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H.R. 1 is the federal tax bill passed by the US Congress and signed by President Trump in July 2025. The bill made major cuts and changes to Medicaid (called Medi-Cal in California), most of which take effect in 2027 or after. California, like all states, is preparing to implement H.R. 1’s Medicaid provisions in coordination with partners like county agencies, ...
More than 1.5 million California adults have a serious mental illness (SMI) that affects their ability to carry out daily activities. People with SMI are at high risk for loneliness and social isolation. This is due in large part to public stigma about mental illness, which often results in discrimination in housing, employment, and other areas.
Clubhouses are an ev...
This series outlines the fundamentals of Medi-Cal home and community-based services (HCBS) for policymakers, legislative staff, and other stakeholders. As California’s population ages, these services are essential for helping older adults and people with disabilities remain independent, healthy, and safe in their own communities. HCBS offer a person-centered, cost-effective a...
Community clinics provide comprehensive primary health care services to anyone, regardless of their ability to pay. Community clinics often provide services in the most underserved areas. Federally Qualified Health Centers (FQHCs) receive federal grant funding and accounted for 84% of all clinic visits and 75% of net patient revenue in 2023.
California Community...
Primary care is the foundation of a health system that works. When primary care is strong, people are diagnosed earlier, chronic conditions are managed before they become crises, and fewer patients end up in emergency rooms with avoidable problems. When it is weak, the opposite happens, and everyone pays through worse health outcomes and higher costs.
Primary ca...