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.
The Record
22 records · 11 issues
Analysis · FQHC Talent
SAC Health laid off 49 nonclinical employees and closed two San Bernardino clinics, as reported on September 6. Its WARN notice, for 51 permanent layoffs at two San Bernardino sites, was filed on September 22.
Partnership Health Center closed its Seeley Lake clinic in Montana on October 16, before the October 31 lease end it had announced. Community Health Alliance planned to close its North Valleys center in Reno on October 30. Penobscot Community Health Care is no longer pursuing an imminent Chapter 11 filing after Maine's $2.8 million award, but it is closing Adult Wellness Center as a separate practice, eliminated its outreach and enrollment team and keeps Seaport Dental Center closed. Services are also growing. Iliuliuk Family and Health Services opened Unalaska's first full-service pharmacy with a $400,282 Rural Health Transformation award. Waianae Coast Comprehensive Health Center added OB/GYN care in Nānākuli, and Guam's Northern Region center in Dededo reopened by appointment after Typhoon Champi. (as of )
MPR News
The reporting is September 4, 2026; the closures happened “in early July.” This is newly reported analysis of a July event, not a September closure.
WRDW
HopeHealth (Florence) and Rural Health Services (Aiken) announced plans to merge operations into a single community health center.
San Bernardino Sun, September 4, 2026
SAC Health laid off 49 nonclinical workers effective September 3, 2026, to reduce a $10 million operating gap, the San Bernardino Sun reported.
Corrected Sep 30, 2026: Now sourced to the San Bernardino Sun of September 4, 2026. SAC Health runs 10 clinics, and the headline no longer calls it the Inland Empire’s largest health center.
WEIS Radio
Thrive Alabama was awarded $650,000 through HRSA's Health Center Program to open what the reporting describes as “a new Federally Qualified Health Center” in Albertville, Marshall County, with a mid-December target.
Departamento de Salud de Puerto Rico
Sistema de Salud Menonita ceased medical-office operations at the Culebra CDT effective August 31, 2026, and the Health Department signed a temporary agreement with HPM Foundation, Inc., operating as HealthProMed…
Analysis · FQHC Talent
SAC Health laid off 49 nonclinical employees and closed two San Bernardino clinics, as reported on September 6. Its WARN notice, for 51 permanent layoffs at two San Bernardino sites, was filed on September 22.
On November 9, DC's Department of Health Care Finance said that on January 1, 2027, work requirements start and retroactive coverage drops from three months to one for childless adults and two for others. The October 29 ruling in Massachusetts v. Oz widened the medically frail exemption and struck CMS's work impairment test in every state. The CMS administrator announced an appeal on November 3. The 26 plaintiff states, including DC, have six months of protection from CMS enforcement. On November 5, Washington, Oregon, Minnesota and New Mexico sued HHS in Oregon over the work requirement itself. The rule stays in effect, and states must apply it by January 1, 2027. Indiana estimates nearly 140,000 people will qualify as medically frail. In Taylor v. Kennedy, the government's final reply is due December 2. Iowa's rule starts December 1. (as of )
Illinois Department of Healthcare and Family Services
Illinois HFS's customer notice, dated September 1, 2026 on its first line, sharpens three things our record had wrong or open. First, it is not a flat january 1 date for existing members: “This requirement will start at your first redetermination in 2027.”
Georgetown Health Care Litigation Tracker
The plaintiff states moved for summary judgment in Massachusetts v. Oz.
Corrected Oct 12, 2026: The summary judgment hearing was reset on October 8 from October 20 to October 22, 2026 at 10:00 a.m.
Bridge Michigan
Correction to a discrepancy we flagged. Our record noted that one outlet reported 40 hours a month against MDHHS's own 80. It is 80.
Center for Community Solutions
The Center for Community Solutions, a Cleveland-based Ohio policy institute, states verbatim: “There are 690,034 Ohioans directly affected by this change.”
Wisconsin Watch
Verbatim: “Those system changes will cost an estimated $10 million in the first year, Wisconsin Medicaid Director Amanda Dreyer confirmed, which will be split between the state and federal government.”
