Advocacy Watch

Tracking legislation, ballot initiatives, coalition actions, and legal rulings protecting FQHC funding. Follow-up dates, outcomes, and tools to take action.

Updated: 2026-05-21

Actions tracked

Active now

Pending votes

Upcoming follow-ups

Upcoming follow-up dates

days

Registration deadline May 22, 2026 (Friday)

NACHC June 2-3 Hill Days Target Dec 2026 CHCF Cliff — R...

May 22, 2026·Register for Fly-In

days

FAR implementation guidance due

EO 14398 FAR Guidance Deadline May 25 — FQHCs Must Revi...

May 25, 2026·The Employer Report / Sullivan & Cromwell

days

Senate floor vote expected before fiscal deadline; then Assembly Health/Appropriations

SB 1422 (Durazo) PASSES Senate Appropriations 7-0 (Apri...

May 30, 2026·California Legislature

days

Track in-district visit count + reconciliation negotiator commitments

NACHC Opens Second 2026 In-District Lobby Window — May ...

Jun 1, 2026·NACHC

days

Track emergency hearing schedule and ruling

Hospitals File Emergency Court Order to Block 340B Reba...

Jun 1, 2026·340B Report

days

Initial motions and amicus brief deadlines

AbbVie Files Landmark 340B Lawsuit — 'Most Consequentia...

Jun 1, 2026·On Healthcare

73 actions

ActiveBallot InitiativeCalifornia

SEIU-UHW 90% Patient-Care Initiative QUALIFIES for Nov 3, 2026 California Ballot

Nov 3, 2026(166 days)— Election Day — track measure vote outcome

ActiveFederal ActionFederal

NACHC June 2-3 Hill Days Target Dec 2026 CHCF Cliff — Registration Closes May 22

May 22, 2026(1 days)— Registration deadline May 22, 2026 (Friday)

ActiveCoalition ActionCalifornia

CSAC + CWDA Counties Demand $6.4B from State to Backfill May Revise Cost-Shift

Jun 15, 2026(25 days)— Budget conference committee window — track county legal/political response

ActiveCoalition ActionCalifornia

Health4All Coalition Mobilizes Against Newsom May Revise $1.1B Additional Immigrant Medi-Cal Cuts

Jun 15, 2026(25 days)— Budget conference committee window — track final May Revise + Senate/Assembly counter

ActiveCoalition ActionFederal

NACHC + ACH Set Aside 340B Differences — Joint Lobby for Health Center Funding Cliff

Sep 30, 2026(132 days)— FY27 appropriations deadline — track whether unity holds through reconciliation negotiations

ActiveFederal ActionFederal

NACHC Opens Second 2026 In-District Lobby Window — May 24 to June 1

Jun 1, 2026(11 days)— Track in-district visit count + reconciliation negotiator commitments

PassedFederal ActionFederal

HHS OCR Issues Interim Final Rule Extending Section 504 / WCAG 2.1 AA Compliance Deadline by One Year

Jul 6, 2026(46 days)— Comment period closes July 6 — CCALAC/CPCA should submit FQHC-specific comments shaping final rule

Interim Final Rule effective May 7, 2026 — 1-year extension granted; deadlines now May 11, 2027 (15+) / May 10, 2028 (<15)

ActiveLegislationCalifornia

CA Assembly Democrats Draw 'Line in the Sand' on Safety Net Cuts in 2026-27 Budget Road Map — Bicameral Counter-Position Ahead of May Revise

ActiveBallot InitiativeCalifornia

100+ Organizations Formally Join CalChamber 'Affordable California' Coalition — Counter-Ballot Mobilization Phase

Jun 25, 2026(35 days)— Signature verification deadline; track which named coalition orgs are also FQHC partners

ActiveCoalition ActionCalifornia

Health Consumer Coalition Releases 'Medi-Cal 2030' Principles — Person-Centered Framework as Counterweight to H.R. 1 Cuts

ActiveCoalition ActionCalifornia

CCALAC + CHC Coalition Issue Public Statement Against May Revision Medi-Cal Cuts and UIS PPS Elimination

In CourtLegal ActionCalifornia

CHA + Community Clinic Employers File Lawsuit to Block SEIU-UHW 90% Patient Care Ballot Measure

Jun 15, 2026(25 days)— Preliminary injunction hearing window — track ruling outcome

ActiveCoalition ActionCalifornia

FY2026-27 May Revision Advocacy Window Opens — CPCA / Health4All / CCALAC Coordinated Push for FQHC-Friendly Restorations

Jun 15, 2026(25 days)— Budget vote deadline; check which FQHC asks made it into final budget

Pending VoteLegal ActionFederal

Hospitals File Emergency Court Order to Block 340B Rebate Pilot — Third Litigation Front

Jun 1, 2026(11 days)— Track emergency hearing schedule and ruling — direct FQHC cash-flow implications

