DACA recipients, often called Dreamers, held a brief window of ACA Marketplace access from November 1, 2024, through August 25, 2025, under the Biden administration's rule clarifying deferred action as a form of lawful presence. The Trump administration reversed that rule through the 2025 Marketplace Integrity and Affordability Final Rule, published June 25, 2025, which stripped DACA recipients from the definition of lawfully present for purposes of ACA Marketplace enrollment, Premium Tax Credits, cost-sharing reductions, and Basic Health Programs. As of the 2026 plan year, approximately 10,000 Dreamers lost Marketplace coverage and must piece together noncitizen health coverage from other sources. The good news is that DACA recipients still have work authorization via their Employment Authorization Documents, which opens employer-sponsored health insurance as the most stable 2026 option.
Undocumented immigrants and noncitizens with deferred action status face a coverage landscape that is heavily state-dependent. Four states have created meaningful programs using state-only funding that explicitly cover DACA recipients or other immigrants not considered lawfully present under federal rules: California, New Mexico, Washington, and Oregon. Beyond state programs, employer-sponsored insurance remains fully available to any DACA recipient with a valid EAD, and Federally Qualified Health Centers operate on a sliding-fee-scale basis for any patient regardless of immigration status. Form 7206 does not apply to DACA recipients in most cases, because most Dreamers are W-2 employees rather than self-employed sole proprietors. For DACA recipients who do operate as independent contractors or sole proprietors, the self-employment health insurance deduction via Form 7206 is available only on qualifying coverage, and Marketplace plans are no longer qualifying coverage in 2026.
Your 4 Real Options
Available options| Option | Best for | Availability in 2026 |
|---|
| Employer-sponsored health insurance (via EAD) | DACA recipients with W-2 jobs offering group benefits | All 50 states; no immigration-status restriction on employer group plans |
| State-funded Medicaid (CA, NM, WA, OR) | Income-eligible Dreamers in expansion states with state-funded programs | California (Medi-Cal, frozen for new adult enrollees after Jan 1 2026), New Mexico (DACA Coverage Program), Washington (Apple Health limited), Oregon (OHP Healthier Oregon) |
| Federally Qualified Health Centers (FQHCs) | Any DACA recipient needing primary care, dental, or mental health services | Nationwide; sliding-scale fees based on income; no immigration-status requirement |
| Direct-purchase private insurance (off-Marketplace) | DACA recipients above income limits for state programs who cannot get employer coverage | Available in all states from private insurers; no subsidies; full premium cost |
ACA Marketplace plans and Premium Tax Credits are not available to DACA recipients in 2026 following the CMS Marketplace Integrity and Affordability Final Rule (effective August 25, 2025). DACA recipients in Washington state may have limited access through state-funded Cascade Care Savings at up to 250% FPL.
Source: CMS Marketplace Integrity and Affordability Final Rule (June 25, 2025), HealthCare.gov, KFF, New Mexico Health Care Authority
Option 1: Employer-Sponsored Health Insurance Through Your EAD
Employer-sponsored health insurance is the most stable and often the most affordable coverage path for DACA recipients in 2026. A valid Employment Authorization Document (EAD, Form I-766) grants the same right to work and to participate in group health benefit plans as any other worker. Employers are legally barred from discriminating in benefits based on immigration status when a worker is otherwise authorized to work, meaning a Dreamer on a valid EAD has equal access to the same group health plan as their coworkers.
Group employer plans cover all 10 ACA essential health benefits and cannot exclude pre-existing conditions. Premium costs are shared between employer and employee, and employee contributions are deducted pretax through payroll under Section 125, reducing taxable income. For a Dreamer working full-time at a company offering family coverage, joining the employer plan typically costs $150 to $600 per month out of pocket for employee-plus-family enrollment, compared to full-sticker private insurance of $500 to $1,800 per month. The enrollment window is the employer's annual open enrollment period plus qualifying life events triggering a special election period of typically 30 to 60 days.
Option 2: State-Funded Medicaid Programs for DACA Recipients
Four states have built coverage programs using state-only funds that explicitly extend to DACA recipients and undocumented immigrants who cannot access federally-funded Medicaid. California's Medi-Cal program historically covered income-eligible immigrants of all statuses but froze new enrollments for undocumented adults age 19 and older after January 1, 2026. DACA recipients who were already enrolled in Medi-Cal before that date retain coverage; new adult applicants as of 2026 are no longer accepted. Emergency Medi-Cal (Emergency Medicaid under California's state program) remains available for acute stabilization regardless of enrollment date or immigration status. Children under 19 and pregnant individuals remain eligible to apply for full Medi-Cal regardless of immigration status.
