Amended IN Senate April 08, 2025 CALIFORNIA LEGISLATURE 20252026 REGULAR SESSION Senate Bill No. 338Introduced by Senator BeckerFebruary 12, 2025 An act to add Chapter 3.9 (commencing with Section 18249) to Part 6 of Division 9 of the Welfare and Institutions Code, relating to public social services. LEGISLATIVE COUNSEL'S DIGESTSB 338, as amended, Becker. Mobile Health for Rural Communities Pilot Program.Existing law establishes various programs to address the needs of migrant agricultural families. Existing law also provides funding to enhance and maintain rural health services.This bill would establish the Mobile Health for Rural Communities Pilot Program, and require the State Department of Health Care Services to administer the program to expand access to health services for farmworkers in rural communities. The bill would authorize the department to work with a community organization, including Ayudando Latinos a Soar or other community foundations, to assist in the administration of the program. The bill would require the department, among other things, to deploy mobile units, as defined, in 2 rural counties communities based on farmworker population and access to health care. Under the bill, the mobile units would include, at a minimum, computers, Wi-Fi, cubicles for virtual visits, and exam rooms for telemedicine. The bill would require the department, on or before January 1, 2027, to report the outcomes of the program to the Legislature. The bill would create the Farmworkers Health Equity Fund and would condition implementation of these provisions on no General Fund moneys being used.The bill would make findings and declarations in support of its provisions.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO Bill TextThe people of the State of California do enact as follows:SECTION 1. The Legislature finds and declares all of the following:(a) It is the intent of the Legislature to model this pilot program after the successful Farmworker Health Equity Express Bus program, which launched in 2022, visiting farms in and around the Half Moon Bay community to expand access to health services for farm workers. (b) The Health Equity Express Bus was facilitated through a community partnership between Ayudando Latinos a Soar (ALAS) and Life Science Cares Bay Area.(c) The Farmworker Health Equity Express Bus was also made possible by grant contributions and donations from the Gilead Foundation, Genentech, and Abbvie.(d) ALAS is a Latino centered nonprofit organization dedicated to advocating for the farmworker and Latino community. (e) Life Science Cares Bay Area is a nonprofit organization that finds ways for the local Life Science industry to collectively address the impact of poverty on its neighbors.(f) The Farmworker Health Equity Express Bus was a shared vision between ALAS, Life Science Cares, Gilead, and Genentech to:(1) Support farmworker communities in achieving equitable outcomes around health care, education, and economic development.(2) Acquire education that can help other communities replicate or improve on this program.(3) Augment the reach of existing programs available to the broader community and enable access to farmworker communities.(a)(g) The federal Centers for Disease Control and Prevention (CDC) indicate that Latino Americans are more likely to have type 2 diabetes versus non-Latino whites. The CDC also reports that Latinos have poorly controlled high blood pressure compared to non-Latino whites.(b)(h) The National Institutes of Health report that Latinos are three times as likely to get COVID-19 and twice as likely to die of COVID-19 than the general population.(c)(i) A survey by the UC Merced Community and Labor Center of over 1,200 California farmworkers between 2021 and 2022 produced all of the following key findings from respondents:(1) Forty-nine percent reported being without health insurance.(2) Forty-three percent reported visiting a doctors clinic in the last year, and 39 percent had been seen by a dentist.(3) Over one-third reported that their health was fair or poor.(4) Between one-third and one-half reported having at least one chronic condition, and the most common reported conditions were diabetes, hypertension, and anxiety.(5) Forty percent of respondents suspected or confirmed being infected with COVID-19, and of those who tested positive, 41 percent said their health had not returned to normal.(d)(j) A survey from San Mateo County Health shows that common reasons cited by farmworkers struggling to access health care were lack of transportation and fear that taking time off from work would lead to losing their jobs.(e)(k) A survey from the Public Policy Institute of California found that the cost of care or lack of health insurance were other commonly cited reasons farmworkers may not seek the health care they need.(f)(l) Around 25 percent of households with farmworker income fall below the poverty line.(g)(m) Farmworkers tend to have low levels of formal education with about 74 percent reporting that they did not complete high school. The average level of formal education completed by a California farmworker is the eighth grade.(h)(n) According to the Public Policy Institute of California, about 97 percent of California farmworkers are Latino with 44 percent reporting that they do not speak or read English at all and 89 percent reporting that Spanish is their primary language.(i)(o) California has over 72,000 students, 3 to 21 years of age, inclusive, who are eligible to participate in the federal Migrant Education Program.