[20200210]IN10185_国会可能会考虑延长初级保健到期资金的选项.pdf

CRS INSIGHT Prepared for Members and Committees of Congress Congress May Consider Options to Extend Expiring Funds for Primary Care Elayne J. Heisler Specialist in Health Services Updated February 10, 2020 The Affordable Care Act (ACA), enacted in March 2010, appropriated mandatory funds to support three programs focused on expanding access to primary care services for populations that are typically underserved. These three programs are the Health Centers program, the National Health Service Corps (NHSC), and payments to support medical residents training at teaching health centersoutpatient health facilities that primarily provide care to underserved populations. The mandatory ACA funds for these programs were initially provided for five years. Funding for each of these three programs had been subsequently extended through the end of FY2019.The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA, P.L. 114-10) provided the funding extensions for FY2016 and FY2017. The Bipartisan Budget Act of 2018 (BBA 2018, P.L. 115-123) provided the funding extensions for FY2018 and FY2019. BBA 2018 also included a number of changes to each programs authorizations and increased funding fo