24 Years of Planting Change

Health4All

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Health4All

The #Health4All campaign envisions a California where everyone, regardless of immigration status, belongs in our health system and has access to healthcare. While we celebrate our progress to date, la lucha sigue!

Health4All

BHC introduced a broadened understanding of health equity into the mainstream of policy debate and public consciousness. A striking example of this shift can be seen in the evolution of California’s public policy providing health care coverage under the Affordable Care Act, or ACA.

When the federal legislation passed in 2010, TCE focused on ensuring that all Californians had health coverage. The foundation launched statewide efforts supported by a special board-authorized fund, and the 14 BHC communities prioritized this work. While universal coverage seemed an impossible goal when TCE first launched its “Health4All” campaign, public sentiment and policymakers’ commitment moved in the same direction in a remarkably short time.

TCE used a communications campaign strategy to help ensure that people signed up in California. Given BHC’s focus on health equity for the most marginalized populations, changing the way people thought about undocumented immigrants was crucial.

Communications using the branding #Health4All focused on how essential immigrants are to California’s future. TCE engaged a wide range of partners, who in turn reached into their neighborhoods, knocking on thousands of doors to talk to Spanish-speaking and low-income residents about the importance of healthcare enrollment.

California’s ACA enrollment numbers and percentages rapidly became the highest in the nation. Four million individuals became newly insured in California, many of them undocumented.

Intensive enrollment efforts were followed by state policy campaigns to broaden eligibility for coverage. In 2016, California’s legislature voted to cover undocumented children up to age 19, and this was extended to young adults up to age 26 in 2019. Each step brought universal coverage closer to reality.

TCE, the 14 BHC communities, and statewide partners are credited with unrelenting persistence in moving toward this goal. The #Health4All campaign is widely perceived to have had enormous impact.

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  • Californians Enrolled Since ACA and Health4All Efforts:
  • 36M

    Covered
  • 1.9M

    Uninsured
  • 520K

    Uninsured and ineligible

“Investing in and observing the work of community organizers is truly fuel for optimism. Our partners and community leaders have demonstrated that grantees are the architects of a reimagined health destiny.”

DR. ROBERT K. ROSS President & CEO, The California Endowment
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Browse Other Changes Planted by Dr. Ross

Building Healthy Communities

Building Healthy Communities $1B invested over 10 years

Youth Awards

Youth Awards 37 total awards given

Schools Not Prisons

Schools Not Prisons & BMOC Millions reached since 2016

Farmworker Health

Farmworker Health $50M initiative

TCE Grant Making 2023

TCE Grant Making 2023 $381M awarded

Parks for All

Parks for All Hundreds of millions leveraged for parks investments in CA

Youth on the Board

Youth on the Board 1st of large foundations in US to have youth on the board

Childhood Obesity Freshworks

Childhood Obesity & Freshworks $272M to expand access to fresh and healthy foods in low-income communities

CHIS

CHIS 20,000 households interviewed annually to find health gaps in CA

Kids Health Coverage Campaign

Kids Health Coverage Campaign $4M to help enroll children in health programs

Cultural Competency

Cultural Competency/Health Workforce/PRIME $78.2M to CA organizations working to boost the size and diversity of the state's healthcare workforce

TCE Headquarters

TCE Headquarters 125,000+ use our facilities every year

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Wishing Wall

Dr. Ross,
You are an amazing person/soul! Wish you the best retirement!

Dr. Ross,
Best wishes on your journey. Thank you for everything!
-SAJE

Bob,
We can’t thank you enough. Our wish is that you take some time to do what you want to do.
You’ve done so much for others. It’s time to DO YOU!
God bless,
- Steve & Jenn

Dr. Ross,
Wish you peace and reflective joy brother.
- Efrain Escobedo

Dr. Ross,
I love you!! Thank you for being a servant to the people. Lives are better because you came into the world.

Mil gracias from planned parenthood! We love you!

You inspired me to keep endeavoring in education even when it's hard. Thank you.

Wishing you the best and a well deserved rest to enjoy the simple things in life.
Peace,
- Bob Alvarez (Balance PR)

Congratulations on a wonderful 24 years of impact! May God bless you and keep you!

Bob:
Thanks for 24 years of service to TCE and all Californians! Enjoy your new adventures!

Rosetta Henderson Bloom again

All the best to the world’s greatest boss & mentor. Thank you for your leadership, advice, and support these last 16 years!
- Dan DeLeon

Wishing you well in all things, Bob. Preach on!
- John F.

Dr. Ross -
I learned so much from you and loved working together on op-eds, etc… After a break, I think you have a book in you.

Dear Bob,
I have learned and grown so much during my time at TCE and with you. Thank you for everything.
- Karthik

Dr. Ross,
Thank you very much for all your efforts. You’ve planted many seeds and tended greatly to your community. I’m immensely grateful for your work. Take a moment to appreciate yourself. Thank you!

Best wishes!

I wish you all the best. Hopefully I will see you around the bowl more!
- Virginia Mosqueda

Thanks for everything!!! Best of luck!

Thank you for all your support for the ACA, #Health4All, and everything else.

Unveiling Our
2025 Annual
Report

The California Endowment is proud to present our 2025 annual report. Read about the work we are supporting and our partners who are changing California to a state of belonging and inclusion.

View Report
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