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.
Part of
- Health center openings, closures and mergers
Site closures and consolidations
Key points
- 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
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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'. Source: NACHC. Retrieved September 28, 2026, from https://www.fqhctalent.com/intel/nachc-senate-finance-7b-reconciliation-warning-2026
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