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TN COAL MINERS RESPIRATORY CLINIC

Award Number: H3700052
ORGANIZATION: OFFICE OF RURAL HEALTH POLICY
OPDIV: HRSA
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: HEALTH SERVICES
PERIOD OF PERFORMANCE START DATE: 01/01/1988
PERIOD OF PERFORMANCE END DATE: 06/30/2030

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TN COAL MINERS RESPIRATORY CLINIC - Organization Name: Community Health of East Tennessee, Inc. Address: 130 Independence Ln., LaFollette TN 37766-3031 Entity Type: FQHC/Black Lung Clinic Website: www.chetn.org Proposed Service Region: Tennessee (all cities and counties) Dollar Amount Requested: $342,614 Population to be Served: In Tennessee, there are an estimated 3,000 inactive and retired coal miners; no coal has been mined in the state since 2022, so there are currently no active coal miners in the service area (Annual Coal Report, U.S. Energy Information Administration, 2023). Poverty and lack of insurance limit access to care. In Tennessee, 32.6% of residents live with income below 200% of the Federal Poverty Guidelines (FPG), 11.1% of residents are uninsured, and 17.8% of residents with income below 200% FPG are uninsured (“ACS: 2018-2022,” U.S. Census, 2024). Coal mining areas of Appalachia have elevated chronic disease mortality rates when compared with non-coal mining regions (SparkMap, University of Missouri Extension, 2024). TBLP has also seen an increase in Progressive Massive Fibrosis (PMF), making miners sicker more quickly and at younger ages (CHET EHR, 2024). Service Area Where Project Will Work: Community Health of East Tennessee, Inc. (CHET) began as the Tennessee Black Lung Program (TBLP) in 1980 to serve the area’s coal miners. TBLP is located in Campbell County. Between 2001 and 2022, 100% of active coal miners in TN resided in the eight-county area around the service site. Some coal miners from bordering Kentucky and Virginia counties receive Department of Labor exams at TBLP, which is the closest source for these exams. TBLP is the only Black Lung clinic in the state. The nearest BLP program is Stone Mountain Health Services, Inc. in Jonesville, Virginia, 70.1 miles and 1 hour and 24 minutes in travel time distant from CHET (Google Maps, 2025). Mountainous terrain in the coal mining counties also makes travel difficult. Goals and Objectives: Services provided either directly or by referral by the TBLP will include patient outreach and education, screening and diagnosis, lung function testing including spirometry and oximetry, chest imaging, pulmonary rehabilitation (Phase I education and referral to Phase II and III services), evidence-based treatment of coal mine dust lung disease, medications, vaccinations, dental care, behavioral health care, smoking cessation, nutrition education, medical case management, provision of Department of Labor (DOL) exams, and compensation counseling including Black Lung benefits application assistance. Through the FQHC, comprehensive primary care will be provided as well as referral to specialty care. Proposed staff funded by BLP funds includes 1.0 FTE BLP COO/Lay Representative, 0.98 FTE Respiratory Therapist, 1.0 FTE Benefits Compensation Counselor, 0.02 FTE Medical Director, 1.0 FTE Outreach Coordinator/Patient Educator, 0.05 FTE X-Ray Tech, 1.0 FTE Data Entry/Outreach Counselor, and 0.4 FTE Patient Care Coordinator. CHET uses both BLP funds and other revenue to contract with additional pulmonologists to provide DOL exams. Expected Outcomes: Outcome measures include but are not limited to increasing the number of coal miners with access to care, with health insurance coverage for treatment of Black Lung Disease, and with access to compensation counseling; disseminating results to appropriate stakeholder groups; and participating in technical assistance. CHET will also track HRSA/ORHP Performance Improvement Measurement System PIMS measures. Funding Preference: Not applicable. CHET is not a state entity.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2025 ( Subtotal = $342,614 )
2025	2025	COMMUNITY HEALTH OF EAST TENNESSEE, INC.	130 Independence Lane	LA FOLLETTE	TN	37766	CAMPBELL	USA	Coal Miners Respiratory Impairment Treatment Clinics and Services	00	36	6/23/2025	COMPETING CONTINUATION	$342,614
														Subtotal = $342,614

Issue Date FY: 2024 ( Subtotal = $354,362 )
2024	2024	COMMUNITY HEALTH OF EAST TENNESSEE, INC.	130 INDEPENDENCE LN	LA FOLLETTE	TN	37766	CAMPBELL	USA	Coal Miners Respiratory Impairment Treatment Clinics and Services	01	35	8/20/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2024	COMMUNITY HEALTH OF EAST TENNESSEE, INC.	130 Independence Lane	LA FOLLETTE	TN	37766	CAMPBELL	USA	Coal Miners Respiratory Impairment Treatment Clinics and Services	00	35	5/30/2024	NON-COMPETING CONTINUATION	$354,362
														Subtotal = $354,362

