Review cadence
- Source date
- 2026-07-16
- Claim review
- 2026-07-16 · 23/23
- Proven sweep
- 2026-07-15
- Target
- T1 · weekly
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Oregon has 31 community health centers across 317 sites serving 429,271 patients — the #23 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.
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We keep source date, claim review, and a completed source sweep separate. None of these clocks substitutes for another.
54,930 reported patients
Actual values: 10/12 · source-backed: 8/12
Visible gaps: EHR, NPPES operator identity, history, reported financials.
Hash-pinned review: 2026-07-19 · next 2026-09-02
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 OR development added to the state intelligence feed.
2026-07-16 · addition
New tracked OR development added to the state intelligence feed.
2026-07-16 · addition
New tracked OR development added to the state intelligence feed.
2026-07-16 · addition
New tracked OR development added to the state intelligence feed.
2026-07-15 · material correction
Corrected this OR 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 OR 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 OR 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 OR 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 OR 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 OR 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 OR 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 OR 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 OR 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 OR 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 OR 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 OR 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 OR 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 OR 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 OR record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
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Oregon's July 2026 operating picture combines large rural awards with unresolved Medicaid pressure. OHA announced $97.1 million for 136 additional Rural Health Transformation projects across all counties, bringing announced 2026 awards to about $175.3 million; the newest grant amounts remain subject to award negotiations. The governor's Medicaid sustainability group separately listed more than 40 options for a $421 million Oregon Health Plan gap but reached no consensus. OHA says some adults will face work or activity reviews in 2027, many adult renewals will move to six-month cycles, and October 2028 copays will not apply to care at community health clinics.
Patient-weighted across the 31 centers with UDS 2024 data.
Oregon granted nurse practitioners full practice authority in 1979 — among the first states in the nation. NPs evaluate, diagnose, and prescribe (including Schedule II controlled substances) with no physician supervision or collaborative agreement, and can serve as empaneled primary care providers within CCO networks. For Oregon FQHCs this means NP-led teams can anchor rural and frontier sites outright — a structural advantage that matters more than ever as health centers absorb RHTP expansion projects while bracing for 2027 Medicaid rate pressure and redetermination churn.
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 Oregon's expansion population and FQHC Medicaid revenue.
Role implications
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Oregon ranks #23 by FQHC patients, with 31 organizations and 317 sites tied to Medicaid work-requirement exposure.
Use this as the board agenda frame: exposure, owner, decision date, and the first source to recheck.
61.1% Medicaid/CHIP, 9% uninsured, and 7.7 points below the expansion peer average.
Turn the payer mix into scenarios for PPS, 340B, grants, and patient-volume stress.
359 public ATS snapshot rows across 9 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.
Oregon combines 429,271 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.
OPCA, 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.
Oregon has 31 FQHC employers in the directory and 359 public ATS snapshot rows across 9 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.
359 live FQHC job postings in Oregon on the national board right now.236 include employer-posted pay.9 verified employer sources; newest review 2026-07-20.
The official Oregon Higher Education Coordinating Commission source was checked 2026-07-15, and the artifact contained 212 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
A governor's workgroup delivered a menu of $421M in Oregon Health Plan cuts (adult dental elimination, provider rate cuts among the options) for the 2027 session to decide.
Community health clinic visits stay exempt from the copays that begin October 2028 — a durable access advantage for Oregon FQHCs.
Primary source · as of 2026-07-14
23 primary-sourced findings on Oregon FQHC policy and financing.Newest item: 2026-07-16
NARA NW, listed in the directory as The Native American Rehabilitation Association of the Northwest, Incorporated, says on its current homepage that people can be tested and treated for Hep-C the same day through NARA NW, with support throughout the process at no cost to the person, and links a referral form. The page separately describes NARA NW as a Federally Qualified Health Center and says it provides physical and mental health services and substance-use treatment to American Indians and Alaska Natives.
This is an operator-reported access pathway retrieved July 16, 2026, not a utilization, cure, or outcomes result. The page does not define eligibility, the referral workflow, clinical sequencing, whether same-day treatment applies to every person or only clinically eligible cases, medication or laboratory scope, service location or hours, payer arrangements, staffing, patient counts, completion rates, sustained virologic response, cost to NARA NW, or outcomes.
The current Asher Community Health Center locations page labels four clinic locations. Fossil posts hours Monday through Thursday from 8 a.m. to 6 p.m. and Friday from 8 a.m. to 5 p.m., plus after-hours advice-nurse routing.
Spray offers medical and dental visits by appointment on variable days. The Mitchell School-Based Health Center—described by Asher as the first frontier SBHC in Oregon—is open to all community members and usually provides medical services Tuesdays and Thursdays from 8 a.m. to 4 p.m., with dental services twice per month on rotating days.
