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

View All

Wishing Wall

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

Love you, Bob! Keep killing the game!

Thank you for believing in us and the opportunities your faith in us have afforded so many. We wish tenfold those blessings on you.
- Alf LaMont

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

Dr. Ross -
The man who helped me to dream in decades! Thank you for your leadership and example of courage. You’ve made us all better!
- Kaci Patterson

Wishing you good health and lots of laughter!

Bob -
With huge appreciation for an example of excellence, humility, and grace.
Best wishes.

Dear Bob,
Well done, good and faithful servant! Remember: you don’t get to retire from Saint Marks - ever.
- Carri

Dr. Ross,
Thank you for your unwavering support of the HCA and the BHC. You made a difference in the world, and supported us to do the same.
In gratitude,
- Yvonne Maria Jimenez
NLSLA

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.

Dr. Ross,
The East Los Angeles Women’s Center sends you many blessings and gratitude for the support for our community & mujeres.

Dr. Ross,
Wishing you special times with your daughter. Relax and enjoy the beach.
Love,
- Marie P.

Bob -
“Dr. Ross” - thank you for your leadership, support, and contributions towards health equity and health justice.
With gratitude,
- Ignatius Bau

Your words at the Liberty Hill dinner always stuck with me and I continue to share the message today.
Thank you,
- Darryl

Dr. Ross,
Wishing you a magical abundant retirement.
- Nikki

You are an inspiration! Thank you for everything.
- Ted

I wish that you receive as much as you’ve provided to so many.
Much love,
- Steve Delgado

Hey Bob!
Best wishes for what’s next! Love you!

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

Best wishes!
- Melinda Smith and the Helpguide team

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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