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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

Land Transitions and Dust in the San Joaquin Valley

By Andrew Ayres, Jaymin Kwon, Joy Collins

Agricultural operations and wind erosion are two of the largest sources of dust in the San Joaquin Valley, and the valley’s air quality may decline with increased farmland fallowing and a warmer, drier climate. This will impact low-income, rural communities first and foremost, but proactive management can help identify high-risk areas and direct funding to cost-effective interventions.

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.

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COVID-19

The coronavirus outbreak poses a tremendous challenge to California, the nation, and the global community. PPIC’s analyses examine the impacts of COVID-19 and how policy choices and other actions can help address them.

Fact Sheet

Public Preschools in California

By Caroline Danielson, Tess Thorman

Most parents of young children work, but public preschool programs are fragmented and currently unable to serve all who are eligible. Improvements will require a multipronged approach.

Report

Improving California Children’s Participation in Nutrition Programs

By Caroline Danielson, Sarah Bohn

Food and nutrition assistance programs help children gain access to adequate amounts of nutritious food—reducing child hunger and food insecurity as well as promoting healthy development. Yet in California, enrollment varies widely across counties and across the main nutrition programs that serve children: CalFresh, popularly known as food stamps; the WIC program, which serves infants and preschool-age children; and school meals, which include lunch and often other meals. Increasing children’s enrollment in CalFresh and achieving healthier outcomes for Californians are priorities for the state. The governor’s January 2016 budget set a goal of enrolling 400,000 more eligible children in CalFresh over two years.

This report assesses children’s eligibility for CalFresh and eligible children’s participation in the three main nutrition programs to explore opportunities for improving enrollment and the benefits of higher enrollment. Key findings include:

  • CalFresh has lower enrollment than free school meals and WIC. In 2015, 24 percent of all California children participated in CalFresh, while more than twice as many age-eligible children (51%) were enrolled in free school meals; 44 percent of infants and 34 percent of young children were enrolled in WIC.
  • There is substantial potential to expand the impact of nutrition programs. We estimate that if all CalFresh-eligible children were fully enrolled in both CalFresh and either free school meals or WIC, these programs would reach 1.6 million more children.
  • Infants and young children are better connected to nutrition programs. Among CalFresh-eligible children, we find that 12 percent of public school students participate in neither CalFresh nor free school meals—more than a quarter million school children (331,000). In contrast, only 4 percent of infants (21,000) and 9 percent of young children (87,000) are disconnected from both CalFresh and WIC.
  • Higher participation in nutrition programs would lower child poverty. Among public school students living in poverty, we project that full participation in nutrition programs would increase family resources by 15 percent. Among infants and young children living in poverty, we project that family resources would increase by 9 percent following full participation in nutrition programs.

To some extent, lower CalFresh enrollment reflects more restrictive eligibility requirements. However, there is good reason to believe that more children participating in free school meals and WIC could be connected to CalFresh. Currently, most policies designed to integrate nutrition programs run from CalFresh to school meals. Building robust, two-way connections could help counties and the state better achieve the goals of these programs so more children have access to adequate, nutritious food.

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