06/02/2026
Yesterday, CMS finalized an interim rule implementing Medicaid work requirements, creating new administrative hurdles that could cause eligible patients to lose coverage, not because they no longer qualify, but because of complex reporting and documentation requirements.
For community health centers, the concern is simple: when coverage is lost, care is delayed. Preventive services are missed. Chronic conditions worsen. And providers are left struggling to help patients navigate an increasingly complicated system.
Adding to these concerns are proposed changes to Medicaid State Directed Payments, which could further reduce resources available to states and safety-net providers. Together, these policies threaten to weaken the healthcare safety net and increase strain on providers already operating on thin margins.
No matter what challenges lie ahead, Advocates for Community Health and our members remain committed to ensuring that patients do not fall through the cracks. Community health centers will continue doing what they have always done: providing accessible, affordable care to the communities that need it most.
Read a statement from our CEO Amanda Pears Kelly:
https://hubs.li/Q04jNKB50
ACH CEO Amanda Pears Kelly issued the following statement in response to the Centers for Medicare & Medicaid Services' interim final rule issued June 1, 2026, implementing Medicaid work requirements.