Review cadence
- Source date
- 2026-07-06
- Claim review
- 2026-07-16 · 22/22
- Proven sweep
- 2026-07-15
- Target
- T3 · monthly
Loading...
Nevada has 8 community health centers across 71 sites serving 129,543 patients — the #42 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.
Save Nevada to Your Pulse for policy, funding, and workforce updates in this browser.
Share with your team
We keep source date, claim review, and a completed source sweep separate. None of these clocks substitutes for another.
45,860 reported patients
Actual values: 12/12 · source-backed: 9/12
Visible gaps: EHR, reported financials, NPPES operator identity.
Hash-pinned review: 2026-07-19 · next 2026-11-16
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 NV development added to the state intelligence feed.
2026-07-16 · addition
New tracked NV development added to the state intelligence feed.
2026-07-16 · addition
New tracked NV development added to the state intelligence feed.
2026-07-16 · addition
New tracked NV development added to the state intelligence feed.
2026-07-15 · material correction
Corrected this NV 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 NV 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 NV 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 NV 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 NV 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 NV 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 NV 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 NV 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 NV 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 NV 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 NV 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 NV 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 NV 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 NV 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 NV 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 NV 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 NV 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 NV record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
Send a correction or new source to improve this state page.
Nevada expanded Medicaid and has administered it through Nevada Medicaid within the Nevada Health Authority since July 1, 2025. HRSA's 2024 Uniform Data System reports 7 Nevada Health Center Program awardees serving 128,018 patients; 37.28% were Medicaid/CHIP patients and 29.69% were uninsured. Nevada's next regular legislative session begins February 1, 2027, although the state constitution permits special sessions. CMS says federal Medicaid community-engagement requirements generally begin January 1, 2027. Nevada Medicaid Administrator Ann Jensen estimated that 70,000 people could lose coverage, while the Nevada Primary Care Association separately modeled 13,000 FQHC patients losing Medicaid, $17 million in annual revenue loss, and 107 full-time-equivalent jobs at risk; these are projections, not observed outcomes. Nevada received a $179,931,608 federal Rural Health Transformation award for fiscal year 2026, and the state's first-budget-period roster names Nevada Health Centers and the Nevada Primary Care Association among workforce recipients. Enhanced ACA premium tax credits expired at the end of 2025; Nevada Health Link reported 104,286 plan selections during 2026 open enrollment. NACHC reports that mandatory Community Health Center Fund authority expires December 31, 2026.
Patient-weighted across the 8 centers with UDS 2024 data.
Nevada Revised Statutes 632.237 authorizes an advanced practice registered nurse to perform selected medical diagnosis and treatment, order home health care, prescribe when separately authorized, and provide certain signatures or certifications within the APRN's authorized scope. The statute does not impose a general physician-collaboration requirement for those functions. It does impose a specific Schedule II prescribing limit: an APRN must have at least 2 years or 2,000 hours of clinical experience or prescribe under a protocol approved by a collaborating physician. Nevada therefore supports broad APRN practice, but the law does not support an unqualified claim that physician collaboration is never required.
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 Nevada's expansion population and FQHC Medicaid revenue.
Role implications
Pick the right lens and open a personalized daily brief. Links carry only state, role, and audience in the URL.
Nevada ranks #42 by FQHC patients, with 8 organizations and 71 sites tied to Medicaid work-requirement exposure.
Use this as the board agenda frame: exposure, owner, decision date, and the first source to recheck.
37.1% Medicaid/CHIP, 29.4% uninsured, and 12.7 points above the expansion peer average.
Turn the payer mix into scenarios for PPS, 340B, grants, and patient-volume stress.
31 public ATS snapshot rows across 3 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.
Nevada combines 129,543 FQHC patients with full practice 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.
NVPCA, 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.
Nevada has 8 FQHC employers in the directory and 31 public ATS snapshot rows across 3 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.
31 live FQHC job postings in Nevada on the national board right now.11 include employer-posted pay.3 verified employer sources; newest review 2026-07-20.
The official Nevada Department of Employment, Training and Rehabilitation source was checked 2026-07-15, and the artifact contained 131 official rows. We publish only human-confirmed FQHC directory matches: 0 confirmed and 0 pending.
