state fiscal years 2011 and 2012, there were not budget limit bills with line item appropriations for health centers.  However, an allocation is made from an agency’s overall appropriation to continue the purposes from the prior year.  For fiscal year 2011, the allocation for uncompensated uninsured care in health centers was about $3.28M and about $475,000 for health center development.  For fiscal year 2012, the allocation is anticipated to be a cut of 5% to the uncompensated uninsured care amount totaling about $3.12M, and an allocation for health center development of about $319,000.

In FY 2010, community health centers received $4,541,120 in state funding, a 222 percent increase from the previous year. The appropriations included $3,841,120 for uncompensated care and $70,000 for health center development activities and tort protection for volunteers.

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas.

Oklahoma operates a variety of programs to recruit health care providers to rural and medically underserved areas of the state by providing financial incentives. Programs include the Physician/Community Match Program (matching state and local funds), the Rural Medical Education Scholarship Loan Program (state funded), the Physician Assistant Scholarship Program (state funded), the Family Practice Resident Rural Scholarship Program (state funded), the Oklahoma Dental Loan Repayment Program (state funded), and the Oklahoma Intern/Resident Cost Sharing Program, which provides funding to hospitals and clinics to help offset the cost of salaries for interns and residents (state funded).

Health Information Technology
In 2008, Executive Order 4 established the Health Information Security and Privacy Council to develop a plan for a statewide health information exchange. In 2009, the governor named the Oklahoma Health Care Authority the designated organization to apply for federal health information technology grants. In 2010, Senate Bill 1373 established the Oklahoma Health Information Exchange Trust to govern the state health information exchange.

Outreach and Enrollment
Oklahoma has established an online Medicaid enrollment program that allows individuals to enroll in and renew enrollment for the state Medicaid program on a rolling basis. The system also helps applicants determine eligibility for other assistance programs by indicating other programs for which individuals may be eligible based on the information provided.

Access
For information on Oklahoma's access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
No other recent statewide action.

Return to the Community Health Centers Main page

Oregon

Oregon Primary Care Association
110 SW Yamhill Street, Suite 300
Portland, OR 97204
Phone: (503) 228-8852
Fax: (503) 228-9887
Email: info@orpca.org

 

Primary Care Office
Department of Human Services
Health Systems Planning
800 NE Oregon Street, Suite 930
Portland, OR 97232
Phone: (971) 673-1222
Fax: (971) 673-1299

Overview
Twenty-nine community health centers operate 157 delivery sites, serving more than 312,805 patients annually.

State Funding
In FY 2011, community health centers received no direct state funding to support their operations.

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas.

Oregon has many programs to encourage workforce development in community health centers. The National Health Service Corps offers scholarship and loan repayment programs within shortage areas, the J-1 Visa Waiver Program allows foreign medical graduates to work in shortage areas without the normal two-year residency requirement, and the Student/Resident Experiences and Rotations in Community Health (SEARCH) Program allows health centers to serve as teaching and training centers for medical students and residents.

Other organizations geared towards workforce development include the Oregon Health Policy Board Workforce Committee, the Office of Rural Health, Oregon Area Health Education Centers, and the Oregon Healthcare Workforce Institute.

Health Information Technology
In 2010, the Direct Project was launched in order to improve the transport of health information. The Project’s goal is to enable secure, direct health information exchange, and a more local and less complex transfer among trusted providers in support of stage 1 of Meaningful Use Incentive requirements.

The Health Information Technology Oversight Council, Oregon Health Information Technology Extension Center, and the Governor’s Health Information Infrastructure Advisory Committee also seek to increase the role of health information technology.

Outreach and Enrollment
Oregon Healthy Kids provides no-cost, low-cost and full-cost health coverage options for uninsured Oregon children and teens up to 19 years of age. Coverage lasts for one full year and covers all health needs, including doctor visits, dental care, vision, mental or behavioral health services, prescriptions, and more. Children will not be turned away due to pre-existing conditions or be put on a waiting list.

The Office of Healthy Kids is a part of the new Oregon Health Authority, and enrollment work is done online or through the Department of Human Services offices across the state. An Advisory Committee and an appointed Steering Committee offer feedback and guidance to Healthy Kids. The members of these committees include insurance providers, advocacy groups, and service providers.

