What started out in 2015 as a $500,000 pilot from Monterey County became a bonafide $2 million health initiative to cover the uninsured in 2017. Esperanza Care gives basic healthcare to undocumented residents who are not covered by state or federal subsidized insurance, and was renewed by the  Board of Supervisors in the 2020-2021 county budget. Esperanza Care came about thanks to efforts of community groups like the local branch of Community Organized for Relational Power in Action (COPA).
COPA leader María Elena Manzo says that Esperanza Care came out of the county trying to fill a major hole in Medi-Cal, and relentless advocacy work:
“We have it because we kept showing up. [The county supervisors] couldn’t ignore us,”
she says. Esperanza Care costs $2 million annually.
The Buzz 07.16.20, Monterey Weekly