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    <title>FQHC Intel — St. John&apos;s Community Health</title>
    <link>https://www.fqhctalent.com</link>
    <description>Intelligence items mentioning St. John&apos;s Community Health (Los Angeles). Updated whenever we publish new intel about this FQHC.</description>
    <language>en-us</language>
    <lastBuildDate>Mon, 27 Jul 2026 19:59:52 GMT</lastBuildDate>
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    <item>
      <title>LA County&apos;s Measure ER Officially Passes — Final Registrar Count: 1,013,747 Yes (50.64%) to 987,977 No (49.36%)</title>
      <link>https://www.fqhctalent.com/intel/la-measure-er-election-day-june-2-2026</link>
      <description>Official final update: LA County Registrar-Recorder results show Measure ER passing with 1,013,747 yes votes (50.64%) to 987,977 no votes (49.36%). The half-cent (0.5%) health sales tax takes effect October 1, 2026 (countywide rate 9.75% -&gt; 10.25%), raising roughly $1 billion a year through 2031 — roughly 45% flowing directly to nonprofit clinics serving uninsured patients, about 22% to LA County Health Services, and the remainder need-weighted by ED volume — to backfill H.R. 1 Medi-Cal cuts and shore up county hospitals, clinics, and public health. For LA-area FQHCs this is the positive resolution of the central FY2027-28 local backstop question: the largest local-government replacement for federal Medicaid cuts in the country now arrives while the signed state budget moves the major UIS/PPS clinic-payment exposure into a July 1, 2027 planning horizon and LA Health Services absorbs a &gt;$662M (rising to ~$700M by 2029) federal revenue decline while consolidating three county health centers. It does NOT erase state-budget risk; it creates a stronger local cushion for 2027 sensitivity planning. The statewide pattern now reads 2 wins (Santa Clara Measure A + LA Measure ER) vs. 1 loss (Contra Costa Measure B, ~42% yes): voters will fund a county-anchored health system but rejected Contra Costa&apos;s general-fund version.

Primary source: Los Angeles County Registrar-Recorder/County Clerk — https://results.lavote.gov/text-results/4338</description>
      <pubDate>Wed, 10 Jun 2026 00:00:00 GMT</pubDate>
      <guid isPermaLink="true">https://www.fqhctalent.com/intel/la-measure-er-election-day-june-2-2026</guid>
      <category>funding</category>
      <source url="https://results.lavote.gov/text-results/4338">Los Angeles County Registrar-Recorder/County Clerk</source>
    </item>
    <item>
      <title>LA Health Services Consolidates Three Health Centers — Antelope Valley &amp; Torrance Close June 1, East LA July 1 — as Federal Cuts Near $700M by 2029</title>
      <link>https://www.fqhctalent.com/intel/la-dhs-three-health-center-consolidations-june-july-2026</link>
      <description>On May 28, LA County&apos;s Department of Health Services detailed the next phase of its &apos;Save Our Safety Net&apos; plan: Antelope Valley Health Center services move to High Desert Regional and South Valley health centers (June 1), Torrance Health Center moves to Bellflower (June 1), and East LA Health Center moves to the Edward R. Roybal Comprehensive Health Center (July 1). DHS says it has already saved more than $230 million through a hiring freeze, reduced contract staffing, and tighter overtime — but projects Medicaid/Medi-Cal changes will cut its budget by more than $700 million by 2029. For FQHCs in the Antelope Valley/high-desert and South Bay/Torrance corridors, displaced county patients will seek care nearby — a near-term intake and capacity pressure (and a recruiting tailwind as county staff are reassigned or let go). This is the concrete, named-site follow-through on the broader $662M DHS federal-revenue decline already tracked.

Primary source: LA County Dept. of Health Services — https://lacounty.gov/2026/05/28/la-health-services-takes-action-to-protect-patient-care-amid-significant-funding-reductions/</description>
      <pubDate>Thu, 28 May 2026 00:00:00 GMT</pubDate>
      <guid isPermaLink="true">https://www.fqhctalent.com/intel/la-dhs-three-health-center-consolidations-june-july-2026</guid>
      <category>funding</category>
      <source url="https://lacounty.gov/2026/05/28/la-health-services-takes-action-to-protect-patient-care-amid-significant-funding-reductions/">LA County Dept. of Health Services</source>
    </item>
    <item>
      <title>LA Measure ER on June 2 Ballot — &apos;Essential Services Restoration Act&apos; Polling 45/47 Against, 12 Days to ~$1B/yr Safety-Net Backfill Vote</title>
      <link>https://www.fqhctalent.com/intel/la-measure-er-june-2-vote-polling-45-47</link>
      <description>Los Angeles County Measure ER — officially the &apos;Essential Services Restoration Act for Los Angeles County&apos; — heads to voters June 2, 2026 with polling showing 47% opposed vs. 45% in favor. The half-cent sales tax (0.5%) for 5 years (Oct 2026 → 2031) generates ~$1B/year for safety-net hospitals and clinics. Exclusions: groceries, prescription drugs, medical equipment. If it fails: LA County FQHCs lose key state/local backfill against ~$1.5B in federal cuts; KFF reports DHS&apos;s $6.5B budget is 70% Medicaid-dependent with $750M revenue loss by FY2027-28 (~10% revenue loss); some LA clinic networks could lose 20% of annual budget. Strategic implication for LA FQHC executives: (1) Mobilize patient/community voter education TODAY — 12-day window; (2) Brief boards on Plan B scenarios for failure case (Sept 2026 budget revisions, layoff timing, sliding-fee expansion costs); (3) Coordinate get-out-the-vote with CCALAC&apos;s 450+ LA County health center site network; (4) Engage AltaMed, St. John&apos;s, LA LGBT Center, Eisner, Watts, Venice Family, Northeast Valley, T.H.E., El Proyecto, Clinica Romero on coordinated messaging before June 2.

Primary source: LAist / Ballotpedia / KFF Health News — https://laist.com/news/politics/voter-guides/2026-election-california-primary-la-county-sales-tax-measure-er</description>
      <pubDate>Wed, 20 May 2026 00:00:00 GMT</pubDate>
      <guid isPermaLink="true">https://www.fqhctalent.com/intel/la-measure-er-june-2-vote-polling-45-47</guid>
      <category>legislation</category>
      <source url="https://laist.com/news/politics/voter-guides/2026-election-california-primary-la-county-sales-tax-measure-er">LAist / Ballotpedia / KFF Health News</source>
    </item>
    <item>
      <title>LA Measure ER on June 2 Ballot — $1B/Year Sales Tax for FQHCs + Public Hospitals, Polling Shows 47% No / 45% Yes</title>
      <link>https://www.fqhctalent.com/intel/la-measure-er-june-2-ballot-polling</link>
      <description>LA County Measure ER — a half-cent sales tax raising the county rate to 10.25% — appears on the June 2, 2026 ballot. Projected revenue: $1B/year for Medi-Cal providers (FQHCs and public hospitals) through 2031. May polling shows 47% opposed, 45% in favor — a narrow margin with 8% undecided. If passes: largest local healthcare tax in LA County history with 9-member oversight committee + Auditor-Controller audits. If fails: zero local backfill against federal Medicaid cuts. Strategic implication: every LA FQHC (AltaMed, St. John&apos;s, Eisner, Northeast Valley, Watts, KHEIR, LA LGBT Center, Harbor, APHCV, El Proyecto) has revenue at stake. Coalition behind the measure includes &apos;Restore Healthcare for Angelenos&apos; (already tracked). This is the most consequential FQHC funding event in LA County in years — and the 22-day window between today and election day is the highest-leverage period for FQHC executives to amplify pro-Measure-ER messaging through staff, board, and patient channels.

Primary source: Ballotpedia + LAist — https://ballotpedia.org/Los_Angeles_County,_California,_Measure_ER,_Sales_Tax_Increase_for_Health_Services_Measure_(June_2026)</description>
      <pubDate>Fri, 08 May 2026 00:00:00 GMT</pubDate>
      <guid isPermaLink="true">https://www.fqhctalent.com/intel/la-measure-er-june-2-ballot-polling</guid>
      <category>legislation</category>
      <source url="https://ballotpedia.org/Los_Angeles_County,_California,_Measure_ER,_Sales_Tax_Increase_for_Health_Services_Measure_(June_2026)">Ballotpedia + LAist</source>
    </item>
    <item>
      <title>L.A. Care CEO: 650K Member Loss by 2028 from H.R. 1 + State Cuts — Statewide Projection 3M Californians Could Lose Coverage</title>
      <link>https://www.fqhctalent.com/intel/lacare-650k-member-loss-2028-ccalac</link>
      <description>At the recent CCALAC Symposium, L.A. Care CEO Martha Santana-Chin projected the nation&apos;s largest publicly operated health plan will lose up to 650,000 members by 2028 due to H.R. 1 enrollment freezes, work requirements, and state Medi-Cal cuts. Statewide projection: 3 million Californians could lose coverage. Direct revenue impact: every LA County FQHC contracting with L.A. Care as a Medi-Cal MCO partner faces capitation/PMPM revenue compression in the FQHC APM (Alternative Payment Methodology) and per-visit PPS revenue loss as enrollees disenroll. This is the most specific quantification yet of the H.R. 1 + state cuts combined impact for the largest Medi-Cal plan in California. Strategic implication: (1) FQHCs in LA County should immediately model capitation revenue scenarios assuming 15-20% L.A. Care member loss; (2) strengthens case for LA Measure ER (June 2 ballot); (3) APM-participating FQHCs need to revisit risk-share, downside protection, and stop-loss provisions; (4) PPS-billing FQHCs should accelerate enrollment retention investments (eligibility specialists, redetermination outreach). Pairs with the LA DHS $743.6M reserve drawdown — the LA safety-net is now operating under twin contraction pressures.