New Mexico launched a dedicated 2026 DACA Coverage Program through the New Mexico Health Care Authority, offering state-funded premium assistance on a sliding scale based on household income for DACA recipients who lost Marketplace access. Eligible Dreamers in New Mexico can enroll through the dedicated state portal at easigov.com/daca.html. Washington state has a state-funded Cascade Care Savings program that extends to income-eligible DACA recipients earning up to 250% of the 2026 Federal Poverty Level ($39,900 for a single person). Oregon's OHP Healthier Oregon program uses state funds to cover income-eligible residents regardless of immigration status at or below 138% of the 2026 Federal Poverty Level ($22,025 for a single person), and DACA recipients in Oregon qualify on income grounds alone. These state programs have separate income limits and application processes from federal Medicaid.
Option 3: Federally Qualified Health Centers (FQHCs)
Federally Qualified Health Centers are federally funded community health centers required by law to serve every patient regardless of immigration status or ability to pay. FQHCs set fees on a sliding scale based on household income relative to the Federal Poverty Level, with patients at or below 100% FPL paying nominal fees of approximately $20 to $50 per visit, and no patient turned away for inability to pay. FQHCs are not insurance and do not cover hospital admissions or specialist referrals outside the FQHC's own services, but they provide primary care, preventive care, dental, behavioral health, and some specialty services in-house.
For DACA recipients without employer coverage and without access to a qualifying state Medicaid program, FQHCs represent the most accessible safety net for routine care. Find the nearest FQHC through findahealthcenter.hrsa.gov. Emergency care is separately protected under EMTALA: any hospital receiving Medicare or Medicaid funds must provide emergency screening and stabilization regardless of immigration status or ability to pay. Neither FQHC visits nor EMTALA stabilization count against a public charge determination under current 2026 DHS regulations.
Option 4: Direct-Purchase Private Insurance
DACA recipients can purchase health insurance directly from private insurers outside the ACA Marketplace in all 50 states. Off-Marketplace private insurance plans are not required to accept all applicants in every situation, but most individual market carriers in the United States follow ACA guaranteed-issue and no-pre-existing-condition-exclusion rules voluntarily or by state law even for off-Marketplace sales. The significant downside is cost: without Marketplace subsidies or Premium Tax Credits, full-premium individual plans run $400 to $1,100 per month for a single adult in 2026 depending on age, plan tier, and state. If the private plan qualifies as an HSA-eligible HDHP (minimum deductible $1,700 individual or $3,400 family in 2026 per Rev. Proc. 2025-19), the DACA recipient can open and fund a Health Savings Account.
Traps That Cost DACA Recipients Thousands
DACA recipients are frequently targeted by insurance products that look like health coverage but leave them unprotected. Avoid these in 2026:
Common traps for DACA Recipients| Trap | Why to avoid |
|---|
| Assuming Marketplace plans are still an option | The 2025 CMS Marketplace Integrity and Affordability Final Rule removed DACA recipients from lawfully-present status for Marketplace purposes. Attempting to enroll by misrepresenting immigration status constitutes fraud and can jeopardize DACA renewal. There is no legitimate path to Premium Tax Credits for Dreamers in 2026. |
| Health share ministries (Medi-Share, Liberty HealthShare) | NOT insurance. No legal obligation to pay. Pre-existing conditions excluded. Lifestyle clauses can disqualify care. DACA recipients paying into these programs have no recourse if a claim is denied. |
| Short-term limited-duration plans sold as ACA alternatives | Do not cover pre-existing conditions, can be rescinded retroactively, and do not qualify as minimum essential coverage. A hospitalization on one of these plans can result in a six-figure bill with no protection. |
| Discount cards sold as 'insurance' | Discount cards are NOT insurance. They offer negotiated discounts at participating providers but cover nothing. A DACA recipient paying $50 to $150 per month for a 'health discount card' has no actual coverage for serious illness. |
Verify any plan with the state insurance commissioner's office before purchasing. For DACA recipients, legitimate coverage paths in 2026 are employer-sponsored group plans, state-funded Medicaid programs, direct-purchase ACA-equivalent private plans, and FQHCs for primary care.
