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Counties Are Key Partners in the Medi-Cal Program

By Shannon McConville

County governments play an important role in administering Medi-Cal and organizing and delivering health services. We look at how counties' Medi-Cal responsibilities—as well as the resources available to carry them out—have shifted over the past decade, a period that has seen the state significantly expand program eligibility.

blog post

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.

blog post

Medi-Cal Has Expanded Health Coverage in California

By Shannon McConville, Shalini Mustala

Over the past ten years, the expansion of Medi-Cal has been a key driver of health coverage gains under the federal Affordable Care Act. Federal policy responses during the COVID-19 public health emergency also boosted Medi-Cal enrollment, though it has declined with the resumption last year of regular eligibility checks.

blog post

Commentary: Californians Need to Do More to Prepare for Wet Years

By Letitia Grenier, Ellen Hanak

Climate change is supercharging the extremes of drought and flood in California. But our infrastructure and institutions remain woefully underprepared for rising flood risk and increasingly erratic rainfall. It’s time to take this threat—and this opportunity—seriously and accelerate preparations.

Fact Sheet

Law Enforcement Staffing in California

By Brandon Martin, Magnus Lofstrom, Andrew Skelton

Law enforcement is funded largely at the local level, and almost half of California’s law enforcement officers work for municipal police departments. Staffing levels continued to drop in 2022, though losses vary across agencies.

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