Shasta Community Health Center

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AFFORDABLE CARE ACT TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

CAPITAL DEVELOPMENT

AFFORDABLE CARE ACT TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM

RYAN WHITE TITLE III: EARLY INTERVENTION SERVICES

RYAN WHITE TITLE III: EARLY INTERVENTION SERVICES

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM

ARRA - CAPITAL IMPROVEMENT PROGRAM

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

TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

IMPLEMENTATION OF A SUSTAINABLE CHRONIC DISEASE SELF-MANAGEMENT PROGRAM IN SHASTA & TEHAMA COUNTIES.

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM - TRAINING DISCIPLINE: FAMILY MEDICINE; TYPE OF APPLICATION: EXPANSION APPLICANT: SHASTA COMMUNITY HEALTH CENTER; ADDRESS: 1035 PLACER STREET, REDDING, CA 96001 ELIGIBLE ENTITY TYPE: FEDERALLY QUALIFIED HEATH CENTER, OPERATING AN AGCME ACCREDITED PRIMARY CARE RESIDENCY PROGRAM CENTER AS PART OF A GME CONSORTIUM. YEAR PROGRAM BEGAN TRAINING RESIDENTS: 2013 WEBSITE: WWW.SHASTAHEALTH.ORG NUMBER OF FTES REQUESTED TO BE FUNDED FOR ALL YEARS OF TRAINING: 3(1-1-1) NUMBER OF FTES REQUESTED FOR AY 2022-2023: 1(1-0-0) AMOUNT OF GRANT FUNDS REQUESTED: $1,120,000 PROGRAM DIRECTOR: DEBRA LUPEIKA, MD, PROGRAM DIRECTOR, C. DEAN GERMANO, MHS, CEO PHONE: SCHC FAMILY MEDICINE RESIDENCY 530-246-5951, SCHC 530-246-5980 EMAIL: SCHCRESIDENCY@SHASTAHEALTH.ORG, DGERMANO@SHASTAHEALTH.ORG SHASTA COMMUNITY HEALTH CENTER (SCHC) IS THE SPONSORING INSTITUTION OF THE SCHC FAMILY MEDICINE RESIDENCY PROGRAM, WHICH STARTED AS A 2-2-2 THCGME PROGRAM IN 2013. IN 2018, WE EXPANDED THROUGH THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) TO A 9 (3-3-3) RESIDENT PROGRAM. THE THREE ADDITIONAL RESIDENTS HAVE BEEN SUPPORTED BY NON-FEDERAL FUNDS. OUR HRSA FTE LETTER FOR 2021 APPROVES 6 FTES IN OUR PROGRAM. WE HAVE REQUESTED ANOTHER ACGME EXPANSION FOR A 12 (4-4-4) PROGRAM. WE WILL PROVIDE THIS EXPANSION APPROVAL LETTER TO HRSA PRIOR TO THE NOVEMBER 5, 2021, DEADLINE. OUR PROGRAM WORKS CLOSELY WITH THE MERCY REDDING FAMILY MEDICINE RESIDENCY PROGRAM. OUR 1ST