Primary source: L.A. Care + CCALAC — https://lacare.org/news/news-releases/ccalac-symposium-la-care-ceo-puts-human-face-the-medi-cal-crisis</description>
      <pubDate>Fri, 08 May 2026 00:00:00 GMT</pubDate>
      <guid isPermaLink="true">https://www.fqhctalent.com/intel/lacare-650k-member-loss-2028-ccalac</guid>
      <category>funding</category>
      <source url="https://lacare.org/news/news-releases/ccalac-symposium-la-care-ceo-puts-human-face-the-medi-cal-crisis">L.A. Care + CCALAC</source>
    </item>
    <item>
      <title>LA County CEO Davenport Names DHS Hospital Closure as Possibility — $1.85B Deficit, $750M/yr Fed Loss by 2028</title>
      <link>https://www.fqhctalent.com/intel/la-county-dhs-hospital-closure-on-table-may-2026</link>
      <description>LA County CEO Fesia Davenport publicly raised closing one of the four Department of Health Services (DHS) hospitals — LA General, Harbor-UCLA, Olive View-UCLA, or Rancho Los Amigos — as a potential cost-reduction option in the FY2026-27 budget cycle (LAist financial-future series). DHS is losing $750M/yr in federal funding by 2028, projecting a $1.85B deficit. 70% of DHS budget is federal; only 6% local. Closure of any DHS hospital would push tens of thousands of safety-net patients onto FQHCs as the residual safety-net infrastructure — major workforce + capacity shock for LA FQHCs. Tied directly to Measure ER&apos;s polling failure (47/45 split, below 2/3 threshold). Strategic implication for LA-area FQHCs (AltaMed, St. John&apos;s, Eisner, JWCH, Northeast Valley, Watts Healthcare, Venice Family Clinic): (1) capacity scenario planning for DHS-displaced patient absorption — model 10/25/50% surge scenarios in nearby ZIP codes; (2) primary-care + ED-substitution staffing plans with a 12-month lead time; (3) coalition coordination with LA County Health Agency on transition planning if any closure proceeds; (4) advocacy alignment with Measure ER campaign through November 2026 ballot. Pairs with the LA County FY26-27 $48.8B budget cycle and Section 504 extension as the May 2026 LA cluster.

Primary source: LAist — https://laist.com/news/politics/la-county-financial-future</description>
      <pubDate>Fri, 08 May 2026 00:00:00 GMT</pubDate>
      <guid isPermaLink="true">https://www.fqhctalent.com/intel/la-county-dhs-hospital-closure-on-table-may-2026</guid>
      <category>funding</category>
      <source url="https://laist.com/news/politics/la-county-financial-future">LAist</source>
    </item>
    <item>
      <title>LA County DHS Drains $743.6M From Reserves to Absorb $662M Federal Cut — One-Year Stay of Execution Before Structural Cuts Hit FQHC Referral Pipelines</title>
      <link>https://www.fqhctalent.com/intel/la-dhs-reserve-drawdown-fy2026-27</link>
      <description>LA County DHS — the safety-net hospital system that backstops every LA FQHC for specialty referrals, hospital admits, and emergency backup — will burn $743.6M in one-time fund balance to plug a $662M federal funding hole in the FY2026-27 budget. Budget hearings began May 6, 2026. The math: this is a one-year reprieve, not a solution. When reserves run out in FY2027-28, the cuts hit clinical operations directly — meaning specialty referral wait times balloon, ED diversions resume, and patients without LA DHS backup default to FQHC ED/UC visits with no reimbursement uplift. Strategic implication: LA FQHCs (AltaMed, St. John&apos;s, Eisner, Northeast Valley, Watts, KHEIR, LA LGBT Center, Harbor, APHCV, El Proyecto) should treat FY2026 as planning year for a FY2027-28 specialty referral capacity crunch. Action items: (1) map current DHS referral volume by specialty, (2) identify alternative specialist partners (university health systems, CA Medical Association referral networks, telehealth specialty), (3) include DHS-dependency scenario in board strategy decks. Pairs with Measure ER outcome (June 2) as the two-variable equation for LA FQHC FY2027-28 viability.

