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    <title>FQHC Intel — La Clinica de La Raza</title>
    <link>https://www.fqhctalent.com</link>
    <description>Intelligence items mentioning La Clinica de La Raza (Bay Area). 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>Contra Costa Voters Reject Measure B — a ~$150M/Year Medicaid-Backfill Sales Tax Fails ~42%-58%, the First California County Safety-Net Tax to Lose in 2026</title>
      <link>https://www.fqhctalent.com/intel/contra-costa-measure-b-medicaid-backfill-tax-fails-june-2026</link>
      <description>Contra Costa County&apos;s Measure B — a 0.625-cent general sales tax projected to raise ~$150 million a year for five years, placed on the June 2 ballot explicitly to &apos;address deep cuts in federal funding&apos; — failed decisively. The June 5 count shows ~42.1% yes to ~57.9% no, down by more than 36,500 votes (it needed a simple majority). County staff had projected more than $300 million in health-system losses over five years, and the &apos;Safe &amp; Healthy Contra Costa&apos; campaign warned ~93,000 residents could lose coverage by 2029 and that H.R. 1 could cut ~$1.5 billion in federal contributions to Contra Costa Health over five years. Contra Costa Health runs the county hospital, its clinics, and Contra Costa Health Plan (~270,000 members) — so the &apos;no&apos; vote means there is no local backstop for H.R. 1 Medicaid losses or the signed budget&apos;s July 1, 2027 UIS/PPS planning exposure in a major Bay Area county. For independent Contra Costa FQHCs (LifeLong Medical Care, La Clínica de la Raza, Brighter Beginnings), the failure removes a potential referral-and-stability cushion and signals harder county-side competition for shrinking dollars. The bigger pattern: California&apos;s &apos;tax ourselves to backfill federal Medicaid cuts&apos; model is now 2 wins (Santa Clara Measure A, ~$330M/yr, Nov 2025; LA&apos;s Measure ER passed June 10, ~$1B/yr) and 1 loss (Contra Costa B failed) — voters will fund a county-anchored health system but rejected Contra Costa&apos;s general-fund version.

Primary source: KQED / Contra Costa County Elections — https://www.kqed.org/elections/results/contracosta/measure-b</description>
      <pubDate>Fri, 05 Jun 2026 00:00:00 GMT</pubDate>
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      <category>funding</category>
      <source url="https://www.kqed.org/elections/results/contracosta/measure-b">KQED / Contra Costa County Elections</source>
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      <title>Bay Area clinics race to keep immigrants enrolled in Medi-Cal as ICE fear keeps eligible patients away</title>
      <link>https://www.fqhctalent.com/intel/el-timpano-la-clinica-medi-cal-enrollment-ice-chilling-june-2026</link>
      <description>As the immigration crackdown continues, La Clínica de la Raza launched a county-wide Medi-Cal enrollment campaign — reported by bilingual outlet El Tímpano — to keep currently-eligible immigrant patients covered before a missed 90-day paperwork window locks them out permanently. Community health workers describe a dual threat: the Jan-2026 enrollment freeze AND a chilling effect in which eligible patients avoid both enrolling and visiting clinics for fear coverage could be used against them in immigration proceedings (a misreading of public-charge rules, but a real deterrent). For FQHCs with large Spanish-speaking panels — La Clínica, AltaMed, Asian Health Services, LifeLong — the result is lost visit volume and revenue on top of the mechanical coverage cuts.

