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Regional dashboard covering 88 Federally Qualified Health Centers across 549 sites in the Los Angeles region.
88
FQHCs
10K
Staff
1.5M
Patients
58/100
Avg Resilience
393
Job Openings
88
across 549 sites
10,041
avg 114 per FQHC
1,879
9 events tracked
3.3/5
27 of 88 rated
Average resilience score: 58/100. Distribution of grades across 88 FQHCs.
Sorted by resilience score (highest first).
19 intelligence items relevant to this region.
FQHC Prospective Payment System rates — averaging $200-400/visit — will be replaced by lower Medi-Cal Fee Schedule rates for services to undocumented individuals. This represents a 50-70% per-encounter revenue cut for these patients. FQHCs with large undocumented populations face severe revenue shortfalls.
Dental benefits for undocumented Medi-Cal enrollees will be eliminated, saving $308M in 2026-27 and $336M annually thereafter. FQHCs with dental programs serving undocumented patients will lose dental encounter revenue for these patients entirely.
The LA County Board of Supervisors formally placed a half-cent sales tax on the June 2 primary ballot, expected to generate ~$1B/year for safety-net health care. St. John's Community Health ($240M revenue, 28 clinics, 144K patients) could lose up to one-third of its budget from Medi-Cal cuts and contributed $2M+ to the campaign. Proposed allocation: 47% free/reduced care, 22% DHS, 10% DPH. This is the first major county-level ballot measure in the nation specifically designed to offset H.R. 1 Medicaid cuts.
California Sen. Maria Elena Durazo (D-Los Angeles) introduced SB 1422 to restore full Medi-Cal eligibility for all income-qualifying adults regardless of immigration status — reversing the January 2026 enrollment freeze that blocked new undocumented applicants. Nearly 1.7M undocumented immigrants are currently enrolled in Medi-Cal. The freeze eliminated PPS payments to FQHCs for UIS patients, forcing health centers to absorb care costs or turn patients away.
Starting July 1, 2026, California's budget eliminates use of the Prospective Payment System for FQHC services to state-only-funded individuals with unsatisfactory immigration status (UIS). FQHCs will instead be paid at the regular Medi-Cal fee-for-service rate or negotiated managed care plan rates — roughly 50–70% less per encounter than the PPS rate ($200–400/visit). The CA LAO scores this as $1 billion in annual General Fund savings, meaning $1 billion in annual FQHC revenue loss beginning 2026–27. FQHCs with large undocumented patient panels — concentrated in LA, San Diego, and Central Valley — face the most severe financial exposure. Dental benefits for undocumented Medi-Cal enrollees also eliminated: $308M savings in 2026–27.
The Orange County Health Care Agency is closing several public health clinics due to federal funding cuts, mirroring LA County's closure of 7 of 13 DPH clinics on Feb 27. Combined with $50M+ in LA County cuts, Southern California is losing significant public health infrastructure. Displaced patients are being directed to FQHCs and community health centers.
Beginning July 1, 2027, Medi-Cal members ages 19–59 who are undocumented or have unsatisfactory immigration status (UIS) and remain in full-coverage Medi-Cal will be required to pay a $30 monthly premium to maintain coverage. Dental benefits for UIS members were already eliminated effective July 1, 2026. Combined with the January 2026 enrollment freeze and eliminated FQHC PPS reimbursement for UIS services, this represents a compounding disinvestment in California's 1.6 million undocumented Medi-Cal enrollees — raising coverage loss and FQHC revenue risk.
LA County CEO warned of 'devastating' service reductions as $1.5B in federal cuts hit over 5 years. The Department of Health Services — 70% of its $6.5B budget from federal funds — projects a $1.85B annual deficit by 2028-29. A county public hospital closure is now 'last resort' on the table. 700K+ residents could lose Medi-Cal under new work requirements. St. John's Community Health (120K patients) faces 'closing several health centers' and 'laying off hundreds of staff.' Hiring freeze already in effect.