Review cadence
- Source date
- 2026-07-16
- Claim review
- 2026-07-19 · 24/24
- Proven sweep
- 2026-07-15
- Target
- T1 · weekly
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Washington has 27 community health centers across 488 sites serving 1,275,767 patients — the #4 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.
219,800 reported patients
Actual values: 12/12 · source-backed: 12/12
All 12 fields have an actual value.
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.
2026-07-19 · addition
New tracked WA development added to the state intelligence feed.
2026-07-19 · addition
New tracked WA development added to the state intelligence feed.
2026-07-19 · addition
New tracked WA development added to the state intelligence feed.
2026-07-16 · addition
New tracked WA development added to the state intelligence feed.
2026-07-16 · addition
New tracked WA development added to the state intelligence feed.
2026-07-16 · addition
New tracked WA development added to the state intelligence feed.
2026-07-16 · addition
New tracked WA development added to the state intelligence feed.
2026-07-16 · addition
New tracked WA development added to the state intelligence feed.
2026-07-16 · addition
New tracked WA development added to the state intelligence feed.
2026-07-16 · addition
New tracked WA development added to the state intelligence feed.
2026-07-16 · addition
New tracked WA development added to the state intelligence feed.
2026-07-16 · addition
New tracked WA development added to the state intelligence feed.
2026-07-14 · material correction
Corrected Washington E2SSB 5981's effective date from June 10 to June 11 and replaced a litigation-centered description with the enacted session law, including its FQHC reporting and filing-fee duties.
Send a correction or new source to improve this state page.
Washington's verified 2026 safety-net agenda has four active tracks. E2SSB 5981 took effect June 11, protecting 340B distribution while adding annual reporting and filing-fee obligations for Washington FQHCs. The Health Care Authority is implementing January 1, 2027 Apple Health work requirements and six-month renewals through current stakeholder tools and Community Connector forums. Washington also holds a $181.3 million first-year Rural Health Transformation award, with one named Rural Collaborative workstream already posting consultant procurements. Meanwhile, 13 individual-market insurers requested an average 22.4% increase for 2027; those requests remain under regulatory review rather than approved rates.
Patient-weighted across the 27 centers with UDS 2024 data.
Washington is a full-practice-authority state: ARNPs evaluate, diagnose, and prescribe (including Schedule II) independently, with no physician supervision or collaborative agreement required. For FQHCs this means nurse practitioners can carry their own panels, anchor rural and satellite sites solo, and be credentialed as primary care providers with Apple Health managed-care plans — a structural recruiting advantage as the 2026 coverage disruptions strain clinician capacity.
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 Washington'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.
Washington ranks #4 by FQHC patients, with 27 organizations and 488 sites tied to Medicaid work-requirement exposure.
Use this as the board agenda frame: exposure, owner, decision date, and the first source to recheck.
55.3% Medicaid/CHIP, 13.5% uninsured, and 3.2 points below the expansion peer average.
Turn the payer mix into scenarios for PPS, 340B, grants, and patient-volume stress.
645 public ATS snapshot rows across 15 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.
Washington combines 1,275,767 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.
WACH, 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.
Washington has 27 FQHC employers in the directory and 645 public ATS snapshot rows across 15 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.
645 live FQHC job postings in Washington on the national board right now.353 include employer-posted pay.14 verified employer sources; newest review 2026-07-20.
The official Washington Employment Security Department source was checked 2026-07-15, and the artifact contained 1,482 official rows. We publish only human-confirmed FQHC directory matches: 1 confirmed and 0 pending.
The row count describes the official artifact, not a count of FQHC layoffs. · Official source
The signed supplemental budget put $55M into Cascade Care subsidies and $19.8M to backfill Medicaid; the $181M RHTP award has moved into procurement.
Primary source · as of 2026-07-14
24 primary-sourced findings on Washington FQHC policy and financing.Newest item: 2026-07-16
Directory-listed Columbia Valley Community Health says patients of all ages can walk in or schedule online for non-emergency Express Care at 600 Orondo Ave. in Wenatchee and 900 Eastmont Ave. in East Wenatchee; patients need not already use CVCH. Appointment slots are posted 48 hours ahead, and the page directs people with no online slot to walk in or call 509-662-6000.
