Community Health Centers in a Time of Change: Results from an Annual Survey

Executive Summary
  1. Tolbert, J., Artiga, S., & Pham, O. (2019). Impact of Shifting Immigration Policy on Medicaid Enrollment and Utilization of Care among Health Center Patients. Kaiser Family Foundation, https://www.kff.org/report-section/impact-of-shifting-immigration-policy-on-medicaid-enrollment-and-utilization-of-care-among-health-center-patients-issue-brief/

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Key Findings
  1. Markus, A., Sharac, J., Tolbert, J., Rosenbaum, S., & Zur, J. (2018). Community Health Centers’ Experiences in a More Mature ACA Market. Kaiser Family Foundation. https://www.kff.org/medicaid/issue-brief/community-health-centers-experiences-in-a-more-mature-aca-market/

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  2. Sharac, J., Shin, P., Rosenbaum, S., & Handarov, T. (2019). Community health centers continue steady growth, but challenges loom. Geiger Gibson/RCHN Community Health Foundation Research Collaborative, George Washington University. Policy Research Brief No. 60. https://www.rchnfoundation.org/?p=8436

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  3. Kaiser Family Foundation. (March 10, 2020). Medicaid Waiver Tracker: Approved and Pending Section 1115 Waivers by State. https://www.kff.org/medicaid/issue-brief/medicaid-waiver-tracker-approved-and-pending-section-1115-waivers-by-state/

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  4. Indiana Family and Social Services Administration. (October 31, 2019). Pending resolution of federal lawsuit, FSSA will temporarily suspend Gateway to Work reporting requirements. https://www.in.gov/fssa/files/Gateway_to_Work_suspension_announcement.pdf

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  5. Utah Department of Health. (April 3, 2020). Medicaid Expansion Community Engagement Requirement Suspended. https://medicaid.utah.gov/Documents/pdfs/4.3.20_NR_CEsuspension.pdf

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  6. Sommers, B. D., Goldman, A. L., Blendon, R. J., Orav, E. J., & Epstein, A. M. (2019). Medicaid Work Requirements—Results from the First Year in Arkansas. New England Journal of Medicine, 381: 1073-1082.

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  7. Kaiser Family Foundation. (December 20, 2019). The Status of Participation in the Title X Federal Family Planning Program. https://www.kff.org/interactive/the-status-of-participation-in-the-title-x-federal-family-planning-program/

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  8. Wood, S.F., et. al. (2018). Community Health Centers and Family Planning in an Era of Policy Uncertainty. KFF. https://www.kff.org/womens-health-policy/report/community-health-centers-and-family-planning-in-an-era-of-policy-uncertainty/

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  9. Rosenbaum, S., Wood, S.F., Strasser, J., Sharac, J., Wylie, J., Tran, T.C. (2018). The Title X Family Planning Proposed Rule: What’s at Stake for Community Health Centers? Health Affairs blog. https://www.healthaffairs.org/do/10.1377/hblog20180621.675764/full/

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  10. Sobel, L., Salganicoff, A., and Frederiksen, B. (2019). New Title X Regulations: Implications for Women and Family Planning Providers, Kaiser Family Foundation. https://www.kff.org/womens-health-policy/issue-brief/new-title-x-regulations-implications-for-women-and-family-planning-providers/

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  11. https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section254b&num=0&edition=prelim

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  12. Department of Health and Human Services. (March 24, 2020). HHS Awards $100 Million to Health Centers for COVID-19 Response. https://www.hhs.gov/about/news/2020/03/24/hhs-awards-100-million-to-health-centers-for-covid-19-response.html

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  13. National Association of Community Health Centers. (2020). Summary of Key CHC Provisions in the Coronavirus Aid, Relief, and Economic Security (CARES) Act as signed into law on March 27, 2020. https://wsd-nachc-sparkinfluence.s3.amazonaws.com/uploads/2020/03/CARES-Act-Summary-for-Health-Centers.pdf

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  14. Medicaid expansion status was as of the time of the survey fielding period. Note that Utah and Idaho, which implemented the Medicaid expansion on January 1, 2020, and Nebraska, which has adopted but not yet implemented the expansion, were categorized as non-expansion states in this analysis.

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