Primary source: LA County Recommended Budget FY2026-27 — https://lacounty.gov/2026/04/13/26-27-recommended-budget-press-release/</description>
      <pubDate>Wed, 06 May 2026 00:00:00 GMT</pubDate>
      <guid isPermaLink="true">https://www.fqhctalent.com/intel/la-dhs-reserve-drawdown-fy2026-27</guid>
      <category>funding</category>
      <source url="https://lacounty.gov/2026/04/13/26-27-recommended-budget-press-release/">LA County Recommended Budget FY2026-27</source>
    </item>
    <item>
      <title>8 LA County Hospitals Named At-Risk Under H.R. 1 — PIH Good Samaritan, MLK Jr. Willowbrook, Hollywood Pres, Glendale Memorial</title>
      <link>https://www.fqhctalent.com/intel/8-la-county-hospitals-named-at-risk-april-2026</link>
      <description>Los Cerritos Community News analysis (April 19, 2026) names 8 specific LA County hospitals at heightened closure risk under H.R. 1 Medicaid cuts: PIH Good Samaritan, East LA Doctors, LA Downtown Medical, MLK Jr. Community Hospital (Willowbrook), Hollywood Presbyterian, Glendale Memorial, Adventist Health Glendale, Providence St. Joseph (Burbank). Part of the broader 83 California hospitals at-risk per Public Citizen analysis. Direct FQHC referral-network risk: St. John&apos;s, Eisner, JWCH, Watts Healthcare, Northeast Valley all rely on these hospitals for ED diversion, specialist referrals, and inpatient admissions. If any close, FQHCs absorb the displaced ED volume and lose their referral path. MLK Jr. Willowbrook serves the same South LA catchment as Watts Healthcare — that closure scenario alone would be devastating.

Primary source: Los Cerritos Community News — https://www.loscerritosnews.net/2026/04/19/big-beautiful-bill-cuts-come-into-clearer-focus-across-california-with-l-a-county-hospitals-at-center-of-risk/</description>
      <pubDate>Sun, 19 Apr 2026 00:00:00 GMT</pubDate>
      <guid isPermaLink="true">https://www.fqhctalent.com/intel/8-la-county-hospitals-named-at-risk-april-2026</guid>
      <category>funding</category>
      <source url="https://www.loscerritosnews.net/2026/04/19/big-beautiful-bill-cuts-come-into-clearer-focus-across-california-with-l-a-county-hospitals-at-center-of-risk/">Los Cerritos Community News</source>
    </item>
    <item>
      <title>Children&apos;s Hospital Los Angeles Cutting 439 Positions in Strategic Realignment — Pediatric Referral Capacity at Risk</title>
      <link>https://www.fqhctalent.com/intel/chla-439-position-layoff-oct-2026</link>
      <description>Children&apos;s Hospital Los Angeles announced elimination of 439 positions (253 layoffs + 186 open roles) effective October 28, 2026 as part of a strategic realignment. CHLA is not an FQHC, but serves as the pediatric subspecialty referral backbone for LA&apos;s safety-net FQHCs — AltaMed, St. John&apos;s, Northeast Valley, Venice Family Clinic, and QueensCare all route complex pediatric cases through CHLA. Workforce reductions threaten referral wait times and specialty access for Medi-Cal pediatric patients, compounding LA County&apos;s $662M DHS funding decline.

Primary source: Becker&apos;s Hospital Review — https://www.beckershospitalreview.com/finance/20-hospitals-health-systems-cutting-jobs/</description>
      <pubDate>Sat, 18 Apr 2026 00:00:00 GMT</pubDate>
      <guid isPermaLink="true">https://www.fqhctalent.com/intel/chla-439-position-layoff-oct-2026</guid>
      <category>workforce</category>
      <source url="https://www.beckershospitalreview.com/finance/20-hospitals-health-systems-cutting-jobs/">Becker&apos;s Hospital Review</source>
    </item>
    <item>
      <title>LA County FY26-27 Recommended Budget Codifies $662.2M Federal Revenue Decline for DPH</title>
      <link>https://www.fqhctalent.com/intel/la-county-fy2026-27-recommended-budget-dph-662m-cut</link>
      <description>Los Angeles County&apos;s FY2026-27 Recommended Budget (released April 14, transmittal letter to Board of Supervisors) projects a $662.2M federal revenue decline for the public hospital and DPH system — the first codified dollar figure that replaces the earlier $1.5B &apos;federal cuts warning&apos; with line-item budget reality. Up to 5,000 staff face layoffs, reassignments, or schedule reductions across SEIU 721 and CNA-represented roles, and the County CEO has now publicly described public-hospital closure as &apos;a possibility.&apos; Six DPH clinics remain after the February 27 closure of seven. Board hearings continue through May 2026; final adoption typically June. Strategic implication for LA-area FQHCs (AltaMed, St. John&apos;s, Northeast Valley, Eisner, Valley Community, LA LGBT Center, El Proyecto, Harbor Community, APHCV, Mission City, Northeast Community, Chinatown Service Center, Children&apos;s Clinic, White Memorial, Hurtt Family, Serve the People): patient-volume absorption planning needs to assume material DPH-FQHC referral capacity reductions, not just incremental ones — model FY26-27 visit-volume scenarios at +10%, +20%, +30% above current baseline and align hiring/staffing accordingly. Workforce-side: 5,000 displaced county workers create a hiring opportunity if FQHC compensation can compete; align with Transition Toolkit positioning and the parallel LA County health-tax ballot measure timeline.

