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Counting California: Challenges for the 2020 Census

By Sarah Bohn, Eric McGhee, Lynette Ubois

California has worked hard in preparing for the census and has invested deeply to meet the high-stakes challenge of counting every resident. A House seat and the allocation of billions in federal funds are on the line.

blog post

Medi-Cal Expansion for Undocumented Seniors

By Paulette Cha, Shannon McConville

A proposed expansion of Medi-Cal would boost access to health services, including preventive care and disease management, for eligible undocumented seniors.

blog post

Health Care Access for California’s Immigrants

By Paulette Cha, Mary Severance

Governor Newsom wants to extend Medi-Cal access to low-income young adults up to age 26 regardless of immigration status, a proposal with strong public support.

Fact Sheet

The Medi-Cal Program

By Shannon McConville, Paulette Cha

Medi-Cal is a state-federal program that provides 12 million low-income Californians with comprehensive health insurance.

blog post

Video: A Conversation with Candidates for US Senate

By Mary Severance

US Senate candidates—California State Senator Kevin de León and US Senator Dianne Feinstein—talked with PPIC president Mark Baldassare about their visions for California and the nation.

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.

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