(j)(p) These students, largely children of farmworkers, have a four-year graduation rate that is 5 percent lower than the statewide rate, according to the State Department of Education.(k)(q) Data from the California Assessment of Student Performance and Progress shows that these students score consistently lower on state standardized tests. For instance, during the 202223 school year, about 47 percent of all students met or exceeded English or language arts standards, while only about 24 percent of migrant students met or exceeded English or language arts standards. Nearly 35 percent met or exceeded math standards, with about 15 percent of migrant students reaching that threshold.SEC. 2. Chapter 3.9 (commencing with Section 18249) is added to Part 6 of Division 9 of the Welfare and Institutions Code, to read: CHAPTER 3.9. Mobile Health for Rural Communities Pilot Program 18249. There is the Mobile Health for Rural Communities Pilot Program.18249.2. The following definitions shall apply to this chapter:(a) Department means the State Department of Health Care Services.(b) Mobile unit means a vehicle or portable facility that is equipped with, at a minimum, computers, Wi-Fi, cubicles for virtual visits, and exam rooms for telemedicine.(c) Program means the Mobile Health for Rural Communities Pilot Program established by this chapter.18249.4. (a) The department shall administer the program to expand access to health services for farmworkers in rural communities by providing virtual connections to health care providers, mental health services, and educational services to help improve health outcomes in underserved communities.(b) The department may work with a community organization, including Ayudando Latinos a Soar or other community foundations, to assist in the administration of the program.18249.5. (a) The Farmworkers Health Equity Fund is hereby created in the State Treasury.(b) The department shall fund the implementation of this chapter with funding other than General Fund moneys, including gifts, donations, bequests, or grants of funds from private sources and public agencies, designated for any of the purposes of this chapter and deposited in the Farmworkers Health Equity Fund.(c) This chapter shall be implemented only if no General Fund moneys are used for this chapter.18249.6. (a) The department shall deploy mobile units in two rural counties communities based on farmworker population and access to health care.(b) The department shall make space available in or around mobile units that can be used for visits by professionals, including, but not limited to, medical teams, educators, and volunteers, who bring additional programming onsite to rural farms.18249.8. On or before January 1, 2027, the department shall report the outcomes of the program to the Legislature. The report shall comply with the requirements of Section 9795 of the Government Code. Amended IN Senate April 08, 2025 CALIFORNIA LEGISLATURE 20252026 REGULAR SESSION Senate Bill No. 338Introduced by Senator BeckerFebruary 12, 2025 An act to add Chapter 3.9 (commencing with Section 18249) to Part 6 of Division 9 of the Welfare and Institutions Code, relating to public social services. LEGISLATIVE COUNSEL'S DIGESTSB 338, as amended, Becker. Mobile Health for Rural Communities Pilot Program.Existing law establishes various programs to address the needs of migrant agricultural families. Existing law also provides funding to enhance and maintain rural health services.This bill would establish the Mobile Health for Rural Communities Pilot Program, and require the State Department of Health Care Services to administer the program to expand access to health services for farmworkers in rural communities. The bill would authorize the department to work with a community organization, including Ayudando Latinos a Soar or other community foundations, to assist in the administration of the program. The bill would require the department, among other things, to deploy mobile units, as defined, in 2 rural counties communities based on farmworker population and access to health care. Under the bill, the mobile units would include, at a minimum, computers, Wi-Fi, cubicles for virtual visits, and exam rooms for telemedicine. The bill would require the department, on or before January 1, 2027, to report the outcomes of the program to the Legislature. The bill would create the Farmworkers Health Equity Fund and would condition implementation of these provisions on no General Fund moneys being used.The bill would make findings and declarations in support of its provisions.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO Amended IN Senate April 08, 2025 Amended IN Senate April 08, 2025 CALIFORNIA LEGISLATURE 20252026 REGULAR SESSION Senate Bill No. 338 Introduced by Senator BeckerFebruary 12, 2025 Introduced by Senator Becker February 12, 2025 An act to add Chapter 3.9 (commencing with Section 18249) to Part 6 of Division 9 of the Welfare and Institutions Code, relating to public social services. LEGISLATIVE COUNSEL'S DIGEST ## LEGISLATIVE COUNSEL'S DIGEST SB 338, as amended, Becker. Mobile Health for Rural Communities Pilot Program. Existing law establishes various programs to address the needs of migrant agricultural families. Existing law also provides funding to enhance and maintain rural health services.This bill would establish the Mobile Health for Rural Communities Pilot Program, and require the State Department of Health Care Services to administer the program to expand access to health services for farmworkers in rural communities. The bill would authorize the department to work with a community organization, including Ayudando Latinos a Soar or other community foundations, to assist in the administration of the program. The bill would require the department, among other things, to deploy mobile units, as defined, in 2 rural counties communities based on farmworker population and access to health care. Under the bill, the mobile units would include, at a minimum, computers, Wi-Fi, cubicles for virtual visits, and exam rooms for telemedicine. The bill would require the department, on or before January 1, 2027, to report the outcomes of the program to the Legislature. The bill would create the Farmworkers Health Equity Fund and would condition implementation of these provisions on no General Fund moneys being used.The bill would make findings and declarations in support of its provisions. Existing law establishes various programs to address the needs of migrant agricultural families. Existing law also provides funding to enhance and maintain rural health services. This bill would establish the Mobile Health for Rural Communities Pilot Program, and require the State Department of Health Care Services to administer the program to expand access to health services for farmworkers in rural communities. The bill would authorize the department to work with a community organization, including Ayudando Latinos a Soar or other community foundations, to assist in the administration of the program. The bill would require the department, among other things, to deploy mobile units, as defined, in 2 rural counties communities based on farmworker population and access to health care. Under the bill, the mobile units would include, at a minimum, computers, Wi-Fi, cubicles for virtual visits, and exam rooms for telemedicine. The bill would require the department, on or before January 1, 2027, to report the outcomes of the program to the Legislature. The bill would create the Farmworkers Health Equity Fund and would condition implementation of these provisions on no General Fund moneys being used. The bill would make findings and declarations in support of its provisions. ## Digest Key ## Bill Text The people of the State of California do enact as follows:SECTION 1. The Legislature finds and declares all of the following:(a) It is the intent of the Legislature to model this pilot program after the successful Farmworker Health Equity Express Bus program, which launched in 2022, visiting farms in and around the Half Moon Bay community to expand access to health services for farm workers. (b) The Health Equity Express Bus was facilitated through a community partnership between Ayudando Latinos a Soar (ALAS) and Life Science Cares Bay Area.(c) The Farmworker Health Equity Express Bus was also made possible by grant contributions and donations from the Gilead Foundation, Genentech, and Abbvie.(d) ALAS is a Latino centered nonprofit organization dedicated to advocating for the farmworker and Latino community. (e) Life Science Cares Bay Area is a nonprofit organization that finds ways for the local Life Science industry to collectively address the impact of poverty on its neighbors.(f) The Farmworker Health Equity Express Bus was a shared vision between ALAS, Life Science Cares, Gilead, and Genentech to:(1) Support farmworker communities in achieving equitable outcomes around health care, education, and economic development.(2) Acquire education that can help other communities replicate or improve on this program.(3) Augment the reach of existing programs available to the broader community and enable access to farmworker communities.(a)(g) The federal Centers for Disease Control and Prevention (CDC) indicate that Latino Americans are more likely to have type 2 diabetes versus non-Latino whites. The CDC also reports that Latinos have poorly controlled high blood pressure compared to non-Latino whites.(b)(h) The National Institutes of Health report that Latinos are three times as likely to get COVID-19 and twice as likely to die of COVID-19 than the general population.(c)(i) A survey by the UC Merced Community and Labor Center of over 1,200 California farmworkers between 2021 and 2022 produced all of the following key findings from respondents:(1) Forty-nine percent reported being without health insurance.(2) Forty-three percent reported visiting a doctors clinic in the last year, and 39 percent had been seen by a dentist.(3) Over one-third reported that their health was fair or poor.(4) Between one-third and one-half reported having at least one chronic condition, and the most common reported conditions were diabetes, hypertension, and anxiety.(5) Forty percent of respondents suspected or confirmed being infected with COVID-19, and of those who tested positive, 41 percent said their health had not returned to normal.(d)(j) A survey from San Mateo County Health shows that common reasons cited by farmworkers struggling to access health care were lack of transportation and fear that taking time off from work would lead to losing their jobs.(e)(k) A survey from the Public Policy Institute of California found that the cost of care or lack of health insurance were other commonly cited reasons farmworkers may not seek the health care they need.(f)(l) Around 25 percent of households with farmworker income fall below the poverty line.(g)(m) Farmworkers tend to have low levels of formal education with about 74 percent reporting that they did not complete high school. The average level of formal education completed by a California farmworker is the eighth grade.(h)(n) According to the Public Policy Institute of California, about 97 percent of California farmworkers are Latino with 44 percent reporting that they do not speak or read English at all and 89 percent reporting that Spanish is their primary language.(i)(o) California has over 72,000 students, 3 to 21 years of age, inclusive, who are eligible to participate in the federal Migrant Education Program.(j)(p) These students, largely children of farmworkers, have a four-year graduation rate that is 5 percent lower than the statewide rate, according to the State Department of Education.(k)(q) Data from the California Assessment of Student Performance and Progress shows that these students score consistently lower on state standardized tests. For instance, during the 202223 school year, about 47 percent of all students met or exceeded English or language arts standards, while only about 24 percent of migrant students met or exceeded English or language arts standards. Nearly 35 percent met or exceeded math standards, with about 15 percent of migrant students reaching that threshold.SEC. 2. Chapter 3.9 (commencing with Section 18249) is added to Part 6 of Division 9 of the Welfare and Institutions Code, to read: CHAPTER 3.9. Mobile Health for Rural Communities Pilot Program 18249. There is the Mobile Health for Rural Communities Pilot Program.18249.2. The following definitions shall apply to this chapter:(a) Department means the State Department of Health Care Services.(b) Mobile unit means a vehicle or portable facility that is equipped with, at a minimum, computers, Wi-Fi, cubicles for virtual visits, and exam rooms for telemedicine.(c) Program means the Mobile Health for Rural Communities Pilot Program established by this chapter.18249.4. (a) The department shall administer the program to expand access to health services for farmworkers in rural communities by providing virtual connections to health care providers, mental health services, and educational services to help improve health outcomes in underserved communities.(b) The department may work with a community organization, including Ayudando Latinos a Soar or other community foundations, to assist in the administration of the program.18249.5. (a) The Farmworkers Health Equity Fund is hereby created in the State Treasury.(b) The department shall fund the implementation of this chapter with funding other than General Fund moneys, including gifts, donations, bequests, or grants of funds from private sources and public agencies, designated for any of the purposes of this chapter and deposited in the Farmworkers Health Equity Fund.(c) This chapter shall be implemented only if no General Fund moneys are used for this chapter.18249.6. (a) The department shall deploy mobile units in two rural counties communities based on farmworker population and access to health care.(b) The department shall make space available in or around mobile units that can be used for visits by professionals, including, but not limited to, medical teams, educators, and volunteers, who bring additional programming onsite to rural farms.18249.8. On or before January 1, 2027, the department shall report the outcomes of the program to the Legislature. The report shall comply with the requirements of Section 9795 of the Government Code. The people of the State of California do enact as follows: ## The people of the State of California do enact as follows: SECTION 1. The Legislature finds and declares all of the following:(a) It is the intent of the Legislature to model this pilot program after the successful Farmworker Health Equity Express Bus program, which launched in 2022, visiting farms in and around the Half Moon Bay community to expand access to health services for farm workers. (b) The Health Equity Express Bus was facilitated through a community partnership between Ayudando Latinos a Soar (ALAS) and Life Science Cares Bay Area.(c) The Farmworker Health Equity Express Bus was also made possible by grant contributions and donations from the Gilead Foundation, Genentech, and Abbvie.(d) ALAS is a Latino centered nonprofit organization dedicated to advocating for the farmworker and Latino community. (e) Life Science Cares Bay Area is a nonprofit organization that finds ways for the local Life Science industry to collectively address the impact of poverty on its neighbors.(f) The Farmworker Health Equity Express Bus was a shared vision between ALAS, Life Science Cares, Gilead, and Genentech to:(1) Support farmworker communities in achieving equitable outcomes around health care, education, and economic development.(2) Acquire education that can help other communities replicate or improve on this program.(3) Augment the reach of existing programs available to the broader community and enable access to farmworker communities.(a)(g) The federal Centers for Disease Control and Prevention (CDC) indicate that Latino Americans are more likely to have type 2 diabetes versus non-Latino whites. The CDC also reports that Latinos have poorly controlled high blood pressure compared to non-Latino whites.(b)(h) The National Institutes of Health report that Latinos are three times as likely to get COVID-19 and twice as likely to die of COVID-19 than the general population.