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"content": "\u003cp>In the early days of the COVID-19 pandemic, Gov. Gavin Newsom made a splashy announcement: The state had procured around 1,300 trailers to house people experiencing homelessness who were especially vulnerable to the virus.\u003c/p>\n\u003cp>But in the more than three years since the trailers were delivered throughout the state, the results have been mixed. In some areas, the trailers continue to fill a crucial need, like in Napa County, where they are used to quarantine sick farmworkers, and in San Francisco, where they’ve become part of the city’s network of non-congregate homeless shelters. But in some other counties that requested them, like Monterey, the trailers are now gathering dust.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Farrah McDaid Ting, director of public affairs, California State Association of Counties\"]‘The tiny home plan is welcome, and it’s going to be amazing, but it’s a drop in the ocean.’[/pullquote]State housing advocates and fiscal watchdogs say the patchwork success of the trailer program raises questions about whether Newsom’s most recently announced homelessness plan — to erect 1,200 tiny homes across the state — could have a similarly uneven, largely inadequate impact.\u003c/p>\n\u003cp>“The tiny home plan is welcome, and it’s going to be amazing, but it’s a drop in the ocean,” said Farrah McDaid Ting, director of public affairs for the California State Association of Counties. “And like the COVID trailers, they may get lost because there is no accountability or expectation of outcomes.”\u003c/p>\n\u003ch2>An emergency response to COVID\u003c/h2>\n\u003cp>In January 2020, the Newsom administration began delivering temporary housing trailers to California cities, including more than a dozen to a parking lot in East Oakland. When the COVID emergency orders went into effect in March, that effort ramped up so both counties and cities could request the trailers.\u003c/p>\n\u003cp>Through the program, the state purchased a total of 1,305 trailers — of which about 105 were used and 1,200 were new — and started leasing hotels in California’s largest population centers to provide isolated lodging to unhoused people. The trailers slept anywhere from two to 10 people. Some had microwaves, bunk beds, sofas, TV mounts and full bathrooms, while others were smaller with fewer amenities.[aside postID=\"news_11945422,news_11927278,news_11796428\" label=\"Related Stories\"]Each trailer cost anywhere from roughly $12,000 to $30,000, totaling nearly $29 million including delivery fees, according to data from the California Department of General Services, which procured them.\u003c/p>\n\u003cp>But once the trailers arrived, it was up to each city or county to figure out how to fund and manage them. Some did; others didn’t.\u003c/p>\n\u003cp>San Francisco set up its 116 trailers — 91 gifted by the state and 21 paid for by the city — at Pier 94 near the Bayview neighborhood. The city paid for electricity, bathrooms and showers for residents, daily meals, transportation services and on-site health services.\u003c/p>\n\u003cp>“We were able to get power and resources out to the site relatively quickly and open it up to people who were the most vulnerable to COVID living on the streets of the Bayview,” said Emily Cohen, spokesperson for the city’s Department of Homelessness and Supportive Housing. “It’s not just a trailer.”\u003c/p>\n\u003cp>A total of 303 people have so far participated in San Francisco’s program. Of those, 37 have moved to permanent housing, according to Cohen. All but two of the trailers are still in use, and 118 people are still living at the site.\u003c/p>\n\u003cp>But at a site just across the bay, near Oakland International Airport, the trailer program had a much rockier start.\u003c/p>\n\u003cp>“They were in pretty sad shape and rehabbing them was extremely expensive,” said Derek Soo, an advocate for people experiencing homelessness, who in spring 2020 helped move some residents from nearby encampments into the trailers at the site on Hegenberger Road, which became known as Operation HomeBase. “They were falling apart after the first year.”\u003c/p>\n\u003cp>Soo, who was unhoused himself, reported some of the dangerous conditions at the trailer site in its early days, including a lack of stable electricity. The city of Oakland eventually installed a transformer, which cost about $250,000, according to Soo.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Site infrastructure improvements, like physical accessibility and trailer maintenance, and ongoing services, like meals and sanitation, are expensive but necessary to effectively operate temporary housing, he said.\u003c/p>\n\u003cp>Kym Wilson lived in a trailer at HomeBase from May 2020 to November 2021 with her husband and their two cats and a dog, until the couple was finally approved for an emergency housing voucher. The voucher allowed them to move from the trailer into an apartment in San Leandro, where they continue to live today.\u003c/p>\n\u003cp>“The trailer was smaller than our tent and we didn’t like that, but we knew we had an opportunity for housing, so we stayed,” said Wilson, who grew up in the East Bay, but was forced into homelessness after being evicted from her apartment in 2017. “Overall, the [trailer] experience was good. It was like a big trailer park right next to the Coliseum.”\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Jeff Scott, spokesperson, San José Housing Department\"]‘We used the trailers for a couple months, but we found the expense and operational challenges of maintaining such a large fleet of trailers were not a good fit for our city.’[/pullquote]But some other cities that received trailers in 2020 couldn’t follow through on providing the services necessary to make the temporary alternative housing programs successful. And some cities that requested the trailers didn’t receive any at all, according to a \u003ca href=\"https://public.tableau.com/views/COVID-19HomelessImpactDashboard/HomelessImpact?:embed=y&:showVizHome=no\">state data dashboard\u003c/a>.\u003c/p>\n\u003cp>In San José, for instance, only 90 of the 104 trailers sent were deemed habitable upon arrival, the \u003ca href=\"https://www.mercurynews.com/2020/06/16/san-jose-spent-1-3-million-on-trailers-for-homeless-a-month-later-the-site-was-shut-down/\">Mercury News reported\u003c/a> at the start of the program, as some were missing sinks and had damaged vents.\u003c/p>\n\u003cp>The city spent nearly $1.3 million to repair damaged trailers and set up services and infrastructure, like water and electricity. But several months later, San José officials decided to return all 105 of its trailers and ditch the idea altogether.\u003c/p>\n\u003cp>“We used the trailers for a couple months, but we found the expense and operational challenges of maintaining such a large fleet of trailers were not a good fit for our city,” said Jeff Scott, spokesperson for the city’s housing department. “We transitioned our residents into other accommodations and returned the trailers to the state.”\u003c/p>\n\u003cp>In Monterey County, 15 trailers were set up at a county-owned park with RV hookups for water and electricity already available. But in the fall of 2022, as the COVID emergency became less dire, the trailers were decommissioned, according to Karen Smith, spokesperson with the Monterey County Public Health Department.\u003c/p>\n\u003cp>And even though the county continues to grapple with an acute housing shortage, the trailers are now sitting unused, in storage, she said.\u003c/p>\n\u003ch2>Empty trailers in a housing crisis\u003c/h2>\n\u003cfigure id=\"attachment_11947622\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/GettyImages-1220237023.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11947622\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/GettyImages-1220237023-800x509.jpg\" alt=\"A lineup of trailers outside.\" width=\"800\" height=\"509\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/GettyImages-1220237023-800x509.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/GettyImages-1220237023-1020x649.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/GettyImages-1220237023-160x102.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/GettyImages-1220237023.jpg 1024w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Trailers that were brought to Oakland to be used by unhoused people remain empty on Day 30 of the coronavirus shelter-in-place order in Oakland on Wednesday, April 15, 2020. Some of the trailers had been there since a joint press conference was held with Gov. Gavin Newsom and former Mayor Libby Schaaf on Jan. 16, 2020. \u003ccite>(Jane Tyska/Digital First Media/East Bay Times via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>To avoid that same fate with tiny homes and other emergency housing initiatives, housing advocates say local municipalities need to receive more guidance and sustained funding from the state.\u003c/p>\n\u003cp>Jennifer Friedenbach, executive director of the Coalition on Homelessness in San Francisco, said Newsom’s tiny home plan feels very similar to the trailer program. “Newsom is doing these one-time investments, then asking municipalities to take it on,” she said. “The local government still has to pay for all the infrastructure costs, like pouring cement, staffing, food costs and other services. That was expensive at Pier 94 [in San Francisco].”\u003c/p>\n\u003cp>The wide disparity in outcomes for these short-term solutions has much to do with a lack of coordination and accountability when they are rolled out, notes McDaid Ting, of the California State Association of Counties.\u003c/p>\n\u003cp>“It’s so hodgepodge,” she said of the way broad homelessness initiatives, like the trailer program, have been implemented in California.\u003c/p>\n\u003cp>McDaid Ting’s group is calling on the governor to create a master plan to address homelessness that clarifies which state, county and local agencies are responsible for managing different parts of the state’s response — from running shelters and building ample housing and safety-net programs to expanding data collection.\u003c/p>\n\u003cp>Newsom has so far allocated around $2.5 billion in this year’s budget to address homelessness, and has directed more than $20 billion toward the issue since taking office in 2018 — far more than any of his predecessors — according to the state Legislative Analyst’s Office.\u003c/p>\n\u003cp>But many advocates say that still falls far short of what is needed to provide long-term solutions to \u003ca class=\"c-link\" href=\"http://chrome-extension//efaidnbmnnnibpcajpcglclefindmkaj/https://www.huduser.gov/portal/sites/default/files/pdf/2022-AHAR-Part-1.pdf\" target=\"_blank\" rel=\"noopener noreferrer\" data-stringify-link=\"http://chrome-extension//efaidnbmnnnibpcajpcglclefindmkaj/https://www.huduser.gov/portal/sites/default/files/pdf/2022-AHAR-Part-1.pdf\" data-sk=\"tooltip_parent\">the state’s more than 171,000 unhoused people (PDF)\u003c/a>.\u003c/p>\n\u003cp>“The state’s homelessness crisis is so severe that the governor has called in the National Guard, and several city leaders have declared emergencies in their jurisdictions,” Cal Cities executive director and CEO Carolyn Coleman said in a statement in response to a recent survey showing that 90% of California cities don’t know how they’ll pay for homelessness services in the years ahead. “Lasting progress will be out of reach without an ongoing source of state investment in local communities.”\u003c/p>\n\u003ch2>Tiny homes, big promises\u003c/h2>\n\u003cp>For Newsom’s newest housing initiative, the state is planning to deliver 350 tiny homes to Sacramento, 500 to Los Angeles, 200 to San José and 150 to San Diego. The cities will own the homes and be on the hook for funding ongoing services.\u003c/p>\n\u003cp>In various studies, a majority of unhoused people say they prefer tiny homes and trailers to congregate shelters because they offer more privacy and security, helping residents to reestablish a greater degree of stability and confidence.\u003c/p>\n\u003cp>“Everyone wants their own place, the opportunity to move forward from the sidewalk to the trailer or tiny homes and into their own apartment or house. That’s the end result, that’s what we are looking for,” said Wilson, a former resident of Oakland’s Operation HomeBase program. “We came from homes. We haven’t always been homeless.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>In the early days of the COVID-19 pandemic, Gov. Gavin Newsom made a splashy announcement: The state had procured around 1,300 trailers to house people experiencing homelessness who were especially vulnerable to the virus.\u003c/p>\n\u003cp>But in the more than three years since the trailers were delivered throughout the state, the results have been mixed. In some areas, the trailers continue to fill a crucial need, like in Napa County, where they are used to quarantine sick farmworkers, and in San Francisco, where they’ve become part of the city’s network of non-congregate homeless shelters. But in some other counties that requested them, like Monterey, the trailers are now gathering dust.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>State housing advocates and fiscal watchdogs say the patchwork success of the trailer program raises questions about whether Newsom’s most recently announced homelessness plan — to erect 1,200 tiny homes across the state — could have a similarly uneven, largely inadequate impact.\u003c/p>\n\u003cp>“The tiny home plan is welcome, and it’s going to be amazing, but it’s a drop in the ocean,” said Farrah McDaid Ting, director of public affairs for the California State Association of Counties. “And like the COVID trailers, they may get lost because there is no accountability or expectation of outcomes.”\u003c/p>\n\u003ch2>An emergency response to COVID\u003c/h2>\n\u003cp>In January 2020, the Newsom administration began delivering temporary housing trailers to California cities, including more than a dozen to a parking lot in East Oakland. When the COVID emergency orders went into effect in March, that effort ramped up so both counties and cities could request the trailers.\u003c/p>\n\u003cp>Through the program, the state purchased a total of 1,305 trailers — of which about 105 were used and 1,200 were new — and started leasing hotels in California’s largest population centers to provide isolated lodging to unhoused people. The trailers slept anywhere from two to 10 people. Some had microwaves, bunk beds, sofas, TV mounts and full bathrooms, while others were smaller with fewer amenities.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Each trailer cost anywhere from roughly $12,000 to $30,000, totaling nearly $29 million including delivery fees, according to data from the California Department of General Services, which procured them.\u003c/p>\n\u003cp>But once the trailers arrived, it was up to each city or county to figure out how to fund and manage them. Some did; others didn’t.\u003c/p>\n\u003cp>San Francisco set up its 116 trailers — 91 gifted by the state and 21 paid for by the city — at Pier 94 near the Bayview neighborhood. The city paid for electricity, bathrooms and showers for residents, daily meals, transportation services and on-site health services.\u003c/p>\n\u003cp>“We were able to get power and resources out to the site relatively quickly and open it up to people who were the most vulnerable to COVID living on the streets of the Bayview,” said Emily Cohen, spokesperson for the city’s Department of Homelessness and Supportive Housing. “It’s not just a trailer.”\u003c/p>\n\u003cp>A total of 303 people have so far participated in San Francisco’s program. Of those, 37 have moved to permanent housing, according to Cohen. All but two of the trailers are still in use, and 118 people are still living at the site.\u003c/p>\n\u003cp>But at a site just across the bay, near Oakland International Airport, the trailer program had a much rockier start.\u003c/p>\n\u003cp>“They were in pretty sad shape and rehabbing them was extremely expensive,” said Derek Soo, an advocate for people experiencing homelessness, who in spring 2020 helped move some residents from nearby encampments into the trailers at the site on Hegenberger Road, which became known as Operation HomeBase. “They were falling apart after the first year.”\u003c/p>\n\u003cp>Soo, who was unhoused himself, reported some of the dangerous conditions at the trailer site in its early days, including a lack of stable electricity. The city of Oakland eventually installed a transformer, which cost about $250,000, according to Soo.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Site infrastructure improvements, like physical accessibility and trailer maintenance, and ongoing services, like meals and sanitation, are expensive but necessary to effectively operate temporary housing, he said.\u003c/p>\n\u003cp>Kym Wilson lived in a trailer at HomeBase from May 2020 to November 2021 with her husband and their two cats and a dog, until the couple was finally approved for an emergency housing voucher. The voucher allowed them to move from the trailer into an apartment in San Leandro, where they continue to live today.\u003c/p>\n\u003cp>“The trailer was smaller than our tent and we didn’t like that, but we knew we had an opportunity for housing, so we stayed,” said Wilson, who grew up in the East Bay, but was forced into homelessness after being evicted from her apartment in 2017. “Overall, the [trailer] experience was good. It was like a big trailer park right next to the Coliseum.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>But some other cities that received trailers in 2020 couldn’t follow through on providing the services necessary to make the temporary alternative housing programs successful. And some cities that requested the trailers didn’t receive any at all, according to a \u003ca href=\"https://public.tableau.com/views/COVID-19HomelessImpactDashboard/HomelessImpact?:embed=y&:showVizHome=no\">state data dashboard\u003c/a>.\u003c/p>\n\u003cp>In San José, for instance, only 90 of the 104 trailers sent were deemed habitable upon arrival, the \u003ca href=\"https://www.mercurynews.com/2020/06/16/san-jose-spent-1-3-million-on-trailers-for-homeless-a-month-later-the-site-was-shut-down/\">Mercury News reported\u003c/a> at the start of the program, as some were missing sinks and had damaged vents.\u003c/p>\n\u003cp>The city spent nearly $1.3 million to repair damaged trailers and set up services and infrastructure, like water and electricity. But several months later, San José officials decided to return all 105 of its trailers and ditch the idea altogether.\u003c/p>\n\u003cp>“We used the trailers for a couple months, but we found the expense and operational challenges of maintaining such a large fleet of trailers were not a good fit for our city,” said Jeff Scott, spokesperson for the city’s housing department. “We transitioned our residents into other accommodations and returned the trailers to the state.”\u003c/p>\n\u003cp>In Monterey County, 15 trailers were set up at a county-owned park with RV hookups for water and electricity already available. But in the fall of 2022, as the COVID emergency became less dire, the trailers were decommissioned, according to Karen Smith, spokesperson with the Monterey County Public Health Department.\u003c/p>\n\u003cp>And even though the county continues to grapple with an acute housing shortage, the trailers are now sitting unused, in storage, she said.\u003c/p>\n\u003ch2>Empty trailers in a housing crisis\u003c/h2>\n\u003cfigure id=\"attachment_11947622\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/GettyImages-1220237023.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11947622\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/GettyImages-1220237023-800x509.jpg\" alt=\"A lineup of trailers outside.\" width=\"800\" height=\"509\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/GettyImages-1220237023-800x509.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/GettyImages-1220237023-1020x649.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/GettyImages-1220237023-160x102.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/GettyImages-1220237023.jpg 1024w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Trailers that were brought to Oakland to be used by unhoused people remain empty on Day 30 of the coronavirus shelter-in-place order in Oakland on Wednesday, April 15, 2020. Some of the trailers had been there since a joint press conference was held with Gov. Gavin Newsom and former Mayor Libby Schaaf on Jan. 16, 2020. \u003ccite>(Jane Tyska/Digital First Media/East Bay Times via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>To avoid that same fate with tiny homes and other emergency housing initiatives, housing advocates say local municipalities need to receive more guidance and sustained funding from the state.\u003c/p>\n\u003cp>Jennifer Friedenbach, executive director of the Coalition on Homelessness in San Francisco, said Newsom’s tiny home plan feels very similar to the trailer program. “Newsom is doing these one-time investments, then asking municipalities to take it on,” she said. “The local government still has to pay for all the infrastructure costs, like pouring cement, staffing, food costs and other services. That was expensive at Pier 94 [in San Francisco].”\u003c/p>\n\u003cp>The wide disparity in outcomes for these short-term solutions has much to do with a lack of coordination and accountability when they are rolled out, notes McDaid Ting, of the California State Association of Counties.\u003c/p>\n\u003cp>“It’s so hodgepodge,” she said of the way broad homelessness initiatives, like the trailer program, have been implemented in California.\u003c/p>\n\u003cp>McDaid Ting’s group is calling on the governor to create a master plan to address homelessness that clarifies which state, county and local agencies are responsible for managing different parts of the state’s response — from running shelters and building ample housing and safety-net programs to expanding data collection.\u003c/p>\n\u003cp>Newsom has so far allocated around $2.5 billion in this year’s budget to address homelessness, and has directed more than $20 billion toward the issue since taking office in 2018 — far more than any of his predecessors — according to the state Legislative Analyst’s Office.\u003c/p>\n\u003cp>But many advocates say that still falls far short of what is needed to provide long-term solutions to \u003ca class=\"c-link\" href=\"http://chrome-extension//efaidnbmnnnibpcajpcglclefindmkaj/https://www.huduser.gov/portal/sites/default/files/pdf/2022-AHAR-Part-1.pdf\" target=\"_blank\" rel=\"noopener noreferrer\" data-stringify-link=\"http://chrome-extension//efaidnbmnnnibpcajpcglclefindmkaj/https://www.huduser.gov/portal/sites/default/files/pdf/2022-AHAR-Part-1.pdf\" data-sk=\"tooltip_parent\">the state’s more than 171,000 unhoused people (PDF)\u003c/a>.\u003c/p>\n\u003cp>“The state’s homelessness crisis is so severe that the governor has called in the National Guard, and several city leaders have declared emergencies in their jurisdictions,” Cal Cities executive director and CEO Carolyn Coleman said in a statement in response to a recent survey showing that 90% of California cities don’t know how they’ll pay for homelessness services in the years ahead. “Lasting progress will be out of reach without an ongoing source of state investment in local communities.”\u003c/p>\n\u003ch2>Tiny homes, big promises\u003c/h2>\n\u003cp>For Newsom’s newest housing initiative, the state is planning to deliver 350 tiny homes to Sacramento, 500 to Los Angeles, 200 to San José and 150 to San Diego. The cities will own the homes and be on the hook for funding ongoing services.\u003c/p>\n\u003cp>In various studies, a majority of unhoused people say they prefer tiny homes and trailers to congregate shelters because they offer more privacy and security, helping residents to reestablish a greater degree of stability and confidence.\u003c/p>\n\u003cp>“Everyone wants their own place, the opportunity to move forward from the sidewalk to the trailer or tiny homes and into their own apartment or house. That’s the end result, that’s what we are looking for,” said Wilson, a former resident of Oakland’s Operation HomeBase program. “We came from homes. We haven’t always been homeless.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>The Supreme Court issued an order Friday that temporarily stays any changes to federal rules for use of an abortion drug, while it takes time to more fully consider the issues raised in a court challenge.\u003c/p>\n\u003cp>The order, signed by Justice Samuel Alito, put a five-day pause on the fast-moving case so the justices can decide whether lower court rulings restricting the Food and Drug Administration’s approval of the drug, mifepristone, should be allowed to take effect in the short term.\u003c/p>\n\u003cp>The justices are being asked at this point only to determine what parts of an April 7 ruling by U.S. District Judge Matthew Kacsmaryk in Texas, as modified by \u003ca href=\"https://apnews.com/article/texas-abortion-pill-appeal-fe13d36218f1fb43590aff29b5ba4e9c\">an appellate ruling Wednesday\u003c/a>, can be enforced while the case continues. The order expires late Wednesday, suggesting the court will decide that issue by then.\u003c/p>\n\u003cp>The legal saga that has unfolded over mifepristone — one of two drugs commonly used for medication abortions in the U.S. — has caused concern in California, where access to abortion is\u003ca href=\"https://www.kqed.org/news/11931183/californians-vote-to-protect-abortion-in-constitution\"> a constitutional right\u003c/a> under state law. Gov. Gavin Newsom announced last week the \u003ca href=\"https://www.kqed.org/news/11946207/california-strikes-deal-to-stockpile-abortion-pill-in-wake-of-texas-judge-ruling\">state would begin stockpiling abortion medications\u003c/a> in the event that restrictions come into effect. \u003ca href=\"https://www.gov.ca.gov/2023/04/07/governor-newsom-statement-on-texas-judge-restricting-access-to-medication-abortion/\">The governor reiterated that abortion is still legal and accessible\u003c/a> in California as “a fundamental freedom.”\u003c/p>\n\u003cp>In a statement to KQED on Friday, the California Department of Public Health said it was assessing the implications of recent rulings and evaluating various options on how to ensure access to reproductive services and medications, saying it was working with “multiple departments across the California Health and Human Services Agency to ensure that individuals in California are not adversely impacted by the recent court rulings regarding the use of Mifepristone.”\u003c/p>\n\u003cfigure id=\"attachment_11946807\" class=\"wp-caption alignright\" style=\"max-width: 1024px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11946807\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/GettyImages-1475601495.jpg\" alt='An African American woman with short hair speaks into a microphone surrounded by people holding signs that say \"Abortion Is Health Care\"' width=\"1024\" height=\"683\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/GettyImages-1475601495.jpg 1024w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/GettyImages-1475601495-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/GettyImages-1475601495-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/GettyImages-1475601495-160x107.jpg 160w\" sizes=\"(max-width: 1024px) 100vw, 1024px\">\u003cfigcaption class=\"wp-caption-text\">Rep. Barbara Lee (D-Calif.) speaks at a news conference to reintroduce the Abortion Is Health Care Everywhere Act outside the US Capitol on March 23, 2023, in Washington, DC. The bill authorizes the use of certain foreign assistance funds to provide comprehensive reproductive health care services in developing countries, including abortion services, training and equipment. \u003ccite>(Tasos Katopodis/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>U.S. Rep. Barbara Lee (D-Calif.), who is co-chair of the Pro-Choice Caucus, said that while Alito’s decision Friday meant that mifepristone is still accessible, she warned that this access is still “under threat” pending the high court’s decision, and urged continued vigilance.\u003c/p>\n\u003cp>“I think we need to realize that this is another step toward Republicans trying to put into law a national ban on abortion,” said Lee in an interview with KQED. “My constituents are saying they’re worried, because some of these broad, really backwards types of decisions could turn the clock back on scientifically approved drugs nationwide.”\u003c/p>\n\u003cp>The East Bay Congressmember added that she and her colleagues were prepared to act if legislation was needed to strengthen the FDA’s authority and prevent court decisions from undermining that authority, warning of the implications such decisions may have down the line.\u003c/p>\n\u003cp>“[The] FDA approves the safety and efficacy of drugs for all types of medical conditions, including Alzheimer’s,” Lee said. “So what does this say about a process that could hinder other kinds of scientific research for other types of medical conditions? That is very dangerous and people are concerned about that, in terms of the precedent setting with these decisions.”\u003c/p>\n\u003cp>The Supreme Court finds itself immersed in a new fight involving abortion less than a year after\u003ca href=\"https://apnews.com/article/abortion-supreme-court-decision-854f60302f21c2c35129e58cf8d8a7b0\"> conservative justices reversed Roe v. Wade\u003c/a> and allowed more than a dozen states to effectively ban abortion outright.\u003c/p>\n\u003cp>President Joe Biden’s administration and New York-based Danco Laboratories, maker of the pill, asked the justices to intervene.\u003c/p>\n\u003cp>White House Press Secretary Karine Jean-Pierre said in a statement Friday evening that the administration continues “to stand by FDA’s evidence-based approval of mifepristone, and we will continue to support the FDA’s independent, expert authority to review, approve, and regulate a wide range of prescription drugs.”[pullquote align=\"right\" size=\"medium\" citation=\"Rep. Barbara Lee (D-Calif.)\"]‘I think we need to realize that this is another step toward Republicans trying to put into law a national ban on abortion.’[/pullquote]She added, “The stakes of this fight could not be higher in the face of ongoing attacks on women’s health, and we will continue to fight to restore the protections of Roe v. Wade.”