Data Reports

ACEs Aware June 2025 Data Report: Health Care Teams Have Conducted More than 4.2 Million ACE Screenings of Nearly 2.4 Million Medi-Cal Members

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June 24, 2025

The ACEs Aware initiative released a new annual data report that details the number of Adverse Childhood Experience (ACE) screenings conducted for children and adults in California and the number of individuals who completed the Becoming ACEs Aware in California training.

The ACEs Aware Screening, Training, and Certification Progress: June 2025 Update highlights data from the initiative’s launch in December 2019 through March 2025.

Medi-Cal clinicians conducted 4,258,610 ACE screenings of approximately 2,395,440 unique Medi-Cal members across California between January 2020 and June 2024, based on Medi-Cal claims data. ACE screenings continue to increase (this year’s report represents an increase of 1.5 million screenings since last year’s report), demonstrating the value of ACE screening to clinicians.

Between December 2019 and March 2025, 46,270 individuals completed the Becoming ACEs Aware in California training, 21,730 of whom are Medi-Cal clinicians who became ACEs Aware-certified.

Data highlights based on the training evaluations and Medi-Cal claims data for ACE screenings include:

  • Among the approximately 12,730 participants who completed the training and reported that they did not screen any of their patients for ACEs, 74% indicated that they plan to implement routine ACE screening for children or adults.
  • 63% of individuals reported they planned to implement changes in their practice based on the information presented.
  • 91% of individuals who completed the training reported being somewhat or very confident that they would be able to make their intended practice changes.
  • Of the 1,841,200 unique Medi-Cal members ages 0 to 20 screened for ACEs, 7% had an ACE score of 4 or more, indicating a high risk for toxic stress.
  • Of the 554,240 unique Medi-Cal members ages 21 to 64 screened for ACEs, 18% had an ACE score of 4 or greater.
  • Among clinicians who conducted ACE screenings, 17% specialize in pediatrics and 17% specialize in family medicine.

Download the full report and accompanying fact sheet:

Visit the ACEs Aware Data Reports webpage for easy access to Medi-Cal screening data and all past ACEs Aware data reports, interactive data visualizations of screening data by age and county, and county-level data for completions of the Becoming ACEs Aware in California training.

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