Del Pueblo Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

TARGETED CAPACITY EXPANSION-HIV PROGRAM: SUBSTANCE USE DISORDER TREATMENT FOR RACIAL/ETHNIC MINORITY POPULATIONS AT HIGH RISK FOR HIV/AIDS (SHORT TITLE: TCE-HIV: HIGH RISK POPULATIONS)

CAPITAL DEVELOPMENT

HIV PREVENTION FOR YOUTH

COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROGRAMS FOR COMMUNITY-BASED ORGANIZATIONS - LATINOS ARE THE LARGEST AND FASTEST-GROWING RACIAL/ETHNIC MINORITY IN THE US, AND THEY CONTINUE TO BE DISPROPORTIONATELY AFFECTED BY HIV/AIDS, HAVING HIGHER RATES OF BOTH NEW HIV INFECTIONS AND PEOPLE LIVING WITH HIV THAN THEIR WHITE COUNTERPARTS (CDC, 2018). AMONG LATINOS, MEN WHO HAVE SEX WITH MEN (MSM) ARE THE LARGEST GROUP OF NEW INFECTIONS, AND CASES AMONG YOUNG ADULT LATINOS, AGES 25-34, ARE TRENDING UP (CDC, 2018). REGIONAL DATA FOR THE WASHINGTON DC METRO AREA CORROBORATES THESE NATIONAL TRENDS, SHOWING THAT LATINOS ARE AFFECTED BY HIV MORE THAN OTHER GROUPS AND THAT LATINO MSM ARE AMONG THE MOST AFFECTED.LA CLINICA DEL PUEBLO (LA CLINICA) IS A FEDERALLY QUALIFIED HEALTH CENTER AND COMMUNITY-BASED ORGANIZATION, FOUNDED IN 1983 IN WASHINGTON, DC, IN RESPONSE TO THE LATINO COMMUNITY'S HEALTH NEEDS. IT OPERATES TWO PRIMARY CARE SITES, ONE IN DC AND ONE IN PRINCE GEORGE'S COUNTY, MD. LA CLINICA PROVIDES A CULTURALLY AND LINGUISTICALLY APPROPRIATE FULL CONTINUUM OF HIV CARE, FROM PREVENTION TO MEDICAL CARE FOR HIV POSITIVE AND HIGH-RISK NEGATIVE INDIVIDUALS, INCLUDING RISK-REDUCTION EDUCATION, COUNSELING AND TESTING, LINKAGE TO TREATMENT, INTEGRATED HIV PRIMARY CARE, AND WRAP-AROUND SERVICES. SINCE 2006, LA CLINICA HAS BEEN PROVIDING COMMUNITY-BASED HIV PREVENTION SERVICES SPECIFICALLY FOR LGBTQ LATINO THROUGH ITS EMPODERATE ("EMPOWER YOURSELF" IN SPANISH) PROGRAM. THE PROGRAM OPERATES TWO DROP-IN SAFE SPACES FOR THE LATINO LGBTQ COMMUNITY IN THE REGION, THE FIRST AND PRIMARY SITE IN WASHINGTON DC THAT OPENED IN 2006, AND A SECONDARY SITE IN NEIGHBORING PRINCE GEORGE'S COUNTY, MD, THAT OPENED IN 2017. LA CLINICA'S EMPODERATE PROGRAM HAS RECEIVED GRANT FUNDING FROM THE CDC FOR 15 YEARS (PS06-718, PS11-1113, AND PS15-1502) AND HAS DEVELOPED EXPERTISE IN PROVIDING CULTURALLY AND LINGUISTICALLY APPROPRIATE HIV PREVENTION SERVICES FOR THE LGBTQ LATINO COMMUNITY.THROUGH ITS PS21-2102 HIGH-IMPACT COMPREHENSIVE HIV PREVE NTION PROJECT, LA CLINICA WILL CONTINUE AND ENHANCE ITS SUCCESSFUL, CULTURALLY APPROPRIATE HIV PREVENTION AND LINKAGE-TO-CARE MODEL TARGETED AT BOTH HIGH-RISK NEGATIVE (HRN) AND HIV POSITIVE (NEWLY OR PREVIOUSLY DIAGNOSED, OUT-OF-CARE), YOUNG ADULT LATINO MSM (YLMSM), AGES 18-35, IN DC AND PRINCE GEORGE'S COUNTY, MD, TO REDUCE NEW INFECTIONS, INCREASE ACCESS TO CARE, AND PROMOTE HEALTH EQUITY. LA CLINICA WILL CONTINUE IMPLEMENTING COMPREHENSIVE HIV PREVENTION ACTIVITIES AND STRATEGIES TO DELIVER ON ALL PS21-2102 PROGRAM LOGIC MODEL SHORT- AND INTERMEDIATE-TERM OBJECTIVES, INCLUDING THE FOLLOWING CORE OUTCOMES DURING THE GRANT PERIOD:DIAGNOSE: CONDUCT 3,600 HIV TESTS TARGETED AT LATINO MSM, AGES 18-35, IN THE DC METRO AREA; 75% OF TESTS CONDUCTED WILL BE AMONG THE PRIMARY TARGET POPULATION; IDENTIFY 36 NEWLY DIAGNOSED HIV POSITIVE INDIVIDUALS; PROVIDE INTEGRATED STD AND VIRAL HEPATITIS SCREENING WITH 20% OF HIV TESTS; CONDUCT 18 LARGE SCALE TESTING EVENTS IN THE DC METRO AREA; PROVIDE PERSONALIZED COGNITIVE COUNSELING (PCC) DURING 20% OF HIV TESTS FOR HIGH-RISK NEGATIVE REPEAT TESTERS.TREAT: LINK 90% OF HIV POSITIVE YLMSM (36 NEWLY DIAGNOSED INDIVIDUALS AND 18 PREVIOUSLY DIAGNOSED, OUT-OF-CARE) TO MEDICAL CARE WITHIN 30 DAYS OF DIAGNOSIS; PROVIDE 90% OF HIV POSITIVE PERSONS WITH MEDICATION ADHERENCE SERVICES; REFER 100% OF HIV POSITIVE PERSONS TO PARTNER SERVICES; PROVIDE 90% HIV POSITIVE PERSONS WITH NAVIGATION TO PREVENTION AND ESSENTIAL SUPPORT SERVICES (PESS); ENSURE 80% OF HIV POSITIVE PERSONS RECEIVING NAVIGATION, ACCESS NEEDED PESS.PREVENT: PROVIDE 810 UNDUPLICATED HRN YLMSM WITH NAVIGATION FOR REFERRAL AND SUPPORT IN ACCESSING PESS; ENSURE 80% OF HRN PERSONS RECEIVING NAVIGATION ACCESS NEEDED PESS; REFER 180 HRN PERSONS TO PREP; PROVIDE WEEKLY SUPPORT GROUPS FOR 20 YLMSM FOR HIV PREVENTION STARTING JUNE 30, 2022; CONDUCT 16,000 ENCOUNTERS THROUGH PROMISE ROLE MODEL STORIES WITH YLMSM AT RISK FOR HIV AND 540 ENCOUNTERS WITH

