The rate of uninsured residents in California has dropped dramatically thanks to the implementation of the Affordable Care Act (ACA) and additional state reforms. Despite this progress, the ACA explicitly and unjustly excludes undocumented immigrants from health coverage. In 2013, the California Immigrant Policy Center and Health Access California formed the Health4All Coalition to advocate for the state to end these unjust and discriminatory exclusions based solely on immigration status.

The coalition’s years of advocacy have resulted in a number of wins. California first invested in providing full-scope Medi-Cal to all low-income children, regardless of immigration status, in 2016 (“Health4All Kids”). A subsequent expansion to include undocumented young adults ages 19-25 took effect in 2020. This year, California made history with a plan to allow all income-eligible adults ages 50 and above to access Medi-Cal beginning May of 2022. This is the most expansive program for undocumented older adults in the nation. Ensuring every Californian stays healthy through access to preventative health care not only advances health equity but also makes our health care system stronger and more efficient, benefiting everyone in our state.

However, approximately 700,000 to 800,000 undocumented adults between the ages of 26 and 49—our parents and siblings, friends and neighbors, taxpayers and workers in our economy—remain locked out of comprehensive health care. Any effort towards universal coverage, whether in California or nationally, will not be successful until everyone, regardless of status, has access to care.

The #Health4All Campaign continues to champion the right to health care for everyone who calls California home.

Take Action

In a moment of reckoning with racial injustice and structural inequity, when the COVID-19 pandemic is disproportionately harming immigrant communities and people of color, it has become clear that no Californian should be excluded from comprehensive health coverage. Equitable access to care for ALL Californians makes good public health sense in the face of a rapidly spreading virus. It makes us all safer and healthier.

The next fight on the campaign’s agenda is to close the remaining gap in coverage for those between 26 and 49 years of age.  

During the pandemic, California has seen record budget surpluses that  give us the opportunity to undo structural inequality through critical safety net investments such as the Golden State Stimulus, food and nutrition access, homelessness prevention, and health care. Now is the time for bold legislation that ends the systemic exclusion of low-income undocumented adults from Medi-Cal.

Join us this campaign season to urge your legislators to pass #Health4All this year!

Community Voices

What We Have Accomplished


Closing the Gap

Health4All Older Adults is implemented on 5/1/22. Governor Newsom introduces a proposal to close the final Medi-Cal gap and ensure access for all income-eligible 26 to 49 year olds, regardless..Read More


Health4All Older Adults

Following a record state budget surplus, the coalition wins Health4All Older Adults, Medi-Cal eligibility for undocumented Californians ages 50 and above.


AB 4 (Arambula) and SB 29 (Durazo)

Health4All Young Adults is implemented on 1/1/20. Governor Newsom includes the Health4All Seniors proposal for undocumented seniors ages 65 and older in his initial budget proposal but rescinds it after..Read More


Health4All Young Adults

Health4All Young Adults passes with Governor Gavin Newsom’s support, expanding Medi-Cal eligibility for undocumented immigrants ages 25 and younger, making California the first state to extent coverage to undocumented adults.


SB 974 (Lara) & AB 2965 (Arambula)

Two bills are introduced: SB 974 (Lara), to allow undocumented elders ages 65 and older to enroll in Medi-Cal, and AB 2965 (Arambula), to do so for young adults ages..Read More


Health4All Kids

Health4All Kids is implemented, leading to over 250,000 children (and counting) enrolled into Medi-Cal.


SB 75 (Lara), aka Health4All Kids

SB 75 (Lara), aka Health4All Kids, is signed into law, expanding Medi-Cal eligibility for all income-eligible minors ages 18 and younger in California, regardless of immigration status.


Health4All Legislation

Health4All Legislation is introduced for the first time in California State Legislature.


Affordable Care Act

Affordable Care Act is signed into law, expanding healthcare access for millions of Americans and non-citizens, while excluding undocumented immigrants.