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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

The Impact of Health Insurance on Poverty in California

By Caroline Danielson, Patricia Malagon, Shannon McConville

The Affordable Care Act has helped millions of Californians gain health insurance over the past decade. In addition to improving access to care, the ACA has increased financial well-being. This analysis focuses on the significant contribution of publicly funded health coverage—particularly Medi-Cal—to family resources across the state.

blog post

California’s Plunging Birth Rates

By Hans Johnson

The birth rate in California is at its lowest level in more than 100 years. We examine what is driving this trend and discuss some of the implications for our state’s future.

event

A Conversation with US HHS Secretary Becerra and California HHS Secretary Ghaly

Almost three years into the COVID-19 crisis, Californians are still grappling with its effects on everything from health to education to the economy. Join Mark Baldassare, PPIC’s president and CEO, along with Xavier Becerra, secretary of the US Department of Health and Human Services, and Dr. Mark Ghaly, secretary of the California Health and Human Services Agency, in a wide-ranging conversation about what we learned from the pandemic and what we are doing to ensure greater resilience in the future.

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.

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.

Policy Brief

Policy Brief: Health Care Access among California’s Farmworkers

By Paulette Cha, Stephanie Barton

California’s farmworkers, who are a key link in the food supply chain, often face barriers to health care—including cost or lack of insurance. Certain expansions to Medi-Cal led to gains in insurance coverage for some farmworkers; other policies, such as the employer mandate in the Affordable Care Act, did not seem to improve coverage.

blog post

Health in California Two Years into the Pandemic

By Shannon McConville, Paulette Cha

The COVID-19 pandemic not only highlighted longstanding health disparities in our state but also underscored the importance of health coverage and access to care.

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