Who We Are


ITUP is an independent, nonprofit, health policy institute that has been a central voice in the California health care and health reform landscape for more than two decades. ITUP serves as a trusted expert, grounded in statewide and regional connections with a network of policymakers, health care leaders, and stakeholders. The mission of ITUP is to promote innovative and workable policy solutions that expand health care access and improve the health of all Californians.


ITUP believes that all Californians should have a fair opportunity to live their healthiest lives. In pursuit of this vision, ITUP provides California policymakers, health care stakeholders, and health coverage media with timely and rigorous research and analysis, accessible explainers, and forums for discussing and developing policy options to preserve and expand health care coverage and continue progress on broader state-based health reforms. 


 ITUP seeks a health care system that is: 

Universal – All Californians are eligible for comprehensive health coverage and services, including primary, specialty, behavioral, oral, and vision health services, as well as services that address the social determinants of health.

Equitable – All Californians receive health care coverage, treatment, and services that address the social determinants of health regardless of health status, age, ability, income, language, race, ethnicity, gender identity, sexual orientation, immigration status, andgeographic region. 

Accessible – All Californians have access to coverage options and services that are available, timely, and appropriate. 

Effective – Health, health care, and related services that address the social determinants of health are person-centered, value-based, coordinated, and high-quality.

Affordable – Coverage and servicesare affordable for consumers at the point of purchase and care; and, at the health system level for public and private purchasers.

ITUP’s mission, vision, and values reflect our commitment to fostering and preserving a culture of inclusion, diversity, and equality within our organization and in our work. We believe that, collectively, we achieve more when everyone is celebrated, empowered, and included in creating solutions for a healthier California.

Learn More

2020 Year in Review