\u003c/p>\n\u003cp>A lawyer for the anti-abortion doctors and medical organizations suing over mifepristone said the court’s action Friday was “standard operating procedure” and urged the justices to allow the appeals court-ordered changes to take effect by the middle of next week.\u003c/p>\n\u003cp>The type of order issued by the court Friday, an administrative stay, ordinarily is not an indication of what the justices will do going forward. It was signed by Alito because he handles emergency filings from Texas. Alito also is the author of last year’s opinion overturning Roe v. Wade.\u003c/p>\n\u003cp>The Justice Department and Danco both warned of “regulatory chaos” and harm to women if the high court doesn’t block the lower-court rulings that had the effect of tightening FDA rules under which the drug, mifepristone, can be prescribed and dispensed.\u003c/p>\n\u003cfigure id=\"attachment_11946813\" class=\"wp-caption alignnone\" style=\"max-width: 1024px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11946813\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/GettyImages-1251856353.jpg\" alt='Protesters march holding signs that read \"Abortion Is Health Care\" with the U.S. Capitol in the backdrop.' width=\"1024\" height=\"684\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/GettyImages-1251856353.jpg 1024w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/GettyImages-1251856353-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/GettyImages-1251856353-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/GettyImages-1251856353-160x107.jpg 160w\" sizes=\"(max-width: 1024px) 100vw, 1024px\">\u003cfigcaption class=\"wp-caption-text\">Demonstrators rally in support of abortion rights at the US Supreme Court in Washington, DC, April 15, 2023. \u003ccite>(Andrew Caballero-Reynolds/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The new limits would have taken effect Saturday if the court hadn’t acted.\u003c/p>\n\u003cp>“This application concerns unprecedented lower court orders countermanding FDA’s scientific judgment and unleashing regulatory chaos by suspending the existing FDA-approved conditions of use for mifepristone,” Solicitor General Elizabeth Prelogar, the Biden administration’s top Supreme Court lawyer, wrote Friday, less than two days after the appellate ruling.\u003c/p>\n\u003cp>The Biden administration and Danco now want a more lasting order that would keep the current rules in place as long as the legal fight over mifepristone continues. As a fallback, they asked the court to take up the issue, hear arguments and decide by early summer a legal challenge to mifepristone that anti-abortion doctors and medical organizations filed last year.\u003c/p>\n\u003cp>The court rarely acts so quickly to grant full review of cases before at least one appeals court has thoroughly examined the legal issues involved.[aside label=\"Related Stories\" postID=\"news_11946073,news_11946193,news_11938516\"]A ruling from the 5th U.S. Circuit Court of Appeals late Wednesday would prevent the pill, used in the most common abortion method, from being mailed or prescribed without an in-person visit to a doctor. It also would withdraw the Food and Drug Administration’s approval of mifepristone for use beyond the seventh week of pregnancy. The FDA says it’s safe through 10 weeks.\u003c/p>\n\u003cp>Still, the appeals court did not entirely withdraw FDA approval of mifepristone \u003ca href=\"https://apnews.com/article/abortion-telehealth-mifepristone-9ba8f3ce130fae246e1d87ce428b74a0\">while the fight over it continues\u003c/a>. The 5th Circuit narrowed an April 7 ruling by \u003ca href=\"https://apnews.com/article/texas-judge-matthew-kacsmaryk-abortion-pill-fda-75964b777ef09593a1ad948c6cfc0237\">U.S. District Judge Matthew Kacsmaryk\u003c/a>, whose far-reaching and virtually unprecedented order would have blocked FDA approval of the pill. He gave the administration a week to appeal.\u003c/p>\n\u003cp>“To the government’s knowledge, this is the first time any court has abrogated FDA’s conditions on a drug’s approval based on a disagreement with the agency’s judgment about safety — much less done so after those conditions have been in effect for years,” Prelogar wrote.\u003c/p>\n\u003cp>Erin Hawley, lawyer for the challengers, said in a statement that the FDA has put politics ahead of health concerns in its actions on medication abortion.\u003c/p>\n\u003cp>“The 5th Circuit rightly required the agency to prioritize women’s health by restoring critical safeguards, and we’ll urge the Supreme Court to keep that accountability in place,” said Hawley, senior counsel with Alliance Defending Freedom, a conservative legal group that also argued to overturn Roe v. Wade.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Mifepristone was approved by the FDA more than two decades ago and is used in combination with a second drug, misoprostol.\u003c/p>\n\u003cp>Adding to the uncertainty, a separate federal judge in Washington on Thursday clarified his own order from last week to make clear that the FDA is not to do anything that might block mifepristone’s availability in 17 Democrat-led states suing to keep it on the market.\u003c/p>\n\u003cp>It’s unclear how the FDA can comply with court orders in both cases, a situation that Prelogar described Friday as untenable.\u003c/p>\n\u003cp>Health and Human Services Secretary Xavier Becerra, in a statement Friday night, said the April 7 ruling out of Texas poses “an existential threat to the FDA’s authority to review and approve a wide range of drugs. If it stands, no medicine approved by the FDA would be safe from these attacks.”[pullquote align=\"right\" size=\"medium\" citation=\"Elizabeth Prelogar, US solicitor general\"]‘[T]his is the first time any court has abrogated FDA’s conditions on a drug’s approval based on a disagreement with the agency’s judgment about safety — much less done so after those conditions have been in effect for years.’[/pullquote]Use of medication abortion jumped significantly after the FDA’s 2016 rule expansion, according to data gathered by the Guttmacher Institute, a research group that supports abortion rights. In 2017, medication abortion accounted for 39% percent of abortions, but by 2020 it had increased to become the most common method, accounting for 53% of all abortions.\u003c/p>\n\u003cp>Experts have said the use of medication abortion has increased since the court overturned Roe.\u003c/p>\n\u003cp>When the drug was initially approved, the FDA limited its use to up to seven weeks of pregnancy. It also required three in-person office visits: the first to administer mifepristone, the next to administer the second drug, misoprostol, and the third to address any complications. It also required a doctor’s supervision and a reporting system for any serious consequences of the drug.\u003c/p>\n\u003cp>If the appeals court’s action stands, those would again be the terms under which mifepristone could be dispensed for now.\u003c/p>\n\u003cp>At the core of the Texas lawsuit is the allegation that the FDA’s initial approval of mifepristone was flawed because the agency did not adequately review safety risks.\u003c/p>\n\u003cp>Mifepristone has been used by millions of women over the past 23 years. While less drastic than completely overturning the drug’s approval, the latest ruling still represents a stark challenge to the FDA’s authority overseeing how prescription drugs are used in the U.S. The ruling late Wednesday overturned multiple decisions made by FDA regulators after years of scientific review.\u003c/p>\n\u003cp>Common side effects with mifepristone include cramping, bleeding, nausea, headache and diarrhea. In rare cases, patients can experience excess bleeding that requires surgery to stop.\u003c/p>\n\u003cp>Still, in loosening restrictions on mifepristone, FDA regulators cited “exceedingly low rates of serious adverse events.”\u003c/p>\n\u003cp>More than 5.6 million women in the U.S. had used the drug as of June 2022, according to the FDA. In that period, the agency received 4,200 reports of complications in women, or less than one-tenth of 1% of women who took the drug.\u003c/p>\n\u003cp>\u003cem>This story includes reporting by Mark Sherman and Jessica Gresko of The Associated Press and by KQED’s Attila Pelit and Azul Dahlstrom-Eckman.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Supreme Court issued an order Friday that temporarily stays any changes to federal rules for use of an abortion drug, while it takes time to more fully consider the issues raised in a court challenge.\u003c/p>\n\u003cp>The order, signed by Justice Samuel Alito, put a five-day pause on the fast-moving case so the justices can decide whether lower court rulings restricting the Food and Drug Administration’s approval of the drug, mifepristone, should be allowed to take effect in the short term.\u003c/p>\n\u003cp>The justices are being asked at this point only to determine what parts of an April 7 ruling by U.S. District Judge Matthew Kacsmaryk in Texas, as modified by \u003ca href=\"https://apnews.com/article/texas-abortion-pill-appeal-fe13d36218f1fb43590aff29b5ba4e9c\">an appellate ruling Wednesday\u003c/a>, can be enforced while the case continues. The order expires late Wednesday, suggesting the court will decide that issue by then.\u003c/p>\n\u003cp>The legal saga that has unfolded over mifepristone — one of two drugs commonly used for medication abortions in the U.S. — has caused concern in California, where access to abortion is\u003ca href=\"https://www.kqed.org/news/11931183/californians-vote-to-protect-abortion-in-constitution\"> a constitutional right\u003c/a> under state law. Gov. Gavin Newsom announced last week the \u003ca href=\"https://www.kqed.org/news/11946207/california-strikes-deal-to-stockpile-abortion-pill-in-wake-of-texas-judge-ruling\">state would begin stockpiling abortion medications\u003c/a> in the event that restrictions come into effect. \u003ca href=\"https://www.gov.ca.gov/2023/04/07/governor-newsom-statement-on-texas-judge-restricting-access-to-medication-abortion/\">The governor reiterated that abortion is still legal and accessible\u003c/a> in California as “a fundamental freedom.”\u003c/p>\n\u003cp>In a statement to KQED on Friday, the California Department of Public Health said it was assessing the implications of recent rulings and evaluating various options on how to ensure access to reproductive services and medications, saying it was working with “multiple departments across the California Health and Human Services Agency to ensure that individuals in California are not adversely impacted by the recent court rulings regarding the use of Mifepristone.”\u003c/p>\n\u003cfigure id=\"attachment_11946807\" class=\"wp-caption alignright\" style=\"max-width: 1024px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11946807\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/GettyImages-1475601495.jpg\" alt='An African American woman with short hair speaks into a microphone surrounded by people holding signs that say \"Abortion Is Health Care\"' width=\"1024\" height=\"683\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/GettyImages-1475601495.jpg 1024w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/GettyImages-1475601495-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/GettyImages-1475601495-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/GettyImages-1475601495-160x107.jpg 160w\" sizes=\"(max-width: 1024px) 100vw, 1024px\">\u003cfigcaption class=\"wp-caption-text\">Rep. Barbara Lee (D-Calif.) speaks at a news conference to reintroduce the Abortion Is Health Care Everywhere Act outside the US Capitol on March 23, 2023, in Washington, DC. The bill authorizes the use of certain foreign assistance funds to provide comprehensive reproductive health care services in developing countries, including abortion services, training and equipment. \u003ccite>(Tasos Katopodis/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>U.S. Rep. Barbara Lee (D-Calif.), who is co-chair of the Pro-Choice Caucus, said that while Alito’s decision Friday meant that mifepristone is still accessible, she warned that this access is still “under threat” pending the high court’s decision, and urged continued vigilance.\u003c/p>\n\u003cp>“I think we need to realize that this is another step toward Republicans trying to put into law a national ban on abortion,” said Lee in an interview with KQED. “My constituents are saying they’re worried, because some of these broad, really backwards types of decisions could turn the clock back on scientifically approved drugs nationwide.”\u003c/p>\n\u003cp>The East Bay Congressmember added that she and her colleagues were prepared to act if legislation was needed to strengthen the FDA’s authority and prevent court decisions from undermining that authority, warning of the implications such decisions may have down the line.\u003c/p>\n\u003cp>“[The] FDA approves the safety and efficacy of drugs for all types of medical conditions, including Alzheimer’s,” Lee said. “So what does this say about a process that could hinder other kinds of scientific research for other types of medical conditions? That is very dangerous and people are concerned about that, in terms of the precedent setting with these decisions.”\u003c/p>\n\u003cp>The Supreme Court finds itself immersed in a new fight involving abortion less than a year after\u003ca href=\"https://apnews.com/article/abortion-supreme-court-decision-854f60302f21c2c35129e58cf8d8a7b0\"> conservative justices reversed Roe v. Wade\u003c/a> and allowed more than a dozen states to effectively ban abortion outright.\u003c/p>\n\u003cp>President Joe Biden’s administration and New York-based Danco Laboratories, maker of the pill, asked the justices to intervene.\u003c/p>\n\u003cp>White House Press Secretary Karine Jean-Pierre said in a statement Friday evening that the administration continues “to stand by FDA’s evidence-based approval of mifepristone, and we will continue to support the FDA’s independent, expert authority to review, approve, and regulate a wide range of prescription drugs.”\u003c/p>\u003c/div>",
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"content": "‘I think we need to realize that this is another step toward Republicans trying to put into law a national ban on abortion.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>She added, “The stakes of this fight could not be higher in the face of ongoing attacks on women’s health, and we will continue to fight to restore the protections of Roe v. Wade.”\u003c/p>\n\u003cp>A lawyer for the anti-abortion doctors and medical organizations suing over mifepristone said the court’s action Friday was “standard operating procedure” and urged the justices to allow the appeals court-ordered changes to take effect by the middle of next week.\u003c/p>\n\u003cp>The type of order issued by the court Friday, an administrative stay, ordinarily is not an indication of what the justices will do going forward. It was signed by Alito because he handles emergency filings from Texas. Alito also is the author of last year’s opinion overturning Roe v. Wade.\u003c/p>\n\u003cp>The Justice Department and Danco both warned of “regulatory chaos” and harm to women if the high court doesn’t block the lower-court rulings that had the effect of tightening FDA rules under which the drug, mifepristone, can be prescribed and dispensed.\u003c/p>\n\u003cfigure id=\"attachment_11946813\" class=\"wp-caption alignnone\" style=\"max-width: 1024px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11946813\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/GettyImages-1251856353.jpg\" alt='Protesters march holding signs that read \"Abortion Is Health Care\" with the U.S. Capitol in the backdrop.' width=\"1024\" height=\"684\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/GettyImages-1251856353.jpg 1024w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/GettyImages-1251856353-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/GettyImages-1251856353-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/GettyImages-1251856353-160x107.jpg 160w\" sizes=\"(max-width: 1024px) 100vw, 1024px\">\u003cfigcaption class=\"wp-caption-text\">Demonstrators rally in support of abortion rights at the US Supreme Court in Washington, DC, April 15, 2023. \u003ccite>(Andrew Caballero-Reynolds/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The new limits would have taken effect Saturday if the court hadn’t acted.\u003c/p>\n\u003cp>“This application concerns unprecedented lower court orders countermanding FDA’s scientific judgment and unleashing regulatory chaos by suspending the existing FDA-approved conditions of use for mifepristone,” Solicitor General Elizabeth Prelogar, the Biden administration’s top Supreme Court lawyer, wrote Friday, less than two days after the appellate ruling.\u003c/p>\n\u003cp>The Biden administration and Danco now want a more lasting order that would keep the current rules in place as long as the legal fight over mifepristone continues. As a fallback, they asked the court to take up the issue, hear arguments and decide by early summer a legal challenge to mifepristone that anti-abortion doctors and medical organizations filed last year.\u003c/p>\n\u003cp>The court rarely acts so quickly to grant full review of cases before at least one appeals court has thoroughly examined the legal issues involved.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>A ruling from the 5th U.S. Circuit Court of Appeals late Wednesday would prevent the pill, used in the most common abortion method, from being mailed or prescribed without an in-person visit to a doctor. It also would withdraw the Food and Drug Administration’s approval of mifepristone for use beyond the seventh week of pregnancy. The FDA says it’s safe through 10 weeks.\u003c/p>\n\u003cp>Still, the appeals court did not entirely withdraw FDA approval of mifepristone \u003ca href=\"https://apnews.com/article/abortion-telehealth-mifepristone-9ba8f3ce130fae246e1d87ce428b74a0\">while the fight over it continues\u003c/a>. The 5th Circuit narrowed an April 7 ruling by \u003ca href=\"https://apnews.com/article/texas-judge-matthew-kacsmaryk-abortion-pill-fda-75964b777ef09593a1ad948c6cfc0237\">U.S. District Judge Matthew Kacsmaryk\u003c/a>, whose far-reaching and virtually unprecedented order would have blocked FDA approval of the pill. He gave the administration a week to appeal.\u003c/p>\n\u003cp>“To the government’s knowledge, this is the first time any court has abrogated FDA’s conditions on a drug’s approval based on a disagreement with the agency’s judgment about safety — much less done so after those conditions have been in effect for years,” Prelogar wrote.\u003c/p>\n\u003cp>Erin Hawley, lawyer for the challengers, said in a statement that the FDA has put politics ahead of health concerns in its actions on medication abortion.\u003c/p>\n\u003cp>“The 5th Circuit rightly required the agency to prioritize women’s health by restoring critical safeguards, and we’ll urge the Supreme Court to keep that accountability in place,” said Hawley, senior counsel with Alliance Defending Freedom, a conservative legal group that also argued to overturn Roe v. Wade.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Mifepristone was approved by the FDA more than two decades ago and is used in combination with a second drug, misoprostol.\u003c/p>\n\u003cp>Adding to the uncertainty, a separate federal judge in Washington on Thursday clarified his own order from last week to make clear that the FDA is not to do anything that might block mifepristone’s availability in 17 Democrat-led states suing to keep it on the market.\u003c/p>\n\u003cp>It’s unclear how the FDA can comply with court orders in both cases, a situation that Prelogar described Friday as untenable.\u003c/p>\n\u003cp>Health and Human Services Secretary Xavier Becerra, in a statement Friday night, said the April 7 ruling out of Texas poses “an existential threat to the FDA’s authority to review and approve a wide range of drugs. If it stands, no medicine approved by the FDA would be safe from these attacks.”\u003c/p>\u003c/div>",
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"content": "‘[T]his is the first time any court has abrogated FDA’s conditions on a drug’s approval based on a disagreement with the agency’s judgment about safety — much less done so after those conditions have been in effect for years.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Use of medication abortion jumped significantly after the FDA’s 2016 rule expansion, according to data gathered by the Guttmacher Institute, a research group that supports abortion rights. In 2017, medication abortion accounted for 39% percent of abortions, but by 2020 it had increased to become the most common method, accounting for 53% of all abortions.\u003c/p>\n\u003cp>Experts have said the use of medication abortion has increased since the court overturned Roe.\u003c/p>\n\u003cp>When the drug was initially approved, the FDA limited its use to up to seven weeks of pregnancy. It also required three in-person office visits: the first to administer mifepristone, the next to administer the second drug, misoprostol, and the third to address any complications. It also required a doctor’s supervision and a reporting system for any serious consequences of the drug.\u003c/p>\n\u003cp>If the appeals court’s action stands, those would again be the terms under which mifepristone could be dispensed for now.\u003c/p>\n\u003cp>At the core of the Texas lawsuit is the allegation that the FDA’s initial approval of mifepristone was flawed because the agency did not adequately review safety risks.\u003c/p>\n\u003cp>Mifepristone has been used by millions of women over the past 23 years. While less drastic than completely overturning the drug’s approval, the latest ruling still represents a stark challenge to the FDA’s authority overseeing how prescription drugs are used in the U.S. The ruling late Wednesday overturned multiple decisions made by FDA regulators after years of scientific review.\u003c/p>\n\u003cp>Common side effects with mifepristone include cramping, bleeding, nausea, headache and diarrhea. In rare cases, patients can experience excess bleeding that requires surgery to stop.\u003c/p>\n\u003cp>Still, in loosening restrictions on mifepristone, FDA regulators cited “exceedingly low rates of serious adverse events.”\u003c/p>\n\u003cp>More than 5.6 million women in the U.S. had used the drug as of June 2022, according to the FDA. In that period, the agency received 4,200 reports of complications in women, or less than one-tenth of 1% of women who took the drug.\u003c/p>\n\u003cp>\u003cem>This story includes reporting by Mark Sherman and Jessica Gresko of The Associated Press and by KQED’s Attila Pelit and Azul Dahlstrom-Eckman.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "California Strikes Deal to Stockpile Abortion Pill in Wake of Texas Judge Ruling",
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"content": "\u003cp>Several states say they are stocking up on medications used to induce abortions as a major abortion pill appears poised to potentially become unavailable in the U.S.\u003c/p>\n\u003cp>Gov. Gavin Newsom’s office says it’s made plans to secure an emergency stockpile of up to 2 million pills of misoprostol, a drug used in combination with another pill that is now the subject of legal battles in federal courts. Officials say the state currently has more than 250,000 of the pills already on hand, which were purchased for about $100,000.[aside label=\"Related Stories\" postID=\"news_11946073,news_11938516,news_11931860\"]“While California still believes Mifepristone is central to the preferred regimen for medication abortion, the State negotiated and purchased an emergency stockpile of Misoprostol in anticipation of Friday’s ruling by far-right federal judge Matthew Kacsmaryk to ensure that California remains a safe haven for safe, affordable, and accessible reproductive care,” Newsom’s office said in a statement provided to NPR.\u003c/p>\n\u003cp>Meanwhile, Massachusetts Gov. Maura Healy said Monday afternoon that her state has stockpiled some 15,000 mifepristone pills or more than a year’s worth of doses. Last week, Washington Gov. Jay Inslee announced his state had \u003ca href=\"https://www.npr.org/2023/04/04/1167867948/washington-state-stockpiles-thousands-of-abortion-pills\">prepared a stockpile\u003c/a> of about three years’ worth of mifepristone.\u003c/p>\n\u003cp>In the United States, most medication abortions involve two drugs: mifepristone followed by misoprostol, a protocol approved by the Food and Drug Administration in 2000. A coalition of anti-abortion-rights groups are \u003ca href=\"https://www.npr.org/2023/02/01/1153593174/mifepristone-abortion-pill-federal-texas-lawsuit-restrict-access-nationwide\">suing the FDA\u003c/a>, seeking to force mifepristone to be pulled from the market.\u003c/p>\n\u003cp>Last Friday, Kaczmaryk, a Trump-appointed federal judge in Texas with a long history of ties with conservative activists, ruled that the FDA should halt its approval. His nationwide order is scheduled to go into effect this Friday unless the 5th Circuit Court of Appeals intervenes.[pullquote align=\"right\" size=\"medium\" citation=\"Gov. Gavin Newsom\"]‘While California still believes Mifepristone is central to the preferred regimen for medication abortion, the State negotiated and purchased an emergency stockpile of Misoprostol in anticipation of Friday’s ruling by far-right federal judge Matthew Kacsmaryk to ensure that California remains a safe haven for safe, affordable, and accessible reproductive care.’[/pullquote]More than half of abortions in the U.S. are now medication abortions, and the vast majority of those involve the two-drug protocol, which is considered the gold standard here. But the second medication in that regimen, misoprostol, also can be used alone to induce abortion.\u003c/p>\n\u003cp>Researchers say the \u003ca href=\"https://www.npr.org/2023/02/24/1159075709/abortion-drug-mifepristone-misoprotol-texas-case\">single-drug approach\u003c/a> is slightly less effective and can be more painful for patients, but misoprostol alone is endorsed by the World Health Organization as an effective option.\u003c/p>\n\u003cp>Newsom’s office says the pills were secured through the state’s CalRx prescription drug program, and California is providing information about its purchase agreement to other states that may be interested in taking similar action.\u003c/p>\n\u003cp>Pharmacies facing shortages will be directed to a state website where they can find information about how to request pills from the misoprostol supply.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "As mifepristone remains a subject of legal battles in federal courts, California joins several other states in stockpiling misoprostol, with Gov. Newsom's office saying they plan to secure an emergency stockpile of up to 2 million pills.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Several states say they are stocking up on medications used to induce abortions as a major abortion pill appears poised to potentially become unavailable in the U.S.\u003c/p>\n\u003cp>Gov. Gavin Newsom’s office says it’s made plans to secure an emergency stockpile of up to 2 million pills of misoprostol, a drug used in combination with another pill that is now the subject of legal battles in federal courts. Officials say the state currently has more than 250,000 of the pills already on hand, which were purchased for about $100,000.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“While California still believes Mifepristone is central to the preferred regimen for medication abortion, the State negotiated and purchased an emergency stockpile of Misoprostol in anticipation of Friday’s ruling by far-right federal judge Matthew Kacsmaryk to ensure that California remains a safe haven for safe, affordable, and accessible reproductive care,” Newsom’s office said in a statement provided to NPR.\u003c/p>\n\u003cp>Meanwhile, Massachusetts Gov. Maura Healy said Monday afternoon that her state has stockpiled some 15,000 mifepristone pills or more than a year’s worth of doses. Last week, Washington Gov. Jay Inslee announced his state had \u003ca href=\"https://www.npr.org/2023/04/04/1167867948/washington-state-stockpiles-thousands-of-abortion-pills\">prepared a stockpile\u003c/a> of about three years’ worth of mifepristone.\u003c/p>\n\u003cp>In the United States, most medication abortions involve two drugs: mifepristone followed by misoprostol, a protocol approved by the Food and Drug Administration in 2000. A coalition of anti-abortion-rights groups are \u003ca href=\"https://www.npr.org/2023/02/01/1153593174/mifepristone-abortion-pill-federal-texas-lawsuit-restrict-access-nationwide\">suing the FDA\u003c/a>, seeking to force mifepristone to be pulled from the market.\u003c/p>\n\u003cp>Last Friday, Kaczmaryk, a Trump-appointed federal judge in Texas with a long history of ties with conservative activists, ruled that the FDA should halt its approval. His nationwide order is scheduled to go into effect this Friday unless the 5th Circuit Court of Appeals intervenes.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>More than half of abortions in the U.S. are now medication abortions, and the vast majority of those involve the two-drug protocol, which is considered the gold standard here. But the second medication in that regimen, misoprostol, also can be used alone to induce abortion.\u003c/p>\n\u003cp>Researchers say the \u003ca href=\"https://www.npr.org/2023/02/24/1159075709/abortion-drug-mifepristone-misoprotol-texas-case\">single-drug approach\u003c/a> is slightly less effective and can be more painful for patients, but misoprostol alone is endorsed by the World Health Organization as an effective option.\u003c/p>\n\u003cp>Newsom’s office says the pills were secured through the state’s CalRx prescription drug program, and California is providing information about its purchase agreement to other states that may be interested in taking similar action.\u003c/p>\n\u003cp>Pharmacies facing shortages will be directed to a state website where they can find information about how to request pills from the misoprostol supply.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Access to Abortion Pill in Limbo After Competing Rulings as Biden, Newsom Slam Texas Judge",
