California's longstanding efforts to promote child development and kindergarten readiness have paved the way for focusing greater attention on the role Medi-Cal, the State's Medicaid program, can play in realizing the full strength of these initiatives. As a state with a large and diverse population, California's reach and potential influence are unparalleled: Medi-Cal covers five million children, two-thirds of whom are Black and Brown children. This report summarizes short and long term strategies for Medi-Cal to support the development of an equitable advanced child health delivery system. [This report was co-produced by Manatt Health with support from the J.B. and M.K. Pritzker Family Foundation, and Genentech Charitable Giving. For the full report, see ED610668.]