California's Federally Qualified Health Centers

The state's FQHCs, which are a key source of care for low-income residents, have expanded their capacity after implementation of the Affordable Care Act. Learn about California's FQHCs and their patient population, payer mix, and growth.

November 2017

NOTE: The quick reference guide under Document Downloads was replaced on 12/6/2017 to correct an error on the "Revenue, by Source" chart.

California's Federally Qualified Health Centers (FQHCs) provide primary care for low-income residents and have been expanding their capacity due to several market and policy factors, particularly the implementation of the Affordable Care Act (ACA). The charts below and the quick reference guide under Document Downloads provide a snapshot of the state's FQHCs and their patient population, payer mix, and growth in revenues and patients seen.

 

Since full implementation of the ACA in 2014, California's uninsured rate has been cut in half, driven in large part by the expansion of Medi-Cal for low-income adults. FQHCs serve a large portion of those newly covered under the ACA, which is reflected in the growth in patients and patient visits since 2012.

 

Between 2012 and 2015, FQHCs saw the percentage of uninsured, self-pay patients cut nearly in half, while the percentage covered by Medi-Cal rose.

 

FQHC revenues are on the rise, driven primarily from increased use of patient services.

 

FQHCs serve Californians of all races and ethnicities. Undocumented adults in California — many of whom are Latino — remain ineligible for ACA coverage programs and are more likely to be uninsured, a population that FQHCs remain committed to serve.