2023 ANNUAL REPORT

New Name, Same Mission

In 2023, CPCA’s board of directors urged the rebranding of its (c)(4) affiliate, CaliforniaHealth+Advocates, to be more strategically aligned with the parent organization. The Board encouraged this change to help support the (c)(4)’s work and make it crystal clear to outside partners and the Legislature the connection between CPCA and its advocacy affiliate. After careful consideration, the

CPCA Board and the (c)(4) Board approved the name change to the California Primary Care Association Advocates, or CPCA Advocates.

MAKING the CHANGE

In the final months of 2023, Advocates staff, led by our Associate Director of Grassroots Advocacy, Taylor Beckwith, made the transition from CaliforniaHealth+Advocates to CPCA Advocates by transforming our internal and external communication platforms with a new logo and branding that solidify the connection to CPCA.

A soft launch via social media followed, switching all social media accounts and informing partners and followers. Thereafter, all internal communications and branding were changed. This effort was completed in 2024 with a full launch and website transition. We look forward to continuing advocacy efforts under a new name, but with the same mission.

MISSION and VISION

CPCA Advocates is committed to supporting policies that strengthen health centers and the health care delivery system as a whole, ultimately improving patients’ physical, mental, and family wellbeing. 

CPCA Advocates believes that every Californian is entitled to comprehensive healthcare coverage and timely access. This includes maintaining a strong Medicaid program and removing barriers for vulnerable populations, addressing the social determinants of health, supporting all patients’ ability to access culturally competent and linguistically appropriate care, and ensuring expanded access to care.

POLICY

STATE UPDATES

SPONSORED BILLS

In 2023, Advocates sponsored or co-sponsored four bills highlighting health center priorities.
Assembly Bill 1549 (W. Carrillo)

AB 1549 sought to modernize Federally Qualified Health Center (FQHC) reimbursement rules and PPS, align with state-led care transformation initiatives, and ensure health centers could successfully meet rising operational costs, support a thriving workforce, and continue providing innovative, quality, patient-centered, equitable care to the Medi-Cal members they serve. In addition to the policy issues in question in this bill, the legislation was also intended to educate newly elected officials and their staff on the complexity of CHCs’ reimbursement structure and the need to modernize this antiquated payment system.

Although the bill was held in the Assembly Appropriation Committee, it set the foundation for future educational efforts and PPS modernization. budget trailer Senate Bill 184 and Advocates-sponsored Assembly Bill 32; added more behavioral health support by signing another bill sponsored by Advocates, Senate Bill 966; and added more resources to help strengthen our workforce.

Assembly Bill 1612 (Pacheco)

AB 1612 was a co-sponsored bill seeking to address regulatory barriers, commonly referred to as OSHPD 3, preventing CHC expansion and further efforts to expand access to care. The bill would have decoupled building standards that tie hospital outpatient clinics to CHCs. As currently structured, these building standards do not improve patient safety; rather, they often make it prohibitively expensive for CHCs to build new clinics or take over existing structures. AB 1612 was also vetoed by Governor Newsom. In his veto statement, Newsom claimed the bill “removed important health and safety protections for patients, clinic staff, and the public. Every primary care clinic, regardless of location, should meet the applicable state licensing standards and building codes.” Resolving the OSPHD 3 regulatory barrier remains a priority for Advocates moving forward.

Senate Bill 282 (Eggman)

SB 282 was a co-sponsored bill to address the decades-long issue preventing CHCs from being reimbursed for a primary care and behavioral health visit on the same day. Similar to previous efforts, the bill sailed through the Legislature. The main opposition raised was the associated state cost for such a change. The Department of Health Care Services (DHCS) estimated the bill would cost the state in the “high hundreds of millions of dollars” and the Department of Finance was opposed to such a change because of the estimated cost.

This year, however, seemed different because of the accompanying Managed Care Organization (MCO) tax and an effort to reinstate this tax on health plans to fund Medi-Cal. Through that effort, Advocates made it clear that same day funding was a health center priority and an ideal policy issue to fund using the MCO tax revenue.

For a few days in May, the Governor’s Administration committed to same day funding; however, it came with a caveat that only health centers that were collectively bargained could gain access to this funding. CPCA strongly opposed such a precedent to leverage patient funding to encourage collective bargaining. As such, the funding was pulled and reallocated to other areas. Without the budget earmark, SB 282 was held in Assembly Appropriation Committee.

