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Santa Paula Hospital Faces Seismic Compliance Closure by 2030 — Rural Ventura County Health Desert Risk

Santa Paula Hospital (49-bed, Ventura County Medical Center system) faces potential closure by January 1, 2030 due to SB 1953 seismic compliance. Needs $36.2M for seismic upgrades + deferred maintena…

Executive Order 14398 Bans DEI Activities by Federal Contractors — FQHCs as HRSA Grantees Face Compliance Risk

Trump signed EO 14398 prohibiting 'racially discriminatory DEI activities' by federal contractors and grantees. FQHCs receiving HRSA Section 330 grants face compliance deadlines: contract clauses (30…

California AB 1113 Would Require Nonprofits to Spend 90% on Mission — FQHCs with Holding Companies or Pharmacy Subsidiaries Face Compliance Risk

AB 1113, advancing in the California Legislature, would require nonprofit health organizations to spend at least 90% of revenue on their stated mission, with penalties for excess executive compensati…

CMS V28 Risk Adjustment Model Fully Phased In 2026 — FQHCs in MA/ACO Contracts Face 10-20% Revenue Cliff Without Coding Upgrade

CMS's V28 risk adjustment model is fully phased in for 2026 — removing approximately 2,000 ICD-10 codes from HCC mapping. FQHCs participating in Medicare Advantage, ACO REACH, or APM contracts (inclu…

Critical FQHC Compliance Fact: Eyeglasses Are NOT In HRSA Scope — Excluded from Sliding-Fee Mandate, NOT PPS-Encounter-Billable

Per HRSA Health Center Program Compliance FAQs and Compliance Manual Chapter 4: 'eyeglasses, hearing aids, and dentures' are explicitly excluded from in-scope services. Critical operational implicati…

Section 1557 Language Access Annual Notice Year 1 Anniversary — July 5, 2026 Compliance Window

HHS Section 1557 Annual Notice of Availability (free language assistance services in English + 15 most common LEP languages in the state) has been in effect since July 5, 2025. Year 1 compliance revi…

California DHCS Launches FQHC Billing Compliance Review Initiative

The California Department of Health Care Services announced a targeted billing compliance review for 50 FQHCs in 2026, focusing on PPS encounter documentation, Medi-Cal managed care billing accuracy,…

HRSA Migrating Section 330 Grants From EHB to GrantSolutions — Operational Disruption Risk for All FQHCs

HRSA Bureau of Primary Health Care (BPHC) is migrating the core Section 330 grant lifecycle — submission, review, award, management — from the Electronic Handbook (EHB) to GrantSolutions throughout 2…

340B Contract Pharmacy Audits Double: HRSA Targets Compliance Gaps at FQHCs

HRSA has doubled 340B program audits targeting contract pharmacy arrangements, with 47 covered entities under review in Q1 2026. Common violations include duplicate discounts, inadequate patient elig…

Eli Lilly + Novo Nordisk 340B Claims-Data Mandates Now Live — FQHCs Must Submit Within 45 Days or Risk Losing 340B Access

Eli Lilly (effective February 1) and Novo Nordisk (effective April 1) both implemented policies requiring all 340B covered entities, including FQHCs, to submit claims-level data for every drug dispen…

DOJ Launches National Healthcare Fraud Enforcement Division — FQHC PPS Billing, Incident-To, and Telehealth Documentation Now Higher-Risk Audit Targets

The Department of Justice announced a new National Healthcare Fraud Enforcement Division consolidating FBI, OIG, and DEA healthcare fraud resources under a single coordinated unit. The announcement f…

8 LA County Hospitals Named At-Risk Under H.R. 1 — PIH Good Samaritan, MLK Jr. Willowbrook, Hollywood Pres, Glendale Memorial

Los Cerritos Community News analysis (April 19, 2026) names 8 specific LA County hospitals at heightened closure risk under H.R. 1 Medicaid cuts: PIH Good Samaritan, East LA Doctors, LA Downtown Medi…