VOLVIENDO A VIVIR (RETURNING TO LIFE)

ARRA - CAPITAL IMPROVEMENT PROGRAM

SIN FRONTERAS (WITHOUT BORDERS)

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HEALTH CENTER CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT FUNDING

SUBSTANCE USE DISORDER TREATMENT FOR MEMBERS OF THE LOW-INCOME, LIMITED ENGLISH PROFICIENT, IMMIGRANT, LATINX COMMUNITY WHO ARE HIV POSITIVE OR AT RISK FOR HIV/AIDS IN THE WASHINGTON, DC METRO AREA - LA CLINICA DEL PUEBLO'S MAI: HIGH-RISK POPULATIONS PROJECT SPECIFICALLY TARGETS THE LOW-INCOME, LIMITED ENGLISH-PROFICIENT LATINX COMMUNITY RESIDING IN WASHINGTON, DC, AND PRINCE GEORGE'S COUNTY, MD, FACING SUBSTANCE USE DISORDERS (SUDS) AND/OR CO-OCCURRING SUDS AND MENTAL HEALTH CONDITIONS (COD). IT FOCUSES ON INDIVIDUALS WHO SELF-IDENTIFY AS MEN WHO HAVE SEX WITH MEN (MSM) AND TRANSGENDER WOMEN (TG) AGED 18 AND ABOVE WHO ARE EITHER HIV-POSITIVE OR AT HIGH RISK OF CONTRACTING HIV. THE PROJECT AIMS TO INCREASE ENGAGEMENT IN CARE FOR 200 MEMBERS OF THE FOCUS POPULATION THROUGHOUT THE GRANT PERIOD BY PROVIDING ACCESS TO HIGH-QUALITY, CULTURALLY, AND LINGUISTICALLY COMPETENT, EVIDENCE-BASED SUBSTANCE ABUSE TREATMENT, HIV AND VIRAL HEPATITIS TESTING AND TREATMENT, AND ACCESS TO PEP/PREP. THIS PURPOSE DIRECTLY RESPONDS TO SAMHSA'S OVERARCHING PURPOSE FOR THE MAI: HIGH-RISK POPULATIONS PROGRAM. LA CLINICA'S PROJECT AIMS TO CONTINUE AND EXPAND UPON THE ACHIEVEMENTS OF OUR CURRENT TCE-HIV HIGH-RISK POPULATIONS PROJECT, WHICH HAS RECEIVED FUNDING UNDER SAMHSA TI-17-011 AND IS SET TO CONCLUDE ON 09/30/2023. IT WILL BUILD ON THE EXISTING PROGRAM BASED ON THE MATRIX MODEL AND TRAUMA RECOVERY AND EMPOWERMENT MODEL (TREM) EVIDENCE-BASED INTERVENTIONS, WHICH WERE TAILORED FOR THE FOCUS POPULATION AND INTEGRATED INTO OUR SUBSTANCE USE PROGRAMMING WITH THE SUPPORT OF SAMHSA TI-17-011 FUNDING. IT INCLUDES CASE MANAGEMENT, MENTAL HEALTH EVALUATION AND TREATMENT, HIV/VIRAL HEPATITIS TESTING, EDUCATION, AND LINKAGE TO CARE AS INTEGRAL PROGRAM COMPONENTS. TO ACHIEVE ITS PURPOSE, THE PROJECT WILL MEET THE FOLLOWING GOALS AND OBJECTIVES: GOAL 1: INCREASE THE FOCUS POPULATION'S PARTICIPATION IN CARE BY PROVIDING ACCESS TO HIGH-QUALITY, CULTURALLY AND LINGUISTICALLY COMPETENT, EVIDENCE-BASED SUBSTANCE ABUSE TREATMENT. 1.1: CONDUCT AT LEAST 75 OUTREACH CONTACTS WITH LATINX ON THE RELATIONSHIP BETWEEN TRAUMA AND SUBSTANCE ABUSE AND THE AVAILABILITY OF LA CLINICA'S TREATMENT AND EDUCATION PROGRAM THROUGH A SOCIAL AND TRADITIONAL MEDIA CAMPAIGN AND COMMUNITY EDUCATION EVENTS; 1.2: PROVIDE 200 UNDUPLICATED MEMBERS OF THE FOCUS POPULATION WITH OUTPATIENT AND INTENSIVE OUTPATIENT SUBSTANCE ABUSE TREATMENT SERVICES, AND WHEN NEEDED REFER INDIVIDUALS TO LA CLINICA'S MEDICAL SERVICES FOR FDA-APPROVED MEDICATION TREATMENT. GOAL 2: PROVIDE ACCESS TO MEMBERS OF THE FOCUS POPULATION PARTICIPATING IN LA CLINICA'S SUBSTANCE ABUSE TREATMENT TO HIV/VIRAL HEPATITIS PREVENTION, CARE, AND TREATMENT SERVICES. 2.1: PROVIDE HIV EDUCATION, TESTING, RISK REDUCTION COUNSELING, AND TREATMENT AS NEEDED; 2.2: PROVIDE VIRAL HEPATITIS EDUCATION, TESTING, RISK REDUCTION COUNSELING, AND TREATMENT; 2.3: NAVIGATE SUBSTANCE ABUSE TREATMENT CLIENTS WITH IDENTIFIED HIV AND/OR VIRAL HEPATITIS TO LA CLINICA'S MEDICAL SERVICES FOR CONFIRMATORY TESTING AND FOLLOW-UP CARE; 2.4: PROVIDE EDUCATION, CASE MANAGEMENT, AND REFERRAL TO PREP AND PEP SERVICES AS NEEDED. GOAL 3: EVALUATE THE PROGRAM'S SUCCESS IN PROVIDING EFFECTIVE, CULTURALLY, AND LINGUISTICALLY APPROPRIATE TREATMENT OPTIONS FOR THE FOCUS POPULATION. 3.1: COLLECT DATA AND REPORT PERFORMANCE ON KEY PERFORMANCE MEASURES UNDER THE SAMHSA SPARS SYSTEM; 3.2: CONDUCT ANNUAL LOCAL PERFORMANCE ASSESSMENTS TO DETERMINE THE SUCCESS OF THE PROGRAM MODEL IN MEETING SUBSTANCE ABUSE TREATMENT NEEDS; 3.3: CONDUCT AN ANNUAL EVENT TO DISSEMINATE BEST PRACTICES AND LESSONS LEARNED AMONG KEY STAKEHOLDERS TO PROMOTE AND INFORM THE DEVELOPMENT OF SYSTEM IMPROVEMENTS INTENDED TO EXPAND SUD/COD, HIV, AND VIRAL HEPATITIS PREVENTION AND CARE, FOCUSED ON THE DC METRO REGION LATINX COMMUNITY'S NEEDS.

