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REV: 02-06-26 LF b)Commitment to the Accountable Communities for Health (ACH) Model: An Accountable Community for Health (ACH) is a community-driven, multi-sector collaborative dedicated to making lasting, transformational change. ACHs provide residents and key partners from diverse sectors with an infrastructure for working together to change systems, advance equity, and build stronger, more cohesive communities prepared to address both existing and emerging health challenges. ACHs provide a powerful framework for tackling longstanding inequities by breaking down barriers and promoting a new way of working together. The development of an ACH is a series of stages and processes as depicted in the Developmental Pathway, which identifies key milestones and indicators associated with each phase of development. The goals and milestones incorporate the priorities and building blocks for implementing an ACH. ACHs rely on these three core principles to marshal collective action and transformational systems change that lead to healthier, stronger, and more equitable communities: ●Center Community Voice: Community residents are too often excluded from critical decisions that impact their health. ACHs reengineer this reality by placing residents at the heart of all community health- related discussions. ACHs level the playing field by ensuring that residents have a prominent and active role in their ACH, helping ensure that equity—and the realities that shape their health—is paramount. ●Multi-Sector Engagement: ACHs include not only traditional healthcare and public health systems, but also critical partners that embrace the social drivers of health. Such collaboration and coordination across sectors is necessary to address the diverse contributing factors that influence community health outcomes. ●Align Systems and Priorities: ACHs help partners shift from transactional, program-specific approaches to a new norm where participants align local community interests, incubate fresh ideas, and expand collective capacity. Built on a foundation of transparency and data sharing, this alignment results in greater impact than any one entity could achieve alone. By ensuring both transparency and accountability, trust is built among ACH members and the community. 6)Responsibilities and expectations of the parties: a)CACHI is responsible for and will be expected to: i) Provide technical assistance, coaching, and learning opportunities to the ACH to support its abilities to advance its local goals and develop and sustain itself as an ACH. Specifically, CACHI will provide the ACH with opportunities to engage in individual and group coaching and support, peer ATTY/AGR.2026.033/California Accountable Communities for Health Initiative (ACH 2026) (Page 2 of 4)