Tell Your Member of Congress: Fix the Funding Cliff!
On July 17, you can make your voice heard in Washington! NACHC has organized a national call-in day on July 17 in conjunction with a targeted fly-in day for team leaders; part of a strategic push to get influencers to put the pressure on lawmakers to fix the Funding Cliff before the September 30 deadline.
 
More than 70% of federal f un ding for the Health Center Program comes from the Community Health Center Fund (CHCF). Currently, the CHCF totals $4 billion. It is set to expire on September 30, 2019, unless Congress acts.

Federal grant funding for the Health Centers Program is the foundation of our system of care. In 2015 and 2018, Congress voted on an overwhelmingly bipartisan basis to extend health center funding. We need Congress to come through again this year!

This summer, we are asking you to take some time to contact your Members of Congress to ask for their support on the following legislation:
 
S. 106/ H.R. 2328, Community Health Investment, Modernization, and Excellence (CHIME) Act of 2019
Introduced by Sens. Roy Blunt (R-MO) and Debbie Stabenow (D-MI) in the Senate and Reps. Tom O’Halleran (D-AZ) and Elise Stefanik (R-NY) in the House, the CHIME ACT extends the Community Health Center Fund (CHCF) for five years, starting at $4.2 billion with $200 million increases each year. It also extends the National Health Service Corps (NHSC) for five years, starting at $325 million with $15 million increases each year. For a list of current co-sponsors in the Senate click  here , House co-sponsors click  here .
 
S. 192, Community and Public Health Programs Extension Act
Led by Senate HELP Committee Chair Senator Lamar Alexander (R – TN) and Ranking Member Patty Murray (D – WA), the Senate HELP bill would provide reliable and dependable funding for the nation’s more than 1,400 health centers, extending the Community Health Centers Fund for an additional five years at current levels of $4 billion/year. The bill would also provide an additional five years of funding for the National Health Service Corps (NHSC), Teaching Health Centers Graduate Medical Education (THCGME) program, the Special Diabetes Program at the National Institutes of Health, and the Special Diabetes Program for Indians. For a list of co-sponsors in the Senate, click here .
 
S. 962/ H.R. 1943, Community Health Center and Primary Care Workforce Expansion Act of 2019
Introduced by Sen. Bernie Sanders (I-VT) in the Senate and Rep. Jim Clyburn (D-SC) in the House, this bill extends the Community Health Center Fund (CHCF) for five years, including 10% annual growth ($5.6 billion in FY20 to $8.2 billion in FY24). It includes an additional $4.6 billion for health center capital funding and extends the National Health Service Corps (NHSC) for five years, starting at $850 million in FY20 to $1.24 billion in FY24. For a list of current co-sponsors in the Senate  click here , House co-sponsors   click here .
 
Click  here   for National Call-in Day instructions and a script. If your representatives have not yet signed on to any of the bills above,   take action ! You can also visit NACHC's   Cliff Corner -a guide to the resources and information you need to help fix the Health Center Funding Cliff.
National Health Center Week: August 4-10
National Health Center Week (NHCW) celebrates the work that health centers dedicate themselves to year-round and builds public support for the great work they do. We hope that you will consider hosting an event during National Health Center Week this summer. Invite your elected officials, business partners, patients, and community members to participate! Visit  CHCANYS’ resource webpage  for more information, and don’t forget to  submit your events  for posting on our website. By submitting a NACHC event form, health centers become eligible to be matched with potential sponsors for event funding. If you have any questions, please don't hesitate to contact Hannah Woodman at  hwoodman@chcanys.org

Auto HPSA Scoring Changes to be Finalized in August: What to Do
HRSA expects to release the finalized auto-HPSA scores for FQHCs late in August. The scores will reflect the new, automated scoring process and organizations seeking a re-score of these results will need to do so through an online portal by September 30. CHCANYS will host a conference call on Tuesday July 30 at 11:00 am to discuss the changes and the process for appealing auto-HPSA scores. In order to participate, you must register ahead of time here .
 
To learn more about the changes in advance of our call, you may want to attend HRSA’s July 24 webinar about the portal or view the webinar’s archived version.
 
Please contact Liliana Heredia ( lheredia@chcanys.org ) if you have questions in advance of our conference call.
 
