Health Care & Social Services

TFG is committed to helping local government creatively and effectively address challenges and create opportunities in the area of health and human services. TFG provides strategic counsel in working effectively with federal stakeholders to reduce regulatory burdens and to establish partnerships resulting in service delivery in a successful and compassionate manner. While many health care policy challenges stem from decisions made by state legislatures and state health and human services agencies, targeted engagement with relevant federal agencies – including the Departments of Housing and Urban Development and Veteran Affairs – have resulted in positive outcomes for citizens served by our clients.

Our Expertise

  • Hospital/health care facility infrastructure
  • HIV/AIDS policy and planning
  • Medicaid policy
  • Telemedicine infrastructure support
  • Public health resources and policy
  • Assistance to veterans

Client Successes

El Paso County, CO

In 2017, TFG collaborated with County staff and officials on a $614,736 grant from USDA’s FY 2017 SNAP Process and Technology Improvement Grants program for the Automating SNAP Assistance Programs (ASAP). The implementation of ASAP will improve the quality and efficiency to determine SNAP eligibility. Along with offering strategic advice on the formation of the project and the development of the grant application, TFG helped secure letters of support from five members of Colorado’s Congressional delegation.

Bladen County, NC

Four County Electric Membership Cooperatives located in Southeastern North Carolina worked with TFG to apply to the U.S. Department of Agriculture Rural Economic Development Loan and Grant Program (REDLG). They secured a $300,000 grant to match with $60,000 to offer zero-interest loan funding to purchase medical equipment and furniture needed to furnish a new healthcare clinic’s six examination rooms and the waiting room. The funds also purchased necessary equipment, including x-ray and ultrasound systems, to provide obstetrics and gynecology services. Bladen Healthcare, LLC is partnering with Bladen’s Bloomin’Agri Industry, the county’s non-profit economic development entity, to redevelop a currently vacant building into a new healthcare facility. The project secured USDA Rural Development financing to purchase a former restaurant, and grant funding from the NC Rural Center and the Golden LEAF Foundation, to retrofit and repair the building for conversion into a healthcare clinic.

Nassau University Medical Center

On behalf of Nassau University Medical Center, TFG focused on the relocation of Veterans health care services to the NUMC campus, extending the moratorium on CMS proposed DSH regulations, graduate medical education payment limitations, SCHIP expansion, reducing Medicare physician payment cuts, and extending 340B prescription drug benefit to inpatient settings.

Our Service Areas

Advocacy

Advocacy

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Federal Funding

Federal Funding

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Legislative

Legislative

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Consulting

Consulting

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Regulatory

Regulatory

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Grants

Grants

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US Congressional Calendar

EPA Invites Sites Reservoir to Apply for $2.2 Billion WIFIA loan

The loan would bring the Sites Reservoir, an off-stream water storage facility located in California, drought resiliency project “significantly closer to construction and completion.”

SACRAMENTO, CA – Today, the United States Environmental Protection Agency (EPA) invited the Sites Project Authority (Authority) to apply for a $2.2 billion low-interest, long-term loan through the Water Infrastructure Finance and Innovation Act (WIFIA). Access to this federally backed financing would move this important new water supply project “significantly closer to construction and completion,” according to the Authority.  The project will add 1.5 million acre-feet of new water storage vital for California communities and environment facing more frequent and severe drought conditions, like those the region is currently experiencing.

TFG has proudly worked with the Authority and its predecessor Sites proponents for more than two decades. Sites Reservoir is an off-stream water storage facility that captures, and stores stormwater flows from the Sacramento River—after all other water rights and regulatory requirements are met—for release primarily in dry and critical years for environmental use and for California communities, farms, and businesses. Importantly, a loan through the WIFIA program would dramatically reduce the costs to participants, making it more affordable for cities, farms, and resource managers to have access to more water in dry years. The Sites Reservoir has broad statewide representation including cities, counties, water, and irrigation districts throughout the Sacramento Valley, San Joaquin Valley, Bay Area, and Southern California.

The WIFIA loan program was established in 2014 to accelerate investment in the United States water infrastructure through long-term, low-cost federal loans for regionally and nationally impactful projects. The Sites Project Authority submitted a letter of intent (LOI) to apply in July 2021.

Learn more about the Sites Reservoir Project. View the Sites Reservoir press release and recent news coverage.

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Latest TFG News

28 January 2025

TFG Monitoring Developments of Temporary Pause of Agency Grant, Loan, and Other Financial Assistance Programs

On January 27, the Office of Management and Budget (OMB) under President Trump issued a memorandum titled “Temporary Pause of Agency Grant, Loan, and Other Financial Assistance Programs.” The directive mandates Federal agencies to temporarily suspend the obligation and disbursement of federal financial assistance while conducting a comprehensive review of programs and awards to ensure alignment with the administration’s policies and priorities. As part of this review, agencies are also instructed to temporarily suspend the issuance of new program solicitations.

Meet a Team Member

Elizabeth Vela

Elizabeth Vela

Grants Analyst

Latest Coronavirus Updates