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Corrections & Accuracy

We name real organizations and publish real numbers. Here is the standard we hold ourselves to, and how to tell us when we get something wrong.

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Changes to state news

This public log starts July 14, 2026. Zero logged changes does not mean a page or claim never changed before that date.

Corrected · September 21, 2026

California

AB 2756 became law on September 18, 2026 as Chapter 309, Statutes of 2026. This record previously said the measure was proposed and not yet law; it now reports the enactment, the statutory reporting dates in 2028, 2029 and 2030, and the unchanged boundary that the chaptered text sets no FQHC payment and names no health center.

Before
California AB 2756 passes the Legislature and moves to enrollment — Medi-Cal vision reporting is proposed, not yet law
After
California AB 2756 is now law — Chapter 309 creates public Medi-Cal vision performance reporting, with no FQHC payment change
California Legislative Information

Corrected · September 16, 2026

Missouri

Corrected this Missouri record against the enacted text: SB 878 and HB 2372, both approved July 13, 2026, carry the identical RSMo 376.417, and its covered-entity definition reaches every entity in 42 U.S.C. 256b(a)(4)(A) through (K), not only Section 330 grantees.

Before
'Grantee' covered entities are Section 330 grantees, which in Missouri means its community health centers.
After
The section defines covered entities as those listed in subparagraphs (A) through (K) of 42 U.S.C. 256b(a)(4), including their contract pharmacies: that list begins with federally qualified health centers and does not include the hospital categories, which start at subparagraph (L).
Missouri Senate (SB 878 bill information and truly agreed text)

Corrected · September 12, 2026

California

Corrected September 12, 2026.

Before
DHCS has noticed proposed guidance on whether outreach and education costs count in the FQHC/RHC PPS rate — effective October 6, with a stakeholder webinar September 16
After
DHCS's draft PPS guidance RESTRICTS outreach allowability — and puts enrollment assistance by clinic or contracted staff on the non-reimbursable list, effective October 6
California Department of Health Care Services, Provider Rates Division — NOTICE OF GENERAL PUBLIC INTEREST, "FQHC/RHC OUTREACH & EDUCATION PPS REIMBURSEMENT GUIDANCE," release date 8/7/2026, with the DRAFT FQHC/RHC OUTREACH REIMBURSEMENT POLICY attached at pages 3-4. dhcs.ca.gov returns a 212-byte JavaScript shell to ordinary automated fetches; the PDF was retrieved from the department's own origin by first establishing a session on the FQHC/RHC page and then requesting the file with same-origin navigation headers, and read directly.

Corrected · September 9, 2026

South Carolina

Corrected September 9, 2026.

Before
Official appropriations record shows House, Senate, and conference-stage versions of H.5126
After
South Carolina's budget standoff ended: H.5126 was ratified August 11 and the Governor returned line-item vetoes August 17
South Carolina General Assembly

Corrected · September 8, 2026

California

Corrected what AB 3030 requires. The entry said the law mandates patient disclosure plus explicit consent before AI is used in care. Health & Safety Code section 1339.75 requires neither: where generative AI produces written or verbal patient communications about clinical information, those communications must carry a disclaimer identifying them as AI-generated plus clear instructions for contacting a human, and the requirement does not apply when a licensed or certified human provider reads and reviews the communication first. The consent duty before recording a conversation comes from CIPA, Penal Code 632.

Before
California AB 3030 + SB 1120 Are Active FQHC AI Compliance Triggers — Disclosure + Consent + UM Restrictions in Effect
After
California AB 3030 + SB 1120 Are Active FQHC AI Compliance Triggers — AI-Communication Disclaimers + UM Restrictions in Effect
Holland & KnightCalifornia Health & Safety Code section 1339.75

Source updated · August 27, 2026

District of Columbia

Updated the existing DC eligibility claim to the August 26 DHCF briefing and separated member notices from the October 2026 and January 2027 effective changes.

Before
Federal immigration-eligibility restrictions begin October 1 for many adult Medicaid members in DC
After
DHCF's August 26 briefing separates eligibility notices from October 2026 and January 2027 Medicaid changes
DC Department of Health Care Finance August 26 eligibility briefing

Source updated · August 27, 2026

New Mexico

Updated the existing New Mexico claim to the August 27 HCA release and identified more than 200,000 as notice recipients, not coverage losses.

Before
NM sets September notice and January 2027 work-rule and six-month renewal timeline
After
More than 200,000 NM Medicaid members will receive work-rule notices beginning the week of August 31
New Mexico Health Care Authority August 27 release

Corrected · August 26, 2026

California

Corrected August 26, 2026.

Before
This closes the proposed-strike contingency; the cited sources do not establish any resulting FQHC patient spillover.
After
These are union-reported results and terms. The cited notices establish no FQHC patient spillover, hiring demand, or comparable FQHC wage.
AFSCME Local 3299 — May 22 ratification report

Corrected · August 26, 2026

California

Corrected August 26, 2026.

Before
This resolution supersedes the earlier proposed-strike contingency; the primary notice reports no FQHC patient diversion or demand effect.
After
This resolution supersedes the earlier proposed-strike contingency; the primary notice reports no FQHC patient diversion, hiring, or demand effect.
AFSCME Local 3299 — May 13 cancellation notice

Corrected · August 26, 2026

California

Corrected August 26, 2026.

Before
CA AB 2756 Would Force DHCS to Publicly Report Medi-Cal Vision Quality — After Data Shows Only 16% of Medi-Cal Kids Got Eye Care
After
California AB 2756 passes the Legislature and moves to enrollment — Medi-Cal vision reporting is proposed, not yet law
California Legislative Information

Corrected · August 26, 2026

California

Corrected August 26, 2026.

Before
For a workforce audience this is a concrete, near-term hiring signal in a Medi-Cal-heavy Inland Empire market: a new physical site adds primary care and behavioral health staffing demand, and SAC Health's teaching-FQHC posture means resident and student supervision capacity travels with it.
After
This is an organization- and location-specific change in SAC Health's operating footprint, not proof of net job growth or a broader school-health labor-market trend.
SAC Health

Corrected · August 26, 2026

Maryland

Corrected August 26, 2026.

Before
Maryland posts $18.5M in rural workforce procurements through August 9
After
Maryland closes $18.5M rural-workforce windows and extends a separate data-clearinghouse bid
Maryland Department of Health

Corrected · August 26, 2026

Maryland

Corrected August 26, 2026.

Before
Maryland details $163.7M in first-period rural-health subawards under its $168.18M federal award
After
Maryland offers $80M in first-round rural-health awards under its $168.18M first-year program
Maryland Department of Health

Corrected · August 26, 2026

Maryland

Updated the hearing from future to completed while preserving proposed-rate status and the August 28 comment and September decision timeline.

Before
Rates remain under actuarial review, with a future public hearing on July 23, written filing comments through August 28, and decisions expected in September.
After
Rates remain under actuarial review. MIA's public-meetings page links a recording of the July 23 hearing, written filing comments remain open through August 28, and decisions are expected in September.
Maryland Insurance Administration

Corrected · August 26, 2026

Maryland

Removed the stale July 15 reference and clarified that the RFA's anticipated start is not execution, payment, or service launch.

Before
August 1 is a proposed program start in the solicitation, not proof that awards had been executed or services had launched by July 15.
After
August 1 is a proposed program start in the solicitation, not proof that an award was executed, paid, or launched; subsequent official award offers are tracked separately.
Maryland Health Care Commission

Corrected · August 26, 2026

Maryland

Added the state award summary's named health-center service-provider roles while preserving the boundary that it assigns neither organization-level dollars nor realized outcomes.

Before
The release covers awards statewide but does not identify the portion, if any, flowing specifically to FQHCs.
After
The official award summary now names Choptank Community Health System and Mountain Laurel Medical Center as service providers within funded partnerships, but it does not allocate a dollar amount to either organization, show payment, or convert projected services into realized volume.
Office of Governor Wes Moore

Corrected · August 26, 2026

Maryland

Corrected August 26, 2026.

Before
Maryland accepts comments through July 20 on draft all-payer cost-growth and primary-care investment targets
After
Maryland's comment window on draft all-payer cost-growth and primary-care investment targets closed July 20
Maryland Health Services Cost Review Commission

Corrected · August 26, 2026

Maryland

Updated the statutory record to note that PDAB completed the separately tracked study; neither source resolves the federal enforceability litigation.

Before
The current federal litigation concerns enforceability; the legislative record itself does not resolve that litigation.
After
PDAB completed that separate final report on time; it is tracked as its own current claim. Neither the legislative record nor the study resolves the pending federal enforceability litigation.
Maryland General Assembly

Corrected · August 26, 2026

Maryland

Corrected the source's visible publication date from July 27 to August 4 without treating the scale report as a service expansion.

Before
In a July 27, 2026 announcement marking National Health Center Week (August 2 to 8, 2026), Choptank Community Health System reported serving nearly 35,000 patients annually across Caroline, Dorchester, Kent, Queen Anne's and Talbot counties, and noted it has operated since 1978.
After
In an August 4, 2026 announcement marking National Health Center Week (August 2 to 8, 2026), Choptank Community Health System reported serving nearly 35,000 patients annually across Caroline, Dorchester, Kent, Queen Anne's and Talbot counties, and noted it has operated since 1978.
Choptank Community Health System (Choptank Health)

Corrected · August 26, 2026

Mississippi

Corrected August 26, 2026.

Before
Mississippi Medicaid expansion bills die without committee action in 2026
After
Families USA models 67,000 newly eligible people and $73.8M in 2026 state savings and gains if Mississippi expanded Medicaid
Families USA

Corrected · August 26, 2026

Mississippi

Corrected August 26, 2026.

Before
Mississippi House and Senate advance different rural-hospital certificate-of-need exemptions
After
Mississippi enacts a Small Community Hospital Pilot with bounded certificate-of-need exemptions
Mississippi Legislature

Corrected · August 26, 2026

Mississippi

Corrected August 26, 2026.

Before
Mississippi pauses new Healthy Moms, Healthy Babies referrals while redesigning the program for 10 counties
After
MSDH's current Healthy Moms, Healthy Babies page offers five-county applications and referrals
Mississippi State Department of Health

Corrected · August 26, 2026

Mississippi

Corrected August 26, 2026.

Before
Mississippi Rural Health Transformation Program opens workforce and psychiatric-emergency rounds through August 17
After
Mississippi closes its Workforce Expansion and psychiatric-emergency/EmPATH application windows
Mississippi Rural Health Transformation Program Office

Corrected · August 26, 2026

Mississippi

Corrected August 26, 2026.

Before
Mid-enrollment snapshot shows about 67,000 Mississippi 2026 marketplace renewals after 338,159 selected 2025 plans
After
CMS reports 313,392 Mississippi 2026 Marketplace plan selections and 255,342 January effectuated enrollments
Centers for Medicare & Medicaid Services

Corrected · August 26, 2026

Mississippi

Corrected August 26, 2026.

Before
Judge orders $2.4M Medicaid payment after Greenwood Leflore Hospital warns it could close
After
Greenwood Leflore Hospital transitions to UMMC Greenwood after an August 1 change of ownership
University of Mississippi Medical Center

Corrected · August 26, 2026

Mississippi

Corrected August 26, 2026.

Before
Fifth Circuit denies en banc rehearing in a Mississippi contract-pharmacy case
After
Supreme Court extends Novartis's deadline to seek review of Mississippi's 340B contract-pharmacy case to October 2
Supreme Court of the United States

Corrected · August 26, 2026

Mississippi

Corrected August 26, 2026.

Before
Fifth Circuit affirms denials of injunctions against Mississippi's contract-pharmacy law
After
Fifth Circuit affirms denial of Novartis's preliminary injunction against Mississippi's 340B contract-pharmacy law
U.S. Court of Appeals for the Fifth Circuit

Corrected · August 26, 2026

Mississippi

Corrected August 26, 2026.

Before
Mississippi approves about half of Medicaid's requested FY2027 increase; provider action remains unclear
After
Mississippi enacts $1.170B in FY2027 state support for Medicaid, up $165.2M from the FY2026 estimate
Mississippi Legislative Budget Office

Corrected · August 26, 2026

Mississippi

Corrected August 26, 2026.

Before
Mississippi Medicaid moves to let FQHC mobile units bill under the parent clinic's provider number (SPA 26-0002)
After
CMS approves Mississippi SPA 26-0002 for FQHC mobile-unit provider requirements, effective April 1
Mississippi Division of Medicaid

Corrected · August 25, 2026

California

Corrected August 25, 2026.

Before
AFSCME 3299 Open-Ended UC Strike Begins May 14 — 42,000 Workers, FQHC Patient Spillover Likely
After
AFSCME 3299 reports 96.4% ratification after the planned May 14 UC strike was cancelled
AFSCME Local 3299 — May 22 ratification report

Corrected · August 25, 2026

California

Corrected August 25, 2026.

Before
AFSCME 3299 Announces Open-Ended UC Strike Beginning May 14 — Bay Area and Sacramento FQHCs May See Patient Spillover
After
AFSCME 3299 cancels its planned May 14 UC strike after reaching a tentative agreement
AFSCME Local 3299 — May 13 cancellation notice

Corrected · August 25, 2026

Colorado

Corrected August 25, 2026.

Before
Colorado's rural-health application remains open through August 3, backed by a $200.1M first-year award
After
Colorado's $160M rural-health application round closed August 3; award decisions are not yet published
Colorado Department of Health Care Policy and Financing

Corrected · August 25, 2026

Colorado

Corrected August 25, 2026.

Before
The FAQ says relevant new applicants and January 2027 renewals are first affected and that letters begin in August 2026; it does not quantify an FQHC-specific burden.
After
Operations leaders should take member timing from the separately linked member guidance and model their own call, enrollment and document-assistance workload from de-identified volumes
Colorado Department of Health Care Policy & Financing (HCPF)

Corrected · August 25, 2026

Colorado

Corrected August 25, 2026.

Before
This replaces a mismatched 2017 funding-cliff page that did not support the previous 2025 claims.
After
These are association-reported statewide observations, not a current margin for every center or a forecast of an individual clinic.
Colorado Community Health Network (CCHN)

Corrected · August 25, 2026

Colorado

Corrected August 25, 2026.

Before
The bill page does not report 28,000 enrollees or the prior cost projections previously attached to this claim.
After
Eligibility and care teams should explain the dated rule in plain language, check the member's official notice and current state record before changing care
Colorado General Assembly

Corrected · August 25, 2026

Colorado

Corrected August 25, 2026.

Before
NLRB orders Peak Vista to bargain with its physicians' union after a two-year fight
After
NLRB finds Peak Vista unlawfully refused to recognize and bargain with its certified clinical unit
National Labor Relations Board

Corrected · August 25, 2026

Colorado

Corrected August 25, 2026.

Before
Colorado must implement Medicaid work requirements by Jan 1, 2027 — ~378,500 members in scope before exemptions
After
Colorado work-requirement letters begin in September; relevant applications and renewals begin January 1
Health First Colorado

Corrected · August 25, 2026

Colorado

Corrected August 25, 2026.

Before
CMS-approved state-directed payments could send Colorado hospitals about $455M starting in September
After
CMS approves up to $725.1M for Colorado hospital and behavioral-health directed payments—not an FQHC allocation
Centers for Medicare & Medicaid Services

Corrected · August 25, 2026

Colorado

Corrected August 25, 2026.

Before
SB26-187 creates a Medicaid commission with a December 11 recommendation deadline and $500,000 appropriation
After
Colorado Medicaid Commission posts August–October meetings and a December 11 report deadline
Colorado General Assembly

Corrected · August 25, 2026

Colorado

Corrected August 25, 2026.

Before
Denver Health hired 15 staff solely to handle H.R. 1 compliance paperwork — a concrete administrative-burden benchmark
After
Denver Health reports 15 additional staff for first-phase H.R. 1 paperwork—a peer input, not an FQHC staffing ratio
Colorado Politics

Corrected · August 25, 2026

Colorado

Corrected August 25, 2026.

Before
Colorado insurers request an average 11% individual-market increase for 2027 — about 15% on the Western Slope — as the expired enhanced premium tax credits keep compounding
After
Colorado insurers request an average 11% individual-market increase for 2027, including 14.7% in the west region
Post Independent

Corrected · August 25, 2026

Colorado

Corrected August 25, 2026.

Before
Colorado held its marketplace enrollment loss to 5 percent while the country fell 13 percent — a state-money counterfactual to the subsidy cliff
After
Reporting puts Colorado's marketplace enrollment decline at 5%, versus a 13% national estimate
KUNC / Colorado Capitol News Alliance

Corrected · August 25, 2026

Florida

Replaced secondary Marketplace reporting with CMS's final Open Enrollment snapshot: 4,538,772 Florida plan selections for 2026, 196,643 or 4.2% below 2025, without treating selections as effectuated coverage.

Before
KFF's January snapshot showed Florida 2026 plan selections down 196,643; selections were not final paid enrollment
After
CMS reports Florida's final 2026 Open Enrollment plan selections 196,643 below 2025
Centers for Medicare & Medicaid Services (CMS)

Removed · August 25, 2026

Florida

Retired the preliminary January Marketplace-selection snapshot because CMS's final 2026 plan-selection and February effectuated-enrollment products now provide the current, nonduplicative evidence.

The Apopka Voice

Corrected · August 25, 2026

Florida

Advanced the 340B pilot record past HRSA's August 24 manufacturer-plan deadline while preserving the decision boundary: no plan is treated as approved before HRSA's decision and no workflow changes before a verified approval.

Before
HRSA launches a revised 340B rebate-model pilot with manufacturer plans due August 24
After
HRSA's August 24 deadline for revised 340B pilot plans has passed; approvals are not due until September 24
Health Resources and Services Administration (HRSA)

Removed · August 25, 2026

Florida

Retired the generic secondary rural-transformation award story because Florida's official Year 1 recipient-and-amount list now supplies the actionable evidence with clearer award boundaries.

WUSF / Health News Florida

Corrected · August 25, 2026

Florida

Rechecked Florida OIR's official 2027 ACA page and found table labels but no active premium, company or county files; no statewide Florida rate or state-confirmed Cigna footprint is inferred, and KFF's 14% national median remains a labeled scenario only.

Before
Florida OIR posts a 2027 ACA plan-year section, but its statewide premium tables are not yet linked
After
Florida OIR still shows 2027 ACA table labels without active premium, company or county links
Florida Office of Insurance Regulation

Removed · August 25, 2026

Florida

Retired the pre-signing legislative budget snapshot because the Governor's signed FY2026-27 budget and veto release supersede the proposal-stage totals.

FlaglerLive

Removed · August 25, 2026

Florida

Retired the national work-requirement tracker as a low-action duplicate that does not establish a distinct current Florida operating decision.

KFF

Corrected · August 25, 2026

Florida

Replaced secondary Marketplace reporting with CMS's February effectuated-enrollment product: 3,849,587 Florida enrollments, down 442,785 or 10.3% year over year, without inferring insurance status or FQHC use.

Before
Federal data show Florida marketplace enrollment down about 443,000; nearly 4 million remain covered
After
CMS reports 3,849,587 effectuated Florida Marketplace enrollments in February 2026, down 442,785 year over year
Centers for Medicare & Medicaid Services (CMS)

Corrected · August 25, 2026

Florida

Replaced a secondary budget snapshot with the Governor's signed FY2026-27 release: $117.6 billion after nearly $810 million in line-item vetoes, explicitly not an FQHC appropriation or revenue event.

Before
Governor Ron DeSantis signed Florida's $117.6 billion FY2026-27 budget on June 29, 2026 after issuing nearly $810 million in line-item vetoes.
After
The Governor's June 29 signing release records a $117.6 billion FY2026-27 budget after nearly $810 million in line-item vetoes.
Executive Office of the Governor of Florida

Corrected · August 25, 2026

Florida

Replaced secondary reporting with CMS's approved-preprint registry and bounded the $7.883 billion figure as a hospital directed-payment ceiling, not an actual payment or FQHC revenue.

Before
CMS approved nearly $8B through Florida's hospital Directed Payment Program for the 2024-25 service period
After
CMS approved up to $7.883B for Florida's hospital Directed Payment Program across the 2024-25 rating period
Centers for Medicare & Medicaid Services (CMS)

Removed · August 25, 2026

Florida

Retired the secondary KidCare fact-check because AHCA's live eligibility page and the separately retained procedural ruling now provide the bounded current guidance.

PolitiFact

Corrected · August 25, 2026

Florida

Removed the unsupported inference that Florida's county Medicaid obligation competes with local health spending; the official figures remain useful only for monitoring later county appropriations and contracts.

Before
a rising mandatory Medicaid transfer competes directly with that discretionary county health spending.
After
This is a county-government obligation, not FQHC funding or a documented cut to a local health program.
Florida Office of Economic & Demographic Research

Added · August 25, 2026

Florida

Added AHCA's October 1, 2026 Children's Medical Services Plan transition from Sunshine to Molina, with a provider checklist for contracting, portals, billing and authorizations and only deidentified exception tracking.

Florida Agency for Health Care Administration (AHCA)

Added · August 25, 2026

Florida

Added AHCA's live KidCare eligibility boundary: the public page still describes subsidized coverage through 200% of poverty and $15 or $20 family premiums; the official application and eligibility system control individual decisions.

Florida Agency for Health Care Administration (AHCA)

Corrected · August 25, 2026

Florida

Bounded the KidCare ruling as procedural reporting that directs families to the administrative process; it does not promise eligibility or a legal outcome, and Talent must not collect family eligibility evidence.

Before
No appeal ruling, administrative decision or implementation date is reported.
After
No later appeal ruling, administrative decision or implementation date was found in this sweep
WLRN / News Service of Florida

Corrected · August 25, 2026

Florida

Reframed the reimbursement dispute from Pediatric Associates' first-party notice as claimant allegations—not adjudicated facts or an FQHC rate change—and limited operational use to each center's own contracts and remittances.

Before
Florida's Largest Medicaid Pediatric Provider Challenges AHCA Over ~15% Rate Cuts, Warning of ~$15M a Month in Lost Funding
After
Pediatric Associates alleges Florida's 2025 Medicaid formula reduced its core pediatric reimbursement by about 15%
Pediatric Associates

Corrected · August 25, 2026

Florida

Removed the KidCare comparison and unsupported pattern claim; the retained record is a secondary report about Polk County's adult safety-net plan, not Medicaid, KidCare, or an FQHC contract.

Before
Polk County raises its own free health plan to 300% of poverty — the exact threshold Florida just declined to implement statewide — as county Medicaid enrollment falls by 15,502
After
Polk County raises its local health-plan income limit to 300% of poverty as reported Medicaid enrollment falls
WUSF / Health News Florida

Corrected · August 25, 2026

Florida

Replaced the prior no-recipient-list statement with Florida's official Year 1 rural award release and three-page recipient list, while withholding any inference of executed agreements, cash receipt, service delivery, staffing, capacity or outcomes.

Before
Florida announces $188M in rural health transformation awards — health centers are an eligible awardee category, but not one is named
After
Florida's official Year 1 rural award list now names community health-center operators and exact amounts
Executive Office of the Governor of Florida

Corrected · August 25, 2026

Georgia

Corrected August 25, 2026.

Before
Georgia's five-year $1.4B GREAT Health application proposes 29 projects; provider payments face a 15% cap
After
Georgia's accessible GREAT application shows 29 projects and a $218.862M Year 1 budget—not a final five-year $1.4B award
Georgia Department of Community Health — GREAT Health

Corrected · August 25, 2026

Georgia

Corrected August 25, 2026.

Before
Georgetown analysis: Pathways enrolled just over 8,000 people after two years
After
GAO found under 3,500 full-year-equivalent Pathways enrollees in the first 15 months and 67.5% administrative spending in its reporting window
U.S. Government Accountability Office

Corrected · August 25, 2026

Georgia

Corrected August 25, 2026.

Before
St. Mary's Sacred Heart ends maternity services as rural Georgia labor-and-delivery access contracts
After
St. Mary's consolidated Sacred Heart labor-and-delivery and Lavonia OB/GYN care into Athens in late October 2025
St. Mary's Health Care System

Removed · August 25, 2026

Georgia

Removed August 25, 2026.

KFF

Corrected · August 25, 2026

Georgia

Corrected August 25, 2026.

Before
GREAT Health Round 4 opens surgical-robot and telehealth grants from June 15 to July 15
After
Georgia signs $26M in GREAT surgical-robot awards for thirteen hospitals; no health center is named
Georgia Department of Community Health — GREAT Health

Corrected · August 25, 2026

Georgia

Corrected August 25, 2026.

Before
Georgia's final FY2027 budget includes two 5% primary-care rate increases and 124 residency slots
After
Georgia's signed FY2027 budget funds FQHC prospective-payment increases and 105 usable primary-care residency slots
Office of the Governor of Georgia — signed HB 974

Corrected · August 25, 2026

Georgia

Corrected August 25, 2026.

Before
Georgia Pathways work-rule amendment heads to an August 13 vote: HIV/AIDS is absent, while Attachment B includes parent SUD codes but omits narrower codes
After
Georgia's proposed January 2027 Pathways rule remains pending CMS; it includes a 30-day response period and $580 income alternative
Georgia Department of Community Health

Corrected · August 25, 2026

Georgia

Corrected August 25, 2026.

Before
Georgia Governor Candidates Clash Over Medicaid Expansion — Bottoms Vows to Scrap Pathways, Jackson Rejects Full Expansion
After
Georgia governor candidates offer different Medicaid paths; campaign positions are not current program authority
Georgia Public Broadcasting

Corrected · August 25, 2026

Georgia

Corrected August 25, 2026.

Before
DCH says the final application deadline has closed and it expects to announce Phase 4 year-one awards soon, completing initial distribution of the Year 1 award.
After
That named-recipient review is not proof that health centers were ineligible, and the $103.8 million was an as-of-July-23 cumulative figure rather than the final year-one total.
Georgia Department of Community Health

Corrected · August 25, 2026

Georgia

Corrected August 25, 2026.

Before
Georgia Medicaid MCOs Cut Pediatric Therapy Rates 20% as Nearly 8,000 Providers Face Suspension and 60,000+ More Are at Risk Over Revalidation
After
Georgia Medicaid suspends past-due provider enrollment; claims dated July 1 or later are not paid until revalidation
Georgia Department of Community Health

Corrected · August 25, 2026

Georgia

Corrected August 25, 2026.

Before
Georgia's Proposed Medicaid Work-Requirement Rule Omits HIV From "Medically Frail" Exemptions; DCH Board Votes August 13
After
Georgia's proposed Pathways frailty attachments do not list HIV; the change still requires CMS approval
Georgia Department of Community Health

Corrected · August 25, 2026

Georgia

Corrected August 25, 2026.

Before
National Health Center Week: MedLink Georgia Spotlights 38-Site Northeast Georgia Network Amid Care-Delay Concerns
After
MedLink's current primary-care page lists 35 locations, Medicaid acceptance and sliding-fee access
MedLink Georgia

Corrected · August 25, 2026

Massachusetts

Corrected August 25, 2026.

Before
Massachusetts health centers face a paused 340B rebate pilot, more frequent renewals, and commercial underpayment
After
HRSA announces a revised 340B rebate pilot planned for January 2027
Health Resources and Services Administration

Corrected · August 25, 2026

Massachusetts

Corrected August 25, 2026.

Before
MassHealth's 340B point-of-sale exclusion began July 3 for specified primary-payer claims; final rulemaking remains unconfirmed
After
Final MassHealth pharmacy rules confirm the July 3 340B point-of-sale exclusion
MassHealth

Corrected · August 25, 2026

Massachusetts

Corrected August 25, 2026.

Before
Healey signs the $63.4B FY2027 budget without vetoes; MassHealth adult dental benefit capped at $1,750
After
MassHealth and Health Safety Net adult dental services now share a $1,750 annual limit
MassHealth

Corrected · August 25, 2026

Massachusetts

Corrected August 25, 2026.

Before
Massachusetts sends the health-care-worker assault bill to conference as H 4767 / S 3184, with the chambers split between a felony and a misdemeanor — FQHC applicability still unestablished
After
Workplace-violence bills reach conference with FQHC coverage explicit only in the Senate text
Massachusetts Legislature

Corrected · August 25, 2026

Massachusetts

Corrected August 25, 2026.

Before
Massachusetts House Passes Primary Care Bill Requiring Commercial Insurers to Match MassHealth Rates for Community Health Centers
After
S.3141 and H.5630 primary-care packages enter conference; House text includes a community-health-center rate floor
Massachusetts Legislature

Corrected · August 25, 2026

Massachusetts

Corrected August 25, 2026.

Before
Lynn Community Health Center wins $3.7M over four years to expand its high-school health-careers fellowship — a health center growing its own hiring pool
After
Atrius Foundation commits $3.7M over four years to expand Lynn's youth health-careers fellowship
Atrius Health Equity Foundation

Corrected · August 25, 2026

Massachusetts

Corrected August 25, 2026.

Before
A named Massachusetts FQHC puts a caveat on the Senate primary-care bill: commercial-rate parity is worth little when 80% of your revenue is Medicaid
After
New Bedford FQHC warns that commercial-rate parity alone does little for a Medicaid-heavy revenue mix
WBUR

Corrected · August 25, 2026

North Carolina

Corrected August 25, 2026.

Before
NC Attorney General Jeff Jackson seeks injunction against CMS's stricter 'medically frail' test, warns counties face millions in new Medicaid administrative costs
After
NC Attorney General challenges CMS's medical-frailty standard; state source flags added documentation burdens for patients and clinicians
North Carolina Department of Justice

Corrected · August 25, 2026

North Carolina

Corrected August 25, 2026.

Before
Manatt raises its North Carolina work-requirement coverage-loss projection to 289,000 — and the state's own Medicaid director says the sickest face the highest barriers
After
Manatt models an average annual NC Medicaid enrollment reduction of 289,000 under CMS's interim work-rule approach — 64,000 beyond its statutory-baseline scenario
Manatt Health

Corrected · August 25, 2026

North Carolina

Corrected August 25, 2026.

Before
Dogwood Health Trust notifies NC Attorney General that HCA is in 'potential noncompliance' with the Mission Hospital sale agreement as CMS termination clock ran to July 26
After
Dogwood and its independent monitor identify two areas of potential HCA/Mission sale-agreement noncompliance for 2025
Dogwood Health Trust / Affiliated Monitors, Inc.

Corrected · August 25, 2026

North Carolina

Corrected August 25, 2026.

Before
Piedmont Health plans Epic and MyChart go-live for August 4, 2026
After
Piedmont Health reports that its Epic and MyChart transition went live August 4, 2026
Piedmont Health Services Inc.

Corrected · August 25, 2026

North Carolina

Corrected August 25, 2026.

Before
NC opens RHTP grant window to expand school health centers into rural areas — up to $1.25M for five sites, applications due August 12
After
NC's $1.25M rural school-health grant application window closed August 12; awards are not yet identified on the source page
NCDHHS Office of Rural Health

Corrected · August 25, 2026

Ohio

Corrected August 25, 2026.

Before
Ohio's FY2026-2027 budget (HB 96) funds OACHC-run FQHC workforce initiative and school-based care
After
Ohio's enacted FY2026–2027 budget appropriates about $2.70M a year for OACHC-run FQHC clinical rotations
Ohio Legislative Service Commission

Corrected · August 25, 2026

Ohio

Corrected August 25, 2026.

Before
Ohio report attributes 290,000 projected coverage losses and risk to 31 hospitals, clinics and providers
After
Protect Our Care's advocacy tracker lists 38 Ohio providers facing closure, cuts or risk; it is not a verified closure count
Protect Our Care

Corrected · August 25, 2026

Ohio

Corrected August 25, 2026.

Before
Primary Health Solutions announces plan to acquire South Community Behavioral Health
After
South Community now confirms it is a Primary Health Solutions company, superseding the April acquisition plan
South Community Behavioral Health

Corrected · August 25, 2026

Ohio

Corrected August 25, 2026.

Before
HealthSource of Ohio schedules a five-stop Mobile Vision program for patients ages 5–21
After
HealthSource of Ohio's five-stop summer Mobile Vision schedule ended July 24; the page does not establish current availability
HealthSource of Ohio

Corrected · August 25, 2026

Ohio

Corrected August 25, 2026.

Before
The Centers plans a $34.3M Glick Recovery Campus with 24/7 crisis care
After
The Centers schedules the Glick Recovery Campus for 24/7 crisis access beginning September 14; services are not yet live
The Centers

Corrected · August 25, 2026

Ohio

Corrected August 25, 2026.

Before
Commonwealth Fund: H.R. 1 and Expired ACA Credits Could Cost Ohio 51,000 Jobs and $4.4B in Federal Funds by 2029
After
Commonwealth Fund models 51,200 fewer Ohio jobs and a $4.4B net federal-funding loss in 2029 under a combined policy scenario
The Commonwealth Fund

Corrected · August 25, 2026

Ohio

Corrected August 25, 2026.

Before
Worries Grow for 100,000+ Ohio Medicaid Home-Care Recipients as State Weighs Cuts
After
Ohio's enacted budget maintains Medicaid HCBS rate increases; it does not document an announced home-care benefit cut
Ohio Legislative Service Commission

Corrected · August 25, 2026

Oregon

Corrected August 25, 2026.

Before
Separate duties to designate nonpublic areas and maintain law-enforcement-response policies apply to hospitals.
After
Hospital-only duties to designate nonpublic areas and maintain law-enforcement-response policies should not be assigned to FQHCs as though the statute made them universal.
Oregon Legislative Assembly

Corrected · August 25, 2026

Oregon

Corrected August 25, 2026.

Before
OHA proposes redirecting a ~$170M primary-care incentive flow during federal implementation
After
Spring 2026 budget confirms a CCO quality-incentive-pool change, not a published $170M FQHC cut
Oregon Health Authority

Corrected · August 25, 2026

Oregon

Corrected August 25, 2026.

Before
Healthier Oregon's 2025–27 current-service baseline reaches $1.3B, including $1.1B General Fund
After
One LFO review publishes conflicting Healthier Oregon current-service totals; neither is a current clinic-loss figure
Oregon Legislative Fiscal Office

Corrected · August 25, 2026

Oregon

Corrected August 25, 2026.

Before
Providence exits most Oregon insurance lines — 421,000 covered lives, including 58,406 OHP members, must transition by 2027
After
Providence updates 2027 transition: Medicaid members remain with Health Share; no 2026 action now
Providence Health Plan

Corrected · August 25, 2026

Oregon

Corrected August 25, 2026.

Before
Manufacturer challenges to Oregon's 340B contract pharmacy law reach fully briefed summary judgment — amici back the state
After
Oregon 340B contract-pharmacy challenge remains pending; federal court schedules September 28 argument
U.S. District Court for the District of Oregon

Corrected · August 25, 2026

Oregon

Corrected August 25, 2026.

Before
Oregon outlines 2027 OHP activity reviews and October 2028 copay exemptions
After
Oregon's April OHP instructions remain useful, but later CMS guidance must be checked before individualized advice
Oregon Health Authority

Corrected · August 25, 2026

Oregon

Corrected August 25, 2026.

Before
Merkley and Wyden cite federal grant delays and an 11% La Pine Health Center workforce reduction
After
Historical February 2025 record: senators cited grant delays and an 11% La Pine workforce reduction
Sen. Jeff Merkley

Corrected · August 25, 2026

Oregon

Corrected August 25, 2026.

Before
Oregon awards $97.1M in Rural Health Transformation sub-grants — 136 projects in every county, with direct grants for rural clinics
After
OHA announces about $97.1M for 136 additional rural-health projects; final grant totals remain conditional
Oregon Health Authority

Corrected · August 25, 2026

Oregon

Corrected August 25, 2026.

Before
Hillsboro Medical Center closes its 21-bed geriatric psychiatry unit, removing inpatient behavioral-health capacity from the Portland metro
After
Hillsboro Medical Center says its 21-bed geriatric psychiatry service will end September 4
Hillsboro Medical Center

Corrected · August 25, 2026

Oregon

Corrected August 25, 2026.

Before
Kotek's Medicaid panel spares Healthier Oregon from its cut list as WWeek analysis shows the fiscal arithmetic behind the $421M hole
After
Healthier Oregon was absent from the advisory panel's options, but no final 2027–29 decision is established
Willamette Week

Corrected · August 25, 2026

Oregon

Corrected August 25, 2026.

Before
OHA cancels planned layoffs but must still find ~$90M in savings — administrative capacity question hangs over OHP as federal changes loom
After
Reporting says OHA paused planned layoffs while an approximately $90M savings target remained unresolved
The Lund Report / OPB

Corrected · August 24, 2026

California

Corrected August 24, 2026.

Before
A California staffing-ratio law is shrinking the psychiatric beds FQHCs refer into — and it is behind Sharp's August cuts
After
California's acute psychiatric staffing ratios took effect June 1 — verify local referral capacity instead of inferring bed loss
California Department of Public Health

Corrected · August 24, 2026

California

Corrected August 24, 2026.

Before
AltaMed Data Breach Reported — Largest CA FQHC Confirms Patient Data Exposure
After
AltaMed's notice says a December 14 cyber incident limited systems and some patient information may have been accessed
AltaMed Health Services Corporation

Corrected · August 24, 2026

California

Corrected August 24, 2026.

Before
'I Feel Helpless Sometimes': A San Joaquin Valley FQHC Confronts the July 1 Medi-Cal Dental Cut
After
Altura's March dental concern is human context — current DHCS guidance keeps full dental through June 30, 2027
KVPR (Valley Public Radio)

Corrected · August 24, 2026

California

Corrected August 24, 2026.

Before
Bay Area Community Health Confirms TriZetto Data Breach — SSN, Medicare Numbers, DOB, Insurance Data Exposed
After
BACH's January notice confirms a TriZetto vendor incident — distinguish possible data involvement from evidence of misuse
Bay Area Community Health / California DOJ

Corrected · August 24, 2026

California

Corrected August 24, 2026.

Before
California's June 11 Budget Deal Delays the ~$1B FQHC Reimbursement Cut by 12 Months — a $1.034 Billion General-Fund Reprieve for Health Centers, Plus the MCO Tax and Softened Immigrant Cuts
After
California's Enacted 2026–27 Budget Keeps State-Only FQHC/RHC PPS and Full Adult Dental Through June 2027 — Four Transition Dates Must Stay Separate
California Department of Health Care Services — enacted 2026–27 Budget Act highlights

Corrected · August 24, 2026

California

Corrected August 24, 2026.

Before
California's enacted 2026-27 budget carries $15M for promotora workforce training — the affirmative answer to the May Revision omission we flagged June 4
After
California enacted $15M for promotora workforce training and expansion — HCAI administration is confirmed; no application path is published
California Legislature — SB 111, Chapter 21 (Budget Act of 2026)

Corrected · August 24, 2026

California

Corrected August 24, 2026.

Before
CalMatters: "California nearly achieved universal healthcare. Now, millions are losing coverage" — a named St. John's Community Health clinic anchors the retrospective
After
UC Berkeley/UCLA CalSIM: California's under-65 uninsured population is projected to rise by 2.2 million to 4.6 million by 2030
UC Berkeley Labor Center / UCLA Center for Health Policy Research

Corrected · August 24, 2026

California

Corrected August 24, 2026.

Before
Central California Alliance for Health opens Round 3 of its capacity grants — CHW recruitment, provider recruitment, and health IT — with an August 18 deadline
After
Central California Alliance Round 3 applications closed August 18; award decisions are scheduled for October 30
Central California Alliance for Health

Corrected · August 24, 2026

California

Corrected August 24, 2026.

Before
CHCF: California's immigrant Medi-Cal expansion population fell from 1.7 million to 1.4 million
After
CHCF/Culture IQ: 39 interviews identify trusted, in-language Medi-Cal guidance as an access need — not a prevalence estimate
California Health Care Foundation / Culture IQ Group

Corrected · August 24, 2026

California

Corrected August 24, 2026.

Before
Chicken Ranch Rancheria breaks ground on a $32M Tribal FQHC in Jamestown — nearly 20,000 square feet, BHCIP-funded, with staff already grown from 22 to 101
After
California confirms the Mathiesen Memorial Health and Wellness Center groundbreaking — nearly $14M in BHCIP Round 5 supports 24 outpatient slots projected to serve 4,608 people annually
California Governor's Office / DHCS

Corrected · August 24, 2026

California

Corrected August 24, 2026.

Before
CMS defers $867.5M in federal Medicaid funds from California DHCS, with a July 31 documentation deadline on the largest line
After
CMS's $867.5M California deferral is a pending-documentation notice, not an FQHC payment cut
CMS / California Department of Health Care Services

Corrected · August 24, 2026

California

Corrected August 24, 2026.

Before
DHCS comment window on CalAIM Community Supports updates closed July 31 — track the final guide and prepare for the end-2026 housing-service sunset
After
DHCS still lists the July Community Supports changes as proposed after the comment window closed
California Department of Health Care Services

Corrected · August 24, 2026

California

Corrected August 24, 2026.

Before
Bay Area clinics race to keep immigrants enrolled in Medi-Cal as ICE fear keeps eligible patients away
After
La Clínica's October 2025 enrollment campaign illustrates a renewal-workflow need — use current DHCS category guidance now
El Tímpano

Corrected · August 24, 2026

California

Corrected August 24, 2026.

Before
Fear of ICE Drives Patient No-Shows at California FQHCs — Providers Report Surging Missed Appointments
After
St. John's reported a one-week June 2025 cancellation spike amid raid fear — a historical case, not a current statewide metric
CalMatters

Corrected · August 24, 2026

California

Corrected August 24, 2026.

Before
Kheir Clinic Koreatown Frontline Crisis — Assisting 60-100/Day with Medi-Cal Navigation, Expanded Patient Resources Staff 25-30%
After
Kheir reported 60–100 daily resource visits and a 25–30% staffing response in May — local workload evidence, not a statewide rate
American Community Media / AsAmNews

Corrected · August 24, 2026

California

Corrected August 24, 2026.

Before
86,000+ Undocumented Californians Dropped or Denied Medi-Cal in Jan-Feb 2026 — First Hard Numbers Since UIS Freeze
After
Public Health Watch calculated an 86,000 January-February enrollment change — descriptive evidence, not a causal FQHC forecast
KVPR / Public Health Watch

Corrected · August 24, 2026

California

Corrected August 24, 2026.

Before
La Clínica de La Raza Reports Data Breach Affecting Patient Records
After
La Clínica's January notice confirms a TriZetto vendor breach affecting some patients — not access to every record
La Clínica de La Raza

Clarified · August 24, 2026

California

Separated the August 24 source-review date from the October 1 policy deadline so machine-readable freshness does not move into the future.

Before
DHCS says federal law narrows federally funded full-scope Medicaid eligibility for certain immigration categories starting October 1, 2026.
After
The same guidance says affected adults receive state-funded full-scope Medi-Cal through June 30, 2027; starting July 1, 2027, they are limited to emergency and pregnancy-related services.
California Department of Health Care Services — current Medi-Cal member guidance

Corrected · August 24, 2026

California

Preserved the August 24 publication chronology while presenting October 1 as the policy deadline through the public record's supported date field.

Before
DHCS says federal law narrows federally funded full-scope Medicaid eligibility for certain immigration categories starting October 1, 2026.
After
The same guidance says affected adults receive state-funded full-scope Medi-Cal through June 30, 2027; starting July 1, 2027, they are limited to emergency and pregnancy-related services.
California Department of Health Care Services — current Medi-Cal member guidance

Corrected · August 24, 2026

California

Corrected August 24, 2026.

Before
LifeLong Medical Care consolidates Howard Daniel staff and services into its East Oakland Health Center beginning August 10
After
LifeLong says Howard Daniel Health Center has moved into its East Oakland site
LifeLong Medical Care

Status changed · August 24, 2026

Illinois

Corrected August 24, 2026.

Before
Illinois opens $28.2M in Rural Health Transformation planning grants for 97 rural hospitals; window closed June 17
After
HFS sets a $356,853.07 planning amount per reviewed rural-hospital application; funds still require notice and grant agreement
Illinois Department of Healthcare and Family Services (HFS)

Removed · August 24, 2026

Illinois

Removed August 24, 2026.

KFF

Status changed · August 24, 2026

Illinois

Corrected August 24, 2026.

Before
HFS starts direct notice campaign before Oct. 1 Medicaid eligibility loss for many noncitizens
After
August 10 HFS notice says coverage ends September 30 for affected noncitizens and points to FQHCs and free clinics
Illinois Department of Healthcare and Family Services (HFS)

Corrected · August 24, 2026

Illinois

Corrected August 24, 2026.

Before
Howard Brown CEO warns federal cuts threaten Medicaid access and HIV progress; 40% of patients rely on Medicaid
After
Howard Brown publishes an LGBTQ+ Medicaid-change roadmap and enrollment help; the cited 40% figure is not its patient mix
Howard Brown Health

Status changed · August 24, 2026

Illinois

Corrected August 24, 2026.

Before
Gov. Pritzker approves Illinois HB 2371, adding 340B contract-pharmacy protections and narrower FQHC reporting duties
After
Public Act 104-0758 adds 340B contract-pharmacy protections and staged FQHC reporting duties
Illinois General Assembly (Public Act 104-0758)

Status changed · August 24, 2026

Illinois

Corrected August 24, 2026.

Before
HFS HR 1 series reaches work-requirement module; exemptions session July 22 and renewals session Aug. 20
After
HFS resource center posts work and exemption materials; the August 20 renewals module still lacks a recording
Illinois Department of Healthcare and Family Services (HFS)

Corrected · August 24, 2026

Illinois

Corrected August 24, 2026.

Before
CMS proposes Medicaid provider-tax rule naming Illinois as one of two large states most exposed to the cuts
After
HFS says enacted provider-tax limits could reduce Illinois federal support by nearly $5B in the first five years
Illinois Department of Healthcare and Family Services (HFS)

Status changed · August 24, 2026

Illinois

Corrected August 24, 2026.

Before
West Suburban Medical Center's Campus Shutdown Forces PCC Community Wellness Center to Urgently Relocate Three In-Hospital Clinics
After
PCC posts Lake Street as the replacement care location for services previously offered at West Suburban
PCC Community Wellness Center

Corrected · August 24, 2026

Michigan

Corrected August 24, 2026.

Before
Safety-net leaders press Lansing to route Whitmer's $11.7M Medicaid-support fund to community outreach as 355K face coverage loss
After
Signed FY2027 budget provides $20M for community health navigators
Office of Governor Gretchen Whitmer

Corrected · August 24, 2026

Michigan

Corrected August 24, 2026.

Before
The July 2, 2026 Senate Fiscal Agency HHS conference report totals $30.706808 billion gross and $7.4632081 billion GF/GP for FY2026-27.
After
The Senate Fiscal Agency's final HHS decision document records $54.2717 million gross and $40 million GF/GP for H.R. 1 implementation, including 421 limited-term FTEs, plus a one-time $1.5 million payment to MPCA for health-center careers training.
Michigan Senate Fiscal Agency

Corrected · August 24, 2026

Michigan

Corrected August 24, 2026.

Before
Michigan awarded $173.1M for FY2026 under the Rural Health Transformation Program
After
Michigan's Rural Health Transformation Program lists a $173.1M FY2026 budget period
Michigan Department of Health and Human Services

Corrected · August 24, 2026

Michigan

Corrected August 24, 2026.

Before
Michigan Medicaid rolls drop 5% — 149,000 fewer enrollees before work requirements even begin
After
MDHHS publishes the July 2026 Medicaid and Healthy Michigan Plan enrollment report
Michigan Department of Health and Human Services

Corrected · August 24, 2026

Michigan

Corrected August 24, 2026.

Before
Michigan's $75.2B FY2027 budget includes $185M for Medicaid stabilization and $184.3M for federal-requirement readiness
After
Signed FY2027 budget provides $184.3M for federal health and food-assistance changes
Office of Governor Gretchen Whitmer

Corrected · August 24, 2026

Michigan

Corrected August 24, 2026.

Before
MDHHS policy bulletin MMP 26-20 expands coverage for qualified Medicaid-enrolled pharmacists to order and administer immunizations and certain COVID-19 and influenza tests, prescribe antivirals based on test results, and counsel on and prescribe self-administered hormonal contraceptives.
After
MDHHS bulletin MMP 26-20 expands covered services for qualified Medicaid-enrolled pharmacists beginning July 1, 2026, subject to CMS approval.
Michigan Department of Health and Human Services

Corrected · August 24, 2026

Michigan

Corrected August 24, 2026.

Before
MDHHS says that beginning January 1, 2027, some Healthy Michigan Plan members ages 19–64 must meet work requirements or qualify for an exemption.
After
MDHHS says the requirement begins January 1, 2027 for some Healthy Michigan Plan members ages 19–64.
Michigan Department of Health and Human Services

Corrected · August 24, 2026

Michigan

Corrected August 24, 2026.

Before
MDHHS opens $34M Rural Health Transformation 'Workforce for Wellness' grant round from Michigan's $173.1M RHTP award
After
Michigan posts conditional Rural Health Transformation awards, including FQHC and workforce projects
Michigan Department of Health and Human Services

Corrected · August 24, 2026

Michigan

Corrected August 24, 2026.

Before
A KFF Health News investigation published by Michigan Public on July 20 describes individual cases in which people with disabilities were denied Medicaid or placed in more limited coverage and then needed attorney or advocate intervention.
After
KFF Health News reports an individual Michigan case in which disability was not recognized, the wrong income treatment was applied and a Medicaid denial was later reversed after advocacy.
Michigan Public / KFF Health News (contract corroboration: Michigan State Administrative Board)

Corrected · August 24, 2026

Michigan

Corrected August 24, 2026.

Before
PointCare says the Michigan Primary Care Association selected it as a partner for proactive, automated coverage management and that Michigan health centers can access pre-negotiated pricing through the partnership.
After
PointCare says MPCA selected it for a coverage-management partnership and that Michigan health centers can obtain pre-negotiated pricing.
PointCare / Michigan Primary Care Association

Corrected · August 24, 2026

Michigan

Corrected August 24, 2026.

