CHC REBASE Act of 2026

MMM: NACHC lobbies for Medicaid and Medicare payment for health centers. This includes the HEALTH Act (H.R. 5496), Telehealth Modernization Act (H.R. 5081 / S. 2709), CONNECT for Health Act of 2025 (H.R. 4206 / S.1261), Main Street Pharmacy Access Act (H.R. 3164), CHC REBASE Act of 2026 (H.R. 10398), and Patients First Act of 2026 (H.R. 9693).

Client expense: $194,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE, White House Office

FY26 Community Project Funding for County projects FY27 Community Project Funding for County projects FY27 Congressionally Directed Spending for County projects 2018 Farm Bill Reauthorization; nutrition funding, pest detection and prevention FY 2027 appropriations for HUDs Capital Fund Program, the Community Development Block Grant program and the HOME Investment Partnerships program. FY 2027 appropriations for FEMA security grants. the Increasing Behavioral Health Treatment Act. Federally Qualified Health Centers reauthorization FY 2027 Funding for PILT FY 2027 funding for state and local law enforcement assistance FY 2027 Energy and Water Appropriations Act U.S. Army Corps of Engineers funding FY 2027 Interior, Environment and Related Agencies Appropriations Act; Payments in Lieu of Taxes program, EPAs State and Local Air Quality programs, Land and Water Conservation Fund, National Endowment for the Arts, and Cleanup/removal of abandoned oil and gas wells Electric Vehicle charging infrastructure Temporary Assistance for Needy Families Reauthorization National Flood Insurance Program Reauthorization Supplemental funding for the Special Supplemental Nutrition Program for Women, Infants and Children (WIC) FY 2027 Labor, Health and Human Services funding for public health and prevention, mental health programs and substance abuse prevention. National Weather Service Funding AM Radio availability in new cars FEMA Disaster Relief Funding H.R. 471 Fix our Forests Act H.R. 2492 Fire Safe Corridors Act H.R. 1 FY25 Budget Reconciliation; repeal of SNAP, Medicaid, and renewable fuels provisions H.R. 3520 Protect Patriot Parents Act H.R. 2250 National Landslide Preparedness Act S. 2651, the Renewing Opportunity in the American Dream (ROAD) to Housing Act. H.R. 6644, the Housing for the 21st Century Act. H.R. 4669, the Fixing Emergency Management for Americans (FEMA Act) of 2025. H.R. 2483, the SUPPORT Act of 2025 H.R. 7437, the Bridges And Safety Infrastructure for Community Success (BASICS) Act. Outer Continental Shelf Oil and Gas leases S. 3526, the Protecting Unique and Beautiful Landscapes by Investing in California (PUBLIC), Lands Act H.R. 4877, the Central Coast Heritage Protection Act. Water Resources Development Act Reauthorization; Lower Mission Creek project Immigration enforcement reforms Department of Housing and Urban Development regulations on mixed immigration status households Federal scheduling of 7-OH Interior OMB Proposed rule on Uniform grant guidance Farm Bill Nutrition Programs HR 6644 21st Century ROAD to Housing Act H.R. 8439, the Commission on Natural Disaster Risk Management and Insurance Act. H.R. 8870, the BUILD America 250 Act H.R. 10398, the Community Health Center Reforms Enabling Better Access for Seniors and Elders (CHC REBASE) Act. Hunt Amendment to the 2027 National Defense Authorization Act

Client expense: Not reported · Firm income: $24,000

Government targets: Army, Dept of (Corps of Engineers), Drug Enforcement Administration (DEA), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT)

H.R. 1 SNAP and Medicaid reductions FEMA Disaster Relief Funding FY27 Community Project Funding for County projects FY27 Congressionally Directed Spending for County projects 2018 Farm Bill Reauthorization; nutrition funding, pest detection and prevention FY 2027 appropriations for HUDs Capital Fund Program, the Community Development Block Grant program and the HOME Investment Partnerships program. FY 2027 appropriations for HUDs Capital Fund Program, the Community Development Block Grant program and the HOME Investment Partnerships program. FY 2027 appropriations for FAA; Airport Improvement Program and Contract Tower Program. FY 2027 appropriations for FEMA security grants. H.R. 4022, the Increasing Behavioral Health Treatment Act. Medicaid Disproportionate Share Hospital Payments Federally Qualified Health Centers reauthorization FY 2027 Funding for PILT FY 2027 funding for state and local law enforcement assistance FY 2027 Energy and Water Appropriations Act U.S. Army Corps of Engineers funding FY 2027 Interior, Environment and Related Agencies Appropriations Act; Payments in Lieu of Taxes program, EPAs State and Local Air Quality programs, Land and Water Conservation Fund, National Endowment for the Arts, and Cleanup/removal of abandoned oil and gas wells Electric Vehicle charging infrastructure Temporary Assistance for Needy Families Reauthorization National Flood Insurance Program Reauthorization Supplemental funding for the Special Supplemental Nutrition Program for Women, Infants and Children (WIC) FY 2027 Labor, Health and Human Services funding for public health and prevention, mental health programs and substance abuse prevention. H.R. 471 Fix our Forests Act H.R. 2492 Fire Safe Corridors Act opposition to S. 2175/H.R. 4146, the Pilot and Aircraft Privacy Act S. 2651, the Renewing Opportunity in the American Dream (ROAD) to Housing Act. H.R. 6644, the Housing for the 21st Century Act. H.R. 4669, the Fixing Emergency Management for Americans (FEMA Act) of 2025. the Second Chance Reauthorization Act of 2025 (S. 1843), H.R. 2483, the SUPPORT Act of 2025 H.R. 7437, the Bridges And Safety Infrastructure for Community Success (BASICS) Act. OMB Proposed rule on Uniform grant guidance Farm Bill Nutrition Programs HR6644 21st Century ROAD to Housing Act H.R. 8439, the Commission on Natural Disaster Risk Management and Insurance Act. H.R. 8870, the BUILD America 250 Act S. 3738, the Making Our Communities Resilient through Enhancing Water for Agriculture, Technology, the Environment, and Residences (MORE WATER) Act. Water Resources Development Act; Matilija Dam Ecosystem Restoration Project funding for key Workforce Innovation and Opportunity Act (WIOA) programs in fiscal year 2027. H.R. 10398, the Community Health Center Reforms Enabling Better Access for Seniors and Elders (CHC REBASE) Act.

Client expense: Not reported · Firm income: $60,000

Government targets: Army, Dept of (Corps of Engineers), Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Interior, Dept of (DOI), Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT)