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HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

RECOVERY ACT - SOUTHWEST VIRGINIA MIDDLE MILE PROJECT

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

SAFE SCHOOLS/HEALTHY STUDENTS GRANTS

(HEP)

AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS

(HEP)

CAMP

TSTC IN HARLINGEN UPWARD BOUND PROGRAM FOR SAN BENITO AND HARLINGEN CISDS IN CAMERON COUNTY, TEXAS

UPWARD BOUND

TALENT SEARCH PROGRAM

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

DOMESTIC WATER GRANTS - REGULAR

PORT SECURITY GRANT PROGRAM (ARRA)

HEALTH CENTER INFRASTRUCTURE SUPPORT

HEALTH CARE AND OTHER FACILITIES

ARRA - CAPITAL IMPROVEMENT PROGRAM

FISCAL YEAR 2025 EXPANDED HOURS. - PROJECT TITLE: EXPANDED HOURS APPLICANT ORGANIZATION NAME: COMMUNITY HEALTH DEVELOPMENT, INC. GRANT #H80CS00130 ADDRESS: 908 EVANS ST., BUILDING A – UVALDE, TEXAS 78801-6051 PROJECT DIRECTOR NAME: MAYELA CASTAÑON E-MAIL: MCASTANON@CHDI4HEALTH.ORG CONTACT PHONE NUMBER: (830) 278-5604; (830) 278-1836 (FAX) WEB SITE ADDRESS: HTTPS://CHDI4HEALTH.ORG CONGRESSIONAL DISTRICTS: TEXAS 023 AND TEXAS 021 FUNDING REQUESTED: EXPANDED HOURS CURRENT FEDERAL FUNDING: SECTION330CHC/MHC COMMUNITY HEALTH DEVELOPMENT, INC. (CHDI) IS A PRIVATE NON-PROFIT COMMUNITY BASED FQHC ESTABLISHED IN UVALDE, TEXAS IN 1983. CHDI’S SERVICE AREA INCLUDES UVALDE, REAL, EDWARDS AND PARTS OF ZAVALA COUNTIES. CHDI’S ENTIRE SERVICE AREA IS DESIGNATED AS HPSA FOR PRIMARY CARE, DENTAL, AND BEHAVIORAL HEALTH. THE SERVICE AREA HAS A 2022 US CENSUS ESTIMATED TOTAL POPULATION OF 31,999. OF THESE, 34% LIVE BELOW 150% OF THE FEDERAL POVERTY LEVEL AND 25% ARE UNINSURED. COUNTY LEVEL DATA ON THE NUMBER OF AGRICULTURAL WORKERS, WHOM CHDI TARGETS AS A SPECIAL POPULATION, IS EXTREMELY LIMITED HOWEVER THE ENTIRE SERVICE AREA RELIES HEAVILY ON FARMING AND RANCHING. A 2017 REPORT INDICATES THAT FARMWORKERS, NOT INCLUDING RANCH WORKERS, COMPRISE 11% OF THE POPULATION IN THE SOUTH TEXAS BORDER REGION, WHICH INCLUDES CHDI’S SERVICE AREA. CHDI’S 2023 COMMUNITY NEEDS ASSESSMENT REVEALS THAT THE MAJOR HEALTHCARE NEEDS ARE: DIABETES, LACK OF INSURANCE, BEHAVIORAL HEALTH, HYPERTENSION, HEART DISEASE, AND CANCER. MAJOR BARRIERS INCLUDE TOO FEW PROVIDERS, GEOGRAPHY/TRANSPORTATION, AND FINANCIAL LIMITATIONS TO ACCESSING CARE. CHDI IS GOVERNED BY AN 11-MEMBER BOARD OF DIRECTORS COMPRISED OF PATIENT REPRESENTATIVES (64%) AND LEADERS FROM THE SERVICE AREA. CHDI’S MISSION IS TO CONTINUOUSLY IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE. CHDI’S TARGET POPULATION INCLUDES UNINSURED/UNDERSERVED INDIVIDUALS LIVING BELOW 200% OF POVERTY. TO ADDRESS THE NEEDS OF THE TARGET POPULATION, CHDI OPERATES FOUR FULL-TIME HEALTH CARE DELIVERY SERVICE SITES: OUR HEALTH/NUESTRO CENTRO DE SALUD AND THE CENTER FOR COMMUNITY WELLNESS IN UVALDE; ROLLING HILLS HEALTH AND CANYON HEALTH BOTH IN REAL COUNTY. CHDI IS THE ONLY PRIMARY CARE PROVIDER IN REAL COUNTY. CHDI ALSO OPERATES A WEEKLY MEDICAL CLINIC AT THE UVALDE COUNTY JAIL. CHDI PROVIDES ALL REQUIRED MEDICAL AND DENTAL SERVICES DIRECTLY, EXCEPT FOR OB CARE. THE SCOPE OF PROJECT REPRESENTS INTEGRATED HEALTH CARE SERVICES THAT INCLUDE PRIMARY AND PREVENTIVE MEDICAL, DENTAL, AND BEHAVIORAL HEALTH CARE, DIAGNOSTIC LAB, X-RAY, CLASS A AND D PHARMACIES, DISEASE SCREENING AND MANAGEMENT, COMMUNITY HEALTH EDUCATION, ENROLLMENT, AND SPECIALTY CARE REFERRALS. CHDI SERVES ALL PEOPLE, REGARDLESS OF ABILITY TO PAY. IN 2023, SERVED 12,174 PATIENTS. THROUGH THIS FUNDING OPPORTUNITY, CHDI IS PROPOSING TO EXPAND HOURS OF OPERATION AND SERVICES AT THE FOLLOWING TWO SITES: OUR HEALTH IN UVALDE AND ROLLING HILLS HEALTH IN LEAKEY. THE HOURS AT EACH SITE WILL BE EXPANDED BY ONE HOUR PER WEEK. ADDITIONALLY, CHDI IS SEEKING FUNDING TO EXPAND ACCESS TO PHARMACY SERVICES IN UVALDE FROM THE CURRENT 53.5 HOURS TO 60.5 HOURS PER WEEK AND EXPAND ACCESS TO DENTAL SERVICES IN LEAKEY FROM THE CURRENT 11 HOURS TO 46 HOURS PER WEEK. CHDI IS INCREASING ITS PROVIDER STAFFING TO ADDRESS THE INCREASED NEED FOR CARE IN THE AREA. THUS, THERE WILL BE A CORRESPONDING INCREASE IN THE NUMBER OF PRESCRIPTION REQUESTS. IN 2023, CHDI FILLED 80,800 PRESCRIPTION REQUESTS. CHDI EXPECTS THE NUMBER OF PRESCRIPTIONS REQUESTS TO BE FILLED TO INCREASE TO 98,700 ANNUALLY. THE DENTAL EXPANSION WILL PROVIDE 2,000 NEW VISITS TO 800 NEW/EXISTING PATIENTS. CHDI IS PROPOSING TO ADD 6.5 FTES TO SUPPORT EXPANDED HOURS AS FOLLOWS: 0.5 PHARMACIST, 1.0 PHARMACY TECHNICIAN, 1.0 DENTIST, 2.0 REGISTERED DENTAL ASSISTANTS, 1.0 PATIENT SUPPORT, AND A 1.0 PRACTICE MANAGER. CHDI’S PROJECT HAS A TOTAL COST OF $708,882 WHICH INCLUDES $500,000 IN FEDERAL FUNDS AND $208,882 IN PROGRAM INCOME.

