La Maestra Family Clinic Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

LA MAESTRA CERTIFIED BEHAVIORAL HEALTH CENTER: A COMPREHENSIVE COMMUNITY MENTAL AND SUBSTANCE USE DISORDER TREATMENT CENTER FOR LOW-INCOME, UNINSURED AND UNDERINSURED INDIVIDUALS IN SAN DIEGO COUNTY.

EXPANDED SCREENING, BRIEF INTERVENTION AND REFERRAL TO TREATMENT (SBIRT) SERVICES FOR LOW-INCOME, UNINSURED AND UNDERINSURED TRANSITIONAL AGE YOUTH (TAY) AND ADULTS IN SAN DIEGO COUNTY CALIFORNIA

POSTDOCTORAL TRAINING IN GENERAL, PEDIATRIC AND PUBLIC HEALTH DENTISTRY AND DENTAL HYGIENE

LA MAESTRA TREATMENT FOR PREGNANT AND POSTPARTUM LOW-INCOME WOMEN IN SAN DIEGO COUNTY - FOR THE PROPOSED PROJECT, LA MAESTRA’S OVERARCHING GOAL IS TO PROVIDE COMPREHENSIVE SUBSTANCE USE DISORDER (SUD) TREATMENT SERVICES, RECOVERY SUPPORT SERVICES, AND HARM REDUCTION INTERVENTIONS TO PREGNANT AND POSTPARTUM WOMEN ACROSS A CONTINUUM OF SPECIALTY SUD LEVELS OF CARE, BASED ON COMPREHENSIVE, INDIVIDUALIZED SCREENINGS AND ASSESSMENTS THAT INFORM TREATMENT PLANNING AND SERVICE DELIVERY IN A CONTINUOUS CARE MODEL. THE ORGANIZATION WILL ACCOMPLISH THIS THROUGH THE FOLLOWING OBJECTIVES: 1) SCREEN A MINIMUM OF 800 PREGNANT AND POSTPARTUM WOMEN ANNUALLY FOR SUD AND/OR COD USING EVIDENCE-BASED SCREENING TOOLS OR 4,000 PATIENTS OVER THE FIVE-YEAR PROJECT PERIOD; 2) PROVIDE COMPREHENSIVE SUBSTANCE USE DISORDER (SUD) TREATMENT SERVICES, RECOVERY SUPPORT SERVICES, AND HARM REDUCTION INTERVENTIONS TO A MINIMUM OF 200 PREGNANT AND POSTPARTUM WOMEN ANNUALLY OR 1,000 PATIENTS OVER THE FIVE-YEAR PROJECT PERIOD; AND 3) CONNECT 200 PREGNANT AND POSTPARTUM WOMEN TO THE FULL CONTINUUM OF CIRCLE OF CARE® SERVICES THROUGH COMPREHENSIVE CASE MANAGEMENT. IN 2020, LA MAESTRA SERVED 39,943 PATIENTS. ACCORDING TO 2021 UNIFORM DATA SYSTEM (UDS) NUMBERS CLINIC DATA, 86.1% OF THE ORGANIZATION’S PATIENTS SERVED ARE LIVING AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL, 23% OF PATIENTS ARE UNINSURED AND 70% ARE UNDERINSURED. IN ADDITION, 76% OF PATIENTS BELONGED TO A RACIAL OR ETHNIC MINORITY GROUP AND 48.9% PREFER TO BE SPOKEN TO IN A LANGUAGE OTHER THAN ENGLISH. ACCORDING TO THE 2021 CALIFORNIA HEALTH INTERVIEW SURVEY (CHIS), APPROXIMATELY 23.7% OF LOW-INCOME WOMEN IN LA MAESTRA’S SERVICE AREA INDICATED THAT THEY NEEDED HELP FOR USE OF AN ALCOHOL OR DRUG, AS OPPOSED TO ONLY 20.4% AT THE COUNTY LEVEL. ADDITIONALLY, 6.2% OF LOW-INCOME PREGNANT WOMEN IN THE SERVICE AREA REPORTED A MENTAL OR EMOTIONAL PROBLEM AS THEIR REASON FOR SEEKING TREATMENT FROM A PHYSICIAN OR MENTAL HEALTH PROFESSIONAL IN THE LAST YEAR. THIS HIGHLIGHTS THE TREATMENT GAP AMONGST LOW-INCOME WOMEN AND SUGGESTS A NEED FOR INCREASED ACCESS TO COMPREHENSIVE BEHAVIORAL HEALTH AND SUDS THROUGH HARM REDUCTION PRACTICES IN ORDER TO RESPOND TO HEALTH AND WELLNESS NEEDS IN THE SERVICE AREA. LA MAESTRA WILL ADHERE TO CURRENT EVIDENCE BASED PRACTICES (EBP) AND EXPAND PPW SERVICES TO ENSURE THAT ALL PATIENTS SEEKING OVERDOSE AND OTHER TYPES OF PREVENTION ACTIVITIES, INCLUDING SUDS AND MAT SERVICES RECEIVE THE COMPREHENSIVE, CULTURALLY AND LINGUISTICALLY COMPETENT CARE THEY REQUIRE. ADDITIONALLY, ALL PERFORMANCE ASSESSMENTS AND EVALUATIONS FOR THIS PROGRAM WILL BE CONDUCTED BY DR. ANDREW SARKIN, PH.D., AN INDEPENDENT, THIRD PARTY EVALUATOR FROM THE UNIVERSITY OF SAN DIEGO’S HEALTH SERVICES RESEARCH CENTER (HSRC). HSRC IS A COMPREHENSIVE RESEARCH UNIT THAT WAS ESTABLISHED IN 1991. DR. SARKIN HAS OVER TWO DECADES OF EVALUATION EXPERIENCE IN BEHAVIORAL HEALTH AND CLINICAL PSYCHOLOGY.

