Policies and Priorities

The Community HealthCare Association of the Dakotas (CHAD) is a membership organization of the North Dakota and South Dakota community health centers dedicated to assuring high-quality primary health care through public policy and community-driven health services.

Community Health Centers (CHCs) are dedicated to providing the components of a medical home to all in need: care that is accessible, continuous, comprehensive, patient-centered, coordinated, compassionate, and culturally sensitive. Community health centers are located in medically underserved, rural and urban areas throughout the Dakotas to provide primary and preventive care for the community residents who govern them.

To achieve high-quality primary healthcare, CHAD supports these policy priorities:


Increased Access to Care / Healthcare Safety Net

CHAD supports access to high-quality primary care services and a medical home for all in need, regardless of the ability to pay. CHAD advocates being a resource and partner in health care reform and supports provisions of the Affordable Care Act for expansion of community health centers to increase the Healthcare Safety Net, Medicaid expansion and insurance coverage to eliminate barriers and empower people to obtain comprehensive, primary care.


Reimbursement for Services

CHAD supports the expansion of public financing, and timely and improved reimbursement rates for services provided to underinsured and uninsured patients. The Medicaid, Medicare, and Marketplace Insurance Programs guarantee of coverage for low income, elderly and disabled patients must be preserved and the Prospective Payment System rate must be sustained or expanded to ensure access to care for all in need.


Increased Medical Workforce Capacity

CHAD supports programs and projects to bolster recruitment, increase and sustain quality primary healthcare professionals to provide necessary care to all in need. CHAD supports efforts to bolster the primary care workforce, especially in the most rural parts of the Dakotas, where access to primary and preventive care services are limited by geographical and other related issues.


Technology and Infrastructure Enhancement

CHAD supports enhanced technology and infrastructure for community health centers to better serve people in need of care. Advanced technology and infrastructure enables community health centers to more efficiently deliver quality healthcare through improved care management.