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Innovative Program Expands Support for Perinatal Mental Health Care Capacity in LA County

Six months after the launch of a collaborative to improve perinatal health, a new cohort of Los Angeles health centers will implement the innovative program. 

TCC Family Health (TCC) and St. John’s Community Health (St. John’s) joined the Los Angeles County Maternal Mental Health Access (LAMMHA) program as part of a second cohort implementing the evidence-based collaborative care model (CoCM) to treat common mental health conditions in primary care. Six months after training an initial cohort, the LAMMHA partners* chose TCC and St. John’s to join cohort 2 with two clinic sites each. During the two-year program, they will receive intensive on-going support and training to implement and sustain CoCM at their sites. Care teams from the four cohort 2 clinical sites attended an in-person training in Los Angeles on October 19, 2023 to build key perinatal CoCM skills. The session provided interactive education for behavioral health care managers, psychiatric consultants, medical ...

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Governor’s Budget Protects Medi-Cal Expansion and Transformation; More Funding Necessary to Strengthen Health Care Workforce

LOS ANGELES – January 11, 2024 – Yesterday Governor Gavin Newsom unveiled his 2024-25 state budget proposal, which aims to address California’s budget deficit. The Governor’s budget estimates a $37.9 billion budget shortfall, substantially lower than the $68 billion gap projected by the Legislative Analyst’s Office in December. The proposal protects investments in Medi-Cal and the state’s historic expansion of the program on January 1, but delays critical health care workforce funding. 

Gov. Newsom intends to close the budget shortfall by withdrawing dollars from the state’s rainy-day fund and enacting various spending reductions and delays. The Governor also proposes seeking federal approval for an amendment to generate an additional $1.5 billion from the state’s Managed Care Organization Provider Tax (MCO Tax), a tax on health insurance plans that generates federal matching funds for the state, compared to the approved MCO Tax ...

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ECHO Perinatal Case Conferences Provide Support with Maternal Mental Health

Providers need support when presented with a pregnant or postpartum patient with a complicated history, symptoms, or situation. Luckily, there is someone they can turn to who can troubleshoot with them, through the Los Angeles Maternal Mental Health Access (LAMMHA) ECHO Perinatal Case Conference Series. The monthly LAMMHA webinar, based on the successful ECHO Model, brings together doctors, nurses, behavioral health clinicians, and other staff working to support new families in Los Angeles County during their pregnancy and postpartum journeys and provides them an opportunity to learn from one another. Each webinar features a brief presentation on a unique topic related to perinatal mental health delivered by an expert in the field. Following the presentation, attendees are invited (and strongly encouraged!) to bring challenging cases that they have encountered to the group for discussion and troubleshooting. Through this interactive ...

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Who will pay for a $25 healthcare minimum wage? The patients who can least afford it.

LOS ANGELES – July 12, 2023 – A bill to implement a $25 healthcare worker minimum wage sounds like a great solution for California’s healthcare workforce crisis, but without funding for community health centers, the patients who can least afford it will pay. CCALAC’s Louise McCarthy, El Proyecto del Barrio, Inc.’s Corinne Sánchez, and Valley Community Healthcare’s Paula Wilson share how SB 525 will worsen the crisis for health centers in an op-ed published in Los Angeles Daily News.

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Governor’s Final Budget Advances MCO Tax, Invests in Health Care Workforce

LOS ANGELES – July 11, 2023 – Governor Gavin Newsom has signed a series of budget bills for the 2023-24 fiscal year that demonstrate the state’s commitment to preserve and improve the health and well-being of all Californians. The budget avoids cuts to Medi-Cal and critical health care programs and maintains California’s leadership in expanding health care coverage and access. CCALAC commends the Governor for advancing a Managed Care Organization (MCO) Tax plan that will generate billions in revenue to strengthen Medi-Cal.  

The plan includes $75 million annually to support graduate medical education and, starting in 2025, $2.7 billion annually to improve access in Medi-Cal. For the Governor’s 2024-2025 budget, the Department of Health Care Services (DHCS) will propose rate increases and investments in other services, supports and health care workforce.    

In January 2024, DHCS will increase provider rates to ...