Source: CMS, National Immigration Law Center (NILC), KFF
CMS Marketplace Integrity and Affordability Final Rule: What Changed for DACA Recipients in 2026
The Centers for Medicare and Medicaid Services (CMS) published the 2025 Marketplace Integrity and Affordability Final Rule on June 25, 2025. The rule took effect August 25, 2025. One of its central provisions amended the definition of lawfully present for ACA Marketplace purposes to exclude DACA recipients, reinstating the interpretation used in the original 2012 Interim Final Rule. This reversal of the Biden administration's May 2024 rule eliminated DACA recipients' eligibility for Qualified Health Plans (QHPs) through the Marketplace, for Advance Premium Tax Credits (APTC), for cost-sharing reductions (CSRs), and for state Basic Health Programs (BHPs) including Oregon's OHP-as-BHP and New York's Essential Plan. CMS estimates approximately 10,000 Dreamers lost Marketplace coverage and approximately 1,000 lost BHP coverage under this provision.
The DACA eligibility provision of this final rule was specifically NOT challenged in the August 2025 court case (City of Columbus plaintiffs) that stayed other provisions of the same rule. As a result, the DACA ineligibility provision is fully in effect for plan year 2026. DACA recipients who were auto-terminated from Marketplace plans received notices and had a Special Enrollment Period to find alternative coverage. Any Dreamer who currently holds a Marketplace plan in 2026 should confirm coverage status directly with their marketplace account; any ongoing enrollment is likely an error and could create future repayment liability.
State-by-State Coverage Programs for DACA Recipients in 2026
Coverage options for DACA recipients vary significantly by state because the federal ACA floor no longer applies to Dreamers. States using only state funds can extend Medicaid-equivalent coverage to people not considered lawfully present under federal rules. California's Medi-Cal program covered income-eligible immigrants regardless of immigration status before 2026, but froze new adult (age 19 and older) enrollment after January 1, 2026. DACA recipients already enrolled in Medi-Cal before the freeze continue to receive coverage. California children under age 19 and pregnant individuals remain eligible to apply for full Medi-Cal regardless of immigration status in 2026. The California state income limit for Medi-Cal full-scope coverage is 138% of the Federal Poverty Level: $22,025 for a single person in 2026, $45,540 for a family of four in 2026.
New Mexico's Health Care Authority operates a dedicated 2026 DACA Coverage Program offering state-funded premium assistance on a sliding-scale basis. DACA recipients in New Mexico can enroll through the dedicated state portal at easigov.com/daca.html (call 505-705-3310 for assistance); coverage is a state-funded Clear Cost Gold plan with income-based premium contributions. Washington state's Apple Health (Medicaid) uses state funds to cover certain categories of immigrants; DACA recipients with income at or below 250% FPL ($39,900 single in 2026) may access Cascade Care Savings through the Washington Health Benefit Exchange. Oregon's OHP Healthier Oregon program uses state funds to extend coverage to all income-eligible residents at or below 138% FPL regardless of immigration status, covering DACA recipients on the same income basis as any other Oregon resident ($22,025 for a single person in 2026). Contact cover.oregon.gov for Oregon enrollment.
State Medicaid and Coverage Programs for DACA Recipients in 2026| State | Program | Income Limit (2026) | New Enrollment Open? |
|---|
| California | Medi-Cal (state-funded) | 138% FPL ($22,025 single) | FROZEN for adults 19+ after Jan 1 2026; children and pregnant individuals still eligible |
| New Mexico | DACA Coverage Program (easigov.com/daca.html) | Sliding scale; Clear Cost Gold plan with premium assistance | Yes: enroll at easigov.com/daca.html or call 505-705-3310 |
| Washington | Cascade Care Savings (Apple Health) | Up to 250% FPL ($39,900 single in 2026) | Check eligibility at wahbexchange.org |
| Oregon | OHP Healthier Oregon (state-funded) | 138% FPL ($22,025 single in 2026) | Yes: apply at cover.oregon.gov |
| All other states | Emergency Medicaid only + FQHCs | Acute emergency stabilization only | No comprehensive state-funded program; use FQHC finder at findahealthcenter.hrsa.gov |
State programs change frequently. Verify current enrollment status with the state agency before applying. Income limits shown are for single-person households; family-size thresholds are higher.
