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Compare jurisdictions side by side, see who shares your playbook (work requirements, 340B, budgets, immigrant coverage, and labor trends), and look ahead. Source links point to official or first-party material where available, with attributed analysis or journalism otherwise.
59
Jurisdictions
2,382
Page-linked items
51
States with updates
16
Foresight events
Intel updated 2026-10-23 · state updates 2026-06-12
Choose at least one jurisdiction
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Each value comes from the state's feed. Tap a row for notes and a state to add it to the comparison.
| State | Work req | 340B | Budget | Immigrant | RHTP | Labor |
|---|---|---|---|---|---|---|
| Building for 2027 | Bill died | Mixed | Capping | — | Yes | |
| — | — | Mixed | Restricting | — | — | |
| Building for 2027 | Bill advancing | Backfiller | — | — | — | |
| — | — | Mixed | — | — | — | |
| — | Law passed | 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 | — | |
| Building for 2027 | — | — | Restricting | — | — | |
| Building for 2027 | — | Unresolved | Restricting | $213M | Yes | |
| Live now | — | Mixed | — | $218.8M | — | |
| Building for 2027 | — | Cutter | — | — | Yes | |
| Building for 2027 | Bill advancing | Unresolved | — | $173M | — | |
| Building for 2027 | — | Cutter | — | — | — | |
| Building for 2027 | — | Cutter | Capping | $200.1M | Yes | |
| Mitigating | — | Mixed | — | $216.3M | — | |
| — | En banc rehearing | — | — | — | — | |
| — | Law upheld | — | — | — | — | |
| — | — | Backfiller | — | — | — | |
| — | — | Unresolved | — | $200M | — | |
| — | — | Mixed | — | $206.9M | — | |
| Mitigating | — | Backfiller | Backfilling | $197.3M | — | |
| Building for 2027 | Study group | Backfiller | Restricting | — | — | |
| Mitigating | En banc rehearing | — | — | $168.2M | — | |
| Early enforcer | Law upheld | Mixed | — | $209M | — | |
| Building for 2027 | — | — | Restricting | $223.5M | — | |
| — | — | Mixed | — | $203.4M | — | |
| Building for 2027 | Law upheld | 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 | — | — | — | $195.7M | — | |
| Building for 2027 | — | — | — | $180M | — | |
| Building for 2027 | — | — | — | $189.4M | — | |
| Early enforcer | — | — | — | — | — | |
| Building for 2027 | — | Backfiller | — | $272M | — | |
| Early enforcer | — | Cutter | — | $233.5M | Yes | |
| Building for 2027 | — | Backfiller | — | $204M | — | |
| Building for 2027 | — | — | — | $157M | — | |
| Early enforcer | Struck down | — | — | $199M | — | |
| Building for 2027 | — | — | — | $205M | — |
States grouped by a shared strategy, structure, or situation. 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 pending (NY, MI), study committees (VA), expirations (KS), bills that died (CA, OH, WI), and the struck-down law now paused on appeal (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 a June-30 budget deadline now passed — CA and VA signed at the wire, while chronically-late states like PA ran past it unresolved.
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.
Never expanded Medicaid — uninsured patients are the biggest payer, and the dominant cliff is ACA premium-credit expiry, not the Medicaid FMAP cut.
Where the most FQHC patients and organizations are concentrated — the biggest absolute exposure to every federal change.
Large $50B Rural Health Transformation Program allocations with rolling sub-grant deadlines — high-velocity news.
FY budgets and MCO-tax standoffs all resolving the same end-of-June week — a concentrated decision window.
Tightly coordinated region (the Bi-State PCA spans NH + VT); all currently backfilling the safety net.
Highest Medicaid dependence, deeply rural, and carrying the heaviest overdose burden — shared exposure to every coverage change.
Rural, frontier-access challenged, and RHTP-heavy — several are also Medicaid work-requirement early movers.
Shared OCHIN Epic footprint, progressive coverage posture, and HHS Region 10 — natural peers for tech and policy.
Border health systems share immigrant-care, language-access, and cross-border patient dynamics.
Mostly non-expansion, high uninsured share, and frozen PPS rates — the toughest reimbursement terrain in the country.
HHS Region 5 — large industrial-Midwest FQHC base with several active 340B fights.
Scheduled milestones from 2026-10-27 through July 1, 2027, each with its source. Earlier milestones are not shown here.
October 2026
Idaho first-year Rural Health Transformation funds award deadline
KMVT (Idaho Capital Sun reporting)Source reviewed 2026-10-13
Pennsylvania first-year Rural Health Transformation funds commitment deadline
90.5 WESASource reviewed 2026-10-13
November 2026
Virginia 340B stakeholder work-group report due to four legislative committees
Virginia General AssemblySource reviewed 2026-10-13
South Dakota voters decide Amendment I's Medicaid-expansion funding condition
South Dakota Secretary of StateSource reviewed 2026-08-01
December 2026
Iowa Health and Wellness Plan community-engagement requirements begin
Iowa Department of Health and Human ServicesSource reviewed 2026-10-13
Colorado Medicaid policy commission recommendations due
Colorado General AssemblySource reviewed 2026-10-13
Federal stopgap appropriations (P.L. 119-103) run out unless Congress acts
The White HouseSource reviewed 2026-10-13
Mandatory Community Health Center Fund authority expires
National Association of Community Health CentersSource reviewed 2026-10-13
Medicaid state-plan amendments due for the October noncitizen matching-fund changes
Centers for Medicare & Medicaid ServicesSource reviewed 2026-10-13
Georgia Pathways to Coverage waiver extension ends
Office of the Governor of GeorgiaSource reviewed 2026-10-13
January 2027
Federal 80-hour monthly Medicaid community-engagement implementation deadline
Centers for Medicare & Medicaid ServicesSource reviewed 2026-10-13
North Dakota work-verification requirement begins for new Medicaid expansion applicants
North Dakota Health and Human ServicesSource reviewed 2026-10-13
Wisconsin work requirement begins for nonexempt new BadgerCare Plus applicants
Wisconsin Department of Health ServicesSource reviewed 2026-10-13
March 2027
Wisconsin work requirement first applies to current members at renewals due March 31, 2027 and later
Wisconsin Department of Health ServicesSource reviewed 2026-10-13
First Michigan coverage losses from the work-requirement rollout are expected
Bridge MichiganSource reviewed 2026-10-13
July 2027
California's enacted State-Only/UIS FQHC PPS and adult-dental changes reach their current planning date
California Department of Health Care ServicesSource reviewed 2026-08-01
Public export
59 jurisdictions compared · 2,382 intelligence items linked across lab pages · 1,889 national-feed rows in this public export · strategy data · scheduled foresight milestones as of 2026-10-13, through July 1, 2027.
Source links point to official or first-party material where available, with attributed analysis or journalism otherwise. Feed dates may represent publication, event, effective, or deadline dates; each foresight milestone separately carries its source, status, and review date. Download Excel or JSON without an email; update emails are optional.
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Health center, site, patient, and payer-mix data come from HRSA UDS 2024. Expansion, NP scope, and PCA come from the state policy registry. Resilience is a percentile ranking and does not predict outcomes. Strategy items come from each state's linked feed: official or first-party material where available, with attributed analysis or journalism otherwise. A date can be a source, event, effective, or deadline date. A blank field means no date was set. Where we have no value, we show “—”.