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123 <svg role="img" class="icon-play" viewBox="0 0 16 16" xmlns="http://www.w3.org/2000/svg"><title>play</title><path fill-rule="evenodd" d="M8,16 C12.4183,16 16,12.4183 16,8 C16,3.58172 12.4183,0 8,0 C3.58172,0 0,3.58172 0,8 C0,12.4183 3.58172,16 8,16 Z M7.5547,5.16795 C7.24784,4.96338 6.8533,4.94431 6.52814,5.11833 C6.20298,5.29235 6,5.63121 6,6.00000106 L6,10.0000011 C6,10.3688 6.20298,10.7077 6.52814,10.8817 C6.8533,11.0557 7.24784,11.0366 7.5547,10.8321 L10.5547,8.8321 C10.8329,8.6466 11,8.3344 11,8.00000106 C11,7.66565 10.8329,7.35342 10.5547,7.16795 L7.5547,5.16795 Z"></path></svg> 124 125 126</button> 127<button x-show="$store.player.playing && $store.player.audio_url == 'https://media.transistor.fm/9a6a67df/f41d8c10.mp3?src=site'" title="Pause Episode" role="button" @click.prevent="$dispatch('pause-episode')" class="player-button site-episode-play"> 128 129 <svg role="img" class="icon-pause" viewBox="0 0 16 16" xmlns="http://www.w3.org/2000/svg"><title>pause</title><path fill-rule="evenodd" d="M16,8 C16,12.4183 12.4183,16 8,16 C3.58172,16 0,12.4183 0,8 C0,3.58172 3.58172,0 8,0 C12.4183,0 16,3.58172 16,8 Z M5,6 C5,5.44772 5.44772,5 6,5 C6.55228,5 7,5.44772 7,6 L7,10 C7,10.5523 6.55228,11 6,11 C5.44772,11 5,10.5523 5,10 L5,6 Z M10,5 C9.4477,5 9,5.44772 9,6 L9,10 C9,10.5523 9.4477,11 10,11 C10.5523,11 11,10.5523 11,10 L11,6 C11,5.44772 10.5523,5 10,5 Z"></path></svg> 130 131 132</button> 133 134 <hgroup> 135 <h2 class="site-episode-title">Sparkle Barnes: Keeping the Door to Care Open</h2> 136 <span class="site-episode-metadata"> 137 <time>September 11, 2026</time> 138<span>/</span> 139<span>59:27</span><span>/</span><span>S4 E10</span> 140 </span> 141 142 </hgroup> 143 </header> 144 145 <div class="site-two-col-grid"> 146 <div class="site-episode-grid-content"> 147 148 149 150 <nav class="site-episode-nav"> 151 <a href="/episodes/sparkle-barnes" class="site-episode-notes-link" title="View episode details">Show Notes</a> <span>/</span> 152 <a href="/episodes/sparkle-barnes/transcript" class="site-episode-transcript-link" title="View episode transcript">Transcript</a> 153 </nav> 154 155 156 <div class="site-content-text site-episode-show-notes"> 157 158 <div>Sparkle Barnes is President and CEO of <strong>Health Center Partners of Southern California and its Family of Companies</strong>, where she leads a network supporting community health centers across the region. Since joining the organization, she has held a series of leadership roles, including Chief Strategy Officer and President of CNECT. Under her leadership, Health Center Partners launched Next50: A Legacy of Impact, a Future of Innovation, a strategic plan focused on strengthening and evolving its work for the years ahead. Her connection to the work is also personal: growing up in a working-class family, she experienced firsthand what it meant when a family could not afford health insurance. <br><br></div><div><strong>In this episode:</strong> </div><div>Our health shapes what weâre able to do with our lives: pursue a dream, care for our families, build a career, or simply show up for the people and places that matter to us. <br><br></div><div>That belief is at the heart of Sparkle Barnesâ work as President and CEO of Health Center Partners, and it is why federally qualified health centers (FQHCs) matter so much. <br><br></div><div>You may not know what an FQHC is, but thereâs a good chance you or someone you know depends on one. Through Health Center Partnersâ members alone, community health centers serve roughly 580,000 people in San Diego County. Rooted in the communities they serve, they connect primary care with behavioral health, oral health, and other supports that help people overcome barriers to getting and staying healthy. </div><div><br>In this episode, Sparkle and Grant explore what makes that model so essential and whatâs at stake as changes stemming from the H.R.1 bill could leave more people uninsured, and put health centers under immense financial strain. When access to primary care shrinks, the effects ripple outward: people delay care, get sicker, and put greater pressure on emergency rooms and the healthcare system we all rely on. <br><br></div><div>Sparkle also shares how Health Center Partners is responding through collaboration, innovation, and better data, while keeping the focus on the people