Recent policy changes and legislative activity, both on the federal and state levels, have drastically changed the health center funding profile. This session will attempt to quantify the financial impact of these changes. Potential changes include: the 330 funding cliff, the lack of CHIP reauthorization, changes to the health insurance rules, and state Medicaid waivers. Presenters will identify the individual elements impacted (size of grant, patient eligibility/payor mix, and other payment rules), and give participants financial precepts for evaluating their impact. They will also evaluate the impact of PPS alternative payment methodologies (APMs) throughout the country.