CalMatters: 84% of Low-Income California Kids Miss Eye Exams — Medi-Cal Vision Rate Stuck at $47 for 25 Years (3rd Lowest in Nation)

CalMatters investigation (April 2, 2026, syndicated to CapRadio, Chico News & Review, Pleasanton Weekly): Just 16% of low-income California children received an eye exam over a two-year period. California's $47 Medi-Cal reimbursement for new-patient exam + refraction is the 3rd lowest in the nation, less than half the Medicaid average, and unchanged for 25 years. Only ~10% of California Optometric Association members accept Medi-Cal — pushing pediatric vision demand onto FQHC optometry programs as the safety-net last resort. Direct strategic implication for FQHCs: vision care is an underbuilt service line where patient need is overwhelming AND the Medi-Cal reimbursement rate is a 25-year advocacy failure waiting to be reversed. Major reimbursement-advocacy talking point and legitimization of FQHC optometry investments. Combine with the documented FQHC use case for autonomous AI diabetic retinopathy screening (LumineticsCore at Cahaba Medical Care: AI surfaced previously-missed DR in MORE THAN 1-IN-4 patients).