Access
For information on Oregon's access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
In 2011, the Oregon Legislative Assembly undertook significant health care reform efforts.  A Health System Transformation bill has passed through Oregon’s legislature which will elevate the role of Patient-Centered Primary Care Homes as central to health care transformation.

Return to the Community Health Centers Main page

Pennsylvania

Pennsylvania Association of Community Health Centers
1035 Mumma Road, Suite 1
Wormleysburg, PA 17043
Phone: (717) 761-6443
Fax: (717) 761-8730
Email: pachc@pachc.com

 

Pennsylvania Department of Health
Bureau of Health Planning
Division of Health Professions Development
Room 1033 Health & Welfare Building
625 Forster Street
Harrisburg, PA 17120-0701
Phone:  (717) 772-5298
Fax:  (717) 705-6525

Overview
Thirty-six community health centers operate 229 delivery sites, serving more than 582,000 patients annually.

State Funding
In FY 2011, community health centers received $800,300 in state funding.

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas.

The Pennsylvania Primary Health Care Practitioners Loan Repayment program is available to health care workers who agree to practice in a federally designated Health Professional Shortage Area. The program is funded by state and federal funds.

The J-1 Visa Waiver Program allows foreign medical graduates to obtain a waiver of the two-year home residence requirement if they agree to practice in a federally designated Health Professional Shortage Area.

Health Information Technology
In 2008, Executive Order 13 established the Pennsylvania Health Information Exchange (PHIX) within the Office of Health Care Reform to develop and manage a statewide health information exchange and other HIT initiatives.

Outreach and Enrollment
No recent statewide action.

Access
For information on Pennsylvania's access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
The Community Challenge Grant Program provides state funds to expand or establish community health centers in medically underserved areas of the state. The program awards up to $200,000 for expansion projects and $500,000 to establish new community health centers.

Return to the Community Health Centers Main page

Rhode Island

Rhode Island Health Center Association
235 Promenade Street, Suite 104
Providence, RI 02908
Phone: (401) 274-1771
Fax: (401) 274-1789
Email: info@rihca.org

 

Office of Primary Care & Rural Health
Rhode Island Department of Health
3 Capitol Hill, Room 302
Providence, RI 02908
Phone: (401) 222-7626
Fax: (401) 222-1442

Overview
Ten community health centers, including eight federally qualified health centers, one look-alike and one island-based health center, operate 54 delivery sites, serving more than 120,000 patients annually.

State Funding
In FY 2011, community health centers received $1.2 million in state funding. In FY 2010, community health centers received $1.4 million in state funding, an 11 percent decrease from the previous year.

Workforce
No recent statewide activity.

Health Information Technology
In 2005, Rhode Island was one of six states to be awarded a demonstration contract from the Agency for Health Care Quality and Research to design and develop a statewide health information exchange, known as CurrentCare. The exchange was developed through a public-private partnership with the Rhode Island Quality Institute. In 2008, the legislature passed the Rhode Island Health Information Exchange Act to provide privacy and data security protections for health information shared on the exchange. Rhode Island community health centers have adopted and implemented EHRs.  The remaining centers are in the process of adoption and implementation and should be operational by the end of the year.

Outreach and Enrollment
The Rhode Island Health Center Association administers the state Family Resource Counselor Program, providing trained applications assistants at all community health center and hospital locations to help eligible families access public health insurance.  RIHCA is a partner with The Providence Plan in the new CMS solicitation for outreach and enrollment funding.

Access
For information on Rhode Island's access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
No other recent statewide action.

Return to the Community Health Centers Main page

South Carolina

Updated September 2010

South Carolina Primary Health Care Association
3 Technology Circle
Columbia, SC 29203
Phone: (803) 788-2778
Fax: (803) 788-8233
Email: info@scphca.org

 

Office of Primary Care
South Carolina Department of Health & Environmental Control
1751 Calhoun Street
Columbia, SC 29201
Phone:  (803) 898-0766
Fax: (803) 898-0445

Overview
Twenty community health centers operate 163 delivery sites, serving more than 300,000 patients annually.

State Funding
Community Health Centers received a state appropriation of $750,000 for FY 2010 and $200,000 appropriation for FY 2011. However, the funding for FY 2011 is dependent on FMAP and the state matching the FMAP funding.