ENTRE AMIGAS PROGRAM FOR LATINO VICTIMS OF SEXUAL ASSAULT DOMESTIC VIOLENCE DATING VIOLENCE AND STALKING THROUGH CULTURALLY SPECIFIC SERVICES AND COMMUNITY EDUCATION.

HEALTH CENTER INFRASTRUCTURE SUPPORT

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

PROYECTO ENLACE - SUBSTANCE USE, HIV, AND VIRAL HEPATITIS PREVENTION FOR LATINX MSM AND TRANSGENDER PERSONS IN WASHINGTON DC AND PRINCE GEORGE'S COUNTY, MD. - LA CLINICA DEL PUEBLO’S PROJECT PROYECTO ENLACE WILL CONTINUE AND BUILD ON OUR EXISTING PREVENTION NAVIGATOR PROJECT FUNDED UNDER SAMHSA SP-17-004 THAT WILL CONCLUDE ON 09/30/2022. THE PROJECT WILL PREVENT SUBSTANCE MISUSE AND THE TRANSMISSION OF HIV AND HEPATITIS AMONG LATINX MEN WHO HAVE SEX WITH MEN (LMSM) AND LATINX TRANSGENDER WOMEN (LTG) AGES 18-35 IN THE WASHINGTON, D.C. AND PRINCE GEORGE’S COUNTY, MD. THROUGH A NAVIGATION PROGRAM, SUBSTANCE USE AND HIV PREVENTION COUNSELING, AND HIV AND VIRAL HEPATITIS TESTING, REACHING 300 INDIVIDUALS ANNUALLY. WE WILL ALSO RAISE AWARENESS ABOUT THE RISKS OF SUBSTANCE MISUSE FOR HIV/AIDS AND HEPATITIS AND PROMOTE THE SUBSTANCE MISUSE AND HIV PREVENTION AND NAVIGATION SERVICES WITH OUR POPULATION OF FOCUS THROUGH A SOCIAL MARKETING CAMPAIGN THAT WILL REACH 5,400 PEOPLE ANNUALLY. OUR CULTURALLY AND LINGUISTICALLY COMPETENT PROGRAM WILL LEVERAGE PEER HEALTH PROMOTERS AND COMMUNITY HEALTH EDUCATORS TO INCREASE ACCESS AND UTILIZE EVIDENCE-BASED INTERVENTIONS FOCUSED ON PREVENTING SUBSTANCE USE AND HIV. WE WILL UTILIZE THREE EVIDENCE-BASED INTERVENTIONS IN OUR PROJECT: PERSONALIZED COGNITIVE COUNSELING (PCC) TO PROVIDE BRIEF 1-1 PREVENTION COUNSELING ON HIV AND SUBSTANCE USE PREVENTION; CLEAR TO PROVIDE A MULTI-SESSION HIV AND SUBSTANCE USE PREVENTION EDUCATION AND COUNSELING FOR HIGH-RISK LMSM AND LTG; AND COMMUNITY OF PROMISE TO PROMOTE AWARENESS AND UNDERSTANDING OF HIV PREVENTION AND SUBSTANCE USE PREVENTION AT THE COMMUNITY LEVEL. OUR COMPREHENSIVE NAVIGATION PROGRAM WILL ENSURE ACCESS TO MEDICAL CARE, BEHAVIORAL HEALTH SERVICES, AND HOUSING SUPPORT AS WELL AS ANY OTHER NEEDED SERVICE FOR OUR POPULATION OF FOCUS WHO FACE MULTIPLE BARRIERS TO HEALTH. AS AN FQHC AND RYAN WHITE PROVIDER OF A COMPREHENSIVE PACKAGE OF SERVICES INCLUDING OUTPATIENT AMBULATORY CARE, MEDICAL AND NON-MEDICAL CASE MANAGEMENT, SUBSTANCE USE TREATMENT, AND BEHAVIORAL HEALTH SERVICES, LA CLINICA CAN PROVIDE ACCESS TO CARE FOR ANY PARTICIPANT IN THE PROPOSED PROJECT WHO TESTS POSITIVE FOR HIV OR HEPATITIS OUT OF OUR TWO PRIMARY CARE SITES IN DC AND PRINCE GEORGE’S COUNTY. IN ADDITION, FOR THOSE CLIENTS WHO MAY PREFER A DIFFERENT PROVIDER, WE ARE ABLE TO CONNECT THEM TO OUR PARTNER FQHCS FOR TESTING AND TREATMENT. LA CLINICA DEL PUEBLO HAS BEEN PROVIDING COMMUNITY-BASED HIV PREVENTION SERVICES SPECIFICALLY FOR LGBTQ+ LATINX YOUTH SINCE 2006 THROUGH ITS EMPODERATE PROGRAM (SPANISH FOR "EMPOWER YOURSELF"). THE PROGRAM OPERATES TWO DROP-IN SAFE SPACES IN THE REGION, ITS PRIMARY SITE IN WASHINGTON DC (SEPARATE FROM OUR CLINICAL SITE), AND A SECONDARY LOCATION IN NEIGHBORING PRINCE GEORGE'S COUNTY, MD. (INCORPORATED IN OUR MARYLAND-BASED CLINICAL SITE).

