On July 4, 2025, the “One Big Beautiful Bill” was signed into law, setting off alarm bells across the healthcare industry. In response, the National Association of Community Health Centers (NACHC) issued an urgent warning: this legislation could severely disrupt care for millions of Americans—especially those who depend on Medicaid and Community Health Centers (CHCs) for essential health services.
At TimeDoc Health, we proudly support CHCs and Federally Qualified Health Centers (FQHCs) in their mission to deliver proactive, equitable care. With this bill now moving forward, we’re deeply concerned about the implications for funding stability, patient access, and the ability of health centers to maintain high-quality, team-based care.
What’s Ahead
Projected Impact on Health Centers
According to NACHC, the bill is expected to:
- Eliminate health coverage for up to 4 million patients
- Add over $7 billion annually in uncompensated care costs to health centers
- Force the closure of 1,800 CHC sites
- Lead to 34,000 healthcare jobs lost
- Further strain an already fragile system—42% of centers have less than 90 days of cash on hand (source)
These cuts jeopardize access to care in rural, urban, and underserved communities. Critical services—from chronic disease management to prenatal care—are at risk as health centers face rising demand with fewer resources.
Impact on Preventive and Chronic Care Management
At TimeDoc Health, we witness the impact of preventive care every day. Through our Advanced Primary Care Management (APCM) programs, we help health centers proactively manage chronic conditions like hypertension, diabetes, and depression—while closing care gaps and reducing avoidable costs.
But these efforts rely on coverage continuity and operational stability. With Medicaid eligibility under threat and uncompensated care rising, CHCs may be forced to scale back programs that serve the most vulnerable. This shift could lead to increased emergency room visits, worsening health disparities, and higher long-term costs.
The Bigger Picture: Why CHC Funding Matters
This isn’t just about dollars—it’s about defending a care model that works.
CHCs serve over 30 million Americans annually, operate 15,000+ service sites, and employ more than 300,000 healthcare professionals. They’re essential to Medicaid’s success, the shift to value-based care, and efforts to reduce healthcare inequities.
Without stable federal investment and Medicaid protections, CHCs will face tough choices—reducing hours, cutting services, or turning away new patients. That’s more than a budget issue—it’s a public health crisis in the making.
Now is the Time to Act
With CHC funding set to expire in less than 90 days, time is short. As the Senate takes up negotiations and funding decisions loom, CHC leaders, providers, and advocates must speak up for sustainable funding and patient protections.
TimeDoc Health Stands With You
We remain committed to helping CHCs navigate this period of uncertainty. From care team extension to population health reporting to chronic care management, our platform empowers health centers to do more—with greater efficiency, visibility, and patient impact.
If your organization is facing financial strain and still striving to deliver high-quality care, we’re here to help you stay resilient.
Let’s work together to keep care accessible, consistent, and proactive—no matter what lies ahead.