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"content": "\u003cp>\u003cem>Updated 2 p.m. Saturday\u003c/em>\u003c/p>\n\u003cp>Access to the most commonly used method of abortion in the U.S. plunged into uncertainty Friday following conflicting court rulings over the legality of the abortion medication mifepristone, which has been widely available for more than 20 years.\u003c/p>\n\u003cp>For now, the drug that the Food and Drug Administration approved in 2000 remains at least immediately available in the wake of the separate rulings that were issued just minutes apart by federal judges in Texas and Washington.\u003c/p>\n\u003cp>U.S. District Judge Matthew Kacsmaryk, a Trump appointee and formerly an attorney for a religious liberty legal group with a long history of pushing conservative causes, ordered a hold on federal approval of mifepristone in a decision that overruled decades of scientific approval. But that decision was quickly followed by U.S. District Judge Thomas O. Rice, an Obama appointee, essentially ordering the opposite and directing U.S. authorities to not make any changes that would restrict access to the drug.\u003c/p>\n\u003cp>“FDA is under one order that says you can do nothing and another that says in seven days I’m going to require you to vacate the approval of mifepristone,” said Glenn Cohen of Harvard Law School.\u003c/p>\n\u003cp>The extraordinary timing of the competing orders revealed the high stakes that surround the drug a year after the U.S. Supreme Court overturned Roe v. Wade and curtailed access to abortion across the country. President Joe Biden said his administration would fight the Texas ruling.[pullquote align=\"right\" size=\"medium\" citation=\"Gov. Gavin Newsom\"]‘Today’s ruling, by an extremist judge pursuing a radical political agenda, ignores facts, science, and the law.’[/pullquote]“The Court in this case has substituted its judgment for FDA, the expert agency that approves drugs,” Biden said. “If this ruling were to stand, then there will be virtually no prescription, approved by the FDA, that would be safe from these kinds of political, ideological attacks.”\u003c/p>\n\u003cp>Gov. Gavin Newsom’s office \u003ca href=\"https://www.gov.ca.gov/2023/04/07/governor-newsom-statement-on-texas-judge-restricting-access-to-medication-abortion/\">issued a statement Friday\u003c/a> condemning the decision by the “far-right federal judge.”\u003c/p>\n\u003cp>“Today’s ruling, by an extremist judge pursuing a radical political agenda, ignores facts, science, and the law — putting the health of millions of women and girls at risk,” said Newsom. “Abortion is still legal and accessible here in California and we won’t stand by as fundamental freedoms are stripped away.”\u003c/p>\n\u003cp>In \u003ca href=\"https://oag.ca.gov/news/press-releases/attorney-general-bonta-denounces-texas-court-decision-suspending-approval\">a press release Friday\u003c/a>, Attorney General Rob Bonta called the ruling in Texas “unconscionable” and “another chapter in a very dark period of American history,” saying, “I will continue doing everything in my power to ensure that our state remains a safe haven for all those seeking, supporting, and providing reproductive care,” and reminding Californians of their \u003ca href=\"https://oag.ca.gov/reprorights\">reproductive rights\u003c/a>.\u003c/p>\n\u003cp>U.S. Rep. Barbara Lee (CA-12), co-chair of the Pro-Choice Caucus, issued a \u003ca href=\"https://lee.house.gov/news/press-releases/congresswoman-barbara-lee-condemns-ruling-by-trump-appointed-judge-undermining-fda-approval-of-abortion-medication-\">press statement\u003c/a> in which she called the Texas judge’s decision part of a coordinated and decades-long attack on abortion rights in the country.[aside label=\"Related Stories\" postID=\"news_11945838,news_11938516,news_11943903\"]“If the Supreme Court upholds this extreme and dangerous ruling, it will be the greatest loss for abortion rights since the fall of Roe\u003cem> … \u003c/em>We can’t let that happen,” said Lee. “As Co-Chair of the Pro-Choice Caucus, I am working closely with our partners to respond to this egregious ruling and preserve access to mifepristone nationwide. People — not politicians — should have the freedom to make their own health care decisions, and we won’t stop fighting until they do.”\u003c/p>\n\u003cp>Senator Dianne Feinstein (D-Calif.) \u003ca href=\"https://www.feinstein.senate.gov/public/index.cfm/press-releases?id=76D1DECB-6B1E-4566-B674-8CF33B157D6A\">issued a statement Saturday\u003c/a> saying the ruling in Texas wasn’t about the “safety of the drug or protecting patients” but about “overriding the FDA’s processes and expertise to attack women’s reproductive rights.”\u003c/p>\n\u003cp>Abortion providers also slammed the Texas ruling, including Whole Woman’s Health, which operates six clinics in five states and said it would continue to dispense mifepristone in person and by mail over the next week as they review the rulings.\u003c/p>\n\u003cp>President and CEO Jodi Hicks of Planned Parenthood Affiliates of California said the ruling was in stark contrast to public opinion.\u003c/p>\n\u003cp>“Attacks on reproductive health care, including medication abortion, are all about power and control, and this is no different,” said Hicks in an interview with KQED. “This ruling will create additional barriers to care, and people will be hurt by this. But let’s be clear, despite this ruling and the efforts of extremists, abortion remains legal and accessible in California. Planned Parenthood in California will continue to support Californians and out-of-state patients seeking care they need here.”\u003c/p>\n\u003cp>In a statement Friday, American Medical Association President Dr. Jack Resneck Jr., said “the court’s disregard for well-established scientific facts in favor of speculative allegations and ideological assertions will cause harm.”\u003c/p>\n\u003cp>“By rejecting medical facts, the court has intruded into the exam room and has intervened in decisions that belong to patients and physicians,” said Resneck. “Mifepristone has been studied extensively for over two decades and has been proven to be safe time and time again … We will continue to support access to evidence-based health care, including abortion medication, and oppose intrusions that undermine our patients’ health.”\u003c/p>\n\u003cp>The abortion drug has been widely used in the U.S. since 2000, and there is essentially no precedent for a lone judge overruling the medical decisions of the Food and Drug Administration. Mifepristone is one of two drugs used for medication abortion in the United States, along with misoprostol, which is also used to treat other medical conditions.\u003c/p>\n\u003cp>Kacsmaryk signed an injunction directing the FDA to stay mifepristone’s approval while a lawsuit challenging the safety and approval of the drug continues. His 67-page order gave the government seven days to appeal.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Clinics and doctors that prescribe the two-drug combination have said that if mifepristone were pulled from the market, they would switch to using only the second drug, misoprostol. That single-drug approach has a slightly lower rate of effectiveness in ending pregnancies, but it is widely used in countries where mifepristone is illegal or unavailable.\u003c/p>\n\u003cp>The lawsuit in the Texas case was \u003ca href=\"https://apnews.com/article/abortion-us-food-and-drug-administration-donald-trump-texas-medication-bdd99c39613c71f62d10dfc2f2d1bf07\">filed by the Alliance Defending Freedom\u003c/a>, which was also involved in the Mississippi case that led to Roe v. Wade being overturned. At the core of the lawsuit is the allegation that the FDA’s initial approval of mifepristone was flawed because it did not adequately review its safety risks.\u003c/p>\n\u003cp>Courts have long deferred to the FDA on issues of drug safety and effectiveness. But the agency’s authority faces new challenges in a post-Roe legal environment in which abortions are banned or unavailable in 14 states, while 16 states have laws specifically targeting abortion medications.[pullquote align=\"right\" size=\"medium\" citation=\"Greer Donley, professor specializing in reproductive health care, University of Pittsburgh Law School\"]‘This has never happened before in history — it’s a huge deal … You have a federal judge who has zero scientific background second-guessing every scientific decision that the FDA made.’[/pullquote]Since the Texas lawsuit was filed in November, legal experts have warned of questionable arguments and factual inaccuracies in the Christian group’s filing. Kacsmaryk essentially agreed with the plaintiffs on all of their major points, including that the FDA didn’t adequately review mifepristone’s safety.\u003c/p>\n\u003cp>“The Court does not second-guess FDA’s decision-making lightly.” Kacsmaryk wrote. “But here, FDA acquiesced on its legitimate safety concerns — in violation of its statutory duty — based on plainly unsound reasoning and studies that did not support its conclusions.”\u003c/p>\n\u003cp>Mifepristone has been used by millions of women over the past 23 years, and complications from the drug occur at a lower rate than that seen with wisdom teeth removal, colonoscopies and other routine medical procedures, medical groups have recently noted.\u003c/p>\n\u003cp>Elsewhere, Kacsmaryk sided with plaintiffs in stating that the FDA overstepped its authority in approving mifepristone, in part, by using a specialized review process reserved for drugs to treat “serious or life-threatening illnesses.” The judge brushed aside FDA arguments that its own regulations make clear that pregnancy is a medical condition that can sometimes be serious and life-threatening, instead calling it a “natural process essential to perpetuating human life.”\u003c/p>\n\u003cp>His order also agreed with plaintiffs in invoking a controversial 19th-century law that anti-abortion groups are now trying to revive to block sending abortion medications through the mail. Originally passed in 1873 and named for an “anti-vice crusader,” the Comstock Act was used to prohibit the mailing of contraceptives, “lewd” writings and “instruments” that could be used in an abortion. The law was seldom invoked in the 50 years after Roe established a federal right to abortion.[pullquote align=\"right\" size=\"medium\" citation=\"President Joe Biden\"]‘If this ruling were to stand, then there will be virtually no prescription, approved by the FDA, that would be safe from these kinds of political, ideological attacks.’[/pullquote]Kacsmaryk, though, agreed with plaintiffs that the law — as literally interpreted — prohibits mailing mifepristone.\u003c/p>\n\u003cp>His order, if upheld, would also dismantle a number of recent FDA actions intended to ease access to the drug.\u003c/p>\n\u003cp>In late 2021, the FDA — under the Biden administration — dropped a requirement that patients pick up the drug in person, opening the door to delivery by mail-order pharmacies. In January the agency dropped another requirement that prevented most brick-and-mortar pharmacies from dispensing the pill.\u003c/p>\n\u003cp>Anti-abortion groups, which are newly encouraged about their ability to further restrict abortion and prevail in court since last’s year’s reversal of Roe v. Wade, embraced the Texas ruling.\u003c/p>\n\u003cp>“The court’s decision today is a major step forward for women and girls whose health and safety have been jeopardized for decades by the FDA’s rushed, flawed and politicized approval of these dangerous drugs,” said March for Life President Jeanne Mancini.\u003c/p>\n\u003cp>Legal experts warned that the ruling could upend decades of precedent, setting the stage for political groups to overturn other FDA approvals of controversial drugs and vaccines.\u003c/p>\n\u003cp>“This has never happened before in history — it’s a huge deal,” said Greer Donley, a professor specializing in reproductive health care at the University of Pittsburgh Law School. “You have a federal judge who has zero scientific background second-guessing every scientific decision that the FDA made.”\u003c/p>\n\u003cp>Still, because of the contradictory nature of the rulings, Donley and other experts said there would be little immediate impact.\u003c/p>\n\u003cp>“In the short term, nothing’s going to change,” Donley said. “This is the time to be preparing for the fact that in a week, potentially, mifepristone becomes an unapproved drug in this country.”\u003c/p>\n\u003cp>\u003cem>This story includes reporting by Paul J. Weber, Matthew Perrone and Lindsay Whitehurst of The Associated Press and by Azul Dahlstrom-Eckman and Attila Pelit of KQED.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "A federal judge in Texas has thrown into jeopardy the most common method of abortion in the US, ordering regulators to temporarily halt their approval of the drug mifepristone for abortion, while another federal judge ordered the opposite, directing US authorities not to make any changes that would restrict access to the drug.",
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"description": "A federal judge in Texas has thrown into jeopardy the most common method of abortion in the US, ordering regulators to temporarily halt their approval of the drug mifepristone for abortion, while another federal judge ordered the opposite, directing US authorities not to make any changes that would restrict access to the drug.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Updated 2 p.m. Saturday\u003c/em>\u003c/p>\n\u003cp>Access to the most commonly used method of abortion in the U.S. plunged into uncertainty Friday following conflicting court rulings over the legality of the abortion medication mifepristone, which has been widely available for more than 20 years.\u003c/p>\n\u003cp>For now, the drug that the Food and Drug Administration approved in 2000 remains at least immediately available in the wake of the separate rulings that were issued just minutes apart by federal judges in Texas and Washington.\u003c/p>\n\u003cp>U.S. District Judge Matthew Kacsmaryk, a Trump appointee and formerly an attorney for a religious liberty legal group with a long history of pushing conservative causes, ordered a hold on federal approval of mifepristone in a decision that overruled decades of scientific approval. But that decision was quickly followed by U.S. District Judge Thomas O. Rice, an Obama appointee, essentially ordering the opposite and directing U.S. authorities to not make any changes that would restrict access to the drug.\u003c/p>\n\u003cp>“FDA is under one order that says you can do nothing and another that says in seven days I’m going to require you to vacate the approval of mifepristone,” said Glenn Cohen of Harvard Law School.\u003c/p>\n\u003cp>The extraordinary timing of the competing orders revealed the high stakes that surround the drug a year after the U.S. Supreme Court overturned Roe v. Wade and curtailed access to abortion across the country. President Joe Biden said his administration would fight the Texas ruling.\u003c/p>\u003c/div>",
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"content": "‘Today’s ruling, by an extremist judge pursuing a radical political agenda, ignores facts, science, and the law.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“The Court in this case has substituted its judgment for FDA, the expert agency that approves drugs,” Biden said. “If this ruling were to stand, then there will be virtually no prescription, approved by the FDA, that would be safe from these kinds of political, ideological attacks.”\u003c/p>\n\u003cp>Gov. Gavin Newsom’s office \u003ca href=\"https://www.gov.ca.gov/2023/04/07/governor-newsom-statement-on-texas-judge-restricting-access-to-medication-abortion/\">issued a statement Friday\u003c/a> condemning the decision by the “far-right federal judge.”\u003c/p>\n\u003cp>“Today’s ruling, by an extremist judge pursuing a radical political agenda, ignores facts, science, and the law — putting the health of millions of women and girls at risk,” said Newsom. “Abortion is still legal and accessible here in California and we won’t stand by as fundamental freedoms are stripped away.”\u003c/p>\n\u003cp>In \u003ca href=\"https://oag.ca.gov/news/press-releases/attorney-general-bonta-denounces-texas-court-decision-suspending-approval\">a press release Friday\u003c/a>, Attorney General Rob Bonta called the ruling in Texas “unconscionable” and “another chapter in a very dark period of American history,” saying, “I will continue doing everything in my power to ensure that our state remains a safe haven for all those seeking, supporting, and providing reproductive care,” and reminding Californians of their \u003ca href=\"https://oag.ca.gov/reprorights\">reproductive rights\u003c/a>.\u003c/p>\n\u003cp>U.S. Rep. Barbara Lee (CA-12), co-chair of the Pro-Choice Caucus, issued a \u003ca href=\"https://lee.house.gov/news/press-releases/congresswoman-barbara-lee-condemns-ruling-by-trump-appointed-judge-undermining-fda-approval-of-abortion-medication-\">press statement\u003c/a> in which she called the Texas judge’s decision part of a coordinated and decades-long attack on abortion rights in the country.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“If the Supreme Court upholds this extreme and dangerous ruling, it will be the greatest loss for abortion rights since the fall of Roe\u003cem> … \u003c/em>We can’t let that happen,” said Lee. “As Co-Chair of the Pro-Choice Caucus, I am working closely with our partners to respond to this egregious ruling and preserve access to mifepristone nationwide. People — not politicians — should have the freedom to make their own health care decisions, and we won’t stop fighting until they do.”\u003c/p>\n\u003cp>Senator Dianne Feinstein (D-Calif.) \u003ca href=\"https://www.feinstein.senate.gov/public/index.cfm/press-releases?id=76D1DECB-6B1E-4566-B674-8CF33B157D6A\">issued a statement Saturday\u003c/a> saying the ruling in Texas wasn’t about the “safety of the drug or protecting patients” but about “overriding the FDA’s processes and expertise to attack women’s reproductive rights.”\u003c/p>\n\u003cp>Abortion providers also slammed the Texas ruling, including Whole Woman’s Health, which operates six clinics in five states and said it would continue to dispense mifepristone in person and by mail over the next week as they review the rulings.\u003c/p>\n\u003cp>President and CEO Jodi Hicks of Planned Parenthood Affiliates of California said the ruling was in stark contrast to public opinion.\u003c/p>\n\u003cp>“Attacks on reproductive health care, including medication abortion, are all about power and control, and this is no different,” said Hicks in an interview with KQED. “This ruling will create additional barriers to care, and people will be hurt by this. But let’s be clear, despite this ruling and the efforts of extremists, abortion remains legal and accessible in California. Planned Parenthood in California will continue to support Californians and out-of-state patients seeking care they need here.”\u003c/p>\n\u003cp>In a statement Friday, American Medical Association President Dr. Jack Resneck Jr., said “the court’s disregard for well-established scientific facts in favor of speculative allegations and ideological assertions will cause harm.”\u003c/p>\n\u003cp>“By rejecting medical facts, the court has intruded into the exam room and has intervened in decisions that belong to patients and physicians,” said Resneck. “Mifepristone has been studied extensively for over two decades and has been proven to be safe time and time again … We will continue to support access to evidence-based health care, including abortion medication, and oppose intrusions that undermine our patients’ health.”\u003c/p>\n\u003cp>The abortion drug has been widely used in the U.S. since 2000, and there is essentially no precedent for a lone judge overruling the medical decisions of the Food and Drug Administration. Mifepristone is one of two drugs used for medication abortion in the United States, along with misoprostol, which is also used to treat other medical conditions.\u003c/p>\n\u003cp>Kacsmaryk signed an injunction directing the FDA to stay mifepristone’s approval while a lawsuit challenging the safety and approval of the drug continues. His 67-page order gave the government seven days to appeal.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Clinics and doctors that prescribe the two-drug combination have said that if mifepristone were pulled from the market, they would switch to using only the second drug, misoprostol. That single-drug approach has a slightly lower rate of effectiveness in ending pregnancies, but it is widely used in countries where mifepristone is illegal or unavailable.\u003c/p>\n\u003cp>The lawsuit in the Texas case was \u003ca href=\"https://apnews.com/article/abortion-us-food-and-drug-administration-donald-trump-texas-medication-bdd99c39613c71f62d10dfc2f2d1bf07\">filed by the Alliance Defending Freedom\u003c/a>, which was also involved in the Mississippi case that led to Roe v. Wade being overturned. At the core of the lawsuit is the allegation that the FDA’s initial approval of mifepristone was flawed because it did not adequately review its safety risks.\u003c/p>\n\u003cp>Courts have long deferred to the FDA on issues of drug safety and effectiveness. But the agency’s authority faces new challenges in a post-Roe legal environment in which abortions are banned or unavailable in 14 states, while 16 states have laws specifically targeting abortion medications.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Since the Texas lawsuit was filed in November, legal experts have warned of questionable arguments and factual inaccuracies in the Christian group’s filing. Kacsmaryk essentially agreed with the plaintiffs on all of their major points, including that the FDA didn’t adequately review mifepristone’s safety.\u003c/p>\n\u003cp>“The Court does not second-guess FDA’s decision-making lightly.” Kacsmaryk wrote. “But here, FDA acquiesced on its legitimate safety concerns — in violation of its statutory duty — based on plainly unsound reasoning and studies that did not support its conclusions.”\u003c/p>\n\u003cp>Mifepristone has been used by millions of women over the past 23 years, and complications from the drug occur at a lower rate than that seen with wisdom teeth removal, colonoscopies and other routine medical procedures, medical groups have recently noted.\u003c/p>\n\u003cp>Elsewhere, Kacsmaryk sided with plaintiffs in stating that the FDA overstepped its authority in approving mifepristone, in part, by using a specialized review process reserved for drugs to treat “serious or life-threatening illnesses.” The judge brushed aside FDA arguments that its own regulations make clear that pregnancy is a medical condition that can sometimes be serious and life-threatening, instead calling it a “natural process essential to perpetuating human life.”\u003c/p>\n\u003cp>His order also agreed with plaintiffs in invoking a controversial 19th-century law that anti-abortion groups are now trying to revive to block sending abortion medications through the mail. Originally passed in 1873 and named for an “anti-vice crusader,” the Comstock Act was used to prohibit the mailing of contraceptives, “lewd” writings and “instruments” that could be used in an abortion. The law was seldom invoked in the 50 years after Roe established a federal right to abortion.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Kacsmaryk, though, agreed with plaintiffs that the law — as literally interpreted — prohibits mailing mifepristone.\u003c/p>\n\u003cp>His order, if upheld, would also dismantle a number of recent FDA actions intended to ease access to the drug.\u003c/p>\n\u003cp>In late 2021, the FDA — under the Biden administration — dropped a requirement that patients pick up the drug in person, opening the door to delivery by mail-order pharmacies. In January the agency dropped another requirement that prevented most brick-and-mortar pharmacies from dispensing the pill.\u003c/p>\n\u003cp>Anti-abortion groups, which are newly encouraged about their ability to further restrict abortion and prevail in court since last’s year’s reversal of Roe v. Wade, embraced the Texas ruling.\u003c/p>\n\u003cp>“The court’s decision today is a major step forward for women and girls whose health and safety have been jeopardized for decades by the FDA’s rushed, flawed and politicized approval of these dangerous drugs,” said March for Life President Jeanne Mancini.\u003c/p>\n\u003cp>Legal experts warned that the ruling could upend decades of precedent, setting the stage for political groups to overturn other FDA approvals of controversial drugs and vaccines.\u003c/p>\n\u003cp>“This has never happened before in history — it’s a huge deal,” said Greer Donley, a professor specializing in reproductive health care at the University of Pittsburgh Law School. “You have a federal judge who has zero scientific background second-guessing every scientific decision that the FDA made.”\u003c/p>\n\u003cp>Still, because of the contradictory nature of the rulings, Donley and other experts said there would be little immediate impact.\u003c/p>\n\u003cp>“In the short term, nothing’s going to change,” Donley said. “This is the time to be preparing for the fact that in a week, potentially, mifepristone becomes an unapproved drug in this country.”\u003c/p>\n\u003cp>\u003cem>This story includes reporting by Paul J. Weber, Matthew Perrone and Lindsay Whitehurst of The Associated Press and by Azul Dahlstrom-Eckman and Attila Pelit of KQED.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Feds to Block Gov. Newsom From Cutting Ties With Walgreens",
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"content": "\u003cp>Gov. Gavin Newsom declared last month that \u003ca href=\"https://twitter.com/GavinNewsom/status/1632811406344192000?s=20\">California was “done” doing business with Walgreens\u003c/a> after the pharmacy chain said it would not distribute an abortion pill in 21 states where Republicans have threatened legal action. Since then, KHN has learned that the Democratic governor must compromise on his hard-line tweet.\u003c/p>\n\u003cp>California is legally bound to continue doing business with Walgreens through the state’s massive Medicaid program, health law experts said. And according to a public records request, the state paid Walgreens $1.5 billion last year.[pullquote size=\"medium\" align=\"right\" citation=\"Tony Cava, spokesperson, California Department of Health Care Services\"]‘California has no intention of taking any action that would violate federal Medicaid requirements, or that could undermine access for low-income individuals.’[/pullquote]\u003c/p>\n\u003cp>Newsom’s administration confirmed it will “continue to comply” with federal law by paying Walgreens through Medi-Cal, which provides health coverage to roughly 15 million residents with low incomes and disabilities. Were California to stop covering Medi-Cal prescriptions filled at Walgreens stores, legal scholars warned, the state would run afoul of federal law, which allows patients to get their medications at any approved pharmacy.\u003c/p>\n\u003cp>“California has no intention of taking any action that would violate federal Medicaid requirements, or that could undermine access for low-income individuals,” said Tony Cava, spokesperson for the California Department of Health Care Services, in a statement.\u003c/p>\n\u003cp>Newsom spokesperson Anthony York said, “Tweeting is not policy.” He added the governor will not “take any action that hurts people who need access to care.” Walgreens has even been reinvited to apply for \u003ca href=\"https://www.gov.ca.gov/2023/03/08/governor-newsom-california-pulls-back-renewal-of-walgreens-contract/\">a specialty drug contract that Newsom pulled back on renewing last month\u003c/a>, York said. Walgreens has received about $54 million from the state under the contract.\u003c/p>\n\u003cp>The dustup with the Illinois-based pharmacy chain illustrates Newsom’s panache for sweeping announcements on social media, where he garners national headlines but offers few specifics and little follow-through, political strategists said. Newsom has raised his national profile — and speculation of a presidential bid — by traveling to red states and launching \u003ca href=\"https://apnews.com/article/california-governor-newsom-president-democrats-2024-843877ca6aca701a5a68b8cb022203a2\">a new political action committee\u003c/a>.\u003c/p>\n\u003cp>“It’s much more about appearances and style and approach than it is about substance,” said David McCuan, political science department chair at Sonoma State University. Newsom and his administration “oversell their pronouncements and don’t actually deliver.”\u003c/p>\n\u003cp>On March 6, the governor tweeted, “California won’t be doing business with @walgreens — or any company that cowers to the extremists and puts women’s lives at risk,” after the second-largest U.S. pharmacy chain said it would not dispense mifepristone in states where it is illegal to dispense the pill or where the company would face potential lawsuits if it did so.\u003c/p>\n\u003cp>Democratic strategist Steve Maviglio said continuing to pay Walgreens through Medi-Cal doesn’t take away from Newsom’s support of abortion rights.\u003c/p>\n\u003cp>“He’s going to get the headline for protecting abortion rights, and this he can chalk up to a technical difficulty,” Maviglio said. “He will be rewarded for standing up to a corporation.”\u003c/p>\n\u003cp>Federal law is designed to ensure Medicaid patients have choices in where they get health care, including prescriptions. Approved providers like Walgreens are protected by \u003ca href=\"https://www.govinfo.gov/content/pkg/COMPS-8765/pdf/COMPS-8765.pdf#=page26\">Medicaid statute (PDF)\u003c/a>, which states that no health plan or entity can “restrict the choice of the qualified person from whom the individual may receive services.” Legal and Medicaid experts said that makes it extremely difficult for the Newsom administration to disqualify Walgreens.[aside postID=\"news_11942999,news_11922237\" label=\"Related Posts\"]“As long as Walgreens is performing for Medicaid beneficiaries as it should, dispensing all legal drugs in a manner that is consistent with permissible pharmacy practice, then I don’t see the basis for excluding them,” said Sara Rosenbaum, professor of health law and policy at George Washington University.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-C/part-431/subpart-B/section-431.51\">federal regulations\u003c/a> that protect Walgreens are the same that have allowed Planned Parenthood to offer health care services to Medicaid enrollees in conservative states, where leaders have sought unsuccessfully to exclude the network of clinics from receiving taxpayer funding.\u003c/p>\n\u003cp>An approved pharmacy company can be excluded from state networks only if it has committed fraud or other contract violations, added Edwin Park, a research professor with expertise in Medicaid law at Georgetown University.\u003c/p>\n\u003cp>“Certainly, that wouldn’t be the case for Walgreens,” Park said.\u003c/p>\n\u003cp>It’s unclear whether Newsom was aware of how difficult it would be for California to unwind its Medi-Cal provider agreement with Walgreens, said Daniel Schnur, a Republican-turned-independent strategist who also teaches political science at the University of Southern California.\u003c/p>\n\u003cp>“The original announcement sounded like a seminal step for the state of California to take on principle, even at great financial expense,” Schnur said. “They’ve quietly backed away.”\u003c/p>\n\u003cp>Through a records request, KHN learned the state paid Walgreens $1.5 billion last year to buy and dispense prescriptions to Medi-Cal enrollees. The bulk of the payment, $1.4 billion, reimbursed Walgreens for the prescriptions it distributed. And the remaining $123 million went to dispensing fees, a payment to pharmacists for each prescription they fill. The federal government covers at least half the state’s payments, which are also offset by rebates from drug manufacturers.\u003c/p>\n\u003cp>A Walgreens spokesperson declined to comment on its business with California, referring to the same statement it issued in March: “Providing legally approved medications to patients is what pharmacies do, and is rooted in our commitment to the communities in which we operate.”\u003c/p>\n\u003cp>Walgreens said it plans to dispense mifepristone “in any jurisdiction where it is legally permissible to do so.” The company was responding to an \u003ca href=\"https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/information-about-mifepristone-medical-termination-pregnancy-through-ten-weeks-gestation\">FDA rule finalized in January that allows certified pharmacies to dispense the abortion pill\u003c/a>, which is the most common way people terminate pregnancies. Walgreens isn’t proposing to limit abortion pill sales in California or other states where abortion is legal and pharmacies are allowed to dispense it.\u003c/p>\n\u003cp>Democrats have \u003ca href=\"https://www.governor.state.nm.us/wp-content/uploads/2023/03/Governor-Letter-to-Pharmacy-Retail-Companies__3.14.23.docx.pdf\">urged pharmacy chains to sell the abortion pill (PDF)\u003c/a> even as GOP attorneys general threaten legal action. But many, including Walmart, Costco, Albertsons and Health Mart, have not waded into the fight. Only Rite Aid and CVS have said they plan to begin certification to dispense the pills.\u003c/p>\n\u003cp>Had Newsom been able to sever Medi-Cal’s relationship with Walgreens, he would have contradicted one of his signature health initiatives: When he took office in 2019, Newsom proposed the state take over prescription drug coverage for Medi-Cal patients, many of whom had been covered through managed-care plans.\u003c/p>\n\u003cp>Part of Newsom’s pitch: Patients could go to \u003ca href=\"https://www.medi-calrx.dhcs.ca.gov/home/education\">nearly any pharmacy\u003c/a> in California.\u003c/p>\n\u003cp>\u003ci>\u003cspan style=\"font-weight: 400\">California Healthline is a service of the California Health Care Foundation produced by Kaiser Health News.\u003c/span>\u003c/i>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "California is legally bound to continue doing business with Walgreens despite Gov. Gavin Newsom's tweet last month declaring the state would cut ties with the pharmacy chain over it's not distributing an abortion pill in 21 states where Republicans threatened legal action.",
