Review cadence
- Source date
- 2026-07-19
- Claim review
- 2026-07-19 · 26/26
- Proven sweep
- 2026-07-15
- Target
- T3 · monthly
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Idaho has 14 community health centers across 252 sites serving 241,014 patients — the #34 FQHC state by patients in the national-breadth layer. 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.
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We keep source date, claim review, and a completed source sweep separate. None of these clocks substitutes for another.
41,159 reported patients
Actual values: 12/12 · source-backed: 9/12
Visible gaps: EHR, reported financials, NPPES operator identity.
Hash-pinned review: 2026-07-19 · next 2026-11-16
This public log starts July 14, 2026. Zero logged changes does not mean a page or claim never changed before that date.
2026-07-19 · addition
New tracked ID development added to the state intelligence feed.
2026-07-19 · addition
New tracked ID development added to the state intelligence feed.
2026-07-17 · addition
New tracked ID development added to the state intelligence feed.
2026-07-17 · addition
New tracked ID development added to the state intelligence feed.
2026-07-16 · addition
New tracked ID development added to the state intelligence feed.
2026-07-16 · addition
New tracked ID development added to the state intelligence feed.
2026-07-16 · addition
New tracked ID development added to the state intelligence feed.
2026-07-16 · addition
New tracked ID development added to the state intelligence feed.
2026-07-15 · material correction
Corrected this ID record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this ID record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this ID record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this ID record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this ID record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this ID record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this ID record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this ID record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this ID record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this ID record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this ID record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this ID record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this ID record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this ID record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this ID record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this ID record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this ID record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
Send a correction or new source to improve this state page.
Idaho expanded Medicaid through the voter-approved Proposition 2 initiative in 2018, and about 80,000 Idahoans were enrolled in the expansion group in spring 2026. The 2026 Legislature did not repeal expansion, but it enacted HB 913: signed April 10, the law directs Idaho to adopt the federal community-engagement rules by December 31, 2026, requires three consecutive months of qualifying activity before application, and uses six-month eligibility reviews. Urban Institute and Robert Wood Johnson Foundation modeling cited by Idaho Capital Sun estimates that the federal changes, including the work rules, could reduce Idaho expansion enrollment by 20,000 to 34,000 people by 2028. Separately, 2025's HB 345 directed a broader shift to comprehensive Medicaid managed care and sought waivers for stricter state rules; litigation over a related systems contract pushed the projected managed-care timeline from 2029 toward 2030. Idaho also received a $185,974,367.81 first-year Rural Health Transformation award. Later-year allocations depend on federal performance decisions, so the often-cited nearly $1 billion five-year figure is potential funding rather than a fixed five-year payment. Nationally, the $4.6 billion mandatory Community Health Center Fund expires December 31, 2026, while $1.858 billion in FY2026 discretionary health-center funding expires September 30, 2026.
Patient-weighted across the 14 centers with UDS 2024 data.
Idaho Board of Nursing rules define an advanced practice registered nurse as an independent licensed practitioner. A certified nurse practitioner may provide initial and continuing comprehensive primary care, including diagnosing and managing acute and chronic disease. APRNs with the required authorization may prescribe and dispense legend drugs and Schedule II–V controlled substances within their role and population focus; the rules do not require a physician supervision or collaboration agreement.
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 Idaho's expansion population and FQHC Medicaid revenue.
Role implications
Pick the right lens and open a personalized daily brief. Links carry only state, role, and audience in the URL.
Idaho ranks #34 by FQHC patients, with 14 organizations and 252 sites tied to Medicaid work-requirement exposure.
Use this as the board agenda frame: exposure, owner, decision date, and the first source to recheck.
31.3% Medicaid/CHIP, 21.2% uninsured, and 4.5 points above the expansion peer average.
Turn the payer mix into scenarios for PPS, 340B, grants, and patient-volume stress.
90 public ATS snapshot rows across 4 sources; largest systems and directory links show where hiring capacity may need verification.
Use the state read to pick roles to watch, openings to save, and retention risks to discuss with managers.
Idaho combines 241,014 FQHC patients with full practice NP practice context and access pressure from payer mix.
Map the signal to panel access, team-based care, top-of-license planning, and patient-impact follow-up.
IPCA, state policy context, and the December 31, 2026 CHC Fund cliff define the sources to keep current.
Assign one source owner for state policy, one for federal deadlines, and one for billing/audit implications.
Idaho has 14 FQHC employers in the directory and 90 public ATS snapshot rows across 4 sources to compare before applying.
Use the state context to choose target employers, tailor proof, and save the next job or resource in My Progress.
