Review cadence
- Source date
- 2026-07-16
- Claim review
- 2026-07-16 · 22/22
- Proven sweep
- 2026-07-15
- Target
- T1 · weekly
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Illinois has 52 community health centers across 550 sites serving 1,494,764 patients — the #3 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.
151,637 reported patients
Actual values: 11/12 · source-backed: 8/12
Visible gaps: EHR, reported financials, NPPES operator identity, history.
Hash-pinned review: 2026-07-19 · next 2026-09-02
This public log starts July 14, 2026. Zero logged changes does not mean a page or claim never changed before that date.
2026-07-16 · addition
New tracked IL development added to the state intelligence feed.
2026-07-16 · addition
New tracked IL development added to the state intelligence feed.
2026-07-16 · addition
New tracked IL development added to the state intelligence feed.
2026-07-16 · addition
New tracked IL development added to the state intelligence feed.
2026-07-16 · addition
New tracked IL development added to the state intelligence feed.
2026-07-16 · addition
New tracked IL development added to the state intelligence feed.
2026-07-16 · addition
New tracked IL development added to the state intelligence feed.
2026-07-15 · material correction
Corrected this IL 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 IL 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 IL 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 IL 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 IL 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 IL 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 IL 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 IL 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 IL 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 IL 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 IL 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 IL record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
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Illinois FQHCs are entering a federal-implementation cycle that affects both coverage and provider financing. HFS says Medicaid covers roughly one in four Illinoisans; many noncitizens face an October 1, 2026 eligibility change, while ACA expansion adults face work-reporting and six-month redetermination rules beginning January 1, 2027. HFS projects coverage loss for about half a million customers and a $26 billion to $51 billion reduction in federal funds over a decade. The state has also opened a $50 million Rebuild Illinois construction program for FQHCs and look-alikes and received a $193.4 million first-year Rural Health Transformation award. HB 2371, which would restrict manufacturer limits on 340B contract pharmacies, was sent to the governor June 26; its linked status page does not yet show approval.
Patient-weighted across the 50 centers with UDS 2024 data.
Illinois is a reduced-practice state for nurse practitioners: APRNs may obtain full practice authority only after completing 4,000 hours of post-licensure clinical experience in collaboration with a physician, after which they can practice without a written collaborative agreement—so many FQHC NPs still operate under physician collaboration requirements.
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 Illinois's expansion population and FQHC Medicaid revenue.
Role implications
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Illinois ranks #3 by FQHC patients, with 52 organizations and 550 sites tied to Medicaid work-requirement exposure.
Use this as the board agenda frame: exposure, owner, decision date, and the first source to recheck.
55.7% Medicaid/CHIP, 18.8% uninsured, and 2.1 points above the expansion peer average.
Turn the payer mix into scenarios for PPS, 340B, grants, and patient-volume stress.
305 public ATS snapshot rows across 19 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.
Illinois combines 1,494,764 FQHC patients with reduced 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.
IPHCA, 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.
Illinois has 52 FQHC employers in the directory and 305 public ATS snapshot rows across 19 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.
305 live FQHC job postings in Illinois on the national board right now.220 include employer-posted pay.19 verified employer sources; newest review 2026-07-20.
The official Illinois Department of Commerce and Economic Opportunity source was checked 2026-07-15, and the artifact contained 4,870 official rows. We publish only human-confirmed FQHC directory matches: 2 confirmed and 0 pending.
The row count describes the official artifact, not a count of FQHC layoffs. · Official source
The $55.9B maintenance budget passed at 4 a.m. keeps immigrant-senior coverage but adds no Medicaid backfill for federal cuts.