In CourtLegal ActionCalifornia

CPCA + Open Door File Federal Lawsuit (N.D. Cal.) to Block SEIU-UHW 90% Mission-Spend Ballot — Federal Preemption Argument

Jun 25, 2026(35 days)— Ruling could come before/after June 25 SoS signature certification — track motion calendar

PassedCoalition ActionCalifornia

CPCA Day at the Capitol — California FQHC Leaders Lobbied Sacramento Ahead of May Revise (Event Held April 28)

Event held; outcome reports pending May Revise (May 14)

ActiveBallot InitiativeCalifornia

SEIU-UHW Billionaire Tax Act Submits 1.55M Signatures (1.9× Cushion) — On Track to Qualify for November 2026 Ballot

Jun 25, 2026(35 days)— SoS signature certification deadline; if qualified, Nov 2026 ballot battle

ActiveBallot InitiativeCalifornia

CalChamber 'Affordable California' Files ~1M Signatures for November 2026 Ballot — Counter to SEIU-UHW 90% Spend Initiative

Jun 25, 2026(35 days)— Signature verification deadline; track whether both this and SEIU-UHW initiative qualify for November ballot

Pending VoteLegislationCalifornia

SB 1422 Placed on Senate Appropriations Suspense File April 20 — UIS Restoration Bill Now At-Risk

ActivePublic StatementFederal

Washington Hospital Association Files Formal Opposition to HRSA 340B Rebate Pilot — Joins AHA, ASHP, NACHC in Coalition Pressure

Sep 30, 2026(132 days)— HRSA Q3 2026 decision; track whether coalition opposition shapes pilot scope or kills it

ActiveFederal ActionFederal

DOJ Extends ADA Title II 1 Year — But HHS Section 504 May 11 Deadline UNCHANGED (Confusion Risk)

ActiveFederal ActionFederal

AHA Files Formal RFI Opposition to HRSA 340B Rebate Model — Unified FQHC/Hospital Front

Sep 30, 2026(132 days)— HRSA RFI synthesis expected Q3 2026 — track whether opposition alters rebate model design

Pending VoteLegal ActionFederal

AHA Files En Banc Review Petition After 4th Circuit Blocks WV 340B Contract Pharmacy Law — Decision Expected Mid-May

ActiveBallot InitiativeCalifornia

April 17 Signature Sample Check: SEIU-UHW 90% and Exec Pay Cap Initiatives at Critical Procedural Gate

Jun 25, 2026(35 days)— June 25 = final ballot qualification deadline. Verification results will determine whether initiatives proceed.

ActiveFederal ActionFederal

NACHC Senate Finance Testimony: Reconciliation Would Cut $7B, Close 1 in 5 Health Centers, Displace 7.6M Patients

ActiveLegislationCalifornia

NACHC State 340B Legislation Tracker — 37 States Now Protect CHC 340B Savings, California Lacks Parallel Statute

Sep 1, 2026(103 days)— Watch CPCA legislative agenda for CA-specific 340B contract pharmacy bill in 2027 session

ActiveCoalition ActionCalifornia

Health4All Coalition Mobilizes Against UIS Adult Dental Cut + $30 Premium — Distinct From SB 1422 Enrollment Defense

ActivePublic StatementCalifornia

Medi-Cal Optometry Rate Has Been ~$47 for 25 Years — California Optometric Association + CalMatters Push for Rate Update

Dec 31, 2026(224 days)— Track DHCS rate review schedule, CA budget cycle vision provisions, COA legislative priorities for 2027 session.

PassedFederal ActionFederal

HRSA 340B Rebate Pilot ICR Comment Window CLOSED April 27 — AHA/ASHP/NACHC/WHA All Filed Formal Opposition

Jul 15, 2026(55 days)— HRSA synthesis expected 30-60 days post-deadline

Both comment windows closed; AHA/ASHP/NACHC/WHA filed formal opposition arguing >$1B/year cost

In CourtLegal ActionFederal

PhRMA Sues Washington State Over 340B Contract Pharmacy Law — National Precedent for CA AB 1460 Hinges on Outcome

Jun 10, 2026(20 days)— June 10 = WA SB 5981 effective date. Court must rule on preliminary injunction before then. If no injunction, law takes effect and CA AB 1460 path clears.

ActiveFederal ActionFederal

Eli Lilly & Novo Nordisk Activate 340B Claims-Data Mandates — FQHCs Face Operational Compliance Burden

Jun 1, 2026(11 days)— Monitor NACHC/340B Health legislative response and any HRSA guidance by June 2026

ActiveFederal ActionFederal

NACHC Rejects 340B Congressional Compromise Draft — Manufacturer Audit Provisions Called 'Program-Gutting'; PhRMA Endorses Framework

In CourtLegal ActionFederal

AstraZeneca Sues Vermont Over 340B Contract Pharmacy Law — Argues Rebate Pilot Preclusion

Sep 1, 2026(103 days)— Monitor for circuit ruling by Q3 2026. Outcome shapes which state-law model (Vermont, Washington, Maine) provides the strongest precedent for any future CA AB 1460-style 340B contract pharmacy access legislation.