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - CLINICAS DE SALUD DEL PUEBLO, INC. (CLINICAS) IS A FQHC WITH OVER 50 YEARS OF EXPERIENCE SERVING THE LOW-INCOME, HOMELESS, AND MIGRANT/SEASONAL FARMWORKER (MSFW) POPULATIONS OF IMPERIAL AND RIVERSIDE COUNTIES IN SOUTHERN CALIFORNIA. IN 2021, CLINICAS PROVIDED MEDICAL, DENTAL, BEHAVIORAL HEALTH, SUBSTANCE USE DISORDER AND/OR ENABLING SERVICES FOR 54,600 PATIENTS. FOR OVER 40 YEARS, THE PROPOSED HEALTH CENTER HAS TREATED THE LOW-INCOME, HOMELESS, AND MIGRANT/SEASONAL ADULTS AND CHILDREN FROM A SMALL, LIMITED-SERVICE FACILITY. CURRENTLY, ONLY PRIMARY MEDICAL SERVICES ARE PROVIDED IN A 5,766 SQUARE FOOT HEALTH CENTER WITH 6 EXAM ROOMS AND 2 MEDICAL PROVIDERS. THE PROPOSED PROJECT WILL RELOCATE AND EXPAND THE HEALTH CENTER FROM ITS CURRENT 5,766 SQUARE FEET TO 15,120 SQUARE FEET IN AN EFFORT TO INCREASE CAPACITY AND EXPAND MEDICAL SERVICES TO THE COMMUNITY. CLINICAS RECENTLY PURCHASED A STRIP MALL AND THE RENOVATION OF A VACANT PORTION OF THE STRIP MALL WILL CREATE THE NEW 15,000 SQUARE FOOT HEALTH CENTER. THE PROJECT WILL CONSIST OF THE NECESSARY CONSTRUCTION ACTIVITIES TO RENOVATE THE FACILITY TO ACCOMMODATE THE EXPANSION AND ADDITION OF NEW SERVICES. THE NEW FACILITY WILL OFFER EXPANDED PRIMARY MEDICAL SERVICES WITH THE ADDITION OF 2 MEDICAL PROVIDERS AND 11 ADDITIONAL EXAM ROOMS FOR A TOTAL OF 17. PATIENTS WILL ALSO BE ABLE TO ACCESS EXPANDED RADIOLOGY SERVICES WITH THE ADDITION OF ULTRASOUND AND A DESIGNATED AREA FOR RADIOLOGY SERVICES. TELEHEALTH SERVICES WILL BE EXPANDED WITH THE ADDITION OF A TELEHEALTH TECHNICIAN AND A TELEHEALTH EXAM ROOM. PROJECT RENOVATIONS WILL ALSO INCLUDE PATIENT WAITING AREAS, PROVIDER OFFICES, STORAGE ROOMS, LABORATORY, CONFERENCE ROOM, RESTROOMS AND DESIGNATED AREAS FOR PEDIATRIC AND WOMEN’S HEALTH. PRIMARY CARE PATIENT VISITS ARE EXPECTED TO DOUBLE FROM 7,943 TO 13,300 WITH THE INCREASED CAPACITY AND NEW SERVICES. THE PROPOSED PROJECT INCLUDES THE ADDITION OF DENTAL AND INTEGRATED BEHAVIORAL HEALTH SERVICES AT THE CLINIC WHICH ARE NOT CURRENTLY BEING PROVIDED FOR THE PATIENT POPULATION. THE ALTERATION/RENOVATION WILL ADD 6 DENTAL OPERATORIES TO ACCOMMODATE TWO NEW DENTAL PROVIDERS AS WELL AS AREAS FOR X-RAY AND PANORAMIC X-RAY. THE ADDITION OF DENTAL SERVICES WILL ALLOW FOR AN ANTICIPATED 8,000 DENTAL VISITS ANNUALLY. THE PROPOSED PROJECT ALSO INCLUDES THE EXPANSION OF INTEGRATED BEHAVIORAL HEALTH SERVICES AT THE NEWLY RENOVATED CLINIC. THIS WILL INCLUDE THE ADDITION OF A LICENSED CLINICAL SOCIAL WORKER AND THREE DESIGNATED EXAM ROOMS FOR BEHAVIORAL HEALTH VISITS. THIS NEWLY EXPANDED SERVICE WILL ADD 1,800 BEHAVIORAL HEALTH VISITS ANNUALLY. PATIENTS WILL EXPERIENCE NO LAPSE IN ACCESS TO SERVICES, AS THE EXISTING CLINICAS’ MEDICAL SITE WILL REMAIN OPEN AND FULLY OPERATIONAL.

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

HIV PREV. PROJ. YMSM AND YOUNG TRANSGENDER PERSONS OF COLOR

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

PROYECTO ENLACE - HIV, HEPATITIS, AND SUBSTANCE MISUSE PREVENTION AND NAVIGATION FOR LATINO YOUNG ADULT MSM.