YEAR RESIDENTS WORK IN MERCY'S INPATIENT SETTING AND SPEND MUCH OF THEIR 2ND & 3RD YEAR TRAINING OUTPATIENT AT SCHC. ALL THREE CONTINUITY CLINIC YEARS ARE SPENT IN OUTPATIENT AT SCHC. OUR PROGRAM IS UNIQUELY POSITIONED TO TRAIN FAMILY MEDICINE RESIDENTS DUE TO THE COMPLEX CONDITIONS ROUTINELY PRESENTED BY OUR DIVERSE PATIENTS FACING SOCIAL DETERMINANTS OF HEALTH. WE ARE IN THE RURAL NORTHEASTERN PART OF CALIFORNIA, SERVING UNDERSERVED PATIENTS IN REDDING AND THE SURROUNDING AREA OF SHASTA COUNTY. THE PRI MARY CARE TRAINING LOCATION IS THE SAFETY-NET PROVIDER FOR THIS SERVICE AREA WITH A PAYER MIX OF 64% MEDI-CAL, 17.4% MEDICARE, 12.29% MEDI/MEDI, AND 9.96% UNINSURED. RELATIONSHIPS WITH ACUTE CARE TRAINING FACILITIES AND A HOSPITAL-BASED FAMILY MEDICINE RESIDENCY PROVIDE INPATIENT AND OUTPATIENT TRAINING TO MEET THE STANDARDS OF THE ACGME AND ARE POSITIONED WELL TO ACCEPT ADDITIONAL RESIDENTS IN OUR PROGRAM ROTATIONS. OPPORTUNITIES FOR TRAINING WITH SPECIAL POPULATIONS OF THE HEALTH CENTER WILL OFFER UNIQUE PRIMARY CARE TRAINING EXPERIENCES, INCLUDING THE LOCAL WOMEN’S SHELTER, MISSION, HOPE MOBILE CLINIC & STREET MEDICINE FOR OUR HOMELESS, SCHC MATERNITY CENTER, AND EARLY INTERVENTION SERVICES FOR OUR HIV/AIDS PATIENTS. OUR RESIDENTS ROTATE AT UC DAVIS MEDICAL CENTER PEDIATRIC EMERGENCY DEPARTMENT. WE HAVE AN ADVANCED LIFE SUPPORT IN OBSTETRICS (ALSO) CERTIFICATION COURSE AND POINT OF CARE ULTRASOUND. TO ADDRESS THE OPIOID CRISIS AND OTHER ADDICTIVE MEDICINES ALL RESIDENTS WILL RECEIVE MEDICATION ASSISTED THERAPY TRAINING AND OBTAIN X-WAIVERS TO PRESCRIBE BUPRENORPHINE (SUBOXONE). THE SUPPORT REQUESTED IS $1,120,000 FOR THE 3 FTES OVER OUR 2021 BASELINE BRINGING OUR PROGRAM TO A 12 (4-4-4) CONFIGURATION, STARTING WITH 1 FTE POSITION IN A 2-1-1 CONFIGURATION FOR AY 2022-2023. WE CURRENTLY HAVE 6 FTES SUPPORTED BY THCGME FUNDING AND AN ADDITIONAL THREE SUPPORTED BY STATE FUNDING. IDEALLY, WE WANT ALL OUR RESIDENTS UNDER THE THCGME UMBRELLA. THIS WILL REDUCE REPORTING BURDENS CREATED BY HAVING MULTIPLE SOURCES OF UNSTABLE FUNDING. THIS WOULD REQUIRE AN ADDITIONAL $160,000 X 3 FTES, OVER THE 4-YEAR GRANT PERIOD FOR A TOTAL OF 1,920,000.