(c)(i) A survey by the UC Merced Community and Labor Center of over 1,200 California farmworkers between 2021 and 2022 produced all of the following key findings from respondents:(1) Forty-nine percent reported being without health insurance.(2) Forty-three percent reported visiting a doctors clinic in the last year, and 39 percent had been seen by a dentist.(3) Over one-third reported that their health was fair or poor.(4) Between one-third and one-half reported having at least one chronic condition, and the most common reported conditions were diabetes, hypertension, and anxiety.(5) Forty percent of respondents suspected or confirmed being infected with COVID-19, and of those who tested positive, 41 percent said their health had not returned to normal.(d)(j) A survey from San Mateo County Health shows that common reasons cited by farmworkers struggling to access health care were lack of transportation and fear that taking time off from work would lead to losing their jobs.(e)(k) A survey from the Public Policy Institute of California found that the cost of care or lack of health insurance were other commonly cited reasons farmworkers may not seek the health care they need.(f)(l) Around 25 percent of households with farmworker income fall below the poverty line.(g)(m) Farmworkers tend to have low levels of formal education with about 74 percent reporting that they did not complete high school. The average level of formal education completed by a California farmworker is the eighth grade.(h)(n) According to the Public Policy Institute of California, about 97 percent of California farmworkers are Latino with 44 percent reporting that they do not speak or read English at all and 89 percent reporting that Spanish is their primary language.(i)(o) California has over 72,000 students, 3 to 21 years of age, inclusive, who are eligible to participate in the federal Migrant Education Program.(j)(p) These students, largely children of farmworkers, have a four-year graduation rate that is 5 percent lower than the statewide rate, according to the State Department of Education.(k)(q) Data from the California Assessment of Student Performance and Progress shows that these students score consistently lower on state standardized tests. For instance, during the 202223 school year, about 47 percent of all students met or exceeded English or language arts standards, while only about 24 percent of migrant students met or exceeded English or language arts standards. Nearly 35 percent met or exceeded math standards, with about 15 percent of migrant students reaching that threshold. SECTION 1. The Legislature finds and declares all of the following:(a) It is the intent of the Legislature to model this pilot program after the successful Farmworker Health Equity Express Bus program, which launched in 2022, visiting farms in and around the Half Moon Bay community to expand access to health services for farm workers. (b) The Health Equity Express Bus was facilitated through a community partnership between Ayudando Latinos a Soar (ALAS) and Life Science Cares Bay Area.(c) The Farmworker Health Equity Express Bus was also made possible by grant contributions and donations from the Gilead Foundation, Genentech, and Abbvie.(d) ALAS is a Latino centered nonprofit organization dedicated to advocating for the farmworker and Latino community. (e) Life Science Cares Bay Area is a nonprofit organization that finds ways for the local Life Science industry to collectively address the impact of poverty on its neighbors.(f) The Farmworker Health Equity Express Bus was a shared vision between ALAS, Life Science Cares, Gilead, and Genentech to:(1) Support farmworker communities in achieving equitable outcomes around health care, education, and economic development.(2) Acquire education that can help other communities replicate or improve on this program.(3) Augment the reach of existing programs available to the broader community and enable access to farmworker communities.(a)(g) The federal Centers for Disease Control and Prevention (CDC) indicate that Latino Americans are more likely to have type 2 diabetes versus non-Latino whites. The CDC also reports that Latinos have poorly controlled high blood pressure compared to non-Latino whites.(b)(h) The National Institutes of Health report that Latinos are three times as likely to get COVID-19 and twice as likely to die of COVID-19 than the general population.(c)(i) A survey by the UC Merced Community and Labor Center of over 1,200 California farmworkers between 2021 and 2022 produced all of the following key findings from respondents:(1) Forty-nine percent reported being without health insurance.(2) Forty-three percent reported visiting a doctors clinic in the last year, and 39 percent had been seen by a dentist.(3) Over one-third reported that their health was fair or poor.(4) Between one-third and one-half reported having at least one chronic condition, and the most common reported conditions were diabetes, hypertension, and anxiety.(5) Forty percent of respondents suspected or confirmed being infected with COVID-19, and of those who tested positive, 41 percent said their health had not returned to normal.(d)(j) A survey from San Mateo County Health shows that common reasons cited by farmworkers struggling to access health care were lack of transportation and fear that taking time off from work would lead to losing their jobs.(e)(k) A survey from the Public Policy Institute of California found that the cost of care or lack of health insurance were other commonly cited reasons farmworkers may not seek the health care they need.(f)(l) Around 25 percent of households with farmworker income fall below the poverty line.(g)(m) Farmworkers tend to have low levels of formal education with about 74 percent reporting that they did not complete high school. The average level of formal education completed by a California farmworker is the eighth grade.(h)(n) According to the Public Policy Institute of California, about 97 percent of California farmworkers are Latino with 44 percent reporting that they do not speak or read English at all and 89 percent reporting that Spanish is their primary language.(i)(o) California has over 72,000 students, 3 to 21 years of age, inclusive, who are eligible to participate in the federal Migrant Education Program.(j)(p) These students, largely children of farmworkers, have a four-year graduation rate that is 5 percent lower than the statewide rate, according to the State Department of Education.(k)(q) Data from the California Assessment of Student Performance and Progress shows that these students score consistently lower on state standardized tests. For instance, during the 202223 school year, about 47 percent of all students met or exceeded English or language arts standards, while only about 24 percent of migrant students met or exceeded English or language arts standards. Nearly 35 percent met or exceeded math standards, with about 15 percent of migrant students reaching that threshold. SECTION 1. The Legislature finds and declares all of the following: ### SECTION 1. (a) It is the intent of the Legislature to model this pilot program after the successful Farmworker Health Equity Express Bus program, which launched in 2022, visiting farms in and around the Half Moon Bay community to expand access to health services for farm workers. (b) The Health Equity Express Bus was facilitated through a community partnership between Ayudando Latinos a Soar (ALAS) and Life Science Cares Bay Area. (c) The Farmworker Health Equity Express Bus was also made possible by grant contributions and donations from the Gilead Foundation, Genentech, and Abbvie. (d) ALAS is a Latino centered nonprofit organization dedicated to advocating for the farmworker and Latino community. (e) Life Science Cares Bay Area is a nonprofit organization that finds ways for the local Life Science industry to collectively address the impact of poverty on its neighbors. (f) The Farmworker Health Equity Express Bus was a shared vision between ALAS, Life Science Cares, Gilead, and Genentech to: (1) Support farmworker communities in achieving equitable outcomes around health care, education, and economic development. (2) Acquire education that can help other communities replicate or improve on this program. (3) Augment the reach of existing programs available to the broader community and enable access to farmworker communities. (a) (g) The federal Centers for Disease Control and Prevention (CDC) indicate that Latino Americans are more likely to have type 2 diabetes versus non-Latino whites. The CDC also reports that Latinos have poorly controlled high blood pressure compared to non-Latino whites. (b) (h) The National Institutes of Health report that Latinos are three times as likely to get COVID-19 and twice as likely to die of COVID-19 than the general population. (c) (i) A survey by the UC Merced Community and Labor Center of over 1,200 California farmworkers between 2021 and 2022 produced all of the following key findings from respondents: (1) Forty-nine percent reported being without health insurance. (2) Forty-three percent reported visiting a doctors clinic in the last year, and 39 percent had been seen by a dentist. (3) Over one-third reported that their health was fair or poor. (4) Between one-third and one-half reported having at least one chronic condition, and the most common reported conditions were diabetes, hypertension, and anxiety. (5) Forty percent of respondents suspected or confirmed being infected with COVID-19, and of those who tested positive, 41 percent said their health had not returned to normal. (d) (j) A survey from San Mateo County Health shows that common reasons cited by farmworkers struggling to access health care were lack of transportation and fear that taking time off from work would lead to losing their jobs. (e) (k) A survey from the Public Policy Institute of California found that the cost of care or lack of health insurance were other commonly cited reasons farmworkers may not seek the health care they need. (f) (l) Around 25 percent of households with farmworker income fall below the poverty line. (g) (m) Farmworkers tend to have low levels of formal education with about 74 percent reporting that they did not complete high school. The average level of formal education completed by a California farmworker is the eighth grade. (h) (n) According to the Public Policy Institute of California, about 97 percent of California farmworkers are Latino with 44 percent reporting that they do not speak or read English at all and 89 percent reporting that Spanish is their primary language. (i) (o) California has over 72,000 students, 3 to 21 years of age, inclusive, who are eligible to participate in the federal Migrant Education Program. (j) (p) These students, largely children of farmworkers, have a four-year graduation rate that is 5 percent lower than the statewide rate, according to the State Department of Education. (k) (q) Data from the California Assessment of Student Performance and Progress shows that these students score consistently lower on state standardized tests. For instance, during the 202223 school year, about 47 percent of all students met or exceeded English or language arts standards, while only about 24 percent of migrant students met or exceeded English or language arts standards. Nearly 35 percent met or exceeded math standards, with about 15 percent of migrant students reaching that threshold. SEC. 2. Chapter 3.9 (commencing with Section 18249) is added to Part 6 of Division 9 of the Welfare and Institutions Code, to read: CHAPTER 3.9. Mobile Health for Rural Communities Pilot Program 18249. There is the Mobile Health for Rural Communities Pilot Program.18249.2. The following definitions shall apply to this chapter:(a) Department means the State Department of Health Care Services.