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Fact Sheet

California’s Health Care Safety Net

By Shannon McConville, Shalini Mustala

Millions of low-income Californians rely on the health care safety net. More than 15 million are enrolled in Medi-Cal, the state’s Medicaid program; about 3 million are uninsured. Core providers—including county hospitals, health clinics, and emergency departments—treat patients regardless of their ability to pay or their immigration status.

Report

Access to the Health Care Safety Net in California

By Laura Hill, Helen Lee, Shannon McConville

How will the safety net fare under federal health care reform? This report highlights areas of anticipated strain by mapping safety net access across the state. It also identifies strategies for strengthening the safety net in times of ongoing fiscal challenge.

This research was supported with funding from the California Program on Access to Care.

Report

California’s Future: Safety Net

By Caroline Danielson, Shannon McConville, Paulette Cha

The COVID-19 pandemic has underlined the importance of California’s safety net, which helps millions of low-income adults and children meet basic needs. It has also highlighted disparities in health and economic well-being across racial/ethnic groups.

blog post

Creating a Safety Net for Immigrant Communities

By Shannon McConville

Through Disaster Relief Aid for Immigrants, California has dedicated $75 million to assist undocumented immigrants affected by the COVID-19 pandemic. We talked with Joseph Villela, director of Policy and Advocacy at the Coalition for Humane Immigrant Rights, about his organization’s experience in helping create this emergency program.

Report

Health Conditions and Health Care among California’s Undocumented Immigrants

By Paulette Cha, John Heintzman, Patricia Malagon

In January 2024, Medi-Cal will expand to all low-income Californians, regardless of age or immigration status. Understanding chronic conditions among undocumented patients and the health services they tend to use can help the state prepare to meet the needs of new applicants.

blog post

How Did the Pandemic Transform California’s Safety Net?

By Caroline Danielson

Government investments and service innovations reduced the economic hardship caused by the COVID-19 outbreak. The impact of these approaches can inform safety net policy beyond the pandemic.

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