Chinatown Service Center

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

CCBHC TO SERVE ASIANS AND OTHER DIVERSE GROUPS WITH SERIOUS BEHAVIORAL HEALTH CONDITIONS - PROJECT SUMMARY: CHINATOWN SERVICE CENTER (CSC), ONE OF THE LARGEST COMMUNITY-BASED, CHINESE-AMERICAN ORGANIZATIONS IN SOUTHERN CALIFORNIA, IS APPLYING FOR CCBHC-IA FUNDING TO CONTINUE OPERATION OF OUR CCBHC. WITH FUNDING, WE WILL PROVIDE MENTAL HEALTH, SUBSTANCE ABUSE, AND CRISIS SERVICES TO DIVERSE POPULATIONS WITH SEVERE CONDITIONS. THESE CRUCIAL SERVICES WILL BE AVAILABLE TO LOW-INCOME, AND UNINSURED INDIVIDUALS OF LOS ANGELES (LA) COUNTY. GEOGRAPHIC CATCHMENT AREA: LA COUNTY SERVICE PLANNING AREA (SPA) 3: SAN GABRIEL VALLEY PROJECT NAME: CCBHC TO SERVE ASIANS AND OTHER DIVERSE GROUPS WITH SERIOUS BEHAVIORAL HEALTH CONDITIONS POPULATIONS TO BE SERVED: OUR CCBHC WILL SERVE LOW-INCOME, UNINSURED ADULTS AND CHILDREN, PRIMARILY ASIAN/PACIFIC ISLANDERS, WITH A BEHAVIORAL HEALTH DIAGNOSIS, INCLUDING SEVERE MENTAL ILLNESS, SEVERE EMOTIONAL DISTURBANCE, SUBSTANCE USE DISORDER, AND CO-OCCURRING DISORDER. NUMBER TO BE SERVED: YEAR 1: 290; YEAR 2: 320; YEAR 3: 350 YEAR 4: 385; LIFE OF PROJECT: 1,345 PROJECT STRATEGIES/INTERVENTIONS: CSC WILL USE A COMBINATION OF SEVERAL EVIDENCE-BASED- INTERVENTIONS, INCLUDING MINDFULNESS COGNITIVE BEHAVIORAL THERAPY (M-CBT), MOTIVATIONAL INTERVIEWING (MI), PATIENT-CENTERED MEDICAL HOME (PCMH), AND TRAUMA-INFORMED APPROACH. THESE INTERVENTIONS AND SCREENINGS WILL BE PROVIDED IN ENGLISH, SPANISH, AND CHINESE LANGUAGES. PROJECT GOALS AND MEASURABLE OBJECTIVES: OUR GOALS INCLUDE: INCREASE THE NUMBER OF INDIVIDUALS WHO ARE SCREENED FOR MAJOR DEPRESSION; REDUCE SUICIDE RISK AND PREVENT DEATHS BY SUICIDE; IMPROVE ACCESS TO SERVICES THROUGH ONLINE AND IN-PERSON OUTREACH; REDUCE THE SERVICE GAP FOR TOBACCO CESSATION; INCREASE ACCESS TO SUD SERVICES; AND INCREASE ACCESS TO SERVICES TO INDIVIDUALS WHO ARE PRESCRIBED MEDICATIONS THAT MAY BE MISUSED. MEASURABLE OBJECTIVES ARE AS FOLLOWS: (1) EACH YEAR, PROVIDE DEPRESSION SCREENINGS FOR 800 PATIENTS; (2) EACH YEAR, FOR THOSE AT-RISK FOR DEPRESSION, SCREEN 100% FOR SUICIDE; (3) 75% OF THOSE WITH AT-RISK SCREENINGS WILL YIELD AN ATTENDED APPOINTMENT; (4) EACH YEAR, 65% OF PATIENTS WILL HAVE A REDUCED RISK FOR SUICIDE, AS INDICATED BY IMPROVEMENTS IN SCORES BETWEEN ASSESSMENTS; (5) EACH YEAR, 90.0% OF THOSE AT-RISK WILL DEVELOP A CRISIS PLAN; (6) EACH YEAR, REACH 5,000 INDIVIDUALS VIA OUTREACH REGARDING AVAILABILITY OF SERVICES AND HEALTH EDUCATION; (7) BY THE END OF YEAR 4, WE WILL SERVE 1,345 INDIVIDUALS; 75% WILL HAVE A DIAGNOSIS QUALIFYING AS SMI OR SED; (8) EACH YEAR, DISTRIBUTE 1,000 TOBACCO CESSATION RESOURCES PRINTED IN ASIAN LANGUAGES; (9) EACH YEAR, WE WILL REFER 75.0% OF CURRENT SMOKERS TO ASIAN SMOKERS' QUITLINE; (10) EACH YEAR, 75% OF THOSE REFERRED FOR SUD SERVICES WILL YIELD AN ATTENDED APPOINTMENT; AND (11) EACH YEAR, THE CCBHC WILL CONDUCT IN-REACH TO IDENTIFY PATIENTS PRESCRIBED MEDICATIONS THAT POSE A RISK FOR ADDICTION; OF THESE 75% WILL RECEIVE EDUCATION ON PREVENTING ADDICTION OR REFERRAL TO SUD.

CHINATOWN SERVICES CENTER: CCBHC EXPANSION GRANTS

CHINATOWN SERVICE CENTER PROPOSES TO IMPLEMENT THE MONTEREY PARK HOPE RESILIENCY CENTER. THE PURPOSE IS TO SERVE AS THE CENTRAL HUB OF HEALING AND SUPPORT IN RESPONSE TO THE TRAGEDIES AT THE STAR BALLROOM DANCE STUDIO AND THE LAI LAI BALLROOM. LOCATED IN THE CITY OF MONTEREY PARK, CALIFORNIA, THE CENTER WILL PROVIDE COORDINATED SERVICES TO ADDRESS THE NEEDS OF SURVIVORS, WITNESSES, FAMILIES OF VICTIMS, AND THE BROADER IMPACTED COMMUNITY. PROJECT ACTIVITIES INCLUDE ESTABLISHING AN ADVISORY COMMITTEE, DELIVERING EVIDENCE-BASED SERVICES, PEER SUPPORT GROUPS, AS WELL AS SPIRITUAL AND WELLNESS ACTIVITIES. THE CENTER WILL COORDINATE AND HOST WORKSHOPS DESIGNED TO FOSTER RECOVERY, RESILIENCE, AND COMMUNITY CONNECTEDNESS. EXPECTED OUTCOMES INCLUDE STRENGTHENED LINKAGES TO RESOURCES AND SERVICES, INCREASED COMMUNITY ENGAGEMENT IN HEALTHY STRATEGIES, DELIVERY OF EVIDENCE-BASED CARE, AND ONGOING PROGRAM REFINEMENT TO MEET EVOLVING COMMUNITY NEEDS.

