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Continuing Resolution Funds CHCF at $4.6B Through December 2026 — Multi-Year Reauthorization NOT Included, Cliff Remains Existential Risk

Federal
Updated May 4, 2026Association / sector sourceSource-linkedNACHC

NACHC confirmed in the most recent Continuing Resolution analysis: the Community Health Center Fund (CHCF) is funded at $4.5B annualized for the current FY and $4.6B for FY2026 — but only authorized through December 2026. Telehealth flexibilities and key workforce programs (NHSC, Teaching Health Center, Title VII Section 747) are extended through CHCF expiration.

Multi-year reauthorization NACHC has been pushing for is NOT included.

Strategic implication: the December 2026 CHCF cliff is one of the major existential funding risks on the calendar for CA FQHCs, alongside H.R.

1 implementation specifics. CPCA, NACHC, and CCALAC will increasingly center December 2026 in advocacy through the rest of 2026.

CFOs should:

  • build December 2026 cliff scenarios into FY26-27 budgets
  • accelerate cash reserve targets (NACHC recommends 90+ days operating reserves)
  • line up bridge financing options before the cliff
  • consider 340B Medicare Advantage strategy and PACE expansion as diversification.

NACHC P&I 2027 (typically February) will likely be especially consequential if reauthorization remains unresolved.

Key takeaways

  • CHCF funded at $4.6B FY2026 — but only through December 2026
  • Multi-year reauthorization NOT in CR — cliff remains active risk
  • December 2026 = major existential FQHC funding risk
  • Build cliff scenarios + 90-day reserves + bridge financing now

Linked evidence

NACHC

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#CHCF#December-2026-cliff#$4.6B#multi-year-reauthorization#NHSC#Teaching-Health-Center#Title-VII
Cite this analysis

FQHC Talent. (2026, May 4). Continuing Resolution Funds CHCF at $4.6B Through December 2026 — Multi-Year Reauthorization NOT Included, Cliff Remains Existential Risk. Linked evidence: NACHC. Retrieved September 20, 2026, from https://www.fqhctalent.com/intel/nachc-cr-4-6b-chcf-december-2026-cliff-may-2026

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