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A data view of America's community health centers outside California and Texas (which have dedicated dashboards). Source: HRSA UDS 2024.
In the 9 states that didn't expand Medicaid, uninsured patients are the FQHC's biggest exposure — the coverage gap the ACA was meant to close. The uninsured burden runs 9.8 points higher than in expansion states.
Non-expansion: Alabama, Florida, Georgia, Kansas, Mississippi, South Carolina, Tennessee, Wisconsin, Wyoming. For these FQHCs, the expiry of the enhanced ACA premium tax credits (end of 2025) is the dominant federal risk.
Read the full analysisAll 1,228 of these centers depend on the federal Community Health Center Fund — the Section 330 grant base — authorized only through December 31, 2026. With 25.5M patients and 14,992 sites in scope, the funding cliff is a national-scale event, not a single-state story.
| State | Orgs | Patients | Medicaid | Uninsured | Medicaid status |
|---|---|---|---|---|---|
| New York | 73 | 2,488,314 | 53.5% | 12.7% | Expansion |
| Florida | 54 | 1,717,589 | 38.8% | 27.7% | Non-expansion |
| Illinois | 51 | 1,494,764 | 55.7% | 18.8% | Expansion |
| Washington | 27 | 1,275,767 | 55.3% | 13.5% | Expansion |
| Ohio | 61 | 1,011,546 | 47.9% | 13.3% | Expansion |
| Pennsylvania | 51 | 994,686 | 43.8% | 15.5% | Expansion |
| Massachusetts | 37 | 870,491 | 43.3% | 15% | Expansion |
| Indiana | 42 | 820,253 | 49.5% | 13.5% | Expansion |
| Arizona | 24 | 814,560 | 44.1% | 16.8% | Expansion |
| North Carolina | 42 | 786,815 | 28.9% | 28.1% | Expansion |
| Georgia | 36 | 750,212 | 25.7% | 25.6% | Non-expansion |
| Kentucky | 31 | 700,747 | 43.6% | 12.9% | Expansion |
| Michigan | 42 | 693,065 | 45.5% | 13.5% | Expansion |
| Pennsylvania | 25 | 670,196 | 52.2% | 26.5% | Expansion |
| Missouri | 30 | 664,995 | 51.1% | 17.4% | Expansion |
Payer mix patient-weighted (HRSA UDS 2024). Updated 2026-06-03.
Download the full dataset (CSV)