Fact Sheets

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Centering Equity in Maternal Care: Unpacking California’s Medi-Cal Doula Services Implementation

July 21, 2025

The last ITUP publication, Centering Equity in Maternal Care: Unpacking California’s Medi-Cal Doula Services Implementation, explores the promise and challenges of the Medi-Cal doula benefit through a health equity lens.

Centering Equity in Maternal Care: Unpacking California’s Medi-Cal Doula Services Implementation

July 21, 2025

Insights Revealed: Older Adult Behavioral Health Survey Results

July 21, 2025

The survey aimed to assess the behavioral health needs of older adults, identify gaps in services, and help inform future policies and programs that advance equity, access, and culturally competent care.

The Role of Nurse Practitioner Diversity in Expanding Care Access in California Fact Sheet

July 7, 2025

California is facing a critical health care workforce crisis. Nurse Practitioners (NPs) are uniquely positioned to help close these gaps in primary care access—especially in underserved and historically marginalized communities.

Strengthening Personal Care Aide Workforce Fact Sheet

June 17, 2025

Discover how the latest ITUP fact sheet highlights the vital role of Personal Care Aides (PCAs) and addresses key challenges like inconsistent training, lack of national standards, job instability, and low wages.

ITUP Legislative Toolkit: Advancing Health Coverage in California

March 26, 2025

This toolkit provides a deep dive into the state of health coverage in California, equipping policymakers with the knowledge and strategies needed to reduce uninsured rates and expand access to care.

Key Insights: 2025 ITUP Pre-Conference Workshop

March 5, 2025

The report captures actionable strategies and advocacy messages identified during the 2025 ITUP Pre-Conference workshop, offering a roadmap for stakeholders committed to advancing health equity.

ITUP Legislative Toolkit: Understanding Essential Health Benefits

February 26, 2025

EHBs ensure that all Covered California health plans provide a standardized level of care, protecting individuals and families from gaps in coverage.

Shaping the Future of Health Equity – ITUP Impact Report 2024

January 8, 2025

Explore the key milestones, impactful collaborations, and the measurable progress we’ve made in addressing health disparities.

California Health Care Specialty Workforce Shortages Fact Sheet

January 3, 2025

This ITUP fact sheet explores the current state of California’s specialty health care workforce, highlighting critical gaps and opportunities within the system.

Mobilizing Doulas: Advancing Equitable Maternal Health Outcomes in California

December 5, 2024

This ITUP Fact Sheet highlights investments in California’s birthing workforce and explores how doulas bridge gaps in maternal health access for marginalized communities.

Transforming Behavioral Health Services in California Jail Systems

September 24, 2024

This ITUP Fact Sheet underscores the urgent need for equitable access to behavioral health services for California’s justice-involved population.

Behavioral Health in California -ITUP Policy Toolkit

September 4, 2024

This curated ITUP policy toolkit brings together essential initiatives and resources supporting emotional and behavioral well-being across the state.

Health Coverage at a Glance In California 2024

August 26, 2024

This ITUP Fact Sheet includes data on the race/ethnicity breakdown of employer-sponsored coverage, Covered California, and Medi-Cal, including enrollment by health plan in California.

Catalyzing AI to Advance Health Equity in California Communities

August 14, 2024

This ITUP Fact Sheet explores the concept of Artificial Intelligence (AI) and its critical role in shaping the future of health care.

The Emergence of Artificial Intelligence and It’s Application in Health -ITUP Policy Toolkit

August 14, 2024

This ITUP Policy Toolkit combines the wide array of U.S. Federal and California state agencies that are and can support the advancement of equitable artificial intelligence usage for Californians.

2024 Regional Health Coverage Fact Sheets

July 9, 2024

The “Coverage at a Glance” fact sheets include health coverage data with race/ethnicity breakdown of counties and among the uninsured.