CSC OUD AWARENESS, EDUCATION, AND ACCESS TO MAT SERVICES - FOUNDED IN 1971, CHINATOWN SERVICE CENTER (CSC) IS ONE OF THE LARGEST COMMUNITY-BASED, CHINESE-AMERICAN ORGANIZATIONS IN SOUTHERN CALIFORNIA. CSC, A NON-PROFIT COMMUNITY HEALTH CENTER WITH FEDERALLY QUALIFIED HEALTH CENTER (FQHC) DESIGNATION, OPERATES 5 CLINIC SITES AND A MOBILE UNIT IN LOS ANGELES COUNTY. WE ARE SEEKING TO EXPAND THE SERVICES AVAILABLE AT OUR CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC), LOCATED AT 320 S. GARFIELD AVENUE IN ALHAMBRA, THROUGH THE ADDITION OF MEDICATION -ASSISTED TREATMENT (MAT) FOR OPIOID USE DISORDER (OUD). WE PROJECT TO SERVE 350 UNDUPLICATED CLIENTS OVER THE FIVE-YEAR GRANT PERIOD. THE POPULATION OF FOCUS FOR OUR MAT PROGRAM ARE LOW-INCOME RESIDENTS OF LOS ANGELES COUNTY’S SERVICES PLANNING AREA (SPA) 3, WITH A FOCUS ON THE CITIES OF ALHAMBRA AND MONTEREY PARK, WHO HAVE AN OPIOID USE DISORDER (OUD) DIAGNOSIS AND/OR THOSE WITH CO-OCCURRING MENTAL HEALTH AND OUD. THE MAJORITY OF CLIENTS SERVED WILL BE THOSE FROM ASIAN/PACIFIC ISLANDER (A/PI) POPULATIONS, MANY OF WHOM ARE LOW-INCOME IMMIGRANTS AND NON-ENGLISH SPEAKING. IN ALHAMBRA, THE CITY WHERE THE MAT PROGRAM WILL BE IMPLEMENTED, 53.0% OF RESIDENTS ARE A/PI. IN NEIGHBORING MONTEREY PARK, TWO-THIRDS (67.0%) OF RESIDENTS ARE A/PI. THROUGH ITS PARTICIPATION IN A COMMUNITY RESEARCH GROUP, CSC HAS IDENTIFIED THE PRIMARY BARRIERS TO SERVING THE A/PI POPULATION WITH SUBSTANCE/OPIOID USE DISORDERS. THESE BARRIERS INCLUDE: A) LACK OF AWARENESS OF MAT AND OTHER SUD SERVICES, B) LACK OF EDUCATION AROUND OPIOID USE AND ITS TREATMENT, AND C) CULTURAL OR SPIRITUAL BIASES/STIGMA ASSOCIATED WITH TREATMENT FOR OUD/SUD. FOR THESE REASONS, WE HAVE INCLUDED A STRONG OUTREACH AND COMMUNITY EDUCATION COMPONENT IN OUR MAT PROGRAM. OUR MAT PROGRAM GOALS AND OBJECTIVES ARE AS FOLLOWS: GOAL 1: TO INCREASE AWARENESS OF MAT SERVICES AVAILABLE IN SPA 3. OBJECTIVE 1: CONDUCT TARGETED OUTREACH TO 600 INDIVIDUALS, OF WHICH 75 INDIVIDUALS WITH OUD WILL ATTEND THEIR FIRST MAT APPOINTMENT. OBJECTIVE 2: CONDUCT TARGETED IN-REACH VIA OUR EHR FOR INDIVIDUALS WITH AN OPIOID PRESCRIPTION, WITH 100% OF THOSE IDENTIFIED BEING GIVEN EDUCATION AND RESOURCES. OBJECTIVE 3: PRODUCE ONE TV COMMERCIAL IN CHINESE TO REACH 2,000 VIEWERS. OBJECTIVE 4: PURCHASE ONE CONTRACT FOR ADVERTISING AT PHYSICAL LOCATIONS (SIGNS, BUSES, BENCHES) FOR OUD AWARENESS AND AVAILABILITY OF THE MAT PROGRAM. GOAL 2: TO INCREASE ACCESS OF MAT SERVICES TO INDIVIDUALS WITH OUD IN SPA 3. OBJECTIVE 6: CONDUCT MONTHLY EDUCATION, OUTREACH, TO INCLUDE ENROLLMENT OF 10 CLIENTS INTO MAT SERVICES. OBJECTIVE 7: REDUCE TRANSPORTATION BARRIERS BY OFFERING 1,000 ‘RIDES’ VIA UBERHEALTH WITH 75% OF RIDES OFFERED YIELDING A VISIT TO THE CLINIC. GOAL 3: TO IMPROVE THE RECOVERY OF MAT CLIENTS. OBJECTIVE 8: 75% OF CLIENTS INDUCTED INTO TREATMENT WILL REMAIN COMPLIANT WITH THEIR TREATMENT PLAN, AS EVIDENCED BY RAPID, IN-HOUSE URINE SCREENINGS. OBJECTIVE 9: 50% OF CLIENTS WILL EXPERIENCE A REDUCTION IN DEPRESSIVE AND/OR SUICIDAL SYMPTOMS, AS INDICATED BY IMPROVED PHQ-9 SCORES FROM INTAKE TO 6-MONTH REASSESSMENT.