The row count describes the official artifact, not a count of FQHC layoffs. · Official source
Nevada moved the first $36M of its nearly $180M Year-1 Rural Health Transformation award into rural equipment, transport, telehealth, diagnostics, mobile care, and primary-care projects.
The state release does not name recipients or promise an FQHC allocation; health centers should track later rounds rather than treating the full award as available operating revenue.
Primary source · as of 2026-07-14
22 primary-sourced findings on Nevada FQHC policy and financing.Newest item: 2026-07-06
The Nevada Health Authority's funding-opportunity page shows the Rural Health Outcomes Accelerator Program closing June 26, 2026, and the Rural Health Innovation and Technology Initiative closing July 6, after earlier April-through-June deadlines for the Flex Fund, rural correctional and veterans tracks, Tribal health transformation, and workforce programs.
The page establishes those first-cycle deadlines; it does not promise another round or a recurring $180 million annual Nevada award.
On June 30, 2026, Attorney General Aaron Ford announced that Nevada had joined 23 other attorneys general and two governors in litigation challenging provisions of CMS's interim final Medicaid community-engagement rule. The release says the coalition alleges that the rule unlawfully narrows protections for medically frail people and states that Nevada must notify affected recipients by August 31, 2026.
Those are the state's litigation allegations and implementation statement; the lawsuit had not produced a final judgment at publication.
Nevada Health Authority's Budget Period 1 roster lists Nevada Health Centers for recruitment and retention of multidisciplinary professionals serving rural and frontier communities statewide. It separately lists the Nevada Primary Care Association for advanced behavioral-health workforce training in rural and frontier Nevada.
The roster also identifies Hope Christian Health Center for a mobile clinic and telehealth or remote-patient-monitoring equipment. The page names projects and service areas but does not publish award amounts for those rows.
Community Health Alliance announced completion of an $8.6 million expansion and remodel of the Nell J. Redfield Health Center at 3915 Neil Road in Reno. The project added 4,000 square feet, including exam rooms, behavioral-health space, an on-site pharmacy, and a prescription food pantry.
CHA said the site can serve about 4,000 more patients annually, raising capacity to approximately 7,500, and that the City of Reno contributed $5 million in American Rescue Plan Act funds.
On June 9, 2026, the Nevada Health Authority announced $36 million in first-round Rural Health Transformation awards through the Rural Health System Flex Fund. The state described the fund as support for one-time unmet infrastructure and technology needs and listed medical technology, emergency and rescue equipment, transportation and ambulances, telehealth, diagnostics, mobile care, preventive and primary care, and dialysis among funded project types.
The release links to a separate recipient roster.
Southern Nevada Community Health Center at the Southern Nevada Health District directs patients to schedule at its Decatur or Fremont locations and marks named clinicians as “Now Accepting Patients.” The page, updated June 8, 2026, identifies Josefina Ascano and Tasheka Powell for family medicine and Adrienne Davis for family planning at Decatur; it also identifies Victoria Allen for family planning and Sarah Hall and Racquel Tolzmann for family medicine at Fremont.
The page does not establish that these clinicians are new hires or disclose start dates, employment status, FTE, appointment inventory, simultaneous availability, net capacity, utilization, or outcomes; availability should be confirmed through the live scheduler.
CMS issued an Interim Final Rule with Comment Period on June 1, 2026, implementing an 80-hour-per-month community-engagement condition for certain nonpregnant adults ages 19 through 64 in the Medicaid adult group and specified demonstrations. CMS says states generally must implement by January 1, 2027, although a state may choose an earlier date.
The rule identifies excluded and exempt groups, requires states to use available reliable information before requesting documents, and gives an individual 30 days to respond when compliance cannot be verified.
Nevada Primary Care Association Policy Director Steve Messinger told an interim legislative committee that 340B revenue represents about 12% of Nevada FQHC revenue and asked lawmakers to consider manufacturer-level contract-pharmacy protections for the 2027 session. The proposal would extend beyond Nevada's enacted 2023 law, which prohibits specified discrimination and restrictions by pharmacy benefit managers and health carriers.
The testimony and reporting describe a policy request, not an introduced or enacted 2027 bill.
In a May 24 guest column, Nevada Chronic Care Collaborative government-affairs executive director Tom McCoy argued that Nevada should not copy Washington's manufacturer-shipping mandate and should instead convene a stakeholder working group modeled on Virginia's approach. This entry records McCoy's attributed policy position.
