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Tom Engels served as HRSA Administrator during a period of significant health center expansion, overseeing increases in Section 330 funding, new access point awards, and COVID-19 response grants to community health centers. Under his leadership, HRSA expanded the health center footprint and distributed emergency pandemic funding to the safety net. His tenure provides important context for understanding how HRSA priorities shift across administrations.
Engels's tenure shows what HRSA health center expansion looks like when it has political support — useful context for understanding what contraction might look like under different priorities. His experience with emergency health center funding during COVID-19 is relevant as FQHCs navigate potential funding disruptions from H.R. 1 and CHCF expiration.