PROJECT LAUNCH - SERVING ASIAN PACIFIC ISLANDER AND OTHER DIVERSE CHILDREN AND FAMILIES - PROJECT SUMMARY: CHINATOWN SERVICE CENTER (CSC), ONE OF THE LARGEST COMMUNITY-BASED, CHINESE-AMERICAN ORGANIZATIONS IN SOUTHERN CALIFORNIA, IS APPLYING FOR PROJECT LAUNCH FUNDING. WITH FUNDING, WE WILL PROVIDE RESOURCES, MENTORING, AND PROVISION OF EARLY CHILDHOOD MENTAL HEALTH PRACTICES AND SERVICES TO IDENTIFY AND ADDRESS BEHAVIORAL CONCERNS IN CHILDREN BEFORE THEY DEVELOP INTO SERIOUS EMOTIONAL DISTURBANCES (SED). WE WILL BUILD THE CAPACITIES OF ADULT CAREGIVERS TO SUPPORT THE WELLBEING AND DEVELOPMENT OF CHILDREN. THESE CRUCIAL SERVICES WILL BE AVAILABLE TO LOW-INCOME, AND UNINSURED INDIVIDUALS OF LOS ANGELES (LA) COUNTY. GEOGRAPHIC CATCHMENT AREA: LA COUNTY SERVICE PLANNING AREA (SPA) 3: SAN GABRIEL VALLEY PROJECT: PROJECT LAUNCH - SERVING ASIAN PACIFIC ISLANDER AND DIVERSE CHILDREN AND FAMILIES POPULATIONS TO BE SERVED: OUR PROJECT WILL SERVE LOW-INCOME, UNINSURED ADULTS AND CHILDREN, PRIMARILY ASIAN/PACIFIC ISLANDERS, WITH A BEHAVIORAL HEALTH AND/OR DEVELOPMENTAL CONCERNS; AND EARLY CARE PROVIDERS SERVING CHILDREN AND FAMILIES IN THE SERVICE AREA. PROJECT STRATEGIES/INTERVENTIONS: CSC WILL USE A COMBINATION OF SEVERAL EVIDENCE-BASED- INTERVENTION (EBP)S, INCLUDING MINDFUL-COGNITIVE BEHAVIORAL THERAPY, MOTIVATIONAL INTERVIEWING, AND EBPS TO SUPPORT THE POSITIVE DEVELOPMENT OF CHILDREN SUCH AS NURTURING PARENT PROGRAM (NPP) AND PLAY THERAPY. WE WILL USE SEVERAL STANDARDIZED SCREENING TOOLS FOR MENTAL HEALTH, BEHAVIORAL AND DEVELOPMENTAL CONCERNS. THESE INTERVENTIONS AND SCREENINGS WILL BE PROVIDED IN ENGLISH AND CHINESE LANGUAGES. PROJECT GOALS AND MEASURABLE OBJECTIVES: OUR PROPOSED OBJECTIVES INCLUDE: 1) DEVELOP A PUBLIC AWARENESS PLAN TO PROMOTE EARLY CHILDHOOD DEVELOPMENT, IMPLEMENTED ACROSS THE FULL GRANT PERIOD; 2) REACH INDIVIDUALS IN THE SERVICE AREA WITH OUR SOCIAL MEDIA/MARKETING CAMPAIGN; 3) ESTABLISH A REFERRAL SYSTEM FOR CHILD AND FAMILY-SERVING PROGRAMS (CHILDCARE, PARENT RESPITE, FAMILY RESOURCE CENTER, EDUCATION SUPPORT, TRANSPORTATION, ETC.) AND CONTINUE TO ADD NEW ENTITIES EACH GRANT YEAR; 4) SCREEN CHILDREN AGED 0-8 FOR TRAUMA AND MAKE A REFERRAL FOR SERVICES OR CARE FOR THOSE AT-RISK; 5) SCREEN CHILDREN FOR DEVELOPMENTAL AND/OR LEARNING DISORDERS AND MAKE A REFERRAL FOR SERVICES OR CARE FOR THOSE AT-RISK; SCREEN PARENTS/CAREGIVERS FOR DEPRESSION, TRAUMA, AND/OR SUBSTANCE USE DISORDER AND MAKE A REFERRAL FOR SERVICES OR CARE FOR THOSE AT-RISK; 6) PROVIDE FORMAL PARENTING CLASSES USING THE NURTURING PARENT PROGRAM (NPP) FRAMEWORK TO PARENTS/CAREGIVERS; 7) PROVIDE REFERRALS TO PLAY THERAPY, PROVIDED BY A CREDENTIALED THERAPIST; AND 8) ESTABLISH AN EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT (EPSDT) PROGRAM AT CSC. THE PROGRAM WILL PROVIDE A COMPREHENSIVE ASSESSMENT AND DIAGNOSTIC AND TREATMENT FOR IDENTIFIED CONDITIONS, EITHER DIRECTLY BY CSC OR THROUGH REFERRAL.

