Health Center Funding Cliff Q&A

Q: What is a Federally Qualified Health Center?

International Community Health Center (ICHS) is a Federally Qualified Health Center (FQHC), which means that it receives federal funding from the Health Resources and Services Administration known as the 330 grant. ICHS’ service to the medically underserved, regardless of ability to pay, and establishment of a community board of directors are connected to federal requirements governing all FQHCs.

 Q: What is the funding cliff?

In 2010 with the Affordable Care Act, a trust fund was established guaranteeing five years of federal funding for community health centers. Congress voted to extend the fund at $7.2 billion in 2015 by two years, temporarily averting a mandatory funding “cliff.” The cliff is approaching again on Sept. 30. Congress must vote to approve the funding or health centers risk a 70% cut nationwide.

Ending the 330 grant curtails our greatest value proposition, harms our most vulnerable patients and threatens our sustainability. As ICHS provides health services to underserved communities we help address a national need for high quality and affordable care.

Q: Why does 330 funding matter?

  • ICHS and community health centers, as part of our nation’s health safety net, serve about 27 million patients a year, at a cost of less than $1,000 per patient per year.
  • ICHS successfully reaches and serves many of the neediest and most vulnerable:
    • 82% people of color (23,529)
    • 55% need language interpretation services (15,707)
    • 74% at or below 200% FPL (21,169)
    • 59% of patients on Medicaid (16,963)
    • 18% are 65+ (5,186)

Q: Who loses if funding ends?

The short answer – all of us lose if 330 federal funding is cut. The loss of the federal health center grant undermines the health of our communities’ most vulnerable members and weakens ICHS’ ability to deliver on our mission. ICHS could lose nearly $1.8 million, which means approximately 1,227 of our neediest patients could lose access to care.

Q: Why does my advocacy matter in Washington state?

We are fortunate to be in a state that believes in taking care of its low income, uninsured and under-insured residents. But ours represents one issue in a sea of many. Our voice and support provide ammunition to our Congress members as they take our battle to the front lines in Washington, D.C, as well as reminds them that we hold them accountable for their actions.

 Q: What can I do?

ICHS asks its partners, patients and staff to sign up as health center advocates at: http://www.hcadvocacy.org. We ask everyone to help us remind our Congress members why it is important for them to approve a five-year reauthorization of the federal 330 health center grant.

Thank you!

The health, livelihood and wellbeing of countless patients and ICHS staff members, and their families, are at stake. Without federal 330 funding, it will be challenging for ICHS to grow and adapt to meet the needs of its communities, as well as to maintain its operational solvency. Approval will enable ICHS and health centers nationwide ensure stability and sustainability into the future.