ActiveFederal ActionFederal

CMS Must Publish Work Requirements Interim Final Rule by June 1 — Exemption Scope Will Determine FQHC Patient Impact

Jun 1, 2026(11 days)— IFR publication deadline — review exemption criteria immediately

PassedCoalition ActionFederal

NACHC In-District Advocacy Week April 14–25 — WINDOW CLOSED, NACHC P&I Forum April 28-29 Up Next

In-district advocacy window concluded April 25, 2026. Engagement metrics pending NACHC P&I Forum reporting.

ActiveCoalition ActionLos Angeles, Orange County

CCALAC + CoalitionOC Hold Joint FQHC Advocacy Summit — Unified Front on H.R. 1 Medi-Cal Cuts

Jun 15, 2026(25 days)— Monitor May Revision outcome + Congressional reconciliation timeline for Medicaid cuts

In CourtLegal ActionCalifornia

California AG Opposes FQHC 340B Preliminary Injunction — State vs. Community Health Tension

PassedCoalition ActionCalifornia

MAJOR WIN: SEIU 1021 + Alameda Health System Workers Ratify New Contract — Layoff Crisis Resolved

Jun 30, 2026(40 days)— Track contract implementation and new CEO/governance changes

Contract ratified. New CEO + new Director of Labor Relations + new governance model. Wage increases retroactive. Layoffs averted.

PassedCoalition ActionNational

NACHC April 14-25 In-District Advocacy Push — Window Closed, NACHC P&I Forum April 28-29 Next

In-district window concluded April 25, 2026. Engagement metrics pending NACHC P&I Forum reporting.

In CourtLegal ActionFederal

AbbVie Files Landmark 340B Lawsuit — 'Most Consequential Manufacturer Challenge to Date'

Jun 1, 2026(11 days)— Initial motions and amicus brief deadlines

ActiveBallot InitiativeCalifornia

California Hospital Association Files Counter-Initiative Requiring Union Member Approval for Ballot Spending

Jun 25, 2026(35 days)— Signature gathering through June 2026

ActiveFederal ActionFederal

CMS Opens $100M MAHA ELEVATE Model — FQHCs Eligible for Lifestyle Medicine Grants

Oct 1, 2026(133 days)— Check award announcements

ActiveBallot InitiativeCalifornia

SEIU-UHW Submits Signatures for California Executive Pay Cap Ballot Initiative — Second Front Against FQHC Leadership Comp

Jun 25, 2026(35 days)— CA Secretary of State signature verification typically completes within 30-60 days — check whether BOTH initiatives qualify

ActiveBallot InitiativeCalifornia

SEIU-UHW Submits 1M+ Signatures (~83% Buffer) for 90% Mission Spend + $450K Exec Pay Cap — Near-Certain November Qualification

Jun 25, 2026(35 days)— Signature verification deadline — check if measures qualify for November ballot

ActiveBallot InitiativeCalifornia

CCALAC & FHCSD Lead 'Protect Access to Healthcare' Counter-Initiative — Signatures Submitted for November Ballot

Jun 25, 2026(35 days)— Signature verification deadline

ActiveCoalition ActionCalifornia

CPCA + No-on-AB-1113 Coalition Mounts Legislative Opposition to SEIU-UHW 90% Mission-Spend Mandate

PassedLegal ActionFederal

D.C. District Court Vacates HRSA's 2013 340B GPO Prohibition Policy — APA Win Weakens HRSA Regulatory Footing

Sep 30, 2026(132 days)— HRSA expected to issue revised GPO guidance Q3 2026 — track whether replacement rule narrows or expands FQHC 340B exposure

GPO Prohibition vacated; child site registration requirement also vacated. Remanded to HRSA for revised rulemaking.

ActivePublic StatementCalifornia

Health Net Commits $1M to Prepare 4.7M Members for Work Requirements

Jun 30, 2026(40 days)— DHCS outreach window opens — check Health Net campaign progress

ActiveBallot InitiativeCalifornia

California Billionaire Tax Act: $100B Healthcare Funding Ballot Measure Gains Momentum

Aug 1, 2026(72 days)— Check if sufficient signatures collected for November ballot

FailedLegal ActionFederal

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

Jun 15, 2026(25 days)— En banc review petition filed April 17 — watch for court response. Denial creates binding 4th Circuit precedent strengthening PhRMA position in parallel WA SB 5981 and anticipated CA AB 1460 challenges

State 340B contract pharmacy law blocked — state/FQHC side lost; manufacturer side won

In CourtLegal ActionFederal (Washington)

AbbVie + Novartis File Federal Lawsuit Against WA 340B Transparency Law — Precedent Risk for CA AB 1460

Sep 30, 2026(132 days)— Track district court ruling; precedent for CA AB 1460

In CourtLegal ActionFederal

Third Circuit Revives False Claims Suit Against AbbVie, Novartis, AstraZeneca, Sanofi for 340B Pricing Fraud

Sep 1, 2026(103 days)— Monitor district court remand proceedings through Q3 2026. Discovery filings could surface evidence usable in California AB 1460-style legislation. NACHC and 340B Health are coordinating amicus briefs.