Maryland's Health Care Commission took FQHC applications through November 9 for 2027 grants from a $25 million fund, paying $150 to $250 a month per eligible uninsured patient. Maryland's hospital rate commission put possible fiscal 2027 uncompensated care at $128 million. On November 5, the Massachusetts Senate passed a supplemental budget without the House version's 340B section. Texas lawmakers filed House and Senate bills on November 9 to expand Medicaid. Republicans still hold the Texas Senate 19 to 12. Georgetown counts 2.56 million fewer children in Medicaid and CHIP through August 2026 than in January 2025. On November 2, Colorado's governor proposed cutting more than $600 million in projected Medicaid spending. CMS deferred another $1.2 billion in California Medicaid payments. Pennsylvania and Indiana shorten retroactive coverage for applications from January 1, 2027, and Georgia has proposed the same. (as of )
TIME
TIME reports verbatim: “Already, Cook County Health—which runs two hospitals and a dozen community health centers in Chicago, while also providing health care to the Cook County Jail—has seen an increase from 19% of patients being uninsured to 25%, just since…
Massachusetts Health & Hospital Association
The Massachusetts Health Safety Net is funded by “a $165 million assessment on both hospitals and health insurers and $15 million in state funding,” yet shortfalls are “now running at more than $200 million a year” despite “$350 million in short-term…
Bridge Michigan
Bridge Michigan reports verbatim that “more than 80,000 beneficiaries have disappeared from the state's safety net since January as Medicaid continues to shrink.”
Health care added 42,000 jobs in October, above its 12-month average of 31,000, the Bureau of Labor Statistics reported on November 6. Hospitals added 16,000 and outpatient care centers 5,000. Shortages persist. In North Carolina's annual survey, 12% of RN positions and 16% of LPN and nursing assistant positions were unfilled. In Arizona, Valle del Sol, a primary and behavioral health provider, says it would hire 20 physicians and 100 therapists if it could. Training money is arriving. New York awarded $32.5 million to 34 facilities, including Sun River Health and The Chautauqua Center, and West Virginia awarded Charleston Area Medical Center more than $3.9 million in Rural Health Transformation funds. California's AB 1811 keeps areas on the January 1, 2025 federal shortage list counted in state programs until 2035. (as of )
Los Angeles County Homeless Initiative
Homeless Health Care Los Angeles filed California WARN notices on September 2, 2026, for 134 permanent layoffs effective November 3. HHCLA is not a health center.
San Bernardino Sun, September 4, 2026
SAC Health laid off 49 nonclinical workers effective September 3, 2026, to reduce a $10 million operating gap, the San Bernardino Sun reported.
Corrected Sep 30, 2026: Now sourced to the San Bernardino Sun of September 4, 2026. SAC Health runs 10 clinics, and the headline no longer calls it the Inland Empire’s largest health center.
Analysis · FQHC Talent
SAC Health laid off 49 nonclinical employees and closed two San Bernardino clinics, as reported on September 6. Its WARN notice, for 51 permanent layoffs at two San Bernardino sites, was filed on September 22.
On November 9, CMS announced $10 billion in second-year Rural Health Transformation awards to all 50 states. Each state gets a $100 million base, and CMS says the rest partly reflected state progress on plans. Texas gets the most, $281,976,026. Pennsylvania gets $190,730,492 and Maryland $168,410,112. New Jersey gets the least, $142,338,224. The CMS release names no health center. KFF Health News reported on November 5 that six states listed more than $60 million in consultant contracts, and Montana voided a potential $25 million consulting award. States are spending first-year money. Louisiana obligated about $208 million and Vermont allocated all $195 million. Oklahoma funds 25 community health workers at 18 federally qualified health centers. Ohio listed its health center association at $10,406,623, plus $1,836,462 for maternal care. Applications close in Kansas on November 13 and North Carolina on November 16. (as of )
Utah Department of Health and Human Services
Utah's Office of Rural Health opened two Rural Health Transformation Program competitions under its RISE initiative on September 11, both due October 29, 2026 at 5:00 PM MDT.
Office of Governor Kay Ivey
Governor Ivey announced 138 first-round Alabama Rural Health Transformation Program grants totaling more than $144 million, drawn from Alabama's $203,404,326.54 first-year CMS allocation, across five initiatives.
On November 18 a Maine federal court hears the hospitals' bid to block HRSA's 340B rebate pilot, starting January 1, 2027. The government and four drugmakers oppose it. NACHC and the National PCA Hub back it. West Virginia's Cabin Creek Health Systems says its drug purchasing costs in the pilot could rise from $100,000 to about $750,000. A bipartisan House bill would end the pilot. CMS's final 2027 Physician Fee Schedule requires Medicare-enrolled covered entities to report Part D 340B claims, first by September 30, 2027. On November 9 the Illinois Primary Health Care Association, representing 55 health centers, said it asked to help defend the state's 340B law. The Massachusetts Senate passed a supplemental budget without the House's 340B section. Mississippi's Supreme Court response to Novartis is due November 27. The Ninth Circuit hears Washington's case December 1. (as of )
Massachusetts Health & Hospital Association
MHA describes a staged escalation: the state carved out 25 high-cost drugs in 2020, weight-loss drugs in 2024, and is “fully carving out all 340B drugs in fee-for-service in July 2026.”