NYSDOH HEALTH ADVISORY: Blastomycosis Emerging in Upstate New York
The New York State Department of Health (NYSDOH) is advising physicians about the emergence of Blastomycosis in Upstate New York. Blastomycosis is an uncommon and underdiagnosed disease, typically caused by inhalation of Blastomyces spp. fungi, which grow in moist soil and decomposing organic matter.
 
The fungi are generally most prominent in the United States and Canada along the Great Lakes and the Ohio, Mississippi, and Saint Lawrence River valleys. But NYSDOH is advising that providers in the Capital Region and in Central New York have reported patients with blastomycosis. Infections have been identified clustering around the Mohawk, Susquehanna, and other rivers valleys.

Humans and dogs are typically exposed to microscopic fungal spores from the air when participating in or near activities that disturb soil. Not all who are exposed become sick. Those who do become ill may have flu-like symptoms, while others present with severe illness. NYSDOH says healthcare providers, microbiologists, and pathologists should consider the diagnosis in a patient with compatible signs and symptoms.
See the this NYSDOH advisory for more information and a map of counties that have reported cases.
 
OMH Updates Telemental Health Regs
On July 3, the Office of Mental Health (OMH) released their updated  telemental health regulations .  The regulations  only apply to services provided under an Article 31 license or   Office of Mental Health   designation . The final rule expands the range of services that can be offered using telemental health. 
 
Despite CHCANYS’ recommendation for consistency across State agencies (CHCANYS comments to the proposed changes to the telemental health regulations can be accessed here ), these regulations do not align with rules for services provided under an Article 28 license. Health centers must determine compliance based on the telehealth or telemental health regulations that apply to the corresponding facility licensure type, not based on the services provided. 
CHCANYS19 Register Now!
Date: October 28-30, 2019
Location: Tarrytown, NY
Register today for CHCANYS Annual Conference and Clinical Forum! CHCANYS19   will provide FQHC leadership, staff, and partners with an o pportunity to learn from industry experts and one-another about current issues and initiatives impacting New Yo rk’s community he alth centers – and to learn about our onsite sponsors and exhibitors.  
Click here to register . Email us at  conference@chcanys.org  with any questions.
CHCANYS is Hiring: Navigator Program Supervisor and Bilingual Navigators in Ontario, Wayne, Yates Counties
CHCANYS is seeking to hire a Navigator Program Supervisor to manage and oversee Navigators in Upstate New York offering in-person enrollment assistance for affordable health coverage through the New York State of Health. Qualified candidates will have a minimum of five years of experience providing assistance to consumers and/or advocates on health insurance and health care access issues, two of which must have been in a leadership or supervisory role, among other qualifications. The position will be located in Albany or some other Upstate New York location, with frequent travel to Wayne, Yates, and Ontario counties. To review the full position announcement and for instructions on how to apply, click here.
 
CHCANYS is seeking to hire three bilingual (Spanish/English) Navigators to provide in-person enrollment assistance to consumers and small businesses in Ontario, Wayne and Yates counties through the New York State of Health. Navigators must have a valid NYS driver’s license, be available for occasional evening and weekend hours and will travel to various community locations in each of the relevant counties to provide enrollment services. Minimum of one year related experience providing assistance to consumers and/or advocates on health insurance and health care access issues. To review the full position announcement and for instructions on how to apply, click here.
Register Now! Diving In: 340B Complexities with Hudson Headwaters- July 24 at 1pm
Join CHCANYS and   Hudson Headwaters 340B    as we dive into the complex waters of the 340B Program. This intermediate level webinar will cover the challenges presented in the current environment, tools for utilizing 340B clinic administered drugs, effective referral management, and an overview of the managed Medicaid carve in process. There is no cost to address by registration is required. Register here .
 
You can also register here to watch the previous webinar, Staying Afloat: 340B Program Fundamentals , on-demand.
 
Reminder: Quarterly 340B Site Registration Opens July 1-15 Contact apexusanswers@340Bpvp.com  or call 888.340.BPVP (888.340.2787)  for more information.
Telehealth Webinar Series with FTLF, NACHC, and FLCH: Recordings on Learning.FTLF.com
Launched in January, this five-part webinar series provides the latest information and insights on telehealth implementation. Presenters include Feldesman Tucker Leifer Fidell (FTLF) attorney Carrie Riley, the National Association of Community Health Centers (NACHC) Policy Team and staff from Finger Lakes Community Health, an innovator and national advocate for the adoption of telehealth in the health center setting. For more information and registration, click here.