Primary source · as of 2026-07-14
22 primary-sourced findings on Illinois FQHC policy and financing.Newest item: 2026-07-16
Howard Brown Health’s current 55th Street page says same-day appointments are available for any service offered at the clinic and provides an online scheduling path. Posted hours are Monday 9 a.m.–7 p.m., Tuesday 10 a.m.–7 p.m., Wednesday and Thursday 9 a.m.–7 p.m., Friday 9 a.m.–5 p.m., and Saturday 9 a.m.–3 p.m. The service list includes adult primary care, behavioral health, gynecologic and sexual health, PEP and PrEP, diabetes care, aging services, and transgender and gender-diverse care.
The same-day statement does not guarantee an open slot or every provider or service on every day, and only the sexual and reproductive health service is labeled walk-in. The page does not report staffing, appointment capacity, wait times, utilization or outcomes; it identifies Howard Brown as a Health Center Program grantee, not a hospital or emergency department.
Lawndale Christian Health Center’s current bilingual services page says LCHC patients can use its Immediate Care Clinic on a walk-in basis for illness, minor injury or infection. It expressly says the clinic is not an emergency department and directs life-threatening emergencies to 911 or the nearest emergency department.
Separately, LCHC says its Mobile Health Team makes regular visits inside several partner homeless shelters across Chicago and can provide medical visits, limited prescriptions, behavioral health services and other care at no cost to shelter residents. The source does not name the shelters, publish a visit schedule or frequency, extend immediate-care walk-in access beyond LCHC patients, or report staffing, appointment or visit capacity, utilization, response times or outcomes.
HFS's Federal Resource Center lists seven stakeholder webinars running from May 21 through October 21, 2026. Recordings are posted for the first two modules; the page lists work requirements and community engagement for July 14, exemptions for July 22, redeterminations and retroactive coverage for August 20, common questions for September 15, and system changes for October 21.
It also publishes multilingual noncitizen and phase-one toolkits and says customers should wait for direct state notice before acting. Operational implication: health-center navigation teams can use the calendar and toolkits for staff preparation.
Source boundary: the page does not state that 330,000 Illinoisans are at risk or use the former 'immense resources' language.
HFS says HR 1 will end regular federally funded Medicaid for many noncitizens on September 30, 2026, including some refugees, asylees, humanitarian parolees and survivors of violence or trafficking. Its current page lists the groups that remain eligible, says a broad awareness notice went to households with a noncitizen resident in early July, and says directly affected customers will receive another notice in August.
Operational implication: Illinois health-center eligibility teams should help patients update contact and immigration-status records and wait for an individual HFS determination before assuming loss of coverage. Source boundary: this page does not quantify affected customers or resulting FQHC demand.
HFS opened the first slice of Illinois' federal Rural Health Transformation Program (RHTP)—$28,191,393 in Hospital Transformation Planning Grants—on May 19, 2026, with applications due June 17, 2026 at 4:00 PM CDT through the Euna/AmpliFund platform. The funds are split equally among the state's 97 eligible rural hospitals (roughly $290,000 each if all apply) and represent the Year 1 planning phase of Illinois' $193.4M CY2026 RHTP award.
While aimed at rural hospitals, the program also funds primary care and behavioral health integration, value-based payment, telehealth, and workforce pipelines that rural FQHCs partner on through HFS' Healthcare Transformation Collaboratives.
Oak Park building officials closed West Suburban Medical Center's entire campus in mid-June 2026 after the hospital's last functioning elevator failed — none of the complex's 28 elevators were operational, and firefighters had been called to carry dialysis patients down from the fifth floor (Forest Park Review, June 16, 2026). PCC Community Wellness Center, the FQHC that operated three clinics in the campus's professional building, said it was 'working urgently' to relocate services; only building maintenance, engineering, and security staff were allowed on site.
The shutdown caps West Suburban's spiral since its abrupt March suspension under owner Resilience Health, and is a concrete case of hospital-campus failure directly severing FQHC access points on Chicago's West Side.