ActiveFederal ActionFederal

EO 14398 FAR Guidance Deadline May 25 — FQHCs Must Review HR Policies for DEI Compliance

May 25, 2026(4 days)— FAR implementation guidance due — review for FQHC impact

PassedLegal ActionFederal

Ninth Circuit Rules FQHCs Can Sue Drug Makers for 340B Overcharges Under False Claims Act

Sep 1, 2026(103 days)— Watch for manufacturer appeals or settlements

Ruling issued March 17 — FCA suits may proceed for 340B overcharges

In CourtLegal ActionCalifornia

NLRB Seeks Forced Union Recognition at Innercare — ALJ Hearing Underway in San Diego

Jun 1, 2026(11 days)— Check for ALJ ruling on forced recognition

ActiveLegislationCalifornia

Sen. Durazo Introduces Medi-Cal Restoration Bill to Reverse UIS Enrollment Freeze, Dental Cuts, $30 Premium

PassedLocal FundingSanta Barbara County

SB Neighborhood Clinics Receives $5M Wyatt Family Donation — Largest in History

$5M donation received. Capacity expansion to 28K patients underway.

ActiveLocal FundingAlameda County

Alameda Health System Creates $91.7M Working Group — 183 Layoffs Deferred

Jul 1, 2026(41 days)— Check working group progress and whether layoffs proceed

ProposedBallot InitiativeSan Diego County

San Diego County Exploring $360M Community Health Tax Ballot Measure

Aug 1, 2026(72 days)— Check if measure qualifies for ballot

Pending VoteBallot InitiativeLos Angeles County

Measure ER (Essential Services Restoration Act): LA County Half-Cent Health Tax on June 2 Ballot — $1B/Year for Community Health

Jun 2, 2026(12 days)— Election day — check results

ActiveFederal ActionFederal

H.R. 7391: 340B FQHC Protection Act — 35 Congressional Cosponsors

Jul 1, 2026(41 days)— Track committee hearings and markup

ActiveCoalition ActionCalifornia

CPCA-PCDC Partnership for Expanded Healthcare Access in Underserved Communities

Sep 1, 2026(103 days)— Check partnership progress and outcomes

ActiveFederal ActionFederal

NACHC P&I Forum: $7B Federal Advocacy Push for Community Health Center Funding

Dec 1, 2026(194 days)— Track CHCF reauthorization progress before December expiry

Pending VoteLegislationCalifornia

SB 1422 (Durazo) PASSES Senate Appropriations 7-0 (April 20) — Heads to Senate Floor

May 30, 2026(9 days)— Senate floor vote expected before fiscal deadline; then Assembly Health/Appropriations

PassedFederal ActionFederal

HRSA 340B Rebate Model RFI — Comment Deadline April 20 for FQHC Stakeholders

RFI comment period closed April 20, 2026. NACHC, CPCA, and FQHC coalition filed coordinated responses pushing upfront ceiling-price model over rebate burden. HRSA next steps pending.

ActiveLegislationCalifornia

AB 2161: California Bill to Implement Medi-Cal Work Requirements in Least-Burdensome Way (Do Pass April 7)

Jun 15, 2026(25 days)— Track Appropriations + floor vote

PassedLegal ActionFederal

Federal Courts Block 340B Rebate Pilot — 1st Circuit Upholds Halt, HRSA Pauses Program

Jun 15, 2026(25 days)— RFI comment period closed April 20 — watch for revised HRSA approach or new pilot attempt

340B rebate pilot vacated by federal court; HRSA paused program

PassedLegal ActionFederal

HHS Withdraws 340B Rebate Pilot Appeal — Program Effectively Vacated (FQHC Win)

Sep 1, 2026(103 days)— Track potential HRSA new rulemaking + WA state pharma lawsuit (AbbVie+Novartis)

HHS withdrew appeal; program effectively vacated. Pharma's rebate model dead in current form.

ActiveFederal ActionFederal

AOA Lobbying for NHSC Improvement Act (HR 920 / S. 1445) — Add Optometrists to NHSC Loan Repayment Eligible Disciplines

Sep 30, 2026(132 days)— Check HR 920 / S. 1445 markup status and co-sponsor count by end of Q3 2026. Track HHS interpretive authority statements.

