Fact Check: Are fqhcs losing funding?

Fact Check: Are fqhcs losing funding?

Published May 8, 2025
VERDICT
True

# Are FQHCs Losing Funding? The claim that Federally Qualified Health Centers (FQHCs) are losing funding has gained traction, particularly in light o...

Are FQHCs Losing Funding?

The claim that Federally Qualified Health Centers (FQHCs) are losing funding has gained traction, particularly in light of recent policy changes and funding discussions. This article examines the current state of funding for FQHCs, the implications of recent legislative actions, and the broader context surrounding these health centers.

What We Know

  1. Funding Structure: FQHCs are funded through a combination of federal grants and reimbursement for services provided to Medicaid and Medicare patients. They are essential in providing care to underserved populations, including uninsured individuals 24.

  2. Impact of Policy Changes: A significant change occurred on May 11, 2023, when FQHCs lost the ability to bill for virtual communication services without qualifying in-person visits. This shift could potentially reduce revenue for these centers, as they had relied on telehealth services during the COVID-19 pandemic 6.

  3. Funding Challenges: According to a report by the National Association of Community Health Centers (NACHC), while the demand for services at community health centers is increasing, federal funding has not kept pace with rising operational costs. The report indicates that to maintain the same level of per-capita spending as in 2015, an additional $2.1 billion in annual federal funding would be necessary 8.

  4. Recent Legislative Developments: The Community Health Center Fund, which provides critical funding for FQHCs, was set to expire on September 30, 2023. NACHC has been actively advocating for its reauthorization, emphasizing the need for sustained funding to support the growing patient population 9.

  5. State-Level Adjustments: Some states have implemented measures to mitigate the impact of funding losses. For example, New York has introduced additional payments to eligible FQHCs to preserve access to care and prevent service losses 3.

Analysis

The claim that FQHCs are losing funding is supported by multiple sources, indicating a concerning trend in the financial landscape of these health centers. The NACHC report highlights a critical gap between the increasing demand for services and stagnant federal funding, suggesting that FQHCs may indeed be facing financial challenges 8. However, it is essential to consider the context of these claims.

Source Evaluation

  • NACHC Reports: The NACHC is a prominent advocacy group for community health centers, which may introduce a potential bias in their reporting. While their data is often reliable, it is essential to cross-reference their findings with independent analyses to ensure a balanced perspective.

  • Government Sources: Reports from the Health Resources and Services Administration (HRSA) and the Centers for Medicare & Medicaid Services (CMS) provide foundational information about the operational framework and funding mechanisms for FQHCs. These sources are generally credible as they are government-backed, but they may not fully capture the nuances of funding challenges faced by these centers 14.

  • Media Coverage: Articles from reputable news sources, such as Reuters, provide timely insights into the implications of policy changes affecting FQHCs. However, media reports may sometimes lack the depth of analysis found in academic or governmental studies 6.

Methodological Considerations

The methodologies used in the reports and analyses vary. For instance, the NACHC report relies on historical funding data and projections based on current trends, which may not account for unforeseen changes in policy or economic conditions. Additionally, the impact of state-level interventions, such as New York's additional payments, may not be uniformly applicable across the country, complicating the overall assessment of funding stability for FQHCs.

Conclusion

Verdict: True

The claim that Federally Qualified Health Centers (FQHCs) are losing funding is substantiated by several key pieces of evidence. Notably, the NACHC report indicates a significant gap between the rising demand for services and stagnant federal funding, suggesting that FQHCs are indeed facing financial challenges. The recent policy change that limits billing for telehealth services further exacerbates these funding issues, potentially leading to decreased revenue for these centers.

However, it is important to acknowledge the context and nuances surrounding this claim. While the overall trend points toward funding challenges, some states are implementing measures to mitigate these impacts, which may not be uniformly applicable across the country. Additionally, the potential bias in advocacy group reports necessitates careful consideration of the data presented.

Limitations in the available evidence include the reliance on projections that may not account for future policy changes or economic conditions. Therefore, while the claim is supported by credible sources, the situation remains dynamic, and ongoing monitoring of funding developments is essential.

Readers are encouraged to critically evaluate information themselves and consider the broader context when assessing claims related to funding for FQHCs.