Public Citizen Names 83 California Hospitals at Closure Risk Under H.R. 1 — UC Davis, Methodist Sacramento, Ventura, San Diego on List

Public Citizen's 'The Big Ugly Threat to Safety Net Hospitals' identifies 446 US hospitals at heightened closure risk from H.R. 1 Medicaid cuts (≥20% Medicaid payer mix + negative net margins 2022-20…

Sierra View Medical Center (Tulare County) at Significant Risk Under H.R. 1 Medicaid Cuts

Detailed community-impact analysis published April 25 names Sierra View Medical Center (Porterville, Tulare County) as at significant risk under H.R. 1 Medicaid cuts. Tulare is heavily Medi-Cal-depen…

Public Citizen Report: 83 California Hospitals Named on H.R. 1 Closure At-Risk List

Public Citizen released an April 17 report identifying 83 California hospitals (of 446 nationally across 44 states + DC) at heightened risk of closure, service cuts, or layoffs from H.R. 1's $911B Me…

LA County Hospitals Named on National H.R. 1 Closure At-Risk List — Direct Upstream Risk to FQHCs

A new April 19 analysis names a cluster of LA County hospitals — including PIH Health Good Samaritan, East LA Doctors Hospital, and broader DHS facilities — on a national 'at-risk' closure list tied …

Public Citizen: 446 US Hospitals at Risk of Closure from Medicaid Cuts — California Has Most at Risk in the Nation

A Public Citizen analysis of financial data from 95% of US hospitals identifies 446 hospitals at high risk of closure or service cuts from H.R. 1 Medicaid reductions (~$1T over a decade). At-risk hos…

1 in 5 California Hospitals at Risk of Closure — Kaufman Hall Analysis Warns of Rural Care Deserts

A Kaufman Hall analysis finds 1 in 5 California hospitals at risk of closure. Nearly half of rural hospitals operate at a loss. Southern Inyo Health District asked the governor for $3M emergency life…

8 Named LA County Hospitals Among 83 California Facilities at Closure Risk — Urban Crisis Concentrated in Working-Class Districts, Not Rural

An April 19 analysis of the Public Citizen/KFF at-risk hospital list finds California's risk is concentrated in urban LA County, not rural areas as originally framed. Eight named LA County hospitals …

HHS Minimum AI Risk Management Practices Deadline — April 3, 2026 (Now in Effect)

HHS divisions required to implement minimum risk management practices by April 3, 2026 covering bias mitigation, outcome monitoring, security, and human oversight for AI use. Federal posture shifted …

FQHC Glaucoma Screening Protocol: Risk-Based Approach for Black, Latino, and AAPI Patients

LALES established 75% of LA Latinos with glaucoma were undiagnosed. Black patients face 5-6× higher prevalence with onset ~10 years earlier. AAPI patients face elevated angle-closure risk. CA SB 1406…

CA Mobile Crisis Services Could Shift From Statewide Benefit to Optional Medi-Cal Benefit After Dec 2026 — BH Co-Responder Models at Risk

CalMatters reports (May 2026) that California's community-based mobile crisis services — currently a statewide benefit — could become an optional Medi-Cal benefit after the Dec 2026 enhanced federal …

Sacramento County FY26-27 Budget Adds $6.5M Behavioral Health Urgent Care Center — Mays Consent Decree Compliance

Sacramento County's FY2026-27 Recommended Budget transmittal earmarks $6.5M of an $11.8M Health Services budget allocation for a new Behavioral Health Urgent Care Center (BHUCC) under the Mays Consen…

Continuing Resolution Funds CHCF at $4.6B Through December 2026 — Multi-Year Reauthorization NOT Included, Cliff Remains Existential Risk

NACHC confirmed in the most recent Continuing Resolution analysis: the Community Health Center Fund (CHCF) is funded at $4.5B annualized for the current FY and $4.6B for FY2026 — but only authorized …

