The shortage of health care professionals in California is deepening every year and affects every aspect of care. Statewide, more than 11 million people live in an area without enough primary care providers, and according to a UC San Francisco study of the state’s nursing shortage, it will take until 2026 to close the state’s current nursing gap. All told, California needs to add 500,000 new allied health care professionals by 2024 in order to provide needed care. The COVID-19 pandemic has exacerbated health care staffing shortages. Many front-line health care workers have reached their breaking point and are choosing to leave the profession altogether (hundreds of thousands of health care jobs have been lost since the pandemic began).
Rural and low-income communities are disproportionately affected by the scarcity — and there’s a second disparate impact we must address as the state works to rebuild a depleted workforce: According to the California Future Health Workforce Commission, people of color will be a majority of Californians by 2030 but are severely underrepresented in the health care workforce.
Each year hospitals invest millions of dollars in training California’s next generation of health care providers, but closing the massive gaps ahead will require additional long- and short-term solutions:
- Partnerships among all who recognize the need to protect the health of Californians: employers, workers, policymakers, colleges, licensing entities, and others
- Public investments in workforce training through college and university programs to both retain current workers and build a pipeline of future professionals
- Regulatory changes to improve efficiency and transparency in licensing, address limitations on scope of practice, and enhance education and training for nurses and nurse assistants
Hazard Pay: The San Diego County Board of Supervisors voted to spend $36 million of American Rescue Plan funding on hazard pay for the county’s essential employees. Mandatory bonus pay has been the subject of much discussion around the state as we emerge from the pandemic. The Culver City Council has passed an ordinance that requires $5 per hour hero pay for employees at the city’s only hospital, and Assembly Bill (AB) 650 would mandate bonuses of up to $10,000 for hospital employees and contractors. However, AB 650 was moved to the Assembly Inactive File on June 3 and is now a two-year bill.