Sens. Durbin and Duckworth announced $69,081,227 in HHS grants to Illinois on June 2, including about $67.7 million through HRSA's Health Center Program (H80). The release lists 25 H80 recipients; the largest named awards include Southern Illinois Health Care Foundation ($7,996,167), Access Community Health Network ($7,773,727), Erie Family Health Center ($4,451,090), Near North Health Service Corporation ($3,929,201), VNA Health Care ($3,617,616), and Crusaders Central Clinic Association ($3,608,361).
Another $1.4 million supports rural health, addiction medicine, dental, and primary-care training programs. Source boundary: the release does not establish the Community Health Center Fund's current expiration date or the status of any extension vehicle.
Howard Brown Health CEO Travis Gayles said proposed federal health-funding cuts threaten access, HIV prevention and treatment, and other services used by LGBTQ+ Chicagoans. He said Medicaid covers about 40% of Howard Brown patients and warned that HIV-program cuts could reverse progress; the article also reports that nearly half of Chicago's new 2024 HIV cases were among Hispanic residents, up 27% from 2023.
Gayles emphasized housing, food, employment and other supports as part of effective care. Source boundary: the linked article does not report threatened layoffs, Howard Brown site or patient counts, prior deficits, 2024 layoffs, or Illinois Medicaid-trigger enrollment.
HB 2371, the Patient Access to Pharmacy Protection Act, cleared its final legislative hurdle on June 1, 2026, when the Illinois House concurred with Senate amendments 113-1 (the Senate passed it 55-0 in May 2025; original House passage was 116-0). The bill bars drug manufacturers from denying, restricting, or conditioning the acquisition or delivery of 340B drugs to covered entities and their contract pharmacies—directly protecting the 340B savings that fund FQHC pharmacy and patient-care programs.
It also adds 340B reporting requirements to HFS, duplicate-discount safeguards, and Attorney General enforcement. As of late June 2026 it awaits Governor Pritzker's signature.
WGLT reported that lawmakers passed the $55.9 billion FY2027 budget shortly after 4 a.m. on June 1. The report says the package contains roughly $800 million in new taxes and fees and $70 million for people who may lose SNAP benefits because of federal changes; a sponsoring senator described the plan as maintaining existing programs without significant cuts.
Source boundary: this linked report does not provide the former $143 million immigrant-senior figure, a $400 payment amount, a 60-cent provider wage increase, or a comprehensive finding that Illinois supplied no Medicaid backfill. Health centers should verify those line items in enacted budget documents before using them for operating plans.
KFF's May 19 national analysis estimates average monthly effectuated ACA Marketplace enrollment could fall from 22.3 million in 2025 to about 17.5 million in 2026 and possibly as low as 16.5 million. Average enrollee premium payments rose 58%, from $113 to $178 per month, and average deductibles rose 37% to a record $3,786 as consumers shifted toward higher-deductible plans.
KFF distinguishes plan selections from paid, effectuated coverage and describes the 17.5 million figure as an estimate. Source boundary: the linked analysis contains no Illinois or downstate-county result, so Illinois centers should use Get Covered Illinois data before drawing state-specific payer-mix conclusions.
Greater Family Health held an April 28 ribbon cutting for newly expanded clinical space at 345 W. Northwest Highway in Palatine. The operator says the site grew from eight to 14 exam rooms and that contracted obstetric providers from Northwest Community Hospital, part of Endeavor Health, deliver care at the health center.
It reports more than 61,000 visits by over 25,000 unique patients at the site since 2022 and more than 3,500 obstetric visits for over 1,000 individuals through the partnership; those are cumulative, operator-reported historical counts, not post-expansion output. Greater Family Health describes the new space as doubling obstetric capacity, but the source does not define capacity in appointment slots or hours, establish net-new staff or FTEs, quantify current booking availability or wait times, report project cost, or measure post-opening utilization or outcomes; six additional exam rooms should not be converted into a patient-capacity or staffing estimate.
On February 19, 2026, VNA Health Care celebrated the opening of its expanded Bolingbrook Health Center. The project added approximately 3,000 square feet, created a dedicated Obstetrics Suite beside the existing clinic, brought the total footprint to more than 10,000 square feet, and increased exam rooms from 16 to 24.