Glaucoma Disparities: Black Americans 5-6× Risk With ~10 Years Earlier Onset; AAPI Elevated Angle-Closure + Myopia Risk

Glaucoma Research Foundation: Black Americans face 5-6× higher open-angle glaucoma prevalence and 6× the blindness rate vs white peers. First diagnosis on average ~10 years earlier; disease progressi…

Fresno County Faces $69-295M Budget Deficit From H.R. 1 — 11K-30K Residents at Risk of Losing Medi-Cal

Fresno County faces a $69-295M budget hole from H.R. 1, with Public Health Director Joe Prado warning 11,000-30,000 residents will lose Medi-Cal coverage and turn to county/FQHCs for care. CalFresh l…

GWU Research: Medicaid Cuts Will Also Devastate FQHC Medicare Patients — Cross-Subsidy at Risk

Geiger Gibson Program at GWU finds Medicaid cuts won't just affect Medicaid patients — they'll undermine care for 7.4M Medicare patients at community health centers. FQHCs use Medicaid revenue to cro…

$600M in CDC Grant Rescissions Hit California — FQHC Prevention Programs at Risk

The federal government has rescinded approximately $600M in CDC grants to California as part of the broader HHS restructuring and DOGE efficiency push. Affected programs include chronic disease preve…

Santa Clara County Proposes $183M in Health & Hospital Cuts — Valley Health Center FQHCs at Risk

Santa Clara County has proposed $183M in cuts to its Health and Hospital System for FY2026-27, driven by a $325M structural deficit. The Valley Health Center network — which operates 9 FQHC sites ser…

CalAIM 1115 Waiver Expires Dec 2026 — Renewal at Risk Under Restrictive Federal Posture

California's CalAIM 1115 waiver expires December 31, 2026. Since launching in January 2022, 326,000+ members have enrolled in ECM and 368,000+ in Community Supports. DHCS released a concept paper in …

SD County Supervisors Vote to Overhaul Safety Net Program — 400K at Risk

San Diego County Board of Supervisors voted 4-1 to reform County Medical Services, the most restrictive safety-net program among large CA counties. H.R. 1 will strip Medi-Cal from an estimated 75,000…

Inland Empire: 1.6M IEHP Members at Risk as Medi-Cal Cuts Loom

The Inland Empire Health Plan serves 1.6M members across Riverside (42% enrolled) and San Bernardino (45% enrolled) counties. Projected $10-20B annual state Medi-Cal cuts could force clinics to cut d…

CalAIM Waiver Expires December 31, 2026 — $1.2B in ECM/Community Supports at Risk

California's CalAIM 1115 and 1915(b) waivers expire December 31, 2026. DHCS has indicated it will seek renewal, but no formal application has been submitted. If not renewed, $1.2 billion annually in …

HHS Shuts Down Minority Health Offices — CLAS Training Infrastructure at Risk for FQHCs

The CMS Office of Minority Health (~40 employees eliminated) and HHS Office of Minority Health have been restructured under federal cost-cutting. OMH sponsors Think Cultural Health and free CLAS Stan…

Paragon Institute Report: $19B in State Medicaid Funding at Risk from MCO Tax Phase-Out

CMS released guidance requiring states to wind down MCO taxes by end of FY2026 under H.R. 1 provision. California's MCO tax raises $8.4B in 2025 (99%+ from Medicaid MCOs), generating a projected $19.…

Medi-Cal Dental Cuts Risk Driving 49% of Dentists Out of the Program — FQHC Dental Integration Under Threat

California Dental Association data shows that 49% of dentists currently participating in Medi-Cal say they would leave the program if proposed reimbursement cuts proceed. For FQHCs that depend on den…

LA County DHS Faces $662M Federal Funding Decline in 2026-27 — 700,000 Residents at Risk of Losing Medi-Cal