ITUP Legislative Toolkit -In Home Supportive Services (IHSS)

June 21, 2024

Shirley Lam, MPH, ITUP’s Assistant Director of Policy, delivered a comprehensive overview of the IHSS program. Find her presentation here!

ITUP Legislative Toolkit: State Government 101

May 24, 2024

ITUP provides technical assistance, such as legislative training and policy toolkits, to help anyone engage with the California legislature.

ITUP Convenes Medi-Cal Redetermination Listening Sessions – Final Takeaways

March 28, 2024

Learn more about the Medi-Cal redetermination process and read local insights and additional opportunities to support Medi-Cal redetermination across the state.

2023 ITUP Year-in-Review

December 15, 2023

Read the ITUP Year in Review to see more of the rigorous work ITUP did in 2023 to discuss and develop health policy options that preserve and expand health care coverage in California.

Health Coverage at a Glance In California

October 23, 2023

This Health Coverage at a Glance in California includes data on the race/ethnicity breakdown of employer-sponsored coverage, Covered California, and Medi-Cal, including enrollment by health plan.

Snapshot: Addressing Digital Equity for Equitable and Accessible Health Care

October 2, 2023

This ITUP fact sheet provides a brief overview of the opportunity to close the digital divide and provide a more equitable and accessible future of health care

California Data Exchange Framework 101 – Policy Toolkit

September 19, 2023

This policy toolkit highlights resources to inform and support stakeholders through the implementation of the California Health and Human Services Data Exchange Framework (DxF).

California Data Exchange Framework 101

September 18, 2023

The latest ITUP fact sheet explores the interconnected elements of the California Health and Human Services Data Exchange Framework (DxF).

2023 Regional Health Coverage Fact Sheets

July 6, 2023

Each year ITUP releases Regional Health Coverage fact sheets highlighting key health coverage facts county-by-county in California. Find your local 2023 regional health coverage fact sheet here.

Engaging with CalAIM: Quick Links for Community-Based Organizations

January 17, 2023

This ITUP One-Page Resource features essential information and links to key sources to help community-based organizations (CBOs) engage with CalAIM.

2022 ITUP Year-in-Review

November 17, 2022

Read the ITUP Year in Review to see more of the rigorous work ITUP did in 2022 to discuss and develop health policy options that preserve and expand health care coverage in California.

Healthy Aging in California -ITUP Policy Toolkit

October 20, 2022

This toolkit helps seamlessly navigate between the state agencies, programs and initiatives, policy plans, engagement opportunities, and additional resources that create California’s healthy aging policy landscape.

ITUP Convenes CalAIM Listening Sessions – Final Takeaways

October 20, 2022

Read FINAL key takeaways of ITUP listening sessions on CalAIM implementation.

Transformation and Innovation: Advancing Health for California’s Older Adults

October 14, 2022

The latest ITUP fact sheet explains how California is transforming the services and supports for older adults through CalAIM and how these new services are incorporated and aligned with California’s Master Plan for Aging.

Partnering with Community Based Organizations for Better Health

September 15, 2022

ITUP fact sheet explains the role of Community Based Organizations (CBOs) and describes three service models for CBOs to partner with the health care system.

Broadband and Connectivity for Better Health Care -ITUP Policy Toolkit

August 23, 2022

New ITUP Broadband Policy Toolkit that provides hyperlinks to resources to help understand more about the need to expand broadband and connectivity to ensure a better future of health care for California communities.

2022 Regional Health Coverage Fact Sheets

April 14, 2022

Each year ITUP releases “Coverage at a Glance” regional health coverage fact sheets highlighting key coverage facts county-by-county in California. Find your local 2022 regional health coverage fact sheet here.

CalAIM Summary and Timeline (2022 Update)

April 12, 2022

Learn about CalAIM and its focus populations, primary goals, and major elements in the latest ITUP fact sheet.

The Intersection and Coordination of Public Health & Health Care in California

January 18, 2022

This ITUP fact sheet purposefully brings the public health and health care systems together in one publication to explore their differences and more!

