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Nebraska has 7 community health centers across 92 sites serving 123,007 patients — the #44 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 7 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 Nebraska's expansion population and FQHC Medicaid revenue.
By patients (HRSA UDS 2024). Tap for the full profile.
| Organization | Patients | Sites | Uninsured | Revenue (990) | District |
|---|---|---|---|---|---|
| Oneworld Community Health Centers Inc. Omaha | 52,852 | 27 | 42.01% | $74M | NE-02 |
| Bluestem Health Lincoln | 22,025 | 5 | 19.89% | $29M | NE-01 |
| Charles Drew Health Center Inc. Omaha | 12,193 | 17 | 24.99% | $20M | NE-02 |
| East Central District Health Department Columbus | 10,638 | 4 | 30.44% | — | NE-01 |
| Heartland Health Center Inc. Grand Island | 9,892 | 16 | 28.95% | $10M | NE-03 |
| Midtown Health Center, Inc. Norfolk | 8,614 | 20 | 23.45% | $13M | NE-01 |
| Community Action Partnership of Western Nebraska Gering | 6,793 | 3 | 35.61% | $18M | NE-03 |
| District | Representative | Sites |
|---|---|---|
| NE-02 | Don Bacon | 41 |
| NE-01 | Mike Flood | 30 |
| NE-03 | Adrian Smith | 23 |
Nebraska ranks #44 by FQHC patients and #46 by organization count among the 57 national-breadth states/territories (excludes California and Texas, which have dedicated dashboards). All 7 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 Nebraska-only. Updated 2026-06-03.