The first post-H.R. 1 budget season splits the states: New York invests $80M in FQHCs while Colorado cuts rates 2% and New Jersey stares into a $3.6B/yr hole

With ~46 states starting FY2027 on July 1, the first budgets written entirely after H.R. 1 sort the country into camps. BACKFILLERS: New York ($1.5B in new Medicaid funding including $80M specifically for FQHC rates — the largest named FQHC investment of the cycle — plus a permanent provider tax), Connecticut ($5M routed directly to FQHCs from its Federal Cuts Response Fund), New Mexico ($40M for immigrant coverage plus an insurer surtax), and Minnesota ($205M to stabilize HCMC plus a $500M hospital uncompensated-care reserve).

CUTTERS: Colorado (2% Medicaid provider rate cut effective July 1, with 65% of its health centers already at negative margins), Florida (special session weighing 3% hospital cuts), and structurally, New Jersey ($3.6B/yr permanent federal loss as its provider-tax mechanism phases down — the inverse of New York's). California sits unresolved past its June 15 deadline with the MCO tax in the balance.

The divergence is the strategy lesson: the same federal law produces opposite state responses depending on whether a provider-tax mechanism survives — which is exactly what California is fighting about this week.