Our advocacy work covers the broad span of local, State, and Federal issues that affect our members and consumers of health care in Los Angeles County. Below are some useful resources for advocacy at all levels of government.
Immigration Resources
Posted: June 11, 2018
Immigration Resources
Know Your Rights Resources
- ACLU: We Have Rights videos (multiple videos, all in multiple languages)
- ACLU Know Your Rights Resources
- NILC: Immigration Enforcement at Health Care Facilities
- NILC: Know Your Rights: Everyone Has Certain Basic Rights, No Matter Who Is President (multiple languages)
- NILC: Things to Keep in Mind When Talking to Immigrant Patients (updated April 2018)
- NILC: Privacy Protections in Selected Federal Benefits Programs (updated Feb. 2018)
- NILC: Protecting Patients’ Access to Health Care WEBINAR Slides
- NILC Resources: When Encountering Law Enforcement
- NILC Resources: Immigration Enforcement (includes Rights Card / Tarjeta de Derechos)
- CHIRLA Know Your Rights Toolkit
- MALDEF Immigrants Rights Under a Trump Presidency
- MALDEF Immigrants’ Rights Under a Trump Presidency – SPANISH
- NILC Protecting Access to Healthcare for Immigrants PPT (December 12, 2016)
- Clínica Romero Know Your Rights Brochure – SPANISH (featured at March 30, 2018 Policy Café)
- Clínica Romero Patient Rights and Protection Brochure (featured at March 30, 2018 Policy Café)
- Clínica Romero Immigration Workshop Presentation
Public Charge
A proposed rule is making its way through the rulemaking process (it is not yet finalized, current information comes from drafts leaked to the media) that would make changes to public charge policies that govern how use of public benefits may affect individuals’ applying to adjust immigration status to LPR. Under current policy, individuals may be determined a public charge if they rely on, or are likely to rely on, public cash assistance or government funded long-term institutional care. Current policy does not allow consideration of the use of non-cash benefits, such as health and nutrition programs. Under the draft proposed policy, previously excluded health, nutrition, and other non-cash programs could be considered. In addition, the changes propose to allow consideration of the use of these programs by citizen children and other family members in making a public charge determination.
Please note, we have only seen drafts of the proposed rule and do not know what the final language will include once it is published for public comments. There are many unknowns at this point.
- Protecting Immigrant Families (PIF) Campaign Resources
- PIF Campaign – Recursos en Español (new!)
- PIF Public Charge Fact Sheet
- PIF Public Charge Fact Sheet (en Español)
- National Immigration Law Center (NILC) Public Charge: An Overview
- NILC Public Charge Fact Sheet (April 2, 2018)
- NILC Resources on Public Charge
- NILC: Things to Keep in Mind When Talking to Immigrant Patients (updated April 2, 2018)
- KFF Issue Brief: Proposed Changes to Public Charge: Implications for Health Coverage (Feb. 2018)
- USCIS: Public Charge Fact Sheet (April 2011)
- Will Using Benefits Hurt My Chances of Getting a Green Card or Becoming a U.S. Citizen? (Under current rules. By the Asian Pacific American Legal Center for the California Immigrant Policy Center and a consortium of national groups)(Chinese | English | Lao | Samoan | Spanish | Tagalog | Thai | Vietnamese)
Deferred Action for Childhood Arrivals (DACA)
On Sept. 5, 2017, the Trump administration announced it is terminating the DACA program. Congress has been unable to reach a solution protecting DACA recipients and other eligible individuals. Due to a recent court order, USCIS announced on January 13 that is once again accepting DACA renewal applications (at present time USCIS is not accepting DACA applications from people who have not applied for DACA previously). Employment authorization documents (EAD) remain valid until the expiration date.
- DACA Updates and Links to Resources from the National Immigration Law Center (NILC)
- USCIS Jan. 13 Announcement Regarding DACA Renewals (includes who can renew, renewal instructions)
- NILC DACA Renewal Applications: What You Need to Know (English & Spanish)
- LA County Office of Immigrant Affairs, DACA Updates
- CIPC DACA Guide February 2018 (featured on March 30, 2018 Policy Café)
“Sensitive Locations” Guidance and Resources
- ICE Memo Re Sensitive Locations
- ICE Supplemental Guidance Re Sensitive Locations
- ICE Clarification of Existing Practices Related to Certain Health Care Information
- NILC & CLASP, Dept. of Homeland Security’s “Sensitive” Locations Policies
CPCA Resources and Sample Policies & Procedures
LA County
City of Los Angeles
Mayor’s Office of Immigrant Affairs
Verify an Immigration Attorney
Immigration attorneys must have a law license, verify it here.
