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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.

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.

Report

Priorities for California’s Water

By Jeffrey Mount, Letitia Grenier, Ellen Hanak, Caitlin Peterson ...

California has made great strides in preparing for a drier, hotter future, but it remains a challenge to harness the bounty of wet years while also reducing flood risk. How did California’s water sector manage the unusually wet 2023 water year—and what lessons can we glean for the future?

blog post

California’s Violent Crime Rate Is Diverging from the National Trend

By Magnus Lofstrom

In the decade preceding the COVID-19 pandemic, California's violent crime rate roughly mirrored the nationwide trend. But as of 2022, California's violent crime rate is nearly one-third higher than the US rate, a divergence driven largely by aggravated assaults.

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.

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