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Descriptive facts and dated public updates. Missing fields are unknown; we do not publish organization grades, rankings, or inferred risk.
88
FQHCs
557
Reported sites
16,844
Reported staff
238
Regional ATS rows
Verification brief
FQHC Dental Readiness for July 2027: Separate Benefit Scope, Emergency Coverage, Eligibility Exceptions, and Revenue Scenarios (California Department of Health Care Services — current Medi-Cal Dental provider guidance, 2026-07-01).
1 active labor case affecting the region — AB 1113: Legislative Companion to 90% Ballot Measure — Two-Pronged SEIU Strategy.
1,879 workers across 9 dated layoff events tracked; review each source and current status.
16 advocacy actions with follow-up dates in next 30 days — engagement window open.
238 employer ATS rows in the current snapshot and 1,879 workers in dated layoff records; these counts measure different populations and are not a placement or absorption rate.
Directory profiles
Reported fields; an unlisted program remains unknown.
Sep 2, 2026 · Los Angeles County Homeless Initiative (Skid Row Care Campus operators, verbatim). WARN notices parsed from the live CA EDD Detailed WARN Report (warn_report1.xlsx).
A Skid Row nonprofit filed 134 permanent layoffs effective November 3 — it is not a health center, but 117 of them sit on a campus a tracked FQHC co-operates
Homeless Health Care Los Angeles (HHCLA) filed three California WARN notices on September 2, 2026, processed September 4, all typed “Layoff Permanent” and all effective November 3, 2026: 442 Crocker St (117 employees), 655 Maple Ave (16), and 1282 W 2nd St (1) — 134 in total, coded NAICS 62. 🔑 HHCLA IS NOT AN FQHC, AND WE CHECKED RATHER THAN ASSUMED. It is absent from our HRSA-derived directory, which does contain its Skid Row peers (JWCH Institute, Los Angeles Christian Health Centers, Central Neighborhood Health Foundation) — a real absence, not a coverage gap. Its own site describes a 501(c)(3) founded in 1986 with five program lines (Outreach, Wellbeing, Community, Housing, Training) and the words FQHC, federally qualified health center, Section 330, HRSA and Look-Alike appear on it zero times. We could not reach HRSA's own record (findahealthcenter.hrsa.gov is a JavaScript app that returns nothing to a fetcher), so this is strong convergent evidence, not an HRSA-record confirmation. 🔑 THE FQHC ANGLE IS REAL AND IT IS INDIRECT — AND WE VERIFIED IT AT THE COUNTY'S OWN SOURCE. 442 S. Crocker Street is the Skid Row Care Campus, which began providing services in April 2025. Los Angeles County's own page states verbatim: “The community organizations running the campus and services are Homeless Health Care Los Angeles, Social Model Recovery Systems and Wesley Health Centers.” Wesley Health Centers is the operating name of JWCH Institute, a Section 330 health center in our directory. So 117 of the 134 layoffs — 87 percent — land on a campus an FQHC co-runs. That is a partner-capacity story, not an FQHC layoff, and it should be read that way. NO CAUSE IS ESTABLISHED. As of this review there is no news coverage of these notices at all; we are ahead of the press by a week. Context, explicitly not causation: Los Angeles County approved an $843M homelessness plan carrying roughly $200M in cuts for FY2026-27 and separately moved $300M+ away from LAHSA to stand up its own homelessness department. A May 29, 2026 report put HHCLA's revenue at roughly $3.2M in 2011 growing to $20.6M in FY2024 with about 96 percent from government sources — that dependency is the visible vulnerability, but no source ties it to these notices. NO UNION IS ESTABLISHED EITHER: an NLRB case search for the organization returns no cases, and no union statement has surfaced. ⚠️ Do not merge this with LAHSA's 284 SEIU 721-represented layoffs noticed April 30 and effective June 30, 2026 — different organization, different event, different months. Search results pull hard toward it.
Aug 20, 2026 · Campaign for Accountability (press release, August 20, 2026)
A watchdog group asks the IRS to investigate AltaMed's spending on its CEO and his family — a complaint, not an IRS finding
Campaign for Accountability (CfA), a Washington, D.C.-based nonprofit watchdog, said on August 20, 2026 that it had filed a complaint asking the Internal Revenue Service to investigate whether AltaMed Health Services Corporation violated federal rules on private inurement and excess benefit transactions. CfA's release cites $1,925,688 in reported 2024 compensation for President and CEO Cástulo de la Rocha, split-dollar life insurance arrangements that it says loaned $17.34 million to him and $4.17 million to his wife, an AltaMed executive, and a $15 million pledge made in 2023 to the University of La Verne for a facility to be named for him. These are allegations: the release reports no IRS action and notes only that if the IRS found such violations, it could impose penalties or revoke AltaMed's tax-exempt status. The release includes no response from AltaMed, which CfA describes as serving more than 700,000 low-income patients in Los Angeles and Orange counties.