Behavioral Health Toolkit
Posted: May 23, 2018
This toolkit aims to support LA County organizations in establishing meaningful and sustainable relationships to jointly serve LA County residents.
Please contact Becky Lee at blee@ccalac.org with any questions.
| Tool Kit | Resource (Click on the links below) |
| Maps
Tools to help locate medical, mental health, and substance use disorder treatment services. |
Interactive/ Searchable Health Providers Map |
| Find a Clinic | Find a Clinic tool |
| LA County Department of Mental Health (DMH) Referral Pathways | DMH website
ACCESS Hotline: 1-800-854-7771 |
| DMH Health Coalition Meetings | Health Neighborhood information and meetings |
| LA County Department of Public Health Substance Abuse Prevention and Control (DPH-SAPC) Referral Pathways
|
DPH-SAPC website
Service & Bed Availability Tool (SBAT) Substance Abuse Service Helpline (SASH): 1-844-804-7500 |
| Social Services Directories
|
211 LA County
211 LA is the central source for providing information and referrals for all health and human services in LA County. One Degree makes it easy to find food, housing, job training, after-school programs, and much more. |
| Model Agreements
MOU templates to help facilitate collaborative relationships between various providers. Disclaimer: The information presented does not constitute legal advice. |
PCP and DMH MOU template |
| Consent Forms | DMH:
DMH Authorization For Use Or Disclosure Of Protected Health Information DPH-SAPC: DPH-SAPC Release of Information- In SAPC SUD Provider Network DPH-SAPC Release of Information- Outside SAPC SUD Provider Network |
| Contracting Guide
Information for organizations who want to contract with DMH, DPH-SAPC, and DHS. |
DMH Master Agreement List |
| Warm Hand Off Guides
Policies and procedures samples. |
Valley Community Healthcare:
St. John’s Well Child and Family Center policies and procedures |
| Case Conferencing Guides | Case conferencing for internal staff |
| Telemedicine Guides | Tarzana Treatment Centers, Inc.: |
| Data Sharing Guide | State of California Office of Health Information Integrity: State Health Information Guidance on Sharing BH Information in CA |
| Trainings
Trainings on behavioral health integration. |
Community Clinic Association of Los Angeles County Training Center
Los Angeles County Department of Mental Health Training and Workforce Development UC Davis/UC Irvine Train New Trainers Primary Care Psychiatry Fellowship |
| Behavioral Health Toolkits | Integrated Behavioral Health Partners |
Updated 6/14/2018
District Profiles
Posted: April 2, 2018
The following profiles give a snap-shot of the clinics and the patients they serve at the local, State, and Federal district levels. These profiles reflect data from the Office of State Health Planning and Development (OSHPD). Each district profile includes patient information, payer information, and a map. (more…)
Whole Person Care Overview
Posted: December 21, 2016
WPC Overview Slides by Clemens Hong, MD, MPH
Relationship Between Patient Panel Characteristics and Primary Care Physician Clinical Performance Rankings (February 7, 2011)
Resources for a Successful Voter Registration Campaign
Posted: August 16, 2016
In Los Angeles County, community health centers are in a unique position to increase voter registration and get out the vote because of the their deep ties to the community.
There are many things to consider when planning a voter registration and voter engagement campaign. Since community health centers are 501(c)3s and health care providers, there are certain legal requirements they must adhere to comply with their tax exempt status and to be considerate to their patients privacy.
(more…)
Next Steps: SB 75
Posted: June 16, 2016
Pursuant to Senate Bill (SB) 75, individuals under age 19, up to 266 percent of the federal poverty level (FPL), who do not have, or are unable to establish, satisfactory immigration status, are now eligible for full scope Medi-Cal benefits. The necessary system updates in CalHEERS and the State Automated Welfare Systems (SAWS) were completed on time and the official implementation of SB 75 began as scheduled on May 16. In LA County the Department of Public and Social Services (DPSS) transitioned children from restricted scope to full scope in a series of batch transactions the week of May 16. Cases that did not transition successfully will be verified manually by DPSS staff. DPSS aims to complete the manual transition of remaining cases by the end of June. Medi-Cal effective date will be May 1 for all of these children, regardless of whether they transitioned in May or June.
