Some US health clinics grapple with federal funding squeeze ...Middle East

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Facilities in Virginia and West Virginia told Reuters they were forced to shutter primary care clinics or lay off staff. Other community health clinics in California and Virginia said they received notices of termination for federal grants that support HIV prevention care. Some of the funding was canceled following Trump administration orders for the federal government to scrap diversity, gender and inclusion programs and to recognize only two sexes – male and female. Others appear related to a freeze on federal funding that was rescinded last week. A Reuters analysis found that tens of billions of dollars in congressionally approved spending for programs across industries, such as clean energy, remain frozen under various Trump administration orders. “There is mass confusion. We expect that interruption will grow if there is not clarity from federal agencies in the coming hours and days,“ said David C. Harvey, executive director of the National Coalition of STD Directors, an organization representing providers of sexually transmitted disease prevention programs and services. “This is money that pays for staff payroll, rent and healthcare supplies.” Officials at the Department of Health and Human Services did not immediately respond to a request for comment.

Three community health centers near Richmond, Virginia, were forced to shut down after federal funds used to pay staff salaries remained inaccessible since last week, said Virginia Community Healthcare Association spokesperson Joe Stevens.

“They will need money in the next week,“ said Stevens. “We don’t know why some centers can access funds and some cannot.”

Most providers were able to access Medicaid and grant monies once the spending freeze was rescinded. However, some say they are still cut off from payments used for essential care, including medical, dental, prescription drugs and behavioral health.

The Appalachian Center for Independent Living, based in Charleston, West Virginia, was cut off for more than a week. The delay forced the disability services and support organization to lay off three out of five staff members. The center offered to rehire the employees after its access to federal funding resumed. However, two of the three chose not to return, in part because of the financial uncertainty, the center's executive director Meredith Pride told Reuters.

HIV CARE IN FOCUS

“We have made a decision not to cut back any programs because of any threats from the federal government,“ said St. John’s President Jim Mangia. St. John’s has joined a lawsuit filed by California’s attorney general contesting the funding cuts. Mangia says he will seek private funding to make up the loss. The LGBT Life Center in Norfolk, Virginia, received a letter stating $6.3 million of the organization’s funding, or 48% of its annual budget, would be terminated, said spokesperson Corey Mohr. The center provides medication and monitoring to 400 patients with HIV.

Eliminating its HIV-related programming would raise costs and worsen health outcomes if more patients develop acute symptoms that require more complex treatment, Mohr said.

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