90 live FQHC job postings in Idaho on the national board right now.62 include employer-posted pay.4 verified employer sources; newest review 2026-07-20.
The official Idaho Department of Labor source was checked 2026-07-15, and the artifact contained 199 official rows. We publish only human-confirmed FQHC directory matches: 0 confirmed and 0 pending.
The row count describes the official artifact, not a count of FQHC layoffs. · Official source
Idaho is operating against an award-or-lose-it clock for its $186M Year-1 RHTP allocation: all funds must be awarded by October 30 or may be redirected.
The compressed cycle makes grant readiness—not the headline statewide total—the actionable health-center fact.
Primary source · as of 2026-07-14
26 primary-sourced findings on Idaho FQHC policy and financing.Newest item: 2026-07-19
On its current Idaho Falls page, observed July 19, 2026, Grand Peaks says it has moved into a new building at 2454 N 25th E and lists medical, dental, behavioral-health, and pharmacy services in separate suites. Posted hours are 7 a.m.–5 p.m. weekdays for medical care; 7 a.m.–5 p.m. Monday–Wednesday and Friday and 8 a.m.–6 p.m. Thursday for dental; 7 a.m.–6 p.m. weekdays for behavioral health; and 8 a.m.–6 p.m. weekdays plus 8 a.m.–3 p.m. Saturday for the pharmacy.
This is a current operating baseline, not the opening date or a pre/post expansion measure. The page does not report when the move occurred, service-specific appointment or walk-in rules, whether every service is available throughout every posted hour, staffing or FTEs, facility size, construction or operating cost, incremental capacity, visits, wait times, funding, or outcomes; patients should confirm availability.
The Idaho Department of Health and Welfare reports a CMS financial-assistance award totaling $185,974,367.81 for the first year. The national formula provides an equal $100 million annual share to approved states, while Idaho could receive up to an additional $100 million annually only if CMS awards it under allocation criteria; later-year amounts therefore are not guaranteed.
Idaho must obligate all year-one funds by October 30, 2026. Its five initiatives cover technology-enabled access, innovative care models, workforce, prevention and chronic disease, and rural infrastructure and partnerships.
The page identifies no FQHC recipients or executed subaward amounts.
The Idaho Department of Health and Welfare listed five Rural Health Transformation procurement postings in less than a month: Facility Renovation Independent Verification on June 18; Rural Cybersecurity Modernization Assessment and Third Party Administrator–Ladder Payments on July 1; Technology Assessment on July 10; and Data Analytics and Outcomes Evaluation on July 13.
The Maternal and Child Health subgrant opportunities for the Perinatal Quality Collaborative and obstetric readiness closed July 10. The page does not identify FQHC recipients or establish that these procurements are open grants for community health centers.
Idaho broadened the types of organizations that may seek Rural Health Transformation funding beyond hospitals and clinics to include libraries, community centers, schools, and faith-based organizations. The plan also allocates $8 million per year to graduate medical education, with the State Board of Education identified as an eligible recipient.
Federal guardrails cap capital and infrastructure at 20% of funds, provider payments at 15%, and administrative costs at 10%. The article does not quantify FQHC awards or establish that any health center will receive renovation funding.
Valley Family Health Care's July 10 post schedules five free 2026 sports-physical sessions using its Mobile Access Care unit at four Idaho locations: Treasure Valley Classical Academy in Fruitland on July 31 (9 a.m.–3 p.m.); New Plymouth Clinic on August 3 and 4 (1–5 p.m. both days); Payette High School on August 5 (9 a.m.–7 p.m.); and Parma High School on August 6 (9 a.m.–6 p.m.).
The posted flyer says a parent or guardian must be present to sign consent, space is limited, and the last patient will be accepted 30 minutes before closing. It encourages students to attend their home-school session when possible but permits other options.
These are scheduled events, not proof of delivery; the source does not report appointment requirements, eligibility beyond the consent language, staffing or FTEs, slot capacity, patients seen, wait times, costs beyond the physicals being free, funding, follow-up care, or outcomes.
Idaho Department of Health and Welfare Director Juliet Charron said the state's first Rural Health Transformation report to CMS is due August 30 and all approximately $186 million in first-year funds must be awarded to eligible projects by October 30; otherwise, federal officials may reclaim and reallocate the money. Charron described the program as both a health investment and an economic opportunity for small communities, and reported that some rural facilities need basic electrical or plumbing upgrades.
The Legislature's oversight committee first met April 22.
