Skip to main content
FQHC Talent

Cookie notice

Allow detailed analytics to improve the site?It's from us, Google and Vercel, and stays off until you accept. If you're signed in, it can link your visits across devices. Declining doesn't limit what you can use. Details & privacy.

Issue Ledger

Issues

21 issues· Latest change Nov 10, 2026
340B & pharmacyIn court

340B drug pricing

Court rulings, drugmaker actions, and state laws that change how health centers and other covered entities get 340B savings.

Updated · 192 updates · 188 sources · 4 analysis

Next: · 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 deliveryWatching

Behavioral-health integration and capacity

Behavioral health at health centers: payment rules, staffing, and programs opening or closing.

Updated · 107 updates · 105 sources · 2 analysis

Next: · 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 deliveryWatching

Health center openings, closures and mergers

Named health centers opening or closing sites, merging, changing leadership or changing their electronic health record.

Updated · 240 updates · 239 sources · 1 analysis

  • New sites and expansions
  • Site closures and consolidations
  • Mergers and acquisitions
CoverageTaking effect

Medicaid financing and eligibility operations

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 · 448 updates · 439 sources · 9 analysis

Next: · 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
CoverageTaking effect

Medicaid work-requirement implementation

Federal rules, court cases, state deadlines, and the eligibility help patients will need from health centers.

Updated · 304 updates · 299 sources · 5 analysis

Next: · IHAWP community-engagement requirements begin

  • The federal rule (CMS-2454-IFC)
  • Massachusetts v. Oz and other court challenges
  • State implementation and early enforcement
PaymentDecision due

Medicare payment and value-based care

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 · 48 updates · 42 sources · 6 analysis

Next: · 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
FundingTaking effect

The $50 billion Rural Health Transformation Program

How each state is dividing its award, whether health centers are named or eligible, and which application windows are open.

Updated · 328 updates · 325 sources · 3 analysis

Next: · Applications close for Kansas's two Rural Health Transformation grants, $55 million in all

  • State award announcements
  • Application windows
  • What reaches health centers
ElectionsDecision due

State health elections and ballot measures

Election results, ballot measures that qualify or withdraw, and lawsuits that directly affect health centers.

Updated · 105 updates · 104 sources · 1 analysis

Next: · 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
CoverageTaking effect

ACA marketplace coverage and uninsured demand

Enrollment changes, subsidy policy, and how much unpaid care health centers may take on.

Updated · 150 updates · 149 sources · 1 analysis

Next: · Court sets summary judgment dates in states’ suit over 2027 marketplace rule

  • Enhanced premium credits and their expiry
  • Enrollment counts
  • 2027 rate filings
Care deliveryDecision due

CalAIM, Enhanced Care Management and Community Supports

The waiver renewal, what continues under managed-care authority, and the rules for ECM, Community Supports and the community health worker benefit.

Updated · 25 updates · 23 sources · 2 analysis

Next: · 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
FundingTaking effect

California's budget, the health plan (MCO) tax and Proposition 35

The state budget decisions that set Medi-Cal rates and health center funding, and the bills written to soften federal cuts.

Updated · 39 updates · 39 sources

Next: · 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
CoverageTaking effect

California's state-only Medi-Cal coverage

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 · 68 updates · 65 sources · 3 analysis

Next: · 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
FundingDecision due

Community Health Center Fund and federal appropriations

Congress's decisions on the Community Health Center Fund and related federal program money.

Updated · 70 updates · 66 sources · 4 analysis

Next: · 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
ComplianceWatching

Enforcement: privacy, fraud and audits

Data breaches at health centers and their vendors, HIPAA rulemaking and enforcement, False Claims Act cases and federal audit programs.

Updated · 76 updates · 73 sources · 3 analysis

Next: · 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
FundingWatching

California county safety-net budgets

County budgets, public hospital and clinic cuts, and the local measures meant to fill the gap.

Updated · 101 updates · 99 sources · 2 analysis

Next: · 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 rightsTaking effect

Healthcare access, language, and civil-rights implementation

Section 504, language access, nondiscrimination, and related rules that affect whether patients can use health center services.

Updated · 47 updates · 46 sources · 1 analysis

Next: · Healthy Texas Women providers must recertify by December 31 or lose payment

  • Section 504 accessibility
  • Gender-affirming care rules
  • Reproductive health funding
LaborWatching

Healthcare labor and organizing

Bargaining, organizing, strikes, settlements, and effects on patient care.

Updated · 62 updates · 62 sources

Next: · 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
CoverageIn court

Immigration enforcement, public charge and immigrant eligibility

Federal rules that change who qualifies for coverage, and enforcement activity that changes who feels safe walking into a health center.

Updated · 118 updates · 116 sources · 2 analysis

Next: · 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
WorkforceWatching

Safety-net workforce and capacity shifts

Layoffs, hiring freezes, closures and openings at health centers, with dates and headcounts.

Updated · 194 updates · 186 sources · 8 analysis

  • Layoffs and hiring freezes
  • Training pipelines and loan repayment
  • Community health workers and promotoras
TechnologyWatching

AI in care: law, oversight and adoption

State laws on AI in clinical settings, federal oversight, litigation, and what health centers report from their own deployments.

Updated · 165 updates · 161 sources · 4 analysis

Next: · 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
ComplianceTaking effect

HRSA Health Center Program rules

Scope of project, forms and system deadlines, new access points, FTCA deeming, UDS reporting and site visits.

Updated · 54 updates · 53 sources · 1 analysis

Next: · 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