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

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 now the single biggest existential funding risk on the calendar for CA FQHCs, more consequential than H.R. 1 implementation specifics. CPCA, NACHC, and CCALAC will increasingly center December 2026 in advocacy through the rest of 2026. CFOs should: (1) build December 2026 cliff scenarios into FY26-27 budgets, (2) accelerate cash reserve targets (NACHC recommends 90+ days operating reserves), (3) line up bridge financing options before the cliff, (4) consider 340B Medicare Advantage strategy and PACE expansion as diversification. NACHC P&I 2027 (typically February) will likely be the most consequential P&I in the program's history if reauthorization remains unresolved.