The space enables more prenatal and maternal services on site, including prenatal ultrasounds. The center serves more than 8,000 unduplicated patients annually and offers family practice, pediatrics, obstetrics and gynecology, and mental and behavioral health.
The release does not quantify additional appointments, added positions, expansion-attributable patient growth or clinical outcomes; the 8,000 figure describes existing annual volume.
On January 26, 2026, Gov. Pritzker announced a $50 million Rebuild Illinois Community Health Center Construction Grant opportunity for Federally Qualified Health Centers and look-alikes. The Capital Development Board, working with the Illinois Department of Public Health, will administer grants of up to $3 million for capital improvements that enhance patient care and access, expand capacity, or update infrastructure, with emphasis on underserved and rural communities.
The release cites prior uses such as purchased and renovated buildings, exam and dental space, laboratories, signage, and roofs. Source boundary: the announcement does not identify awardees or confirm the current award timeline.
Illinois' $193.4M CY2026 Rural Health Transformation award (~$101 per rural resident, second-lowest among neighboring states) is welcome but 'not a solution,' the Illinois Health and Hospital Association told Capitol News Illinois. Between 190,000 and 360,000 Illinois Medicaid recipients face potential coverage loss under the H.R.
1 work requirements, and provider-tax caps phasing in from FY2028 could cut total Medicaid funding by roughly $4.5 billion a year by FY2031. With nearly 30% of Illinois' 85 rural hospitals already running deficits, the squeeze cascades to rural FQHCs that depend on Medicaid and on hospital partners for referrals and ED backstop.
The Cook County Board unanimously approved a $10.12 billion FY2026 budget on November 20, 2025. Its $5.14 billion County Health Fund is $2.8 million below the prior adopted budget; Cook County Health says its hospitals and community health centers serve 300,000 patients annually, while CountyCare has nearly 400,000 members and was ranked Illinois' highest-quality Medicaid managed-care plan by NCQA.
The county says uninsured rates are returning to pre-pandemic levels and the system is preparing for sweeping federal cuts. Source boundary: the release does not state the number of community health centers, quantify an HBIA-related loss, or attribute uncompensated-care pressure specifically to independent FQHCs.
Alivio Medical Center's October 27 announcement says online self-scheduling and registration became available around the clock as of October 1, 2025. It also says digital patient self-check-in launched through in-clinic kiosks at the Berwyn, Western, and Morgan clinics.
This confirms implementation of a patient-access workflow, not universal online availability for every service. The source does not identify eligible appointment types or providers, supported languages or accessibility features, identity-verification or EHR integration details, staffing effects, bookings or visits completed, no-show or wait-time changes, patient satisfaction, or clinical outcomes; patients should verify that the needed appointment can be scheduled online.
HFS's federal-impact FAQ projects coverage loss for about half a million Illinois Medicaid customers and a reduction of approximately $26 billion to $51 billion in federal funding over a decade. It says work requirements take effect January 1, 2027 for adults ages 19–64 and adults with dependents age 14 or older, generally requiring 80 hours per month of work or volunteering or part-time school, subject to exemptions.
ACA expansion adults also face six-month redeterminations and reduced retroactive coverage; certain adults above 100% of poverty face cost sharing beginning October 1, 2028. Source boundary: six-month redeterminations apply to ACA expansion adults, not every Medicaid enrollee, and the loss and funding figures are projections.
HFS's current fact sheet says new federal work, education, or community-service reporting generally applies to ACA expansion adults ages 19–64 who do not receive Medicare and do not have a dependent child under 18 in the home, beginning January 1, 2027. Customers must either meet the requirement or claim an allowable exemption; HFS says detailed exemption circumstances are forthcoming.
The same page says ACA expansion eligibility will be checked every six months instead of annually on that date and urges customers to keep contact information current. Source boundary: the linked page does not support the former CMS-2454-IFC citation, Illinois enrollment counts, a $580 earnings alternative, or a 30-day cure period.
