340B & pharmacy In court
Court rulings, drugmaker actions, and state laws that change how health centers and other covered entities get 340B savings.
Updated Nov 10, 2026 · 192 updates · 188 sources · 4 analysis
Next: Nov 15 · Amgen to request 340B visit claims data starting November 15
• HRSA's rebate model pilot • State contract-pharmacy laws and the circuit split • Manufacturer restrictions and data demands Care delivery Watching
Behavioral health at health centers: payment rules, staffing, and programs opening or closing.
Updated Nov 10, 2026 · 107 updates · 105 sources · 2 analysis
Next: Dec 16 · Comments are due on Nevada's request to extend its substance use disorder waiver through 2032
• Program and bed closures • Capital projects and grants • Integration and payment Care delivery Watching
Named health centers opening or closing sites, merging, changing leadership or changing their electronic health record.
Updated Nov 10, 2026 · 240 updates · 239 sources · 1 analysis
• New sites and expansions • Site closures and consolidations • Mergers and acquisitions Coverage Taking effect
Provider taxes, managed care, coverage losses, and other Medicaid money changes that affect health center revenue or patient access. Work requirements have their own page.
Updated Nov 10, 2026 · 448 updates · 439 sources · 9 analysis
Next: Nov 20 · HHSC sets November 20 hearing on proposed Texas Medicaid rate updates
• Provider taxes and state-directed payments • CMS deferrals and program-integrity actions • State rate cuts, rebases and reversals Coverage Taking effect
Federal rules, court cases, state deadlines, and the eligibility help patients will need from health centers.
Updated Nov 10, 2026 · 304 updates · 299 sources · 5 analysis
Next: Dec 1 · IHAWP community-engagement requirements begin
• The federal rule (CMS-2454-IFC) • Massachusetts v. Oz and other court challenges • State implementation and early enforcement Payment Decision due
The annual physician fee schedule and the health center PPS rate, care-management codes, telehealth, and the accountable-care models health centers can join.
Updated Nov 10, 2026 · 48 updates · 42 sources · 6 analysis
Next: Nov 23 · Comments are due on CMS's request for input on Part D pharmacy contract terms, including 340B claims
• The physician fee schedule and PPS rate • ACO REACH, LEAD, ACCESS and other models • Care-management codes and telehealth Funding Taking effect
How each state is dividing its award, whether health centers are named or eligible, and which application windows are open.
Updated Nov 10, 2026 · 328 updates · 325 sources · 3 analysis
Next: Nov 13 · Applications close for Kansas's two Rural Health Transformation grants, $55 million in all
• State award announcements • Application windows • What reaches health centers Elections Decision due
Election results, ballot measures that qualify or withdraw, and lawsuits that directly affect health centers.
Updated Nov 10, 2026 · 105 updates · 104 sources · 1 analysis
Next: Dec 11 · California's Secretary of State certifies the November 3 results, including Propositions 40, 41 and 42
• Proposition 44 (clinic spending requirement) • Proposition 40 and the competing tax measures • County and city health measures Coverage Taking effect
Enrollment changes, subsidy policy, and how much unpaid care health centers may take on.
Updated Nov 9, 2026 · 150 updates · 149 sources · 1 analysis
Next: Nov 18 · Court sets summary judgment dates in states’ suit over 2027 marketplace rule
• Enhanced premium credits and their expiry • Enrollment counts • 2027 rate filings Care delivery Decision due
The waiver renewal, what continues under managed-care authority, and the rules for ECM, Community Supports and the community health worker benefit.
Updated Nov 8, 2026 · 25 updates · 23 sources · 2 analysis
Next: Dec 31 · CalAIM's 1115 waiver expires; the renewal is pending and DHCS says ECM and Community Supports continue
• The 1115 waiver renewal • ECM and Community Supports rules • The community health worker benefit Funding Taking effect
The state budget decisions that set Medi-Cal rates and health center funding, and the bills written to soften federal cuts.