Primary source: El Tímpano — https://www.eltimpano.org/newsletter/as-immigration-crackdown-lingers-clinics-race-to-keep-immigrants-enrolled-in-medi-cal/</description>
      <pubDate>Tue, 02 Jun 2026 00:00:00 GMT</pubDate>
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      <category>undocumented-access</category>
      <source url="https://www.eltimpano.org/newsletter/as-immigration-crackdown-lingers-clinics-race-to-keep-immigrants-enrolled-in-medi-cal/">El Tímpano</source>
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      <title>86,000+ Undocumented Californians Dropped or Denied Medi-Cal in Jan-Feb 2026 — First Hard Numbers Since UIS Freeze</title>
      <link>https://www.fqhctalent.com/intel/kvpr-86k-undocumented-dropped-medi-cal-jan-feb-2026</link>
      <description>KVPR / Public Health Watch published the first sector-wide enrollment numbers since California&apos;s UIS (Undocumented Income-Sensitive) freeze took effect: 86,000+ immigrants without legal status either lost or were denied Medi-Cal in January-February 2026, exiting at 6x the rate of other enrollees. Modeling projects ~1.3M Californians will lose full-scope Medi-Cal coverage over the next 4 years if the freeze stays in place. This pairs with the Kheir Clinic patient-coverage story (60-100 enrollment-help requests per day) already tracked — Kheir was the single-clinic anecdote; this is the statewide denominator. Strategic implication: FQHCs are absorbing the coverage hit. Largest exposure: AltaMed, FHCSD, La Clinica de la Raza, Clinica Sierra Vista, United Health Centers, Family Healthcare Network, Clinicas del Camino Real. This is the data FQHC CFOs need for board presentations explaining 2026 sliding-fee-scale demand surges and self-pay collections decline.

Primary source: KVPR / Public Health Watch — https://www.kvpr.org/health/2026-05-26/when-new-california-laws-kicked-in-thousands-of-immigrants-dropped-or-lost-medicaid-coverage</description>
      <pubDate>Tue, 26 May 2026 00:00:00 GMT</pubDate>
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      <category>undocumented-access</category>
      <source url="https://www.kvpr.org/health/2026-05-26/when-new-california-laws-kicked-in-thousands-of-immigrants-dropped-or-lost-medicaid-coverage">KVPR / Public Health Watch</source>
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      <title>May Revise: ~2M UIS Medi-Cal Members Transition From Managed Care to Fee-for-Service Jan 1, 2027 — Separate From the Later-Delayed State-Only PPS Cut</title>
      <link>https://www.fqhctalent.com/intel/may-revise-uis-managed-care-to-ffs-jan-2027</link>
      <description>Governor Newsom&apos;s May 14 May Revise proposed transitioning approximately 2 million Medi-Cal members with Unsatisfactory Immigration Status (UIS) from managed care to fee-for-service effective January 1, 2027 — projected $583.8M GF &apos;savings&apos; in 2026-27, $1.5B ongoing. This was a new line item, distinct from the State-Only PPS elimination then tracked for July 1, 2026. Signed-budget context: the June 29 budget later delayed the major State-Only UIS/PPS clinic-payment cut to July 1, 2027, so this item should be read as a separate managed-care/FFS operational proposal, not proof of a current July 2026 PPS elimination. FFS transition would still disrupt managed care contracts, ECM/Community Supports flow, and care coordination revenue streams that are MCP-dependent.

Primary source: DHCS May Revise Highlights / CA Budget Center — https://www.dhcs.ca.gov/Budget/Documents/DHCS-FY-2026-27-May-Revise-Highlights.pdf</description>
      <pubDate>Thu, 14 May 2026 00:00:00 GMT</pubDate>
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      <category>funding</category>
      <source url="https://www.dhcs.ca.gov/Budget/Documents/DHCS-FY-2026-27-May-Revise-Highlights.pdf">DHCS May Revise Highlights / CA Budget Center</source>
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      <title>Medi-Cal Adult Dental Cut for ~2M Immigrants — Deferred to July 1, 2027 in Signed Budget; FQHC Dental Volume Drop + ED Surge Forecast When It Lands</title>
      <link>https://www.fqhctalent.com/intel/ca-medi-cal-dental-elimination-2m-immigrants-july-1-2026</link>
      <description>UPDATE (June 30, 2026): the 2026-27 California budget signed June 29 DELAYS this cut 12 months to July 1, 2027. The analysis below describes the cut if it takes effect. California&apos;s proposal eliminates full-scope Medi-Cal dental for ~2 million immigrant adults ages 19-54 (undocumented + certain DACA/lawfully present), originally effective July 1, 2026 — emergency-only thereafter. National Health Law Program and Justice in Aging argue the policy is unsound; KVPR reporting confirms dentists were preparing to turn away patients. Strategic implication for FQHCs with strong dental programs (La Clinica de la Raza, AltaMed, Tiburcio Vasquez, Family Healthcare Network, Asian Health Services): the signed-budget posture creates a 2027 double-sensitivity window because both UIS/PPS clinic-payment exposure and the dental patient-panel reduction now point to July 1, 2027 unless the next budget extends the reprieve.

