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Report

Do Registration Reforms Add New Voters or Keep Californians Registered?

By Eric McGhee, Jennifer Paluch, Mindy Romero

In recent years, new voter registration and voter address updates have surged—due largely to California’s new process for automatic voter registration. But registration reforms have not significantly diversified the electorate, and the state may need to do more to engage newly registered voters.

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.

Fact Sheet

Immigrants and Health in California

By Paulette Cha

Immigrants and their families have limited health care coverage, even as many face disproportionate health risks, especially during the pandemic.

blog post

The Coronavirus Pandemic Will Test the State’s Budget Reserves

By Radhika Mehlotra, Jennifer Paluch

State reserve policies enacted since the Great Recession have boosted the capacity of California’s budget to weather a downturn, but a major recession due to COVID-19 would pose significant fiscal challenges.

Fact Sheet

Californians and the 2020 Census

By Sarah Bohn, Joseph Hayes, Tess Thorman

Large segments of California’s population are at risk of being undercounted in the 2020 Census—which could affect the state’s congressional seats and billions of dollars in federal funding.

Report

Anticipating Changes in Regional Demand for Nursing Homes

By Laurel Beck, Landon Gibson

California’s nursing homes provide a major source of personal and medical care for the state’s most vulnerable residents—the elderly and the disabled. By 2030 the state’s 65-and-over population will grow by 87 percent. The number of people requiring skilled nursing care could increase by 32,000, far outstripping current capacities. We find that there will be significant disparities in regional growth rates across racial/ethnic groups and in regions’ abilities to absorb higher numbers of patients. Specifically:

  • The Bay Area and the Inland Empire have the largest discrepancies between existing nursing home capacity and projected demand in 2030; Los Angeles and Northern California (excluding the Bay Area) have the smallest.
  • Regional growth rates in the 65-and-over population vary widely within racial/ethnic groups. For example, rates among Latinos range from 159 percent on the state’s Southern Border (Imperial and San Diego Counties) to 193 percent in the Inland Empire; among Asians they range from 93 percent in the Central Coast to 212 percent in Northern California (excluding the Bay Area).

In order to meet the growing and changing demands for senior care at the statewide and regional levels, policymakers will need to address ways to increase nursing home capacity. These solutions must also include recruiting and training health workers who can provide effective, culturally competent care, whether in skilled nursing facilities or home- and community-based settings.

Policy Brief

Policy Brief: How Hospital Discharge Data Can Inform State Homelessness Policy

By Shannon McConville, Hemal Kanzaria, Renee Hsia, Maria Raven ...

As the only guaranteed source of health care open around the clock, hospital emergency departments (EDs) are at the frontlines of serving Californians who are homeless. Linking discharge data from ED visits with data from local and state resources may help policymakers understand and respond to the needs of California’s homeless population.

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