ARRA - INCREASE SERVICES TO HEALTH CENTERS

PURPOSE: THE CONTINUUM OF CARE (COC) PROGRAM IS DESIGNED TO PROMOTE COMMUNITY-WIDE COMMITMENT TO THE GOAL OF ENDING HOMELESSNESS; PROVIDE FUNDING FOR EFFORTS BY NONPROFIT PROVIDERS, STATES, AND LOCAL GOVERNMENTS TO QUICKLY HOUSE HOMELESS INDIVIDUALS AND FAMILIES WHILE MINIMIZING THE TRAUMA AND DISLOCATION CAUSED TO HOMELESS INDIVIDUALS, FAMILIES, AND COMMUNITIES BY HOMELESSNESS; PROMOTE ACCESS TO AND EFFECTIVE UTILIZATION OF MAINSTREAM PROGRAMS BY HOMELESS INDIVIDUALS AND FAMILIES; AND OPTIMIZE SELF-SUFFICIENCY AMONG INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS. THE MOST RECENT COC AWARD ANNOUNCEMENT LISTING AWARDS BY STATE AND COC IS ACCESSIBLE AT HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/COMM_PLANNING/COC/AWARDS. SELECT THE LINK UNDER THE FUNDING AND AWARD INFORMATION SECTION FOR THE APPROPRIATE FISCAL YEAR.; ACTIVITIES TO BE PERFORMED: CONTINUUM OF CARE PROGRAM FUNDS MAY BE USED TO PAY FOR THE ELIGIBLE COSTS USED TO ESTABLISH AND OPERATE PROJECTS UNDER FIVE PROGRAM COMPONENTS: (1) PERMANENT HOUSING, WHICH INCLUDES PERMANENT SUPPORTIVE HOUSING FOR PERSONS WITH DISABILITIES, AND RAPID REHOUSING; (2) TRANSITIONAL HOUSING; (3) SUPPORTIVE SERVICES ONLY; (4) HOMELESS MANAGEMENT INFORMATION SYSTEMS (HMIS), AND (5) IN SOME CASES, HOMELESSNESS PREVENTION. THIRTEEN TYPES OF ASSISTANCE MAY BE PROVIDED THROUGH THE CONTINUUM OF CARE (COC) PROGRAM: (1) COC PLANNING ACTIVITIES/COSTS FOR DESIGNING AND CARRYING OUT A COLLABORATIVE PROCESS FOR THE DEVELOPMENT OF AN APPLICATION TO HUD; (2) UNITED FUNDING AGENCY (UFA) COSTS FOR FISCAL CONTROL AND ACCOUNTING NECESSARY TO ASSURE THE PROPER DISBURSAL OF, AND ACCOUNTING FOR, FEDERAL FUNDS AWARDED TO SUBRECIPIENTS UNDER THE CONTINUUM OF CARE PROGRAM, (3) ACQUISITION OF REAL PROPERTY (INCLUDING STRUCTURES) FOR USE IN THE PROVISION OF HOUSING OR SUPPORTIVE SERVICES; (4) REHABILITATION OF STRUCTURES TO PROVIDE HOUSING OR SUPPORTIVE SERVICES; (5) NEW CONSTRUCTION, INCLUDING THE BUILDING OF A NEW STRUCTURE OR BUILDING AN ADDITION TO AN EXISTING STRUCTURE FOR USE AS SUPPORTIVE HOUSING; (6) LEASING OF A STRUCTURE OR STRUCTURES, OR PORTIONS THEREOF, TO PROVIDE HOUSING OR SUPPORTIVE SERVICES; (7) RENTAL ASSISTANCE, WHICH MAY BE SHORT-TERM, MEDIUM-TERM, OR LONG-TERM, AS WELL AS TENANT-BASED, PROJECT-BASED, OR SPONSOR-BASED, FOR TRANSITIONAL OR PERMANENT HOUSING; (8) SUPPORTIVE SERVICES TO ASSIST PROGRAM PARTICIPANTS OBTAIN AND MAINTAIN HOUSING; (9) OPERATING COSTS OF SUPPORTIVE HOUSING; (10) COSTS OF IMPLEMENTING AND OPERATING HMIS; (11) PROJECT ADMINISTRATIVE COSTS; (12) RELOCATION COSTS; AND (13) INDIRECT COSTS IN ACCORDANCE WITH 2 CFR PARTS 200, AS APPLICABLE. IN ADDITION TO USING GRANT FUNDS FOR THE ELIGIBLE COSTS DESCRIBED ABOVE, RECIPIENTS AND SUBRECIPIENTS IN CONTINUUMS OF CARE DESIGNATED AS HIGH PERFORMING COMMUNITIES MAY ALSO USE GRANT FUNDS TO PROVIDE HOUSING RELOCATION AND STABILIZATION SERVICES AND SHORT- AND/OR MEDIUM-TERM RENTAL ASSISTANCE TO INDIVIDUALS AND FAMILIES AT RISK OF HOMELESSNESS AS SET FORTH IN 24 CFR 576.103 AND 24 CFR 576.104, IF NECESSARY TO PREVENT THE INDIVIDUAL OR FAMILY FROM BECOMING HOMELESS. LIMITATION ON USE OF FUNDS: NO ASSISTANCE PROVIDED UNDER PROGRAM (OR ANY STATE OR LOCAL GOVERNMENT FUNDS USED TO SUPPLEMENT THIS ASSISTANCE) MAY BE USED TO REPLACE STATE OR LOCAL FUNDS PREVIOUSLY USED, OR DESIGNATED FOR USE, TO ASSIST HOMELESS PERSONS OR PERSONS AT-RISK OF HOMELESSNESS.; EXPECTED OUTCOMES: DECREASE IN THE NUMBER INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS, MORE SPECIFICALLY USING PERFORMANCE INDICATORS SUCH AS THE LENGTH OF TIME HOMELESS, RETURNS TO HOMELESSNESS OVER TIME, AND EXITS TO PERMANENT HOUSING. COC PERFORMANCE PROFILE REPORTS CAN BE FOUND AT HTTPS://WWW.HUDEXCHANGE.INFO/PROGRAMS/COC/COC-PERFORMANCE-PROFILE-REPORTS/.; INTENDED BENEFICIARIES: INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS.; SUBRECIPIENT ACTIVITIES: THE SUBRECIPIENT ACTIVITIES ARE UNKNOWN AT THE TIME OF AWARD.

