Transforming the Safety-Net System:
A Playbook for Safety-Net Leaders to Transform Health and Social Services Inspired by California's Innovative Strategies

California has a transformative vision for how to build a Healthy California for All that goes beyond expanding access to health insurance coverage and healthcare. The State aims to achieve better health outcomes for historically underserved communities to build a more resilient safety-net system and a more enduring state economy. The strategies in this Playbook have the potential to be implemented by states across the nation. However, building this transformed safety-net system is a labor-intensive, long-term endeavor.

It requires time, discipline, and an openness to change at all levels. Healthcare providers, community-based organizations, and managed care plans must adopt new ways of thinking and working together. A whole-person, integrated care model requires a cultural shift to a system where collaboration and trust are essential principles.

This playbook provides actionable insights for safety-net leaders to:

• Effectively implement and connect complex state initiatives across health and social services.
• Support vulnerable communities and neighborhoods by helping individuals achieve self-sufficiency.
• Leverage initiatives together to facilitate measurable progress and foster positive outcomes for those in need.