One community health center in New York has frozen hiring.Another in Missouri can’t get a bank loan to expand.

The nation’s 1,400 community health centers are carefullywatching expenses in case the financial rescue they hope Congressdelivers this week doesn’t arrive. With four days left in thegovernment’s fiscal year, Congress has not voted onreauthorizing billions of dollars now going to community health centers and other healthprograms for the 2018 budget year that starts Sunday.

“The anxiety level is increasing on almost a daily basis,” saidDan Hawkins, senior vice president of the National Association ofCommunity Health Centers (NACHC) in Washington, D.C. “There isbroad support and agreement in Congress that it should get done,but we are working against a ticking clock and a crowdedlegislative calendar.”

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