1. Presentation to the Legislative Committee on Health May 7, 2014 Nevada Primary Care Association Nancy E. Hook, MHSA Executive Director

2. Five Basic Characteristics of Health Centers Location in high-need areas Comprehensive health and related services (especially ‘enabling’ services) Open to all residents, regardless of ability to pay, with charges prospectively set based on income Governed by community boards, to assure responsiveness to local needs Strict performance/accountability standards for administrative, clinical, and financial operations

3. Handout One Nevada Community Health Center Fact Sheet

4. Handout Two The Economic Impact of Two of Nevada’s Community Health Centers

5. Federal Health Center Funding, FY 2008- 2013

6. FY 2014 Spend Plan Awarded: $150 Million for 236 New Access Points (NV received two) Awarded: $58 Million in 1,157 one-time Outreach and Enrollment Grants to Health Centers $35 Million for PCMH Capital Awards $50 Million for Mental Health Service Expansion - Behavioral Health Integration Coming Soon: $110 Million in Base Adjustments Coming Soon: $300 Million for Expanded Services

7. FY 2015 President’s Budget Budget request for $4.6 billion, including $3.6 billion from the Affordable Care Act Community Health Center Fund $100 million to fund 150 New Health Center Sites to serve an additional 900,000 Patients $860 million for one-time Quality Improvement and Capital Development awards Continuation of mandatory funding in FY 2016, 2017, and 2018 at $2.7 billion annually

8. Community Health Center funding per state States with similar size populations: Arkansas 2.9 Million people~$30M Federal Utah2.9 Million people~$20M Federal Kansas2.8 Million people~$20M Federal Nevada2.7 Million people~$10M Federal

9. Unmet Need for Primary Care http://udsmapper.org/map.cfm

10. NVPCA Legislative Priorities Payment Reform to address important components of Patient- Centered Medical Homes: Care Management & Care Coordination Behavioral Health Integration Multiple Same-Day Medicaid Visits Team-based care including use of Community Health Workers Expedited health care professional credentialing for Community Health Centers A Primary Care Pool