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Compare any states side by side, see who shares your playbook — work requirements, 340B, budgets, immigrant coverage, labor signals — and look ahead with the foresight calendar. Every claim primary-sourced.
59
Jurisdictions
862
Intelligence items
40
States with signals
35
Foresight events
Intel updated 2026-06-11 · signals 2026-06-11
What these states share
| Metric | California Deep dashboard | New York State page | Georgia State page |
|---|---|---|---|
| Health centers | 213 | 73 | 36 |
| Sites | 1,960 | 884 | 468 |
| Patients (UDS 2024) | See deep dashboard | 2,488,314 | 750,212 |
| Medicaid % | — | 53.5% | 25.7% |
| Uninsured % | — | 12.7% | 25.6% |
| Medicaid expansion | Expanded | Expanded | Non-expansion |
| NP scope | — | Full practice | Restricted |
| Medicaid program | Medi-Cal | New York Medicaid | Georgia Medicaid |
| Primary Care Assoc. | CPCA | CHCANYS | GPCA |
| Resilience snapshot | Own engine on its dashboard | 8 strong31 stable32 watch2 exposed | 1 strong16 stable16 watch3 exposed |
| Work requirements | Building for 2027 CMS 'Emmy' rails + county systems; ~5.6M CHC patients exposed nationally — CA most by volume | Building for 2027 Jan 1, 2027 via NY State of Health; 12-month continuous eligibility for MAGI adults ends July 1, 2026; up to 800K exposed | Live now Pathways to Coverage: 16,782 active enrollees (<5% of ~359K potential); waiver expires Dec 31, 2026 → must conform to H.R.1 |
| 340B | Bill advancing AB 1460 (contract-pharmacy protection) — June 24 Senate Health hearing; WA's June 9 win is its freshest precedent | Bill advancing S.1913 anti-discrimination act passed the Senate 48-12 June 4 → Assembly Health | — |
| Budget direction | Unresolved June 15 deadline: MCO-tax renewal vs $285/employee fee standoff; June 30 CMS transition cliff (~$1.1B) | Backfiller $80M FQHC Medicaid rate increase enacted in a $1.5B provider package; MCO tax permanent at 0.35% — but no Essential Plan backfill (~450K lose July 1) | Mixed 5% Medicaid primary-care rate increase + 124 residency slots, but reinsurance cut $50M and Gateway upgrade rejected |
| Immigrant coverage | Capping UIS enrollment freeze + July 1 dental rollback (~2M) + State-Only PPS elimination | — | — |
| RHTP year-1 award | — | — | $218.8M |
| Labor signal | Deepest tracked labor landscape: SEIU-UHW ballot war (Nov 3), NUHW/UAPD organizing wave, Peak-Vista-style NLRB actions — see /strategy/labor-relations | — | — |
| Tracked intel | 388 items · newest 2026-12-31 | 10 items · newest 2026-05-28 | 12 items · newest 2026-04-21 |
Latest from California
2026-12-31 · CA DHCS
2026-06-10 · NBC Los Angeles / LA County Registrar-Recorder
Latest from New York
2026-04-06 · New York State Bar Association
2026-02-12 · Fiscal Policy Institute
Latest from Georgia
2026-04-21 · Healthbeat Atlanta
Every value is backed by a primary-sourced item in that state's feed. Tap a row for the notes; tap a state to add it to the comparison.
| State | Work req | 340B | Budget | Immigrant | RHTP | Labor |
|---|---|---|---|---|---|---|
| Building for 2027 | Bill advancing | Unresolved | Capping | — | Yes | |
| — | — | Mixed | Restricting | — | — | |
| Building for 2027 | Bill advancing | Backfiller | — | — | — | |
| — | Bill advancing | Mixed | Ended | — | — | |
| — | Law upheld | — | Capping | — | — | |
| Least stringent | Bill died | — | — | $202M | — | |
| Building for 2027 | — | Unresolved | — | $193M | — | |
| Building for 2027 | — | Mixed | — | — | Yes | |
| Building for 2027 | FQHCs exempted | — | — | $206.9M | — | |
| Live now | — | Mixed | — | $218.8M | — | |
| Building for 2027 | Law passed | Unresolved | — | $173M | — | |
| — | — | Cutter | — | — | — | |
| Mitigating | — | Mixed | — | $216.3M | — | |
| Building for 2027 | — | Cutter | Capping | $200.1M | Yes | |
| — | En banc rehearing | — | — | — | — | |
| — | Law upheld | — | — | — | — | |
| — | — | Backfiller | — | — | — | |
| Mitigating | — | Backfiller | Backfilling | $197.3M | — | |
| Building for 2027 | Study group | Unresolved | Restricting | — | — | |
| Mitigating | En banc rehearing | — | — | $168.2M | — | |
| Early enforcer | Law upheld | Mixed | — | $209M | — | |
| Building for 2027 | — | — | Restricting | $223.5M | — | |
| — | — | Backfiller | Backfilling | — | — | |
| — | Expiring | — | — | $221M | — | |
| — | Law upheld | — | — | — | — | |
| Building for 2027 | Bill died | — | — | $203.7M | — | |
| Early enforcer | — | — | — | $209M | — | |
| Early enforcer | — | Mixed | — | $186M | — | |
| Building for 2027 | — | Backfiller | — | $156.2M | — | |
| Building for 2027 | — | — | — | — | — | |
| Building for 2027 | — | Backfiller | — | $195M | — | |
| — | — | Backfiller | Backfilling | — | — | |
| — | — | Backfiller | Ended | — | — | |
| Building for 2027 | — | — | — | — | — | |
| Mitigating | — | — | — | — | — | |
| Building for 2027 | — | — | — | $189.4M | — | |
| Early enforcer | — | — | — | — | — | |
| Early enforcer | — | Cutter | — | $233.5M | Yes | |
| Building for 2027 | — | Backfiller | — | $204M | — | |
| Early enforcer | Struck down | — | — | $199M | — |
States grouped by the play they're actually running. Tap any state to add it to the comparison.
