Community Health Workers, Promotoras, & Representatives Coalition

The Community Health Workers, Promotoras, and Representatives (CHW/P/R) Coalition

The CHW/P/R Coalition is a statewide grassroots coalition that is comprised of CHW/P/R individuals and community-based organizations that serve diverse communities including BIPOC, immigrant, refugee, LGBTQ+ and persons with disabilities, and other interested stakeholders from across the state. The coalition is dedicated to ensuring that the needs of California’s diverse CHW/P/R workforce are addressed and members are able to participate actively in policymaking processes related to the future of their workforce. The coalition collaborates together to ensure policies that impact CHW/P/R are rooted in CHW/P/R voice, strengthen health care quality and lead to more equitable health outcomes, are financially sustainable, prioritize workforce diversity, and value community cultural wealth. The coalition shall hold meetings on a regular basis to discuss and raise awareness of emerging CHW/P/R policies, practices and proposals, advocacy and mobilization opportunities impacting California’s diverse CHW/P/R workforce.

Upcoming Events and Meetings: 

We would like to invite you to the following events, meetings, and opportunities! You will receive a zoom link and a calendar invite as soon as you register and select one of the following events:

Please stay tuned for upcoming events and trainings in Fall 2023.

Please note: We will NOT ask you to provide any confidential information such as financial and/or tax information or payment of any kind. If you think someone fraudulently represented themselves as part of this coalition, please contact us right away. 

Our Steering Committee:

The CHW/P/R policy coalition is comprised of seven lead entities: California Consortium for Urban Indian Health (CCUIH), the California Pan-Ethnic Health Network, Latino Coalition for Healthy California, The Children’s Partnership, Transitions Clinic Network, Roots Community Health Center, and Visión y Compromiso.

Goal and Objectives:

The coalition centers CHW/P/Rs as the antiracist strategy to achieve our vision of holistic community wellness–the harmonizing of mind, body, and spirit [1].  Our goal is that California will have a sustainable, diverse, coordinated, and impactful coalition of Community Health Workers, Promotoras, community members, advocates and stakeholders. We will reach our goal through our three main objectives:

  1. Convene CHW/P/Rs and advocates for CHW/P/Rs from diverse communities across the state 
  2. Develop a shared policy agenda to advance the integration and sustainability of CHW/P/Rs  
  3. Engage stakeholders in public education and policy advocacy  

[1] Based on Community Responsive Wellness, The Promotor Model: A Model for Building Healthy Communities, and Healing Centered Engagement

Coalition Structure

The Coalition is made up of 3 Committees to achieve community wellness by ensuring there are diverse CHW/P/Rs who are confident to lead their workforce: CHW/P Voice, Public Education, and Policy Committees.

CommitteeCHW/P VoicePolicy CommitteePublic Education Committee
Led ByVisión y CompromisoLatino Coalition for a Healthy CaliforniaThe Children’s Partnership
AboutBuilds a space with diverse CHW/Ps who are confident to lead and make decisions on the CHW/P Workforce. Meets Objectives #1: Convene CHW/Ps and advocates from diverse communities across the state 

Researches and develops policy initiatives related to the key CHW topics. Meets Objective #2: develop a shared policy agenda 

Serves as a megaphone for CHW-related activity, amplifying opportunities to inform Coalition partners and the public about key opportunities to support CHWs, including educational webinars, community events, and news stories.  Meets Objective #3: Engage stakeholders in public education and advocacy 
Key ActivitiesHosts Quarterly virtual meetings and training for CHW/Ps

Hosts 2 webinars in Spanish focused on CHW/Ps

Host 2-3 regional convenings across the state with racially, ethnically and linguistically diverse CHW/Ps
Conducts policy research and analysis in key areas such as workforce development best practices, health systems integration, and sustainability, and other areas that arise from the policy agenda development process)

Systematically Reporting Policy Ideas and Further Developing those Policies

Develops Policy Agenda 2023 and 2024
Conducts basic communications activities to disseminate the policy agenda and share updates about the coalition including email listserv alerts and social media posts 

Arranges policy maker education visits to share the policy agenda

Membership/Interested in learning more?

All interested CHW/P/Rs are invited to become members of our policy coalition. Join our coalition listserv to join a committee, stay connected on different coalition meetings and events and up-to-date on California CHW/P/R policies.

Join Here:

Please note: We will NOT ask you to provide any confidential information such as financial and/or tax information or payment of any kind. If you think someone fraudulently represented themselves as part of this coalition, please contact us right away.

The CHW/P/R Coalition’s Key Principles

The CHW/P/R Coalition aims to ensure that California’s policies and services center CHW/P/R values and encourage the participation of culturally and linguistically diverse, community-based CHW/P/Rs who carry with them a wealth of social, cultural and community knowledge and expertise. To that end, below are some principles we feel are important to integrate into CHW/P/R workforce policies in California:

In the News

CHW/P/R Policy Updates


Glossary of Terms

Community Health worker

As defined by the Community Health Worker Section of the American Public Health Association:

  • A Community Health Worker (CHW) is a frontline public health worker who is a trusted member of and/or has an unusually close understanding of the community served. This trusting relationship enables the CHW to serve as a liaison/link/intermediary between health/social services and the community to facilitate access to services and improve the quality and cultural competence of service delivery. 
  • A CHW also builds individual and community capacity by increasing health knowledge and self-sufficiency through a range of activities such as outreach, community education, informal counseling, social support and advocacy. 
  • For more information, click here.


  • Characterized by servicio de corazon (service from the heart), promotores are natural leaders and the “go to” people in their neighborhoods. They share the ethnicity, language, cultural traditions, practices, socioeconomic status and life experiences of the communities they serve” 
  • For more information, visit Visión y Compromiso’s website 

Community Health representatives

  • CHRs are frontline public health workers who are trusted members of the community with a close understanding of the community, language, and traditions essential to the spectrum of Tribal community-oriented primary health care services.
  • CHRs serve as a link between the clinical setting and the community to facilitate access to services and improve the quality and cultural competence of service delivery.
  • They assist by increasing health knowledge of patients and communities through a broad range of activities such as transportation to health visits, outreach, community education, informal counseling, social support, and advocacy.
  • For more information, visit Indian Health Services

Preventive services rule

§ 440.130 Diagnostic, screening, preventive, and rehabilitative services.  

* * * * *  

(c) Preventive services are services recommended by a physician or other licensed practitioner of the healing arts acting within the scope of authorized practice under State law to—  

(1) Prevent disease, disability, and other health conditions or their progression;  

(2) Prolong life; and  

(3) Promote physical and mental health and efficiency.  

42 CFR 440.130(c)