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Medicaid Expansion in Arizona and Nebraska
Pima County Interfaith, Valley Interfaith Project (VIP), and the Arizona Interfaith Network worked across party lines to pass Medicaid expansion in Arizona.
In Nebraska, with healthcare access on the line for 90,000 residents, OTOC leaders and allies advanced a successful statewide ballot initiative to expand Medicaid.
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Supporting Children’s Mental Health & Mental Healthcare Workers in Central Iowa
In 2021, AMOS developed a new child crisis support system—including a hotline, youth stabilization center, and trained mobile crisis team (more here and here). The following year, they leveraged a $1.8 million county investment to grow, diversify, and retain the local mental health workforce (more here).
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Healthcare Access in California for Undocumented & Low Income Residents

In 2026, COPA revived Esperanza Care, a county-supported health program they developed and expanded that has served more than 4,500 undocumented adults (more here, here, and here). When undocumented immigrants were later at risk of losing state health coverage, California IAF leaders successfully urged legislators to restore access.
One LA leaders played a pivotal role in launching and implementing My Health LA, expanding care for low-income and undocumented residents. Years later, they advanced county action to preserve and enhance the program, protecting access for 146,000 people, and integrating mental health services.
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Increasing Access to Healthcare in Texas, Especially for the Most Vulnerable
After its first 1985 victory securing legislation for indigent healthcare, Texas IAF has continued to expand access statewide. In recent years, its organizing contributed to expanding eligibility for an additional 127,000 children to receive free or low-cost coverage, to extending Medicaid for low-income mothers to one year postpartum, and to securing new health clinics, a children’s hospital, a diabetes care center, a Level One Trauma Center, and a hospital expansion in El Paso, Austin, San Antonio, and Houston (more here).
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Preventing Senior Hunger in Nevada
When over 1,000 food-insecure seniors were on the waiting list for meal assistance, Nevadans for the Common Good (NCG) proposed and secured $3.4 million in state funding for Meals on Wheels, eliminating the waiting list and providing increased annual investment.