2021 ITUP Year-in-Review

January 11, 2022

The annual ITUP Year-in-Review highlights the rigorous work ITUP has accomplished over the last year.

Snapshot: Remaining Uninsured in California (2021 Update)

December 16, 2021

This ITUP Snapshot updates the profile of the state’s uninsured using 2020 data from the California Health Interview Survey (CHIS), and projections for 2022 from the California Simulation of Insurance Markets (CalSIM).

Community Health Workers and the Health Care Delivery System

December 10, 2021

In this ITUP Fact Sheet, readers will learn about community health workers, California communities where CHWs are valuable in closing equity gaps, and key policy considerations and decision points.

Health Information Exchange

June 3, 2021

In this ITUP Fact Sheet readers will learn about the goal of health information exchange (HIE), types of HIE models, policy considerations for HIE, and more!

Broadband for Health Basics

May 21, 2021

In this ITUP Fact Sheet, readers will learn about the digital divide and its impact on health care. This latest fact sheet also covers types of wired broadband network technologies, key broadband definitions, and more!

Medicare and Health for Aging Californians Fact Sheet

April 22, 2021

In this easy-to-digest ITUP Fact Sheet, readers will learn about Medicare eligibility, benefits, and enrollment in California. This latest fact sheet also covers the California Master Plan for Aging and how COVID-19 has impacted Medicare beneficiaries.

2021 Regional Coverage Fact Sheets

April 15, 2021

Each year ITUP releases “Coverage at a Glance” regional health coverage fact sheets highlighting key coverage facts county-by-county in California. Find your local 2021 regional health coverage fact sheet here.

2020 Year-In-Review

January 29, 2021

The annual ITUP Year-in-Review highlights the many accomplishments ITUP has accomplished over the last year. View Document

Telehealth and COVID-19

December 10, 2020

In this easy to digest ITUP Fact Sheet, readers will learn more about the telehealth policies put into place during the public health emergency and what considerations stakeholders should contemplate as we move into a post-pandemic environment.

Resources: The Historical Journey of the ACA

October 2, 2020

ITUP has compiled the following resources on what’s at stake for Californians and the nation if the ACA is overturned in California v. Texas on November 10, 2020.

2020 Regional Health Coverage Fact Sheets

September 4, 2020

The annual ITUP regional profiles for 2020 are available here! These ITUP “Coverage in California at a Glance” publications highlight key coverage facts for the state and by county for each ITUP workgroup region.

Health Insurance Basics

July 14, 2020

This ITUP Fact Sheet provides an overview of common sources of health insurance in California. Learn more about who qualifies for, pays for, and regulates these sources of health care coverage in the state.

Health Care Coverage Options During COVID-19

May 19, 2020

This ITUP Fact Sheet provides an overview of what the health coverage landscape looked like before COVID-19 and how the pandemic has impacted coverage access in California.

Legislative Update: 2020 Introduced Legislation

March 13, 2020

This ITUP Legislative Update offers a preliminary review of newly introduced legislation, as well as two-year bills eligible for consideration that affect health care and coverage. ITUP will be monitoring the progress of these and other health care bills in the coming months.

ITUP Overview of the Governor’s Proposed 2020-21 Budget

January 18, 2020

On January 10, 2020, Governor Newsom introduced his proposed budget for fiscal year 2020-21, including multiple programs and new initiatives aimed at improving health care and coverage in California.

2019 Year-In-Review

December 18, 2019

The annual ITUP Year-In-Review chronicles month-by-month important state and federal health policy milestones.

Snapshot: Remaining Uninsured in California (Updated)

December 3, 2019

This ITUP Snapshot updates the profile of the state’s uninsured using 2018 data from the California Health Interview Survey (CHIS), and projections for 2022 from the California Simulation of Insurance Markets (CalSIM).