Family Health Services announced a $256,000, three-year grant from the Intermountain Community Care Foundation to expand clinical screening, outreach, education and resource navigation for patients facing housing or utility instability in Burley and Rupert. The July 1 announcement says the work will prioritize people at risk of homelessness or currently experiencing housing or utility instability and connect them with emergency housing and utility assistance.
FHS separately reports serving more than 35,000 patients annually across an eight-county service area; that organization-wide baseline is not treated as the grant's reach. The source provides no patient or household target, added staffing count, assistance amount per household, grant start or end dates, screening-rate goal, housing-stability measure or clinical outcome projection.
CHAS Health and Frontier Behavioral Health broke ground June 29 on a 10,000-square-foot integrated clinic at 130 E. Sprague Ave. in Spokane, Washington. The planned site will combine primary care, behavioral health, substance-use treatment, pharmacy, and care navigation; it is expected to serve 4,000 patients a year and open in fall 2027.
The project uses a $2 million federal grant, $1.5 million from Washington's 2026 budget, and $5.7 million financed by Frontier, with CHAS operating under a 10-year lease. Although CHAS also operates in Idaho, the cited project is in Washington and the article documents no Idaho site, award, or patient-capacity increase.
The Idaho Department of Health and Welfare posted its first three Rural Health Transformation opportunities, totaling about $4.9 million: $1.2 million for rural obstetric-readiness work, $2.4 million to expand rural-hospital participation in perinatal quality initiatives, and $1.3 million for project-management support. Four additional opportunities were under review, including rural workforce development, technology assessments, and facility-renovation verification.
Federal officials said all first-year funds must be awarded by October 30 or risk reallocation. The article does not identify FQHCs as eligible applicants or recipients of these first opportunities.
State officials said Idaho's first Rural Health Transformation opportunities would open in early June, beginning with maternal and child health, with chronic-disease prevention and mental-health opportunities planned later in 2026. Federal acting director Kate Sapra said later awards could be lower and that funding would increasingly depend on milestones and health outcomes, especially in the program's final three years.
Idaho may receive nearly $1 billion over five years, but the article makes clear that the full amount is not guaranteed.
The directory identifies this operator as Dirne Community Health Center, which operates publicly as Heritage Health. Its current pediatrics page presents CDA Pediatrics as a new partnership and says it is accepting new patients at pediatric offices in Coeur d'Alene, Post Falls, Rathdrum and Kellogg.
The linked patient FAQ labels May 1, 2026 as the planned effective date, says CDA Pediatrics is becoming part of Heritage Health rather than closing, and says locations initially will remain unchanged. The FAQ describes intended integration with behavioral health, dental, pharmacy, care coordination, Medicaid access and sliding-fee support; those are access mechanisms and goals, not measured post-transition gains.
Neither page reports patient volume, appointments added, provider retention or additions, staffing FTEs, wait times, payer-mix change or clinical outcomes.
Gainwell Technologies sued Idaho and contractor Acentra Health in August 2025 over the state's Medicaid claims-processing procurement. Fourth District Judge Nancy Baskin described the contracting process as ad hoc in a March 2 ruling and issued a temporary restraining order on March 17.
Medicaid Administrator Sasha O'Connell told lawmakers that the contract delay would push Idaho's planned comprehensive managed-care implementation back one year, from the 2029 target toward 2030. Idaho already uses managed care for parts of Medicaid; the delayed project concerns the broader comprehensive model.
KFF's 50-state scan says the federal community-engagement requirement begins January 1, 2027 and gives states a choice of one, two, or three months of prior compliance at application. Idaho is one of the states that enacted a three-month application lookback, exceeding the one-month federal minimum.
KFF also reports that eligibility will be checked at renewal at least every six months. This source does not provide an Idaho coverage-loss estimate or quantify effects on community health-center revenue.
Your Health Idaho estimated that 30,000 more Idahoans would be uninsured in 2026 after enhanced federal premium tax credits expired. About 24,400 people had disenrolled from exchange plans after open enrollment, compared with just under 16,000 a year earlier, leaving exchange enrollment 3.6% below the prior year.
Among remaining enrollees, the share paying more than $300 per month rose 13%, while the share paying $100 or less fell 19%. The report does not establish where people who lost exchange coverage will seek care or quantify an effect on health centers.
Gov. Brad Little signed HB 913 on April 10, 2026. The law directs Idaho to implement the federal community-engagement requirement by the end of 2026 and requires applicants to document three consecutive months of qualifying activity, the longest lookback permitted by federal law; continued eligibility is reviewed every six months.
