Health Affairs November 6, 2025
Sara Rosenbaum, Feygele Jacobs, Marsha Regenstein

Editor’s Note

This article is the latest in the Health Affairs Forefront featured topic, “Health Policy at a Crossroads,” produced with the support of the Commonwealth Fund and the Robert Wood Johnson Foundation. Articles in this topic offer timely analyses of regulatory, legislative, and judicial developments in health policy under the Trump-Vance Administration and the 119th Congress. Health Affairs Forefront alone reviews all submissions then selects, edits, and publishes them only if they meet Forefront’s editorial standards.

Community health centers (CHCs) began as a small demonstration under the administration of President Lyndon Baines Johnson. Sixty years later, this demonstration has grown into a foundational element of the health care system. The number of health center grantees has nearly doubled over...

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