EMPODERATE YOUTH CTR: CAPACITY BLDG FOR HIV, SUBSTANCE ABUSE, AND VIRAL HEPATITIS PREVN

HUMAN IMMUNODEFICIENCY VIRUS(HIV)PREVENTION PROJECTS FOR CBO

RURAL RESIDENCY PLANNING AND DEVELOPMENT PROGRAM - ELIGIBLE ENTITY: FQHC PROGRAM PATHWAY: GENERAL PRIMARY CARE; FAMILY MEDICINE NEW RURAL TRACK PROGRAM SI: INNERCARE-COACHELLA: 8000501212 852 E. DANENBERG DR, COACHELLA, CA 92236-1530 RURAL TARGET COUNTIES: IMPERIAL & EAST RIVERSIDE COUNTY FUNDING REQUESTED: $750,000 FUNDING OPTION: 6 PROJECTED RESIDENTS: 24 TOTAL RESIDENTS (6 RURAL TRACK) ANTICIPATED ACGME ACCREDITATION TO BE RECEIVED MAY 2025; INITIAL RESIDENTS TO START JULY 2026 FUNDING PRIORITY 2 LIST OF HRSA FUNDING: • FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS - H8CCS34030 • HEALTH CENTER CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT FUNDING - H8DCS35640 • FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT) - H8ECS38526 • AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS - H8FCS40711 • HEALTH CENTER INFRASTRUCTURE SUPPORT - C8ECS43705 • CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS - CE2CS49376 • FY 2023 BRIDGE ACCESS PROGRAM - H8LCS51951 • HEALTH CENTER PROGRAM - H80CS00733 POVERTY IS ONE OF THE MOST SIGNIFICANT SOCIAL DETERMINANTS OF HEALTH, INFLUENCING EVERY ASPECT OF AN INDIVIDUAL’S WELL-BEING. INDIVIDUALS AND FAMILIES LIVING IN POVERTY FACE INCREASED RISKS OF CHRONIC DISEASE, MENTAL HEALTH DISORDERS, AND REDUCED LIFE EXPECTANCY DUE TO SYSTEMIC BARRIERS AND SOCIOECONOMIC DISADVANTAGES. RESIDENTS OF UNDERSERVED COMMUNITIES, SUCH AS IMPERIAL COUNTY AND EAST COACHELLA VALLEY, OFTEN FACE LIMITED ACCESS TO ESSENTIAL RESOURCES THAT SUPPORT A HEALTHY QUALITY OF LIFE. INNERCARE, A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), PROVIDES COMPREHENSIVE PRIMARY CARE SERVICES ACROSS IMPERIAL AND RIVERSIDE COUNTIES. IT OPERATES 10 HEALTH CLINICS, 4 DENTAL CLINICS, 3 PHARMACIES, 6 WOMEN, INFANTS, AND CHILDREN (WIC) SITES, AND 3 WIC NUTRITION EDUCATION CENTERS. THESE FACILITIES SUPPORT THE EDUCATIONAL FRAMEWORK OF THE FAMILY MEDICINE RESIDENCY PROGRAM WHILE ADVANCING POPULATION HEALTH AND IMPROVING PATIENT OUTCOMES. INNERCARE SERVES ONE OF THE MOST SOCIOECONOMICALLY DISADVANTAGED AND LEAST-EDUCATED REGIONS IN THE US. IN THIS SERVICE AREA, 45% OF RESIDENTS ARE LOW-INCOME, 78% BELONG TO RACIAL/ETHNIC MINORITY GROUPS, AND 28% OF ADULTS LACK A HIGH SCHOOL DIPLOMA. SEVERAL COMMUNITIES RANK IN THE TOP 1% NATIONWIDE FOR SOCIOECONOMIC NEEDS. BY 2060, RIVERSIDE COUNTY WILL EXPERIENCE THE HIGHEST POPULATION GROWTH, BECOMING CALIFORNIA’S SECOND-MOST POPULOUS COUNTY (AMORK CONSULTING, 2023). THIS DEMOGRAPHIC SHIFT WILL SIGNIFICANTLY IMPACT HEALTHCARE DEMAND. INNERCARE WILL SERVE AS THE PRIMARY SITE FOR THE FAMILY MEDICINE RESIDENCY PROGRAM. THE RURAL TRAINING TRACK WILL SUPPORT 2 OF 8 RESIDENTS PER YEAR AND ALL RESIDENTS IN THE PROGRAM WILL HAVE ROTATIONS AT THE RURAL CLINICS. THE RURAL TRACK CONTINUITY CLINIC WILL BE BASED AT THE BRAWLEY LOCATION. THIRD-YEAR RESIDENTS WILL ALSO COMPLETE A ONE-MONTH FAMILY MEDICINE CLINIC ROTATION AT THE COACHELLA CLINIC TO GAIN DIVERSE CLINICAL EXPERIENCES WITH AN ELECTIVE OPPORTUNITY AT THE OTHER CLINICS. MATERNITY CARE IN RIVERSIDE & IMPERIAL COUNTIES IS SEVERELY LACKING DUE TO THE CLOSURE OF MATERNITY WARDS. ONLY ONE WARD REMAINS OPEN AFTER EL CENTRO HOSPITAL CLOSED THE MATERNITY WARD DUE TO FINANCIAL CONSTRAINTS IN JANUARY 2024. SINCE 2011, A QUARTER OF RURAL HOSPITALS IN THE U.S. HAVE CEASED TO PROVIDE OBSTETRICS SERVICES, LEAVING MORE THAN HALF OF RURAL HOSPITALS IN THE COUNTRY WITHOUT A MATERNITY WARD. IN CALIFORNIA, ALMOST 60% OF RURAL HOSPITALS LACK ONE. INPATIENT TRAINING WILL BE CONDUCTED AT EISENHOWER HOSPITAL, WHICH IS RECOGNIZED AS A CENTER OF EXCELLENCE IN CANCER, CARDIOLOGY, NEUROSCIENCE, AND ORTHOPEDICS. THIS PARTNERSHIP WILL PROVIDE RESIDENTS WITH OPPORTUNITIES TO TRAIN IN A STATE-OF-THE-ART FACILITY AND GAIN EXPERIENCE IN THESE CRITICAL AREAS OF HEALTHCARE IN COACHELLA VALLEY. GRANT FUNDING WILL SUPPORT RECRUITMENT OF GME LEADERSHIP AND FACULTY AND COLLABORATIONS WITH ADDITIONAL PARTICIPATING SITES TO ENSURE A COMPREHENSIVE CLINICAL EXPERIENCE ALIGNED WITH THE ACGME REQUIREMENTS.

