Posted: September 1, 2020
BREAKING NEWS: On February 2, 2021, President Biden signed an Executive Order to begin the process of reviewing and eventually eliminating the public charge rule implemented by the previous adminsitration.
As of this writing, the public charge rule remains in place. Since the process of undoing public charge through the regulatory process will likely take some time, please continue to use the patient-facing resources linked below to help your organizations combat the chilling effect. CCALAC will continue to keep this page updated with the most recent information and resources.
National PIF “What Advocates Need to Know Now” Document
Click here to access the most up-to-date information on public charge. Here’s PIF’s updated google document for advocates. (Updated February 2021)
Keep Your Benefits
Public Charge Assessment Tool (Updated January 2021): PIF California and partner organizations, including Legal Aid of San Mateo County, created a screening tool to share with immigrant communities. The tool was developed by benefits experts and immigration lawyers to help individuals understand if “public charge” is likely to apply to them given their immigration status and/or public benefits use.
- Go to KeepyourbenefitsCA.org (English)
- Go to TusBeneficiosPublicos.org (Spanish)
- Access by text at 650-376-8006:
- Text ‘benefits’ for English
- Text ‘libre’ for Spanish
- Text ‘福利’ for Chinese
- Text ‘lợiích’ for Vietnamese
Keep Your Benefits CA: Public Charge Information & Resources
CA PIF Immigrant Health Community Packet
The California PIF Campaign and health and immigrant rights experts developed a packet for advocates to easily access documents, information, presentations, and sample social media posts to help elevate the message that Undocumented Californians have the right to access public services. Access the community packet HERE. (Updated February 2021)
PIF Coalition Public Charge Litigation Tracker
- The PIF coalition developed a google document to track all litigation efforts on Public Charge. Click HERE to access the shared document. (Updated December 2020)
Public Charge Informational Videos
- Short video on public charge: English | Spanish
- CRLAF: Carga Pública: ¿Qué es y se aplica a mí? 15-minute video explaining the public charge rule in Spanish (April 2020)
- Parte I: ¿Qué es la prueba de carga pública?
- Parte II: ¿A quién se aplica la prueba de carga pública?
- Parte III: ¿Cómo funciona la prueba de carga pública?
California Department of Social Services Public Charge Contact List
Click HERE for a list of all organizations in California that are funded by the state to provide Public Charge legal advice on immigration. (May 2020)
Coalition for Humane Immigrant Rights (CHIRLA) 24/7 Hotline
CHIRLA provides a 24-hour immigrant assistance hotline. The hotline is staffed by bilingual referral specialists who understand that in California, immigrants have the right to medical care, without regard to their immigration status. Visit the CHIRLA Immigrant Resources page HERE for more information for immigrant communities on seeking testing and/or medical care for COVID-19. CHIRLA 24/7 Hotline: 1-888-624-4752
California Health Care Foundation (CHCF): Message Testing to Combat Public Charge’s Chilling Effect
- Message Testing to Combat the Public Charge Chilling Effect in CA (PDF)
- Message Testing to Combat the Public Charge Chilling Effect in CA – PPT Slides (PDF)
Public Charge & Health Insurance in California- Western Center on Law & Poverty
- WCLP provides health care practice tips with details on exemptions and exclusions related to public charge: Public Charge and Health Insurance in California (June 2020)
Office of the Governor: California Immigrant Guide (Public Charge & COVID-19)
- Understanding the “public charge” rule (English/Spanish)
- Qualified “public charge” non- profit assistance
- Public Benefits and Public Charge
- Building Skills & Educational Attainment
- COVID-19 Guidance for Immigrant Communities (page updated regularly)
- COVID-19 Prevention Graphics (English/Spanish)
Neighborhood Legal Services LA County (NLSLA)
- Public Charge FAQ
- “Know Your Rights” Flyers – English | Spanish
- Public Charge Hotline (for information or a referral. Free & Confidential): 1-800-433-6251 (LA County)
Public Charge Guide from the California Health and Human Services Agency
Protecting Immigrant Families (PIF)
- Let’s Talk About Public Charge – Resource to help immigrants, mixed-status families, and communities understand the core elements of public charge. Also available in Spanish, Chinese, Hindi, Arabic.