The LA County 2026-27 Recommended Budget ($48.8B total) projects a $662.2M decline in federal support for the Department of Health Services to maintain current service levels. Work requirements effec…

Monterey County's 12 Clinics Face $5-7M Revenue Loss — Clinica de Salud and Rural Mee Memorial at Specific Risk

Federal and state Medi-Cal cuts are projected to reduce revenue at the County of Monterey's 12 health clinics by $5-7M (8-11% of their $65M annual budget). Clinica de Salud del Valle de Salinas — ser…

Children's Hospital Los Angeles Cutting 439 Positions in Strategic Realignment — Pediatric Referral Capacity at Risk

Children's Hospital Los Angeles announced elimination of 439 positions (253 layoffs + 186 open roles) effective October 28, 2026 as part of a strategic realignment. CHLA is not an FQHC, but serves as…

LA County $48.8B Budget Released — $2.1B Unmet Needs, 700K Medi-Cal Members at Risk from Work Requirements by 2028

LA County's April 14 recommended budget avoids broad cuts for now but acknowledges $2.1B in unmet needs. The DHS ($6.5B budget, ~70% federal/state) faces greatest exposure. Medi-Cal work requirements…

KFF: Rural Americans Would Lose Medicaid at 3× the Rate of Urban Residents Under H.R. 1 — Central Valley and North State Among Highest-Risk Geographies

A new KFF analysis finds H.R. 1's Medicaid provisions would reduce rural coverage at three times the rate of urban areas — rural populations are more likely to be near eligibility thresholds, less li…

CHCF: Two-Thirds of Kern and Tulare County Residents Depend on Medi-Cal — Central Valley FQHCs Face Highest Revenue Risk in State Under H.R. 1

A California Health Care Foundation analysis quantifies extraordinary Medi-Cal dependency in California's Central Valley: Kern County (66%) and Tulare County (68%) have the highest shares of resident…

3 Named San Diego County Hospitals at Closure Risk: Scripps Mercy SD, Sharp Chula Vista, Tri-City Oceanside

OB Rag identifies the three named San Diego County hospitals on Public Citizen's 446-hospital watchlist: Scripps Mercy Hospital (San Diego), Sharp Chula Vista Medical Center, and Tri-City Medical Cen…

Peer-Reviewed Study: 70% of AI Scribe Notes Contain Errors — Strongest Evidence Yet on Accuracy Risks

A narrative review published in Cardiovascular Diagnosis and Therapy (PMC) found that approximately 70% of AI-generated clinical notes contain errors. This is the strongest peer-reviewed evidence pub…

npj Digital Medicine: AI Governance Gaps in Safety-Net Settings — Equity Risks and FQHC Implications

A peer-reviewed paper in npj Digital Medicine identified structural AI governance gaps in safety-net healthcare settings, including community health centers. Key findings: (1) 78% of AI tools deploye…

Illinois Medical Home Network FQHC ACO: Value-Based Payment Funded AI — Population Health, Risk Stratification, Patient Chatbots

Illinois Medical Home Network ACO (Cook County FQHCs) demonstrates the FQHC AI affordability path: VBP capitation funds AI investment, with measurable outcomes — 20% ED spending reduction, 15% no-sho…

MAJOR PIVOT — HHS OCR Extends Section 504 / WCAG 2.1AA Deadline by One Year to May 11, 2027

On May 7, 2026 — four days before the original deadline — HHS Office for Civil Rights issued an Interim Final Rule extending the Section 504 digital accessibility compliance date by one year. FQHCs w…

HRSA 340B Rebate Pilot Comment Window Closes April 20 — AHA + NACHC File Opposition; Novartis Entresto Plan Active April 1

HRSA's 340B Rebate Model Pilot RFI comment period closed April 20, 2026 with thousands of comments filed — AHA and NACHC both filed formal opposition citing FQHC cash-flow risk. Separately, Novartis …

OIG Reports $4.7B in Healthcare Fraud Recoveries — FQHCs Face Increased Billing Scrutiny

The HHS Office of Inspector General recovered $4.7B in healthcare fraud in FY2025, with community health centers facing increased scrutiny on PPS billing practices. Key risk areas: same-day billing e…

HRSA Operational Site Visit (OSV) Preparation

How FQHCs prepare for and succeed in HRSA compliance reviews. Covers the 19 program requirements, common findings, documentation preparation, and governance readiness.

