Commonwealth Fund: 5.6 Million Health Center Patients Face Coverage Loss, $32B Revenue Impact Over 5 Years
The Commonwealth Fund projects 5.6 million community health center Medicaid patients in expansion states will lose coverage under H.R. 1 work requirements. Revenue losses could approach $32 billion over five years.
More than half of CHCs already operate with negative margins, and 2 in 5 have 90 days or less cash on hand. This is the most comprehensive projection of the financial impact on FQHCs specifically.
Part of
- Medicaid work-requirement implementation
- Medicaid financing and eligibility operations
Coverage-loss estimates
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FQHC Talent. (2026, March 28). Commonwealth Fund: 5.6 Million Health Center Patients Face Coverage Loss, $32B Revenue Impact Over 5 Years. Source: Commonwealth Fund. Retrieved September 28, 2026, from https://www.fqhctalent.com/intel/cwf-5-6m-chc-patients-work-requirements-32b
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