It separately routes after-hours callers to an answering service through the same number. This is a standing access pathway observed July 16, not a documented launch or expansion.
The page does not publish clinic hours or guarantee a slot, treatment, an immediate after-hours clinical response, coordination completion, or report visits, staffing or FTE, patient capacity, wait times, costs, utilization or outcomes.
Directory-listed Community Health Association of Spokane, operating as CHAS Health, says its North Spokane and Spokane Valley urgent-care clinics provide same-day walk-in care for non-life-threatening needs to CHAS and non-CHAS patients. Both post 8 a.m.–8 p.m. Monday–Friday and 8 a.m.–5 p.m. weekends, with 9 a.m. openings on the third and last Wednesday for staff continuing education and separate holiday exceptions.
Last check-in is one hour before closing or earlier when the schedule fills. The page also lists on-site pharmacy and x-ray. This is a standing access schedule observed July 16, not a documented launch or expansion.
It does not guarantee treatment or appointment availability, substantiate marketed emergency-room savings or cost comparisons, or report visits, staffing or FTE, patient capacity, actual waits, costs, avoided emergency use or outcomes.
HealthPoint's July 13, 2026 announcement says it and Valley Medical Center & Clinics are collaborating to open a new Kent East Hill Clinic at Valley's former Kent Primary Care Clinic in early fall 2026. Planned opening services are integrated primary care, pregnancy and reproductive care, and behavioral health; pharmacy and dental services are expected in 2027.
HealthPoint says community assessments identify Kent as one of King County's areas with the greatest unmet primary-care need and says appointment details will come later. This is an announced schedule and service plan—not an opened clinic, a guaranteed opening date or 2027 rollout, staffed capacity, provider or FTE count, appointment volume, project cost, funding award, patient volume, utilization or outcomes.
Directory-listed Yakima Valley Farm Workers Clinic reports in its July 2, 2026 Northwest Dental Residency graduation feature that five residents received hands-on clinical training over the prior year. The program is described as a bridge from dental school to independent practice, with comprehensive treatment planning and exposure ranging from routine exams to dental emergencies and root canals.
This is a realized training-cohort record, not proof of five hires or five added clinical FTEs. The page says only that some graduates stay with Yakima Valley Farm Workers Clinic while others go to rural or underserved communities; it does not quantify retention or placement.
It also does not report individual certificate or licensure status, employment dates, practice locations, FTE, patients, encounters, procedures, appointment capacity, board results or patient outcomes, and its increased-access statement is qualitative rather than a measured result.
The Rural Collaborative's Rural Health Transformation page identifies a $5.43 million workstream and lists a Revenue Cycle Consultant request issued June 26, 2026 with a July 8 close and a Materials Management Consultant request issued July 1 with a July 15 close, administered through its Valify procurement portal. These are consultant procurements by a named award participant, not direct grants available to every rural health center.
Organizations should rely on the live procurement page for current status and should not infer statewide eligibility, patient reach, or guaranteed shared-service access from the postings alone.
Washington's Office of Financial Management estimates that H.R. 1's Medicaid changes could mean up to a $1.3 billion per-year impact to hospitals through the Hospital Safety Net Program, plus up to $226 million a year in lost state savings.
The fiscal hit lands as Governor Bob Ferguson signals spending cuts rather than new taxes heading into the 2027-29 budget cycle — 'preserve core services, protect our state's most vulnerable, don't raise taxes' — with legislative analysts already projecting a roughly $4 billion shortfall before accounting for the federal changes.
The state Health Care Authority says more than 620,000 Washingtonians will be impacted by the new work requirements and redetermination changes; federal work requirements take effect December 31, 2026, though HCA notes states may apply for a waiver to delay implementation as late as December 31, 2028. The squeeze on the state's Medicaid reimbursement base arrives just as Washington's community health centers absorb their own H.R.
1 exposure.
Washington HCA's current stakeholder page says that work, training, or community engagement of 80 hours per month and six-month renewals begin January 1, 2027 for affected Apple Health for Adults members, with exceptions. HCA's Community Connector forums are designed for navigators, community organizations, schools, food banks, churches, and other people who help clients; the page lists monthly forums, including July 21 and August 18, plus H.R.
1 stakeholder webinars on September 3 and December 3. Health-center enrollment teams can join these official forums and use HCA-approved materials. The page does not support a universal December 31 start, a guaranteed January 31 termination date, or a health-center-specific enrollment share.