Health Net is ending its Medi-Cal assisted living benefit for about 3,500 members at year-end, and two partner plans intend to follow
Health Net is canceling its assisted living benefit at the end of 2026 for approximately 3,500 Medi-Cal members, most of them elderly and many with dementia, CalMatters reported on August 17, 2026; CalViva Health and Community Health Plan of Imperial Valley, which contract with Health Net, have also notified the state they intend to discontinue the benefit. The benefit is an optional part of CalAIM that plans decide each year whether to offer; Health Net told state regulators that more members were moving into assisted living from home rather than from nursing homes, which costs the plan money, and said in a statement that members will receive care through their authorization dates with individualized transition plans. Providers said Health Net had told some major contractors that services would end October 7; a September 9 CalMatters follow-up reported that a state corrective action plan now requires Health Net to extend services for all members through the end of the year and create individualized transition plans, after the Department of Health Care Services cited eight deficiencies in an August letter, including failure to submit transition plans and denying services to members, and said the state may fine Health Net $25,000 per member per day of violation; California Advocates for Nursing Home Reform said a few facilities have confirmed residents were dropped off at emergency rooms. Health Net runs Medi-Cal plans in Amador, Calaveras, Fresno, Inyo, Los Angeles, Mono, Sacramento, San Joaquin, Stanislaus and Tulare counties; no health center is named, but community health centers in those counties may see displaced older patients who need primary care and care coordination.
Aug 13, 2026 · KVPR / Central Valley Journalism Collaborative (originally published by The Merced FOCUS), August 13, 2026; FY2026 New Access Point award records via USAspending
California's share of HRSA's New Access Points round: 27 organizations and more than $17 million, with at least 16 look-alikes receiving new awards
At an August 13, 2026 announcement at Castle Family Health Centers in Atwater, HRSA Administrator Thomas Engels said 27 California clinic organizations are collectively receiving more than $17 million in New Access Point grants, the largest total of any state, including $650,000 for Castle. HHS Secretary Robert F. Kennedy Jr. said Castle was one of 66 look-alikes nationwide, chosen from about 600 applicants, being upgraded to full FQHC status, and Castle's chief executive said look-alike status had meant operating without access to grants and malpractice insurance benefits. Federal award records show at least 16 California look-alikes received new $650,000 Health Center Program awards running August 1, 2026 to July 31, 2027, including Castle, Buddhist Tzu Chi Medical Foundation, Celebrating Life Community Health Center, White Memorial Community Health Center, and San Joaquin Health Centers. Castle reports 33,000 to 34,000 patients and about 185,000 visits a year, with about 71% of patients covered by Medi-Cal.
Aug 13, 2026 · Federal Register 91 FR 52406 (CMS-2451-F, RIN 0938-AV73)
A final rule takes effect October 13 barring federal Medicaid and CHIP payment for a service line more than a dozen tracked health centers advertise — and the age cutoff is different in Medicaid than in CHIP
CMS-2451-F (RIN 0938-AV73) published August 13, 2026 at 91 FR 52406-52474 and is EFFECTIVE OCTOBER 13, 2026. It adds a new subpart N to 42 CFR part 441 and a new Sec. 457.476, and it was signed by Robert F. Kennedy, Jr., Secretary of Health and Human Services. WHAT IT REQUIRES, verbatim from Sec. 441.802: “a State plan must provide that the Medicaid agency will not make payment under the plan for sex-rejecting procedures for children under the age of 18,” and “FFP is not available in State expenditures” for those procedures. 🔑 THE OPERATIONAL TRAP IS THE AGE, AND IT IS NOT THE SAME NUMBER TWICE. Medicaid is under 18. Separate CHIP is under 19, because Sec. 457.476 ties it to the targeted low-income child definition at Sec. 457.310, and it applies “regardless of the type of health benefit coverage option described at Sec. 457.410.” A billing or eligibility workflow built on one threshold will be wrong for the other program. THE TAPER IS NARROWER THAN IT SOUNDS. Sec. 441.802(c) keeps FFP available for cross-sex hormone therapy “for a tapering period of up to 6 months from October 13, 2026, for beneficiaries who were receiving such therapy as of October 13, 2026.” Two limits are load-bearing: it covers hormone therapy only, and only patients already on therapy ON that date — a start after October 13 is not inside the taper. The window therefore runs to roughly April 13, 2027. THREE EXCLUSIONS SIT IN THE DEFINITION ITSELF at Sec. 441.801(3), and the third is the one clinicians will need most: the term does not include procedures undertaken “to treat an individual with a medically verifiable disorder of sexual development,” or “for purposes other than attempting to align an individual’s physical appearance or body with an asserted identity that differs from the individual’s sex,” or “to treat complications, including any infection, injury, disease, or disorder that has been caused by or exacerbated by the performance of sex-rejecting procedure(s).” Complications care remains payable. THE RULE DOES NOT NAME FQHCs AS A REGULATED PARTY. The obligation runs to STATE Medicaid and CHIP agencies and to federal financial participation, so it reaches a health center by operation as a Medicaid or CHIP provider rather than by name. Health centers turn up in the rule only inside CMS’s summary of public comments, where commenters argued the rule would be “especially financially harmful to rural hospitals and clinics, as well as Federally Qualified Health Centers and other safety net providers,” and that it “may place Federally Qualified Health Centers and Certified Community Behavioral Health Centers in conflict with State scope of practice laws.” CMS did not agree. WHY IT LANDS HERE ANYWAY: gender-affirming care is a named program at multiple health centers in our own California directory, including Los Angeles LGBT Center, and a payment prohibition with a 36-day runway is a revenue-and-workflow question regardless of how the underlying policy is judged. The rule publishes no patient count and no dollar figure. Implementation runs through each state plan, so confirm with your state Medicaid agency and your managed-care plans how your state operationalizes the prohibition, the age split, and the taper before changing a single workflow.
