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1 [1] (June 13, 2017)

handle is hein.crs/crsmthmbcaj0001 and id is 1 raw text is: CRS INSIGHT Congress Faces Calls to Address Expiring Funds for Primary Care June 13, 2017 (IN10185) Related Authors C, Stphen R he Elayne J. Heisler, Specialist in Health Services (e, 7-4453) C. Stephen Redhead, Specialist in Health Policy (Lrdhead( Ir g y 7-2261) The Affordable Cr A A A), enacted in March 2010, appropriated billions of dollars of mandatory funds to support grant programs and other activities. Specifically, it provided support for three programs focused on expanding access to primary care services for populations that are typically underserved. These three programs are the Health Centrs program, the National Health Service rps NHSC) and payments to support medical residents training at eaching health Qetrs-outpatient health facilities that primarily provide care to underserved populations. The ACA funds were initially for five years, but funding for these three programs was u qutlyx for two years (i.e., for FY2016 and FY2017) in the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA; P-L 114-10). The Prin' FY2018 budge proposes extending funding for these programs for two m years. Community Health Center Fund The ACA established the Community Health Centr Fund (CHCF) to help support the Health Centers and NHSC programs, and gave it a total of $11 billion in annual appropriations over the five-year period FY201 1-FY2015. MACRA subsequently provided $7 2 billon fo h c n ,580mill fiSC for an additional two r.. CHCF funding was initially intended to supplement the annual discretionary funds that the two programs receive through the regular appropriations procs. However, CHCF funds have replaced a significant portion of the Health Center program's annual discretionary appropriations, which Congress has reduced since FY2010 (see !able 1). In FY2016, CHCF funding represented about 71% of the Health Center program's funding. In the case of the NHSC program, Congress eliminated its annual discretionary appropriation entirely. Since FY2012, the program has relied solely on CHCF funding (see !able 1). Table 1. Health Centers and NHSC Funding

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