More than 1,500 health centers financed with federal funds — which offer services to millions of low-income earners — have significant financial losses, but above all, the debtor's share is summed up by other employees in addition to those.
Some of these community health centers are obliged to reduce personal medical and administrative costs, and their services. Algunos inclusiveo podrían llegar a cerrar. Our defenders advise that this could increase the pressure on hospital emergency rooms, which are saturated with patients.
“This is the smallest moment in all the years that you work with medical attention,” says Jim Mangia, president and executive director of St. John's Community Health, a red of 28 clinics which serves more than 144,000 patients in the districts of Los Angeles, Riverside and San Bernardino, in California. “We are infringing federal courts and extreme courts at the state level that affect the services”.
St. John's and other health centers qualified at federal level offer primary attention and a wide range of other services without cost and prices adjusted to the contributions of each patient. At national level, pay attention to certain 34 million people in the most neglected areas of the country.
The federal funds come from the main sources, and are currently at low pressure: subsidies allocated in part through the Community Health Center Fund, federal, and of re-embolsos for the attention brought to patients through programs like Medicaid, which offers cobertura medica to people of low incomes or with disabilities.
A Medicaid fund is financed together with federal and state governments.
In the last moments, the Congress approved these backgrounds with cuentagotas. In March, legislators extended subsidies until September 30. This meal expired after the Congress, controlled by the republicans, did not approve a financial levy, where it provoked a government crisis.
Defenders of the growing centers need large-scale financing to plan with greater certainty, ideally through a multi-year fund.
The health centers will receive $4,400 million in grants starting in 2024. The National Association of Community Health Centers is under pressure to be assigned at least $5.800 million annuals During these years, we are able to maintain fully operational centers.
The safety net that represents the health centers “infringes multiple cases of failure”, says Vacheria Keys, vice-president of policies and regulators of the association.
There nueva ley de gasto público That the republicans called “One Big Beautiful Bill Act” will involve significant contributions to Medicaid, which will make another important contribution to these centers.
In 2023, Medicaid represented el 43% of $46,700 million in total contributions from health centers.
Defensores advise that reduced Medicaid funds will reduce the gap between available financing and operating costs.
However, financing is required for personal assistance programs, to support the provision of health services, there are those who encounter difficulties in contracting and retaining employees, so Feygele Jacobs, director of the Geiger Gibson Program in Community Health at the George Washington University.
Los primeros centros This type was housed in places like Massachusetts in the decade of 1960. Historically, the Congress was financed by a bipartisan party, with some of its minor obstacles.
The current crisis began with the Trump administration congeló la ayuda nacional Through a memorandum issued in energy, the impidió that some centers receive approved grants. As the result, our centers are cerraron o se fusionaron in states like Virginia.
The next steps are also taken just when patients infringe upon new requests and dissatisfaction. Between the changes in Medicaid including the tax and gas tax of President Donald Trump, there is the requirement that the beneficiaries report on their hours of work and other community activities to be able to preserve their cobertura.
Mientras tanto, los more generous subsidies that the Biden administration and the Congress have approved to help consumers pay for the medical planes purchased in the safety markets under the Bajo Precio de Salud Law (ACA) is scheduled to expire at the end of the year.
If the Congress does not renew, the cost of consumers will increase dramatically.
One of the areas of the government is that the democrats who extend their subsidies, which protect the consumers of the increase in their security costs. The republican financing levy project does not include the extension; The republican leaders in the Congress say that this subject must be processed separately.
“Consumers need it more than ever,” said Jacobs, who advised that those who apply for Medicaid and the end of their improved subsidios could “dejar many people without cobertura”.
The 90% of the patients of the community health centers has their ingredients double federal level of pobreza o menos, y el 40% hispanos.
“We received 300 complaints from patients concerned about their cobertura”, commented Mangia, from St. John's.
The republicans do not come directly to the centers, although they are responsible for Medicaid registrations that affect their funding. Many argue that the Medicaid gas has disappeared and that reducing its growth makes the program more sustainable.
State and local support
Although they are eligible for more stable federal financing, the centers are also responsible for the responsibility of our local communities and governments.
Algunos estados ya tomaron medidas al finalizar sus presupuestos anuales. Connecticut, Minnesota, Illinois y Massachusetts assign backgrounds to the centers. Maryland, Oregon y Wisconsin también ofrecieron apoyo.
The pregunta of the mill is as long as it lasts for dinner.
Although some states increase when they reach the centers, they are also in the opposite direction. Anticipating the impact of Medicaid enrollment, as California states sus propios recortes al programa.
The California governor's office, Gavin Newsom, as the Administration of Federal Health Services and Administration, will not respond to requests for comments.
In Los Angeles, we say that a possible solution is based on the level of the condado, and indicates that the condado of Los Angeles has around 10 million inhabitants.
“We may imponernos an impuesto to increase the financing of the health services”, says.
The leaders of the centers are forming a coalition that, “hopefully”, includes the main actors of the condado health system: community centers, clinics, hospitals, medicos, health plans, unions. The object: initiate the process to present a civic initiative that allows voters to decide whether to approve a tax intended to finance the health centers.
“We know that the federal government and the state are not reliable when it comes to guaranteeing the continued financing of health services,” says Mangia.
English 
French