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The Record
47 records · 14 issues
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 )
Iowa Department of Health and Human Services
Iowa HHS updated its guide: refugees without a green card lose Medicaid on October 1, whatever their renewal date. Health plans will not do proactive outreach.
Centers for Medicare & Medicaid Services
CMS amended Hawaii's QUEST Integration waiver to match the 2025 federal Medicaid law.
NC Newsline
About 14,000 North Carolinians admitted for humanitarian reasons lose full Medicaid coverage, as NC Newsline reported.
Oregon Health Authority
Oregon Health Authority's fall notice schedule sends about 100,000 Healthier Oregon members in CCOs a first notice in October 2026 that they move to OHP Open Card on January 1, 2027.
Washington State Health Care Authority
A federal court blocked the October 1 Apple Health cutoff for Washington noncitizens who receive Supplemental Security Income.
Michigan Public
As Michigan Public reported on September 30, 2026, MDHHS expects just over 5,000 lawfully present immigrants, including refugees and people granted asylum, to lose full Medicaid starting October 1.
Nevada Medicaid
Starting October 1, 2026, Nevada Medicaid says refugees, asylees, parolees and others in affected groups may no longer qualify.
Rhode Island Current
As Rhode Island Current reported, federal rules starting October 1, 2026 end Rhode Island Medicaid for asylees, refugees, parolees and trafficking victims without another qualifying status. An EOHHS spokesperson said fewer than 3,500 noncitizens are affected.
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 )
Georgia Department of Community Health
Georgia DCH proposed cutting Medicaid retroactive coverage from three months to two for applications from January 1, 2027. Pathways applicants get the same rule. Comments are due October 23.
Centers for Medicare & Medicaid Services
CMS approved Louisiana's reentry demonstration for October 1, 2026 through September 30, 2031. It covers case management, medication-assisted treatment and office visits for up to 60 days before release.
North Carolina Health News
North Carolina Health News reported that NCDHHS had not told the three network leads which Healthy Opportunities services the $25 million restart would fund, or when.
MassHealth
MassHealth posted its 2028–2032 waiver request, which seeks authority to pay hospitals if it removes 340B retail pharmacy margin from managed care payments.
Oregon Health Authority
Oregon Health Authority's fall notice schedule sends about 100,000 Healthier Oregon members in CCOs a first notice in October 2026 that they move to OHP Open Card on January 1, 2027.
Centers for Medicare & Medicaid Services
CMS said its Medicaid Fraud War Room, launched April 23, has acted against 50 high-risk providers.
KFF
KFF reported on October 5, 2026 that rural health centers served 10.2 million patients in 2025, 31% of all health center patients. Medicaid made up 32% of rural health center revenue versus 49% for urban centers, while Medicare made up 19% versus 9%.
Rhode Island Current
As Rhode Island Current reported, Rhode Island Medicaid stopped covering Wegovy, Zepbound and Saxenda for weight loss on October 1, 2026.
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 )
U.S. District Court, District of Massachusetts
CMS filed its reply in Massachusetts v. Oz, saying the work rule's frailty test is lawful and a remand without vacatur is the most the court could order. The court set the summary judgment hearing for October 22 at 10:00 a.m., in person.
CT Mirror
The state social services commissioner said the work rules threaten coverage for roughly 108,000 HUSKY D enrollees. Gov. Lamont did not pledge state money and said Connecticut will figure out the need at the end of the year.
Centers for Medicare & Medicaid Services
CMS amended Hawaii's QUEST Integration waiver to match the 2025 federal Medicaid law.
Centers for Medicare & Medicaid Services
CMS amended Utah's Medicaid Reform waiver to match the 2025 federal Medicaid law.
Healthcare Dive
The governors of Oregon, California, Maine, New Mexico and Virginia asked the HHS secretary to delay Medicaid work requirements, as Healthcare Dive reported.
Michigan Public
As Michigan Public reported on September 30, 2026, MDHHS expects just over 5,000 lawfully present immigrants, including refugees and people granted asylum, to lose full Medicaid starting October 1.
Oklahoma Health Care Authority
The Oklahoma Health Care Authority posted its SoonerCare work-requirement rule, already adopted on an emergency basis, for permanent adoption. Comments are due November 2, the day of the public hearing, and the board meets December 9.
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 )
Arizona Health Care Cost Containment System
AHCCCS posted two rural workforce funding opportunities from the Arizona Office of Economic Opportunity. One is a microgrant to reduce burnout and keep staff. The other supports newly licensed providers in rural areas.