Salud Para La Gente (Santa Cruz/Monterey FQHC) Pays $750K to Settle False Claims Act Misbranded Contraceptives Case — First CA FQHC FCA Settlement of FY2026

On May 6, 2026, Salud Para La Gente — a Santa Cruz/Monterey County FQHC serving low-income patients across the Central Coast — agreed to pay $750,000 to settle False Claims Act allegations that it bi…

Bay Area Community Health Confirms TriZetto Data Breach — SSN, Medicare Numbers, DOB, Insurance Data Exposed

Bay Area Community Health (BACH, Fremont/San Jose, ~30 sites) confirmed (May 6, 2026 substitute notice + class action investigation update) PHI exposure via TriZetto Provider Solutions (Cognizant sub…

DOJ Stands Up National Fraud Enforcement Division — Healthcare Billing Now Has a Dedicated Litigating Division

Acting U.S. Attorney General Todd Blanche announced (April 7, 2026) the National Fraud Enforcement Division (NFED) — a stand-alone DOJ litigating division consolidating the Tax Section, Health Care F…

OCR Settles 4 HIPAA Ransomware Cases — $1.165M Bundled Penalty, 427K Patients Exposed

On April 23, 2026, HHS Office for Civil Rights announced settlements with four healthcare entities (Regional Women's Health Group/Axia Women's Health, Assured Imaging, Consociate Health, and Star Gro…

HHS Section 504 / WCAG 2.1AA Deadline 7 Days Away — DOJ Title II Extension Confirmed Not Mirrored by HHS

Today is May 4, 2026 — exactly 7 days from the May 11 HHS Section 504 enforcement date. Key clarification: legal advisories from Duane Morris (April 26) and Alston & Bird (March) confirm that the DOJ…

HHS Section 504 / WCAG 2.1AA Deadline 9 Days Away — Final Sprint Week for Every CA FQHC With 15+ Employees

Today is May 2, 2026 — exactly 9 days from the May 11 HHS Section 504 enforcement date for digital accessibility (WCAG 2.1 Level AA). All FQHCs with 15+ employees must have remediated patient portals…

Vance Anti-Fraud Task Force Suspends 470 LA Hospice + Home Health Agencies — $600M Alleged Fraud, FQHC Referral Path Disrupted

Federal anti-fraud task force suspended 447 hospices + 23 home health agencies in LA County April 15, 2026 — alleged $600M in fraudulent billing. 539% increase in suspensions vs. early April. Indirec…

Alameda Alliance Switched Medi-Cal Vision Vendor from March Vision to VSP Effective Jan 1, 2026 — Bay Area Network Disruption

Alameda Alliance Health Plan moved its Medi-Cal vision benefit administration from March Vision Care to VSP effective Jan 1, 2026. Bay Area FQHCs contracting with Alameda Alliance must establish or u…

AbbVie Sues HRSA in D.C. District Court Over 340B Patient Definition — Post-Chevron Doctrinal Weapon

AbbVie filed a 72-page complaint April 8 in U.S. District Court for the District of Columbia against HRSA, HHS, Secretary Kennedy, and HRSA Administrator Engels — targeting the 1996 'patient definiti…

DOJ Extends ADA Title II Web Accessibility 1 Year — But HHS Section 504 May 11 Deadline UNCHANGED

DOJ published an interim final rule April 20 extending ADA Title II web accessibility deadlines for state/local governments — to April 26, 2027 (50K+ population) and April 26, 2028 (under 50K). Criti…