CONTINUUM OF CARE PROGRAM

PRIMARY CARE TRAINING AND ENHANCEMENT -- RESIDENCY TRAINING IN STREET MEDICINE - FUNDING OPPORTUNITY NUMBER: HRSA-25-078 APPLICANT ORGANIZATION NAME: SHASTA COMMUNITY HEALTH CENTER (SCHC) PROJECT DIRECTOR: KYLE PATTON, M.D. ADDRESS: 1035 PLACER STREET, REDDING CA, 96001 CONTACT INFORMATION: 530.246.5765, KYPATTON@SHASTAHEALTH.ORG PROJECT TITLE: ENHANCING FAMILY MEDICINE RESIDENCY TRAINING IN STREET MEDICINE FOR SHASTA COUNTY SHASTA COMMUNITY HEALTH CENTER (SCHC), A FEDERALLY QUALIFIED HEALTH CENTER IN RURAL NORTHERN CALIFORNIA, SEEKS FUNDING UNDER THE HRSA PRIMARY CARE TRAINING AND ENHANCEMENT—RESIDENCY TRAINING IN STREET MEDICINE PROGRAM TO EXPAND ITS FAMILY MEDICINE RESIDENCY PROGRAM’S RESIDENT EXPERIENCE AND CURRICULUM IN STREET MEDICINE. THIS PROJECT WILL EXPAND AND ENHANCE THE FAMILY MEDICINE RESIDENCY PROGRAM BY INCREASING TRAINING IN STREET MEDICINE, PRIMARY CARE PSYCHIATRY, AND SUBSTANCE USE DISORDER TREATMENT. THE ROTATION WILL DOUBLE FROM FOUR TO EIGHT WEEKS, AND A LONGITUDINAL STREET MEDICINE EXPERIENCE WILL SPAN ALL THREE YEARS OF TRAINING. THE CURRICULUM WILL INTEGRATE BEHAVIORAL HEALTH, WOUND CARE, ENVIRONMENTAL HEALTH, AND SOCIAL DETERMINANTS OF HEALTH, WHILE INTERPROFESSIONAL PARTNERSHIPS WITH LEGAL AND OTHER SUPPORTIVE SERVICES WILL STRENGTHEN COMPREHENSIVE CARE. ADDITIONALLY, MEDICAL RESPITE AND TRANSITIONAL CARE PLANNING WILL IMPROVE POST-HOSPITALIZATION OUTCOMES FOR HOMELESS PATIENTS. THESE ENHANCEMENTS WILL EQUIP RESIDENTS WITH THE SKILLS TO PROVIDE HIGH-QUALITY, COMPASSIONATE CARE TO UNDERSERVED POPULATIONS. THE PROPOSED PROJECT WILL STRENGTHEN TRAINING TO BETTER EQUIP RESIDENTS TO PROVIDE HIGH-QUALITY, EVIDENCE-BASED CARE TO INDIVIDUALS EXPERIENCING HOMELESSNESS. SHASTA COUNTY HAS BEEN DISPROPORTIONATELY AFFECTED BY HEALTHCARE PROVIDER SHORTAGES, BEHAVIORAL HEALTH DISPARITIES, AND HIGH RATES OF HOMELESSNESS. ACCORDING TO THE 2023 POINT-IN-TIME REPORT, 1,013 INDIVIDUALS WERE EXPERIENCING HOMELESSNESS, AND SCHC SERVED 2,602 UNIQUE HOMELESS PATIENTS IN 2024. ADDITIONALLY, OPIOID-RELATED DEATHS INCREASED BY 625% BETWEEN 2018-2023, WITH NARCAN ADMINISTRATION RISING FROM 91 DOSES IN 2019 TO 300 DOSES IN 2023. THE COUNTY IS DESIGNATED AS A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) WITH A SCORE OF 18. DESPITE THE HIGH NEED, FEW LOCAL PROVIDERS ACCEPT MEDI-CAL OR UNINSURED PATIENTS, FURTHER LIMITING ACCESS TO CARE. THE PROGRAM WILL PRIMARILY SERVE INDIVIDUALS EXPERIENCING HOMELESSNESS IN SHASTA COUNTY, WITH A FOCUS ON ADDRESSING SUBSTANCE USE DISORDERS, CHRONIC CONDITIONS, AND BEHAVIORAL HEALTH NEEDS. THE MAJORITY OF PATIENTS ARE LOW-INCOME (76.75% BELOW 100% OF THE FEDERAL POVERTY LEVEL) AND IDENTIFY AS WHITE (80.44%), HISPANIC/LATINO (8.91%), AND BLACK/AFRICAN AMERICAN (4.5%). THIS FUNDING WILL ENABLE SCHC TO EXPAND ITS FAMILY MEDICINE RESIDENCY PROGRAM CURRICULUM, PROVIDING RESIDENTS WITH ENHANCED TRAINING IN STREET MEDICINE. THE PROJECT WILL IMPROVE RESIDENTS’ SKILLS AND KNOWLEDGE IN STREET MEDICINE, BEHAVIORAL HEALTH, AND SOCIAL DETERMINANTS OF HEALTH WHILE INCREASING HEALTHCARE ACCESS FOR INDIVIDUALS EXPERIENCING HOMELESSNESS. THE EXPANDED CURRICULUM WILL NOT ONLY IMPROVE ACCESS TO PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES BUT ALSO STRENGTHEN HARM REDUCTION EFFORTS THROUGH NALOXONE DISTRIBUTION AND THE USE OF MEDICATIONS FOR OPIOID USE DISORDER (MOUD). THIS PROJECT DIRECTLY MEETS HRSA’S OBJECTIVES BY EXPANDING STREET MEDICINE TRAINING, INTEGRATING INTERPROFESSIONAL BEHAVIORAL HEALTH TEAMS, AND ADDRESSING SDOH THROUGH LEGAL AND SOCIAL SERVICE PARTNERSHIPS. FUNDING PREFERENCE: SCHC QUALIFIES FOR A FUNDING PREFERENCE UNDER QUALIFICATION 1- THE HIGH MUC PLACEMENT RATE QUALIFICATION, AS OVER 50% OF ITS GRADUATES PRACTICE IN MEDICALLY UNDERSERVED COMMUNITIES (MUCS). SUPPORTING DOCUMENTATION IS INCLUDED IN ATTACHMENT 6.

