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Organizations, sites, patients, payer mix, and state-level risks for community health centers nationwide. Source: HRSA UDS 2024.
In the 9 states that didn't expand Medicaid, uninsured patients are the biggest risk for FQHCs. This is the coverage gap the ACA was meant to close. The uninsured share 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 1,256 of these centers depend on the federal Community Health Center Fund, the Section 330 grant base. It is authorized only through December 31, 2026. With 25.5M patients and 15,308 sites in scope, the funding cliff is a national event.
| State | Orgs | Patients | Medicaid | Uninsured | Medicaid status |
|---|---|---|---|---|---|
| New York | 75 | 2,488,314 | 53.5% | 12.7% | Expansion |
| Florida | 57 | 1,717,589 | 38.8% | 27.7% | Non-expansion |
| Illinois | 53 | 1,494,764 | 55.7% | 18.8% | Expansion |
| Washington | 27 | 1,275,767 | 55.3% | 13.5% | Expansion |
| Ohio | 65 | 1,011,546 | 47.9% | 13.3% | Expansion |
| Pennsylvania | 52 | 989,378 | 43.7% | 15.5% | Expansion |
| Massachusetts | 37 | 870,491 | 43.3% | 15% | Expansion |
| Indiana | 44 | 820,253 | 49.5% | 13.5% | Expansion |
| Arizona | 24 | 814,560 | 44.1% | 16.8% | Expansion |
| North Carolina | 44 | 786,815 | 28.9% | 28.1% | Expansion |
| Georgia | 37 | 750,212 | 25.7% | 25.6% | Non-expansion |
| Kentucky | 33 | 700,747 | 43.6% | 12.9% | Expansion |
| Michigan | 43 | 693,065 | 45.5% | 13.5% | Expansion |
| New Jersey | 25 | 670,196 | 52.2% | 26.5% | Expansion |
| Colorado | 21 | 654,757 | 47.7% | 25% | Expansion |
Payer mix patient-weighted (HRSA UDS 2024). Updated 2026-09-10.
Download the full dataset (CSV)