In 1995, the Los Angeles County hospital system was on the verge of financial collapse. The Board of Supervisors turned to the Clinton Administration for assistance. After much negotiation, the federal government agreed to a "1115 Waiver" for a period of five years, which authorized up to $300 million to support its hospital system. In exchange, the County promised to reduce the rate of hospital admissions and build a system of outpatient ambulatory care for working individuals and families without medical insurance.

As a result, the County formed the Public Private Partnership (PPP), a collection of public and private community and free clinics, as well as physician offices. Little Company of Mary has been involved in the PPP since the project's inception and has an existing site in Carson through the Medical Institute of Little Company of Mary. In the last two years, the private partners have helped the County make significant progress toward the desired objective of increased ambulatory care visits.

In anticipation of seeking a five-year renewal of the 1115 Waiver, and in recognition that many barriers to primary and specialty care still exist for the medically uninsured, Los Angeles County authorized funding for community based "barrier reduction" projects, at the local level, countywide. As a long-term participant in the development of the PPP Network, Little Company of Mary submitted a proposal, which was approved by the Board of Supervisors, to act as the lead agency for the South Bay and Long Beach Service Planning Area. Through collaborative outreach and planning efforts, this funding is designed to strengthen the PPP Network, improve patient access and increase visits.