Christmas Valley posts appointment-based medical hours Monday through Thursday, in-person visits, limited home visits, and telehealth behavioral health. This is a standing operator-reported access baseline retrieved July 16, 2026, not a new 2026 expansion or independent validation of the first-in-Oregon claim.
The page does not report provider FTEs or schedules, appointment availability, visits, unique patients, wait times, travel avoided, costs, or outcomes. Its four marketed locations are not substituted for the HRSA-derived site count in the directory.
Oregon's Medicaid sustainability workgroup delivered more than 40 options for addressing a $421 million Oregon Health Plan gap and did not reach consensus on which to choose. Options included eliminating adult dental coverage for nearly $88 million in estimated biennial savings, limiting talk-therapy visits for about $12 million, cutting talk-therapy provider rates 4% for up to $23 million, adopting one preferred drug list for up to $24.3 million and making a broad 2% Medicaid spending reduction for $168 million.
OHP covers about 1.4 million people. OPB reported that the gap could reach $868 million by 2029 as federal funding reductions phase in. The options had not been adopted.
OHA announced about $97.1M in additional Rural Health Transformation funding for 136 projects across all 36 counties, bringing announced 2026 awards to about $175.3M. The new round includes roughly $80.1M in Catalyst awards for 85 organizations leading 103 projects and $17M in Immediate Impact awards for 33 projects.
Earlier allocations included $35M for rural hospitals, $21.7M for the Tribal Initiative, $10M for rural health clinics and $5M for local public health authorities. Exact amounts for the newest awards remain subject to negotiations, and Oregon's August progress report will inform the federal decision on 2027 funding.
Oregon Health Authority Director Dr. Sejal Hathi announced her resignation on July 2, effective August 1. Hathi and Gov. Tina Kotek characterized it as a personal decision.
Kotek appointed former Oregon Department of Human Services Director Fariborz Pakseresht as interim OHA director beginning July 6. OPB reported that the successor would inherit a projected $421 million Oregon Health Plan gap for the 2027–2029 budget cycle as well as oversight of the Oregon State Hospital.
Enrolled Senate Bill 1570 requires hospitals and federally qualified health centers to treat citizenship, immigration-status and country-of-birth information in the same manner as protected health information. It bars law-enforcement disclosure of that information unless state or federal law or a court order requires it and makes retaliation against employees who distribute information about immigration rights and legal services an unlawful employment practice.
Separate duties to designate nonpublic areas and maintain law-enforcement-response policies apply to hospitals. The measure became Oregon Laws 2026, chapter 93 and takes effect on the 91st day after adjournment sine die.
White Bird Clinic said on May 26, 2026, that it expanded its Mobile Integrated Care Initiative through a partnership with Community Supported Shelters. The new Eugene site launched in May and operates Tuesdays from 1 to 4 p.m., making it the program's second active location after the 2025 launch at St. Vincent de Paul's Schlies Resource Center, which operates Fridays from 9 a.m. to 1 p.m. From a specially equipped medical van, a small interdisciplinary team provides primary care, basic diagnostic testing, wound treatment, medication support, health screenings, referrals, and connections to additional medical and social services.
The source reports no patient or visit count, funding amount, quantified capacity increase, or measured outcome; planned additions to the service are not presented as current care.
Providence said most of its insurance business would wind down at the end of 2026. Its plans covered 421,005 Oregonians—about one in ten state residents—and about 19,000 people in Washington, California and Montana.
Providence was working to transfer its Medicaid program, which covered 58,406 Oregonians, to another organization and had identified a potential partner for a Medicare Advantage plan covering 64,157 people. Existing coverage remained in place through 2026, but Providence would no longer offer individual or family plans on or off Oregon's Affordable Care Act exchange in 2027.
Rogue Community Health's current location page confirms that Talent Health Center opened May 11, 2026, at 49 Talent Avenue. The patient-centered medical home operates Monday through Friday from 7:30 a.m. to 6 p.m. and lists primary medical care, community health workers, eligibility and Oregon Health Plan enrollment assistance, interpretation and translation, laboratory services, prescription delivery for patient pickup, and a 24/7 medical-assistance call service.
The operator says its integrated teams address physical, mental, and preventive care together. The page does not report visit volume, panel size, newly created FTEs, or net capacity; its statement about becoming the permanent home of the ACCESS food pantry remains future-tense and should not be treated as proof that the pantry is already operating there.
The County of Tillamook's Tillamook County Community Health Centers announced on April 30, 2026, that an on-site Genoa Healthcare pharmacy inside its Main Street Clinic is open to the broader community after a limited January opening. Consumers do not need to be TCCHC patients.
