The Record
22 records · 11 issues
Analysis · FQHC Talent
SAC Health laid off 49 nonclinical employees and closed two San Bernardino clinics. California requires a WARN notice at 50, so this layoff will not appear in the state's WARN reports. A count of zero health center layoffs in WARN data is a floor, not a total.
Closures and openings are arriving together. Minnesota's largest health center closed two St. Paul clinics and Partnership Health Center will close its Seeley Lake clinic October 31, while Thrive Alabama plans a new Albertville site and two South Carolina health centers plan a merger into one 24-site organization, pending HRSA approval. North Hudson Community Action Corporation opened a Weehawken health center on September 18. (as of )
MPR News
Event:
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.
News · WRDW
Event:
HopeHealth (Florence) and Rural Health Services (Aiken) announced plans to merge operations into a single community health center.
Organization · SAC Health
SAC Health — a Section 330 health center in our own directory, roughly 255,000 visits a year across seven locations — laid off 49 nonclinical employees and closed two San Bernardino clinics to close a reported $10 million operating gap. The closures.
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.
Government · Departamento de Salud de Puerto Rico
Event:
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. California requires a WARN notice at 50, so this layoff will not appear in the state's WARN reports. A count of zero health center layoffs in WARN data is a floor, not a total.
Enrollees and physician groups filed a second challenge, Taylor v. Kennedy, on September 18, aimed at the rule's medical-frailty provisions. CMS told states on September 8 to check frailty against claims, encounter and health information exchange data first. The federal rule is in effect and every state must apply it no later than January 1, 2027. A federal court denied preliminary relief in Massachusetts v. Oz without deciding the merits. Montana begins removals for noncompliance on October 1, and Kentucky's three-of-six-month lookback is already running. (as of )
Government · Illinois Department of Healthcare and Family Services
Event:
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.”
Research · Georgetown Health Care Litigation Tracker
Event:
After the preliminary injunction was denied July 29, 2026, the plaintiff states filed a Motion for Summary Judgment on September 1, 2026, following two Scheduling Orders entered August 6. A hearing on that motion is set for October 20, 2026.
News · Bridge Michigan
Event:
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.
Research · 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.”
News · Wisconsin Watch
Event:
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.”
Coverage is already falling before work requirements start: Michigan Medicaid has lost more than 80,000 people since January, and Texas's application backlog grew to more than 210,000 in August. Plan changes add to it: Healthy Blue leaves Louisiana Medicaid on December 31, moving more than 290,000 members on January 1. Comments on CMS's provider-tax implementation rule closed September 21 with no extension; the final rule is next. (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…
Association · Massachusetts Health & Hospital Association
Event:
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…
News · Bridge Michigan
Event:
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.”
Layoffs are reaching health centers directly: SAC Health laid off 49 people and closed two San Bernardino clinics, and Maine's largest FQHC cut its entire enrollment team after warning it needed $3 million within 60 days. A Skid Row nonprofit filed 134 layoffs effective November 3, 117 of them on a campus a health center co-operates. Georgia's loan-repayment window for clinicians in rural counties is open until October 12. (as of )
Government · Los Angeles County Homeless Initiative
Event:
Homeless Health Care Los Angeles (HHCLA) filed three California WARN notices on September 2, 2026, processed September 4, all typed “Layoff Permanent” and all effective November 3, 2026: 442 Crocker St (117 employees), 655 Maple Ave (16)…
Organization · SAC Health
SAC Health — a Section 330 health center in our own directory, roughly 255,000 visits a year across seven locations — laid off 49 nonclinical employees and closed two San Bernardino clinics to close a reported $10 million operating gap. The closures.
Analysis · FQHC Talent
SAC Health laid off 49 nonclinical employees and closed two San Bernardino clinics. California requires a WARN notice at 50, so this layoff will not appear in the state's WARN reports. A count of zero health center layoffs in WARN data is a floor, not a total.
Delaware's round of nearly $23 million goes to its three federally qualified health centers. States are announcing awards and the health center share varies widely. Indiana's $112.4M in regional grants lists at least a dozen FQHCs as subrecipients, while Hawaii's first $58 million and Vermont's $11.7M round name no health center. In Maine, 100 lawmakers asked for $3 million to $6 million of the state's allocation to keep Penobscot Community Health Care open. State award lists often name more health centers than the press releases: New York's includes Refuah Health Center at $3.5 million, and South Carolina's funds at least ten health centers across 228 projects. (as of )
Government · 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.
Government · Office of Governor Kay Ivey
Event:
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.
HRSA's revised rebate pilot is planned for January 2027 and does not exempt health centers; approvals of manufacturer plans are due September 24. In the states, a federal judge upheld Mississippi's contract-pharmacy law, the Fourth Circuit is rehearing the West Virginia and Maryland cases en banc, and Oregon's case is set for argument September 28. (as of )
Association · Massachusetts Health & Hospital Association
Event:
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.”
Pennsylvania approved an average 15.97% increase for 2027 individual plans. The enhanced premium credits have expired and states are now approving 2027 rates: Washington approved an average 22.2% increase and Connecticut 11.3% for individual plans. In New York, nearly 192,000 of the roughly 450,000 people who lost expanded Essential Plan coverage had not enrolled in new coverage by July 31. (as of )
Research · ACA Signups
Event:
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.
AB 173 (Chapter 252), signed September 18, restructures full-scope eligibility for immigrants with a specified status from October 1 and exempts pregnant and postpartum people from the dental limit. In CMSP's 35 counties, proposed cuts would return undocumented adults to emergency-only coverage. California's enacted 2026–27 budget keeps state-only PPS payment and full adult dental through June 2027. On January 1, 2027, defined UIS members move to a different way of receiving Medi-Cal care; their coverage does not end. DHCS's draft PPS guidance would put enrollment assistance by clinic staff on the non-reimbursable list. (as of )
Government · California Department of Health Care Services
Correction and resolution (2026-09-12): we previously reported that the direction of this guidance was unknown. It is known, and it RESTRICTS. We obtained the notice and its attached draft from DHCS's own server and read them.
A final rule takes effect October 13 barring federal Medicaid and CHIP payment for certain gender-related services for minors, and Open Door Community Health Centers has stopped starting hormone therapy for patients under 19. Separately, HHS removed disparate-impact liability from its Title VI regulations on July 24. On September 11, North Carolina and the Justice Department asked a court to end oversight of the 2012 community-housing settlement early. (as of )
Legislature · Federal Register 91 FR 52406
Event:
CMS-2451-F (RIN 0938-AV73) published August 13, 2026 at 91 FR 52406-52474 and is effective october 13, 2026. It adds a new subpart N to 42 CFR part 441 and a new Sec. 457.476, and it was signed by Robert F. Kennedy, Jr., Secretary of Health and Human Services.
HRSA extended funding for the 272 health centers in the FY2027 Service Area Competition through June 30 or July 31, 2027, while it makes new awards; each center must still compete. HRSA's New Access Points round is landing as $650,000 awards: two Texas look-alikes became Section 330 grantees, and Thrive Alabama plans a new Albertville site for mid-December. HRSA's 2025 UDS data is published by state. (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.
Twenty-one states, Pennsylvania's governor and D.C. sued on September 14 to stop the new public charge rule. A separate federal change narrows which lawfully present immigrants qualify for Medicaid on October 1; Indiana, North Carolina and Michigan have each published how it will apply. The court has set an initial conference for October 9, and the rule remains in effect. In New Jersey, as many as 25,000 noncitizens could lose coverage on October 1. (as of )
News · Bridge Michigan
Event:
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.
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