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Maternal Mental Health Access Program Trains Inaugural Cohort of LA County Sites

In celebration of Maternal Mental Health (MMH) Awareness Month, the inaugural cohort of the Los Angeles County Maternal Mental Health Access (LAMMHA) program received its first training on April 13, 2023.

LAMMHA is a five-year program 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 in primary care. The project arose from increased urgency and interest in improving mental health treatment for patients in the perinatal period (which includes pregnancy and the first year postpartum).

Mood disorders such as depression and anxiety are among the most common medical conditions affecting perinatal patients, impacting around 1 in 3 pregnant patients in California and as many as 1 in 4 pregnant patients who identify as Black or Latina (MIHA 2018). In California, as well ...

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Governor’s May Revise Maintains Coverage Expansion, Strengthens MCO Tax Proposal

LOS ANGELES – May 12, 2023 – Today, Governor Gavin Newsom released his revised May budget proposal for the 2023-24 fiscal year. We commend the Governor for a proposal that maintains California’s leadership in expanding health care coverage and avoids major cuts to critical programs in the face of a projected $31.5 billion deficit, $9.3 billion more than the shortfall projected in January.

We are pleased to see that the budget maintains the expansion of Medi-Cal to all income-eligible adults ages 26-49 on January 1, 2024. Medi-Cal is projected to cover approximately 15.3 million Californians in 2022-23 and 14.2 million in 2023-24—more than one-third of the state’s population.

The budget also maintains billions in investments in programs essential to improving the health and well-being of communities, including behavioral health and homelessness programs, support for Los Angeles County’s implementation of the Care Act ...

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After 14 Months, California’s Health Centers Receive Relief for Pharmacy Transition

 

The funding helps recoup, but does not completely make up for, lost resources; health centers call for meaningful Medi-Cal funding reform

LOS ANGELES – March 30, 2023 – After over a year of delays, this month California’s community health centers finally began receiving funds from the State’s Supplemental Payment Pool (SPP), a fund developed to partially offset losses resulting from the transition to Governor Gavin Newsom’s Medi-Cal Rx program. In the year ahead we urge the state to meaningfully address Medi-Cal funding to ensure a more sustainable and comprehensive system of care for more than 1 in 3 Californians.

In January 2019 the governor proposed Medi-Cal Rx, the transition of the Medi-Cal pharmacy benefit out of managed care to the fee-for-service delivery system. The transition, which took effect in January 2022, caused health centers to lose an estimated $150-200 million ...

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Community Health Centers and Cal State LA Launch Second Cohort of Innovative Pipeline Program

 

Residency Program Prepares Family Nurse Practitioners for Service in Under-resourced Communities

Win Cho is a Cal State LA Family Nurse Practitioner program graduate and FNP resident at Chinatown Service Center. Photo by J. Emilio Flores

LOS ANGELES—JAN. 26, 2023—After the success of its first cohort, the Community Clinic Association of Los Angeles County (CCALAC), in partnership with the Chin Family Institute for Nursing (CFIN) at California State University, Los Angeles (Cal State LA), has launched the second cohort of the Family Nurse Practitioner Community Care Residency Program. Through the program, three newly licensed family nurse practitioners (FNPs) are receiving post-graduate training while providing much-needed services at community health centers in Los Angeles.

As California continues to grapple with a health care workforce crisis, including a shortage of primary care providers, FNPs can help close the gap. FNPs provide high quality, community-based ...

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Governor’s Budget Continues Down Payment on a Healthy California, More Funding Necessary to Strengthen Medi-Cal

LOS ANGELES – Jan. 11, 2023 – Yesterday, Governor Newsom unveiled his 2023-24 state budget proposal, which works to avoid cuts to California’s most critical programs in the face of a projected $22.5-billion deficit.

Despite the shortfall, the Governor maintains commitments to transforming and expanding Medi-Cal through continued investments in CalAIM and the expansion of Medi-Cal eligibility to all income-eligible Californians on January 1, 2024. This is laudable.

Community health centers share the Governor’s goal of universal coverage, but for coverage to be meaningful it must translate into access. What the budget does not do is make critically needed investments to bolster the health care workforce and the Medi-Cal provider network infrastructure. The Community Clinic Association of Los Angeles County (CCALAC) urges the Governor to prioritize rather than delay investments in health care workforce training programs and to make ...

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