The Platform for International Cooperation on Undocumented Migrants (PICUM) published its new policy brief entitled “Access to Health Care for Undocumented Migrants in Europe: The Key Role of Local and Regional Authorities” in October 2014. Regional and local authorities across Europe have varying competences in the field of health policy, both as policy makers as well as service providers. Whatever the division of competences, local and regional authorities deal with the realities of undocumented migrants living in and contributing to their communities, as well as their health needs. The policy brief provides a number of examples – from Belgium, Germany, Italy, Spain, and Sweden – where local and regional authorities have used their capacities as policy makers or service providers, often in cooperation with civil society organisations, to increase the level of services provided to undocumented migrants in their localities, and tackle practical barriers to improve access. The policy brief was launched on the occasion of the meeting of PICUM’s working group on access to health care for undocumented migrants on 14 October 2014 in Brussels which brought together PICUM member organisations and individual experts from 11 European countries.