County & Community Safety-Net
A More Inclusive and Smarter Safety-Net
The safety net of community clinics and public hospitals is an important part of California's health care system, providing high quality care to low-income, uninsured, and underinsured patients.
Undocumented immigrants are explicitly excluded from financial help for coverage through the Affordable Care Act, and even from using a state marketplace like Covered California to purchase health coverage using their own money. While many of the most populous California counties serve undocumented in their safety-net, some counties still do not. Yet undocumented Californians are an important part of our community and economy and should be included in our health system.
Health Access is actively working to get county systems to refocus their indigent care programs to cover the remaining uninsured, including the undocumented. Through state funding formulas and Medi-Cal 2020 waiver implementation, we are also working for a smarter safety-net that is focused on providing a medical home and primary and preventive care to the remaining uninsured.
Health Access Analysis & Advocacy
- Profiles of Progress: California Counties Taking Steps to a More Inclusive and Smarter Safety-Net (updated May 31, 2016)
- The Medi-Cal 2020 Global Payment Program (GPP): A New Approach to Safety Net Funding for Public Hospital Counties, a paper by Harbage Consulting (Mar 2016)
- Map of Access to Care for Undocumented Californians by County (Oct 2015)
- #Health4All Consumer Sign-On Letter to CMSP Board (Jun 2015)
- Health Access Letter of Support: Contra Costa Cares Safety Net Proposal (Apr 2015)
- Reorienting the Safety-Net for the Remaining Uninsured: California's County Indigent Health Programs, powerpoint presentation (Apr 2015)
- Reorienting the Safety-Net for the Remaining Uninsured: Follow Survey Findings (Mar 2015)
- Winning Revenues for the Remaining Uninsured: Alameda County's Measure AA Campaign, a report by the Measure AA Campaign (Apr 2015)
- California's Uneven Safety Net: A Survey of County Health Care, findings from a survey of California counties (Nov 2013)
- Continuing California's Commitment to the Remaining Uninsured (May 2013)
- A Joint Statement on Extending LIHPs to Provide a Medical Home for the Remaining Uninsured (May 2013)
- Low-Income Health Program: Advocates' Talking Points (Mar 2011)
- Overview of County-Level Health Plans (Mar 2011)
- The Need for Federal Health Reform: Central Valley Perspective (Mar 2010)