JAMA Network Open Publishes First Large-Scale California CHW/Promotora Capacity Study — 505 Workers Show Significant Gains, Evidence Base for HCAI June 2026 Deadline

JAMA Network Open published the first rigorous peer-reviewed evaluation of California CHW/Promotora capacity-building (May 2026). The mixed-methods study of 505 CHWs/Promotoras shows significant gains in knowledge, skills, and confidence after structured workforce investment. This is the evidence base FQHC executives have needed to make the case for sustained CHW workforce investment — particularly important as the HCAI CHW/P/R Advisory Workgroup approaches its June 2026 conclusion and as CHW certification has been paused since November 2023. Strategic implication: (1) FQHCs with promotora-heavy models (90%+ Latino workforce) now have peer-reviewed evidence to support training budget requests; (2) the study strengthens the case for sustained Medi-Cal CHW benefit funding amid H.R. 1 cuts; (3) FQHC CMOs and HR directors should reference this study in board presentations through 2026; (4) advocacy to state legislators ahead of HCAI June 2026 decision should cite this evidence. The study's timing (May 2026) is strategic: it lands just as the workgroup wraps up and ahead of the FY2026-27 budget conference negotiations on workforce.