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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  • Health4All
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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

View All

Wishing Wall

Best wishes, Dr. Ross! I hope your days are filled with all the things that make you happy.

Thank you for all that you’ve done! Please enjoy your retirement. You deserve it!
- Martha Dina Arguello & PSR-LA

Dr. Ross,
Well wishes on this next adventure! Enjoy this time!
- Stephanie Ghayouri

The force is strong in our family.
- D. Wash

Dr. Ross! You are a blessing and have changed the world we live in. Thank you.
- H.S.F.

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

Thank you for being a mentor and inspiration. You have truly made a difference in California and the world.

Dr. Ross,
I hope this next chapter fills you up as you get to witness the work and people you have nurtured for all these years.

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

Happy times and thanks for all you have done for me.

Congratulations Dr. Ross (aka 007) on 24 years of making a change in CA’s future.
Best,
- Dolores Estrada

Thank you for all of the years of big ideas and humble connection.

Love you brother!

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

Bob,
May your love, kindness and humor grow in retirement.
Love you,
- Steve & Victoria

Celebrate your new life!!
Our very best,
- Lew & Mary

You are a big inspiration for this world! Thank you!

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

Dearest Dr. Ross,
May you be happy in the next phase of your life.
- Susan

RKR - sooooo wonderful to gather this evening to celebrate you! The honor and privilege of knowing you is more than I can describe. Hoping we will be sure to connect as you go.

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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