EXPANDED SCREENING, BRIEF INTERVENTION AND REFERRAL TO TREATMENT (SBIRT) SERVICES FOR LOW-INCOME, UNINSURED AND UNDERINSURED TRANSITIONAL AGE YOUTH (TAY) AND ADULTS IN SAN DIEGO COUNTY - LA MAESTRA’S EXPANDED SCREENING, BRIEF INTERVENTION AND REFERRAL TO TREATMENT (SBIRT) SERVICES FOR LOW-INCOME, UNINSURED AND UNDERINSURED TRANSITIONAL AGE YOUTH (TAY) AND ADULTS IN SAN DIEGO COUNTY PROJECT WILL IMPLEMENT THE SBIRT PUBLIC HEALTH MODEL FOR CHILDREN, ADOLESCENTS, AND ADULTS WITH A FOCUS ON SCREENING FOR UNDERAGE DRINKING, OPIOID USE, AND OTHER SUBSTANCE USE. THE ORGANIZATION WILL SERVE HARD-TO-REACH, AT-RISK POPULATIONS, INCLUDING BUT NOT LIMITED TO LOW-INCOME INDIVIDUALS LIVING AT OR BELOW 200% OF POVERTY, RACIAL AND ETHNIC MINORITIES, LGBTQ2S+, UNHOUSED POPULATIONS, IMMIGRANTS, REFUGEES, VETERANS, AND PREVIOUSLY INCARCERATED INDIVIDUALS. LA MAESTRA WILL PLACE A SPECIFIC FOCUS ON ENSURING THAT 50% OF THE PATIENTS SERVED ARE AGES 12-21. THE OVERARCHING GOAL OF LA MAESTRA’S SBIRT PROJECT IS TO DELIVER EARLY INTERVENTION FOR INDIVIDUALS WITH RISKY ALCOHOL AND DRUG USE, AS WELL AS THE TIMELY REFERRAL TO MORE INTENSIVE TREATMENT FOR THOSE WHO HAVE SUBSTANCE USE DISORDERS, WITH A FOCUS ON SCREENING FOR UNDERAGE DRINKING, OPIOID USE, AND OTHER SUBSTANCE USE. THE ORGANIZATION EXPECTS TO ACHIEVE THIS BY FULFILLING THE FOLLOWING OBJECTIVES: 1) SCREEN A MINIMUM OF 6,000 INDIVIDUALS, 50% OF WHICH WILL BE CHILDREN OR ADOLESCENTS, FOR UNDERAGE DRINKING, OPIOID USE, AND OTHER SUBSTANCE USE ANNUALLY (30,000 TOTAL OVER THE FIVE-YEAR PROJECT PERIOD); 2) ENGAGE A MINIMUM OF 60% OF ADULTS AND 40% OF YOUTH WITH POSITIVE EVIDENCE-BASED TOOL SCREENINGS IN BRIEF INTERVENTION (BI), BRIEF TREATMENT (BT), OR REFERRAL TO TREATMENT (RT); 3) REDUCE ALCOHOL AND/OR DRUG USE (AOD) AMONG PROGRAM PARTICIPANTS WHO PARTICIPATED IN BI, BT, OR RT BY A MINIMUM OF 25% WITHIN THE FIRST SIX MONTHS OF SBIRT ENROLLMENT; AND 4) CONNECT AT MINIMUM OF 50% OF ADULTS AND/OR YOUTH PARTICIPANTS TO THE FULL SPECTRUM OF LA MAESTRA CIRCLE OF CARE® SERVICES ANNUALLY THROUGH COMPREHENSIVE CASE MANAGEMENT; 5) ENSURE THAT ALL PATIENTS THAT SCREEN POSITIVE AND ARE REFERRED FOR TREATMENT WILL HAVE A SIX-MONTH FOLLOW-UP RATE OF 80%. IN 2023, LA MAESTRA SERVED 44,489 PATIENTS. PATIENTS WERE SERVED ACROSS THE AGE CONTINUUM, RANGING FROM BIRTH TO NEARLY 100 YEARS OLD. ACCORDING TO 2023 CLINIC DATA, 87% OF PATIENTS SERVED WERE LIVING AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL, 16% OF PATIENTS WERE UNINSURED, AND 80% WERE UNDERINSURED. IN ADDITION, 79% OF PATIENTS BELONGED TO A RACIAL OR ETHNIC MINORITY, AND 59% WERE BEST SERVED IN A LANGUAGE OTHER THAN ENGLISH. AMONG ALL CLINIC PATIENTS, 6% WERE ASIAN, 16% WERE BLACK/AFRICAN AMERICAN, 21% WERE CAUCASIAN/WHITE, 55% WERE HISPANIC/LATINO, AND 2% WERE UNDISCLOSED OR SOME OTHER RACE. RECENT DATA SHOWS THAT IMPOVERISHED COMMUNITIES FACE SIGNIFICANTLY HIGHER RATES OF ADDICTION, WITH FINANCIAL INSTABILITY FOSTERING STRESS AND INCREASING THE LIKELIHOOD OF ADDICTIVE BEHAVIORS. DATA FROM THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE FOUND THAT SAN DIEGO RANKS AMONG THE WORST PLACES IN CALIFORNIA DEALING WITH EXCESSIVE ALCOHOL USE. IN ADDITION, THE SAN DIEGO COUNTY MEDICAL EXAMINER ALSO NOTED AN INCREASE IN THE NUMBER OF ALCOHOL-RELATED DEATHS AMONG PEOPLE AGES 14-25 IN 2020. FURTHERMORE, LA MAESTRA’S SERVICE AREA OF CENTRAL, EAST, AND SOUTH SAN DIEGO SAW OPIOID OVERDOSE HOSPITALIZATION RATES AS HIGH AS 67.9 PER 100,000 AMONG NON-HISPANIC BLACK POPULATIONS AND 20.4 PER 100,000 AMONG HISPANIC POPULATIONS, COMPARED TO THE OVERALL COUNTY AVERAGE OF 16.0 PER 100,000. LA MAESTRA WILL ADHERE TO CURRENT EVIDENCE BASED PRACTICES AND EXPAND ITS WELLNESS CLINIC TO ENSURE THAT ALL PATIENTS SEEKING SBIRT SERVICES RECEIVE THE COMPREHENSIVE, CULTURALLY APPROPRIATE AND LINGUISTICALLY COMPETENT CARE THEY REQUIRE TO ACHIEVE RECOVERY. IN ADDITION, PERFORMANCE ASSESSMENT SERVICES FOR THIS PROGRAM WILL BE CONDUCTED BY DR. ANDREW SARKIN, PH.D., A THIRD-PARTY EVALUATOR FROM THE UCSD’S HEALTH SERVICES RESEARCH CENTER, ESTABLISHED IN 1991. DR. SARKIN HAS OVER TWO DECADES OF EVALUATION EXPERIENCE IN BEHAVIORAL HEALTH AND CLINICAL PSYCHOLOGY.