The opinion column does not establish an enacted Nevada policy, prove the affiliations of other stakeholders, or establish that a 2027 bill has been introduced.
Nevada Health Centers reported that its mobile team traveled to Carlin and Montello and recorded 46 patient interactions and 25 blood-pressure checks, distributed medical supplies, and connected a Montello resident in a mental-health crisis to same-day telehealth support. In Carlin, the team also informed residents about services at Nevada Health Centers' existing Carlin Community Health Center.
A return trip was planned for June; the source did not describe either community as having no local clinic or no other access to care.
Nevada Primary Care Association Policy Director Steve Messinger estimated in May legislative testimony that 13,000 FQHC patients could lose Medicaid coverage under the federal changes. He modeled approximately $17 million in annual FQHC revenue loss, equal to 11% of operating revenue, and an estimated 107 full-time-equivalent jobs.
These are NVPCA projections presented to lawmakers, not observed disenrollment, revenue, or job losses.
The University of Nevada, Reno reported that StreetReach launched in April 2026 and operated three afternoons a week through outreach on Fourth Street and clinic hours at Village on Sage. Early activity included 28 blood draws, 12 wound-care services, and 17 nursing assessments and referrals.
UNR identifies Northern Nevada HOPES, Community Health Alliance, Washoe County Human Services, Renown Health, Saint Mary's, Volunteers of America, and university units as supporting partners; the source does not rank the partners by size or describe two FQHCs as anchors.
In its April 2026 funding update, the National Association of Community Health Centers states that community health centers recently received $4.6 billion in mandatory funding and that this mandatory authority expires December 31, 2026. NACHC also reports that mandatory funding provides about 70% of federal funding for community health centers, while fiscal-year 2026 discretionary funding was $1.858 billion and expires September 30, 2026.
These are national funding facts; the source does not publish a Nevada-specific dollar allocation or outcome.
Nevada convened the inaugural meeting of its 15-member Rural Health Transformation Steering Committee on March 11, 2026. Participants received an overview of the program and its goals, discussed bylaws and operational processes to guide the committee's work, and highlighted the importance of maximizing award and applicant opportunity.
Members elected Great Basin College President Amber Donnelli as chair and Nevada Primary Care Association CEO Nancy Bowen as vice chair. The governance announcement does not establish a blanket entitlement for every Nevada FQHC or an award amount for any applicant.
Nevada Health Centers says its Northern Mobile Dental Program visited 13 elementary and combined schools in the Elko County School District during fall visits. It reports 227 new students screened, 166 identified as needing sealants, 153 receiving sealants, 500 sealants placed, 195 fluoride treatments, and 118 established students receiving retention checks from the previous year.
For the spring period, it reports that 358 of 371 sealants were retained, summarized as a 96% retention rate. The February 17 article does not specify the calendar dates of the fall and spring service periods, an unduplicated total student count, staffing or FTE, cost, appointment demand, or clinical outcomes beyond the reported retention measure.
Nevada Health Link reported that 104,286 people selected health plans during the 2026 open-enrollment period, including 20,911 new enrollees and 42,652 active re-enrollees. Battle Born State Plans accounted for 10,762 selections, and 70% of enrollments received assistance from a certified broker or navigator.
These are open-enrollment plan selections, not a count of effectuated coverage throughout the year or a measured number of people who lost coverage after enhanced federal credits expired at the end of 2025.
SilverSummit Healthplan announced a $650,000 investment for 13 Critical Access Hospitals and Rural Health Clinics entering Nevada's Medicaid managed-care program in 2026. The plan said each eligible hospital or clinic would receive $25,000 in both 2025 and 2026 for infrastructure and workforce capacity.
The announcement concerns Critical Access Hospitals and Rural Health Clinics; it does not identify the recipients as FQHCs or quantify an offset to federal coverage or hospital-payment changes.
Safe Harbor Medical says it expanded to Pahrump in January 2026 by acquiring Pahrump Pain Free and Mind Space, adding to its behavioral-health program and expanding holistic functional medicine and family primary care. Its current contact page lists both former practices as Safe Harbor locations at 2280 E. Calvada Blvd., Suite 301, and 1151 S. Highway 160, Suite 2, with appointment hours.
