Trump FY2027 Budget Proposes $3B for Health Centers — a 54% Cut from $6.5B Enacted in FY2026

The FY2027 budget proposes only $3 billion for Health Centers ($1.8B discretionary + $1.1B mandatory), down from $6.5B enacted in FY2026 (which included the $4.6B Community Health Center Fund). The budget also proposes eliminating HRSA as a standalone agency by consolidating it into the new 'Administration for a Healthy America' (AHA) with a total AHA budget of $17.5B (down $8.6B from component agencies' FY2026 levels). Health Workforce gets only $1.1B, threatening NHSC loan repayment.

Commonwealth Fund: 5.6 Million Health Center Patients Face Coverage Loss, $32B Revenue Impact Over 5 Years

The Commonwealth Fund projects 5.6 million community health center Medicaid patients in expansion states will lose coverage under H.R. 1 work requirements. Revenue losses could approach $32 billion over five years. More than half of CHCs already operate with negative margins, and 2 in 5 have 90 days or less cash on hand. This is the most comprehensive projection of the financial impact on FQHCs specifically.

NACHC: H.R. 1 Will Generate $7 Billion/Year in Uncompensated Care for Community Health Centers

NACHC estimates the reconciliation law will lead to approximately $7 billion per year in higher costs from uncompensated care and increased operational burdens for CHCs. Commonwealth Fund estimates 5.6 million CHC Medicaid patients in expansion states could lose coverage, with revenue losses approaching $32 billion over five years. 2 in 5 CHCs have 90 days or less cash on hand. More than half already operate with negative margins. This is the most authoritative national cost estimate from the sector's own trade association.