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Community health centers and occupational injury response

The federal government funds community health centers. These health centers are charged with providing occupation health services to migratory and seasonal agricultural workers, but in practices this mandate is extended to include immigrant and other uninsured, poor urban workers. Thus community health centers can be an important source of medical care work immigrant workers throughout the United States.

I once visited such a center in Boston. A drawback of this, and other centers, is that they do not bill workers compensation insurers for work injury treatment, thus closing as loop iof accountability for these injuries.

I have included below a definition of a Federally qualified health centers, and the actual language from federal legal that mandates their use for occupational health.

FQHCs must provide primary care services for all age groups. FQHCs must provide preventive health services on site or by arrangement with another provider. Other requirements that must be provided directly by an FQHC or by arrangement with another provider include: dental services, mental health and substance abuse services, transportation services necessary for adequate patient care, hospital and specialty care.

Go here for a Frequently Asked Questions page on these centers.

TITLE 42 CHAPTER 6A SUBCHAPTER II Part D subpart i § 254b

§ 254b. Health centers


(D) in the case of health centers receiving grants under subsection (g) of this section, special occupation-related health services for migratory and seasonal agricultural workers, including—
(i) screening for and control of infectious diseases, including parasitic diseases; and
(ii) injury prevention programs, including prevention of exposure to unsafe levels of agricultural chemicals including pesticides

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