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"title": "Feds to Block Gov. Newsom From Cutting Ties With Walgreens | KQED",
"description": "California is legally bound to continue doing business with Walgreens despite Gov. Gavin Newsom's tweet last month declaring the state would cut ties with the pharmacy chain over it's not distributing an abortion pill in 21 states where Republicans threatened legal action.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Gov. Gavin Newsom declared last month that \u003ca href=\"https://twitter.com/GavinNewsom/status/1632811406344192000?s=20\">California was “done” doing business with Walgreens\u003c/a> after the pharmacy chain said it would not distribute an abortion pill in 21 states where Republicans have threatened legal action. Since then, KHN has learned that the Democratic governor must compromise on his hard-line tweet.\u003c/p>\n\u003cp>California is legally bound to continue doing business with Walgreens through the state’s massive Medicaid program, health law experts said. And according to a public records request, the state paid Walgreens $1.5 billion last year.\u003c/p>\u003c/div>",
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"content": "‘California has no intention of taking any action that would violate federal Medicaid requirements, or that could undermine access for low-income individuals.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Newsom’s administration confirmed it will “continue to comply” with federal law by paying Walgreens through Medi-Cal, which provides health coverage to roughly 15 million residents with low incomes and disabilities. Were California to stop covering Medi-Cal prescriptions filled at Walgreens stores, legal scholars warned, the state would run afoul of federal law, which allows patients to get their medications at any approved pharmacy.\u003c/p>\n\u003cp>“California has no intention of taking any action that would violate federal Medicaid requirements, or that could undermine access for low-income individuals,” said Tony Cava, spokesperson for the California Department of Health Care Services, in a statement.\u003c/p>\n\u003cp>Newsom spokesperson Anthony York said, “Tweeting is not policy.” He added the governor will not “take any action that hurts people who need access to care.” Walgreens has even been reinvited to apply for \u003ca href=\"https://www.gov.ca.gov/2023/03/08/governor-newsom-california-pulls-back-renewal-of-walgreens-contract/\">a specialty drug contract that Newsom pulled back on renewing last month\u003c/a>, York said. Walgreens has received about $54 million from the state under the contract.\u003c/p>\n\u003cp>The dustup with the Illinois-based pharmacy chain illustrates Newsom’s panache for sweeping announcements on social media, where he garners national headlines but offers few specifics and little follow-through, political strategists said. Newsom has raised his national profile — and speculation of a presidential bid — by traveling to red states and launching \u003ca href=\"https://apnews.com/article/california-governor-newsom-president-democrats-2024-843877ca6aca701a5a68b8cb022203a2\">a new political action committee\u003c/a>.\u003c/p>\n\u003cp>“It’s much more about appearances and style and approach than it is about substance,” said David McCuan, political science department chair at Sonoma State University. Newsom and his administration “oversell their pronouncements and don’t actually deliver.”\u003c/p>\n\u003cp>On March 6, the governor tweeted, “California won’t be doing business with @walgreens — or any company that cowers to the extremists and puts women’s lives at risk,” after the second-largest U.S. pharmacy chain said it would not dispense mifepristone in states where it is illegal to dispense the pill or where the company would face potential lawsuits if it did so.\u003c/p>\n\u003cp>Democratic strategist Steve Maviglio said continuing to pay Walgreens through Medi-Cal doesn’t take away from Newsom’s support of abortion rights.\u003c/p>\n\u003cp>“He’s going to get the headline for protecting abortion rights, and this he can chalk up to a technical difficulty,” Maviglio said. “He will be rewarded for standing up to a corporation.”\u003c/p>\n\u003cp>Federal law is designed to ensure Medicaid patients have choices in where they get health care, including prescriptions. Approved providers like Walgreens are protected by \u003ca href=\"https://www.govinfo.gov/content/pkg/COMPS-8765/pdf/COMPS-8765.pdf#=page26\">Medicaid statute (PDF)\u003c/a>, which states that no health plan or entity can “restrict the choice of the qualified person from whom the individual may receive services.” Legal and Medicaid experts said that makes it extremely difficult for the Newsom administration to disqualify Walgreens.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“As long as Walgreens is performing for Medicaid beneficiaries as it should, dispensing all legal drugs in a manner that is consistent with permissible pharmacy practice, then I don’t see the basis for excluding them,” said Sara Rosenbaum, professor of health law and policy at George Washington University.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-C/part-431/subpart-B/section-431.51\">federal regulations\u003c/a> that protect Walgreens are the same that have allowed Planned Parenthood to offer health care services to Medicaid enrollees in conservative states, where leaders have sought unsuccessfully to exclude the network of clinics from receiving taxpayer funding.\u003c/p>\n\u003cp>An approved pharmacy company can be excluded from state networks only if it has committed fraud or other contract violations, added Edwin Park, a research professor with expertise in Medicaid law at Georgetown University.\u003c/p>\n\u003cp>“Certainly, that wouldn’t be the case for Walgreens,” Park said.\u003c/p>\n\u003cp>It’s unclear whether Newsom was aware of how difficult it would be for California to unwind its Medi-Cal provider agreement with Walgreens, said Daniel Schnur, a Republican-turned-independent strategist who also teaches political science at the University of Southern California.\u003c/p>\n\u003cp>“The original announcement sounded like a seminal step for the state of California to take on principle, even at great financial expense,” Schnur said. “They’ve quietly backed away.”\u003c/p>\n\u003cp>Through a records request, KHN learned the state paid Walgreens $1.5 billion last year to buy and dispense prescriptions to Medi-Cal enrollees. The bulk of the payment, $1.4 billion, reimbursed Walgreens for the prescriptions it distributed. And the remaining $123 million went to dispensing fees, a payment to pharmacists for each prescription they fill. The federal government covers at least half the state’s payments, which are also offset by rebates from drug manufacturers.\u003c/p>\n\u003cp>A Walgreens spokesperson declined to comment on its business with California, referring to the same statement it issued in March: “Providing legally approved medications to patients is what pharmacies do, and is rooted in our commitment to the communities in which we operate.”\u003c/p>\n\u003cp>Walgreens said it plans to dispense mifepristone “in any jurisdiction where it is legally permissible to do so.” The company was responding to an \u003ca href=\"https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/information-about-mifepristone-medical-termination-pregnancy-through-ten-weeks-gestation\">FDA rule finalized in January that allows certified pharmacies to dispense the abortion pill\u003c/a>, which is the most common way people terminate pregnancies. Walgreens isn’t proposing to limit abortion pill sales in California or other states where abortion is legal and pharmacies are allowed to dispense it.\u003c/p>\n\u003cp>Democrats have \u003ca href=\"https://www.governor.state.nm.us/wp-content/uploads/2023/03/Governor-Letter-to-Pharmacy-Retail-Companies__3.14.23.docx.pdf\">urged pharmacy chains to sell the abortion pill (PDF)\u003c/a> even as GOP attorneys general threaten legal action. But many, including Walmart, Costco, Albertsons and Health Mart, have not waded into the fight. Only Rite Aid and CVS have said they plan to begin certification to dispense the pills.\u003c/p>\n\u003cp>Had Newsom been able to sever Medi-Cal’s relationship with Walgreens, he would have contradicted one of his signature health initiatives: When he took office in 2019, Newsom proposed the state take over prescription drug coverage for Medi-Cal patients, many of whom had been covered through managed-care plans.\u003c/p>\n\u003cp>Part of Newsom’s pitch: Patients could go to \u003ca href=\"https://www.medi-calrx.dhcs.ca.gov/home/education\">nearly any pharmacy\u003c/a> in California.\u003c/p>\n\u003cp>\u003ci>\u003cspan style=\"font-weight: 400\">California Healthline is a service of the California Health Care Foundation produced by Kaiser Health News.\u003c/span>\u003c/i>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "California Is About to Require Ethnic Studies in High School. Should Teachers Get Special Training to Teach It?",
"headTitle": "KQED News",
"content": "\u003cp>On a rainy Friday afternoon at Santa Monica High School, ethnic studies teacher Marisa Silvestri introduced her class to the rap song \"Kenji.\" As singer Mike Shinoda narrated his family’s experiences in the Japanese American incarceration camps of World War II, Silvestri’s class fell silent. After the last bars of music had filled the room, the class set to work analyzing the song’s lyrics, agreeing that Shinoda humanized a historical event some students previously knew little about.\u003c/p>\n\u003cp>Now in her second year of teaching ethnic studies, Silvestri said she has gone through several iterations of her curriculum — and she expects more changes to come. She has studied California’s ethnic studies model curriculum, attended workshops at local universities and sought the advice of ethnic studies teachers from other school districts.\u003c/p>\n\u003cp>But Silvestri has never received a teaching credential in ethnic studies. Whether that’s important or not is a question California officials are weighing, now that \u003ca href=\"https://calmatters.org/education/k-12-education/2021/10/ethnic-studies-requirement/\">the state has become the first in the nation to require that high school students take at least one semester of ethnic studies\u003c/a> before graduation.\u003c/p>\n\u003cp>California needs more ethnic studies teachers, quickly. Under the new law, passed in 2021, high schools must begin offering ethnic studies courses in the 2025–26 school year, and students in the class of 2030 will be the first ones subject to the graduation requirement. As many high schools expand their course offerings ahead of schedule, universities are grappling with how best to prepare the next generation of teachers.\u003c/p>\n\u003cp>Some advocates and educators have called for the creation of a specific ethnic studies credential authorizing educators to teach the relatively new and politically fraught subject in middle and high schools. They say that without such a credential, the state risks having low-quality classes that can do more harm than good. But others worry that an additional requirement may make it even harder for the schools to find teachers for the subject.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>State regulations allow teachers with a social science credential to teach ethnic studies, said Jonathon Howard, government relations manager for California’s Commission on Teacher Credentialing. However, when ethnic studies is combined with other subjects, such as reading or art, teachers from other subject areas are also eligible.\u003c/p>\n\u003cp>\"We have all these teachers who have great hearts, who are really social justice-minded, who really want to do ethnic studies because they’re thinking about themselves as, 'I’m a culturally responsive teacher,'\" said Theresa Montaño, professor of Chicana and Chicano studies at \u003cspan style=\"font-weight: 400\">California State University, Northridge\u003c/span>. \"But that isn’t enough to give you the knowledge you need.\"\u003c/p>\n\u003cp>Ideally, Montaño said, teachers should have an undergraduate degree in ethnic studies, plus an ethnic studies credential that would show them how to translate their expertise into classroom curriculum.[aside label=\"Related Stories\" tag=\"ethnic-studies\"]Assemblymember Wendy Carrillo agrees. In February, she \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202320240AB1255\">introduced legislation requiring the Commission on Teacher Credentialing to begin creating an ethnic studies credential by 2025\u003c/a>.\u003c/p>\n\u003cp>\"The social science credential program does not cover ethnic studies sufficiently,\" Carrillo, a Democrat from Los Angeles, said by email. \"We maintain that at the present time there is no existing credential that sufficiently covers the depth and breadth of the multidisciplinary nature of Ethnic Studies.\"\u003c/p>\n\u003cp>The commission would need authorization from the Legislature to begin developing a new credential, Howard said.\u003c/p>\n\u003cp>However, some school districts say the current flexibility around teacher requirements has worked to their benefit, allowing them to expand their ethnic studies course offerings ahead of schedule.\u003c/p>\n\u003cp>Santa Rosa City Schools has been offering ethnic studies courses since 2020 and will require students in the class of 2025 to have taken a full year of the subject before graduation. Because several classes, from English to dance, incorporate ethnic studies into the course material, all teachers are eligible to teach the subject, said Tim Zalunardo, executive director of educational services. He added that this approach makes it easier for the school to recruit teachers who are excited and willing to teach ethnic studies.\u003c/p>\n\u003cp>\"It provides flexibility on both the students and on the school’s course offerings,\" Zalunardo said.\u003c/p>\n\u003ch2>A controversial subject\u003c/h2>\n\u003cp>Debates around ethnic studies are nothing new.\u003c/p>\n\u003cp>Ethnic studies began at San Francisco State University in the late 1960s as students pushed for the creation of classes dedicated to studying the histories and cultures of people of color. As the subject gained momentum — and criticism — across the nation, advocates began to push for its inclusion in K–12 schools.\u003c/p>\n\u003cp>In 2021, after two years of drafting and heated debate, \u003ca href=\"https://www.cde.ca.gov/ci/cr/cf/documents/esmcpreface.pdf\">the State Board of Education adopted an ethnic studies model curriculum (PDF)\u003c/a> that focuses primarily on the untold \"histories, cultures, struggles, and contributions\" of Black, Latino, Native American and Asian American and Pacific Islander communities. Although districts are not required to use the curriculum, it provides schools with guidance on how to implement the subject and offers sample lessons.\u003c/p>\n\u003cp>Later that year, Gov. Gavin Newsom signed the new graduation requirement into law, even as parents and \u003ca href=\"https://www.latimes.com/california/story/2021-04-28/ethnic-studies-slammed-as-anti-white-in-orange-county\">school board members denounced ethnic studies in Orange County\u003c/a> and other areas of the state. Future teachers still remain divided on the necessity of the subject.\u003c/p>\n\u003cp>Christine Soliva, a graduate student in UC Riverside’s teacher education program, said some of her peers critiqued an ethnic studies class they took in the fall, challenging the importance of incorporating an ethnic studies framework into their math or science courses. She added that while she would pursue an ethnic studies credential if it were available, she is unsure whether other teacher candidates would be equally receptive.\u003c/p>\n\u003cp>\"It really is just like, are educators willing to take that next step to be able to think outside the box and challenge themselves and their ideals to look at curriculum and content through an ethnic studies lens?\" Soliva said.[pullquote size='medium' align='left' citation=\"Christine Soliva, graduate student, UC Riverside\"]'It really is just like, are educators willing to take that next step to be able to think outside the box and challenge themselves and their ideals to look at curriculum and content through an ethnic studies lens?'[/pullquote]Former Assemblymember Jose Medina, who authored the legislation requiring ethnic studies in high schools, said he does not believe the controversy around the subject will prevent state leaders from having necessary conversations about how best to prepare teachers.\u003c/p>\n\u003cp>\"I think, despite the controversy, the state will be well-prepared to have teachers in place by the time of the requirement,\" he said.\u003c/p>\n\u003cp>But not everyone shares Medina’s optimism.\u003c/p>\n\u003cp>As hundreds of high schools begin rolling out new courses in the coming years, the state may face a shortage of ethnic studies teachers, said Lange Luntao, director of external relations at The Education Trust–West, a nonprofit that advocates for educational equity. Ethnic studies graduation requirements are already in effect at some of the state’s large school districts, including Los Angeles Unified, San Diego Unified and Fresno Unified.\u003c/p>\n\u003cp>\"I think one fear is that we’re going to open up enrollment for ethnic studies classes, and not have enough educators who have experience with this content,\" he said.\u003c/p>\n\u003ch2>Preparing future teachers\u003c/h2>\n\u003cp>In the absence of an ethnic studies credential, California’s universities have developed a range of programs preparing students to teach the subject. Some offer classes on ethnic studies teaching methods and curriculum development, while others place students in ethnic studies classrooms to gain firsthand experience.\u003c/p>\n\u003cp>At UC Riverside, \u003ca href=\"https://education.ucr.edu/tep/ethnic-studies\">students earning their teaching credential can pursue an ethnic studies pathway\u003c/a> made up of elective courses dedicated to ethnic studies teaching methods and curricula.\u003c/p>\n\u003cp>Karl Molina, a UC Riverside master’s student earning his social sciences credential through the program, works as a student teacher of high school economics, sociology and government in the Riverside Unified School District. Earlier in the school year, Molina introduced a sociology lesson named after rapper Tupac Shakur’s poem \"The Rose That Grew from Concrete.\" He instructed his students to analyze Shakur’s poem and reflect on how the concepts of social and familial capital applied to their own lives. In discussions, students decided that capital was more than monetary wealth — it included the languages, cultures and aspirations that shaped their lives, Molina said.\u003c/p>\n\u003cp>\"They were really, really into it,\" Molina said. \"I was really excited to get going and move forward.\"\u003c/p>\n\u003cfigure id=\"attachment_11945394\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"wp-image-11945394 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/ethnic-studies-03-103123.png\" alt=\"A young Asian man wearing glasses, with thick black hair that comes to the tops of both ears, wears a dark jacket and white polo shirt as he looks at the camera with a steady gaze. \" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/ethnic-studies-03-103123.png 1920w, https://ww2.kqed.org/app/uploads/sites/10/2023/03/ethnic-studies-03-103123-800x533.png 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/03/ethnic-studies-03-103123-1020x680.png 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/03/ethnic-studies-03-103123-160x107.png 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/03/ethnic-studies-03-103123-1536x1024.png 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Karl Molina, 25, who teaches sociology with an emphasis on ethnic studies, stands near the classroom where he teaches at Ramona High School in Riverside on March 28, 2023. \u003ccite>(Pablo Unzueta/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But as a student teacher, Molina has limited control over the course curriculum and had to cut his lesson short. If he were teaching in an ethnic studies classroom as part of a formal ethnic studies credentialing program, he said, he might have had more freedom to pursue it.\u003c/p>\n\u003cp>\"We’re not indoctrinating these students,\" Molina said. \"We’re just telling them, 'You have so much wealth. Here’s where your wealth is, and here’s what it does for you.'\"\u003c/p>\n\u003cp>At San José State University, some students already have the opportunity to see ethnic studies taught in real time through the \u003ca href=\"https://www.sjsu.edu/teachered/docs/SJSU%20Ethnic%20Studies%20Residency%20Program%20Spring%202022.pdf\">Ethnic Studies Residency Program (PDF)\u003c/a>, which places students into an ethnic studies classroom for a full academic year.\u003c/p>\n\u003cp>In his residency at Evergreen Valley High School, Eduardo Zamora instructs his students to partner up, facing one another in concentric circles. He first asks students to answer a silly icebreaker — for example, \"Would you rather be in the history books or gossip magazines?\" — before moving onto questions about recent lessons. In one instance, he asked students to share one-minute reflections on the documentary \u003cem>Immigration Nation\u003c/em> and how it relates to their discussion on Central American migration and racism in the United States. The circles rotate so students talk to a new partner each time.\u003c/p>\n\u003cp>\"They’re moving, they’re talking and it’s educational,\" said Zamora, a student in SJSU’s teacher education program who is pursuing a social sciences credential.\u003c/p>\n\u003cp>He said he hopes to bring the same activity into his own ethnic studies classroom one day, adding that his residency has shown him the importance of building community and trust among his students.\u003c/p>\n\u003cp>Yet, while Zamora believes his residency program is preparing him well, he said an ethnic studies credential may be necessary for a widespread rollout of ethnic studies courses. Currently, SJSU’s residency program takes only three to four students a year.\u003c/p>\n\u003cp>\"One of the students came up to us saying that our class was very diverse, bringing in perspectives of people of color. And then she mentioned that her history teacher … said it’s easier to teach history just through ‘the normal way,’ I guess the Eurocentric way,\" Zamora said. \"So I think a specific ethnic studies credential is probably needed.\"\u003c/p>\n\u003ch2>Training the current workforce\u003c/h2>\n\u003cp>As universities shape the next generation of ethnic studies teachers, districts are left with the challenge of preparing their current workforce to teach the subject.\u003c/p>\n\u003cp>In Elk Grove Unified School District, high schools have offered ethnic studies courses since 2020. But Robyn Rodriguez, a parent in the district and former Asian American studies professor at UC Davis, said she’s concerned that Sacramento-area schools may be placing social studies teachers in ethnic studies classrooms without adequate preparation for the subject.\u003c/p>\n\u003cp>\"You either see very watered-down versions of ethnic studies, or ethnic studies being very nominally implemented,\" she said.\u003c/p>\n\u003cp>Rodriguez’s son is only in second grade, but she said she is already supplementing his language arts curriculum with other reading because the texts assigned were not from diverse authors. As for what ethnic studies might look like by the time her son reaches high school, Rodriguez said, \"I’m absolutely worried.\"\u003c/p>\n\u003cfigure id=\"attachment_11945395\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"wp-image-11945395 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/ethnic-studies-02-103123.png\" alt=\"A white-presenting woman with long, dark curly hair and wearing a green top gestures with both hands as she stands and talks in front of students.\" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/ethnic-studies-02-103123.png 1920w, https://ww2.kqed.org/app/uploads/sites/10/2023/03/ethnic-studies-02-103123-800x533.png 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/03/ethnic-studies-02-103123-1020x680.png 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/03/ethnic-studies-02-103123-160x107.png 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/03/ethnic-studies-02-103123-1536x1024.png 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Marisa Silvestri talks with students during her ethnic studies class at Santa Monica High School in Los Angeles on March 28, 2023. \u003ccite>(Lauren Justice/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Silvestri, the Santa Monica High School teacher, said she is torn about the necessity of an ethnic studies credential, adding that she would not want it to prevent interested and passionate teachers from teaching the subject. However, she said, the credential could help streamline the professional development opportunities she has needed to seek out independently over the past few years.\u003c/p>\n\u003cp>The University of California’s California History-Social Science Project works to support people like Silvestri who are teaching ethnic studies for the first time. Dominique Williams, the project’s ethnic studies coordinator, offers workshops educating teachers about the history of ethnic studies instruction and shows them how they can teach historical narratives from new perspectives.\u003c/p>\n\u003cp>Williams draws on her own experience transitioning from teaching English and social studies to ethnic studies in the Sacramento City Unified School District.\u003c/p>\n\u003cp>\"In hindsight, I think that there is more training that I could have had, that I’m now trying to make sure that teachers are getting as they start their own journeys,\" Williams said.\u003c/p>\n\u003cp>As the debate surrounding ethnic studies teacher preparation continues, Jayla Johnson-Lake, a sophomore at Santa Monica High School, said a passion for teaching is just as important as any credential. Johnson-Lake said Silvestri’s ethnic studies class has surpassed her expectations, introducing her to new facts, such as the details of Japanese concentration camps and how the Black Codes worked to restrict Black people’s rights in the post-Civil War era.\u003c/p>\n\u003cp>\"I believe it’s important to have a teacher who wants to teach the class,\" Johnson-Lake said.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Megan Tagami is a fellow with the \u003ca href=\"https://calmatters.org/projects/college-journalism-network/\">CalMatters College Journalism Network\u003c/a>, a collaboration between CalMatters and student journalists from across California. This story and other higher education coverage are supported by the College Futures Foundation.\u003c/em>\u003c/p>\n\n",