Primary source: National Health Law Program / Justice in Aging / Decisions in Dentistry — https://healthlaw.org/cutting-medi-cal-dental-care-for-millions-of-immigrants-is-not-a-sound-policy/</description>
      <pubDate>Fri, 01 May 2026 00:00:00 GMT</pubDate>
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      <category>undocumented-access</category>
      <source url="https://healthlaw.org/cutting-medi-cal-dental-care-for-millions-of-immigrants-is-not-a-sound-policy/">National Health Law Program / Justice in Aging / Decisions in Dentistry</source>
    </item>
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      <title>Hospitals File Emergency Court Order to Block 340B Rebate Pilot — Third Litigation Front Opens</title>
      <link>https://www.fqhctalent.com/intel/hospitals-emergency-injunction-340b-rebate-pilot-may-2026</link>
      <description>Hospital plaintiffs filed an emergency motion in late April / early May 2026 seeking an injunction against HRSA&apos;s 340B Rebate Model Pilot Program, alleging irreparable harm. This is the third litigation front against the rebate model: (1) the AHA/MHA Maine District Court case that already vacated the original rebate notice in February 2026, (2) the AHA en banc petition in the 4th Circuit on the WV contract pharmacy law, and now (3) this emergency injunction filing. The HRSA RFI (April 20) and ICR (April 27) comment periods both closed with industry-unified opposition (AHA, NACHC, ASHP, WHA all filed). HHS is now in review phase before any pilot relaunch. If the emergency motion succeeds, the rebate pilot is frozen nationally — direct cash-flow protection for FQHC pharmacy economics. If it fails, FQHCs face the prospect of paying full price upfront with 30-90 day rebate lag. CA FQHCs heavily 340B-dependent (AltaMed, FHCSD, San Ysidro, Vista Community Clinic, Asian Health Services, La Clinica de la Raza) should be running both scenarios in their FY26-27 cash flow projections. Pairs with the AbbVie 340B patient-definition lawsuit (April 8) and the Lilly/Novo claims-data mandate already active.

Primary source: 340B Report — https://340breport.com/hospitals-sue-hhs-seek-emergency-court-order-to-block-340b-rebate-pilot/</description>
      <pubDate>Fri, 01 May 2026 00:00:00 GMT</pubDate>
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      <category>legislation</category>
      <source url="https://340breport.com/hospitals-sue-hhs-seek-emergency-court-order-to-block-340b-rebate-pilot/">340B Report</source>
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    <item>
      <title>Alameda Health System and Stanford Health Care Announce Partnership to Stabilize East Bay Safety Net — FQHC Referral Networks Secured Through Agreement</title>
      <link>https://www.fqhctalent.com/intel/ahs-stanford-st-rose-partnership-2026</link>
      <description>Alameda Health System (AHS) and Stanford Health Care announced a partnership framework to stabilize specialty and emergency services at AHS facilities in the East Bay following AHS&apos;s ongoing financial crisis and $91.7M working group resolution. Stanford will provide clinical leadership and management support for key service lines while AHS retains operational control. FQHC referral networks in Alameda County that rely on AHS for specialty care — including Asian Health Services, La Clínica de La Raza, and Tiburcio Vasquez Health Center — stand to benefit from restored service stability.