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

TARGETED CAPACITY EXPANSION: MEDICATION ASSISTED TREATMENT - PRESCRIPTION DRUG AND OPIOID ADDICTION

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION

TREATMENT FOR INDIVIDUALS EXPERIENCING HOMELESSNESS IN SAN DIEGO'S MOST VULNERABLE COMMUNITIES - LA MAESTRA’S TREATMENT FOR INDIVIDUALS EXPERIENCING HOMELESSNESS PROJECT WILL ENGAGE AND CONNECT THE POPULATION OF FOCUS TO BEHAVIORAL HEALTH TREATMENT, CASE MANAGEMENT, AND RECOVERY SUPPORT SERVICES; ASSIST WITH IDENTIFYING SUSTAINABLE PERMANENT HOUSING BY COLLABORATING WITH HOMELESS SERVICES ORGANIZATIONS AND HOUSING PROVIDERS, INCLUDING PUBLIC HOUSING AGENCIES; AND PROVIDE CASE MANAGEMENT THAT INCLUDES CARE COORDINATION/SERVICE DELIVERY PLANNING AND OTHER STRATEGIES THAT SUPPORT STABILITY ACROSS SERVICES AND HOUSING TRANSITIONS. THE GOAL OF LA MAESTRA’S TREATMENT FOR INDIVIDUALS EXPERIENCING HOMELESSNESS PROJECT IS TO PROVIDE COMPREHENSIVE, COORDINATED AND EVIDENCED-BASED SERVICES FOR INDIVIDUALS, YOUTH, AND FAMILIES WITH A SERIOUS MENTAL ILLNESS (SMI), SERIOUS EMOTIONAL DISTURBANCE (SED) OR CO-OCCURRING DISORDER (COD) WHO ARE EXPERIENCING HOMELESSNESS OR AT IMMINENT RISK OF HOMELESSNESS (E.G., PEOPLE EXITING JAIL OR PRISON WITHOUT A PLACE TO LIVE) IN SAN DIEGO COUNTY, CALIFORNIA. THE PROJECT WILL BE IMPLEMENTED BEFORE THE BEGINNING OF THE FOURTH MONTH OF AWARD. THE ORGANIZATION EXPECTS TO ACHIEVE THIS GOAL BY REACHING THE FOLLOWING OBJECTIVES: 1) INCREASE THE EXPOSURE OF LA MAESTRA SERVICES TO HOMELESS POPULATIONS BY OUTREACHING TO A TOTAL OF 400 INDIVIDUALS ANNUALLY (2,000 OVER THE PROJECT PERIOD) THROUGH COMMUNITY EVENTS, HEALTH FAIRS, AND STREET OUTREACH; 2) SCREEN AT LEAST 250 PATIENTS ANNUALLY (1,250 OVER THE PROJECT PERIOD) FOR SMI, SED, SUD, AND/OR COD USING EVIDENCE-BASED SCREENING TOOLS; 3) PROVIDE DIRECT SUD, BEHAVIORAL HEALTH TREATMENT, AND RECOVERY SUPPORT SERVICES TO A MINIMUM OF 125 INDIVIDUALS ANNUALLY (625 OVER THE PROJECT PERIOD); 4) LINK AT LEAST 90% OF PROGRAM PARTICIPANTS TO SUSTAINABLE PERMANENT HOUSING THROUGH PARTNERSHIPS WITH HOMELESS SERVICE ORGANIZATIONS AND HOUSING PROVIDERS; AND 5) ENROLL AT LEAST 80% OF INDIVIDUALS WITH POSITIVE SUD, OUD, OR CO-OCCURRING SCREENS INTO CASE MANAGEMENT AND PUBLIC PROGRAM ENROLLMENT ASSISTANCE. IN 2022, LA MAESTRA SERVED 40,654 PATIENTS. ACCORDING TO 2022 CLINIC DATA, 86% OF PATIENTS SERVED ARE LIVING AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL, 23% OF PATIENTS ARE UNINSURED AND 73.5% ARE UNDERINSURED. IN ADDITION, 79.7% OF PATIENTS BELONG TO A RACIAL OR ETHNIC MINORITY AND 58.3% IDENTIFIED AS BEING BEST SERVED IN A LANGUAGE OTHER THAN ENGLISH. A ACCORDING TO THE 2022 SYSTEM PERFORMANCE MEASURES COLLECTED BY THE SAN DIEGO REGIONAL TASK FORCE ON HOMELESSNESS (RTFHSD), 12,270 PERSONS IN SAN DIEGO COUNTY WERE REPORTED LIVING IN EMERGENCY SHELTERS (ES), SAFE HAVENS (SH), AND TRANSITIONAL HOUSING (TH), IN ADDITION TO 4,106 LIVING UNSHELTERED. OVERALL, THIS IS A 10% SPIKE COUNTYWIDE SINCE 2020, OR THE BEGINNING OF THE COVID-19 PANDEMIC. IN CENTRAL SAN DIEGO, WHERE LA MAESTRA’S MAIN CLINIC IS LOCATED, THE UNSHELTERED POPULATION INCREASED BY 9.2%. IN OTHER PARTS OF LA MAESTRA’S SERVICE AREA, SUCH AS SOUTH AND EAST SAN DIEGO COUNTY, PERCENTAGES HAVE INCREASED BY 24.2% AND 24.7%, RESPECTIVELY. FURTHERMORE, 43% OF HOMELESS PEOPLE LIVING ON THE STREETS IN SAN DIEGO COUNTY WERE REPORTED TO HAVE MENTAL HEALTH ISSUES AND THE NATIONAL ALLIANCE TO END HOMELESSNESS SUGGESTS THAT APPROXIMATELY 35% OF INDIVIDUALS EXPERIENCING HOMELESSNESS STRUGGLE WITH SOME FORM OF SUBSTANCE ABUSE. LA MAESTRA WILL ADHERE TO CURRENT EVIDENCE BASED PRACTICES AND EXPAND ITS WELLNESS CLINIC TO ENSURE THAT ALL PATIENTS SEEKING TIEH SERVICES RECEIVE THE COMPREHENSIVE, CULTURALLY APPROPRIATE AND LINGUISTICALLY COMPETENT CARE THEY REQUIRE TO ACHIEVE RECOVERY. IN ADDITION, PERFORMANCE ASSESSMENT SERVICES FOR THIS PROGRAM WILL BE CONDUCTED BY DR. ANDREW SARKIN, PH.D., A THIRD-PARTY EVALUATOR FROM THE UNIVERSITY OF SAN DIEGO’S HEALTH SERVICES RESEARCH CENTER (HSRC). HSRC IS A COMPREHENSIVE RESEARCH UNIT THAT WAS ESTABLISHED IN 1991. DR. SARKIN HAS OVER TWO DECADES OF EVALUATION EXPERIENCE IN BEHAVIORAL HEALTH MEDICINE AND CLINICAL PSYCHOLOGY.