Primary source: Los Angeles County — https://file.lacounty.gov/SDSInter/lac/1206152_2026-27RecommendedBudget_TransmittalBoardLetter_FINAL.pdf</description>
      <pubDate>Tue, 14 Apr 2026 00:00:00 GMT</pubDate>
      <guid isPermaLink="true">https://www.fqhctalent.com/intel/la-county-fy2026-27-recommended-budget-dph-662m-cut</guid>
      <category>funding</category>
      <source url="https://file.lacounty.gov/SDSInter/lac/1206152_2026-27RecommendedBudget_TransmittalBoardLetter_FINAL.pdf">Los Angeles County</source>
    </item>
    <item>
      <title>LA County FY2026-27 Recommended Budget Released April 13 — $63.2M New Funding vs $2.1B Unmet Department Needs</title>
      <link>https://www.fqhctalent.com/intel/la-county-fy26-27-budget-2-1b-unmet-need-april-13-2026</link>
      <description>Los Angeles County released its FY2026-27 Recommended Budget April 13, 2026 — $48.8B total, about 7% below the prior year, removing 81 vacant positions with no layoffs — with public hearings beginning May 6. The budget avoids across-the-board cuts of the prior year but includes only $63.2M new ongoing local funding against $2.1B in unmet department needs — a 33-to-1 gap. The Trump administration&apos;s proposed federal budget would yank $200M (12%) from LA County DPH and ~$750M/year from DHS (4 hospitals, ~24 clinics). Indirect but material FQHC impact: LA&apos;s 89 FQHCs absorb the patient overflow when DHS reduces capacity, when DPH closes clinics (7 closed Feb 27 over $50M cut), and when county-funded BH/CHW/care-coordination contracts shrink. Strategic implication: LA-county FQHC executives should attend the May 6 public hearing or submit written testimony, especially CEOs of AltaMed, St. John&apos;s, Northeast Valley Health, Watts Healthcare, and APAIT/SSG — the highest-volume LA FQHCs. The $2.1B gap WILL force eventual service eliminations; better to shape which services FQHCs are positioned to absorb.

Primary source: Los Angeles County — https://lacounty.gov/2026/04/13/26-27-recommended-budget-press-release/</description>
      <pubDate>Mon, 13 Apr 2026 00:00:00 GMT</pubDate>
      <guid isPermaLink="true">https://www.fqhctalent.com/intel/la-county-fy26-27-budget-2-1b-unmet-need-april-13-2026</guid>
      <category>funding</category>
      <source url="https://lacounty.gov/2026/04/13/26-27-recommended-budget-press-release/">Los Angeles County</source>
    </item>
    <item>
      <title>LA County Measure ER Trailing 47-45 Five Weeks From June 2 Vote — St. John&apos;s Community Health $4M+ in to Defend $1B/Year Safety-Net Backfill</title>
      <link>https://www.fqhctalent.com/intel/la-county-measure-er-polling-47-45-april-3-2026</link>
      <description>LA County Measure ER (June 2, 2026 ballot) is trailing 47% oppose / 45% support in early-April polling — five weeks from the vote. Allocation: 45% to nonprofit clinics serving uninsured, 22% county hospitals/clinics, 10% DPH. St. John&apos;s Community Health CEO Jim Mangia leads the campaign committee with $4M+ raised. SEIU 721 and California Community Foundation each contributed $200K. Polling under 50% with five weeks left signals serious risk. Stakes: if Measure ER fails, 28-clinic St. John&apos;s faces ~33% revenue loss on $240M base — a leading FQHC&apos;s solvency turns on this vote. Other LA-area FQHCs (AltaMed, Eisner, Saban, JWCH, Northeast Valley, Watts) would lose meaningful safety-net backfill as H.R. 1 cuts arrive.

Primary source: LAist — https://laist.com/news/politics/voter-guides/2026-election-california-primary-la-county-sales-tax-measure-er</description>
      <pubDate>Fri, 03 Apr 2026 00:00:00 GMT</pubDate>
      <guid isPermaLink="true">https://www.fqhctalent.com/intel/la-county-measure-er-polling-47-45-april-3-2026</guid>
      <category>funding</category>
      <source url="https://laist.com/news/politics/voter-guides/2026-election-california-primary-la-county-sales-tax-measure-er">LAist</source>
    </item>
    <item>
      <title>SEIU-UHW Submits Signatures for California Executive Pay Cap Ballot Initiative — Second Front on FQHC Compensation</title>
      <link>https://www.fqhctalent.com/intel/seiu-uhw-executive-pay-cap-ballot-signatures-april-3-2026</link>
      <description>SEIU-UHW submitted signatures April 3, 2026 for two parallel California ballot initiatives: the 90% mission-spend measure (already tracked) AND a NEW executive compensation cap targeting nonprofit clinic CEOs, CMOs, and CFOs. The exec-pay initiative is material leadership-retention risk for large CA FQHCs — AltaMed, LACC, Neighborhood Healthcare, St. John&apos;s — whose top executives earn in ranges the cap would target. Combined with AB 1113, this is a two-front SEIU-UHW campaign heading to the November 2026 ballot.

