Community Health Center Information Systems Assessment: Issues and Opportunities. Final Report. Funding

10/30/2005

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).

Table 2. C/MHC Revenue by Source 2002 — 2004
  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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