- Know Your Rights: Public Charge Messages for Community Members – Resource provides messages and facts on Public Charge.
- Public Charge: Does This Apply to Me? (English) – Resource provides examples of different hypothetical individuals/situations and analysis of how the new rule would impact them. Also available in Spanish, Chinese, Haitian, Hindi, Hmong, Korean, Arabic Burmese, French, Tagalog, and Vietnamese. (February 2020)
- State Benefits Agencies Public Charge Response Toolkit (April 2020)
- Five Things Immigrants Need to Know About Public Charge Video in English and Spanish.
- Full Public Charge Resource Guide from the California Protecting Immigrant Families Campaign.
- Specialized Resources for Advocates and Service Providers
- Toolkit for State and Local Government Officials (February 2020)
- All PIF Resources
Neighborhood Legal Services of Los Angeles County
Public Charge: Frequently Asked Questions
My Health LA Public Charge Flyers
LIBRE Project Public Charge Flyers
- LIBRE What is Public Charge Flyer (English)
- LIBRE What is Public Charge Flyer (Spanish)
- LIBRE What is Public Charge Flyer (Chinese)
NACHC Health Center Specific Frequently Asked Questions
- CA Dept. of Social Services – Public Charge Contact List
- LA County Office of Immigrant Affairs – Legal Resources
- Ready California Legal Services Directory
Resources from Coalitions & Organizations
- Protecting Immigrant Families Resources
- ILRC Public Charge Outreach Toolkit
- ILRC Detailed Public Charge Rule Overview (March 2020)
- California-Protecting Immigrant Families Coalition Resources
- LA County Office of Immigrant Affairs, Public Charge Resources
- NILC Resources on Public Charge
- CPCA Public Charge Resources
- The LIBRE Project: Public Charge Updates, Information, & Resources
- County Welfare Directors Association of California: Immigration Resources
- CDPH AIDS Drug Assistance Program Answers to Frequently Asked Questions on Public Charge – English | Spanish
Posted: December 23, 2019
Health4All Young Adults Medi-Cal Expansion
As of January 1, 2020, all otherwise eligible children and young adults through age 25, regardless of immigration status, are eligible for full-scope Medi-Cal. Individuals age 19 – 25 who were actively enrolled in restricted scope Medi-Cal were automatically transitioned to full-scope on January 1, 2020. Transitioned beneficiaries should have received their third enrollment notice with managed care information and Healthcare Option Choice packets.
In January 2020, DHCS released a report indicating that of the 67,792 young adults who had restricted-scope eligibility in September and received the first notice, 24,713 were in LA County and should have transitioned over to full-scope on January 1. DHCS will provide reports to counties and work with them to identify individuals from the transition population who did not effectively transition over and those cases will be worked manually.
Young Adult Expansion: My Health LA (MHLA)
As of January 1, 2020, individuals age 19-25 are no longer eligible for MHLA – the age requirement in One-e-App is now 26 years and older. MHLA will check data with DPSS – once a participant is confirmed enrolled in full-scope Medi-Cal, they will be disenrolled from MHLA. On March 31, 2020, all young adults (age 19-25) remaining in MHLA will be disenrolled. MHLA will mail a second letter in January informing participants that they: are still enrolled in MHLA; are now eligible for full-scope Medi-Cal; will NOT be able to renew in MHLA; and will be disenrolled from MHLA on March 31, 2020.
