Community Project Funding/Congressionally Directed Spending - Construction - Dignity Health doing business as Marian Regional Medical Center (Marian), a nonprofit organization, requests FY23 Community Project Funding (CPF) in the amount of $1,000,000 for a Modernization project that will transform a leased facility at 210 South Palisade Drive in Santa Maria, California, into a new Obstetrics and Gynecology (OB/GYN) Residency Program Clinic. Funding will support the renovation of the 8,700-square foot ground floor of a medical office building leased by the hospital to merge three currently discrete former physician’s clinics and create the Marian Obstetrics and Gynecology (OB/GYN) Residency Program Clinic to be jointly operated with Dignity Health’s Pacific Central Coast Health Centers, a nonprofit outpatient clinical network. The total cost for the Modernization project is estimated to be $2,854,186 with additional funding from operating capital and funds raised through a campaign run by the Marian Regional Medical Center Foundation. This project fills the need for a centralized residency clinic to provide more efficient instruction for medical residents and more accessible, culturally competent care for disadvantaged women. Currently, Marian’s OB/GYN residents have no dedicated work or instructional space, occupying whatever limited space is available across several clinics and diagnostic departments in and around the Marian campus. Creating a centralized Residency Clinic will address the space limitations at Marian’s constrained and impacted Santa Maria Women’s Health Center, where resident physicians currently learn and care for patients alongside OB/GYN faculty, reducing patient volume at the Women’s Health Center by an estimated 25%. All phases of the project, including design, approval, permitting, and construction will take place between June 2023 and February 2025 with the majority of the work being completed within the performance period of the CPF (October 2023 through February 2025). Once completed, the clinic will feature dedicated workspaces for residents, training and instruction spaces, a full suite of up to twelve exam rooms for patients and accompanying laboratory, pharmacy (vaccine supply and in-clinic injectable medications & storage only), supply rooms, and a care station for medical assistants. The new OB/GYN Resident Program Clinic will provide direct patient care for the patients of the Santa Maria Valley, including the medically indigent and underserved patients who comprise more than two thirds of Marian’s OB/GYN patients. Complementing the existing capacity of the Santa Maria Women’s Health Center, patient care services at Marian’s new OB/GYN Residency Program Clinic will also be available in English and Spanish, as well as in the non-written indigenous Mixtec language spoken by Santa Maria’s large community of migrant farmworkers from the state of Oaxaca in southern Mexico. Fundamentally, Marian’s OB/GYN Residency Program fills a critical need for OB/GYN physicians both locally and nationally, increases access to culturally competent services in Santa Maria, and builds health equity for disadvantaged women.