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas.

The J-1 Visa Waiver Program allows foreign medical graduates to obtain a waiver of the two-year home residence requirement if they agree to practice in a federally designated Health Professional Shortage Area.

Health Information Technology
The South Carolina Health Information Exchange is an operational statewide network that allows health care providers to access electronic health information, including diagnoses and medication data.

The director of the state Department of Health and Human Services has established a steering committee to oversee the process of adopting electronic medical records and other health information technology in the state. The SCPHCA and one of its health center directors serve on the committee.

Outreach and Enrollment
No recent statewide action.

Access
For information on South Carolina's access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
The South Carolina Department of Health and Human Services has established a “pediatric medical homes” initiative that will select 12-15 pilot sites to implement Medicaid medical homes. Several community health centers are participating in this initiative.

Return to the Community Health Centers Main page

South Dakota

Community HealthCare Association of the Dakotas
1400 West 22nd Street
Sioux Falls, SD 57105
Phone: (605) 357-1515
Fax: (605) 357-1510

 

Office of Rural Health
South Dakota Department of Health
600 E. Capitol Avenue
Pierre, SD 57501
Phone: (605) 773-3366
Fax: (605) 773-5683

Overview
Six community health centers operate 44 delivery sites, serving more than 55,000 patients annually.

State Funding
In FY 2010, community health centers received no state funding.

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas.

Tuition reimbursement programs are available to physicians, dentists, and midlevel practitioner in exchange for working in a rural and medically underserved area of the state. The programs are funded by a combination of state and local community funds.

The South Dakota State Loan Repayment Program provides funding for a variety of health care practitioners in exchange for working in a federally designated Health Professional Shortage Area of the state. The program is funded by federal and state funds, with a partial match from the employing health care clinic. The Health Professional Recruitment Incentive Program provides $5,000 to health care professionals who work for at least two years at a pre-approved health care facility in the state. The program is funded by the state with a partial match from the employing facility.

Health Information Technology
In 2009, Executive Order 1 established the South Dakota eHealth Collaborative to oversee the development of a statewide Health Information Exchange.

Outreach and Enrollment
No recent statewide action.

Access
For information on South Dakota's access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
No other recent statewide action.

Return to the Community Health Centers Main page

Tennessee

Tennessee Primary Care Association
416 Wilson Pike Circle
Brentwood, TN 37027
Phone: (615) 329-3836
Fax: (615) 329-3823

 

Tennessee Department of Health
Cordell Hull Building
425 5th Avenue, N, 6th Floor
Nashville, TN 37243
Phone: (615) 741-0388
Fax: (615) 253-2100

Overview
Twenty-three Federally Qualified Health Centers and two Federally Qualified Health Center Look-a-Likes  operate 147 delivery sites, serving more than 361,825 patients annually.

State Funding
In FY 2011, the Tennessee General Assembly appropriated $6 million in state funding for community health centers, but due to budgetary constraints this was reduced to $5.32 million.

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas.

State Loan Repayment Program (SLRP)
This program is funded by a one to one dollar match with federal and state funds to provide educational loan repayment to primary care practitioners in exchange for a two-year service commitment in a Health Professional Shortage Area (HPSA).  Approximately eight primary care practitioners have received loan repayment awards.

Conrad 30 J-1 Visa Waiver Program
Foreign Medical Graduates receive a two-year home residence waiver in exchange for a three-year service obligation in an underserved area. To date, approximately eight J-1 Visa physicians per cycle have been recruited through this program over the last years.

Practice Incentive Grants (PIG)
Health and dental care providers may receive up to $50,000 for agreeing to practice in a State designated Top 30 health resource shortage area for three years.  This 100% state funded program remains relatively inactive since FY 2008-09 due to the state’s economic downturn.

Health Information Technology
In September of 2010, the State of Tennessee received an $11.6 million grant from the Office of the National Coordinator for Health Information Technology that will help connect existing health information exchanges in the state and lower the cost of sharing electronic health information between these entities.

In October of 2010, The Bureau of TennCare (Tennessee’s Medicaid program) received federal approval to move forward with their Electronic Health Record provider incentive program. Tennessee also received approval for its State Medicaid Health Information Technology Plan (SMHP), which outlines the state’s plan to administer the program.

