Continuing Resolution Funds CHCs at $4.6B FY2026 — But December 2026 Cliff Looms with CalAIM Renewal Deadline

The enacted Continuing Resolution funds the Community Health Center Fund at $4.6B annualized for FY2026 (up from $4.5B baseline), with the National Health Service Corps at $350M base, Teaching Health Center Graduate Medical Education at $225M, and telehealth flexibilities extended through 2027. Importantly: the CR runway only extends through December 2026, returning FQHCs to a funding cliff that aligns with the CalAIM 1115 waiver expiration on December 31, 2026. Strategic implication: FY27 hiring decisions made after May 2026 carry structural uncertainty. CFOs and HR directors should: (1) Build contingency hiring plans assuming December 2026 funding pause, (2) Consider 1-year vs multi-year offers for senior hires, (3) Prepare board communication on the December 2026 dual cliff (federal CR + state CalAIM), (4) Engage NACHC P&I Forum 2027 advocacy infrastructure for fall positioning. Pairs with the previously tracked NACHC $7B Senate Finance ask.