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

EXPANDING ACCESS TO SUBSTANCE ABUSE AND HIV NAVIGATION SERVICES - LA MAESTRA'S PROJECT "EXPANDING ACCESS TO SUBSTANCE ABUSE AND HIV NAVIGATION SERVICES" WILL TARGET THOSE AT THE HIGHEST RISK FOR HIV AND SUBSTANCE USE DISORDERS, INCLUDING LOW-INCOME, UNINSURED AND UNDERINSURED ETHNIC AND RACIAL MINORITY PATIENTS. THE OVERALL PROJECT GOAL IS TO PROVIDE SERVICES TO THOSE AT HIGHEST RISK FOR HIV AND SUBSTANCE USE DISORDERS THROUGHOUT SAN DIEGO COUNTY, CALIFORNIA. THE PROJECT GOAL WILL BE ACHIEVED BY REACHING THE FOLLOWING OBJECTIVES: 1) SCREEN A MINIMUM OF 1,500 PATIENTS ANNUALLY FOR SUBSTANCE USE DISORDER SERVICES (SUDS) USING EVIDENCE-BASED SCREENING TOOLS; 2) PROVIDE SUBSTANCE USE PREVENTION AND HIV RISK FACTOR AND RISK REDUCTION EDUCATION SERVICES TO A MINIMUM OF 500 INDIVIDUALS ANNUALLY THROUGH INTERNAL CLINIC REFERRALS AND COMMUNITY OUTREACH EVENTS; 3) SCREEN AND TEST A MINIMUM OF 300 INDIVIDUALS ANNUALLY FOR HIV AND VIRAL HEPATITIS; 4) PROVIDE A MINIMUM OF 140 INDIVIDUALS ANNUALLY WITH NAVIGATION SERVICES (INCLUDING FOLLOW-UP) FOR HIV AND SUBSTANCE MISUSE SERVICES; AND 5) PROVIDE AT LEAST TWO TRAINING EVENTS PER YEAR WITHIN THE FIRST THREE YEARS OF THE PROJECT PERIOD (OR A TOTAL OF 6 TRAINING SESSIONS) TO SUDS TREATMENT PROVIDERS AND OTHER HEALTHCARE PROVIDERS AT LA MAESTRA ON THE IMPORTANCE OF HIV SCREENING AND MEETING THE CLINICAL CARE NEEDS OF PEOPLE LIVING WITH HIV (PLWH). THE POPULATION OF FOCUS FOR THIS PROJECT IS SAN DIEGO COUNTY RESIDENTS AT HIGHEST RISK FOR HIV AND SUBSTANCE USE DISORDERS WITH A FOCUS ON RACIAL AND ETHNIC MINORITIES. ACCORDING TO 2018 CLINIC DATA, 74.4% OF LA MAESTRA'S 48,545 TOTAL PATIENTS BELONG TO A RACIAL OR ETHNIC MINORITY GROUP AND 59.0% PREFER TO BE SERVED IN A LANGUAGE OTHER THAN ENGLISH. LA MAESTRA WILL ALSO OUTREACH TO HARD-TO-REACH, AT-RISK POPULATIONS INCLUDING HOMELESS INDIVIDUALS, PREVIOUSLY INCARCERATED PERSONS AND MEMBERS OF THE LGBTQ COMMUNITY. IN 2018, LA MAESTRA CONDUCTED 6,729 SBIRT SCREENINGS, PROVIDED SUD SERVICES TO 168 PATIENTS, PROVIDED MENTAL HEALTH SERVICES TO 1,064 PATIENTS, AND DIAGNOSED 17 PATIENTS WITH HIV. HOWEVER, ACCORDING TO UCLA'S 2017 COMMUNITY HEALTH INTERVIEW SURVEY (CHIS), 20.6% OF PEOPLE IN THE SERVICE AREA NEEDED HELP FOR EMOTIONAL/MENTAL HEALTH PROBLEMS OR THE USE OF ALCOHOL OR OTHER DRUGS, BUT ONLY 74.3% OF THOSE PEOPLE SAW A HEALTHCARE PROVIDER FOR THESE ISSUES. ADDITIONALLY, 2018 DATA FROM THE SAN DIEGO HIV PLANNING GROUP ESTIMATES THAT THERE ARE 15,132 PEOPLE LIVING WITH HIV IN THE COUNTY, BUT ONLY 47% ARE RETAINED IN CARE AND ONLY 60% ARE VIRALLY SUPPRESSED. THIS DATA DEMONSTRATES THE NEED FOR BETTER INTEGRATION OF BEHAVIORAL HEALTH AND SUDS INTO PRIMARY CARE, AS WELL AS ADDITIONAL HIV PREVENTIVE SERVICES IN SUD TREATMENT CENTERS. LA MAESTRA WILL ADHERE TO CURRENT EVIDENCE-BASED PRACTICES AND WILL EXPAND ITS WELLNESS SUPPORTIVE SERVICES DEPARTMENT AND PATIENT NAVIGATION PROGRAM TO ENSURE THAT ALL PATIENTS IN NEED OF SUD OR HIV AND VIRAL HEPATITIS SCREENING AND TREATMENT SERVICES RECEIVE THE COMPREHENSIVE, CULTURALLY AND LINGUISTICALLY COMPETENT CARE THAT IS VITAL TO LONG-TERM HEALTH AND WELLNESS.