Open enrollment for 2027 began November 1 with higher prices. KFF reported on November 6 that average benchmark silver premiums rise 13% and 11 insurers announced exits from at least one state. Mississippi's benchmark rises 23% as Cigna and Molina leave, and on November 9 Stateline reported UnitedHealthcare will sell short-term plans through the state's portal by early 2027. Michigan approved individual increases averaging 14.2%. Effectuated enrollment fell 12% to 19.2 million by February 2026. Covered California raised state subsidies from $190 million to $300 million, which cannot replace nearly $2.5 billion a year in expired federal credits. Florida's navigator grant is 90% below 2024. Comments are due November 27 on a CMS rule to verify income and status before subsidies start, and November 30 on IRS premium tax credit rules. Covered California enrollment runs to January 31, 2027. (as of )
ACA Signups
Ohio's 2027 rate filings show CareSource Ohio will “discontinue its Individual Market health insurance products in the State of Ohio,” affecting 28,319 members, and Molina Healthcare of Ohio will offer only off-exchange plans.
Xavier Becerra won the race for governor and will seek to reverse the Medi-Cal limits that pushed tens of thousands of undocumented immigrants off the program, CalMatters reported on November 4. He takes office January 4, 2027. Full-scope enrollment among undocumented immigrants fell 19% through June, against 5.5% overall. The current rules still apply. On January 1, 2027, members with unsatisfactory immigration status (UIS) move to fee-for-service and keep coverage, but ECM and Community Supports end for them. Providers that bill only through managed care cannot care for UIS members after December 31, 2026. Refugees, asylees and other affected immigrants keep full-scope Medi-Cal but must update immigration information by December 1. CMSP staff asked its board to approve cuts starting January 1, 2027, including emergency-only coverage for undocumented adults. No vote is recorded. (as of )
California Department of Health Care Services
DHCS released draft guidance on August 7, 2026 that would limit which clinic outreach costs count toward Medi-Cal PPS rates starting October 6.
HHS published a final rule on November 3 that reads the Section 504 disability exclusion to cover gender dysphoria not resulting from a physical impairment. It takes effect January 4, 2027. CMS's rule ending federal Medicaid and CHIP payment for gender-dysphoria care for youth has been in effect since October 13, and on October 30 a federal court in New Hampshire heard four families' request to pause it. Illinois Medicaid will cover the care with state-only funds through state fiscal year 2027. In the states' Title X case in Maryland, HHS asked for summary judgment on October 23 and opposed the states' motion. Healthy Texas Women providers must recertify by December 31 or lose payment. (as of )
Federal Register 91 FR 52406
CMS-2451-F takes effect Oct. 13, 2026 (91 FR 52406). It bars federal Medicaid payment for these procedures for patients under 18, and CHIP payment for patients under 19. Patients already on hormone therapy that day keep coverage for up to six months.
HRSA's FY2027 Service Area Competition for 63 awards has Phase 2 due in EHBs by 5 p.m. ET on November 18. Phase 1 closed October 19, and the awards start April 1, 2027. HRSA extended funding for 272 health centers that must re-compete, through June 30 or July 31, 2027, and each must still apply. A correction added Sayre Health Center of Philadelphia, with an estimated $900,374 award. On October 20 HRSA sent revised Health Center Program forms to OMB, with comments due November 19. A proposed Grants.gov form would collect applicants' NPIs and CMS certification numbers, with comments due November 9. HRSA moves scope data to new Forms 5A and 5B on November 20. (as of )
WEIS Radio
Thrive Alabama was awarded $650,000 through HRSA's Health Center Program to open what the reporting describes as “a new Federally Qualified Health Center” in Albertville, Marshall County, with a mid-December target.
Under USCIS public charge guidance issued August 18, officers may weigh any means-tested benefit, including Medicaid and CHIP, received on or after September 18, 2026. Before that date only cash assistance and long-term institutional care count. KFF estimates 1.4 to 4.1 million people could drop Medicaid or CHIP, up to 1.7 million of them citizen children. Federal agents blocked the emergency entrance at White Memorial hospital in Boyle Heights, diverting ambulances for about two hours. A La Clínica nurse practitioner in Oakland said about half of her patients missed appointments while ICE agents were at Highland Hospital. A Nashville court extended its block on Tennessee immigration checks in the Ryan White program. In the states' public charge suit, the states move for summary judgment by December 11. (as of )
Bridge Michigan
Correction to a discrepancy we flagged. Our record noted that one outlet reported 40 hours a month against MDHHS's own 80. It is 80.
Public dates in the 14 days after Sep 13, 2026.
Records published earlier that changed this week: a correction, a new status or a replaced source.