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Health & Safety Net

Analyzing policies for reducing poverty and increasing well-being

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.

blog post

Access to Mental Health Providers Is Highly Uneven Across the State

By Shannon McConville

At a time of growing demand for mental health services, regional disparities in the availability of providers--such as psychologists, licensed clinical social workers, and marriage and family therapists—are a persistent challenge.

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.

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.

Policy Brief

Policy Brief: Health Care Access among California’s Farmworkers

By Paulette Cha, Stephanie Barton

California’s farmworkers, who are a key link in the food supply chain, often face barriers to health care—including cost or lack of insurance. Certain expansions to Medi-Cal led to gains in insurance coverage for some farmworkers; other policies, such as the employer mandate in the Affordable Care Act, did not seem to improve coverage.

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.

Report

Health Training Pathways at California’s Community Colleges

By Shannon McConville, Sarah Bohn, Landon Gibson

State and federal policymakers looking to improve economic mobility and meet workforce needs have renewed their focus on career technical education. Health training is of particular interest—California’s community colleges offer a range of health programs and credentials and demand is growing for health workers with some college training. Students who earn shorter-term health credentials tend to see relatively low wage gains, and relatively few return to school to pursue higher-level training. Targeted outreach and support could help more students move along pathways to higher earnings.

This research was supported with funding from the ECMC Foundation and the Sutton Family Fund.

blog post

When a Lack of Air Conditioning is a Public Health Threat

By Lori Pottinger

California is getting hotter, which is leading to public health inequities caused by a lack of air conditioning. We talked to Kelly Sanders of the University of Southern California about addressing “air conditioning deserts."

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