HRSA Defers 2025 nsdu hpsa withdrawals to 2027; Affected Texas Designations Stay Proposed for Withdrawal
Issue
On July 1, HRSA announced that HPSA designations identified by the 2025 National Shortage Designation Update would remain in 'Proposed for Withdrawal' status instead of being withdrawn that day. State Primary Care Offices have additional time to review and update them before the next annual Federal Register notice, due on or before July 1, 2027.
Texas FQHCs tied to an affected designation retain it for now, but should verify each site's current HPSA status and score rather than rely on unsupported statewide county totals.
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FQHC Talent. (2026, July 1). HRSA Defers 2025 nsdu hpsa withdrawals to 2027; Affected Texas Designations Stay Proposed for Withdrawal. Source: Health Resources and Services Administration. Retrieved October 6, 2026, from https://www.fqhctalent.com/intel/tx-physician-shortage-pelrp-2026