Source: KFF State Health Coverage for Immigrants, CMS, New Mexico HCA, Washington HBE, Oregon OHA
Premium Tax Credit (PTC) Eligibility for DACA Recipients in 2026
DACA recipients are not eligible for the Premium Tax Credit (PTC) in 2026. The CMS Marketplace Integrity and Affordability Final Rule eliminated Dreamers from the definition of lawfully present for Marketplace purposes, and PTC eligibility is conditioned on being enrolled in a Marketplace Qualified Health Plan. With Marketplace enrollment unavailable to DACA recipients, the PTC pathway is closed. This represents a significant change from the brief November 2024 through August 2025 window when DACA recipients could access APTC. For DACA recipients who enrolled and received APTC during that window, Form 1095-A reconciliation at tax time (via Form 8962) would apply for the months of coverage received.
DACA recipients who obtain employer-sponsored coverage do not receive PTCs in any case, since employer-sponsored coverage makes a worker ineligible for Marketplace PTC even among workers with lawful status. For DACA recipients in states with state-funded coverage programs, any state-specific premium assistance (as in New Mexico's DACA Coverage Program) is not a federal PTC and does not flow through Form 1095-A; it is a state grant equivalent. The income thresholds for state programs vary; New Mexico uses a sliding scale, while California's Medi-Cal uses 138% of the 2026 FPL ($22,025 for a single person, $45,540 for a family of four).
HSA and HDHP Fit for DACA Recipients in 2026
DACA recipients who are enrolled in an HSA-eligible High-Deductible Health Plan (HDHP) can open and contribute to a Health Savings Account (HSA) in 2026. Immigration status does not affect HSA eligibility: the IRS requires only that the account holder is enrolled in a qualifying HDHP, has no other disqualifying coverage, and is not enrolled in Medicare. An HDHP in 2026 requires a minimum deductible of $1,700 for self-only coverage or $3,400 for family coverage (per IRS Rev. Proc. 2025-19), with maximum out-of-pocket limits of $8,500 self or $17,000 family. HDHPs are available through both employer-sponsored plans and direct-purchase private insurance.
The HSA contribution limit for 2026 is $4,400 for self-only coverage or $8,750 for family coverage, plus a $1,000 catch-up contribution for account holders age 55 and older. HSA contributions deliver a triple tax advantage: contributions are tax-deductible (or pre-tax through payroll), growth is tax-free, and qualified medical withdrawals are tax-free. For DACA recipients enrolled in an employer HDHP, contributions through payroll deduction also avoid Social Security and Medicare (FICA) taxes, an additional benefit. Flexible Spending Accounts (FSA) are employer-sponsored and not available to people without a W-2 employer offering them; most DACA recipients accessing employer plans will have FSA access if the employer offers it, but FSA is distinct from an HSA: FSA funds are use-it-or-lose-it annually and are not portable, while HSA funds roll over indefinitely.
Form 7206 and Self-Employment Tax for DACA Recipients
Form 7206 does not apply to most DACA recipients because most Dreamers work as W-2 employees rather than self-employed sole proprietors or 1099 contractors. W-2 employees deduct health premiums via pretax payroll if the employer offers a Section 125 cafeteria plan; the Form 7206 above-the-line deduction is reserved for self-employed individuals with net self-employment income and no access to an employer-sponsored plan during the month of coverage.
DACA recipients who do operate as independent contractors or 1099 contractors with net self-employment income should be aware that the self-employed health insurance deduction under Form 7206 is contingent on having qualifying coverage. In 2026, ACA Marketplace plans are not available to DACA recipients, which removes the most common qualifying coverage type. A DACA recipient who is a sole proprietor and purchases qualifying private off-Marketplace insurance or enrolls in a state-funded program that constitutes health insurance can still claim the Form 7206 deduction for premiums paid, provided they have net SE income and were not eligible for any employer plan during the month. Critically, the Form 7206 deduction reduces income tax only; it does NOT reduce self-employment tax on Schedule SE. The 15.3% SE tax (12.4% Social Security plus 2.9% Medicare) is calculated on net SE earnings before the health insurance deduction, and that calculation is unaffected by the Form 7206 deduction.
