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!
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
Browse Other Changes Planted by Dr. Ross
Building Healthy Communities $1B invested over 10 years
Youth Awards 37 total awards given
Schools Not Prisons & BMOC Millions reached since 2016
Farmworker Health $50M initiative
TCE Grant Making 2023 $381M awarded
Parks for All Hundreds of millions leveraged for parks investments in CA
Youth on the Board 1st of large foundations in US to have youth on the board
Childhood Obesity & Freshworks $272M to expand access to fresh and healthy foods in low-income communities
CHIS 20,000 households interviewed annually to find health gaps in CA
Kids Health Coverage Campaign $4M to help enroll children in health programs
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 125,000+ use our facilities every year
Wishing Wall
Dr. Ross,
Thank you for being unwavering and clear about TCE’s purpose. Thank you for always listening and learning and dreaming about what could be.
Forever grateful,
- Mia Bolton
Thank you for your leadership and keeping justice at the center of LA philanthropy!
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
Bob,
Fortunate to have such a powerful voice & thought leader at TCE.
- Sherry
Thank you, Dr. Ross, for all the love you have given to this world. You have paved the way to continue making change.
- Veronica
You inspired me to keep endeavoring in education even when it's hard. Thank you.
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 -
Thank you for all you’ve done for the community and have an amazing retirement!
Best wishes to you and your family.
Blessings,
Mykol Lewis
Brotherhood Crusade
Thank you for all the great work bringing health and wellness to California.
- Alan Pullman
Job well done! Now it’s time to take some ‘bob’ time. We love and appreciate you!
- Arnold & Karen Perkins
Wishing you a happy and blessed retirement.
Love,
- David & Pei
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.
Bobbie -
May God continue to order your steps. He;s not finished with you yet.
Thank you for your guidance and leadership!
Best wishes!
Enjoy & have fun. God bless you!
- Elizabeth Tabita
Thank you for all your work!
- Olga (FBHC)
Dr. Bob -
Enjoy this next chapter in your life. I wish you joy!
- Jim Crouch
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