NACHC: H.R. 1 Will Generate $7 Billion/Year in Uncompensated Care for Community Health Centers
NACHC estimates the reconciliation law will lead to approximately $7 billion per year in higher costs from uncompensated care and increased operational burdens for CHCs. Commonwealth Fund estimates 5.6 million CHC Medicaid patients in expansion states could lose coverage, with revenue losses approaching $32 billion over five years.
2 in 5 CHCs have 90 days or less cash on hand. More than half already operate with negative margins. This is the most authoritative national cost estimate from the sector's own trade association.
Primary source
NACHC / Commonwealth FundSource packet
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FQHC Talent. (2026, March 28). NACHC: H.R. 1 Will Generate $7 Billion/Year in Uncompensated Care for Community Health Centers. Primary source: NACHC / Commonwealth Fund. Retrieved July 28, 2026, from https://www.fqhctalent.com/intel/nachc-7b-uncompensated-care-hr1-estimate
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