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News

During National Health Center Week, Community Clinics Join Together and Urge Voters to Protect Patients by Voting NO on Proposition 44

Reckless measure will force clinics to close, harming millions of Los Angeles patients 

LOS ANGELES – Aug. 3, 2026 – This National Health Center Week, patients and community clinics should be celebrating the whole-person, whole-community care that helps millions of Angelenos stay healthy. Instead, they are facing a dangerous ballot measure that will force clinics to cut services and close their doors – jeopardizing health care for more than two million patients who depend on community clinics for their care. 

Proposition 44 will appear on the November ballot. If approved, the initiative would divert billions of dollars away from community clinics and the critical services that patients rely on, including preventative medical visits, urgent care, maternity services, transportation, translation, and more.  

“Prop 44 will disproportionately harm patients who are already facing federal Medicaid cuts, state budget cuts, and other barriers to care,” ...

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Real-Time Feedback to Support Implementation Success: Six Lessons from LAMMHA’s First Cohort of Clinics

In California, one in five people experience perinatal mood and anxiety disorders (PMAD) and many women are under identified or undertreated despite available effective treatments. The Los Angeles Maternal Mental Health Access (LAMMHA) program is working to change that by helping LA County community health centers implement the evidence-based Collaborative Care Model (CoCM) for perinatal mental health. Implementing a complex new model takes interdisciplinary collaboration, training, and ongoing listening, learning, and real-time adjustments.

A new study under peer review from the LAMMHA evaluation team examined what the program learned using a rapid audit-feedback method from its first cohort of four federally qualified health centers (FQHCs) in relationship to the process of implementation. Guided by the Consolidated Framework for Implementation Research 2.0 (CFIR) and Woodward Health Equity domains1, the Stages of Implementation (SIC) tool was used to track ...

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Final State Budget Protects Health Center Reimbursement and Delays Harmful Medi-Cal Changes, But Advances Disruptive Transition to Fee-for-Service

LOS ANGELES – June 30, 2026 – Yesterday, Governor Gavin Newsom signed a budget for the 2026-27 fiscal year that aims to balance the budget over two years while maintaining the state’s commitment to health care coverage and access. The budget includes funding for community health centers’ top priorities, including continuing existing reimbursement rates for state-only funded Medi-Cal services for another year. 

“Over three-fourths of health center patients are Medi-Cal members, so Medi-Cal reimbursement is the backbone of health centers’ financial stability. The health center Prospective Payment System, known as PPS, enables health centers to provide comprehensive, whole-person care and critical wrap-around services that promote patient health,” said Louise McCarthy, President & CEO of the Community Clinic Association of Los Angeles County. “The loss of PPS, in combination with H.R. 1 coverage losses and rising uncompensated care, would have pushed safety net clinics to the breaking point. Maintaining PPS ...

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Perinatal Mental Health: Practice Change to Improve Detection and Outcomes

Los Angeles County Maternal Mental Health Access (LAMMHA) is a five-year program funded by the California Health Care Foundation (CHCF) to support community health centers in identifying and treating perinatal mental disorders in primary and prenatal care. Affecting at least one in seven childbearing persons in the U.S., perinatal depression is one of the most common complications of pregnancy and the postpartum period. Having clinical protocols and workflows for early detection and management is critical in achieving the best care and outcomes for both parent and infant.

The Plan-Do-Study-Act (PDSA) cycle

The Plan-Do-Study-Act (PDSA) cycle is a structured approach to implementing quality improvement initiatives in healthcare settings. PDSA cycles are used to improve patient safety, quality of care, and efficiency by testing changes on a small scale before making them standard practice. PDSA’s are continuous and iterative, and follow the ...

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LA Says “Yes” on Measure ER, Voting to Raise Funds for the Health Care Safety Net

LOS ANGELES – June 10, 2026 – CCALAC and community health centers across LA are celebrating the passage of Measure ER in LA’s June 2nd election. The measure offers some relief to LA’s health care safety net as it grapples with federal funding cuts and state policy changes that are making it harder for people to access care.

“Community clinics serve one in five LA residents – the very people in our communities who are the most vulnerable to losing their coverage, if they haven’t already,” said Louise McCarthy, President & CEO of the Community Clinic Association of Los Angeles County. “Measure ER provides a pathway to help uninsured patients access care and to keep clinics open.”

The funding cannot come quickly enough: since H.R. 1 was passed, more than 200,000 LA residents have lost health coverage, the Los Angeles County Department of Public ...