CCALAC has compiled resources that enrollment staff and families can use to help answer questions about this transition. (more…)
SB 75 Training Presentation
Posted: April 7, 2016
Pursuant to Senate Bill (SB) 75, Medi-Cal eligible individuals under age 19, up to 266 percent of the federal poverty level (FPL), who do not have, or are unable to establish, satisfactory immigration status, will be provided with full scope Medi-Cal benefits starting no sooner than May 1, 2016. CCALAC provided the Outreach, Enrollment and Retention Peer Network with a slide deck to assist with training other clinic staff on SB 75 implementation. Members are free to use and/or modify the slides as they see fit. The presentation will be updated if and when information changes or as additional information becomes available.
SB 75 Health4All Kids Update PowerPoint (Current as of May 6, 2016)
My Health LA Promotional Materials
Posted: March 15, 2016
CCALAC and Fenton Communications have worked on communication materials clinics and external partners can use to help address barriers that may be preventing My Health LA participants from enrolling into and staying in the program. CCALAC and Fenton worked with CCALAC Member clinic staff and external stakeholders to craft a message and create materials clinics and external stakeholders will be able to use to address these barriers. (more…)
Updated Family PACT Client Eligibility Determination
Posted: November 12, 2015
This week’s featured resource is the recently updated Family PACT Client Eligibility Determination Policy and eligibility forms!
The October Family Planning, Access, Care and Treatment (Family PACT) update bulletin was posted to the Medi-Cal website on October 16, and includes important updates to the Client Eligibility Determination Policy.
Effective November 1, 2015, the Family PACT program’s eligibility determination policy has been updated to reflect the use of Modified Adjusted Gross Income (MAGI) counting rules for eligibility determination in order to comply with the Patient Protection and Affordable Care Act (ACA) and to clarify policy regarding other health coverage and confidentiality.
The Client Eligibility Certification (CEC) form (DHCS 4461) and the Retroactive Eligibility Certification (REC) form (DHCS 4001), have been updated to reflect these changes, effective November 1. The forms can be found, in English and Spanish, on the Family PACT website. Please note that the new language on the forms refers to taxable household income and claimed dependents, which may be more confusing for some patients than the old forms.
Dispensaries at Community Clinics: Ensuring Patient-Centered Medication Access
Posted: July 16, 2015
While community clinics are proponents of and continue to pave the way in terms of transforming care delivery, they currently operate a credible, patient-intuitive dispensary model that works for all their patients. Dispensaries associated with safety-net clinics play a critical role in making medications accessible for underserved patients, especially those enrolled in the My Health LA (MHLA) program.
Primary Care Funding Cliff
Posted: March 10, 2015
In the fall of 2015, Health Centers faced a Primary Care Funding Cliff. The Health Centers Fund, which makes up more than half of all funding for the Health Centers Program, was slated to expire unless action was taken by members of Congress. Without the Health Centers Fund, health centers would see up to 70 percent in reductions in grant funding, forcing reduction or elimination of health care services and access in some of the nation’s most vulnerable communities. In LA County, health centers would lose an estimated $262,360,943 without this critical federal funding.
Thanks to the efforts of health center advocates in California and across the nation, in April 2015, Congress passed H.R. 2, securing two additional years of funding for The Health Centers Program, through fall of 2017.
(more…)
Find Your Representative
Posted: January 16, 2015
Enter your zip code to find your State and Federal Representatives
Issue Briefs
Posted: January 16, 2015
CCALAC periodically releases issue briefs on various important topics to share with public officials and community partners. The first briefs released in March 2011 discussed the importance and value of investing in indigent care in LA’s community clinics and health centers.
- Vision: 2020: Clinics Turn Best Practices Into Action to Meet Healthy People 2020 Goals, March 2013
- Uncharted Territory: Mapping the Unmet Needs of LA’s Underserved, March 2012
- Eclipsed by Need: The Need to Care for LA’s Indigent Will Remain, Even After Reform, March 2011, Revised June 2011
- Value Added: Investments in Care for LA’s Indigent Reap Rewards and Results, March 2011, Revised June 2011
- Quality Matters: Clinics Improve Health Outcomes with High-Quality, Patient-Centered Care, March 2011