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    <title>FQHC Intel — Community Health Centers of the Central Coast</title>
    <link>https://www.fqhctalent.com</link>
    <description>Intelligence items mentioning Community Health Centers of the Central Coast (Central Coast). Updated whenever we publish new intel about this FQHC.</description>
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    <lastBuildDate>Mon, 27 Jul 2026 19:59:52 GMT</lastBuildDate>
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      <title>Santa Barbara County Issues 84 Layoff Notices — 47 in Public Health — and Will Close Two County Pharmacies June 30; All Five Health Centers Stay Open</title>
      <link>https://www.fqhctalent.com/intel/santa-barbara-county-84-layoffs-public-health-june-2026</link>
      <description>Santa Barbara County issued 84 layoff notices in mid-May while closing a roughly $70 million gap in its $1.64 billion FY2026-27 budget — 47 of them in County Public Health (the largest single share), plus 31 in Social Services, 5 in the Sheriff&apos;s Office, and 1 in Fire. County-operated pharmacies in Santa Barbara and Santa Maria will close June 30 (the Lompoc location stays open as a centralized site). County Health Director Dr. Mouhanad Hammami stressed that all five county health centers will keep operating — but the loss of public-health nursing and social-work capacity, plus the pharmacy closures, will push referral and prescription demand toward Central Coast FQHCs. Final budget adoption hearings are June 16 and June 18. (This is Santa Barbara County — distinct from San Bernardino County&apos;s $10.9B budget.)

Primary source: KSBY / Santa Barbara Independent — https://www.ksby.com/news/local-news/84-santa-barbara-county-employees-receive-layoff-notices-amid-budget-cuts</description>
      <pubDate>Thu, 21 May 2026 00:00:00 GMT</pubDate>
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      <category>workforce</category>
      <source url="https://www.ksby.com/news/local-news/84-santa-barbara-county-employees-receive-layoff-notices-amid-budget-cuts">KSBY / Santa Barbara Independent</source>
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      <title>Santa Barbara County Issues 84 Layoff Notices (47 from Public Health) + Public Health Pharmacy Closures — Largest Central Coast Safety-Net Cut of 2026</title>
      <link>https://www.fqhctalent.com/intel/sb-county-84-layoffs-pharmacy-closures-may-2026</link>
      <description>Santa Barbara County issued layoff notices May 10-13 for 84 positions effective June 30, 2026: 47 from Public Health, 31 from Social Services, 5 Sheriff&apos;s, 1 Fire. The proposed cuts also close county-run pharmacies for uninsured patients in Santa Barbara and Santa Maria, leaving Lompoc as the only remaining option. Pharmacy closures will redirect uninsured prescription volume to SBNC, CHC of the Central Coast, and Marian Community Clinics with no offsetting funding. Strategic implication for Central Coast FQHC executives: (1) model uninsured Rx absorption costs by June 30 — sliding-fee margin compression imminent; (2) coordinate with SBNC, CHC Central Coast, Marian on patient navigation handoffs from closing pharmacies; (3) escalate to county supervisors before June 24 budget hearing — pharmacy closure is reversible; (4) engage CCALAC for emergency state offset advocacy parallel to CSAC $6.4B demand; (5) brief boards on Public Health staffing collapse signal — workforce ripple effects to FQHC public health partnerships likely. This is the largest Central Coast safety-net layoff event tracked since SBNC $5M Wyatt donation (positive offset) earlier this year.

Primary source: Noozhawk / Santa Barbara Independent — https://www.noozhawk.com/santa-barbara-county-issues-layoff-notices-for-84-positions/</description>
      <pubDate>Wed, 13 May 2026 00:00:00 GMT</pubDate>
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      <category>workforce</category>
      <source url="https://www.noozhawk.com/santa-barbara-county-issues-layoff-notices-for-84-positions/">Noozhawk / Santa Barbara Independent</source>
    </item>
    <item>
      <title>Santa Barbara County Faces $70M FY2026-27 Deficit — Public Health Targeted for $25M Cuts, 3 Pharmacies Consolidating to Lompoc</title>
      <link>https://www.fqhctalent.com/intel/santa-barbara-county-70m-deficit-25m-public-health-cuts-april-2026</link>
      <description>Santa Barbara County Supervisors began FY2026-27 budget hearings April 13, 2026, facing a $70M projected deficit. The Public Health Department is slated for $25M in cuts and Social Services for $28M. Three county pharmacies (Santa Maria, Lompoc, Santa Barbara) are being consolidated into Lompoc to save $8.5M. County officials warned that clinic operation reductions could push patients to ERs. Final budget hearings June 2026, effective July 1. This places direct competitive pressure on Central Coast FQHCs (Santa Barbara Neighborhood Clinics, Community Health Centers of the Central Coast, American Indian Health &amp; Services) as county clinic capacity contracts. Signed-budget context: the UIS PPS-to-FFS exposure that was being modeled for July 2026 moved into a July 1, 2027 planning horizon, so FQHC executives in SB/SLO/Ventura should separate immediate county-service surge planning from 2027 state-rate sensitivity.