Urban Institute and Robert Wood Johnson Foundation modeling cited by the article estimates that the federal Medicaid changes, including the work rules, could reduce Idaho expansion enrollment by 20,000 to 34,000 people by 2028, with 34,000 representing about 44% of the roughly 80,000-person expansion group.
As of the article's April 9 publication, a 2026 bill to repeal Idaho's Medicaid expansion had not advanced out of committee, while lawmakers had passed a three-month work-history requirement for the roughly 80,000-person expansion group; that bill was still awaiting gubernatorial action. Lawmakers also reduced payment rates for disability-service providers and extended existing physician-rate cuts.
The budget committee spared Medicaid from deeper across-the-board reductions, and lawmakers and the governor restored funding for a previously cut mental-health program. Idaho Voices for Children Policy Director Hillarie Matlock described the budget as cutting $45 million from Medicaid; the article does not independently allocate or verify that figure or quantify effects on community health centers.
NACHC reports that FY2026 discretionary funding for community health centers expires September 30, 2026 and mandatory Community Health Center Fund authority expires December 31, 2026. The mandatory fund provides about 70% of federal CHC funding and most recently supplied $4.6 billion; FY2026 discretionary funding totals $1.858 billion.
NACHC warns that short-term funding can force health centers to consider service reductions, delayed hiring, or postponed projects. The national page does not provide Idaho-specific organization or patient counts.
During the 2026 session, House Health and Welfare Chairman John Vander Woude said he was drafting a bill to end Medicaid expansion in its existing form on December 31, 2026 and replace it the next day with a capped-enrollment program with work requirements. Separately, Gov. Brad Little proposed $22 million in additional Medicaid reductions, with options that included adult dental coverage and home- and community-based services, while another draft targeted about $21 million from residential-habilitation services.
JFAC exempted Medicaid from the additional 1%–2% across-the-board agency cuts. The article notes that an enrollment cap and similar policies would likely require federal approval.
Community Health Clinics Inc., operating as Terry Reilly Health Services, says its adult dialectical behavior therapy groups began accepting external referrals on a rolling basis for a March 2026 expansion. The two in-person groups each meet weekly for two hours: Thursdays from 4:30–6:30 p.m. at the Trauma and Resilience Center in Boise and Tuesdays from 3–5 p.m. at the Behavioral Health Clinic in Caldwell.
Referrals require a recent diagnostic assessment; participants cannot be experiencing active psychosis and those working toward sobriety must abstain from drug use on the group day. The verified capacity baseline is two scheduled groups at two sites, not a participant count.
The source gives no group-size limit, fee or payer policy, staffing or added FTE, previous referral volume, attendance, completion, wait time or clinical outcome target.
Glenn's Ferry Health Center Inc., doing business as Desert Sage Health Centers, posted a fee schedule effective February 2026. Its sliding-fee program is based on household income and family size even for insured patients; at 0–100% of the federal poverty guidelines, it lists nominal charges of $20 for medical care, $5 for behavioral health, $35 for preventive/basic dental care and $45 for elective dental care.
The application is available in English and Spanish at every site and online. The brochure also posts Mountain Home medical hours until 7:30 p.m. Tuesday and Thursday and Saturday hours from 8 a.m. to 5 p.m., plus behavioral-health hours from 7 a.m. to 6 p.m. and dental hours from 6:30 a.m. to 5:30 p.m. Monday through Friday.
This is a posted price-and-hours baseline, not proof of eligibility approval, a universal final bill, guaranteed slots, completed visits, incremental capacity, added staff or FTE, utilization, wait-time change, savings or outcomes; some supplies and lab charges may be additional.
NACHC's February 2026 national policy paper says community health centers serve 10 million rural residents at 6,500 rural and frontier locations. It identifies rural workforce shortages, geographic isolation, and infrastructure barriers, and calls for investment in primary-care workforce training, telehealth, behavioral-health and substance-use services, and protection of the 340B program.
The paper provides national policy priorities and does not quantify Idaho-specific shortages, staffing, or 340B use.
Full Circle Health says its Caldwell Urgent Care opened November 17, 2025, at 315 E. Elm Street, Suite 100. The clinic posts walk-in hours from 8 a.m. to 8 p.m. Monday through Friday and 8 a.m. to 5 p.m. Saturday for non-emergency illnesses and injuries, with on-site lab services, interpreters, multilingual services including Spanish, and a sliding-fee option for qualifying families.
The page says it accepts most insurance plans, including Medicaid, Medicare and private insurance, and welcomes uninsured patients. This is a documented opening and posted operating baseline, not evidence of 24/7 or emergency-department care, guaranteed service at a particular arrival time, incremental rooms, added clinicians or FTE, completed visits, throughput, wait-time change, payer mix, savings or outcomes; after-hours lab work may be sent to West Valley Medical Center and billed separately.
