FQHCs are an essential part of the nation's
overall health care safety net, serving 25 million people annually, seven in 10 of whom live at or below the federal poverty level.2 Their role has been expanded by the Affordable Care Act (ACA), which invested billions of new dollars into FQHC infrastructure, driving considerable nationwide growth in the number of sites and their capacity.3 In conjunction with their overall growth, FQHC sites have become increasingly integral to the national publicly funded family planning effort.