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"excerpt": "California high school students will be required to pass an ethnic studies class to graduate, starting with the class of 2030. That means the state needs lots of new ethnic studies teachers. But do educators need a special credential to teach ethnic studies? Some ethnic studies advocates say allowing any social science teacher to instruct the subject will lead to watered-down and ineffective courses, while school districts argue that flexibility is important if they're going to fill the roles.",
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"description": "California high school students will be required to pass an ethnic studies class to graduate, starting with the class of 2030. That means the state needs lots of new ethnic studies teachers. But do educators need a special credential to teach ethnic studies? Some ethnic studies advocates say allowing any social science teacher to instruct the subject will lead to watered-down and ineffective courses, while school districts argue that flexibility is important if they're going to fill the roles.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>On a rainy Friday afternoon at Santa Monica High School, ethnic studies teacher Marisa Silvestri introduced her class to the rap song \"Kenji.\" As singer Mike Shinoda narrated his family’s experiences in the Japanese American incarceration camps of World War II, Silvestri’s class fell silent. After the last bars of music had filled the room, the class set to work analyzing the song’s lyrics, agreeing that Shinoda humanized a historical event some students previously knew little about.\u003c/p>\n\u003cp>Now in her second year of teaching ethnic studies, Silvestri said she has gone through several iterations of her curriculum — and she expects more changes to come. She has studied California’s ethnic studies model curriculum, attended workshops at local universities and sought the advice of ethnic studies teachers from other school districts.\u003c/p>\n\u003cp>But Silvestri has never received a teaching credential in ethnic studies. Whether that’s important or not is a question California officials are weighing, now that \u003ca href=\"https://calmatters.org/education/k-12-education/2021/10/ethnic-studies-requirement/\">the state has become the first in the nation to require that high school students take at least one semester of ethnic studies\u003c/a> before graduation.\u003c/p>\n\u003cp>California needs more ethnic studies teachers, quickly. Under the new law, passed in 2021, high schools must begin offering ethnic studies courses in the 2025–26 school year, and students in the class of 2030 will be the first ones subject to the graduation requirement. As many high schools expand their course offerings ahead of schedule, universities are grappling with how best to prepare the next generation of teachers.\u003c/p>\n\u003cp>Some advocates and educators have called for the creation of a specific ethnic studies credential authorizing educators to teach the relatively new and politically fraught subject in middle and high schools. They say that without such a credential, the state risks having low-quality classes that can do more harm than good. But others worry that an additional requirement may make it even harder for the schools to find teachers for the subject.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>State regulations allow teachers with a social science credential to teach ethnic studies, said Jonathon Howard, government relations manager for California’s Commission on Teacher Credentialing. However, when ethnic studies is combined with other subjects, such as reading or art, teachers from other subject areas are also eligible.\u003c/p>\n\u003cp>\"We have all these teachers who have great hearts, who are really social justice-minded, who really want to do ethnic studies because they’re thinking about themselves as, 'I’m a culturally responsive teacher,'\" said Theresa Montaño, professor of Chicana and Chicano studies at \u003cspan style=\"font-weight: 400\">California State University, Northridge\u003c/span>. \"But that isn’t enough to give you the knowledge you need.\"\u003c/p>\n\u003cp>Ideally, Montaño said, teachers should have an undergraduate degree in ethnic studies, plus an ethnic studies credential that would show them how to translate their expertise into classroom curriculum.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Assemblymember Wendy Carrillo agrees. In February, she \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202320240AB1255\">introduced legislation requiring the Commission on Teacher Credentialing to begin creating an ethnic studies credential by 2025\u003c/a>.\u003c/p>\n\u003cp>\"The social science credential program does not cover ethnic studies sufficiently,\" Carrillo, a Democrat from Los Angeles, said by email. \"We maintain that at the present time there is no existing credential that sufficiently covers the depth and breadth of the multidisciplinary nature of Ethnic Studies.\"\u003c/p>\n\u003cp>The commission would need authorization from the Legislature to begin developing a new credential, Howard said.\u003c/p>\n\u003cp>However, some school districts say the current flexibility around teacher requirements has worked to their benefit, allowing them to expand their ethnic studies course offerings ahead of schedule.\u003c/p>\n\u003cp>Santa Rosa City Schools has been offering ethnic studies courses since 2020 and will require students in the class of 2025 to have taken a full year of the subject before graduation. Because several classes, from English to dance, incorporate ethnic studies into the course material, all teachers are eligible to teach the subject, said Tim Zalunardo, executive director of educational services. He added that this approach makes it easier for the school to recruit teachers who are excited and willing to teach ethnic studies.\u003c/p>\n\u003cp>\"It provides flexibility on both the students and on the school’s course offerings,\" Zalunardo said.\u003c/p>\n\u003ch2>A controversial subject\u003c/h2>\n\u003cp>Debates around ethnic studies are nothing new.\u003c/p>\n\u003cp>Ethnic studies began at San Francisco State University in the late 1960s as students pushed for the creation of classes dedicated to studying the histories and cultures of people of color. As the subject gained momentum — and criticism — across the nation, advocates began to push for its inclusion in K–12 schools.\u003c/p>\n\u003cp>In 2021, after two years of drafting and heated debate, \u003ca href=\"https://www.cde.ca.gov/ci/cr/cf/documents/esmcpreface.pdf\">the State Board of Education adopted an ethnic studies model curriculum (PDF)\u003c/a> that focuses primarily on the untold \"histories, cultures, struggles, and contributions\" of Black, Latino, Native American and Asian American and Pacific Islander communities. Although districts are not required to use the curriculum, it provides schools with guidance on how to implement the subject and offers sample lessons.\u003c/p>\n\u003cp>Later that year, Gov. Gavin Newsom signed the new graduation requirement into law, even as parents and \u003ca href=\"https://www.latimes.com/california/story/2021-04-28/ethnic-studies-slammed-as-anti-white-in-orange-county\">school board members denounced ethnic studies in Orange County\u003c/a> and other areas of the state. Future teachers still remain divided on the necessity of the subject.\u003c/p>\n\u003cp>Christine Soliva, a graduate student in UC Riverside’s teacher education program, said some of her peers critiqued an ethnic studies class they took in the fall, challenging the importance of incorporating an ethnic studies framework into their math or science courses. She added that while she would pursue an ethnic studies credential if it were available, she is unsure whether other teacher candidates would be equally receptive.\u003c/p>\n\u003cp>\"It really is just like, are educators willing to take that next step to be able to think outside the box and challenge themselves and their ideals to look at curriculum and content through an ethnic studies lens?\" Soliva said.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Former Assemblymember Jose Medina, who authored the legislation requiring ethnic studies in high schools, said he does not believe the controversy around the subject will prevent state leaders from having necessary conversations about how best to prepare teachers.\u003c/p>\n\u003cp>\"I think, despite the controversy, the state will be well-prepared to have teachers in place by the time of the requirement,\" he said.\u003c/p>\n\u003cp>But not everyone shares Medina’s optimism.\u003c/p>\n\u003cp>As hundreds of high schools begin rolling out new courses in the coming years, the state may face a shortage of ethnic studies teachers, said Lange Luntao, director of external relations at The Education Trust–West, a nonprofit that advocates for educational equity. Ethnic studies graduation requirements are already in effect at some of the state’s large school districts, including Los Angeles Unified, San Diego Unified and Fresno Unified.\u003c/p>\n\u003cp>\"I think one fear is that we’re going to open up enrollment for ethnic studies classes, and not have enough educators who have experience with this content,\" he said.\u003c/p>\n\u003ch2>Preparing future teachers\u003c/h2>\n\u003cp>In the absence of an ethnic studies credential, California’s universities have developed a range of programs preparing students to teach the subject. Some offer classes on ethnic studies teaching methods and curriculum development, while others place students in ethnic studies classrooms to gain firsthand experience.\u003c/p>\n\u003cp>At UC Riverside, \u003ca href=\"https://education.ucr.edu/tep/ethnic-studies\">students earning their teaching credential can pursue an ethnic studies pathway\u003c/a> made up of elective courses dedicated to ethnic studies teaching methods and curricula.\u003c/p>\n\u003cp>Karl Molina, a UC Riverside master’s student earning his social sciences credential through the program, works as a student teacher of high school economics, sociology and government in the Riverside Unified School District. Earlier in the school year, Molina introduced a sociology lesson named after rapper Tupac Shakur’s poem \"The Rose That Grew from Concrete.\" He instructed his students to analyze Shakur’s poem and reflect on how the concepts of social and familial capital applied to their own lives. In discussions, students decided that capital was more than monetary wealth — it included the languages, cultures and aspirations that shaped their lives, Molina said.\u003c/p>\n\u003cp>\"They were really, really into it,\" Molina said. \"I was really excited to get going and move forward.\"\u003c/p>\n\u003cfigure id=\"attachment_11945394\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"wp-image-11945394 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/ethnic-studies-03-103123.png\" alt=\"A young Asian man wearing glasses, with thick black hair that comes to the tops of both ears, wears a dark jacket and white polo shirt as he looks at the camera with a steady gaze. \" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/ethnic-studies-03-103123.png 1920w, https://ww2.kqed.org/app/uploads/sites/10/2023/03/ethnic-studies-03-103123-800x533.png 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/03/ethnic-studies-03-103123-1020x680.png 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/03/ethnic-studies-03-103123-160x107.png 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/03/ethnic-studies-03-103123-1536x1024.png 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Karl Molina, 25, who teaches sociology with an emphasis on ethnic studies, stands near the classroom where he teaches at Ramona High School in Riverside on March 28, 2023. \u003ccite>(Pablo Unzueta/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But as a student teacher, Molina has limited control over the course curriculum and had to cut his lesson short. If he were teaching in an ethnic studies classroom as part of a formal ethnic studies credentialing program, he said, he might have had more freedom to pursue it.\u003c/p>\n\u003cp>\"We’re not indoctrinating these students,\" Molina said. \"We’re just telling them, 'You have so much wealth. Here’s where your wealth is, and here’s what it does for you.'\"\u003c/p>\n\u003cp>At San José State University, some students already have the opportunity to see ethnic studies taught in real time through the \u003ca href=\"https://www.sjsu.edu/teachered/docs/SJSU%20Ethnic%20Studies%20Residency%20Program%20Spring%202022.pdf\">Ethnic Studies Residency Program (PDF)\u003c/a>, which places students into an ethnic studies classroom for a full academic year.\u003c/p>\n\u003cp>In his residency at Evergreen Valley High School, Eduardo Zamora instructs his students to partner up, facing one another in concentric circles. He first asks students to answer a silly icebreaker — for example, \"Would you rather be in the history books or gossip magazines?\" — before moving onto questions about recent lessons. In one instance, he asked students to share one-minute reflections on the documentary \u003cem>Immigration Nation\u003c/em> and how it relates to their discussion on Central American migration and racism in the United States. The circles rotate so students talk to a new partner each time.\u003c/p>\n\u003cp>\"They’re moving, they’re talking and it’s educational,\" said Zamora, a student in SJSU’s teacher education program who is pursuing a social sciences credential.\u003c/p>\n\u003cp>He said he hopes to bring the same activity into his own ethnic studies classroom one day, adding that his residency has shown him the importance of building community and trust among his students.\u003c/p>\n\u003cp>Yet, while Zamora believes his residency program is preparing him well, he said an ethnic studies credential may be necessary for a widespread rollout of ethnic studies courses. Currently, SJSU’s residency program takes only three to four students a year.\u003c/p>\n\u003cp>\"One of the students came up to us saying that our class was very diverse, bringing in perspectives of people of color. And then she mentioned that her history teacher … said it’s easier to teach history just through ‘the normal way,’ I guess the Eurocentric way,\" Zamora said. \"So I think a specific ethnic studies credential is probably needed.\"\u003c/p>\n\u003ch2>Training the current workforce\u003c/h2>\n\u003cp>As universities shape the next generation of ethnic studies teachers, districts are left with the challenge of preparing their current workforce to teach the subject.\u003c/p>\n\u003cp>In Elk Grove Unified School District, high schools have offered ethnic studies courses since 2020. But Robyn Rodriguez, a parent in the district and former Asian American studies professor at UC Davis, said she’s concerned that Sacramento-area schools may be placing social studies teachers in ethnic studies classrooms without adequate preparation for the subject.\u003c/p>\n\u003cp>\"You either see very watered-down versions of ethnic studies, or ethnic studies being very nominally implemented,\" she said.\u003c/p>\n\u003cp>Rodriguez’s son is only in second grade, but she said she is already supplementing his language arts curriculum with other reading because the texts assigned were not from diverse authors. As for what ethnic studies might look like by the time her son reaches high school, Rodriguez said, \"I’m absolutely worried.\"\u003c/p>\n\u003cfigure id=\"attachment_11945395\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"wp-image-11945395 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/ethnic-studies-02-103123.png\" alt=\"A white-presenting woman with long, dark curly hair and wearing a green top gestures with both hands as she stands and talks in front of students.\" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/ethnic-studies-02-103123.png 1920w, https://ww2.kqed.org/app/uploads/sites/10/2023/03/ethnic-studies-02-103123-800x533.png 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/03/ethnic-studies-02-103123-1020x680.png 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/03/ethnic-studies-02-103123-160x107.png 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/03/ethnic-studies-02-103123-1536x1024.png 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Marisa Silvestri talks with students during her ethnic studies class at Santa Monica High School in Los Angeles on March 28, 2023. \u003ccite>(Lauren Justice/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Silvestri, the Santa Monica High School teacher, said she is torn about the necessity of an ethnic studies credential, adding that she would not want it to prevent interested and passionate teachers from teaching the subject. However, she said, the credential could help streamline the professional development opportunities she has needed to seek out independently over the past few years.\u003c/p>\n\u003cp>The University of California’s California History-Social Science Project works to support people like Silvestri who are teaching ethnic studies for the first time. Dominique Williams, the project’s ethnic studies coordinator, offers workshops educating teachers about the history of ethnic studies instruction and shows them how they can teach historical narratives from new perspectives.\u003c/p>\n\u003cp>Williams draws on her own experience transitioning from teaching English and social studies to ethnic studies in the Sacramento City Unified School District.\u003c/p>\n\u003cp>\"In hindsight, I think that there is more training that I could have had, that I’m now trying to make sure that teachers are getting as they start their own journeys,\" Williams said.\u003c/p>\n\u003cp>As the debate surrounding ethnic studies teacher preparation continues, Jayla Johnson-Lake, a sophomore at Santa Monica High School, said a passion for teaching is just as important as any credential. Johnson-Lake said Silvestri’s ethnic studies class has surpassed her expectations, introducing her to new facts, such as the details of Japanese concentration camps and how the Black Codes worked to restrict Black people’s rights in the post-Civil War era.\u003c/p>\n\u003cp>\"I believe it’s important to have a teacher who wants to teach the class,\" Johnson-Lake said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Megan Tagami is a fellow with the \u003ca href=\"https://calmatters.org/projects/college-journalism-network/\">CalMatters College Journalism Network\u003c/a>, a collaboration between CalMatters and student journalists from across California. This story and other higher education coverage are supported by the College Futures Foundation.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"slug": "we-are-in-big-trouble-newsom-cuts-40-million-meant-to-restore-floodplains-near-vulnerable-san-joaquin-valley",
"title": "'We Are in Big Trouble': Newsom Cuts $40 Million Meant to Restore Floodplains Near Vulnerable San Joaquin Valley",
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"headTitle": "‘We Are in Big Trouble’: Newsom Cuts $40 Million Meant to Restore Floodplains Near Vulnerable San Joaquin Valley | KQED",
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"content": "\u003cp>[dropcap]L[/dropcap]ast fall, when the state Legislature authorized $40 million for floodplain restoration, Julie Rentner knew just what she would do with it. Her group, River Partners, would spend more than a quarter of the funds buying a 500-acre dairy farm abutting the San Joaquin River in Stanislaus County.\u003c/p>\n\u003cp>Then millions more would be spent on removing debris, sheds, manure heaps and levees. They would plant native vegetation, and eventually restore the parcel to its natural state as a woodland and floodplain.\u003c/p>\n\u003cp>When floodplains like these are allowed to fill with water, they can reduce flooding impacts elsewhere along the river, so the project could protect communities downstream, including Stockton, which is highly vulnerable to flooding.\u003c/p>\n\u003cp>Rentner said crews of community members were ready to begin the work.\u003c/p>\n\u003cp>But in January, the money disappeared.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In a move that upset and baffled local leaders, conservationists and floodplain advocates, Gov. Gavin Newsom, in his \u003ca href=\"https://ebudget.ca.gov/2023-24/pdf/BudgetSummary/FullBudgetSummary.pdf\">2023–24 budget proposal (PDF)\u003c/a>, eliminated all $40 million that had been allocated for San Joaquin Valley floodplain restoration this year.\u003c/p>\n\u003cp>This year’s floods have highlighted the need for improved — and more equitably distributed — flood protection efforts throughout California. Restoring floodplains, many experts agree, is one of the most cost-effective ways to protect communities from flooding.\u003c/p>\n\u003cp>San Joaquin Valley lawmakers of both parties and local leaders say Newsom’s budget cut could endanger their communities, and that it signals a disparity in how the state distributes funding for flood protection. San Joaquin Valley communities vulnerable to flooding are largely home to underserved, lower-income Latino people.[pullquote size=\"medium\" align=\"right\" citation=\"State Sen. Susan Eggman\"]‘It is imperative that the Legislature reject the proposed $40 million cut for San Joaquin Valley floodplain restoration.’[/pullquote]Sen. Susan Eggman, a Stockton Democrat, said this winter’s storms “underscore the need for significant new investments for flood protection.”\u003c/p>\n\u003cp>“It is imperative that the Legislature reject the proposed $40 million cut for San Joaquin Valley floodplain restoration,” she said in an email to CalMatters.\u003c/p>\n\u003cp>To former \u003ca href=\"https://calmatters.org/legislator-tracker/adam-gray-1977/\">Assemblymember Adam Gray\u003c/a>, who rallied for floodplain restoration work in the valley, the governor’s proposed $40 million cut demonstrates\u003cem> \u003c/em>inequality in how the state distributes assistance. Gray and several lawmakers said the Central Valley’s lower-income, marginalized communities often get cut first.\u003c/p>\n\u003cp>“When money gets dedicated to our region, some of the other regions don’t mind taking from us,” said Gray, a Democrat from Merced who served in the Assembly from 2012 through 2022.\u003c/p>\n\u003cfigure id=\"attachment_11945164\" class=\"wp-caption aligncenter\" style=\"max-width: 1200px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11945164\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/032423-STOCKTON-LEVEES-MHN-06-CM.jpg\" alt=\"Tents and other belongings are pictured next to an overflow of water near a small bridge. A city is pictured in the background.\" width=\"1200\" height=\"800\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/032423-STOCKTON-LEVEES-MHN-06-CM.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/032423-STOCKTON-LEVEES-MHN-06-CM-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/032423-STOCKTON-LEVEES-MHN-06-CM-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/032423-STOCKTON-LEVEES-MHN-06-CM-160x107.jpg 160w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\">\u003cfigcaption class=\"wp-caption-text\">Stockton faces a severe risk of flooding. Mormon Slough, shown here on March 24, 2023, is located near downtown Stockton. \u003ccite>(Martin do Nascimento/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>It’s unclear what effect the funding cut will have on future flooding in Stockton and the rest of the San Joaquin Valley. But Rentner said if the dairy farm project had gone as planned, the land could have been partially restored already, absorbing floodwaters and potentially lessening impacts along the river in Stockton.\u003c/p>\n\u003cp>It remains to be seen if the funding cut will be included in the May \u003ca href=\"https://ebudget.ca.gov/\">revised budget\u003c/a> and signed into law in the budget this summer. But California Resources Secretary Wade Crowfoot told CalMatters that the governor’s proposed budget, for now, renders all of the floodplain money unavailable.\u003c/p>\n\u003cp>In addition to the project in Stanislaus County, nine other projects for restoring 2,400 acres along the San Joaquin River had been slated to begin, with their $13 million in funding now in limbo, Rentner said.\u003c/p>\n\u003cp>“These projects were shovel-ready,” Rentner said.\u003c/p>\n\u003cp>Restoring a floodplain typically involves removing, lowering or setting back levees to allow swollen rivers to expand laterally onto uninhabited land. This reduces pressure on levees elsewhere, lessening the chances that they’ll rupture. Most of California’s historic floodplains have been separated from rivers by levees and converted to agriculture.[pullquote size=\"medium\" align=\"right\" citation=\"Josh Viers, professor of water resource management, UC Merced\"]‘Setting levees back gives the river room to roam.’[/pullquote]“Levees effectively straitjacket the river and either push floodwaters downstream to unprotected communities or actually bottleneck a river and cause flooding upstream,” said Josh Viers, a professor of water resource management at UC Merced who has studied floodplains for more than 20 years. “Setting levees back gives the river room to roam.”\u003c/p>\n\u003cp>As scientists, environmentalists and legislators recognize the benefits of floodplains, interest in restoring them has grown across party lines.\u003c/p>\n\u003cp>Floodplains also offer seasonal foraging ground for juvenile salmon and nesting grounds for waterfowl. And they can help recharge the San Joaquin Valley’s depleted groundwater basins.\u003c/p>\n\u003ch2>‘Nowhere for that water to go’\u003c/h2>\n\u003cp>Mike Machado, a farmer near Linden who served in the State Assembly and Senate for 14 years, until 2008, said the governor’s proposal is one of many examples of the state choosing to fund flood protection projects for wealthy regions but not for poorer ones like the San Joaquin Valley.[aside label='More California Flood Coverage' tag='flood']“They conduct cost-benefit analyses to determine if the value of what they’re protecting is greater than the cost of protecting it,” Machado said. “In places like Pajaro and low-lying areas of San Joaquin County, the value of lives seems to be discounted to the value of economic wealth.”\u003c/p>\n\u003cp>Earlier this month, the rising Pajaro River broke through an \u003ca href=\"https://www.latimes.com/california/story/2023-03-12/authorities-knew-the-levee-could-fail\">aging levee\u003c/a> that provides inadequate protection to the Monterey County \u003ca href=\"https://www.latimes.com/california/story/2023-03-20/a-long-history-of-racism-set-the-stage-for-pajaro-flooding\">town of Pajaro\u003c/a>, forcing about 3,000 residents — largely Latino farmworkers — to evacuate and damaging about 900 homes and buildings.\u003c/p>\n\u003cp>Republican \u003ca href=\"https://calmatters.org/legislator-tracker/heath-flora-1983/\">Assemblymember Heath Flora\u003c/a>, whose district includes the northern San Joaquin Valley, said the shortage of floodplain acreage along the San Joaquin River increases the region’s vulnerability to flooding. He said the near-record Sierra Nevada snowpack, when it melts, could cause even more flooding.\u003c/p>\n\u003cp>“If we get a warm spring, we are in big trouble,” Flora said. “We have nowhere for that water to go, and it’s coming, whether we like it or not.”\u003c/p>\n\u003cp>Flora said “it’s hard to understand” why the governor cut floodplain funds that have bipartisan support and could provide an array of benefits — not just for flood control but also creating new greenspaces and recreation opportunities.\u003c/p>\n\u003cp>“The low-income, underserved communities that the governor likes to talk about … this is their backyard, and so it’s interesting that we say we care about these people but inevitably the projects that affect them the most seem to be the first to get cut,” he said.\u003c/p>\n\u003cp>“To have [the floodplains funding] stripped away is incredibly frustrating.”\u003c/p>\n\u003cfigure id=\"attachment_11945150\" class=\"wp-caption aligncenter\" style=\"max-width: 1125px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11945150\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/RS3305_delta120111.jpg\" alt=\"A dark green river curves along lush, green farmland.\" width=\"1125\" height=\"750\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS3305_delta120111.jpg 1125w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS3305_delta120111-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS3305_delta120111-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS3305_delta120111-160x107.jpg 160w\" sizes=\"auto, (max-width: 1125px) 100vw, 1125px\">\u003cfigcaption class=\"wp-caption-text\">The San Joaquin-Sacramento River Valley Delta. \u003ccite>(Courtesy Department of Water Resources)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Rentner of River Partners said the sooner the state spends the money in the San Joaquin Valley, the better.\u003c/p>\n\u003cp>“It’s really a fractional downpayment on improvements that we would have reaped the benefits of — even this year,” Rentner said. “If we don’t pay now, we’re going to have to pay a lot more later.”\u003c/p>\n\u003cp>Explaining why the funding was cut, Crowfoot said the state in recent years enjoyed a budget surplus, allowing for “historic investments … in these multi-benefit floodplain investments.” But Newsom estimated in January that \u003ca href=\"https://calmatters.org/california-budget/2023/01/california-budget-newsom-deficit/\">California is facing a budget deficit of about $22.5 billion\u003c/a>.[pullquote size=\"medium\" align=\"right\" citation=\"Assemblymember Heath Flora\"]‘If we get a warm spring, we are in big trouble. We have nowhere for that water to go, and it’s coming, whether we like it or not.’[/pullquote]“Then fiscal conditions changed quite rapidly and we found ourselves having to make cuts, and that’s not easy because we’re cutting priorities that we acknowledge to be priorities, which is why we funded them in the first place,” Crowfoot said.\u003c/p>\n\u003cp>“This does not represent a change or diminishment of our long-term priority to significantly expand floodplains in the San Joaquin Valley and beyond,” Crowfoot said.\u003c/p>\n\u003cp>The $40 million may be restored in the next budget cycle, he said.\u003c/p>\n\u003cp>“If fiscal conditions improve, and the general fund improves, it will be automatically restored,” he said. This could happen by what’s referred to as a fiscal trigger process, though it wouldn’t be until January.