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

ARRA - INCREASE SERVICES TO HEALTH CENTERS

PRIMARY CARE TRAINING AND ENHANCEMENT -- RESIDENCY TRAINING IN STREET MEDICINE - TO ADDRESS THE GROWING NEED FOR PRIMARY CARE PROVIDERS SKILLED IN STREET-BASED HEALTHCARE, LA MAESTRA FAMILY CLINIC, INC. IS SEEKING FUNDING TO ESTABLISH A STREET MEDICINE TRAINING TRACK WITHIN ITS FAMILY MEDICINE RESIDENCY PROGRAM. THIS INITIATIVE WILL EQUIP RESIDENTS WITH THE SKILLS TO PROVIDE COMPREHENSIVE, TRAUMA-INFORMED CARE TO PEOPLE EXPERIENCING HOMELESSNESS (PEH) IN SAN DIEGO COUNTY. WITH OVER 10,000 INDIVIDUALS EXPERIENCING HOMELESSNESS IN THE COUNTY, INCLUDING 6,110 UNSHELTERED INDIVIDUALS, THERE IS AN URGENT NEED FOR PHYSICIAN TRAINING IN MOBILE, COMMUNITY-BASED, AND HARM-REDUCTION HEALTHCARE TO ADDRESS CHRONIC DISEASE MANAGEMENT, BEHAVIORAL HEALTH DISORDERS, AND SUBSTANCE USE TREATMENT IN NON-TRADITIONAL CLINICAL SETTINGS. THE PROPOSED PROGRAM WILL INTEGRATE STRUCTURED DIDACTIC LEARNING, CLINICAL TRAINING, AND INTERDISCIPLINARY COLLABORATION, FEATURING THREE ONE-MONTH STREET MEDICINE ROTATIONS, ONE PER POSTGRADUATE YEAR (PGY). RESIDENTS WILL GAIN HANDS-ON EXPERIENCE WITH PROVIDING MEDICAL CARE IN MOBILE CLINICS, ENCAMPMENTS, SHELTERS, AND TRANSITIONAL HOUSING SITES, WITH A FOCUS ON CHRONIC DISEASE MANAGEMENT, MENTAL HEALTH CARE, HARM REDUCTION STRATEGIES, AND SOCIAL DETERMINANTS OF HEALTH (SDOH) SCREENINGS. TRAINING WILL INCLUDE MEDICATION FOR OPIOID USE DISORDER (MOUD), WOUND CARE, INFECTIOUS DISEASE SCREENING, AND INTERDISCIPLINARY COORDINATION WITH BEHAVIORAL HEALTH PROVIDERS, SOCIAL WORKERS, AND LEGAL ADVOCATES. THE PROGRAM IS SUPPORTED BY PARTNERSHIPS WITH LA MAESTRA’S COMMUNITY HEALTH ACCESS DEPARTMENT (CHAD), THE SAN DIEGO POLICE DEPARTMENT’S HOMELESS OUTREACH TEAM (HOT), AND LOCAL SHELTERS, ENSURING A CONTINUUM OF CARE FOR PEH. LA MAESTRA FAMILY CLINIC QUALIFIES FOR A FUNDING PREFERENCE UNDER 42 USC § 295J (SECTION 791 OF THE PUBLIC HEALTH SERVICE ACT) BASED ON ITS HIGH RATE OF PLACEMENT IN MEDICALLY UNDERSERVED COMMUNITIES (MUCS). THE RESIDENCY PROGRAM IS COMMITTED TO ENSURING THAT 100% OF GRADUATES WILL PRACTICE IN MUCS, DIRECTLY ADDRESSING PHYSICIAN SHORTAGES. AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), LA MAESTRA SERVES 97 MEDICALLY UNDERSERVED AREAS (MUAS) AND 122 MENTAL HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS) IN SAN DIEGO COUNTY, UNDERSCORING ITS ABILITY TO TRAIN AND RETAIN PHYSICIANS IN HIGH-NEED COMMUNITIES. THE PROPOSED PROGRAM WILL TRACK PERFORMANCE OUTCOMES, ENSURING THAT EACH RESIDENT COMPLETES AT LEAST 225 PATIENT ENCOUNTERS OVER THE COURSE OF THEIR THREE-YEAR RESIDENCY PROGRAM AND THAT AT LEAST 75% OF PEH PATIENTS RECEIVE REFERRALS FOR BEHAVIORAL HEALTH OR SOCIAL SERVICES. BY EMBEDDING STREET MEDICINE TRAINING INTO RESIDENCY EDUCATION, THIS INITIATIVE WILL STRENGTHEN THE PRIMARY CARE WORKFORCE, IMPROVE HEALTH OUTCOMES FOR PEH, AND EXPAND ACCESS TO CARE FOR MEDICALLY UNDERSERVED COMMUNITIES IN SAN DIEGO COUNTY.

TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT PROGRAM

FISCAL YEAR 2025 EXPANDED HOURS. - LA MAESTRA FAMILY CLINIC, INC. (LA MAESTRA) IS A NONPROFIT, 501(C)(3), AND A FEDERALLY QUALIFIED HEALTH CENTER (FQHC). THE ORGANIZATION OPENED IN 1990 TO ADDRESS THE NEEDS OF LOW-INCOME, UNINSURED, AND UNDERINSURED POPULATIONS. TODAY, LA MAESTRA OPERATES 18 PRIMARY CARE CLINICS, TEN DENTAL SUITES, THREE SCHOOL-BASED HEALTH CENTERS, AND TWO MOBILE MEDICAL AND DENTAL UNITS THROUGHOUT CENTRAL, EAST, AND SOUTH SAN DIEGO COUNTY, CALIFORNIA. LA MAESTRA’S EXPANDED HOURS (EH) PROJECT WILL INCREASE A TOTAL OF 16 HOURS, BY EXPANDING MONDAY THROUGH THURSDAY CLOSING TIMES FROM 6 PM TO 9 PM, AND SATURDAY CLOSING TIMES FROM 2 PM TO 6 PM AT THE ORGANIZATION’S MAIN CLINIC SITE LOCATED IN CITY HEIGHTS. TWO INTERDISCIPLINARY CARE TEAMS WILL PROVIDE PRIMARY AND MENTAL HEALTH CARE, AS WELL AS SUBSTANCE USE DISORDER SERVICES DURING AFTER-HOURS WEEKDAYS AND SATURDAYS. THE ORGANIZATION WILL SERVE HARD-TO-REACH, AT-RISK POPULATIONS, INCLUDING BUT NOT LIMITED TO LOW-INCOME INDIVIDUALS AND FAMILIES LIVING AT OR BELOW 200% OF POVERTY, RACIAL AND ETHNIC MINORITIES, LGBTQ2S+ INDIVIDUALS, HOMELESS POPULATIONS, IMMIGRANTS, REFUGEES, AND VETERANS, AS WELL AS PREVIOUSLY INCARCERATED INDIVIDUALS. THE GOAL OF LA MAESTRA’S EH PROJECT IS TO EXPAND ACCESS AND REDUCE BARRIERS TO HIGH-QUALITY PRIMARY CARE AND SPECIALTY CARE BY INCREASING THE NUMBER OF HOURS THE ORGANIZATION PROVIDES PRIMARY AND MENTAL HEALTH CARE, INCLUDING SUBSTANCE USE DISORDER (SUD) SERVES TO PATIENTS IN SAN DIEGO COUNTY. THE ORGANIZATION EXPECTS TO ACHIEVE THIS GOAL BY REACHING THE FOLLOWING OBJECTIVES: 1) PROVIDE COMPREHENSIVE PRIMARY CARE AND/OR MENTAL HEALTH SERVICES, INCLUDING SUD TO A MINIMUM OF 700 NEW UNDUPLICATED PATIENTS BY NOVEMBER 30, 2026 (350 ANNUALLY); 2) PROVIDE COMPREHENSIVE PRIMARY CARE AND/OR MENTAL HEALTH SERVICES, INCLUDING SUD TO A MINIMUM OF 3,382 EXISTING UNDUPLICATED PATIENTS BY NOVEMBER 30, 2026 (1,691 ANNUALLY); AND 3) HOST A MINIMUM OF 12 OUTREACH EVENTS PER MONTH TO MAXIMIZE EXPOSURE TO EH SERVICES BY NOVEMBER 30, 2026 (120 ANNUALLY).

FY 2023 EXPANDING COVID-19 VACCINATION

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

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

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 ADDRESS AT LEAST ONE OF THE PROGRAMS STATUTORY PURPOSE AREAS. THROUGH THIS NEW CULTURALLY SPECIFIC SERVICES PROGRAM PROJECT, LA MAESTRA FAMILY CLINIC, INC. WILL IMPLEMENT A PROJECT ADDRESSING THE FOLLOWING PURPOSE AREA(S): INCREASING COMMUNITIES CAPACITY TO PROVIDE CULTURALLY SPECIFIC RESOURCES AND SUPPORT FOR VICTIMS OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING CRIMES AND THEIR FAMILIES; AND PROVIDING CULTURALLY SPECIFIC RESOURCES AND SERVICES THAT ADDRESS THE SAFETY, ECONOMIC, HOUSING, AND WORKPLACE NEEDS OF VICTIMS OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, OR STALKING, INCLUDING EMERGENCY ASSISTANCE. THE LA MAESTRA CIRCLE OF CARE WILL OFFER SERVICES TO HISPANIC/LATINO POPULATIONS AND OTHER UNDERSERVED AND UNDERINSURED COMMUNITIES AROUND CENTRAL, EAST, AND SOUTH SAN DIEGO COUNTY. SPECIFIC ACTIVITIES WILL INCLUDE: COMMUNITY OUTREACH EVENTS, CRISIS STABILIZATION, AND VICTIM-CENTERED, TRAUMA-INFORMED CASE MANAGEMENT SERVICES.