Legislative Update: Final Results of the 2019-20 Legislative Session

October 21, 2019

Governor Newsom signed most of the health care bills sent to him by the Legislature this year. This ITUP Legislative Update reviews the bills passed by the Legislature in 2019, and the governor’s actions to sign (shown as chaptered) or veto the bills. View Document

2019 ITUP Regional Profiles

September 1, 2019

The 2019 ITUP “At-a-Glance” series profiling statewide and regional coverage, and enrollment by program, is now available!

Final Federal Rule on Immigrants and Public Charge Fact Sheet

August 14, 2019

The latest ITUP Fact Sheet review and summarize the final rule, existing federal law related to public charge and health care programs, and assess the potential impacts on immigrant access to health care programs in California.

ITUP Analysis: Covered CA 2020 Rates

August 8, 2019

This new issue of ITUP Tracking reviews the rate changes and health plan choices available to consumers for 2020.

Health Care Programs for California Immigrants (Updated)

July 19, 2019

This ITUP fact sheet reviews existing health care programs for immigrants in California. California generally provides better access to health care coverage for immigrants than most other states, including covering all children in Medi-Cal regardless of immigration status.

Final 2019-20 State Budget Continues the Move Toward Universal Coverage

June 28, 2019

The final 2019-20 state budget (and related legislation) just signed by Governor Newsom moves California steps closer to universal coverage, improves coverage affordability in the individual market, and invests in system improvements in Medi-Cal, mental health services and services for homeless individuals.

Snapshot: Remaining Uninsured in California (Updated)

May 15, 2019

According to the California Health Interview Survey (CHIS), in the years leading up to the Affordable Care Act (ACA), the
uninsured rate among Californians under the age of 65 was approximately 16 percent.1 Implementation of the ACA
dramatically reduced the rate of uninsured to 8.4 percent, with approximately 3 million remaining uninsured in the state.2
This snapshot provides a quick overview of California’s remaining uninsured.

ITUP Review of the 2019-20 Budget May Revision

May 14, 2019

This ITUP Legislative Update provides an overview of the May Revise and health and health-related proposals.

2019 County Medically Indigent Care Programs

March 21, 2019

This version of ITUP Tracking provides an update to the ITUP 2017 Review of Medically Indigent Adult (MIA) programs administered by counties for low-income uninsured adults.

2019-20 Introduced Legislation

March 4, 2019

The deadline for bill introduction in California’s 2019-20 legislative session was February 22, 2019. Before the deadline, the Legislature introduced 2,687 bills and resolutions including almost 1,000 health-related bills. This fact sheet offers a preliminary review of various bills affecting health care and coverage. View Document

Covered California Announces 2019 Enrollment

February 1, 2019

This week, Covered California, California’s Affordable Care Act (ACA) marketplace, announced the results of the 2019 open enrollment season which ended on January 15, 2019. Data results show strong renewal rates but a significant drop in new enrollment. This blog potential causes of the drop and its implications.

Governor Newsom’s First Budget: Health Care Highlights

January 11, 2019

In his first act as Governor of California, Gavin Newsom announced executive actions and budget proposals to expand health coverage and improve affordability, signaling health care as one of his top priorities. This blog highlights health care items in the Governor’s proposed budget.

Summary of 2018 Federal Rulemaking

January 10, 2019

This summary briefly describes key 2018 federal final rules, proposed rules and policy guidance.

2018 Year-In-Review

January 10, 2019

The annual ITUP Year-In-Review chronicles month-by-month important state and federal health policy milestones.

Final Results of the 2017-18 Legislative Session

October 23, 2018

Governor Brown signed into law most of the health bills sent to him by the Legislature this year. This blog summarizes legislation by topic and actions taken by the Governor, Chaptered (signed) or Vetoed.

Proposed Federal Rule on Immigrants and Public Charge Fact Sheet

October 3, 2018

The ITUP fact sheet briefly describes existing federal law on public charge and health care programs, the proposed changes, and the impact on immigrants’ access to health care programs in California.

