Local Changes

Several changes have taken place on local county levels in response to the Affordable Care Act.

Contra Costa CARES Program

Contra Costa CARES is a healthcare program for uninsured adults living in Contra Costa County. Eligible patients will have access to a range of primary and preventative healthcare services and will have access to one of four health center organizations to ensure their health remains in optimal condition. The program is available for up to 3,000 individuals on a first come first served basis.

CLICK HERE to read Frequently Asked Questions about the program.

CLICK HERE to read First Quarter Preliminary Trends.

Low-Income Health Programs
This program is no longer available. Those enrolled in Low-Income Health Programs (LIHPs) in Contra Costa and Solano Counties have transitioned into the state Medicaid program, Medi-Cal.

Contra Costa County
The Basic Health Care (BHC) program is currently available for legal permanent residents of Contra Costa County. In order to be eligible for this program, you must be:

  • Ineligible for Medi-Cal and cannot be a member of private HMO or PPO health plans
  • Earning up to 300% of the federal poverty line (FPL)
  • NOTE: Children, regardless of immigration status, may apply.

Federal Poverty Line Guidelines for BHC Eligibility

Family Size

300% FPL – Monthly Adjusted Gross Income













To find out if you are eligible for this program, contact the Contra Costa County Health Services at 1-800-771-4270. For more information on the program, please click here.


Solano County

There are currently two health care programs available for residents of Solano County: Healthy Kids and County Medical Services Program (CMSP).

In order to be eligible for the Healthy Kids program, you must:

  • Be under the age of 19
  • Reside in Solano County
  • Not have had employer-sponsored health care coverage in the last 3 months
  • Be ineligible for Medi-Cal
  • Be earning up to 300% FPL (See above chart for federal poverty guidelines)

Click here to learn more about Solano County’s Healthy Kids Program. 

In order to be eligible for the County Medical Services Program (CMSP), you must:

  • Reside in Solano County
  • Be between ages 21 – 64
  • Be earning up to 200% FPL
  • U.S. citizens or residents will receive full scope benefits.
  • Undocumented individuals will only receive emergency services.

Federal Poverty Line Guidelines for CMSP Eligibility

Family Size

200% FPL – Monthly Adjusted Gross Income













 Click here to learn more about Solano County’s Medical Services Program.