ActiveCoalition ActionCalifornia

70+ Organizations Form 'Save Our Dental Care' Coalition Against $1B Medi-Cal Dental Cut

ActiveCoalition ActionCalifornia

SEIU-Community Clinics Labor Management Partnership: 3,000+ Workers Trained via High-Road Model

In CourtLegal ActionFederal

AHA + Maine Hospital Association + 4 Safety-Net Hospitals Sue HHS Over 340B Rebate Model in U.S. District Court for Maine

Jun 30, 2026(40 days)— Track preliminary motion phase + HHS response to Maine vacatur

PassedBallot InitiativeSanta Clara County

Santa Clara County Measure A Passes — $330M/Year Local Health Tax Takes Effect April 1

Oct 1, 2026(133 days)— Check first 6-month revenue report and allocation

Tax took effect April 1, 2026. First revenue collection underway.

Funding Impact

Policy timeline and revenue strategies

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Layoff Tracker

Layoff events and displaced workers

View

Executive Guides

Case studies and strategic frameworks

View

Advocacy Watch

Tracking legislation, ballot initiatives, coalition actions, and legal rulings protecting FQHC funding. Follow-up dates, outcomes, and tools to take action.

Updated: 2026-05-21

Actions tracked

Active now

Pending votes

Upcoming follow-ups

Upcoming follow-up dates

days

Registration deadline May 22, 2026 (Friday)

NACHC June 2-3 Hill Days Target Dec 2026 CHCF Cliff — R...

May 22, 2026·Register for Fly-In

days

FAR implementation guidance due

EO 14398 FAR Guidance Deadline May 25 — FQHCs Must Revi...

May 25, 2026·The Employer Report / Sullivan & Cromwell

days

Senate floor vote expected before fiscal deadline; then Assembly Health/Appropriations

SB 1422 (Durazo) PASSES Senate Appropriations 7-0 (Apri...

May 30, 2026·California Legislature

days

Track in-district visit count + reconciliation negotiator commitments

NACHC Opens Second 2026 In-District Lobby Window — May ...

Jun 1, 2026·NACHC

days

Track emergency hearing schedule and ruling

Hospitals File Emergency Court Order to Block 340B Reba...

Jun 1, 2026·340B Report

days

Initial motions and amicus brief deadlines

AbbVie Files Landmark 340B Lawsuit — 'Most Consequentia...

Jun 1, 2026·On Healthcare

73 actions

ActiveBallot InitiativeCalifornia

SEIU-UHW 90% Patient-Care Initiative QUALIFIES for Nov 3, 2026 California Ballot

Nov 3, 2026(166 days)— Election Day — track measure vote outcome

ActiveFederal ActionFederal

NACHC June 2-3 Hill Days Target Dec 2026 CHCF Cliff — Registration Closes May 22

May 22, 2026(1 days)— Registration deadline May 22, 2026 (Friday)

ActiveCoalition ActionCalifornia

CSAC + CWDA Counties Demand $6.4B from State to Backfill May Revise Cost-Shift

Jun 15, 2026(25 days)— Budget conference committee window — track county legal/political response

ActiveCoalition ActionCalifornia

Health4All Coalition Mobilizes Against Newsom May Revise $1.1B Additional Immigrant Medi-Cal Cuts

Jun 15, 2026(25 days)— Budget conference committee window — track final May Revise + Senate/Assembly counter

ActiveCoalition ActionFederal

NACHC + ACH Set Aside 340B Differences — Joint Lobby for Health Center Funding Cliff

Sep 30, 2026(132 days)— FY27 appropriations deadline — track whether unity holds through reconciliation negotiations

ActiveFederal ActionFederal

NACHC Opens Second 2026 In-District Lobby Window — May 24 to June 1

Jun 1, 2026(11 days)— Track in-district visit count + reconciliation negotiator commitments

PassedFederal ActionFederal

HHS OCR Issues Interim Final Rule Extending Section 504 / WCAG 2.1 AA Compliance Deadline by One Year

Jul 6, 2026(46 days)— Comment period closes July 6 — CCALAC/CPCA should submit FQHC-specific comments shaping final rule

Interim Final Rule effective May 7, 2026 — 1-year extension granted; deadlines now May 11, 2027 (15+) / May 10, 2028 (<15)

ActiveLegislationCalifornia

CA Assembly Democrats Draw 'Line in the Sand' on Safety Net Cuts in 2026-27 Budget Road Map — Bicameral Counter-Position Ahead of May Revise

ActiveBallot InitiativeCalifornia

100+ Organizations Formally Join CalChamber 'Affordable California' Coalition — Counter-Ballot Mobilization Phase

Jun 25, 2026(35 days)— Signature verification deadline; track which named coalition orgs are also FQHC partners

ActiveCoalition ActionCalifornia

Health Consumer Coalition Releases 'Medi-Cal 2030' Principles — Person-Centered Framework as Counterweight to H.R. 1 Cuts

