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.
Primary source
Commonwealth FundFQHC Talent. (2026, March 28). Commonwealth Fund: 5.6 Million Health Center Patients Face Coverage Loss, $32B Revenue Impact Over 5 Years. Primary source: Commonwealth Fund. Retrieved June 12, 2026, from https://www.fqhctalent.com/intel/cwf-5-6m-chc-patients-work-requirements-32b
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