Marketplace Special Enrollment Period (SEP) Triggers for DACA Recipients
ACA Marketplace SEPs are not available to DACA recipients in 2026 for Marketplace plans, because DACA recipients are ineligible for the Marketplace itself. However, SEP-equivalent enrollment windows apply to the coverage options that are available. For employer-sponsored health insurance, most employers offer a qualifying life event (QLE) window of 30 to 60 days from the date of the triggering event, which is similar in design to the Marketplace SEP. For state-funded Medicaid programs (California, New Mexico, Washington, Oregon), enrollment is generally year-round with no open-enrollment restriction.
DACA recipients who lose employer coverage trigger a qualifying event for state Medicaid enrollment in states with open rolling enrollment. The following events open enrollment windows for the available coverage options for Dreamers in 2026: loss of employer health coverage (triggers 30 to 60 day QLE window with a new employer or state Medicaid application), gaining or renewing employment with a benefits-offering employer (triggers employer plan enrollment window), moving to a new state with a DACA-friendly Medicaid program (triggers immediate Medicaid eligibility in CA/NM/WA/OR on a rolling basis), marriage or addition of a dependent (triggers employer QLE window for dependent enrollment), DACA renewal (not itself a triggering event, but renewing work authorization enables continued employer coverage), and income change that places a Dreamer below a state program's income threshold (triggers state Medicaid eligibility).
- Loss of employer coverage: 30 to 60 day QLE window for new employer plan or state Medicaid application (CA/NM/WA/OR)
- Gaining new employment with health benefits: employer open enrollment window (typically 30 days from hire date)
- Moving to California, New Mexico, Washington, or Oregon: rolling Medicaid eligibility in state-funded programs (year-round applications)
- Marriage or domestic partnership: employer QLE window for adding dependent to employer plan
- Birth or adoption of a child: employer QLE for dependent coverage; state Medi-Cal/OHP eligibility for the child regardless of DACA parent's status
- Income reduction below state Medicaid threshold: rolling state program enrollment in CA/NM/WA/OR based on income recalculation
How to Apply for Health Coverage as a DACA Recipient in 2026
Applying for health coverage as a Dreamer in 2026 depends on which pathway applies. For employer-sponsored plans, the starting point is the employer's HR department or benefits portal, not HealthCare.gov. Enrollment windows are set by the employer (typically a 30-day new-hire window and an annual open enrollment period). For state Medicaid programs in California, New Mexico, Washington, and Oregon, applications go through the state agency directly. For FQHCs, no prior application is required: walk in or call for an appointment, and the FQHC will assess your income for sliding-scale fees at the first visit.
- Step 1: Determine your state and employment situation (W-2 employer with benefits / self-employed 1099 / neither). This determines which coverage path to pursue first.
- Step 2: If you have a W-2 employer offering health benefits, contact HR immediately. Ask for a benefits enrollment packet and confirm the enrollment window (usually 30 days from hire date, or annual open enrollment in November/December).
- Step 3: If you are in California, New Mexico, Washington, or Oregon and meet the income thresholds, apply through the state program: Medi-Cal (CoveredCA.com for existing-enrollee renewals or county office for Medi-Cal-only), New Mexico DACA Coverage (easigov.com/daca.html), Apple Health via Washington Healthplanfinder (wahbexchange.org), or OHP via cover.oregon.gov.
- Step 4: If you are in any other state without employer coverage, locate the nearest FQHC through findahealthcenter.hrsa.gov. FQHC sliding-scale care requires no advance enrollment.
- Step 5: For comprehensive coverage in non-program states, research direct-purchase private insurance. Request quotes from at least 3 carriers. Confirm the plan covers all 10 ACA essential health benefits. If the plan is an HDHP, open an HSA through a bank or credit union.
Frequently Asked Questions
Can DACA recipients buy health insurance through the ACA Marketplace in 2026?
No. The 2025 CMS Marketplace Integrity and Affordability Final Rule, effective August 25, 2025, removed DACA recipients from the definition of lawfully present for ACA Marketplace purposes. Dreamers cannot enroll in Marketplace Qualified Health Plans, receive Premium Tax Credits (PTC or APTC), cost-sharing reductions (CSRs), or access Basic Health Programs through the Marketplace in 2026. This reverses the brief November 2024 through August 2025 window when DACA recipients had Marketplace access under the Biden administration's rule.
