Community Forum Details Lexington Clinic Transition From Samuel U. Rodgers to
HCC of Rural Missouri

Thursday, February 20, 2020 3 p.m. to 4 p.m.
Lexington 4-Life Center

Samuel U. Rodgers Health Center (SURHC) and the Health Care Collaborative (HCC) of Rural Missouri are Working Cooperatively to Transition Ownership of the SURHC Lafayette Family Medicine & Dental to HCC’s Live Well Community Health Centers

The transition is backed by and in collaboration with federal, state, and local stakeholders including Health Resources and Services Administration, Missouri Primary Care Association, REACH Healthcare Foundation, and Health Forward Foundation, among others. 

A community forum will be held to provide additional information about the transition and answer questions. The community is invited and encouraged to attend.

For more information, contact Amoriah Blackston, HCC executive assistant, at, or call 660.259.2440.

Public Charge Rule Temporarily Cleared
HCC Provides Resources to Help Patients Navigate Regulation, Seek Legal Advice

The Supreme Court has temporarily cleared the Public Charge regulation. This will affect our local communities and patients. I have attached three documents that can be distributed to families with questions.

Two very important pieces to know:
1. HCC is not in a position to provide any legal advice on this issue and no employees should make any legal recommendations to anyone who asks questions about the regulation.
2. I have provided a list of attorneys who can be contacted, by the patient, if they need legal advice.

This website will provide updates as more information becomes available: .

If you have specific questions about the Public Charge, ask you supervisor to contact us and we will seek guidance from Suzanne Gladney, HCC Board Member.

Thank you,
Toniann Richard, HCC CEO

Important Downloads:
Health Management Associates Deliver Medicaid Expansion in Missouri Report & News Release – Economic Implications for Missouri, Interviews Reflecting Arkansas, Indiana, and Ohio Experiences
Check out these important downloads:
HCC Board Member, Julie Pratt talks Mental Health First Aid Day

Save the Date:
Lexington Project Connect is Saturday, March 7, 2020
9 a.m. - 2 p.m . at the Lexington 4-Life Center
Volunteers needed!

The 2019-2020 Flu Season Already More Severe Than Last Year's. Get Your Flu Shot.

Text livewell to 72727 or click for a Live Well Center near you!
Missouri DHSS monitors novel coronavirus

JEFFERSON CITY, MO – On Jan. 17, the Missouri Department of Health and Senior Services (DHSS) distributed a  health update  to health care providers and partners regarding an outbreak of a 2019 novel coronavirus (2019-nCoV) in Wuhan City, Hubei Province, China that began in December 2019. On Jan. 21, the Centers for Disease Control and Prevention (CDC) confirmed the first case in the United States in the state of Washington. The patient had recently returned to Washington from Wuhan.

Currently, there are no confirmed cases of 2019-nCoV in Missouri. As the CDC expects more cases to be identified in the coming days, Missouri health care providers and public health practitioners are being asked to contact DHSS or their local public health agency to immediately report any patients who meet the  criteria for evaluation for this illness . This is a rapidly evolving situation.  

While animal-to-human transmission might have resulted in the early cases in China, there are growing indications that limited person-to-person spread is happening. It’s unclear how easily this virus is spreading between people.

“While this public health situation is worrisome, we are encouraged by the proactive measures taken by the CDC,” said Dr. Randall Williams, director of DHSS. “The CDC tells us that the immediate health risk from 2019-nCoV to the general American public continues to be low at this time. We want to make sure Missourians--patients and doctors--are aware of this issue to avoid any local transmission of the virus.” 

Coronaviruses are a large family of viruses, some causing respiratory illness in people and others circulating among animals including camels, cats and bats. Rarely, animal coronaviruses can evolve and infect people and then spread between people, such as has been seen with Severe Acute Respiratory Syndrome (SARS) and Middle East Respiratory Syndrome (MERS).

When person-to-person spread has occurred with SARS and MERS, it is thought to happen via respiratory droplets with close contacts, similar to how influenza and other respiratory pathogens spread. The situation with regard to 2019-nCoV is still unclear. While severe illness, including illness resulting in several deaths, has been reported in China, other patients have had milder illness and been discharged. Symptoms associated with this virus have included fever, cough and trouble breathing. The confirmation that some limited person-to-person spread with this virus is occurring in Asia raises the level of concern about this virus, but CDC continues to believe the risk of 2019-nCoV to the American public at large remains low at this time.

For more information about the current outbreak in China, visit:  

For the CDC’s update and interim guidance on the outbreak, visit:

For more information about Coronaviruses: 

F or travel health information:
Surgeon General Releases First Report Focused on Smoking Cessation in 30 Years

Three decades after the first Surgeon General’s report on smoking cessation, today, the Surgeon General is releasing a new report that reviews and updates evidence on the importance of quitting smoking. The report finds that more than two-thirds of U.S. adult cigarette smokers report interest in quitting cigarette smoking; and the majority of adult cigarette smokers in the United States have tried to quit during the past year.

In addition to discussing the immediate and long-term health and economic benefits of smoking cessation at the individual and societal levels, this report presents updated findings on nicotine addiction and genetic factors that may impact smoking behaviors. Finally, the report discusses the wide variety of clinical and population-based interventions that have been scientifically shown to effectively increase smoking cessation.

“We know more about the science of quitting than ever before. As a nation, we can and must do more to ensure that evidence-based cessation treatments are reaching the people that need them,” said Surgeon General Vice Adm. Jerome M. Adams. “Today, I’m calling on healthcare professionals, health systems, employers, insurers, public health professionals, and policy makers to take action to put an end to the staggering—and completely preventable—human and financial tolls that smoking takes on our country.”

“The steady decline in the number of Americans who smoke cigarettes is one of the great public health victories of recent decades, and this success has continued under President Trump,” said HHS Secretary Alex Azar. “Americans who quit cigarettes can add as much as a decade to their life expectancy. Unfortunately, millions of Americans still smoke cigarettes. But the good news is that, as the Surgeon General’s report shows, we know more than ever before about effective ways to help Americans quit. Working together, we can make tobacco-related disease and death a thing of the past.”

Though cigarette smoking among American adults is at an all-time low (14%), it remains the leading cause of preventable disease, disability, and death in the United States. Approximately 34 million American adults currently smoke cigarettes.
For more information on the Surgeon General’s Report:
  • Read the press release here
  • Read the full report here
  • Additional information from the CDC here
Join Us on March 4, 2020 for Migratory & Seasonal Agricultural Workers: Building Capacity for Healthcare Delivery and Research
There is no cost for this event, but please register for our planning purposes at:
Show Your Support for #GoRedDay
Friday, February 7, 2020
The Missouri Rural Health Association (MRHA) and HealthTran Have Issued a Call for Conference 2020 Presentations. Follow this link for details: