Skip to content

Primary care for undocumented to begin next month

on November 6, 2015

Rosa Arriaga suffers from arthritis and asthma, as well as pain in her neck, hands and knee. She used to have frequent medical checkups to control these conditions, but then her health plan changed and Doctors Medical Center closed.

At the age of 72, she qualifies for reduced cost for emergency attention, but she has stopped seeking it because she can’t afford even the $40 fee.

In June, California became the first state in the nation to vote in favor of allowing undocumented immigrants to buy Medi-Cal health insurance, but budget constraints ended that program.

On Tuesday, the Contra Costa County Board of Supervisors approved the appropriation of $500,000 to the Contra Costa Cares pilot health program. The program, designed to provide primary health coverage to low-income, uninsured and undocumented people, was contingent on the local hospitals matching the county’s appropriated funds.

Local hospitals also contributed $500,000 to establish Contra Costa CARES.

“[The program] reduces total costs in our healthcare system. When people get more preventative care, rather than emergency room care, it’s less expensive, and it improves everybody’s public health. The more people that are healthy, that protects the larger community,” said Supervisor John Gioia.

Arriaga, who has lived in Richmond 24 years, is ready to access affordable medical attention.

“For me, it would be the best,” Arriaga said in Spanish. “I can’t work because of my age. Maybe if I had a job, I could pay.”

The launch date is set for December 1, About 3,000 people are expected to be served Participants will have access to primary care visits, basic radiology and laboratory services and reduced pharmacy costs.

“That’s a start,” said Richmond resident Edith Pastrano, who attended the county hearing when the program was approved.

The board also authorized the Contra Costa Health Plan to issue enrollment cards to the program’s potential participants.

Supervisor Mary Piepho supported the action in September, but did not want the county seal on the enrollment card to present false hope to enrollees that this was an ongoing program.

There are more than 2.4 million undocumented immigrants across California, and an estimated half-million live in the Bay Area, according to the Pew Research Center. In Contra Costa County, the undocumented population is 77,500.

“More people will get regular health care, so it’s gonna help close a gap in a population that does not have regular health care, and we’re happy to close that gap,” Gioia said.


  1. claudia reed on November 11, 2015 at 11:26 pm

    Nice to see a portion of America behaving like a civilized society.

Richmond Confidential welcomes comments from our readers, but we ask users to keep all discussion civil and on-topic. Comments post automatically without review from our staff, but we reserve the right to delete material that is libelous, a personal attack, or spam. We request that commenters consistently use the same login name. Comments from the same user posted under multiple aliases may be deleted. Richmond Confidential assumes no liability for comments posted to the site and no endorsement is implied; commenters are solely responsible for their own content.

Card image cap
Richmond Confidential

Richmond Confidential is an online news service produced by the UC Berkeley Graduate School of Journalism for, and about, the people of Richmond, California. Our goal is to produce professional and engaging journalism that is useful for the citizens of the city.

Please send news tips to

Latest Posts

Scroll To Top