Before
Cherry Health, Michigan's Largest FQHC, Discloses a Second Network Intrusion — Data Accessed and Copied in April 2026
After
Cherry Health says information was accessed and copied during April network activity; review remains preliminary
Cherry Health (preliminary breach notice)

Corrected · August 24, 2026

Michigan

Corrected August 24, 2026.

Before
Michigan moves other non-citizens to emergency-services-only Medicaid on October 1, 2026, and cuts Healthy Michigan retroactive coverage from 90 days to 30
After
Michigan sets October 2026 emergency-only coverage change and January 2027 retroactive limits
Michigan Department of Health and Human Services

Corrected · August 24, 2026

Michigan

Corrected August 24, 2026.

Before
Grace Health reports 124,300 visits, 29,400 patients and a nearly 400-person workforce in 2024
After
Grace Health reports 122,900 visits and nearly 29,700 patients in 2025
Grace Health

Corrected · August 24, 2026

Michigan

Corrected August 24, 2026.

Before
Michigan Hospital Association Warns a State Price-Cap Package Could Cost ~21,600 Jobs and Push Half of Hospitals Into the Red
After
MHA estimates pending hospital price bills could reduce revenue by $2.3B and affect 21,600 jobs
Michigan Health & Hospital Association

Corrected · August 24, 2026

Michigan

Corrected August 24, 2026.

Before
MDHHS shifts to active notification of about 700,000 Healthy Michigan Plan members a week before the federal work-requirement rule takes effect — and one outlet reports the hours requirement wrong
After
MDHHS publishes work-requirement preparation notice and partner toolkit
Michigan Department of Health and Human Services

Corrected · August 24, 2026

Michigan

Corrected August 24, 2026.

Before
Planned Parenthood of Michigan closes clinics in Lansing, Livonia and Warren, halving its footprint to seven amid $5.6M in uncompensated care
After
Oakland County approves up to $1.5M for Planned Parenthood services in Ferndale through August 2028
Oakland County, Michigan

Corrected · August 24, 2026

Michigan

Corrected August 24, 2026.

Before
Michigan opens a $12M Rural Health Transformation transportation-access grant — 15 awards, applications due Aug 12, FQHCs eligible
After
Michigan lists a conditional $1M rural transportation award under Care Closer to Home
Michigan Department of Health and Human Services

Corrected · August 24, 2026

New York

Corrected August 24, 2026.

Before
Final $268.5B FY2027 budget includes $80M for FQHCs but no targeted Essential Plan relief
After
FY2027 enacted budget reports $80M for FQHC investment; distribution mechanics remain unstated
Office of Governor Kathy Hochul

Corrected · August 24, 2026

New York

Corrected August 24, 2026.

Before
New York seeks a five-year 1115 extension, separating a $1.5B DSHP rollover from $672M in unclaimed authority as CMS forces workforce programs to wind down
After
New York's five-year 1115 extension request remains a draft after its August 21 public-comment close
New York State Department of Health

Source updated · August 24, 2026

New York

Source link updated August 24, 2026.

Before
CMS approves New York's July 1 return to Basic Health Program authority
After
CMS approves New York's July 1 return to Basic Health Program authority
New York State Department of Health

Source updated · August 24, 2026

New York

Source link updated August 24, 2026.

Before
NYSDOH posts an August 1 FQHC Medicaid rate schedule; the posting alone does not prove the FY2027 $80M increase is incorporated
After
NYSDOH posts an August 1 FQHC Medicaid rate schedule; the posting alone does not prove the FY2027 $80M increase is incorporated
New York State Department of Health

Corrected · August 24, 2026

New York

Corrected August 24, 2026.

Before
New York opens $76.2M rural-integration round; applications due July 14
After
New York reviews 91 rural-integration applications covering 141 projects; awards remain pending
New York State Department of Health

Corrected · August 24, 2026

New York

Corrected August 24, 2026.

Before
Federal judge denies the 26-plaintiff bid — New York included — to pause the Medicaid work-requirement rule; ~844,000 New Yorkers remain subject
After
Federal court denies the states' work-rule injunction without prejudice; New York's merits challenge continues
U.S. District Court for the District of Massachusetts (ECF No. 94)

Status changed · August 24, 2026

Pennsylvania

Corrected August 24, 2026.

Before
Pennsylvania opens $1.8M FQHC-only EHR and health-information-exchange opportunity
After
Pennsylvania moves the $1.8M FQHC EHR and exchange window to Past Opportunities
Pennsylvania Department of Human Services

Status changed · August 24, 2026

Pennsylvania

Corrected August 24, 2026.

Before
Pennsylvania awarded $193M in year-one Rural Health Transformation funds, up to ~$1B over five years
After
Pennsylvania's first-year Rural Health Transformation award totals $193,294,053.98
Pennsylvania Department of Human Services

Status changed · August 24, 2026

Pennsylvania

Corrected August 24, 2026.

Before
160,000 Pennsylvanians dropped Pennie marketplace coverage after enhanced subsidies expired
After
Pennie reports 422,869 enrollees on August 1 and more than 191,000 cancellations during 2026
Pennie

Corrected · August 24, 2026

Pennsylvania

Corrected August 24, 2026.

Before
Pennsylvania races to build Medicaid work-requirement systems for 750,000 expansion enrollees
After
Pennsylvania DHS describes a Medicaid work-rule implementation population of about 750,000 expansion adults
Pennsylvania Department of Human Services

Corrected · August 24, 2026

Pennsylvania

Corrected August 24, 2026.

Before
Pennsylvania's rural plan leaves school-based health centers outside its initial design
After
A May source review finds school-based health centers absent from Pennsylvania's initial rural-health plan
90.5 WESA (Pittsburgh NPR)

Corrected · August 24, 2026

Pennsylvania

Corrected August 24, 2026.

Before
Pennsylvania's enacted budget defers $2.6B in Medicaid managed-care payments over two years and flat-funds the primary care loan-repayment program
After
Pennsylvania's rural-health office reports a $2.6B managed-care deferral and an unchanged $8.35M primary-care loan program
Pennsylvania Office of Rural Health (Penn State)

Status changed · August 24, 2026

Pennsylvania

Corrected August 24, 2026.

Before
CHDC posts three remaining summer mobile-dental dates at the Pottstown campus
After
CHDC lists one remaining August mobile-dental date at the Pottstown campus
Community Health and Dental Care, Inc.

Source updated · August 24, 2026

Pennsylvania

Source link updated August 24, 2026.

Before
Pennsylvania's Fiscal Watchdog: Medicaid Enrollment Has Already Fallen by ~100,000 — Before Work Requirements Even Take Effect
After
Pennsylvania IFO measures a 99,700-person Medicaid enrollment decline from April 2025 to April 2026
Pennsylvania Independent Fiscal Office

Source updated · August 24, 2026

Pennsylvania

Source link updated August 24, 2026.

Before
Philadelphia Inquirer documents a three-day QCHC West Lehigh closure and some missed paychecks after a Section 330 suspension tied to overdue audits
After
QCHC currently lists Meade and Cooke as temporarily closed and tells patients to call before traveling
Quality Community Health Care

Status changed · August 24, 2026

Pennsylvania

Corrected August 24, 2026.

Before
Pennsylvania's rural-health award record names three health-center organizations across five award lines — correcting the read that the state's RHTP money went hospital-first
After
Pennsylvania's $43M rural-project record names three health-center organizations across five award lines
Pennsylvania Department of Human Services

Corrected · August 24, 2026

Pennsylvania

Corrected August 24, 2026.

Before
WellSpan draws $2.8M in Pennsylvania's first named RHTP sub-award, as the state's parallel interoperability windows give FQHCs $1.8M against $25M
After
WellSpan confirms $2.8M in RHTP awards across three named rural-hospital projects
WellSpan Health

Corrected · August 24, 2026

Texas

Corrected August 24, 2026.

Before
Texas ACA Marketplace Enrollment Falls 4% — Its First Decline Since 2019 — as Enhanced Subsidies Expire; ~900K Never Effectuated
After
Texas February Marketplace Effectuated Enrollment Was 3.28M in 2026 — 4% Below 2025 and Distinct From Plan Selections
Centers for Medicare & Medicaid Services

Corrected · August 24, 2026

Texas

Corrected August 24, 2026.

Before
Texas NP/PA Full-Practice-Authority Bills All Died Again (89th Lege) — Physician-Delegation Model Stays
After
Texas HB 3794 Did Not Become Law in the 89th Legislature — APRN Delegation Rules Remain
Texas Legislature Online

Corrected · August 24, 2026

Texas

Corrected August 24, 2026.

Before
Texas Sets 180-Hour CHW/Promotor(a) Curriculum; Training Centers Must Align by Aug. 1, 2026
After
Texas's 180-Hour CHW/Promotor(a) Curriculum Is in Effect — Pre-February 2026 Graduates Have a Transition Path
Texas DSHS — CHW Program

Corrected · August 24, 2026

Texas

Corrected August 24, 2026.

Before
ICE Detains Patient in Austin FQHC Parking Lot; CommUnityCare Reports Rising No-Shows and Patient Fear
After
CommUnityCare Reports a Parking-Lot Immigration Detention and More Missed or Canceled Visits
KXAN (NBC Austin)

Corrected · August 24, 2026

Texas

Corrected August 24, 2026.

Before
Georgetown CCF: Texas's Youngest Children Are Losing Coverage — Under-6 Uninsured Rate Jumped From 7.9% to 10.8%, Adding 73,000+ Uninsured Young Kids
After
Georgetown CCF: Texas Had the Nation's Highest Reported Under-6 Uninsured Rate in 2024, at 10.8%
Georgetown University Center for Children and Families

Corrected · August 24, 2026

Texas

Corrected August 24, 2026.

Before
HealthPoint (Brazos Valley FQHC) Names Mary Wauters Permanent CEO
After
HealthPoint's Current Leadership Page Identifies Mary Wauters as CEO
HealthPoint

Corrected · August 24, 2026

Texas

Corrected August 24, 2026.

Before
Operation Border Health Opens Three Days of No-Cost Care Across South Texas, July 21–23
After
Operation Border Health 2026 Served 2,565 People Across Five South Texas Sites — 11,838 Services Reported
Texas Department of State Health Services

Corrected · August 24, 2026

Texas

Corrected August 24, 2026.

Before
Rural and Exurban Texas Lose ACA Marketplace Enrollees Even as Statewide Enrollment Rises 5% — Bastrop Down 17%, Caldwell Down 10%
After
CMS Open-Enrollment Plan Selections Fell in Rural and Exurban Texas Even as Statewide Selections Rose — Bastrop Down 17%, Caldwell Down 10%
The Daily Yonder

Corrected · August 24, 2026

Texas

Corrected August 24, 2026.

Before
27 Texas FQHCs Launch the TACHC ACO in the 2025 MSSP — 8,800 Medicare Beneficiaries ('My Texas My Health')
After
TACHC Reports 27 My Texas My Health Participants in Its 2025 MSSP Application, Covering About 9,000 Beneficiaries
Texas Association of Community Health Centers

Corrected · August 24, 2026

Texas

Corrected August 24, 2026.

Before
TMHP's IAMOnline Activation Email Landed August 18 — the Legitimate Okta Message Billing Teams Should Not Mistake for Phishing, Six Days Before the August 24 Cutover
After
TMHP IAMOnline Release 4 Takes Effect August 24 — Verify Activation Through TMHP Before Using an Email Link
Texas Medicaid & Healthcare Partnership (TMHP)

Corrected · August 24, 2026

Texas

Corrected August 24, 2026.

Before
TMHP Moves LTC, EVV and Care Forms Applications to IAMOnline With MFA on August 24
After
TMHP Release 4 Is Effective August 24 for LTC, EVV and Care Forms — Confirm Access and Assigned Roles
Texas Medicaid & Healthcare Partnership (TMHP)

Corrected · August 24, 2026

Wisconsin

Corrected August 24, 2026.

Before
DHS Operations Memo 26-24, issued June 12, implements Wisconsin's postpartum-coverage policy effective June 1, 2026. Most full-benefit BadgerCare Plus and Medicaid members who were pregnant or gave birth receive coverage through the end of the month containing the 365th postpartum day. Members pregnant or within the prior 60-day postpartum period on June 1 were extended automatically, and members whose postpartum coverage otherwise ended May 31 received 10 additional months. The memo lists progr
After
DHS Operations Memo 26-24 implements Wisconsin's postpartum-coverage policy effective June 1, 2026. Most full-benefit BadgerCare Plus and Medicaid members whose pregnancy ended receive coverage through the end of the month containing the 365th postpartum day. Members pregnant or within the prior 60-day postpartum period on June 1 were extended automatically, and members whose coverage was scheduled to end May 31 received 10 additional months. A person whose postpartum coverage ended March 31 or
Wisconsin DHS

Status changed · August 24, 2026

Wisconsin

Corrected August 24, 2026.

Before
Wisconsin DHS opens $40M across three Rural Health Transformation grant opportunities
After
Wisconsin's initial $40M rural-health grant windows are closed; awards and implementation are not established
Wisconsin DHS

Status changed · August 24, 2026

Wisconsin

Corrected August 24, 2026.

Before
Wisconsin offers up to $10M for rural dental technology; eligible FQHC applications due July 27
After
Wisconsin closes its $10M rural-dental technology window; a submitted application is not an award
Wisconsin DHS

Corrected · August 24, 2026

Wisconsin

Corrected August 24, 2026.

Before
Wisconsin DHS said benefit-increase letters were sent to outdated addresses before the agency discovered the issue on April 30 and stopped the mailings. On June 30 it notified 8,157 Medicaid Supplemental Security Income members whose personal information may have been accessed by unauthorized people, offering one year of free credit monitoring and a dedicated call center. The release does not connect the incident to work-requirement systems or quantify any effect on health centers.
After
Wisconsin DHS said benefit-increase letters were sent to outdated addresses before the agency discovered the issue on April 30 and stopped the mailings. On June 30 it notified 8,157 Medicaid Supplemental Security Income members whose personal information may have been accessed by unauthorized people, offering one year of free credit monitoring and a dedicated call center. A person who received the official notice or has incident questions can call DHS at 800-362-3002; FQHC Talent does not need t
Wisconsin DHS

Status changed · August 24, 2026

Wisconsin

Corrected August 24, 2026.

Before
Wisconsin DHS posts Medicaid work-requirement screener; potentially affected members get letters in August–September
After
Wisconsin posts its August work-rule notice: no action now, with an individual follow-up before renewal
Wisconsin DHS

Corrected · August 24, 2026

Wisconsin

Corrected August 24, 2026.

Before
Beginning January 1, 2027, a nonexempt new BadgerCare Plus applicant subject to the requirement must show at least 80 hours of qualifying activity in the immediately preceding month or at least $580 in monthly income. For most existing members, the earliest application is March 1, 2027 at the first renewal after March begins; DHS says they must show 80 hours in one month since their last approval, not report 80 hours every month. The exact affected population and any administrative-discontinuati
After
Beginning January 1, 2027, a nonexempt new BadgerCare Plus applicant subject to the requirement must qualify in the preceding calendar month through 80 hours of combined activity, at least half-time education or at least $580 in income. For renewals due March 31 or later, a current member must qualify in any one month since the prior approval, not every month. DHS says it will first use available data, including claims, to determine compliance or an exemption and ask the member to act only when
Wisconsin DHS

Status changed · August 24, 2026

Wisconsin

Corrected August 24, 2026.

Before
Wisconsin offers up to $61M for rural technology transformation; applications due August 1
After
Wisconsin's first rural-technology round is closed; up to $61M was limited to preidentified applicants
Wisconsin Department of Health Services

Source updated · August 24, 2026

Wisconsin

Source link updated August 24, 2026.

Before
Wisconsin's 2026 Marketplace plan selections fall below 290,000; effectuated enrollment was not yet known
After
CMS records 257,619 Wisconsin Marketplace enrollees effectuated in January 2026 and 245,753 in February
Centers for Medicare & Medicaid Services (CMS)

Source updated · August 24, 2026

Wisconsin

Source link updated August 24, 2026.

Before
Access Community Health Centers' Hypertension Control Team receives WPHCA's 2025 Performance Excellence Award
After
Access Community Health Centers' Hypertension Control Team receives WPHCA's 2025 Performance Excellence Award
Wisconsin Primary Health Care Association (WPHCA)

Status changed · August 24, 2026

Wisconsin

Corrected August 24, 2026.

Before
Scenic Bluffs posts 2026 monthly dental-registration windows as its growing team supports daily exam appointments
After
Scenic Bluffs' next dental-registration window is September 1–2; registration is not an appointment
Scenic Bluffs Health Center Inc.

Status changed · August 24, 2026

Wisconsin

Corrected August 24, 2026.

Before
Sixteenth Street launches its first APP fellowship cohort with two fellows
After
Sixteenth Street's first two APP fellows remain in a 52-week program; Fall 2026 applications are closed
Sixteenth Street Community Health Centers

Status changed · August 23, 2026

Tennessee

Updated the live RHTP procurement list from six July tracks to the five tracks displayed on August 11 and removed the stale application-window claim.

Before
Six July RHTP procurements target eConsult, navigation, transportation, pregnancy technology, and innovation support
After
TDH now lists five RHTP procurement tracks but no award, contract value, or deadline on its own page
Tennessee Department of Health — Procurement Opportunities

Status changed · August 23, 2026

Tennessee

Updated the grant status to show that all three displayed deadlines had passed by August 6 and that the source still announced no awards.

Before
Service Line and Co-Location window closed July 13; award status and scope remain to be verified
After
TDH's three displayed RHTP grant deadlines passed by August 6; the page does not announce awards
Tennessee Department of Health — Procurement Opportunities

Status changed · August 23, 2026

Tennessee

Extended the verified FQHC eligibility statement to statewide RAMP applications while preserving registration, live-window, entitlement, award, and payment boundaries.

Before
FQHCs are explicitly eligible for Tennessee RHTP sub-awards, but state registration is a pre-award gate
After
FQHCs remain eligible for Tennessee RHTP sub-awards and statewide RAMP applications, with registration still a pre-award gate
Tennessee Department of Health — Procurement Opportunities

Status changed · August 23, 2026

Tennessee

Replaced the expired eight-window grant snapshot with TDH's August 11 RAMP funding frame and explicit no-award limits.

Before
Current state portal lists eight RHTP competitive grant windows, not the previously reported seven
After
TDH adds a $104.4 million RAMP funding frame, including $100 million for rural capital and $4.43 million for seed grants
Tennessee Department of Health — Procurement Opportunities

Status changed · August 23, 2026

Tennessee

Updated the live closure notice to record Sheffield's July 21 closure and the passed East High effective date while preserving uncertainty about East High's current operating status.

Before
Christ Community schedules permanent closure of two Memphis school-based health centers for July 24
After
Christ Community now records Sheffield closed July 21 and an East High closure effective July 24
Christ Community Health Services — School-Based Health Center Closure Notice

Status changed · August 23, 2026

Tennessee

Advanced the plan-year 2027 filing timeline into final federal review and retained the guardrail that proposed issuer increases are not approved statewide rates.

Before
Tennessee's 2027 Marketplace rate cycle is still under review; proposed increases are not final rates
After
Tennessee's 2027 Marketplace rate cycle is in final federal review; proposed increases remain nonfinal
Tennessee Department of Commerce and Insurance — Plan Year 2027 ACA filing guideline

Corrected · August 20, 2026

Iowa

Corrected August 20, 2026.

Before
Current Iowa guidance sets an 80-hour monthly IHAWP requirement by December 1, 2026 and lists exclusions
After
Iowa's 80-hour IHAWP requirement starts December 1 — and the state has still not published how members report their hours
Iowa Department of Health and Human Services

Corrected · August 20, 2026

South Dakota

Corrected August 20, 2026.

Before
DSS details January 2027 expansion rules: 80 monthly hours or equivalent paths, exemptions, and six-month renewals
After
DSS starts notifying affected Medicaid Expansion enrollees in September, ahead of the January 2027 work requirement
South Dakota Department of Social Services

Corrected · August 19, 2026

California

Corrected after the August 13 suspense hearing: three of the four bills in this package were held in committee and are dead for the session.

Before
A four-bill California package designed to blunt H.R. 1's Medi-Cal damage advanced through Appropriations (May 14) and onto floor votes the week of May 22-26
After
THREE OF THE FOUR ARE DEAD. At the Aug 13 suspense hearing AB 2208, AB 2201 and SB 1202 were all held in committee; only AB 2161 survived (as amended)
AB 2208 bill record (claim source)Senate Approps Aug 13 suspense results (official)

Corrected · August 19, 2026

California

Corrected August 19, 2026.

Before
Clinicas del Camino Real, the primary FQHC in the area, would face emergency overflow.
After
the facility would include urgent care, imaging and diagnostic services, a laboratory and pharmacy, and would operate extended daytime and evening hours
HCAI

Clarified · August 17, 2026

California

Clarified this California record's source-boundary sentence: it now states plainly that the item cites a coalition budget summary and that the enacted Budget Act is the primary instrument to confirm the figure against. No figure, date, source, or scope changed.

Before
California's enacted 2026-27 budget carries $15M for promotora workforce training — the affirmative answer to the May Revision omission we flagged June 4
After
California's enacted 2026-27 budget carries $15M for promotora workforce training — the affirmative answer to the May Revision omission we flagged June 4
California EDGE Coalition

Corrected · August 16, 2026

Arizona

Corrected August 16, 2026.

Before
AHCCCS files draft 1115 waiver renewal for 2027–2032 — public comment open through Sept 6, CMS submission due Sept 30
After
Arizona draft 1115 waiver renewal remains open for comment through September 6 before a planned CMS submission
AHCCCS (Arizona Health Care Cost Containment System)

Corrected · August 16, 2026

Arizona

Corrected August 16, 2026.

Before
Arizona advances its nearly $167M first-year rural-health program with July meetings and new solicitations
After
Arizona lists a $166.99M first-year rural-health award and an October 30 obligation target
Arizona AHCCCS

Corrected · August 16, 2026

Arizona

Corrected August 16, 2026.

Before
Arizona opens $72.4M in Rural Health Transformation grant applications — health centers explicitly eligible, deadlines Aug 7–21
After
Seven Arizona rural-health grant programs totaling $89.4M remained open on August 16, with deadlines through August 31
AHCCCS (Arizona Health Care Cost Containment System)

Source updated · August 16, 2026

Delaware

Source link updated August 16, 2026.

Before
Westside opens its Dover health-center food-pantry expansion
After
Westside opens its Dover health-center food-pantry expansion
Westside Family Healthcare

Corrected · August 16, 2026

Delaware

Corrected August 16, 2026.

Before
Westside reports more than $32,000 raised for rural farmworker outreach
After
Westside's 2025 Farm to Fork event was organized to support rural farmworker outreach
Westside Family Healthcare

Corrected · August 16, 2026

Florida

Corrected August 16, 2026.

Before
Federal court vacates and remands HRSA's 340B rebate-model pilot; HHS is reconsidering a future model
After
HRSA launches a revised 340B rebate-model pilot with manufacturer plans due August 24
Health Resources and Services Administration (HRSA)

Corrected · August 16, 2026

Florida

Corrected August 16, 2026.

Before
As a non-expansion state with the country's largest marketplace, Florida is the single most exposed in the US, and its FQHCs are the front-line absorber of the newly uninsured.
After
FPI says providers statewide, especially those serving low-to-moderate-income and rural communities, would face the pressure; it does not quantify FQHC-specific exposure or observed 2026 coverage loss, cost or utilization.
Florida Policy Institute

Corrected · August 16, 2026

Florida

Corrected August 16, 2026.

Before
KFF reports six carrier exits from 2027 ACA Marketplaces nationally; the linked brief does not identify a Florida exit
After
KFF now identifies Cigna Health Group as a Florida ACA Marketplace exit for 2027
KFF

Corrected · August 16, 2026

Florida

Corrected August 16, 2026.

Before
Initial 2027 ACA rate filings became publicly checkable for every state on July 31 — Florida's numbers were not yet posted as of July 27
After
Florida OIR posts a 2027 ACA plan-year section, but its statewide premium tables are not yet linked
Florida Office of Insurance Regulation

Corrected · August 16, 2026

Florida

Corrected August 16, 2026.

Before
AHCA documents Florida's $209M Rural Health Transformation program across 15 initiatives; posted RFA deadline has passed
After
AHCA says Florida's Year 1 rural-health subawards are awarded, but its linked release does not identify recipients
Florida Agency for Health Care Administration (AHCA)

Corrected · August 16, 2026

Florida

Corrected August 16, 2026.

Before
Florida judge refuses to order the KidCare expansion implemented, routing families to administrative court — about 68,000 uninsured children remain locked out of the 2023 law
After
Florida judge declines to compel KidCare expansion and directs families to the administrative process
WLRN / News Service of Florida

Corrected · August 16, 2026

Florida

Corrected August 16, 2026.

Before
Premier received $336,000 for a planned Dade City behavioral-health clinic, but opening remains unverified
After
Premier lists Dade City Behavioral Health & Pharmacy as ‘Coming Soon’ with a 2026 opening anticipated
Premier Community Healthcare Group Inc.

Corrected · August 16, 2026

Federated States of Micronesia

Corrected August 16, 2026.

Before
U.S.–FSM Compact meeting focused on overdue audits and finalizing the FY2026 implementation plan
After
Interior says JEMCO reviewed and approved FSM's FY2026 budget proposal and strategic development plan
U.S. Department of the Interior

Corrected · August 16, 2026

Federated States of Micronesia

Corrected August 16, 2026.

Before
Current federal country guidance documents basic-care and air-evacuation limits across FSM
After
Current federal guidance documents uneven health-facility access and patient-paid transfers across FSM
U.S. Department of State

Corrected · August 16, 2026

Kansas

Corrected August 16, 2026.

Before
Kansas CHW + Food is Medicine RFA offered $1.03M for about seven rural awards; July 17 decision remained tentative
After
KDHE awards $1,007,152 to seven rural organizations for Community Health Workers and Accountable Food is Medicine
Kansas Department of Health and Environment (KDHE)

Corrected · August 16, 2026

Kansas

Corrected August 16, 2026.

Before
CHC/SEK assumes Ascension St. John Primary Care in Independence; building and land are donated
After
CHC/SEK announced an Ascension primary-care transfer and donated Independence clinic property
Community Health Center of Southeast Kansas (CHC/SEK)

Corrected · August 16, 2026

Kansas

Corrected August 16, 2026.

Before
Kansas HB 2731 takes effect July 1 with verification and waiver controls; several Medicaid changes wait until Jan. 1, 2027
After
Kansas HB 2731 takes effect July 1 with monthly state death-record checks and separate quarterly Medicaid checks in 2027
Kansas Health Institute

Corrected · August 16, 2026

Kansas

Corrected August 16, 2026.

Before
Kansas RHTP reaches three dated grant checkpoints: Emerging Technology closes, transport stays open, and CHW + food awards remain tentative
After
Kansas RHTP posts seven CHW + food awards; transport awards remain anticipated Aug. 28 and no Emerging Technology recipients are posted
Kansas Department of Health and Environment (KDHE)

Corrected · August 16, 2026

Kansas

Corrected August 16, 2026.

Before
Kansas cyclosporiasis cases jump to 289 in lettuce-linked national outbreak — providers must report within 24 hours
After
KDHE's July 22 snapshot counts 289 Kansas cyclosporiasis cases and keeps 24-hour provider reporting in force
Kansas Department of Health and Environment (KDHE)

Corrected · August 16, 2026

Kansas

Corrected August 16, 2026.

Before
KanCare begins verifying members' immigration status under H.R. 1 — members told to expect letters and respond promptly
After
KanCare tells members they may receive an immigration-status call or letter and must respond promptly
KanCare / Kansas Department of Health and Environment (KDHE)

Source updated · August 16, 2026

Montana

Source link updated August 16, 2026.

Before
Montana's current RHTP page confirms a $233.5M first-year award and says specific subaward decisions remain pending
After
Montana's RHTP FAQ outlines five initiatives and says specific subaward decisions remain pending
Montana Department of Public Health and Human Services

Corrected · August 16, 2026

Montana

Corrected August 16, 2026.

Before
Montana's work requirements are live with the state half-staffed — and Cover Montana, which helped 50,000+ people enroll, cut from ~18 navigators to one
After
Montana had hired a little over half its planned eligibility workers as work requirements began; Cover Montana fell from about 18 staff to one
Montana Public Radio

Corrected · August 16, 2026

Palau

Corrected August 16, 2026.

Before
HRSA's FY2024 fact sheet records $1.41M for Palau's Health Center Program awardee
After
HRSA's FY2025 fact sheet records $1.38M for Palau's Health Center Program awardee
Health Resources and Services Administration

Corrected · August 16, 2026

Palau

Corrected August 16, 2026.

Before
USTDA awards $2.37M for new Belau National Hospital feasibility study
After
Palau awards the USTDA-backed national-hospital feasibility study contract
U.S. Trade and Development Agency

Corrected · August 16, 2026

Virginia

Corrected August 16, 2026.

Before
Uninsured patients crossed 50% at Richmond's Daily Planet, and Virginia health centers project a combined $36M annual reimbursement loss
After
Daily Planet's uninsured patient share rose from 36% in 2024 to more than 50%; Virginia health centers project a combined $36M annual reimbursement loss
The Richmonder

Corrected · August 16, 2026

Virginia

Corrected August 16, 2026.

Before
Tri-Area Community Health opens new school-based health centers in Floyd and Patrick counties in August — expanding school-based care as Southwest Virginia CHS retrenches
After
Tri-Area Community Health now lists Floyd and Patrick County school clinics as open to students and staff
Tri-Area Community Health

Corrected · August 16, 2026

Virginia

Corrected August 16, 2026.

Before
Virginia adds $6.6M per year in state HIV funding to offset federal Ryan White Part B cuts — Daily Planet Health Services among 14 recipients
After
VDH distributes $6.6M annually in state funds for Ryan White Part B services; Daily Planet is among Grant Year 2026 recipients
Virginia Department of Health

Corrected · August 16, 2026

Washington

Corrected August 16, 2026.

Before
Washington Healthplanfinder reports 28,000+ cancellations and 40,000 fewer tax-credit recipients
After
Washington's 2026 preview reports more than 28,000 active coverage drops and nearly 39,000 fewer tax-credit recipients
Washington Health Benefit Exchange

Corrected · August 16, 2026

Washington

Corrected August 16, 2026.

Before
Apple Health Expansion remains closed while HCA describes a proposed limited-benefit transition
After
Washington's final 2026 budget directs a fee-for-service Apple Health Expansion transition and 5,000-person January enrollment
Washington State Legislature

Corrected · August 16, 2026

Washington

Corrected August 16, 2026.

Before
The linked summary does not support the prior claim's additional $19.8 million, 1,200-person, $15 million, or omitted-340B-proposal assertions, so those figures are not carried forward here.
After
The governor's official summary identifies $55 million for Cascade Care premium assistance, $19.8 million for continued state-funded coverage for about 1,200 people who became ineligible for federal coverage, and $15 million for Planned Parenthood after federal Medicaid funding was withheld.
Office of Governor Bob Ferguson

Corrected · August 16, 2026

Washington

Corrected August 16, 2026.

Before
HCA's program page identifies the federal award as $181,257,515.06 and the funding period as 2026–2030.
After
Washington HCA's current Rural Health Transformation page reports a first-year federal award of $181,257,515.06, funded 100% by CMS/HHS, and organizes the program into six initiatives.
Washington State Health Care Authority

Corrected · August 16, 2026

Washington

Corrected August 16, 2026.

Before
Spokane Court Orders Washington to Repay CHAS $4.1M — HCA Used Stale Enrollment Data to Calculate FQHC Supplemental Medicaid Payments
After
CHAS counsel says a Spokane court ordered $4.1M in Medicaid wraparound underpayments
Feldesman (counsel for CHAS)

Corrected · August 16, 2026

Washington

Corrected August 16, 2026.

Before
HealthPoint plans a fall 2026 Kent East Hill clinic, with pharmacy and dental services expected in 2027
After
HealthPoint lists Kent East Hill as operating, while pharmacy and dental services remain planned for 2027
HealthPoint

Corrected · August 16, 2026

Washington

Corrected August 16, 2026.

Before
A widely circulated figure of roughly 20,000 affected Apple Health enrollees appears in secondary coverage attributed to HCA but does NOT appear anywhere in this deck, so it is deliberately not carried here.
After
The deck names no health center or clinic-revenue effect, does not contain the widely circulated 20,000-person Apple Health estimate, and labels its information preliminary and subject to final CMS guidance and rulemaking.
Washington State Health Care Authority

Corrected · August 16, 2026

Washington

Corrected August 16, 2026.

Before
The event elevates political pressure ahead of the same October 1 Apple Health eligibility cliff tracked separately by HCA.
After
The source does not report an observed coverage loss, an FQHC-specific workload or revenue effect, or a health outcome.
Office of Rep. Pramila Jayapal (WA-07)

Corrected · August 16, 2026

Washington

Corrected August 16, 2026.

Before
Washington OFM: H.R. 1 Medicaid Changes Could Cost Hospitals Up to $1.3B a Year as Gov. Ferguson Signals Budget Cuts, Not New Taxes
After
Washington OFM estimates federal changes could reduce state hospital-safety-net savings by up to $226M and affect hospitals by up to $1.3B per year
Washington State Office of Financial Management

Corrected · August 16, 2026

Washington

Corrected August 16, 2026.

Before
Providence Swedish will phase out family medicine residencies at three Seattle community health centers by 2029 — 18 training slots serving high-need populations
After
KNKX reports Providence Swedish will phase out 18 family-medicine residency slots at three Seattle community health centers by 2029
KNKX Public Radio

Status changed · August 15, 2026

Alaska

Updated Alaska's RHTP record from the July application-stage checkpoint to the state's August 7 start of weekly public funding decisions.

Before
Alaska's live RHTP page records 403 implementation and 28 planning-pathway advances; awards still unposted July 15
After
Alaska begins weekly publication of Rural Health Transformation funding decisions
Alaska Department of Health

Status changed · August 15, 2026

Louisiana

Updated Louisiana's rural-transformation application record after all four first-year windows reached their published August deadlines.

Before
Four Louisiana rural-care transformation applications remain open in August after question periods closed
After
Louisiana's four first-year rural-transformation application windows closed by August 14
Louisiana Department of Health

Corrected · August 10, 2026

Georgia

Corrected August 10, 2026.

Before
Georgia's Medicaid work-requirement State Plan Amendment goes to a DCH board vote August 13 — and advocates find HIV/AIDS and base substance-use-disorder codes missing from both medical-frailty attachments
After
Georgia Pathways work-rule amendment heads to an August 13 vote: HIV/AIDS is absent, while Attachment B includes parent SUD codes but omits narrower codes
Georgia Department of Community Health

Corrected · August 10, 2026

Georgia

Corrected August 10, 2026.

Before
On July 21, 2026 the Georgia Department of Community Health announced $30.6 million in Phase 2 GREAT Health (Georgia Rural Enhancement and Transformation of Health) awards to 26 organizations, bringing total year-one commitments to $43.3 million; the application window for this final year-one phase ran June 15–July 15, 2026.
After
On July 16, 2026 the Georgia Department of Community Health announced $30.6 million in Phase 2 GREAT Health (Georgia Rural Enhancement and Transformation of Health) awards to 26 organizations, bringing total year-one commitments to $43.3 million.
Georgia Department of Community Health

Corrected · August 10, 2026

Illinois

Corrected August 10, 2026.

Before
Illinois 340B contract-pharmacy protection bill (HB 2371) passes both chambers, awaits Gov. Pritzker
After
Gov. Pritzker approves Illinois HB 2371, adding 340B contract-pharmacy protections and narrower FQHC reporting duties
Illinois General Assembly

Corrected · August 10, 2026

Massachusetts

Corrected August 10, 2026.

Before
MassHealth proposes a point-of-sale 340B reimbursement restriction; provider groups seek a one-year moratorium
After
MassHealth's 340B point-of-sale exclusion began July 3 for specified primary-payer claims; final rulemaking remains unconfirmed
MassHealth (Pharmacy Facts 274, corrected May 8, 2026)

Corrected · August 10, 2026

New York

Corrected August 10, 2026.

Before
New York formally requests a five-year 1115 waiver extension — hearings Jul 31 & Aug 11, comments through Aug 21; $2.2B in DSHP authority sought, but state workforce loan-repayment programs will close out
After
New York seeks a five-year 1115 extension, separating a $1.5B DSHP rollover from $672M in unclaimed authority as CMS forces workforce programs to wind down
New York State Department of Health (Full Public Notice, NYS Register)

Corrected · August 10, 2026

New York

Corrected August 10, 2026.

Before
NYSDOH posts current FQHC Medicaid rate workbooks in five alphabetic groups
After
NYSDOH posts an August 1 FQHC Medicaid rate schedule; the posting alone does not prove the FY2027 $80M increase is incorporated
New York State Department of Health

Corrected · August 10, 2026

Ohio

Corrected August 10, 2026.

Before
Ohio reported selecting a one-month lookback and four optional hardship exceptions for 2027 Medicaid work rules — the hardship half is now disputed
After
A May report says Ohio chose a one-month lookback and four optional hardship exceptions; a later HPIO account conflicts and ODM has not published a decision
Springfield News-Sun

Corrected · August 10, 2026

Ohio

Corrected August 10, 2026.

Before
Ohio is NOT adopting H.R. 1's optional Medicaid hardship exemptions, ODM tells the state's policy institute — leaving ~15,200 enrollees in six high-unemployment counties to document compliance
After
HPIO reports that ODM will not adopt optional Medicaid hardship exemptions, but Ohio's published agency materials remain silent and a May report conflicts
Health Policy Institute of Ohio (HPIO)

Corrected · August 8, 2026

California

Corrected ca-ab-407-optometry-scope-expansion-2022 after a final source-to-claim review. The public record now states only what the cited evidence establishes and names the limits that still require local or independent verification.

Before
CA AB 407 (2021) Massively Expanded Optometry Scope — Anterior Segment Treatment, Oral Rx, Immunizations Including COVID Vaccines
After
CA AB 407 Changed Optometry Scope Effective 2022—Current Rules, Credentials, and Payer Treatment Still Require Review
California Legislature

Corrected · August 8, 2026

California

Corrected ca-sb-776-mobile-optometry-registry-2026 after a final source-to-claim review. The public record now states only what the cited evidence establishes and names the limits that still require local or independent verification.

Before
CA SB 776 Mobile Optometry Registry Effective Jan 1, 2026 — Enables Compliant Mobile Vision Vans for FQHC Partnerships
After
CA SB 776 Added a 2026 Mobile-Optometry Registration Framework—not Automatic Program Compliance
California Legislature

Corrected · August 8, 2026

California

Corrected calmatters-medi-cal-kids-vision-crisis-april-2026 after a final source-to-claim review. The public record now states only what the cited evidence establishes and names the limits that still require local or independent verification.

Before
CalMatters: Only 16% of CA Medi-Cal Kids Got Eye Exams 2022-2024, Down From 19% — Reimbursement Stuck at $47 for 25 Years
After
CalMatters Reported a 2022–24 Medi-Cal Children's Eye-Exam Access Signal—Not a Local Demand or Break-Even Finding
CalMatters

Corrected · August 8, 2026

California

Corrected san-ysidro-health-dres-pocai-rct-2026 after a final source-to-claim review. The public record now states only what the cited evidence establishes and names the limits that still require local or independent verification.

Before
San Ysidro Health Running DRES-POCAI RCT — 848 Patients, EyeArt Point-of-Care AI for Diabetic Retinopathy at CA FQHC
After
Published DRES-POCAI Protocol at San Ysidro Health—Completed Outcomes Not Yet Established
JAMA Network Open

Corrected · August 8, 2026

California

Corrected strategy-chw-outreach-undocumented after a final source-to-claim review. The public record now states only what the cited evidence establishes and names the limits that still require local or independent verification.

Before
Strategy: CHW Outreach to Undocumented Communities Post-Enrollment Freeze
After
Strategy: Immigration-Safe CHW Outreach Without Absolute Promises
National Immigration Law Center (legal guidance)

Removed · August 8, 2026

California

Retired this record from the California state-intelligence universe after source review showed that the cited NACHC paper is federal workforce-policy context and does not support the former California revenue tactics or estimates.

NACHC

Corrected · August 8, 2026

California

Corrected strategy-sliding-fee-pps-cuts after a final source-to-claim review. The public record now states only what the cited evidence establishes and names the limits that still require local or independent verification.

Before
As FQHCs plan around the national Community Health Center Fund cliff and state-level payer-rate uncertainty, the access question is practical: how much loss can the center absorb while maintaining sliding-fee access? Scenario tactics include maximizing 340B drug-pricing savings, renegotiating managed-care contracts to cross-subsidize, applying for HRSA New Access Points or expanded-scope grants, and partnering with county indigent-care programs for supplemental funding.
After
Treat funding-cliff planning as a scenario exercise, not a savings promise.
NACHC (funding context)

Corrected · August 8, 2026

California

Corrected strategy-undocumented-doors-open after a final source-to-claim review. The public record now states only what the cited evidence establishes and names the limits that still require local or independent verification.

Before
Strategy: Communicating to Undocumented Patients That FQHC Doors Stay Open
After
Strategy: Immigration-Enforcement Readiness Without Overpromising Privacy or Price
National Immigration Law Center (legal guidance)

Corrected · August 8, 2026

California

Corrected uhc-upn-200k-specialty-network-april-2026 after a final source-to-claim review. The public record now states only what the cited evidence establishes and names the limits that still require local or independent verification.

Before
United Health Centers' Unified Physicians Network (UPN) Manages 200K Central Valley Patients — IPA Model Reduces Specialty Wait From Months to Weeks
After
Business Journal Describes UPN's Specialty-Access Network; Financial Results Remain Unpublished
Business Journal

Corrected · August 8, 2026

California

Corrected united-health-centers-ipa-launch after a final source-to-claim review. The public record now states only what the cited evidence establishes and names the limits that still require local or independent verification.

Before
United Health Centers Launches For-Profit IPA: United Physicians Network
After
CHCF Market Report Documents United Health Centers' For-Profit IPA Launch; Results Are Not Published
California Health Care Foundation

Corrected · August 8, 2026

California

Corrected vision-to-learn-warby-parker-75-ca-districts-2025 after a final source-to-claim review. The public record now states only what the cited evidence establishes and names the limits that still require local or independent verification.

Before
Warby Parker Pupils Project Expanded to 75 California School Districts in 2025 — Largest School-Vision Footprint in CA
After
Vision To Learn Reports a Large California School-Vision Footprint—Local Capacity Requires Verification
Vision To Learn (organization-reported annual report)

Corrected · August 2, 2026

Arizona

Corrected the CMS-2454-IFC timing record against the printed DATES section at 91 FR 33348: comments were due July 31, 2026, and the rule also became effective July 31. The prior API-based claim that no comment deadline was published was wrong.

Before
The rule is effective July 31 (the Federal Register DATES section publishes an effective date only, with no comment-close date on record — verified 2026-07-22), and states covering the applicable adult group generally must implement community engagement no later than January 1, 2027.
After
Correction verified August 2 against the printed DATES section at 91 FR 33348: comments were due July 31, 2026, and the rule also became effective July 31; a prior version incorrectly relied on a null Federal Register API field and said no comment deadline was published.
Federal Register

Corrected · August 2, 2026

California

Hedged to UNCONFIRMED after a payment-claim verification pass found no source naming FQHCs, RHCs, health centers or the FQHC PPS in connection with billing CPT 92229.

Before
CPT 92229 (AI Diabetic Retinopathy Screening) — $50 Medicare + $100 Commercial in 2026, Highest-Margin Vision Code for FQHCs Without an OD
After
CPT 92229 (AI Diabetic Retinopathy Screening) — $50 Medicare + $100 Commercial in 2026, but FQHC Billing Eligibility Is UNCONFIRMED — Verify With Your MAC
American Academy of Ophthalmology / EyeNet — the item's own post-change sourceNoridian A58914 — Remote Imaging of the Retina (92229 x6, FQHC x0)

Corrected · August 2, 2026

California

Corrected an expired July 31 action: the public-comment window is closed, so the current next step is to preserve submissions, monitor DHCS for final guidance, and prepare for the end-2026 housing-service sunset.

Before
DHCS opens comment on CalAIM Community Supports Policy Guide updates — comments close July 31, and Volume 2 sunsets Short-term Post Hospitalization Housing at the end of 2026
After
DHCS comment window on CalAIM Community Supports updates closed July 31 — track the final guide and prepare for the end-2026 housing-service sunset
California Department of Health Care Services

Corrected · August 2, 2026

California

Corrected the expired CMS-2454-IFC action against the printed DATES section at 91 FR 33348: comments were due July 31, 2026, so teams should preserve submissions and track implementation guidance.

Before
It also links DHCS' H.R. 1 implementation plan and flags that public comment on CMS' June interim final work-requirements rule is open until July 31, 2026.
After
The federal comment window on CMS' interim final rule closed July 31, 2026; teams should now preserve submitted comments and track CMS and DHCS implementation guidance.
DHCS Medi-Cal eligibility federal-impact hubFederal Register, 91 FR 33348

Corrected · August 2, 2026

California

Corrected the work-requirement outreach timing: 42 CFR 435.561(b)(1) and CMS Table 2 do not create a universal August 31 deadline; initial outreach begins in July, August, or September according to the state's selected applicant lookback. The before snapshot preserves the superseded source wording.

Before
DHCS requires outreach June 30 – August 31, 2026.
After
The campaign launch is not evidence of a federal June 30–August 31 outreach mandate: official DHCS planning materials describe awareness texts beginning in July and estimated mailed notices in September.
Health Net / CenteneCMS-2454-IFC — 91 FR 33348 and 42 CFR 435.561(b)(1)

Corrected · August 2, 2026

Maryland

Corrected the work-requirement outreach timing: 42 CFR 435.561(b)(1) and CMS Table 2 do not create a universal August 31 deadline; initial outreach begins in July, August, or September according to the state's selected applicant lookback. The before snapshot preserves the superseded source wording.

Before
The rule applies January 1, 2027 and states must notify affected recipients by August 31, 2026
After
Correction verified August 2: the release described August 31 as a universal notification deadline, but 42 CFR 435.561(b)(1) and CMS Table 2 set initial outreach in July, August, or September according to the state's selected one-, two-, or three-month applicant lookback.
Office of the Attorney General of MarylandCMS-2454-IFC — 91 FR 33348 and 42 CFR 435.561(b)(1)

Corrected · August 2, 2026

Michigan

Corrected the work-requirement outreach timing: 42 CFR 435.561(b)(1) and CMS Table 2 do not create a universal August 31 deadline; initial outreach begins in July, August, or September according to the state's selected applicant lookback. The before snapshot preserves the superseded source wording.

Before
Operationally this is the shift from planning to live outreach, landing about a week before CMS-2454-IFC's July 31 effective date and roughly five weeks before the August 31 state-notification deadline.
After
Operationally, this is live early education about a week before CMS-2454-IFC's July 31 effective date; it does not by itself establish Michigan's federal initial-outreach deadline. Under 42 CFR 435.561(b)(1) and CMS Table 2, that month is July, August, or September according to the state's selected applicant lookback.
WNEM (corroborated by North Country CMH republication)CMS-2454-IFC — 91 FR 33348 and 42 CFR 435.561(b)(1)

Corrected · August 2, 2026

Minnesota

Corrected the work-requirement outreach timing: 42 CFR 435.561(b)(1) and CMS Table 2 do not create a universal August 31 deadline; initial outreach begins in July, August, or September according to the state's selected applicant lookback. The before snapshot preserves the superseded source wording.

Before
The Attorney General's release says Medical Assistance covers almost 1.2 million Minnesotans, or about one in five residents; work requirements begin January 1, 2027, and states must notify recipients by August 31, 2026.
After
Correction verified August 2: the release described August 31 as a universal notification deadline, but 42 CFR 435.561(b)(1) and CMS Table 2 set initial outreach in July, August, or September according to the state's one-, two-, or three-month applicant lookback.
Minnesota Attorney General's OfficeCMS-2454-IFC — 91 FR 33348 and 42 CFR 435.561(b)(1)

Corrected · August 2, 2026

New Jersey

Corrected the CMS-2454-IFC timing record against the printed DATES section at 91 FR 33348: comments were due July 31, 2026, and the rule also became effective July 31. The prior API-based claim that no comment deadline was published was wrong.

Before
CMS-2454-IFC is an interim final rule with comment period, published in the Federal Register on June 3 and effective July 31, 2026 (the Federal Register record publishes no comment-close date — verified 2026-07-22).
After
Correction verified August 2 against the printed DATES section at 91 FR 33348: comments were also due July 31; a prior version incorrectly relied on a null Federal Register API field and said no deadline was published.
Federal Register / CMS

Corrected · August 2, 2026

Nevada

Corrected the work-requirement outreach timing: 42 CFR 435.561(b)(1) and CMS Table 2 do not create a universal August 31 deadline; initial outreach begins in July, August, or September according to the state's selected applicant lookback. The before snapshot preserves the superseded source wording.

Before
Nevada joins challenge to CMS medically-frail work-rule provisions; Attorney General cites August 31 notice deadline
After
Nevada joins challenge to CMS medically-frail work-rule provisions; Attorney General release's notice-date claim is corrected
Office of the Nevada Attorney GeneralCMS-2454-IFC — 91 FR 33348 and 42 CFR 435.561(b)(1)

Corrected · August 2, 2026

New York

Corrected the CMS-2454-IFC timing record against the printed DATES section at 91 FR 33348: comments were due July 31, 2026, and the rule also became effective July 31. The prior API-based claim that no comment deadline was published was wrong.