Young Adult Expansion: Immigration Concerns
Send consumers with questions about immigration status and accessing healthcare to the One California immigration attorneys at www.bit.ly/immigrationhelp
Questions about healthcare/immigration: Health Consumer Alliance
This is a free & confidential hotline for education and legal assistance. Access the Health Consumer Alliance by calling 888-804-3536; Monday –Friday between the hours of: 9am to 5pm. (The number works in all counties)
- The Children’s Partnership Advocacy and Consumer Website: health4allyoungadults.org
- Stay current on details at DHCS Young Adult Expansion Website (Includes FAQs in English, Spanish, Arabic, Korean, Tagalog and 14 other languages)
- The California Endowment – Outreach Young Adult Expansion flyers in both English and Spanish
- The California Endowment – 5 Things to Know About the Young Adult Expansion
- The California Immigrant Policy Center – Health4All Young Adults Fact Sheet (English)
- The California Immigrant Policy Center – Health4All Young Adults Fact Sheet (Spanish)
- Health Access and The California Immigrant Policy Center – Talking Points: HEALTH4ALL 2020
Posted: November 18, 2019
NEW CA PIF Outreach & Communications Workgroup Patient-Facing Materials
The Outreach & Communications Workgroup that CPCA leads under the CA-PIF efforts, has created three community-facing documents to help consumers navigate the health system, prepare for a meeting with an attorney around public charge and information about how to obtain COVID-19 testing and services.Resources will likely be translated into Spanish, Chinese, Vietnamese, Tagalog and Korean.
CPCA – “Know Your Rights” Resources
Visit CPCA’s Know Your Rights Immigration Resources page to learn more about how to support you health center in protecting immigrant communities from ICE. Resources include Know Your Rights resources in multiple languages and CPCA’s Immigration toolkit for health centers.
CHIRLA Immigrant Assistance Toll Free Help Line: 888-624-4752
The CHIRLA Community Education team is prepared to answer questions with referral information for patients who may feel sick or may not know what to do. COVID-19 posters with information and CHIRLA’s help line can be downloaded in English and Spanish.
CIPC COVID-19 Resource Guide for Immigrants in California
Click HERE for the California Immigrant and Policy Center’s Resource Guide for Immigrants in California.
Public Charge Resources
Click HERE for CCALAC’s Public Charge Resources library.
Doctors for Immigrants: “Sanctuary Hospital” Project
- Doctorsforimmigrants.com – Policies & actions that hospitals and clinics can take to make their spaces welcoming to immigrant patients.
- “Red Cards” (Immigrant Legal Resource Center)
- NILC Know Your Rights Resources
- ILRC Resources Guide
- ACLU Immigrants’ Rights Resources (also in Spanish)
- Informed Immigrant Guide
- California Rapid Response Networks – Contact Info
- CDSS’ One California Supported Legal Resources
Memo on Sponsor Responsibilities
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: Privacy Protections in Selected Federal Benefits Programs (updated Feb. 2018)
- NILC Resources: When Encountering Law Enforcement
- NILC Resources: Immigration Enforcement (includes Rights Card / Tarjeta de Derechos)
- CHIRLA Know Your Rights Toolkit
Deferred Action for Childhood Arrivals (DACA)
- NILC’s DACA Litigation Timeline
- 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
Health Center Immigration Policies & Procedures
- CPCA: Health Center Immigration Sample Policies & Procedures
- California AG: Model Policy: Promoting Safe and Secure Access for All
“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
City of Los Angeles
Find an Immigration Attorney
- LA County Office of Immigrant Affairs – Legal Resources
- Ready California Legal Services Directory
- CA Dept. of Social Services Immigration Services Contractors
Immigration attorneys must have a law license, verify it here.
Posted: December 13, 2016
The following is a collection of advocacy resources that can be used when speaking to patients, staff, elected officials, and other external stakeholders.
Please be sure to check for updates throughout the year.
Posted: October 20, 2016
Covered California Open Enrollment, a.k.a. “OE4”, is November 1, 2016 through January 31, 2017! Check out these great resources from Covered California to help health centers and enrollers assist consumers with applying for and renewing their health coverage.
- Resources Toolkit – Includes the 2017 Renewal Toolkit, recordings and slides from enroller webinars, Community Partner Briefings, and downloadable guides and notices.
- Assisting Medi-Cal Eligible Consumers FAQ – A key resource for health center based certified enrollers.
- Printer-friendly Collateral Materials – FREE, downloadable PDF’s of Covered California collateral materials. Many of these materials include editable text fields that you can use to customize the piece to include your health center contact information. The materials on this page are available free of charge, and are print-ready. Please feel free to download, print, and use these materials at your convenience.
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.
