The Community Health Worker Access Act expands Medicare Part B coverage to include preventive care and services addressing social determinants of health provided by community health agencies, with benefits taking effect on January 1, 2027. These services are paid at 100 percent of the lesser of the actual charge or a federally established fee schedule, and they are exempt from Medicare deductibles. The bill also gives states an optional pathway to cover these same services under Medicaid, requiring state plan amendments that include workforce recruitment strategies and efforts to remove barriers for organizations that do not typically bill insurance. To support this expansion, the federal government increases its share of Medicaid costs by 6 percentage points for eligible community health expenditures in participating states.
The CHC REBASE Act of 2026 amends the Medicare program to adjust payment rates for Federally Qualified Health Centers (FQHCs) so that they cover 100 percent of estimated reasonable costs by 2028, effectively removing previous financial caps on these services. To support this change, the bill requires the Secretary of Health and Human Services to convene a working group with stakeholders from health centers, physicians, and CMS to review payment methodologies and recommend further modifications. Additionally, the legislation ensures that telehealth services provided by FQHCs and rural health clinics are paid at standard rates starting in 2027, treating associated costs as allowable expenses. The bill also mandates new guidance for Medicare Advantage plans to streamline "wraparound" payments to FQHCs and requires a Government Accountability Office report on how well these centers are included in insurance provider networks for underserved populations.
The REACH Act creates a new $10,000 annual tax credit for eligible rural health care providers who work at least 900 hours in a rural area. This benefit applies to primary care practitioners, mental health professionals, nurses, and medical residents participating in approved training programs. The credit is subject to an income limit, reducing the amount by $1 for every dollar of adjusted gross income over $170,000 until it reaches zero. These provisions are set to take effect for taxable years beginning after December 31, 2026, and will expire for years beginning after December 31, 2033.
The Community Health Worker Access Act would add community health services to Medicare Part B starting in 2027, allowing beneficiaries to receive these services without paying a deductible and with costs covered at 100 percent of the lesser of the actual charge or a government-set fee schedule. The bill defines eligible services as preventive care and support for social determinants of health, such as transportation assistance, case management, and culturally specific outreach, provided by qualified community health agencies under the supervision of licensed medical providers. Additionally, it gives states an optional pathway to cover similar services through Medicaid, offering a 6 percentage point increase in federal matching funds to help offset state costs for these workforce-supported programs.
This resolution expresses the House of Representatives' view that Federally Qualified Health Centers should maintain a single, unified definition for all patients rather than adopting separate definitions for different types of medical services. The bill argues that this consistent approach is essential to keep administrative costs low and ensure that approximately 32 million underserved Americans have access to comprehensive care, including prescription drugs purchased through the 340B Drug Pricing Program. By opposing service-specific patient definitions, the resolution aims to prevent restrictions that could force health centers to deny patients access to the full range of available health care services.
The Improving Health Through Integrated Food and Nutrition Services at Federally Qualified Health Centers Act directs the Department of Health and Human Services to create a competitive grant program for federally qualified health centers. These grants would fund activities such as screening patients for food insecurity, operating on-site food pantries, hiring nutrition professionals, and partnering with local food banks. The bill also requires the administration to coordinate with federal agencies to streamline patient enrollment in existing assistance programs like SNAP and WIC, while exploring ways to make nutrition services reimbursable through Medicaid. Recipients must submit annual reports detailing their impact, and the legislation authorizes $100 million per year for fiscal years 2027 through 2031 to support these efforts.
The Partnerships for Better Health Act directs the Secretaries of Health and Human Services and Agriculture to establish a grant program that funds local coalitions to integrate chronic disease prevention, management, and social support services. Eligible lead entities, such as community health centers, nonprofit hospitals, and food banks, must partner with clinical, nutritional, and public health organizations to deliver coordinated care, nutrition education, and "Food is Medicine" programs. Grant priority is given to communities facing high chronic disease prevalence, food insecurity, or persistent poverty, while recipients are required to serve populations with incomes at or below 200 percent of the federal poverty line. The bill authorizes $15 million annually for fiscal years 2027 through 2031 and mandates that grantees use evidence-based models and report on specific health, social, and utilization outcomes.
This Senate resolution designates the first week of August 2026 as "National Community Health Center Week" to recognize the role these facilities play in providing affordable primary care across the United States. The bill highlights that community health centers serve a diverse range of populations, including those in rural and urban areas, by offering integrated services such as mental health, dental, and pharmacy care. It encourages the general public to participate in the observance by visiting local centers and celebrating the partnership between these organizations and their communities.
The Rural Residency Planning and Development Act of 2026 authorizes the Secretary of Health and Human Services to provide grants to eligible entities for establishing new physician residency programs in rural areas. These three-year grants support training pathways in general primary care, high-need specialties, and maternal health, with a requirement that residents spend more than half their training time in rural settings. The bill also creates a separate four-year technical assistance program to help organizations apply for and manage these residency initiatives. Eligible recipients include public or private nonprofit and for-profit entities, Indian Tribes, rural hospitals, and medical schools. The legislation authorizes $12.7 million annually for fiscal years 2027 through 2031 to fund these programs.
This resolution expresses support for designating the first week of August as National Community Health Center Week to honor the contributions of these facilities. It encourages all Americans to visit their local health centers during this time to celebrate the partnership between these organizations and the communities they serve. The bill highlights how community health centers provide affordable, comprehensive care to millions of people, particularly in rural and underserved areas, while integrating services like dental care, behavioral health, and pharmacy support. By recognizing these centers, the resolution aims to raise awareness of their role in improving public health outcomes and supporting local economies.