AltaMed December 2025 Data Breach — Class Action Investigation Active Through April 2026

AltaMed (largest U.S. FQHC, 3,500+ staff, 600K+ patients) experienced a cybersecurity incident on December 14, 2025; class action investigation actively soliciting plaintiffs through April. Could aff…

NCQA Issues Temporary Scoring Modifications to Health Equity Accreditation — REL/SOGI Data Requirements Paused

NCQA issued temporary scoring modifications in April 2026 (effective through June 30, 2026) to its Health Equity Accreditation program, narrowly focused on requirements organizations may struggle to …

DOJ Federal Hospice Fraud Takedown: 8 Arrests, $50M Alleged Billing — Medi-Cal Enforcement Intensifies

U.S. Attorney's Office (Central District of California) announced an April 2 takedown — 8 defendants arrested for $50M in fraudulent hospice billing using stolen identities to enroll in Medi-Cal. Coo…

Section 504 / WCAG 2.1AA 'Red Alert' — Enforcement Interpretation May Be Contested in Final Weeks Before May 11

A Converge Accessibility 'Red Alert' published April 22 warns that HHS Section 504 Rule enforcement interpretation 'is in danger' of regulatory contest in the final weeks before the May 11, 2026 WCAG…

HRSA Being Absorbed into New 'Administration for a Healthy America' — 25% of Staff Already Departed

HRSA is being merged into the new Administration for a Healthy America (AHA) alongside SAMHSA, ATSDR, and NIOSH. Approximately 700+ employees (25% of staff) have departed since February, including gr…

OCR Begins Enforcing 42 CFR Part 2 for Substance Use Disorder Records — FQHCs with MAT/SUD Programs Must Comply

OCR has begun enforcement of the updated 42 CFR Part 2 regulations as of February 16, 2026. The updated rule aligns Part 2 with HIPAA but adds enhanced protections for substance use disorder treatmen…

AltaMed Data Breach Reported — Largest CA FQHC Confirms Patient Data Exposure

AltaMed Health Services, California's largest FQHC serving 465,000+ patients across 60+ sites, confirmed a data breach discovered in December 2025 and reported in early 2026. Details on the scope and…

Eli Lilly & Novo Nordisk Impose Universal 340B Claims Data Requirements — FQHCs Must Submit Data or Lose Pricing

For the first time, Eli Lilly (effective Feb 1, 2026) and Novo Nordisk (effective Apr 1, 2026) require all 340B covered entities — including FQHCs — to submit claims-level data for every in-house pha…

DHCS Files Formal H.R. 1 Implementation Plan with California Senate — Authoritative Timeline for All Medi-Cal Changes

DHCS filed a formal implementation plan with the California Senate Budget and Fiscal Review Committee detailing how California will implement H.R. 1's Medicaid provisions. The document lays out the e…

Federal Court Overturns HRSA 340B Child Site Registration Requirement — Expands Satellite Location Purchasing

A federal district court vacated HRSA's requirement that off-site facilities (child sites) must appear on a hospital's Medicare cost report and be registered in OPAIS before purchasing drugs at 340B …

HRSA Expands FY2026 340B Audit Scope — New 'Furnished' Language Signals Broader Scrutiny of Drug Transactions

HRSA's updated Data Request List (DRL) for FY2026 340B audits now includes the word 'furnished' alongside 'administered or dispensed,' broadening the scope of how covered entities must document drug …

La Clínica de La Raza Reports Data Breach Affecting Patient Records

La Clínica de La Raza, one of the Bay Area's largest FQHCs serving 90,000+ patients across Alameda, Contra Costa, and Solano Counties, disclosed a data breach involving unauthorized access to patient…

HRSA Accelerates Operational Site Visits: 30% More FQHCs Audited in FY2026

HRSA's Bureau of Primary Health Care has increased OSV frequency, with 30% more site visits scheduled in FY2026 compared to FY2025. Focus areas include governance documentation (42 CFR 330.304), slid…