Before
The June 29 correction (C1-2026-11094) preserves the July 31 effective date; the Federal Register record publishes no comment-close date, so any specific comment deadline is unverified (checked 2026-07-22).
After
Correction verified August 2 against the printed DATES section at 91 FR 33348: comments were due July 31, 2026, and the rule also became effective July 31; a prior version incorrectly relied on a null Federal Register API field and called the deadline unverified.
Federal Register / Centers for Medicare & Medicaid Services

Corrected · August 2, 2026

New York

Corrected the work-requirement outreach timing: 42 CFR 435.561(b)(1) and CMS Table 2 do not create a universal August 31 deadline; initial outreach begins in July, August, or September according to the state's selected applicant lookback. The before snapshot preserves the superseded source wording.

Before
Federal judge denies the 26-plaintiff bid — New York included — to pause the Medicaid work-requirement rule; ~844,000 New Yorkers subject as the Aug 31 outreach deadline holds
After
Federal judge denies the 26-plaintiff bid — New York included — to pause the Medicaid work-requirement rule; ~844,000 New Yorkers remain subject
STAT NewsCMS-2454-IFC — 91 FR 33348 and 42 CFR 435.561(b)(1)

Corrected · August 2, 2026

Rhode Island

Corrected the work-requirement outreach timing: 42 CFR 435.561(b)(1) and CMS Table 2 do not create a universal August 31 deadline; initial outreach begins in July, August, or September according to the state's selected applicant lookback. The before snapshot preserves the superseded source wording.

Before
The release says the work-requirement provision begins January 1, 2027 and states must notify members by August 31, 2026.
After
Correction verified August 2: the release described August 31 as a universal notification deadline, but 42 CFR 435.561(b)(1) and CMS Table 2 set initial outreach in July, August, or September according to the state's selected applicant lookback.
Rhode Island Attorney General's OfficeCMS-2454-IFC — 91 FR 33348 and 42 CFR 435.561(b)(1)

Corrected · August 2, 2026

Tennessee

Updated from the 2024 to the 2025 HRSA Uniform Data System reporting period, released July 30, 2026.

Before
HRSA's latest Tennessee baseline: 29 reporting health-center awardees served 433,231 patients
After
HRSA's 2025 Tennessee baseline: 29 reporting health-center awardees served 427,688 patients, down 5,543 from 2024
HRSA Uniform Data System — Tennessee state profile

Corrected · August 2, 2026

Tennessee

Updated from the 2024 to the 2025 HRSA Uniform Data System reporting period, released July 30, 2026.

Before
Tennessee health centers reported 141,502 uninsured patients in 2024—32.66% of all patients
After
Tennessee's health-center uninsured share fell to 30.38% in 2025 — the last reading before the ACA subsidy cliff, not evidence the crisis eased
HRSA Uniform Data System — Tennessee state profile

Removed · August 1, 2026

California

Removed a Rhode Island settlement record from California's state-intelligence ledger and retired its invalid California organization attribution; the separately scoped general-intelligence record now uses the official settlement site and labels court approval as unresolved.

Official BVCHC Data Incident Settlement FAQ

Corrected · July 31, 2026

Kentucky

Added a supersession caveat: the 4% fee-for-service reduction reported here was reversed by a $255 million state funding commitment on July 22, 2026, ten days before its August 1 effective date. The FQHC scoping in the original entry was correct and is unchanged.

Before
Kentucky's 4% fee-for-service Medicaid rate reduction covers 46 listed provider types beginning in August
After
Kentucky's 4% fee-for-service Medicaid rate reduction covers 46 listed provider types beginning in August
Louisville Public Media (LPM)Louisville Public Media — Beshear says he found funds to offset Medicaid cuts (July 22, 2026)

Corrected · July 31, 2026

Kentucky

Added a partial-supersession caveat: the Medicaid rate-reduction portion of this June 4 announcement was reversed on July 22, 2026 by a $255 million commitment. The source does not state whether the foster-care, TANF, senior-meals and social-worker reductions are also reversed, and the entry now says so explicitly.

Before
Beshear administration announces Medicaid and social-service reductions, with details still incomplete on June 4
After
Beshear administration announces Medicaid and social-service reductions, with details still incomplete on June 4
Kentucky LanternLouisville Public Media — Beshear says he found funds to offset Medicaid cuts (July 22, 2026)

Corrected · July 31, 2026

Kentucky

Added a supersession caveat: the June 8 Department for Medicaid Services letter setting a 4% reduction effective August 1 was superseded by the governor's July 22, 2026 commitment of $255 million to reverse it. Noted that no superseding provider letter has been observed.

Before
Official Medicaid letter sets a 4% rate reduction for listed provider types on August 1 or the earliest feasible date
After
Official Medicaid letter sets a 4% rate reduction for listed provider types on August 1 or the earliest feasible date
Kentucky Department for Medicaid ServicesLouisville Public Media — Beshear says he found funds to offset Medicaid cuts (July 22, 2026)

Corrected · July 31, 2026

Ohio

Material correction: the four-optional-hardship-exceptions half of this claim is now marked DISPUTED after the Health Policy Institute of Ohio reported, citing the Ohio Department of Medicaid, that Ohio is not adopting optional hardship exemptions. The conflict is stated rather than resolved; the one-month lookback is unchanged.

Before
Ohio selects a one-month lookback and four optional hardship exceptions for 2027 Medicaid work rules
After
Ohio reported selecting a one-month lookback and four optional hardship exceptions for 2027 Medicaid work rules — the hardship half is now disputed
Springfield News-SunHealth Policy Institute of Ohio (June 30, 2026) — the contradicting source

Clarified · July 31, 2026

Texas

Reframed the workforce constraint around Texas's own physician-delegation model and rural supervising-physician supply.

Before
Texas NP/PA Full-Practice-Authority Bills All Died Again (89th Lege) — Physician-Delegation Model Stays
After
Texas NP/PA Full-Practice-Authority Bills All Died Again (89th Lege) — Physician-Delegation Model Stays
Texas Legislature Online

Clarified · July 31, 2026

Texas

Reframed the coverage consequence around Texas's uninsured payer mix and enrollment friction.

Before
Texas Again Declines Medicaid Expansion — Eligibility-Simplification Bills Also Died (89th Lege)
After
Texas Again Declines Medicaid Expansion — Eligibility-Simplification Bills Also Died (89th Lege)
Cover Texas Now (coalition recap)

Corrected · July 22, 2026

Arizona

Corrected: July 31, 2026 is the CMS-2454-IFC effective date, not a comment deadline.

Before
CMS Publishes Medicaid Community Engagement Interim Final Rule — Arizona Must Implement by January 1, 2027
After
CMS Publishes Medicaid Community Engagement Interim Final Rule — Arizona Must Implement by January 1, 2027
Federal Register

Status changed · July 22, 2026

California

Status update: the Rialto health center opened July 21, 2026; re-sourced to the opening announcement.

Before
Neighborhood Healthcare Opens First San Bernardino County FQHC Site in Rialto — May 2026
After
Neighborhood Healthcare's Rialto health center is OPEN — San Bernardino County's first site for the org, opened July 21, 2026 (not May, as originally projected)
Neighborhood Healthcare

Corrected · July 22, 2026

New Jersey

Corrected: the Federal Register record publishes no comment-close date for CMS-2454-IFC.

Before
CMS community-engagement rule takes effect July 31; states must implement by January 1, 2027
After
CMS community-engagement rule takes effect July 31; states must implement by January 1, 2027
Federal Register / CMS

Corrected · July 22, 2026

New York

Corrected: the June 29 correction preserves the July 31 effective date only; no comment date is on record.

Before
CMS sets January 2027 community-engagement start and a notice-first workflow
After
CMS sets January 2027 community-engagement start and a notice-first workflow
Federal Register / Centers for Medicare & Medicaid Services

Corrected · July 19, 2026

Mississippi

Corrected July 19, 2026.

Before
Mississippi opens workforce and psychiatric-emergency rural-health rounds through August 17
After
Mississippi Rural Health Transformation Program opens workforce and psychiatric-emergency rounds through August 17
Mississippi Rural Health Transformation Program Office

Corrected · July 19, 2026

Mississippi

Corrected the newsletter layout: six named clinical staff are presented as newest employees and three as returning personnel, rather than leaving all nine personnel actions unresolved.

Before
Aaron E. Henry newsletter identifies nine clinical personnel across four clinic settings
After
Aaron E. Henry newsletter identifies six new and three returning clinical staff across four reported work settings
Aaron E. Henry Community Health Services Center, Inc. newsletter, page 4

Corrected · July 19, 2026

Pennsylvania

Corrected July 19, 2026.

Before
Pennsylvania DHS maintains separate 340B billing instructions for Medicaid fee-for-service and managed care
After
Pennsylvania DHS maintains separate 340B billing instructions for Medicaid fee-for-service and managed care
Pennsylvania Department of Human Services

Corrected · July 19, 2026

Texas

Corrected July 19, 2026.

Before
Texas Medicaid requires modifier U8 when an FQHC bills a contraceptive device purchased through 340B
After
Texas Medicaid requires modifier U8 when an FQHC bills a contraceptive device purchased through 340B
Texas Medicaid & Healthcare Partnership (TMHP)

Corrected · July 17, 2026

Marshall Islands

An independent source-scope audit corrected the mission location from an unsupported physical placement at Ebeye Hospital to the source-backed scope: in Ebeye with hospital leadership and staff.

Before
MoHHS reports 264 eye-care patients, 96 cataract surgeries and 133 dental patients during an Ebeye mission
After
MoHHS reports 264 eye-care patients, 96 cataract surgeries and 133 dental patients during an Ebeye mission
RMI Ministry of Health and Human Services

Corrected · July 17, 2026

Marshall Islands

An independent source-scope audit replaced an unsupported initiative-lead characterization with the Ministry's narrower recognition for accelerating the initiative and corrected Spanish workforce-system and data-completeness terminology.

Before
RMI MoHHS says its HR and IT teams are strengthening workforce systems with OrangeHRM
After
RMI MoHHS says its HR and IT teams are strengthening workforce systems with OrangeHRM
RMI Ministry of Health and Human Services

Corrected · July 16, 2026

American Samoa

Corrected July 16, 2026.

Before
CMS sets American Samoa's Medicaid FMAP at the permanent 83% for FY2027
After
HHS confirms American Samoa's permanent 83% Medicaid FMAP for FY2027
Federal Register (CMS/HHS)

Corrected · July 16, 2026

American Samoa

Corrected July 16, 2026.

Before
American Samoa expands EPSDT dental coverage to medically necessary orthodontics
After
American Samoa expands EPSDT dental coverage to medically necessary orthodontics
Centers for Medicare & Medicaid Services

Corrected · July 16, 2026

American Samoa

Corrected July 16, 2026.

Before
CMS approves on- and off-island outpatient dialysis coverage for American Samoa
After
CMS approves on- and off-island outpatient dialysis coverage for American Samoa
Centers for Medicare & Medicaid Services

Corrected · July 16, 2026

American Samoa

Corrected July 16, 2026.

Before
American Samoa waives the new Medicaid continuity requirement for justice-involved youth
After
American Samoa waives the new Medicaid continuity requirement for justice-involved youth
Centers for Medicare & Medicaid Services

Corrected · July 16, 2026

American Samoa

Corrected July 16, 2026.

Before
CMS lets American Samoa opt out of Medicaid's mandatory medication-assisted-treatment benefit
After
CMS lets American Samoa opt out of Medicaid's mandatory medication-assisted-treatment benefit
Centers for Medicare & Medicaid Services

Corrected · July 16, 2026

American Samoa

Corrected July 16, 2026.

Before
American Samoa DOH reopens Amouli Community Health Center after major renovation
After
American Samoa DOH reopens Amouli Community Health Center after major renovation
Samoa News

Corrected · July 16, 2026

American Samoa

Corrected July 16, 2026.

Before
American Samoa Medicaid secures Queen's Medical Center Honolulu as off-island referral partner
After
American Samoa Medicaid secures Queen's Medical Center Honolulu as off-island referral partner
Samoa News

Corrected · July 16, 2026

American Samoa

Corrected July 16, 2026.

Before
Helmsley Charitable Trust grants $3.2M for MRI and imaging at LBJ and American Samoa Community Health Centers
After
Helmsley Charitable Trust grants $3.2M for MRI and imaging at LBJ and American Samoa Community Health Centers
Helmsley Charitable Trust

Corrected · July 16, 2026

American Samoa

Corrected July 16, 2026.

Before
LBJ Tropical Medical Center owed $2.3M as FY2025 subsidy funding stalls into 2026
After
LBJ tells lawmakers that $2.3M in territorial subsidies remained unpaid after FY2025
Talanei

Corrected · July 16, 2026

American Samoa

Corrected July 16, 2026.

Before
CMS funds American Samoa's first home- and community-based-services commission
After
American Samoa launches HCBS planning infrastructure with a $266,880 CMS-supported award
American Samoa HCBS Commission

Added · July 16, 2026

California

Added this California record after two independent source audits narrowed the 25,000 and 50,000 figures to attributed CenCal CEO forecasts, removed unsupported novelty and causal claims, and corrected the named Section 330 cohort.

Santa Barbara Independent

Corrected · July 16, 2026

California

Corrected July 16, 2026.

Before
Contra Costa Adopts a $7.25B FY2026-27 Budget — Its Health Plan + 9 Community Clinics Brace for ~93K Coverage Losses by 2029
After
Contra Costa Adopts $7.248B FY2026-27 Budget as H.R. 1 Pressures Health and Human Services
Contra Costa County

Corrected · July 16, 2026

California

Corrected July 16, 2026.

Before
Strategy: Integrating ECM Revenue into Ryan White Programs — A Sustainability Playbook for FQHCs
After
After Enrollment, San Diego Ryan White Providers Must Seek Medi-Cal Payment; ECM Targets Eligible Clients With Complex Needs
County of San Diego Health and Human Services Agency

Corrected · July 16, 2026

Federated States of Micronesia

Corrected July 16, 2026.

Before
H.R. 1 preserves Medicaid eligibility for COFA (Micronesian) migrants even as it strips most other lawfully present immigrants
After
CMS confirms section 71109 retains COFA migrants in federally fundable Medicaid categories after October 1, 2026
Centers for Medicare & Medicaid Services

Corrected · July 16, 2026

Federated States of Micronesia

Corrected July 16, 2026.

Before
H.R. 1 preserves Medicaid for FSM/COFA migrants even as ~1M other lawfully present immigrants lose coverage in 2026
After
COFA migrants remain eligible while more than 1M other lawfully present immigrants are projected to lose coverage
Commonwealth Fund

Corrected · July 16, 2026

Federated States of Micronesia

Corrected July 16, 2026.

Before
U.S.–FSM economic meeting centers overdue audits and the FY2026 implementation plan
After
U.S.–FSM Compact meeting focused on overdue audits and finalizing the FY2026 implementation plan
U.S. Department of the Interior

Corrected · July 16, 2026

Federated States of Micronesia

Corrected July 16, 2026.

Before
Federal country guidance documents basic-care and medical-evacuation limits across FSM's four states
After
Current federal country guidance documents basic-care and air-evacuation limits across FSM
U.S. Department of State

Corrected · July 16, 2026

Guam

Corrected July 16, 2026.

Before
Guam excluded from the $50B Rural Health Transformation Program — states only
After
Federal law excludes Guam from the $50B Rural Health Transformation Program
Centers for Medicare & Medicaid Services

Corrected · July 16, 2026

Guam

Corrected July 16, 2026.

Before
Guam's two FQHCs face the Dec. 31, 2026 Community Health Center Fund cliff
After
Current statute lists Community Health Center Fund appropriations only through Dec. 31, 2026
U.S. House Office of the Law Revision Counsel

Corrected · July 16, 2026

Guam

Corrected July 16, 2026.

Before
Guam updates Medicaid drug pricing references and provider fee schedules
After
Guam updates Medicaid drug pricing references and provider fee schedules
Centers for Medicare & Medicaid Services

Corrected · July 16, 2026

Guam

Corrected July 16, 2026.

Before
CMS approves a temporary 10% Medicaid rate increase exclusively for Guam community health centers
After
CMS approves a temporary 10% Medicaid rate increase exclusively for Guam community health centers
Centers for Medicare & Medicaid Services

Corrected · July 16, 2026

Guam

Corrected July 16, 2026.

Before
Territory Medicaid funding cliff looms Sept. 30, 2027 — over half of Guam enrollees at risk
After
Federal notice confirms Guam's 83% Medicaid match is permanent while the annual federal ceiling remains
U.S. Department of Health and Human Services

Corrected · July 16, 2026

Guam

Corrected July 16, 2026.

Before
Guam and the territories left out of the $50B Rural Health Transformation Program; Delegate Moylan drafting a parallel territory fund
After
Territories Health Equity Act would remove Guam's annual Medicaid funding ceiling, but remains pending
Congress.gov

Corrected · July 16, 2026

Guam

Corrected July 16, 2026.

Before
Moylan secures $1.76M in FY2027 federal funds to stabilize Guam Memorial Hospital's Z-wing emergency access
After
House appropriators include $1.76M for Guam Memorial Hospital Z-wing work in the FY2027 committee measure
U.S. House Committee on Appropriations

Corrected · July 16, 2026

Guam

Corrected July 16, 2026.

Before
Todu Guam Foundation's Health & Wellness Center designated an NHSC site, adding recruitment leverage for a third community clinic
After
Todu Guam Foundation announces NHSC-site approval for its Health & Wellness Center
Todu Guam Foundation

Corrected · July 16, 2026

Guam

Corrected July 16, 2026.

Before
Guam Medicaid shielded from H.R. 1's deepest cuts: exempt from work requirements, 83% FMAP kept, COFA migrants retain coverage
After
CMS confirms the new Medicaid community-engagement requirement does not apply to U.S. territories
Centers for Medicare & Medicaid Services

Corrected · July 16, 2026

Guam

Corrected July 16, 2026.

Before
Guam Memorial Hospital faces $28.2M FY2026 operating shortfall — chronic stress on the FQHCs' referral backstop
After
Guam Memorial Hospital presents a $212.1M FY2027 request with a $36.3M funding gap
Guam Memorial Hospital Authority

Corrected · July 16, 2026

Guam

Corrected July 16, 2026.

Before
Rural Health Care Facilities Revitalization Act enters Farm Bill base text; $1.5M secured for Todu Guam clinic design
After
Rural Health Care Facilities Revitalization Act would broaden USDA financing uses for eligible facilities
GovInfo

Corrected · July 16, 2026

Guam

Corrected July 16, 2026.

Before
Guam adopts mandatory Medicaid child and behavioral-health quality reporting
After
Guam adopts mandatory Medicaid child and behavioral-health quality reporting
Centers for Medicare & Medicaid Services

Corrected · July 16, 2026

Marshall Islands

Corrected July 16, 2026.

Before
H.R.1 §71109 preserves Medicaid/CHIP eligibility for Marshallese (COFA) migrants — effective Oct 1, 2026
After
Public Law 119-21 keeps lawful COFA migrants in the federal Medicaid/CHIP funding group
U.S. Congress / Government Publishing Office

Corrected · July 16, 2026

Marshall Islands

Corrected July 16, 2026.

Before
Interior announces $2.2M in FY2025 nuclear-legacy healthcare funding for the four affected Marshall Islands atolls
After
HRSA's FY2024 fact sheet reports $2.24M across six RMI awards to one awardee
Health Resources and Services Administration

Corrected · July 16, 2026

Marshall Islands

Corrected July 16, 2026.

Before
RMI advances $160M rebuild of Majuro and Ebeye hospitals, ADB-managed
After
ADB lists a proposed $17M grant to redevelop Ebeye hospital facilities
Asian Development Bank

Corrected · July 16, 2026

Marshall Islands

Corrected July 16, 2026.

Before
Renovated Section 177 Healthcare Clinic reopens in Majuro for nuclear-affected communities
After
Renovated Section 177 Healthcare Clinic reopens in Majuro for nuclear-affected communities
RMI Ministry of Health and Human Services

Corrected · July 16, 2026

Marshall Islands

Corrected July 16, 2026.

Before
GAO finds Marshall Islands health funding prioritized but implementation and oversight delayed
After
GAO records a $7.54M planned RMI health allocation and delayed Compact execution
U.S. Government Accountability Office

Corrected · July 16, 2026

Marshall Islands

Corrected July 16, 2026.

Before
U.S.–RMI annual meeting puts overdue audits and FY2026 plans on the critical path
After
U.S.–RMI annual meeting puts overdue audits and FY2026 plans on the critical path
U.S. Department of the Interior

Corrected · July 16, 2026

Northern Mariana Islands

Corrected July 16, 2026.

Before
CHCC to deploy MEDITECH Expanse EHR across CNMI, unifying Saipan hospital with Tinian and Rota health centers
After
CHCC selects MEDITECH Expanse to connect its hospital and Tinian and Rota health centers
MEDITECH (distributed by Business Wire)

Corrected · July 16, 2026

Northern Mariana Islands

Corrected July 16, 2026.

Before
GAO urges federal study of risks from CNMI's CW-1 foreign-worker program ending Dec. 31, 2029 — a lifeline for CHCC's imported nursing workforce
After
GAO counts 7,220 foreign workers in CNMI in 2024 as the CW-1 program approaches its 2029 end
U.S. Government Accountability Office

Corrected · July 16, 2026

Northern Mariana Islands

Corrected July 16, 2026.

Before
Del. King-Hinds introduces Northern Mariana Islands Medicaid Advancement Act to lift CNMI's block grant from ~$66M to over $90M
After
H.R. 6690 would set CNMI's FY2026 Medicaid cap equal to American Samoa's; bill remains introduced
U.S. Congress (Congress.gov)

Corrected · July 16, 2026

Northern Mariana Islands

Corrected July 16, 2026.

Before
CHCC warns of funding strain as CNMI government's Health Network (medical referral) debt reaches $5.2M; agency seeks $5.9M
After
CHCC reports $5.43M in FY2025 Health Network spending against a $1.25M CNMI appropriation
Commonwealth Healthcare Corporation

Corrected · July 16, 2026

Northern Mariana Islands

Corrected July 16, 2026.

Before
GAO says foreign workers remain 31% of CNMI's workforce as the CW-1 program approaches its 2029 end
After
GAO recommends a federal-CNMI risk study before the CW-1 program ends; recommendation remains open
U.S. Government Accountability Office

Corrected · July 16, 2026

Palau

Corrected July 16, 2026.

Before
Palauan (COFA) migrants keep Medicaid eligibility under H.R. 1's immigrant-coverage rollback
After
Public Law 119-21 retains COFA migrants in the full Medicaid/CHIP federal-match category
U.S. Congress

Corrected · July 16, 2026

Palau

Corrected July 16, 2026.

Before
COFA migrants (incl. Palauans) keep full Medicaid/CHIP under H.R.1 §71109; CMS sets Oct 1 2026 effective date and Dec 31 2026 SPA deadline
After
CMS classifies COFA migrants as FFP-eligible noncitizens under the October 2026 rule
Centers for Medicare & Medicaid Services

Corrected · July 16, 2026

Palau

Corrected July 16, 2026.

Before
Interior announces $80.4M FY2025 Compact funds for Palau, incl. $20.4M for health & education under the 2024 amended Compact
After
Interior announces $80.4M FY2025 Compact package for Palau, including $20.4M for health and education
U.S. Department of the Interior, Office of Insular Affairs

Corrected · July 16, 2026

Palau

Corrected July 16, 2026.

Before
Palau FQHC Operates Under Renegotiated Compact of Free Association — 2023 Agreement Extends Through 2044
After
HRSA's FY2024 fact sheet records $1.41M for Palau's Health Center Program awardee
Health Resources and Services Administration

Corrected · July 16, 2026

Palau

Corrected July 16, 2026.

Before
Taiwan Root Medical Peace Corps runs 5-day outreach to Palau's outer states, integrates with Tamanu health system
After
Taiwan Root team completes five-day mobile medical outreach across Palau
Island Times (Palau)

Corrected · July 16, 2026

Palau

Corrected July 16, 2026.

Before
USTDA awards $2.37M for new Belau National Hospital feasibility study
After
USTDA awards $2.37M for new Belau National Hospital feasibility study
U.S. Trade and Development Agency

Corrected · July 16, 2026

Palau

Corrected July 16, 2026.

Before
Taiwan-Palau Smart Hospital Project brings AI diagnostics to Belau National Hospital
After
Taiwan and Palau launch a smart-health project at Belau National Hospital
Island Times (Palau)

Corrected · July 16, 2026

Palau

Corrected July 16, 2026.

Before
GAO flags delayed Compact implementation even as Palau prioritizes health and hospital infrastructure
After
GAO finds Palau's Compact health-and-education plans face disbursement and oversight delays
U.S. Government Accountability Office

Corrected · July 16, 2026

Palau

Corrected July 16, 2026.

Before
Taiwan Rotary donates ~$139K in medical equipment plus physician training to Belau National Hospital
After
Taiwan Rotary donates ~$139K in medical equipment plus physician training to Belau National Hospital
Island Times (Palau)

Corrected · July 16, 2026

Palau

Corrected July 16, 2026.

Before
Palau receives $205,000 in FY2026 emergency medical services for children funding
After
Palau receives $205,000 in FY2026 emergency medical services for children funding
U.S. Department of Health and Human Services TAGGS

Added · July 16, 2026

Texas

Added July 16, 2026.

WTAW

Corrected · July 16, 2026

U.S. Virgin Islands

Corrected July 16, 2026.

Before
STEEMCC scales REACH-USVI behavioral health integration territory-wide, extending tele-behavioral health to St. John and first responders
After
Zane Networks reports 500+ REACH-USVI behavioral-health visits as services expand on St. John
Zane Networks

Corrected · July 16, 2026

U.S. Virgin Islands

Corrected July 16, 2026.

Before
U.S. Virgin Islands exempt from H.R. 1's Medicaid work requirement under the new CMS interim final rule
After
CMS confirms the Medicaid community-engagement requirement does not apply to U.S. territories
Centers for Medicare & Medicaid Services

Corrected · July 16, 2026

U.S. Virgin Islands

Corrected July 16, 2026.

Before
STEEMCC onboards three new providers after specialist departures, seeks $2.7M to cover uncompensated care and $600K Medicaid match
After
STEEMCC onboards three new providers after specialist departures, seeks $2.7M to cover uncompensated care and $600K Medicaid match
Legislature of the U.S. Virgin Islands

Corrected · July 16, 2026

U.S. Virgin Islands

Corrected July 16, 2026.

Before
Frederiksted Health Care opens new behavioral health center on St. Croix even as it braces for federal funding cut
After
Bill 36-0228 would establish a Virgin Islands Health Data Utility to govern territory-wide health-data exchange
Legislature of the U.S. Virgin Islands

Corrected · July 16, 2026

U.S. Virgin Islands

Corrected July 16, 2026.

Before
$56K dental equipment donation expands services at St. Thomas East End Medical Center
After
VI nursing board reports 1,661 active licenses and says a revised Nurse Practice Act is before the Legislature
Legislature of the U.S. Virgin Islands

Corrected · July 16, 2026

U.S. Virgin Islands

Corrected July 16, 2026.

Before
Frederiksted Health Care's uninsured rate doubles to 28% as uncompensated care tops $9M, heading toward $10M in FY2027
After
Frederiksted Health Care's uninsured rate doubles to 28% as uncompensated care tops $9M, heading toward $10M in FY2027
Legislature of the U.S. Virgin Islands

Corrected · July 16, 2026

U.S. Virgin Islands

Corrected July 16, 2026.

Before
Frederiksted Health Care seeks $300K territorial appropriation to expand St. Croix dental capacity by five operatories
After
Frederiksted Health Care requests $300K to complete a Sion Farm dental clinic and reach 16 island-wide operatories
Legislature of the U.S. Virgin Islands

Corrected · July 16, 2026

U.S. Virgin Islands

Corrected July 16, 2026.

Before
St. John clinic restores a local preventive-care touchpoint with no-cost adult vaccines
After
VI Health schedules a one-day St. John clinic with no-cost adult vaccines for uninsured and underinsured residents
U.S. Virgin Islands Department of Health

Corrected · July 15, 2026

Alaska

Corrected July 15, 2026.

Before
Dec 31, 2026 CHC Fund Expiry Threatens Alaska's FQHC Section 330 Base — Rural Premium at Risk with No Legislative Vehicle
After
Alaska says H.R. 1 leaves its base Medicaid match unchanged but adds eligibility and cost-sharing operations
Alaska Department of Health

Corrected · July 15, 2026

Alaska

Corrected July 15, 2026.

Before
100% federal match for IHS/Tribal-facility services anchors Alaska's safety net amid cuts
After
CMS confirms 100% FMAP only for eligible AI/AN services through IHS or Tribal facilities
CMS / Medicaid.gov

Corrected · July 15, 2026

Alaska

Corrected July 15, 2026.

Before
Alaska DOH Manatt Modeling: 9,400–13,600 Medicaid Enrollees Projected to Lose Coverage Under H.R. 1 Work Requirements
After
Alaska model projects 9,452–13,611 expansion enrollees losing coverage under community-engagement rules
Alaska Department of Health / Manatt Health

Corrected · July 15, 2026

Alaska

Corrected July 15, 2026.

Before
Federal Community Health Center Fund extended only through December 2026 at $4.6B
After
NACHC records $4.6B in mandatory health-center funding expiring December 31, 2026
NACHC

Corrected · July 15, 2026

Alaska

Corrected July 15, 2026.

Before
Alaska's 'subsidy cliff' returns: benchmark premiums among the nation's highest as enhanced ACA tax credits expire for 2026
After
KFF modeled a $19,636 annual Alaska premium-payment increase for an older enrollee above the ACA subsidy cutoff
KFF

Corrected · July 15, 2026

Alaska

Corrected July 15, 2026.

Before
H.R. 1 Explicitly Exempts Alaska Native and American Indian Patients from Medicaid Work Requirements — ANTHC Patients Fully Protected
After
CMS's June rule exempts American Indian and Alaska Native adults from Medicaid community engagement
Centers for Medicare & Medicaid Services

Corrected · July 15, 2026

Alaska

Corrected July 15, 2026.

Before
Alaska advances 400+ projects for its $272M Rural Health Transformation award; June 22 application deadline, July funding decisions
After
June 7 reporting documented 400-plus Alaska RHTP projects advancing toward the closed June 22 round
Anchorage Daily News

Corrected · July 15, 2026

Alaska

Corrected July 15, 2026.

Before
Alaska wins $272M first-year Rural Health Transformation award; 1,800 LOIs flood in
After
Alaska's live RHTP page records 403 implementation and 28 planning-pathway advances; awards still unposted July 15
Alaska Department of Health

Corrected · July 15, 2026

Alaska

Corrected July 15, 2026.

Before
Alaska RHTP Evaluation Framework Defines How Rural Project Applications Will Be Scored
After
Final Alaska RHTP framework publishes an eight-domain, 100-point project rubric
Alaska Department of Health

Corrected · July 15, 2026

Alaska

Corrected July 15, 2026.

Before
Alaska Legislature passes balanced $12.8B FY2027 budget with updated Medicaid reimbursement rates as session ends
After
Alaska Legislature's May 20 FY2027 budget vote included Medicaid rate updates but preceded gubernatorial action
Anchorage Daily News

Corrected · July 15, 2026

Alaska

Corrected July 15, 2026.

Before
Alaska Legislature adds $34.4M state Medicaid funding via FY2026 supplemental (HB 289)
After
Enacted FY2026 supplement records $34.437M state and $361.080M federal Medicaid funding
Alaska Office of Management and Budget

Corrected · July 15, 2026

Alaska

Corrected July 15, 2026.

Before
RHTP's value-based-care push could reshape Alaska rural health — but federal AI tilt and infrastructure limits worry frontier providers
After
Alaska reporting links RHTP's value-based-care priority to a provider-reported $7.6M first-year savings example
Alaska Public Media

Corrected · July 15, 2026

Alaska

Corrected July 15, 2026.

Before
Gov. Dunleavy Signs $450M Supplemental FY2026 Budget — Medicaid Draws Largest Share
After
FY2027 veto summary retains $784.5M in Medicaid general funds but removes $26.6M in proposed additions
Alaska Office of Management and Budget

Corrected · July 15, 2026

Alabama

Corrected July 15, 2026.

Before
December 31, 2026 Community Health Center Fund cliff poses existential risk to Alabama FQHCs
After
Community health centers face separate September 30 and December 31, 2026 federal funding expirations
National Association of Community Health Centers (NACHC)

Corrected · July 15, 2026

Alabama

Corrected July 15, 2026.

Before
ACA enhanced premium tax credit expiry removes coverage help for ~500,000 Alabamians
After
Pre-expiration analysis put 477,838 Alabama Marketplace enrollees and 130,000 projected coverage losses at stake
Alabama Arise / Cover Alabama

Corrected · July 15, 2026

Alabama

Corrected July 15, 2026.

Before
Alabama secures $203.4M in first-year Rural Health Transformation funds to offset H.R. 1 Medicaid cuts
After
CMS approves Alabama's Rural Health Transformation plan and unlocks $203,404,327 for year one
Office of Governor Kay Ivey

Corrected · July 15, 2026

Alabama

Corrected July 15, 2026.

Before
Alabama receives $203 million in Rural Health Transformation Program funding
After
Alabama's approved rural-health plan spans 11 named initiatives across care delivery, workforce, EMS, and technology
Office of the Governor of Alabama

Corrected · July 15, 2026

Alabama

Corrected July 15, 2026.

Before
Alabama earns 'F' on March of Dimes 2025 report card amid worsening maternity-care deserts
After
March of Dimes gives Alabama an F for a 12.7% preterm-birth rate and documents persistent racial disparity
March of Dimes (PR Newswire)

Corrected · July 15, 2026

Alabama

Corrected July 15, 2026.

Before
Enhanced ACA premium tax credits expire — hitting non-expansion Alabama's marketplace hardest
After
Commonwealth Fund modeled 9,100 Alabama job losses if enhanced Marketplace credits expired
Commonwealth Fund

Corrected · July 15, 2026

Alabama

Corrected July 15, 2026.

Before
Alabama doubles its CCBHC footprint: two more behavioral health systems approved for the certified-clinic model
After
Two Alabama behavioral-health systems receive approval to begin CCBHC transitions in four counties
Alabama Political Reporter

Corrected · July 15, 2026

Alabama

Corrected July 15, 2026.

Before
HAPPI Health, a Huntsville FQHC Look-Alike, pilots agentic AI care coordination with CareImpact.ai across North Alabama
After
HAPPI Health pilots CareImpact.ai outreach and care-coordination workflows in North Alabama
HAPPI Health / CareImpact.ai (via The National Law Review)

Corrected · July 15, 2026

Alabama

Corrected July 15, 2026.

Before
Alabama opens applications on its $203M rural health fund: six statewide workshops, first round in early June
After
Alabama scheduled six May workshops before the first Rural Health Transformation funding round
Office of the Governor of Alabama

Corrected · July 15, 2026

Alabama

Corrected July 15, 2026.

Before
Rural primary care keeps contracting: Atmore Community Hospital closes its ACH Complete Care clinic in Escambia County
After
Atmore Community Hospital closes ACH Complete Care while keeping hospital and other care services open
Fox10 News (Mobile, AL)

Corrected · July 15, 2026

Alabama

Corrected July 15, 2026.

Before
Coverage gap deepens: 155,000 Alabamians stuck as enhanced ACA credits expire and 20,000 fewer pick marketplace plans
After
Alabama Arise reports nearly 155,000 adults in the coverage gap and 18,208 fewer Marketplace plan selections
Alabama Arise

Corrected · July 15, 2026

Alabama

Corrected July 15, 2026.

Before
Alabama 2026 legislative session closes with limited health legislation enacted
After
Alabama's 2026 session used all 30 legislative days and enacted two cancer-screening coverage measures
Alabama Reflector

Corrected · July 15, 2026

Alabama

Corrected July 15, 2026.

Before
Alabama's FY2027 General Fund holds Medicaid flat at $1.18 billion as federal cost pressures build
After
Alabama's Legislature sends a $3.7B FY2027 General Fund to the governor with Medicaid level-funded at $1.18B
Alabama Reflector

Corrected · July 15, 2026

Alabama

Corrected July 15, 2026.

Before
2027 marketplace rate filings signal a second straight year of double-digit hikes — a direct threat to Alabama's 400,000+ exchange enrollees
After
Early 2027 Marketplace filings show a 14% median proposed increase, but Alabama rates were not yet in the dataset
Peterson-KFF Health System Tracker

Corrected · July 15, 2026

Alabama

Corrected July 15, 2026.

Before
Community Health Center Fund authorized only through December 2026 — short-term cliff for Alabama's ~150 sites
After
Mandatory funding supplies about 70% of federal CHC support; FY2026 discretionary funding supplies the other 30%
NACHC

Corrected · July 15, 2026

Alabama

Corrected July 15, 2026.

Before
Three rural Alabama hospitals flagged at closure risk; hospital association pushes back as 84% run negative margins
After
Public Citizen flags three rural Alabama hospitals; the state hospital association disputes imminent closure
FOX10 News

Corrected · July 15, 2026

Alabama

Corrected July 15, 2026.

Before
New Medicaid expansion analysis presented to Alabama lawmakers as state forgoes ~$619M/year
After
State House presentation estimates Medicaid expansion could reach 300,000-340,000 Alabamians and bring up to $619M yearly
Fox 10 News (WALA)

Corrected · July 15, 2026

Alabama

Corrected July 15, 2026.

Before
Alabama's first RHTP competitive round — the Rural Workforce Initiative — closed June 26 after a statewide workshop push
After
Alabama's $33.374M Rural Workforce Initiative closed June 26; award notices were planned about three to four weeks later
Alabama Rural Health Transformation Program (ADECA)

Corrected · July 15, 2026

Alabama

Corrected July 15, 2026.

Before
Alabama opens Round 2 of its $203M Rural Health Transformation Program: five new funding opportunities with an August 7 deadline
After
Alabama opens Round 2 of its $203M Rural Health Transformation Program: five new funding opportunities with an August 7 deadline
Alabama Department of Economic and Community Affairs (ADECA)

Corrected · July 15, 2026

Alabama

Corrected July 15, 2026.

Before
Alabama Medicaid confirms its 340B duplicate-discount control: the HRSA Medicaid Exclusion File
After
Alabama Medicaid confirms its 340B duplicate-discount control: the HRSA Medicaid Exclusion File
Alabama Medicaid Agency

Corrected · July 15, 2026

Arkansas

Corrected July 15, 2026.

Before
Second RHTP round opens: $93.5M in PACT funding targets primary, specialty and behavioral health access
After
Second RHTP round opens: $93.5M in PACT funding targets primary, specialty and behavioral health access
Hallmark Times / Arkansas DFA

Corrected · July 15, 2026

Arkansas

Corrected July 15, 2026.

Before
Arkansas awarded $208.8 million in first-year Rural Health Transformation Program funds
After
Arkansas awarded $208.8 million in first-year Rural Health Transformation Program funds
Office of the Governor of Arkansas

Corrected · July 15, 2026

Arkansas

Corrected July 15, 2026.

Before
Arkansas tightens 340B protections: HB 1531 bars manufacturer limited-distribution networks
After
Arkansas HB 1531 creates separate drug-distribution rules alongside the state's 340B contract-pharmacy law
Sidley Austin LLP

Corrected · July 15, 2026

Arkansas

Corrected July 15, 2026.

Before
Arkansas Legislature renews ARHOME, keeping private-option expansion (~225,000) intact for now
After
Arkansas Act 774 targets ARHOME savings while the five-year renewal remains with federal officials
Arkansas Senate

Corrected · July 15, 2026

Arkansas

Corrected July 15, 2026.

Before
Arkansas FY2026 budget adds $182.5M and sets aside $100M for Medicaid sustainability
After
Arkansas FY2026 budget adds $182.5M and sets aside $100M for Medicaid sustainability
Arkansas Advocate

Corrected · July 15, 2026

Arkansas

Corrected July 15, 2026.

Before
Arkansas resubmits Medicaid work requirement via 'Pathway to Prosperity' 1115 — the state that lost 18,000 to its 2018 version
After
Arkansas submitted the Pathway to Prosperity waiver proposal in January 2025; it set no minimum monthly hours
Ballotpedia News

Corrected · July 15, 2026

Arkansas

Corrected July 15, 2026.

Before
The 2018 record: Arkansas work rules cut 18,000 from Medicaid — 97% while compliant or exempt
After
Arkansas's 2018 reporting rule removed 18,000 people in seven months and did not increase employment
Center on Budget and Policy Priorities

Corrected · July 15, 2026

Arkansas

Corrected July 15, 2026.

Before
Arkansas readies July 1 'soft launch' of ARHOME work requirement with statewide town halls — suspensions begin January 2027
After
Arkansas prepares July 1 ARHOME soft launch with town halls and expanded verification methods
Little Rock Public Radio

Corrected · July 15, 2026

Arkansas

Corrected July 15, 2026.

Before
Fiscal session closes: Arkansas doubles its Medicaid Sustainability Set-Aside to $200M as it braces for H.R. 1 cost shifts
After
Arkansas FY2027 budget raises Medicaid Sustainability Set-Aside to $200M
inVeritas

Corrected · July 15, 2026

Arkansas

Corrected July 15, 2026.

Before
Applications open for Arkansas's $209M FY26 Rural Health Transformation funds — FQHCs explicitly eligible
After
Applications open for Arkansas's $209M FY26 Rural Health Transformation funds — FQHCs explicitly eligible
Office of Governor Sarah Huckabee Sanders

Corrected · July 15, 2026

Arkansas

Corrected July 15, 2026.

Before
Arkansas's full $209M RHTP calendar is now set: PACT closed July 10, HEART prevention round runs through July 31 — all funds out the door by fall
After
Arkansas RHTP calendar: PACT is closed; RISE closes July 24 and HEART closes July 31
Arkansas Rural Health Transformation Program

Corrected · July 15, 2026

Arkansas

Corrected July 15, 2026.

Before
After enhanced credits expired, Arkansas marketplace enrollment falls 12% — 10.1% dropped coverage between February and April
After
After enhanced credits expired, Arkansas marketplace enrollment falls 12% — 10.1% dropped coverage between February and April
Arkansas Center for Health Improvement (ACHI)

Corrected · July 15, 2026

Arkansas

Corrected July 15, 2026.

Before
Arkansas 'soft launches' Medicaid work requirements July 1, 2026 — full disenrollment begins January 2027
After
Arkansas DHS sets July 1 ARHOME soft launch; penalties begin January 1, 2027
Arkansas Department of Human Services

Corrected · July 15, 2026

Arkansas

Corrected July 15, 2026.

Before
Arkansas DHS's own estimate: 42,000 people — nearly 20% of ARHOME — will lose coverage once work-requirement penalties begin in 2027
After
Arkansas DHS's own estimate: 42,000 people — nearly 20% of ARHOME — will lose coverage once work-requirement penalties begin in 2027
Arkansas Advocate / Arkansas Times

Corrected · July 15, 2026

Arkansas

Corrected July 15, 2026.

Before
Arkansas opens $27.3M RISE AR rural workforce round under RHTP — FQHCs explicitly eligible, applications close July 24
After
Official RISE AR NOFO offers $27.3M for rural workforce projects; FQHCs are eligible and applications close July 24
Arkansas Department of Finance and Administration

Corrected · July 15, 2026

Arkansas

Corrected July 15, 2026.

Before
Arkansas launches Medicaid work-requirement 'soft launch' July 1 — the nation's 2018 bellwether runs it back six months ahead of the federal mandate
After
Arkansas begins ARHOME work-requirement soft launch July 1; enforcement starts January 1, 2027
Office of Governor Sarah Huckabee Sanders

Corrected · July 15, 2026

Arizona

Corrected July 15, 2026.

Before
Governor Hobbs Signs $18.3B FY2027 Budget Including $14.4M for H.R. 1 AHCCCS Implementation
After
Governor Hobbs signs Arizona's $18.3B FY2027 budget after bipartisan negotiations
AZ Mirror

Corrected · July 15, 2026

Arizona

Corrected July 15, 2026.

Before
El Rio Health completes acquisition of bankrupt North Country HealthCare — northern Arizona's largest FQHC rebrands as Elk Ridge Community Health
After
El Rio acquires most North Country HealthCare assets and rebrands 12 clinics as Elk Ridge
InsuranceNewsNet

Corrected · July 15, 2026

Arizona

Corrected July 15, 2026.

Before
Arizona Legislature Considers 340B Contract Pharmacy Protection Bill
After
Arizona's HB 2965 340B distribution proposal was held in House committees
Arizona State Legislature

Corrected · July 15, 2026

Arizona

Corrected July 15, 2026.

Before
Arizona's 24 FQHCs face $700M+ Medicaid exposure as 300,000+ patients projected to lose coverage
After
Arizona's 24 health centers receive $700M+ a year from Medicaid as coverage losses are projected
Arizona Center for Investigative Reporting (AZCIR)

Corrected · July 15, 2026

Arizona

Corrected July 15, 2026.

Before
AHCCCS requests $71.4M to implement H.R.1 'red tape' as Hobbs says Arizona can't backfill federal cuts
After
AHCCCS's FY2027 request estimated $71.4M and 92 positions for H.R. 1 implementation
Arizona Capitol Times

Corrected · July 15, 2026

Arizona

Corrected July 15, 2026.

Before
Arizona law (HB2926) raises Medicaid expansion 'trigger' from 80% to 90% enhanced FMAP — making auto-repeal far more likely
After
Arizona's 2025 HB 2926 proposal would have raised the Medicaid expansion trigger from 80% to 90% FMAP
Arizona State Legislature

Corrected · July 15, 2026

Arizona

Corrected July 15, 2026.

Before
H.R. 1 Ends Full AHCCCS Coverage for Refugees and Humanitarian Immigrants Starting October 2026
After
H.R. 1 Ends Full AHCCCS Coverage for Refugees and Humanitarian Immigrants Starting October 2026
AHCCCS

Corrected · July 15, 2026

Arizona

Corrected July 15, 2026.

Before
CMS Publishes Medicaid Community Engagement Interim Final Rule — Arizona Must Implement by January 1, 2027
After
CMS Publishes Medicaid Community Engagement Interim Final Rule — Arizona Must Implement by January 1, 2027
Federal Register

Corrected · July 15, 2026

Arizona

Corrected July 15, 2026.

Before
H.R. 1 strips full AHCCCS/KidsCare from refugees and asylees beginning October 2026 — emergency-only coverage shifts costs to Arizona FQHCs
After
H.R. 1 narrows immigrant eligibility in October 2026 and reduces the federal match for emergency services
Arizona AHCCCS

Corrected · July 15, 2026

Arizona

Corrected July 15, 2026.

Before
AHCCCS prepares H.R. 1 Medicaid work requirements and twice-yearly eligibility checks — federal guidance expected June 2026, live by January 2027
After
AHCCCS details January 2027 work and twice-yearly renewal rules for certain expansion adults
Arizona AHCCCS

Corrected · July 15, 2026

Arizona

Corrected July 15, 2026.

Before
AHCCCS Requests $71M+ to Implement Federal Mandates as Medicaid Changes Threaten Arizona Safety Net
After
AHCCCS says H.R. 1 implementation requires policy, eligibility-system and reporting changes
Cronkite News / Arizona PBS

Corrected · July 15, 2026

Arizona

Corrected July 15, 2026.

Before
Arizona opens first $25M RHTP grant — community health centers eligible for rural infrastructure funding (applications May 1–June 1, 2026)
After
Arizona advances its nearly $167M first-year rural-health program with July meetings and new solicitations
Arizona AHCCCS

Corrected · July 15, 2026

Arizona

Corrected July 15, 2026.

Before
Public Citizen report flags 8 Arizona hospitals — including FQHC-operating Valleywise — at risk of closure or service cuts from Medicaid reductions
After
Public Citizen model flags eight Arizona hospitals as at risk of closure or reduced services
KJZZ

Corrected · July 15, 2026

Arizona

Corrected July 15, 2026.

Before
AHCCCS says Arizona work requirements are not yet active; state outreach begins in September
After
AHCCCS says Arizona work requirements are not yet active; state outreach begins in September
Arizona Health Care Cost Containment System

Corrected · July 15, 2026

California

Corrected July 15, 2026.

Before
AB 1460: California's 340B Contract Pharmacy Protection Bill Expected to Return in 2026
After
AB 1460 Remains an Active Two-Year Bill in the Senate, but the Official Record Shows No 2026 Action
California Legislative Information

Corrected · July 15, 2026

California

Corrected July 15, 2026.

Before
Becerra Tops the June 2 Governor Primary and Advances to November — Putting a Former HHS Secretary in Reach of the Office, but Not Until After the December Cliff
After
Final California Primary Results Put Xavier Becerra and Steve Hilton in the November 3 Governor Runoff
California Secretary of State — Final Statement of Vote

Corrected · July 15, 2026

California

Corrected July 15, 2026.

Before
California's MCO Tax Has a Second, Earlier Cliff: CMS Approved It Only Through June 30 — a ~$1.1B General Fund Hole if the Extension to December Isn't Granted
After
DHCS Confirms California's Current MCO Tax Remains Intact Through December 31, 2026—No June 30 Transition Cliff
California Department of Health Care Services

Corrected · July 15, 2026

California

Corrected July 15, 2026.

Before
California's November Ballot Becomes a Health-Care Battleground: Hospital Industry's Union-Spending Counter-Measure Qualifies, Joining SEIU-UHW's Two Clinic Measures — With a June 25 Deal Deadline
After
California's Health-Ballot Deal Withdraws the Executive-Pay Cap and Union-Spending Countermeasure; Proposition 44 Remains
California Secretary of State — Withdrawn or Failed Measures Registry

Corrected · July 15, 2026

California

Corrected July 15, 2026.

Before
DHCS Launches Official Federal Impact Tracker — County-Level Medi-Cal Enrollment-Loss Projections Through FY2029-30
After
DHCS Maintains an Official Federal-Policy Impacts Hub and H.R. 1 Medi-Cal Implementation Plan
CA Department of Health Care Services

Corrected · July 15, 2026

California

Corrected July 15, 2026.