Gov. Bob Ferguson signed E2SSB 5981 on March 25, 2026, and Chapter 227 took effect June 11—not June 10. The session law bars manufacturers and their agents from restricting delivery of 340B drugs to covered entities and contract pharmacies or conditioning delivery on claims or utilization data, subject to federal-law exceptions.
A court may impose up to $5,000 per day for each violation. The same law requires Washington FQHCs to report detailed annual 340B financial and utilization data by April 1, authorizes filing fees, and allows a $1,000-per-day late-reporting fine after a 30-day correction opportunity.
Health centers therefore need both manufacturer-restriction documentation and a reporting-control workstream.
On May 26, 2026, Washington's Office of the Insurance Commissioner reported requests from 13 insurers averaging a 22.4% increase for the 2027 individual market and affecting 281,844 people. Coordinated Care requested 27.8%, Regence BlueShield requested 8.6%, and Providence Health Plan said it would not offer 2027 coverage after serving 254 enrollees.
OIC plans to complete review in September before November open enrollment. The figures are requested—not approved—rates. They support payer-mix scenario planning, but they do not establish how many Apple Health members will move to marketplace coverage or become uninsured.
On April 23, 2026, the Spokane County Superior Court ruled that the Washington Health Care Authority violated state Medicaid regulations by using two-month-old enrollment data to calculate a health center's supplemental (wraparound) Medicaid payments, ordering recovery of $4.1 million in underpayments to Community Health Association of Spokane (CHAS) for July 2017 through December 2022 (reported May 25, 2026 by Feldesman, counsel for the health center — a counsel-published account).
The ruling is a rare litigated win on the mechanics of FQHC supplemental-payment calculation, and a precedent other health centers with managed-care wraparound reconciliation disputes will study.
Yakima Neighborhood Health Services' transition notice says InteliChart would be unavailable after May 3 while YNHS updated its electronic health record, with the system change beginning May 4 and MyChart scheduled to become available May 5. It says patients would receive activation codes by email or text and lists viewing health information, messaging care teams, checking appointments and managing care.
YNHS advised early prescription refills and scheduling appointments before May 3 to reduce delay risk. This documents the announced cutover schedule and patient instructions—not confirmed migration completion for every record or account, uninterrupted availability, interoperability, adoption, utilization, cost, staffing, wait-time change or outcomes.
Directory-listed Unity Care Northwest, branded Unity Care NW, reported on May 4, 2026 that its pharmacy served more than 7,800 patients in the prior year and that nearly 1,000 of them struggled to afford medications because of deductibles, copayments, or lack of insurance. Unity Care NW describes Extend-A-Hand as a community-supported safety net used after other options are exhausted for patients unable to afford prescriptions, between insurance coverage, or needing a one-time prescription their plan will not cover.
This is an operator-reported prior-year pharmacy baseline and program description—not proof that all of the nearly 1,000 patients received Extend-A-Hand assistance, filled a prescription, or received free medication. The publication date does not convert the prior-year count into 2026 activity.
The source does not give a precise measurement window, an exact affordability-barrier count, assistance recipients, prescriptions, dollars, eligibility thresholds, current fund balance, duration of support, avoided emergency visits, adherence, or health outcomes; its two patient examples are anecdotes rather than cohort results.
Gov. Bob Ferguson signed Washington's 2026 supplemental budgets on April 1, 2026. The governor's official summary identifies $55 million in the operating budget for Cascade Care premium assistance for low-income individuals.
That enacted appropriation is a concrete marketplace-affordability input. The linked summary does not support the prior claim's additional $19.8 million, 1,200-person, $15 million, or omitted-340B-proposal assertions, so those figures are not carried forward here.
Health centers should distinguish the signed $55 million appropriation from separate proposals and advocacy estimates.
Directory-listed New Health Programs Association, operating as NEW Health, announced on February 20, 2026 that it had purchased land on the south end of Chewelah for a purpose-designed health campus. NEW Health says its existing Main Street and Clay Avenue campus supports 77 clinical and administrative employees and offers medical and pharmacy services onsite plus behavioral health virtually; the planned campus would add dental and in-person behavioral health while expanding medical and pharmacy offerings.