FY 2023 EARLY CHILDHOOD DEVELOPMENT

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS - LA MAESTRA FAMILY CLINIC, INC. IS A NONPROFIT, 501(C)(3) AND A FEDERALLY QUALIFIED HEALTH CENTER (FQHC). FOR MORE THAN 35 YEARS, THE ORGANIZATION HAS SERVED UNINSURED, AND UNDERINSURED POPULATIONS, INCLUDING PEOPLE LIVING WITH HIV/AIDS (PLWHA) IN THE UNDERSERVED COMMUNITIES OF CENTRAL, EAST AND SOUTH SAN DIEGO COUNTY, CALIFORNIA. LA MAESTRA CURRENTLY OPERATES 18 MEDICAL CLINICS, TEN DENTAL SUITES, THREE SCHOOL-BASED SITES, AND TWO MOBILE MEDICAL AND DENTAL UNITS, AND A MOBILE MAMMOGRAM COACH LA MAESTRA SAW 48,882 PATIENTS IN 2024, AND OUT OF THE TOTAL PATIENTS, APPROXIMATELY 30%, OR 14,683 PATIENTS WERE SCREENED FOR HIV. LA MAESTRA PROVIDES NEEDED PRIMARY CARE, SPECIALTY CARE, AND SUPPORT SERVICES TO ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY WITH THE TARGET POPULATION BEING INDIVIDUALS AND FAMILIES LIVING AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL. FOR THIS PROJECT, LA MAESTRA IS REQUESTING FUNDING FROM THE HRSA RYAN WHITE PROGRAM AS PART OF THE INFRASTRUCTURE DEVELOPMENT CATEGORY, DENTAL INFRASTRUCTURE CAPACITY IMPROVEMENT. THE OVERALL PROJECT GOALS ARE TO IMPROVE ACCESS TO HIV CARE CONTINUUM SERVICES FOR LOW-INCOME, UNDERSERVED PLWHA IN SAN DIEGO COUNTY THROUGH IMPROVING INFRASTRUCTURE IN THE ORGANIZATION’S DENTAL CLINICS. THE ORGANIZATION IS REQUESTING $150,000 TO PURCHASE THE FOLLOWING DENTAL EQUIPMENT AND SUPPLIES: A DEXIS 3D ORTHOPANTOMOGRAPH CONE BEAM COMPUTED TOMOGRAPHY UNIT, FOR DETAILED IMAGES OF TEETH, SOFT TISSUES, NERVE PATHWAYS AND BONE; CAVITRON PLUS ULTRASONIC SCALERS, TO REMOVE PLAQUE BUILDUP IN TEETH; MIDMARK AUTOMATIC STEAM AUTOCLAVES TO STERILIZE EQUIPMENT; AND TWO BELMONT X-CALIBUR SERIES DENTAL CHAIRS. EACH PIECE OF DENTAL EQUIPMENT IS CRITICAL TO PROVIDING COMPLETE ORAL HEALTHCARE, STANDARDIZING THE EQUIPMENT AND SUPPLIES USED BY DENTAL PROVIDERS, AND ARE THE FIRST STEP TO IMPLEMENTING IMPLANT SERVICES ACROSS THE MULTIPLE DENTAL CLINICS. LA MAESTRA’S GOALS FOR THIS PROGRAM ARE TO STRENGTHEN THE ORGANIZATION’S DENTAL INFRASTRUCTURE TO IMPROVE ACCESS TO QUALITY HEALTH CARE FOR POPULATIONS THAT ARE DISPROPORTIONATELY IMPACTED BY THE HIV EPIDEMIC, OUTREACH TO HIGH-RISK POPULATIONS ABOUT THE SERVICES PROVIDED BY LA MAESTRA’S DENTAL AND HIV CLINIC, AND PROVIDE CARE TO AT-RISK PATIENTS ACCORDING TO THE HIV CARE CONTINUUM. LA MAESTRA WILL ACCOMPLISH THIS BY 1) PROVIDING HIV TESTING FOR AT LEAST 250 AT-RISK PATIENTS PER MONTH (3,000 TOTAL) INCLUDING REFERRALS FROM THE DENTAL DEPARTMENT, 2) PROVIDING CASE MANAGEMENT FOR PATIENTS WHO TEST POSITIVE FOR HIV TO APPROXIMATELY 20 PATIENTS PER YEAR, 3) CONNECT ALL POSITIVE PATIENTS, APPROXIMATELY 20 PATIENTS, TO OUTSIDE CARE THROUGH OWEN’S CLINIC AT UCSD, AND 4) CONNECT HIGH-RISK PATIENTS OR APPROXIMATELY 100 PATIENTS TO PRIMARY CARE AND EDUCATION SERVICES THROUGH LA MAESTRA. IN ADDITION, TO BETTER SERVE PLWHA, LA MAESTRA STAFF WILL CONTINUE TO PARTICIPATE IN THE SAN DIEGO HIV PLANNING GROUP AND CONTINUE HOLDING MONTHLY COMMUNITY ADVISORY BOARD (CAB) MEETINGS WITH PATIENTS THAT ARE PLWHA. IN ORDER TO REACH MORE PLWHA, LA MAESTRA’S HIV CARE CLINIC TEAM WILL HOLD FOUR OUTREACH EVENTS PER YEAR TO CONNECT AT-RISK INDIVIDUALS TO PRIMARY CARE INCLUDING DENTAL CARE AND PREP IN ORDER TO IMPROVE PATIENT CARE AND ACCESS TO THE HIV CARE CONTINUUM.

