Congressionally Directed Spending for Construction Projects - East Bay Community Action Program (EBCAP) is submitting a request in the amount of $1,500,000 to support the rehabilitation of multiple agency owned, multi-unit rental residential units so that they are fully habitable and can house, extremely low-income (ELI) and low-income community residents, particularly Medicaid eligible and/or high-risk, high-cost attributed patients identified through the state’s Managed Care Organizations. Additionally, EBCAP will utilize the monies to refurbish and outfit a vacant 1019 sq. foot area that abuts a new behavioral health suite in the health center, in order to build additional primary care clinical space to increase its capacity to address its primary care waiting list and/or to provide same day, acute care to those in need of same day access to care. In order to meet demand for critically needed health services and enabling programs such as housing support, EBCAP continues to be responsive to the communities it serves, by expanding its continuum of Integrated Health services offered. One floor of the facility houses the majority of enabling, support and educational services that are available to clients and patients of EBCAP. This further expansion of its clinical physical space and occupy one whole floor of its Bullocks Point facility, located in East Providence, RI. EBCAP’s aim is to address RI’s affordable housing challenges, incrementally, beginning with the rehabilitation of several multi-unit residential properties it owns. Funding support will also serve as a springboard for EBCAP to further establish itself as a housing support and home find provider that is not only embedded but trusted within it respective service areas. For those in EBCAP’s service areas, there are a range of geographic, demographic, socio-economic, and cultural factors that are unique to the target population and that hinder their access to appropriate, timely health services, not the least of which is that private providers limit their Medicaid panels due to low reimbursement rates, as well as limiting (if seeing any at all) uninsured patients. There are also an overall tremendous shortages of providers, which has impacted the targeted service areas and placed an increasing burden on EBCAP, to serve and provide timely access to those whom otherwise, would likely not have access and/or seek out integrated health services. EBCAP’s intent is to expand its health center clinical space so that it can address the burgeoning needs of the communities it serves via its East Providence facility, located at 100 Bullocks Point Ave. EBCAP has continued to expand its capacity to offer timely, high-quality access to integrated healthcare, including same day behavioral health assessments and treatment. Last year, the East Providence facility served a total of 3408 patients, for a total of 5070 primary care patients. There is currently 1019 sq. ft. of vacant space that can be used to add additional primary care medical space, which could also serve as space to provide same day, acute care for its patients. While EBCAP leveraged funds so that it could refurbish and outfit the behavioral health suite, it lacks the funds to refurbish the existing vacant space. Monies secured from this appropriation request would enable EBCAP to grow its clinic capacity in that increased space with the potential to support an additional 600-800 patients. Expansion would include four exam rooms, drawing station and a care team 'pod' to house a primary care team.