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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

How Hospital Discharge Data Can Inform State Homelessness Policy

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

Discharge data from emergency departments provide information on where people experiencing homelessness go for hospital care and on the conditions for which they are treated. If linked with data from homeless assistance programs and safety net services, this information can help policymakers make targeted investments and evaluate outcomes.

Report

Exploring the Potential for Water-Limited Agriculture in the San Joaquin Valley

By Caitlin Peterson, Cameron Pittelkow, Mark Lundy

As irrigated farmland comes out of production in the San Joaquin Valley, valley residents will face increased pests, weeds, and dust—as well as a loss of employment and economic activity. Water-limited cropping is one alternative to fallowing that can improve soil health and air quality, create habitat, and keep land in production.

blog post

Health Risks Persist for Older Farmworkers as COVID Lingers

By Paulette Cha

The aging of California’s farmworker population means greater health care needs, especially as the pandemic continues. Low-income farmworkers who are undocumented immigrants may lack access to essential services.

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

How Did the Pandemic Transform California’s Safety Net?

By Caroline Danielson

Government investments and service innovations reduced the economic hardship caused by the COVID-19 outbreak. The impact of these approaches can inform safety net policy beyond the pandemic.

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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