OCR Settles $1.5M HIPAA Breach Case with Community Health Network

HHS Office for Civil Rights reached a $1.5M settlement with a multi-site community health center for a breach affecting 28,000 patient records. Root cause: unencrypted email containing PHI sent to th…

OCR Launches Civil Enforcement for Substance Use Disorder Patient Records — FQHCs with BH Programs Now in Scope

HHS Office for Civil Rights began enforcing confidentiality protections for substance use disorder (SUD) patient records under 42 CFR Part 2, now aligned with HIPAA penalty tiers. FQHCs operating beh…

Federal Court Overturns HRSA 340B Child Site Registration Requirement

A federal district court vacated HRSA's requirement that off-site facilities (child sites) must appear on a hospital's Medicare cost report and be registered in OPAIS before purchasing drugs at 340B …

HRSA Expands FY2026 340B Audit Scope with 'Furnished' Language Change

HRSA's updated Data Request List for FY2026 340B audits now includes 'furnished' alongside 'administered or dispensed,' broadening how covered entities must document drug transactions. Additional cha…

Federal Court Vacates 340B Rebate Model Pilot — Preserves Upfront Discount for FQHCs (For Now)

In AHA v. Kennedy, the U.S. District Court for the District of Maine vacated HRSA's 340B Rebate Model Pilot Program, finding the agency's administrative record 'threadbare' and that it failed to cons…

Ninth Circuit Opens Door to FCA Liability for 340B Overcharges — New Legal Pathway for FQHCs

The Ninth Circuit unanimously reversed a dismissal in United States ex rel. Adventist Health System v. AbbVie, ruling that qui tam False Claims Act suits can proceed against pharmaceutical manufactur…

Third Circuit Rules Drug Manufacturer 340B Contract Pharmacy Restrictions Are Legal

The U.S. Court of Appeals for the Third Circuit unanimously ruled that manufacturer restrictions on 340B contract pharmacy access are lawful and HRSA’s policy prohibiting them is unlawful. 18 manufac…

AbbVie Files Landmark Lawsuit to Narrow 340B 'Patient' Definition — Directly Targeting FQHC Contract Pharmacy Arrangements

AbbVie sued HRSA to challenge the 30-year-old 340B patient definition, proposing a four-part test requiring direct care connection, clinical encounter, active care management, and 12-month recency. A…

Trump Administration Refers LA LGBT Center to HHS Inspector General — One of Four LGBTQ+ FQHCs Targeted Nationally

HHS General Counsel Mike Stuart referred the Los Angeles LGBT Center (along with Whitman-Walker Health DC, Callen-Lorde NYC, and Institute for Family Health NYC) to the HHS OIG for investigation, ste…

4th Circuit Rules for Pharma: Maryland's 340B Contract Pharmacy Access Law Vacated — State-Level Protections Weakened

The U.S. Court of Appeals for the Fourth Circuit vacated the lower court ruling that had upheld Maryland's 340B contract pharmacy access law, siding with AbbVie, Novartis, and AstraZeneca. The ruling…

California's Largest-Ever Medi-Cal Hospice Fraud Takedown — $267M State + $50M Federal Indictments Signal Enforcement Posture Shift

California DHCS and DOJ announced the largest-ever Medi-Cal hospice fraud takedown: 14 fraudulent hospice providers, $267M in improper claims, plus a parallel US Attorney (Central District) federal i…

HRSA 340B Rebate Model ICR Burden Comment Window Closes April 27 — Second Window for FQHCs After April 20 Main Deadline

HRSA released a supplemental Information Collection Request (ICR) specifically on the administrative burden of the 340B Rebate Model Pilot Program. Comments on operational impact — pharmacy workflow,…