Before
California Breaks Ground on a New Modesto Youth Behavioral-Health Center — a >$5M BHCIP Award and a Rare Central Valley Infrastructure Win
After
Historical BHCIP Context: California Broke Ground on a >$5M Modesto Youth Behavioral-Health Center in June 2024
CA CYBHI / California Health & Human Services

Corrected · July 15, 2026

Colorado

Corrected July 15, 2026.

Before
Colorado's $200M rural health fund opens applications this month — rural FQHCs explicitly eligible
After
Colorado's rural-health application remains open through August 3, backed by a $200.1M first-year award
Colorado Department of Health Care Policy and Financing

Corrected · July 15, 2026

Colorado

Corrected July 15, 2026.

Before
CCHN warns of December 2026 federal Community Health Center Fund cliff as H.R.1 cuts converge on 850,000+ patients
After
CCHN's current policy agenda prioritizes Medicaid reimbursement, uninsured-care funding, and federal CHC investment
Colorado Community Health Network (CCHN)

Corrected · July 15, 2026

Colorado

Corrected July 15, 2026.

Before
Expiring ACA enhanced tax credits roughly double marketplace premiums for ~225,000 Coloradans; state adds >$100M stopgap
After
DOI projected a 101% average net premium increase for 225,000 Coloradans after state action reduced the rise from 174%
Colorado Division of Insurance (DORA)

Corrected · July 15, 2026

Colorado

Corrected July 15, 2026.

Before
Colorado wins ~$200 million in year-one Rural Health Transformation funds (through Sept 2027; >$1B over 5 years)
After
Colorado's rural-health award targets 800,000 residents across 52 counties and two federally recognized tribes
Colorado Department of Health Care Policy & Financing (HCPF)

Corrected · July 15, 2026

Colorado

Corrected July 15, 2026.

Before
OmniSalud coverage for undocumented Coloradans slashed to ~6,700 lottery slots for 2026 amid funding cuts
After
JBC staff estimates OmniSalud will spend about $50M and serve roughly 6,700 people through a 2026 lottery
Colorado General Assembly Joint Budget Committee staff

Corrected · July 15, 2026

Colorado

Corrected July 15, 2026.

Before
Colorado Medicaid work requirements hit FQHC patients starting January 2027, $45.8M implementation cost
After
HCPF estimates $45.8M in FY2026-27 for initial Medicaid eligibility changes and has a $25.6M approved systems plan
Colorado Department of Health Care Policy & Financing (HCPF)

Corrected · July 15, 2026

Colorado

Corrected July 15, 2026.

Before
65% of Colorado's community health centers ran negative margins amid federal funding cliff
After
CCHN reports 38,000 more uninsured CHC patients since 2021 and two-thirds of centers with negative 2024 margins
Colorado Community Health Network (CCHN)

Corrected · July 15, 2026

Colorado

Corrected July 15, 2026.

Before
Colorado's 340B Contract Pharmacy Protection Act (SB25-071) shields FQHCs from manufacturer restrictions
After
Colorado's 340B Contract Pharmacy Protection Act (SB25-071) shields FQHCs from manufacturer restrictions
Colorado General Assembly

Corrected · July 15, 2026

Colorado

Corrected July 15, 2026.

Before
Colorado braces for Medicaid work requirements: member letters begin in August, full start January 2027
After
Colorado Medicaid director discusses new federal work-requirement guidance in a 5-minute WBUR segment
WBUR Here & Now

Corrected · July 15, 2026

Colorado

Corrected July 15, 2026.

Before
HB26-1411 signed: Cover All Coloradans capped at 25,000 children with a $1,100 dental limit
After
HB26-1411 signed: Cover All Coloradans capped at 25,000 children with a $1,100 dental limit
Colorado General Assembly

Corrected · July 15, 2026

Colorado

Corrected July 15, 2026.

Before
Colorado Option enters 2027 premium enforcement with public-hearing and 1332-backed reinsurance tools
After
Colorado seeks a 1332 waiver extension through 2032 while publishing 2027 Option enforcement materials
Colorado Division of Insurance (DORA)

Corrected · July 15, 2026

Colorado

Corrected July 15, 2026.

Before
NLRB orders Peak Vista to bargain with its physicians' union after a two-year fight
After
NLRB orders Peak Vista to bargain with its physicians' union after a two-year fight
On the Labor Front (NLRB order)

Corrected · July 15, 2026

Colorado

Corrected July 15, 2026.

Before
Colorado must implement Medicaid work requirements by Jan 1, 2027 — ~378,500 members in scope before exemptions
After
Colorado must implement Medicaid work requirements by Jan 1, 2027 — ~378,500 members in scope before exemptions
Colorado Department of Health Care Policy & Financing (HCPF)

Corrected · July 15, 2026

Colorado

Corrected July 15, 2026.

Before
CMS-approved state-directed payments could send Colorado hospitals about $455M starting in September
After
CMS-approved state-directed payments could send Colorado hospitals about $455M starting in September
The Gazette (Colorado Springs)

Corrected · July 15, 2026

Colorado

Corrected July 15, 2026.

Before
Polis signs SB26-187: new Medicaid commission must deliver cost-and-coverage roadmap by December 11
After
SB26-187 creates a Medicaid commission with a December 11 recommendation deadline and $500,000 appropriation
Colorado General Assembly

Corrected · July 15, 2026

Colorado

Corrected July 15, 2026.

Before
Colorado's FY27 budget cuts Medicaid provider rates 2% effective July 1 — with 65% of the state's health centers already at negative margins
After
Colorado budget writers proposed a 2% Medicaid provider-rate cut to save $95M in their April draft
Colorado Sun / CCHN

Corrected · July 15, 2026

Colorado

Corrected July 15, 2026.

Before
Aurora Mental Health & Recovery cuts 111 positions (14% of staff) — Colorado's behavioral-health safety net keeps shrinking
After
Aurora Mental Health & Recovery cuts 111 positions—14% of staff—amid a disputed funding-model reconciliation
Colorado Sun

Corrected · July 15, 2026

Colorado

Corrected July 15, 2026.

Before
Colorado schedules July 21 Medicaid work-requirement webinar with Spanish and ASL access
After
Colorado schedules July 21 Medicaid work-requirement webinar with Spanish and ASL access
Health First Colorado (HCPF)

Corrected · July 15, 2026

Colorado

Corrected July 15, 2026.

Before
Colorado's first Rural Health Transformation period brings just over $200M, with rural FQHCs explicitly included
After
Colorado's first Rural Health Transformation period brings just over $200M, with rural FQHCs explicitly included
Colorado Department of Health Care Policy & Financing

Corrected · July 15, 2026

Connecticut

Corrected July 15, 2026.

Before
~110,000 CT HUSKY D Adults at Risk as CMS Medical-Frailty Exemption Falls Short of State Expectations
After
DSS says 110,000 HUSKY D adults are at risk; new medical-frailty test leaves final loss unknown
CT Mirror

Corrected · July 15, 2026

Connecticut

Corrected July 15, 2026.

Before
More than 100,000 CT residents at risk of losing HUSKY under H.R.1; work requirements start Jan 1, 2027
After
Connecticut DSS estimates a 100K–200K Medicaid enrollment reduction as new federal rules phase in
Connecticut Department of Social Services

Corrected · July 15, 2026

Connecticut

Corrected July 15, 2026.

Before
CT's 'HUSKY for immigrants' (~15,600 kids, ~3,200 postpartum women) threatened by federal penalties
After
June 2025 proposal threatened CT immigrant coverage for 15,600 children and 3,200 postpartum women
CT Mirror

Corrected · July 15, 2026

Connecticut

Corrected July 15, 2026.

Before
CT's 2026-27 budget earmarks $26.4M over three years to raise FQHC Medicaid rates after CHCACT petition
After
CT's 2026-27 budget earmarks $26.4M over three years to raise FQHC Medicaid rates after CHCACT petition
CT Mirror

Corrected · July 15, 2026

Connecticut

Corrected July 15, 2026.

Before
Connecticut's DSS is violating a 2023 state law — CHW Medicaid billing still blocked three years after passage
After
Connecticut CHW Medicaid reimbursement remains unfunded; coalition alleges noncompliance and state disputes it
CT Mirror

Corrected · July 15, 2026

Connecticut

Corrected July 15, 2026.

Before
CT 2026 Legislative Session Passes HUSKY Medicaid Rate Boost and Hospital Oversight Package
After
CT 2026 Legislative Session Passes HUSKY Medicaid Rate Boost and Hospital Oversight Package
Connecticut Visitor Guide

Corrected · July 15, 2026

Connecticut

Corrected July 15, 2026.

Before
Connecticut routes $5M in supplemental payments directly to FQHCs from its Federal Cuts Response Fund
After
Connecticut routes $5M in supplemental payments directly to FQHCs from its Federal Cuts Response Fund
Office of Governor Lamont

Corrected · July 15, 2026

Connecticut

Corrected July 15, 2026.

Before
HUSKY C Eligibility Expansion Advocacy Advances at CT Capitol — Elderly and Disabled Residents Seek Income-Limit Relief
After
Connecticut committee advances HUSKY C asset-limit bill as advocates also seek income relief
CT Public Radio

Corrected · July 15, 2026

Connecticut

Corrected July 15, 2026.

Before
CHCACT's 17 FQHCs press CT lawmakers to shore up Medicaid enrollment systems against federal coverage losses
After
CHCACT's 17 FQHCs press CT lawmakers to shore up Medicaid enrollment systems against federal coverage losses
CT News Junkie

Corrected · July 15, 2026

Connecticut

Corrected July 15, 2026.

Before
CHCACT 2026 Legislative Priorities: CHW Medicaid Reimbursement, State Loan Repayment, and Coverage-Loss Prevention
After
CHCACT 2026 Legislative Priorities: CHW Medicaid Reimbursement, State Loan Repayment, and Coverage-Loss Prevention
CT News Junkie

Corrected · July 15, 2026

Connecticut

Corrected July 15, 2026.

Before
Federal Community Health Center Fund cliff leaves CT's 330-funded centers on short-term CRs into 2026
After
NACHC says mandatory Community Health Center Fund support expires December 31, 2026
NACHC

Corrected · July 15, 2026

Connecticut

Corrected July 15, 2026.

Before
ACA Enhanced Premium Tax Credits Expired Jan 1, 2026 — CT Allocates $5M to FQHCs as Bridge for Sub-100% FPL Patients
After
Connecticut's first emergency-reserve plan proposes $5M for FQHC access through June 2027
Office of Governor Lamont

Corrected · July 15, 2026

Connecticut

Corrected July 15, 2026.

Before
Connecticut patient pathway verified: CHC uses 340B and pharmacy assistance for unaffordable prescriptions
After
Connecticut patient pathway verified: CHC uses 340B and pharmacy assistance for unaffordable prescriptions
Community Health Center, Inc.

Corrected · July 15, 2026

Connecticut

Corrected July 15, 2026.

Before
Connecticut's first provider-led RHTP technology round explicitly makes FQHCs eligible for $100K–$1M awards
After
Connecticut RHTP technology round makes FQHCs eligible for $100K–$1M annual awards
Connecticut Office of Health Strategy

Corrected · July 15, 2026

District of Columbia

Corrected July 15, 2026.

Before
DC Health Department Funds $100M+ FQHC Capital Expansion Across Five Projects in Underserved Wards
After
DC Health's inactive capital program awarded $100M+ across health-center and hospital projects—not five FQHC projects alone
DC Health

Corrected · July 15, 2026

District of Columbia

Corrected July 15, 2026.

Before
DC Council's first FY2027 budget vote restores $400M+; the health package heads to the decisive June 23 second vote
After
Healthy DC offers zero-premium, zero-cost-sharing coverage, but only for covered in-network services
DC Health Link

Corrected · July 15, 2026

District of Columbia

Corrected July 15, 2026.

Before
Bowser's final budget shrinks DC spending ~4% on federal-layoff revenue losses — but shields Medicaid and the Alliance and adds dental and vision
After
DC Medicaid adult income limits fell to 138% FPL on January 1, 2026
DC Department of Health Care Finance

Corrected · July 15, 2026

District of Columbia

Corrected July 15, 2026.

Before
17,000 DC residents lost Medicaid January 1 in shift to the new 'Healthy DC' Basic Health Plan — health centers report absorbing the newly uninsured
After
January coverage shift moved about 15,000 people to Healthy DC and left roughly 2,200 outside both programs
The 51st

Corrected · July 15, 2026

District of Columbia

Corrected July 15, 2026.

Before
Unity Health Care absorbs Ascension Providence's DC primary care practices with a $7M endowment, becoming medical home to 90,000+ residents
After
Unity scheduled care for former Ascension Providence patients at Varnum Street and Perry to begin June 8
Unity Health Care

Corrected · July 15, 2026

District of Columbia

Corrected July 15, 2026.

Before
DC's Healthcare Alliance phase-out is already underway: adults 26+ blocked from re-enrolling since October, full elimination for 21+ by FY2028
After
October 2025 Alliance rules cut the income limit, froze enrollment for adults 26 or older, narrowed benefits, and shifted to fee-for-service
DC Department of Health Care Finance

Corrected · July 15, 2026

District of Columbia

Corrected July 15, 2026.

Before
Final FY2027 DC budget restores Healthcare Alliance services to pre-October 2025 levels — but only delays the eligibility age limit by one year
After
Final FY2027 budget restores Alliance services and dental and vision benefits, while delaying the adult age cutoff by one year
Legal Aid DC

Corrected · July 15, 2026

District of Columbia

Corrected July 15, 2026.

Before
DC's FY2027 budget carries an $800K grant program for FQHCs to care for uninsured patients alongside a $38.3M Healthcare Alliance restoration
After
DC law authorizes independent APRN assessment, diagnosis, prescribing, and treatment
Council of the District of Columbia, DC Law Library

Corrected · July 15, 2026

District of Columbia

Corrected July 15, 2026.

Before
Federal Medicaid Cuts Could Cost DC Community Health Centers $58 Million, Putting 34,000 FQHC Patients at Risk
After
DHCF estimates 78,000 DC expansion adults are in the work-requirement population; 56,000 may need activities or an exemption
DC Department of Health Care Finance

Corrected · July 15, 2026

District of Columbia

Corrected July 15, 2026.

Before
H.R. 1 Threatens to Cut DC's Medicaid Match from 70% to 50%, Costing District Up to $1.1 Billion Annually
After
Federal immigration-eligibility restrictions begin October 1 for many adult Medicaid members in DC
DC Department of Health Care Finance

Corrected · July 15, 2026

District of Columbia

Corrected July 15, 2026.

Before
DCPCA Sounds Alarm on Federal Funding Freeze: Over 180,000 DC Patients Served by Health Centers at Risk
After
DCPCA's January 2025 funding-freeze record quantified more than $90K per day as inaccessible—not permanently lost
DC Primary Care Association

Corrected · July 15, 2026

District of Columbia

Corrected July 15, 2026.

Before
Wellpoint DC exits the DC Medicaid managed care market; enrollees auto-assigned to AmeriHealth Caritas DC on August 1
After
Wellpoint Medicaid members transfer to AmeriHealth August 1, with continuity protections through October 31
DC Department of Health Care Finance

Corrected · July 15, 2026

District of Columbia

Corrected July 15, 2026.

Before
DC Council passes FY2027 budget on first vote, removing the proposed Healthcare Alliance enrollment moratorium up to 138% of poverty
After
HRSA's 2024 UDS counts eight DC awardees serving 184,662 patients—not nine FQHC awardees
Health Resources and Services Administration

Corrected · July 15, 2026

District of Columbia

Corrected July 15, 2026.

Before
DC operating precedent: Unity's in-house 340B pharmacy supported same-day prescribing and delivery
After
Unity's 2022 response documents a same-day 340B pharmacy workflow—not a current service guarantee
Unity Health Care

Corrected · July 15, 2026

Delaware

Corrected July 15, 2026.

Before
La Red Health Center launches HRSA-funded MOMS initiative — CHWs, bilingual doulas, and a mobile unit bring maternal care to rural Sussex County
After
La Red's MOMS initiative brings maternal outreach and mobile services to southern Delaware
WHYY

Corrected · July 15, 2026

Delaware

Corrected July 15, 2026.

Before
Thomas Jefferson University to run Delaware's first medical school, announced at Westside Health in Dover
After
Thomas Jefferson University selected to operate Delaware's first four-year medical school
Spotlight Delaware

Corrected · July 15, 2026

Delaware

Corrected July 15, 2026.

Before
Delaware routes its $157.4M RHTP award into statewide real-time insurance verification and prior-authorization infrastructure — FQHCs named as direct beneficiaries
After
Delaware launches statewide real-time insurance verification and prior authorization
Delaware DHSS / State of Delaware News

Corrected · July 15, 2026

Delaware

Corrected July 15, 2026.

Before
Delaware Enacts Landmark Healthcare Legislation Including PA Scope Expansion and Hospital Charity Care Mandate
After
Governor proposes hospital charity-care standards and a temporary acquisition moratorium
Office of Governor Matt Meyer / State of Delaware News

Corrected · July 15, 2026

Delaware

Corrected July 15, 2026.

Before
Delaware earmarks ~$24.3M in Year 1 of its $157M rural award to ready FQHCs for value-based care
After
Delaware budgets $24.3 million for rural-provider and FQHC value-based-care readiness
Delaware DHSS Division of Public Health

Corrected · July 15, 2026

Delaware

Corrected July 15, 2026.

Before
Delaware ACA marketplace enrollment fell ~16% for 2026 — among the steepest U.S. drops
After
Delaware Marketplace plan selections decline 16% for 2026
KFF

Corrected · July 15, 2026

Delaware

Corrected July 15, 2026.

Before
DHSS asks for +$200M in FY27, incl. +$128.5M for Medicaid, as federal eligibility changes hit
After
Delaware DHSS requests nearly $200 million more for FY2027, including $128.5 million for Medicaid
Spotlight Delaware

Corrected · July 15, 2026

Delaware

Corrected July 15, 2026.

Before
Delaware's Medicaid work-requirement clock: 6-month renewals + tracking by Dec 2026, enforcement Jan 2027
After
Delaware officials anticipate added Medicaid paperwork from federal eligibility changes
Spotlight Delaware

Corrected · July 15, 2026

Delaware

Corrected July 15, 2026.

Before
H.R. 1 Medicaid Cuts Threaten $3–5 Billion in Federal Funding Over a Decade, With 50,000+ Delawareans Set to Lose Coverage
After
Analyses project substantial Delaware Medicaid funding and coverage losses
WHYY

Corrected · July 15, 2026

Delaware

Corrected July 15, 2026.

Before
Gov. Meyer signs Delaware's ~$7B FY2027 budget on deadline — direct-care raises and childcare expansion in, health-care inflation named the top cost driver
After
Governor signs Delaware's FY2027 operating budget with direct-care and workforce investments
Office of Governor Matt Meyer / State of Delaware News

Corrected · July 15, 2026

Delaware

Corrected July 15, 2026.

Before
Delaware's 153rd General Assembly closes with scope expansions for physician associates and dental hygienists, a hospital private-equity moratorium, and charity-care mandates
After
Delaware's 153rd General Assembly advances workforce, charity-care, and hospital-ownership measures
Delaware DHSS / State of Delaware News

Corrected · July 15, 2026

Delaware

Corrected July 15, 2026.

Before
Verified Delaware 340B baseline: La Red uses the program for lower-cost prescriptions and community reinvestment
After
La Red documents its active 340B discount-pharmacy model
La Red Health Center

Corrected · July 15, 2026

Florida

Corrected July 15, 2026.

Before
Florida Policy Institute: H.R. 1 projected to cost 1.4–1.9 million Floridians their coverage and push uncompensated care above $4B over a decade
After
FPI's FY2025-26 analysis projected 1.4–1.9M Florida coverage losses and more than $4B in uncompensated care over a decade
Florida Policy Institute

Corrected · July 15, 2026

Florida

Corrected July 15, 2026.

Before
Florida's uninsured wave arrives: Hillsborough's indigent-care plan sees a 15% application surge as the state's uninsured rate heads from 10.7% toward 16.7%
After
Hillsborough Health Care Plan enrollment rises 15% as ACA subsidy changes raise local coverage pressure
Bay News 9 (Spectrum News)

Corrected · July 15, 2026

Florida

Corrected July 15, 2026.

Before
FACHC presses Florida lawmakers to raise the FQHC Medicaid PPS rate — a 42% per-visit shortfall
After
FACHC's 2024 analysis estimated a $106, or 42.2%, FQHC Medicaid PPS shortfall per visit
FACHC

Corrected · July 15, 2026

Florida

Corrected July 15, 2026.

Before
Florida's nation-leading ACA marketplace shrinks as enhanced subsidies expire — the central threat to FL health centers
After
KFF's January snapshot showed Florida 2026 plan selections down 196,643; selections were not final paid enrollment
KFF (Kaiser Family Foundation) State Health Facts

Corrected · July 15, 2026

Florida

Corrected July 15, 2026.

Before
Florida ACA enrollment already down 261,000+ as enhanced premium tax credits lapse
After
January report showed 261,115 fewer Florida Marketplace plan selections; effectuated coverage was not yet known
The Apopka Voice

Corrected · July 15, 2026

Florida

Corrected July 15, 2026.

Before
Community Health Center Fund expires December 31, 2026 — Florida's 54 centers face a funding cliff amid rising demand
After
Federal CHC Fund: $4.6B for FY2026 plus a $1.159B bridge through December 31, 2026
U.S. House Office of the Law Revision Counsel

Corrected · July 15, 2026

Florida

Corrected July 15, 2026.

Before
340B rebate-model pilot vacated by federal court in early 2026 — cash-flow reprieve but lingering uncertainty for FL health centers
After
Federal court vacates and remands HRSA's 340B rebate-model pilot; HHS is reconsidering a future model
Health Resources and Services Administration (HRSA)

Corrected · July 15, 2026

Florida

Corrected July 15, 2026.

Before
Florida wins $209.9M Rural Health Transformation award; $14M Remote Patient Telemonitoring track due June 10, 2026
After
WUSF reports Florida's $209.9M Rural Health Transformation award; later subgrant deadlines require separate sourcing
WUSF / Health News Florida

Corrected · July 15, 2026

Florida

Corrected July 15, 2026.

Before
Insurer exodus begins: Cigna and five other carriers exit ACA marketplaces for 2027 as enhanced-credit fallout deepens
After
KFF reports six carrier exits from 2027 ACA Marketplaces nationally; the linked brief does not identify a Florida exit
KFF

Corrected · July 15, 2026

Florida

Corrected July 15, 2026.

Before
Florida passes $114.5B budget in special session: Medicaid and KidCare funded, but managed-care rates cut 1.3%
After
Florida Legislature sent a $114.5B FY2026-27 budget to the governor; the later enacted total superseded this snapshot
FlaglerLive

Corrected · July 15, 2026

Florida

Corrected July 15, 2026.

Before
Medicaid work requirement does NOT apply in Florida — non-expansion status exempts the state from the Jan 2027 mandate
After
KFF's June tracker does not list Florida among states subject to the January 2027 federal Medicaid work requirement
KFF

Corrected · July 15, 2026

Florida

Corrected July 15, 2026.

Before
AHCA posts Florida's $209M Rural Health Transformation program and funding opportunities across 15 initiatives
After
AHCA documents Florida's $209M Rural Health Transformation program across 15 initiatives; posted RFA deadline has passed
Florida Agency for Health Care Administration (AHCA)

Corrected · July 15, 2026

Florida

Corrected July 15, 2026.

Before
Florida's Rural Health Transformation sub-grant applications close June 17 — a live window for rural FQHCs
After
Florida's June 17 Rural Health Transformation RFA deadline has passed; verify any new round in the vendor portal
Florida AHCA

Corrected · July 15, 2026

Florida

Corrected July 15, 2026.

Before
Florida locks in $8 billion Medicaid hospital windfall just before federal directed-payment limits bite
After
CMS approved nearly $8B through Florida's hospital Directed Payment Program for the 2024-25 service period
WUSF / Health News Florida

Corrected · July 15, 2026

Florida

Corrected July 15, 2026.

Before
PolitiFact confirms: Florida is the only state removing children from CHIP for missed premium payments — 43,000 kids disenrolled
After
PolitiFact confirms: Florida is the only state removing children from CHIP for missed premium payments — 43,000 kids disenrolled
PolitiFact

Corrected · July 15, 2026

Georgia

Corrected July 15, 2026.

Before
Georgia awards first $12.73M in GREAT Health rural subgrants — no FQHCs in the opening round, raising primary-care access questions
After
Georgia Virtue republishes Georgia's first $12.73M GREAT Health award announcement
The Georgia Virtue

Corrected · July 15, 2026

Georgia

Corrected July 15, 2026.

Before
340B rebate-model pilot paused by federal court — preserving upfront discounts Georgia FQHCs depend on
After
Federal court enjoins the 340B rebate pilot; HRSA opens a new rebate-model inquiry
HRSA / Federal Register

Corrected · July 15, 2026

Georgia

Corrected July 15, 2026.

Before
Dec 31, 2026 Community Health Center Fund cliff threatens the ~70% federal grant base of all 35 Georgia FQHCs
After
NACHC lists September 30 and December 31, 2026 expirations for federal health-center funding
NACHC

Corrected · July 15, 2026

Georgia

Corrected July 15, 2026.

Before
GPCA: Georgia's 35 FQHCs now serve ~669,000 patients across 225 sites in 123 counties as coverage pressures mount
After
GPCA identifies itself as Georgia's HRSA-designated PCA and Health Center Controlled Network
Georgia Primary Care Association

Corrected · July 15, 2026

Georgia

Corrected July 15, 2026.

Before
Federal Community Health Center Fund authorized only through December 2026 — a funding cliff for Georgia's 30+ FQHCs
After
NACHC seeks a $300M FY2027 increase in annual health-center funding
NACHC

Corrected · July 15, 2026

Georgia

Corrected July 15, 2026.

Before
~460,000 Georgians projected to lose coverage as enhanced ACA tax credits expire Jan 1, 2026 — the dominant FQHC threat in a non-expansion state
After
AJC finds 2026 silver plans of $2,600-$4,800 a month for one unsubsidized Fulton County couple
Atlanta Journal-Constitution

Corrected · July 15, 2026

Georgia

Corrected July 15, 2026.

Before
Georgia wins $218.8M first-year GREAT Health (Rural Health Transformation) award — among the largest state allotments
After
CMS awards Georgia $218.8M for the first year of GREAT Health
Office of the Governor of Georgia

Corrected · July 15, 2026

Georgia

Corrected July 15, 2026.

Before
Georgia's $218.8M Year-1 rural transformation award (GREAT Health) — but a 15% rural-provider cap and a projected 460,000 newly uninsured temper the relief
After
Georgia's five-year $1.4B GREAT Health application proposes 29 projects; provider payments face a 15% cap
Georgia Recorder / Georgia DCH

Corrected · July 15, 2026

Georgia

Corrected July 15, 2026.

Before
Georgia Pathways to Coverage enrolled only ~8,000 in two years as CMS extends the work-requirement experiment to December 2026
After
Georgetown analysis: Pathways enrolled just over 8,000 people after two years
Georgetown Center for Children and Families

Corrected · July 15, 2026

Georgia

Corrected July 15, 2026.

Before
ACA enhanced premium tax credits expired Jan 1, 2026 — a direct hit to non-expansion Georgia, where marketplace premiums more than double
After
KFF projected a 114% average premium-payment increase if enhanced marketplace credits expired
KFF

Corrected · July 15, 2026

Georgia

Corrected July 15, 2026.

Before
Georgia Pathways (only live US Medicaid work requirement) extended through Dec 31, 2026 — drops monthly reporting after spending 2-of-3 dollars on administration
After
CMS extends Georgia Pathways through December 31, 2026 and changes activity reporting
Office of the Governor of Georgia

Corrected · July 15, 2026

Georgia

Corrected July 15, 2026.

Before
Up to 22 rural Georgia hospitals at risk of closure as Medicaid cuts hit — pushing more demand onto FQHCs
After
St. Mary's Sacred Heart ends maternity services as rural Georgia labor-and-delivery access contracts
Georgia Recorder

Corrected · July 15, 2026

Georgia

Corrected July 15, 2026.

Before
Preliminary 2027 marketplace filings carry a 14% median increase — a planning signal, not a final Georgia rate
After
KFF: 2027 marketplace filings across 16 states and DC seek a 14% median increase
KFF

Corrected · July 15, 2026

Georgia

Corrected July 15, 2026.

Before
Gov. Kemp signs nursing-workforce legislation (May 11) expanding tuition aid for baccalaureate nursing — a supply-side move for understaffed Georgia FQHCs
After
Governor signs HB 541 expanding tuition grants to qualifying bachelor's-level nursing students
Office of the Governor of Georgia (Gov. Brian P. Kemp)

Corrected · July 15, 2026

Georgia

Corrected July 15, 2026.

Before
Half a million Georgians drop ACA coverage after enhanced credits expire — marketplace falls from 1.5M to 950K
After
Georgia marketplace enrollment falls 37% from January 2025 to April 17, 2026
Healthbeat Atlanta

Corrected · July 15, 2026

Georgia

Corrected July 15, 2026.

Before
Sine die: Georgia's 2026 session delivers a 5% Medicaid primary-care rate increase and 124 residency slots — but the CHW certification bill dies
After
Georgia's final FY2027 budget includes two 5% primary-care rate increases and 124 residency slots
Georgians for a Healthy Future

Corrected · July 15, 2026

Georgia

Corrected July 15, 2026.

Before
GPCA: amended FY2026 budget cuts reinsurance by $50M and again rejects eligibility-system upgrade as work requirements loom
After
Amended FY2026 budget cuts reinsurance by $50M and omits a $35M Gateway modernization proposal
Georgia Primary Care Association

Corrected · July 15, 2026

Georgia

Corrected July 15, 2026.

Before
CMS approves $218.8M first year of Georgia's GREAT Health rural transformation program; competitive grant phase opens June 15
After
CMS approves Georgia's $218.86M amended first-year GREAT Health budget
Georgia Department of Community Health

Corrected · July 15, 2026

Georgia

Corrected July 15, 2026.

Before
Pathways tracker reports 17,709 active and 30,396 cumulative enrollees as of May 31
After
Pathways tracker reports 17,709 active and 30,396 cumulative enrollees as of May 31
GeorgiaPathways.org (open-records data tracker)

Corrected · July 15, 2026

Georgia

Corrected July 15, 2026.

Before
Georgia submits two-year Medicaid provider revalidation strategy to CMS — heightened enrollment scrutiny coming for health center billing teams
After
Georgia submits a two-year Medicaid provider-revalidation strategy with 29 performance indicators
Georgia Department of Community Health

Corrected · July 15, 2026

Hawaii

Corrected July 15, 2026.

Before
Gov. Green signs $20B FY2027 supplemental budget built around absorbing federal Medicaid and SNAP cuts
After
Gov. Green signs Hawaiʻi's $20.31B FY2027 supplemental budget amid federal funding uncertainty
Office of the Governor of Hawaiʻi

Corrected · July 15, 2026

Hawaii

Corrected July 15, 2026.

Before
HHS decertifies Hawaii's Medicaid Fraud Control Unit, cutting $3M and raising the stakes for the state's $2.2B federal Medicaid match
After
HHS decertifies Hawaiʻi's Medicaid Fraud Control Unit; state says benefits and provider payments are unaffected
Hawaii Tribune-Herald

Corrected · July 15, 2026

Hawaii

Corrected July 15, 2026.

Before
Hawaii 2026 State of Reform Health Policy Conference Spotlights Med-QUEST H.R.1 Response
After
Hawaiʻi policy conference put Medicaid work rules and reenrollment on a dedicated Med-QUEST panel
State of Reform

Corrected · July 15, 2026

Hawaii

Corrected July 15, 2026.

Before
Hawai'i's physician shortage worsens to 833 FTEs, hitting neighbor islands and primary care hardest
After
Hawaiʻi's geography-adjusted physician gap reached 833 FTEs in 2025, with neighbor islands bearing the brunt
Honolulu Civil Beat

Corrected · July 15, 2026

Hawaii

Corrected July 15, 2026.

Before
Hawai'i awarded $188.9M in first-year Rural Health Transformation funds for neighbor-island care
After
Hawai'i awarded $188.9M in first-year Rural Health Transformation funds for neighbor-island care
Office of Governor Josh Green, M.D.

Corrected · July 15, 2026

Hawaii

Corrected July 15, 2026.

Before
Med-QUEST FQHC/RHC PPS Rates Updated January 1, 2026 Through December 31, 2026
After
Med-QUEST posts CY2026 fee-for-service FQHC and RHC PPS rates
Hawaii Med-QUEST Division / DHS

Corrected · July 15, 2026

Hawaii

Corrected July 15, 2026.

Before
H.R. 1 immigrant-eligibility cuts (Oct 1, 2026) hit Hawai'i's NHPI and COFA communities
After
Federal Medicaid and CHIP funding narrows for many lawfully residing noncitizens October 1, while COFA eligibility is retained
Georgetown University Center for Children and Families

Corrected · July 15, 2026

Hawaii

Corrected July 15, 2026.

Before
Hawaiʻi selected for CCBHC Medicaid Demonstration — behavioral-health funding pathway opens with first Maui clinics certified by January 2027
After
Hawaiʻi joins the CCBHC Medicaid Demonstration; two Maui clinics target January 2027 certification
Hawaiʻi Department of Health

Corrected · July 15, 2026

Hawaii

Corrected July 15, 2026.

Before
Hawaii Island Community Health Center launches charitable foundation to fund patient transportation, staff childcare and clinic improvements
After
Hawaii Island Community Health Center launches charitable foundation to fund patient transportation, staff childcare and clinic improvements
Big Island Now

Corrected · July 15, 2026

Hawaii

Corrected July 15, 2026.

Before
HMSA abruptly reverses capitation, moving 750,000+ members back to fee-for-service July 1 — rural practices warn of closures
After
HMSA shifts its primary-care payment model to fee-for-service July 1 as rural practices warn of disruption
Hawaii Tribune-Herald

Corrected · July 15, 2026

Hawaii

Corrected July 15, 2026.

Before
H.R.1 §71109 Explicitly Protects Hawaii's ~28,000 COFA Migrants' Medicaid Eligibility
After
Federal guidance keeps otherwise eligible COFA migrants in the Medicaid and CHIP funding categories after October 1
Centers for Medicare & Medicaid Services

Corrected · July 15, 2026

Hawaii

Corrected July 15, 2026.

Before
December 31, 2026 CHC Fund Cliff: No Congressional Extension Vehicle for Hawaii's 14 FQHCs
After
Mandatory Community Health Center Fund support is authorized only through December 31, 2026
National Association of Community Health Centers

Corrected · July 15, 2026

Hawaii

Corrected July 15, 2026.

Before
Hawaii Island Community Health Center names COO Victoria Hanes as next CEO, succeeding 21-year leader Richard Taaffe in November
After
Hawaii Island Community Health Center names COO Victoria Hanes as next CEO, succeeding 21-year leader Richard Taaffe in November
Hawaii Tribune-Herald

Corrected · July 15, 2026

Hawaii

Corrected July 15, 2026.

Before
Med-QUEST issues first member notice on H.R. 1 work requirements: 80 hours a month and twice-yearly renewals starting January 2027
After
Med-QUEST issues member notice on H.R. 1 work requirements: 80 hours a month and twice-yearly renewals starting January 2027
Hawaii DHS Med-QUEST

Corrected · July 15, 2026

Hawaii

Corrected July 15, 2026.

Before
Hawai'i's Medicaid-to-Medicare rate cap threatens a 'state of non-viability' for the safety net
After
Hawai'i's Medicaid-to-Medicare rate cap threatens a 'state of non-viability' for the safety net
Honolulu Civil Beat

Corrected · July 15, 2026

Hawaii

Corrected July 15, 2026.

Before
Med-QUEST begins publishing application and enrollment trend data as one in three Hawaii residents rely on Medicaid
After
Med-QUEST publishes application and enrollment trend data as one in three Hawaiʻi residents rely on Medicaid
Hawaiʻi DHS Med-QUEST Division

Corrected · July 15, 2026

Hawaii

Corrected July 15, 2026.

Before
Hawaii SB2087: 3-Year Health Coverage Continuity Pilot Advances to Backstop Medicaid Losers
After
Hawaiʻi's proposed three-year SB2087 coverage-continuity pilot died in House committee
Honolulu Civil Beat Digital Democracy

Corrected · July 15, 2026

Hawaii

Corrected July 15, 2026.

Before
Med-QUEST advances AHEAD primary-care payment reform: statewide APM set for 2028, HMSA payment-model changes hit July 1
After
Med-QUEST advances AHEAD primary-care payment reform: statewide APM set for 2028, HMSA payment-model changes hit July 1
Hawaiʻi DHS Med-QUEST Division

Corrected · July 15, 2026

Iowa

Corrected July 15, 2026.

Before
Reynolds signs SF 2422: retroactive Medicaid coverage eliminated for most adults, new immigration verification on public benefits
After
Iowa SF 2422 sets January 2027 Medicaid retroactivity rules and adds SAVE to benefit-verification sources
Iowa General Assembly

Corrected · July 15, 2026

Iowa

Corrected July 15, 2026.

Before
Iowa enacts SF 615 Medicaid work requirements; submits 1115 waiver, targets Dec. 1, 2026 launch
After
Current Iowa guidance sets an 80-hour monthly IHAWP requirement by December 1, 2026 and lists exclusions
Iowa Department of Health and Human Services

Corrected · July 15, 2026

Iowa

Corrected July 15, 2026.

Before
Iowa starts work requirements December 1 — a month early, no hardship exception — and one named FQHC projects a $3M loss
After
Eastern Iowa Health Center projected a conditional $3M 2027 loss under the federal work requirement
KCRG

Corrected · July 15, 2026

Iowa

Corrected July 15, 2026.

Before
H.R.1 Medicaid work requirements threaten up to 5.6M CHC patients nationally — Iowa squarely exposed
After
May 2025 modeling of the House-passed proposal estimated up to 5.6M CHC coverage losses and $32B in revenue loss
Commonwealth Fund

Corrected · July 15, 2026

Iowa

Corrected July 15, 2026.

Before
Iowa Primary Care Association becomes statewide Behavioral Health ASO (effective July 1, 2025)
After
Iowa launches redesigned behavioral-health and disability systems with Iowa PCA as the statewide BH-ASO
Iowa Department of Health and Human Services

Corrected · July 15, 2026

Iowa

Corrected July 15, 2026.

Before
~32,000 Iowans Projected to Lose IHAWP Coverage; Iowa Declines High-Unemployment Hardship Exemption
After
March 2025 SF 615 fiscal note modeled approximately 32,000 possible IHAWP coverage losses
Iowa Legislative Services Agency

Corrected · July 15, 2026

Iowa

Corrected July 15, 2026.

Before
Iowa's Healthy Hometowns rolls out second RHTP funding wave: Combat Cancer Health Hub dollars and a Maternal Health Hub RFI
After
Iowa's current Healthy Hometowns page lists a $209M first-year award, five initiatives, and live funding and award links
Iowa Department of Health and Human Services

Corrected · July 15, 2026

Iowa

Corrected July 15, 2026.

Before
Iowa 2026 Legislative Session Ends May 3; Reynolds Directs HHS to Align With Federal OBBBA (H.R. 1) Requirements
After
Governor's session statement highlights SF 2422 direction on SNAP, federal OBBBA compliance, and online Medicaid premiums
Office of Governor Kim Reynolds

Corrected · July 15, 2026

Iowa

Corrected July 15, 2026.

Before
Iowa locks in Dec. 1, 2026 Medicaid work-requirement start — one of only two states rejecting every optional hardship exemption
After
KFF: Iowa plans a December 1, 2026 Medicaid work-requirement start and no optional hardship exceptions
KFF

Corrected · July 15, 2026

Iowa

Corrected July 15, 2026.

Before
Peoples Community Health Clinic opens FQHC site in Traer's shuttered MercyOne space — a template for rural backfill
After
Peoples Clinic targeted a mid-April FQHC opening in Traer's former MercyOne clinic space
Marshalltown Times-Republican

Corrected · July 15, 2026

Iowa

Corrected July 15, 2026.

Before
Iowa PCA marks one year running the state's behavioral health system: 49 navigators, 52,916 calls fielded across seven districts
After
Iowa PCA's first BH-ASO year: 49 navigators, 34 in-person locations, and 52,916 calls across seven districts
Iowa Primary Care Association

Corrected · July 15, 2026

Iowa

Corrected July 15, 2026.

Before
Governor Reynolds Signs HMO Premium Tax Hike to Plug $167.6M Iowa Medicaid Deficit
After
Iowa raises the HMO premium tax as Medicaid shortfalls are projected at $90.6M and $167.6M
Iowa Capital Dispatch

Corrected · July 15, 2026

Iowa

Corrected July 15, 2026.

Before
Iowa sues NuCara pharmacy over $22 million in unremitted 340B income from the AIDS Drug Assistance Program
After
Iowa lawsuit alleges NuCara withheld more than $22M in ADAP 340B program income
Iowa Capital Dispatch

Corrected · July 15, 2026

Iowa

Corrected July 15, 2026.

Before
Planned Parenthood to close Iowa City clinic July 31, leaving one clinic statewide — family-planning demand shifts toward health centers
After
Planned Parenthood's Iowa City clinic will close July 31, leaving one in-person Planned Parenthood facility in Iowa
Little Village Magazine

Corrected · July 15, 2026

Iowa

Corrected July 15, 2026.

Before
Iowa obligates $88M more in Rural Health Transformation awards — hospitals dominate, no health center named among awardees
After
Iowa announces five cancer hubs, 58 workforce awardees, 42 equipment awardees, and an expanded GME program
Iowa Department of Health and Human Services

Corrected · July 15, 2026

Idaho

Corrected July 15, 2026.

Before
Idaho broadens rural health funding eligibility beyond clinics and hospitals — libraries, schools and faith groups can now apply, with 20/15/10 spending caps
After
Idaho broadens rural health funding eligibility beyond clinics and hospitals — libraries, schools and faith groups can now apply, with 20/15/10 spending caps
Lewiston Tribune (via Yahoo News)

Corrected · July 15, 2026

Idaho

Corrected July 15, 2026.

Before
Idaho posts first three Rural Health Transformation subgrants — $4.9M live now, all year-one funds must be awarded by Oct. 30
After
Idaho posts its first three Rural Health Transformation opportunities totaling about $4.9M; year-one funds face an Oct. 30 award deadline
Idaho Capital Sun / KMVT

Corrected · July 15, 2026

Idaho

Corrected July 15, 2026.

Before
Dec 31, 2026 Community Health Center Fund cliff threatens ~70% of grant dollars for Idaho's 15 health centers
After
Federal health-center funding deadlines: discretionary funds expire Sept. 30 and mandatory funds Dec. 31, 2026
National Association of Community Health Centers (NACHC)

Corrected · July 15, 2026

Idaho

Corrected July 15, 2026.

Before
NACHC flags rural workforce shortages and 340B protection as 2026 priorities — acute for rural Idaho
After
NACHC identifies workforce, telehealth, behavioral health and 340B as rural CHC priorities
National Association of Community Health Centers (NACHC)

Corrected · July 15, 2026

Idaho

Corrected July 15, 2026.

Before
Idaho awarded $185.97M/year for five years under the Rural Health Transformation Program
After
Idaho's verified Rural Health Transformation award totals $185,974,367.81 for year one; later allocations are not guaranteed
Idaho Department of Health and Welfare

Corrected · July 15, 2026

Idaho

Corrected July 15, 2026.

Before
Federal work requirement (Jan 1, 2027) layers on top of HB 345 for Idaho's expansion enrollees
After
Federal work requirement (Jan 1, 2027) layers on top of HB 345 for Idaho's expansion enrollees
Idaho State Bar

Corrected · July 15, 2026

Idaho

Corrected July 15, 2026.

Before
Gov. Little signs HB 345: Idaho Medicaid moves to managed care and adds work requirements
After
Gov. Little signs HB 345, which calls for work or study and a shift toward third-party Medicaid managed care
KMVT

Corrected · July 15, 2026

Idaho

Corrected July 15, 2026.

Before
Idaho's $186M rural health grants go live in June — but future rounds hinge on hitting federal outcome milestones
After
Idaho's $186M rural health grants go live in June — but future rounds hinge on hitting federal outcome milestones
Boise State Public Radio

Corrected · July 15, 2026

Idaho

Corrected July 15, 2026.

Before
KFF 50-state scan: Idaho among only three states demanding more than the federal minimum on Medicaid work requirements
After
KFF scan: Idaho requires a three-month Medicaid work-history lookback before application
KFF

Corrected · July 15, 2026

Idaho

Corrected July 15, 2026.

Before
Idaho posts wave of Rural Health Transformation RFPs — facility renovation, cybersecurity, technology and data analytics — as maternal-child subgrants close
After
Idaho posts wave of Rural Health Transformation RFPs — facility renovation, cybersecurity, technology and data analytics — as maternal-child subgrants close
Idaho Department of Health and Welfare

Corrected · July 15, 2026

Idaho

Corrected July 15, 2026.

Before
Lawsuit stalls Idaho Medicaid privatization — managed-care go-live pushed back a full year to ~2030
After
Lawsuit stalls Idaho Medicaid privatization — managed-care go-live pushed back a full year to ~2030
KMVT (Idaho Capital Sun)

Corrected · July 15, 2026

Idaho

Corrected July 15, 2026.

Before
Your Health Idaho: 30,000 more Idahoans projected uninsured after enhanced ACA credits expired — 24,400 already dropped exchange plans
After
Your Health Idaho: 30,000 more Idahoans projected uninsured after enhanced ACA credits expired — 24,400 already dropped exchange plans
Idaho Capital Sun / KMVT

Corrected · July 15, 2026

Idaho

Corrected July 15, 2026.

Before
IDHW director sets the RHTP clock: first CMS report due Aug. 30, all $186M must be awarded by Oct. 30 or Idaho loses it to other states
After
IDHW director sets the RHTP clock: first CMS report due Aug. 30; funds not awarded by Oct. 30 face possible federal reallocation
KMVT (Idaho Capital Sun reporting)

Corrected · July 15, 2026

Idaho

Corrected July 15, 2026.

Before
Idaho signs HB 913: Medicaid expansion work requirements with a three-month 'lookback' — up to 34,000 could lose coverage
After
Idaho signs HB 913's three-month Medicaid lookback; separate federal-change model estimates a 20,000–34,000 enrollment reduction
Spokane Public Radio / Idaho Capital Sun

Corrected · July 15, 2026

Idaho

Corrected July 15, 2026.

Before
Idaho lawmakers again dodge full Medicaid expansion repeal — but the work-requirement waiver path remains a slow-motion threat
After
Idaho's 2026 Medicaid expansion repeal bill stalls; lawmakers pass work rules and provider cuts
News From The States / Idaho Capital Sun

Corrected · July 15, 2026

Idaho

Corrected July 15, 2026.

Before
CHAS Health breaks ground on integrated primary care + behavioral health clinic with Frontier Behavioral Health — 4,000 patients a year under one roof
After
CHAS Health breaks ground on integrated primary care + behavioral health clinic with Frontier Behavioral Health — 4,000 patients a year under one roof
The Spokesman-Review

Corrected · July 15, 2026

Idaho

Corrected July 15, 2026.

Before
2026 Idaho Legislature weighs repealing Medicaid expansion at end of 2026 amid $22M in proposed cuts
After
2026 Idaho Legislature weighs repealing Medicaid expansion at end of 2026 amid $22M in proposed cuts
KMVT (Idaho Capital Sun)

Corrected · July 15, 2026

Illinois

Corrected July 15, 2026.

Before
KFF: 2026 marketplace enrollment falling toward 17.5M as enhanced credits expire — premiums up 58%, deductibles hit record $3,786
After
KFF projects national 2026 Marketplace effectuation near 17.5M; premiums rise 58% and deductibles reach $3,786
KFF

Corrected · July 15, 2026

Illinois

Corrected July 15, 2026.

Before
Pritzker launches $50M Rebuild Illinois grant program for FQHC and look-alike construction
After
Pritzker launches $50M Rebuild Illinois grant program for FQHC and look-alike construction
Office of Gov. Pritzker / State of Illinois

Corrected · July 15, 2026

Illinois

Corrected July 15, 2026.

Before
Cook County passes $10.12B FY2026 budget bracing safety net against federal Medicaid cuts
After
Cook County adopts $10.12B FY2026 budget; $5.14B health fund serves 300K patients and CountyCare nearly 400K
Cook County Government

Corrected · July 15, 2026

Illinois

Corrected July 15, 2026.

Before
H.R.1 threatens ~500,000 Illinois Medicaid enrollees and up to $51B in lost federal funds
After
HFS projects about 500K coverage losses and $26B-$51B in federal reductions; ACA adults face Jan. 1 rules
Illinois HFS (Healthcare & Family Services)

Corrected · July 15, 2026

Illinois

Corrected July 15, 2026.

Before
Illinois' FY2026 budget put $40M behind FQHCs absorbing the HBIA immigrant-coverage sunset
After
Illinois FY2026 budget includes $40M for FQHCs as HBIA ends; source does not quantify redirected patients
Capitol News Illinois

Corrected · July 15, 2026

Illinois

Corrected July 15, 2026.

Before
Illinois ends HBIA immigrant adult coverage July 2025, sending ~33,000 to FQHCs as uninsured
After
HFS ended HBIA June 30, 2025 and directs former enrollees to FQHCs and free clinics
Illinois HFS (Healthcare & Family Services)

Corrected · July 15, 2026

Illinois

Corrected July 15, 2026.

Before
Medicaid omnibus SB 3365 ends coverage for ~10,000 lawfully present noncitizens Oct 1 — clinics named as the fallback
After
HFS starts direct notice campaign before Oct. 1 Medicaid eligibility loss for many noncitizens
Illinois Department of Healthcare and Family Services (HFS)

Corrected · July 15, 2026

Illinois

Corrected July 15, 2026.