In 2006, Executive Order 35 established the eHealth Advisory Council to develop a plan to transition to electronic health records in the state. The Office of eHealth Initiatives was created to provide further support in the adoption of health information technology. In 2009, the office released the State of Tennessee Health Information Exchange Strategic Plan to guide the development of a statewide health information exchange.

Outreach and Enrollment
No recent statewide action.

Access
For information on Tennessee's access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
No other recent statewide action.

Return to the Community Health Centers Main page

Texas

Texas Association of Community Health Centers
5900 Southwest Parkway, Building 3
Austin, TX 78735
Phone: (512) 329-5959
Fax: (512) 329-9189

 

Texas Primary Care Office
Texas Department of State Health Services
1100 West 49th Street, M328
Austin, TX 78756
Mail code: 1937
Phone: (512) 458-7518
Fax: (512) 458-7658

Overview
Sixty-four community health centers operate over 300 delivery sites, serving more than 923,000 patients annually

State Funding
In FY 2010, community health centers received $20.5 million in state funding, including $5 million for a community health center incubator program and $5.5 million for a primary health care program. The FQHC Incubator Grant program was not funded for FY 2012-2013.

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas.

The Physician Education Loan Repayment Program and the Dental Education Loan Repayment Program provide funding to health care professionals in exchange for agreeing to work in designated shortage areas of the state. The programs are state funded. In addition, the Children's Medicaid Loan Repayment Program provides funding to health care professionals who agree to serve Medicaid patients. The amount of the reward is based on the number of Medicaid visits.  The Physician, Dental and Medicaid Loan Repayment Programs not funded for FY 2012-2013, except for a small appropriation for the Physician Loan Repayment Program.

Health Information Technology
In 2005, Senate Bill 45 created the Health Information Technology Advisory Committee to oversee the adoption of health information technology and the development of a regional health information exchange. The committee released a plan for development in 2006. In 2007, House Bill 1066 established the Texas Health Services Authority as a nonprofit organization to promote the implementation of health information technology and the development of a statewide health information exchange.

Outreach and Enrollment
Outstationed Eligibility Workers are placed at community health centers throughout the state and help process Medicaid applications for children and pregnant women.

Access
For information on Texas' access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
In 2003, Senate Bill 610 established a community health center incubator program. The program was reauthorized in 2010, however it was not funded for FY 2012-2013.

Return to the Community Health Centers Main page

Utah

Association for Utah Community Health
860 East 4500 South, Suite 206
Salt Lake City, UT 84107
Phone: (801) 974-5522
Fax: (801) 974-5563

 

Office of Primary Care & Rural Health
Utah Department of Health
P.O. Box 142005
Salt Lake City, UT 84114-2005
Phone: (801) 273-6619
Fax: 801-273-4146

Overview
Eleven community health centers and one FQHC Look-Alike operate 47 delivery sites, serving more than 118,000 patients annually.

State Funding
In FY 2011, community health centers received approximately $463,000 in direct state funding through the Primary Care Grants Program. In FY 2010, community health centers received $592,462 in direct state funding through the State Primary Care Grants Program.

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas.

Funding for state loan repayment programs was cut during the 2009 legislative session.

Health Information Technology
All Health Center organizations in Utah have fully implemented electronic health record systems. All of Utah’s health center organizations are members of the Utah Health Information Network’s CHIE (Clinical Health Information Exchange) and have begun the process of creating interoperability with the CHIE. A Central Data Repository of health center specific data is currently under development.

Outreach and Enrollment
The Association for Utah Community Health is currently managing a Patient Enrollment and Assistance Program funded through a Children’s Health Insurance Program Reauthorization Act (CHIPRA) Outreach and Enrollment Grant.

Access
For information on Utah's access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
No other recent statewide action.

Return to the Community Health Centers Main page

Vermont

Updated September2010

Bi-State Primary Care Association
61 Elm Street
Montpelier, VT 05602
Phone: (802) 229-0002
Fax: (802) 223-2336


Office of Rural Health and Primary Care
Vermont Department of Health
108 Cherry Street, P.O. Box 70
Burlington, VT 05402-0070
Phone: (802) 951-1259
Fax: (802) 651-1634

Overview
Seven community health centers operate 46 delivery sites, serving more than 82,000 patients annually.