ActiveCoalition ActionCalifornia

CCALAC + CHC Coalition Issue Public Statement Against May Revision Medi-Cal Cuts and UIS PPS Elimination

In CourtLegal ActionCalifornia

CHA + Community Clinic Employers File Lawsuit to Block SEIU-UHW 90% Patient Care Ballot Measure

Jun 15, 2026(25 days)— Preliminary injunction hearing window — track ruling outcome

ActiveCoalition ActionCalifornia

FY2026-27 May Revision Advocacy Window Opens — CPCA / Health4All / CCALAC Coordinated Push for FQHC-Friendly Restorations

Jun 15, 2026(25 days)— Budget vote deadline; check which FQHC asks made it into final budget

Pending VoteLegal ActionFederal

Hospitals File Emergency Court Order to Block 340B Rebate Pilot — Third Litigation Front

Jun 1, 2026(11 days)— Track emergency hearing schedule and ruling — direct FQHC cash-flow implications

In CourtLegal ActionCalifornia

CPCA + Open Door File Federal Lawsuit (N.D. Cal.) to Block SEIU-UHW 90% Mission-Spend Ballot — Federal Preemption Argument

Jun 25, 2026(35 days)— Ruling could come before/after June 25 SoS signature certification — track motion calendar

PassedCoalition ActionCalifornia

CPCA Day at the Capitol — California FQHC Leaders Lobbied Sacramento Ahead of May Revise (Event Held April 28)

Event held; outcome reports pending May Revise (May 14)

ActiveBallot InitiativeCalifornia

SEIU-UHW Billionaire Tax Act Submits 1.55M Signatures (1.9× Cushion) — On Track to Qualify for November 2026 Ballot

Jun 25, 2026(35 days)— SoS signature certification deadline; if qualified, Nov 2026 ballot battle

ActiveBallot InitiativeCalifornia

CalChamber 'Affordable California' Files ~1M Signatures for November 2026 Ballot — Counter to SEIU-UHW 90% Spend Initiative

Jun 25, 2026(35 days)— Signature verification deadline; track whether both this and SEIU-UHW initiative qualify for November ballot

Pending VoteLegislationCalifornia

SB 1422 Placed on Senate Appropriations Suspense File April 20 — UIS Restoration Bill Now At-Risk

ActivePublic StatementFederal

Washington Hospital Association Files Formal Opposition to HRSA 340B Rebate Pilot — Joins AHA, ASHP, NACHC in Coalition Pressure

Sep 30, 2026(132 days)— HRSA Q3 2026 decision; track whether coalition opposition shapes pilot scope or kills it

ActiveFederal ActionFederal

DOJ Extends ADA Title II 1 Year — But HHS Section 504 May 11 Deadline UNCHANGED (Confusion Risk)

ActiveFederal ActionFederal

AHA Files Formal RFI Opposition to HRSA 340B Rebate Model — Unified FQHC/Hospital Front

Sep 30, 2026(132 days)— HRSA RFI synthesis expected Q3 2026 — track whether opposition alters rebate model design

Pending VoteLegal ActionFederal

AHA Files En Banc Review Petition After 4th Circuit Blocks WV 340B Contract Pharmacy Law — Decision Expected Mid-May

ActiveBallot InitiativeCalifornia

April 17 Signature Sample Check: SEIU-UHW 90% and Exec Pay Cap Initiatives at Critical Procedural Gate

Jun 25, 2026(35 days)— June 25 = final ballot qualification deadline. Verification results will determine whether initiatives proceed.

ActiveFederal ActionFederal

NACHC Senate Finance Testimony: Reconciliation Would Cut $7B, Close 1 in 5 Health Centers, Displace 7.6M Patients

ActiveLegislationCalifornia

NACHC State 340B Legislation Tracker — 37 States Now Protect CHC 340B Savings, California Lacks Parallel Statute

Sep 1, 2026(103 days)— Watch CPCA legislative agenda for CA-specific 340B contract pharmacy bill in 2027 session

ActiveCoalition ActionCalifornia

Health4All Coalition Mobilizes Against UIS Adult Dental Cut + $30 Premium — Distinct From SB 1422 Enrollment Defense

ActivePublic StatementCalifornia

Medi-Cal Optometry Rate Has Been ~$47 for 25 Years — California Optometric Association + CalMatters Push for Rate Update

Dec 31, 2026(224 days)— Track DHCS rate review schedule, CA budget cycle vision provisions, COA legislative priorities for 2027 session.