Primary source: Ballotpedia — https://news.ballotpedia.org/2026/04/03/seiu-uhw-submits-signatures-for-california-ballot-initiatives-capping-executive-pay-and-requiring-clinics-to-spend-90-on-patient-care/</description>
      <pubDate>Fri, 03 Apr 2026 00:00:00 GMT</pubDate>
      <guid isPermaLink="true">https://www.fqhctalent.com/intel/seiu-uhw-executive-pay-cap-ballot-signatures-april-3-2026</guid>
      <category>legislation</category>
      <source url="https://news.ballotpedia.org/2026/04/03/seiu-uhw-submits-signatures-for-california-ballot-initiatives-capping-executive-pay-and-requiring-clinics-to-spend-90-on-patient-care/">Ballotpedia</source>
    </item>
    <item>
      <title>3,400+ California Healthcare Workers Laid Off Since Mid-March — Second Wave of Hospital Cuts</title>
      <link>https://www.fqhctalent.com/intel/ca-hospitals-3400-layoffs-second-wave-march-2026</link>
      <description>California hospitals have laid off more than 3,400 healthcare workers since mid-March 2026, with 1,600 coming from Santa Barbara to Orange County and the Inland Empire. Hospital executives warn of a second wave of layoffs as H.R. 1 continues to phase in Medicaid funding reductions over the next several years. The cuts affect Medi-Cal coverage for 15M+ residents including 1.6M undocumented immigrants. An estimated 289,000 Medi-Cal members may lose coverage by June 2026, rising to 400,000 by 2029-2030. St. John&apos;s Community Health (28 clinics, 144K patients across LA/Riverside/SB) warns of extreme state and federal cuts impacting services.

Primary source: Orange County Register — https://www.ocregister.com/2026/03/22/california-hospitals-laying-off-thousands-as-funding-cuts-trickle-down/</description>
      <pubDate>Sun, 22 Mar 2026 00:00:00 GMT</pubDate>
      <guid isPermaLink="true">https://www.fqhctalent.com/intel/ca-hospitals-3400-layoffs-second-wave-march-2026</guid>
      <category>workforce</category>
      <source url="https://www.ocregister.com/2026/03/22/california-hospitals-laying-off-thousands-as-funding-cuts-trickle-down/">Orange County Register</source>
    </item>
    <item>
      <title>Sen. Durazo Introduces SB 1422 to Reverse Medi-Cal Cuts for Undocumented Adults</title>
      <link>https://www.fqhctalent.com/intel/sb-1422-durazo-uis-medi-cal-restoration</link>
      <description>California Sen. Maria Elena Durazo (D-Los Angeles) introduced SB 1422 to restore full Medi-Cal eligibility for all income-qualifying adults regardless of immigration status — reversing the January 2026 enrollment freeze that blocked new undocumented applicants (and, as introduced, the then-proposed dental cuts and UIS premium). Nearly 1.7M undocumented immigrants are currently enrolled in Medi-Cal. The freeze eliminated PPS payments to FQHCs for UIS patients, forcing health centers to absorb care costs or turn patients away.

Primary source: CalMatters — https://calmatters.org/health/2026/03/durazo-reverse-medical-undocumented-immigrants/</description>
      <pubDate>Tue, 10 Mar 2026 00:00:00 GMT</pubDate>
      <guid isPermaLink="true">https://www.fqhctalent.com/intel/sb-1422-durazo-uis-medi-cal-restoration</guid>
      <category>undocumented-access</category>
      <source url="https://calmatters.org/health/2026/03/durazo-reverse-medical-undocumented-immigrants/">CalMatters</source>
    </item>
    <item>
      <title>CA&apos;s FQHC UIS-PPS Cut ($1B/yr) — Deferred to July 1, 2027 in Signed Budget</title>
      <link>https://www.fqhctalent.com/intel/ca-pps-elimination-uis-july-2026</link>
      <description>UPDATE (June 30, 2026): the 2026-27 California budget signed June 29 DELAYS this cut 12 months to July 1, 2027 ($1.034B General Fund appropriated for 2026-27). The analysis below describes the cut if it takes effect. Originally slated for July 1, 2026, California&apos;s proposal eliminates use of the Prospective Payment System for FQHC services to state-only-funded individuals with unsatisfactory immigration status (UIS). FQHCs would instead be paid at the regular Medi-Cal fee-for-service rate or negotiated managed care plan rates — roughly 50–70% less per encounter than the PPS rate ($200–400/visit). The CA LAO scored this as $1 billion in annual General Fund savings, meaning $1 billion in annual FQHC revenue loss when implemented. FQHCs with large undocumented patient panels — concentrated in LA, San Diego, and Central Valley — face the most severe July 1, 2027 exposure unless the next budget extends the reprieve.

