NACHC Warns Senate Finance: Reconciliation Bill Would Cut $7B from Community Health Centers Over 10 Years — 'The Most Significant Threat in 60 Years'
NACHC submitted formal testimony to the Senate Finance Committee warning that H.R. 1's combined Medicaid provisions — per-capita caps, work requirements, FMAP reductions, and Section 330 grant cuts — would eliminate $7B in community health center funding over 10 years, close an estimated 1 in 5 health centers, and displace 7.6M patients.
NACHC CEO Gerard Clancy called it 'the most significant threat to the health center movement in 60 years.' The testimony is being circulated directly to Senate moderates (Collins, Murkowski, Capito) as budget reconciliation negotiations intensify.
Key takeaways
- Use NACHC's $7B / 7.6M patients / 1-in-5 closures framing in all Congressional outreach — it is the most credible, sourced quantification of reconciliation impact available and comes from the sector's primary advocacy organization
- Senate Finance moderates are the swing votes — amplify NACHC's testimony through your state primary care association and via direct constituent letters to Collins (ME), Murkowski (AK), and Capito (WV) offices
Primary source
NACHCSource packet
This story's primary source + 4 related tracked stories with theirs — one print-ready digest for your team or board packet.
Free — subscribes you to the weekly Intel Brief. Individual sources are always clickable above, no email needed.
FQHC Talent. (2026, April 17). NACHC Warns Senate Finance: Reconciliation Bill Would Cut $7B from Community Health Centers Over 10 Years — 'The Most Significant Threat in 60 Years'. Primary source: NACHC. Retrieved July 28, 2026, from https://www.fqhctalent.com/intel/nachc-senate-finance-7b-reconciliation-warning-2026
More in Legislation
Jul 24
HHS strips disparate-impact liability out of its Title VI regulations — final rule, effective the day it published, no comment period; 45 CFR part 80 binds every Section 330 grantee
Jul 22
Arkansas AG sues 13 drugmakers + a data firm over 340B — the first time a state goes on OFFENSE under its own 340B shield law, with the state health-center association standing beside him
Jul 16
CY2027 Physician Fee Schedule Proposed Rule Lands — CMS Proposes the FQHC PPS Base Rate Rise to $212.91 (+2.5%), Comments Close September 14
Jul 1
8th Circuit Rejects Novartis's Bid to Block Missouri's 340B Contract-Pharmacy Law — Another State Shield Survives a Manufacturer Challenge