PMID- 23251953 OWN - HSR STAT- MEDLINE DCOM- 20130111 LR - 20200928 IP - 848 CTI - National Health Policy Forum Issue Briefs DP - 2012 Dec 18 TI - Changes in latitudes, changes in attitudes: FQHCs and community clinics in a reformed health care market. PG - 1-22 AB - The Patient Protection and Affordable Care Act of 2010 and the Supreme Court's related decision have significantly shifted the health care landscape for safety net providers. Federally qualified health centers (FQHCs) are a mainstay of primary care for the uninsured and those with limited access to care. This paper focuses on the impact of health reform on FQHCs given the significant federal investment in them through grants, Medicaid, and Medicare reimbursement. Where noteworthy, the effect on non-FQHC community clinics is also discussed. The implications of Medicaid coverage expansions (or lack thereof in states that choose not to expand), Medicaid disproportionate share hospital program cuts, discretionary budgets and sequestration, Medicare payment changes, contracting with qualified health plans in state health insurance exchanges, and delivery system reforms are explored. FAU - Taylor, Jessamy AU - Taylor J AD - National Health Policy Forum, Washington, D.C., USA. LA - eng PT - Journal Article PL - United States TA - Issue Brief George Wash Univ Natl Health Policy Forum JT - Issue brief (George Washington University. National Health Policy Forum : 2005) JID - 101502213 MH - Budgets/trends MH - Community Health Centers/economics/*legislation & jurisprudence/trends MH - Eligibility Determination MH - Facility Regulation and Control/economics/*legislation & jurisprudence MH - Financing, Government/economics/legislation & jurisprudence MH - Forecasting MH - Health Care Reform/economics/*legislation & jurisprudence/trends MH - Health Services Accessibility/economics/legislation & jurisprudence MH - Humans MH - Medicaid/economics/legislation & jurisprudence MH - Medically Uninsured MH - Medicare/economics MH - Patient Protection and Affordable Care Act/*legislation & jurisprudence MH - Primary Health Care/economics/legislation & jurisprudence MH - Reimbursement, Disproportionate Share/economics MH - State Government MH - Supreme Court Decisions MH - United States EDAT- 2012/12/21 06:00 MHDA- 2013/01/12 06:00 CRDT- 2012/12/21 06:00 PHST- 2012/12/21 06:00 [entrez] PHST- 2012/12/21 06:00 [pubmed] PHST- 2013/01/12 06:00 [medline] PST - ppublish SO - Issue Brief George Wash Univ Natl Health Policy Forum. 2012 Dec 18;(848):1-22.