Issue Date FY: 2023 ( Subtotal = $347,451 )
2023	2023	COMMUNITY HEALTH OF EAST TENNESSEE INC	130 Independence Lane	LA FOLLETTE	TN	37766	CAMPBELL	USA	Coal Miners Respiratory Impairment Treatment Clinics and Services	00	34	5/23/2023	NON-COMPETING CONTINUATION	$347,451
2023	2023	COMMUNITY HEALTH OF EAST TENNESSEE INC	130 INDEPENDENCE LN	LA FOLLETTE	TN	37766	CAMPBELL	USA	Coal Miners Respiratory Impairment Treatment Clinics and Services	01	34	8/12/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2022	COMMUNITY HEALTH OF EAST TENNESSEE, INC.	130 INDEPENDENCE LN	LA FOLLETTE	TN	37766	CAMPBELL	USA	Coal Miners Respiratory Impairment Treatment Clinics and Services	02	33	10/6/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $347,451

Issue Date FY: 2022 ( Subtotal = $363,296 )
2022	2022	COMMUNITY HEALTH OF EAST TENNESSEE, INC.	130 Independence Lane	LA FOLLETTE	TN	37766	CAMPBELL	USA	Coal Miners Respiratory Impairment Treatment Clinics and Services	01	33	9/1/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$15,147
2022	2022	Community Health Of East Tennessee, Inc.	130 Independence Lane	LA FOLLETTE	TN	37766	CAMPBELL	USA	Coal Miners Respiratory Impairment Treatment Clinics and Services	00	33	7/12/2022	NON-COMPETING CONTINUATION	$348,149
														Subtotal = $363,296

Issue Date FY: 2021 ( Subtotal = $327,156 )
2021	2021	Community Health Of East Tennessee, Inc.	130 Independence Lane	LA FOLLETTE	TN	37766	CAMPBELL	USA	Coal Miners Respiratory Impairment Treatment Clinics and Services	00	32	6/10/2021	NON-COMPETING CONTINUATION	$327,156
2021	2021	Community Health Of East Tennessee, Inc.	130 Independence Lane	La Follette	TN	37766	CAMPBELL	USA	Coal Miners Respiratory Impairment Treatment Clinics and Services	01	32	9/2/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2019	Community Health Of East Tennessee, Inc.	130 Independence Lane	LA FOLLETTE	TN	37766	CAMPBELL	USA	Coal Miners Respiratory Impairment Treatment Clinics and Services	02	30	12/15/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $327,156

Issue Date FY: 2020 ( Subtotal = $327,351 )
2020	2020	Community Health Of East Tennessee, Inc.	130 Independence Lane	LA FOLLETTE	TN	37766	CAMPBELL	USA	Coal Miners Respiratory Impairment Treatment Clinics and Services	00	31	5/22/2020	COMPETING CONTINUATION	$327,351
2020	2020	Community Health Of East Tennessee, Inc.	130 Independence Lane	La Follette	TN	37766	CAMPBELL	USA	Coal Miners Respiratory Impairment Treatment Clinics and Services	01	31	8/31/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $327,351

Issue Date FY: 2019 ( Subtotal = $309,742 )
2019	2019	Community Health Of East Tennessee, Inc.	130 Independence Lane	La Follette	TN	37766	CAMPBELL	USA	Coal Miners Respiratory Impairment Treatment Clinics and Services	01	30	8/22/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2019	2019	Community Health Of East Tennessee, Inc.	130 Independence Lane	LA FOLLETTE	TN	37766	CAMPBELL	USA	Coal Miners Respiratory Impairment Treatment Clinics and Services	00	30	5/24/2019	NON-COMPETING CONTINUATION	$309,742
2019	2018	Community Health Of East Tennessee, Inc.	130 Independence Lane	LA FOLLETTE	TN	37766	CAMPBELL	USA	Coal Miners Respiratory Impairment Treatment Clinics and Services	01	29	10/2/2018	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $309,742

Grand Total All Awards = $2,371,972

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TN COAL MINERS RESPIRATORY CLINIC

Award Number: H3700052

ORGANIZATION: OFFICE OF RURAL HEALTH POLICY

OPDIV: HRSA

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: HEALTH SERVICES

PERIOD OF PERFORMANCE START DATE: 01/01/1988

PERIOD OF PERFORMANCE END DATE: 06/30/2030

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