Sexual and Reproductive Health Sub Committee Holds Learning Session
The Sexual and Reproductive Health Sub Committee will be holding a learning session on Wednesday, July 17 th  at 9:00 am. We will hear from Karen Kieliszek, DNP, on the center’s IMPLICIT Program, or Interventions to Minimize Preterm and Low Birth Weight Infants Through Continuous Improvement Techniques. Neighborhood Health Center in Buffalo, NY initiated the IMPLICIT program on 2017 - 2018, based on maternal need for GYN care during the 1st two years of her child's life. Their medical and psychosocial needs often go unmet while caring for the baby and family. Simple screening of mothers at their infant's well child visits has proven to help address and alleviate those issues. Click here to access the webinar.
 
Upcoming Webinar on Improving EHR Usability and Safety
Join us in July for the last webinar in our free series, presented by CHCANYS in collaboration with Medstar Health. Learn about how health centers can improving EHR usability and safety regardless of the vendor.
 
  • July 16, 2pm-3pm - Techniques and tools that FQHCs can use to address EHR usability issues within health center capacity. Different case scenarios will be reviewed.
 
Target Audience: Health IT, Quality Improvement Staff, CMOs, and CIOs of FQHCs exploring alternative methods to optimize their EHRs. Click here to get started. If you have questions or concerns, please contact the NYS-HCCN at hccn@CHCANYS.org
 
PCMH OFFICE HOURS 
Our next PCMH Office Hours call is scheduled for  Thursday, July 18 from 12:00-1:00 p.m.  featuring outstanding guests from Open Door Family Medical Centers, at which time we will be discussing leveraging your hard-earned PCMH recognition status when considering value-based payment contractual arrangements with payers.
 
Pre-register for that call here . Please contact Meital Fried-Almog with questions and suggestions.
 
Slide-Decks & Audio Recordings from CPCI's Substance Use Disorder (SUDS) Module Now Available
Last month CHCANYS collaborated with Azara to present a two-part webinar series providing training and technical assistance on how to make best use of the Substance Use Disorder Module in CPCI. The webinars, which took place on June 5 th  and June 12 th  2019, were targeted to all FQHC staff, and of particular relevance to health centers providing services to patients with substance use disorders and/or those applying for 2019 HRSA Integrated Behavioral Health Services (IBHS) Funding:
 
  • Webinar #1 – June 5th 12pm -1:30pm - Substance Use in CPCITools to Support Identification, Prevention and Management of patients with substance use disorders.
Slides | Audio (recording starts at 20'00")
 
  • Webinar #2 – June 12th 12pm -1:30pm - Supporting Your Substance Use Program: Strategies and Promising Practices for using the SUDS Module
Slides | Audio (recording starts at 10'30")

HRSA Fully Supports President Trump's 'Advancing American Kidney Health' Initiative
HRSA will work to expand support to living donors and reduce the number of donor organs that are discarded. Meanwhile, HRSA-funded health centers will continue promoting value-based care and focus on outcome-oriented public health interventions that slow the progression of disease from diabetes to kidney failure. Click here for full press release.
Attn: CFOs – Leverage Resources To Save Time & Money
More than forty FQHCs Statewide actively participate in CHCANYS’ unique partnership with the Commonwealth Purchasing Group (CPG) to save on operational expenses. Collectively these centers realized $2.7 million in savings last year. With an expansive portfolio of vendors including employee screening, credentialing and compliance services, telehealth, language services, recruitment services, medical and dental suppliers and day-to-day business solutions to name a few, for 20 years CPG’s strategic contracts are designed to benefit FQHCs. To learn about a no-obligation assessment of current purchases or to discuss new site or specific project needs, please click here. Do you have plans for a new site or expansion or need to assess your operations for savings? By joining CPG, you are able to leverage the following resources. Click here for the 2019 catalog. Contact: rwynn@chcanys.org, pdubois@cwpurchasing.com or smason@cwpurchasing.com to schedule an appointment today!