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Arkansas has 12 community health centers across 300 sites serving 368,248 patients — the #26 FQHC state by patients outside California and Texas. As an expansion state, Medicaid anchors the safety net, and H.R. 1 work requirements plus the December 2026 funding cliff are the key risks.
Patient-weighted across the 12 centers with UDS 2024 data.
Medicaid community-engagement (work) requirements under CMS-2454-IFC (80 hrs/month, full implementation Jan 1, 2027) plus expiry of the enhanced ACA premium tax credits (end of 2025) threaten Arkansas's expansion population and FQHC Medicaid revenue.
By patients (HRSA UDS 2024). Tap for the full profile.
| Organization | Patients | Sites | Uninsured | Revenue (990) | District |
|---|---|---|---|---|---|
| Arcare Augusta | 118,781 | 124 | 10.94% | $237M | AR-01 |
| St. Francis House Nwa, Inc. Springdale | 70,221 | 32 | 27.85% | $34M | AR-03 |
| River Valley Primary Care Services Ratcliff | 31,820 | 17 | 19.06% | $24M | AR-04 |
| Boston Mountain Rural Health Center, Inc. Marshall | 31,140 | 22 | 8.19% | $37M | AR-01 |
| Mainline Health Systems Inc. Monticello | 30,712 | 29 | 8.21% | $43M | AR-04 |
| East Arkansas Family Health Center, Inc. West Memphis | 22,078 | 13 | 31.55% | $38M | AR-01 |
| Healthy Connections, Inc. Mena | 21,622 | 25 | 20.67% | $31M | AR-04 |
| 1st Choice Healthcare, Inc. Corning | 19,068 | 9 | 14.84% | — | AR-01 |
| Cabun Rural Health Services, Inc. Hampton | 8,184 | 9 | 14.59% | $10M | AR-04 |
| Jefferson Comprehensive Care System Inc. Pine Bluff | 8,133 | 9 | 20.03% | $12M | AR-04 |
| District | Representative | Sites |
|---|---|---|
| AR-01 | Eric A. “Rick” Crawford | 94 |
| AR-04 | Bruce Westerman | 75 |
| AR-03 | Steve Womack | 56 |
| AR-02 | J. French Hill | 52 |
Arkansas ranks #26 by FQHC patients and #39 by organization count among the 57 national-breadth states/territories (excludes California and Texas, which have dedicated dashboards). All 12 centers depend on the federal Community Health Center Fund, authorized only through December 31, 2026.
FQHC data from the HRSA bulk-sites file + UDS 2024 + IRS 990. State policy profile via NACHC/KFF/AANP. Federal items apply to all states; state items are Arkansas-only. Updated 2026-06-03.