Assembly Bill 85 (Weber)

AB 85 was another co-sponsored bill seeking to identify social determinants of health (SDOH) earlier and intervene by requiring health plans and insurers to pay for SDOH screenings and referrals to community health workers, social workers, and other care members. The bill would have allowed providers to choose what screening method they used and would have authorized reimbursed under Medi-Cal fee for service. Unfortunately, Governor Newsom vetoed the bill, stating that it was premature because federal efforts to create standardized SDOH screening tools are ongoing and the state should await those efforts to avoid conflicting policies.

BILLS OF INTEREST

Health care is always a big issue in California politics, and this year was no different, with major legislation to increase health care workers’ minimum wage, reform the Mental Health Services Act (MHSA), and protect abortion access moving through the process, along with CHCs’ additional policy priorities.

Health Care Worker Minimum Wage Bill

Advocates negotiated a compromise on SB 525 (Durazo) during the final week of the legislative session, securing four out of five priorities in the final compromise.

For CHCs, the minimum wage increases will start to scale up to $21 per hour starting on June 1, 2024, completing the phase-in by June 1, 2027, at the amount of $25 per hour.

Advocates worked relentlessly to reach an agreement that will increase the wages for CHC staff, while at the same

time ensuring health centers will have ample time to prepare for the new law.

The negotiations also provided a waiver program for those health centers that cannot meet the wage increase requirements of the new law.

Additionally, the deal secured a moratorium on local ballot initiatives or local ordinances seeking to increase the health care worker minimum wage inconsistent with the SB 525 law until at least June 2027.

Finally, we were able to limit the scope of the bill to ensure true independent contractors were not included in the minimum wage increase.

While we were unable to secure additional funding this session to cover the costs associated with the wage increase in the negotiations, we are committed to continue pursuing new revenue sources through the MCO tax and advance PPS reform through legislative and administrative advocacy.

SB 487 (Atkins)

Numerous bills of impact sought to close remaining gaps in California’s abortion protection and access network. One bill of interest was SB 487, which prohibits health insurers and the state from penalizing abortion providers who have been sanctioned in other states. This bill was sponsored by Planned Parenthood Affiliates of California, supported by Advocates, and signed into law.

SB 326 (Eggman)

Governor Newsom spent much of this year focused on changing the MHSA to the Behavioral Health Services Act with a new focus on addressing homelessness. These policy changes were placed in SB 326 late in the legislative session.

Advocates supported funding for supportive housing to those who need it; however, we had concerns with taking these

Governor Newsom spent much of this year focused on changing the MHSA to the Behavioral Health Services Act with a new focus on addressing homelessness. These policy changes were placed in SB 326 late in the legislative session.

Advocates supported funding for supportive housing to those who need it; however, we had concerns with taking these

funds away from CHCs that have been able to access this funding. For Advocates, moving funding from one major priority to another without filling the funding gap would not resolve the mental health and homelessness crises.

As it was Governor Newsom’s top priority, SB 326 was signed into law.

AB 616 (Rodriguez)

Advocates opposed and successfully pushed for a veto on AB 616, which would have allowed the financial information of CHCs that have created risk-bearing organizations and partnering organizations to be disclosed to any person or organization upon request. The bill would have disincentivized CHCs from taking on more risks for the sake of improved patient outcomes because of the ability to have its financial information disclosed to potential adversarial persons or entities.

BUDGET ADVOCACY

Despite the bleak fiscal outlook, with a projected state deficit of nearly $32 billion, Advocates successfully secured a total of $110 million dollars for health centers in the 2023-24 budget.

This funding included a one-time $20 million investment in DHCS’s budget for Medi-Cal health navigation services specifically dedicated to CHCs. Funding will support outreach, enrollment and renewal assistance, and processing, troubleshooting, and technical assistance efforts across California to assist patients in gaining and maintaining Medi-Cal coverage. These activities will support California’s Medi-Cal redetermination goals and the enrollment of income-eligible adults ages 26 through 49 into full-scope Medi-Cal, regardless of their immigration status, starting in January 2024.

While previous rounds of funding for the DHCS Medi-Cal Health Navigators program have historically been distributed through counties, a further success was convincing DHCS to contract with CPCA to administer these funds as a Third-Party Administrator. This has allowed CPCA to partner with regional consortia and CHCs across the state to ensure funding is equitably distributed. This has the potential to serve as a model for future funding to flow from the state directly to health centers through CPCA.

