Community Health Centers

While federally funded community health centers (CHCs) operate with strong federal direction, state health policy has substantial implications for CHCs, and state health policymakers have a variety of tools and levers with which to influence the role of health centers in state health systems. State policymakers and health centers need to understand the issues and have opportunities to exchange ideas about state health policy making as it affects health centers.
Since 2006, NASHP has been working with the federal Health Resources and Services Administration’s (HRSA) Bureau of Primary Health Care (BPHC) through a National Cooperative Agreement (NCA). The goal of the agreement is to better equip state policymakers with tools for informed decision-making about CHCs and access to primary health care.
Through the work under the NCA, NASHP is informing state policymakers about primary health care policy issues; highlighting states with strong relationships and policy supports for health centers; developing and disseminating analyses of key state and federal health policy issues affecting federal health centers; and creating forums for dialogue between state policymakers and health center representatives.
NASHP’s Cooperative Agreement work is guided and implemented by our State Primary Care and Health Policy Teams, along with advisors from among the members of the National Academy. The link to the map on this page provides more information about the state teams.
RETURN TO THE ACCESS AND THE SAFETY NET OVERVIEW

For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 























































































































































