Community health centers in Illinois are stuck in financial limbo as Congress contends with another potential government shutdown.

More than forty community health centers serve low-income communities across the state - but a lack of long-term funding has impacted their ability to hire staff or plan for behavioral, pediatric and other care.

Perla Herrera, a patient and consumer board member at Access Community Health Network, received treatment for breast cancer in 2011 and again last year for a stroke.

"Never before that did I ever feel that anybody cared about me, but Access - they did," said Herrera. "They threw that life raft out for me."

Herrera said the center saved her life and gave her the chance to meet her granddaughter.

The House and Senate are both considering bills to increase health center funding but they've been bogged down in budget negotiations for months.

The legislation represents the largest increase in funding in years, and healthcare advocates say it's greatly needed.

Increased healthcare costs, a shortage of workers, and changes in Medicaid enrollment following the pandemic have put essential services at risk.

Herrera said community health centers go above and beyond - linking patients to food and housing resources, providing mental healthcare and keeping people safe.

"Access' main goal is to have us healthy and to continue quality of care," said Herrera. "They don't just take care of your health. They take care of the whole you."

Healthcare advocates say they're cautiously optimistic that Congress will avoid any disruptions in funding for community health centers, which are now the country's largest primary care network - serving more than thirty million people.

Herrera said the centers keep families healthy and therefore, together. She said they've impacted her family so much, her son was inspired to work in a healthcare clinic himself.

As Congress considers cuts to safety net programs in what Republicans are calling the "One Big Beautiful Bill Act," a new analysis from the nonpartisan Congressional Budget Office estimates 16 million Americans, including 140,000 in Colorado, would lose Medicaid health insurance.

Josh Bivens, chief economist at nonpartisan think tank the Economic Policy Institute, said if the bill passes as-is, health providers would see a steep increase in what is known as uncompensated care, when people without coverage get sick but cannot afford to pay their medical bill.

"It means hospitals and doctors no longer receive that income stream from Medicaid payments," Bivens pointed out. "Lots of them are going to be forced out of business and there's going to be closures of hospitals, especially in rural counties."

Republicans have cast doubt on the Congressional Budget Office projections and claimed cutting $715 billion from Medicaid by eliminating fraud and adding work requirements for adults would not reduce coverage. The GOP bill aims to fund Trump administration priorities, including more immigration raids and border wall construction, and extending tax cuts passed in 2017.

Bivens stressed if the bill becomes law, it would result in what he describes as the direct transfer of income from vulnerable families to the richest Americans. He noted the average cuts to Medicaid, which would kick in after the 2026 midterm elections, would be more than $70 billion a year.

"Then if you look at the tax cuts that will be received by just people making over $1 million per year, those are $70 billion as well," Bivens explained. "We're going to take $70 billion away from poor families on Medicaid, and we're going to give it to families who are making more than $1 million per year."

Six Nobel laureate economists have signed an open letter opposing cuts to safety net programs in the budget reconciliation bill, warning the measure would add $5 trillion to the national debt.

While headlines about the latest Trump-Musk feud may catch more people's attention, Bivens added the bill will have the biggest effects on Coloradans.

"I think the fact that six Nobel Prize winners said, 'This is important enough for me to try to draw attention to the implications of this bill,' should make people realize the stakes are really large," Bivens emphasized.


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A New Mexico coalition is stressing an urgent need for the state to adopt the strongest possible heat risk standards for indoor and outdoor workers.

New Mexico is the sixth-fastest-warming state in the nation, according to the Union of Concerned Scientists, fueled by climate change which makes heat waves more common.

Carlos Matutes, community advocate for the environmental group GreenLatinos, said 80% of those working in agriculture are Latino, as are 64% of those working in the building trades. He added Latino workers are overrepresented in oil and gas production and need to be protected.

"Depriving them of paid rest periods, of shade, of water during the summer months is unconscionable," Matutes asserted. "We're trying to make sure New Mexico Environment Department establishes these rules as quickly as possible."

Two states, Texas and Florida, have passed laws limiting local governments' ability to require employers to provide water breaks to outdoor workers. In contrast, California adopted protections in 2006. Matutes noted the Environmental Department has already announced the process to consider a heat-protection rule has been delayed and will not take effect before workers endure this summer's heat.

It is not just workers who suffer from extreme heat but also kids in school classrooms.

Whitney Holland, president of the American Federation of Teachers-New Mexico, said the days of putting a box fan in a classroom window on hot days are long past and the number of sweltering days increases each year.

"Thinking through a student's day, from the time they get on the bus, with buses that don't have air conditioning, in the cafeteria, in the library, all of those places," Holland outlined. "If they don't have proper ventilation and good air quality, research shows students feel fatigued, they are unable to focus, all of those things."

As might be expected, Holland added late afternoon, following the lunch break, is when students are most miserable, which disrupts the learning environment. This summer's forecast calls for hotter-than-normal temperatures from coast to coast, according to NOAA's Climate Prediction Center.


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Missouri Foundation for Health and its partners are putting $500,000 toward tornado recovery, boosting local relief efforts after storms devastated parts of St. Louis in May.

The emergency funds will help support groups already on the ground distributing supplies, repairing homes, and feeding families - especially in the hardest-hit areas.

Ivory Clarke is the vice president of strategic relations at the Missouri Foundation For Health. She shared the motivation behind stepping up and helping those in need.

"We've seen the effects of this tornado on St. Louis and communities that have traditionally been marginalized," said Clarke. "We've always been focused on ensuring that everyone in Missouri has a fair opportunity to thrive and be healthy."

The funds will be distributed among a dozen local groups that are involved in the relief efforts.

Missouri Gov. Mike Kehoe has asked President Donald Trump to issue a federal emergency declaration for the state due to the severe storms. If approved, it would unlock up to $5 million in federal aid.

Following the storms, hundreds of volunteers, first responders, and humanitarian groups mobilized for cleanup and food distribution.

Clarke stressed that her organization's mission is something they can't do alone, and said the effort is rooted in collaboration and collective strength.

"This response involves a network of non-profits, local organizations, and community leaders," said Clarke, "who are all working towards a shared goal of recovery."

Missouri averages 30 to 45 tornadoes per year, although the number can fluctuate depending on weather patterns.

Most tornadoes in the state occur between April and June, with May typically being the most active month.