ARRA - INCREASE SERVICES TO HEALTH CENTERS

HEALTH CENTER CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT FUNDING

EMPODERATE YOUTH CTR: CAPACITY BLDG FOR HIV, SUBSTANCE ABUSE, AND VIRAL HEPATITIS

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - LA CLÍNICA DEL PUEBLO, INC., A 501(C)(3) FEDERALLY QUALIFIED HEALTH CENTER (FQHC GRANT NO. H80CS08244), IS COMMITTED TO BUILDING A HEALTHY LATINE COMMUNITY THROUGH CULTURALLY APPROPRIATE HEALTH SERVICES. RECOGNIZED AS A PATIENT-CENTERED MEDICAL HOME (PCMH), LA CLÍNICA IS A CERTIFIED OUTPATIENT SUBSTANCE USE DISORDER (SUD) AND RECOVERY SUPPORT SERVICES (RSS) PROVIDER IN THE DISTRICT OF COLUMBIA (DC). WITH THE HRSA-24-078 FUNDING OPPORTUNITY, LA CLÍNICA SEEKS TO EXPAND BY 20% OUR MENTAL HEALTH (MH) AND SUD SERVICES FOR LOW-INCOME, IMMIGRANT, AND LIMITED ENGLISH PROFICIENT (LEP) LATINE INDIVIDUALS IN THE DC-MD-VA (DMV) AREA. MENTAL HEALTH AND SUBSTANCE USE DISORDERS ARE SIGNIFICANT CONCERNS AMONG THE DMV'S LATINE COMMUNITY. DC SURVEILLANCE DATA REVEALS THAT 13.5% OF HISPANIC RESPONDENTS REPORTED BEING DIAGNOSED WITH A DEPRESSIVE DISORDER, AND 10.7% INDICATED A LACK OF ADEQUATE SUPPORT. THE DC COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIES ADDICTION AND SUBSTANCE USE AS TOP HEALTH CONCERNS, ECHOING FEEDBACK FROM OUR COMMUNITY. THE 2022 PRINCE GEORGE'S COUNTY COMMUNITY HEALTH ASSESSMENT INDICATES THAT 23.5% OF LATINE RESIDENTS EXPERIENCE POOR MENTAL HEALTH AND 12.8% ARE DIAGNOSED WITH SUD. ADDITIONALLY, 22.9% OF THE COUNTY'S POPULATION ARE IMMIGRANTS, FACING BARRIERS THAT LIMIT THEIR ACCESS TO MH AND SUD SERVICES. THE URGENCY OF THESE ISSUES IS HIGHLIGHTED BY THE 2018 COUNTY'S OPIOID OVERDOSE REPORT, WITH 28.4% OF OPIOID OVERDOSE DEATHS INVOLVING HISPANIC RESIDENTS. LA CLÍNICA'S MH AND SUD (MHSU) DEPARTMENT OFFERS CULTURALLY AND LINGUISTICALLY COMPETENT SERVICES, INCLUDING INDIVIDUAL, COUPLES, FAMILY, AND GROUP THERAPY, BILINGUAL PSYCHIATRIC CARE, AND CASE MANAGEMENT, INTEGRATING COGNITIVE-BEHAVIORAL THERAPIES AND MOTIVATIONAL INTERVIEWING, AMONG OTHER APPROACHES. MENTAL HEALTH THERAPISTS ARE INTEGRATED IN OUR MEDICAL PRACTICE CONDUCT SBIRTS AND WARM HAND-OFFS AS NEEDED. THE "VOLVIENDO A VIVIR" ("BACK TO LIFE") INITIATIVE EMPLOYS THE MATRIX MODEL AND THE TRAUMA RECOVERY AND EMPOWERMENT MODEL, PROVIDING CRITICAL SUPPORT TO INDIVIDUALS STRUGGLING WITH SUDS. IN 2023, LA CLÍNICA SERVED 4,464 UNIQUE PATIENTS—54% FEMALE, 44% MALE, AND 2% OTHER, PRIMARILY AGED 18-64. NINETY PERCENT ARE LATINE, 83% REQUIRE SERVICES IN A LANGUAGE OTHER THAN ENGLISH, 40% ARE UNINSURED, AND 95% LIVE BELOW 200% OF THE FEDERAL POVERTY LINE. LA CLÍNICA ALSO PROVIDED 4,880 MH SERVICE VISITS TO 716 UNIQUE PATIENTS AND 10,490 SUD SERVICES TO 251 INDIVIDUALS, WITHOUT PRESCRIBING ANY MOUD. SUPPORTED BY HRSA-24-078 FUNDING, WE AIM TO ENHANCE OUR CAPACITY AND SUSTAINABILITY BY FOCUSING ON THREE CORE AREAS: 1. STRENGTHEN MH SERVICES BY OBTAINING DC DBH CHAPTER 34 CORE AGENCY CERTIFICATION, HIRING A FULL-TIME PSYCHIATRIST, AND ADDING A MENTAL HEALTH THERAPIST IN DC AND MD. 2. EXPAND SUD SERVICES BY SECURING NECESSARY CERTIFICATIONS, HIRING TWO FULL-TIME COUNSELORS, A FULL-TIME CASE MANAGER, AND A HALF-TIME CLINICAL CARE COORDINATOR IN PRINCE GEORGE’S COUNTY, AND EXTENDING SERVICES ACROSS STATE LINES. 3. DEVELOP MOUD PRESCRIPTION CAPACITY BY TRAINING PROVIDERS IN BUPRENORPHINE, METHADONE, AND NALTREXONE DELIVERY, AND ADDRESSING STIGMA AND REGULATORY BARRIERS. THROUGH THESE INITIATIVES, WE ANTICIPATE AT LEAST A 20% EXPANSION IN OUR MH AND SUD SERVICES BY THE END OF YEAR 2, REACHING AT LEAST 140 NEW MH CLIENTS AND 50 NEW SUD CLIENTS, AND ISSUING 100 NEW MOUD PRESCRIPTIONS. WE ARE CONFIDENT IN OUR ABILITY TO EXPAND OUR REACH, ENHANCE OUR SERVICES, AND FURTHER OUR MISSION TO BUILD A HEALTHIER COMMUNITY IN THE DMV REGION.