North Carolina Department of Health and Human Services
North Carolina's health and IT departments opened the Rural Health Innovation Fund to primary care providers, federally qualified health centers and community health centers.
KFF
KFF reported on October 5, 2026 that rural health centers served 10.2 million patients in 2025, 31% of all health center patients. Medicaid made up 32% of rural health center revenue versus 49% for urban centers, while Medicare made up 19% versus 9%.
Arizona Office of Economic Opportunity
Arizona's Office of Economic Opportunity opened Transition to Practice grants under the state's Rural Health Transformation Program.
Corrected Oct 24, 2026: Applications close at 11:59 p.m. Arizona time on October 30, 2026.
Kansas Department of Health and Environment
The Kansas Department of Health and Environment opened two Rural Health Transformation grants, $44 million for regional partnerships and $11 million for capital projects.
Mississippi State Department of Health
Mississippi's health department will open BRIDGE Innovative Pilot Program applications on October 14, 2026, under its Rural Health Transformation Program.
Virginia Health Care Foundation
The Virginia Health Care Foundation announced 25 rural technology awards totaling $14.39 million under the state's Rural Health Transformation Program.
Brockton Neighborhood Health Center agreed to an $850,000 fund to settle a class action over a 2024 ransomware attack that affected 97,488 people, with claims due December 8, 2026. NorthShore Health Centers in Indiana warned patients of a cyber incident detected August 10, and the Insomnia ransomware group claimed the attack. The Justice Department charged 15 defendants in Los Angeles cases citing over $1.8 billion in fraudulent claims, and its False Claims Act self-disclosure pilot with HHS accepts submissions through April 22, 2027. Texas HHSC proposed Medicaid recovery audits of managed care claims, and it may make some Medicaid providers revalidate before CMS's June 5, 2028 deadline. (as of )
Massachusetts Office of Consumer Affairs and Business Regulation
Boston Health Care for the Homeless Program reported a data breach affecting 184,914 Massachusetts residents to the state. The state's breach report lists Social Security numbers, medical records and driver's license numbers.
Centers for Medicare & Medicaid Services
CMS said its Medicaid Fraud War Room, launched April 23, has acted against 50 high-risk providers.
U.S. Department of Justice
The Justice Department said Los Angeles-based AIDS Healthcare Foundation will pay $1.44 million to settle False Claims Act allegations.
Corrected Oct 20, 2026: The summary stated as fact that AIDS Healthcare Foundation's Medicare Advantage plans were slow to delete unsupported diagnosis codes. The Justice Department alleged this, and the settlement makes no finding of liability.
WindRose Health Network notice of data security incident
In September 2026, WindRose Health Network, an Indiana health center, said an outside party used a flaw in a vendor's remote-management tool to reach one of its servers August 3 and 4.
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 )
North Carolina Health News
NC Health News reported that PATCH-NC will help family physicians at rural community health centers offer prenatal and postpartum care. The Leon Levine Foundation is funding it with $2.8 million over three years.
Community Health Alliance
Reno's Community Health Alliance said its North Valleys Health Center will close October 30 after the property's new owners chose a single tenant. The site, open since 2020, offers primary care, behavioral health and WIC.
Legacy Community Health
Legacy Community Health opened its Acres Homes clinic in Houston on October 5, 2026. The 26,200-square-foot site offers primary care, OB/GYN and behavioral health, is expected to support 96 full-time positions, and adds a pharmacy in spring 2027.
Community Impact
Health Center of Southeast Texas began taking appointments on October 5, 2026 at a new clinic in Roman Forest, Community Impact reported.
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 )
U.S. Bureau of Labor Statistics
The Bureau of Labor Statistics reported on October 2, 2026 that health care added 17,000 jobs in September, against a 12-month average of 33,000. Ambulatory care added 13,000 jobs and hospitals 12,000, while nursing and residential care lost 9,000.
MassHealth
MassHealth's 2028–2032 waiver request, posted September 14, 2026, would end the student loan repayment and nurse practitioner residency programs of its current waiver. CMS directed the change, and comments are due October 19.
Washington State Health Care Authority
Washington's Apple Health FQHC billing guide, effective October 1, 2026, says services covered under the separate community health worker billing guide are not eligible for encounter payments.
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 )
MassHealth
MassHealth posted its 2028–2032 waiver request, which seeks authority to pay hospitals if it removes 340B retail pharmacy margin from managed care payments.
Centers for Medicare & Medicaid Services
CMS opened its Medicare Part D 340B claims repository on October 1, 2026, for voluntary submissions from covered entities or their administrators.
