Inequitable access to health care has caused measurable harm to many Californians, in particular to Black, Latino/x, and other racial/ethnic communities, as well as to the lesbian, gay, bisexual, transgender, queer, and questioning (LGBTQ+) and disability communities. Gaping health disparities reflect the state’s long history of discrimination embodied in contracts, laws, and everyday practices of businesses and civic agencies at all levels. Recent events, including the COVID-19 pandemic - which disproportionately impacted historically marginalized groups - and racial/ethnic-focused violence and unrest fueled by the killing of George Floyd and many others, sparked a renewed public reckoning and commitment by the state of California to address California’s long history of racial injustice and inequities, the impacts of which are felt immensely today, and to focus on advancing health equity. This report, based on research by the California PanEthnic Health Network (CPEHN), is the first-ever survey and documentation of health equity initiatives enacted by the California state government since the onset of the COVID-19 pandemic, and provides an overview of health equity programs and activities being conducted through California state agencies and departments, as well as through the legislature and the governor’s office. The authors’ goal is to inform Sacramento stakeholders about the status of health equity efforts in the California state government. The research included a review of published materials, including statutes, proposed legislation, public statements, and department and agency reports. The authors and other researchers at CPEHN interviewed key informants from state agencies and departments as well as legislators and staff.
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