State Funding
In FY 2010, community health centers received $295,000 in state funding, a 12 percent decrease from the previous year. The appropriations included $150,000 for a community health center incubator program.

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas.

The Vermont Educational Loan Repayment program provides funding to a variety of health care workers who agree to practice in a medically underserved area of the state. The program is funded by the state.

The J-1 Visa Waiver Program allows foreign medical graduates to obtain a waiver of the two-year home residence requirement if they agree to practice in a federally designated Health Professional Shortage Area.

Health Information Technology
In 2005, the state budget started to provide funding for Vermont Information Technology Leaders, Inc., a nonprofit in charge of developing a statewide health information exchange. In 2009, Act 61 required the Division of Health Care Reform within the Vermont Office of Health Access to create a plan for further development of a statewide health information exchange. A plan for development was released in 2010.

Outreach and Enrollment
No recent statewide action.

Access
For information on Vermont's access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
No other recent statewide action.

Return to the Community Health Centers Main page

Virginia

Virginia Primary Care Association
3831 Westerre Parkway
Henrico, VA 23233-1330
Phone: (804) 237-7677
Fax: (804) 237-7685
Email: webmaster@vacommunityhealth.org

 

Division of Primary Care and Rural Health
Virginia Department of Health
109 Governors St, 10th Floor East
P.O. Box 2448
Richmond, VA 23219-2448
Phone: (804) 864-7426
Fax: (804) 864-7440

Overview
Twenty-five community health centers operate 146 delivery sites, serving more than 257,000 patients annually.

State Funding
In FY 2010, community health centers received $2,073,945 in state funding, a 36 percent decrease from the previous year. State funding remained constant for FY 2011.

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas.

In 2010, the Virginia General Assembly enacted legislation to establish the Virginia Health Workforce Development Authority (VHWDA) whose mission is “to facilitate the development of a statewide health professions pipeline that identifies, educates, recruits, and retains a diverse, appropriately geographically distributed and culturally competent quality workforce.”

In 2010, Virginia was the only state in the nation to be awarded a State Health Workforce Implementation Grant from the U.S. Health Resources and Services Administration.  Virginia’s grant was for $1.93 million. A portion of these federal grant dollars are being used to support implementation of the VHWDA.
 

Health Information Technology
The latest updates on Virginia’s Health Information Technology policies are available here.

Outreach and Enrollment
No recent statewide action

Access
For information on Virginia's access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
No other recent statewide action.

Return to the Community Health Centers Main page

Washington

Washington Association of Community and Migrant Health Centers
510 Plum Street SE, Suite 101
Olympia, WA 98501-1587
Phone: (360) 786-9722
Fax: (360) 786-9723

 

Office of Community Development
Washington State Department of Health
P.O. Box 47853
Olympia, WA 98504-7853
Phone:  (360) 236-2812
Fax: (360) 236-2830

Overview
Thirty-five community health centers operate 212 delivery sites, serving more than 935,050 patients annually.

State Funding
In FY 2010, community health centers received $10,193,162 in state funding. In FY 2011, community health centers received $5,340,403, a decrease of approximate 50 percent.

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas.

In 1989, the state legislature established the Health Professional Loan Repayment Program (Wash. Rev. Code §18.150). This law requires that health professionals participating in the program serve at least three years in a health professional shortage area in exchange for a $25,000 yearly loan repayment stipend.  Funding was suspended by the legislature for FY 2011.

Health Information Technology
In 2009, Senate Bill 5501 required the Washington Health Care Authority to designate an organization to lead the development of a statewide health information exchange. OneHealthPort was selected and submitted Health Information Exchange Strategic and Operational Plans in July, 2010.

Outreach and Enrollment
The Washington Community Health/Promoters Workers Network is a bilingual, bicultural network aiming to increase access to health care and information. Serving as a resource for farm workers, migrants, and other underserved populations, the Community Health Workers mentor and discuss information about health issues and access to community health centers throughout the state.

Access
The state has dramatically reduced funding for the state-funded Basic Health Plan for low-income residents with income to 200% FPL. Enrollment has been reduced from 105,000 to 65,000 single adults and childless couples. This reduction translates into dramatically reduced revenue for health centers which previously served over 40% of this population. 

