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Issue Spotlight

The 25% Solution: A Health Care Affordability Agenda for California

California faces a health care affordability crisis. Here are 10 recommendations informed by surveys of +4,000 Californians.

October 01, 2026

•Consumer Affordability, Health Care Costs and Financing, Health Insurance Coverage, Medical Debt
Issue Brief

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

•Consumer Affordability, Health Care Costs and Financing, Hospital Financing, Medical Debt
Issue Brief

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

•Latino/x Health Equity, Racial Health Equity
Issue Brief

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

•Health Workforce, Primary Care
Issue Brief

From MHSA to BHSA: How California’s Behavioral Health Policy Priorities Are Changing

California’s new Behavioral Health Services Act changes how counties allocate mental health funding. These publications highlight the key differences from the previous Mental Health Services Act.

June 25, 2026

•Behavioral Health
Issue Spotlight

What is the H.R. 1 Work Requirement and How will it Affect Californians with Medi-Cal? Policy at a Glance

June 05, 2026

•Health Insurance Coverage, Medi-Cal
Issue Spotlight

Immigrants in California’s Health Workforce: How Federal Policy Changes Threaten Access to Care

This explainer examines how recent federal immigration policy changes could disrupt workforce recruitment, deepen provider shortages, and threaten access to culturally and linguistically concordant care across California.

May 28, 2026

•Health Workforce, Racial Health Equity
Issue Brief

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

•Medi-Cal, Medi-Cal Eligibility and Enrollment
Issue Brief

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

•Racial Health Equity, Technology and Innovation
Issue Brief

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

•Health Insurance Coverage, Medi-Cal
Issue Brief

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

•Behavioral Health
Issue Brief

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

•AI, Technology and Innovation
Issue Brief

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

•AI, Technology and Innovation
Issue Spotlight

CalAIM Implementers Convening

More than 90 CalAIM implementers shared insights on promising practices and recommendations to strengthen California’s Medi-Cal transformation initiative. This brief summarizes their experiences and recommendations.

March 17, 2026

•Behavioral Health, Homelessness, Medi-Cal
Issue Brief

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

•Older Adults

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The 25% Solution: A Health Care Affordability Agenda for California

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

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

Payer Strategies for Primary Care Investment in California

From MHSA to BHSA: How California’s Behavioral Health Policy Priorities Are Changing

What is the H.R. 1 Work Requirement and How will it Affect Californians with Medi-Cal? Policy at a Glance

Immigrants in California’s Health Workforce: How Federal Policy Changes Threaten Access to Care

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

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

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

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

Health AI Policy in California: Insights for Decisionmakers

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

CalAIM Implementers Convening

Building Medicare Capacity in California Community Health Centers

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