\u003c/p>\n\u003cp>Newsom’s office did not respond to questions about his cuts to floodplain funding.\u003c/p>\n\u003ch2>A tale of two valleys\u003c/h2>\n\u003cp>Officials say vast differences in flood control infrastructure in the Sacramento and San Joaquin valleys illustrate the unequal investments in the two regions.\u003c/p>\n\u003cp>Along the Sacramento River, the vast Yolo Bypass, which covers tens of thousands of acres, is designed to take on floodwaters from the Sacramento River during and after storms. This helps ease pressure on the levees protecting Sacramento and ultimately reduces the risk of a devastating flood in the state’s capital. The smaller Sutter Bypass serves a similar function.\u003c/p>\n\u003cfigure id=\"attachment_11945152\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11945152\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/RS51470_SacramentoDelta-5-qut.jpg\" alt=\"A cloudy, blue sky rests on top of a calm river with healthy brush hugging the riverbend.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS51470_SacramentoDelta-5-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS51470_SacramentoDelta-5-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS51470_SacramentoDelta-5-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS51470_SacramentoDelta-5-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS51470_SacramentoDelta-5-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Wetland marshes of Sherman Island on Threemile Slough, which is part of the Sacramento-San Joaquin Delta, on the morning of Friday, Sept. 10, 2021. The delta is the hub of California’s water supply, supplying freshwater to two-thirds of California’s population and millions of acres of farmland. \u003ccite>(Joyce Tsai/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In comparison, the San Joaquin Valley lacks expansive areas where the river can sprawl.\u003c/p>\n\u003cp>River Partners is nearing completion on a 2,000-acre floodplain project called \u003ca href=\"https://riverpartners.org/project/dos-rios-ranch-preserve/\">Dos Rios Ranch Preserve\u003c/a> at the confluence of the San Joaquin and Tuolumne rivers. But Machado said other projects to restore the San Joaquin Valley’s floodplains have lagged.\u003c/p>\n\u003cp>While the Yolo Bypass, which runs between Davis and Sacramento, is undergoing a substantial expansion, “there’s a proposal to do the same type of project on the San Joaquin River [that’s] never [been] finished,” he said. The \u003ca href=\"https://southdeltawater.org/paradise-cut-expansion\">Paradise Cut Bypass Expansion Project\u003c/a>, just upstream from Stockton, has not moved past the planning stage. (The project has not been fully funded and is not part of the budget cuts.)\u003c/p>\n\u003cp>“It’s been, like, 15 years in the making,” said Barbara Barrigan-Parrilla, executive director of Restore the Delta, an environmental justice group in Stockton. “We always lose on infrastructure funding here.”\u003c/p>\n\u003cp>U.S. \u003ca href=\"https://harder.house.gov/about\">Representative Josh Harder\u003c/a>, who represents parts of the Delta region and San Joaquin Valley in the House, said the proposed cuts endanger a region he called “one of the most vulnerable in the nation to severe flooding.”\u003c/p>\n\u003cp>“Now is not the time to cut critical funding for floodplain management or any other flood mitigation efforts,” he said.\u003c/p>\n\u003cp>\u003ca href=\"https://a13.asmdc.org/district-map\">Assemblymember Carlos Villapudua\u003c/a> said the defunded projects were already underway, making Newsom’s cuts even more devastating.\u003c/p>\n\u003cp>“We’ve already moved the ball down the field,” said Villapudua, a Stockton Democrat. “The planning process takes a lot of time — man hours, labor hours. We understand that he (Newsom) needs to make cuts, but this is the one area he should not be taking money from, especially not right now.”\u003c/p>\n\u003cp>On March 24, Villapudua’s office asked lawmakers to sign a letter pleading with the governor to restore the funding. The letter has not yet been sent to Newsom as Villapudua gathers more signatures.\u003c/p>\n\u003cp>“It sometimes upsets me that he (Newsom) forgets about the Central Valley,” Villapudua said.\u003c/p>\n\u003cp>The threat of devastating flooding in the Central Valley is growing as levees age and erode. Climate change is a factor, too. In a paper published last summer, \u003ca href=\"https://www.science.org/doi/10.1126/sciadv.abq0995\">researchers warned that a large storm could drop 3 feet of rain in the Sierra Nevada over 30 days\u003c/a>, generating floods that cause “approximately $1 trillion in 2022 dollars, making it the most expensive geophysical disaster in global history to date.”\u003c/p>\n\u003cp>The state is currently spending about a quarter of what it should be on the region’s flood measures, according to a \u003ca href=\"http://cvfpb.ca.gov/wp-content/uploads/2022/12/Central_Valley_Flood_Protection_Plan_Update_2022_ADOPTED.pdf\">Central Valley plan (PDF)\u003c/a> by Crowfoot’s agency. About $3.2 billion in state/federal funding over the next five years is needed to protect against catastrophic flooding in the region, while the state has spent just $250 million a year. “More investment is needed,” the plan says.\u003c/p>\n\u003ch2>Stockton faces severe flooding risks\u003c/h2>\n\u003cp>Stockton, where 13% of its 322,000 people live in poverty and 45% are Latino, is grappling with the possibility of a devastating flood. Experts say much more protection is needed.\u003c/p>\n\u003cp>Barrigan-Parrilla of Restore the Delta said at least 17,000 houses in Stockton near Van Buskirk Park are at particular risk of flooding. Nearby a community of unhoused people lives beside Mormon Slough, which nearly spilled over its levee in January.\u003c/p>\n\u003cp>“That $40 million could have been used to finish up planning for floodplains from Merced all the way to Van Buskirk Park,” she said. “The more we can get floodplains back into use along the San Joaquin River system, the more we can keep people safe from flooding, especially in environmental justice communities.”\u003c/p>\n\u003cp>Rentner said the cut funding could have already opened up new floodplains to reduce impacts to \u003ca href=\"https://calmatters.org/environment/2023/01/california-floods-sacramento-valley/\">communities that were inundated in flood events since January\u003c/a>. The Stanislaus County dairy farm could have been purchased, partially restored and inundated by now “if we had access to these funds four months ago,” she said.\u003c/p>\n\u003cfigure id=\"attachment_11945151\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11945151\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/RS5667_P1010931-scaled.jpg\" alt='A diamond-shaped, yellow sign reads \"Winding Levee Road.\" To the right of the sign, a body of water ripples as wind turbines spin in the background.' width=\"2560\" height=\"1920\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS5667_P1010931-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS5667_P1010931-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS5667_P1010931-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS5667_P1010931-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS5667_P1010931-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS5667_P1010931-2048x1536.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS5667_P1010931-1920x1440.jpg 1920w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">A levee in the Sacramento-San Joaquin Delta. \u003ccite>(Lauren Sommer/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Chris Elias, executive director of the \u003ca href=\"https://www.sjafca.org/Home/Components/StaffDirectory/StaffDirectory/14/55\">San Joaquin Area Flood Control Agency\u003c/a>, said upgrading 23 miles of levees would protect almost half of the city’s 320,000 people. The agency is also studying ways to restore floodplains upstream, primarily with the long-awaited Paradise Cut expansion. This tract of land, when inundated, could reduce the river’s flood level by three feet in Stockton, he said.\u003c/p>\n\u003cp>The levee upgrades and the floodplain work could cost a whopping $1.9 billion, Elias said. The federal government will probably cover most of the cost, while the state is likely to fund about one-quarter. (Newsom’s proposed budget does not eliminate any of that funding.)\u003c/p>\n\u003cp>But the work is still years away from completion, so Elias said restoring smaller parcels along the San Joaquin — like the many River Partners projects that had funding cut — could increase flood protection for Stockton.\u003c/p>\n\u003ch2>Beyond flood control — wildlife and recreation, too\u003c/h2>\n\u003cp>Benefits of setting back, notching or removing levees go beyond flood protection. “The work creates jobs,” Flora said.\u003c/p>\n\u003cp>Floodplains also offer habitat for birds, fish and other wildlife, and restoring them is widely recognized as a key component of saving California’s \u003ca href=\"https://calmatters.org/environment/water/2023/03/california-salmon-fishery-shut-down/\">declining salmon runs\u003c/a>.\u003c/p>\n\u003cp>Over the right soil types, flooded land can also create settling basins where water can sink into the ground, replenishing \u003ca href=\"https://calmatters.org/environment/water/2023/02/california-depleted-groundwater-storms/\">depleted groundwater reserves\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_11945146\" class=\"wp-caption aligncenter\" style=\"max-width: 1650px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11945146\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/RS991_delta2-120111.jpg\" alt=\"An aerial shot of a serpentine-like river with farmland in various shades of green surrounding it.\" width=\"1650\" height=\"1050\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS991_delta2-120111.jpg 1650w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS991_delta2-120111-800x509.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS991_delta2-120111-1020x649.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS991_delta2-120111-160x102.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS991_delta2-120111-1536x977.jpg 1536w\" sizes=\"auto, (max-width: 1650px) 100vw, 1650px\">\u003cfigcaption class=\"wp-caption-text\">An aerial view of the San Joaquin-Sacramento River Valley Delta. \u003ccite>(Courtesy of Department of Water Resources)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>They also represent potential recreation opportunities. For example, the \u003ca href=\"https://riverpartners.org/project/dos-rios-ranch-preserve/\">Dos Rios Ranch Preserve\u003c/a> is proposed to become a new state park.\u003c/p>\n\u003cp>Gray, the former Assemblymember, said floodplain restoration is a rare type of public works projects that has bipartisan, almost universal, support because of the many benefits it provides.\u003c/p>\n\u003cp>“It’s a win for the environment, it’s a win for agriculture, it’s a win for public safety,” Gray said.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Gov. Gavin Newsom eliminated $40 million for restoring floodplains, halting projects that help protect vulnerable, marginalized communities like Stockton. San Joaquin Valley legislators are pushing back.",
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"title": "'We Are in Big Trouble': Newsom Cuts $40 Million Meant to Restore Floodplains Near Vulnerable San Joaquin Valley | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003c/p>\u003cp>\u003cspan class=\"utils-parseShortcode-shortcodes-__dropcapShortcode__dropcap\">L\u003c/span>\u003c/p>\u003cp>ast fall, when the state Legislature authorized $40 million for floodplain restoration, Julie Rentner knew just what she would do with it. Her group, River Partners, would spend more than a quarter of the funds buying a 500-acre dairy farm abutting the San Joaquin River in Stanislaus County.\u003c/p>\n\u003cp>Then millions more would be spent on removing debris, sheds, manure heaps and levees. They would plant native vegetation, and eventually restore the parcel to its natural state as a woodland and floodplain.\u003c/p>\n\u003cp>When floodplains like these are allowed to fill with water, they can reduce flooding impacts elsewhere along the river, so the project could protect communities downstream, including Stockton, which is highly vulnerable to flooding.\u003c/p>\n\u003cp>Rentner said crews of community members were ready to begin the work.\u003c/p>\n\u003cp>But in January, the money disappeared.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In a move that upset and baffled local leaders, conservationists and floodplain advocates, Gov. Gavin Newsom, in his \u003ca href=\"https://ebudget.ca.gov/2023-24/pdf/BudgetSummary/FullBudgetSummary.pdf\">2023–24 budget proposal (PDF)\u003c/a>, eliminated all $40 million that had been allocated for San Joaquin Valley floodplain restoration this year.\u003c/p>\n\u003cp>This year’s floods have highlighted the need for improved — and more equitably distributed — flood protection efforts throughout California. Restoring floodplains, many experts agree, is one of the most cost-effective ways to protect communities from flooding.\u003c/p>\n\u003cp>San Joaquin Valley lawmakers of both parties and local leaders say Newsom’s budget cut could endanger their communities, and that it signals a disparity in how the state distributes funding for flood protection. San Joaquin Valley communities vulnerable to flooding are largely home to underserved, lower-income Latino people.\u003c/p>\u003c/div>",
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"content": "‘It is imperative that the Legislature reject the proposed $40 million cut for San Joaquin Valley floodplain restoration.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Sen. Susan Eggman, a Stockton Democrat, said this winter’s storms “underscore the need for significant new investments for flood protection.”\u003c/p>\n\u003cp>“It is imperative that the Legislature reject the proposed $40 million cut for San Joaquin Valley floodplain restoration,” she said in an email to CalMatters.\u003c/p>\n\u003cp>To former \u003ca href=\"https://calmatters.org/legislator-tracker/adam-gray-1977/\">Assemblymember Adam Gray\u003c/a>, who rallied for floodplain restoration work in the valley, the governor’s proposed $40 million cut demonstrates\u003cem> \u003c/em>inequality in how the state distributes assistance. Gray and several lawmakers said the Central Valley’s lower-income, marginalized communities often get cut first.\u003c/p>\n\u003cp>“When money gets dedicated to our region, some of the other regions don’t mind taking from us,” said Gray, a Democrat from Merced who served in the Assembly from 2012 through 2022.\u003c/p>\n\u003cfigure id=\"attachment_11945164\" class=\"wp-caption aligncenter\" style=\"max-width: 1200px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11945164\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/032423-STOCKTON-LEVEES-MHN-06-CM.jpg\" alt=\"Tents and other belongings are pictured next to an overflow of water near a small bridge. A city is pictured in the background.\" width=\"1200\" height=\"800\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/032423-STOCKTON-LEVEES-MHN-06-CM.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/032423-STOCKTON-LEVEES-MHN-06-CM-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/032423-STOCKTON-LEVEES-MHN-06-CM-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/032423-STOCKTON-LEVEES-MHN-06-CM-160x107.jpg 160w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\">\u003cfigcaption class=\"wp-caption-text\">Stockton faces a severe risk of flooding. Mormon Slough, shown here on March 24, 2023, is located near downtown Stockton. \u003ccite>(Martin do Nascimento/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>It’s unclear what effect the funding cut will have on future flooding in Stockton and the rest of the San Joaquin Valley. But Rentner said if the dairy farm project had gone as planned, the land could have been partially restored already, absorbing floodwaters and potentially lessening impacts along the river in Stockton.\u003c/p>\n\u003cp>It remains to be seen if the funding cut will be included in the May \u003ca href=\"https://ebudget.ca.gov/\">revised budget\u003c/a> and signed into law in the budget this summer. But California Resources Secretary Wade Crowfoot told CalMatters that the governor’s proposed budget, for now, renders all of the floodplain money unavailable.\u003c/p>\n\u003cp>In addition to the project in Stanislaus County, nine other projects for restoring 2,400 acres along the San Joaquin River had been slated to begin, with their $13 million in funding now in limbo, Rentner said.\u003c/p>\n\u003cp>“These projects were shovel-ready,” Rentner said.\u003c/p>\n\u003cp>Restoring a floodplain typically involves removing, lowering or setting back levees to allow swollen rivers to expand laterally onto uninhabited land. This reduces pressure on levees elsewhere, lessening the chances that they’ll rupture. Most of California’s historic floodplains have been separated from rivers by levees and converted to agriculture.\u003c/p>\u003c/div>",
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"content": "‘Setting levees back gives the river room to roam.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“Levees effectively straitjacket the river and either push floodwaters downstream to unprotected communities or actually bottleneck a river and cause flooding upstream,” said Josh Viers, a professor of water resource management at UC Merced who has studied floodplains for more than 20 years. “Setting levees back gives the river room to roam.”\u003c/p>\n\u003cp>As scientists, environmentalists and legislators recognize the benefits of floodplains, interest in restoring them has grown across party lines.\u003c/p>\n\u003cp>Floodplains also offer seasonal foraging ground for juvenile salmon and nesting grounds for waterfowl. And they can help recharge the San Joaquin Valley’s depleted groundwater basins.\u003c/p>\n\u003ch2>‘Nowhere for that water to go’\u003c/h2>\n\u003cp>Mike Machado, a farmer near Linden who served in the State Assembly and Senate for 14 years, until 2008, said the governor’s proposal is one of many examples of the state choosing to fund flood protection projects for wealthy regions but not for poorer ones like the San Joaquin Valley.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“They conduct cost-benefit analyses to determine if the value of what they’re protecting is greater than the cost of protecting it,” Machado said. “In places like Pajaro and low-lying areas of San Joaquin County, the value of lives seems to be discounted to the value of economic wealth.”\u003c/p>\n\u003cp>Earlier this month, the rising Pajaro River broke through an \u003ca href=\"https://www.latimes.com/california/story/2023-03-12/authorities-knew-the-levee-could-fail\">aging levee\u003c/a> that provides inadequate protection to the Monterey County \u003ca href=\"https://www.latimes.com/california/story/2023-03-20/a-long-history-of-racism-set-the-stage-for-pajaro-flooding\">town of Pajaro\u003c/a>, forcing about 3,000 residents — largely Latino farmworkers — to evacuate and damaging about 900 homes and buildings.\u003c/p>\n\u003cp>Republican \u003ca href=\"https://calmatters.org/legislator-tracker/heath-flora-1983/\">Assemblymember Heath Flora\u003c/a>, whose district includes the northern San Joaquin Valley, said the shortage of floodplain acreage along the San Joaquin River increases the region’s vulnerability to flooding. He said the near-record Sierra Nevada snowpack, when it melts, could cause even more flooding.\u003c/p>\n\u003cp>“If we get a warm spring, we are in big trouble,” Flora said. “We have nowhere for that water to go, and it’s coming, whether we like it or not.”\u003c/p>\n\u003cp>Flora said “it’s hard to understand” why the governor cut floodplain funds that have bipartisan support and could provide an array of benefits — not just for flood control but also creating new greenspaces and recreation opportunities.\u003c/p>\n\u003cp>“The low-income, underserved communities that the governor likes to talk about … this is their backyard, and so it’s interesting that we say we care about these people but inevitably the projects that affect them the most seem to be the first to get cut,” he said.\u003c/p>\n\u003cp>“To have [the floodplains funding] stripped away is incredibly frustrating.”\u003c/p>\n\u003cfigure id=\"attachment_11945150\" class=\"wp-caption aligncenter\" style=\"max-width: 1125px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11945150\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/RS3305_delta120111.jpg\" alt=\"A dark green river curves along lush, green farmland.\" width=\"1125\" height=\"750\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS3305_delta120111.jpg 1125w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS3305_delta120111-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS3305_delta120111-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS3305_delta120111-160x107.jpg 160w\" sizes=\"auto, (max-width: 1125px) 100vw, 1125px\">\u003cfigcaption class=\"wp-caption-text\">The San Joaquin-Sacramento River Valley Delta. \u003ccite>(Courtesy Department of Water Resources)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Rentner of River Partners said the sooner the state spends the money in the San Joaquin Valley, the better.\u003c/p>\n\u003cp>“It’s really a fractional downpayment on improvements that we would have reaped the benefits of — even this year,” Rentner said. “If we don’t pay now, we’re going to have to pay a lot more later.”\u003c/p>\n\u003cp>Explaining why the funding was cut, Crowfoot said the state in recent years enjoyed a budget surplus, allowing for “historic investments … in these multi-benefit floodplain investments.” But Newsom estimated in January that \u003ca href=\"https://calmatters.org/california-budget/2023/01/california-budget-newsom-deficit/\">California is facing a budget deficit of about $22.5 billion\u003c/a>.\u003c/p>\u003c/div>",
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"content": "‘If we get a warm spring, we are in big trouble. We have nowhere for that water to go, and it’s coming, whether we like it or not.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“Then fiscal conditions changed quite rapidly and we found ourselves having to make cuts, and that’s not easy because we’re cutting priorities that we acknowledge to be priorities, which is why we funded them in the first place,” Crowfoot said.\u003c/p>\n\u003cp>“This does not represent a change or diminishment of our long-term priority to significantly expand floodplains in the San Joaquin Valley and beyond,” Crowfoot said.\u003c/p>\n\u003cp>The $40 million may be restored in the next budget cycle, he said.\u003c/p>\n\u003cp>“If fiscal conditions improve, and the general fund improves, it will be automatically restored,” he said. This could happen by what’s referred to as a fiscal trigger process, though it wouldn’t be until January.\u003c/p>\n\u003cp>Newsom’s office did not respond to questions about his cuts to floodplain funding.\u003c/p>\n\u003ch2>A tale of two valleys\u003c/h2>\n\u003cp>Officials say vast differences in flood control infrastructure in the Sacramento and San Joaquin valleys illustrate the unequal investments in the two regions.\u003c/p>\n\u003cp>Along the Sacramento River, the vast Yolo Bypass, which covers tens of thousands of acres, is designed to take on floodwaters from the Sacramento River during and after storms. This helps ease pressure on the levees protecting Sacramento and ultimately reduces the risk of a devastating flood in the state’s capital. The smaller Sutter Bypass serves a similar function.\u003c/p>\n\u003cfigure id=\"attachment_11945152\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11945152\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/RS51470_SacramentoDelta-5-qut.jpg\" alt=\"A cloudy, blue sky rests on top of a calm river with healthy brush hugging the riverbend.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS51470_SacramentoDelta-5-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS51470_SacramentoDelta-5-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS51470_SacramentoDelta-5-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS51470_SacramentoDelta-5-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS51470_SacramentoDelta-5-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Wetland marshes of Sherman Island on Threemile Slough, which is part of the Sacramento-San Joaquin Delta, on the morning of Friday, Sept. 10, 2021. The delta is the hub of California’s water supply, supplying freshwater to two-thirds of California’s population and millions of acres of farmland. \u003ccite>(Joyce Tsai/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In comparison, the San Joaquin Valley lacks expansive areas where the river can sprawl.\u003c/p>\n\u003cp>River Partners is nearing completion on a 2,000-acre floodplain project called \u003ca href=\"https://riverpartners.org/project/dos-rios-ranch-preserve/\">Dos Rios Ranch Preserve\u003c/a> at the confluence of the San Joaquin and Tuolumne rivers. But Machado said other projects to restore the San Joaquin Valley’s floodplains have lagged.\u003c/p>\n\u003cp>While the Yolo Bypass, which runs between Davis and Sacramento, is undergoing a substantial expansion, “there’s a proposal to do the same type of project on the San Joaquin River [that’s] never [been] finished,” he said. The \u003ca href=\"https://southdeltawater.org/paradise-cut-expansion\">Paradise Cut Bypass Expansion Project\u003c/a>, just upstream from Stockton, has not moved past the planning stage. (The project has not been fully funded and is not part of the budget cuts.)\u003c/p>\n\u003cp>“It’s been, like, 15 years in the making,” said Barbara Barrigan-Parrilla, executive director of Restore the Delta, an environmental justice group in Stockton. “We always lose on infrastructure funding here.”\u003c/p>\n\u003cp>U.S. \u003ca href=\"https://harder.house.gov/about\">Representative Josh Harder\u003c/a>, who represents parts of the Delta region and San Joaquin Valley in the House, said the proposed cuts endanger a region he called “one of the most vulnerable in the nation to severe flooding.”\u003c/p>\n\u003cp>“Now is not the time to cut critical funding for floodplain management or any other flood mitigation efforts,” he said.\u003c/p>\n\u003cp>\u003ca href=\"https://a13.asmdc.org/district-map\">Assemblymember Carlos Villapudua\u003c/a> said the defunded projects were already underway, making Newsom’s cuts even more devastating.\u003c/p>\n\u003cp>“We’ve already moved the ball down the field,” said Villapudua, a Stockton Democrat. “The planning process takes a lot of time — man hours, labor hours. We understand that he (Newsom) needs to make cuts, but this is the one area he should not be taking money from, especially not right now.”\u003c/p>\n\u003cp>On March 24, Villapudua’s office asked lawmakers to sign a letter pleading with the governor to restore the funding. The letter has not yet been sent to Newsom as Villapudua gathers more signatures.\u003c/p>\n\u003cp>“It sometimes upsets me that he (Newsom) forgets about the Central Valley,” Villapudua said.\u003c/p>\n\u003cp>The threat of devastating flooding in the Central Valley is growing as levees age and erode. Climate change is a factor, too. In a paper published last summer, \u003ca href=\"https://www.science.org/doi/10.1126/sciadv.abq0995\">researchers warned that a large storm could drop 3 feet of rain in the Sierra Nevada over 30 days\u003c/a>, generating floods that cause “approximately $1 trillion in 2022 dollars, making it the most expensive geophysical disaster in global history to date.”\u003c/p>\n\u003cp>The state is currently spending about a quarter of what it should be on the region’s flood measures, according to a \u003ca href=\"http://cvfpb.ca.gov/wp-content/uploads/2022/12/Central_Valley_Flood_Protection_Plan_Update_2022_ADOPTED.pdf\">Central Valley plan (PDF)\u003c/a> by Crowfoot’s agency. About $3.2 billion in state/federal funding over the next five years is needed to protect against catastrophic flooding in the region, while the state has spent just $250 million a year. “More investment is needed,” the plan says.\u003c/p>\n\u003ch2>Stockton faces severe flooding risks\u003c/h2>\n\u003cp>Stockton, where 13% of its 322,000 people live in poverty and 45% are Latino, is grappling with the possibility of a devastating flood. Experts say much more protection is needed.\u003c/p>\n\u003cp>Barrigan-Parrilla of Restore the Delta said at least 17,000 houses in Stockton near Van Buskirk Park are at particular risk of flooding. Nearby a community of unhoused people lives beside Mormon Slough, which nearly spilled over its levee in January.\u003c/p>\n\u003cp>“That $40 million could have been used to finish up planning for floodplains from Merced all the way to Van Buskirk Park,” she said. “The more we can get floodplains back into use along the San Joaquin River system, the more we can keep people safe from flooding, especially in environmental justice communities.”\u003c/p>\n\u003cp>Rentner said the cut funding could have already opened up new floodplains to reduce impacts to \u003ca href=\"https://calmatters.org/environment/2023/01/california-floods-sacramento-valley/\">communities that were inundated in flood events since January\u003c/a>. The Stanislaus County dairy farm could have been purchased, partially restored and inundated by now “if we had access to these funds four months ago,” she said.\u003c/p>\n\u003cfigure id=\"attachment_11945151\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11945151\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/RS5667_P1010931-scaled.jpg\" alt='A diamond-shaped, yellow sign reads \"Winding Levee Road.\" To the right of the sign, a body of water ripples as wind turbines spin in the background.' width=\"2560\" height=\"1920\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS5667_P1010931-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS5667_P1010931-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS5667_P1010931-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS5667_P1010931-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS5667_P1010931-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS5667_P1010931-2048x1536.