An Idaho State Bar analysis says the federal community-engagement requirement begins January 1, 2027, although states may seek earlier implementation. The federal law did not repeal Medicaid expansion or reduce its 90% federal match.
Idaho's 2025 HB 345 differs from the federal framework through narrower exemptions, eligibility-linked cost sharing, and limits on automatic renewals; implementing those stricter provisions as written would require a Section 1115 waiver. The article also says Idaho's comprehensive managed-care transition depends largely on federal approval and was then targeted for 2029.
Gov. Brad Little signed HB 345 on March 19, 2025, and the article says its emergency clause made the law effective immediately. The article says HB 345 calls for Medicaid participants without disabilities to work, study, or volunteer at least 20 hours per week; allows qualifying participants to use tax credits toward an Idaho exchange plan; and shifts program management to a third-party managed-care organization.
The fiscal note projected nearly $16 million in costs in the then-current fiscal year and more than $27 million in later years. The article does not establish federal waiver approval, operational start dates for those provisions, six-month reviews, an expansion-enrollment count, implementation results, or comparisons with federal legislation enacted later in 2025.
Adams County Health Center reported on February 17 that its dental department provided dental-care services to 19 children during a February 6, 2025 Give Kids A Smile event in Council. The operator says the free event serves children age 18 and younger who lack dental insurance and need care; possible services at an ACHC event include examinations, cleanings, fillings, X-rays, extractions, and sealants, with other procedures possible when needed.
The 19-child figure is the operator's event-level count and does not mean every child received every listed procedure. The source does not report procedure counts, unique-patient methodology, referrals or follow-up, uncompensated value or funding, staff hours or FTEs, unmet demand, wait times, or clinical outcomes.
HRSA's Idaho award page lists Family Health Services in Twin Falls as the state's sole FY2025 Expanded Hours awardee and sets the award amount at $500,000. HRSA says Expanded Hours funding requires added operating hours at one or more in-scope sites, including in-person care during the new hours; recipients had to add some hours by June 1, 2025 and operate all approved new hours by June 1, 2026.
The Idaho award page does not identify the sites, services, weekly schedule, continuation funding or whether Family Health Services met those milestones; it also reports no patient, visit, staffing, FTE, wait-time, emergency-department-use, cost or clinical-outcome result. The $500,000 is the amount on the FY2025 award page, not a verified multiyear total.
By patients (HRSA UDS 2024). Tap for the full profile.
| Organization | Patients | Sites | Uninsured | Revenue (990) | Resilience | District |
|---|---|---|---|---|---|---|
| Community Health Clinics Inc. Nampa | 41,159 | 35 | 33.01% | $63M | Stable | ID-01 |
| Full Circle Health, Inc. Boise | 39,619 | 12 | 10.29% | $81M | Strong | ID-02 |
| Family Health Services Twin Falls | 34,472 | 34 | 28.96% | — | Stable | ID-02 |
| Health West, Inc. Pocatello | 27,564 | 31 | 24.81% | $35M | Stable | ID-02 |
| Valley Family Health Care Inc. Payette | 23,306 | 13 | 14.11% | $37M | Stable | ID-01 |
| Dirne Community Health Center Coeur D Alene | 21,042 | 45 | 12.71% | — | Strong | ID-01 |
| Boundary Regional Community Health Center, Inc. Sandpoint | 13,898 | 20 | 12.55% | $19M | Stable | ID-01 |
| Upper Valley Community Health, Services Inc. Saint Anthony | 12,242 | 34 | 15.45% | $18M | Stable | ID-02 |
| Coeur D'alene Tribal Health Authority Plummer | 8,529 | 9 | 23.81% | — | Stable | ID-01 |
| Glenn's Ferry Health Center Inc. Mountain Home | 7,754 | 7 | 25.88% | $13M | Stable | ID-02 |
| District | Representative | Sites |
|---|---|---|
| ID-02 | Michael K. Simpson | 125 |
| ID-01 | Russ Fulcher | 118 |
Idaho ranks #34 by FQHC patients and #37 by organization count among the 57 national-breadth jurisdictions. All 14 centers depend on the federal Community Health Center Fund, authorized only through December 31, 2026.
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FQHC data from the HRSA bulk-sites file + UDS 2024 + IRS 990. State policy profile via NACHC/KFF/AANP. Intelligence items cite primary sources. Federal items apply to all states; state items are Idaho-only. Updated 2026-06-30.