This report examines the long-term sustainability and impact of community coalitions that were funded by the Community Access Program (CAP) and its successor, the Healthy Communities Access Program (HCAP). CAP/HCAP was one of the largest federal investments to strengthen local safety nets through community coalitions providing $525 million in grants from 2000 to 2006 to 260 coalitions across 45 states, the District of Columbia, and the U.S. Virgin Islands. This study utilized the experience of the HCAP grantees as a lens to explore the sustainability and impact of community coalitions once their initial federal funding has expired.
This study was conducted by the Urban Institute under contract number [CONTRACT_NUMBER], task order number [TASK_ORDER_NUMBER], with the HHS's Office of Assistant Secretary for Planning and Evaluation. The authors take full responsibility for the accuracy of material presented herein. The views expressed are those of the authors and should not be attributed to ASPE or HHS.