Phase one is expected to be completed in summer 2027, and the project is supported in part by state and federal grant funding whose amounts are not stated. This is a phased construction and service plan—not an open campus, a construction-start confirmation, or a guaranteed completion or service date.
The 77 employees are the existing campus baseline, not announced new, transferred, retained, or funded positions. The source does not report total cost, grant amounts, facility size, design, construction partners, staffing or FTE plans, hiring, appointment capacity, patients, visits, utilization, or outcomes.
HCA's February 20, 2026 update says Apple Health Expansion enrollment is currently closed and will not reopen while federal changes are implemented. It describes the governor's supplemental-budget proposal to continue state support for current enrollees, limit new enrollment, and direct development of a limited-benefit program for specified uninsured groups, including current Expansion enrollees, undocumented immigrants, certain lawfully present people losing coverage, and DACA recipients.
The page labels this as a proposal and says the number served depends on final benefit design. It should not be presented as a completed program or guaranteed coverage backstop.
Washington HCA announced on February 10, 2026 that CMS had approved the state's revised first-year Rural Health Transformation budget without eliminating a planned activity. HCA's program page identifies the federal award as $181,257,515.06 and the funding period as 2026–2030.
The award is statewide program funding, not proof that every clinic is a subrecipient. Health centers should follow HCA's live RHTP page and named participant procurements for actual application, contract, and partnership opportunities rather than relying on the original prospective timetable.
NACHC's current funding page says annual discretionary health-center funding expires September 30, 2026 and mandatory Community Health Center Fund authority expires December 31, 2026. It reports $4.6 billion in recent mandatory funding, which represents about 70% of federal health-center funding, and $1.858 billion in FY2026 discretionary funding.
Those are national program facts that apply to Washington grantees; the linked source does not establish an International Community Health Services-specific loss or prove that a particular center cannot make a staffing or capital commitment.
The Washington Health Benefit Exchange reported on January 23, 2026 that more than 290,000 people selected health or dental coverage during open enrollment. About 40,000 fewer people were receiving federal premium tax credits than in 2025, and customers had canceled more than 28,000 policies for 2026 compared with just over 20,000 the year before.
Preliminary figures also showed more than 119,000 people receiving Cascade Care Savings. The Exchange said final enrollment would not be known until spring. The source does not support the previous 21% premium, 80,000-person, $285 million, or named-rural-county claims, so those are removed.
Directory-listed Moses Lake Community Health Center's January 5, 2026 announcement, published on a page authored January 21, says it received a Paul Lauzier Charitable Foundation grant to support women's health in Grant County. The center says the funding allowed it to purchase new colposcopy equipment for its medical clinics in Moses Lake and Quincy, and the page caption identifies clinicians displaying the new equipment.
This supports a received grant and equipment acquisition for two named clinics—not a disclosed award amount, a count of devices, confirmation that equipment was installed or available for scheduling on the announcement date, or completed screenings. The source does not report grant terms, purchase cost, operating or maintenance funding, training, staffing or FTE, appointment capacity, patients reached, procedures, utilization, detection rates, referrals, or clinical outcomes.
Its separate statement that the organization serves more than 32,000 community members annually is an organization-wide figure and must not be treated as the equipment's reach.
In a proposal-stage statement, the Washington Association for Community Health said the governor's proposed budget would move the Medicaid pharmacy benefit out of managed care. WACH estimated that community health centers would lose more than $100 million annually while the state saved about $7.5 million.
The statement quotes Community Health Network of Washington CEO Leanne Berge and WACH CEO Dave Pearson opposing the proposal and warning of service and staffing cuts. These are attributed advocacy estimates and positions—not enacted-budget facts, observed layoffs, or statements by Clark County centers or Sea Mar.
International Community Health Services announced the Ron Chew Healthy Aging & Wellness Center's November 10, 2025 opening on Seattle's Beacon Hill. The 25,000-square-foot center is the new home of ICHS PACE and raises the program's stated capacity four-fold, from 100 to up to 400 participants.
For eligible older adults who meet nursing-home-level-care criteria but wish to remain in the community, ICHS describes individualized wraparound care spanning geriatric primary care and multiple clinical and social supports. Its current location page corroborates realized operation with an address, phone number, transportation for enrolled PACE participants and assigned staff.
