Having more health coverage options means little when a person doesn’t know what’s available or how to enroll or if they fear consequences for enrolling in and using care.

Outreach, Enrollment, and Care Coordination

Marginalized communities include communities of color, seniors, immigrants, limited English speakers, and homeless or formerly incarcerated individuals. These individuals experience the most challenging barriers to applying for and using health care coverage. To realize the full benefit of coverage, it is important to address the barriers that individuals face in enrolling and accessing needed care.

Community-based organizations and providers play a large role in empowering clients to overcome multiple barrier to health care access. They do this through outreach, enrollment, and retention services, as well as helping clients find doctors, coordinate health services, use translation services, and understand their insurance. Results are driven by community trust in these relationships and services.

39.8% of adults on Medi-Cal with mental health needs received no mental health treatment in the past year

Our Solution

Having Our Say advocates for policies that support and strengthen community-based organizations who conduct outreach, enrollment, and care coordination and work to ensure communities of color can access and use the care they need. Having Our Say’s 2019 policy agenda champions two policy priorities that bring greater resources to key community-based health care entities.


SB 207 (Hurtado) Breathing Easier: Improved Asthma Outcomes for Medi-Cal

This bill would allow Medi-Cal to reimburse community health workers who provide provide asthma education and in-home asthma trigger assessments. Community health workers have a deep understanding of the communities they serve and play a crucial role in outreach, community education, and community health. They are well-equipped to help California families manage asthma symptoms and reduce exposure to environmental triggers.

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Status Update

Budget Ask to fund Health Navigators

Health Navigators play a crucial role supporting community health needs. State funding for community-based health navigators ended on June 30, 2018. Given an environment of extreme confusion and distrust, we call on the state to fund community-based health navigators for an additional two years ($30 million in state general funds to be matched by $30 million federal match).

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