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Iowa has 14 community health centers across 138 sites serving 253,976 patients — the #33 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 14 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 Iowa's expansion population and FQHC Medicaid revenue.
By patients (HRSA UDS 2024). Tap for the full profile.
| Organization | Patients | Sites | Uninsured | Revenue (990) | District |
|---|---|---|---|---|---|
| Community Health Care, Inc. Davenport | 48,477 | 17 | 12.16% | $51M | IA-01 |
| Primary Health Care, Inc. Des Moines | 40,335 | 18 | 36.94% | $61M | IA-03 |
| Siouxland Community Health Center Sioux City | 34,745 | 4 | 17.97% | $54M | IA-04 |
| River Hills Community Health Center, Inc. Ottumwa | 21,850 | 32 | 17.25% | $30M | IA-03 |
| Community Health Centers of Southeastern Iowa Inc. West Burlington | 20,358 | 4 | 9.52% | $29M | IA-01 |
| Peoples Community Health Clinic, Inc. Waterloo | 17,998 | 4 | 21.94% | $25M | IA-02 |
| Eastern Iowa Health Center Cedar Rapids | 16,164 | 6 | 19.62% | $18M | IA-02 |
| Community Health Center of Fort Dodge, Inc. Fort Dodge | 14,472 | 6 | 22.36% | $13M | IA-04 |
| Crescent Community Health Center Dubuque | 10,993 | 6 | 22.01% | $23M | IA-02 |
| Infinity Health Leon | 9,593 | 21 | 7.93% | $17M | IA-03 |
| District | Representative | Sites |
|---|---|---|
| IA-03 | Zachary Nunn | 51 |
| IA-01 | Mariannette Miller-Meeks | 32 |
| IA-04 | Randy Feenstra | 28 |
| IA-02 | Ashley Hinson | 17 |
Iowa ranks #33 by FQHC patients and #36 by organization count among the 57 national-breadth states/territories (excludes California and Texas, which have dedicated dashboards). All 14 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 Iowa-only. Updated 2026-06-03.