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The Record
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CalMatters, November 9, 2026
The Associated Press reported California voters rejected Proposition 40, per CalMatters. The state count is 52.8% no to 47.2% yes, all 23,860 precincts in.
Centers for Medicare & Medicaid Services
CMS announced $10 billion in second-year Rural Health Transformation awards to all 50 states. Each state gets a $100 million base, and CMS says the rest partly reflected state progress on plans.
U.S. District Court for the District of Maine
A Maine federal court set a November 18 hearing on the hospitals’ motion to block the 340B rebate pilot, before Judge Lance E. Walker in Portland. The federal government and four drugmakers filed oppositions on November 3.
Centers for Medicare & Medicaid Services
CMS published its final 2027 fee schedule rule. Asked to let FQHCs bill the new group visit code G0686, CMS said group sessions fail the one-on-one rule for a billable FQHC visit, as does health coaching under general supervision.
Centers for Medicare & Medicaid Services
CMS finalized its Medicare Drug Price Negotiation Program rule. A commenter asked to shield drugmakers when 340B covered entities refuse to share claim data.
Georgetown University Center for Children and Families
Georgetown’s Center for Children and Families reported that 2.56 million fewer children were enrolled in Medicaid and CHIP through August 2026 than in January 2025.
KFF Health News, Trump Administration Delays Awards Slated To Improve Rural America’s Health
KFF Health News reported that six states listed consultant contracts totaling more than $60 million in Rural Health Transformation Program documents it collected.
Stateline, States Newsroom
Stateline reported that midterm results tilted the political calculus toward Medicaid expansion in Georgia, Kansas, Texas and Wisconsin. Lawmakers have not laid out details. In all, 10 states have not expanded Medicaid.
The Texas Tribune
State Rep. John Bucy filed a bill that would direct the Texas Health and Human Services Commission to expand Medicaid. A Senate companion was also filed.
The Texas Tribune
The Texas Tribune reported that Texas law bars the state from changing Medicaid eligibility without legislative approval. It is unclear whether that blocks the governor-elect from directing officials to file an expansion plan.
National Association of Community Health Centers, NACHC Blog
NACHC reported that health centers served 434,245 unique veterans in 2025, up 12.6% from 2020, based on UDS data. NACHC says the count likely understates the true number because military service is often never asked about.
Stateline, States Newsroom
Stateline reported that conservative states are making short-term health plans easier to sell after ACA premiums rose. UnitedHealthcare will offer short-term plans through Mississippi’s state-run portal by early 2027.
LAist
On November 3, 2026, California voters rejected Proposition 44, the SEIU-UHW measure requiring nonprofit clinics to spend 90% of revenue on program services.
Spectrum News
Spectrum News reported Democrats won the House and Senate, and Jeffries named reversing Medicaid cuts and extending ACA credits as priorities. The new Congress is sworn in January 3, 2027.
CalMatters
CalMatters reported that Governor-elect Xavier Becerra will seek to reverse the Medi-Cal restrictions that pushed tens of thousands of undocumented immigrants off the program.
CalMatters
CalMatters reported that Propositions 41 and 42 were written to cancel Proposition 40, the billionaire tax for health care, if either drew more yes votes.
County of San Diego Communications Office
San Diego County supervisors approved the next phase of the $20.4 million Safety Net Bridge Program.
NBC San Diego
NBC San Diego reported that Measure B had 374,267 yes votes (51.62%) and 350,762 no votes (48.38%), a margin that grew from the first count.
Centers for Medicare & Medicaid Services
CMS filed its final 2027 Physician Fee Schedule rule, which sets the FQHC Medicare base rate at $213.12. That is 2.6% above the 2026 rate of $207.72 and above the proposed $212.91. The rule takes effect January 1, 2027.
Centers for Medicare & Medicaid Services
CMS filed its final 2027 Physician Fee Schedule rule, which requires 340B covered entities enrolled in Medicare to report Part D 340B claims starting with 2027 claims.