Before
Howard Brown Health — the Midwest's largest LGBTQ-serving FQHC — warns federal cuts could force new layoffs and reverse HIV progress
After
Howard Brown CEO warns federal cuts threaten Medicaid access and HIV progress; 40% of patients rely on Medicaid
Windy City Times

Corrected · July 15, 2026

Illinois

Corrected July 15, 2026.

Before
$67.7M in HRSA Health Center Program awards flow to 25 Illinois FQHCs — Section 330 base intact ahead of the December cliff
After
$67.7M in HRSA H80 awards reaches 25 Illinois health-center recipients; $1.4M supports other programs
Office of U.S. Sen. Dick Durbin

Corrected · July 15, 2026

Illinois

Corrected July 15, 2026.

Before
FY2027 budget passes at 4 a.m.: $55.9B maintenance plan keeps immigrant-senior coverage, adds no Medicaid backfill
After
FY2027 $55.9B budget passes after 4 a.m. with about $800M in taxes and $70M for SNAP losses
WGLT / NPR Illinois network

Corrected · July 15, 2026

Illinois

Corrected July 15, 2026.

Before
Federal Medicaid work requirements hit Illinois Jan 1, 2027; 772,000+ ACA expansion adults in scope
After
HFS: ACA expansion adults face work reporting and six-month renewals Jan. 1, 2027; exemption details forthcoming
Illinois Department of Healthcare and Family Services (HFS)

Corrected · July 15, 2026

Illinois

Corrected July 15, 2026.

Before
HFS launches 7-module H.R. 1 implementation series — work-requirement training July 14, ~330K Illinoisans at risk
After
HFS HR 1 series reaches work-requirement module; exemptions session July 22 and renewals session Aug. 20
Illinois Department of Healthcare and Family Services (HFS)

Corrected · July 15, 2026

Indiana

Corrected July 15, 2026.

Before
Indiana has already shed ~400,000 Medicaid enrollees since early 2025 — ED visits up 17%, +400 state eligibility monitors, and a frail-exemption squeeze ahead of the 2027 work requirement
After
WFYI reports roughly 400,000 fewer Medicaid enrollees since early 2025; work requirements have not started
WFYI Indianapolis

Corrected · July 15, 2026

Indiana

Corrected July 15, 2026.

Before
Indiana FQHCs exempted from July 1, 2026 policy ending 340B savings under Medicaid — hospitals are not
After
Hospitals remain outside Indiana's FQHC exemption from the planned Medicaid 340B change
WISH-TV

Corrected · July 15, 2026

Indiana

Corrected July 15, 2026.

Before
Indiana opens $206.9M Rural Health Transformation Program; coalition GROW grant applications due July 1
After
GROW requires one unified application per region and does not allow organizations to apply alone
Indiana GROW Rural Health (FSSA/IDOH)

Corrected · July 15, 2026

Indiana

Corrected July 15, 2026.

Before
Indiana's SB 1 (2026) could push 100,000+ Hoosiers off Medicaid; ~400,000 by 2034
After
Hoosier Action projects 100,000+ additional Medicaid losses from 2026 state changes
WFYI Indianapolis

Corrected · July 15, 2026

Indiana

Corrected July 15, 2026.

Before
Federal Community Health Center Fund expires December 31, 2026 — the cliff arrives the same year as Indiana's work requirement
After
Federal health-center funding has September 30 and December 31, 2026 authorization deadlines
NACHC

Corrected · July 15, 2026

Indiana

Corrected July 15, 2026.

Before
Indiana's HIP work requirement (SEA 2) delayed to 2027 to align with federal CMS rule
After
FSSA lists pregnancy, caregiving, medical-frailty, treatment and recent-release exemptions
WBIW / Indiana FSSA

Corrected · July 15, 2026

Indiana

Corrected July 15, 2026.

Before
Gov. Braun signs SEA 2: HIP work requirements restored, enrollment cap converted to budget-based limit
After
SEA 2 directs FSSA to seek federal approval for a HIP work requirement and contingent enrollment cap
Indiana Senate Republicans

Corrected · July 15, 2026

Indiana

Corrected July 15, 2026.

Before
Indiana FQHCs warn of vulnerability: ~$88M in HRSA grants, 24% of budgets federal, ahead of Dec 2026 cliff
After
Indiana FQHCs received nearly $88M in 2024 primary-care grants; a 2025 access disruption was resolved
WFYI Indianapolis

Corrected · July 15, 2026

Indiana

Corrected July 15, 2026.

Before
HealthLinc celebrates new Newton County clinic, bringing FQHC care to a shortage-area county
After
HealthLinc opens a nurse-practitioner-led family-medicine clinic in Morocco
Inside INdiana Business

Corrected · July 15, 2026

Indiana

Corrected July 15, 2026.

Before
GROW rural health coalitions lock in — FQHCs sign on as subrecipients ahead of the July 1 application deadline
After
Region 4's GROW letter identifies Indiana Health Centers and Neighborhood Health Center as proposed subrecipients
State of Indiana — Grow Rural Indiana (FSSA/IDOH)

Corrected · July 15, 2026

Indiana

Corrected July 15, 2026.

Before
Indiana wins ~$207M first-year Rural Health Transformation award (GROW) — FQHCs eligible via regional coalitions, July 1 deadline
After
Indiana's GROW page confirms a $206.93M federal award and plans $120M annually for regional grants
Indiana FSSA / Grow Rural Indiana

Corrected · July 15, 2026

Indiana

Corrected July 15, 2026.

Before
Indiana unveils $1.87B Medicaid payment overhaul that rewards rural and lower-cost providers
After
Indiana hospital payment model authorizes up to $1.866B in supplemental Medicaid payments
Indiana Public Media

Corrected · July 15, 2026

Indiana

Corrected July 15, 2026.

Before
After the FQHC carve-out, Indiana's 340B Medicaid cut still hits hospitals July 1 — health centers keep a margin their partners lose
After
FSSA excludes FQHCs from its planned July 1 Medicaid 340B reimbursement change
WISH-TV

Corrected · July 15, 2026

Indiana

Corrected July 15, 2026.

Before
Indiana hires 400 eligibility staff as HIP work requirements near — quarterly checks will be stricter than the federal floor
After
FSSA plans 400 eligibility hires as state and federal review requirements increase
WISH-TV

Corrected · July 15, 2026

Indiana

Corrected July 15, 2026.

Before
Georgetown report: Indiana leads the nation in children's Medicaid decline — 174,000 fewer kids covered, a 20% drop
After
Georgetown CCF reports Indiana's child Medicaid/CHIP enrollment down 19.8%, or more than 174,000
Georgetown University Center for Children and Families

Corrected · July 15, 2026

Indiana

Corrected July 15, 2026.

Before
HIP enrollment collapses from 671,000 to 487,000 — six months before work requirements even begin
After
HIP enrollment fell from about 671,000 to 487,000 before work-requirement enforcement
Indiana Public Media / Indiana Capital Chronicle

Corrected · July 15, 2026

Indiana

Corrected July 15, 2026.

Before
FSSA releases HIP work-requirement implementation rules — January applicants must prove compliance starting October 2026
After
January 2027 HIP applicants must show qualifying activity for October–December 2026
WBIW / Indiana FSSA

Corrected · July 15, 2026

Kansas

Corrected July 15, 2026.

Before
$9.5M RHTP Emerging Technology grant opens June 10 — patient-facing tech and AI funding rural providers can tap
After
$9.5M Kansas Emerging Technology RFA explicitly includes FQHCs; Aug. 7 award date is tentative
Kansas Department of Health and Environment (KDHE)

Corrected · July 15, 2026

Kansas

Corrected July 15, 2026.

Before
Kansas 340B footprint: 565 covered entities at 963 sites — KLRD briefs legislators as protection law nears sunset
After
KLRD counts 565 Kansas 340B entities at 963 sites, including 103 HRSA-funded health-center registrations
Kansas Legislative Research Department (KLRD)

Corrected · July 15, 2026

Kansas

Corrected July 15, 2026.

Before
Kansas Medicaid expansion fails again as Gov. Kelly's HAWK Act stalls; ~28,000 remain in the coverage gap
After
KFF's May 2026 tracker still places Kansas among 10 states without ACA Medicaid expansion
KFF

Corrected · July 15, 2026

Kansas

Corrected July 15, 2026.

Before
Medicaid expansion debated again in 2026 Kansas Legislature — fails to advance, ~28,000 stay in coverage gap
After
OBBBA removes Kansas' $542M expansion incentive, superseding the earlier $75M net-cost scenario
Kansas Health Institute

Corrected · July 15, 2026

Kansas

Corrected July 15, 2026.

Before
Kansas 2026 ACA premiums jump 28.9% as enhanced tax credits expire — the marketplace squeeze in a non-expansion state
After
Kansas family benchmark silver premium rises 28.9% before tax credits; Marketplace contracts to 64 plans
Kansas Health Institute

Corrected · July 15, 2026

Kansas

Corrected July 15, 2026.

Before
KHI: H.R. 1 permanently kills Kansas's $542M Medicaid-expansion incentive — and reinstates the 5-year wait for lawfully present immigrants in October
After
KHI maps OBBBA effects for Kansas: expansion incentive ends, payment limits phase in, and immigrant rules change Oct. 1
Kansas Health Institute

Corrected · July 15, 2026

Kansas

Corrected July 15, 2026.

Before
ACA premium-credit expiry drives 2026 benchmark silver premiums up ~29% — Kansas FQHCs brace for more self-pay
After
Kansas 2026 Marketplace plan selections fall to 192,811 from 200,046; effectuated enrollment was not yet known
Kansas Health Institute

Corrected · July 15, 2026

Kansas

Corrected July 15, 2026.

Before
Kansas has the most at-risk rural hospitals in the U.S. — 68 at risk, 30 at immediate risk of closing
After
June update counts 69 Kansas rural hospitals at risk and 28 at immediate risk—not the earlier 68/30 snapshot
KCUR / Kansas News Service

Corrected · July 15, 2026

Kansas

Corrected July 15, 2026.

Before
Kansas awarded $221.9M from CMS Rural Health Transformation Program — 6th-highest in the nation, KDHE lead
After
Kansas receives $221M first-year Rural Health Transformation award across five stated initiatives
Kansas Office of the Governor

Corrected · July 15, 2026

Kansas

Corrected July 15, 2026.

Before
Kansas wins $221.9M first-year Rural Health Transformation award — FQHCs eligible, grant deadlines hit in June-July 2026
After
KDHE pins Kansas RHTP at $221,898,007.82 and publishes first-period reporting and spending dates
Kansas Department of Health and Environment (KDHE)

Corrected · July 15, 2026

Kansas

Corrected July 15, 2026.

Before
KHI flags new federal marketplace rules that thin out coverage in non-expansion Kansas
After
CMS finalizes 2027 Marketplace rule: broader catastrophic coverage, no federal standardized-plan mandate, and 2028 non-network option
Kansas Health Institute

Corrected · July 15, 2026

Kansas

Corrected July 15, 2026.

Before
Kansas 340B contract-pharmacy protections lapse July 1 — Biogen becomes the first manufacturer to formally strip the state's exemption
After
Cencora records Biogen ending its Kansas 340B contract-pharmacy exemption effective July 1, 2026
Cencora (340B Manufacturer Updates)

Corrected · July 15, 2026

Kansas

Corrected July 15, 2026.

Before
Kansas awards first $79.1M in Rural Health Transformation sub-grants — hospitals dominate round one
After
Kansas awards $79.1M to 39 RHTP recipients—and PrairieStar Health Center receives $1.99M for dental capacity
Kansas Department of Health and Environment (KDHE)

Corrected · July 15, 2026

Kansas

Corrected July 15, 2026.

Before
RHTP opens a Community Health Worker + Food-is-Medicine grant round for clinics — applications due June 19
After
Kansas CHW + Food is Medicine RFA offered $1.03M for about seven rural awards; July 17 decision remained tentative
Kansas Department of Health and Environment (KDHE)

Corrected · July 15, 2026

Kansas

Corrected July 15, 2026.

Before
CHC/SEK takes over Ascension St. John Primary Care in Independence — Ascension donates the clinic building and land
After
CHC/SEK assumes Ascension St. John Primary Care in Independence; building and land are donated
Community Health Center of Southeast Kansas (CHC/SEK)

Corrected · July 15, 2026

Kansas

Corrected July 15, 2026.

Before
No rescue for Kansas's 340B contract-pharmacy law: protections lapse June 30, and manufacturer exempt-state lists already omit Kansas
After
Kansas Legislature marks SB 284 dead; proposed 340B delivery and data protections were not enacted
Kansas State Legislature

Corrected · July 15, 2026

Kansas

Corrected July 15, 2026.

Before
Kansas Legislature overrides veto of HB 2731, codifying H.R. 1 Medicaid/SNAP verification and work rules (effective July 1, 2026)
After
Kansas HB 2731 takes effect July 1 with verification and waiver controls; several Medicaid changes wait until Jan. 1, 2027
Kansas Health Institute

Corrected · July 15, 2026

Kansas

Corrected July 15, 2026.

Before
Kansas RHTP pipeline advances: $9.5M Emerging Technology window closes, Interfacility Transport applications open through July 31, CHW + Food-is-Medicine awards expected by July 17
After
Kansas RHTP reaches three dated grant checkpoints: Emerging Technology closes, transport stays open, and CHW + food awards remain tentative
Kansas Department of Health and Environment (KDHE)

Corrected · July 15, 2026

Kansas

Corrected July 15, 2026.

Before
Kansas's 340B contract-pharmacy protections EXPIRE June 30 — the legislature let SB 284 die, leaving covered entities with no state backstop
After
Cencora documents a staged return of Kansas to manufacturer 340B restrictions—not one uniform statewide policy
Cencora (340B Manufacturer Updates)

Corrected · July 15, 2026

Kansas

Corrected July 15, 2026.

Before
Kansas 340B contract-pharmacy protection set to sunset June 30, 2026 after Speaker blocks fix bill
After
Kansas House adjourns before SB 284 debate after repeated committee transfers
Kansas Reflector

Corrected · July 15, 2026

Kansas

Corrected July 15, 2026.

Before
CMS approves Kansas HCAIP expansion — rural and critical access hospitals gain $72M more per year in Medicaid funding
After
CMS approves Kansas HCAIP preprint directing $83M to critical-access and rural-emergency hospitals
Kansas Department of Health and Environment (KDHE)

Corrected · July 15, 2026

Kentucky

Corrected July 15, 2026.

Before
Kentucky sets August 1 date for 4% Medicaid fee-for-service rate cut across 46 provider types — FQHC PPS not on the list, but the referral ecosystem is
After
Kentucky's 4% fee-for-service Medicaid rate reduction covers 46 listed provider types beginning in August
Louisville Public Media (LPM)

Corrected · July 15, 2026

Kentucky

Corrected July 15, 2026.

Before
Kentucky governor orders Medicaid reimbursement and social-services cuts as federal funding falls
After
Beshear administration announces Medicaid and social-service reductions, with details still incomplete on June 4
Kentucky Lantern

Corrected · July 15, 2026

Kentucky

Corrected July 15, 2026.

Before
Kentucky has the most rural hospitals at risk in the U.S. — $12.3B rural Medicaid cut pressures the FQHC safety net
After
Pre-enactment study identified 35 Kentucky rural hospitals as financially vulnerable under then-proposed Medicaid cuts
Kentucky Center for Economic Policy

Corrected · July 15, 2026

Kentucky

Corrected July 15, 2026.

Before
Kentucky's 340B drug-discount program — vital to FQHCs — under pressure as Medicaid adds claims-submission process
After
Family Health Centers said it reinvested all 340B savings in uncompensated services during Kentucky's 2025 SB 14 debate
Kentucky Lantern

Corrected · July 15, 2026

Kentucky

Corrected July 15, 2026.

Before
Gov. Beshear Announces Medicaid Reimbursement and Program Cuts Due to GOP Budget Underfunding
After
Official Medicaid letter sets a 4% rate reduction for listed provider types on August 1 or the earliest feasible date
Kentucky Department for Medicaid Services

Corrected · July 15, 2026

Kentucky

Corrected July 15, 2026.

Before
University of Kentucky announces hundreds of layoffs — a clinician-pipeline risk in a state short on primary care
After
UK notices cover 926 food-service workers and 97 grant-funded health and behavioral-science positions
Kentucky Lantern

Corrected · July 15, 2026

Kentucky

Corrected July 15, 2026.

Before
H.R. 1 Projected to Cut 210,000 Kentuckians from Medicaid, Reduce State Funding by $12.3B Over 10 Years
After
2025 KCEP analysis modeled 210,000 Medicaid-related uninsured Kentuckians and a $38B federal Medicaid reduction over 10 years
Kentucky Center for Economic Policy

Corrected · July 15, 2026

Kentucky

Corrected July 15, 2026.

Before
Kentucky enacts HB 2 over the governor's veto: pre-enrollment work proof plus Medicaid copays — ~640,000 adults exposed
After
Enacted HB 2 requires prior-month or renewal-period work proof, while exempting FQHC services from 2028 copays
Kentucky General Assembly

Corrected · July 15, 2026

Kentucky

Corrected July 15, 2026.

Before
Kentucky's HB 2 Medicaid work requirement takes effect July 15 — five months ahead of the federal mandate
After
Kentucky says Medicaid community-engagement requirements start January 1, 2027 — not July 15, 2026
Kentucky Health Benefit Exchange

Corrected · July 15, 2026

Kentucky

Corrected July 15, 2026.

Before
Kentucky Budget Agreement Cuts and Freezes Funding for Most Services, Continues Medicaid Underfunding
After
Kentucky budget funds Medicaid $691M below its continuation request and holds $290M for a possible later appropriation
Kentucky Center for Economic Policy

Corrected · July 15, 2026

Kentucky

Corrected July 15, 2026.

Before
Beshear Criticizes Finalized GOP State Budget as Severely Underfunding Medicaid
After
Beshear projects a $681M Medicaid shortfall under the final budget; Republican leaders dispute his calculation
Kentucky Lantern

Corrected · July 15, 2026

Kentucky

Corrected July 15, 2026.

Before
Kentucky Legislature Passes HB 2 Adding State Medicaid Work Requirements and Copays
After
March 31 Senate HB 2 proposal cut copays to $5 and $1 and eased portions of the House verification language
Kentucky Lantern

Corrected · July 15, 2026

Kentucky

Corrected July 15, 2026.

Before
Federal Community Health Center Fund set at $4.6B for FY2026 — but authorization expires December 2026
After
NACHC says discretionary health-center funding expires September 30 and mandatory funding expires December 31, 2026
NACHC

Corrected · July 15, 2026

Kentucky

Corrected July 15, 2026.

Before
Louisville's Lee Specialty Clinic guts services July 15 — 1,000+ patients with disabilities pushed toward the remaining safety net
After
Governor moves annex-renovation money to restore Lee Specialty Clinic funding for the first fiscal year only
Office of Kentucky Gov. Andy Beshear

Corrected · July 15, 2026

Kentucky

Corrected July 15, 2026.

Before
Kentucky's $212.9M Rural Health Transformation Program opens summer sub-grant waves — telebehavioral, CHW training and dental windows relevant to health centers
After
Kentucky CHFS lists two open rural-transformation opportunities: dental-hygiene training due August 1 and CHW certificates due August 5
Kentucky Cabinet for Health and Family Services

Corrected · July 15, 2026

Louisiana

Corrected July 15, 2026.

Before
December 31, 2026 CHC Fund Cliff: Louisiana FQHCs Face $4.6B National Funding Expiration with No Congressional Vehicle
After
Mandatory Community Health Center Fund expires December 31; annual CHC appropriations expire September 30
National Association of Community Health Centers

Corrected · July 15, 2026

Louisiana

Corrected July 15, 2026.

Before
Louisiana AG prepares first enforcement action against drugmakers under the state's 340B contract-pharmacy law
After
Fifth Circuit upholds Louisiana Act 358's 340B contract-pharmacy restrictions against federal challenges
U.S. Court of Appeals for the Fifth Circuit

Corrected · July 15, 2026

Louisiana

Corrected July 15, 2026.

Before
Six rural Acadiana hospitals face closure risk as Louisiana projects 21,000 work-requirement Medicaid losses — the FQHC referral backbone erodes first
After
2025 Senate-era list identified six Acadiana hospitals among more than 40 Louisiana facilities potentially affected
KADN News 15

Corrected · July 15, 2026

Louisiana

Corrected July 15, 2026.

Before
Gov. Landry creates Office of Rural Health Transformation at LDH to deploy $208M (up to ~$1B) including FQHCs
After
LDH discloses an exact $208,374,447.57 federal assistance award for Louisiana RHTP
Louisiana Department of Health

Corrected · July 15, 2026

Louisiana

Corrected July 15, 2026.

Before
Federal Community Health Center Fund extended only through December 2026 — cliff hits Louisiana's 41 FQHCs
After
HRSA's 2024 UDS counts 36 Louisiana reporting awardees and 487,947 patients
Health Resources and Services Administration

Corrected · July 15, 2026

Louisiana

Corrected July 15, 2026.

Before
LDH publishes Medicaid work-requirement timeline: notices May 2026, renewal packets November 2026
After
January 2027 renewal cohort received May notices and will receive November work-requirement packets
Louisiana Department of Health

Corrected · July 15, 2026

Louisiana

Corrected July 15, 2026.

Before
Louisiana projects ~21,000 will lose Medicaid under 2027 work requirements; outside estimates reach 132,000
After
LDH projects 21,000 work-rule coverage losses; Urban's separate model reaches 132,000
NOLA.com / The Times-Picayune

Corrected · July 15, 2026

Louisiana

Corrected July 15, 2026.

Before
Louisiana FY2026 budget cuts LDH funding by $26.3M amid $49.4B Landry spending plan
After
Official FY2026 summary records a $26.3M LDH reduction tied to forecast history and OMV data sharing
Louisiana House Fiscal Division

Corrected · July 15, 2026

Louisiana

Corrected July 15, 2026.

Before
Immigration-status tracking law chills Medicaid applications as legislature passes a broader verification bill
After
Act 745 narrows listed qualified-immigrant categories and mandates reporting after failed verification
Louisiana Legislature

Corrected · July 15, 2026

Louisiana

Corrected July 15, 2026.

Before
First RHTP subrecipient windows close July 10: telehealth and rural-facility capital dollars open to FQHCs
After
Louisiana's $39.9M rural-facility capital window closed July 10 after offering FQHC awards up to $10M
Louisiana Department of Health

Corrected · July 15, 2026

Louisiana

Corrected July 15, 2026.

Before
RHTP care-transformation NOFO wave opens FQHC roles in provider collaboratives, navigation networks and food-is-medicine
After
Four Louisiana rural-care transformation applications remain open in August after question periods closed
Louisiana Department of Health

Corrected · July 15, 2026

Louisiana

Corrected July 15, 2026.

Before
Louisiana's $5.6M Rural Clinician Credit Bank enters July award phase for rural/FQHC recruitment and retention
After
LDH reviews applications for a $5.63M Rural Clinician Credit Bank with rural FQHCs eligible
Louisiana Department of Health

Corrected · July 15, 2026

Louisiana

Corrected July 15, 2026.

Before
Legislature adjourns June 1 with a $47B budget: ~$33M in Medicaid HCBS rate increases, but a verification-heavy Medicaid agenda
After
Act 624 authorizes tax-return data sharing for Medicaid and SNAP eligibility and fraud review
Louisiana Legislature

Corrected · July 15, 2026

Louisiana

Corrected July 15, 2026.

Before
CMS Work Requirements Begin January 1, 2027: LDH Projects ~21K Louisiana Disenrollments
After
Louisiana Medicaid work requirements begin January 1, 2027 for some adults ages 19-64
Louisiana Department of Health

Corrected · July 15, 2026

Louisiana

Corrected July 15, 2026.

Before
Louisiana opens Rural Tech Catalyst Fund applications under its $1B+ Rural Health Transformation award
After
Louisiana's Rural Tech Catalyst Fund remains open to rural-health innovation partnerships
Louisiana Economic Development

Corrected · July 15, 2026

Louisiana

Corrected July 15, 2026.

Before
LDH Establishes Office of Rural Health Transformation to Coordinate RHTP and FQHC Expansion
After
New LDH office leads rural-health implementation; advisory council guides statewide priorities
Louisiana Department of Health

Corrected · July 15, 2026

Louisiana

Corrected July 15, 2026.

Before
LDH tightens Medicaid provider oversight: three-year revalidation for high-risk categories plus expanded OIG claims analytics
After
LDH moves designated high-risk Medicaid providers from five-year to three-year revalidation
Louisiana Department of Health

Corrected · July 15, 2026

Louisiana

Corrected July 15, 2026.

Before
SB 433 — Medicaid coverage of GLP-1s for obesity — advances unanimously toward a January 1, 2027 start
After
Act 898 requires Medicaid weight-loss drug coverage only after a specific appropriation takes effect
Louisiana Legislature

Corrected · July 15, 2026

Louisiana

Corrected July 15, 2026.

Before
Louisiana Receives $208M+ Rural Health Transformation Program Award; FQHCs Named Eligible Partners
After
CMS lists Louisiana's 2026 Rural Health Transformation award at $208,374,448
Centers for Medicare & Medicaid Services

Corrected · July 15, 2026

Louisiana

Corrected July 15, 2026.

Before
Louisiana session ends with SB 194 eligibility-verification mandates on Medicaid and SNAP — amended to preserve coverage for lawfully residing immigrant children
After
SB 194 became Act 745 and takes effect August 1 with new public-benefit verification rules
Louisiana Legislature

Corrected · July 15, 2026

Louisiana

Corrected July 15, 2026.

Before
LDH awards $4.66M in second-round H.E.R.O. Fund grants to add 541 health care professionals statewide
After
LDH awards $4.657M in second-round H.E.R.O. grants projected to add 541 health professionals
Louisiana Department of Health

Corrected · July 15, 2026

Louisiana

Corrected July 15, 2026.

Before
Louisiana opens RHTP sub-grants to FQHCs: Rural Medicaid APM applications due August 7, telehealth and capital programs due July 10
After
Louisiana's rural Medicaid APM offers $30M in Year 1; FQHC applications are due August 7
Louisiana Department of Health

Corrected · July 15, 2026

Louisiana

Corrected July 15, 2026.

Before
Landry signs FY2027 budget package with health workforce capital lines, including $17.5M for a nursing education center
After
FY2027 capital law includes $17.525M for Northwestern State's nursing education center
Louisiana Legislature

Corrected · July 15, 2026

Massachusetts

Corrected July 15, 2026.

Before
MassHealth care-management cuts trigger 200 layoffs at three ACO community partners
After
MassHealth care-management cuts trigger 200 layoffs at three ACO community partners
Boston.com

Corrected · July 15, 2026

Massachusetts

Corrected July 15, 2026.

Before
Lynn health center CEO to Beacon Hill: 'If 340B goes away, our pharmacy would go away'
After
Lynn health center CEO to Beacon Hill: 'If 340B goes away, our pharmacy would go away'
The Daily Item (Lynn)

Corrected · July 15, 2026

Massachusetts

Corrected July 15, 2026.

Before
C3 earns $10.2M in Medicare shared savings — proof the FQHC-governed ACO model pays
After
C3 reports $10.2M in Medicare shared savings for performance year 2024
Community Care Cooperative

Corrected · July 15, 2026

Massachusetts

Corrected July 15, 2026.

Before
Fenway Health stood to lose $36M in federal funds amid 2026 grant turmoil; centers fear for survival
After
Fenway Health stood to lose $36M in federal funds amid 2026 grant turmoil; centers fear for survival
WBUR

Corrected · July 15, 2026

Massachusetts

Corrected July 15, 2026.

Before
Mass. health centers face stacked 2026 threats: 340B upfront-rebate pilot, shorter redeterminations, commercial underpayment
After
Massachusetts health centers face a paused 340B rebate pilot, more frequent renewals, and commercial underpayment
GBH News

Corrected · July 15, 2026

Massachusetts

Corrected July 15, 2026.

Before
Massachusetts braces for ~$3.5B/year MassHealth hit as Healey's FY2027 budget files Medicaid at $22.7B
After
Healey's initial FY2027 proposal puts MassHealth at $22.7B and targets $311M in gross savings
CommonWealth Beacon

Corrected · July 15, 2026

Massachusetts

Corrected July 15, 2026.

Before
Healey taps $250M ConnectorCare Trust to guard subsidized enrollees against premium spikes from lost ACA credits
After
Healey taps $250M ConnectorCare Trust to guard subsidized enrollees against premium spikes from lost ACA credits
State House News Service

Corrected · July 15, 2026

Massachusetts

Corrected July 15, 2026.

Before
Massachusetts secures $162M Rural Health Transformation award — funds NP residencies, mobile/telehealth, workforce
After
Massachusetts receives about $162M in first-round Rural Health Transformation funding
WBUR

Corrected · July 15, 2026

Massachusetts

Corrected July 15, 2026.

Before
Massachusetts commercial prior-authorization rules take effect; government plans remain outside the rule
After
Massachusetts prior-authorization reforms take effect for insured products issued and renewed in the state
Commonwealth of Massachusetts

Corrected · July 15, 2026

Massachusetts

Corrected July 15, 2026.

Before
Governor Healey signs $35M state relief bill (H.4530) for community health centers and hospitals
After
Massachusetts Legislature enacts H.4530 relief package for community health centers and hospitals
Massachusetts Legislature (malegislature.gov)

Corrected · July 15, 2026

Massachusetts

Corrected July 15, 2026.

Before
Mass League CEO Michael Curry: Medicaid cuts to 52 centers serving 1M+ patients are 'pay now or pay greater later'
After
Mass League CEO warns Medicaid cuts shift patients to higher-cost care
CommonWealth Beacon

Corrected · July 15, 2026

Massachusetts

Corrected July 15, 2026.

Before
MassHealth Moves to Eliminate 340B Reimbursement at the Pharmacy Counter — Mass League and the Hospital Association Ask the Legislature for a One-Year Moratorium Before the July 31 Session Ends
After
MassHealth proposes a point-of-sale 340B reimbursement restriction; provider groups seek a one-year moratorium
Massachusetts Health & Hospital Association (Monday Report)

Corrected · July 15, 2026

Massachusetts

Corrected July 15, 2026.

Before
Healey signs the $63.4B FY2027 budget without vetoes; MassHealth adult dental benefit capped at $1,750
After
Healey signs the $63.4B FY2027 budget without vetoes; MassHealth adult dental benefit capped at $1,750
GBH News

Corrected · July 15, 2026

Massachusetts

Corrected July 15, 2026.

Before
Mass League presses Beacon Hill: commercial-rate parity, 340B protection, and Medicaid GME
After
Mass League presses Beacon Hill: commercial-rate parity, 340B protection, and Medicaid GME
Bay State Banner

Corrected · July 15, 2026

Massachusetts

Corrected July 15, 2026.

Before
Mass League pushes 2026 legislative slate: 340B contract-pharmacy protection, Medicaid GME, commercial reimbursement parity
After
Senate 340B anti-discrimination bill advances to Ways and Means
Massachusetts Legislature

Corrected · July 15, 2026

Massachusetts

Corrected July 15, 2026.

Before
Massachusetts scrambles to keep 300,000 residents covered as Medicaid work requirements near
After
Massachusetts builds data links and staffing for 2027 Medicaid work requirements
The Boston Globe

Corrected · July 15, 2026

Massachusetts

Corrected July 15, 2026.

Before
Senate's $63.3B FY2027 budget funds MassHealth at $22.74B while trimming benefits
After
Senate's $63.3B FY2027 budget funds MassHealth at $22.74B while trimming benefits
WBUR

Corrected · July 15, 2026

Maryland

Corrected July 15, 2026.

Before
Full 4th Circuit agrees to rehear Maryland's 340B contract-pharmacy law en banc, reviving it after April's panel loss
After
April panel vacated Maryland's 340B ruling and remanded preliminary-relief questions to district court
U.S. Court of Appeals for the Fourth Circuit

Corrected · July 15, 2026

Maryland

Corrected July 15, 2026.

Before
Full 4th Circuit agrees to rehear Maryland's 340B contract pharmacy law, reviving it after April's panel loss
After
Fourth Circuit grants en banc rehearing in Maryland's 340B contract-pharmacy case
U.S. Court of Appeals for the Fourth Circuit

Corrected · July 15, 2026

Maryland

Corrected July 15, 2026.

Before
Maryland health secretary warns future federal Medicaid cuts could cost the state up to $2.7 billion as it faces a $1.4 billion deficit
After
MDH estimates up to $2.7B in annual federal Medicaid funding at risk after full H.R. 1 implementation
Maryland Department of Health

Corrected · July 15, 2026

Maryland

Corrected July 15, 2026.

Before
Maryland leads the nation in 2026 ACA enrollment as state premium assistance cushions the loss of expired federal subsidies
After
Maryland reports 255,612 marketplace enrollments as state assistance cushions expired federal credits
Maryland Health Benefit Exchange

Corrected · July 15, 2026

Maryland

Corrected July 15, 2026.

Before
Maryland transitions from the Total Cost of Care Model to the federal AHEAD model on January 1, 2026 — MDPCP continues for FQHCs
After
Maryland enters AHEAD while MDPCP continues without changes under three primary-care pathways
Maryland Department of Health

Corrected · July 15, 2026

Maryland

Corrected July 15, 2026.

Before
Maryland Transitions to CMS AHEAD Model January 1, 2026 — Primary Care Funding Architecture Shifts
After
CMS extends AHEAD through 2035 and identifies Maryland as a Cohort 1 participant
Centers for Medicare & Medicaid Services

Corrected · July 15, 2026

Maryland

Corrected July 15, 2026.

Before
H.R. 1 brings 80-hour work requirements and six-month renewals to ~300,000 Maryland Medicaid enrollees
After
New federal rules add work and twice-yearly renewal requirements for up to 320,000 Maryland Medicaid members
Maryland Department of Health

Corrected · July 15, 2026

Maryland

Corrected July 15, 2026.

Before
CCI Health Services becomes Maryland's first Teaching Health Center and expands its Silver Spring footprint
After
CCI launches Maryland's first FQHC-sponsored accredited family-medicine residency with four physicians
CCI Health Services

Corrected · July 15, 2026

Maryland

Corrected July 15, 2026.

Before
H.R. 1 Work Requirements Threaten 56,000 Marylanders' Medicaid Coverage by Dec 31 Deadline
After
MDH models about 115,000 work-rule coverage losses and 15,000 noncitizen eligibility losses
Maryland Department of Health

Corrected · July 15, 2026

Maryland

Corrected July 15, 2026.

Before
Maryland Allotted $168M from $50B Federal Rural Health Transformation Program
After
Maryland receives $168M for the first year of a renewable five-year rural-health program
Maryland Department of Health

Corrected · July 15, 2026

Maryland

Corrected July 15, 2026.

Before
Legal analysis maps Maryland's OBBBA Medicaid timeline: immigrant funding restriction October 1, 2026, work rules in 2027
After
MDH identifies October 2026 Medicaid eligibility losses for specified noncitizen categories
Maryland Department of Health

Corrected · July 15, 2026

Maryland

Corrected July 15, 2026.

Before
Maryland's $168M Rural Health Transformation sub-grants open — FQHCs eligible for MHCC's $6.3M rural primary-care fund
After
Maryland posts $18.5M in rural workforce procurements through August 9
Maryland Department of Health

Corrected · July 15, 2026

Maryland

Corrected July 15, 2026.

Before
Maryland begins deploying $168M in federal Rural Health Transformation funds, with an October 2026 obligation deadline
After
Maryland details $163.7M in first-period rural-health subawards under its $168.18M federal award
Maryland Department of Health

Corrected · July 15, 2026

Maryland

Corrected July 15, 2026.

Before
Maryland ACA carriers seek 13.7% average 2027 premium hike as enhanced credits expire; public hearing set for July 23
After
Maryland carriers request average 2027 increases of 13.7% individual and 13.1% small-group
Maryland Insurance Administration

Corrected · July 15, 2026

Maryland

Corrected July 15, 2026.

Before
Maryland Health Care Commission's $6.3M RHTP rural primary-care grants (FQHCs eligible) launch August 1, 2026
After
MHCC RFA anticipates an August 1 start and September 2027 end for rural primary-care grants
Maryland Health Care Commission

Corrected · July 15, 2026

Maryland

Corrected July 15, 2026.

Before
Maryland will lean on existing data to keep eligible people on Medicaid as work requirements loom
After
Maryland tells employers to prepare workers for January 2027 Medicaid verification without deciding eligibility
Maryland Department of Health

Corrected · July 15, 2026

Maryland

Corrected July 15, 2026.

Before
Maryland opens first primary-care RFA from its $168M Rural Health Transformation award — FQHCs explicitly eligible
After
MHCC offers about $6.3M for rural primary-care expansion, with FQHCs explicitly eligible
Maryland Health Care Commission

Corrected · July 15, 2026

Maryland

Corrected July 15, 2026.

Before
2026 General Assembly closes with Medicaid navigator funding and a restored $20M for school behavioral health
After
Maryland awards $96.3M for school behavioral-health services in every jurisdiction
Office of Governor Wes Moore

Corrected · July 15, 2026

Maryland

Corrected July 15, 2026.

Before
AHEAD model opens comment on statewide primary care investment targets — window closes July 20
After
Maryland accepts comments through July 20 on draft all-payer cost-growth and primary-care investment targets
Maryland Health Services Cost Review Commission

Corrected · July 15, 2026

Maryland

Corrected July 15, 2026.

Before
Fourth Circuit again sides with drugmakers, vacating the ruling that upheld Maryland's 340B contract pharmacy access law
After
Maryland's enacted HB 1056 bars manufacturer limits on 340B acquisition or delivery
Maryland General Assembly

Corrected · July 15, 2026

Maryland

Corrected July 15, 2026.

Before
MDH more than doubles Medicaid-funded housing supports: ACIS program grows from 620 to 1,690 slots across 8 jurisdictions
After
Maryland adds 1,070 Medicaid housing-support spaces, lifting ACIS annual capacity from 620 to 1,690
Maryland Department of Health

Corrected · July 15, 2026

Maryland

Corrected July 15, 2026.

Before
Maryland's AHEAD model opens $7M in community health grants — FQHCs eligible as 'population health hubs' under the all-payer framework
After
CHRC's $7M annual RFA makes FQHCs eligible across six safety-net funding categories
Maryland Community Health Resources Commission

Corrected · July 15, 2026

Maryland

Corrected July 15, 2026.

Before
Maryland joins 25-jurisdiction lawsuit over the 'medically frail' work-requirement rule — AG projects 150,000 Marylanders disenrolled
After
Maryland challenges the federal medically-frail rule as state analysis projects 150,000 expansion-adult disenrollments
Office of the Attorney General of Maryland

Corrected · July 15, 2026

Maine

Corrected July 15, 2026.

Before
Maine insurers seek double-digit 2027 marketplace hikes — Community Health Options ~21% — as subsidy expiry reshapes the risk pool
After
Maine marketplace carriers propose 2027 increases ranging from about 8% to 26%
Maine Public

Corrected · July 15, 2026

Maine

Corrected July 15, 2026.

Before
Maine DHHS: 31,000+ Mainers expected to lose MaineCare under H.R. 1 work requirements
After
Maine DHHS quantifies multiple H.R. 1 coverage and provider-revenue exposures
Maine DHHS

Corrected · July 15, 2026

Maine

Corrected July 15, 2026.

Before
Maine enacts 340B anti-discrimination law (LD 1018); drugmakers sue to block it
After
Maine's operative 340B protections came through Public Law 2025, chapter 388—not LD 1018
Maine Legislature

Corrected · July 15, 2026

Maine

Corrected July 15, 2026.

Before
DHHS upholds MaineCare payment suspension of Gateway Community Services as permanent-exclusion review proceeds
After
DHHS upholds MaineCare payment suspension of Gateway Community Services as permanent-exclusion review proceeds
CentralMaine.com (Kennebec Journal / Morning Sentinel)

Corrected · July 15, 2026

Maine

Corrected July 15, 2026.

Before
572 staff have left Central Maine Healthcare since Prime acquisition — insiders warn patient care is 'dangerously delayed'
After
Central Maine Healthcare reports 572 departures and 400 hires after Prime acquisition
Portland Press Herald

Corrected · July 15, 2026

Maine

Corrected July 15, 2026.

Before
Federal fraud offensive lands in Maine: Vance calls $45.6M improper-payment audit 'tip of the iceberg' as CMS presses the state
After
Maine autism-services audit found at least $45.6M in improper payments, not fabricated patients
PolitiFact

Corrected · July 15, 2026

Maine

Corrected July 15, 2026.

Before
Maine details work-requirement rollout: 35 new staff, $8M systems build — and 31,000+ projected to lose MaineCare
After
Maine details work-requirement rollout: 35 new staff, $8M systems build — and 31,000+ projected to lose MaineCare
Portland Press Herald / CentralMaine.com

Corrected · July 15, 2026

Maine

Corrected July 15, 2026.

Before
Maine's ~$250M federal-cuts offset package dies on adjournment — no state backstop fund for health care
After
Maine's $220.3M federal-cuts response package died on adjournment
Maine Legislature

Corrected · July 15, 2026

Maine

Corrected July 15, 2026.

Before
Maine to withhold up to 30% of some hospital MaineCare payments through June 30 amid Medicaid shortfall
After
MaineCare capped selected provider payments from May 13 through June 30
Maine DHHS Office of MaineCare Services

Corrected · July 15, 2026

Maine

Corrected July 15, 2026.

Before
Maine hospitals 'teetering' as Medicaid cuts loom: ~40% losing money, 14 of 24 rural hospitals at closure risk
After
Maine hospitals 'teetering' as Medicaid cuts loom: ~40% losing money, 14 of 24 rural hospitals at closure risk
Portland Press Herald

Corrected · July 15, 2026

Maine

Corrected July 15, 2026.

Before
Maine DHHS resumes MaineCare payments withheld since mid-May amid $62M shortfall
After
Maine DHHS resumes MaineCare payments withheld since mid-May amid $62M shortfall
Maine Public

Corrected · July 15, 2026

Maine

Corrected July 15, 2026.

Before
Maine Family Planning closed 3 rural primary-care sites after a $1.9M/yr Medicaid funding ban — ~800 patients displaced, $5M state offset under consideration
After
Maine Family Planning ended primary care at three rural locations, affecting about 800 patients
Maine Family Planning

Corrected · July 15, 2026

Maine

Corrected July 15, 2026.

Before
MaineCare bulletin warns telehealth providers: license where the patient sits, or face claim denials and recoupment
After
MaineCare bulletin warns telehealth providers: license where the patient sits, or face claim denials and recoupment
Maine DHHS Office of MaineCare Services

Corrected · July 15, 2026

Maine

Corrected July 15, 2026.

Before
Maine opens first RHTP provider funding: $30M for EMR modernization with FQHCs explicitly eligible
After
Maine announces first RHTP provider funding: $30M for EMR modernization with FQHCs expected to be eligible
Maine Department of Health and Human Services

Corrected · July 15, 2026

Michigan

Corrected July 15, 2026.

Before
U-M study: Healthy Michigan Plan cut enrollees' medical debt up to 7 years later—gains researchers fear work requirements could erase
After
U-M evaluation links Healthy Michigan enrollment to less medical debt and better credit scores
University of Michigan IHPI / Michigan Public Radio

Corrected · July 15, 2026

Michigan

Corrected July 15, 2026.

Before
Michigan FY2027 Budget Appropriates $91.9M to Comply with Federal H.R. 1 Medicaid Requirements
After
House fiscal analysis estimates H.R. 1 Medicaid savings and outlines community-engagement administration
Michigan House Fiscal Agency

Corrected · July 15, 2026

Michigan

Corrected July 15, 2026.

Before
FY2026-27 state budget continues Michigan's FQHC Medicaid reimbursement boost and Alternative Payment Model transition as the Dec. 2026 CHC Fund cliff nears
After
FY2027 HHS conference report provides $54.3M for H.R. 1 implementation and $1.5M for FQHC training
Michigan Senate Fiscal Agency

Corrected · July 15, 2026

Michigan

Corrected July 15, 2026.

Before
December 2026 federal cliff: Community Health Center Fund extended only through year-end at $4.6B, threatening Michigan's 40 centers
After
Community Health Center Fund authority runs through December 31; NACHC reports $4.6B mandatory and $1.858B discretionary funding
NACHC

Corrected · July 15, 2026

Michigan

Corrected July 15, 2026.

Before
Michigan wins $173 million in first-year Rural Health Transformation funds — FQHCs eligible through MDHHS grant cycles
After
Michigan awarded $173.1M for FY2026 under the Rural Health Transformation Program
Michigan Department of Health and Human Services (MDHHS)

Corrected · July 15, 2026

Michigan

Corrected July 15, 2026.

Before
Whitmer signs bipartisan FY2026 budget protecting Healthy Michigan Plan and $2.7B in federal health-care funding
After
Whitmer signs FY2026 budget preserving $2.7B in federal health funding and Medicaid provider support
Office of Governor Gretchen Whitmer

Corrected · July 15, 2026

Michigan

Corrected July 15, 2026.

Before
Medicaid work requirements hit the Healthy Michigan Plan Jan. 1, 2027 — MDHHS outreach starts by Sept. 30, 2026
After
MDHHS outlines 80-hour Healthy Michigan requirement, six-month renewals and shorter retroactive coverage
Michigan Department of Health and Human Services (MDHHS)

Corrected · July 15, 2026

Michigan

Corrected July 15, 2026.

Before
MPCA pushes permanent $1.65M/year for the Health Center Careers Training Program to grow Michigan's FQHC workforce
After
MPCA seeks permanent $2M annual funding for the Health Center Careers Training Program
Michigan Primary Care Association (MPCA)

Corrected · July 15, 2026

Michigan

Corrected July 15, 2026.

Before
Michigan work-requirement rollout gets a calendar: awareness notices start in June, first coverage losses March 31, 2027
After
Michigan work-requirement rollout gets a calendar: awareness notices start in June, first coverage losses March 31, 2027
Bridge Michigan

Corrected · July 15, 2026

Michigan

Corrected July 15, 2026.

Before
Michigan Senate Bills 94 & 95 Create 340B Covered-Entity Reporting Requirement Starting July 1, 2026
After
Michigan Chronicle reports Senate-passed 340B bill awaiting House action
Michigan Chronicle

Corrected · July 15, 2026

Michigan

Corrected July 15, 2026.

Before
Michigan's SB 94/95 would mandate 340B manufacturer participation and require 340B entities — including FQHCs — to report annually starting July 1, 2026
After
Senate-passed SB 94 proposes 340B contract-pharmacy protections and annual covered-entity reporting
Michigan Legislature / Senate Fiscal Agency

Corrected · July 15, 2026

Michigan

Corrected July 15, 2026.

Before
Six months to the Healthy Michigan work requirement: mailings begin, 150,000–500,000 of ~700,000 could lose coverage
After
Michigan budgets 421 staff for 2027 Medicaid rules as coverage-loss estimates span 150K–500K
Bridge Michigan

Corrected · July 15, 2026

Michigan

Corrected July 15, 2026.

Before
Michigan Medicaid rolls drop 5% — 149,000 fewer enrollees before work requirements even begin
After
Michigan Medicaid rolls drop 5% — 149,000 fewer enrollees before work requirements even begin
Bridge Michigan

Corrected · July 15, 2026

Michigan

Corrected July 15, 2026.

Before
Michigan's $75.2B FY2027 budget includes $185M for Medicaid stabilization and $184.3M for federal-requirement readiness
After
Michigan's $75.2B FY2027 budget includes $185M for Medicaid stabilization and $184.3M for federal-requirement readiness
Office of Governor Gretchen Whitmer

Corrected · July 15, 2026

Michigan

Corrected July 15, 2026.

Before
Michigan Medicaid opens billing for pharmacist-provided services July 1 — vaccines, flu/COVID tests, antivirals and contraceptives
After
Michigan Medicaid opens billing for pharmacist-provided services July 1 — vaccines, flu/COVID tests, antivirals and contraceptives
Michigan Health & Hospital Association

Corrected · July 15, 2026

Michigan

Corrected July 15, 2026.

Before
MDHHS Sets September 30, 2026 Deadline for Healthy Michigan Work-Requirement Enrollee Outreach
After
Healthy Michigan work rules start Jan. 1; renewals on or after March 1 will include compliance checks
Michigan Department of Health and Human Services

Corrected · July 15, 2026

Michigan

Corrected July 15, 2026.

Before
MDHHS names work requirements and six-month renewals its 'most immediate operational challenges' amid a $1B state shortfall
After
MDHHS names work requirements and six-month renewals its 'most immediate operational challenges' amid a $1B state shortfall
Health Management Associates

Corrected · July 15, 2026

Michigan

Corrected July 15, 2026.

Before
Family Medical Center of Michigan warns Medicaid cuts could force staffing and service reductions
After
Family Medical Center warns Medicaid cuts could jeopardize care; nearly one-third of 18,400 patients rely on Medicaid
Michigan Primary Care Association

Corrected · July 15, 2026

Michigan

Corrected July 15, 2026.

Before
Michigan Senate passes FY2027 budget with full Medicaid funding, rejecting the House's $300M unspecified cut
After
Michigan Senate FY2027 proposal fully funds Medicaid and omits unspecified Medicaid savings
Michigan Health & Hospital Association

Corrected · July 15, 2026

Michigan

Corrected July 15, 2026.

Before
MDHHS opens $34M Rural Health Transformation 'Workforce for Wellness' grant round from Michigan's $173.1M RHTP award
After
MDHHS opens $34M Rural Health Transformation 'Workforce for Wellness' grant round from Michigan's $173.1M RHTP award
Michigan Department of Health and Human Services

Corrected · July 15, 2026

Michigan

Corrected July 15, 2026.