Additionally, CHCs will receive one-time funding of $40 million towards the Providing Access and Transforming Health (PATH) Initiative. The funding will give health centers infrastructure dollars to build Enhanced Care Management or Community Supports programs. Finally, CPCA and coalition partners were also able to secure $75 million for Graduate Medical Education as part of the MCO tax advocacy in the budget.

Senate Bill 184

Telehealth

The final trailer bill language contained in SB 184 includes details regarding permanent FQHC/RHC telehealth policy. SB 184 makes it clear that DHCS will continue coverage of and payment parity for synchronous telehealth, including both video and audio-only, as well as asynchronous telehealth modalities for all Medi-Cal providers. There are also details regarding the establishment of patients through video synchronous interaction for FQHCs, and establishment of patients via asynchronous modalities under specific conditions. These are permanent telehealth flexibilities that went into effect on January 1, 2023. This was a huge win and a major policy step forward thanks to the consistent work of CPCA membership’s advocacy, legislative champions, and the Administration to establish comprehensive, permanent telehealth policies under Medi-Cal.

MCO Tax Budget & Ballot Initiative

Throughout 2023, CPCA and Advocates worked in partnership with a broad coalition of healthcare system leaders across the state to advocate for the reinstatement of a tax on managed care organizations and ensure that its revenues are dedicated to the Medi-Cal system.

As a part of the Governor’s Fiscal Year 2023-24 state budget, the MCO tax was renewed. Subsequent negotiations between the Administration and the coalition led to a historic investment in Medi-Cal rate increases, along with $50 million dedicated to CHCs in the FY 2024-25 budget. CPCA was one of the main coalition partners seeking to permanently keep MCO tax revenue funding Medi-Cal. Historically, the sitting Governor’s Administration often used the generated tax revenue to support the General Fund and address budget deficits. As such, on September 7, 2023, the Coalition to Protect Access to Care filed a statewide ballot initiative with the Attorney General.

The ballot initiative, known as the Protect Access to Healthcare Act of 2024, will seek to make the MCO tax permanent and unlock billions of dollars for Medi-Cal. If passed, this funding would potentially include up to $5.5 million per health center corporation a year (if divided evenly), which includes $300 million dedicated to CHCs through a new quality improvement program. Funding allocated through the ballot initiative would be prohibited from being used to supplant existing funding streams, and would not be subject to reconciliation, protecting CHCs’ ability to access funding in addition to their PPS rate.

On the importance of locking in permanent funding into Medi-Cal, President & CEO Francisco Silva said to California Healthline, “We should invest today because the need is so high.”

If successful, the payoff for health centers, and California’s public health care system overall, will be significant. CPCA is working closely with several of our member health centers and consortia to raise $5 million dollars for the Protect Access to Healthcare Act. This contribution will be crucial in ensuring this policy will be approved by voters when it comes before them on November 5, 2024. As a trusted voice within our communities, health centers have an important role in educating the public about the importance of this policy. With the help of our members, we will ensure that every patient, staff, or family member we talk to understands the significance of passing this initiative. With signature gathering underway, members will hear a lot from us about ways to support this monumental and historic effort.

Political Endorsements & Fundraising

This year was the unofficial kick-off to the 2024 election season. Over the course of 2023, Advocates, along with CHC leaders from across California, held 43 different candidate interviews with individuals running for State Assembly and State Senate. This was in addition to the more than 50 meetings held with California’s potential future leaders. These interviews and meetings are part of a critical component of our endorsement process, allowing health center leaders the opportunity to educate the candidates on the most pressing CHC issues and begin the process of cultivating relationships.

In October, Advocates completed its first round of endorsement interviews. The Advocates Board ultimately voted to support:

Additionally, our Political Action Committee (PAC) was able to raise $67,520 from more than 68 donors. We are very grateful and fortunate to have donors who support the mission of community health centers. With every dollar, these investments help to advance our mission in Sacramento. Having a robust PAC allows us to contribute directly to candidates and elected officials running for office, thus putting our financial endorsement towards the candidates’ election efforts.

This year alone, our PAC was able to support the Speaker of the Assembly, Robert Rivas; Assembly Majority Leader Cecilia Aguiar Curry; Assemblymembers Wendy Carrillo, Megan Dahle, Corey Jackson, Blanca Pacheco, and Dr. Akilah Weber; and Senators Monique Limon and Caroline Menjivar. Furthermore, the PAC contributed towards the campaigns of Mark Gonzalez and Jose Solache in their first legislative election.