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION - PROJECT TITLE: OUTREACH, EDUCATION, AWARENESS, AND INCREASED ACCESS TO HIV SERVICES AND PREVENTION IN DIVERSE, LOW-INCOME COMMUNITIES OF LOS ANGELES COUNTY APPLICANT: CHINATOWN SERVICE CENTER, 767 N HILL ST# 200A, LOS ANGELES, CA, 90012 PROJECT DIRECTOR: JACK CHENG, JD, CHC, CHPC CONTACT INFO: 213-808-1709 (P) 213-680-9427 (F) JACHENG@CSCLA.ORG (E) WEBSITE: HTTPS://WWW.CSCLA.ORG/ FUNDING REQUEST: $325,000 HEALTH CENTER PROGRAM NUMBER: H80CS08735 1) DESCRIPTION OF THE PROJECT INCLUDING NEEDS, SERVICES, AND POPULATION GROUPS FOUNDED IN 1971, CHINATOWN SERVICE CENTER (CSC) IS A NON-PROFIT ORGANIZATION WITH FEDERALLY QUALIFIED HEALTH CENTER (FQHC) DESIGNATION LOCATED IN LOS ANGELES (LA) COUNTY. OUR SERVICES INCLUDE PRIMARY CARE, BEHAVIORAL HEALTH, AND DENTAL CARE. WHILE WE PROVIDE HIV SCREENINGS AND SERVICES, WE WISH TO FORMALIZE OUR PROGRAM. WITH THIS FUNDING, WE WILL IMPLEMENT AN HIV PREVENTION PROGRAM BY ESTABLISHING A SPECIALIZED TEAM TO INCLUDE: PROJECT DIRECTOR, PREP NAVIGATOR, PREP/HIV LINKAGE NAVIGATOR, AND A DEDICATED HIV PREVENTION PHYSICIAN. THE TEAM WILL CONDUCT EXTENSIVE OUTREACH, PROVIDE COMMUNITY EDUCATION, RAISE AWARENESS OF HIV PREVENTION SERVICES (INCLUDING PREP), AND OFFER SYSTEM NAVIGATION, CASE MANAGEMENT, LINKAGE TO CARE, AND HIV TREATMENT. WITHIN OUR SERVICE AREA, THE TOP ETHNIC/RACIAL GROUPS ARE HISPANIC (48.7%) AND ASIAN (24.5%). FOR THESE RESIDENTS, HIV SCREENING, DIAGNOSIS, AND TREATMENT BRINGS SIGNIFICANT CULTURAL STIGMA, CHARACTERIZED BY SHAME, SECRECY, AND FEAR OF REJECTION. ACCORDING TO THE COUNTY’S HIV SURVEILLANCE ANNUAL REPORT 2020, LATINOS HAD THE HIGHEST INCIDENCE OF HIV DIAGNOSIS, REPRESENTING 46.1% OF ALL DIAGNOSES IN THE COUNTY. THERE ARE ALSO NEARLY 1,800 ASIANS DIAGNOSED WITH HIV IN THE COUNTY. FURTHER, THE CDC REPORTS THAT MEN WHO HAVE SEX WITH MEN (MSM) ACCOUNTED FOR TWO-THIRDS OF NEW HIV INFECTIONS IN 2019. WITHIN THE HISPANIC AND ASIAN POPULATIONS, WE WILL ALSO TARGET MSM, A NEW POPULATION OF FOCUS FOR CSC. OUR GOAL IS TO BREAK THROUGH THE CULTURAL BARRIERS TO PROVIDE SERVICES TO HISPANIC AND ASIAN RESIDENTS, INCLUDING MSM, THUS PREVENTING THE SPREAD OF HIV AMONG THESE TARGET GROUPS. 2) HOW WILL THE PROJECT INCREASE THE # TESTED FOR HIV; THE # PRESCRIBED PREP, AND THE # LINKED TO HIV CARE/ TREATMENT WITHIN 30 DAYS: OUR PROGRAM WILL EMPHASIZE OUTREACH, STIGMA REDUCTION, AND EDUCATION TO INCREASE THE UTILIZATION OF HIV SERVICES TO HISPANIC AND ASIAN POPULATIONS, WHICH HISTORICALLY AND CULTURALLY ARE DIFFICULT TO REACH AND ENGAGE IN HIV PREVENTION SERVICES. TO IMPROVE HIV SCREENING, WE WILL INCREASE AGENCY SUPPORT OF UNIVERSAL HIV TESTING AND HOME HIV TESTS. TO INCREASE THE NUMBER OF PATIENTS PRESCRIBED PREP, WE WILL IDENTIFY THOSE WITH AT-RISK BEHAVIOR AND PROVIDE TARGETED EDUCATION, AND WILL LINK TO RESOURCES (SUCH AS READY SET PREP) TO RECEIVE FREE/LOW-COST MEDICATION, INCLUDING HOME DELIVERY OF MEDS. CSC WILL INCREASE THE NUMBER OF PATIENTS LINKED TO CARE WITHIN 30 DAYS OF DIAGNOSIS THROUGH IMPROVED WORKFLOWS, HEALTH RECORD NOTIFICATION, AND THE HIRING OF PREP NAVIGATORS TO PROVIDE CASE MANAGEMENT AND LINKAGE TO CARE, WHICH MAY INCLUDE WARM-HAND OFF ACROSS CSC DEPARTMENTS. 3) HOW WILL THE PROJECT FOCUS ON THE TARGETED GEOGRAPHIC LOCATIONS: CSC’S PROPOSED SERVICE AREA IS LA COUNTY’S SERVICE PLANNING AREAS (SPAS) 3 AND 4. SPA 3 COVERS THE EASTERN PART OF THE COUNTY INCLUDING THE SAN GABRIEL VALLEY FROM ALHAMBRA TO POMONA, AND HAS AMONG THE HIGHEST ASIAN POPULATION IN THE NATION, RANGING FROM 50% TO 67%. SPA 4 COVERS THE CENTRAL, METROPOLITAN PORTION OF THE CITY OF LA INCLUDING DOWNTOWN, HISTORIC CHINATOWN, AND SURROUNDING AREAS. IN SPA 4, 51.6% OF RESIDENTS ARE HISPANIC. CSC WILL FOCUS ON THESE TARGETED LOCATIONS BY BASING OUR PROGRAM OUT OF OUR LA SITE (SPA 4) AND ALHAMBRA SITE (SPA 3). CSC WILL ALSO USE TELEHEALTH IN THE PROVISION OF HIV SERVICES.

PURPOSE: ECONOMIC DEVELOPMENT INITIATIVE, COMMUNITY PROJECT FUNDING/CONGRESSIONAL DIRECTED SPENDING AWARDS ARE AUTHORIZED UNDER THE CONSOLIDATED APPROPRIATIONS ACT, 2022 PUBLIC LAW 117-328 AND THE EXPLANATORY STATEMENT FOR DIVISION L OF THAT ACT. PROJECTS SELECTED FOR COMMUNITY PROJECT FUNDING/CONGRESSIONAL DIRECTED SPENDING ARE LISTED IN THE JOINT EXPLANATORY STATEMENT (JES) THAT ACCOMPANIES A SPECIFIC FISCAL YEAR’S APPROPRIATIONS ACT OR CONGRESSIONAL RECORD. THE JES LISTS PROJECT, RECIPIENT, STATE, AMOUNT AND CONGRESSIONAL SPONSOR.; ACTIVITIES TO BE PERFORMED: ECONOMIC DEVELOPMENT INITIATIVE, COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING AWARD PROJECTS INCLUDE A WIDE VARIETY OF ACTIVITIES THAT RESULT IN ECONOMIC DEVELOPMENT OR COMMUNITY DEVELOPMENT OUTCOMES. HUD WILL NOT KNOW THE FULL SCOPE OF THE PROJECT UNTIL THE RECIPIENT SUBMITS THE REQUIRED PROJECT NARRATIVE AND CONFIRMS ALIGNMENT WITH THE LANGUAGE AS PROVIDED IN THE CONGRESSIONAL RECORD. TO FIND THE DETAILS OF THE GRANT AWARD AS WRITTEN WITHIN THE CONGRESSIONAL RECORD USE THE FOLLOWING LINK AND PATH SELECTIONS TO GET TO THE DESCRIPTION OF THE ECONOMIC DEVELOPMENT INITIATIVE, COMMUNITY PROJECT FUNDING GRANTS HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/COMM_PLANNING/EDI-GRANTS, SELECT THE FISCAL YEAR OF INTEREST, SCROLL DOWN TO PROGRAM LAWS AND REGULATIONS, UNDER FISCAL YEAR 20XX CONSOLIDATED APPROPRIATIONS ACT, 20XX: CONGRESSIONAL RECORD (JOINT EXPLANATORY STATEMENT).; EXPECTED OUTCOMES: COMPLETION OF THE PROJECT AS DESCRIBED IN THE JOINT EXPLANATORY STATEMENT (JES) PROJECT DESCRIPTION AND SUBSEQUENT APPROVED PROJECT NARRATIVE.; INTENDED BENEFICIARIES: THE PROJECT BENEFICIARIES ARE THE INDIVIDUALS AND/OR ORGANIZATIONS THAT ARE AWARDED GRANT FUNDS OR SERVED BY THE ENTITIES THAT ARE AWARDED GRANT FUNDS AS IDENTIFIED IN THE JES RECIPIENT OR PROJECT DESCRIPTION SECTIONS.; SUBRECIPIENT ACTIVITIES: THE SUBRECIPIENT ACTIVITIES ARE UNKNOWN AT THE TIME OF AWARD.

