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Report

Rethinking the State-Local Relationship: Health Care

By Shannon McConville, Kimberly Belshé

The federal Affordable Care Act will transform California’s health care safety net. It could also affect California’s long-standing division of responsibilities between state and local governments. This report outlines key issues that state policymakers will need to consider as they grapple with the costs and opportunities of health care reform.

event

Health Conditions and Health Care among California’s Undocumented Immigrants

Insights into the health care needs of undocumented patients can help the state prepare for the expansion of Medi-Cal to all low-income Californians. PPIC researcher Shalini Mustala will present a new report on the health of undocumented patients and the services they tend to use; report lead author Paulette Cha will moderate a panel discussion about the series of Medi-Cal expansions and other safety net investments that benefit undocumented residents.

Report

Health Coverage and Care for Undocumented Immigrants: An Update

By Paulette Cha, Shannon McConville

COVID-19 has revealed how gaps in health care coverage among immigrants can put the health of entire communities at risk. This report updates findings on the ways undocumented Californians connect with the health care system to inform policy discussions around providing affordable health insurance for all.

blog post

Health Care and California’s Undocumented Immigrants

By Shannon McConville

Despite California’s embrace of federal health care reform, millions of Californians are expected to remain uninsured even five years from now. Undocumented immigrants are likely to be a large share of this uninsured group because they are excluded from coverage under the Affordable Care Act.

blog post

The Affordable Care Act Has Expanded Community Clinics in California

By Shalini Mustala, Shannon McConville

Community clinics have long been a key health care provider for underserved and low-income Californians. With the state significantly expanding the Medi-Cal program under the federal Affordable Care Act, community clinics have become even more important in promoting access to care, especially for new enrollees.

Fact Sheet

Public Health Insurance in California

By Shalini Mustala, Paulette Cha

More than half of Californians are covered by public health insurance—mainly Medi-Cal, which covers low-income residents, and Medicare, which covers most adults aged 65 and older. The state is preparing to expand Medi-Cal to all low-income Californians, regardless of age or immigration status.

Report

Health Care Access among California’s Farmworkers

By Paulette Cha

Farmworkers are a key link in the food supply chain and important contributors to California’s economy. As farmworkers age, their health care needs are changing—and cost and lack of insurance are often barriers to care. While recent state and federal policies have made insurance more accessible, not all policies improved coverage among farmworkers.

blog post

Counties Are Key Partners in the Medi-Cal Program

By Shannon McConville

County governments play an important role in administering Medi-Cal and organizing and delivering health services. We look at how counties' Medi-Cal responsibilities—as well as the resources available to carry them out—have shifted over the past decade, a period that has seen the state significantly expand program eligibility.

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