FY 2023 EXPANDING COVID-19 VACCINATION

HEALTH CENTER INFRASTRUCTURE SUPPORT

HEALTH CENTER CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT FUNDING

HEALTH CENTER INFRASTRUCTURE SUPPORT

FISCAL YEAR 2025 EXPANDED HOURS. - LA CLÍNICA DEL PUEBLO, A FEDERALLY QUALIFIED HEALTH CENTER (FQHC, GRANT NO. H80CS08244) AND 501(C)(3) ORGANIZATION, IS DEDICATED TO BUILDING A HEALTHIER LATINX COMMUNITY THROUGH CULTURALLY APPROPRIATE HEALTH SERVICES, PARTICULARLY FOR LOW-INCOME, IMMIGRANT, AND LIMITED ENGLISH PROFICIENT (LEP) INDIVIDUALS IN THE DMV AREA. OUR PROJECT SEEKS FUNDING TO EXPAND LA CLÍNICA DEL PUEBLO'S SERVICE HOURS, ENHANCING ACCESSIBILITY AND REDUCING HEALTH DISPARITIES, THEREBY ADVANCING OUR 41-YEAR MISSION TOWARDS A BARRIER-FREE, HEALTHY, AND EMPOWERED LATINX COMMUNITY. DESPITE ADVANCEMENTS IN HEALTHCARE COVERAGE THROUGH POLICIES LIKE THE AFFORDABLE CARE ACT, LATINX INDIVIDUALS IN THE DMV AREA STILL FACE SIGNIFICANT BARRIERS TO ACCESSING HEALTHCARE. DATA INDICATES THAT LATINX INDIVIDUALS ARE MORE LIKELY TO BE UNINSURED AND ENCOUNTER LINGUISTIC AND SYSTEMIC OBSTACLES THAT HINDER THEIR UTILIZATION OF NECESSARY HEALTH SERVICES. IN RESPONSE, LA CLÍNICA SERVES AS A CRITICAL ACCESS POINT FOR THIS COMMUNITY. IN 2023, LA CLÍNICA DEL PUEBLO PROVIDED COMPREHENSIVE HEALTHCARE SERVICES TO OUR COMMUNITY, DELIVERING OVER 12,500 PRIMARY CARE APPOINTMENTS, 4,800 MENTAL HEALTH SERVICES, AND 10,400 SUBSTANCE USE DISORDER ENCOUNTERS, REACHING MORE THAN 4,400 UNIQUE PATIENTS. HOWEVER, OUR ABILITY TO FULLY MEET COMMUNITY NEEDS CONTINUES TO BE CONSTRAINED BY LIMITED OPERATIONAL HOURS. CURRENTLY, OUR SERVICE SCHEDULE INCLUDES ONLY 40 CLINICAL HOURS PER WEEK. THIS LIMITATION AROSE BECAUSE OF SCALING BACK DURING THE COVID-19 PANDEMIC DUE TO STAFFING TURNOVERS AND OPERATIONAL MODIFICATIONS. WE ARE SEEKING SUPPORT TO OVERCOME THE SYSTEMIC OBSTACLES THAT THE PANDEMIC CREATED, SIMULTANEOUSLY ENHANCING OUR CAPACITY TO INCREASE ACCESS TO AFTER-WORK AND AFTER-SCHOOL TIME SLOTS. PERSISTENT HEALTHCARE DISPARITIES IN THE DMV AREA HIGHLIGHT THE NEED TO EXPAND LA CLÍNICA DEL PUEBLO'S SERVICE HOURS. LIMITED AFTER-HOURS ACCESS HAMPERS THOSE WITH DAYTIME COMMITMENTS. BY EXTENDING OPERATING HOURS, WE'LL PROVIDE MORE FLEXIBLE APPOINTMENTS, ESSENTIAL FOR INCLUSIVE ACCESS. THIS CHANGE IS VITAL TO MEET OUR COMMUNITY'S NEEDS, ENSURING HEALTHCARE FOR ALL, IRRESPECTIVE OF PERSONAL SCHEDULES, AND FOSTERING A MORE EQUITABLE ENVIRONMENT FOR TIMELY PRIMARY CARE. LA CLÍNICA DEL PUEBLO PROPOSES A STRATEGIC EXPANSION OF OUR OPERATIONAL HOURS TO BETTER MEET THE HEALTHCARE NEEDS OF OUR COMMUNITY. WE PLAN TO EXTEND OUR HOURS FROM 8 AM TO 6 PM, MONDAY THROUGH FRIDAY, INCREASING AVAILABLE CLINICAL SERVICES TO 50 HOURS PER WEEK, WITH POTENTIAL WEEKEND EXPANSION. TO ACCOMPLISH THIS, WE PLAN TO IMPLEMENT A PHASED APPROACH TO STAFFING TO SUPPORT THIS EXPANSION EFFECTIVELY. IN ADDITION, WE WILL ADJUST THE PERCENTAGE OF ADMINISTRATIVE TO CLINICAL HOURS PER PRACTITIONER TO INCREASE ACCESS TO THEIR PANEL ACROSS THE EXPANDED HOURS. THIS STAFFING MODEL WILL ENSURE THAT WE MAINTAIN HIGH-QUALITY CARE WITHOUT OVERBURDENING OUR STAFF, PROMOTING A BALANCED WORK ENVIRONMENT. THESE CHANGES ARE DESIGNED TO NOT ONLY INCREASE DIRECT PATIENT CARE HOURS BUT ALSO ENHANCE OUR CAPACITY TO PROVIDE CONTINUOUS AND COMPREHENSIVE SERVICES ACROSS ALL DEPARTMENTS, INCLUDING PRIMARY CARE, MENTAL HEALTH, AND SUBSTANCE USE TREATMENT PROGRAMS. WITH THE EXPANDED HOURS, WE ANTICIPATE INCREASING ACCESS TO PRIMARY CARE FOR OVER 1,000 ADDITIONAL PATIENTS ANNUALLY, SIGNIFICANTLY ENHANCING OUR HEALTHCARE DELIVERY MODEL AND PATIENT SATISFACTION. THE EXPANDED HOURS OF OPERATION INITIATIVE IS A STRATEGIC RESPONSE TO THE URGENT NEED FOR MORE ACCESSIBLE, CULTURALLY AND LINGUISTICALLY APPROPRIATE HEALTHCARE IN THE DC METROPOLITAN AREA. SUPPORTED BY THE HRSA-25-084 FUNDING OPPORTUNITY, THIS PROJECT AIMS TO SUBSTANTIALLY ENHANCE OUR SERVICE CAPACITY, PROMOTING BETTER HEALTH OUTCOMES AND REDUCING DISPARITIES AMONG VULNERABLE POPULATIONS.

AFFORDABLE CARE ACT (ACA) GRANTS FOR SCHOOL-BASED HEALTH CENTERS CAPITAL PROGRAM

COLECTIVA LEGAL DEL PUEBLO FY23 CONGRESSIONAL COMMUNITY PROJECT FUNDING

ENHANCING CULTURALLY RESPONSIVE SERVICES FOR LOW-INCOME, LIMITED ENGLISH PROFICIENT, IMMIGRANT, LATINX SURVIVORS OF DOMESTIC VIOLENCE AND SEXUAL ASSAULT AND THEIR FAMILIES IN THE DC DMV

SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT

HEALTH CARE AND OTHER FACILITIES

ARRA - CAPITAL IMPROVEMENT PROGRAM

CAPITAL DEVELOPMENT

ARRA - CAPITAL IMPROVEMENT PROGRAM

SIN FRONTERAS (WITHOUT BORDERS)

