Making coverage work in practice — not just on paper.

Across the country, people remain uninsured or underinsured not only because of eligibility gaps, but because coverage too often fails in real life. Denials, delays, administrative barriers, and inconsistent implementation block access to care — even for people who are insured. 

The result is avoidable harm: delayed treatment, higher costs, and growing financial strain for individuals, families, and communities. 

The State–Federal Agenda for Durable Health Care Reform exists to close the gap between policy and practice. 

Community Catalyst aligns state, federal, and community actors to stabilize coverage, reduce implementation failures, and strengthen financial protections so care works when and where people need it. 

Why Now 

Coverage expansions alone are not enough. 

Across states, people face:  

  • Increasing denials and prior authorization barriers 
  • Delays in enrollment, renewals, and eligibility determinations 
  • Administrative complexity that discourages care-seeking 
  • Cost-sharing and billing practices that undermine affordability 

These failures disproportionately affect communities facing structural barriers to care. Without coordinated action across systems, coverage gains remain fragile and uneven. 

Our Unique Role 

Community Catalyst is uniquely positioned to translate coverage policy into durable outcomes. 

We work across state and federal systems — and alongside community partners — to identify where coverage breaks down and mobilize coordinated fixes that no single actor can achieve alone. 

What Makes This Work Different

This work turns coverage policy into reliable access and affordability — not theoretical entitlement. 

The Value of Investing

An investment in Community Catalyst strengthens the systems that make coverage durable. 

Your support advances: 

  • Reduced denials, delays, and administrative barriers 
  • Stronger affordability protections across states 
  • Coordinated state–federal implementation strategies 
  • Coverage systems that respond to real-world conditions 

Take Action