What is the best health insurance option for DACA recipients in 2026?
For most Dreamers, employer-sponsored health insurance through a valid Employment Authorization Document (EAD) is the best option in 2026: it covers all 10 essential health benefits, costs are shared with the employer, and premiums are paid pretax. For income-eligible DACA recipients in California, New Mexico, Washington, or Oregon, state-funded Medicaid programs offer comprehensive coverage at low or no cost. DACA recipients in other states without employer coverage should use Federally Qualified Health Centers (FQHCs) for primary care on a sliding-scale basis and research direct-purchase private insurance for comprehensive coverage.
Do DACA recipients qualify for the Premium Tax Credit?
No. DACA recipients are not eligible for the federal Premium Tax Credit (PTC) in 2026. PTC eligibility requires enrollment in an ACA Marketplace plan, and DACA recipients cannot enroll in Marketplace plans following the CMS Marketplace Integrity and Affordability Final Rule. For DACA recipients who received APTC during the November 2024 through August 2025 window of Marketplace eligibility, a Form 1095-A and Form 8962 reconciliation will be needed on their 2025 federal tax return to settle any advance payments received.
Can DACA recipients use a Health Savings Account (HSA)?
Yes, if they are enrolled in an HSA-eligible HDHP. Immigration status does not affect HSA eligibility. An HDHP in 2026 has a minimum deductible of $1,700 self or $3,400 family (IRS Rev. Proc. 2025-19), and the HSA contribution limit is $4,400 self or $8,750 family, plus a $1,000 catch-up if age 55 or older. HSA contributions are tax-deductible, grow tax-free, and can be withdrawn tax-free for qualified medical expenses. DACA recipients enrolled in an employer HDHP can contribute pretax through payroll. Flexible Spending Accounts (FSA) are employer-only and available to DACA recipients with W-2 employment if the employer offers them.
Does California still cover DACA recipients in Medi-Cal?
California's Medi-Cal continues to cover DACA recipients who were already enrolled before January 1, 2026. After January 1, 2026, California froze new Medi-Cal enrollment for undocumented adults age 19 and older, which includes most DACA recipients applying for the first time. Children under age 19 and pregnant individuals remain eligible to apply for full-scope Medi-Cal regardless of immigration status. The Medi-Cal income limit is 138% of the 2026 Federal Poverty Level: $22,025 for a single person, $45,540 for a family of four.
When can DACA recipients enroll in coverage outside of open enrollment?
For employer-sponsored plans, DACA recipients can enroll or add coverage within 30 to 60 days of a qualifying life event: getting a new job, losing coverage, getting married, having a child, or moving to a new state. For state Medicaid programs in New Mexico, Washington, and Oregon, enrollment is year-round without an open-enrollment restriction. California's Medi-Cal also accepts applications year-round for eligible individuals. Direct-purchase private insurance from carriers can generally be purchased at any time. FQHCs require no prior enrollment.
Can DACA recipients claim a self-employment health insurance tax deduction?
DACA recipients who are sole proprietors or 1099 contractors with net self-employment income may claim the Form 7206 deduction for qualifying health insurance premiums paid, provided they were not eligible for employer-sponsored coverage during the month. In 2026, qualifying coverage would be employer-sponsored plans, private off-Marketplace insurance, or state-funded insurance that constitutes comprehensive health coverage. ACA Marketplace plans are not an option for DACA recipients. Critically, the Form 7206 deduction reduces income tax only and does NOT reduce self-employment tax on Schedule SE. The 15.3% SE tax is calculated separately and is unaffected by the health insurance deduction. Most DACA recipients are W-2 workers; Form 7206 is not relevant for W-2 employees.
What coverage does Emergency Medicaid provide for DACA recipients?
Emergency Medicaid provides federal reimbursement to hospitals for emergency stabilization services provided to individuals who would otherwise qualify for Medicaid but for their immigration status. DACA recipients can receive emergency stabilization at any hospital participating in Medicare or Medicaid under EMTALA, regardless of immigration status or ability to pay. Emergency Medicaid covers only the acute stabilization episode, not ongoing care, prescriptions, follow-up appointments, or preventive services. For ongoing primary care, DACA recipients without comprehensive coverage should use Federally Qualified Health Centers (FQHCs) on a sliding-scale basis.
