A new analysis examines the continued growth of America’s Community Health Centers. The authors analyze health center activity for 2018 and comparative years based on data from the Uniform Data System (UDS) and document the near tripling of health center capacity from 9.6 million patients served in 2000 to 28.4 million in 2018. While this growth is attributed to several factors, key among them is the Affordable Care Act (ACA) Medicaid expansion. Despite the significant growth in both health center capacity and scope, the authors caution that health centers are vulnerable to major federal policy decisions that directly affect the healthcare safety net, including uncertainty regarding the future of the Community Health Center Fund, the administration’s public charge rule, changes to the Title X family planning program, and Medicaid work requirement programs. Download the report here.