(b) Mobile unit means a vehicle or portable facility that is equipped with, at a minimum, computers, Wi-Fi, cubicles for virtual visits, and exam rooms for telemedicine.(c) Program means the Mobile Health for Rural Communities Pilot Program established by this chapter.18249.4. (a) The department shall administer the program to expand access to health services for farmworkers in rural communities by providing virtual connections to health care providers, mental health services, and educational services to help improve health outcomes in underserved communities.(b) The department may work with a community organization, including Ayudando Latinos a Soar or other community foundations, to assist in the administration of the program.18249.5. (a) The Farmworkers Health Equity Fund is hereby created in the State Treasury.(b) The department shall fund the implementation of this chapter with funding other than General Fund moneys, including gifts, donations, bequests, or grants of funds from private sources and public agencies, designated for any of the purposes of this chapter and deposited in the Farmworkers Health Equity Fund.(c) This chapter shall be implemented only if no General Fund moneys are used for this chapter.18249.6. (a) The department shall deploy mobile units in two rural counties communities based on farmworker population and access to health care.(b) The department shall make space available in or around mobile units that can be used for visits by professionals, including, but not limited to, medical teams, educators, and volunteers, who bring additional programming onsite to rural farms.18249.8. On or before January 1, 2027, the department shall report the outcomes of the program to the Legislature. The report shall comply with the requirements of Section 9795 of the Government Code. SEC. 2. Chapter 3.9 (commencing with Section 18249) is added to Part 6 of Division 9 of the Welfare and Institutions Code, to read: ### SEC. 2. CHAPTER 3.9. Mobile Health for Rural Communities Pilot Program 18249. There is the Mobile Health for Rural Communities Pilot Program.18249.2. The following definitions shall apply to this chapter:(a) Department means the State Department of Health Care Services.(b) Mobile unit means a vehicle or portable facility that is equipped with, at a minimum, computers, Wi-Fi, cubicles for virtual visits, and exam rooms for telemedicine.(c) Program means the Mobile Health for Rural Communities Pilot Program established by this chapter.18249.4. (a) The department shall administer the program to expand access to health services for farmworkers in rural communities by providing virtual connections to health care providers, mental health services, and educational services to help improve health outcomes in underserved communities.(b) The department may work with a community organization, including Ayudando Latinos a Soar or other community foundations, to assist in the administration of the program.18249.5. (a) The Farmworkers Health Equity Fund is hereby created in the State Treasury.(b) The department shall fund the implementation of this chapter with funding other than General Fund moneys, including gifts, donations, bequests, or grants of funds from private sources and public agencies, designated for any of the purposes of this chapter and deposited in the Farmworkers Health Equity Fund.(c) This chapter shall be implemented only if no General Fund moneys are used for this chapter.18249.6. (a) The department shall deploy mobile units in two rural counties communities based on farmworker population and access to health care.(b) The department shall make space available in or around mobile units that can be used for visits by professionals, including, but not limited to, medical teams, educators, and volunteers, who bring additional programming onsite to rural farms.18249.8. On or before January 1, 2027, the department shall report the outcomes of the program to the Legislature. The report shall comply with the requirements of Section 9795 of the Government Code. CHAPTER 3.9. Mobile Health for Rural Communities Pilot Program 18249. There is the Mobile Health for Rural Communities Pilot Program.18249.2. The following definitions shall apply to this chapter:(a) Department means the State Department of Health Care Services.(b) Mobile unit means a vehicle or portable facility that is equipped with, at a minimum, computers, Wi-Fi, cubicles for virtual visits, and exam rooms for telemedicine.(c) Program means the Mobile Health for Rural Communities Pilot Program established by this chapter.18249.4. (a) The department shall administer the program to expand access to health services for farmworkers in rural communities by providing virtual connections to health care providers, mental health services, and educational services to help improve health outcomes in underserved communities.