The four-fold figure is stated maximum capacity, not proof of 400 enrolled or served participants. The sources do not report current enrollment, ramp timing, staffing or FTE, daily visits, utilization, wait times, payer mix, operating cost, avoided institutional use or patient outcomes.
Sea Mar Community Health Centers reports that in October 2025 its nurse-practitioner residency began accepting physician assistants or associates and officially changed its name to the Advanced Practice Provider Residency. The current first-party page documents a realized 12-month training model with continuity clinic, supervised and progressively independent patient care, specialty rotations, joint behavioral-health and substance-use-disorder didactics, and a community or quality-improvement project; it also names residents who began in October 2025.
This is a realized program-scope and training-cohort record, not evidence that an individual PA enrolled or that the change produced net new staffing. The source supplies only the month, so October 1 is a schema-normalized month marker, not a documented start day.
It does not report the number of PA residents accepted, a reliable total for the 2025 cohort, completion, placement, retention, added clinical FTE, patient encounters or capacity, or outcomes. A Vancouver cohort planned for October 2026 remains future and is excluded.
Directory-listed Neighborcare Health’s current school-based health page says all of its school health centers opened to in-person student care as of September 3, 2025. Medical, dental and mental-health services are available by appointment at the health center or by phone, at no cost regardless of insurance to all Seattle Public Schools students and to students in public and private schools on Vashon.
The page lists 13 service categories, from vaccinations, counseling and acute care to dental care, crisis intervention, enrollment help and assistance finding a primary-care home. This is a realized school-year access baseline, not proof that all 13 services operate at every site: Neighborcare expressly tells families to check their local center for availability.
The page does not state the number of school health centers; its separate ‘nearly 30’ figure covers all neighborhood medical, dental and school-based clinics combined. It does not report students served, appointments, visits, staffing or FTE, hours, wait times, utilization, avoided absences or health and education outcomes.
In its July 3, 2025 statement on H.R. 1, the Washington Association for Community Health attributed to Gov. Ferguson an estimate that at least 250,000 people would lose Medicaid and up to 620,000 would be at risk of losing other existing health coverage.
WACH also said Medicaid accounts for 61% of care delivered by Washington community health centers and warned of service, staffing, or site effects. The association further said the law eliminated AHEC funding authorization and asked Congress to restore it through appropriations.
These are WACH's attributed projections and policy position, not observed coverage losses or confirmed closures.
By patients (HRSA UDS 2024). Tap for the full profile.
| Organization | Patients | Sites | Uninsured | Revenue (990) | Resilience | District |
|---|---|---|---|---|---|---|
| Sea Mar Community Health Centers Seattle | 219,800 | 83 | 14.91% | $476M | Stable | WA-07 |
| Yakima Valley Farm Workers Clinic Toppenish | 202,651 | 41 | 9.97% | $349M | Stable | WA-04 |
| Community Health Association of Spokane Spokane | 122,517 | 33 | 10.92% | $267M | Strong | WA-05 |
| Healthpoint Renton | 92,071 | 23 | 15.46% | $182M | Stable | WA-09 |
| Community Health Center of Snohomish County Everett | 76,028 | 15 | 11.34% | $82M | Watch | WA-02 |
| Neighborcare Health Seattle | 59,715 | 32 | 20.82% | $98M | Stable | WA-07 |
| Community Health Care Tacoma | 54,543 | 14 | 12.18% | $85M | Stable | WA-06 |
| Peninsula Community Health Services Bremerton | 50,167 | 44 | 5.84% | $56M | Stable | WA-06 |
| Columbia Valley Community Health Wenatchee | 42,393 | 25 | 18.02% | $61M | Stable | WA-08 |
| Columbia Basin Health Association Othello | 42,218 | 6 | 23.27% | $105M | Stable | WA-04 |
| District | Representative | Sites |
|---|---|---|
| WA-04 | Dan Newhouse | 95 |
| WA-06 | Emily Randall | 66 |
| WA-09 | Adam Smith | 62 |
| WA-07 | Pramila Jayapal | 60 |
| WA-05 | Michael Baumgartner | 51 |
| WA-03 | Marie Gluesenkamp Perez | 41 |
Washington ranks #4 by FQHC patients and #19 by organization count among the 57 national-breadth jurisdictions. All 27 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 Washington-only. Updated 2026-06-30.