THE GRANTS TO ENHANCE CULTURALLY SPECIFIC SERVICES FOR VICTIMS OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING PROGRAM IS AUTHORIZED BY 34 U.S.C. § 20124. THIS PROGRAM SUPPORTS THE MAINTENANCE AND REPLICATION OF EXISTING SUCCESSFUL COMMUNITY-BASED PROGRAMS PROVIDING CULTURALLY SPECIFIC SERVICES TO VICTIMS OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING, AS WELL AS THE DEVELOPMENT OF INNOVATIVE CULTURALLY SPECIFIC STRATEGIES TO ENHANCE ACCESS TO SERVICES AND RESOURCES FOR VICTIMS WHO FACE OBSTACLES TO USING MORE TRADITIONAL PROGRAMS.  CULTURALLY SPECIFIC SERVICES MEANS COMMUNITY-BASED SERVICES THAT INCLUDE CULTURALLY RELEVANT AND LINGUISTICALLY SPECIFIC SERVICES AND RESOURCES TO CULTURALLY SPECIFIC COMMUNITIES WHICH ARE STATUTORILY DEFINED AS “AMERICAN INDIANS (INCLUDING ALASKA NATIVES, ESKIMOS, AND ALEUTS); ASIAN AMERICANS; NATIVE HAWAIIANS AND OTHER PACIFIC ISLANDERS; BLACKS; AND HISPANICS.”  PROJECTS MUST: 1) WORK WITH STATE AND LOCAL GOVERNMENTS AND SOCIAL SERVICE AGENCIES TO DEVELOP AND ENHANCE EFFECTIVE STRATEGIES TO PROVIDE CULTURALLY SPECIFIC VICTIM SERVICES ; 2) INCREASE COMMUNITIES’ CAPACITY TO PROVIDE CULTURALLY SPECIFIC RESOURCES AND SUPPORT FOR VICTIMS AND THEIR FAMILIES; 3) STRENGTHEN CRIMINAL JUSTICE INTERVENTIONS BY PROVIDING TRAINING FOR LAW ENFORCEMENT, PROSECUTION, COURTS, PROBATION, AND CORRECTIONAL FACILITIES ON CULTURALLY SPECIFIC RESPONSES; 4) ENHANCE TRADITIONAL SERVICES TO VICTIMS THROUGH THE LEADERSHIP OF CULTURALLY SPECIFIC VICTIM SERVICES PROGRAMS ; 5) WORK IN COOPERATION WITH THE COMMUNITY TO DEVELOP EDUCATION AND PREVENTION STRATEGIES HIGHLIGHTING CULTURALLY SPECIFIC ISSUES AND RESOURCES; 6) PROVIDE CULTURALLY SPECIFIC PROGRAMS FOR CHILDREN EXPOSED TO DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING; 7) PROVIDE CULTURALLY SPECIFIC RESOURCES AND SERVICES THAT ADDRESS THE SAFETY, ECONOMIC, HOUSING, AND WORKPLACE NEEDS OF VICTIMS, INCLUDING EMERGENCY ASSISTANCE; AND/OR 8) EXAMINE THE DYNAMICS OF CULTURE AND ITS IMPACT ON VICTIMIZATION AND HEALING.

ENTRE AMIGAS (AMONG GIRLFRIENDS)

AFFORDABLE CARE ACT PATIENT CENTERED MEDICAL HOME FACILITY IMPROVEMENTS GRANT PROGRAM

CAPITAL ASSISTANCE FOR DISASTER RESPONSE AND RECOVERY EFFORTS

HIV PREVENTION FOR YOUTH

PROYECTO ENLACE - HIV, HEPATITIS, AND SUBSTANCE MISUSE PREVENTION AND NAVIGATION FOR LATINO YOUNG ADULT MSM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

ARRA - INCREASE SERVICES TO HEALTH CENTERS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2023 BRIDGE ACCESS PROGRAM

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 EXPANDING COVID-19 VACCINATION

MILK INCOME LOSS CONTRACTS; TO MAINTAIN AND EXPAND EXISTING MARKETS FOR DAIRY WHICH ARE VITAL TO THE WELFARE OF MILK PRODUCERS IN THE UNITED STATES

VIOLENCE PREVENTION AND INTERVENTION COUNSELING PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

PURPOSE: TO SUPPORT PERSONNEL EXPENSES IN RESPONSE TO AND RECOVERY FROM THE COVID-19 PANDEMIC.

COMMUNITY FACILITIES - ECONOMIC IMPACT INITIATIVE GRANTS

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

COMMUNITY FACILITY GRANTS

REAP RENEWABLE ENERGY SYSTEM (RES) GRANT UNRESTRICTED AMOUNT

COMMUNITY FACILITY 2019 DISASTER GRANTS - TORNADOES FLOODS OTHER

COMMUNITY FACILITIES - ECONOMIC IMPACT INITIATIVE GRANTS

COMMUNITY FACILITIES - ECONOMIC IMPACT INITIATIVE GRANTS

COMMUNITY FACILITIES LOANS AND GRANTS - ARRA

COMMUNITY FACILITIES LOANS AND GRANTS - ARRA

COMMUNITY FACILITIES - ECONOMIC IMPACT INITIATIVE GRANTS

COMMUNITY FACILITIES LOANS AND GRANTS - ARRA

COMMUNITY FACILITY GRANTS

COMMUNITY FACILITY GRANTS

FY 2023 BRIDGE ACCESS PROGRAM

COMMUNITY FACILITIES - ECONOMIC IMPACT INITIATIVE GRANTS

COMMUNITY FACILITY GRANTS

COMMUNITY FACILITY GRANTS

COMMUNITY FACILITIES - ECONOMIC IMPACT INITIATIVE GRANTS

COMMUNITY FACILITIES - ECONOMIC IMPACT INITIATIVE GRANTS

COMMUNITY FACILITIES - ECONOMIC IMPACT INITIATIVE GRANTS

COMMUNITY FACILITIES - ECONOMIC IMPACT INITIATIVE GRANTS

COMMUNITY FACILITIES - ECONOMIC IMPACT INITIATIVE GRANTS

COMMUNITY FACILITIES - ECONOMIC IMPACT INITIATIVE GRANTS

COMMUNITY FACILITIES - ECONOMIC IMPACT INITIATIVE GRANTS

COMMUNITY FACILITY GRANTS

COMMUNITY FACILITIES - ECONOMIC IMPACT INITIATIVE GRANTS

FY 2023 BRIDGE ACCESS PROGRAM

COMMUNITY FACILITIES - ECONOMIC IMPACT INITIATIVE GRANTS

PURPOSE: TO SUPPORT THE DEVELOPMENT AND PRODUCTION OF A NEW MUSICAL ARENA: A HOUSE MUSIC-AL AND ASSOCIATED COMMUNITY ENGAGEMENT PROGRAMS.

COMMUNITY FACILITY 2019 DISASTER GRANTS - TORNADOES FLOODS OTHER

COMMUNITY FACILITY GRANTS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

CAPITAL DEVELOPMENT

ARRA - CAPITAL IMPROVEMENT PROGRAM

TO SUPPORT THE COMMISSION AND DEVELOPMENT OF A NEW PLAY BY LUIS ALFARO.