FQHCs Exempt from New $35 Medicaid Copays — Competitive Advantage
Under H.R. 1, states can impose up to $35 copays on Medicaid visits — but FQHCs are exempt by statute. This creates a significant competitive advantage: patients will face copays at hospitals and private clinics but not at FQHCs. Health centers should proactively market this exemption to attract and retain patients.
Key takeaways
- H.R. 1 allows states to impose up to $35 Medicaid copays — but FQHCs are exempt by statute
- Patients face copays at hospitals and private clinics but NOT at FQHCs
- Action: proactively market this exemption to attract and retain patients
Primary source
KFFFQHC Talent. (2026, February 24). FQHCs Exempt from New $35 Medicaid Copays — Competitive Advantage. Primary source: KFF. Retrieved April 28, 2026, from https://www.fqhctalent.com/intel/fqhc-copay-exemption
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