{ "id": "R44295", "type": "CRS Report", "typeId": "REPORTS", "number": "R44295", "active": true, "source": "EveryCRSReport.com", "versions": [ { "source": "EveryCRSReport.com", "id": 573477, "date": "2017-05-18", "retrieved": "2017-10-02T22:48:28.926132", "title": "Factors Related to the Use of Planned Parenthood Affiliated Health Centers (PPAHCs) and Federally Qualified Health Centers (FQHCs)", "summary": "Recent debates about federal funding for the Planned Parenthood Federation of America (PPFA) and its affiliated health centers (PPAHCs) have raised questions about the services that PPAHCs provide and the availability of alternative facilities to provide similar services to disadvantaged populations. This report provides background information and data that may be useful for policymakers evaluating these recent debates. Although a number of other facility types could potentially provide similar services as PPAHCs, this report focuses on federally qualified health centers (FQHCs)\u2014a term used interchangeably with health centers or community health centers\u2014because these facilities have been the focus of recent policy discussions, including the American Health Care Act of 2017 (H.R. 1628, AHCA) in the 115th Congress. \nThis report provides information on three central dimensions of health care. For one health facility to begin to provide services to patients that had previously been seen at a different facility, one could argue that the receiving facility should\nprovide similar services,\nserve a similar population, and \nbe located in a similar geographic area. \nThis report provides national-level data on these three dimensions. Some selected findings include the following: \nServices: Both PPAHCs and FQHCs provide family planning services; however, PPAHCs focus on providing family planning and related services, whereas FQHCs focus on providing more comprehensive primary care, dental, and behavioral health services. There are more than 15 times the number of FQHCs than there are PPAHCs; thus FQHCs provide far more services in a given year than do PPAHCs. However, despite providing more services overall, FQHCs in total provide less than half the number of contraceptive services than do PPAHCs. Specifically, in its 2014-2015 report (which covered federal FY2014), PPFA reported that its PPAHCs provided 2.9 million contraceptive services while FQHCs reported providing 1.4 million of these services in calendar year 2015. In addition, each individual FQHC provides far fewer contraceptive services than does the typical PPAHC.\nPopulations: Both PPAHCs and FQHCs serve a diverse, but disadvantaged population. PPAHCs focus their services on individuals of reproductive age, whereas FQHCs provide services to individuals throughout their lifetime. FQHCs served 24.2 million people in 2015, as compared to 2.5 million served by PPAHCs. Approximately one-third (31%) of FQHC patients were children in 2015 and 8% were age 65 years and over. \nLocations: PPFA affiliates choose the location of their facilities. PPFA reports that the majority of PPAHCs are located in health professional shortage areas (HPSAs), medically underserved areas (MUAs), or rural areas. In contrast, FQHCs are required to be located in MUAs or to serve a medically underserved population; these areas are also automatically designated as HPSAs. There is some overlap in the location of PPAHCs and FQHCs, as 352 counties have both a PPAHC and an FQHC. Facility locations may be particularly important to evaluations of access because the availability of health services varies considerably across states and localities. In some areas, one facility may be as accessible as another and may provide (or may be able to begin to provide) the same set of services. In other areas, this may not occur because, for example, only one provider exists, either in general or for a particular service type. Moreover, facilities located in the same geographic area may not be equally accessible for patients, as one facility may be located near public transportation routes while another may not. Although this report presents maps of the locations of PPAHCs and FQHCs, these maps are not sufficient to infer meaningful information about the availability of health services in specific localities.", "type": "CRS Report", "typeId": "REPORTS", "active": true, "formats": [ { "format": "HTML", "encoding": "utf-8", "url": "http://www.crs.gov/Reports/R44295", "sha1": "ed5fcc0a6520a46a32ced5fde83ff5010d4d29e8", "filename": "files/20170518_R44295_ed5fcc0a6520a46a32ced5fde83ff5010d4d29e8.html", "images": { "/products/Getimages/?directory=R/html/R44295_files&id=/1.png": "files/20170518_R44295_images_25ea54ca255d835844f0197f766ac1f4fd41f136.png", "/products/Getimages/?directory=R/html/R44295_files&id=/2.png": "files/20170518_R44295_images_1810536f708451732ca065b59186bd41ad694749.png", "/products/Getimages/?directory=R/html/R44295_files&id=/0.png": "files/20170518_R44295_images_09d8106cb466e78de1a429e4f53ffdf8ccf9cb86.png" } }, { "format": "PDF", "encoding": null, "url": "http://www.crs.gov/Reports/pdf/R44295", "sha1": "956acf4545aed31434b9f2a2f5e4e14baa385ca5", "filename": "files/20170518_R44295_956acf4545aed31434b9f2a2f5e4e14baa385ca5.pdf", "images": {} } ], "topics": [ { "source": "IBCList", "id": 4788, "name": "Health Care Delivery" }, { "source": "IBCList", "id": 4848, "name": "Abortion & Family Planning Services" } ] }, { "source": "EveryCRSReport.com", "id": 460276, "date": "2017-04-05", "retrieved": "2017-04-07T15:31:03.906872", "title": "Factors Related to the Use of Planned Parenthood Affiliated Health Centers (PPAHCs) and Federally Qualified Health Centers (FQHCs)", "summary": "Recent debates about federal funding for the Planned Parenthood Federation of America (PPFA) and its affiliated health centers (PPAHCs) have raised questions about the services that PPAHCs provide and the availability of alternative facilities to provide similar services to disadvantaged populations. This report provides background information and data that may be useful for policymakers evaluating these recent debates. Although a number of other facility types could potentially provide similar services as PPAHCs, this report focuses on federally qualified health centers (FQHCs)\u2014a term used interchangeably with health centers or community health centers\u2014because these facilities have been the focus of recent policy discussions, including the American Health Care Act (H.R. 1628, AHCA) in the 115th Congress. \nThis report provides information on three central dimensions of health care. For one health facility to begin to provide services to patients that had previously been seen at a different facility, one could argue that the receiving facility should\nprovide similar services,\nserve a similar population, and \nbe located in a similar geographic area. \nThis report provides national-level data on these three dimensions. Some selected findings include the following: \nServices: Both PPAHCs and FQHCs provide family planning services; however, PPAHCs focus on providing family planning and related services, whereas FQHCs focus on providing more comprehensive primary care, dental, and behavioral health services. There are more than 15 times the number of FQHCs than there are PPAHCs; thus FQHCs provide far more services in a given year than do PPAHCs. However, despite providing more services overall, FQHCs in total provide less than half the number of contraceptive services than do PPAHCs. Specifically, in its 2014-2015 report (which covered federal FY2014), PPFA reported that its PPAHCs provided 2.9 million contraceptive services while FQHCs reported providing 1.4 million of these services in calendar year 2015. In addition, each individual FQHC provides far fewer contraceptive services than does the typical PPAHC.\nPopulations: Both PPAHCs and FQHCs serve a diverse, but disadvantaged population. PPAHCs focus their services on individuals of reproductive age, whereas FQHCs provide services to individuals throughout their lifetime. FQHCs served 24.2 million people in 2015, as compared to 2.5 million served by PPAHCs. Approximately one-third (31%) of FQHC patients were children in 2015 and 8% were age 65 years and over. \nLocations: PPFA affiliates choose the location of their facilities. PPFA reports that the majority of PPAHCs are located in health professional shortage areas (HPSAs), medically underserved areas (MUAs), or rural areas. In contrast, FQHCs are required to be located in MUAs or to serve a medically underserved population; these areas are also automatically designated as HPSAs. There is some overlap in the location of PPAHCs and FQHCs, as 352 counties have both a PPAHC and an FQHC. Facility locations may be particularly important to evaluations of access because the availability of health services varies considerably across states and localities. In some areas, one facility may be as accessible as another and may provide (or may be able to begin to provide) the same set of services. In other areas, this may not occur because, for example, only one provider exists, either in general or for a particular service type. Moreover, facilities located in the same geographic area may not be equally accessible for patients, as one facility may be located near public transportation routes while another may not. Although this report presents maps of the locations of PPAHCs and FQHCs, these maps are not sufficient to infer meaningful information about the availability of health services in specific localities.", "type": "CRS Report", "typeId": "REPORTS", "active": true, "formats": [ { "format": "HTML", "encoding": "utf-8", "url": "http://www.crs.gov/Reports/R44295", "sha1": "7a656e9f8f3373cbb157be4f39ca56e0492952a6", "filename": "files/20170405_R44295_7a656e9f8f3373cbb157be4f39ca56e0492952a6.html", "images": null }, { "format": "PDF", "encoding": null, "url": "http://www.crs.gov/Reports/pdf/R44295", "sha1": "4c3f8042ab06fe1669eec38ca95f40005889955b", "filename": "files/20170405_R44295_4c3f8042ab06fe1669eec38ca95f40005889955b.pdf", "images": null } ], "topics": [ { "source": "IBCList", "id": 4788, "name": "Health Care Delivery" }, { "source": "IBCList", "id": 4848, "name": "Abortion & Family Planning Services" } ] }, { "source": "EveryCRSReport.com", "id": 459981, "date": "2017-03-23", "retrieved": "2017-03-29T20:03:50.431641", "title": "Factors Related to the Use of Planned Parenthood Affiliated Health Centers (PPAHCs) and Federally Qualified Health Centers (FQHCs)", "summary": "Recent debates about federal funding for the Planned Parenthood Federation of America (PPFA) and its affiliated health centers (PPAHCs) have raised questions about the services that PPAHCs provide and the availability of alternative facilities to provide similar services to disadvantaged populations. This report provides background information and data that may be useful for policymakers evaluating these recent debates. Although a number of other facility types could potentially provide similar services as PPAHCs, this report focuses on federally qualified health centers (FQHCs)\u2014a term used interchangeably with health centers or community health centers\u2014because these facilities have been the focus of recent policy discussions, including the American Health Care Act (H.R. 1628, AHCA) in the 115th Congress. \nThis report provides information on three central dimensions of health care. For one health facility to begin to provide services to patients that had previously been seen at a different facility, one could argue that the receiving facility should\nprovide similar services,\nserve a similar population, and \nbe located in a similar geographic area. \nThis report provides national-level data on these three dimensions. Some selected findings include the following: \nServices: Both PPAHCs and FQHCs provide family planning services; however, PPAHCs focus on providing family planning and related services, whereas FQHCs focus on providing more comprehensive primary care, dental, and behavioral health services. There are more than 15 times the number of FQHCs than there are PPAHCs; thus FQHCs provide far more services in a given year than do PPAHCs. However, despite providing more services overall, FQHCs in total provide less than half the number of contraceptive services than do PPAHCs. Specifically, in its 2014-2015 report (which covered federal FY2014), PPFA reported that its PPAHCs provided 2.9 million contraceptive services while FQHCs reported providing 1.4 million of these services in calendar year 2015. In addition, each individual FQHC provides far fewer contraceptive services than does the typical PPAHC.\nPopulations: Both PPAHCs and FQHCs serve a diverse, but disadvantaged population. PPAHCs focus their services on individuals of reproductive age, whereas FQHCs provide services to individuals throughout their lifetime. FQHCs served 24.2 million people in 2015, as compared to 2.5 million served by PPAHCs. Approximately one-third (31%) of FQHC patients were children in 2015 and 8% were age 65 years and over. \nLocations: PPFA affiliates choose the location of their facilities. PPFA reports that the majority of PPAHCs are located in health professional shortage areas (HPSAs), medically underserved areas (MUAs), or rural areas. In contrast, FQHCs are required to be located in MUAs or to serve a medically underserved population; these areas are also automatically designated as HPSAs. There is some overlap in the location of PPAHCs and FQHCs, as 352 counties have both a PPAHC and an FQHC. Facility locations may be particularly important to evaluations of access because the availability of health services varies considerably across states and localities. In some areas, one facility may be as accessible as another and may provide (or may be able to begin to provide) the same set of services. In other areas, this may not occur because, for example, only one provider exists, either in general or for a particular service type. Moreover, facilities located in the same geographic area may not be equally accessible for patients, as one facility may be located near public transportation routes while another may not. Although this report presents maps of the locations of PPAHCs and FQHCs, these maps are not sufficient to infer meaningful information about the availability of health services in specific localities.", "type": "CRS Report", "typeId": "REPORTS", "active": true, "formats": [ { "format": "HTML", "encoding": "utf-8", "url": "http://www.crs.gov/Reports/R44295", "sha1": "9d1da1a00ecbdf99f0ceb3dd437b24ddb7ddda97", "filename": "files/20170323_R44295_9d1da1a00ecbdf99f0ceb3dd437b24ddb7ddda97.html", "images": null }, { "format": "PDF", "encoding": null, "url": "http://www.crs.gov/Reports/pdf/R44295", "sha1": "28f44c123536cfa49b9554da0f2d3187d1c2fab5", "filename": "files/20170323_R44295_28f44c123536cfa49b9554da0f2d3187d1c2fab5.pdf", "images": null } ], "topics": [ { "source": "IBCList", "id": 4788, "name": "Health Care Delivery" }, { "source": "IBCList", "id": 4848, "name": "Abortion & Family Planning Services" } ] }, { "source": "EveryCRSReport.com", "id": 447727, "date": "2015-12-03", "retrieved": "2016-04-06T17:48:31.039936", "title": "Factors Related to the Use of Planned Parenthood Affiliated Health Centers (PPAHCs) and Federally Qualified Health Centers (FQHCs)", "summary": "Recent debates about federal funding for the Planned Parenthood Federation of America (PPFA) and its affiliated health centers (PPAHCs) have raised questions about the services that PPAHCs provide and the availability of alternative facilities to provide similar services to a similar population. This report provides background information and data that may be useful for policymakers evaluating these recent debates. Although a number of other facility types could potentially provide similar services as PPAHCs, this report focuses on federally qualified health centers (FQHCs)\u2014a term used interchangeably with health centers or community health centers\u2014because these facilities have been the focus of recent legislation. \nThis report provides information on three central dimensions of health care. Specifically, for one health facility to begin to provide services to patients that had previously been seen at a different facility, the receiving facility must \nprovide similar services,\nserve a similar population, and \nbe located in a similar geographic area. \nThis report provides national-level data on these three dimensions. Some selected findings include the following: \nServices: Both PPAHCs and FQHCs provide family planning services; however, PPAHCs focus on providing family planning and related services, whereas FQHCs focus is on providing more comprehensive primary care, dental, and behavioral health services. There are nearly15 times the number of FQHCs than there are PPAHCs; thus FQHCs provide far more services in a given year than do PPAHCs. However, despite providing more services overall, FQHCs in total provide fewer contraceptive services than do PPAHCs. Specifically, in its 2013-2014 report, PPFA reported that its PPAHCs provided 3.6 million contraceptive services while FQHCs reported providing 1.3 million of these services in 2014. In addition, each individual FQHC provides far fewer contraceptive services than does the typical PPAHC.\nPopulations: Both PPAHCs and FQHCs serve a diverse, but disadvantaged population. PPAHCs focus their services on individuals of reproductive age; whereas, FQHCs provide services to individuals throughout the lifetime. FQHCs served 22.9 million people in 2014, as compared to 2.7 million served by PPAHCs. In 2014, 31% of FQHC patients were children and 8% were age 65 and over. \nLocations: PPFA affiliates choose the location of their facilities. PPFA reports that the majority of PPAHCs are located in health professional shortage areas (HPSAs), medically underserved areas (MUAs), or rural areas. In contrast, FQHCs are required to be located in MUAs or to serve a medically underserved population. There is some overlap in the location of PPAHCs and FQHCs as 358 counties have both a PPAHC and a FQHC. Facility locations may be particularly important to evaluations of access because health systems and options vary considerably across states and localities. In some areas, one facility may be as accessible as another and may provide (or may be able to begin to provide) the same set of services. In other areas, this may not occur because, for example, only one provider exists, either in general or for a particular service type. Moreover, facilities located in the same geographic area may not be equally accessible for patients, as one facility may be located near public transportation routes while another may not. Although this report presents maps of locations of PPAHCs and FQHCs, these maps are not sufficient to infer meaningful information about the local health care system.", "type": "CRS Report", "typeId": "REPORTS", "active": true, "formats": [ { "format": "HTML", "encoding": "utf-8", "url": "http://www.crs.gov/Reports/R44295", "sha1": "9dbe50184ca8f0b93e0cf11a627102c30dd88a64", "filename": "files/20151203_R44295_9dbe50184ca8f0b93e0cf11a627102c30dd88a64.html", "images": null }, { "format": "PDF", "encoding": null, "url": "http://www.crs.gov/Reports/pdf/R44295", "sha1": "87be684c4a872177413ca241c7640af030f4117c", "filename": "files/20151203_R44295_87be684c4a872177413ca241c7640af030f4117c.pdf", "images": null } ], "topics": [ { "source": "IBCList", "id": 3178, "name": "Abortion, Family Planning, and Reproductive Health" }, { "source": "IBCList", "id": 4070, "name": "Health Care Delivery" } ] } ], "topics": [ "Health Policy" ] }