U.S. Virgin Islands FQHC Intelligence

In the VI Legislature's June 22, 2026 FY2027 hearing report, the Board of Nurse Licensure reported 1,661 active and 19 inactive professional licenses as of May 29. The Board also said it had submitted a revision of the 1982 Nurse Practice Act for legislative action and was drafting an updated regulatory manual.

The report does not establish that either revision has been enacted, so current licensing and APRN rules remain the operative baseline.

The VI Legislature's June 22, 2026 hearing report says Frederiksted Health Care requested a one-time $300,000 allotment to complete a new dental clinic at its Mid-Island Health Center in Sion Farm, increasing total island-wide capacity to 16 operatories. The organization reported a $150,000 Ryan White grant toward $320,000 in dental equipment and said it would absorb the remaining $170,000 equipment balance.

The source documents a request and financing plan, not completed construction or delivered visit volume.

CMS's June 1, 2026 fact sheet states that the Medicaid community-engagement requirement applies in 43 states and the District of Columbia and that U.S. Territories are not subject to it. The U.S. Virgin Islands therefore does not need to implement this particular requirement.

The fact sheet does not establish an exemption from every other Medicaid provision or quantify any resulting change in enrollment, health-center revenue or administrative cost.

The Department of Health's 2025 Epidemiology Annual Report, released April 16, 2026, says NBS 7 went live on May 6, 2025, making USVI the second U.S. Jurisdiction using NBS 7 in production and the first to implement it on AWS. By year-end, the department says it had re-onboarded 103 of 110 previously connected electronic-reporting facilities (93.6%) and added one laboratory that had previously been blocked.

This is department-reported surveillance modernization; the denominator is previously connected reporting facilities, not all providers or population coverage, and the record does not establish clinical staffing, causal access effects or patient outcomes.

A VA page last updated March 5, 2026 says the facility at 9164 Estate Thomas in St. Thomas now provides in-person and virtual services Monday-Friday and converted from a St. Thomas outstation managed by the San Juan Vet Center into a full-sized independent U.S. Virgin Islands Vet Center. VA lists a director, outreach specialist, program-support assistant and two counselors and says a dedication was held March 20, 2025.

Vet Centers provide readjustment counseling; this is not a primary-care clinic, VA community-based outpatient clinic or FQHC, and the page does not establish patient volume, appointment availability or outcomes.

A February 27, 2026 Department of Human Services release states that Gainwell Technologies would assume U.S. Virgin Islands Medicaid provider-enrollment application processing, screening, verification, revalidation, portal management and technical assistance effective March 2. DHS said beneficiary eligibility would not be affected and current provider participation would not be disrupted.

The release describes the operational transition but does not publish processing-time or claim-payment results.

The VI Department of Health announced a February 13, 2026 adult-immunization clinic at the Morris F. De Castro Clinic on St. John offering flu, HPV, pneumococcal, shingles, tetanus and MMR vaccines. It said flu, HPV, pneumococcal and shingles vaccines would be offered at no cost to uninsured and underinsured people.

The announcement establishes a scheduled one-day clinic, not continuous reopening, daily staffing or completed vaccination volume.

On February 2, the Virgin Islands Department of Health confirmed that the Morris F. De Castro Clinic on St. John had resumed normal operating hours of 8 a.m. To 5 p.m., Monday through Friday, following the staffing-related interruption reported in January. Environmental Health did not return to the same schedule: the department said those services would operate from 9 a.m. To 2:30 p.m. On Tuesdays and Thursdays beginning February 3.

The notice resolves the earlier temporary-closure signal but does not enumerate which clinical programs resumed, identify restored positions, quantify the interruption, or guarantee that every service returned to its prior cadence.

Bill 36-0228, dated February 2, 2026, proposes a public-benefit Virgin Islands Health Data Utility to operate the Health Information Exchange and govern data sharing across providers, payers, public-health agencies and social-service organizations. The Legislature convened a Committee of the Whole hearing on the bill on February 23.

The introduced measure would create governance, participation, consent and funding rules; the reviewed sources do not establish enactment or full implementation.

CMS approved SPA VI-25-0002 on January 29, 2026, effective December 1, 2025. The amendment adds on-island physician payments for interventional-cardiology services. The CMS summary establishes a reimbursement pathway; it does not identify participating physicians or facilities or quantify procedures, referrals, transfers, wait times or patient outcomes.

HRSA's FY2025 fact sheet, with data through September 30, 2025, records $4,037,633 for two core Health Center Program awards and $500,000 for one Expanded Hours award. Across the agency's grants and cooperative agreements in the territory, HRSA records $11,007,459, five unique awardees and 16 awards, plus $100,934 across three loan-repayment awards.

These are fiscal-year award totals across programs, not unrestricted revenue or a forecast of future appropriations.

CMS approved SPA VI-24-0002 on December 19, 2024, effective December 1, 2024. The amendment records state-plan assurances for annual reporting of the federally identified Child Core Set measures and behavioral-health measures in the Adult Core Set.

It establishes the reporting obligation; it does not itself publish territory measure results or quantify a new health-center workload.

The page's metadata says it was last modified July 21, 2023, and it remained publicly displayed when rechecked August 16, 2026. It lists medical service Monday-Friday from 8:30-11:30 a.m., diabetic service Monday-Friday from 1:00-4:00 p.m., and a biweekly Thursday cardiac clinic from 1:00-5:00 p.m. It identifies adult primary care, pediatric diabetic and endocrinology care, optometry and cardiac care; cardiac and pediatric diabetic services are referral-only, and called-in prescription refills are described as collectible within 72 hours.

Locations are the Charles Harwood Complex on St. Croix and Schneider Regional Medical Center on St. Thomas. This is an older published territorial program schedule, not contemporaneous proof of operation, same-day availability, staffing, referral or refill performance, visits, costs or outcomes; operator confirmation remains necessary.