CSC - MENTAL HEALTH AWARENESS TRAINING - WITH OVER 50 YEARS OF EXPERIENCE SERVING OUR COMMUNITY, CHINATOWN SERVICE CENTER (CSC) IS WELL-POSITIONED TO ADMINISTER MENTAL HEALTH AWARENESS TRAINING (MHAT) TO THE POPULATIONS OF FOCUS. FOR OUR PROGRAM, CSC WILL SERVE LOS ANGELES COUNTY SERVICE PLANNING AREA (SPA) 3, A GEOGRAPHIC CATCHMENT AREA COVERING EAST LOS ANGELES COUNTY. WE WILL BE UTILIZING THE MENTAL HEALTH FIRST AID (MHFA) AND YOUTH MENTAL HEALTH FIRST AID (YMHFA) CURRICULUMS, WHICH ARE WIDELY-USED, AND SAMHSA-APPROVED EVIDENCE-BASED PRACTICES DESIGNED FOR THE SECTORS AND RACIAL POPULATIONS WHO WILL RECEIVE THE TRAININGS. CSC'S CERTIFIED MHFA/YMHFA INSTRUCTORS WILL CONDUCT TRAINING WITHIN COMMUNITY AND PUBLIC-SECTOR WORKERS AT SCHOOLS (31 SCHOOLS WITHIN 2 DISTRICTS), POLICE DEPARTMENTS (2 POLICE DEPARTMENTS), AND HOSPITAL EMERGENCY ROOMS (ERS). BY THE END OF THE 5-YEAR GRANT PERIOD, WE WILL TRAIN/RE-CERTIFY 1,000 INDIVIDUALS, INCLUDING TEACHERS, AIDES, SCHOOL STAFF, SELECTED PARENTS, POLICY OFFICERS, POLICE PERSONNEL, POLICE VOLUNTEERS, ER NURSES AND DOCTORS, AND OTHER FRONTLINE ER STAFF. OUR CATCHMENT AREA IS LOCATED IN EASTERN LA COUNTY (LA SERVICE PLANNING AREA (SPA3)), COMPRISED PRIMARY OF ASIAN/PACIFIC ISLANDER AND HISPANIC POPULATIONS. WITHIN THESE POPULATIONS OF SPA 3, THERE HAVE NOT BEEN WIDE-SPREAD EFFORTS OFFERING MENTAL HEALTH AWARENESS TRAININGS WITH THE INTENT TO INCREASE MENTAL HEALTH LITERACY. CSC WILL BRING RACIAL JUSTICE AND EQUITY TO OUR COMMUNITY BY INCREASING THE MENTAL HEALTH LITERACY OF THE API AND HISPANIC COMMUNITIES THROUGH MHFA/YMHFA TRAININGS. WITH OUR MHAT GRANT PROGRAM, MHFA/YMHFA TRAINED POLICE, SCHOOL STAFF/SELECTED PARENTS, AND HOSPITAL EMERGENCY DEPARTMENT PERSONNEL WILL BE ENABLED TO: WORK MORE CONFIDENTLY WITH INDIVIDUALS WITH MENTAL HEALTH NEEDS, BE AWARE OF COMMUNITY RESOURCES AND KNOW HOW TO CONNECT INDIVIDUALS TO THOSE RESOURCES, DEESCALATE A MENTAL HEALTH CRISIS, AND REFER THOSE WITH MENTAL HEALTH NEEDS TO CSC FOR SERVICES. TO ENSURE THE SUCCESS OF MHFA/YMHFA TRAINEES, CSC WILL PROVIDE ONGOING COACHING AND CONSULTATION TO ALL TRAINEES, AND WILL PROVIDE PRINTED MATERIAL FOR TRAINEES TO USE AS REFERENCE. CSC WILL ALSO HAVE A SOCIAL MEDIA AWARENESS CAMPAIGN TO SUPPLEMENT OUR EFFORTS.

