In preparation for 2014 when most of the federal health reform law's provisions are scheduled take effect, officials from several Alameda County health care agencies are working together to extend health care and wellness programs to as many county residents as possible. They hope to meet the medical needs of as many as 150,000 newly insured residents by participating in a federal waiver initiative that provides funding to Medi-Cal, the state's Medicaid program. Officials from the agencies -- which include the county's public health department -- meet regularly to discuss ways to integrate care for low-income residents, a process they plan to streamline with the launch of shared electronic health records by 2014.