Georgetown University Center for Children and Families, Federal Judge Throws a Lifeline to Medicaid Enrollees
Georgetown’s Center for Children and Families reported that a judge gave the 26 plaintiff states, including DC, six months of protection from CMS enforcement from October 29.
KFF
KFF reviewed USCIS public charge guidance issued August 18. Officers may consider any means-tested benefit, including Medicaid and CHIP, received on or after September 18, 2026.
KFF
On October 29, 2026, a Massachusetts federal judge ruled in Massachusetts v. Oz that CMS narrowed the medically frail exemption to the work requirement too far, KFF reported. A condition in one of the five groups qualifies, and two verification limits stay.
KUT
KUT reported that Democrats flipped the Texas House for the first time since 2002, projected at 83 seats to 67, as Gina Hinojosa won the governor's race.
U.S. District Court, District of Maine
PhRMA filed a brief in Maine federal court opposing the hospitals’ request for a preliminary injunction against the 340B rebate pilot. The brief cites HRSA’s estimate that the pilot covers around 5% of 340B sales.
The Oaklandside, October 30, 2026
Alameda Health System officials told county supervisors that Highland Hospital staff never received a warrant from ICE agents who brought a patient in.
Bay Area News Group via The Press Democrat, November 1, 2026
Bay Area News Group reported that insurers rejected $4.1 million in payments to 11 counties for mobile crisis responses since 2024. Contra Costa County billed $2.47 million and insurers paid about $210,000. No health center is named.
U.S. Bureau of Labor Statistics
The Bureau of Labor Statistics reported that health care added 42,000 jobs in October, above its 12-month average of 31,000. Hospitals added 16,000 jobs, home health care services 11,000 and outpatient care centers 5,000.
Noozhawk
Noozhawk reported that registered nurses at three Cottage Health hospitals will vote December 8 and 9 on joining SEIU 121RN. Nurses cite pay transparency and living costs, and some oppose a union. Cottage spokespeople urge a no vote.
Covered California
Covered California said open enrollment runs from November 1 to January 31, 2027. State subsidy funds rise from $190 million to $300 million, reaching incomes up to 200% of poverty. More than 1.7 million are enrolled.
California Department of Health Care Services
DHCS said a federal court found on October 29 that CMS exceeded its authority by narrowing the medical frailty exemption to the Medicaid work requirement. California was among the states that challenged the provision.
Housing Matters
Housing Matters announced it will pause its Recuperative Care Center in Santa Cruz on January 1, 2027.
California Legislative Analyst’s Office
California’s Legislative Analyst’s Office estimated a structural deficit of $18.5 billion in 2026-27, even though the enacted budget is balanced.
The Pajaronian
The Pajaronian reported that Salud Para La Gente, a federally qualified health center in Watsonville, added extended hours for insurance renewals. They include some Tuesday and Thursday evenings and a weekend clinic on November 7 and 8.
Inland Empire Community News
Inland Empire Community News reported that San Bernardino County held a ribbon cutting for Highland Creek Phase II on October 26.
Local News Matters
Santa Cruz County's Measure E led 59.40% to 40.60% with 58,484 votes counted at 10:25 p.m., per the Registrar of Voters.
New Times SLO
A New Times SLO column by a county supervisor said San Luis Obispo County, CenCal Health and partners launched an online Medi-Cal navigation hub. It cites local estimates that about 21,000 residents may face work requirements.
The LA Local
LAist reported that federal immigration agents blocked the emergency room entrance at Adventist Health White Memorial hospital in Boyle Heights. Ambulances were diverted for about two hours.
Centers for Medicare & Medicaid Services
CMS published its final 2027 hospital outpatient rule, which pays the average sales price minus 28 percent for 340B drugs from January 1, 2027. Rural sole community, children’s and cancer hospitals are excepted.
Centers for Medicare & Medicaid Services
CMS released its final 2027 fee schedule rule. It keeps FQHC non-behavioral telehealth paid at national fee schedule rates and calls payment parity with the PPS rate outside the rule’s scope.