National Survey of Community-Based Organizations (2024)

veng47
Aug 21
2 min read

Publish Date: August 22, 2025

The survey—APIAHF’s fourth and most comprehensive to date—collected responses from 98 CBOs across 29 states and six Pacific territories. Taken together, the findings paint a stark picture: despite being the backbone of culturally rooted health care delivery, most AANHPI-serving CBOs lack the funding they need to sustain essential services.

Key Findings from the Report:

Federal Cuts Put Millions at Risk: $1 trillion in new federal budget cuts to Medicaid and health programs could leave up to 17 million people uninsured, with CBOs warning of increased gaps in care and loss of enrollment assistance programs.
Language Access in Crisis: Translation and interpretation remain the most underfunded service area, even as demand grows across Asian and non-Asian languages like Spanish, Russian, Swahili, and Amharic.
Services Outpacing Resources: While 88% of CBOs serve all age groups, over half report funding gaps in key services, especially mental health care, addiction services, maternal health, and LGBTQ+ health care.
Advocacy Undervalued: Only 26% of CBOs have dedicated funding for advocacy, despite urgent needs in areas like language access, racial justice, and health equity.
Communities Served Are Expanding: 62% of AANHPI-serving CBOs also now serve Black, Latino, and immigrant communities, demonstrating a shift toward multiracial, multilingual care delivery.
Social Determinants Largely Unfunded: Essential services such as digital literacy, housing, food access, and job training remain critically underfunded, limiting CBOs’ ability to address broader health drivers.
CBO Resilience is Under Threat: Nearly three-quarters of CBOs cite urgent needs for training in fundraising, strategic planning, and leadership, signaling an infrastructure crisis if flexible funding is not restored.