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POLICY
MATTERS Federal Grant Funding NACHC

COVID-
HEALTH The primary form of federal funding for community health centers is the Health Center Program, which
19
CENTER
is authorized in Section 330 of the Public Health Services Act. More commonly known as the “330
FUNDING
Grant,” funding for the Health Center Program comes from a combination of discretionary funding, Media
Federal
appropriated by Congress each year, and mandatory funding from the Community Health Center Fund Center
Grant
Funding (CHCF).
330 NACHC
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TELEHEALTH Discretionary Funding (blue bars): Online
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BEHAVIORAL Since FY2013, annual discretionary funding provided by Congress for health centers has been level at
HEALTH
roughly $1.5 Billion. In March 2018, Congress passed the Consolidated Appropriations Act of 2018, Podcasts
which boosted FY18 discretionary funding to $1.6 Billion. In September 2018, Congress extended that
WORKFORCE
level of funding through Fiscal Year 2019. Learn more about the annual federal budget process.
Shortage
Designation
Every year health center champions circulate Dear Colleague letters in both the House and Senate that
Members of Congress can sign to show their support for health centers in the appropriations process.
340B:
FEDERAL The most recent round of Dear Colleague letters, including lists of signers, are below.
DRUG
DISCOUNT
Letter to House LHHS Subcommittee Leaders on Community Health Center Funding for FY2022 |
PROGRAM
Letter (April 28), Final List of Signatures
EMERGING Letter to Senate LHHE Subcommittee Leaders on Community Health Center Funding for FY2022 |
ISSUES
Letter (June 23),  Final List of Signatures
Health
Insurance Mandatory Funding (orange bars):  
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1/9/23, 8:49 AM Federal Grant Funding - NACHC

Veterans In 2010, Congress created the Community Health Center Fund (CHCF) to support the expansion of
Health
health centers. Congress then extended the CHCF for two years with the passage of MACRA in 2015.
More recently, in February 2018, Congress once again extended the CHCF for two years with bipartisan
TAKE
ACTION support through the Bipartisan Budget Act of 2018. The CHCF is currently set to expire on September
FOR
HEALTH 30, 2019 – Congress must once again take action to avert a lapse in funding before the end of the
CENTERS
fiscal year. Below is a list of current legislation introduced in the 116th Congress to extend federal
Congressional mandatory funding for the CHCF: 
Community
Health
S. 106/H.R. 2328, Community Health Investment, Modernization, and Excellence (CHIME) Act of
Centers
Caucuses 2019
S. 192, Community and Public Health Programs Extension Act
S. 962/H.R. 1943, Community Health Center and Primary Care Workforce Expansion Act of 2019

To learn more about each of these bills, please see this Health Center Funding Chart.

Congress Supports Health Center Funding

Throughout the effort to extend the CHCF, Members of Congress expressed their support for health
center funding in many ways. Here are recent letters publicly showing their support:

Senators Blunt, Stabenow, and CHIME cosponsors letter to Senate Leadership (October 2019)
Rep. Pressley, Sens. Warren and Sanders’ Letter to House and Senate Leadership (October 2019)

Helpful Resources
Health Center Appropriations Funding, Policy Paper (March 2021)
2022 Health Center House Appropriations Request Letter
2022 Health Center Senate Appropriations Request Letter
Community Health Center Fund Legislation Comparison Chart, One-Pager (April 2019)
What Does Health Center Program Funding Support?, One-Pager (February 2019)
Congressional District Maps
State Fact Sheets and Maps

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      The National Association of Community

Health Centers (NACHC) was founded in 1971
to promote efficient, high quality,
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