Registered nurses at three Cottage Health hospitals vote December 8 and 9 on joining SEIU 121RN. Nurses cite pay transparency and living costs, some oppose a union, and Cottage urges a no vote. On October 14 an NLRB administrative law judge found that Innercare broke federal labor law during the 2024 SEIU-UHW drive. The judge set aside the July 2024 vote and ordered a new election, but denied a bargaining order, and the case goes to the Board. LifeLong Medical Care providers held a one-day strike on September 28. The California Primary Care Association and five clinics are suing SEIU-UHW, alleging it offered to drop Proposition 44 for union elections for 25,000 workers. SB 525 raises the health center minimum wage from $22 to $25 an hour on July 1, 2027. (as of )
National Labor Relations Board
On September 4, 2026, the Union of American Physicians and Dentists filed a second NLRB charge against Family Health Centers of San Diego. It alleges a firing, threats, questioning of workers and a lawsuit against a worker.
National Labor Relations Board Region 21
SEIU Local 721 filed a new NLRB charge against South Central Family Health Center in Los Angeles. It falls under the coercive actions category, which includes surveillance.
CMS's final 2027 Physician Fee Schedule rule, filed November 4, sets the FQHC Medicare base rate at $213.12, 2.6% above the 2026 rate of $207.72 and above the proposed $212.91. It takes effect January 1, 2027. The rule also says group sessions fail the one-on-one rule for a billable FQHC visit, as does health coaching under general supervision, and same-day care coordination is still paid separately. FQHC non-behavioral telehealth stays paid at national fee schedule rates, and Congress extended that authority through December 31, 2027. CMS's ACCESS model now counts more than 160 organizations, including Yakima Valley Farm Workers Clinic, and every Medicare-enrolled FQHC can bill its co-management codes G0676, G0677 or G0678. The GLOBE drug rebate model starts November 30 and leaves out 340B claims, and comments on Part D pharmacy contract terms are due November 23. (as of )
CMS MLN Matters MM14468
For dates of service from October 1, 2026, CMS requires FQHCs and rural health clinics to bill the individual CPT or HCPCS code for each distant-site telehealth service instead of G2025.
Centers for Medicare & Medicaid Services
CMS opened its Medicare Part D 340B claims repository on October 1, 2026, for voluntary submissions from covered entities or their administrators.
On November 5, the Legislative Analyst's Office estimated a structural deficit of $18.5 billion in 2026-27, even though the enacted budget is balanced. The office says an AI-driven stock rally is propping up tax collections, and its Fiscal Outlook is due later in November. September revenue came in $2.9 billion above forecast. California's current MCO tax ends December 31, 2026. SB 125 would charge plans $8.85 per enrollee per month for 2027 through 2029 once federally approved, but doctors and health plans have asked the California Supreme Court to block it, saying it breaks Proposition 35. The California Primary Care Association and three other provider groups back that petition. In July 2027, Medi-Cal's asset limit for seniors and people with disabilities drops from $130,000 to $21,000. (as of )
California Supreme Court filing S298916
The California Medical Association and the California Association of Health Plans asked the California Supreme Court on October 1, 2026 to block SB 125, the new MCO tax law. They say it breaks Proposition 35 and want a compliant tax sent to CMS by December 31.
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 )
CMSP Governing Board
CMSP staff asked its Governing Board on October 5, 2026 to give final approval to cuts starting January 1, 2027, including emergency-only coverage for undocumented adults.
Local health taxes on the November 3 ballot lead in early counts. Santa Cruz County's Measure E, a half-cent sales tax worth about $27 million a year for services including community clinics from April 1, 2027, led 59.40% to 40.60%. San Diego County's Measure B, which sends 60% of a half-cent sales tax to health and family services, stood at 52.00% yes in the November 6 count. Imperial County's Measure N hospital parcel tax had 54.97% yes but needs two-thirds. On October 28, the Pajaro Valley Health Care District board voted 3-2 to send a 120-day closure notice for Watsonville Community Hospital's maternity and NICU units. San Diego County approved the next phase of its $20.4 million Safety Net Bridge Program on October 27. CMSP staff proposed cuts starting January 1, 2027, and no vote is recorded. (as of )
CMSP Governing Board
CMSP staff asked its Governing Board on October 5, 2026 to give final approval to cuts starting January 1, 2027, including emergency-only coverage for undocumented adults.
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 )
HRSA Bureau of Primary Health Care
HRSA told FTCA-deemed health centers that their malpractice coverage extends to naloxone they prescribe or dispense to people who are not patients.
Public dates in the 14 days after Oct 11, 2026.
Records published earlier that changed this week: a correction, a new status or a replaced source.