Sources

  1. Centers for Medicare & Medicaid Services. "Federally Qualified Health Center." CMS
  2. Health Resources and Services Administration. "Impact of the Health Center Program." HRSA
  3. New York State Department of Health. "NYRx Transition | Federally Qualified Health Center (FQHC)." NY Health
  4. Health Resources and Services Administration. "About the Health Center Program." HRSA
  5. Centers for Medicare & Medicaid Services. "Federally Qualified Health Centers (FQHC) Center." CMS
  6. Reuters. "End of a pandemic era: What now for Federally Qualified Health Centers?" Reuters
  7. Rural Health Information Hub. "Federally Qualified Health Centers (FQHCs) and the Health Center Program." Rural Health Info
  8. National Association of Community Health Centers. "The Overlooked Decline in Community Health Center Funding." NACHC
  9. National Association of Community Health Centers. "Federal Grant Funding." NACHC
  10. California Coalition for Community Clinics. "FQHC Fact Sheet." CCHP

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Think of it like your phone freezing: all the apps are still there, but none of them open when you tap. Research calls this autistic burnout when it happens in a longer, chronic cycle—linked to masking (Hull et al., 2017; Raymaker et al., 2020). Masking is the art of “performing normal” so well that non-autistic people think you’re fine. The issue is that it eats through your energy reserves like a car idling in traffic with the A/C on full blast (Mantzalas et al., 2022). Eventually, one hard conversation can tip you from functional to frozen. And here’s where couples therapy meets neuroscience: physiological flooding—the body’s fight/flight/freeze switch—is a known relationship killer (Malik et al., 2019; Gottman Institute, 2024). In other words, for some autistic partners, flooding may tend to show up sooner, last longer, and is more likely to pull the plug on speech entirely. The Danger Loop in Marriage Autistic partner goes non-verbal — brain says “nope.” Non-autistic partner reads it as avoidance — brain says “attack.” Pressure increases — “Just say something.” Shutdown deepens — and now you’ve both lost. Do that a few hundred times and you’ll start conflating a physiological response into a moral failing. That’s the real marriage-killer. The Protocol: Three Phases, Zero Guesswork This is where we get practical. You can’t “love away” a temporary shutdown, but you can stop it from turning into World War III. Before: Build the Net Name the state. Agree on a phrase or signal ( I call this a couple code)—such as “words offline,” “shutdown,” a hand over the heart. The point is to make the invisible visible. The Shutdown Card. A literal card that says: I can’t speak right now. Please lower lights, reduce sound, give me X minutes. I promise I will circle back. The Pause Rule. Require a minimum of 20 minutes before resuming any tough talk. Autistic partner may need 90+. Agree ahead of time. Downgrade Kit. the usual gear; earplugs, soft light, weighted blanket, fidget, a quiet room. You know, human decency in object form. Reduce Daily Load. Avoid heavy talks right after work or big social events. Chronic overload makes a nervous shutdown more probable. During: Do Less, Better Autistic Partner: Give the signal. Exit stimulation. Switch channels if possible (text, notes app, yes/no cards). Send a short pre-written message: “Safe, can’t talk, back at 8:15.” Non-Autistic Partner: Acknowledge once—“Got it, I’m with you.” Hold the pause boundary. Lower stimuli. Go regulate your own nervous system—walk, journal, pet the dog. Don’t rehearse comebacks. Both: Avoid sarcasm, interrogation, ultimatums. Nothing lengthens a shutdown like moral outrage. After: Close the Loop Check in: “Are you ready to talk, or should we start in text?” Debrief: Identify triggers and what helped. Solve the actual problem. 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F., et al. (2023). The lived experience of meltdowns for autistic adults. Autism, 27(7), 1787–1799. https://doi.org/10.1177/13623613221145783 Malik, J., et al. (2019). Emotional flooding in response to negative affect in romantic relationships. Journal of Couple & Relationship Therapy, 18(4), 327–349. https://doi.org/10.1080/15332691.2019.1641188 Gottman Institute. (2024, March 4). Making sure emotional flooding doesn’t capsize your relationship. Retrieved from https://www.gottman.com/blog/making-sure-emotional-flooding-doesnt-capsize-your-relationship/