Gov. Pritzker signed the $55.1 billion FY2026 budget on June 16, 2025. Capitol News Illinois reported that eliminating Health Benefits for Immigrant Adults saved the state $330 million, while the $110 million Health Benefits for Immigrant Seniors program remained.
The budget included $40 million for Federally Qualified Health Centers, which the report says could provide care for people losing HBIA coverage. Source boundary: the article does not quantify affected HBIA adults, state that all were redirected to FQHCs as uninsured, measure resulting uncompensated care, or compare the appropriation with later H.R.
1 coverage-loss projections.
Effective June 16, 2025, Pillars Community Health extended operating hours at its Integrated Health Center in La Grange Park, adding service until 8:30 p.m. Monday through Thursday and Saturday hours from 8 a.m. to 12:30 p.m.; the initial Wednesday schedule began at 12:30 p.m. The HRSA-supported site combines primary care, behavioral health, dental care, psychiatry, substance-use support, benefits enrollment, and domestic- and sexual-violence services.
The announcement says walk-ins and same-day appointments are available for many services. Not every service is available throughout every extended period, and the source does not quantify added appointment slots, staffing, patient volume or outcomes.
HFS's April 1, 2025 provider notice says Health Benefits for Immigrant Adults, covering ages 42–64, ended after June 30, 2025. It tells providers that former customers may obtain primary and preventive care from FQHCs and free or charitable clinics regardless of immigration status or ability to pay, may retain emergency coverage, and may qualify for Marketplace coverage if they have documented status.
Health Benefits for Immigrant Seniors continued, although new HBIS enrollment remained paused. Source boundary: this notice does not report 33,000 affected people, $330 million in savings, $487 million in FY2024 spending, or that every former enrollee became an uninsured FQHC patient.
By patients (HRSA UDS 2024). Tap for the full profile.
| Organization | Patients | Sites | Uninsured | Revenue (990) | Resilience | District |
|---|---|---|---|---|---|---|
| Access Community Health Network Chicago | 151,637 | 37 | 18.39% | $186M | Watch | IL-07 |
| Southern Illinois Healthcare Foundation, Inc. Sauget | 103,257 | 52 | 8.29% | $92M | Stable | IL-13 |
| Erie Family Health Center Chicago | 95,079 | 13 | 20.58% | $112M | Watch | IL-05 |
| Vna Health Care, an Illinois Not-for-profit Corporation Aurora | 86,210 | 18 | 33.34% | — | Watch | IL-11 |
| Greater Family Health Hoffman Estates | 75,795 | 15 | 30.6% | $46M | Exposed | IL-08 |
| Crusaders Central Clinic Association Rockford | 64,365 | 9 | 12.68% | $58M | Watch | IL-17 |
| University of Illinois Chicago | 60,319 | 13 | 7.2% | — | Stable | IL-04 |
| Lawndale Christian Health Center Chicago | 56,886 | 47 | 25.02% | $84M | Watch | IL-05 |
| Esperanza Health Centers Chicago | 54,406 | 11 | 23.89% | $54M | Watch | IL-04 |
| Southern Illinois University School of Medicine Springfield | 50,426 | 17 | 5.1% | — | Strong | IL-13 |
4 hospital/university/county-operated: 2 university, 2 county.
| District | Representative | Sites |
|---|---|---|
| IL-13 | Nikki Budzinski | 79 |
| IL-07 | Danny K. Davis | 73 |
| IL-12 | Mike Bost | 69 |
| IL-04 | Jesus G. “Chuy” Garcia | 51 |
| IL-02 | Robin L. Kelly | 42 |
| IL-17 | Eric Sorensen | 33 |
Illinois ranks #3 by FQHC patients and #4 by organization count among the 57 national-breadth jurisdictions. All 52 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 Illinois-only. Updated 2026-06-30.