Medicaid non-expansion state

Mississippi FQHC Intelligence

Mississippi has 21 community health centers across 338 sites serving 315,743 patients — the #31 FQHC state by patients outside California and Texas. As a non-expansion state, the uninsured are the biggest exposure, and the ACA premium-credit expiry is the dominant federal risk.

Organizations

338

Service sites

0.3M

Patients (UDS)

28.2%

Uninsured

#31

National rank (patients)

Payer mix

Patient-weighted across the 21 centers with UDS 2024 data.

26.6%

28.2%

18.6%

Medicaid/CHIP 26.6%Uninsured 28.2%Medicare 18.6%Remainder: private/other

Mississippi FQHCs run 1.7 points higher on uninsured patients than the non-expansion-state average (26.5%).

Mississippi policy context

Medicaid

Non-expansion

Mississippi Medicaid

Primary Care Assoc.

MPHCA

Mississippi Primary Health Care Association

NP scope

reduced

Mississippi is a reduced-practice state: NPs must maintain a career-long collaborative agreement with a physician for at least one element of practice (AANP 2026).

Legislature

annual

Mississippi MDES Rapid Response (federal WARN)

Headline federal risk

Expiry of the enhanced ACA premium tax credits (end of 2025) is the dominant federal risk in this non-expansion state — it widens the coverage gap and raises uninsured/self-pay volume at FQHCs; Medicaid community-engagement (work) requirements (CMS-2454-IFC, full implementation Jan 1, 2027) compound the redetermination burden.

Largest Mississippi FQHC systems

By patients (HRSA UDS 2024). Tap for the full profile.

Organization	Patients	Sites	Uninsured	Revenue (990)	District
Central Mississippi Civic Improvement Association Inc. Jackson	50,313	37	30.51%	$37M	MS-02
Family Health Care Clinic, Inc. Pearl	39,895	44	31.67%	$25M	MS-03
Southeast Mississippi Rural Health Initiative, Inc. Hattiesburg	37,732	41	28.71%	$33M	MS-04
Coastal Family Health Center Inc. Gulfport	36,497	53	29.51%	$29M	MS-04
North Ms Primary Health Care Inc. Ashland	19,072	19	19.62%	—	MS-01
Family Health Center Laurel	17,081	7	29.54%	—	MS-04
Delta Health Center, Inc. Mound Bayou	14,129	19	20.7%	$17M	MS-02
Access Family Health Services, Inc. Smithville	12,566	19	17.17%	$18M	MS-01
G.a. Carmichael Family Health Center, Inc. Canton	11,896	17	28.04%	$15M	MS-02
East Central Mississippi Health Care Inc. Walnut Grove	9,485	5	42.47%	$11M	MS-02

See all 21 Mississippi FQHCs in the directory

Federal footprint

Section 330 awardees

FQHC Look-Alikes

Independent nonprofits

$276M

Total revenue (990, 16 orgs)

Congressional exposure

District	Representative	Sites
MS-02	Bennie G. Thompson	129
MS-04	Mike Ezell	96
MS-01	Trent Kelly	61
MS-03	Michael Guest	48

National district map

National context

Mississippi ranks #31 by FQHC patients and #26 by organization count among the 57 national-breadth states/territories (excludes California and Texas, which have dedicated dashboards). All 21 centers depend on the federal Community Health Center Fund, authorized only through December 31, 2026.

HHS Region 4 — neighboring states

Alabama Florida Georgia Kentucky North Carolina South Carolina Tennessee

Mississippi directory

All 21 centers with HRSA data

National overview

The expansion divide, measured

Explore all 50 states

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 Mississippi-only. Updated 2026-06-03.

All statesMississippi

Medicaid non-expansion state

Mississippi FQHC Intelligence

Organizations

338

Service sites

0.3M

Patients (UDS)

28.2%

Uninsured

#31

National rank (patients)

Payer mix

Patient-weighted across the 21 centers with UDS 2024 data.

26.6%

28.2%

18.6%

Medicaid/CHIP 26.6%Uninsured 28.2%Medicare 18.6%Remainder: private/other

Mississippi FQHCs run 1.7 points higher on uninsured patients than the non-expansion-state average (26.5%).

Mississippi policy context

Medicaid

Non-expansion

Mississippi Medicaid

Primary Care Assoc.

MPHCA

Mississippi Primary Health Care Association

NP scope

reduced

Mississippi is a reduced-practice state: NPs must maintain a career-long collaborative agreement with a physician for at least one element of practice (AANP 2026).

Legislature

annual

Mississippi MDES Rapid Response (federal WARN)

Headline federal risk

Largest Mississippi FQHC systems

By patients (HRSA UDS 2024). Tap for the full profile.

Organization	Patients	Sites	Uninsured	Revenue (990)	District
Central Mississippi Civic Improvement Association Inc. Jackson	50,313	37	30.51%	$37M	MS-02
Family Health Care Clinic, Inc. Pearl	39,895	44	31.67%	$25M	MS-03
Southeast Mississippi Rural Health Initiative, Inc. Hattiesburg	37,732	41	28.71%	$33M	MS-04
Coastal Family Health Center Inc. Gulfport	36,497	53	29.51%	$29M	MS-04
North Ms Primary Health Care Inc. Ashland	19,072	19	19.62%	—	MS-01
Family Health Center Laurel	17,081	7	29.54%	—	MS-04
Delta Health Center, Inc. Mound Bayou	14,129	19	20.7%	$17M	MS-02
Access Family Health Services, Inc. Smithville	12,566	19	17.17%	$18M	MS-01
G.a. Carmichael Family Health Center, Inc. Canton	11,896	17	28.04%	$15M	MS-02
East Central Mississippi Health Care Inc. Walnut Grove	9,485	5	42.47%	$11M	MS-02

See all 21 Mississippi FQHCs in the directory

Federal footprint

Section 330 awardees

FQHC Look-Alikes

Independent nonprofits

$276M

Total revenue (990, 16 orgs)

Congressional exposure

District	Representative	Sites
MS-02	Bennie G. Thompson	129
MS-04	Mike Ezell	96
MS-01	Trent Kelly	61
MS-03	Michael Guest	48

National district map

National context

HHS Region 4 — neighboring states

Alabama Florida Georgia Kentucky North Carolina South Carolina Tennessee

Mississippi directory

All 21 centers with HRSA data

National overview

The expansion divide, measured

Explore all 50 states

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 Mississippi-only. Updated 2026-06-03.