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Tri State Community Health Ctr50 West 13th Stl~et Dubuque, Iowa 52001-4864 (563) 589-4110 office (563) 5894149 fax c~mgr~eityofdubuque.org October 30, 2003 Bureau of Primary Health Care The City of Dubuque supports the Tri-State Community Health Center's application for a federally qualified community health center. Over the past several years, many organizations and planning efforts throughout the community have identified primary health care, particularly for those who are uninsured or under-insured, as a critical need throughout the Dubuque area. In addition to the efforts of Mercy Medical Center's Community Assessment of Human Needs, the Loras/Clarke College Community Outreach Center Grant Committee, and the Visiting Nurse Association's Strategic Planning Effort, the City's Comprehensive Plan specifically addresses access to adequate health care services. Promoting access to adequate health services for all members of the community and addressing special health needs of pregnant women, children and the elderly are goals in the City's annually updated Comprehensive Plan. I am impressed how such a wide variety of individuals and organizations from throughout the Dubuque community have come together to plan for a Tri-State Community Health Center. Without the assistance of the Bureau of Pdmary Health Care, however, this center will not become a reality. The Tri-State Community Health Center would provide comprehensive primary health care services to all individuals regardless of their ability to pay. The Center intends to provide pdmary health care services by physicians and allied health professionals, along with diagnostic lab and x-ray services, preventative health and case management services, dental services, pharmacy and emergency services, along with transportation for patients who would otherwise lack access to services. Dubuque is the only metropolitan area in iowa without a community health center. The community has come together to create a health center and, not only is City of Dubuque staff involved in this process, we fully support the effort. I know you will look favorably upon Dubuque's application and feel confident that you have the support of the entire community. Sincerely, Michael C. Van Milligen City Manager MCVM:mrc