behind the numbers. As policy changes unfold, she remains resolute in their mission to help people have the health they need to pursue the lives they imagine for themselves and their families. </div><div><br></div><div><strong><br>Key Moments:</strong> </div><ul><li>[<a href="#t=6m45s" data-turbo="false" title="Jump to 6:45 in this episode">6:45</a>] Why being rooted in community helps health centers meet people where they are in life</li><li>[<a href="#t=14m12s" data-turbo="false" title="Jump to 14:12 in this episode">14:12</a>] The surprising scale of federally qualified health centers nationally and in San Diego </li><li>[<a href="#t=22m7s" data-turbo="false" title="Jump to 22:07 in this episode">22:07</a>] What H.R. 1 and changes in health coverage could mean for patients and community health centers </li><li>[<a href="#t=27m19s" data-turbo="false" title="Jump to 27:19 in this episode">27:19</a>] Why investing in primary care is an investment in the entire healthcare system </li><li>[<a href="#t=36m20s" data-turbo="false" title="Jump to 36:20 in this episode">36:20</a>] How better data and patient stories can reveal the real impact of policy changes </li></ul><div><strong><br>Terms </strong> </div><ul><li><strong>Federally Qualified Health Centers (FQHCs)</strong> â Community-based health centers that provide comprehensive primary care and services such as behavioral and oral healthcare, including for patients who are uninsured. </li><li><strong>H.R. 1</strong> â Federal legislation enacted in 2025 that made major changes to Medicaid, called Medi-Cal in California, along with other health and safety-net programs. </li><li><strong>Medi-Cal</strong> â Californiaâs Medicaid program and an important source of health coverage for many Californians. </li><li><strong>Atlas</strong> â A Health Center Partners initiative, supported by Prebys, designed to track changes in healthcare access closer to real time while also capturing the experiences of patients behind the data. </li></ul><div><strong><br>Resources</strong> </div><ul><li><a href="https://hcpsocal.org/"><strong>Health Center Partners of Southern California</strong></a> â A network supporting community health centers across San Diego, Riverside, and Imperial counties. </li><li><a href="https://www.chcf.org/resource/2026/06/01/medi-cal-h-r-1-era-resources-for-the-field/"><strong>H.R. 1 and Medi-Cal in California</strong></a> â A California Health Care Foundation guide to how federal H.R. 1 changes could affect Medi-Cal coverage, patients, and Californiaâs healthcare system. <br><br><strong>Credits:</strong><br>This is a production of the Prebys Foundation<br><br>Hosted by Grant Oliphant<br><br>Co-Hosted by Crystal Page<br><br>Produced by Adam Greenfield, Tess Karesky, Edgar Ontiveros Medina, and Crystal Page<br><br>Engineered by Adam Greenfield<br><br>Production Coordination by Tess Karesky<br><br>Video Production by Edgar Ontiveros Medina<br><br>The Stop & Talk Theme song was created by San Diegoâs own Mr. Lyrical Groove.<br><br>Download episodes at your favorite podcatcher or visit us at StopAndTalkPodâcastâ.com<br><br>Special thanks to the Prebys Foundation Team<br><br>If you like this show, and we hope you do, the best way to support this show is to share, subscribe</li></ul> 159 160 161 162 <iframe class="site-video-embed" src="https://www.youtube-nocookie.com/embed/S5Cnm1YsXiE" title="YouTube video player" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen=""></iframe> 163 164 165 166 167 </div> 168 169 170 171 172 </div> 173 174 <div class="site-episode-grid-artwork"> 175 <img src="https://img.transistorcdn.com/kVJx4lL5VYHp4KTpSsORWDkSwAzAU3uMed4FTx27LrY/rs:fill:0:0:1/w:800/h:800/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS8zZjcx/MzViMDhmMjE0YTY1/ZjBiZjQyNWNiYjVl/NThhNi5qcGc.webp" alt="Sparkle Barnes: Keeping the Door to Care Open"> 176 </div> 177 178 <div class="site-episode-grid-subscribe"> 179 <h2 class="site-content-subheader"> 180 181 <svg role="img" class="icon-headphones" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 24 24"><title>headphones</title><g><path d="M7,12a3,3,0,0,0-3,3v6a3,3,0,0,0,6,0V15A3,3,0,0,0,7,12Zm10,0a3,3,0,0,0-3,3v6a3,3,0,0,0,6,0V15A3,3,0,0,0,17,12ZM12,0A12,12,0,0,0,0,12v5a1,1,0,0,0,2,0V12a10,10,0,0,1,20,0v5a1,1,0,0,0,2,0V12A12,12,0,0,0,12,0Z"></path></g></svg> 182 183
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