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…)
Posted: May 6, 2016
In advance of SB 75/Health4All Kids implementation this month, the following are materials and resources to support enrollers and other clinic staff with the implementation of the expansion of Medi-Cal to all eligible children, regardless of immigration status.
DPSS Advocate Liaison List (updated April 2016)
MCHA Resolving DPSS Issues Best Practice
CCALAC SB 75 Training Slide Deck (updated May 6, 2016)
DHCS MC371 Form (adding a person to a Medi-Cal case)
USCIS Public Charge Fact Sheet (English)
USCIS Public Charge Fact Sheet (Spanish)
SB 75 Beneficiary Letter No. 1 (English, mailed April 15)
SB 75 Beneficiary Letter No. 1 (Spanish, mailed April 15)
SB 75 Beneficiary Letter No. 3 (English, following transition to full scope)
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.
Posted: March 16, 2016
California will soon be expanding full-scope Medi-Cal to cover all lower-income children under 19 years old, regardless of immigration status. The expansion will happen no sooner than May 2016. Families are being encouraged to enroll their children NOW in restricted-scope Medi-Cal, also known as “emergency” Medi-Cal, in order to transition to full scope Medi-Cal as soon as the program is expanded.
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…)
Posted: December 8, 2015
This week’s featured resource is “5 Things You Need to Know About Health Coverage for ALL California Children” providing information for parents and families on Health4All Kids!
Help prepare your clinic’s patients for the changes coming to children’s coverage next year! When families come in to renew for My Health LA, don’t miss a great opportunity to provide them with some initial information about this change! Let parents know that starting sometime after May 1, 2016, ALL low-income children, up to age 19, will be eligible for full scope Medi-Cal, regardless of immigration status. Help families enroll their children into restricted scope Medi-Cal now, so they will transition to full scope in May.
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.
Posted: October 15, 2015
Open Enrollment is right around the corner! Now is a great time to make sure you have important phone numbers and links to resources close at hand. The current outreach and enrollment featured resource is Covered California’s Resource Directory, with contact information for the help line, IPAS assistance, links to job aids, and more.
Posted: September 11, 2015
The MHLA fact sheets have been translated into seven languages and are now available in the “For MHLA Participants” section on the MHLA web-site.
At the beginning of summer, the MHLA Program Office conducted an analysis of the five most-used languages (after English & Spanish). These languages are: Armenian, Chinese, Korean, Tagalog and Thai.
The “What is MHLA?” and “How do I Enroll?” fact sheets are now available online in those seven languages!
Please download and distribute these to your Participants as needed. Please contact your program advocate with any questions or feedback.
Posted: June 23, 2015
MHLA has released an updated version of the “Next Steps” resource that can be provided for participants after enrollment (English and Spanish versions are available). “Next Steps” is a useful one-pager for enrollees that explains where their medical home is, provides annual renewal date and instructions, and includes member services contact information.
MHLA has also released a new OEA Tips Sheet to provide enrollers with information about the different types of reports in OEA, especially those that can help with planning for renewals.
All MHLA enroller resources and training materials are available on the MHLA website, under “For DHS and Community Providers” in the “Eligibility Information and One-e-App” tab.
Posted: May 13, 2015
The first 90-day renewal notices are now being mailed to My Health LA (MHLA) patients who enrolled in August 2014 at the One-e-App (OEA) pilot sites. The renewal period for enrollees at other Community Partner (CP) clinics will begin in June. CP clinics must perform in-person renewals annually for all MHLA participants. Participants are eligible to renew starting 90 days prior to their enrollment date; they will receive a renewal letter from MHLA at 90, 60 and 30 days before the renewal is due. A MHLA renewal can be processed at any Medical Home and the participant has the choice to select any Medical Home Clinic upon renewal.
LADHS held several webinar sessions at the end of April on the OEA renewal process. The presentation provides an overview of the OEA features that tell the CP who is due for a renewal, reviews what information needs to be checked and updated on the application, and reminds enrollers which documents need to be uploaded again. The PowerPoint presentation is now available on the MHLA website. Go to “For DHS and Community Providers,” log in, then select the “Eligibility Information and One-e-App” tab. The presentation is available with or without audio narration, items “h” and “i” under “One-e-App Training Manuals”.