For information on Washington's access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
Beginning April 1, 2011, health centers experienced a significant decrease in their Medicaid reimbursement rate.  This rate reduction is approximately 10.6% for the 2011-2013 biennium.

Basic Health enrollment continues to be frozen throughout the 2011-2013 biennium.  An average of 37,000 persons per month are expected to be covered during FY 2012, and 33,000 per month during FY 2013.

Return to the Community Health Centers Main page

Washington, D.C.

District of Columbia Primary Care Association
1411 K Street NW, Suite 300
Washington, DC 20005
Phone: (202) 638-0252
Fax: (202) 638-4557
Email: dcpca@dcpca.org

 

Primary Care Bureau
Community Health Administration
District of Columbia Department of Health
 825 N. Capitol Street, NE, 3rd Floor
Washington, DC 20002
Phone: (202) 442-9168
Fax: (202) 442-4947

Overview
Five community health centers operate 43 delivery sites, serving more than 125,000 patients annually.

State Funding
In FY 2011, the DC Primary Care Association is not budgeted to receive any district funding for community health centers. In FY 2010, community health centers received $10,386,074 in district funding, a 56 percent decrease from the previous year.

Workforce
While not focused solely on community health centers, many workforce development policies are aimed at increasing primary care providers practicing in underserved areas.

DCPCA’s Community Health Access program puts into action several major initiatives to recruit, train, and employ an emerging group of front-line community health care workers, including a partnership with the Community College of DC, and continues to serve as a program sponsor for the Community HealthCorps.

Health Information Technology
The DC Regional Health Information Organization (DC RHIO) is a collaborative health information exchange system that seeks to improve care quality and cost effectiveness through access to shared patient information. A partnership between DCPCA and the DC government,  the DC RHIO has been named the State Health Information Exchange (HIE) by the Office of the National Coordinator for HIT.

eHealthDC, a DCPCA program, is a federally-subsidized Regional Extension Center (REC) and offers technical assistance, guidance and information on best practices to support and accelerate EHR adoption, and will assist 1,000 providers in the District achieve Meaningful Use.

Outreach and Enrollment
No recent district-wide action.

Access
For information on Washington D.C.'s access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
In 2007, Bill 346 established the Free Clinic Captive Insurance Company to provide medical malpractice liability coverage for nonprofit community health centers.

Return to the Community Health Centers Main page

West Virginia

West Virginia Primary Care Association
1219 Virginia Street East
Charleston, WV  25301
Phone: (304) 346-0032
Fax: (304) 345-0033
Email: info@wvpca.org

 

Division of Primary Care
Office of Community and Rural Health Services
350 Capitol Street, Room 515
Charleston, WV 25301-3716
Phone:  (304) 558-7127
Fax: (304) 558-1437

Overview
Twenty-eight community health centers operate 160 delivery sites, serving more than 373,346 patients annually.

State Funding
In FY 2010, community health centers received $7,856,480 in state funding

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas.

West Virginia has two state-wide programs to incentivize professional recruitment to rural or underserved communities and counties. The State Loan Repayment Program offers primary health care professionals $40,000 for a two-year working commitment in a Health Professional Shortage Area. Two one-year service extensions are possible for $25,000 repayment per year. To attract primary care providers to communities, West Virginia’s division of recruitment established the Recruitment and Retention Community Project in 1998. This project provides a maximum of $10,000 for community enhancing efforts. However, a sponsoring organization within the community must provide matching funds(i.e. an additional $10,000).

Health Information Technology
In 2006, Senate Bill 170 established the West Virginia Health Information Network, a public-private partnership in charge of developing and overseeing an interoperable statewide health information exchange.

Outreach and Enrollment
No recent statewide action.

Access
For information on West Virginia's access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
No other recent statewide action.

Return to the Community Health Centers Main page

Wisconsin

Wisconsin Primary Health Care Association
4600 American Parkway, Suite 204
Madison, WI 53718
Phone: (608) 277-7477

 

Primary Care Program
Wisconsin Division of Public Health
PO Box 2659, 1 W. Wilson St.
Madison, WI 53701-2659
Phone: (608) 264-7734
Fax: (608) 266-2584

Overview
Seventeen community health centers operate 84 delivery sites, serving more than 270,000 patients annually.

