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California Health Care Foundation
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          The California Health Care Foundation is an independent, nonprofit philanthropy that works to improve the health care system so that all Californians have the care they need.

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          CHCF works on many different fronts to support California’s health care system. Explore resources, events, or networks related to each topic.

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          CHCF publishes reports, issue briefs, resource libraries, fact sheets, and more to help make meaningful change in California’s health care system.

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        • About Us

          The California Health Care Foundation is an independent, nonprofit philanthropy that works to improve the health care system so that all Californians have the care they need.

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Resource Type: Issue Brief

  • Resource

    Policy Options to Improve Health Care Affordability: What California Can Learn from Other States

    This issue brief presents policies from other states that California can learn from to address the health care affordability crisis.

    August 20, 2026

  • Resource

    Language Access in California Health Care: Key Issues and Opportunities for Improvement

    This issue brief examines where California stands today, why language access matters, and the policy opportunities that could strengthen implementation across the health care system.

    August 19, 2026

  • Primary Care Physician speaks with patient in exam room.
    Resource

    Payer Strategies for Primary Care Investment in California

    California has set an ambitious goal to increase primary care spending to 15% of health care expenditures by 2034. This issue brief outlines six practical strategies health plans can use to strengthen primary care, improve health outcomes, reduce disparities, and…

    July 09, 2026

  • Illustration of people walking towards a single destination, indicated by an arrow.
    Resource

    Modernizing Medicaid Eligibility: How to Reduce Hidden Friction in County-Administered States

    This paper focuses on the limitations of state-supervised, county-administered eligibility systems. It identifies structural and programmatic challenges associated with this governance model and outlines potential policy considerations.

    May 15, 2026

  • Illustration of a female doctor and patient with medical symbols and a ribbon representing kidney disease awreness.
    Resource

    The Long Tail of Bias: Clinical Algorithms and A Path to Equitable Care in California

    Clinical tools that use race as a biological proxy continue to shape care in California. This brief maps the problem and calls for coordinated action to eliminate them.

    May 14, 2026

  • A nurse holds a stethoscope to the chest of a toddler boy sitting in his mother's lap.
    Resource

    The New Uninsured: State Policy Options for Californians Losing Medi-Cal Coverage

    Up to two million Californians could lose Medi-Cal. This analysis examines two state coverage alternatives and the tradeoffs between cost, benefits, and access.

    April 29, 2026

  • Illustration of a group of people walking towards an arrow.
    Resource

    Assisted Living: A Community-Based Housing Option for People with Behavioral Health Needs

    Assisted living facilities are an underutilized yet powerful housing option for Californians with behavioral health needs — this explainer outlines how Medi-Cal and county safety net programs can expand access, improve referral pathways, and help more people thrive in community-based…

    April 14, 2026

  • California state capitol building, Sacramento
    Resource

    Health AI Policy in California: Insights for Decisionmakers

    This report examines 26 California AI bills and offers policymakers a framework for regulating health care AI that protects patients, advances health equity, and fosters innovation for all Californians.

    April 10, 2026

  • Elderly man looks at tablet with doctor
    Resource

    AI and Language Access in Health Care: Opportunities, Risks, and Early Lessons

    AI-powered tools are reshaping how California health care organizations deliver language services. This brief examines how AI can responsibly expand access to care for Californians with limited English proficiency.

    March 20, 2026

  • Elderly male patient talks to clinicians.
    Resource

    Building Medicare Capacity in California Community Health Centers

    California’s community health centers face critical Medicare readiness gaps. This OCHIN brief identifies key barriers and offers actionable strategies to help CHCs better serve a growing older adult population.

    March 13, 2026

  • Three members of a medical team sitting at a table talking
    Resource

    Strengthening California’s Primary Care Team Workforce: Data and Recommendations for Action

    February 17, 2026

  • Lisette Carmona, LCSW, Social Work Manager, Clinical Instructor of Family Medicine, Keck School of Medicine of USC alongside Raymond Gonzales, Case Worker at USC Street Medicine speak with patient receiving behavioral health care treatment.
    Resource

    Street Medicine: A Critical Pathway for Behavioral Health in California

    The California Street Medicine Collaborative is the statewide voice for street medicine. It brings together more than 80 street-medicine programs, more than 1000 members, and more than 275 organizations to strengthen the field statewide. Hosted by USC Street Medicine, the…

    January 21, 2026

  • Man balancing ccales
    Resource

    Beyond Realignment: Options for Modernizing California’s Behavioral Health System

    Read recommendations for improving California’s behavioral health system written by nationally recognized health policy leader Jacey Cooper.

    January 20, 2026

  • Resource

    How Medi-Cal Uses Financial Incentives to Improve Access, Quality, and Equity

    This paper describes the role that financial incentives to Medi-Cal managed care plans and behavioral health plans play in improving timely access to high-quality care and advancing health equity.

    November 25, 2025

  • A depressed man reads a letter
    Resource

    The 25% Problem: Why Health Care Is So Expensive (And What We Can Do About It)

    Health care costs hurt Californians every day. Millions can’t afford the care they need. More than half of all Californians skip or delay getting care because it costs too much. How did we get here?

    October 13, 2025

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OAKLAND
1438 Webster Street #400
Oakland, CA 94612
Tel: 510.238.1040 Fax: 510.201.2991
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1415 L Street #820
Sacramento, CA 95814
Tel: 916.329.4540 Fax: 916.329.4544
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