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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

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.

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.

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