2025 in FQHCs

Up to 50,000 SF Residents Could Lose Medi-Cal — $400M Budget Hole

Analysis projects 25,000-50,000 San Franciscans could be removed from Medi-Cal by end of 2027 under H.R. 1 provisions. The city faces a $400M budget hole through 2038 ($315M next year alone). SFCCC CEO Johanna Liu warned that 'service cuts at one provider affect the entire system.' Healthy San Francisco program revival under consideration.

AltaMed's notice says a December 14 cyber incident limited systems and some patient information may have been accessed

AltaMed's first-party notice says a December 14, 2025 cybersecurity incident limited access to certain computer systems. AltaMed said it initiated incident response, secured and contained the issue, engaged cybersecurity experts, notified law enforcement, remained operational, and continued scheduled care. While its investigation was still ongoing, AltaMed determined that some patient information may have been accessed; the fields varied and could have included name, date of service, and payment information. The notice does not publish an affected-person count, identify an attacker or vendor, confirm misuse, or connect the incident to a specific clinical technology. Treating possible access as confirmed acquisition, or attaching unrelated AI deployments, would exceed the source. Privacy and security leaders should use the official notice and counsel-approved incident record to confirm scope, assign regulatory and patient-communication decisions, preserve evidence, and run a de-identified recovery review. Operations should document downtime and continuity lessons without importing patient or forensic data. Workforce leaders can train staff to route questions and suspicious statements to the named official channel; talent teams and candidates must not infer hiring, blame, or organization performance. Never place a breach letter, patient data, law-enforcement communication, forensic artifact, system detail, credential, or vulnerability in FQHC Talent.

AltaMed Generated $15.1 Billion in Economic Impact (2019-2024) — Nation's Largest FQHC

AltaMed Health Services — the nation's largest FQHC — released a study showing $15.1B in total economic impact from 2019-2024. Impact grew from $1.08B (2019) to $4.24B (projected 2025). The organization supports 12,000 jobs, serves 465,000 Medi-Cal patients, and operates 60+ health centers. Every $1 spent generates $1.50 in economic activity. Powerful advocacy data point for the entire FQHC sector.

La Clínica's October 2025 enrollment campaign illustrates a renewal-workflow need — use current DHCS category guidance now

El Tímpano reported on October 24, 2025 — not June 2026 — that La Clínica de la Raza's community health educators launched an Alameda County campaign before the January 2026 Adult Expansion Freeze. The article documents the campaign, renewal questions, address-change risk, and community anxiety at that time. It does not establish a 2026 attendance decline, revenue loss, or operational result at La Clínica, AltaMed, Asian Health Services, LifeLong, or the wider FQHC sector. Current DHCS guidance is the action source: some adults cannot newly enroll in full-scope Medi-Cal because of immigration category; an otherwise eligible member who already has full-scope coverage can keep it by renewing on time; and a member whose coverage ends has a three-month full-scope re-enrollment window before a new application is generally limited to restricted scope. Navigators should verify the person's category against the current DHCS chart, update county contact information, identify the notice and due date, use teach-back in the person's language, and route unresolved eligibility questions to the local Medi-Cal office or qualified legal help. Finance and talent teams must not convert this historical campaign into a visit, revenue, hiring, or vacancy forecast. Keep immigration category, notices, renewal files, addresses, patient stories, and identifiers out of FQHC Talent; use only de-identified aggregate workflow findings.

Neighborhood Healthcare: 'Hundreds of FQHCs Will Shut Down in a Year'

Neighborhood Healthcare's Director of External Affairs warned that 'hundreds of FQHCs throughout the state will shut down in a year' due to H.R. 1 cuts. Palomar Health, Sharp HealthCare, and other SD institutions are preparing for $300M in annual lost revenue. Neighborhood Healthcare, due to its size, is not at immediate risk but warned 'hospitals in San Diego County are going to be overrun.'