If you would like to join the many community health center leaders in supporting our PAC and political efforts, please contact Victor Christy at victor@cpcaadvocates.org.

FEDERAL ADVOCACY

The Health Center Fund

On average, FQHCs receive the majority of their operating expenses through reimbursements. A smaller, but vital, source of funding is the 330 grant, often called the Health Center Fund.

The Health Center Fund comes from about one third annual discretionary appropriations and two thirds mandatory funding.

Annual discretionary appropriations are adopted by Congress each year, and the Health Center Fund is included in the Departments of Labor, Health and Human Services, and Education Appropriations bill. The first five years of mandatory funding was included in the Affordable Care Act and has been extended several times since the passage of that bill in 2010. Both the mandatory and annual discretionary portions of the Health Center Fund were set to expire on September 30, but they have been extended via a Continuing Resolution through January 19 and February 2, respectively.

The House and Senate Committees that have oversight over the mandatory portion of the Health Center Fund have very different approaches for the extension. On the House side, H.R. 5378, the Lower Costs, More Transparency Act, includes a two year and three month extension of the Health Center Fund with 10 percent increases annually. This bill was passed the House of Representatives in December on a vote of 320 to 71. California health centers’ advocacy efforts were instrumental in encouraging their representatives to vote for the bill.

The Senate Health, Education, Labor, and Pensions Committee has approved S. 2840, the Bipartisan Primary Care and Health Workforce Act, which would extend the Health Center Fund for three years with a 45 percent increase. It is not clear if S. 2840 will come up for a vote on the Senate floor as a standalone bill.

Both H.R. 5378 and S. 2840 also include extensions of the National Health Service Corps mandatory funding and the Teaching Health Center Graduate Medical Education funding, along with other provisions not related to health centers.

Preparing For
the End of the COVID-19 Public Health Emergency

image of two hands against a light blue back ground. between the hands is a shield with the logo of a family: male, female, and child. to the right and left of the hands are other logos of medial related items, including an ambulance, virus, thermometer, stretcher, medical plus sign, eye, chart, medicine, and syringe.
During the national public health emergency (PHE), the annual reevaluation of ongoing eligibility for public programs, including Medi-Cal, was temporarily paused to ensure ongoing access to health coverage during the pandemic.

When the COVID-19 continuous coverage requirement expires at the end of the PHE, California will need to conduct a full redetermination for all beneficiaries.

States will have up to 12 months, plus two additional months due to renewal processing policies, to return to normal eligibility and enrollment operations, which includes conducting a full renewal for all individuals enrolled in Medi-Cal.

In California, Medi-Cal enrollment has increased roughly 16 percent from the beginning of the pandemic to 14.5 million beneficiaries today. Out of those, two to three million beneficiaries could no longer be eligible for Medi-Cal, and there is concern that many more enrollees could lose coverage due to the redetermination process.

On April 12, 2022, Health and Human Services Secretary Xavier Becerra signed a renewal of the COVID-19 Public Health Emergency, effective April 16, 2022. PHE extensions had been active for 90 days, but the PHE could technically have been terminated sooner. However, HHS indicated that they would have provided states with a 60-day notice prior to the termination of the public health emergency declaration for COVID-19.

Medi-Cal PHE Unwinding Strategies and Toolkits

blue graphic on yellow background of woman holding an umbrella with a heart over an older woman and child. Blue text says "Keep your family covered. Update your contact information so Medi-Cal can reach you when it's time to renew." Medi-Cal logo with yellow flower at the bottom.
The Department of Health Care Services (DHCS) had been actively preparing for the end of the PHE and resuming coverage eligibility and enrollment operations through two phases of an Unwind Communications Strategy:

Phase 1: Updating Medi-Cal Beneficiary Contact Information –

Managed care plans are currently focused on conducting outreach to educate Medi-Cal beneficiaries about updating their contact information with their county social services agencies. This is a critical step to avoiding coverage loss. This phase is currently in process.

Phase 2: 60-Day Prior to the COVID-19 PHE Termination –

Once states receive the 60-day notice of the PHE termination, DHCS will shift the focus of the campaign 60 days prior to the end of the COVID-19 PHE. At that time, DHCS will encourage beneficiaries to report any changes in their personal circumstances and check their mail for upcoming renewal packets, should the county be unable to complete the renewal using information already available to them without having to contact the beneficiary.