If you have questions about the renewals process, please contact your Program Advocate.
Posted: March 17, 2015
CCALAC’s new Outreach and Enrollment Featured Resource is LADHS’s new My Health LA (MHLA) Person Clearance Tip Sheet. The purpose of the tip sheet is to clarify the process of the Person Clearance Screen in One-e-App (OEA). Careful person clearance prevents the assignment of two different Person ID numbers to the same individual and helps enrollers avoid mistaking a new applicant for someone who is already known to OEA. The tip sheet provides detailed steps for performing an accurate person clearance in OEA.
Posted: January 23, 2015
This week, LADHS released a new One-e-App (OEA) Received and Upload – Tip Sheet for enrollers detailing the OEA process for uploading documents and ensuring that patients are not disenrolled due to incomplete applications. The tip sheet also provides instructions for checking document uploads and notifying the OEA help desk and MHLA Program Advocates in case of issues with documents. The tip sheet is a byproduct of a small workgroup comprised of LADHS MHLA program leadership, CCALAC staff, and Member clinic representatives who convened to pull together this resource for MHLA enrollers.
Posted: January 16, 2015
National and California immigrant rights organizations have partnered with Covered California to spread the word to all communities that immigration status should not deter anyone from applying for health insurance coverage. With the president’s recent executive order announcement on immigration, there is renewed attention on undocumented residents; the partners in this effort want all consumers to feel confident that they can apply for coverage for lawfully present family members without fear of consequences.
As part of this effort, Covered California has developed a new Immigration Fact Sheet (currently available in English, Spanish, Chinese, and Vietnamese – Korean coming soon), to reinforce the message that information shared in health coverage applications will be kept safe, secure and confidential and will not be used for immigration enforcement purposes.
You can view the available fact sheets online at the following links:
Posted: January 13, 2015
Consumer stories are powerful and personal. As certified enrollment counselors you are in the unique position to interact with individuals and seeing the positive impact of accessing health care. By amplifying consumer stories, you can encourage others to sign up for coverage or seek in person assistance.
Families USA and CCALAC offered a training for staff on the basics of gathering stories, and some best practices for story banking. Families USA is also offering the opportunity to partner together in order to be able have media ready stories available for a variety of uses. Clicker here to view the presentation: The Power of Consumer Stories
Posted: December 6, 2014
On November 20, 2014, the president announced executive actions that his administration will be taking to help fix our immigration system.
Below is what the National Immigration Law Center knows so far about the new programs:
- A new Deferred Action for Parental Accountability (DAPA) program will allow undocumented people who have a U.S. citizen or lawful permanent resident son or daughter to apply for work authorization and protection from deportation, if the person has been in the U.S. since January 1, 2010. An estimated 4.1 million people should qualify for this program.
- The existing Deferred Action for Childhood Arrivals (DACA) program will be expanded and now will cover people who entered the U.S. before their sixteenth birthday and have lived continuously in the U.S. since January 1, 2010. People who were “aged out” of DACA by being older than age 31 on June 15, 2012, are now eligible to apply, regardless of how old they are now. Approximately 300,000 people will be benefit from these changes.
- Certain spouses of lawful permanent residents may be able to get their lawful permanent resident (“green card”) status through a waiver process. Spouses of U.S. citizens are currently able to apply through this process.
What this means for Clinics and Health Centers:
Under federal law, undocumented immigrants with “deferred action” status are not eligible for health benefits under the Affordable Care Act; however, in California individuals who qualify for the Deferred Action for Childhood Arrivals initiative do qualify for Medi-Cal if otherwise eligible (CA uses state funds, not federal). Advocates believe it is likely that immigrants affected by the President’s action will “be in the same situation” as those who qualify for the Deferred Action for Childhood Arrivals initiative. It is important to note that to date, the Department of Health Care Services has not yet determined the effect Obama’s executive action will have in California. There is also speculation that families with mixed immigration status could be more likely to explore coverage possibilities now during open enrollment since that the fear of deportation may have been lifted for some family members.
Although the program has not started, the documents below from the National Immigration Law Center may help answer questions and advise immigrants of steps they may want to take to prepare.