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - PROJECT TITLE: FY 24 BEHAVIORAL HEALTH SERVICES EXPANSION (HRSA-24-078) APPLICANT ORGANIZATION NAME: CHINATOWN SERVICE CENTER GRANT NUMBER: H80CS08735 PROJECT DIRECTOR NAME: NINA LOC BRIEF DESCRIPTION OF THE PROPOSED PROJECT: GEOGRAPHIC SERVICE AREA: CHINATOWN SERVICE CENTER (CSC)) WILL IMPLEMENT THE PROPOSED PROGRAM AT OUR FQHC SITES LOCATED AT CSC HEALTH CENTER LOS ANGELES -- 767 N HILL STREET, SUITE 200 AND 400, IN LOS ANGELES, CA 90012; CSC HEALTH CENTER ALHAMBRA -- 320 S. GARFIELD AVE. IN ALHAMBRA, 91801; AND CSC HEALTH CENTER MONTEREY PARK -- 855 S. ATLANTIC BLVD. MONTEREY PARK, 91754. OUR SERVICE AREA COVERS NEIGHBORHOODS IN METROPOLITAN LOS ANGELES, INCLUDING ‘CHINATOWN,’ AND AN AREA COMMONLY REFERRED TO AS THE ‘SAN GABRIEL VALLEY,’ BOTH CONTAINED WITHIN LOS ANGELES COUNTY’S SERVICE PLANNING AREAS 3 AND 4. POPULATION TO BE SERVED: THE MAJORITY OF CSC’S PATIENTS PRESENTLY AND TO BE SERVED ARE LOW-INCOME PERSONS WHO SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. NINE OF 10 LOW-INCOME SERVICE AREA RESIDENTS (90.8%) IDENTIFY AS A RACE OTHER THAN WHITE, WITH THE LARGEST RACIAL/ETHNIC GROUP BEING ASIANS (ETHNIC CHINESE), FOLLOWED BY HISPANICS. THE POPULATION IS ALSO UNDERSERVED/UNSERVED, WITH 59.6% NOT CONNECTED TO AN FQHC. SPECIFIC OUTCOMES: CSC IS COMMITTED TO SIGNIFICANTLY ENHANCING THE PROVISION OF INTEGRATED MENTAL HEALTH AND SUBSTANCE USE DISORDER (SUD) SERVICES, INCLUDING TREATMENTS WITH MEDICATIONS FOR OPIOID USE DISORDER (MOUD), AS PART OF OUR INTEGRATED MEDICAL MODEL. WE AIM TO ACHIEVE THIS THROUGH FOUR PRIMARY GOALS: (1) EXPANDING ACCESS TO THESE SERVICES BY INCREASING PATIENT CAPACITY BY 40% IN THE FIRST YEAR, WHICH WILL BE SUPPORTED BY HIRING ADDITIONAL SPECIALIZED STAFF AND IMPROVING OUR REFERRAL PROCESSES; (2) ENHANCING PATIENT-CENTERED, CULTURALLY RESPONSIVE CARE THROUGH THE DEVELOPMENT OF TRAINING PROGRAMS ON CULTURAL COMPETENCE; (3) STRENGTHENING OUR INFRASTRUCTURE TO ENABLE THE PRESCRIBING AND MANAGEMENT OF MOUD; AND (4) IMPROVING HEALTH OUTCOMES BY ADDRESSING SOCIAL DETERMINANTS OF HEALTH THROUGH THE INTEGRATION OF CASE MANAGERS INTO OUR CARE TEAMS AND THE IMPLEMENTATION OF A ROBUST QUALITY IMPROVEMENT/QUALITY ASSURANCE PLAN. HOW PROJECT WILL BE ACCOMPLISHED: CENTRAL TO THIS INITIATIVE IS THE ENHANCEMENT OF STAFFING LEVELS TO ADDRESS THE INCREASED DEMAND FOR MENTAL HEALTH AND SUD SERVICES. WE PLAN TO HIRE ADDITIONAL PERSONNEL, INCLUDING TWO CASE MANAGERS FOCUSED ON INTEGRATED CARE, A PART-TIME PSYCHOLOGIST, AND A FULL-TIME THERAPIST. THESE NEW HIRES WILL EXPAND OUR CAPACITY TO DELIVER COMPREHENSIVE, INTEGRATED SERVICES AND DIRECTLY CONTRIBUTE TO INCREASING THE NUMBER OF PATIENTS RECEIVING CARE. OUR STAFF WILL UNDERGO TRAINING TO ENHANCE THEIR CAPABILITIES IN MANAGING MOUD TREATMENTS AND PROVIDING CULTURALLY COMPETENT CARE. THIS EFFORT IS COMPLEMENTED BY UPDATES TO OUR EHR SYSTEM, WHICH WILL STREAMLINE THE REFERRAL PROCESS AND ENHANCE COMMUNICATION BETWEEN SERVICE AREAS. THESE ENHANCEMENTS WILL SUPPORT BETTER COORDINATION OF CARE, ENABLING TIMELY, EFFECTIVE TREATMENT PATHWAYS FOR OUR PATIENTS. HOW WE ARE INCREASING THE NUMBER OF PATIENTS RECEIVING BEHAVIORAL HEALTH SERVICES: CSC BEHAVIORAL HEALTH SERVICES ARE CURRENTLY DELIVERED THROUGH THE CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC MODEL. A CRITICAL COMPONENT OF THIS MODEL IS THE INTEGRATION OF PRIMARY CARE AND MONITORING. TO ADDRESS THIS REQUIREMENT, WE HAVE ESTABLISHED A POSITION FOR AN INTEGRATIVE CARE COORDINATOR. POSITIONED WITHIN THE MEDICAL CLINIC, THIS ROLE IS CRUCIAL FOR EDUCATING CLIENTS ABOUT BEHAVIORAL HEALTH SERVICES AND FACILITATING TRANSITIONS WITH WARM HAND-OFFS. SINCE IMPLEMENTING THIS INTEGRATED CARE APPROACH, WE HAVE OBSERVED A SIGNIFICANT INCREASE IN PATIENT ENGAGEMENT. ENCOURAGED BY THIS SUCCESS, WE ARE NOW SEEKING TO REPLICATE THIS CARE MODEL AT OUR OTHER LOCATIONS.