California also launched a statewide coordinated campaign to reach beneficiaries with messages across multiple channels using trusted partners called DHCS Coverage Ambassadors. A customizable Medi-Cal Continuous Coverage toolkit and webpage are available to help push communications to Medi-Cal beneficiaries and encourage them to update their contact information with their counties to ensure they receive important information about keeping their Medi-Cal coverage. DHCS encourages everyone to join the mailing list to receive the latest information and updated toolkits.

Beneficiaries no longer eligible for Medi-Cal may qualify for tax subsidies that allow them to access affordable coverage through Covered California, or they may be eligible through their employer-based health coverage. Covered California, in partnership with DHCS, will launch a program to ensure that eligible individuals losing Medi-Cal will not experience a gap in coverage by enrolling in Covered California with financial help.

CPCA knows that health centers and consortia play a key role in ensuring that community members are connected to and enrolled in health coverage programs. With the anticipated expansion of full-scope Medi-Cal to undocumented adults in 2023, and reinstatement of Medi-Cal redeterminations when the PHE ends, we know this will require an incredible amount of staff time and resources to support coverage enrollment and retention in our communities. To help fund these services, CPCA was pleased to see the Governor include $60M in additional total funds allocated to the Health Enrollment Navigators Project through FY 2025-26 and continue project activities with an emphasis on COVID-19 PHE-related activities in the May Revision Budget.

EVENTS

cartoon of black female doctor standing at an open door with title "National Health Center Week: Innovations" and "Open Door"
National Health Center Week

National Health Center Week (NHCW) is an annual celebration with the goal of raising awareness about the mission and accomplishments of America’s health centers over the past five decades.

NHCW took place August 7-13, 2022. CaliforniaHealth+ Advocates provided a toolkit that consisted of resources for fundraising, sample calendar of events, social media, and community outreach.

The toolkit also included advocacy resources such as talking points, sample social media posts, and infographics for health center leaders to use as they engaged with Members of Congress and advocated for CHC top priorities.

Additionally, CaliforniaHealth+ Advocates hosted a pre-NHCW webinar on July 27, 2022, which provided an update on Advocates’ federal priorities, reviewing our advocacy resources, and providing tips on how to use NHCW to advocate for health centers.

Phone2Action Advocacy Campaigns

Phone2Action is a digital platform that allows advocates to contact their elected officials with a simple click of a button. In 2022, CaliforniaHealth+ Advocates launched eight campaigns to advance CHC legislative and budget priorities at the federal and state levels. In 2022, 487 people took action at least once, sending a total of 4,040 emails to legislators and posting 277 tweets.

photo of california state capitol building with red and gray triangles to the right, California Health Plus Advocates logo below
Day at the Capitol 2022

Day at the Capitol (DAC) is CPCA’s statewide annual event that allows health center leadership, clinicians, staff, patients, and advocates to engage in dialogue with legislative offices on budget and legislative priorities impacting CHCs. In preparation for DAC, CaliforniaHealth+ Advocates hosted a webinar on April 14th that outlined the day’s events, our legislative priorities, and provided a venue for those traveling to the State Capitol to ask questions in advance.

DAC was held in person on April 20th, the first time in two years due to the COVID-19 pandemic. Over 150 health center leaders from across the state came to Sacramento to collectively advocate on behalf of health center budget and legislative priorities.

The day began with a press conference on the south steps of the State Capitol to highlight CPCA’s budget priority relating to the $50M Supplemental Payment Pool (SPP) augmentation. At the press conference, we heard from our SPP legislative champion, Assemblymember Wendy Carrillo (AD-51), Jane Garcia (CEO, La Clinica de La Raza), Dean Germano (CEO, Shasta Community Health Center), and CPCA’s new President and CEO, Francisco Silva. This was followed by our DAC Lunch Program, held at the Hyatt Regency Hotel.

As Keynote Speaker, Francisco shared his vision for CPCA and emphasized how important it was for health center leaders to be at the table when any major health policy is made. DAC culminated with a legislative reception and awards program where we honored Senators Pan, Eggman, and Limon, and Assemblymembers Carrillo, Salas, and Aguiar-Curry for their support of health centers. We were also joined by California’s Attorney General, Rob Bonta, who shared why it was important for health centers to advocate directly to their legislators.