PORT SECURITY GRANT PROGRAM

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

THE RECIPIENT WILL USE RECOVERY ACT FUNDING FOR THE PHASE III CLEAN UP OF THE RAINIER COURT PROJECT PROPERTY, WHICH WILL RECLAIM AN ABANDONED SEVEN-

CLEANUP OF LAND FOR A 150 UNIT TOWN HOUSE AND CONDOMINIUM PROJECT KNOWN AS RAINIER COURT PHASE IV. CLEANUP ACTIVITIES WILL INCLUDE APPROVAL OF A CLE

ARRA GREEN BUS INCUBATOR

FY 2023 EXPANDING COVID-19 VACCINATION

HEALTH CARE AND OTHER FACILITIES

CHP

ASSISTANCE TO FIREFIGHTERS GRANT

RURAL BUSINESS ENTERPRISE GRANTS

ASSISTANCE TO FIREFIGHTERS GRANT

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

RBOG - EZ/EC & RURAL ECONOMIC AREA PARTNERSHIP

COMMUNITY FACILITY GRANTS

SRSA APPLICATION

SMALL RURAL SCHOOL ACHIEVEMENT GRANT.

SMALL, RURAL SCHOOL ACHIEVEMENT PROGRAM

APPLICATION FOR SMALL RURAL SCHOOL ACHIEVEMENT PROGRAM

APPLICATION FOR SMALL RURAL SCHOOL ACHIEVEMENT PROGRAM

SMALL, RURAL SCHOOL ACHIEVEMENT PROGRAM

APPLICATION FOR SMALL RURAL SCHOOL ACHIEVEMENT PROGRAM

SMALL, RURAL SCHOOL ACHIEVEMENT PROGRAM

APPLICATION FOR SMALL, RURAL SCHOOL ACHIEVEMENT PROGRAM

SMALL, RURAL SCHOOL ACHIEVEMENT PROGRAM

APPLICATION FOR SMALL, RURAL SCHOOL ACHIEVEMENT PROGRAM

SMALL, RURAL SCHOOL ACHIEVEMENT PROGRAM

SMALL, RURAL SCHOOL ACHIEVEMENT PROGRAM

SMALL, RURAL SCHOOL ACHIEVEMENT PROGRAM

APPLICATION FOR SMALL, RURAL SCHOOL ACHIEVEMENT PROGRAM

APPLICATION FOR SMALL, RURAL SCHOOL ACHIEVEMENT PROGRAM

APPLICATION FOR SMALL, RURAL SCHOOL ACHIEVEMENT PROGRAM

SMALL RURAL SCHOOL ACHIEVEMENT GRANT

SEC 9007 REAP-RENEW ENERGY SYSTEMS GRANTS, $20,000 OR LESS (MAN)

COMMUNITY FACILITY GRANTS

SEC 9007 REAP-RENEW ENERGY SYSTEMS GRANTS, $20,000 OR LESS (MAN)

ASSISTANCE TO FIREFIGHTERS GRANT

PURPOSE: TO SUPPORT VISUAL ART EXHIBITIONS.

TO SUPPORT ART THERAPY-INSPIRED EXHIBITIONS AT THE COLUMBIA CITY GALLERY.

TO SUPPORT GUEST GALLERY EXHIBITIONS OF EAST ASIAN BRUSH PAINTING AND SCULPTURES REFLECTING THE CULTURAL IDENTITIES AND EXPERIENCES OF EAST AFRICAN G

SEC 9007 REAP-RENEW ENERGY EFFICIENCY IMPROVE GRANTS, $20,000 OR LESS (MAN)

306A EMERGENCY COMMUNITY WATER ASSISTANCE GRANTS - LIMIT $150,000 - REGULAR

COMMUNITY FACILITY GRANTS

ASSISTANCE TO FIREFIGHTERS GRANT