State Funding
For FY 2012 and FY 2013, community health centers are currently slated to receive $5.49 million annually, which represents a decrease of 5 percent from the previous biennium. In FY 2010 and FY 2011, community health centers received stable funding. 

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas.

The Wisconsin Department of Commerce's Health Professions Loan Assistance Program recruits primary care professionals to Health Professional Shortage Areas. Health care professionals can receive up to $50,000 in loan assistance through the program. In 2009, Wis. Laws Act 190 expanded repayment to physicians practicing in a rural area to $100,000. Wisconsin’s loan repayment programs require a three-year work commitment in order to receive the full amounts.

Health Information Technology
In 2009, Executive Order 303 established the Wisconsin Relay of Electronic Data (WIRED) for Health Board to develop an interoperable statewide health information exchange. In 2009, the Wisconsin Health Information Technology Extension Center was established to serve as the regional extension center for the state.

Outreach and Enrollment
No recent statewide action.

Access
For information on Wisconsin's access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
On January 27, 2011 Governor Walker signed Executive Order #10 to establish the Office of Free Market Health Care.  The Office will be directed by the Department of Health Services and the Office of Commissioner of Insurance, and will ensure that Wisconsin maintains a vibrant, competitive health insurance market that is consumer driven and is based on free market principles. 

In 2008, the Wisconsin Legislature established the Badger Care Plus Core Program, which offers state-subsidized coverage plans to eligible childless-adults. The Legislature also approved the creation of the Badger Care Basic Program, a self-funded, limited-benefit plan designed to provide limited coverage to those currently on the Core Plan waiting list.

Return to the Community Health Centers Main page

Wyoming

Wyoming Primary Care Association
1720 Carrey Ave, Suite 601
Cheyenne, Wyoming 82001
Phone: (307) 623-5743
Fax: (307) 638-6103

 

Office of Rural Health
Rural and Frontier Health Division
Wyoming Department of Health
6101 Yellowstone Road, Ste 510
Cheyenne, WY 82002
Phone: (307) 777-6512
Fax: (307) 777-8545

Overview
Three Federally Qualified Community Health Centers and three other community health centers operate three  delivery sites, serving about  20,000 patients annually.

State Funding
Community health centers received no state funding in FY 2010 or FY 2011.

Workforce
While not focused solely on community health centers, many state workforce development policies are aimed at increasing primary care providers practicing in underserved areas.

Wyo. Stat. §9-2-118 and 9-2-119 established the physician, dentist, and allied health care provider loan repayment programs for individuals that agree to work for three years in underserved areas of the state, and accept patients qualified under Medicaid, Medicare, and the child health insurance program. This law also establishes that no state funds can be used for repayment of these loans, unless 25 percent of the repayment is matched with funds from a county, city, school district, health care facility, or health care association. Matching funds were discontinued in 2008.

Health Information Technology
In 2004, Enrolled Act 31 created the Information Technology Technical Management Subcommittee within the Wyoming Health Care Commission to develop a plan for a statewide health information exchange. In 2006, the Wyoming Health Information Organization was created as a nonprofit organization to oversee the development of the statewide health information exchange.

Outreach and Enrollment
No recent statewide action.

Access
For information on Wyoming's access programs, click here.

Disparities in Health
For more information on state efforts to reduce health disparities, click here.

Other
In 2011, WS 9-2-127 was signed into law and it creates the Wyoming Primary Care Support Act.  This program allows for grants to new and existing Rural Health Clinics and Community Health Centers to open, expand, and meet quality care requirements.

Return to the Community Health Centers Main page

 Updated:  August 2011

Share this: 
Fall Forum 2014
State Vote
We are the nation's most respected bipartisan organization providing states support, ideas, connections and a strong voice on Capitol Hill.

NCSL Member Toolbox

Denver

7700 East First Place
Denver, CO 80230
Tel: 303-364-7700 | Fax: 303-364-7800

Washington

444 North Capitol Street, N.W., Suite 515
Washington, D.C. 20001
Tel: 202-624-5400 | Fax: 202-737-1069

Copyright 2014 by National Conference of State Legislatures