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May Revise Continues to Balance Budget on the Backs of the Most Vulnerable

LOS ANGELES – May 15, 2026 – Despite higher-than-projected tax revenue, Governor Gavin Newsom’s May Revision again seeks to solve California’s budget problems on the backs of the most vulnerable, including immigrants, older adults, and people with disabilities. The revised budget proposal leverages higher tax revenue while maintaining reserves over the next two fiscal years, yet fails to reverse harmful Medi-Cal cuts. 

The budget maintains damaging Medi-Cal cuts from FY2025-26 that impact immigrants, including the elimination of health centers’ prospective payment system (PPS) reimbursement for state-only funded services, effective July 1, 2026. This cut will cost Los Angeles health centers roughly $400 million a year — combined with H.R. 1 coverage losses and rising uncompensated care, this change threatens to push safety net clinics to the breaking point. 

Further, the budget proposes raising monthly premiums from $30 to $50 for adults with unsatisfactory immigration status, reinstating Medi-Cal asset limits for seniors and people with disabilities, and narrowing eligibility for Enhanced Care Management (ECM) and Community Supports ...

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Governor’s 2026–27 Budget Proposal Falls Short on Addressing Challenges and Protecting the Safety Net

LOS ANGELES – January 12, 2026 –  Governor Newsom kicked off California’s 2026-27 budget process with the release of his budget proposal. The main takeaway: the real budget news will come in May. At that time, California will need to address the negative impact of H.R. 1 and other federal policies, along with the State’s significant structural deficit. In the meantime, the proposed budget only assumes a $2.9 billion shortfall for the fiscal year, compared to the Legislative Analyst’s Office projection of an $18 billion deficit.  

While the Governor’s budget proposal doesn’t make drastic new cuts to Medi-Cal, it does continue last year’s unfair changes to Medi-Cal eligibility and benefits for immigrants, along with reduced payments to health centers for serving them. We are disheartened by the Governor’s proposal to eliminate full scope Medi-Cal coverage for certain immigrants, including refugees, ...

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Best Practices: Perinatal Mental Health Screening and Case Finding

Los Angeles County Maternal Mental Health Access (LAMMHA) is a five-year program funded by the California Health Care Foundation (CHCF) to support community health centers in identifying and treating perinatal mental disorders in primary and prenatal care. Depression is one of the most common complications of pregnancy and the postpartum period, affecting at least one in seven childbearing persons in the U.S. Early identification is essential to prevent suffering, reduce family impact, and improve outcomes for both parent and infant.

To reflect on the experience of depression screening and linkage to care, we spoke with Dr. Ian Bennett, a family physician providing prenatal, postpartum, and pediatric care in a community health center and Dr. Amritha Bhat, a perinatal psychiatrist and associate professor in the Department of Psychiatry and Behavioral Sciences at the University of Washington. Drs. Bennett ...

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Improving Perinatal Mental Health Care in LA County – Cohort 2 Reflections on Implementing the LAMMHA Collaborative Care Model

With the goal of improving perinatal mental health care, the Los Angeles County Maternal Mental Health Access (LAMMHA) program is funded by The California Health Care Foundation (CHCF) to support Los Angeles County community health centers in the identification and treatment of common perinatal mental disorders. TCC Family Health (TCC) and St. John’s Community Health (St. John’s) joined LAMMHA as part of the second cohort. During their two-year participation, they received intensive on-going support and training to implement and sustain the evidence-based collaborative care model (CoCM) used to treat common mental health conditions in primary care.  As they near the end of their LAMMHA support period, their clinical teams reflect on the experience and impact of implementing CoCM with their perinatal patient populations.

Why did your organization join the LAMMHA project? What were some of the benefits of your participation?

St. John’s: LAMMHA gave ...

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Facing Dark Days for Health Care, Let’s Not Forget How Far We’ve Come

CCALAC President & CEO Louise McCarthy reflects on the community health center movement this National Health Center Week.

National Health Center Week is underway, and while community health centers celebrate their patients, staff and partners, this year’s celebrations feel more subdued in the face of multiple challenges to the health center movement. In this moment, however, it’s important to reflect on how far the movement has come since its beginning in the Civil Rights Era.

While some health centers in Los Angeles trace their roots back to the early 1900s, it was in the 1960s that the health center movement began in earnest nationwide, and in the 1990s that Los Angeles’ health centers galvanized to work together toward their common mission.

Thirty years ago, LA’s health system was on the edge of collapse and the county was on the brink of bankruptcy. In ...

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