The bill was signed on July 4, 2025. Call it the One Big Beautiful Bill Act - OBBBA, H.R.1, whatever your preference. The name does not matter. The math does.
Between 9.9 and 14.9 million Americans are projected to lose health insurance under this law. The American Medical Association puts the figure at 11.8 million. The Congressional Budget Office, evaluating the House version, scored 5.2 million fewer insured adults by 2034 from work requirements alone - with 4.8 million losing coverage entirely.
Every one of those patients does not disappear. They get sick. They show up at community health centers. And the 1,400 FQHC organizations running nearly 15,000 sites across the country are legally required - as a condition of their federal funding - to see them, regardless of ability to pay.
That is not a policy nuance. That is the entire crisis in one sentence.
