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California’s Care Workforce

By Shannon McConville, Daniel Payares-Montoya, Sarah Bohn

State master plans on the aging population and early learning and care have prioritized workforce expansion and career pathways for care workers who provide key services to young children, older residents, and people with disabilities. A new report outlines current realities and highlights challenges and opportunities in growing this critical workforce.

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The Affordable Care Act Has Expanded Community Clinics in California

By Shalini Mustala, Shannon McConville

Community clinics have long been a key health care provider for underserved and low-income Californians. With the state significantly expanding the Medi-Cal program under the federal Affordable Care Act, community clinics have become even more important in promoting access to care, especially for new enrollees.

Statewide Survey

PPIC Statewide Survey: Californians and Their Government

By Mark Baldassare, Dean Bonner, Lauren Mora, Deja Thomas

Two in three likely voters favor Proposition 1, a March ballot measure that would restructure funding for behavioral health services in California. Nearly half believe that the United States has a responsibility to do something about the fighting between Israeli forces and Hamas, while a majority think Congress should authorize additional funding for Ukraine to support its war with Russia.

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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.

Report

Health Conditions and Health Care among California’s Undocumented Immigrants

By Paulette Cha, John Heintzman, Patricia Malagon

In January 2024, Medi-Cal will expand to all low-income Californians, regardless of age or immigration status. Understanding chronic conditions among undocumented patients and the health services they tend to use can help the state prepare to meet the needs of new applicants.

Policy Brief

Policy Brief: Health Conditions and Health Care among California’s Undocumented Immigrants

By Paulette Cha, John Heintzman, Patricia Malagon, Stephanie Barton

Knowing how undocumented patients use health care can help California plan for future care and costs as Medi-Cal expands to all low-income residents. Visits to community clinics indicate that undocumented patients have similar chronic diseases to current Medi-Cal patients and get preventive services such as screenings and shots at similar or better rates.

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Telehealth Usage among Low-income and Undocumented Californians

By Shalini Mustala, Paulette Cha, Patricia Malagon

A variety of changes brought about by the COVID-19 pandemic have expanded telehealth use among low-income and undocumented Californians. The experience of patients in Los Angeles County—home to the state's largest immigrant population and a significant share of its undocumented residents—sheds light on the prospects for telehealth to improve health care access for undocumented immigrants in our state.

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Low-income and Undocumented Californians Struggle with Mental Health

By Patricia Malagon, Paulette Cha, Shalini Mustala

Nearly one in five low-income adults in California report having serious psychological distress, and those who are undocumented can face barriers to care. California has taken steps to improve access to mental health care, such as expanding Medi-Cal to all low-income residents regardless of age or immigration status, effective January 2024.

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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.

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