Logo for National Association of Community Health Centers
NACHC Virtual Policy & Issues Forum 2022

NACHC Policy & Issues Forum (P&I) is an annual advocacy event hosted by the National Association of Community Health Centers (NACHC). P&I draws health center leaders from across the country to focus on critical health care issues, in addition to collectively advocating for CHC priorities with their Members of Congress.

This year’s P&I, originally scheduled as in-person for the week of February 14th, was changed to virtual only due to the surge in COVID-19. Although P&I Education Sessions still took place during that week, NACHC shifted their advocacy day and instead had a virtual “Head to the Hill Week” which took place the week of March 14th-18th. This provided an opportunity for California health center leaders to meet with their Members of Congress to discuss health center funding, telehealth, and the importance and impact of health centers in their communities. In preparation, CaliforniaHealth+ Advocates hosted a California State Delegation meeting on Wednesday, March 2nd to brief health center leaders on topics of interest and ways to enhance their advocacy on Capitol Hill.

NEW HIRES

CaliforniaHealth+ Advocates strengthened the Government Affairs department by adding a few members to the team with strong knowledge of community health centers, strong reputations in the Capitol building, and a passion for health equity. In 2022, Advocates welcomed Dennis Cuevas-Romero, Laura Sheckler, Taylor Jackson, and Taylor Beckwith.
Dennis Cuevas-Romero

Dennis Cuevas-Romero was hired in September of 2022 as Vice President to lead the CaliforniaHealth+ Advocates Government Affairs department. Prior to joining Advocates, Dennis worked at the California Medical Association and the ACLU Center for Advocacy and Policy. Dennis was also appointed by former Gov. Edmund G. Brown, Jr. as the Deputy Director for Legislation at the California Department of Consumer Affairs. Dennis has a bachelor’s degree from UC Berkeley and a Juris Doctorate from the University of the Pacific, McGeorge School of Law.

Laura Sheckler

In January 2022, Laura Sheckler joined Advocates as the Deputy Director of Policy and Regulatory Affairs. Laura was the first Consortia Policy Group colleague to join the GA team, and we were excited to have that perspective on our team.

Laura has worked in community health in the San Francisco Bay Area since 2004, with roles ranging from direct service to clinic management, program administration, and most recently as Director of Community and Government Affairs with the Community Clinic Consortium. Her work has focused on improving access to coverage and care for the remaining uninsured, addressing social determinants of health, and developing and strengthening inter-organizational networks.

Taylor Jackson

In December of 2022, Taylor was added to the Government Affairs team as Advocates’ lobbyist. Taylor has worked in California politics and policy for almost a decade, where she has fought tirelessly to protect California’s most vulnerable populations. She brings a breadth of experience and political acumen to CPCA from her years in the California State Capitol and as a lobbyist. Taylor previously worked as the Policy & Advocacy Director for the Center for Judicial Excellence where she led a multi-state policy agenda and ran a National Advocacy Training Series Cohort for survivors of domestic violence. Prior to that, she worked as a lobbyist for the California Nurses Association, representing over 100,000 registered nurses statewide. During her time in the Legislature, Taylor served as a Senior Policy Committee Consultant and a Leo T. McCarthy Center Fellow.

Taylor Beckwith

Taylor Beckwith was hired in December of 2022 to lead Advocates’ grassroots efforts. Before CPCA, Taylor was involved in various public health efforts and policy advocacy. Taylor was most recently the Tobacco Control Programs Manager with Breathe California Sacramento Region where she worked on local city and county ordinances related to tobacco control. Prior to that role, Taylor worked for Compadres for Tobacco-Free Los Angeles County, mobilizing community college campuses to adopt tobacco-free campus policies and spearheaded the movement for a tobacco-free campus policy at her undergraduate institution. Taylor has also worked as a contracted grant reviewer with the Center at Sierra Health Foundation since 2020 on funding opportunities related to substance use disorder and youth leadership aimed at supporting communities most heavily impacted by the War on Drugs.

Taylor holds a Bachelor of Arts degree in Psychology from Whittier College and will graduate with her Master of Public Health degree with a concentration in Social and Behavioral Sciences in August 2023 from the University of Florida. She also completed her Master of Public Health internship with Sacramento County Office of Education where she worked on School Based Mental Health and Wellness initiatives.

