Bi-State Primary Care Association is a nonpartisan, nonprofit organization that represents New Hampshire and Vermont’s 28 Community Health Centers serving over 315,400 patients at 143 locations across every county in New Hampshire and Vermont. Bi-State works to promote access to quality, affordable primary health care with an emphasis on reaching underserved populations. Bi-State Primary Care Association was founded as a 501(c)3 charitable organization in 1986 with offices in Bow, New Hampshire, and Montpelier, Vermont. Bi-State Primary Care Association holds a cooperative agreement with the Health Resources and Services Administration Bureau of Primary Health Care (BPHC) to provide training and technical assistance (T/TA) to safety-net providers. This T/TA is based on statewide and regional needs to help health centers improve programmatic, clinical, and financial performance and operations. Under this cooperative agreement, Bi-State also helps health centers and look-alikes plan for the growth of health centers in their state, as well as develop strategies to recruit and retain staff. For more information on the role of Primary Care Associations, please visit the BPHC website. https://bphc.hrsa.gov/