PassedFederal ActionFederal

HRSA 340B Rebate Pilot ICR Comment Window CLOSED April 27 — AHA/ASHP/NACHC/WHA All Filed Formal Opposition

Jul 15, 2026(55 days)— HRSA synthesis expected 30-60 days post-deadline

Both comment windows closed; AHA/ASHP/NACHC/WHA filed formal opposition arguing >$1B/year cost

In CourtLegal ActionFederal

PhRMA Sues Washington State Over 340B Contract Pharmacy Law — National Precedent for CA AB 1460 Hinges on Outcome

Jun 10, 2026(20 days)— June 10 = WA SB 5981 effective date. Court must rule on preliminary injunction before then. If no injunction, law takes effect and CA AB 1460 path clears.

ActiveFederal ActionFederal

Eli Lilly & Novo Nordisk Activate 340B Claims-Data Mandates — FQHCs Face Operational Compliance Burden

Jun 1, 2026(11 days)— Monitor NACHC/340B Health legislative response and any HRSA guidance by June 2026

ActiveFederal ActionFederal

NACHC Rejects 340B Congressional Compromise Draft — Manufacturer Audit Provisions Called 'Program-Gutting'; PhRMA Endorses Framework

In CourtLegal ActionFederal

AstraZeneca Sues Vermont Over 340B Contract Pharmacy Law — Argues Rebate Pilot Preclusion

ActiveFederal ActionFederal

CMS Must Publish Work Requirements Interim Final Rule by June 1 — Exemption Scope Will Determine FQHC Patient Impact

Jun 1, 2026(11 days)— IFR publication deadline — review exemption criteria immediately

PassedCoalition ActionFederal

NACHC In-District Advocacy Week April 14–25 — WINDOW CLOSED, NACHC P&I Forum April 28-29 Up Next

In-district advocacy window concluded April 25, 2026. Engagement metrics pending NACHC P&I Forum reporting.

ActiveCoalition ActionLos Angeles, Orange County

CCALAC + CoalitionOC Hold Joint FQHC Advocacy Summit — Unified Front on H.R. 1 Medi-Cal Cuts

Jun 15, 2026(25 days)— Monitor May Revision outcome + Congressional reconciliation timeline for Medicaid cuts

In CourtLegal ActionCalifornia

California AG Opposes FQHC 340B Preliminary Injunction — State vs. Community Health Tension

PassedCoalition ActionCalifornia

MAJOR WIN: SEIU 1021 + Alameda Health System Workers Ratify New Contract — Layoff Crisis Resolved

Jun 30, 2026(40 days)— Track contract implementation and new CEO/governance changes

Contract ratified. New CEO + new Director of Labor Relations + new governance model. Wage increases retroactive. Layoffs averted.

PassedCoalition ActionNational

NACHC April 14-25 In-District Advocacy Push — Window Closed, NACHC P&I Forum April 28-29 Next

In-district window concluded April 25, 2026. Engagement metrics pending NACHC P&I Forum reporting.

In CourtLegal ActionFederal

AbbVie Files Landmark 340B Lawsuit — 'Most Consequential Manufacturer Challenge to Date'

Jun 1, 2026(11 days)— Initial motions and amicus brief deadlines

ActiveBallot InitiativeCalifornia

California Hospital Association Files Counter-Initiative Requiring Union Member Approval for Ballot Spending

Jun 25, 2026(35 days)— Signature gathering through June 2026

ActiveFederal ActionFederal

CMS Opens $100M MAHA ELEVATE Model — FQHCs Eligible for Lifestyle Medicine Grants

Oct 1, 2026(133 days)— Check award announcements

ActiveBallot InitiativeCalifornia

SEIU-UHW Submits Signatures for California Executive Pay Cap Ballot Initiative — Second Front Against FQHC Leadership Comp

Jun 25, 2026(35 days)— CA Secretary of State signature verification typically completes within 30-60 days — check whether BOTH initiatives qualify

ActiveBallot InitiativeCalifornia

SEIU-UHW Submits 1M+ Signatures (~83% Buffer) for 90% Mission Spend + $450K Exec Pay Cap — Near-Certain November Qualification

Jun 25, 2026(35 days)— Signature verification deadline — check if measures qualify for November ballot

ActiveBallot InitiativeCalifornia

CCALAC & FHCSD Lead 'Protect Access to Healthcare' Counter-Initiative — Signatures Submitted for November Ballot

Jun 25, 2026(35 days)— Signature verification deadline

ActiveCoalition ActionCalifornia

CPCA + No-on-AB-1113 Coalition Mounts Legislative Opposition to SEIU-UHW 90% Mission-Spend Mandate

PassedLegal ActionFederal

D.C. District Court Vacates HRSA's 2013 340B GPO Prohibition Policy — APA Win Weakens HRSA Regulatory Footing

Sep 30, 2026(132 days)— HRSA expected to issue revised GPO guidance Q3 2026 — track whether replacement rule narrows or expands FQHC 340B exposure

GPO Prohibition vacated; child site registration requirement also vacated. Remanded to HRSA for revised rulemaking.