Primary source: East Bay Times — https://med.stanford.edu/news/all-news/2026/04/st-rose-stanford-collaboration.html</description>
      <pubDate>Wed, 08 Apr 2026 00:00:00 GMT</pubDate>
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      <category>merger-acquisition</category>
      <source url="https://med.stanford.edu/news/all-news/2026/04/st-rose-stanford-collaboration.html">East Bay Times</source>
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      <title>La Clínica de La Raza Reports Data Breach Affecting Patient Records</title>
      <link>https://www.fqhctalent.com/intel/la-clinica-data-breach-2026</link>
      <description>La Clínica de La Raza, one of the Bay Area&apos;s largest FQHCs serving 90,000+ patients across Alameda, Contra Costa, and Solano Counties, disclosed a data breach involving unauthorized access to patient health records. The breach was discovered in late February and reported to HHS. La Clínica is offering credit monitoring to affected patients. The incident highlights the growing cybersecurity threat to FQHCs — 73% of health centers reported a cyber incident in the past 2 years per NACHC surveys.

Primary source: La Clínica de La Raza — https://www.jdsupra.com/legalnews/la-clinica-de-la-raza-files-notice-of-2413607/</description>
      <pubDate>Sun, 08 Mar 2026 00:00:00 GMT</pubDate>
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      <category>compliance</category>
      <source url="https://www.jdsupra.com/legalnews/la-clinica-de-la-raza-files-notice-of-2413607/">La Clínica de La Raza</source>
    </item>
    <item>
      <title>Bay Area Launches First AI-Powered Safety Net for Unhoused Patients — Funded by CalAIM</title>
      <link>https://www.fqhctalent.com/intel/akido-labs-bay-area-ai-street-medicine</link>
      <description>Future Communities Institute, Akido Labs, Five Keys, and ReImagine Freedom launch an AI-powered street medicine program using ScopeAI — tablet-guided visits by CHWs with 92% diagnostic accuracy, remote physician review, and MAT within 4 hours. In LA/Kern, the model serves 6,000 unhoused patients with 70% retention and 40% ED reduction. Entirely funded by Medi-Cal CalAIM ECM — no grants. Raises questions about AI experimentation on vulnerable populations and CHW scope expansion via technology.

Primary source: KTVU — https://www.ktvu.com/video/fmc-s5kjj7k3h2w09riy</description>
      <pubDate>Wed, 28 Jan 2026 00:00:00 GMT</pubDate>
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      <category>change-management</category>
      <source url="https://www.ktvu.com/video/fmc-s5kjj7k3h2w09riy">KTVU</source>
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      <title>LALES Landmark Findings: ~50% of LA Latinos with Diabetes Have Diabetic Retinopathy; 75% of Latinos with Glaucoma Were Undiagnosed</title>
      <link>https://www.fqhctalent.com/intel/lales-landmark-latino-eye-study-disparities</link>
      <description>Los Angeles Latino Eye Study (LALES) — landmark NEI study of 6,357 Los Angeles Latinos aged 40+ — established two staggering findings still cited 20 years later: (1) ~50% of Latinos with diabetes have diabetic retinopathy, with &gt;10% having macular edema; (2) 75% of Latinos with open-angle glaucoma or ocular hypertension were UNDIAGNOSED before LALES screening. Open-angle glaucoma prevalence ~5% overall, climbing to 15% in those in their 70s. Despite landmark NIH/NEI evidence two decades old, most CA FQHCs do not have routine glaucoma screening protocols built into primary care. ACU + NACHC&apos;s 2025 expansion brief frames vision care AS primary care precisely to fix this. Critical for Latino-majority CA FQHCs (AltaMed, La Clínica de la Raza, Clínica Sierra Vista, Northeast Valley Health, Northeast Community Clinic).

Primary source: NEI / Los Angeles Latino Eye Study — https://www.nei.nih.gov/about/news-and-events/news/us-latinos-have-high-rates-eye-disease-and-visual-impairment</description>
      <pubDate>Thu, 01 Jan 2004 00:00:00 GMT</pubDate>
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      <category>patient-story</category>
      <source url="https://www.nei.nih.gov/about/news-and-events/news/us-latinos-have-high-rates-eye-disease-and-visual-impairment">NEI / Los Angeles Latino Eye Study</source>
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