The partner-operated pharmacy fills all medication prescriptions, accepts Medicare, Medicaid, and most private insurance except Kaiser, and offers help with prior authorizations, insurance questions, and available discounts. It operates Monday through Friday from 8 a.m. to 5 p.m., closing from noon to 1 p.m. TCCHC said it pursued the partnership after a local pharmacy closure reduced access to essential medications in 2023.
Genoa, not TCCHC, operates the pharmacy; the source reports no grant amount, prescription or patient volume, 340B arrangement, or measured access outcome.
Mosaic Community Health, Sisters School District and Deschutes County Health Services received Rural Health Transformation funding to expand UpShift, a school-based adolescent substance-use program at the Sisters School-Based Health Center. For two years the partnership provided screening, early intervention and diversion services for students with low- to moderate-risk use.
The new funding extends care to youth with higher-risk Level 3 needs and additional rural Central Oregon communities through in-person and telehealth care and added staff training. Mosaic reported that it operates seven school-based health centers across Central Oregon.
OHA's April 13 implementation page says some adults ages 19 through 64 will be reviewed in 2027 for an exemption or qualifying activity. Qualifying pathways include more than $580 in monthly household income, half-time school or 80 combined monthly hours of work, volunteering, education or training.
Listed exemptions include primary caretakers of children under 14 or people with disabling conditions, people with disabilities or certain medical conditions, people with chronic substance-use disorders or in treatment, American Indian or Alaska Native people, pregnancy and one year postpartum, and recent incarceration. Beginning in October 2028, some adults will owe copays, but OHA exempts members earning under $15,000 annually and exempts checkups, emergency care, mental-health care, prenatal care, substance-use treatment and care at community health clinics.
OHA says some adult OHP members—including refugees, asylees, survivors of domestic violence or human trafficking and some humanitarian parolees—will move to Healthier Oregon in October 2026. The state says Healthier Oregon provides the same OHP benefits regardless of immigration status.
In January 2027, Healthier Oregon members will move to OHP Open Card; benefits remain the same, but participating providers may differ. Children and adults in these categories who qualify for OHP Bridge are not included in the October transition.
OHA's April 13 implementation page says almost all Oregon Health Plan and Medicare Savings Program members will renew more frequently starting in 2027. Many adults ages 19 through 64 will renew every six months; other members, including children and disability-based OHP members, will renew annually.
Most OHP members currently renew every two years, and continuous eligibility for children under age six is scheduled to end in late 2027. Starting January 1, 2027, retroactive coverage for new members will narrow from as much as three months to one month for adults and up to two months for other members, including children.
On April 10, OHA identified 12 Immediate Impact projects expected to receive up to $6.5 million from Oregon's $197.3 million first-year Rural Health Transformation award, with final project amounts then pending budget negotiations. The projects included a clinic-based community-health-worker visiting model, chronic-disease training, naloxone access, school-based behavioral-health programs and workforce training.
OHA also expected $21.7 million for the nine federally recognized Tribes and planned $35 million for 35 rural hospitals, $10 million for 100 certified rural health clinics and $5 million for 33 local public-health authorities.
Enrolled House Bill 4127 requires the Oregon Health Authority to adopt a payment mechanism using only state funds for certain nonprofit reproductive-health providers that cannot receive federal Medicaid funds for services delivered to medical-assistance recipients. It applies to otherwise eligible, unpaid claims for services provided on or after July 4, 2025.
Linked legislative analysis identified the affected providers as Planned Parenthood affiliates of Columbia Willamette and Southern Oregon and noted a prior $7.5 million General Fund allocation. The measure became Oregon Laws 2026, chapter 63 and was declared an emergency effective on passage.
In January, OHA asked lawmakers to authorize about 27 additional positions for federal-change implementation while proposing to remove more than $200 million from Oregon Health Plan quality-incentive funding. OPB reported that about 85% of the funds went directly to providers such as general practitioners and family-medicine clinics serving lower-income patients, representing about $170 million in the current fiscal year.
The legislative subcommittee accepted OHA's report as information and did not vote to approve the request at that meeting.
OHA announced on December 29, 2025 that CMS awarded Oregon $197,271,578, fully federally funded, for the first year of the Rural Health Transformation Program. OHA said the money would support community-driven projects addressing healthcare access, chronic-disease management and prevention, workforce, technology and data in rural and frontier communities.
A dedicated Tribal initiative would directly fund Oregon's nine federally recognized Tribes. The federal government will revisit state awards annually, and Oregon scaled its original request of $200 million per year, or $1 billion over five years, to the awarded budget.