URGENT: HHS Section 504 WCAG 2.1 AA Digital Accessibility Deadline Hits FQHCs May 11, 2026 — 3 Weeks Away

HHS's first major update to Section 504 regulations in ~50 years imposes two hard deadlines for every FQHC with 15+ employees: (1) All web content and mobile apps must meet WCAG 2.1 Level AA by May 1…

HHS OCR Settles with Dental Software Company MMG Fusion — 15M PHI Records Exposed; FQHCs Using This Software Must Verify BAAs

HHS OCR settled with MMG Fusion LLC (dental practice management software) for an impermissible disclosure of PHI affecting approximately 15 million individuals — OCR's 11th enforcement action under i…

California AG Dismantles $267M LA Hospice Fraud Ring — 21 Charged; DHCS Signals Intensified Audit Activity for All Medi-Cal Providers

California AG and DHCS dismantled a transnational fraud ring operating 14 fraudulent hospice providers in LA that used stolen Medi-Cal identities to bill $267M in false claims, with 21 charged and $7…

4th Circuit Blocks West Virginia's 340B Contract Pharmacy Law — First Federal Appeals Win for Drugmakers, Deepens Circuit Split, Weakens CA AB 1460 Path

The U.S. Court of Appeals for the Fourth Circuit upheld a preliminary injunction blocking West Virginia's SB 325, which sought to prohibit manufacturers from restricting 340B contract pharmacy access…

FQHC Ransomware Surge Q1 2026 — Sandhills (169K), Cherry Health (184K), Central Jersey Hit; Class-Action Lawsuits Now Routine

Comparitech's Q1 2026 healthcare ransomware roundup confirms 201 attacks (120 providers + 81 vendors) — three of which were FQHCs: Sandhills Medical Foundation (SC, 169,017 patients, INC Ransom group…

DOJ Launches West Coast Health Care Fraud Strike Force — NorCal U.S. Attorney Calls Silicon Valley 'Ground Zero for Tech-Driven Fraud'

On April 30, 2026, the DOJ National Fraud Enforcement Division (NFED — created April 7, 2026) launched the West Coast Health Care Fraud Strike Force, uniting the DOJ Health Care Fraud Section with U.…

CalAIM for FQHC Workers: What You Need to Know

CalAIM is California's permanent transformation of Medi-Cal — not a temporary pilot. It created ECM, Community Supports, and population health management. Here's what it means for your role.

Documentation That Protects You and Your Patients

FQHCs are audited by HRSA, CMS, managed care plans, and state agencies. Poor documentation doesn't just lose revenue — it can trigger payback demands and corrective action. Here's how to document rig…

Grant Cycles & Job Security: What FQHC Workers Should Know

Your position is funded by something — a federal grant, encounter revenue, or a managed care contract. Understanding which one matters for your job stability and career planning.

Ryan White HIV/AIDS Program for FQHCs

How FQHCs can access and manage Ryan White funding — covering Parts A through D, ADAP coordination, service requirements, data reporting (RSR), and quality management.

Your Rights Under California Labor Law

California labor law gives you protections beyond federal law. Learn what 'at-will employment' really means, what activities are protected, wage & hour basics, and how to file a complaint if somethin…

The Grievance Process: When and How to File

Not sure if your issue is grievable? Learn when to file a grievance, what the union vs non-union pathways look like, documentation requirements, timelines, and when to escalate.

Wage Theft Prevention & Reporting in Healthcare

Wage theft in healthcare is common but preventable. Learn what wage theft looks like in FQHCs, how to identify violations, documentation strategies, and how to report and recover.

Salary Negotiation Preparation Checklist

Most healthcare workers don't negotiate salary out of fear or lack of knowledge. This guide walks you through research, talking points, scripts, and follow-up — for both initial offers and annual rai…

Understanding Your Union Contract

Your union contract is your legal protection. Learn how to read the key sections, understand grievance procedures, wage scales, seniority rules, and management rights — so you know what your employer…