(b) The department may work with a community organization, including Ayudando Latinos a Soar or other community foundations, to assist in the administration of the program.18249.5. (a) The Farmworkers Health Equity Fund is hereby created in the State Treasury.(b) The department shall fund the implementation of this chapter with funding other than General Fund moneys, including gifts, donations, bequests, or grants of funds from private sources and public agencies, designated for any of the purposes of this chapter and deposited in the Farmworkers Health Equity Fund.(c) This chapter shall be implemented only if no General Fund moneys are used for this chapter.18249.6. (a) The department shall deploy mobile units in two rural counties communities based on farmworker population and access to health care.(b) The department shall make space available in or around mobile units that can be used for visits by professionals, including, but not limited to, medical teams, educators, and volunteers, who bring additional programming onsite to rural farms.18249.8. On or before January 1, 2027, the department shall report the outcomes of the program to the Legislature. The report shall comply with the requirements of Section 9795 of the Government Code. CHAPTER 3.9. Mobile Health for Rural Communities Pilot Program CHAPTER 3.9. Mobile Health for Rural Communities Pilot Program 18249. There is the Mobile Health for Rural Communities Pilot Program. 18249. There is the Mobile Health for Rural Communities Pilot Program. 18249.2. The following definitions shall apply to this chapter:(a) Department means the State Department of Health Care Services.(b) Mobile unit means a vehicle or portable facility that is equipped with, at a minimum, computers, Wi-Fi, cubicles for virtual visits, and exam rooms for telemedicine.(c) Program means the Mobile Health for Rural Communities Pilot Program established by this chapter. 18249.2. The following definitions shall apply to this chapter: (a) Department means the State Department of Health Care Services. (b) Mobile unit means a vehicle or portable facility that is equipped with, at a minimum, computers, Wi-Fi, cubicles for virtual visits, and exam rooms for telemedicine. (c) Program means the Mobile Health for Rural Communities Pilot Program established by this chapter. 18249.4. (a) The department shall administer the program to expand access to health services for farmworkers in rural communities by providing virtual connections to health care providers, mental health services, and educational services to help improve health outcomes in underserved communities.(b) The department may work with a community organization, including Ayudando Latinos a Soar or other community foundations, to assist in the administration of the program. 18249.4. (a) The department shall administer the program to expand access to health services for farmworkers in rural communities by providing virtual connections to health care providers, mental health services, and educational services to help improve health outcomes in underserved communities. (b) The department may work with a community organization, including Ayudando Latinos a Soar or other community foundations, to assist in the administration of the program. 18249.5. (a) The Farmworkers Health Equity Fund is hereby created in the State Treasury.(b) The department shall fund the implementation of this chapter with funding other than General Fund moneys, including gifts, donations, bequests, or grants of funds from private sources and public agencies, designated for any of the purposes of this chapter and deposited in the Farmworkers Health Equity Fund.(c) This chapter shall be implemented only if no General Fund moneys are used for this chapter. 18249.5. (a) The Farmworkers Health Equity Fund is hereby created in the State Treasury. (b) The department shall fund the implementation of this chapter with funding other than General Fund moneys, including gifts, donations, bequests, or grants of funds from private sources and public agencies, designated for any of the purposes of this chapter and deposited in the Farmworkers Health Equity Fund. (c) This chapter shall be implemented only if no General Fund moneys are used for this chapter. 18249.6. (a) The department shall deploy mobile units in two rural counties communities based on farmworker population and access to health care.(b) The department shall make space available in or around mobile units that can be used for visits by professionals, including, but not limited to, medical teams, educators, and volunteers, who bring additional programming onsite to rural farms. 18249.6. (a) The department shall deploy mobile units in two rural counties communities based on farmworker population and access to health care. (b) The department shall make space available in or around mobile units that can be used for visits by professionals, including, but not limited to, medical teams, educators, and volunteers, who bring additional programming onsite to rural farms. 18249.8. On or before January 1, 2027, the department shall report the outcomes of the program to the Legislature. The report shall comply with the requirements of Section 9795 of the Government Code. 18249.8. On or before January 1, 2027, the department shall report the outcomes of the program to the Legislature. The report shall comply with the requirements of Section 9795 of the Government Code.