FINANCIALS

Balance Sheet

as of 12/31/2022
ASSETS
Current Assets
Cash174,894.00
Accounts Receivable17,181.00
TOTAL ASSETS192,075.00
LIABILITIES & EQUITY
Current Liabilities
Accounts Payable25,659.00 
Due to CPCA156,102.00 
TOTAL ASSETS181,761.00 
Equity
Retained Earning267,735.00 
Net Loss257,421.00 
Total Equity10,314.00 
TOTAL LIABILITIES & EQUITY192,075.00 

DONORS

CaliforniaHealth+ Advocates would like to thank each of the donors who generously and personally donated this past year towards our political advocacy efforts.

Advocates is grateful to all of our donors who believe in the mission of community health centers, and we would like to especially acknowledge the people who supported our efforts in this past year. We are grateful for you and thank you for your continued support.

If you are interested in supporting the CaliforniaHealth+ Advocates PAC with a donation, you can click here.

Below is a list of this year’s donors.

Champion – 1K or more
California Dental Association PAC
California Medical Association PAC (CALPAC)
Californians Allied for Patient Protection (CAPP)
Centene/HealthNet (Louise McCarthy)
Berenice Nunez Constant
Greg Facktor and Associates
Prima Waste Management
Corinne Sanchez
Asa Satariano
Francisco Silva
The Doctors Management Company
Anthony White

Advocates – 500 or more
Rosa Vivian Fernandez
Kevin Mattson
Leo and Lucy Myers-Peecci
Andie Patterson
Ralph Silber
Paulo Soares

Supporters – 250 or more
Leslie Abasta Cummings
Warren Brodine
Joey Cachuela
Reymundo Espinoza
Tim Fraser
Franklin Gonzalez
Olivia Lee
Johanna Liu
Joel Ramirez MD
Andrea Schwab Galindo
Yamilet Valladolid

Friends – 100 or more
Ben Avey
Dennis Cuevas Romero
Christina Hicks
Jessica Ho
Cathy Hyde
David Koenig
David Lontok
Marty Lynch
Johanna Lu
Melissa Marshall MD
Julie Minardi
Buddy Orange
Rakesh Patel MD
Kearsten Shepherd
Ginger Smith
Graciela Soto Perez
Sonja Spowart
Tory Star
Ayo Taylor
Richard Veloz
David Vliet
Christy Ward

Partners – up to 100
Nataly Diaz
Peter Dy
Rosie Gilb
Britta Guerrero
Deena Lahn
Karen Lauterbach
Julia Liou
Liz Oseguera
Becky Paplanus
Mary Szecsey
Heather Wright

BOARD & STAFF

Chair

David B. Vliet, MBA
Chief Executive Officer
LifeLong Medical Care

VICE CHAIR

Britta Guerrero
Chief Executive Officer
Sacramento Native American Health Center

SECRETARY

Louise McCarthy
Chief Executive Officer
Community Clinic Association of Los Angeles County  

TREASURER

Berenice Nunez Constant, MPH
Vice President, Government Relations
AltaMed Health Services Corporation

Director at large

Leslie Abasta-Cummings
Chief Executive Officer
Livingston Community Health

Director at large

Reymundo Espinoza
Chief Executive Officer
Gardner Family Health Network, Inc.

Director at large

Virginia Hedrick
Executive Director
California Consortium for Urban Indian Health

Director at large

Terri Lee Stratton, MPH
Executive Director
El Dorado Community Health Center 

EX OFFICIO

Robert Beaudry
Executive Vice President/Chief Strategy Officer
California Primary Care Association

EX OFFICIO

Francisco J. Silva, Esq.
President & Chief Executive Officer
California Primary Care Association

STAFF

Robert Beaudry
Executive Vice President/Chief Strategy Officer

Francisco J. Silva, Esq. President & Chief Executive Officer

Dennis Cuevas-Romero, Esq.
Vice President of Government Affairs

Kelley Aldrich
Associate Director of Legislative Affairs

Heather Barclay
Executive Assistant

Taylor Beckwith
Associate Director of Grassroots Advocacy

Victor Christy
Deputy Director of Political Engagement 

Taylor Jackson
Deputy Director of Government Affairs

Marisa Melendez
Senior Administrative Assistant

Elizabeth Oseguera
Assistant Director of Policy 

Laura Sheckler
Deputy Director of Policy and Regulatory Affairs

Ayo Taylor
Associate Director of Public Affairs and Communications

black and white photograph of tall trees with the perspective of the camera pointing up towards the sky.

2022 ANNUAL REPORT

Strength In Numbers