Primary source: California Health Care Foundation — https://www.chcf.org/resource/how-massive-federal-cuts-will-create-unprecedented-challenges-medi-cal-patients-providers/</description>
      <pubDate>Sun, 08 Mar 2026 00:00:00 GMT</pubDate>
      <guid isPermaLink="true">https://www.fqhctalent.com/intel/ca-pps-elimination-uis-july-2026</guid>
      <category>legislation</category>
      <source url="https://www.chcf.org/resource/how-massive-federal-cuts-will-create-unprecedented-challenges-medi-cal-patients-providers/">California Health Care Foundation</source>
    </item>
    <item>
      <title>California to Charge Undocumented Medi-Cal Members $30/Month Starting July 2027</title>
      <link>https://www.fqhctalent.com/intel/medi-cal-30-premium-undocumented-2027</link>
      <description>Beginning July 1, 2027, Medi-Cal members ages 19–59 who are undocumented or have unsatisfactory immigration status (UIS) and remain in full-coverage Medi-Cal will be required to pay a $30 monthly premium to maintain coverage. The UIS dental elimination and the FQHC UIS-PPS cut — both originally slated for July 1, 2026 — were deferred 12 months to July 1, 2027 in the 2026-27 California budget signed June 29, 2026. Combined with the January 2026 enrollment freeze, this represents a compounding disinvestment in California&apos;s 1.6 million undocumented Medi-Cal enrollees — raising coverage loss and FQHC revenue risk.

Primary source: CA Department of Health Care Services — https://www.dhcs.ca.gov/Medi-Cal/Pages/immigration-status-categories.aspx</description>
      <pubDate>Sat, 07 Mar 2026 00:00:00 GMT</pubDate>
      <guid isPermaLink="true">https://www.fqhctalent.com/intel/medi-cal-30-premium-undocumented-2027</guid>
      <category>undocumented-access</category>
      <source url="https://www.dhcs.ca.gov/Medi-Cal/Pages/immigration-status-categories.aspx">CA Department of Health Care Services</source>
    </item>
    <item>
      <title>LA County Faces $1.5B in Federal Cuts — Hospital Closure Now Possible</title>
      <link>https://www.fqhctalent.com/intel/la-county-1-5b-federal-cuts-hospital-closure</link>
      <description>LA County CEO warned of &apos;devastating&apos; service reductions as $1.5B in federal cuts hit over 5 years. The Department of Health Services — 70% of its $6.5B budget from federal funds — projects a $1.85B annual deficit by 2028-29. A county public hospital closure is now &apos;last resort&apos; on the table. 700K+ residents could lose Medi-Cal under new work requirements. St. John&apos;s Community Health (120K patients) faces &apos;closing several health centers&apos; and &apos;laying off hundreds of staff.&apos; Hiring freeze already in effect.

Primary source: LAist — https://laist.com/news/politics/la-county-financial-future</description>
      <pubDate>Wed, 04 Mar 2026 00:00:00 GMT</pubDate>
      <guid isPermaLink="true">https://www.fqhctalent.com/intel/la-county-1-5b-federal-cuts-hospital-closure</guid>
      <category>funding</category>
      <source url="https://laist.com/news/politics/la-county-financial-future">LAist</source>
    </item>
    <item>
      <title>California Democrats Push to Restore Healthcare Benefits for Undocumented Immigrants</title>
      <link>https://www.fqhctalent.com/intel/ca-democrats-restore-undocumented-benefits</link>
      <description>California Democratic legislators introduce measures to restore Medi-Cal benefits for undocumented adults that were frozen in January 2026, citing the public health and economic costs of coverage gaps. If successful, this would reverse the enrollment freeze and restore PPS encounter revenue for FQHCs serving undocumented populations.

Primary source: Health Access California — https://health-access.org/senator-durazo-and-assemblymember-arambula-introduce-medi-cal-access-restoration-act-to-reverse-enrollment-freeze-for-undocumented-californians/</description>
      <pubDate>Fri, 27 Feb 2026 00:00:00 GMT</pubDate>
      <guid isPermaLink="true">https://www.fqhctalent.com/intel/ca-democrats-restore-undocumented-benefits</guid>
      <category>legislation</category>
      <source url="https://health-access.org/senator-durazo-and-assemblymember-arambula-introduce-medi-cal-access-restoration-act-to-reverse-enrollment-freeze-for-undocumented-californians/">Health Access California</source>
    </item>
    <item>
      <title>L.A. Care Health Plan Lays Off 225 Employees Amid Federal Funding Cuts</title>
      <link>https://www.fqhctalent.com/intel/la-care-225-layoffs</link>
      <description>L.A. Care Health Plan, the nation&apos;s largest publicly operated health plan, files WARN Act notice for 225 employees effective March 13, 2026. The managed care plan cites federal funding reductions. As a major ECM and managed care contractor for LA-area FQHCs, these cuts may ripple into FQHC contract revenue.