CAPITAL ASSISTANCE FOR DISASTER RESPONSE AND RECOVERY EFFORTS

HEALTH CARE AND OTHER FACILITIES

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

RYAN WHITE HIV/AIDS PROGRAM PART C EIS COVID-19 RESPONSE

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - FUNDING OPPORTUNITY: CONGRESSIONALLY DIRECTED SPENDING (CDS): CONSTRUCTION PROJECTS HRSA–22–134 (AL/CFDA NO. 93.493) APPLICANT NAME: SHASTA COMMUNITY HEALTH CENTER, 1035 PLACER STREET, REDDING, CA 96001 (SHASTA COUNTY) PROJECT DIRECTOR’S NAME: CONSTANTINE D. GERMANO, CEO, (530) 246-5980/FAX: (530) 245-0863 E-MAIL ADDRESS: DGERMANO@SHASTAHEALTH.ORG; WEB SITE ADDRESS: WWW.SHASTAHEALTH.ORG CONGRESSIONAL DISTRICT: CA-001 HRSA/BPHC FUNDING REQUESTED: $750,000.00 OTHER EXISTING FEDERAL FUNDING: $5,526,535 [CHC $4,655,423 & HCH $871,112]; $254,593 RWCA PART C #H76HA00616; TEACHING HEALTH CENTER – GRADUATE MEDICAL EDUCATION $554,947 #T91HP25792, $441,870 #T9CHP42276, & $320,000 #T9CHP45646 SHASTA COMMUNITY HEALTH CENTER (SCHC) WAS ESTABLISHED IN 1988 IN SHASTA COUNTY, REDDING, CA, WITH A MISSION TO PROVIDE COMPREHENSIVE, HIGH-QUALITY PRIMARY AND PREVENTIVE MEDICAL, DENTAL, AND MENTAL HEALTH CARE TO UNDERSERVED RESIDENTS OF THIS RURAL NORTHERN CALIFORNIA COUNTY. SCHC HAS RURAL CLINICS IN ANDERSON AND SHASTA LAKE CITY, CA, AND BECAME AN FQHC IN 1997. WE HAVE A DENTAL PROGRAM WHICH WORKS IN CONCERT WITH THE SHASTA COLLEGE DENTAL HYGIENE TRAINING PROGRAM, AND WE ARE RECOGNIZED AS A LEVEL III, PATIENT-CENTERED MEDICAL HOME. IN 2021, THE CLINIC SAW 34,800 UNDUPLICATED PATIENTS AND PROVIDED 151,276 PATIENT VISITS. SCHC'S PATIENT POPULATION FOR 2021 INCLUDED 3,222 HOMELESS WITH 18,632 ENCOUNTERS AND CARED FOR 4,370 DUALLY ELIGIBLE (MEDICARE-MEDICAID) PATIENTS. WE OFFER A READY POINT OF ACCESS FOR THE DEVELOPMENTALLY DISABLED, A PRIMARY RESOURCE FOR MEDICAL TREATMENT OF SUBSTANCE ABUSE, AND WE ARE THE RYAN WHITE CARE ACT, EARLY INTERVENTION SERVICE FOR NEARLY 200 HIV+ INDIVIDUALS FROM 6 RURAL COUNTIES. IN 2021, 39% OF OUR PATIENTS WERE BELOW THE 200% FPL, AND 31% WERE BETWEEN 100%-200% FPL. MEDI-CAL