Following the devastation of Hurricane Katrina, neighborhood-based health care sites emerged to meet the needs of the Greater New Orleans community. A number of concerned groups independently operated these sites and created new community health care capacity. These clinics became an important source of care for a largely disadvantaged population that had historically relied on the public hospital and emergency rooms for primary care.

In May 2007, the Primary Care Access and Stabilization Grant (PCASG) was established to support access to primary care and outpatient mental health services in the New Orleans region. With the impending end of PCASG funding in September 2010, state, federal and local governments are working together to secure a new funding stream to sustain and build on this leading-edge model that preserves primary care and provides a bridge to national health care reform implementation.