LOUISVILLE, Ky. — The Kentucky Racing Health Services Center is celebrating 20 years of service.

The center provides care to backside workers and their families for a $10 copay. Staff said there are 400 people who live in dorms on the backside during the racing season.

Backside workers take care of more than 1,400 horses. Officials from Kentucky Racing Health Services said health care can be a challenge for backside workers because of financial constraints, language barriers and demanding work schedules.

"Rapidly, we found that the needs were really beyond what we had thought about and that these folks needed primary care," said Whitney Nash, dean of the School of Nursing at the University of Louisville.

She said the center has grown since opening in 2005.

“Over the years, we grew a

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