ActivePublic StatementCalifornia

Health Net Commits $1M to Prepare 4.7M Members for Work Requirements

Jun 30, 2026(40 days)— DHCS outreach window opens — check Health Net campaign progress

ActiveBallot InitiativeCalifornia

California Billionaire Tax Act: $100B Healthcare Funding Ballot Measure Gains Momentum

Aug 1, 2026(72 days)— Check if sufficient signatures collected for November ballot

FailedLegal ActionFederal

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

State 340B contract pharmacy law blocked — state/FQHC side lost; manufacturer side won

In CourtLegal ActionFederal (Washington)

AbbVie + Novartis File Federal Lawsuit Against WA 340B Transparency Law — Precedent Risk for CA AB 1460

Sep 30, 2026(132 days)— Track district court ruling; precedent for CA AB 1460

In CourtLegal ActionFederal

Third Circuit Revives False Claims Suit Against AbbVie, Novartis, AstraZeneca, Sanofi for 340B Pricing Fraud

ActiveFederal ActionFederal

EO 14398 FAR Guidance Deadline May 25 — FQHCs Must Review HR Policies for DEI Compliance

May 25, 2026(4 days)— FAR implementation guidance due — review for FQHC impact

PassedLegal ActionFederal

Ninth Circuit Rules FQHCs Can Sue Drug Makers for 340B Overcharges Under False Claims Act

Sep 1, 2026(103 days)— Watch for manufacturer appeals or settlements

Ruling issued March 17 — FCA suits may proceed for 340B overcharges

In CourtLegal ActionCalifornia

NLRB Seeks Forced Union Recognition at Innercare — ALJ Hearing Underway in San Diego

Jun 1, 2026(11 days)— Check for ALJ ruling on forced recognition

ActiveLegislationCalifornia

Sen. Durazo Introduces Medi-Cal Restoration Bill to Reverse UIS Enrollment Freeze, Dental Cuts, $30 Premium

PassedLocal FundingSanta Barbara County

SB Neighborhood Clinics Receives $5M Wyatt Family Donation — Largest in History

$5M donation received. Capacity expansion to 28K patients underway.

ActiveLocal FundingAlameda County

Alameda Health System Creates $91.7M Working Group — 183 Layoffs Deferred

Jul 1, 2026(41 days)— Check working group progress and whether layoffs proceed

ProposedBallot InitiativeSan Diego County

San Diego County Exploring $360M Community Health Tax Ballot Measure

Aug 1, 2026(72 days)— Check if measure qualifies for ballot

Pending VoteBallot InitiativeLos Angeles County

Measure ER (Essential Services Restoration Act): LA County Half-Cent Health Tax on June 2 Ballot — $1B/Year for Community Health

Jun 2, 2026(12 days)— Election day — check results

ActiveFederal ActionFederal

H.R. 7391: 340B FQHC Protection Act — 35 Congressional Cosponsors

Jul 1, 2026(41 days)— Track committee hearings and markup

ActiveCoalition ActionCalifornia

CPCA-PCDC Partnership for Expanded Healthcare Access in Underserved Communities

Sep 1, 2026(103 days)— Check partnership progress and outcomes

ActiveFederal ActionFederal

NACHC P&I Forum: $7B Federal Advocacy Push for Community Health Center Funding

Dec 1, 2026(194 days)— Track CHCF reauthorization progress before December expiry

Pending VoteLegislationCalifornia

SB 1422 (Durazo) PASSES Senate Appropriations 7-0 (April 20) — Heads to Senate Floor

May 30, 2026(9 days)— Senate floor vote expected before fiscal deadline; then Assembly Health/Appropriations

PassedFederal ActionFederal

HRSA 340B Rebate Model RFI — Comment Deadline April 20 for FQHC Stakeholders

RFI comment period closed April 20, 2026. NACHC, CPCA, and FQHC coalition filed coordinated responses pushing upfront ceiling-price model over rebate burden. HRSA next steps pending.

ActiveLegislationCalifornia

AB 2161: California Bill to Implement Medi-Cal Work Requirements in Least-Burdensome Way (Do Pass April 7)

Jun 15, 2026(25 days)— Track Appropriations + floor vote

PassedLegal ActionFederal

Federal Courts Block 340B Rebate Pilot — 1st Circuit Upholds Halt, HRSA Pauses Program

Jun 15, 2026(25 days)— RFI comment period closed April 20 — watch for revised HRSA approach or new pilot attempt

340B rebate pilot vacated by federal court; HRSA paused program

PassedLegal ActionFederal

HHS Withdraws 340B Rebate Pilot Appeal — Program Effectively Vacated (FQHC Win)

Sep 1, 2026(103 days)— Track potential HRSA new rulemaking + WA state pharma lawsuit (AbbVie+Novartis)

HHS withdrew appeal; program effectively vacated. Pharma's rebate model dead in current form.

ActiveFederal ActionFederal