Many farmworkers are migratory workers who often move to “follow the crops”. Over one in five (22%) of farmworkers report that they often migrate and travel long distances to work in the fields. Accessing health care can be difficult for migratory populations since they may not work or live in the same county or state throughout the work seasons. This results in a lack of continuity of care or making it more complex to manage ongoing conditions, such as diabetes. Approximately 91 percent of Medi-Cal members statewide are in a county-based or regional managed care plan (MCP). No Medi-Cal MCP operates statewide. For example, in the San Joaquin Valley, where over half of California farmworkers live, there are six different MCPs serving eight counties. In addition, Kaiser Permanente, starting in 2024, will participate in Medi-Cal for 32 counties in California, including some areas where many farmworkers live: Yolo, Napa, Sonoma, Kern, San Bernardino, Riverside, and San Diego. Due to the migratory nature of farmworkers, the current Medi-Cal health care delivery model falls short in ensuring sufficient access to healthcare for this demographic.