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

TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT PROGRAM

FISCAL YEAR 2025 EXPANDED HOURS. - PROJECT TITLE: CSC FY 25 EXPANDED HOURS (HRSA-25-084) APPLICANT ORGANIZATION NAME: CHINATOWN SERVICE CENTER GRANT NUMBER: H80CS08735 PROJECT DIRECTOR NAME: JACK CHENG, JD, MBA PROJECT FEDERAL REQUEST: $500,000 PER YR AREAS AFFECTED BY PROJECT: CITIES OF LOS ANGELES AND ALHAMBRA, BOTH LOCATED IN LA COUNTY BRIEF DESCRIPTION OF YOUR ORGANIZATION: FOUNDED IN THE 1971 AND CONTINUOUSLY OPERATING FOR MORE THAN 50 YEARS, CHINATOWN SERVICE CENTER (CSC) IS A MULTI-SERVICE COMMUNITY HEALTH CENTER WITH FQHC AND 501C3 DESIGNATIONS. CSC OPERATES FIVE (5) CLINIC SITES IN LOS ANGELES COUNTY, CALIFORNIA. SERVICES ARE DELIVERED IN A CULTURALLY RESPECTFUL AND LINGUISTICALLY RESPONSIVE WAY TO A LARGELY CHINESE IMMIGRANTS AND REFUGEES, BUT ALSO TO VIETNAMESE, CAMBODIAN & KHMER, HMONG AND LAOTIAN IMMIGRANTS AND REFUGEES. CSC’S SERVICES INCLUDE EMPLOYMENT TRAINING AND PLACEMENT, SOCIAL SERVICES, MENTAL HEALTH AND SUBSTANCE USE COUNSELING, ECONOMIC DEVELOPMENT, PRIMARY CARE, DENTAL CARE, OPTOMETRY CARE, AND A RANGE OF SUPPORTIVE AND CASE MANAGED SERVICES INCLUDING A ROBUST YOUTH CENTER. PER THE 2023 UDS REPORT, CSC HAS 14,966 PATIENTS, AND PROVIDED 96,074 VISITS, AND 228.25 FTES TO MEET THAT DEMAND. CSC HAS THE FOLLOWING HRSA AWARDS: HEALTH CENTER QUALITY LEADER, ACCESS ENHANCER, ADDRESSING SOCIAL RISK FACTORS, HEALTH DISPARITIES REDUCER, ADVANCING HIT FOR QUALITY, RECOGNIZED BY NCQA AS A PATIENT CENTERED MEDICAL HOME (PCMH), AND RECEIVED ACCREDITATION FROM THE ACCREDITATION ASSOCIATION FOR AMBULATORY HEALTH CARE (AAAHC) BRIEF SUMMARY OF HOW YOUR PROPOSAL FOR INCREASING HOURS OF OPERATION WILL MEET IDENTIFIED NEEDS IN YOUR COMMUNITY: CSC INTENDS TO EXPAND HOURS AT TWO OF OUR FIVE CLINIC SITES WITH ONE BEING 767 N. HILL ST., LOS ANGELES, CA 90012, AND THE OTHER AT 320 S. GARFIELD AVE., ALHAMBRA, CA 91801. WE ARE PROPOSING TO EXTEND HOURS AT THOSE LOCATIONS TO 8AM TO 8PM. MONDAY THROUGH SATURDAY, WHICH WILL REQUIRE HIRING NEW STAFF (SEE BUDGET). IDENTIFIED NEED WAS INFORMED BY THREE MAIN SOURCES: 1) OUR JULY 2023 CSC COMMUNITY NEEDS ASSESSMENT REPORT DATA WHICH WAS BASED ON 2022 US CENSUS AND CALIFORNIA HEALTH INTERVIEW SURVEY (CHIS) DATA, 2) HPSA STATUS IN OUR SERVICE AREA, AND 3) AN APRIL-MAY 2024 CSC PATIENT SATISFACTION SURVEY. SUMMARIZED FINDINGS WERE THAT BARRIERS TO CARE EXIST FOR RESIDENTS OF THE CSC SERVICE AREA, SUCH AS LANGUAGE BARRIERS, INCOME, TRANSPORTATION, EDUCATIONAL ATTAINMENT, LACK OF HEALTH INSURANCE, HIGHER INCIDENCE OF SELECT CHRONIC HEALTH DISEASES SUCH AS HEART, ALZHEIMER, DIABETES, OBESITY, HIGH BLOOD PRESSURE, SELF-PERCEPTION OF BEING IN ‘POOR HEALTH’ WHEN CONTRASTED WITH COUNTY, STATE AND US POPULATION. REGARDING ACCESS TO CARE IN CONTRAST TO OTHER POPULATIONS, RESPONDENTS INDICATED HIGHER RATES OF HAVING NO USUAL SOURCE OF CARE, LACK OF HEALTH INSURANCE COVERAGE, LACK OF SPECIALIST CARE AVAILABILITY/ACCESSIBILITY, PATIENT INSURANCE NOT ACCEPTED BY PROVIDERS, AND LESS SERVICE AREA PATIENTS HAD SEEN A DOCTOR IN THE PAST YEAR, ALL BY CONTRAST. THE CSC SERVICE AREA HAS SIX HPSAS INCLUDING FOR LOW INCOME, GEOGRAPHIC, AND HIGH NEEDS HPSAS. THE APRIL 2024 CSC PATIENT SATISFACTION SURVEY GENERALLY PAINTED CSC, ITS STAFF AND PROVIDERS AS GOOD TO EXCELLENT. BUT MANY RESPONDENTS INDICATED THAT EXPANDING HOURS WOULD BE PREFERRED AND WOULD CREATE AN OPPORTUNITY FOR MORE AND BETTER HEALTH CARE ACCESS. IN SUMMARY, PROVIDING ADDITIONAL CLINIC HOURS WOULD GIVE OUR LOW-INCOME SERVICE AREA POPULATION BETTER ACCESS TO HEALTH CARE SERVICES WHICH COULD IMPROVE THE WELLNESS OF NEIGHBORHOODS WITHIN THE TWO PARTICIPATING CLINICS AND THEIR IMMEDIATE SERVICE AREAS. TO REALIZE THIS, WE PROPOSE AND EXPANSION AT 767 N. HILL ST., LOS ANGELES, CA 90012, AND 320 S. GARFIELD AVE., ALHAMBRA, CA 91801, WITH A COST TO GRANT IN PROVIDING THE FTE EQUIVALENT OF PHYSICIAN SERVICES (0.50), REGISTERED NURSE SERVICES (0.50), PATIENT CARE COORDINATOR (3.00) AND MEDICAL ASSISTANT (3.00). YEAR 1 PROJECT COST IS $500,000 FEDERAL, $115000 NON-FEDE

