Since the 1996 passage of the Health Care Consolidation Act, the C/MHC program has grown steadily both in terms of provision of services to target populations and funding. For FY 2003, the program was funded at over $1.45 billion dollars. This funding includes all center grants included under Section 330: CHCs, MHCs, public housing clinics and Health Care for the Homeless Sites. Growth in funding has resulted in the increase in health center access points: new health center grantees and new health care delivery sites that expand the reach of existing center grantees. The President’s budget FY 2004 increases requested appropriations for the Community and Migrant Health Centers to $1.627 billion, a figure that was recently approved by Congress. Table 2 below, provides a breakdown of estimated actual revenue accrued by C/MHCs in 2002 as well as planned revenue for 2003 and 2004. In addition, the Exhibit 1 shows the share of total revenue by source of funding (roughly consistent across years).
| Estimated 2002 Revenues (in millions) |
Planned 2003 Revenues (in millions) |
Proposed 2004 Revenues (in millions) |
% | |
|---|---|---|---|---|
| Section 330 | 1,328 | 1,433 | 1,582 | 25% |
| Medicaid | 1,660 | 1,800 | 1,950 | 31% |
| Medicare | 300 | 325 | 350 | 6% |
| SCHIP | 90 | 100 | 110 | 2% |
| Other Third Party | 430 | 470 | 510 | 8% |
| Self Pay | 305 | 330 | 360 | 6% |
| Other Federal Grants | 150 | 160 | 175 | 3% |
| State/Local/Other | 1,020 | 1,100 | 1,200 | 19% |
| Total | 5,283 | 5,718 | 6,237 | 100% |
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