Initiatives

Reproductive Health and Gender Affirming Care Programs

Request for Information (RFI)

California is committed to protecting access to gender affirming care and reproductive health services. In response to federal policy changes on access to care in these two areas, the 2026-27 Budget Act appropriated $66 million to HCAI across three funding allocations to support continued access to care.

• The California Reproductive and Transgender, Gender Diverse, and Intersex Health Equity Program (now referred to as the Uncompensated Care Program) ($30 million) will support uncompensated abortion, abortion-related, family planning, family planning-related, and gender affirming care services.

• The Gender Affirming Care Services for Children and Youth fund ($10 million) will support gender affirming care services for children and youth.

• The Gender Affirming Care Provider Network and Capacity fund ($26 million) will allocate $10 million in FY 2026-27 to organizations to maintain and develop capacity to deliver gender affirming care, with an additional $8 million planned for each 2027-28 and 2028-29, subject to appropriation in those fiscal years.

On or before September 16, 2026, HCAI will release a Request for Information (RFI) to identify a potential organization or organizations to establish, administer, and manage one or more of the three grant programs. The funds may be administered independently or in combination.

Application Dates

• Opens September 16, 2026, 12:00 p.m.
• Closes October 1, 2026, 5:00 p.m.

Contact Us

Email: genderaffirmingcare@hcai.ca.gov

Reproductive Health Care Access Initiative

After the overturn of Roe v. Wade on June 24, 2022, California reaffirmed its status as a reproductive freedom state. In its 2022-23 budget, the State of California appropriated $120 million to the California Department of Health Care Access and Information (HCAI) to establish and administer five programs designed to support and expand abortion, abortion-related care, and reproductive health services across the State. 

Clinical Infrastructure

Through the Clinical Infrastructure program, HCAI awarded scholarships and loan repayments to support a broad spectrum of healthcare providers offering abortion-related care and reproductive health services.

Funding for the Reproductive Health–specific scholarship and loan repayment programs has ended at this time. However, additional funding opportunities remain available through other HCAI scholarship and loan repayment programs.

Reproductive Health Hotline (ReproHH)

The Reproductive Health Hotline (ReproHH) is a free and confidential clinician-to-clinician consultation service operated by the University of California, San Francisco (UCSF) through a contract with HCAI.

ReproHH provides real-time guidance to all health care providers, including Medi-Cal providers, who have questions about sexual and reproductive health. Calls are answered by physicians with specialized expertise to help minimize unnecessary referrals, reduce treatment delays, and improve patient outcomes.

Hotline Details
1-844-ReproHH (1-844-737-7644)
Available on-demand from 8 a.m. to 4 p.m. PDT, Monday through Friday, excluding holidays.

Learn More

Capital Infrastructure

HCAI, in partnership with the California Governor’s Office of Emergency Services (Cal OES), implemented the Physical and Digital Infrastructure Security (PDIS) Grant Program to strengthen the safety and security of healthcare facilities and practitioners providing abortion-related care and reproductive health services across California.

Funding was awarded to providers across two grant cycles. The PDIS Grant Program has now concluded and is no longer accepting applications.

Resources

For More Information

Uncompensated Care Fund and Abortion Practical Support Fund

HCAI has contracted with Essential Access Health (Essential Access) to administer the Uncompensated Care and Abortion Practical Support Funds. Essential Access has a long history of supporting individuals who face barriers to accessing reproductive health services. Essential Access is responsible for distributing $60 million in grants to expand access to abortions, abortion-related services, and general reproductive health care.

  • The Uncompensated Care Fund provides grants to healthcare providers who participate in the Medi-Cal program and who deliver abortion and abortion-related care to individuals without coverage for such services and with an income below 400 percent of the federal poverty level.
  • The Abortion Practical Support Fund provides grants to non-profit organizations to help individuals seeking abortion care with the supports necessary to access abortion-related care. Practical support can include travel, lodging, childcare, food, and other ancillary supports.

As of November 2025, Uncompensated Care and Abortion Practical Support funding has been awarded to non-profit organizations across three cycles. Refer to the resources below for additional details.  

A fourth Practical Support grant cycle is expected to open in Spring 2026. 

Resources

California Reproductive Health Service Corps

The Reproductive Health Service Corps (“Corps”) will recruit, train, retain, and financially support a diverse workforce of health care professionals who commit to providing reproductive health services, including abortion care, for at least three years. 

HCAI has partnered with Training in Early Abortion for Comprehensive Healthcare (TEACH) and Birth Control Pharmacist to administer the Reproductive Health Service Corps (RHSC). The program will address critical gaps in access to abortion care, diversify the reproductive health care workforce, and empower pharmacists to provide comprehensive reproductive health services.

Resources

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