Tuesday, October 6, 2026
The Daily Brief
Today's most important change for health centers, in two minutes.
Top story
Funding & Budget
CMS stops Basic Health Program funding for many lawfully present immigrants
On September 25, 2026, CMS said Basic Health Program payments will stop counting many lawfully present immigrants starting January 1, 2027. Permanent residents, Cuban and Haitian entrants and COFA migrants still count. CMS will not act against states that stop covering the others from 2027 through 2029.
Read the full story and its sourcesNext
Read the full storyThe full summary, the source, and a link to share.Compare statesSee how this national change plays out in each state.Set leadership prioritiesTurn today's signal into owners, deadlines, and board-ready next steps.See the effect on revenueHow this touches PPS, Medicaid, 340B, and payer mix.
Issue updates
What changed in open issues
In courtOct 1, 2026
340B drug pricingHRSA approves ten drugmakers' 340B rebate plans starting January 1No date set
Taking effectOct 1, 2026
California's state-only Medi-Cal coverageDHCS letter tells refugees and asylees their full Medi-Cal continuesNo date set
Deadlines
Current Community Health Center Fund Authority EndsDec 31, 2026 · $4.6B for FY2026 plus $1,159,452,055 for Oct. 1–Dec. 31, 2026 · Source: U.S. House Office of the Law Revision Counsel — 42 U.S.C. § 254b-286daysCalAIM Waiver Expires — Renewal Submitted to CMS; ECM & Most Community Supports ContinueDec 31, 2026 · Source: California DHCS — CalAIM Waivers86daysWork/Community Engagement Requirements BeginJan 1, 2027 · Source: CMS — Community Engagement Interim Final Rule fact sheet87days
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