The source provides only the month, so January 1 is a schema-normalized marker, not a documented transaction date; it does not disclose purchase terms, staffing or FTE, provider counts, net appointment capacity, patient volume, payer or license transitions, or outcomes.
CMS's December 29, 2025 award table lists Nevada's fiscal-year 2026 Rural Health Transformation award as $179,931,608. CMS says the national program makes $10 billion available each year from 2026 through 2030, with annual allocations determined under statutory equal-share and factor-based components.
Nevada's one-page application abstract describes proposed $30 million, $40 million, $80 million, and $30 million initiatives, but CMS expressly labels those application budget amounts illustrative and hypothetical rather than final approved uses.
The Nevada Division of Insurance confirmed an average 26% approved rate increase for 2026 Nevada Health Link coverage, compared with a preliminary 17.5% average proposal in July. The division cited medical and prescription-drug costs, utilization, a less healthy risk pool, Medicaid unwinding, expiration of enhanced federal premium subsidies, and federal regulatory changes.
The 26% figure is an average approved base-rate change; it is not a uniform increase in each enrollee's payment after tax credits or proof that a specified number lost coverage.
Northern Nevada HOPES says its East 4th Street clinic began expanded hours on March 17, 2025: 8 a.m.–7 p.m. Monday through Thursday and 8 a.m.–5 p.m. Friday. The operator says an annual $500,000 HRSA award supports the change and identifies primary care, mental health care, pharmacy and medication-assisted treatment among services covered by the expanded schedule.
The source does not disclose added staff or FTE, appointment slots, incremental visits, utilization, renewal beyond the documented award, or patient outcomes, and it does not establish that every listed service is staffed throughout every extended hour.
HRSA's 2024 Uniform Data System reports 7 Health Center Program awardees in Nevada serving 128,018 patients. It reports 47,728 Medicaid/CHIP patients, or 37.28% of the total, and 38,006 uninsured patients, or 29.69%.
These figures describe reporting Health Center Program awardees and their patients; they should not be relabeled as 8 organizations or rounded to a 39% Medicaid share without qualification.
By patients (HRSA UDS 2024). Tap for the full profile.
| Organization | Patients | Sites | Uninsured | Revenue (990) | Resilience | District |
|---|---|---|---|---|---|---|
| Nevada Health Centers, Inc. Carson City | 45,860 | 27 | 27.26% | $66M | Stable | NV-02 |
| Community Health Alliance Reno | 32,303 | 10 | 24.55% | $37M | Watch | NV-02 |
| Northern Nevada HIV Outpatient Program, Education and Services Reno | 17,159 | 5 | 32.64% | $51M | Stable | NV-02 |
| Southern Nevada Health Dist Las Vegas | 11,501 | 3 | 55.13% | — | Exposed | NV-01 |
| First Person Care Clinic Las Vegas | 9,381 | 6 | 24.25% | $7M | Watch | NV-04 |
| Hope Christian Health Center North Las Vegas | 7,318 | 11 | 26.5% | $10M | Watch | NV-04 |
| Firstmed Health and Wellness Center Las Vegas | 4,496 | 5 | 31.54% | $12M | Watch | NV-01 |
| Safe Harbor Medical, Inc. Las Vegas · Look-Alike | 1,525 | 4 | 2.16% | $659K | Watch | NV-04 |
| District | Representative | Sites |
|---|---|---|
| NV-04 | Steven Horsford | 32 |
| NV-02 | Mark E. Amodei | 27 |
| NV-01 | Dina Titus | 10 |
| NV-03 | Susie Lee | 2 |
Nevada ranks #42 by FQHC patients and #44 by organization count among the 57 national-breadth jurisdictions. All 8 centers depend on the federal Community Health Center Fund, authorized only through December 31, 2026.
State flywheel
Turn this state read into a directory scan, peer comparison, national context, or a recurring update habit.
Provider map
Nevada directory
Scan all 8 organizations and 31 ATS snapshot rows from 3 public career sources.
State Lab
Compare Nevada
Put this state next to peers and see what changes in expansion, payer mix, and funding risk.
Context
National overview
Zoom out to the expansion divide, CHC Fund cliff, and national operating picture.
Retention
Get weekly updates
Choose your state and role so future briefs start with the changes that matter to you.
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 Nevada-only. Updated 2026-06-30.