ACCELERATING CANCER SCREENING - ADDRESS: CHINATOWN SERVICE CENTER (CSC), 767 N HILL ST# 200A, LOS ANGELES, CA, 90012 PROJECT DIRECTOR: JACK CHENG, JD, CHC, CHPC CONTACT INFO: 213-808-1709 (P) 213-680-9427 (F) JACHENG@CSCLA.ORG (E) WEBSITE: HTTPS://WWW.CSCLA.ORG/ HEALTH CENTER PROGRAM GRANT NUMBER: H80CS08735 FUNDING REQUEST: $500,000 PROJECT TITLE: PROMOTING EQUITABLE ACCESS TO CERVICAL CANCER SCREENINGS, REFERRALS, AND TREATMENT FOR CHINESE AND LATINA WOMEN IN CENTRAL LOS ANGELES NCI-DESIGNATED CANCER CENTER PARTNER: UNIVERSITY OF SOUTHERN CALIFORNIA NORRIS COMPREHENSIVE CANCER CENTER (USC NORRIS) ADDITIONAL PARTNERS: NO ADDITIONAL PARTNERS PROPOSED BRIEF PROJECT SUMMARY: CHINATOWN SERVICE CENTER (CSC), ONE OF THE LARGEST COMMUNITY-BASED, CHINESE-AMERICAN ORGANIZATIONS IN SOUTHERN CALIFORNIA, IS APPLYING FOR AXCS FUNDING TO INCREASE EDUCATION, OUTREACH, SCREENING SERVICES AND TREATMENTS, AND REDUCE DISPARITIES, DEATHS, AND PREVALENCE OF CERVICAL CANCER. THE AGE-ADJUSTED DEATH RATE FOR CERVICAL CANCER WITHIN CSC’S SERVICE AREA IS NEARLY FIVE TIMES THE RATE OF LOS ANGELES COUNTY, CALIFORNIA, AND THE NATION. GEOGRAPHIC CATCHMENT AREA: WE WILL SERVE RESIDENTS WITHIN LOS ANGELES COUNTY SERVICE PLANNING AREA (SPA) 3: SAN GABRIEL VALLEY AND SPA 4: METRO POPULATIONS TO BE SERVED: OUR AXCS PROGRAM WILL SERVE WOMEN, AND FAMILIES WITH ADOLESCENT DAUGHTERS, WHO ARE LOW-INCOME, UNINSURED, AND MEDI-CAL INSURED, AND WHO ARE PRIMARILY OF ASIAN PACIFIC ISLANDER (API) AND LATINA BACKGROUNDS. INTERVENTIONS AND ACTIVITIES: UNDER THE ACCESS AND AFFORDABILITY FOCUS AREA, CSC AND OUR CANCER CENTER PARTNER, USC NORRIS, WILL: A) PROVIDE MOBILE UNIT FOR EDUCATION, ENROLLMENT WITHIN THE SERVICE AREA; B) PROVIDE TRANSPORTATION ASSISTANCE TO ENSURE APPOINTMENTS CAN BE ATTENDED; C) ENROLL THE UNINSURED INTO MEDI-CAL, AND/OR OTHER PUBLIC BENEFITS, AS QUALIFIED; AND D) CONDUCT COMMUNITY OUTREACH WITHIN THE SERVICE AREA, WITH AN EMPHASIS ON API AND LATINA POPULATIONS. UNDER THE PATIENT EXPERIEN CE FOCUS AREA, WE WILL: A) CREATE/TRANSLATE CERVICAL CANCER EDUCATIONAL MATERIALS INTO API LANGUAGES; B) COLLABORATE WITH FAMILIES/CAREGIVERS (TARGETED EDUCATION) TO FOSTER BUY IN FOR SCREENINGS; C) DEVELOP A REFERRAL PATHWAY FOR FOLLOW-UP CARE; AND D) USE PRAPARE ASSESSMENT TOOL TO IDENTIFY AND ADDRESS SDOHS IMPACTING EQUITABLE ACCESS TO CARE. UNDER THE SCREENING FOCUS AREA, WE WILL: A) ASSESS AND DEVELOP A REFERRAL PROCESS; B) CSC TO MAKE REFERRALS TO USC NORRIS FOR ALL ABNORMAL SCREENINGS, WITH FOLLOW UP CARE; AND C) CONDUCT IN-REACH TO IDENTIFY CURRENT PATIENTS ELIGIBLE FOR SCREENING. UNDER THE WORKFORCE DEVELOPMENT FOCUS AREA, WE WILL: A) TRAIN STAFF IN CULTURAL COMPETENCY; B) HIRE STAFF WHO ARE REFLECTIVE OF AND/OR SPEAK THE PRIMARY LANGUAGES OF THE POPULATIONS TO BE SERVED; AND C) TRAINING IN CLINICAL ACUMEN OF CERVICAL CANCER SCREENING AND TREATMENT. CAPACITY TO SERVE: IN TOTAL, 4.40 FTE WILL BE DEDICATED TO THE AXCS PROJECT. OUR PARTNER, USC NORRIS, WILL PROVIDE 1.15 FTE (IN-KIND AND AXCS FUNDED) SUPPORT TO THE PROJECT. CSC WILL PROVIDE 3.25 FTE (IN-KIND AND AXCS FUNDED) SUPPORT TO THE PROJECT. STAFFING FOR CSC AND USC NORRIS INCLUDES LEADERSHIP AND SUPERVISION ROLES (EACH COVERED BY IN-KIND DONATION, WITH NO FEDERAL FUNDING REQUESTED). AXCS FUNDING IS REQUESTED ONLY FOR OUR DIRECT SERVICE STAFF, WHICH INCLUDES TWO (2) USC NORRIS PATIENT NAVIGATOR/ OUTREACH SPECIALISTS (0.50 FTE EACH), AND TWO (2) CSC COMMUNITY HEALTH WORKER/REFERRAL COORDINATORS (0.75 FTE EACH).

ARRA - CAPITAL IMPROVEMENT PROGRAM

CAPITAL ASSISTANCE FOR DISASTER RESPONSE AND RECOVERY EFFORTS

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

HEALTH CARE AND OTHER FACILITIES

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - NON-CONSTRUCTION

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2023 EXPANDING COVID-19 VACCINATION

THE PURPOSE OF THE LOW-INCOME TAXPAYER CLINIC LITC GRANT IS TO PROVIDE FINANCIAL ASSISTANCE TO, 1. A CLINICAL PROGRAM AT AN ACCREDITED LAW, BUSINESS, OR ACCOUNTING SCHOOL IN WHICH STUDENTS REPRESENT LOW-INCOME TAXPAYERS IN CONTROVERSIES ARISING UNDER IRC 7526. 2. AN ORGANIZATION DESCRIBED IN SECTION 501C AND EXEMPT FROM TAX UNDER SECTION 501A THROUGH REPRESENTATION OF TAXPAYERS OR REFERRAL OF TAXPAYERS TO QUALIFIED REPRESENTATIVES. ACTIVITIES TO BE PERFORMED UNDER THE LITC PROGRAM, THE INTERNAL REVENUE SERVICE AWARDS GRANTS SO THAT GRANT RECIPIENTS ARE ABLE TO PROVIDE TAX REPRESENTATION BEFORE THE INTERNAL REVENUE SERVICE OR OTHER TRIBUNAL ON FEDERAL TAX MATTERS, EDUCATIONAL ACTIVITIES ON VARIOUS TAX TOPICS AND ADVOCACY ON TAX ISSUES IMPACTING THE INTENDED BENEFICIARIES. END GOAL AND EXPECTED OUTCOMES, THE LITC PROGRAM AWARDS GRANTS TO, 1. OPEN NEW AND WORK PREVIOUSLY OPENED REPRESENTATION CASES. 2. CONSULT WITH TAXPAYERS ON THEIR SPECIFIC TAX ISSUE. 3. CONDUCT EDUCATIONAL ACTIVITIES. 4. MAKE CONTRIBUTIONS TO THE IMPROVEMENT TO TAX ADMINISTRATION BY ADVOCATING FOR CHANGES OR IMPROVEMENTS TO IRS ADMINISTRATION. INTENDED BENEFICIARIES, TAXPAYERS WITH INCOMES THAT DO NOT EXCEED 250 PERCENT OF THE FEDERAL POVERTY GUIDELINES AND TAXPAYERS FOR WHOM ENGLISH IS THEIR SECOND LANGUAGE. SUBRECIPIENT ACTIVITIES, IN LIMITED CIRCUMSTANCES AND WITH ADVANCED APPROVAL BY THE LITC PROGRAM OFFICE, SUBRECIPIENTS MAY BE UTILIZED BY GRANT RECIPIENTS TO HELP DELIVER KEY BROADBAND ELEMENTS OF THE PROGRAM. 5. REASON FOR MODIFICATION IF SHOWING A POSITIVE AMOUNT IS AN OBLIGATION FOR THE YEAR THAT IS REPRESENTED BY THE FIRST TWO DIGITS OF THE PRIME AWARD I.D., IF SHOWING A NEGATIVE AMOUNT IT IS A DE-OBLIGATION OR A RETURN OF FUNDS FOR THE YEAR REPRESENTED BY THE FIRST TWO DIGITS OF THE PRIME AWARD I.D.

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM