2017 Central California Alliance for Health Mega-Projects Since 1996, the Central California Alliance for Health (the Alliance) has worked to “improve access to health care for lower income residents who often lacked a primary care ‘medical home’ and so relied on emergency rooms for basic services.” To continue to fulfill this mission and to address its 28,000 new members since Affordable Care Act (ACA) expansion in 2014 in Santa Cruz County alone, the Alliance is taking on t