Before
MPCA Projects 52,000 Michigan Health Center Patients at Risk of Coverage Loss from Work Requirements
After
MPCA Projects 52,000 Michigan Health Center Patients at Risk of Coverage Loss from Work Requirements
Michigan Primary Care Association

Corrected · July 15, 2026

Michigan

Corrected July 15, 2026.

Before
Michigan SB 94 remains pending in House Health Policy; proposed 340B protections are not current law
After
Michigan SB 94 remains pending in House Health Policy; proposed 340B protections are not current law
Michigan Legislature

Corrected · July 15, 2026

Michigan

Corrected July 15, 2026.

Before
MPCA and PointCare offer Michigan health centers pre-negotiated coverage-management pricing
After
MPCA and PointCare announce pre-negotiated coverage-management pricing for Michigan health centers
PointCare / Michigan Primary Care Association

Corrected · July 15, 2026

Minnesota

Corrected July 15, 2026.

Before
University of Minnesota breaks ground on a $45M expansion of its CUHCC health center — doubling the south Minneapolis FQHC
After
University of Minnesota breaks ground on a $45M CUHCC project that will double the FQHC's space
HCO News / University of Minnesota

Corrected · July 15, 2026

Minnesota

Corrected July 15, 2026.

Before
H.R. 1 projected to cost up to 140,000 Minnesotans Medicaid coverage; work requirements hit MA expansion population
After
Minnesota DHS says MA work requirements and six-month renewals begin January 1, 2027
Minnesota Department of Human Services

Corrected · July 15, 2026

Minnesota

Corrected July 15, 2026.

Before
Minnesota repeals MinnesotaCare for undocumented adults — coverage ends Dec. 31, 2025, ~16,500 lose insurance
After
MinnesotaCare coverage ended after December 31, 2025 for undocumented adults age 18 and older
Minnesota Department of Human Services

Corrected · July 15, 2026

Minnesota

Corrected July 15, 2026.

Before
Southside Community Health Services to launch Minnesota's first out-of-hospital sexual assault exam service at its new Lake Street clinic
After
Southside Community Health Services plans community-clinic sexual-assault exams beginning in summer 2026
Sahan Journal

Corrected · July 15, 2026

Minnesota

Corrected July 15, 2026.

Before
Minnesota HHS Omnibus Bill (HF4466) Passes with Work-Requirement Implementation Language — Session Adjourned May 2026
After
Governor Walz signs SF4612 with H.R. 1 compliance and state-share Medicaid and SNAP investments
Office of Governor Tim Walz

Corrected · July 15, 2026

Minnesota

Corrected July 15, 2026.

Before
Minnesota's May 2026 supplemental budget deal: $205M to stabilize HCMC plus up to $500M in a hospital uncompensated-care reserve
After
Minnesota's May 2026 supplemental budget deal: $205M to stabilize HCMC plus up to $500M in a hospital uncompensated-care reserve
Minnesota House Session Daily

Corrected · July 15, 2026

Minnesota

Corrected July 15, 2026.

Before
Minnesota Medical Assistance Reimbursement Rates Called 'Unsustainable' — House Hearing Exposes FQHC Funding Crisis
After
A 2025 Minnesota House hearing advanced a proposed phased increase in Medical Assistance outpatient rates
Minnesota House of Representatives

Corrected · July 15, 2026

Minnesota

Corrected July 15, 2026.

Before
Minnesota Senate Battle Over 340B Enforcement Bill — State Pioneered Covered-Entity Reporting Law
After
MDH reports at least $1.34B in Minnesota net 340B revenue for 2024, with more than 80% from the largest hospitals
Minnesota Department of Health

Corrected · July 15, 2026

Minnesota

Corrected July 15, 2026.

Before
Minnesota appeals court upholds first-in-nation 340B contract pharmacy law against PhRMA challenge
After
Minnesota Court of Appeals upholds the state's 340B contract-pharmacy law against PhRMA's challenge
American Hospital Association (AHA News)

Corrected · July 15, 2026

Minnesota

Corrected July 15, 2026.

Before
AG Ellison joins 25-state lawsuit over CMS's stricter 'medically frail' test in the Medicaid work-requirement rule
After
AG Ellison joins 25-state lawsuit over CMS's stricter 'medically frail' test in the Medicaid work-requirement rule
Minnesota Attorney General's Office

Corrected · July 15, 2026

Minnesota

Corrected July 15, 2026.

Before
Federal Community Health Center Fund funded at $4.6B for FY2026 but expires December 2026 — Minnesota's 17 FQHCs face the cliff
After
NACHC says mandatory CHC funding expires December 31, 2026 and annual funding expires September 30
National Association of Community Health Centers (NACHC)

Corrected · July 15, 2026

Minnesota

Corrected July 15, 2026.

Before
MDH Awards FQHC Subsidy Grant Program FY2026–2028 — $24M Round Open Through December 2026
After
MDH's FY2026 FQHC Subsidy notice estimated $39.58M over three years and 19 annual awards
Minnesota Department of Health

Corrected · July 15, 2026

Minnesota

Corrected July 15, 2026.

Before
After cutting off thousands of providers to meet CMS's May 31 deadline, Minnesota DHS defends its 'Minnesota Revalidate 2026' sweep to lawmakers
After
Minnesota DHS says a five-month Medicaid revalidation reviewed more than 5,000 high-risk providers
Winona Radio / Minnesota DHS legislative hearing

Corrected · July 15, 2026

Minnesota

Corrected July 15, 2026.

Before
Minnesota's RHTP sub-grant windows close through June–July — FQHCs explicitly eligible for tele-buprenorphine line and rural APP fellowship
After
Minnesota's current rural-transformation opportunities include an FQHC-eligible clinical fellowship due July 31
Minnesota Department of Health

Corrected · July 15, 2026

Missouri

Corrected July 15, 2026.

Before
Missouri RHTP enters implementation: ToRCH hub anchor announcements due in July, home-visiting investment unveiled, APM survey closed — FQHCs explicitly eligible
After
Missouri publishes ToRCH hub operating manual as the Rural Health Transformation program moves into onboarding
Missouri Department of Social Services (MO HealthNet)

Corrected · July 15, 2026

Missouri

Corrected July 15, 2026.

Before
91.9% of Missouri's 333,000 Medicaid terminations were paperwork-driven — a churn warning ahead of January 2027 work requirements
After
Missouri recorded 333,265 Medicaid terminations in 14 months; 91.9% were procedural
KCUR

Corrected · July 15, 2026

Missouri

Corrected July 15, 2026.

Before
Missouri pegs federal Medicaid work-requirement rollout at ~$294 million ahead of Jan 1, 2027
After
Missouri reviews a $294.6M safety-net implementation request, including $45.5M for Medicaid staffing and systems
Missouri Independent

Corrected · July 15, 2026

Missouri

Corrected July 15, 2026.

Before
Missouri's FY2026 budget funds work-requirement tech and Rural Health Transformation authority amid Medicaid strain
After
Missouri House approves first general-revenue support for the adult expansion group in a $3.15B supplemental bill
Missouri Independent

Corrected · July 15, 2026

Missouri

Corrected July 15, 2026.

Before
HRSA's 2026 grant cycle reopens SUD/OUD and rural pipeline funding for Missouri community health centers
After
MPCA baseline: Missouri community health centers served 644,000-plus people at 200-plus sites in 2023
Missouri Primary Care Association

Corrected · July 15, 2026

Missouri

Corrected July 15, 2026.

Before
Missouri Republicans move to write Medicaid work requirements into the state constitution
After
Missouri APRN law requires written physician collaboration, recurring chart review and defined proximity exceptions
Missouri Revisor of Statutes

Corrected · July 15, 2026

Missouri

Corrected July 15, 2026.

Before
December 31, 2026 Community Health Center Fund cliff threatens Missouri's 628,000-patient FQHC network
After
Community health centers face separate September 30 and December 31, 2026 federal funding deadlines
NACHC

Corrected · July 15, 2026

Missouri

Corrected July 15, 2026.

Before
Missouri wins $216M Rural Health Transformation grant — but it offsets less than a third of looming Medicaid losses
After
Missouri receives a $216.3M first-year Rural Health Transformation award for hubs, infrastructure and data
KCUR (NPR Kansas City)

Corrected · July 15, 2026

Missouri

Corrected July 15, 2026.

Before
Missouri's voter-passed Medicaid expansion nears a funding cliff few realize is coming
After
Missouri's $532.2M expansion reserve could be exhausted in late 2026 at the reported draw rate
Missouri Independent

Corrected · July 15, 2026

Missouri

Corrected July 15, 2026.

Before
Missouri legislature adjourns without writing Medicaid work requirements into the constitution — voter-approved expansion protection holds
After
Missouri's 2026 session ends with the state Medicaid work-requirement amendment among failed measures
Missouri Independent

Corrected · July 15, 2026

Missouri

Corrected July 15, 2026.

Before
Missouri wins $216 million Year-1 Rural Health Transformation award; ToRCH Care hub anchors due June 18, 2026
After
Missouri's ToRCH hub-anchor application closes; July-to-October onboarding is the next published stage
Missouri Department of Social Services (MO HealthNet)

Corrected · July 15, 2026

Missouri

Corrected July 15, 2026.

Before
Missouri voters to decide Medicaid work-requirement amendment in November 2026 after Senate softens HJR 154
After
Missouri's official HJR 154 tracker confirms the Medicaid work-requirement amendment never became truly agreed
Missouri House of Representatives

Corrected · July 15, 2026

Missouri

Corrected July 15, 2026.

Before
WashU study: 67% of Missouri Medicaid enrollees already work — the 80-hour mandate's apparatus effectively targets ~40,000 people
After
WashU analysis: 67% of Missouri expansion adults subject to the rule already work full- or part-time
St. Louis Public Radio

Corrected · July 15, 2026

Missouri

Corrected July 15, 2026.

Before
Kehoe signs $50.7B FY2027 Missouri budget with $24.8B for health; Medicaid hospital reimbursements spared from vetoes
After
Kehoe signs Missouri's $50.7B FY2027 budget; the state projects a $500M-plus FY2028 shortfall
Office of Missouri Governor Mike Kehoe

Corrected · July 15, 2026

Missouri

Corrected July 15, 2026.

Before
Kansas City safety-net leaders call for a centralized Medicaid enrollment hub as ~150,000 Missourians face coverage loss
After
Kansas City safety-net leaders call for a Medicaid help hub as an estimate projects 150,000 Missouri coverage losses
KCUR

Corrected · July 15, 2026

Missouri

Corrected July 15, 2026.

Before
CareSTL Health, collapsing after losing federal funding, plans July 6 reopening with a single North City clinic
After
CareSTL announces a July 6 reopening while only one North City clinic remains open
First Alert 4 (KMOV St. Louis)

Corrected · July 15, 2026

Missouri

Corrected July 15, 2026.

Before
Missouri SFY 2026 supplemental adds $100M RHTP authority and funds H.R. 1 work-requirement technology build
After
Missouri SFY 2026 supplemental adds $100M RHTP authority and funds H.R. 1 work-requirement technology build
Missouri Hospital Association

Corrected · July 15, 2026

Missouri

Corrected July 15, 2026.

Before
Kehoe vetoes 340B reporting-requirements language from Missouri DSS appropriation bill
After
Kehoe vetoes 340B reporting-requirements language from Missouri DSS appropriation bill
Missouri Hospital Association

Corrected · July 15, 2026

Missouri

Corrected July 15, 2026.

Before
Springfield's Jordan Valley Community Health Center launches weekly mobile clinic in north St. Louis to fill the CareSTL gap
After
Jordan Valley launches a weekly north St. Louis mobile clinic after CareSTL service interruptions
First Alert 4 (KMOV St. Louis)

Corrected · July 15, 2026

Mississippi

Corrected July 15, 2026.

Before
Lawmakers press Reeves administration over 'least transparent' handling of $206M in federal rural health funds
After
Lawmakers question disclosure and oversight of Mississippi's nearly $206M rural-health award
Mississippi Today

Corrected · July 15, 2026

Mississippi

Corrected July 15, 2026.

Before
Mississippi Medicaid expansion dies again in 2026 session as Senate chair cites federal cuts
After
Mississippi Medicaid expansion bills die without committee action in 2026
Mississippi Today

Corrected · July 15, 2026

Mississippi

Corrected July 15, 2026.

Before
Mississippi Senate Bill Would Let Rural Hospitals Offer New Service Lines — 24 Facilities at Immediate Closure Risk
After
Mississippi House and Senate advance different rural-hospital certificate-of-need exemptions
Mississippi Today

Corrected · July 15, 2026

Mississippi

Corrected July 15, 2026.

Before
Mississippi scales back Healthy Moms, Healthy Babies to 10 counties amid worst-in-nation infant mortality
After
Mississippi pauses new Healthy Moms, Healthy Babies referrals while redesigning the program for 10 counties
Mississippi Today

Corrected · July 15, 2026

Mississippi

Corrected July 15, 2026.

Before
Nearly half of Mississippi's rural hospitals vulnerable to closure, deepening reliance on FQHCs
After
Chartis models 24 Mississippi rural hospitals—42%—as vulnerable to closure
Chartis

Corrected · July 15, 2026

Mississippi

Corrected July 15, 2026.

Before
Mississippi opens its first $206M Rural Health Transformation sub-grant window — applications close July 15
After
Mississippi opens workforce and psychiatric-emergency rural-health rounds through August 17
Mississippi Rural Health Transformation Program Office

Corrected · July 15, 2026

Mississippi

Corrected July 15, 2026.

Before
Federal Community Health Center Fund cliff threatens Mississippi's 21 FQHCs serving 310,000+ patients
After
Federal health-center mandatory and discretionary funding expire on different 2026 dates
NACHC

Corrected · July 15, 2026

Mississippi

Corrected July 15, 2026.

Before
ACA subsidy cliff hits Mississippi: only ~67,000 of 338,159 marketplace enrollees renewed for 2026
After
Mid-enrollment snapshot shows about 67,000 Mississippi 2026 marketplace renewals after 338,159 selected 2025 plans
Mississippi Public Broadcasting

Corrected · July 15, 2026

Mississippi

Corrected July 15, 2026.

Before
~200,000 Mississippians Projected to Lose ACA Marketplace Coverage as Enhanced Tax Credits Expire
After
Report projects about 200,000 Mississippians could drop marketplace coverage without enhanced credits
Mississippi Today

Corrected · July 15, 2026

Mississippi

Corrected July 15, 2026.

Before
Judge orders Mississippi Medicaid to pay Greenwood Leflore Hospital $2.4M, averting a Delta hospital closure days before the UMMC handoff
After
Judge orders $2.4M Medicaid payment after Greenwood Leflore Hospital warns it could close
Mississippi Free Press

Corrected · July 15, 2026

Mississippi

Corrected July 15, 2026.

Before
Mississippi added to federal CCBHC Medicaid demonstration, opening a new behavioral health payment rail
After
Mississippi joins federal CCBHC Medicaid demonstration with two pilot centers
Mississippi Today

Corrected · July 15, 2026

Mississippi

Corrected July 15, 2026.

Before
Fifth Circuit denies Novartis rehearing, cementing Mississippi's 340B contract pharmacy law
After
Fifth Circuit denies en banc rehearing in a Mississippi contract-pharmacy case
The National Law Review

Corrected · July 15, 2026

Mississippi

Corrected July 15, 2026.

Before
Reeves launches Rural Health Transformation Program office to steer Mississippi's $206M first-year award
After
Reeves launches Rural Health Transformation Program office to steer Mississippi's $206M first-year award
Office of Governor Tate Reeves

Corrected · July 15, 2026

Mississippi

Corrected July 15, 2026.

Before
Investigation: Mississippi's $206M rural health plan was shaped by 145 survey responses, closed-door briefings and an emergency-procured consultant
After
Mississippi rural-health application drew 122 on-time survey responses and no public meeting
Mississippi Today

Corrected · July 15, 2026

Mississippi

Corrected July 15, 2026.

Before
Legislature adjourns without countering federal health cuts as Mississippi's marketplace lifeline frays
After
Mississippi session ends without a response to major federal health-funding losses
Mississippi Today

Corrected · July 15, 2026

Mississippi

Corrected July 15, 2026.

Before
The 5th Circuit upholds Mississippi's 340B law against BOTH AbbVie and PhRMA — deepening the circuit split with the 4th
After
Fifth Circuit affirms denials of injunctions against Mississippi's contract-pharmacy law
AHA / 340B Report

Corrected · July 15, 2026

Mississippi

Corrected July 15, 2026.

Before
Mississippi Receives ~$206M in Rural Health Transformation Program Year 1 Funds — Plan Focuses on Telehealth and AI
After
Mississippi Healthcare Collaborative posts a two-page abstract of the state's rural-health plan
Mississippi Healthcare Collaborative

Corrected · July 15, 2026

Mississippi

Corrected July 15, 2026.

Before
Mississippi FY2027 Medicaid Budget Approved at Half the Requested Increase — Provider Cuts Loom
After
Mississippi approves about half of Medicaid's requested FY2027 increase; provider action remains unclear
Mississippi Today

Corrected · July 15, 2026

Mississippi

Corrected July 15, 2026.

Before
Mississippi Medicaid moves to let FQHC mobile units bill under the parent clinic's provider number (SPA 26-0002)
After
Mississippi Medicaid moves to let FQHC mobile units bill under the parent clinic's provider number (SPA 26-0002)
Mississippi Division of Medicaid

Corrected · July 15, 2026

Montana

Corrected July 15, 2026.

Before
DPHHS withholds the 2025 Legislature's 3% Medicaid provider rate increase as providers publicly push back
After
Montana provider guest column says most 3% Medicaid rate increases were withheld; Immanuel reports a $189 daily gap
Flathead Beacon

Corrected · July 15, 2026

Montana

Corrected July 15, 2026.

Before
Montana wins $233.5M first-year Rural Health Transformation award, up to $1.2B over five years
After
Montana's current RHTP page confirms a $233.5M first-year award and says specific subaward decisions remain pending
Montana Department of Public Health and Human Services

Corrected · July 15, 2026

Montana

Corrected July 15, 2026.

Before
Montana enforces Medicaid work requirements July 1, 2026 — six months ahead of the federal mandate
After
DPHHS sets a July–September hold-harmless period, October enforcement and January six-month renewals
Montana Department of Public Health and Human Services

Corrected · July 15, 2026

Montana

Corrected July 15, 2026.

Before
Montana DPHHS Freezes Most SFY2027 Medicaid Rate Adjustments but Preserves Required FQHC/RHC Updates
After
DPHHS declines additional SFY2027 Medicaid rate adjustments except legally required and CMS-schedule updates
Montana Healthcare Programs

Corrected · July 15, 2026

Montana

Corrected July 15, 2026.

Before
Gianforte signs HB 245, lifting Medicaid expansion's 2025 sunset for ~77,000 Montanans
After
Gianforte signs HB 245 and removes Medicaid expansion's recurring sunset for more than 75,000 adults
Montana Free Press

Corrected · July 15, 2026

Montana

Corrected July 15, 2026.

Before
Workforce squeeze: 1-in-4 Montanans in a shortage area as 2025 Legislature pushes NP/PA and CHW fixes
After
Montana's HB 850 community-health-worker licensing proposal was vetoed
Montana Free Press Capitol Tracker

Corrected · July 15, 2026

Montana

Corrected July 15, 2026.

Before
100% FMAP and Tribal exemptions: Medicaid's outsized role in Montana's Indian Country FQHCs
After
Montana report documents Medicaid's 2023 reach in Indian Country and 100% federal reimbursement for qualifying IHS services
Montana Budget & Policy Center

Corrected · July 15, 2026

Montana

Corrected July 15, 2026.

Before
Montana launches Medicaid work requirements July 1 — the nation's second state, six months ahead of the federal deadline
After
Montana Free Press reports a July 1 work-rule launch amid a $183M Medicaid budget shortfall
Montana Free Press / KFF Health News

Corrected · July 15, 2026

Montana

Corrected July 15, 2026.

Before
PacificSource exits Montana: individual-market choice drops to two carriers for 2027
After
PacificSource will leave Montana by December 31 after reporting members across four insurance lines
Daily Montanan

Corrected · July 15, 2026

Montana

Corrected July 15, 2026.

Before
Intermountain Health closes its Lewistown family-medicine clinic and cuts 41 Montana roles
After
Intermountain Health will close its Lewistown family-medicine clinic July 24 and eliminate 41 Montana roles
KTVQ

Corrected · July 15, 2026

Montana

Corrected July 15, 2026.

Before
Rural Health Transformation rollout accelerates: FQHCs get a dedicated seat on the council steering Montana's $233.5M award
After
Montana's 20-member rural-health advisory council includes an FQHC applicant category
Montana Department of Public Health and Human Services

Corrected · July 15, 2026

Montana

Corrected July 15, 2026.

Before
Montana to implement H.R.1 Medicaid work requirements early — July 2026, first disenrollments Dec. 31
After
Montana's Medicaid community-engagement rules took effect July 1 after the state converted its 1115 request to an SPA
Montana Department of Public Health and Human Services

Corrected · July 15, 2026

Montana

Corrected July 15, 2026.

Before
MPCA backs Montana's 17 FQHCs on funding, workforce, and 340B as the cliff and work rules converge
After
MPCA identifies funding, workforce, Medicaid, Medicare, 340B and health IT as health-center policy issues
Montana Primary Care Association

Corrected · July 15, 2026

Montana

Corrected July 15, 2026.

Before
December 31, 2026 Community Health Center Fund cliff threatens Montana's 17 FQHCs and small frontier sites
After
National CHC funding deadlines are September 30 for discretionary support and December 31 for mandatory support
National Association of Community Health Centers

Corrected · July 15, 2026

Montana

Corrected July 15, 2026.

Before
Montana lands $233M Rural Health Transformation windfall — but the Dec. 2026 health center funding cliff still looms
After
Montana's $233M first-year rural-health award was not preallocated among initiatives in January
Montana Free Press

Corrected · July 15, 2026

North Carolina

Corrected July 15, 2026.

Before
NC budget endgame slips toward late June: ABA-autism Medicaid policy and State Health Plan premiums among the final sticking points
After
NC budget endgame slips toward late June: ABA-autism Medicaid policy and State Health Plan premiums among the final sticking points
WUNC

Corrected · July 15, 2026

North Carolina

Corrected July 15, 2026.

Before
NC's county-run eligibility system braces for a 'deluge' as Medicaid work requirements start Jan 1, 2027
After
NC's county-run eligibility system braces for a 'deluge' as Medicaid work requirements start Jan 1, 2027
North Carolina Health News

Corrected · July 15, 2026

North Carolina

Corrected July 15, 2026.

Before
ECU Health and Access East eliminate 31 HOP-linked positions after state funding ends
After
ECU Health and Access East eliminate 31 HOP-linked positions after state funding ends
WITN

Corrected · July 15, 2026

North Carolina

Corrected July 15, 2026.

Before
December 2026 Community Health Center Fund cliff lands on NC's ~42 FQHCs as expansion revenue wobbles
After
Community Health Center Fund receives $4.6B for FY2026 but remains authorized only through December
Synergy Billing (industry analysis)

Corrected · July 15, 2026

North Carolina

Corrected July 15, 2026.

Before
North Carolina awarded $213M in the first year of the federal Rural Health Transformation Program
After
North Carolina awarded $213M in the first year of the federal Rural Health Transformation Program
Office of the Governor of North Carolina

Corrected · July 15, 2026

North Carolina

Corrected July 15, 2026.

Before
NC Medicaid $319M rebase shortfall forced October 2025 provider rate cuts before courts reversed them
After
Governor directs restoration of NC Medicaid rates while $319M funding gap remains
NC Governor's Office / NCDHHS

Corrected · July 15, 2026

North Carolina

Corrected July 15, 2026.

Before
NC Medicaid expansion tops 687,000 enrollees, lifting FQHC payer mix and billable revenue
After
NC Medicaid expansion reaches more than 690,000 people at its two-year mark
NC Governor's Office / NC Medical Journal

Corrected · July 15, 2026

North Carolina

Corrected July 15, 2026.

Before
NC's Medicaid expansion 'kill switch' is in play: H.R.1 work-requirement costs could trigger auto-repeal for ~732,000 enrollees
After
Legal alert: federal law did not trigger NC's 90% FMAP repeal clause; administrative-cost trigger remains uncertain
Smith Anderson (legal alert)

Corrected · July 15, 2026

North Carolina

Corrected July 15, 2026.

Before
Western NC FQHC rebuilds after Hurricane Helene destroyed its Micaville clinic
After
Western NC FQHC rebuilds after Hurricane Helene destroyed its Micaville clinic
Direct Relief

Corrected · July 15, 2026

North Carolina

Corrected July 15, 2026.

Before
NCCHCA convenes 500+ at its 47th Annual Primary Care Conference with value-based care at the center of the sustainability agenda
After
NCCHCA reports more than 500 participants and 70 sessions at its June Primary Care Conference
NCCHCA

Corrected · July 15, 2026

North Carolina

Corrected July 15, 2026.

Before
Stein Signs North Carolina's First Full Budget Since 2023 — Medicaid Rebase Fully Funded at $1.048B, but Healthy Opportunities Restarts at $25M Against an $80M Ask
After
North Carolina's $34.4B budget funds a $1.048B Medicaid rebase and $25M Healthy Opportunities restart
North Carolina Health News

Corrected · July 15, 2026

North Carolina

Corrected July 15, 2026.

Before
State study: Healthy Opportunities Pilots cut Medicaid costs $164/member/month — but the program has been suspended since July 2025
After
State study: Healthy Opportunities Pilots cut Medicaid costs $164/member/month — but the program has been suspended since July 2025
NCDHHS

Corrected · July 15, 2026

North Carolina

Corrected July 15, 2026.

Before
NCCHCA: North Carolina health centers face cuts to 70%+ of Medicaid reimbursements — $100M+ per year — under H.R. 1 work requirements
After
2025 NCCHCA analysis modeled $100M-plus annual health-center loss under proposed Medicaid work rules
NC Medicaid / NCCHCA

Corrected · July 15, 2026

North Carolina

Corrected July 15, 2026.

Before
KFF: North Carolina posts the nation's steepest ACA enrollment drop (22%) as marketplace deductibles jump a record $1,000
After
KFF reports a 22% drop in North Carolina Marketplace plan selections as national deductibles rise 37%
KFF

Corrected · July 15, 2026

North Carolina

Corrected July 15, 2026.

Before
After lawmakers killed Healthy Opportunities, NC organizations rebuild the SDOH infrastructure through ROOTS hubs and philanthropy
After
Former Healthy Opportunities leaders pursue new social-care infrastructure through ROOTS hubs and philanthropy
NC Health News

Corrected · July 15, 2026

North Carolina

Corrected July 15, 2026.

Before
NC's Medicaid rebase bill carries costly 'imperfections': 27,000 lawfully present pregnant women and children lose coverage, work-history rules stricter than federal
After
NC's Medicaid rebase bill carries costly 'imperfections': 27,000 lawfully present pregnant women and children lose coverage, work-history rules stricter than federal
NC Health News

Corrected · July 15, 2026

North Carolina

Corrected July 15, 2026.

Before
NCDHHS names five ROOTS Hub leads to steer North Carolina's $213M Rural Health Transformation rollout
After
NCDHHS names five ROOTS Hub leads to steer North Carolina's $213M Rural Health Transformation rollout
NCDHHS

Corrected · July 15, 2026

North Dakota

Corrected July 15, 2026.

Before
$20M+ RHTP sub-grant wave opens — $15M safety-net services category is health centers' clearest lane after hospital-only first round
After
$15 million safety-net round expected about 50 awards; 88 applications were not award decisions
North Dakota Health and Human Services

Corrected · July 15, 2026

North Dakota

Corrected July 15, 2026.

Before
North Dakota Receives $198.9M Federal Rural Health Transformation Grant; Special Legislative Session Called to Allocate Funds
After
CMS awarded North Dakota $198,936,970 for FY2026 rural-health transformation
Centers for Medicare & Medicaid Services

Corrected · July 15, 2026

North Dakota

Corrected July 15, 2026.

Before
ND's high bar for 'medically frail' could push exempt patients off Medicaid
After
Current Medicaid page defines medically frail coverage but reports no denial rate
North Dakota Health and Human Services

Corrected · July 15, 2026

North Dakota

Corrected July 15, 2026.

Before
Medicaid work requirements hit ND's expansion population Jan 1, 2027 — ~23,000 enrollees non-exempt
After
State plans automatic data matching before requesting proof, with a 30-day response window
North Dakota Health and Human Services

Corrected · July 15, 2026

North Dakota

Corrected July 15, 2026.

Before
Federal judge strikes down North Dakota's 340B contract-pharmacy law; AG undecided on appeal
After
Federal court declared North Dakota's H.B. 1473 unconstitutional and entered a party-bounded permanent injunction
U.S. District Court for the District of North Dakota

Corrected · July 15, 2026

North Dakota

Corrected July 15, 2026.

Before
North Dakota opens ~$500K-per-awardee RHTP funding for EMR and AI upgrades — rural FQHCs explicitly eligible, applications due July 29
After
Rural FQHCs can apply for approximately $500,000 in first-year EMR-enhancement funding by July 29
North Dakota Health and Human Services

Corrected · July 15, 2026

North Dakota

Corrected July 15, 2026.

Before
RHTP 'Rightsizing' sub-grants name rural FQHCs eligible as North Dakota rolls out its $199M year-one award in staggered May rounds
After
Rightsizing round closed with 41 applicants; applicant and future-implementation conditions are not award results
North Dakota Health and Human Services

Corrected · July 15, 2026

North Dakota

Corrected July 15, 2026.

Before
ND HHS sets Medicaid work requirements for Dec. 31, 2026 — six-month renewals follow, tribal members exempt
After
North Dakota specifies different work-verification lookbacks for new applicants and current expansion members
North Dakota Health and Human Services

Corrected · July 15, 2026

North Dakota

Corrected July 15, 2026.

Before
CMS approves North Dakota's $199M year-one Rural Health Transformation plan after special-session appropriation
After
North Dakota appropriated $397,873,940 for the first two RHTP years; it is spending authority, not another grant
North Dakota Legislative Council

Corrected · July 15, 2026

North Dakota

Corrected July 15, 2026.

Before
Special session advances workforce bills tied to RHTP dollars: PA licensure compact and expanded pharmacist authority
After
Special session enacted four policy commitments tied to North Dakota's RHTP application
North Dakota Legislative Council

Corrected · July 15, 2026

North Dakota

Corrected July 15, 2026.

Before
State publishes 'Stay Enrolled' roadmap: work requirements and six-month renewals hit ND Medicaid Expansion adults January 1, 2027
After
State roadmap separates October 2026 noncitizen changes from January 2027 Medicaid expansion rules
North Dakota Health and Human Services

Corrected · July 15, 2026

North Dakota

Corrected July 15, 2026.

Before
ACA Premium Tax Credit Expiry Hits North Dakota Marketplace with 30% Premium Spike, Threatening Self-Employed and Energy-Sector Workers
After
Approved 2026 individual-market base-rate changes range from 5.12% to 23.09%; subsidy effects are separate
North Dakota Insurance Department

Corrected · July 15, 2026

North Dakota

Corrected July 15, 2026.

Before
CHAD Cancels 2026 Annual Conference, Pivots to Smaller Strategic Gatherings Amid Financial Pressure on Dakotas Health Centers
After
CHAD replaced its 2026 annual conference with smaller targeted convenings
Community HealthCare Association of the Dakotas

Corrected · July 15, 2026

North Dakota

Corrected July 15, 2026.

Before
Gov. Armstrong expands ND Medicaid provider oversight July 1: more revalidations, site visits, and an enrollment moratorium for three high-risk categories
After
North Dakota Medicaid expanded oversight of three provider categories beginning July 1, 2026
North Dakota Health and Human Services — ND Medicaid

Corrected · July 15, 2026

North Dakota

Corrected July 15, 2026.

Before
HHS awards $4.03M to three of North Dakota's four FQHCs — Spectra Health, Northland, and Coal Country — via the Health Center Program
After
HHS release lists $3,726,496 in Health Center Program awards to Spectra and Northland plus $300,000 for Coal Country
Office of U.S. Sen. Kevin Cramer

Corrected · July 15, 2026

Nebraska

Corrected July 15, 2026.

Before
Nebraska's first work-requirement enforcement data is in: zero new Medicaid enrollments through the association that signs people up
After
HCAN enrollment-assistance count falls from about 15 per month to zero in May; it is not a statewide enrollment total
PBS NewsHour

Corrected · July 15, 2026

Nebraska

Corrected July 15, 2026.

Before
Nebraska DHHS Opens $20M Rural Health Workforce Incentive Program — FQHCs in Rural Counties Explicitly Eligible
After
Nebraska's rural workforce application window closed June 30; rural FQHCs were explicitly eligible
Nebraska DHHS

Corrected · July 15, 2026

Nebraska

Corrected July 15, 2026.

Before
Nebraska Legislature enshrines retroactive Medicaid coverage (LB958), blocking a DHHS waiver to eliminate it
After
Nebraska Legislature enshrines retroactive Medicaid coverage (LB958), blocking a DHHS waiver to eliminate it
Nebraska Public Media

Corrected · July 15, 2026

Nebraska

Corrected July 15, 2026.

Before
Nebraska Hospital Association launches bilingual MedicaidNebraska.com to help patients keep coverage under work requirements
After
Nebraska Hospital Association launches bilingual MedicaidNebraska.com to help patients keep coverage under work requirements
Nebraska Hospital Association

Corrected · July 15, 2026

Nebraska

Corrected July 15, 2026.

Before
LB929 lets Medicaid managed-care plans pay the new $35 copays so patients aren't billed at the visit
After
LB929 passed 31-18 but failed after the governor's veto; managed-care cost-sharing authority did not become law
Nebraska Legislature

Corrected · July 15, 2026

Nebraska

Corrected July 15, 2026.

Before
Gov. Pillen Proposes $152M+ DHHS Cuts Including $130M in FY2027; Retroactive Medicaid Reduction Targets $18M
After
HCAN's 2024 baseline: 123,007 Nebraska health-center patients, 33% uninsured, 86% at or below 200% FPL
Health Center Association of Nebraska

Corrected · July 15, 2026

Nebraska

Corrected July 15, 2026.

Before
ACA Premium Credit Expiry Hits Rural Nebraska Hardest — 3rd Congressional District Faces 434% Premium Spike
After
KFF modeled premium exposure for about 127,000 Nebraska tax-credit recipients; 434% was one household scenario
Nebraska Public Media

Corrected · July 15, 2026

Nebraska

Corrected July 15, 2026.

Before
OneWorld Community Health Centers Breaks Ground on $17.5M South Omaha Workforce and Behavioral Health Center
After
OneWorld marks construction milestone on $17.5M workforce and behavioral-health center
OneWorld Community Health Centers / Canopy South

Corrected · July 15, 2026

Nebraska

Corrected July 15, 2026.

Before
Nebraska rolls out staggered June 2026 Rural Health Transformation RFAs from its ~$218.5M first-year award
After
Nebraska confirms $218.529M first-year rural-health award and names FQHC-eligible initiatives
Nebraska DHHS

Corrected · July 15, 2026

Nebraska

Corrected July 15, 2026.

Before
Creighton dental school wins $4.6M Rural Health Transformation grant for rural rotations and ER-diversion safety-net dental care
After
Creighton dental school wins $4.6M Rural Health Transformation grant for rural rotations and ER-diversion safety-net dental care
Creighton University

Corrected · July 15, 2026

Nebraska

Corrected July 15, 2026.

Before
Nebraska Medicaid Work Requirements Started May 1; Existing-Member Checks Begin With July 31 Coverage Periods
After
Nebraska Medicaid Work Requirements Started May 1; Existing-Member Checks Begin With July 31 Coverage Periods
Nebraska DHHS

Corrected · July 15, 2026

Nebraska

Corrected July 15, 2026.

Before
December 31, 2026 CHC Fund Cliff: Nebraska's 7 FQHCs Face Funding Expiry as NACHC Warns of 1-in-5 National Closure Risk
After
Two federal health-center funding deadlines: discretionary funds expire September 30 and mandatory funds December 31
National Association of Community Health Centers (NACHC)

Corrected · July 15, 2026

Nebraska

Corrected July 15, 2026.

Before
Nebraska's work-requirement 'soft start' produces the nation's first hard data: ZERO new Medicaid enrollees in May, 20,000-28,000 flagged before July 31 coverage checks
After
Georgetown analysis: up to 28,000 Nebraskans may need to prove compliance twice yearly without added eligibility staff
Georgetown CCF / PBS News / HCAN

Corrected · July 15, 2026

Nebraska

Corrected July 15, 2026.

Before
Georgetown CCF: Nebraska's 'Soft Start' Masks July 31 Disenrollment Cliff for 25,000+ Expansion Enrollees
After
Nebraska's first-year self-attestation policy will not represent later verification rules, Georgetown warns
Georgetown Center for Children and Families

Corrected · July 15, 2026

Nebraska

Corrected July 15, 2026.

Before
Ahead of July 31 first compliance checks, DHHS launches volunteer-hub partnerships to help Medicaid expansion members meet work requirements
After
Ahead of July 31 first compliance checks, DHHS launches volunteer-hub partnerships to help Medicaid expansion members meet work requirements
Nebraska DHHS

Corrected · July 15, 2026

Nebraska

Corrected July 15, 2026.

Before
Nebraska Becomes First State to Enforce Medicaid Work Requirements, Threatening FQHC Patient Panels
After
Nebraska starts Medicaid work rules eight months early; loss estimates remain contested before July renewals
Nebraska Public Media

Corrected · July 15, 2026

Nebraska

Corrected July 15, 2026.

Before
HCAN: Zero New Medicaid Enrollees Since May 1 as Nebraska's Work Requirements Freeze Enrollment for CHC Patients
After
HCAN quantifies Medicaid's role: more than 40% of patients and 29% of Nebraska health-center revenue
Health Center Association of Nebraska (HCAN)

Corrected · July 15, 2026

Nebraska

Corrected July 15, 2026.

Before
Nebraska Legislature Adjourns April 17: LB 958 Cuts Retroactive Medicaid Eligibility to 30 Days, LB 929 MCO Expansion Vetoed
After
Enacted LB958 protects FQHC school-based reimbursement and requires detailed work-rule reporting
Nebraska Legislature

Corrected · July 15, 2026

Nebraska

Corrected July 15, 2026.

Before
Pillen directs DHHS to seek Medicaid work-requirement hardship exemption for Dawson County after Tyson plant closure
After
Pillen directs DHHS to seek Medicaid work-requirement hardship exemption for Dawson County after Tyson plant closure
Nebraska DHHS / Office of Governor Jim Pillen

Corrected · July 15, 2026

New Hampshire

Corrected July 15, 2026.

Before
CMS approves GO-NORTH's first-year budget ahead of schedule — nine competitive RFPs head to the Executive Council
After
CMS approves New Hampshire's first-year GO-NORTH spending budget
New Hampshire Bulletin

Corrected · July 15, 2026

New Hampshire

Corrected July 15, 2026.

Before
Federal Community Health Center Fund expires Dec. 31, 2026 — ~70% of base funding at risk for NH FQHCs
After
NACHC lists September and December 2026 expirations for federal health-center funding
National Association of Community Health Centers

Corrected · July 15, 2026

New Hampshire

Corrected July 15, 2026.

Before
New Hampshire awarded over $204 million in first-year Rural Health Transformation funds via GO-NORTH
After
CMS announces a $204,016,550 first-year rural-health award for New Hampshire
Centers for Medicare & Medicaid Services

Corrected · July 15, 2026

New Hampshire

Corrected July 15, 2026.

Before
Ammonoosuc FQHC Closes Franconia Site, Displacing 1,400 Rural Patients Due to Medicaid Revenue Shortfall
After
Ammonoosuc closes its Franconia clinic, affecting about 1,400 patients
Associated Press via EMS1

Corrected · July 15, 2026

New Hampshire

Corrected July 15, 2026.

Before
NH Advances State Medicaid Work Requirements, Building on 2018 Precedent That Left 16,000 at Risk of Losing Coverage
After
HRSA reports 60.69 nurse-practitioner FTEs at New Hampshire health-center awardees
Health Resources and Services Administration

Corrected · July 15, 2026

New Hampshire

Corrected July 15, 2026.

Before
ACA Premium Tax Credits Expire, Hitting NH's 80,000 Marketplace Enrollees With 17% Average Rate Increase — FQHCs Brace for Uninsured Surge
After
CMS records 66,024 New Hampshire Marketplace plan selections for 2026
Centers for Medicare & Medicaid Services

Corrected · July 15, 2026

New Hampshire

Corrected July 15, 2026.

Before
GO-NORTH's playbook: workforce over rate relief — direct provider payments capped at 15% of funds
After
GO-NORTH director says direct provider payments are capped at 15% of funds
New Hampshire Public Radio

Corrected · July 15, 2026

New Hampshire

Corrected July 15, 2026.

Before
CDFA opens applications for GO-NORTH Rural Community Health Infrastructure Program — FQHCs explicitly eligible for $40M+/year in capital funds
After
CDFA opens the required eligibility step for GO-NORTH infrastructure grants
New Hampshire Community Development Finance Authority

Corrected · July 15, 2026

New Hampshire

Corrected July 15, 2026.

Before
KFF: New Hampshire is one of only two states that will verify Medicaid work compliance quarterly — stricter than the federal floor
After
Enacted SB 134 requires documentary Medicaid work checks at least quarterly
New Hampshire General Court

Corrected · July 15, 2026

New Hampshire

Corrected July 15, 2026.

Before
Ammonoosuc CEO: rural health fund is 'significant' but Medicaid de-investment 'will be larger and will last longer'
After
HRSA's 2024 New Hampshire profile counts 9 reporting awardees and 92,962 patients
Health Resources and Services Administration

Corrected · July 15, 2026

New Hampshire

Corrected July 15, 2026.

Before
Ammonoosuc Community Health Services CEO: new rural health funds can't offset Medicaid cuts after Franconia clinic closure
After
Ammonoosuc CEO says rural-health funds will not offset Medicaid reductions
New Hampshire Bulletin

Corrected · July 15, 2026

New Hampshire

Corrected July 15, 2026.

Before
14,000–29,000 NH Residents Projected to Lose Medicaid Under One Big Beautiful Bill Act
After
Urban Institute models 14,000–29,000 fewer New Hampshire expansion enrollees in 2028
Urban Institute

Corrected · July 15, 2026

New Hampshire

Corrected July 15, 2026.

Before
NH FY2026-27 budget adds Granite Advantage premiums, twice-yearly redeterminations on top of work requirements
After
State law directs a Granite Advantage premium filing with monthly amounts of $60–$100
New Hampshire General Court

Corrected · July 15, 2026

New Hampshire

Corrected July 15, 2026.

Before
NH must resubmit a Granite Advantage work-requirement waiver to CMS as the Jan. 1, 2027 federal mandate looms
After
CMS sets the federal Medicaid community-engagement framework for January 2027
Centers for Medicare & Medicaid Services

Corrected · July 15, 2026

New Hampshire

Corrected July 15, 2026.

Before
Executive Councilors launch Rural Health Transformation Community Tours to shape GO-NORTH spending decisions
After
Two Executive Councilors begin rural-health listening tour at UNH
Manchester Ink Link (bylined press release)

Corrected · July 15, 2026

New Jersey

Corrected July 15, 2026.

Before
NJ enacts first-in-nation employer Medicaid fee — $325–$725/yr per covered worker, ~$145M/yr
After
Final NJ A5324_R1 sets $325-$725 employer Medicaid fees; worker exclusions begin July 1, 2027
New Jersey Legislature

Corrected · July 15, 2026

New Jersey

Corrected July 15, 2026.

Before
H.R. 1 Would Cut $3.6B/Year from NJ Medicaid: 300,000+ NJ FamilyCare Enrollees at Risk
After
NJ models 165,000-330,000 coverage losses and up to $3.7B in annual fiscal impact by SFY2030
New Jersey Department of Human Services

Corrected · July 15, 2026

New Jersey

Corrected July 15, 2026.

Before
Sherrill signs S2996, granting NJ nurse practitioners full practice authority and ending joint-protocol prescribing
After
S2996/A4052 makes independent primary and behavioral APN practice permanent
Office of the Governor of New Jersey

Corrected · July 15, 2026

New Jersey

Corrected July 15, 2026.

Before
NJ Receives $147M RHTP Award, Pursues Medicaid Enrollment Protections Ahead of Federal Changes
After
CMS awards New Jersey $147,250,806 for the first year of Rural Health Transformation
Centers for Medicare & Medicaid Services

Corrected · July 15, 2026

New Jersey

Corrected July 15, 2026.

Before
NJ FY2027 Budget June 30 Deadline: $60.7B Proposal Cuts Health Department, Defunds Free Clinics
After
Sherrill's March proposal set a $60.7B FY2027 baseline and nearly halved the structural deficit
Office of the Governor of New Jersey

Corrected · July 15, 2026

New Jersey

Corrected July 15, 2026.

Before
Cover All Kids covers undocumented children, but a 2025 push to add pregnant undocumented adults stalled in the Legislature
After
Cover All Kids makes immigration status irrelevant for income-eligible children under 19
New Jersey Department of Human Services

Corrected · July 15, 2026

New Jersey

Corrected July 15, 2026.

Before
NJ FY2026 budget holds FQHC uncompensated-care support at $32M and lifts Medicaid primary-care rates toward 70% of Medicare
After
Enacted NJ FY2026 law directs $32M from hospital surcharges to FQHCs
New Jersey Legislature

Corrected · July 15, 2026

New Jersey

Corrected July 15, 2026.

Before
Sherrill signs first NJ budget: $60.7B FY2027 with $7.2B state Medicaid, resolving the June 30 deadline
After
Final NJ FY2027 budget is $60.7B with $6.9B in state funding for NJ FamilyCare
Office of the Governor of New Jersey

Corrected · July 15, 2026

New Jersey

Corrected July 15, 2026.

Before
CMS publishes Medicaid work-requirement final rule, starting NJ's June 30–Aug 31 member-outreach clock
After
CMS community-engagement rule takes effect July 31; states must implement by January 1, 2027
Federal Register / CMS

Corrected · July 15, 2026

New Jersey

Corrected July 15, 2026.

Before
Sherrill's first NJ budget would defund free clinics as it heads to the June 30 deadline
After
NJ proposes $10.5M for Medicaid enrollment systems before six-month renewals begin
New Jersey Monitor

Corrected · July 15, 2026

New Jersey

Corrected July 15, 2026.

Before
New Jersey's 'healthcare fiscal abyss': $3.6B/year permanent federal Medicaid loss, emergency-Medicaid match drops 90%→50% for immigrants in October 2026
After
NJ hospital association leader warns of a $3.6B annual Medicaid loss and a 350,000-person coverage shock
New Jersey Monitor

Corrected · July 15, 2026

New Jersey

Corrected July 15, 2026.

Before
NJ 'Healthcare Fiscal Abyss': $3.6B Federal Loss, Provider Tax Phase-Down, and FMAP Cliff Converge
After
NJHA commentary connects coverage losses, hospital cuts, provider-tax limits, and uncompensated care
New Jersey Monitor

Corrected · July 15, 2026

New Jersey

Corrected July 15, 2026.

Before
NJ Medicaid Work Requirements: 80 Hours/Month for Adults 19–64 Beginning January 1, 2027
After
NJ DHS budgets $34.6M for emergency-care cost shifts and $10M+ for enrollment systems
New Jersey Department of Human Services

Corrected · July 15, 2026

New Jersey

Corrected July 15, 2026.

Before
New Jersey FQHC pharmacy map verified: Zufall operates Goodale and lists its 340B partner network
After
Zufall maps 15 participating pharmacies and an 11-county Goodale delivery footprint
Zufall Health

Corrected · July 15, 2026

New Mexico

Corrected July 15, 2026.

Before
New Mexico will use AI to run Medicaid work requirements; ~89,000 projected to lose coverage
After
NM plans AI-assisted Medicaid work-rule processing; humans retain eligibility decisions
Santa Fe New Mexican

Corrected · July 15, 2026

New Mexico

Corrected July 15, 2026.

Before
New Mexico Signs HB 4 Expanding Health Care Affordability Fund Surtax to 95% by 2028
After
Enacted HB 4 phases HCAF's share of premium-surtax receipts to 95% by September 2028
New Mexico Legislature

Corrected · July 15, 2026

New Mexico

Corrected July 15, 2026.

Before
NM passes HB 4 to backfill expiring ACA tax credits — 'only state with a comprehensive plan'
After
Enacted FY2027 budget provides $38.1M to offset expired enhanced Marketplace credits
New Mexico Legislature

Corrected · July 15, 2026

New Mexico

Corrected July 15, 2026.

Before
New Mexico health centers shielded from 340B contract-pharmacy restrictions as 8 drugmakers exempt the state
After
Amgen reversed its New Mexico 340B contract-pharmacy exemption in 2026
Advanced Contracting Initiatives

Corrected · July 15, 2026

New Mexico

Corrected July 15, 2026.

Before
New Mexico secures $211.5M Rural Health Transformation award — but it ends as Medicaid cuts peak
After
CMS confirms New Mexico's $211,484,741 FY2026 Rural Health Transformation award
Centers for Medicare & Medicaid Services

Corrected · July 15, 2026

New Mexico

Corrected July 15, 2026.

Before
New Mexico's health-center 340B law survives drugmaker's bid to block it
After
New Mexico's FQHC-specific 340B contract-pharmacy protections took effect January 1
New Mexico Legislature

Corrected · July 15, 2026

New Mexico

Corrected July 15, 2026.

Before
NM opens $76.2M 'Healthy Horizons' rural health funding — six regional hubs will direct RHTP dollars to local providers, applications due July 2
After
NM's $76.2M Healthy Horizons hub solicitation closed July 2
New Mexico Health Care Authority

Corrected · July 15, 2026

New Mexico

Corrected July 15, 2026.