Primary source: Becker&apos;s Payer Issues — https://www.beckerspayer.com/workforce/7-payers-cutting-jobs-2026/</description>
      <pubDate>Wed, 25 Feb 2026 00:00:00 GMT</pubDate>
      <guid isPermaLink="true">https://www.fqhctalent.com/intel/la-care-225-layoffs</guid>
      <category>workforce</category>
      <source url="https://www.beckerspayer.com/workforce/7-payers-cutting-jobs-2026/">Becker&apos;s Payer Issues</source>
    </item>
    <item>
      <title>Prospect Medical Holdings: Facility Closures and Asset Sales Across LA County</title>
      <link>https://www.fqhctalent.com/intel/prospect-medical-closures</link>
      <description>Private equity-backed Prospect Medical Holdings continues downsizing LA County operations, closing facilities and selling assets. Community health advocates warn that closures in under-resourced areas push more patients toward FQHCs, increasing demand without corresponding funding increases.

Primary source: ElevenFlo — https://elevenflo.com/blog/prospect-medical-holdings-bankruptcy</description>
      <pubDate>Fri, 20 Feb 2026 00:00:00 GMT</pubDate>
      <guid isPermaLink="true">https://www.fqhctalent.com/intel/prospect-medical-closures</guid>
      <category>merger-acquisition</category>
      <source url="https://elevenflo.com/blog/prospect-medical-holdings-bankruptcy">ElevenFlo</source>
    </item>
    <item>
      <title>LA County Public Health Closing 7 Clinics — $50M in Federal, State, and Local Cuts</title>
      <link>https://www.fqhctalent.com/intel/la-county-dph-7-clinics-closing</link>
      <description>Los Angeles County Department of Public Health announced closures of 7 clinics effective February 27, 2026, citing over $50 million in cumulative federal, state, and local funding cuts. Clinics closing include Antelope Valley, Curtis R. Tucker (Inglewood), Pomona, Hollywood Wilshire, Torrance, and two LA locations. Services affected include STI testing, vaccinations, and tuberculosis treatment. Federal funding accounts for approximately 50% of the department&apos;s budget. Patients are being redirected to remaining facilities — increased demand on nearby FQHCs is likely.

Primary source: CBS News Los Angeles — https://www.cbsnews.com/losangeles/news/funding-cuts-los-angeles-county-public-health-closing-clinics/</description>
      <pubDate>Fri, 13 Feb 2026 00:00:00 GMT</pubDate>
      <guid isPermaLink="true">https://www.fqhctalent.com/intel/la-county-dph-7-clinics-closing</guid>
      <category>funding</category>
      <source url="https://www.cbsnews.com/losangeles/news/funding-cuts-los-angeles-county-public-health-closing-clinics/">CBS News Los Angeles</source>
    </item>
    <item>
      <title>LA County Healthcare Coalition Proposes Half-Cent Sales Tax to Replace Federal Cuts</title>
      <link>https://www.fqhctalent.com/intel/la-county-healthcare-sales-tax-coalition</link>
      <description>A coalition led by St. John&apos;s Community Health CEO Jim Mangia, SEIU locals 721 and 2015, Community Clinic Association of LA County, and Planned Parenthood is pushing for a half-cent sales tax to offset Medi-Cal cuts affecting 3.3M county residents. Proposed allocation: 47% free/reduced-cost care for uninsured, 22% DHS, 10% DPH. Coalition requesting Board of Supervisors place measure on June ballot or will pursue November initiative through petition.

Primary source: MyNewsLA — https://mynewsla.com/business/2026/01/28/community-health-coalition-proposes-half-cent-la-county-tax-for-healthcare/</description>
      <pubDate>Wed, 28 Jan 2026 00:00:00 GMT</pubDate>
      <guid isPermaLink="true">https://www.fqhctalent.com/intel/la-county-healthcare-sales-tax-coalition</guid>
      <category>lobbying</category>
      <source url="https://mynewsla.com/business/2026/01/28/community-health-coalition-proposes-half-cent-la-county-tax-for-healthcare/">MyNewsLA</source>
    </item>
    <item>
      <title>Medi-Cal Enrollment Freeze for Undocumented Adults Takes Effect</title>
      <link>https://www.fqhctalent.com/intel/medi-cal-enrollment-freeze</link>
      <description>California halts new Medi-Cal enrollment for undocumented adults ages 19 and older as a budget measure, saving $77.9M in 2025-26 but rising to $3.3B by 2028-29. An estimated 1.7M undocumented Californians currently have Medi-Cal. FQHCs must now serve new undocumented patients on the sliding fee scale with no encounter revenue.

Primary source: CalMatters — https://calmatters.org/health/2025/05/newsom-freeze-medi-cal-undocumented-immigrants/</description>
      <pubDate>Thu, 01 Jan 2026 00:00:00 GMT</pubDate>
      <guid isPermaLink="true">https://www.fqhctalent.com/intel/medi-cal-enrollment-freeze</guid>
      <category>undocumented-access</category>
      <source url="https://calmatters.org/health/2025/05/newsom-freeze-medi-cal-undocumented-immigrants/">CalMatters</source>
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