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Maryland has 16 community health centers across 163 sites serving 374,578 patients — the #25 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 16 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 Maryland's expansion population and FQHC Medicaid revenue.
By patients (HRSA UDS 2024). Tap for the full profile.
| Organization | Patients | Sites | Uninsured | Revenue (990) | District |
|---|---|---|---|---|---|
| Baltimore Medical System, Inc. Baltimore | 65,173 | 17 | 16.55% | $95M | MD-07 |
| Three Lower Counties Community Services, Inc. Salisbury | 63,410 | 23 | 6.71% | $98M | MD-01 |
| Chase Brexton Health Services Inc. Baltimore | 48,106 | 7 | 35.31% | $144M | MD-07 |
| The Community Clinic, Inc. Silver Spring | 40,025 | 10 | 35.47% | — | MD-08 |
| Choptank Community Health System, Inc. Denton | 33,964 | 43 | 11.78% | $33M | MD-01 |
| Total Health Care, Inc. Baltimore | 29,481 | 7 | 11.03% | $52M | MD-07 |
| Greater Baden Medical Services, Inc. Brandywine | 18,836 | 12 | 28.94% | $31M | MD-05 |
| Tri-state Community Health Center Hancock | 17,256 | 8 | 4.52% | $15M | MD-06 |
| Western Maryland Health Care Corporation Oakland | 12,255 | 6 | 7.75% | $18M | MD-06 |
| Health Care for Homeless Inc. Baltimore | 11,644 | 7 | 45.51% | $31M | MD-07 |
1 hospital/university/county-operated: 1 health system.
| District | Representative | Sites |
|---|---|---|
| MD-01 | Andy Harris | 71 |
| MD-07 | Kweisi Mfume | 30 |
| MD-06 | April McClain Delaney | 22 |
| MD-04 | Glenn Ivey | 19 |
| MD-08 | Jamie Raskin | 11 |
| MD-05 | Steny H. Hoyer | 11 |
Maryland ranks #25 by FQHC patients and #34 by organization count among the 57 national-breadth states/territories (excludes California and Texas, which have dedicated dashboards). All 16 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 Maryland-only. Updated 2026-06-03.