Before
NM Medicaid Work Requirement Letters Mail to ~89,000 Members Starting September 1, 2026
After
NM sets September notice and January 2027 work-rule and six-month renewal timeline
New Mexico Health Care Authority

Corrected · July 15, 2026

New Mexico

Corrected July 15, 2026.

Before
Lawfully Present Immigrants Lose NM Medicaid October 1, 2026; State Plans Bridge Program
After
Enacted FY2027 budget puts $40M toward coverage for immigrants losing Medicaid October 1
New Mexico Legislature

Corrected · July 15, 2026

New Mexico

Corrected July 15, 2026.

Before
BeWellNM Marketplace Braces for ACA Premium Credit Expiry; HCAF Surtax as State Backstop
After
BeWell says New Mexico assistance backfills expired enhanced federal Marketplace credits
BeWell New Mexico

Corrected · July 15, 2026

New Mexico

Corrected July 15, 2026.

Before
NM behavioral health committee approves $8M plan for northern Region 1 — second of 13 regional rebuilds
After
NM committee approves Region 1 behavioral-health plan with a request exceeding $8M
Source New Mexico

Corrected · July 15, 2026

New Mexico

Corrected July 15, 2026.

Before
New Mexico's HB 66 raises physician loan repayment to $300K — 'the most generous in the nation' — applications open June 1 to July 31
After
NM physician loan repayment offers up to $300K over four years; applications close July 31
Office of Gov. Michelle Lujan Grisham

Corrected · July 15, 2026

New Mexico

Corrected July 15, 2026.

Before
Hidalgo Medical Services launches vision care in Lordsburg and Silver City
After
Hidalgo Medical Services plans tele-optometry in Lordsburg and Silver City
Hidalgo Medical Services

Corrected · July 15, 2026

New Mexico

Corrected July 15, 2026.

Before
NM opens $47M Rural Health Innovation Fund — health care providers directly eligible, proposals due July 27
After
NM opens $47M Rural Health Innovation Fund; proposals due July 27
New Mexico Health Care Authority

Corrected · July 15, 2026

New Mexico

Corrected July 15, 2026.

Before
Hidalgo Medical Services expands patient transportation, topping ridership goals
After
Hidalgo Medical Services reports 750+ rides and 547 patients in transport program
Hidalgo Medical Services

Corrected · July 15, 2026

New Mexico

Corrected July 15, 2026.

Before
Hidalgo Medical Services passes HRSA Operational Site Visit with full compliance
After
Hidalgo Medical Services reports full compliance after HRSA Operational Site Visit
Hidalgo Medical Services

Corrected · July 15, 2026

New Mexico

Corrected July 15, 2026.

Before
New Mexico awards $24.5M across all 13 behavioral health regions in first round under 2025 reform law
After
New Mexico awards about $24.5M across all 13 behavioral-health regions
New Mexico Health Care Authority

Corrected · July 15, 2026

New Mexico

Corrected July 15, 2026.

Before
New Mexico Medicaid launches single credentialing platform across all four Turquoise Care MCOs
After
New Mexico Medicaid unifies credential validation across four Turquoise Care MCOs
New Mexico Health Care Authority

Corrected · July 15, 2026

Nevada

Corrected July 15, 2026.

Before
December 31, 2026 CHC Fund Expiration Threatens Nevada's 8 FQHCs Simultaneously with Work-Requirement Launch
After
NACHC reports $4.6B in recent mandatory health-center funding and a December 31, 2026 expiration
National Association of Community Health Centers

Corrected · July 15, 2026

Nevada

Corrected July 15, 2026.

Before
SilverSummit Healthplan commits $650K to 13 Nevada critical access hospitals and rural health clinics for Medicaid managed care capacity
After
SilverSummit commits $650,000 to 13 rural hospitals and clinics entering Medicaid managed care
SilverSummit Healthplan

Corrected · July 15, 2026

Nevada

Corrected July 15, 2026.

Before
Nevada Awarded $180 Million in Year-One Federal Rural Health Transformation Grant, Targeting FQHC Workforce and Rural Access
After
CMS awards Nevada $179,931,608 for fiscal-year 2026 Rural Health Transformation work
Centers for Medicare & Medicaid Services

Corrected · July 15, 2026

Nevada

Corrected July 15, 2026.

Before
Nevada Awarded $179.9M Rural Health Transformation Program Grant; NVHA Seeks Sub-Grant Applicants
After
Nevada seats 15-member Rural Health Transformation Steering Committee
Office of Governor Joe Lombardo

Corrected · July 15, 2026

Nevada

Corrected July 15, 2026.

Before
Nevada Health Link Premiums Jump 26% as Enhanced ACA Credits Expire, Threatening 85,000–94,500 Nevadans with Coverage Loss
After
Nevada regulators confirm an average 26% approved rate increase for 2026 individual-market plans
Nevada Current via News From The States

Corrected · July 15, 2026

Nevada

Corrected July 15, 2026.

Before
94,500 Nevadans Face 114% Premium Spike as ACA Enhanced Subsidies Expire December 31, 2026
After
Nevada Health Link reports 104,286 plan selections for 2026, including 10,762 Battle Born State Plan selections
Nevada Health Link

Corrected · July 15, 2026

Nevada

Corrected July 15, 2026.

Before
Nevada Health Centers Expands Mobile Medical Services into Remote Northeastern Nevada Communities
After
Nevada Health Centers reports 46 patient interactions during Carlin and Montello mobile outreach
Nevada Health Centers

Corrected · July 15, 2026

Nevada

Corrected July 15, 2026.

Before
Nevada FQHCs Push for Stronger 340B Contract Pharmacy Protections as Program Generates 12% of Network Revenue
After
Nevada health centers seek proposed manufacturer-level 340B contract-pharmacy protections for 2027
Nevada Current via News From The States

Corrected · July 15, 2026

Nevada

Corrected July 15, 2026.

Before
Community Health Alliance completes $8.6M expansion of Reno's Neil Road health center, adding capacity for 4,000 more patients a year
After
Community Health Alliance completes $8.6M Neil Road expansion with capacity for about 4,000 additional patients annually
Community Health Alliance

Corrected · July 15, 2026

Nevada

Corrected July 15, 2026.

Before
Nevada's 340B contract-pharmacy fight heads to the 2027 interim — industry op-ed pushes back on FQHC/hospital-backed protections
After
Guest columnist urges Nevada to study 340B contract-pharmacy policy before legislating
Las Vegas Sun guest column

Corrected · July 15, 2026

Nevada

Corrected July 15, 2026.

Before
Nevada opens its first $180M Rural Health Transformation sub-grant rounds — Flex Fund and workforce RFAs already closed, outcomes/IT awards due July 2026
After
Nevada's first-budget-period RHT roster names Nevada Health Centers and NVPCA workforce projects
Nevada Health Authority

Corrected · July 15, 2026

Nevada

Corrected July 15, 2026.

Before
Nevada's RHTP sub-grant application windows close: Health Outcomes Accelerator June 26, Innovation & Technology July 6
After
Nevada's first-cycle Rural Health Transformation application calendar closed its final listed window July 6
Nevada Health Authority

Corrected · July 15, 2026

Nevada

Corrected July 15, 2026.

Before
H.R. 1 Medicaid Work Requirements Threaten $17M Revenue Loss and 107 Jobs Across Nevada's FQHC Network
After
NVPCA models 13,000 FQHC Medicaid losses, $17M in annual revenue, and 107 FTE jobs at risk
Nevada Current via News From The States

Corrected · July 15, 2026

Nevada

Corrected July 15, 2026.

Before
Nevada announces first $36M round of Rural Health Transformation Program grants through the Rural Health Systems Flex Fund
After
Nevada announces $36M first Rural Health Transformation round for one-time rural infrastructure needs
Office of Governor Joe Lombardo

Corrected · July 15, 2026

Nevada

Corrected July 15, 2026.

Before
Nevada FQHCs Face $17M Annual Revenue Loss and 107 Job Cuts Under H.R. 1, Lawmakers Warned
After
HRSA reports 7 Nevada awardees serving 128,018 patients in 2024, with 37.28% covered by Medicaid or CHIP
Health Resources and Services Administration

Corrected · July 15, 2026

Nevada

Corrected July 15, 2026.

Before
Northern Nevada HOPES and Community Health Alliance launch nurse-led StreetReach street-medicine program for Reno's unsheltered
After
UNR's nurse-led StreetReach reports early Reno street-medicine service counts
University of Nevada, Reno

Corrected · July 15, 2026

Nevada

Corrected July 15, 2026.

Before
Final federal work-requirement rules land in Nevada: narrowed 'medically frail' test ahead of January 2027 enforcement
After
CMS issues interim final Medicaid community-engagement rule for a general January 2027 start
Centers for Medicare & Medicaid Services

Corrected · July 15, 2026

Ohio

Corrected July 15, 2026.

Before
HHS TAGGS Shows Ohio's $202M Rural Health Transformation Award for Rural Access and Workforce Capacity
After
HHS TAGGS Shows Ohio's $202M Rural Health Transformation Award for Rural Access and Workforce Capacity
HHS TAGGS / Ohio Department of Health

Corrected · July 15, 2026

Ohio

Corrected July 15, 2026.

Before
Community Solutions models a 337,000-person first-year Ohio Medicaid enrollment decline under H.R. 1
After
Community Solutions models a 337,000-person first-year Ohio Medicaid enrollment decline under H.R. 1
The Center for Community Solutions

Corrected · July 15, 2026

Ohio

Corrected July 15, 2026.

Before
Ohio's FY2026-2027 budget (HB 96) funds OACHC-run FQHC workforce initiative and school-based care
After
Ohio's FY2026-2027 budget (HB 96) funds OACHC-run FQHC workforce initiative and school-based care
BMD LLC (analysis of Ohio HB 96)

Corrected · July 15, 2026

Ohio

Corrected July 15, 2026.

Before
Ohio's 2025 Group VIII waiver proposal is now historical context for the superseding federal rule
After
Ohio's 2025 Group VIII waiver projected 61,826 enrollees would lose eligibility
Ohio Department of Medicaid

Corrected · July 15, 2026

Ohio

Corrected July 15, 2026.

Before
GW analysis: Medicaid covers ~half of Ohio's ~1M health-center patients, putting coverage and revenue at risk
After
GW factsheet: Medicaid covered 52% of Ohio health-center patients and 53% of patient-care revenue
GW Geiger Gibson Program in Community Health

Corrected · July 15, 2026

Ohio

Corrected July 15, 2026.

Before
CMS sets the federal Medicaid community-engagement framework Ohio must implement by 2027
After
CMS sets the federal Medicaid community-engagement framework Ohio must implement by 2027
Centers for Medicare & Medicaid Services

Corrected · July 15, 2026

Ohio

Corrected July 15, 2026.

Before
Federal-state partnership charges nine defendants in alleged Ohio fraud schemes totaling more than $42M
After
Federal-state partnership charges nine defendants in alleged Ohio fraud schemes totaling more than $42M
U.S. Department of Justice

Corrected · July 15, 2026

Ohio

Corrected July 15, 2026.

Before
Ohio enacts a $3.7B capital budget for fiscal years 2027–2028
After
Ohio enacts a $3.7B capital budget for fiscal years 2027–2028
Ohio General Assembly

Corrected · July 15, 2026

Ohio

Corrected July 15, 2026.

Before
Ohio coverage story contrasts lawmakers' statements with an advocacy group's 10-year Medicaid projection
After
Ohio report attributes 290,000 projected coverage losses and risk to 31 hospitals, clinics and providers
The Statehouse News Bureau

Corrected · July 15, 2026

Ohio

Corrected July 15, 2026.

Before
DeWine signs SB 315, adding Medicaid fraud, EVV, and HCBS provider-enrollment controls
After
Governor DeWine signs Ohio Senate Bill 315 after June legislative passage
Ohio General Assembly

Corrected · July 15, 2026

Ohio

Corrected July 15, 2026.

Before
Ohio's SB 198 would protect 340B contract-pharmacy access for grantees, including FQHCs
After
Ohio Senate Bill 198 remains pending after a fourth Health Committee hearing
Ohio General Assembly

Corrected · July 15, 2026

Ohio

Corrected July 15, 2026.

Before
Ohio selects a one-month lookback and four optional hardship exceptions for 2027 Medicaid work rules
After
Ohio selects a one-month lookback and four optional hardship exceptions for 2027 Medicaid work rules
Springfield News-Sun

Corrected · July 15, 2026

Ohio

Corrected July 15, 2026.

Before
Ohio University receives $10M to lead a statewide rural-health workforce partnership
After
Ohio University receives $10M to lead a statewide rural-health workforce partnership
Ohio University

Corrected · July 15, 2026

Ohio

Corrected July 15, 2026.

Before
Primary Health Solutions announces acquisition of South Community Behavioral Health
After
Primary Health Solutions announces plan to acquire South Community Behavioral Health
Behavioral Health Business

Corrected · July 15, 2026

Ohio

Corrected July 15, 2026.

Before
Urban Institute: Ohio's work requirements could cut Medicaid expansion enrollment in half — 356,000 people
After
Urban Institute analysis projects 356,000 Ohio Medicaid expansion coverage losses
Health Policy Ohio / Urban Institute

Corrected · July 15, 2026

Ohio

Corrected July 15, 2026.

Before
HealthSource of Ohio schedules a five-stop Mobile Vision program for patients ages 5–21
After
HealthSource of Ohio schedules a five-stop Mobile Vision program for patients ages 5–21
HealthSource of Ohio

Corrected · July 15, 2026

Ohio

Corrected July 15, 2026.

Before
Ohio's $202M rural award is much smaller than projected decade-long Medicaid losses
After
Ohio's $202M rural award is much smaller than projected decade-long Medicaid losses
WOUB Public Media / Statehouse News Bureau

Corrected · July 15, 2026

Oklahoma

Corrected July 15, 2026.

Before
OHCA emergency rule ends full SoonerCare for most lawfully present noncitizens October 1 — about 4,000 refugees affected first, 190,000 face six-month renewals
After
OHCA outlines October noncitizen restrictions, 4,000 members affected first, and six-month reviews for 190,000 expansion members
Oklahoma Health Care Authority

Corrected · July 15, 2026

Oklahoma

Corrected July 15, 2026.

Before
December 31, 2026 federal Community Health Center Fund cliff threatens ~70% of grant funding for Oklahoma's 22 health centers
After
Federal health-center funding has separate September and December 2026 deadlines
National Association of Community Health Centers

Corrected · July 15, 2026

Oklahoma

Corrected July 15, 2026.

Before
Federal Community Health Center Fund extended to Dec 31, 2026 by CAA-2026 — ~70% of OK center base funding still on a cliff
After
OKPCA reports more than 350,000 Oklahomans served in 2025
Oklahoma Primary Care Association

Corrected · July 15, 2026

Oklahoma

Corrected July 15, 2026.

Before
Oklahoma unlocks $223.5M first-year Rural Health Transformation award (~$1B over 5 years)
After
Oklahoma receives a $223.5M first-year Rural Health Transformation award
Office of Governor J. Kevin Stitt

Corrected · July 15, 2026

Oklahoma

Corrected July 15, 2026.

Before
Oklahoma grants NPs independent prescriptive authority — HB 2298 effective Nov. 1, 2025
After
HB 2298 creates an approval-based independent-prescribing pathway for specified APRNs
Oklahoma Legislature

Corrected · July 15, 2026

Oklahoma

Corrected July 15, 2026.

Before
Tulsa's century-old Morton FQHC embeds second clinic at Family & Children's Services, integrating primary care with mental health
After
Morton added a second embedded family-services clinic in north Tulsa in July 2025
Morton Comprehensive Health Services

Corrected · July 15, 2026

Oklahoma

Corrected July 15, 2026.

Before
SoonerSelect managed care now covers ~583,000 Oklahomans (56% of Medicaid); provider rate floor holds through July 2027
After
SoonerSelect reports 613,654 health-and-dental members for May 2026
Oklahoma Health Care Authority

Corrected · July 15, 2026

Oklahoma

Corrected July 15, 2026.

Before
OHCA begins notifying up to 126,000 SoonerCare expansion adults ahead of January 2027 work requirements
After
OHCA now estimates community-engagement rules will affect about 86,000 expansion members
Oklahoma Health Care Authority

Corrected · July 15, 2026

Oklahoma

Corrected July 15, 2026.

Before
126,000 Oklahomans could lose constitutionally-protected SoonerCare under federal work requirement; FQHCs brace for January 2027
After
OHCA launches a nonbinding work-requirement screener ahead of January 2027
Oklahoma Health Care Authority

Corrected · July 15, 2026

Oklahoma

Corrected July 15, 2026.

Before
Oklahoma opens next wave of its $223.5M rural health fund: $2.8M behavioral health NOFO released June 8, EMS grants due July 20
After
Oklahoma's $2.8M RHTP behavioral-health integration round closed July 10
Oklahoma State Department of Health

Corrected · July 15, 2026

Oklahoma

Corrected July 15, 2026.

Before
RHTP's first completed grant cycle lands: Community-Led Wellness Hubs microgrants awarded, with Great Salt Plains FQHC and tribal health systems among recipients
After
Oklahoma publishes direct award details for its first Community-Led Wellness Hubs grants
Oklahoma State Department of Health

Corrected · July 15, 2026

Oklahoma

Corrected July 15, 2026.

Before
Six Oklahoma hospitals now operate as Rural Emergency Hospitals — a cash lifeline with no inpatient care and no 340B
After
Six Oklahoma hospitals operate as Rural Emergency Hospitals with monthly federal payments and service limits
StateImpact Oklahoma / KGOU

Corrected · July 15, 2026

Oklahoma

Corrected July 15, 2026.

Before
Oklahoma lawmakers advance ballot measure to strip Medicaid expansion's constitutional protection
After
SJR 50 did not receive final action, leaving Medicaid expansion off the November 2026 ballot
Oklahoma Legislature

Corrected · July 15, 2026

Oklahoma

Corrected July 15, 2026.

Before
Nearly 600,000 Oklahomans pick SoonerSelect managed-care plans in May 1–June 12, 2026 open enrollment
After
Nearly 600,000 SoonerSelect members were eligible to choose plans May 1–June 12
Oklahoma Health Care Authority

Corrected · July 15, 2026

Oklahoma

Corrected July 15, 2026.

Before
Rising SoonerCare expansion costs drive ~$250M state add; lawmakers leave expansion on the constitution, off the 2026 ballot
After
May 2026 SoonerCare enrollment includes 259,018 expansion adults
Oklahoma Health Care Authority

Corrected · July 15, 2026

Oklahoma

Corrected July 15, 2026.

Before
Oklahoma unlocks ~$202M of its $223.5M Rural Health Transformation award after CMS approves spending plan
After
CMS budget approval made nearly $202M of Oklahoma's rural-health award accessible
KGOU

Corrected · July 15, 2026

Oklahoma

Corrected July 15, 2026.

Before
Variety Care, Oklahoma's largest FQHC, opens new ARPA-funded health center in Yukon
After
Variety Care announces a June 26 grand opening for its ARPA-funded Yukon clinic
Variety Care

Corrected · July 15, 2026

Oklahoma

Corrected July 15, 2026.

Before
In reversal, OHCA proposes $218M (20%) cut to hospital SHOPP payments days after approving a 'no-cuts' budget
After
OHCA filing proposes a $218M, 20% reduction in hospital SHOPP payments
Oklahoma Watch

Corrected · July 15, 2026

Oklahoma

Corrected July 15, 2026.

Before
Oklahoma RHTP opens its next application wave: $2.5M+ rural doula program (due July 27) and school Medicaid billing staff subsidies, with paramedicine-vehicle grants closing July 20
After
Oklahoma RHTP lists three live rural grant windows after a $223.48M CMS award
Oklahoma State Department of Health

Corrected · July 15, 2026

Oregon

Corrected July 15, 2026.

Before
OHA Director Sejal Hathi resigns; governor describes a personal decision
After
OHA Director Sejal Hathi resigns; governor describes a personal decision
Oregon Public Broadcasting

Corrected · July 15, 2026

Oregon

Corrected July 15, 2026.

Before
Oregon SB 1570 adds immigration-information and worker protections at FQHCs
After
Oregon SB 1570 adds immigration-information and worker protections at FQHCs
Oregon Legislative Assembly

Corrected · July 15, 2026

Oregon

Corrected July 15, 2026.

Before
OHA proposes redirecting a ~$170M primary-care incentive flow during federal implementation
After
OHA proposes redirecting a ~$170M primary-care incentive flow during federal implementation
OPB

Corrected · July 15, 2026

Oregon

Corrected July 15, 2026.

Before
Oregon's FQHC alternative payment model reaches 20 of 33 community health centers
After
Oregon's FQHC alternative payment model reaches 20 of 33 community health centers
Oregon Primary Care Association

Corrected · July 15, 2026

Oregon

Corrected July 15, 2026.

Before
Healthier Oregon's 2025–27 current-service baseline reaches $1.5B, mostly General Fund
After
Healthier Oregon's 2025–27 current-service baseline reaches $1.3B, including $1.1B General Fund
Oregon Legislative Fiscal Office

Corrected · July 15, 2026

Oregon

Corrected July 15, 2026.

Before
Oregon HB 2385 bars manufacturer interference with 340B contract-pharmacy access
After
Oregon HB 2385 bars manufacturer interference with 340B contract-pharmacy access
Oregon Legislative Assembly

Corrected · July 15, 2026

Oregon

Corrected July 15, 2026.

Before
OHP Work Requirements Won't Hit Until 2027 — CMS Exemption Guidance Expected by End of June 2026
After
Oregon says OHP renewals will accelerate and retroactive coverage will narrow in 2027
Oregon Health Authority

Corrected · July 15, 2026

Oregon

Corrected July 15, 2026.

Before
Providence exits most Oregon insurance lines — 421,000 covered lives, including 58,406 OHP members, must transition by 2027
After
Providence exits most Oregon insurance lines — 421,000 covered lives, including 58,406 OHP members, must transition by 2027
OPB

Corrected · July 15, 2026

Oregon

Corrected July 15, 2026.

Before
Oregon HB 4127 creates a state-only payment path for affected reproductive-health providers
After
Oregon HB 4127 creates a state-only payment path for affected reproductive-health providers
Oregon Legislative Assembly

Corrected · July 15, 2026

Oregon

Corrected July 15, 2026.

Before
Oregon's OHP implementation blueprint: 2027 work requirements, six-month renewals — and community health clinic visits exempt from new copays
After
Oregon outlines 2027 OHP activity reviews and October 2028 copay exemptions
Oregon Health Authority

Corrected · July 15, 2026

Oregon

Corrected July 15, 2026.

Before
Oregon launches Rural Health Transformation rollout: first 12 awards from its $197.3M year-one federal grant
After
OHA identifies 12 initial Rural Health Transformation projects for up to $6.5M
Oregon Health Authority

Corrected · July 15, 2026

Oregon

Corrected July 15, 2026.

Before
Oregon Secures $197.3M in Year-1 Rural Health Transformation Program Funding — FQHCs Eligible
After
CMS awards Oregon $197.27M for the first year of rural-health transformation
Oregon Health Authority

Corrected · July 15, 2026

Oregon

Corrected July 15, 2026.

Before
Oregon health centers hit by federal grant-access disruption: La Pine CHC cut 11% of staff as Sens. Merkley and Wyden demand answers from HRSA
After
Merkley and Wyden cite federal grant delays and an 11% La Pine Health Center workforce reduction
Sen. Jeff Merkley

Corrected · July 15, 2026

Oregon

Corrected July 15, 2026.

Before
Mosaic Community Health expands adolescent SUD treatment across Central Oregon with Rural Health Transformation funding
After
Mosaic Community Health expands adolescent SUD treatment across Central Oregon with Rural Health Transformation funding
Mosaic Community Health

Corrected · July 15, 2026

Oregon

Corrected July 15, 2026.

Before
Governor's workgroup lays out $421M in Oregon Health Plan cuts — adult dental elimination and provider rate cuts on the table
After
Governor's workgroup lists more than 40 options for a $421M Oregon Health Plan gap
Oregon Public Broadcasting

Corrected · July 15, 2026

Pennsylvania

Corrected July 15, 2026.

Before
Pennsylvania opens $1.8M FQHC-only EHR and health-information-exchange opportunity
After
Pennsylvania opens $1.8M FQHC-only EHR and health-information-exchange opportunity
Pennsylvania Department of Human Services

Corrected · July 15, 2026

Pennsylvania

Corrected July 15, 2026.

Before
Pennsylvania awarded $193M in year-one Rural Health Transformation funds, up to ~$1B over five years
After
Pennsylvania awarded $193M in year-one Rural Health Transformation funds, up to ~$1B over five years
Pennsylvania Health Law Project

Corrected · July 15, 2026

Pennsylvania

Corrected July 15, 2026.

Before
Federal Community Health Center Fund authorized only through Dec. 31, 2026 — PA centers face the cliff
After
Mandatory Community Health Center Fund expires Dec. 31, 2026 without congressional action
NACHC

Corrected · July 15, 2026

Pennsylvania

Corrected July 15, 2026.

Before
PA enacts $50.1B FY2025-26 budget nearly 4 months late, adding $775M+ for Medicaid as federal cuts loom
After
PA enacts $50.1B FY2025-26 budget nearly 4 months late, adding $775M+ for Medicaid as federal cuts loom
Spotlight PA

Corrected · July 15, 2026

Pennsylvania

Corrected July 15, 2026.

Before
H.R. 1 hits PA's Medicaid expansion population: work requirements + 6-month renewals begin 2027, ~$20B federal loss over a decade
After
DHS details six-month Medicaid renewals and work reporting for some Pennsylvania adults in 2027
Pennsylvania Department of Human Services

Corrected · July 15, 2026

Pennsylvania

Corrected July 15, 2026.

Before
Pennsylvania SB 25 remains at its January 2025 Senate committee referral
After
Pennsylvania SB 25 remains at its January 2025 Senate committee referral
Pennsylvania General Assembly

Corrected · July 15, 2026

Pennsylvania

Corrected July 15, 2026.

Before
Study: 12 Pennsylvania hospitals — rural and urban safety net — at risk of closure from H.R. 1 Medicaid cuts
After
Study: 12 Pennsylvania hospitals at risk of closing or reducing services after Medicaid cuts
Pennsylvania Office of Rural Health / Public Citizen

Corrected · July 15, 2026

Pennsylvania

Corrected July 15, 2026.

Before
Pennsylvania entered FY2026-27 talks with a $3.65B structural deficit and late-budget risk
After
Pennsylvania entered FY2026-27 talks with a $3.65B structural deficit and late-budget risk
City & State Pennsylvania

Corrected · July 15, 2026

Pennsylvania

Corrected July 15, 2026.

Before
Pennsylvania Medicaid work requirements take effect Jan 1, 2027 — DHS outreach begins September 2026
After
Pennsylvania Medicaid work requirements take effect Jan 1, 2027 — DHS outreach begins September 2026
Pennsylvania Department of Human Services

Corrected · July 15, 2026

Pennsylvania

Corrected July 15, 2026.

Before
Pennsylvania races to build Medicaid work-requirement systems for 750,000 expansion enrollees
After
Pennsylvania races to build Medicaid work-requirement systems for 750,000 expansion enrollees
90.5 WESA (Pittsburgh NPR)

Corrected · July 15, 2026

Pennsylvania

Corrected July 15, 2026.

Before
PACHC requests $5M from state as 'crumbling' safety net braces for federal cliff
After
PACHC requests $5M from state as 'crumbling' safety net braces for federal cliff
90.5 WESA (Pittsburgh NPR)

Corrected · July 15, 2026

Puerto Rico

Corrected July 15, 2026.

Before
Puerto Rico House delegation lobbies Congress to extend the 76% Medicaid match before the 2027 cliff
After
Puerto Rico House delegation asks Congress to preserve Medicaid financing beyond September 2027
Metro Puerto Rico

Corrected · July 15, 2026

Puerto Rico

Corrected July 15, 2026.

Before
Physician out-migration deepens Puerto Rico's primary-care gap: 120.7 vs. 156.7 providers per 100,000, half of grads matching to the mainland
After
AAMC documents Puerto Rico's physician shortage and residency bias—but not that half of graduates leave
AAMC

Corrected · July 15, 2026

Puerto Rico

Corrected July 15, 2026.

Before
Puerto Rico's Medicaid funding cliff looms in FY2028: enhanced 76% FMAP and capped block grant expire Sept. 30, 2027
After
CMS confirms Puerto Rico's capped Medicaid structure, 76% FMAP through September 2027, and 1.3M enrollment
Centers for Medicare & Medicaid Services

Corrected · July 15, 2026

Puerto Rico

Corrected July 15, 2026.

Before
Hakeem Jeffries and Resident Commissioner visit a Centro 330 in Barrio Obrero amid health-center funding push
After
Jeffries and Hernández visit HealthproMed during Puerto Rico health-policy advocacy
NotiCel

Corrected · July 15, 2026

Puerto Rico

Corrected July 15, 2026.

Before
Government convenes 'Puerto Rico Health Policy Conference 2026' to defend Medicaid and Medicare funds
After
Puerto Rico launches a multisector health-policy process to defend Medicaid and Medicare financing
Puerto Rico Department of Health

Corrected · July 15, 2026

Puerto Rico

Corrected July 15, 2026.

Before
Health Department backs bill tying physician tax incentives to Plan Vital service as specialist exodus deepens
After
Puerto Rico continues House review of Senate Bill 15 physician incentives; proposal is not yet law
Metro Puerto Rico

Corrected · July 15, 2026

Puerto Rico

Corrected July 15, 2026.

Before
$1.9M in new HHS grants for Puerto Rico includes Ryan White funds for FQHC Concilio de Salud Integral de Loíza
After
HRSA's February 2026 Part C list confirms Ryan White awards to Concilio de Salud Integral de Loíza and HIPS
HRSA Ryan White HIV/AIDS Program

Corrected · July 15, 2026

Puerto Rico

Corrected July 15, 2026.

Before
'Food pharmacies' open at three Centros 330 with AbbVie Foundation backing
After
Food-as-medicine pharmacies begin operating in three named Puerto Rico health centers
Metro Puerto Rico

Corrected · July 15, 2026

Puerto Rico

Corrected July 15, 2026.

Before
FEMA approves $1.18B for 176 Puerto Rico reconstruction projects, including the Department of Health and healthcare centers
After
FEMA obligates $1.184B for 176 Puerto Rico reconstruction projects, including public health facilities
PR Federal Affairs Administration (PRFAA)

Corrected · July 15, 2026

Puerto Rico

Corrected July 15, 2026.

Before
NACHC's dedicated Puerto Rico report: 22 health center orgs, ~120 clinics, 474,000+ patients navigating two federal cliffs at once
After
HRSA 2024 UDS: 21 Puerto Rico awardees served 474,356 patients, including 291,406 Medicaid/CHIP patients
HRSA Uniform Data System

Corrected · July 15, 2026

Puerto Rico

Corrected July 15, 2026.

Before
Community Health Center Fund — ~70% of federal grant dollars — lapsed Sept. 30, 2025 amid shutdown, extended only to Jan. 30, 2026
After
Current CHC Fund authority provides $4.6B but expires December 31, 2026
NACHC

Corrected · July 15, 2026

Puerto Rico

Corrected July 15, 2026.

Before
Resident Commissioner expects Puerto Rico's Medicaid reauthorization to slip to 2027 — the year the 76% FMAP expires
After
Resident Commissioner says Puerto Rico Medicaid reauthorization may wait until 2027; current authority ends September 30, 2027
El Nuevo Día

Corrected · July 15, 2026

Puerto Rico

Corrected July 15, 2026.

Before
H.R. 1 exempts Puerto Rico and the territories from its harshest Medicaid restrictions — but not from the looming cliff
After
P.L. 119-21 Medicaid community-engagement rule does not apply to Puerto Rico
Congressional Research Service

Corrected · July 15, 2026

Puerto Rico

Corrected July 15, 2026.

Before
CPI investigation: First Medical fined nearly $4.8M by ASES for provider non-payment — only $300K collected
After
ASES data show five First Medical sanctions near $4.8M; only $300K paid and three remain under review
Centro de Periodismo Investigativo

Corrected · July 15, 2026

Puerto Rico

Corrected July 15, 2026.

Before
MMAPA lays groundwork with House Energy and Commerce staff for a bill on Puerto Rico's Medicaid cliff — parity or a fixed 83% FMAP
After
MMAPA reports preliminary House staff interest in drafting Puerto Rico Medicaid legislation by year-end
El Diario NY

Corrected · July 15, 2026

Puerto Rico

Corrected July 15, 2026.

Before
Metro explainer quantifies the block-grant math: $4.7B allotment could fall to ~$1.7B, and the Oversight Board calls it a top fiscal risk
After
Oversight Board flags Medicaid as a material FY2027 budget risk under Puerto Rico's federal cap
Financial Oversight and Management Board for Puerto Rico

Corrected · July 15, 2026

Rhode Island

Corrected July 15, 2026.

Before
R.I. House passes record $15.2B FY27 budget: full $116M OHIC-recommended Medicaid rate increases plus a $39M uncompensated-care cushion
After
FY2027 budget provides $45.8M in state funds for OHIC-recommended social and human-services rates
Office of Governor Dan McKee

Corrected · July 15, 2026

Rhode Island

Corrected July 15, 2026.

Before
RI Health Centers Warn Uninsured Population Could Double as 16,000 Drop ACA Plans After Subsidy Expiry
After
HealthSource RI reports 16,000 plan exits but a 9,500 net enrollment decline; health centers model uninsured share rising
Ocean State Media

Corrected · July 15, 2026

Rhode Island

Corrected July 15, 2026.

Before
CMS Awards Rhode Island $156 Million Through Rural Health Transformation Program; FQHCs Named Clinical Anchors
After
Initial Rhode Island rural-award framework names FQHCs as clinical anchors across 18 rural towns
Governor of Rhode Island

Corrected · July 15, 2026

Rhode Island

Corrected July 15, 2026.

Before
Rhode Island Congressional Delegation Meets with RIHCA Leaders on Dual Coverage Crisis Threatening All Eight Health Centers
After
Magaziner and Amo convene six health-center organizations and RIHCA on 2026 affordability pressure
Office of Representative Seth Magaziner

Corrected · July 15, 2026

Rhode Island

Corrected July 15, 2026.

Before
Rhode Island AG Neronha joins 25-state lawsuit against the 'medically frail' test in the Medicaid work-requirement rule
After
Rhode Island joins multistate challenge to the interim Medicaid work-requirement rule's medically-frail standard
Rhode Island Attorney General's Office

Corrected · July 15, 2026

Rhode Island

Corrected July 15, 2026.

Before
Rhode Island Implements Medicare-Parity Medicaid Primary Care Rates Effective October 2025, Eliminating Prior Authorizations
After
EOHHS implements Medicare-aligned primary-care rates and a bounded three-year prior-authorization pilot
Rhode Island Executive Office of Health and Human Services

Corrected · July 15, 2026

Rhode Island

Corrected July 15, 2026.

Before
Rhode Island Governor Signs FY2027 Budget With $116M Full Medicaid Rate Increase for Home and Behavioral Health Providers
After
Rhode Island enacts approximately $20M for Medicaid and SNAP eligibility systems, personnel and operations
Office of Governor Dan McKee

Corrected · July 15, 2026

Rhode Island

Corrected July 15, 2026.

Before
EOHHS Publishes Updated FQHC PPS Rates Effective July 1, 2026 for RIte Care Medicaid
After
Rhode Island posts provider-specific FQHC medical, behavioral-health and dental rates effective July 1, 2026
Rhode Island EOHHS

Corrected · July 15, 2026

Rhode Island

Corrected July 15, 2026.

Before
Rhode Island FY2027 Budget Includes $26M DSH Hospital Payments as H.R. 1 Uncompensated Care Backstop
After
FY2027 budget provides $26M from all sources for Rhode Island hospital DSH payments
Office of Governor Dan McKee

Corrected · July 15, 2026

Rhode Island

Corrected July 15, 2026.

Before
Thundermist launches 'Rolling Thunder,' a 37-foot mobile health unit bringing no-appointment care and insurance enrollment to Woonsocket, West Warwick, and South County
After
Thundermist launches 'Rolling Thunder,' a 37-foot mobile health unit bringing no-appointment care and insurance enrollment to Woonsocket, West Warwick, and South County
Thundermist Health Center

Corrected · July 15, 2026

Rhode Island

Corrected July 15, 2026.

Before
Rhode Island enacts AI clinical-documentation disclosure law plus therapy-chatbot ban — new compliance triggers for health centers using ambient scribes
After
Rhode Island enacts patient notice and accuracy-review duties for AI visit documentation alongside two chatbot laws
Transparency Coalition on AI

Corrected · July 15, 2026

Rhode Island

Corrected July 15, 2026.

Before
Urban Institute: 23,000–44,000 Rhode Islanders could lose Medicaid expansion coverage as the state stands up work-requirement systems for January 1, 2027
After
Urban Institute modeling reported a 23,000–44,000 reduction in Rhode Island Medicaid expansion enrollment under federal changes
The Brown Daily Herald

Corrected · July 15, 2026

Rhode Island

Corrected July 15, 2026.

Before
R.I. Supreme Court denies Providence Community Health Centers' property-tax exemption for its Warwick site — a warning for FQHCs expanding beyond home cities
After
Rhode Island Supreme Court affirms that PCHC's Warwick property is not exempt under either asserted tax statute
Rhode Island Supreme Court (via Justia)

Corrected · July 15, 2026

Rhode Island

Corrected July 15, 2026.

Before
McKee signs $15.2B FY2027 budget with $20M to defend Medicaid/SNAP enrollment against H.R. 1 and $19M ACA subsidy backfill
After
Rhode Island enacts $19M ACA-subsidy backfill for about 20,000 marketplace members
Office of Governor Dan McKee

Corrected · July 15, 2026

Rhode Island

Corrected July 15, 2026.

Before
McKee files $10M budget amendment for six health systems facing an uninsured-patient surge as H.R. 1 and ACA-credit expiry hit Rhode Island
After
McKee's proposed FY2027 budget sought $10M for uncompensated care at six named hospital systems
Office of Governor Dan McKee

Corrected · July 15, 2026

Rhode Island

Corrected July 15, 2026.

Before
CMS approves Rhode Island's $156M Year 1 Rural Health Transformation award — $32.2M earmarked for FQHC and primary-care value-based payment transitions
After
Rhode Island details exact $156.17M Budget Period 1 rural award and five approved initiative amounts
Office of Governor Dan McKee

Corrected · July 15, 2026

Rhode Island

Corrected July 15, 2026.

Before
Rhode Island patient pathway verified: Thundermist routes eligible patients through four 340B pharmacy partners
After
Thundermist lists CVS, Walgreens, Walmart and White Cross as 340B pharmacy partners for income-eligible patients
Thundermist Health Center

Corrected · July 15, 2026

South Carolina

Corrected July 15, 2026.

Before
South Carolina Awarded $200 Million First-Year Rural Health Transformation Program Funding (FFY 2026)
After
South Carolina receives a $200,030,252 first-year Rural Health Transformation award
SCDHHS

Corrected · July 15, 2026

South Carolina

Corrected July 15, 2026.

Before
SCDHHS finalizes FQHC payment methodology update effective April 1 — new 5% threshold for scope-change rate adjustments
After
SCDHHS finalizes FQHC payment methodology update effective April 1 — new 5% threshold for scope-change rate adjustments
SCDHHS

Corrected · July 15, 2026

South Carolina

Corrected July 15, 2026.

Before
SC rural hospital urges legislators to build a Medicaid-cut safety net in 2026 session
After
Act 181 adds rural emergency hospital conversions to South Carolina's definition of a hospital
South Carolina General Assembly

Corrected · July 15, 2026

South Carolina

Corrected July 15, 2026.

Before
ACA subsidy cliff lands on South Carolina's 587,567 marketplace enrollees — the front-line story for a non-expansion state
After
South Carolina marketplace guide reports 587,567 selections, with more than 89% receiving subsidies
healthinsurance.org

Corrected · July 15, 2026

South Carolina

Corrected July 15, 2026.

Before
Medicaid expansion bills filed again in SC, including a 2026 ballot advisory referendum
After
H.4383 proposes Medicaid eligibility through 138% of poverty and a Medicaid Stability Fund
South Carolina Legislature (scstatehouse.gov)

Corrected · July 15, 2026

South Carolina

Corrected July 15, 2026.

Before
ACA Enhanced Premium Tax Credit Expiry Puts ~140,000 South Carolinians at Risk of Losing Coverage
After
Pre-expiration analysis projected more than 300,000 South Carolinians would drop marketplace coverage
Post and Courier

Corrected · July 15, 2026

South Carolina

Corrected July 15, 2026.

Before
H.R. 1 Medicaid cuts threaten SC rural hospitals: ~$5B loss and 10%/yr state-directed payment cuts from 2028
After
KFF projection cited by SC Public Radio estimates up to $5 billion less Medicaid funding and 60,000 fewer enrollees
South Carolina Public Radio

Corrected · July 15, 2026

South Carolina

Corrected July 15, 2026.

Before
SCDHHS Updates 340B Drug Program Billing Policy; No State Contract Pharmacy Protection Law Enacted
After
SCDHHS changes outpatient 340B billing policy effective December 1, 2025
SCDHHS

Corrected · July 15, 2026

South Carolina

Corrected July 15, 2026.

Before
CMS Medicaid Work Requirement Rule Does Not Apply to South Carolina as a Non-Expansion State
After
South Carolina asks CMS to approve a five-year, work-conditioned Medicaid demonstration capped at 11,400 parents
SCDHHS / CMS

Corrected · July 15, 2026

South Carolina

Corrected July 15, 2026.

Before
Medicaid expansion advisory-referendum bill dies in committee — SC's coverage gap stays put through the 2026 election
After
H.3377 proposes a 2026 advisory referendum on Medicaid coverage beginning in 2028
South Carolina Legislature Online (SC Statehouse)

Corrected · July 15, 2026

South Carolina

Corrected July 15, 2026.

Before
South Carolina's FY2026-27 budget stalls in conference committee as session ends — Medicaid funding unresolved
After
H.5126 remains in conference after House and Senate amendments and nonconcurrence
South Carolina Legislature Online (SC Statehouse)

Corrected · July 15, 2026

South Carolina

Corrected July 15, 2026.

Before
Cooperative Health, one of SC's largest FQHCs, raises sliding-fee charges July 1 and suspends Saturday walk-in and pharmacy hours for the summer
After
Cooperative Health posts a small increase to sliding-fee discounts and temporary Saturday closures at two Five Points sites
Cooperative Health

Corrected · July 15, 2026

South Carolina

Corrected July 15, 2026.

Before
CareSouth Carolina takes ownership of Latta's historic Latimer School, plans to nearly double local capacity
After
Latta transfers the Latimer School building to CareSouth Carolina for expanded health services
WMBF News

Corrected · July 15, 2026

South Carolina

Corrected July 15, 2026.

Before
FY2027 budget fight leaves Medicaid up to $60M short of agency request as H. 5126 heads to conference
After
House and Senate Medicaid proposals differ by $32 million in state funds
South Carolina Hospital Association

Corrected · July 15, 2026

South Carolina

Corrected July 15, 2026.

Before
SC FY2027 General Appropriations Bill H. 5126 Passes Senate; Healthy Connections Rate Levels Under Review
After
Official appropriations record shows House, Senate, and conference-stage versions of H.5126
South Carolina General Assembly

Corrected · July 15, 2026

South Carolina

Corrected July 15, 2026.

Before
SCDHHS Updates FQHC Prospective Payment System Methodology Effective April 1, 2026
After
SCDHHS finalizes FQHC payment methodology effective April 1, 2026
SCDHHS

Corrected · July 15, 2026

South Carolina

Corrected July 15, 2026.

Before
Final CMS count: South Carolina marketplace enrollment falls 7% to 587,567 as enhanced subsidies expire
After
CMS 2026 state file records 587,567 South Carolina marketplace plan selections
CMS

Corrected · July 15, 2026

South Carolina

Corrected July 15, 2026.

Before
2027 ACA premiums head for a second straight double-digit jump — expired enhanced credits still compounding costs for South Carolina's coverage-gap population
After
Early 2027 marketplace filings show a 14% median proposed increase; South Carolina is not in the reviewed filing set
Peterson-KFF Health System Tracker

Corrected · July 15, 2026

South Carolina

Corrected July 15, 2026.

Before
South Carolina starts FY2026-27 with no state budget — government running on a continuing resolution as conferees return July 14
After
South Carolina starts FY2026-27 with no state budget — government running on a continuing resolution as conferees return July 14
WRDW (Gray Media, Augusta/Aiken)

Corrected · July 15, 2026

South Dakota

Corrected July 15, 2026.

Before
State names first RHTP awards and publishes funding forecast — sub-grant machinery now live
After
South Dakota awards three RHT program-management contracts; the announcement does not award provider subgrants
South Dakota Department of Health

Corrected · July 15, 2026

South Dakota

Corrected July 15, 2026.

Before
South Dakota wins $189.4M Rural Health Transformation award (FY2026–2030)
After
CMS awards South Dakota $189,477,607 for FY2026, not a guaranteed five-year state total
Centers for Medicare & Medicaid Services

Corrected · July 15, 2026

South Dakota

Corrected July 15, 2026.

Before
SD FQHCs face flat FY2026 health funding as enhanced expansion FMAP expires
After
South Dakota lists July 1 as the effective date for an FQHC alternative-payment SPA still in CMS review
South Dakota Department of Social Services

Corrected · July 15, 2026

South Dakota

Corrected July 15, 2026.

Before
South Dakota Urban Indian Health FQHC Secures $11M IHS Contract, Positions for Rural Transformation Funds
After
South Dakota Urban Indian Health announces $11 million, five-year IHS operations contract for two clinics
South Dakota Urban Indian Health

Corrected · July 15, 2026

South Dakota

Corrected July 15, 2026.

Before
South Dakota proposes 'SDCareerLink' Medicaid work-requirement waiver for expansion population
After
DSS will not submit SDCareerLink and will implement the federal community-engagement requirements instead
South Dakota Department of Social Services

Corrected · July 15, 2026

South Dakota

Corrected July 15, 2026.

Before
Rural Strong Grants: $31.75M pool with FQHCs explicitly eligible — awards due to providers on or before June 22
After
Rural Strong's $31.75 million first-year window is closed; the state schedules awards in quarter-three administration
South Dakota Department of Health

Corrected · July 15, 2026

South Dakota

Corrected July 15, 2026.

Before
SD Legislature Puts Medicaid Expansion on November 2026 Ballot — Conditioned on 90% Federal Match
After
Secretary of State validates HJR 5001 for the 2026 general election and assigns Amendment I
South Dakota Secretary of State

Corrected · July 15, 2026

South Dakota

Corrected July 15, 2026.

Before
Attorney general finalizes Amendment I ballot language: 'repeal expanded Medicaid' if federal match drops below 90%
After
Attorney General's final Amendment I explanation says expansion would end only if federal funding drops below 90%
South Dakota Office of the Attorney General

Corrected · July 15, 2026

South Dakota

Corrected July 15, 2026.

Before
RHTP digital health grants open to FQHCs — applications due June 30
After
Digital Health Modernization is closed at $89,343,733 for year one, with award administration scheduled for quarter three
South Dakota Department of Health

Corrected · July 15, 2026

South Dakota

Corrected July 15, 2026.

Before
DSS projects 1,213 South Dakotans lose Medicaid under the federal work requirement it will run in-house from January 1, 2027
After
DSS models 1,213 Medicaid expansion disenrollments from community-engagement rules; the figure is not an observed count
South Dakota Department of Social Services

Corrected · July 15, 2026

South Dakota

Corrected July 15, 2026.

Before
RHTP workforce-education and EMS hub RFPs close in early June — pipeline design underway
After
RHT workforce forecast marks five procurements closed and a new sustainable-EMS initiative open
South Dakota Department of Health

Corrected · July 15, 2026

South Dakota

Corrected July 15, 2026.

Before
Commonwealth Fund Report: 38% of Native Americans in South Dakota Uninsured — State Ranks Last on Native Health Outcomes
After
Commonwealth Fund profile places South Dakota AIAN performance at the 1st percentile and shows 38% uninsured among adults ages 19–64
The Commonwealth Fund

Corrected · July 15, 2026

South Dakota

Corrected July 15, 2026.

Before
Federal Work Requirements Threaten 1,213 Newly Insured South Dakotans — FQHCs Brace for Coverage Loss
After
DSS details January 2027 expansion rules: 80 monthly hours or equivalent paths, exemptions, and six-month renewals
South Dakota Department of Social Services

Corrected · July 15, 2026

South Dakota

Corrected July 15, 2026.

Before
SD 'Rural Strong' grant opens up to $31.75M to FQHCs and Tribal 638 clinics
After
Behavioral-health RHT work includes one open systems evaluation and one upcoming infrastructure grant
South Dakota Department of Health

Corrected · July 15, 2026

South Dakota

Corrected July 15, 2026.

Before
Community Health Center Fund cliff hits SD safety net Dec 31, 2026 amid tribal/IHS funding stakes
After
National health-center funding remains time-limited: discretionary funds expire September 30 and mandatory funds December 31
National Association of Community Health Centers

Corrected · July 15, 2026

South Dakota

Corrected July 15, 2026.

Before
$89.3M Digital Health Modernization grant pool — FQHCs first-named eligible — closed June 30
After
PACT quality payments and population-health tools remain upcoming, not awarded
South Dakota Department of Health

Corrected · July 15, 2026

South Dakota

Corrected July 15, 2026.

Before
South Dakota Secures $189.4M Federal Rural Health Transformation Award — FQHCs Eligible for New Funding
After
South Dakota's RHT listening record identifies access, workforce, transportation, dental, behavioral-health, and technology needs
South Dakota Department of Health

Corrected · July 15, 2026

South Dakota

Corrected July 15, 2026.