2018 California At-A-Glance

June 22, 2018

The California At-A-Glance provides information on the remaining uninsured and coverage in California.

Remaining Uninsured in California (Revised and Updated, April 2018)

April 27, 2018

California fully embraced the federal Affordable Care Act (ACA) with dramatic results. California’s uninsured rate is
currently at just 7 percent overall and 8.1 percent among those under 65 years old. In the years prior to the ACA,
California’s uninsured rate hovered between 16 and 19 percent.

2017-18 Legislative Session Bills in California

March 12, 2018

The deadline for introducing legislation in the second year of the 2017-18 legislative session was last month. Health Committees in both houses begin bill hearings this week on 2018 bills and on two-year bills that remain eligible for action.

Snapshot: Remaining Uninsured in California (Revised and Updated, April 2018)

January 10, 2018

Prior to the ACA, the uninsured rate for nonelderly Californians persisted around 20 percent. Although California’s implementation of the ACA dramatically reduced the number of uninsured, nearly three million uninsured Californians remain. This snapshot provides a quick profile of California’s remaining uninsured.

Health Care Reform: 2017 Year-In-Review

January 7, 2018

Because California embraced the opportunities available under the Affordable Care Act (ACA), 2017 began and ended with California reaching historic low rates of uninsured. The timeline below reviews notable health reform events for 2017 and includes links to source documents and related ITUP publications.

Framework for Designing a Health Coverage Proposal

August 27, 2017

On August 25, 2017, Speaker of the California Assembly, Anthony Rendon (D-Lakewood), announced the formation of the new Select Committee on Health Care Delivery Systems and Universal Coverage.

Senate BCRA Incorporating the Graham-Cassidy-Heller Amendment

August 20, 2017

Near the end of July 2017, as the U.S. Senate began voting on various Republican‐sponsored initiatives to rollback the Affordable Care Act (ACA), Senators Graham (R‐South Carolina) and Cassidy (R‐Louisiana) offered an amendment to the Better Care Reconciliation Act (BCRA), which Senator Heller (R‐Nevada) later co-sponsored.

Fact Sheet, July 2017 – Summary of the Better Care Reconciliation Act

July 25, 2017

On July 13, 2017 Senate Republican leaders released a revised discussion draft of the Better Care Reconciliation Act (BCRA). The changes made in this version of the Senate proposal do not substantively change the basic features of the original BCRA proposal. The discussion draft leaves in place the dramatic restructuring of the federal Medicaid program. […]

Fact Sheet, June 2017 – Year-by-Year Impacts of the Senate Better Care Reconciliation Act

June 27, 2017

According to the Congressional Budget Office (CBO), the Senate Better Care Reconciliation Act (BCRA) of 2017 strips insurance coverage from 22 million Americans by 2026, a similar result as the House-passed American Health Care Act (AHCA). This ITUP Fact Sheet shows the year-by-year policy changes that eventually lead to dramatic waive of uninsured Americans. Download […]

Meeting the Health Needs of the Immigrant Community In Uncertain Times

June 14, 2017

This fact sheet provides information on California’s immigrant community, the barriers they face to access health care, and California policies promoting access and/or coverage for all residents, regardless of immigration status.

Summary of President Trump’s Proposed Fiscal Year 2018 Budget Plan

May 24, 2017

On May 23, 2017, the Trump Administration released its proposed federal fiscal year (FFY) 2018 budget plan which relies on draconian cuts to the safety-net to increase spending for the military, border security, tax reform and infrastructure.

Fact Sheet, May 2017 – Summary of The American Health Care Act

May 5, 2017

On May 4, 2017, the United States House of Representatives passed the American Health Care Act (AHCA), H.R. 1628, as amended, as a budget reconciliation bill, on a party line vote, 217-213. The AHCA is intended to deliver on the Republican pledge to “repeal and replace” the ACA. Read more about the AHCA by downloading […]