IS THE PAYER FOR 67% OF OUR PATIENTS, WHILE 7% ARE UNINSURED. WE HAVE AN ESTABLISHED FAMILY MEDICINE RESIDENCY PROGRAM AND AN NP/PA POST-GRADUATE F ELLOWSHIP PROGRAM. THERE ARE 30,890 WOMEN OF CHILDBEARING AGE AND OVER 2000 BIRTHS ANNUALLY IN SHASTA COUNTY. HALF THE BIRTHS ARE TO WOMEN WHO DEPEND ON MEDI-CAL. FURTHER, THE COUNTY IS IMPACTED BY HIGH ACE SCORES (TWICE THAT OF CA), AND WOMEN AND ETHNIC MINORITIES ARE AT THE MOST SIGNIFICANT RISK. ACES ARE LINKED TO CHRONIC HEALTH ISSUES, MENTAL ILLNESS, AND SUBSTANCE USE IN ADULTHOOD. EVIDENCE SHOWS THAT ENSURING A STRONG START FOR CHILDREN THROUGH ACCESS TO ENHANCED RESOURCES (INCLUDING PRIMARY CARE) CAN HELP PREVENT ACES. TO IMPROVE ACCESS TO CARE, SCHC IS BUILDING A TWO-STORY 31,400 SQ. FT. MEDICAL FACILITY AT 1000 PLACER ST., REDDING, CA. TO INTEGRATE MATERNITY, WOMEN'S HEALTH, AND PEDIATRIC SERVICES INTO THE CENTRAL SCHC MEDICAL HUB AT 1035 PLACER ST., REDDING, CA. THE FACILITY WILL BE BUILT ON LAND SCHC HAS OWNED SINCE 2019, DIRECTLY ACROSS THE STREET FROM THE MAIN HEALTH CENTER AND KITTY-CORNER TO ITS NEUROPSYCHIATRY AND SPECIALTY CENTER. DEMOLITION OF 3 DECAYED BUILDINGS AT THE EXISTING SITE WILL BEGIN IN JUNE 2022, CONSTRUCTION WILL START BETWEEN JULY-AUGUST OF 2022, AND THE NEW SITE WILL BE COMPLETED AND OPENED BY THE FALL OF 2023. THE INNOVATIVE CENTER WILL HOUSE 31 EXAM ROOMS AND CREATE SPACE FOR 3 NEW MEDICAL PROVIDERS (PLUS SUPPORT STAFF) AND CREATE A MINIMUM OF 16 NEW JOBS. WE ANTICIPATE SEEING A MINIMUM OF 35,000 PATIENT VISITS AT THE NEW CENTER EACH YEAR. BY POSITIONING THE MOTHER’S, BABIES, AND CHILDREN'S CENTER IN SCHC'S MAIN HUB, PATIENTS WILL HAVE EASY ACCESS AND IMPROVED LINKAGES TO A FULL SPECTRUM OF CARE, INCLUDING BEHAVIORAL HEALTH SERVICES. THIS GRANT OF $750,000 WILL BE USED TO PURCHASE EQUIPMENT ONLY AS DEFINED IN HRSA 22-134. PURCHASING WILL BEGIN AS CONSTRUCTION UNFOLDS AND BEFORE THE CENTER OPENS IN 2023. ALL THE CONSTRUCTION COSTS FOR THE BUILDING WILL BE COVERED THROUGH A COMBINATION OF A LOAN, NEW MARKET TAX CREDITS, AND A CASH CONTRIBUTION FROM SCHC.