Background:
A 2000 study in the Journal of Community Health revealed major gaps in healthcare access among Lennox Health Fair attendees. The majority of attendees were of Latino or immigrant background, with nearly 80% lacking health insurance. Although there was strong interest in accessing healthcare, many faced significant financial and structural barriers to obtaining care.  Since then, policy reforms such as the Affordable Care Act and Medi-Cal expansions have increased coverage to include all low-income adults, regardless of immigration status. However, immigrant communities continue to experience language barriers, limited health literacy, and fear of immigration-related consequences, which further hinder both healthcare access and public program engagement. Community health fairs remain critical for reaching underserved populations through screenings, education, and connection to services. Building on the 2000 study, this project reassesses healthcare access and public program use among adults attending the 2025 Lennox Health Fair in South Los Angeles.

Objective:
To evaluate healthcare and public program utilization and perceived barriers among adult attendees at the 2025 Lennox Health Fair.

Methods:
This IRB-approved cross-sectional study will use a convenience sampling approach. Bilingual surveys will be administered to adult attendees to assess insurance status, healthcare use, public program participation (e.g., Medi-Cal, CalFresh), and perceived barriers. Quantitative data will be analyzed using descriptive statistics.

Results:
Survey instrument was designed and finalized. We expect higher rates of health insurance enrollment reflecting expanded Medi-Cal eligibility and outreach efforts. However, persistent gaps in healthcare access are anticipated, particularly among eligible individuals who continue to face structural barriers. Surveys will be administered on June 7, 2025.

Conclusions:
Community-based health fairs provide an effective and trusted setting to identify unmet healthcare needs and connect residents with essential services. These events offer opportunities to meet people where they are and inform targeted, culturally responsive outreach strategies through partnerships with trusted local organizations.