Jul 29, 2026 · Samuel Dixon Family Health Center news release republished by The Santa Clarita Valley Signal
Samuel Dixon says $655K in state funding will retire its Lyons behavioral-health mortgage — an award or payment instrument is not published
A Samuel Dixon Family Health Center news release republished by The Santa Clarita Valley Signal on July 29 announces that $655,000 in state funding was secured to eliminate the mortgage on its Lyons Behavioral Health facility at 23206 Lyons Avenue in Newhall. Samuel Dixon's current first-party location page confirms that the behavioral-health site operates at that address. The release says eliminating debt would let the center redirect future resources toward programs, clinician recruitment, and patient services, but it does not identify the administering state agency, budget item, notice of award, executed agreement, payment date, mortgage balance, lender release, funded positions, or implementation schedule. Treat this as a recipient-announced allocation, not evidence that cash was received or the mortgage was retired. Finance and operations leaders should verify the written award, receipt of funds, permitted use, lender payoff, and recurring savings before recognizing revenue or reallocating debt service. Talent leaders should not open or advertise a role from a general recruitment intention; candidates should wait for an official vacancy with compensation and work-location details. Keep patient, applicant, employee, grant, and mortgage documents in approved organizational systems, not in FQHC Talent notes or public inquiries.
MLK Community Healthcare warns of $80M-$100M annual Medicaid gap - a safety-net hospital, not an FQHC, but a South LA capacity risk
Martin Luther King Jr. Community Hospital in Willowbrook said on July 18, 2026 that federal Medicaid reductions phasing in at the end of 2026 will open an estimated $80 million to $100 million annual revenue gap, roughly a fifth of the 131-bed hospital's budget, and that closure is possible. About 80% of its patients are covered by Medicaid, and its emergency department is described as one of the busiest for a small community hospital. READ THE SCOPE HONESTLY: MLK Community Healthcare is a private nonprofit safety-net hospital, NOT a federally qualified health center, and no FQHC is named in the reporting. It matters to health centers as a capacity question rather than a funding one, because a contraction at MLK would push emergency, maternity, and follow-up demand onto South and Southeast Los Angeles clinics. No FQHC has published a projected volume shift, and none is inferred here. The hospital has not filed a closure notice with HCAI as of this item's date, so this is a stated risk, not a scheduled event.
OCHIN: 10 community health organizations went live on OCHIN Epic in Q2 2026 — including LA LGBT Center, Yakima Neighborhood Health, and Pueblo CHC — network now 45,000 providers / 8.4M+ patients
OCHIN announced (July 16) that ten community health organizations completed OCHIN Epic go-lives in Q2 2026: Los Angeles LGBT Center (CA — migrating off Veradigm) and One Health Center (CA), Pueblo Community Health Center (CO), Yakima Neighborhood Health Services (WA), Missouri Ozarks Community Health (MO), JAMHI Health & Wellness (AK), three tribal health organizations (Cowlitz Indian Tribe HHS, Puyallup Tribal Health Authority, Muckleshoot Health & Wellness — tribal orgs, not Section 330 FQHCs), and Bigfork Valley Hospital (MN, acute care). OCHIN says its hosted network now spans 45,000 providers, 2,300+ sites, and 8.4M+ patients — reinforcing OCHIN Epic's position as the dominant safety-net EHR consolidation path at the exact moment EHR data infrastructure determines readiness for work-requirement verification, UDS reporting, and value-based contracts. For California, the LA LGBT Center migration puts one of the state's largest LGBTQ+-serving health centers on the same rails as the OCHIN-anchored ACO and data ecosystem.