Detailed fact-check analysis of: Autistic Non-Verbal Episodes in Marriage: Why Words Vanish Sometimes and What to Do About It Neurodiverse Couples Tuesday, august 12, 2025. Here’s the scene: You’re in the middle of a conversation with your spouse. Maybe the topic is small (“Did you pay the water bill?”) or monumental (“Are we happy?”). And then—without warning—your autistic partner’s voice disappears. No yelling, no slammed doors. Just… gone. You’re left holding the conversational steering wheel while they’ve quietly climbed into the trunk. If you’ve never lived with high-functioning autism, this can be tragically misconstrued as stonewalling or contempt. It isn’t. It’s just neurology pulling the emergency brake. Why This Happens: The Science Without the Lab Coat Smell For autistic adults, losing speech under stress is often a shutdown—a form of nervous system overload that knocks language production offline. Think of it like your phone freezing: all the apps are still there, but none of them open when you tap. Research calls this autistic burnout when it happens in a longer, chronic cycle—linked to masking (Hull et al., 2017; Raymaker et al., 2020). Masking is the art of “performing normal” so well that non-autistic people think you’re fine. The issue is that it eats through your energy reserves like a car idling in traffic with the A/C on full blast (Mantzalas et al., 2022). Eventually, one hard conversation can tip you from functional to frozen. And here’s where couples therapy meets neuroscience: physiological flooding—the body’s fight/flight/freeze switch—is a known relationship killer (Malik et al., 2019; Gottman Institute, 2024). In other words, for some autistic partners, flooding may tend to show up sooner, last longer, and is more likely to pull the plug on speech entirely. The Danger Loop in Marriage Autistic partner goes non-verbal — brain says “nope.” Non-autistic partner reads it as avoidance — brain says “attack.” Pressure increases — “Just say something.” Shutdown deepens — and now you’ve both lost. Do that a few hundred times and you’ll start conflating a physiological response into a moral failing. That’s the real marriage-killer. The Protocol: Three Phases, Zero Guesswork This is where we get practical. You can’t “love away” a temporary shutdown, but you can stop it from turning into World War III. Before: Build the Net Name the state. Agree on a phrase or signal ( I call this a couple code)—such as “words offline,” “shutdown,” a hand over the heart. The point is to make the invisible visible. The Shutdown Card. A literal card that says: I can’t speak right now. Please lower lights, reduce sound, give me X minutes. I promise I will circle back. The Pause Rule. Require a minimum of 20 minutes before resuming any tough talk. Autistic partner may need 90+. Agree ahead of time. Downgrade Kit. the usual gear; earplugs, soft light, weighted blanket, fidget, a quiet room. You know, human decency in object form. Reduce Daily Load. Avoid heavy talks right after work or big social events. Chronic overload makes a nervous shutdown more probable. During: Do Less, Better Autistic Partner: Give the signal. Exit stimulation. Switch channels if possible (text, notes app, yes/no cards). Send a short pre-written message: “Safe, can’t talk, back at 8:15.” Non-Autistic Partner: Acknowledge once—“Got it, I’m with you.” Hold the pause boundary. Lower stimuli. Go regulate your own nervous system—walk, journal, pet the dog. Don’t rehearse comebacks. Both: Avoid sarcasm, interrogation, ultimatums. Nothing lengthens a shutdown like moral outrage. After: Close the Loop Check in: “Are you ready to talk, or should we start in text?” Debrief: Identify triggers and what helped. Solve the actual problem. No conflict gets left to rot in the corner. Spot burnout early. If shutdowns start clustering, it’s time to reduce demands, not double them. How This Isn’t Stonewalling Stonewalling is a choice. Shutdown is a lockout. Stonewalling says, “I won’t talk to you.” Shutdown says, “I can’t talk to you yet, but I will.” The key difference? Repair intention. A shutdown protocol builds that right into the process. The Ten-Minute At-Home Drill Co-create your signal and card. Agree on a pause window. Pack the downgrade kit. Rehearse the exchange (“Got it, I’m with you.”). Check in weekly to tweak the system. Remember, you’re not aiming for zero shutdowns. You’re aiming for shorter, kinder, safer ones. Why This Works Because it matches lived autistic experience (Raymaker et al., 2020; Lewis et al., 2023). Because it honors nervous system limits instead of punishing them (Malik et al., 2019). Because it lets both partners keep their dignity and still solve the problem. In other words: you’re building a marriage that can survive the occasional moments when the words are gone for the time being. Be Well, Stay Kind, and Godspeed. REFERENCES: Hull, L., Mandy, W., Lai, M.-C., Baron-Cohen, S., Allison, C., Smith, P., & Petrides, K. V. (2017). “Putting on my best normal”: Social camouflaging in adults with autism spectrum conditions. Autism, 21(5), 611–622. https://doi.org/10.1177/1362361316671012 Raymaker, D. M., Teo, A. R., Steckler, N. A., Lentz, B., Scharer, M., Delos Santos, A., … & Nicolaidis, C. (2020). “Having all of your internal resources exhausted beyond measure and being left with no clean-up crew”: Defining autistic burnout. Autism in Adulthood, 2(2), 132–143. https://doi.org/10.1089/aut.2019.0079 Mantzalas, J., Richdale, A. L., Adikari, A., Lowe, J., & Dissanayake, C. (2022). What Is Autistic Burnout? A thematic analysis of posts on two online platforms. Autism in Adulthood, 4(1), 52–65. https://doi.org/10.1089/aut.2021.0079 Lewis, L. F., et al. (2023). The lived experience of meltdowns for autistic adults. Autism, 27(7), 1787–1799. https://doi.org/10.1177/13623613221145783 Malik, J., et al. (2019). Emotional flooding in response to negative affect in romantic relationships. Journal of Couple & Relationship Therapy, 18(4), 327–349. https://doi.org/10.1080/15332691.2019.1641188 Gottman Institute. (2024, March 4). Making sure emotional flooding doesn’t capsize your relationship. Retrieved from https://www.gottman.com/blog/making-sure-emotional-flooding-doesnt-capsize-your-relationship/

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Fact Check: Are fqhcs losing funding? | TruthOrFake Blog