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS - TITLE: FY 2023 RWHAP PART C CAPACITY DEVELOPMENT PROGRAM ORGANIZATION: LA MAESTRA FAMILY CLINIC, INC. ADDRESS: 4060 FAIRMOUNT AVENUE, SAN DIEGO, CA 92105 PROJECT DIRECTOR NAME: DR. CARMELA AMBROSIO CONTACT PHONE NUMBER: 619.269.1267 EMAIL ADDRESS: CAMBROSIO@LAMAESTRA.ORG WEBSITE ADDRESS: WWW.LAMAESTRA.ORG FUNDS REQUESTED: $150,000 FUNDING PREFERENCE: UNDERSERVED POPULATIONS LA MAESTRA FAMILY CLINIC, INC. IS A NONPROFIT, 501(C)(3) AND A FEDERALLY QUALIFIED HEALTH CENTER (FQHC). FOR MORE THAN 32 YEARS, THE ORGANIZATION HAS SERVED IMMIGRANT, REFUGEE, UNINSURED, AND UNDERINSURED POPULATIONS, INCLUDING PEOPLE LIVING WITH HIV/AIDS (PLWHA) IN THE UNDERSERVED COMMUNITIES OF CENTRAL, EAST AND SOUTH SAN DIEGO COUNTY, CALIFORNIA. LA MAESTRA CURRENTLY OPERATES 18 MEDICAL CLINICS, TEN DENTAL SUITES, THREE SCHOOL-BASED SITES, AND TWO MOBILE MEDICAL AND DENTAL UNITS, AND A MOBILE MAMMOGRAM COACH. IN 2021, LA MAESTRA SAW 39,943 PATIENTS AND SCREENED 45.70%, OR 18,253 PATIENTS FOR HIV. LA MAESTRA PROVIDES NEEDED LINGUISTICALLY AND CULTURALLY APPROPRIATE PRIMARY CARE, SPECIALTY CARE, AND SUPPORT SERVICES TO ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY WITH THE TARGET POPULATION BEING INDIVIDUALS AND FAMILIES LIVING AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL. FOR THIS PROJECT, LA MAESTRA IS REQUESTING FUNDING FROM THE HRSA RYAN WHITE PROGRAM AS PART OF THE INFRASTRUCTURE DEVELOPMENT CATEGORY, DENTAL INFRASTRUCTURE CAPACITY IMPROVEMENT. THE OVERALL PROJECT GOALS ARE TO IMPROVE ACCESS TO HIV CARE CONTINUUM SERVICES FOR LOW-INCOME, UNDERSERVED PLWHA IN SAN DIEGO COUNTY THROUGH IMPROVING INFRASTRUCTURE IN THE ORGANIZATION’S DENTAL CLINICS. THE ORGANIZATION IS REQUESTING $150,000 TO PURCHASE THE FOLLOWING DENTAL EQUIPMENT AND SUPPLIES: A CAVITRON PLUS ULTRASONIC SCALER, TO REMOVE PLAQUE BUILDUP IN TEETH; CAVITRON DETACHABLE HANDPIECES FOR THE SCALERS, AN ELEMENTS OBTURATION SYSTEM TO FILL ROOT CANALS AND PREVENT INFECTIONS; APEX ID DIGITAL APEX LOCATOR FOR TR EATMENT OF TEETH WITH ROOT FORMATION PROBLEMS; MIDMARK AUTOMATIC STEAM AUTOCLAVES TO STERILIZE EQUIPMENT; MAXISWEEP ULTRASONIC CLEANER TO CLEAN DENTAL EQUIPMENT; STARDENTAL FIBER OPTIC HANDPIECES USED TO REMOVE DAMAGED PARTS OF TEETH; DEXIS TITANIUM INTRAORAL SENSORS FOR CAPTURING DENTAL IMAGERY; AND AN ARIBEX NOMAD X-RAY SYSTEM FOR TAKING DENTAL X-RAYS. EACH DENTAL PIECE IS CRITICAL TO PROVIDING COMPLETE ORAL HEALTHCARE AND STANDARDIZING THE EQUIPMENT AND SUPPLIES USED BY DENTAL PROVIDERS ACROSS THE MULTIPLE DENTAL CLINICS. LA MAESTRA’S GOALS FOR THIS PROGRAM ARE TO STRENGTHEN THE ORGANIZATION’S DENTAL INFRASTRUCTURE TO IMPROVE ACCESS TO QUALITY HEALTH CARE FOR POPULATIONS THAT ARE DISPROPORTIONATELY IMPACTED BY THE HIV EPIDEMIC, OUTREACH TO HIGH-RISK POPULATIONS ABOUT THE SERVICES PROVIDED BY LA MAESTRA’S DENTAL AND HIV CLINIC, AND PROVIDE CARE TO AT-RISK PATIENTS ACCORDING TO THE HIV CARE CONTINUUM. LA MAESTRA WILL ACCOMPLISH THIS BY 1) PROVIDING HIV TESTING FOR AT LEAST 250 AT-RISK PATIENTS PER MONTH (3,000 TOTAL) INCLUDING REFERRALS FROM THE DENTAL DEPARTMENT, 2) PROVIDING CASE MANAGEMENT FOR PATIENTS WHO TEST POSITIVE FOR HIV TO APPROXIMATELY 20 PATIENTS PER YEAR, 3) CONNECT ALL POSITIVE PATIENTS, APPROXIMATELY 20 PATIENTS, TO OUTSIDE CARE THROUGH OWEN’S CLINIC AT UCSD, AND 4) CONNECT HIGH-RISK PATIENTS OR APPROXIMATELY 100 PATIENTS TO PRIMARY CARE AND EDUCATION SERVICES THROUGH LA MAESTRA. IN ADDITION, TO BETTER SERVE PLWHA, LA MAESTRA STAFF WILL CONTINUE TO PARTICIPATE IN THE SAN DIEGO HIV PLANNING GROUP AND CONTINUE HOLDING MONTHLY COMMUNITY ADVISORY BOARD (CAB) MEETINGS WITH PATIENTS THAT ARE PLWHA. IN ORDER TO REACH MORE PLWHA, LA MAESTRA’S HIV CARE CLINIC TEAM WILL HOLD FOUR OUTREACH EVENTS PER YEAR TO CONNECT AT-RISK INDIVIDUALS TO PRIMARY CARE INCLUDING DENTAL CARE AND PREP IN ORDER TO IMPROVE PATIENT CARE AND ACCESS TO THE HIV CARE CONTINUUM.

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

CAPITAL ASSISTANCE FOR DISASTER RESPONSE AND RECOVERY EFFORTS

SCHOOL-BASED HEALTH CENTERS CAPITAL PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM