| Health Equity Priority 1: Advocate for policies that address Social Determinants of Health (SDOH) and foster healthy environments. | By 2035, reduce the rate of Overall Food Insecurity in CA from 12.6% to 10%.
| Hunger & Poverty in California | Map the Meal Gap, 2022 |
| | By 2035, reduce the rate of Food insecurity for Black people from 23% to 10%. | Hunger & Poverty in California | Map the Meal Gap, 2022 |
| Health Equity Priority 2: Expand access to quality, health-promoting resources, and equitable health care for all Californians. | By 2035, reduce the percentage of Californians who report being unable to see a doctor in the past 12 months due to cost from 11.3% to 7%. | Behavioral Risk Factor Surveillance System (BRFSS), 2023 |
| | By 2035, reduce the percentage of Medi-Cal members reporting never accessing healthcare from 7.5% to 5%. | California Health Interview Survey (CHIS), 2023 |
| | By 2035, reduce the percentage of uninsured individuals reporting never accessing healthcare from 13.9% to 11%. | California Health Interview Survey (CHIS), 2023 |
| Cancer Surveillance and Data Priority 1: Enhance the California Cancer Registry (CCR) Data Infrastructure to Support Comprehensive Equity-Focused Cancer Surveillance. | By 2035, maintain ≥95% completeness for race and ethnicity data in the California Cancer Registry (CCR); increase the completeness of language and disability status reporting from an estimated baseline of 0% to 30%; and pilot infrastructure to support the future collection and reporting of sexual orientation and gender identity (SOGI) data. | California Cancer Registry (CCR), 2022 |
| | By 2035, improve the completeness of equity-focused cancer surveillance data in the California Cancer Registry (CCR) by increasing the collection of underreported demographic and social determinants of health (SDOH) variables, including primary language, disability status, and sexual orientation and gender identity (SOGI), from an estimated baseline of 0% to 30%. | California Cancer Registry (CCR), 2022 |
| | By 2035, increase the representation of underrepresented populations, including LGBTQI+ individuals, in CCR data across all cancer types by expanding targeted data collection efforts and growing documented LGBTQI+ representation from 1% to 5% in key demographic categories. | California Cancer Registry (CCR), 2022 |
| Cancer Surveillance and Data Priority 2: Improve data collection on populations of missing or incomplete data and address disaggregation. | By 2035, achieve completeness in demographic data for underrepresented populations, including African, Middle Eastern, Armenian, Latinx, American Indian/Alaska Native (AI/AN), Indigenous, Asian American, Native Hawaiian, and Pacific Islander (AANHPI), in the California Cancer Registry (CCR), increasing from 70% to 80%. | California Cancer Registry (CCR), 2022 |
| | By 2035, assess and validate the current estimated 95% completeness of childhood cancer case reporting in the California Cancer Registry (CCR), and use findings to identify gaps and strengthen case capture across all childhood age groups through enhanced data linkages and quality assurance activities. | California Cancer Registry (CCR), 2022 |
| | By 2035, reduce missing or incomplete demographic data fields for underrepresented populations in the CCR from 40% to 25%. | California Cancer Registry (CCR), 2022 |
| Cancer Surveillance and Data Priority 3: Enhance the capacity of cancer surveillance systems to produce and disseminate user-friendly data reports. | By 2035, increase the percentage of key cancer indicators, disparities, risks, and trends derived from the California Cancer Registry (CCR) and presented through user-friendly, interactive data visualizations and dashboards from 40% to 75%. | California Cancer Registry, 2022 |
| | By 2035, increase the percentage of partners (e.g., public health officials, healthcare providers, policymakers, researchers, healthcare facilities, and the public) who regularly access and utilize CCR data reports from 20% to 40%, as measured through external and evaluation surveys. | California Cancer Registry (CCR), 2022 |
| | By 2035, increase the availability of CCR de-identified cancer data in user-friendly formats from 40% to 75%. | California Cancer Registry (CCR), 2022 |
| Cancer Surveillance and Data Priority 4: Increase and expand SOGI+ data collection among cancer centers (both community and NCI designated) as well as cancer screening providers and cancer registries. | By 2035 generate baseline data for the percent of Commission on Cancer Accredited Cancer Centers (CoC) who collect SOGI+ data. | Commission on Cancer Accredited Cancer Centers (CoC), Developmental Progress Milestone |
| | By 2035 increase SOGI+ data collection among NCI designated cancer centers from 60% to 100%. | Comprehensive Cancer Control Program (CCCP) records, 2022 |
| Childhood Cancer Priority 1: Increase awareness and resources of childhood cancer with a greater emphasis on outreach advocacy, patient/family navigation and education, financial toxicity, and psychosocial and survival resources. | By 2035, increase the percentage of children and AYA (0-39) diagnosed with cancer who are insured from 29.6% to 43%. | California Cancer Registry (CCR), 2022 |
| | By 2035, reduce the age-adjusted incidence rate of childhood and AYA (0-39) cancers from 48.9 to 48.2. (per, 100,000) | California Cancer Registry (CCR), 2022 |
| | By 2035, reduce the age-adjusted mortality rate of childhood and AYA (0-39) malignant cancers from 6.0 to 5.1. (per, 100,000) | California Cancer Registry (CCR), 2022 |
| Childhood Cancer Priority 2: Support research initiatives targeting childhood, adolescent, and young adult (AYA) oncology that are more effective and less toxic. | By 2035, increase the total number of California enrollments of children into Project Every Child from 5,810 to X. | Children's Oncology Group, TBD
Data pending. |
| Primary Prevention Priority 1 (Tobacco): Decrease commercial tobacco and nicotine use and exposure especially in youth, young adults, and priority populations. | By 2035, decrease current tobacco use rates among adults in California, with a focus on equitable reductions among disproportionately impacted groups, including Hispanic adults from 11% to 7%. | California Health Interview Survey (CHIS), 2023 |
| | By 2035, decrease current tobacco use rates among youths in California, with a focus on equitable reductions among disproportionately impacted groups, including African American high school youths from 8% to 4%. | California Youth Tobacco Survey (CYTS), 2023 |
| | By 2035, increase the population covered by local policies that regulate smoking of private units of multi-unit housing among individuals in households below 200% of the federal poverty level from 14% to 27%. | Policy Evaluation Tracking System (PETS, 2024) and American Community Survey (ACS, 2023) (List of MUH laws_October 2024.pdf) |
| | By 2035, increase implementing routine tobacco use screening in healthcare settings in California, with a focus on increasing tobacco use screenings at mental health facilities from 50% to 78%. | National Substance Use and Mental Health Services Survey (N-SUMHSS), 2022 |
| Primary Prevention Priority 2 (NuPA): Increase physical activity and healthy eating. | By 2035, decrease California's adult prevalence of BMI-based obesity from 29.2% to 24.8%. | California Health Interview Survey (CHIS), 2023 |
| | By 2035, decrease California's school age prevalence of obesity for youth ages 12-17 from 18.9% to 16.1%. | California Health Interview Survey (CHIS), 2023 |
| Primary Prevention Priority 3 (Vaccination): Increase cancer prevention vaccine completion rates. | By 2035, increase the HPV vaccine up-to-date rates among 9- to 12-year-olds from 10% to 50% for all genders and with a focus on rural and racially marginalized groups. | California Immunization Registry, 2023 |
| | By 2035, increase the HPV vaccine up-to-date rates among 13- to 17-year-olds from 54% to 85% for all genders and with a focus on rural and racially marginalized groups. | California Immunization Registry, 2023 |
| | By 2035, increase the Hepatitis B vaccination completion among kindergartners from 94% to 97%. | Shots for School, 2023-2024 school year |
| Primary Prevention Priority 4 (UV/Melanoma): Reduce the incidence of melanoma skin cancer. | By 2035, reduce the incidence of melanoma skin cancer among men from 24.9 to 21. (per 100,000) | California Cancer Registry (CCR), 2022 |
| Primary Prevention Priority 5 (Environment): Reduce levels of and exposures to environmental contributors to cancer, especially among populations at increased risk. | By 2035, increase the number of schools and childcare centers that test for radon levels to reduce environmental risk factor for lung cancer. | California Indoor Radon Program,
Developmental Progress Milestone |
| Primary Prevention Priority 6 (Alcohol): Decrease alcohol consumption. | By 2035, decrease alcohol consumption in the past 30 days among California adult from 53% to 40%. | Behavioral Risk Factor Surveillance System (BRFSS), 2022 |
| | By 2035, decrease binge drinking in the past 30 days among California adults from 18% to 10%. | Behavioral Risk Factor Surveillance System (BRFSS), 2022 |
| | By 2035, decrease alcohol consumption in the past 30 days among California high school students from 10% to 5%. | California Healthy Kids Survey (CHKS), 2021 |
| Early Detection and Screening Priority 1: Increase public awareness to drive request for cancer screening. | By 2035, increase the proportion of individuals aged 45-75 who have had at least one of the recommended colorectal cancer screening tests within the recommended time interval from 62.5% to 75%. | Behavioral Risk Factor Surveillance System (BRFSS), 2022
Data pending. |
| | By 2035, increase the proportion of individuals aged 50-80 who had a CAT/CT scan in the last year from 6.3% to 11%. | Behavioral Risk Factor Surveillance System (BRFSS), 2022
Data pending. |
| | By 2035, increase the proportion of women aged 21-65 who have had a cervical cancer screening in the past 3 years from 81% to 87%. | Behavioral Risk Factor Surveillance System (BRFSS), 2020
Data pending. |
| | By 2035, increase the proportion of women aged 40+ who have had a mammogram in the past two years from 58.9% to 67%. | Behavioral Risk Factor Surveillance System (BRFSS), 2022
Data pending. |
| | By 2035, increase the proportion of African American men ages 45 to 69 who have had an informed discussion with their healthcare provider about the advantages of PSA from 48.9% to 80%. | Behavioral Risk Factor Surveillance System (BRFSS), 2020
Data pending. |
| Early Detection and Screening Priority 2 (Genetic): Increase collection of family cancer histories, utilization of cancer genetic risk assessment and counseling, and access to surveillance for high-risk individuals. | By 2035, develop baseline capacity and increase the completeness of family history and genetic testing documentation in registry systems to 25%, ensuring data can be disaggregated by race, ethnicity, geographic region, and insurance coverage. | California Cancer Registry (CCR),
Developmental Progress Milestone |
| Early Detection and Screening Priority 3: Implement health care systems-level strategies to increase recommended cancer screenings and diagnostic services. | By 2035, increase the percentage of breast cancer screening among Medi-Cal insured (managed care) individuals from 56% to 76%. | Medi-Cal Managed Care External Quality Review Technical Report, July 1, 2022–June 30, 2023 |
| | By 2035, increase the minimum performance level of Medi-Cal (managed care) plans for breast cancer screening from 51% to the highest performance level of 61%. | Medi-Cal Managed Care External Quality Review Technical Report, July 1, 2022–June 30, 2023 |
| | By 2035, increase the percentage of cervical cancer screening among Medi-Cal (managed care) insured individuals from 57% to 65%. | Medi-Cal Managed Care External Quality Review Technical Report, July 1, 2022–June 30, 2023 |
| | By 2035, increase the minimum performance level of Medi-Cal (managed care) plans for cervical cancer screening from 58% to the highest performance level of 67%. | Medi-Cal Managed Care External Quality Review Technical Report, July 1, 2022–June 30, 2023 |
| | By 2035, increase the percentage of colorectal cancer screening among Medi-Cal (managed care) insured individuals from 37% to 50%. | Medi-Cal Managed Care External Quality Review Technical Report, July 1, 2022–June 30, 2023 |
| | By 2035, reduce the percentage of late-stage diagnosed lung cancer among Medi-Cal insured individuals from 76.2% to 65.2%. | California Cancer Registry (CCR), 2017- 2021
Data pending. |
| | By 2035, reduce the percentage of late-stage diagnosed breast cancer among Medi-Cal insured individuals from 40.7% to 40.3%. | California Cancer Registry (CCR), 2017- 2021
Data pending. |
| | By 2035, reduce the percentage of late-stage diagnosed colorectal cancer among Medi-Cal insured individuals from 64.3% to 60%. | California Cancer Registry (CCR), 2017- 2021
Data pending. |
| | By 2035, reduce the percentage of late-stage diagnosed cervical cancer among Medi-Cal insured individuals from 69.2% to 65%. | California Cancer Registry (CCR), 2017- 2021
Data pending. |
| | By 2035, reduce the percentage of late-stage diagnosed prostate cancer among Medi-Cal insured individuals from 38.3% to 34%. | California Cancer Registry (CCR), 2017- 2021
Data pending. |
| Treatment Priority 1: Increase enrollment of diverse populations in cancer clinical trials. | By 2035, increase percentage of cancer patients participating in a clinical trial (therapeutic or non-therapeutic), with intentional emphasis on populations historically underrepresented in clinical research. | Behavioral Risk Factor Surveillance System (BRFSS)**
Developmental Progress Milestone |
| Treatment Priority 2: Increase access to and utilization of non-clinical support services for patients and caregivers during diagnosis, cancer-directed therapy, palliative care, metastatic survivorship, and end-of-life care. | By 2035, increase the percentage of patients with cancer who report having access to social and emotional support. | Behavioral Risk Factor Surveillance System (BRFSS)**
Developmental Progress Milestone |
| Treatment Priority 3: Increase access to quality cancer care and palliative care. | By 2035, increase the percentage of cancer survivors who have received a survivorship care plan. | Behavioral Risk Factor Surveillance System (BRFSS)**
Developmental Progress Milestone |
| Survivorship Priority 1: Increase access to comprehensive cancer survivorship support services, including financial navigation, caregiver resources, and psychosocial support programs. | By 2035, reduce the percentage of cancer survivors who report being unable to afford follow-up care in the past 12 months. | Behavioral Risk Factor Surveillance System (BRFSS)**
Developmental Progress Milestone |
| Survivorship Priority 2: Increase access to nutrition and physical activity services among cancer survivors. | By 2035, increase the number of Cancer Centers who provide onsite access to and/or referrals for survivor-focused nutrition counseling and physical activity programs for all survivors (preferably at low or no cost and convenient for them). | Developmental Progress Milestone |
| Survivorship Priority 3: Increase the implementation of best practices for the transition from active treatment to post-treatment care. | By 2035, increase the proportion of cancer survivors in California who receive a documented, personalized survivorship care plan and coordinated transition to primary or survivorship care. | Behavioral Risk Factor Surveillance System (BRFSS)**
Developmental Progress Milestone |