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Sites across 2 districts: OH-03, OH-15
Medicaid community-engagement (work) requirements under CMS-2454-IFC (80 hrs/month, full implementation Jan 1, 2027) plus expiry of the enhanced ACA premium tax credits (end of 2025) threaten Ohio's expansion population and FQHC Medicaid revenue.
IRS 990 filing-entity totals; hospital-affiliated centers may reflect a parent health system, not isolated FQHC operations.
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