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California’s Federally Qualified Health Centers

Note: The quick reference guide was updated on December 6, 2017, to correct an error on the “Revenue, by Source” chart.

California’s Federally Qualified Health Centers (FQHCs) provide primary care for residents with low incomes 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 adults with low incomes. 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.

The quick reference guide is available for download below. This material is part of CHCF’s California Health Care Almanac, an online clearinghouse for key data and analyses describing the state’s health care landscape.

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