We were surprised to see the lack of contextualization in the publication of the methodologically strong study by Knitter et al 1 comparing the quality of care for adults with Medicaid insurance and Type 2 diabetes in Federally Qualified Health Centers (FQHCs) and other settings. So much has changed in the decade since the data were collected for this study. While opportunities undoubtedly exist to further support FQHCs in caring for people with diabetes, findings from 10 years ago are of limited relevance for current clinical or policy decisionmaking.In the past decade, patients seeking care in FQHCs have grown from 21.1 million (2012) to over 30 million. 2 Since 2010, FQHC staff has increased by more than 120,000, with many of these positions dedicated to chronic disease care, including clinical support staff, Community Health Workers, and behavioral health professionals. 3,4 During this same period, care delivery within FQHCs has changed dramatically, with initiatives specifically designed to improve care processes and patient outcomes for patients with chronic disease. In addition to the ACA Medicaid expansion noted by the authors, major transformative initiatives include Patient-Centered Medical Home certification, 5 Quality reporting (eg, Meaningful Use), and the Diabetes Quality Improvement Initiative. 6 Nationally reported data suggest that outcomes for FQHC patients with diabetes surpass non-FQHC care. In 2020, 45.4% of Medicaid HMO patients had poor HbAq1c control (HEDIS), compared with 35.60% of FQHC patients (UDS data), and other studies show a wide range of high-value, high-quality care at FQHCs. [7][8][9] We understand that complex research can take many years to advance, and we passionately agree with the authors that it is critical to invest in Medicaid programs for patients with diabetes, including those in FQHCs. However, we believe that it also is important to prominently situate research in the time in which the data were collected.