Updated Nov 8, 2026 · 39 updates · 39 sources
Next: Dec 31 · California's current MCO tax reaches the end of its authorized term
• The annual budget • The health plan (MCO) tax and Proposition 35 • Bills that respond to federal cuts Coverage Taking effect
The enrollment freeze, the move to fee-for-service, the PPS and dental changes, and what each does to health center revenue and patients.
Updated Nov 8, 2026 · 68 updates · 65 sources · 3 analysis
Next: Dec 1 · Affected immigrants must update their immigration information with Medi-Cal
• PPS reimbursement for state-only patients • The move from managed care to fee-for-service • Adult dental benefits Funding Decision due
Congress's decisions on the Community Health Center Fund and related federal program money.
Updated Nov 8, 2026 · 70 updates · 66 sources · 4 analysis
Next: Nov 16 · HRSA’s estimated due date for new teaching health center residency applications (HRSA-27-084, still a forecast)
• The mandatory fund and the December 31 expiry • Annual appropriations and continuing resolutions • NHSC and teaching health center funding Compliance Watching
Data breaches at health centers and their vendors, HIPAA rulemaking and enforcement, False Claims Act cases and federal audit programs.
Updated Nov 8, 2026 · 76 updates · 73 sources · 3 analysis
Next: Dec 8 · Claims are due in the Brockton Neighborhood Health Center data breach settlement
• Data breaches • HIPAA rules and OCR enforcement • False Claims Act, DOJ and federal audits Funding Watching
County budgets, public hospital and clinic cuts, and the local measures meant to fill the gap.
Updated Nov 8, 2026 · 101 updates · 99 sources · 2 analysis
Next: Dec 15 · Staff report back to the Board on the Community Services Agency deficit and position cuts
• Los Angeles County • Bay Area counties • Central Valley and North State Access & civil rights Taking effect
Section 504, language access, nondiscrimination, and related rules that affect whether patients can use health center services.
Updated Nov 8, 2026 · 47 updates · 46 sources · 1 analysis
Next: Dec 31 · Healthy Texas Women providers must recertify by December 31 or lose payment
• Section 504 accessibility • Gender-affirming care rules • Reproductive health funding Labor Watching
Bargaining, organizing, strikes, settlements, and effects on patient care.
Updated Nov 8, 2026 · 62 updates · 62 sources
Next: Dec 8 · Cottage Health nurses begin a two-day vote on joining SEIU 121RN
• Organizing drives and elections • Contracts, strikes and unfair-labor-practice charges • SB 525 and health care wage law Coverage In court
Federal rules that change who qualifies for coverage, and enforcement activity that changes who feels safe walking into a health center.
Updated Nov 8, 2026 · 118 updates · 116 sources · 2 analysis
Next: Nov 18 · HRSA's 63-award service area competition closes in EHBs on November 18
• The public-charge rule • Enforcement and its chilling effect • Eligibility changes for lawfully present immigrants Workforce Watching
Layoffs, hiring freezes, closures and openings at health centers, with dates and headcounts.
Updated Nov 8, 2026 · 194 updates · 186 sources · 8 analysis
• Layoffs and hiring freezes • Training pipelines and loan repayment • Community health workers and promotoras Technology Watching
State laws on AI in clinical settings, federal oversight, litigation, and what health centers report from their own deployments.
Updated Oct 27, 2026 · 165 updates · 161 sources · 4 analysis
Next: Dec 15 · AAAHC's v45 standards, with AI governance expectations, apply to evaluations on or after this date
• State AI laws • Federal oversight and standards • Health center deployments Compliance Taking effect
Scope of project, forms and system deadlines, new access points, FTCA deeming, UDS reporting and site visits.
Updated Oct 27, 2026 · 54 updates · 53 sources · 1 analysis
Next: Nov 18 · HRSA's 63-award service area competition closes in EHBs on November 18
• Scope of project and change-in-scope • New Access Points and competitions • FTCA deeming