Before
July voter guide frames the November choice: Amendment I would end Medicaid expansion if the federal match slips below 90% — and Amendment L would make re-expansion harder
After
Secretary of State lists separate Amendments I and L for November 3: a Medicaid funding condition and a 60% amendment threshold
South Dakota Secretary of State

Corrected · July 15, 2026

South Dakota

Corrected July 15, 2026.

Before
State hires grant-management consultants as $189.4M rural health rollout goes 'full steam ahead'
After
July RHT forecast separates closed grant windows, open procurements, and upcoming programs
South Dakota Department of Health

Corrected · July 15, 2026

South Dakota

Corrected July 15, 2026.

Before
South Dakota rural 340B network verified: Horizon lists partner pharmacies and potential 35–75% discounts
After
Horizon Health lists current 340B pharmacy partners and medication-dependent discounts that may reach 35–75%
Horizon Health

Corrected · July 15, 2026

Tennessee

Corrected July 15, 2026.

Before
Hamilton County closes its county clinic and hands Cempa Community Care and Clínica Médicos $75K each to absorb the patients
After
Hamilton County adopts no Sequoyah Clinic appropriation for FY2027 after none in FY2026, and adds two $75,000 pediatric-dental appropriations
Hamilton County, Tennessee

Corrected · July 15, 2026

Tennessee

Corrected July 15, 2026.

Before
In-state coverage: Tennessee launches first grants under the $207M rural health transformation fund
After
Tennessee's first-year rural transformation award is $206,888,882.11, with an October 30 commitment target
Tennessee Department of Health

Corrected · July 15, 2026

Tennessee

Corrected July 15, 2026.

Before
Tennessee's 82,000-Person Coverage Gap Deepens as Non-Expansion State Faces Federal Medicaid Work Requirements
After
Tennessee's first statutory APRN survey quantifies collaboration, but its respondent limits matter
Tennessee Department of Health

Corrected · July 15, 2026

Tennessee

Corrected July 15, 2026.

Before
61% of Tennessee's rural hospitals now vulnerable to closure, up from 44% in one year — driving demand to FQHCs
After
Chartis model classifies 27 Tennessee rural hospitals—61%—as vulnerable, not certain to close
Chartis

Corrected · July 15, 2026

Tennessee

Corrected July 15, 2026.

Before
ACA Enhanced Subsidies Expiration Projected to Cost Tennessee 142,000–203,000 Insurance Enrollees in 2026
After
CMS recorded 569,310 Tennessee Marketplace plan selections for 2026—not effectuated enrollment
Centers for Medicare & Medicaid Services

Corrected · July 15, 2026

Tennessee

Corrected July 15, 2026.

Before
Community Health Center Fund on short-term life support — $4.6B for FY2026 with no long-term reauthorization
After
HRSA's latest Tennessee baseline: 29 reporting health-center awardees served 433,231 patients
Health Resources and Services Administration

Corrected · July 15, 2026

Tennessee

Corrected July 15, 2026.

Before
Tennessee Families Face Quadrupled Health Insurance Premiums After ACA Tax Credits Expire, Driving Uninsured Surge
After
Tennessee health centers reported 141,502 uninsured patients in 2024—32.66% of all patients
Health Resources and Services Administration

Corrected · July 15, 2026

Tennessee

Corrected July 15, 2026.

Before
ACA credit expiry threatens 142,000–203,000 Tennesseans as Marketplace premiums set to more than double
After
Sycamore modeled 142,000–203,000 Tennesseans forgoing coverage after enhanced credits expired
The Sycamore Institute

Corrected · July 15, 2026

Tennessee

Corrected July 15, 2026.

Before
As a non-expansion state, Tennessee dodges H.R.1's Medicaid work mandate — but red-tape and ACA effects still hit
After
Federal community-engagement rule begins in 2027, but the official page does not quantify Tennessee exposure
Centers for Medicare & Medicaid Services

Corrected · July 15, 2026

Tennessee

Corrected July 15, 2026.

Before
TennCare III 'shared savings' 1115 waiver rebases in 2026 — Tennessee keeps up to 55% of Medicaid savings
After
CMS approved TennCare III rebasing in December 2025 and a technical correction in January 2026
Centers for Medicare & Medicaid Services

Corrected · July 15, 2026

Tennessee

Corrected July 15, 2026.

Before
Funding strings attached: Tennessee tied part of its $1B rural health award to a CON repeal signed into law May 5
After
Public Chapter 887 phases out CON for acute-care hospitals in 2030 and two service categories in 2028
Tennessee General Assembly

Corrected · July 15, 2026

Tennessee

Corrected July 15, 2026.

Before
TennCare to lead a $100M value-based-payment expansion (plus a $144M 'pay-for-results' rural resilience fund) under Tennessee's RHTP plan
After
Six July RHTP procurements target eConsult, navigation, transportation, pregnancy technology, and innovation support
Tennessee Department of Health

Corrected · July 15, 2026

Tennessee

Corrected July 15, 2026.

Before
RHTP 'Service Line & Co-Location' grant (June 12–July 13) is the clearest FQHC expansion play — integrated primary, behavioral, specialty and diagnostic care
After
Service Line and Co-Location window closed July 13; award status and scope remain to be verified
Tennessee Department of Health

Corrected · July 15, 2026

Tennessee

Corrected July 15, 2026.

Before
Tennessee opens its first $207M Rural Health Transformation grants — FQHCs are eligible, with a Friday-by-Friday rollout through July 10
After
FQHCs are explicitly eligible for Tennessee RHTP sub-awards, but state registration is a pre-award gate
Tennessee Department of Health

Corrected · July 15, 2026

Tennessee

Corrected July 15, 2026.

Before
RHTP's perinatal & pediatric behavioral-health teleconsultation grant (deadline June 15) targets a core FQHC gap in rural Tennessee
After
The inaugural rural behavioral-health teleconsultation window closed June 15; outcomes are not yet published
Tennessee Department of Health

Corrected · July 15, 2026

Tennessee

Corrected July 15, 2026.

Before
Tennessee 2026 Legislative Session Closes April 23 with $230M TennCare Allocation and $20.5M Rural Health Clinic Boost
After
Enacted FY2026-27 budget separates $125M rural capital, $20.5M RHC reimbursement, and $230M TennCare cost growth
Office of Tennessee Governor Bill Lee

Corrected · July 15, 2026

Tennessee

Corrected July 15, 2026.

Before
Court blocks Tennessee — twice — from reporting ~400 sick, disabled immigrant children in a state health program to immigration enforcement
After
Agreed injunction protects affected Children's Special Services families until trial
Tennessee Justice Center

Corrected · July 15, 2026

Tennessee

Corrected July 15, 2026.

Before
Tennessee's $206.9M rural health fund enters full grant-making mode: seven competitive windows rolling through August 10
After
Current state portal lists eight RHTP competitive grant windows, not the previously reported seven
Tennessee Department of Health

Corrected · July 15, 2026

Tennessee

Corrected July 15, 2026.

Before
Tennessee Launches 'Pathway to Independence' Pilot to Bridge TennCare Members Into Private Insurance
After
Pathway design is a four-year pilot with 12-month aid, a 15,000-person annual cap, and a $2,000 participant cap
TennCare

Corrected · July 15, 2026

Tennessee

Corrected July 15, 2026.

Before
Tennessee funds the $18M 'Pathway to Independence' pilot — premium assistance for families leaving TennCare starts with the new fiscal year
After
FY2026-27 budget includes $18M for Pathway to Independence; launch and enrollment remain unverified
Office of Tennessee Governor Bill Lee

Corrected · July 15, 2026

Tennessee

Corrected July 15, 2026.

Before
Tennessee Legislature Passes HB1551/SB1728 Directing TennCare to Seek Federal Work Requirement Waiver
After
TennCare's FY2027 presentation budgets $30M for 'Community Engagement' but does not establish an approved work requirement
TennCare

Corrected · July 15, 2026

Tennessee

Corrected July 15, 2026.

Before
A second straight year of double-digit marketplace premium hikes looms — a direct hit in non-expansion Tennessee
After
Tennessee's 2027 Marketplace rate cycle is still under review; proposed increases are not final rates
Tennessee Department of Commerce and Insurance

Corrected · July 15, 2026

Tennessee

Corrected July 15, 2026.

Before
TennCare's revised 340B policy names FQHCs and makes carve-in status and claim identification explicit
After
TennCare's July 2025 340B policy makes FQHC carve-in status and claim identification explicit
TennCare

Corrected · July 15, 2026

Texas

Corrected July 15, 2026.

Before
Texas House Holds Interim Hearings on Rural Health Transformation and 340B; TACHC and Waco Family Medicine Testify
After
Texas House Reviews HB 18, Rural Health Transformation, Telehealth, and Workforce in June 4 Hearing
Texas Legislature Online (committee minutes)

Corrected · July 15, 2026

Texas

Corrected July 15, 2026.

Before
Community Health Center Fund Set at $4.6B for FY2026 — but Only Through December 2026 (TX's 71 Grantees)
After
Federal CHC Fund: $4.6B for FY2026 Plus a $1.159B Bridge Through Dec. 31, 2026
U.S. House Office of the Law Revision Counsel

Corrected · July 15, 2026

Texas

Corrected July 15, 2026.

Before
Texas Raises CHW/Promotor(a) Certification to 180 Hours (Feb 1) — Most Training Paused Statewide Until ~Aug 2026
After
Texas Sets 180-Hour CHW/Promotor(a) Curriculum; Training Centers Must Align by Aug. 1, 2026
Texas DSHS — CHW Program

Corrected · July 15, 2026

Texas

Corrected July 15, 2026.

Before
Texas's State-Funded FQHC Incubator Program Runs a 2026 Cycle ($650K/Center) After SB 1 Reauthorization
After
Texas FQHC Incubator's $650K Project-Based Enrollment Closed Feb. 27, 2026
Texas HHS / DSHS

Corrected · July 15, 2026

Texas

Corrected July 15, 2026.

Before
Healthy Texas Women 1115 Extended 5 Years — and Shifting from Fee-for-Service to Managed Care
After
Healthy Texas Women Runs Through June 2030; Current Texas Manual Still Routes It Through HHSC/TMHP, Not MCOs
Texas Medicaid & Healthcare Partnership

Corrected · July 15, 2026

Texas

Corrected July 15, 2026.

Before
Legacy Community Health (Largest TX FQHC) Opens $51.5M-Funded Acres Homes Clinic in Houston (July 2026)
After
Legacy Community Health Begins Taking Appointments at Its Acres Homes Clinic in Houston
Legacy Community Health

Corrected · July 15, 2026

Texas

Corrected July 15, 2026.

Before
Texas Holds ~42% of the U.S. Medicaid Coverage Gap (~588,000 Adults) — Largest of Any State
After
KFF's 2023-Data Estimate: Texas Holds ~42% of the U.S. Medicaid Coverage Gap (~588,000 Adults)
KFF

Corrected · July 15, 2026

Texas

Corrected July 15, 2026.

Before
CMS Medicaid Work-Requirements Rule: Texas Among Non-Expansion States Reported as Excepted
After
CMS Work Rule Targets Expansion and Certain §1115 Adults; Texas's Main Medicaid Groups Are Outside Its Core Scope
Centers for Medicare & Medicaid Services

Corrected · July 15, 2026

Texas

Corrected July 15, 2026.

Before
Parkland (Dallas) Adopts ~$3.1B FY2026 Budget, Holds Tax Rate Flat Amid ~$1.2B/yr Uncompensated Care
After
Parkland Adopts FY2026 Budget, Holds Tax Rate Flat, and Flags a Potential $200M+ Annual Federal-Revenue Loss
KERA News

Corrected · July 15, 2026

Texas

Corrected July 15, 2026.

Before
Texas Primary-Care Demand Outstrips Supply in 2026; 224 of 254 Counties Are Shortage Areas — PELRP Pays up to $180K
After
HRSA Defers 2025 NSDU HPSA Withdrawals to 2027; Affected Texas Designations Stay Proposed for Withdrawal
Health Resources and Services Administration

Corrected · July 15, 2026

Texas

Corrected July 15, 2026.

Before
Texas opens ‘Rural Texas Strong’ grants under the federal Rural Health Transformation Program — $99M workforce, $60M wellness, $56M equipment
After
Rural Texas Strong Workforce Grant Window Closed June 9; Rural FQHCs Were Explicitly Eligible
Texas Health and Human Services Commission

Corrected · July 15, 2026

Utah

Corrected July 15, 2026.

Before
Utah launches $15M value-based care sub-grant (FAST 4.1) with June 24–July 22 window to convene payers and rural providers
After
Utah's FAST 4.1 value-based-care competition offers up to $6M in year one and $15M over five years
Utah Department of Health and Human Services

Corrected · July 15, 2026

Utah

Corrected July 15, 2026.

Before
December 31, 2026 Community Health Center Fund Cliff Threatens Utah's 12 FQHCs Serving 143,000 Patients
After
Mandatory Community Health Center Fund authority currently ends December 31, 2026
National Association of Community Health Centers

Corrected · July 15, 2026

Utah

Corrected July 15, 2026.

Before
Utah Medicaid Expansion Covers 72,000 Low-Income Adults; ACA Premium-Credit Expiry in Late 2025 Threatens Marketplace Coverage for Uninsured Gap Population
After
HRSA's 2024 Utah UDS reports 143,779 patients, including 62,492 uninsured and 26,747 with Medicaid
Health Resources and Services Administration

Corrected · July 15, 2026

Utah

Corrected July 15, 2026.

Before
Utah awarded $195.7M first-year Rural Health Transformation grant from CMS
After
Utah's first Rural Health Transformation award is $195,743,566.29 and 100% federally funded
Utah Department of Health and Human Services

Corrected · July 15, 2026

Utah

Corrected July 15, 2026.

Before
Utah Receives $195.7M First-Year Rural Health Transformation Program Award, Up to $1B Over Five Years
After
Utah's RHTP Notice of Award obligates $195.74M for budget period one; later periods are conditional
Centers for Medicare & Medicaid Services

Corrected · July 15, 2026

Utah

Corrected July 15, 2026.

Before
Utah's first Teaching Health Center residency launches at the state's largest FQHC
After
Utah's first Teaching Health Center family-medicine residency is operating as a 4-4-4 program
Utah Academy of Family Physicians

Corrected · July 15, 2026

Utah

Corrected July 15, 2026.

Before
Utah exempts homeless individuals from Medicaid work requirements — an FQHC-shaped policy NACHC is holding up as a national model
After
Utah enacted a homelessness protection in HB 471, but federal approval remains uncertain
National Association of Community Health Centers

Corrected · July 15, 2026

Utah

Corrected July 15, 2026.

Before
Utah's biggest RHTP award — $291.8M rural SPRINT Consortium — opens July 10 with letters of intent due July 27
After
Utah opens the SPRINT consortium competition for up to $59.2M in year one and $291.8M over five years, contingent on funding
Utah Department of Health and Human Services

Corrected · July 15, 2026

Utah

Corrected July 15, 2026.

Before
University of Utah Health's 2026–2029 strategy leans on FQHC partnerships and CHWs to close access gaps
After
University of Utah Health's 2026–2029 strategy explicitly includes FQHC partnership and Medicaid navigation
University of Utah Health

Corrected · July 15, 2026

Utah

Corrected July 15, 2026.

Before
Association for Utah Community Health (AUCH) Leads Advocacy on Work-Requirement Exemptions and RHTP Sub-Award Access for Member FQHCs
After
AUCH's current membership page identifies 14 full health-center members and defines its support role
Association for Utah Community Health

Corrected · July 15, 2026

Utah

Corrected July 15, 2026.

Before
Utah opens $23.7M RHTP telehealth sub-grant window July 10–31 — FQHCs explicitly eligible
After
Utah's LIFT 5.1 telehealth competition offers up to $23.69M for projects serving rural counties
Utah Department of Health and Human Services

Corrected · July 15, 2026

Utah

Corrected July 15, 2026.

Before
Utah revises its Medicaid expansion 'trigger' in 2026 (HB 15) — softening automatic-rollback timing
After
Utah HB 15 changes the Medicaid-expansion trigger date and requires a 60-day preservation proposal
Utah State Legislature

Corrected · July 15, 2026

Utah

Corrected July 15, 2026.

Before
Utah RHTP puts up to $100M over 5 years into rural workforce recruitment and retention (RISE 2.5, apps July 7–Aug 4)
After
Utah's RISE 2.5 competition offers up to $20M in year one for rural recruitment and retention
Utah Department of Health and Human Services

Corrected · July 15, 2026

Utah

Corrected July 15, 2026.

Before
Utah's community health centers face the December 2026 federal funding cliff
After
AUCH's 2026 fact sheet reports 14 Utah-serving health centers, 72 clinics, and more than 175,000 patients
Association for Utah Community Health

Corrected · July 15, 2026

Utah

Corrected July 15, 2026.

Before
Utah's self-imposed July 2026 work-requirement start date arrives with its 1115 waiver still pending at CMS
After
CMS still lists Utah's community-engagement amendment as pending after its requested July 2026 start
Centers for Medicare & Medicaid Services

Corrected · July 15, 2026

Utah

Corrected July 15, 2026.

Before
Utah's January 2026 Medicaid manual makes 340B acquisition-cost, modifier, and contract-pharmacy controls auditable
After
Utah's May 2026 Medicaid pharmacy manual makes 340B cost, indicator, audit, and contract-pharmacy controls explicit
Utah Medicaid, Division of Integrated Healthcare

Corrected · July 15, 2026

Virginia

Corrected July 15, 2026.

Before
Virginia budget finalized June 29: GA accepts all Spanberger amendments, locking in $350M Medicaid + $150M ACA buffer
After
Final Virginia budget authorizes a $350M Medicaid reserve for higher-than-expected FY2027-FY2028 costs
Virginia General Assembly

Corrected · July 15, 2026

Virginia

Corrected July 15, 2026.

Before
Virginia DMAS H.R.1 Roadmap Puts 550,000+ Expansion Adults on the January 2027 Work-Requirement Timeline
After
DMAS implementation deck scopes work requirements to about 550,000 Medicaid Expansion members
DMAS (Virginia Medicaid / Cardinal Care)

Corrected · July 15, 2026

Virginia

Corrected July 15, 2026.

Before
Virginia Medicaid work requirements take effect Jan. 1, 2027: 80 hours/month for expansion adults 19-64
After
Virginia Medicaid work requirements take effect Jan. 1, 2027: 80 hours/month for expansion adults 19-64
Virginia Department of Medical Assistance Services (DMAS)

Corrected · July 15, 2026

Virginia

Corrected July 15, 2026.

Before
340B in Richmond: contract-pharmacy mandate softened into a state work group reporting by November 1, 2026, as PBM protections are reenacted
After
Virginia's enacted SB 278 creates a 340B work group with a November 1, 2026 report deadline
Virginia General Assembly

Corrected · July 15, 2026

Virginia

Corrected July 15, 2026.

Before
Virginia's Medicaid 'trigger law' leaves 630,000 one funding cut from losing coverage as H.R.1 erodes the provider tax
After
Virginia's final budget retains automatic Medicaid Expansion disenrollment if the enhanced federal match methodology is reduced
Virginia General Assembly

Corrected · July 15, 2026

Virginia

Corrected July 15, 2026.

Before
Cardinal Care work requirements: 80 hours/month for expansion adults begin January 2027, verified at application and every six months
After
DMAS allows several routes to satisfy the 80-hour Medicaid Expansion requirement beginning January 2027
Virginia Department of Medical Assistance Services (DMAS)

Corrected · July 15, 2026

Virginia

Corrected July 15, 2026.

Before
VCHA pushes state budget amendment (Item 279 #9h) for $4.5M to stabilize FQHC pharmacy services for 400,000 patients
After
Virginia budget imposes quarterly Medicaid 340B drug reporting on covered entities
Virginia General Assembly

Corrected · July 15, 2026

Virginia

Corrected July 15, 2026.

Before
VHCF awards $770K to 10 Virginia safety-net providers — including a Neighborhood Health pediatric optometrist — as federal cuts loom
After
VHCF awards $770,313 through 10 grants to 9 safety-net organizations, including $140,000 for Neighborhood Health
Virginia Health Care Foundation

Corrected · July 15, 2026

Virginia

Corrected July 15, 2026.

Before
Virginia's FY2026-2028 budget braces for federal health fallout: Medicaid forecast up $2.8B GF over the biennium, $90M reserve set aside
After
Introduced Virginia budget adds $1.1B GF in FY2027 and $1.7B GF in FY2028 for the Medicaid forecast
Virginia House Appropriations Committee

Corrected · July 15, 2026

Virginia

Corrected July 15, 2026.

Before
December 31, 2026 cliff: the federal fund supplying ~70% of grant dollars expires for Virginia's 30 health centers
After
Federal statute authorizes $4.6B for the FY2026 Community Health Center Fund and funding only through December 31, 2026 thereafter
U.S. House Office of the Law Revision Counsel

Corrected · July 15, 2026

Virginia

Corrected July 15, 2026.

Before
Virginia lawmakers reach $207B FY27-28 budget deal with $350M Medicaid buffer and $150M for ACA subsidy losers
After
Virginia creates a $150M marketplace premium-assistance fund for plan year 2027
Virginia General Assembly

Corrected · July 15, 2026

Virginia

Corrected July 15, 2026.

Before
Virginia's Medicaid expansion 'trigger' survives H.R. 1 — for now — but an immigrant-coverage FMAP penalty could still unwind coverage for 600,000+
After
Virginia will renew Medicaid Expansion eligibility every six months beginning January 2027
Virginia Department of Medical Assistance Services (DMAS)

Corrected · July 15, 2026

Virginia

Corrected July 15, 2026.

Before
2025 federal funding freeze locked 16 of Virginia's 31 FQHCs out of grant payments; Richmond's Capital Area Health Network consolidated sites
After
Virginia senators documented health-center closures and canceled visits during the 2025 federal payment delays
Office of U.S. Senator Mark R. Warner

Corrected · July 15, 2026

Virginia

Corrected July 15, 2026.

Before
Virginia eases NP autonomous-practice path to 3 years / 5,400 hours — a workforce lever for FQHCs facing physician shortages
After
Virginia law sets the nurse-practitioner autonomous-practice threshold at three full-time clinical years
Virginia General Assembly

Corrected · July 15, 2026

Virginia

Corrected July 15, 2026.

Before
Southwest Virginia Community Health Systems closes 8 school-based clinics as 340B savings shrink ~$400K
After
Eight Southwest Virginia school-based clinics close as projected 340B savings fall by about $400K
Virginia Mercury

Corrected · July 15, 2026

Virginia

Corrected July 15, 2026.

Before
Virginia Health Care Foundation awards >$2.7M to 19 orgs, including FQHCs, effective July 1
After
Virginia Health Care Foundation awards more than $2.7M to 19 organizations effective July 1
Virginia Health Care Foundation

Corrected · July 15, 2026

Virginia

Corrected July 15, 2026.

Before
Virginia Medicaid behavioral health redesign new services take effect July 1, 2026
After
Virginia delays Medicaid behavioral health redesign completion to no later than July 1, 2027
Virginia General Assembly

Corrected · July 15, 2026

Virginia

Corrected July 15, 2026.

Before
Virginia Medicaid raises personal care/EPSDT rates 20% effective July 1, 2026
After
Virginia Medicaid schedules 4% personal care/EPSDT rate increase for January 2027 and 3.9% for January 2028
Virginia General Assembly

Corrected · July 15, 2026

Virginia

Corrected July 15, 2026.

Before
Virginia House & Senate reach FY27-28 budget deal (June 20): $350M Medicaid contingency fund + $150M ACA premium assistance; June 30 signature deadline
After
Virginia deposits $225M into a Federal Uncertainty Contingency Fund
Virginia General Assembly

Corrected · July 15, 2026

Virginia

Corrected July 15, 2026.

Before
Virginia House unveils $74B FY27-28 budget with $225M Medicaid 'federal-cut' buffer; June 18 vote, July 1 shutdown deadline
After
Final Virginia budget adds $5M per year for free-clinic services in FY2027 and FY2028
Virginia General Assembly

Corrected · July 15, 2026

Virginia

Corrected July 15, 2026.

Before
Full 4th Circuit agrees to rehear WV & MD 340B contract-pharmacy laws en banc — key precedent for Virginia's own pending bill
After
Fourth Circuit grants en banc rehearing in Maryland 340B contract-pharmacy cases
U.S. Court of Appeals for the Fourth Circuit / GovInfo

Corrected · July 15, 2026

Virginia

Corrected July 15, 2026.

Before
Spanberger vetoes Virginia's Affordable Medicine Act, killing the Prescription Drug Affordability Board (HB 483 / SB 271)
After
Governor vetoes HB 483 and SB 271 after lawmakers reject her prescription-drug pricing amendments
Office of the Governor of Virginia

Corrected · July 15, 2026

Virginia

Corrected July 15, 2026.

Before
Special session recesses with no budget deal — Virginia's safety-net package hangs on a June 30 deadline
After
Final budget provides $121.7M per year for centralized Medicaid call-center and eligibility operations
Virginia General Assembly

Corrected · July 15, 2026

Virginia

Corrected July 15, 2026.

Before
Spanberger signs first healthcare package: nursing scholarship authority, PBM reform, and preventive-care protections
After
Virginia signs PBM, healthcare-workforce, premium-fee, and preventive-care bills
Office of the Governor of Virginia

Corrected · July 15, 2026

Virginia

Corrected July 15, 2026.

Before
Virginia budget plans fund the federal fallout: $134M for Medicaid eligibility systems, $18M call center, and up to $200M ACA subsidy bridge
After
Virginia funds a $19.31M-per-year Medicaid eligibility-solutions contract in FY2027-FY2028
Virginia General Assembly

Corrected · July 15, 2026

Vermont

Corrected July 15, 2026.

Before
Work requirements' 'double whammy' on Vermont CHCs: Community Health Centers of Burlington projects ~$3M annual loss
After
Community Health Centers of Burlington projects another $3M in lost revenue amid an expected surge in uninsured patients
Governing

Corrected · July 15, 2026

Vermont

Corrected July 15, 2026.

Before
Vermont's 11 FQHCs Post $8.5M Combined Operating Deficit Amid $65-Per-Visit Medicaid Reimbursement Gap
After
Vermont's 11 FQHCs report an $8.5M combined deficit alongside an estimated $65 loss per Medicaid visit
VTDigger

Corrected · July 15, 2026

Vermont

Corrected July 15, 2026.

Before
OneCare Vermont ACO Winds Down December 31, 2025; AHEAD Model Launches January 2027
After
CMS moves Vermont's AHEAD performance start to January 1, 2028 and extends the model through 2035
Centers for Medicare & Medicaid Services

Corrected · July 15, 2026

Vermont

Corrected July 15, 2026.

Before
After coverage losses, Blue Cross pitches stripped-down 'Vermont Basic' plans - regulators balk at $11,800 deductibles
After
BlueCross withdraws its proposed Vermont Basic marketplace plans after regulators defer review
VTDigger

Corrected · July 15, 2026

Vermont

Corrected July 15, 2026.

Before
CMS work-requirement rule starts Vermont's clock: member notices by August, compliance checked at renewals from March 1, 2027
After
CMS correction requires states to exhaust reliable data before requesting community-engagement documentation from Medicaid members
Federal Register (CMS)

Corrected · July 15, 2026

Vermont

Corrected July 15, 2026.

Before
Legislature passes S.197 primary-care payment reform, setting a statewide primary-care spending target as the all-payer era ends
After
Vermont enacts Act 173, requiring Blueprint payment work and a primary-care spending target schedule
Vermont Legislature

Corrected · July 15, 2026

Vermont

Corrected July 15, 2026.

Before
Vermont's $195M rural health fund hits the street: May-June RFP wave opens sub-grants for workforce, e-consults and mobile health
After
Vermont's rural-health portal lists four open opportunities with July and August 2026 deadlines
Vermont Agency of Human Services — Health Care Reform

Corrected · July 15, 2026

Vermont

Corrected July 15, 2026.

Before
2027 rate filings: Blue Cross asks for its lowest increase in five years while MVP prices in a subsidy-loss exodus
After
BlueCross files proposed 2027 increases of 5.2% for individual plans and 3.1% for small groups
WCAX

Corrected · July 15, 2026

Vermont

Corrected July 15, 2026.

Before
ACA Enhanced Tax Credit Expiry Hits Vermont Hardest: 9,272 Fewer Subsidized Residents, $72M in Lost Federal Funds
After
Vermont Health Connect enrollment falls 2,358 while 9,272 fewer members receive federal subsidies
VTDigger

Corrected · July 15, 2026

Vermont

Corrected July 15, 2026.

Before
~55,000 Vermont Medicaid Recipients to Face Work Requirements Starting January 2027
After
Vermont providers seek about $5M for benefit navigation as the state estimates 12 new Medicaid administration positions
Department of Vermont Health Access / VTDigger

Corrected · July 15, 2026

Vermont

Corrected July 15, 2026.

Before
Vermont Receives $195M Rural Health Transformation Grant — Among Highest Per-Capita Awards Nationally
After
Vermont receives a $195M FY2026 Rural Health Transformation award for workforce, telehealth, mobile health and primary care
VTDigger

Corrected · July 15, 2026

Vermont

Corrected July 15, 2026.

Before
Vermont FQHC financial evidence: CHC reports $2M+ subsidized through its 340B pharmacy program
After
CHCB's FY2025 report records $7.01M in pharmacy revenue, $1.8M+ subsidized through 340B and a $2.31M operating loss
Community Health Centers of Burlington

Corrected · July 15, 2026

Vermont

Corrected July 15, 2026.

Before
Vermont's FY2026 budget adjustment carries $689K for a five-month Medicaid Economic Index update for FQHCs and rural health clinics
After
Vermont's as-passed FY2026 worksheet carries $689,167 for five months of a 2.7% Medicare Economic Index adjustment for FQHCs and RHCs
Vermont Agency of Human Services — FY2026 BAA as-passed worksheet

Corrected · July 15, 2026

Wisconsin

Corrected July 15, 2026.

Before
CMS awards Wisconsin $203.7M in first-year Rural Health Transformation funds; spendable through Sept. 30, 2027
After
Wisconsin's confirmed first-year Rural Health Transformation award is $203,670,005.21
Wisconsin Department of Health Services

Corrected · July 15, 2026

Wisconsin

Corrected July 15, 2026.

Before
BadgerCare Plus 1115 waiver renewed through Dec 2029 — covers childless adults to 100% FPL with no expansion match
After
BadgerCare Plus Section 1115 waiver covers childless adults through 2029 at up to 100% FPL
Wisconsin Department of Health Services

Corrected · July 15, 2026

Wisconsin

Corrected July 15, 2026.

Before
Federal Community Health Center Fund cliff: $4.6B authorization expires December 2026, threatening Wisconsin's 17 FQHCs
After
Federal health-center discretionary funding expires September 30; mandatory authority expires December 31
NACHC

Corrected · July 15, 2026

Wisconsin

Corrected July 15, 2026.

Before
Evers signs APRN independence law (2025 Act 17) after two prior vetoes — modernizes a reduced-practice state
After
Wisconsin Act 17 APRN changes are scheduled for September 1, 2026—not yet in effect
Wisconsin DSPS Board of Nursing

Corrected · July 15, 2026

Wisconsin

Corrected July 15, 2026.

Before
2025-27 state budget adds new GPR funding for Community Health Centers, including FQHC Look-Alikes line item
After
WPHCA reports the state added $1.2M annually to Wisconsin's Community Health Center Grant
Wisconsin Primary Health Care Association

Corrected · July 15, 2026

Wisconsin

Corrected July 15, 2026.

Before
2025-27 state budget adds $6.2M/year for community health centers, FQHC Look-Alikes and free clinics
After
WPHCA reports 58% of Wisconsin CHC patients had Medicaid and 17% were uninsured in 2024
Wisconsin Primary Health Care Association

Corrected · July 15, 2026

Wisconsin

Corrected July 15, 2026.

Before
State analysis: ~58,000 Wisconsinites could lose Medicaid or ACA coverage; rural hospitals face $607M in losses
After
June 2025 analyses projected coverage and rural-hospital losses under the then-pending House budget bill
Wisconsin Public Radio

Corrected · July 15, 2026

Wisconsin

Corrected July 15, 2026.

Before
Wisconsin's 12-month postpartum Medicaid coverage takes effect July 1, 2026, extending care to 16,000+ mothers
After
Wisconsin DHS implements 12-month postpartum Medicaid coverage effective June 1, 2026
Wisconsin DHS

Corrected · July 15, 2026

Wisconsin

Corrected July 15, 2026.

Before
Wisconsin opens first $40M round of $203.67M Rural Health Transformation grants targeting CHWs, care coordination, and rural dental
After
Wisconsin DHS opens $40M across three Rural Health Transformation grant opportunities
Wisconsin DHS

Corrected · July 15, 2026

Wisconsin

Corrected July 15, 2026.

Before
Wisconsin RHTP Rural Dental Efficiency & Access grants ($10M) due July 27, 2026
After
Wisconsin offers up to $10M for rural dental technology; eligible FQHC applications due July 27
Wisconsin DHS

Corrected · July 15, 2026

Wisconsin

Corrected July 15, 2026.

Before
Wisconsin DHS notifies 8,157 Medicaid SSI members of unauthorized access to personal information
After
Wisconsin DHS notifies 8,157 Medicaid SSI members of unauthorized access to personal information
Wisconsin DHS

Corrected · July 15, 2026

Wisconsin

Corrected July 15, 2026.

Before
Wisconsin DHS launches work-requirement webpage and screening tool — 190,000 BadgerCare childless adults get letters in August–September
After
Wisconsin DHS posts Medicaid work-requirement screener; potentially affected members get letters in August–September
Wisconsin DHS

Corrected · July 15, 2026

Wisconsin

Corrected July 15, 2026.

Before
BadgerCare Plus work requirement hits ~190,000 childless adults Jan. 1, 2027 — DHS notices land Aug.–Sept. 2026
After
BadgerCare work requirement starts January 1 for new applicants; most existing members no earlier than March 1 at renewal
Wisconsin DHS

Corrected · July 15, 2026

Wisconsin

Corrected July 15, 2026.

Before
Wisconsin's ~17 community health centers brace for the Dec. 31, 2026 CHC Fund cliff atop the coverage squeeze
After
WPHCA counts 18 Wisconsin community health centers: 16 FQHC designees and two Look-Alikes
Wisconsin Primary Health Care Association (WPHCA)

Corrected · July 15, 2026

Wisconsin

Corrected July 15, 2026.

Before
Report: H.R. 1 will cut Wisconsin Medicaid by $7 billion over 10 years; KFF projects 54,000 more uninsured by 2034
After
Advocacy report projects a $7B Wisconsin Medicaid reduction over 10 years; KFF projects 54,000 more uninsured
Civic Media

Corrected · July 15, 2026

Wisconsin

Corrected July 15, 2026.

Before
Wisconsin moves its $203.7M first-year Rural Health Transformation award into implementation — CHW services explicitly funded
After
Wisconsin offers up to $61M for rural technology transformation; applications due August 1
Wisconsin Department of Health Services

Corrected · July 15, 2026

Wisconsin

Corrected July 15, 2026.

Before
Wisconsin's 340B contract-pharmacy protections die as the 2025-26 session ends — SB 50 fails March 23
After
Wisconsin SB 50's proposed 340B protections did not take effect after the bill failed to pass
Wisconsin State Legislature

Corrected · July 15, 2026

Wisconsin

Corrected July 15, 2026.

Before
Wisconsin ACA marketplace sign-ups fall to ~290,000 as enhanced credits expire — effectuated enrollment expected to drop further
After
Wisconsin's 2026 Marketplace plan selections fall below 290,000; effectuated enrollment was not yet known
Wisconsin Public Radio

Corrected · July 15, 2026

Wisconsin

Corrected July 15, 2026.

Before
H.R.1 work requirements hit Wisconsin's BadgerCare childless-adult waiver population beginning Jan 1, 2027
After
KFF classifies Wisconsin among three non-expansion waiver states subject to federal Medicaid work requirements
KFF (Medicaid Work Requirements Tracker)

Corrected · July 15, 2026

West Virginia

Corrected July 15, 2026.

Before
WVU Health System's acquisition of Independence Health System set to close this fall with an $800 million investment pledge
After
WVU Health System and Independence Health System sign definitive acquisition agreement with $800 million investment plan
WVU Medicine

Corrected · July 15, 2026

West Virginia

Corrected July 15, 2026.

Before
Fourth Circuit blocks WV's 340B contract-pharmacy protection law as likely preempted
After
Fourth Circuit grants en banc rehearing in West Virginia 340B contract-pharmacy case
U.S. Court of Appeals for the Fourth Circuit

Corrected · July 15, 2026

West Virginia

Corrected July 15, 2026.

Before
Governor Morrisey Signs FY2026–27 Budget With Line-Item Vetoes, Directs Agencies Not to Seek State Replacement for Federal Cuts
After
West Virginia Legislature completes a $5.5 billion FY2027 general-revenue budget with Medicaid increases
West Virginia Legislature

Corrected · July 15, 2026

West Virginia

Corrected July 15, 2026.

Before
WV Legislature Passes HB 5459 to Comply With H.R. 1 Provider Tax Uniformity Rule, Risking Medicaid Revenue
After
Enacted HB 5459 schedules a uniform 2.5% HMO gross-premium tax for July 2027, subject to federal approval
West Virginia Legislature

Corrected · July 15, 2026

West Virginia

Corrected July 15, 2026.

Before
WV awarded ~$199M Rural Health Transformation funds for 2026 — but CMS says it won't backfill Medicaid cuts
After
West Virginia receives a $199 million first-year Rural Health Transformation award for 2026
West Virginia Office of the Governor

Corrected · July 15, 2026

West Virginia

Corrected July 15, 2026.

Before
H.R.1 to strip $1B+ a year from WV hospitals; 13 rural hospitals at risk of closure
After
Financial model flags 13 of West Virginia's 33 rural hospitals as at risk; five are in the model's immediate-risk group
The Dominion Post

Corrected · July 15, 2026

West Virginia

Corrected July 15, 2026.

Before
WV Medicaid commissioner warns H.R.1 will cut enrollment, raise admin costs, and strip $533M in hospital funds
After
HRSA reports 28 West Virginia health-center awardees served 576,260 patients in 2024
Health Resources and Services Administration

Corrected · July 15, 2026

West Virginia

Corrected July 15, 2026.

Before
Survey: most West Virginia Medicaid enrollees don't know work requirements are coming — 161,000 face the new rules January 1
After
Survey table estimates 55.3% of West Virginia Medicaid respondents were unaware of 2027 work requirements
The Health Management Academy

Corrected · July 15, 2026

West Virginia

Corrected July 15, 2026.

Before
West Virginia is one of only 3 states where children under 6 are likelier to be uninsured than school-age kids, new Georgetown data shows
After
Georgetown analysis finds West Virginia children under 6 had a higher uninsured rate than older children in 2024
Georgetown University Center for Children and Families

Corrected · July 15, 2026

West Virginia

Corrected July 15, 2026.

Before
KFF: West Virginia marketplace sign-ups fell 17% in 2026 — among the four steepest drops in the nation as enhanced credits expired
After
KFF reports West Virginia Marketplace plan selections fell 17% in 2026
KFF

Corrected · July 15, 2026

West Virginia

Corrected July 15, 2026.

Before
Aetna Better Health opens a community resource center inside Community Care of West Virginia's Clarksburg site
After
Aetna Better Health opens public resource center inside Community Care's Clarksburg facility
CVS Health / Aetna Better Health of West Virginia

Corrected · July 15, 2026

West Virginia

Corrected July 15, 2026.

Before
West Virginia opens more than $62 million in Rural Health Transformation sub-grants — workforce and telehealth funding health centers can apply for
After
West Virginia announces more than $62 million in Rural Health Transformation funding opportunities
West Virginia Office of the Governor

Corrected · July 15, 2026

West Virginia

Corrected July 15, 2026.

Before
West Virginia unlocks its first $28.6M in rural transformation funds — $60M+ now open in rolling 2-week windows FQHCs must compete for
After
West Virginia announces six first-tranche Rural Health Transformation opportunities totaling $28.56 million
West Virginia Office of the Governor

Corrected · July 15, 2026

West Virginia

Corrected July 15, 2026.

Before
West Virginia Secures $199 Million in Year-1 Rural Health Transformation Funds Under H.R. 1
After
Governor signs SB 570 to authorize use of West Virginia's first-year $199 million rural-health award
West Virginia Office of the Governor

Corrected · July 15, 2026

West Virginia

Corrected July 15, 2026.

Before
Study: Medicaid work requirements and twice-yearly redeterminations will cost 40,000-75,000 West Virginians their coverage
After
Urban Institute models a 40,000–75,000 decline in West Virginia Medicaid expansion enrollment in 2028
Urban Institute

Corrected · July 15, 2026

West Virginia

Corrected July 15, 2026.

Before
WV launches WVMedicaidHelp.org and postcard campaign ahead of January 2027 Medicaid work requirements
After
West Virginia launches WVMedicaidHelp.org before January 2027 Medicaid community-engagement requirements
West Virginia Public Broadcasting

Corrected · July 15, 2026

West Virginia

Corrected July 15, 2026.

Before
West Virginia selected for the CCBHC Medicaid Demonstration — enhanced federal match for behavioral health starting as soon as July 2026
After
West Virginia selected for four-year CCBHC Medicaid demonstration
West Virginia Department of Human Services

Corrected · July 15, 2026

West Virginia

Corrected July 15, 2026.

Before
Community Care of West Virginia breaks ground on $20M Integrated Health & Education Center in downtown Buckhannon
After
Community Care of West Virginia breaks ground on a $20 million integrated health and education center in Buckhannon
My Buckhannon

Corrected · July 15, 2026

Wyoming

Corrected July 15, 2026.

Before
CMS greenlights Wyoming's revised $205M rural health plan after killing the 'perpetuity fund' and BearCare
After
Federal approval covers Wyoming's $205 million Year 1 plan; later funding depends on plan and performance
Office of Wyoming Governor Mark Gordon

Corrected · July 15, 2026

Wyoming

Corrected July 15, 2026.

Before
CMS Approves Wyoming's $205M Rural Health Transformation Plan, Naming FQHCs as Primary Care Expansion Vehicle
After
Wyoming's integrated-primary-care RFA prioritizes FQHCs and Tribally operated 638 clinics
Wyoming Department of Health

Corrected · July 15, 2026

Wyoming

Corrected July 15, 2026.

Before
ACA premium-credit expiry cuts Wyoming Marketplace enrollment by 5,000+, widening the frontier coverage gap
After
Most 2026 Wyoming Marketplace selectors received advance premium tax credits, CMS files show
Centers for Medicare & Medicaid Services

Corrected · July 15, 2026

Wyoming

Corrected July 15, 2026.

Before
Wyoming's 2026 ACA marketplace drops to two carriers as premiums jump ~25.9%; non-expansion coverage gap widens with enhanced credits gone
After
CMS reports a $1,217 average gross monthly premium across Wyoming's 2026 Marketplace selections
Centers for Medicare & Medicaid Services

Corrected · July 15, 2026

Wyoming

Corrected July 15, 2026.

Before
Wyoming wins $205M first-year Rural Health Transformation award, aims to make it last 'forever'
After
Wyoming's November 2025 RHT application was a proposal, not the final approved budget
Wyoming Department of Health

Corrected · July 15, 2026

Wyoming

Corrected July 15, 2026.

Before
HealthWorks (formerly Cheyenne Health & Wellness Center) triples its space in a new downtown Cheyenne clinic to expand medical, dental, behavioral health and pharmacy
After
HealthWorks says its downtown Cheyenne clinic triples space and expands capacity across four service lines
HealthWorks Wyoming

Corrected · July 15, 2026

Wyoming

Corrected July 15, 2026.

Before
Mountain Health CO-OP Exits Wyoming, Cutting Marketplace to Two Insurers and Pushing 2026 Premiums Up 25.9%
After
CMS counts 31,529 rural Wyoming Marketplace selections and publishes the 2026 metal-level mix
Centers for Medicare & Medicaid Services

Corrected · July 15, 2026

Wyoming

Corrected July 15, 2026.

Before
H.R. 1 Medicaid Cuts Projected to Shrink Wyoming's Economy by $140M and Cost 12,000 Residents Their Coverage
After
REMI model projects $140 million less Wyoming GDP over 2026–2030 under its Medicaid-cut scenario
Regional Economic Models, Inc.

Corrected · July 15, 2026

Wyoming

Corrected July 15, 2026.

Before
Wyoming Community Health Centers See 14.8% Medicaid Revenue Drop in 2024 — Among Steepest Nationally
After
HRSA's 2024 Wyoming UDS baseline shows $9.59 million in Medicaid collections—not a 14.8% decline
Health Resources and Services Administration

Corrected · July 15, 2026

Wyoming

Corrected July 15, 2026.

Before
Wyoming marketplace loses ~9,000 enrollees as enhanced credits expire — RHTP rolls out into the nation's second-priciest insurance market
After
CMS records 41,545 Wyoming Marketplace plan selections for 2026, down 5,098 from 2025
Centers for Medicare & Medicaid Services

Corrected · July 15, 2026

Wyoming

Corrected July 15, 2026.

Before
CMS approves Wyoming's revised $205M Rural Health plan but rejects the 'forever fund'; 36.4% earmarked to expand FQHCs, Oct 31 spend deadline
After
Signed Wyoming law sets a 36.4% target within time-limited RHT initiatives for integrated primary care
Wyoming Legislature

Corrected · July 15, 2026

Wyoming

Corrected July 15, 2026.

Before
Wyoming providers race to draft RHTP proposals — Year-1 $205M must be obligated by October 31, spent by October 2027
After
Wyoming's live RHT portal closes applications August 2 and separates obligation from expenditure deadlines
Wyoming Department of Health

Corrected · July 15, 2026

Wyoming

Corrected July 15, 2026.

Before
Wyoming gambles its five-year rural health windfall on lasting 'forever' — CMS rejection forces a sustainability rethink as FQHC grants loom
After
Wyoming's initial CMS award notice restricted drawdown pending a detailed revised budget
Centers for Medicare & Medicaid Services

Corrected · July 15, 2026

Wyoming

Corrected July 15, 2026.

Before
Wyoming passes HB 122 to govern $205M rural-health spending — CMS rejection could force a special session
After
Wyoming enacted HB 122 with reporting, approval, and repayment controls for RHT recipients
Wyoming Legislature

Corrected · July 15, 2026

Wyoming

Corrected July 15, 2026.

Before
Wyoming legislature codifies its own Medicaid work requirements (SF 6) while again refusing expansion; locks the Legislature into approving any future eligibility growth
After
Signed SF 6 codifies Wyoming Medicaid eligibility criteria; it does not enact an 80-hour work requirement
Wyoming Legislature

Corrected · July 15, 2026

Wyoming

Corrected July 15, 2026.

Before
Wyoming Legislature Codifies Medicaid Work Requirements, Rejects Coverage Expansion — Again
After
Federal Medicaid work-rule scope centers on the adult group and qualifying 1115 demonstrations—not all Wyoming Medicaid members
Centers for Medicare & Medicaid Services

Corrected · July 15, 2026

Wyoming

Corrected July 15, 2026.

Before
2026 Wyoming budget session: maternity Medicaid bills advance, but the $17.5M labor-and-delivery rate increase is cut
After
Wyoming's signed HB 4 adds Medicaid coverage for services provided by birthing centers on July 1
Wyoming Legislature

Corrected · July 15, 2026

Wyoming

Corrected July 15, 2026.

Before
Wyoming community health centers, all sliding-fee and many NP-staffed, are the frontier backstop as coverage erodes
After
WYPCA's directory distinguishes eight named provider networks or programs from HRSA's five reporting awardees
Wyoming Primary Care Association

Corrected · July 15, 2026

Wyoming

Corrected July 15, 2026.

Before
Albany Community Health Clinic in Laramie earns NCQA patient-centered medical home recognition
After
Albany Community Health Clinic joins all three UW-operated EHCW clinics in NCQA medical-home recognition
University of Wyoming

Corrected · July 15, 2026

Wyoming

Corrected July 15, 2026.

Before
Wyoming opens RHTP applications July 1 — $205M on the table, 36.4% of time-limited funds earmarked for FQHC-anchored integrated primary care
After
Wyoming opens Rural Health Transformation applications with a $205,004,742.95 Budget Period 1 award
Wyoming Department of Health

Corrected · July 15, 2026

Wyoming

Corrected July 15, 2026.

Before
Wyoming Medicaid's 340B boundary is categorical: contract pharmacies may not carve Medicaid patients in
After
Wyoming Medicaid manual bars contract pharmacies from carving Medicaid clients into 340B
Wyoming Department of Health, Medicaid Pharmacy Services

Corrected · July 14, 2026

Michigan

Corrected the record from describing Michigan SB 94/95 as an operative 340B law with a July 1 reporting milestone to identifying SB 94 as pending in House Health Policy, not current law.

Before
Michigan's 340B protection law hits its July 1 reporting milestone as drug makers press lawmakers to strip a section
After
Michigan SB 94 remains pending in House Health Policy; proposed 340B protections are not current law
Michigan Legislature bill history

Corrected · July 14, 2026

North Carolina

Removed the unsupported claim that the 31 eliminated Access East and ECU Health positions were mostly community health workers; the revised record says the public role subtotals add to 30 and does not infer the missing occupation.

Before
ECU Health and Access East cut 31 jobs — mostly community health workers — in the Healthy Opportunities Pilot wind-down
After
ECU Health and Access East eliminate 31 HOP-linked positions after state funding ends
WITN report

Corrected · July 14, 2026

Washington

Corrected Washington E2SSB 5981's effective date from June 10 to June 11 and replaced a litigation-centered description with the enacted session law, including its FQHC reporting and filing-fee duties.

Before
Washington's 340B protection law SURVIVES: judge denies the drugmakers' injunction June 9 — SB 5981 takes effect June 10 with $5,000/day penalties
After
Washington's E2SSB 5981 protects 340B distribution and creates new FQHC reporting duties
Washington session law

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