The Oregon Primary Care Association says its Alternative Payment and Advanced Care Model, developed with the Oregon Health Authority and community health centers beginning in 2010, grew from a three-clinic pilot to 20 of Oregon's 33 community health centers plus two Rural Health Clinics. The first cohort adopted the model in March 2013.
The program converts fee-for-service Medicaid reimbursement into per-member, per-month payment, separating revenue from individual face-to-face encounters so participating centers can organize services around population health and needs outside the exam room.
Enacted House Bill 2385 prohibits drug manufacturers from directly or indirectly interfering with a pharmacy or drug outlet acquiring, delivering or dispensing 340B drugs for covered health care providers. It also bars manufacturers from requiring utilization-review data from a pharmacy as a condition of 340B acquisition, delivery or dispensing and authorizes the State Board of Pharmacy to impose civil penalties.
The measure became Oregon Laws 2025, chapter 297 and took effect September 26, 2025.
Oregon's 2025–2027 OHA budget review defined Healthier Oregon as a non-Medicaid Oregon Health Plan program for people who meet OHP eligibility requirements except for citizenship status. All age groups became eligible July 1, 2023.
The review said the prior biennium's full implementation budget totaled $861.5 million as of spring 2024. At the 2025–2027 current-service level, a $486.7 million General Fund and $518.7 million total-funds increase produced a program budget of $1.1 billion General Fund and $1.3 billion total funds.
Aviva Health's June 12 publication documents the third graduating class of its Roseburg Family Medicine Residency: eight physicians, bringing the program's completed-graduate count to 24 since its 2020 launch. Aviva reports that all eight passed the family-medicine board exam after rotations spanning outpatient family medicine, hospital care, addiction medicine, mental health, obstetrics, geriatrics, and procedural skills.
The source also said four graduates planned to begin their careers in Oregon, including two in Roseburg—one at Aviva and one at CHI Mercy. Because those placement statements were forward-looking at publication, they should not be counted as verified current employment, long-term retention, FTE, panel capacity, or realized access gains without follow-up evidence.
On February 10, 2025, Senators Jeff Merkley and Ron Wyden reported that Oregon community health centers were experiencing delays accessing federal grant funding and unclear HRSA communication after a funding-freeze memorandum had been rescinded and a court order blocked the freeze. They cited La Pine Health Center's decision to lay off 11% of its workforce because of funding uncertainty and joined a bipartisan letter requesting answers from HHS.
Their release counted 34 federally qualified health centers, including two Look-Alikes, operating more than 270 Oregon sites, a majority serving rural areas.
By patients (HRSA UDS 2024). Tap for the full profile.
| Organization | Patients | Sites | Uninsured | Revenue (990) | Resilience | District |
|---|---|---|---|---|---|---|
| Multnomah County Portland | 54,930 | 18 | 6.46% | — | Watch | OR-03 |
| Virginia Garcia Memorial Health Center Hillsboro | 48,320 | 23 | 11% | $98M | Stable | OR-01 |
| Lane County Oregon Eugene | 28,346 | 11 | 22.31% | — | Watch | OR-04 |
| Mosaic Community Health Prineville | 28,112 | 22 | 4.8% | $56M | Stable | OR-02 |
| One Community Health Hood River | 24,400 | 12 | 8.87% | $32M | Stable | OR-03 |
| La Clinca del Valle Family Health Center Inc. Medford | 23,919 | 33 | 8.61% | $56M | Stable | OR-02 |
| Siskiyou Community Health Center, Inc. Grants Pass | 21,248 | 9 | 5.91% | $31M | Stable | OR-02 |
| Neighborhood Health Center Portland | 19,718 | 14 | 7.72% | $37M | Watch | OR-05 |
| Umpqua Community Health Center, Inc. Roseburg | 18,139 | 14 | 5.08% | $38M | Stable | OR-04 |
| County of Clackamas Oregon City | 17,686 | 10 | 6.84% | — | Watch | OR-05 |
3 hospital/university/county-operated: 2 county, 1 university.
| District | Representative | Sites |
|---|---|---|
| OR-02 | Cliff Bentz | 99 |
| OR-04 | Val T. Hoyle | 64 |
| OR-03 | Maxine Dexter | 55 |
| OR-01 | Suzanne Bonamici | 54 |
| OR-05 | Janelle S. Bynum | 33 |
| OR-06 | Andrea Salinas | 25 |
Oregon ranks #23 by FQHC patients and #13 by organization count among the 57 national-breadth jurisdictions. All 31 centers depend on the federal Community Health Center Fund, authorized only through December 31, 2026.
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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 Oregon-only. Updated 2026-06-30.