Primary source: KEYT (Santa Barbara County Budget Hearings) — https://keyt.com/news/santa-barbara-s-county/2026/04/13/budget-hearings-start-with-a-looming-prospective-deficit-of-about-70-million/</description>
      <pubDate>Mon, 13 Apr 2026 00:00:00 GMT</pubDate>
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      <category>funding</category>
      <source url="https://keyt.com/news/santa-barbara-s-county/2026/04/13/budget-hearings-start-with-a-looming-prospective-deficit-of-about-70-million/">KEYT (Santa Barbara County Budget Hearings)</source>
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    <item>
      <title>Dignity Health Central Coast Awards $487,500 to 6 Nonprofits — Hospital-FQHC Partnership Model Amid Funding Squeeze</title>
      <link>https://www.fqhctalent.com/intel/dignity-health-central-coast-487k-grants-april-9-2026</link>
      <description>Dignity Health (CommonSpirit) Central Coast channeled $487,500 in Community Health Improvement Grants to six nonprofits across SLO and Santa Barbara counties in April 2026. The program is a proof point for hospital community-benefit partnerships as a revenue-diversification model for Central Coast FQHCs (SBNC, CHCCC, Clinicas del Camino Real) facing H.R. 1 pressure. FQHCs with existing CommonSpirit/Dignity relationships should re-engage on 2026-2027 cycles.

Primary source: Santa Barbara Independent — https://www.independent.com/2026/04/09/dignity-health-central-coast-provides-487500-in-grant-funding-to-community-non-profit-organizations/</description>
      <pubDate>Thu, 09 Apr 2026 00:00:00 GMT</pubDate>
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      <category>funding</category>
      <source url="https://www.independent.com/2026/04/09/dignity-health-central-coast-provides-487500-in-grant-funding-to-community-non-profit-organizations/">Santa Barbara Independent</source>
    </item>
    <item>
      <title>Central Coast CFOs Need a UIS/PPS Exposure Worksheet, Not a Borrowed Local Benchmark</title>
      <link>https://www.fqhctalent.com/intel/santa-cruz-community-health-2-3m-pps-uis-loss-april-2026</link>
      <description>Earlier local reporting of a named-clinic State-Only/UIS dollar exposure is no longer available from a durable public source, so this item has been downgraded from a verified local benchmark to a modeling prompt. The usable lesson remains operational: build a center-specific 2027 sensitivity using UIS visit volume by service line, current PPS rates, applicable fee-schedule or managed-care rates, and final DHCS implementation guidance. Treat outside dollar figures as illustrative until you can verify them from primary materials.

Primary source: California Department of Health Care Services — https://www.dhcs.ca.gov/Medi-Cal/Pages/changes.aspx</description>
      <pubDate>Wed, 08 Apr 2026 00:00:00 GMT</pubDate>
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      <category>funding</category>
      <source url="https://www.dhcs.ca.gov/Medi-Cal/Pages/changes.aspx">California Department of Health Care Services</source>
    </item>
    <item>
      <title>Monterey County: 38K to Lose Medi-Cal, Natividad Faces $14M DSH Funding Limbo</title>
      <link>https://www.fqhctalent.com/intel/monterey-natividad-38k-medi-cal-loss</link>
      <description>Approximately 38,000 Monterey County residents will lose Medi-Cal over 4 years under H.R. 1. Natividad Medical Center&apos;s $14M/year Disproportionate Share Hospital (DSH) funding is in limbo. Federal Medical Assistance Percentage drops from 90% to 50% for undocumented emergency care starting Oct 1, 2026, dramatically increasing county costs. Supervisors concerned about &apos;negative impact on the financial health of Natividad&apos; — the county&apos;s safety-net hospital.

Primary source: Monterey County Now — https://www.montereycountynow.com/blogs/news_blog/trumps-big-beautiful-bill-will-mean-decreased-access-to-health-care-and-increased-costs-to/article_f4c26c47-bc5f-4ded-8e19-bd18b3de3f09.html</description>
      <pubDate>Sun, 01 Mar 2026 00:00:00 GMT</pubDate>
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      <category>funding</category>
      <source url="https://www.montereycountynow.com/blogs/news_blog/trumps-big-beautiful-bill-will-mean-decreased-access-to-health-care-and-increased-costs-to/article_f4c26c47-bc5f-4ded-8e19-bd18b3de3f09.html">Monterey County Now</source>
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