States pairing the federal mandate with explicit protections: data-first verification, FQHC cost-sharing exemptions, homeless exemptions, constitutional shields.
States standing up systems, staffing, and member notices for the federal 80-hour mandate.
The edge cases the rest of the country is watching: Georgia's live program, Nebraska's early enforcement, Ohio's least-stringent design.
Contract-pharmacy laws upheld in court (5th Cir: LA+MS; 8th Cir: AR; WA's June 9 win) or FQHCs carved out of cuts (IN).
En banc rehearings (MD, WV), bills advancing (NY, CA), study committees (VA), expirations (KS), and the struck-down cautionary tale (ND).
States putting their own money behind the safety net after H.R.1 (NY's $80M FQHC raise, OR's first-in-nation backfill law, CT, NM, MN).
Rate cuts landing (CO), structural losses (NJ), and unresolved standoffs with June 30 deadlines (PA, VA, MI, CA).
Backfilling (OR, NM) vs capping (CO, WA, CA) vs ending/phasing out (MN, IL, DC) — the same federal law, opposite state answers.
Where health-center labor relations are moving: NLRB orders, layoff waves, and California's full tracked landscape.
Dated deadlines, cliffs, and implementations — through the Dec 31, 2026 triple cliff and the Jan 1, 2027 federal mandate.
June 2026
California budget deadline — MCO-tax standoff
GREAT Health Phase 4 competitive grants open (FQHCs eligible)
RHTP sub-grant deadline
Rural Health Hub Anchor applications due ($216.3M program)
RHTP Community Health Worker + Food-is-Medicine grant round closes (clinics eligible)
RHTP sub-grant deadline
Council's decisive FY2027 budget vote — Alliance reopening + $800K FQHC grants ride on it
AB 1460 (340B) Senate Health hearing
RHTP Digital Health Modernization grants due — FQHCs explicitly eligible
Federal work-requirement member-outreach window opens (states must notify June 30 – Aug 31)
State budget deadlines — CHC line item (PA) and ACA bridge (VA) in play
State 340B protections expire
ACO Community Partners contracts expire (200 care-management jobs)
CMS MCO-tax transition approval lapses (~$1.1B exposure)
July 2026
Medicaid work requirements go live early — the nation's 2nd and 3rd enforcing states (after NE)
Essential Plan cliff — ~450K lose coverage, no state backfill
State-Only (UIS) PPS elimination + dental rollback (~2M) + SB 525 $22 step
2% Medicaid provider rate cut + $1,100 Cover All Coloradans dental cap
RHTP sub-grant deadline; FQHC 340B exemption takes effect
Pharmacist Medicaid billing opens (vaccines, tests, antivirals, contraceptives)
RHTP sub-grant deadlines: KS $9.5M emerging technology (incl. AI) · OK $2.8M behavioral health
August 2026
Work-requirement notification letters begin
September 2026
Formal work-requirement outreach/notices
Federal discretionary health-center funding expires (FY cliff #1)
October 2026
Federal Medicaid eligibility restriction for refugees/asylees/parolees
RHTP year-1 funds must be fully awarded or risk federal clawback
RHTP year-1 commitment deadline ($193M)
November 2026
340B work-group report due to four committees
Ballot measures: CA's three-measure healthcare war; SD Amendment I expansion condition
December 2026
Iowa work requirements begin — a month early, with zero optional hardship exemptions
Medicaid Spending Commission report — 3 weeks before the federal cliff
ND + ID work requirements begin a day ahead of the federal deadline
THE TRIPLE CLIFF: Community Health Center Fund (~$4.6B/yr) expires — no reauthorization bill exists; GA Pathways waiver + CA CalAIM 1115 + CA MCO tax also expire
January 2027
Federal 80-hour Medicaid work requirements — full implementation deadline (every expansion state)
March 2027
First work-requirement coverage terminations
Download the dataset
59 jurisdictions compared · 862 primary-sourced, real-dated intelligence items · strategy signals · foresight calendar through January 2027. Free in exchange for your email — it subscribes you to the weekly FQHC Intel Brief (unsubscribe anytime).
Methodology: health center, site, patient, and payer-mix data come from HRSA UDS 2024; expansion, NP scope, and PCA from the state policy registry; resilience is a percentile signal (not a prediction); and every strategy signal is backed by a primary-sourced item in that state's feed. Where we don't hold a verified value, we show “—” rather than guess. California and Texas keep their own deep dashboards.