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Letter to the Hon. Nancy Pelosi, Speaker of the House, and Kevin McCarthy, House Minority Leader - Rep. Susie Lee to Leadership: Fund Community Health Centers in Next Congressional Relief Package


By: Mark Pocan, Denny Heck, Gerry Connolly, Abigail Spanberger, Donald McEachin, Eddie Johnson, Chrissy Houlahan, Tom Cole, Frank Lucas, Tim Ryan, Joyce Beatty, Anthony Brindisi, Elise Stefanik, Yvette Clarke, Thomas Suozzi, Dina Titus, Xochitl Torres Small, Mikie Sherrill, Albio Sires, Lacy Clay, Jr., Collin Peterson, Brenda Lawrence, Debbie Dingell, Andy Levin, Bill Keating, Stephen Lynch, Lori Trahan, John Yarmuth, André Carson, Lauren Underwood, Raja Krishnamoorthi, Mike Quigley, Jesus Garcia, Abby Finkenauer, Frederica Wilson, Ed Perlmutter, Diana DeGette, Linda Sánchez, Karen Bass, Adam Schiff, Judy Chu, Julia Brownley, Barbara Lee, Josh Harder, John Garamendi, Rashida Tlaib, Jamie Raskin, Joe Kennedy III, Darren Soto, Lucille Roybal-Allard, Ted Lieu, Gwen Moore, Joaquin Castro, Vicente Gonzalez, Steve Cohen, David Cicilline, Susan Wild, Peter DeFazio, Earl Blumenauer, Kendra Horn, Marcia Fudge, Eliot Engel, Nydia Velázquez, Kathleen Rice, Steven Horsford, Don Payne, Jr., Ann Kuster, Chris Pappas, G.K. Butterfield, Jr., Betty McCollum, Angie Craig, Haley Stevens, David Trone, Anthony Brown, Dutch Ruppersberger, Bill Foster, Brad Schneider, Danny Davis, Bobby Rush, Val Demings, Lisa Blunt Rochester, Eleanor Norton, Jahana Hayes, Susan Davis, Alan Lowenthal, Grace Napolitano, Jackie Speier, Jerry McNerney, Jared Huffman, Peter Welch, Jim Langevin, Matt Cartwright, Brian Higgins, Antonio Delgado, Adriano Espaillat, Elissa Slotkin, Katherine Clark, Hank Johnson, Jr., Debbie Wasserman Schultz, Norma Torres, Mike Thompson, Adam Smith, Derek Kilmer, Henry Cuellar, Brian Fitzpatrick, Sean Maloney, David Price, John Sarbanes, Jim McGovern, Cindy Axne, David Scott, Sanford Bishop, Jr., Kathy Castor, John Larson, Joe Neguse, Juan Vargas, Harley Rouda, Nanette Barragán, Gil Cisneros, Tony Cárdenas, Ruben Gallego, Raul Grijalva, Susie Lee
Date: April 10, 2020

Dear Speaker Pelosi and Minority Leader McCarthy,

Thank you for your leadership and dedication to addressing the public health and economic crisis caused by the COVID-19 pandemic. As we prepare a fourth package to mitigate the vast impact of this crisis and ensure critical resources for Americans on the frontlines, we write to recognize the impact of COVID-19 on community health centers (CHCs) and ask for the inclusion of $7.6 billion in emergency supplemental funding for CHCs in any next COVID-19 relief package. This critical funding for CHCs is essential to meeting the urgent health care needs of underserved communities across our nation.

CHCs serve over 29 million patients in all 50 states across nearly 12,000 medically underserved rural and urban communities. We appreciate that the CARES Act provided $1.32 billion in supplemental funding for CHCs and that CHCs are eligible to apply for funding under the CARES Act's Public Health and Social Services Emergency Fund. However, we are deeply concerned that these funds are insufficient to address the current and growing needs of CHCs across America as COVID-19 continues to spread exponentially every day.

As you know, health care providers are facing an unprecedented crisis as the nation's COVID-19 caseload surges to over 350,000 patients, and CHCs are on the front lines of this fight, especially in our nation's most underserved and vulnerable communities.

Currently, CHCs are facing immense pressure to provide care for the exponentially rising number of
patients each day -- while enduring critical supply shortages, unmet workforce needs, and an
unprecedented volume of cases at once. To respond, facilities have tried to expand their capacity, stock up on supplies, and increase staffing, all without the income they rely on from regular primary and preventive care visits to support their skyrocketing costs.

This decline in visits has resulted in a significant decrease in CHCs' revenue, in turn impacting their
operations and employment. It is estimated that this decline will last at least six months, during which
CHCs will suffer 34 million fewer visits, $7.6 billion in lost revenue, and 100,500 lost jobs. For many
CHCs, this revenue loss could ultimately result in the need to close their doors.

In addition, our nation's 1,400 CHCs currently employ over 236,000 dedicated health care workers who are currently working day and night, putting themselves and their families at risk, to fight on the
frontlines of this crisis -- often without proper personal protective equipment or adequate supplies. We
must not only ensure these workers get the equipment and supplies they need to continue to work safely, but also ensure CHCs can keep their doors open so these frontline heroes can continue their lifesaving work.

CHCs need urgent financial support to keep their doors open, meet the demands of this public health
emergency, and ensure long-term stability to deliver reliable, essential health care to communities across America. Due to this critical need, we urge you to include $7.6 billion in direct emergency funding for CHCs in the next COVID-19 relief package. This funding should have the flexibility to be used for detection, prevention, and diagnosis of COVID-19, stabilizing essential health services, and addressing revenue losses to help CHCs keep their doors open during this crisis. This funding should be made available immediately upon the next package's enactment and distributed efficiently to CHCs across the country. Any delay in this funding would have serious consequences, endangering the lives of patients and health care workers.

We appreciate your leadership and persistence in fighting for all Americans during this crisis. Thank you for your consideration of this request