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS5667_P1010931-1920x1440.jpg 1920w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">A levee in the Sacramento-San Joaquin Delta. \u003ccite>(Lauren Sommer/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Chris Elias, executive director of the \u003ca href=\"https://www.sjafca.org/Home/Components/StaffDirectory/StaffDirectory/14/55\">San Joaquin Area Flood Control Agency\u003c/a>, said upgrading 23 miles of levees would protect almost half of the city’s 320,000 people. The agency is also studying ways to restore floodplains upstream, primarily with the long-awaited Paradise Cut expansion. This tract of land, when inundated, could reduce the river’s flood level by three feet in Stockton, he said.\u003c/p>\n\u003cp>The levee upgrades and the floodplain work could cost a whopping $1.9 billion, Elias said. The federal government will probably cover most of the cost, while the state is likely to fund about one-quarter. (Newsom’s proposed budget does not eliminate any of that funding.)\u003c/p>\n\u003cp>But the work is still years away from completion, so Elias said restoring smaller parcels along the San Joaquin — like the many River Partners projects that had funding cut — could increase flood protection for Stockton.\u003c/p>\n\u003ch2>Beyond flood control — wildlife and recreation, too\u003c/h2>\n\u003cp>Benefits of setting back, notching or removing levees go beyond flood protection. “The work creates jobs,” Flora said.\u003c/p>\n\u003cp>Floodplains also offer habitat for birds, fish and other wildlife, and restoring them is widely recognized as a key component of saving California’s \u003ca href=\"https://calmatters.org/environment/water/2023/03/california-salmon-fishery-shut-down/\">declining salmon runs\u003c/a>.\u003c/p>\n\u003cp>Over the right soil types, flooded land can also create settling basins where water can sink into the ground, replenishing \u003ca href=\"https://calmatters.org/environment/water/2023/02/california-depleted-groundwater-storms/\">depleted groundwater reserves\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_11945146\" class=\"wp-caption aligncenter\" style=\"max-width: 1650px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11945146\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/RS991_delta2-120111.jpg\" alt=\"An aerial shot of a serpentine-like river with farmland in various shades of green surrounding it.\" width=\"1650\" height=\"1050\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS991_delta2-120111.jpg 1650w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS991_delta2-120111-800x509.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS991_delta2-120111-1020x649.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS991_delta2-120111-160x102.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS991_delta2-120111-1536x977.jpg 1536w\" sizes=\"auto, (max-width: 1650px) 100vw, 1650px\">\u003cfigcaption class=\"wp-caption-text\">An aerial view of the San Joaquin-Sacramento River Valley Delta. \u003ccite>(Courtesy of Department of Water Resources)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>They also represent potential recreation opportunities. For example, the \u003ca href=\"https://riverpartners.org/project/dos-rios-ranch-preserve/\">Dos Rios Ranch Preserve\u003c/a> is proposed to become a new state park.\u003c/p>\n\u003cp>Gray, the former Assemblymember, said floodplain restoration is a rare type of public works projects that has bipartisan, almost universal, support because of the many benefits it provides.\u003c/p>\n\u003cp>“It’s a win for the environment, it’s a win for agriculture, it’s a win for public safety,” Gray said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>California lawmakers on Monday approved the nation’s first penalty for price gouging at the pump, voting to give regulators the power to punish oil companies for profiting from the type of gas-price spikes that plagued the nation’s most populous state last summer.\u003c/p>\n\u003cp>The Democrats in charge of the state Legislature worked quickly to pass the bill on Monday, just one week after it was introduced. It was an unusually fast process for a controversial issue, especially one opposed by the powerful oil industry, which has spent millions of dollars to stop it.\u003c/p>\n\u003cp>Gov. Gavin Newsom used his political power to pass the bill, which grew out of his call last December for a special legislative session to pass \u003ca href=\"https://apnews.com/article/business-california-legislature-gavin-newsom-personal-taxes-e661495b9344e20a1ac474c4065db600\">a new tax on oil company profits\u003c/a>, following last summer’s record-high gas prices — which reached an average of $6.44 a gallon.\u003c/p>\n\u003cp>Taking on the oil industry has been a major policy priority for Newsom, who is widely viewed as a future presidential candidate.\u003c/p>\n\u003cp>“When you take on Big Oil, they usually roll you — that’s exactly what they’ve been doing to consumers for years and years and years,” Newsom told reporters after the vote. “The Legislature had the courage, conviction and the backbone to stand up to Big Oil.”[aside label=\"related coverage\" tag=\"gas-prices\"]He is expected to sign the bill into law Tuesday.\u003c/p>\n\u003cp>Legislative leaders rejected his initial call for a new tax because they feared it could discourage supply and lead to higher gas prices.\u003c/p>\n\u003cp>Instead, Newsom and lawmakers agreed to let the California Energy Commission decide whether to penalize oil companies for price gouging. But the crux of the bill isn’t the potential penalty. Instead, it’s the reams of new information oil companies would be required to disclose to state regulators about their pricing.\u003c/p>\n\u003cp>The companies will now have to report this information, most of it to be kept confidential, to a new state agency empowered to monitor and investigate the petroleum market and subpoena oil company executives. The commission will then rely on the work of this agency, plus a panel of experts, to decide whether to impose a penalty on oil company profits and how much that penalty should be.\u003c/p>\n\u003cp>“If we force folks to turn over this information, I actually don’t believe we’ll ever need a penalty, because the fact that they have to tell us what’s going on will stop them from gouging our consumers,” said Assemblymember Rebecca Bauer-Kahan, a Democrat from Orinda.\u003c/p>\n\u003cp>California’s gas prices are always higher than the rest of the country because of the state’s high taxes and relatively strict environmental regulations. California has the second-highest gas tax in the country, at $0.54 per gallon. And the state requires a special blend of gasoline that is better for the environment but more expensive to produce.\u003c/p>\n\u003cp>But state regulators say those taxes and fees aren’t enough to explain last summer’s spike, when the average cost of gasoline in California was more than $2.60 higher than the national average.\u003c/p>\n\u003cp>“There’s truly no other explanation for these historically high prices other than greed,” said Assemblymember Pilar Schiavo, a Democrat from Chatsworth. “The problem is we don’t have the information that we need to prove this, and we don’t have the ability to penalize the kind of historic price gouging we saw last year.”\u003c/p>\n\u003cp>The oil industry recorded massive profits last year, following years of huge losses during the pandemic when more people stayed home and fewer drivers were on the road.\u003c/p>\n\u003cp>Eloy Garcia, a lobbyist for the Western States Petroleum Association, said California’s high gas prices are the result of decades of public policy decisions that have made the state an island in the global petroleum market, and driven many local oil refiners away. He noted California does not have a pipeline to send oil into the state, meaning it has to ship what it can’t produce itself from the ocean, which takes longer and costs more.\u003c/p>\n\u003cp>“We’re not like Texas. We’re not like Louisiana. We’re not like the Northeast,” Garcia said. “We do not have a fungible fuel supply. We have chosen to do that. We have set ourself up by 30 years of public policy.”\u003c/p>\n\u003cp>Garcia said Monday’s vote “sends a clear signal not to invest in California.”\u003c/p>\n\u003cp>But Lauren Sanchez, Newsom’s senior climate adviser, said the state has plenty of supply, noting California oil refineries exported 12% of their product to other states last year.\u003c/p>\n\u003cp>“We’re also the third-largest gasoline market in the world for these companies,” she said.[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "The bill would empower regulators to punish oil companies for profiting from price spikes at the pump and require them to disclose their pricing methodology. It now heads to Gov. Gavin Newsom, who said he will sign it into law.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>California lawmakers on Monday approved the nation’s first penalty for price gouging at the pump, voting to give regulators the power to punish oil companies for profiting from the type of gas-price spikes that plagued the nation’s most populous state last summer.\u003c/p>\n\u003cp>The Democrats in charge of the state Legislature worked quickly to pass the bill on Monday, just one week after it was introduced. It was an unusually fast process for a controversial issue, especially one opposed by the powerful oil industry, which has spent millions of dollars to stop it.\u003c/p>\n\u003cp>Gov. Gavin Newsom used his political power to pass the bill, which grew out of his call last December for a special legislative session to pass \u003ca href=\"https://apnews.com/article/business-california-legislature-gavin-newsom-personal-taxes-e661495b9344e20a1ac474c4065db600\">a new tax on oil company profits\u003c/a>, following last summer’s record-high gas prices — which reached an average of $6.44 a gallon.\u003c/p>\n\u003cp>Taking on the oil industry has been a major policy priority for Newsom, who is widely viewed as a future presidential candidate.\u003c/p>\n\u003cp>“When you take on Big Oil, they usually roll you — that’s exactly what they’ve been doing to consumers for years and years and years,” Newsom told reporters after the vote. “The Legislature had the courage, conviction and the backbone to stand up to Big Oil.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>He is expected to sign the bill into law Tuesday.\u003c/p>\n\u003cp>Legislative leaders rejected his initial call for a new tax because they feared it could discourage supply and lead to higher gas prices.\u003c/p>\n\u003cp>Instead, Newsom and lawmakers agreed to let the California Energy Commission decide whether to penalize oil companies for price gouging. But the crux of the bill isn’t the potential penalty. Instead, it’s the reams of new information oil companies would be required to disclose to state regulators about their pricing.\u003c/p>\n\u003cp>The companies will now have to report this information, most of it to be kept confidential, to a new state agency empowered to monitor and investigate the petroleum market and subpoena oil company executives. The commission will then rely on the work of this agency, plus a panel of experts, to decide whether to impose a penalty on oil company profits and how much that penalty should be.\u003c/p>\n\u003cp>“If we force folks to turn over this information, I actually don’t believe we’ll ever need a penalty, because the fact that they have to tell us what’s going on will stop them from gouging our consumers,” said Assemblymember Rebecca Bauer-Kahan, a Democrat from Orinda.\u003c/p>\n\u003cp>California’s gas prices are always higher than the rest of the country because of the state’s high taxes and relatively strict environmental regulations. California has the second-highest gas tax in the country, at $0.54 per gallon. And the state requires a special blend of gasoline that is better for the environment but more expensive to produce.\u003c/p>\n\u003cp>But state regulators say those taxes and fees aren’t enough to explain last summer’s spike, when the average cost of gasoline in California was more than $2.60 higher than the national average.\u003c/p>\n\u003cp>“There’s truly no other explanation for these historically high prices other than greed,” said Assemblymember Pilar Schiavo, a Democrat from Chatsworth. “The problem is we don’t have the information that we need to prove this, and we don’t have the ability to penalize the kind of historic price gouging we saw last year.”\u003c/p>\n\u003cp>The oil industry recorded massive profits last year, following years of huge losses during the pandemic when more people stayed home and fewer drivers were on the road.\u003c/p>\n\u003cp>Eloy Garcia, a lobbyist for the Western States Petroleum Association, said California’s high gas prices are the result of decades of public policy decisions that have made the state an island in the global petroleum market, and driven many local oil refiners away. He noted California does not have a pipeline to send oil into the state, meaning it has to ship what it can’t produce itself from the ocean, which takes longer and costs more.\u003c/p>\n\u003cp>“We’re not like Texas. We’re not like Louisiana. We’re not like the Northeast,” Garcia said. “We do not have a fungible fuel supply. We have chosen to do that. We have set ourself up by 30 years of public policy.”\u003c/p>\n\u003cp>Garcia said Monday’s vote “sends a clear signal not to invest in California.”\u003c/p>\n\u003cp>But Lauren Sanchez, Newsom’s senior climate adviser, said the state has plenty of supply, noting California oil refineries exported 12% of their product to other states last year.\u003c/p>\n\u003cp>“We’re also the third-largest gasoline market in the world for these companies,” she said.\u003c/p>\u003c/div>",
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"slug": "gov-newsoms-prescription-housing-plan-would-cover-6-months-rent-through-medi-cal",
"title": "Gov. Newsom's Prescription Housing Plan Would Cover 6 Months' Rent Through Medi-Cal",
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"content": "\u003cp>Gov. Gavin Newsom, whose administration is struggling to contain a worsening homelessness crisis despite \u003ca href=\"https://khn.org/news/article/california-homeless-crisis-governor-gavin-newsom-political-future/\">record spending\u003c/a>, is trying something bold: tapping federal health care funding to cover rent for unhoused people and those at risk of losing their housing.\u003c/p>\n\u003cp>States are barred from using federal Medicaid dollars to pay directly for rent, but California’s governor is asking the administration of President Joe Biden, a fellow Democrat, to authorize a new program called “\u003ca href=\"https://ebudget.ca.gov/2023-24/pdf/BudgetSummary/HealthandHumanServices.pdf\">transitional rent (PDF)\u003c/a>,” which would provide up to six months of rent or temporary housing for\u003ca href=\"https://khn.org/news/article/californias-massive-medicaid-program-works-for-some-but-fails-many-others/\"> enrollees with \u003c/a>\u003ca href=\"https://khn.org/news/article/californias-massive-medicaid-program-works-for-some-but-fails-many-others/\">lower incomes\u003c/a> who rely on the state’s health care safety net — a new initiative to fight and prevent homelessness.\u003c/p>\n\u003cp>“I’ve been talking to the president. We cannot do this alone,” Newsom told California Healthline.\u003c/p>\n\u003cp>The governor is pushing California’s version of Medicaid, called Medi-Cal, to fund experimental housing subsidies for people experiencing homelessness, betting that it’s cheaper for taxpayers to cover rent than to allow people to fall into crisis or costly institutional care in hospitals, nursing homes and jails. Early in his tenure, \u003ca href=\"https://www.gov.ca.gov/2020/02/19/governor-newsom-delivers-state-of-the-state-address-on-homelessness/\">Newsom proclaimed\u003c/a> that “doctors should be able to write prescriptions for housing the same way they do for insulin or antibiotics.”\u003c/p>\n\u003cp>But it’s a risky endeavor in a high-cost state where \u003ca href=\"https://www.zillow.com/rental-manager/market-trends/ca/\">median rent is nearly $3,000 a month\u003c/a>, and even higher in coastal regions, where most of California’s unhoused people reside. Experts expect the Biden administration to scrutinize the plan to use health care money to pay rent, and also question its potential effectiveness in light of the state’s \u003ca href=\"https://calmatters.org/housing/2022/10/newsom-california-housing-crisis/\">housing crisis\u003c/a>.\u003c/p>\n\u003cp>“Part of the question is whether this is really Medicaid’s job,” said \u003ca href=\"https://counciloncj.org/vikki-wachino/\">Vikki Wachino\u003c/a>, who served as national Medicaid director in the Obama administration. “But there is a recognition that social factors like inadequate housing are driving health outcomes, and I think the federal government is open to developing approaches to try and address that.”\u003c/p>\n\u003cp>Bruce Alexander, spokesperson for the Centers for Medicare and Medicaid Services, declined to say whether the federal government would approve California’s request. Yet, Biden’s Medicaid officials have approved similar experimental programs in \u003ca href=\"https://www.oregon.gov/oha/HSD/Medicaid-Policy/Pages/Changes.aspx\">Oregon\u003c/a> and \u003ca href=\"https://www.hhs.gov/about/news/2022/10/14/hhs-approves-arizonas-medicaid-interventions-target-health-related-social-needs.html\">Arizona\u003c/a>, and California is modeling its program after them.[aside label=\"Related Stories\" postID=\"news_11934623,news_11932895,news_11927968\"]\u003ca href=\"https://www.ppic.org/blog/homeless-populations-are-rising-around-california/#:~:text=As%20of%202022%2C%2030%25%20of,of%20the%20nation's%20homeless%20population\">California is home to an estimated 30% of unhoused people in the U.S.\u003c/a>, despite representing just 12% of the country’s overall population. And Newsom has acknowledged that the numbers are likely far greater than official homelessness tallies show. Top health officials say that, to contain soaring safety-net spending and to help unhoused people get healthy, Medi-Cal has no choice but to combine social services with housing.\u003c/p>\n\u003cp>Statewide, 5% of Medi-Cal patients account for a staggering 44% of the program’s spending, according to state data. And many of the costliest patients lack stable housing: Nearly half of patients experiencing homelessness visited the emergency room four times or more in 2019 and were more likely than other adults with lower incomes to be admitted to the hospital, and a large majority of visits were covered by Medi-Cal, \u003ca href=\"https://www.ppic.org/publication/how-hospital-discharge-data-can-inform-state-homelessness-policy/\">according to the Public Policy Institute of California\u003c/a>.\u003c/p>\n\u003cp>“What we have today doesn’t work,” said \u003ca href=\"https://www.chhs.ca.gov/about/#secretary\">Dr. Mark Ghaly\u003c/a>, secretary of the California Health and Human Services Agency, explaining his argument that housing is a critical component of health care. “Why do we have to wait so long for people to be so sick?”\u003c/p>\n\u003cp>The federal government has already approved \u003ca href=\"https://khn.org/news/article/california-medicaid-makeover-newsom-california-medi-cal-homeless-public-funds/\">a massive social experiment in California\u003c/a>, known as \u003ca href=\"https://www.dhcs.ca.gov/calaim\">CalAIM\u003c/a>, which is transforming Medi-Cal. Over five years, the initiative is expected to pour $12 billion into new Medi-Cal services delivered outside of traditional health care. In communities across the state, it is already funding services for some patients with lower income, including paying rental security deposits for unhoused people and those facing eviction; \u003ca href=\"https://khn.org/news/article/california-medicaid-medically-tailored-meal-delivery-experiment/\">delivering prepared healthy meals\u003c/a> for people with diabetes; and helping formerly incarcerated people find jobs.\u003c/p>\n\u003cp>The transitional rent program would add another service to \u003ca href=\"https://www.dhcs.ca.gov/Documents/MCQMD/Community-Supports-Elections-by-MCP-and-County.pdf\">those already available (PDF)\u003c/a>, though \u003ca href=\"https://khn.org/news/article/california-governor-newsom-pricey-medicaid-reforms-leave-most-patients-behind/\">only a sliver of the 15.4 million Medi-Cal enrollees\u003c/a> actually receive those new and expensive social services.\u003c/p>\n\u003cp>Rent payments could begin as soon as 2025 and cost roughly $117 million per year once fully implemented. And while state officials say anyone who is homeless or at risk of becoming homeless would be eligible, not everyone who qualifies will receive new services due to capacity limits. Among those who stand to benefit are nearly 11,000 people already enrolled in \u003ca href=\"https://www.dhcs.ca.gov/CalAIM/Documents/CalAIM-HHI-a11y.pdf\">Medi-Cal housing services (PDF)\u003c/a>.\u003c/p>\n\u003cp>“The ongoing conversation is how do we convince the federal government that housing is a health care issue,” said \u003ca href=\"https://www.sellersdorsey.com/team-member/cantwell-mari/\">Mari Cantwell\u003c/a>, who served as Medi-Cal director from 2015 to 2020. “You have to convince them that you’re going to save money because you’re not going to have as many people showing up at the emergency room and in long-term hospitalizations.”\u003c/p>\n\u003cp>Health care experiments in California and around the country that funded housing supports have demonstrated early success in reducing costs and making people healthier. But while some programs paid for housing security deposits or participants’ first month of rent, none directly covered rent for an extended period.[pullquote align=\"right\" size=\"medium\" citation=\"Vikki Wachino, former national director, Medicaid\"]‘Part of the question is whether this is really Medicaid’s job. But there is a recognition that social factors like inadequate housing are driving health outcomes, and I think the federal government is open to developing approaches to try and address that.’[/pullquote]“Without that foundational support, we are playing in the margins,” Newsom said.\u003c/p>\n\u003cp>State health officials argue that paying for six months of rent will be even more successful at reducing health care costs and improving enrollees’ health, but experts say that, to work, the initiative must have strict accountability and be bundled with an array of social services.\u003c/p>\n\u003cp>In a precursor to the state’s current initiative, California experimented with a mix of housing assistance programs and social services through its “\u003ca href=\"https://apnews.com/article/california-health-8e353e5539ce36c9068a78f6ee7baeb7\">Whole Person Care\u003c/a>” pilot program. \u003ca href=\"https://healthpolicy.ucla.edu/about/staff/pages/detail.aspx?StaffID=94\">Nadereh Pourat\u003c/a>, of the UCLA Center for Health Policy Research, \u003ca href=\"https://healthpolicy.ucla.edu/publications/search/pages/detail.aspx?PubID=2385\">evaluated the program\u003c/a> for the state concluding that local trials reduced emergency visits and hospitalizations, saving an average of $383 per Medi-Cal beneficiary per year — a meager amount compared with the program’s cost.\u003c/p>\n\u003cp>Over five years, the state spent \u003ca href=\"https://healthpolicy.ucla.edu/publications/Documents/PDF/2023/Final-Evaluation-of-CA-Whole-Person-Care-Report.pdf#page=31\">$3.6 billion (PDF)\u003c/a> serving about 250,000 patients enrolled in \u003ca href=\"https://www.dhcs.ca.gov/services/Pages/WholePersonCarePilots.aspx\">local experiments\u003c/a>, Pourat said.\u003c/p>\n\u003cp>And \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/32976633/\">a randomized control trial\u003c/a> in Santa Clara County that provided supportive housing for unhoused people showed reductions in psychiatric emergency room visits and improvements in care. “Lives stabilized and we saw a huge uptick in substance-use care and mental health care, the things that everybody wants people to use to get healthier,” said \u003ca href=\"https://profiles.ucsf.edu/margot.kushel\">Dr. Margot Kushel\u003c/a>, director of the University of California-San Francisco’s Center for Vulnerable Populations at Zuckerberg San Francisco General Hospital and Trauma Center, who worked on the study.\u003c/p>\n\u003cp>But insurers implementing the broader Medi-Cal initiative say they are skeptical that spending health care money on housing will save the system money. And health care experts say that, while six months of rent can be a bridge while people wait for permanent housing, there’s a bigger obstacle: California’s affordable-housing shortage.\u003c/p>\n\u003cp>“We can design incredible Medicaid policies to alleviate homelessness and pay for all the necessary supportive services, but without the adequate housing, frankly, it’s not going to work,” Kushel said.\u003c/p>\n\u003cp>Newsom acknowledges that criticism. “The crisis of homelessness will never be solved without first solving the crisis of housing,” he said last week, arguing California should plow more money into housing for homeless people with severe mental health conditions or addiction disorders.[pullquote align=\"right\" size=\"medium\" citation=\"Dr. Margot Kushel, UCSF Center for Vulnerable Populations director, ZSFGH\"]‘We can design incredible Medicaid policies to alleviate homelessness and pay for all the necessary supportive services, but without the adequate housing, frankly, it’s not going to work.’[/pullquote]He will ask the legislature to put before voters a \u003ca href=\"https://www.latimes.com/california/story/2023-03-19/newsom-mental-health-housing-bond-measure-services-counties-substance-use-treatment\">2024 ballot initiative\u003c/a> that would infuse California’s mental health system with at least 6,000 new treatment beds and supportive housing units for people struggling with mental health and addiction disorders, \u003ca href=\"https://capitolweekly.net/newsom-takes-another-swing-at-getting-mentally-ill-homeless-off-the-streets/\">many of whom are experiencing homelessness\u003c/a>. The proposed bond measure would generate from $3 billion to $5 billion for psychiatric housing and treatment villages aimed at serving more than 10,000 additional people a year. The initiative also would ask voters to set aside at least $1 billion a year for supportive housing from an \u003ca href=\"https://www.dhcs.ca.gov/services/MH/Pages/MH_Prop63.aspx\">existing tax on California millionaires\u003c/a> that funds local mental health programs.\u003c/p>\n\u003cp>“People who are struggling with these issues, especially those who are on the streets or in other vulnerable conditions, will have more resources to get the help they need,” Newsom said.\u003c/p>\n\u003cp>For transitional rent, six months of payments would be available for select high-need residents enrolled in Medi-Cal, particularly those who are unhoused or at risk of becoming unhoused — and those transitioning from more costly institutions such as mental health crisis centers, jails and prisons, and foster care. Medi-Cal patients at risk of inpatient hospitalization or who frequent the emergency room would also be eligible.\u003c/p>\n\u003cp>“It’s a pretty big challenge; I’m not going to lie,” said \u003ca href=\"https://conference.healthmanagement.com/jacey-cooper/\">Jacey Cooper\u003c/a>, the Medi-Cal director. “But we know that people experiencing homelessness cycle in and out of emergency rooms, so we have a real role to play in both preventing and ending homelessness.”\u003c/p>\n\u003cp>Public health experts say the \u003ca href=\"https://khn.org/news/article/california-homeless-crisis-governor-gavin-newsom-political-future/\">problem will continue to explode\u003c/a> without creative thinking about how to fund housing in health care, but they warn the state must be wary of potential abuses of the program.\u003c/p>\n\u003cp>“It has to be designed carefully because, unfortunately, there are always people looking to game the system,” said \u003ca href=\"https://www.calendow.org/leadership/\">Dr. Tony Iton\u003c/a>, a public health expert who is now a senior vice president at the California Endowment. “Decisions must be made by clinicians — not housing organizations just looking for another source of revenue.”\u003c/p>\n\u003cp>For Stephen Morton, who lives in the Orange County community of Laguna Woods, the journey from homelessness into permanent housing illustrates the amount of public spending it can take for the effort to pay off.\u003c/p>\n\u003cfigure id=\"attachment_11944656\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11944656\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/stephen_morton-6-resized-copy-800x533.jpg\" alt=\"A white middle aged man combs his hair in front of a mirror in a bedroom with a lamp, a speaker, a bottle of eau de toilette anfd a box with a card on a dresser in front of the mirror.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/stephen_morton-6-resized-copy-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/stephen_morton-6-resized-copy-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/stephen_morton-6-resized-copy-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/stephen_morton-6-resized-copy-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/stephen_morton-6-resized-copy-1920x1280.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/stephen_morton-6-resized-copy.jpg 2048w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Stephen Morton, who lived in shelters and sometimes in his car for almost 2 years before finding permanent housing, receives weekly deliveries of medically tailored meals as part of a Medi-Cal initiative. Since getting his apartment, Morton says he’s been able to stop taking one diabetes medication and lose weight. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Morton, 60, bounced between shelters and his car for nearly two years and racked up extraordinary Medi-Cal costs due to prolonged hospitalizations and repeated emergency room trips to treat chronic heart disease, asthma and diabetes.\u003c/p>\n\u003cp>Medi-Cal covered Morton’s open-heart surgery and hospital stays, which lasted weeks. He landed temporary housing through a state-sponsored program called \u003ca href=\"https://www.cdss.ca.gov/inforesources/cdss-programs/housing-programs/project-roomkey\">Project Roomkey\u003c/a> before getting permanent housing through a federal low-income housing voucher — an ongoing benefit that covers all but $50 of his rent.\u003c/p>\n\u003cp>Since getting his apartment, Morton said, he’s been able to stop taking one diabetes medication and lose weight. He attributes improvements in his blood sugar levels to his housing and the healthy, home-delivered meals he receives via Medi-Cal.\u003c/p>\n\u003cp>“It’s usually scrambled eggs for breakfast and the fish menu for dinner. I’m shocked it’s so good,” Morton said. “Now I have a microwave and I’m indoors. I’m so grateful and so much healthier.”\u003c/p>\n\u003cp>\u003cem>California Healthline is a service of the California Health Care Foundation produced by Kaiser Health News.\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "California's bold new 'transitional rent' plan would save costs from frequent ER visits and lengthy hospital stays for Medi-Cal patients, but Newsom needs to convince Biden, saying, 'We cannot do this alone,' and lack of affordable housing across the state remains a concern.",
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"title": "Gov. Newsom's Prescription Housing Plan Would Cover 6 Months' Rent Through Medi-Cal | KQED",
"description": "California's bold new 'transitional rent' plan would save costs from frequent ER visits and lengthy hospital stays for Medi-Cal patients, but Newsom needs to convince Biden, saying, 'We cannot do this alone,' and lack of affordable housing across the state remains a concern.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Gov. Gavin Newsom, whose administration is struggling to contain a worsening homelessness crisis despite \u003ca href=\"https://khn.org/news/article/california-homeless-crisis-governor-gavin-newsom-political-future/\">record spending\u003c/a>, is trying something bold: tapping federal health care funding to cover rent for unhoused people and those at risk of losing their housing.\u003c/p>\n\u003cp>States are barred from using federal Medicaid dollars to pay directly for rent, but California’s governor is asking the administration of President Joe Biden, a fellow Democrat, to authorize a new program called “\u003ca href=\"https://ebudget.ca.gov/2023-24/pdf/BudgetSummary/HealthandHumanServices.pdf\">transitional rent (PDF)\u003c/a>,” which would provide up to six months of rent or temporary housing for\u003ca href=\"https://khn.org/news/article/californias-massive-medicaid-program-works-for-some-but-fails-many-others/\"> enrollees with \u003c/a>\u003ca href=\"https://khn.org/news/article/californias-massive-medicaid-program-works-for-some-but-fails-many-others/\">lower incomes\u003c/a> who rely on the state’s health care safety net — a new initiative to fight and prevent homelessness.\u003c/p>\n\u003cp>“I’ve been talking to the president. We cannot do this alone,” Newsom told California Healthline.\u003c/p>\n\u003cp>The governor is pushing California’s version of Medicaid, called Medi-Cal, to fund experimental housing subsidies for people experiencing homelessness, betting that it’s cheaper for taxpayers to cover rent than to allow people to fall into crisis or costly institutional care in hospitals, nursing homes and jails. Early in his tenure, \u003ca href=\"https://www.gov.ca.gov/2020/02/19/governor-newsom-delivers-state-of-the-state-address-on-homelessness/\">Newsom proclaimed\u003c/a> that “doctors should be able to write prescriptions for housing the same way they do for insulin or antibiotics.”\u003c/p>\n\u003cp>But it’s a risky endeavor in a high-cost state where \u003ca href=\"https://www.zillow.com/rental-manager/market-trends/ca/\">median rent is nearly $3,000 a month\u003c/a>, and even higher in coastal regions, where most of California’s unhoused people reside. Experts expect the Biden administration to scrutinize the plan to use health care money to pay rent, and also question its potential effectiveness in light of the state’s \u003ca href=\"https://calmatters.org/housing/2022/10/newsom-california-housing-crisis/\">housing crisis\u003c/a>.\u003c/p>\n\u003cp>“Part of the question is whether this is really Medicaid’s job,” said \u003ca href=\"https://counciloncj.org/vikki-wachino/\">Vikki Wachino\u003c/a>, who served as national Medicaid director in the Obama administration. “But there is a recognition that social factors like inadequate housing are driving health outcomes, and I think the federal government is open to developing approaches to try and address that.”\u003c/p>\n\u003cp>Bruce Alexander, spokesperson for the Centers for Medicare and Medicaid Services, declined to say whether the federal government would approve California’s request. Yet, Biden’s Medicaid officials have approved similar experimental programs in \u003ca href=\"https://www.oregon.gov/oha/HSD/Medicaid-Policy/Pages/Changes.aspx\">Oregon\u003c/a> and \u003ca href=\"https://www.hhs.gov/about/news/2022/10/14/hhs-approves-arizonas-medicaid-interventions-target-health-related-social-needs.html\">Arizona\u003c/a>, and California is modeling its program after them.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003ca href=\"https://www.ppic.org/blog/homeless-populations-are-rising-around-california/#:~:text=As%20of%202022%2C%2030%25%20of,of%20the%20nation's%20homeless%20population\">California is home to an estimated 30% of unhoused people in the U.S.\u003c/a>, despite representing just 12% of the country’s overall population. And Newsom has acknowledged that the numbers are likely far greater than official homelessness tallies show. Top health officials say that, to contain soaring safety-net spending and to help unhoused people get healthy, Medi-Cal has no choice but to combine social services with housing.\u003c/p>\n\u003cp>Statewide, 5% of Medi-Cal patients account for a staggering 44% of the program’s spending, according to state data. And many of the costliest patients lack stable housing: Nearly half of patients experiencing homelessness visited the emergency room four times or more in 2019 and were more likely than other adults with lower incomes to be admitted to the hospital, and a large majority of visits were covered by Medi-Cal, \u003ca href=\"https://www.ppic.org/publication/how-hospital-discharge-data-can-inform-state-homelessness-policy/\">according to the Public Policy Institute of California\u003c/a>.\u003c/p>\n\u003cp>“What we have today doesn’t work,” said \u003ca href=\"https://www.chhs.ca.gov/about/#secretary\">Dr. Mark Ghaly\u003c/a>, secretary of the California Health and Human Services Agency, explaining his argument that housing is a critical component of health care. “Why do we have to wait so long for people to be so sick?”\u003c/p>\n\u003cp>The federal government has already approved \u003ca href=\"https://khn.org/news/article/california-medicaid-makeover-newsom-california-medi-cal-homeless-public-funds/\">a massive social experiment in California\u003c/a>, known as \u003ca href=\"https://www.dhcs.ca.gov/calaim\">CalAIM\u003c/a>, which is transforming Medi-Cal. Over five years, the initiative is expected to pour $12 billion into new Medi-Cal services delivered outside of traditional health care. In communities across the state, it is already funding services for some patients with lower income, including paying rental security deposits for unhoused people and those facing eviction; \u003ca href=\"https://khn.org/news/article/california-medicaid-medically-tailored-meal-delivery-experiment/\">delivering prepared healthy meals\u003c/a> for people with diabetes; and helping formerly incarcerated people find jobs.\u003c/p>\n\u003cp>The transitional rent program would add another service to \u003ca href=\"https://www.dhcs.ca.gov/Documents/MCQMD/Community-Supports-Elections-by-MCP-and-County.pdf\">those already available (PDF)\u003c/a>, though \u003ca href=\"https://khn.org/news/article/california-governor-newsom-pricey-medicaid-reforms-leave-most-patients-behind/\">only a sliver of the 15.4 million Medi-Cal enrollees\u003c/a> actually receive those new and expensive social services.\u003c/p>\n\u003cp>Rent payments could begin as soon as 2025 and cost roughly $117 million per year once fully implemented. And while state officials say anyone who is homeless or at risk of becoming homeless would be eligible, not everyone who qualifies will receive new services due to capacity limits. Among those who stand to benefit are nearly 11,000 people already enrolled in \u003ca href=\"https://www.dhcs.ca.gov/CalAIM/Documents/CalAIM-HHI-a11y.pdf\">Medi-Cal housing services (PDF)\u003c/a>.\u003c/p>\n\u003cp>“The ongoing conversation is how do we convince the federal government that housing is a health care issue,” said \u003ca href=\"https://www.sellersdorsey.com/team-member/cantwell-mari/\">Mari Cantwell\u003c/a>, who served as Medi-Cal director from 2015 to 2020. “You have to convince them that you’re going to save money because you’re not going to have as many people showing up at the emergency room and in long-term hospitalizations.”\u003c/p>\n\u003cp>Health care experiments in California and around the country that funded housing supports have demonstrated early success in reducing costs and making people healthier. But while some programs paid for housing security deposits or participants’ first month of rent, none directly covered rent for an extended period.\u003c/p>\u003c/div>",
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"content": "‘Part of the question is whether this is really Medicaid’s job. But there is a recognition that social factors like inadequate housing are driving health outcomes, and I think the federal government is open to developing approaches to try and address that.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“Without that foundational support, we are playing in the margins,” Newsom said.\u003c/p>\n\u003cp>State health officials argue that paying for six months of rent will be even more successful at reducing health care costs and improving enrollees’ health, but experts say that, to work, the initiative must have strict accountability and be bundled with an array of social services.\u003c/p>\n\u003cp>In a precursor to the state’s current initiative, California experimented with a mix of housing assistance programs and social services through its “\u003ca href=\"https://apnews.com/article/california-health-8e353e5539ce36c9068a78f6ee7baeb7\">Whole Person Care\u003c/a>” pilot program. \u003ca href=\"https://healthpolicy.ucla.edu/about/staff/pages/detail.aspx?StaffID=94\">Nadereh Pourat\u003c/a>, of the UCLA Center for Health Policy Research, \u003ca href=\"https://healthpolicy.ucla.edu/publications/search/pages/detail.aspx?PubID=2385\">evaluated the program\u003c/a> for the state concluding that local trials reduced emergency visits and hospitalizations, saving an average of $383 per Medi-Cal beneficiary per year — a meager amount compared with the program’s cost.\u003c/p>\n\u003cp>Over five years, the state spent \u003ca href=\"https://healthpolicy.ucla.edu/publications/Documents/PDF/2023/Final-Evaluation-of-CA-Whole-Person-Care-Report.pdf#page=31\">$3.6 billion (PDF)\u003c/a> serving about 250,000 patients enrolled in \u003ca href=\"https://www.dhcs.ca.gov/services/Pages/WholePersonCarePilots.aspx\">local experiments\u003c/a>, Pourat said.\u003c/p>\n\u003cp>And \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/32976633/\">a randomized control trial\u003c/a> in Santa Clara County that provided supportive housing for unhoused people showed reductions in psychiatric emergency room visits and improvements in care. “Lives stabilized and we saw a huge uptick in substance-use care and mental health care, the things that everybody wants people to use to get healthier,” said \u003ca href=\"https://profiles.ucsf.edu/margot.kushel\">Dr. Margot Kushel\u003c/a>, director of the University of California-San Francisco’s Center for Vulnerable Populations at Zuckerberg San Francisco General Hospital and Trauma Center, who worked on the study.\u003c/p>\n\u003cp>But insurers implementing the broader Medi-Cal initiative say they are skeptical that spending health care money on housing will save the system money. And health care experts say that, while six months of rent can be a bridge while people wait for permanent housing, there’s a bigger obstacle: California’s affordable-housing shortage.\u003c/p>\n\u003cp>“We can design incredible Medicaid policies to alleviate homelessness and pay for all the necessary supportive services, but without the adequate housing, frankly, it’s not going to work,” Kushel said.\u003c/p>\n\u003cp>Newsom acknowledges that criticism. “The crisis of homelessness will never be solved without first solving the crisis of housing,” he said last week, arguing California should plow more money into housing for homeless people with severe mental health conditions or addiction disorders.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>He will ask the legislature to put before voters a \u003ca href=\"https://www.latimes.com/california/story/2023-03-19/newsom-mental-health-housing-bond-measure-services-counties-substance-use-treatment\">2024 ballot initiative\u003c/a> that would infuse California’s mental health system with at least 6,000 new treatment beds and supportive housing units for people struggling with mental health and addiction disorders, \u003ca href=\"https://capitolweekly.net/newsom-takes-another-swing-at-getting-mentally-ill-homeless-off-the-streets/\">many of whom are experiencing homelessness\u003c/a>. The proposed bond measure would generate from $3 billion to $5 billion for psychiatric housing and treatment villages aimed at serving more than 10,000 additional people a year. The initiative also would ask voters to set aside at least $1 billion a year for supportive housing from an \u003ca href=\"https://www.dhcs.ca.gov/services/MH/Pages/MH_Prop63.aspx\">existing tax on California millionaires\u003c/a> that funds local mental health programs.\u003c/p>\n\u003cp>“People who are struggling with these issues, especially those who are on the streets or in other vulnerable conditions, will have more resources to get the help they need,” Newsom said.\u003c/p>\n\u003cp>For transitional rent, six months of payments would be available for select high-need residents enrolled in Medi-Cal, particularly those who are unhoused or at risk of becoming unhoused — and those transitioning from more costly institutions such as mental health crisis centers, jails and prisons, and foster care. Medi-Cal patients at risk of inpatient hospitalization or who frequent the emergency room would also be eligible.\u003c/p>\n\u003cp>“It’s a pretty big challenge; I’m not going to lie,” said \u003ca href=\"https://conference.healthmanagement.com/jacey-cooper/\">Jacey Cooper\u003c/a>, the Medi-Cal director. “But we know that people experiencing homelessness cycle in and out of emergency rooms, so we have a real role to play in both preventing and ending homelessness.”\u003c/p>\n\u003cp>Public health experts say the \u003ca href=\"https://khn.org/news/article/california-homeless-crisis-governor-gavin-newsom-political-future/\">problem will continue to explode\u003c/a> without creative thinking about how to fund housing in health care, but they warn the state must be wary of potential abuses of the program.\u003c/p>\n\u003cp>“It has to be designed carefully because, unfortunately, there are always people looking to game the system,” said \u003ca href=\"https://www.calendow.org/leadership/\">Dr. Tony Iton\u003c/a>, a public health expert who is now a senior vice president at the California Endowment. “Decisions must be made by clinicians — not housing organizations just looking for another source of revenue.”\u003c/p>\n\u003cp>For Stephen Morton, who lives in the Orange County community of Laguna Woods, the journey from homelessness into permanent housing illustrates the amount of public spending it can take for the effort to pay off.\u003c/p>\n\u003cfigure id=\"attachment_11944656\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11944656\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/stephen_morton-6-resized-copy-800x533.jpg\" alt=\"A white middle aged man combs his hair in front of a mirror in a bedroom with a lamp, a speaker, a bottle of eau de toilette anfd a box with a card on a dresser in front of the mirror.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/stephen_morton-6-resized-copy-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/stephen_morton-6-resized-copy-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/stephen_morton-6-resized-copy-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/stephen_morton-6-resized-copy-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/stephen_morton-6-resized-copy-1920x1280.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/stephen_morton-6-resized-copy.jpg 2048w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Stephen Morton, who lived in shelters and sometimes in his car for almost 2 years before finding permanent housing, receives weekly deliveries of medically tailored meals as part of a Medi-Cal initiative. Since getting his apartment, Morton says he’s been able to stop taking one diabetes medication and lose weight. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Morton, 60, bounced between shelters and his car for nearly two years and racked up extraordinary Medi-Cal costs due to prolonged hospitalizations and repeated emergency room trips to treat chronic heart disease, asthma and diabetes.\u003c/p>\n\u003cp>Medi-Cal covered Morton’s open-heart surgery and hospital stays, which lasted weeks. He landed temporary housing through a state-sponsored program called \u003ca href=\"https://www.cdss.ca.gov/inforesources/cdss-programs/housing-programs/project-roomkey\">Project Roomkey\u003c/a> before getting permanent housing through a federal low-income housing voucher — an ongoing benefit that covers all but $50 of his rent.\u003c/p>\n\u003cp>Since getting his apartment, Morton said, he’s been able to stop taking one diabetes medication and lose weight. He attributes improvements in his blood sugar levels to his housing and the healthy, home-delivered meals he receives via Medi-Cal.\u003c/p>\n\u003cp>“It’s usually scrambled eggs for breakfast and the fish menu for dinner. I’m shocked it’s so good,” Morton said. “Now I have a microwave and I’m indoors. I’m so grateful and so much healthier.”\u003c/p>\n\u003cp>\u003cem>California Healthline is a service of the California Health Care Foundation produced by Kaiser Health News.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>With the Sierra Nevada smothered in snow, large swaths of the Central Valley flooded and many Californians weary of water, state officials announced today that they are lifting some drought-related provisions on water use.\u003c/p>\n\u003cp>“Our water supply conditions have improved markedly,” said Wade Crowfoot, secretary of the California Natural Resources Agency.\u003c/p>\n\u003cp>The state is rescinding its request for voluntary 15% water conservation statewide, which was issued in July 2021 and instead, Crowfoot said, shifting to an approach of making conservation a “way of life.”\u003c/p>\n\u003cp>“We need to maintain our vigilance,” he said. “It’s not about going back to normal anymore. It’s really adjusting to a new normal.”\u003c/p>\n\u003cp>Some of the state’s emergency provisions were ended and some were left in place. Wasteful uses of water, such as hosing down sidewalks and watering ornamental grass on commercial property, remain banned, according to state officials.\u003c/p>\n\u003cp>The state, however, is ending its requirement that local water agencies implement \u003ca href=\"https://www.waterboards.ca.gov/press_room/press_releases/2022/pr05242022-conservation-emergency-regulations.pdf#:~:text=Level%202%20water%20shortage%20contingency%20plans%20are%20meant,Level%202%20actions%20often%20include%20things%20such%20as%3A\">Level 2 drought contingency plans\u003c/a>, which are locally written water use regulations — such as limits on watering lawns — that are invoked during water shortages.[pullquote align=\"right\" size=\"medium\" citation=\"Heather Cooley, director of research, Pacific Institute\"]‘The reality is we don’t have water to waste in California. We need to continue investing in water efficiency to prepare for a hotter, drier future and more intense droughts.’[/pullquote]In total, 81 drought-related provisions were enacted since April 2021. Just 33 remain in place, said Gov. Gavin Newsom at a press briefing today.\u003c/p>\n\u003cp>State officials also announced today a large increase in the amounts of water that local suppliers will get from the State Water Project, increasing from 35% announced last month to 75% of requested supplies. The water is provided to 750,000 acres of farmland and 27 million people, mostly in Southern California.\u003c/p>\n\u003cp>The announcements come as some of the state’s reservoirs near capacity, with some of the state’s largest expected to fill by late spring. And the snowpack of the Sierra Nevada, nearing record levels in the southern portion of the range, continues to grow.\u003c/p>\n\u003cp>When Newsom \u003ca href=\"https://calmatters.org/environment/2021/07/california-water-use-drought/\">issued his voluntary conservation target\u003c/a> almost two years ago\u003ca href=\"https://calmatters.org/environment/2022/03/newsom-imposes-new-california-water-restrictions-leaves-details-to-locals/\">,\u003c/a> many water experts said he should have made it mandatory, as former Gov. Jerry Brown did during the previous drought. They also criticized him for failing to reduce use by farmers, who consume 80% of the state’s delivered water supply.\u003c/p>\n\u003cp>State officials say even though the 15% target was voluntary, it worked. However, the data does not back that up: Californians \u003ca href=\"https://calmatters.org/california-drought-monitor/\">used 6% less water from July 2021 through December 2022 compared to 2020 \u003c/a>— falling far short of Newsom’s 15% goal.\u003c/p>\n\u003cp>Heather Cooley, director of research at the Pacific Institute, an Oakland water supply think tank, said California must not relax its ethos of water conservation.\u003c/p>\n\u003cp>In spite of wet weather, the state’s largest water supply — its groundwater basins — remain depleted.[aside label=\"Related Stories\" postID=\"science_1981943,news_11931467,news_11929864\"]“Even though reservoirs are recovering, groundwater aquifers remain depleted. The Colorado River — a major water source for Southern California — is also facing a massive deficit,” Cooley said. “The reality is we don’t have water to waste in California. We need to continue investing in water efficiency to prepare for a hotter, drier future and more intense droughts.”\u003c/p>\n\u003cp>Mike McNutt, spokesperson for the Las Virgenes Municipal Water District in Los Angeles County, said the retraction of the conservation target “sends the wrong message” to the public.\u003c/p>\n\u003cp>“Why put out messaging that says something different, that says, ‘You can conserve if you want to, but you don’t need to’?” said McNutt, whose district serving 75,000 people is totally reliant on water from the state aqueduct.\u003c/p>\n\u003cp>“The next drought is certainly just around the corner,” he added.\u003c/p>\n\u003cp>Californians did cut their average water use by 600,000 acre-feet in almost two years\u003cem>. \u003c/em>That’s almost two-thirds the volume of Folsom Reservoir and enough water to serve 1.2 million households in a year.[pullquote align=\"right\" size=\"medium\" citation=\"Wade Crowfoot, secretary, California Natural Resources Agency\"]‘We need to maintain our vigilance. It’s not about going back to normal anymore. It’s really adjusting to a new normal.’[/pullquote]Crowfoot stressed that the drought is not over, noting that drought status “is not a completely binary situation.” In some parts of the state, drought conditions have dramatically eased, but not in others. Crowfoot said the Klamath River basin and the region of Southern California that relies on Colorado River water continue to face “acute water shortages.”\u003c/p>\n\u003cp>Thousands of households lack drinking water due to depleted groundwater basins, which have been overdrafted for decades, and experts agree they \u003ca href=\"https://calmatters.org/environment/water/2023/02/california-depleted-groundwater-storms/\">will not rebound in a single rainy winter.\u003c/a>\u003c/p>\n\u003cp>Joaquin Esquivel, chair of the State Water Resources Control Board, said the hope is that cities “are not just rebounding” to old ways of water use.\u003c/p>\n\u003cp>“Conservation remains a priority,” Crowfoot agreed.\u003c/p>\n\u003cp>Michael Anderson, climatologist with the California Department of Water Resources, said snowpack is at 278% of normal, with another storm system expected to hit the North Coast and move inland and south from there starting Monday. The system, he said, will deliver a relatively cold storm originating in the Gulf of Alaska, unlike some recent blasts of tropical moisture. This means it will drop more snow in the mountains.\u003c/p>\n\u003cp>“Not massive accumulations, but could be locally heavy,” he said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>With the Sierra Nevada smothered in snow, large swaths of the Central Valley flooded and many Californians weary of water, state officials announced today that they are lifting some drought-related provisions on water use.\u003c/p>\n\u003cp>“Our water supply conditions have improved markedly,” said Wade Crowfoot, secretary of the California Natural Resources Agency.\u003c/p>\n\u003cp>The state is rescinding its request for voluntary 15% water conservation statewide, which was issued in July 2021 and instead, Crowfoot said, shifting to an approach of making conservation a “way of life.”\u003c/p>\n\u003cp>“We need to maintain our vigilance,” he said. “It’s not about going back to normal anymore. It’s really adjusting to a new normal.”\u003c/p>\n\u003cp>Some of the state’s emergency provisions were ended and some were left in place. Wasteful uses of water, such as hosing down sidewalks and watering ornamental grass on commercial property, remain banned, according to state officials.\u003c/p>\n\u003cp>The state, however, is ending its requirement that local water agencies implement \u003ca href=\"https://www.waterboards.ca.gov/press_room/press_releases/2022/pr05242022-conservation-emergency-regulations.pdf#:~:text=Level%202%20water%20shortage%20contingency%20plans%20are%20meant,Level%202%20actions%20often%20include%20things%20such%20as%3A\">Level 2 drought contingency plans\u003c/a>, which are locally written water use regulations — such as limits on watering lawns — that are invoked during water shortages.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>In total, 81 drought-related provisions were enacted since April 2021. Just 33 remain in place, said Gov. Gavin Newsom at a press briefing today.\u003c/p>\n\u003cp>State officials also announced today a large increase in the amounts of water that local suppliers will get from the State Water Project, increasing from 35% announced last month to 75% of requested supplies. The water is provided to 750,000 acres of farmland and 27 million people, mostly in Southern California.\u003c/p>\n\u003cp>The announcements come as some of the state’s reservoirs near capacity, with some of the state’s largest expected to fill by late spring. And the snowpack of the Sierra Nevada, nearing record levels in the southern portion of the range, continues to grow.\u003c/p>\n\u003cp>When Newsom \u003ca href=\"https://calmatters.org/environment/2021/07/california-water-use-drought/\">issued his voluntary conservation target\u003c/a> almost two years ago\u003ca href=\"https://calmatters.org/environment/2022/03/newsom-imposes-new-california-water-restrictions-leaves-details-to-locals/\">,\u003c/a> many water experts said he should have made it mandatory, as former Gov. Jerry Brown did during the previous drought. They also criticized him for failing to reduce use by farmers, who consume 80% of the state’s delivered water supply.\u003c/p>\n\u003cp>State officials say even though the 15% target was voluntary, it worked. However, the data does not back that up: Californians \u003ca href=\"https://calmatters.org/california-drought-monitor/\">used 6% less water from July 2021 through December 2022 compared to 2020 \u003c/a>— falling far short of Newsom’s 15% goal.\u003c/p>\n\u003cp>Heather Cooley, director of research at the Pacific Institute, an Oakland water supply think tank, said California must not relax its ethos of water conservation.\u003c/p>\n\u003cp>In spite of wet weather, the state’s largest water supply — its groundwater basins — remain depleted.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“Even though reservoirs are recovering, groundwater aquifers remain depleted. The Colorado River — a major water source for Southern California — is also facing a massive deficit,” Cooley said. “The reality is we don’t have water to waste in California. We need to continue investing in water efficiency to prepare for a hotter, drier future and more intense droughts.”\u003c/p>\n\u003cp>Mike McNutt, spokesperson for the Las Virgenes Municipal Water District in Los Angeles County, said the retraction of the conservation target “sends the wrong message” to the public.\u003c/p>\n\u003cp>“Why put out messaging that says something different, that says, ‘You can conserve if you want to, but you don’t need to’?” said McNutt, whose district serving 75,000 people is totally reliant on water from the state aqueduct.\u003c/p>\n\u003cp>“The next drought is certainly just around the corner,” he added.\u003c/p>\n\u003cp>Californians did cut their average water use by 600,000 acre-feet in almost two years\u003cem>. \u003c/em>That’s almost two-thirds the volume of Folsom Reservoir and enough water to serve 1.2 million households in a year.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Crowfoot stressed that the drought is not over, noting that drought status “is not a completely binary situation.” In some parts of the state, drought conditions have dramatically eased, but not in others. Crowfoot said the Klamath River basin and the region of Southern California that relies on Colorado River water continue to face “acute water shortages.”\u003c/p>\n\u003cp>Thousands of households lack drinking water due to depleted groundwater basins, which have been overdrafted for decades, and experts agree they \u003ca href=\"https://calmatters.org/environment/water/2023/02/california-depleted-groundwater-storms/\">will not rebound in a single rainy winter.\u003c/a>\u003c/p>\n\u003cp>Joaquin Esquivel, chair of the State Water Resources Control Board, said the hope is that cities “are not just rebounding” to old ways of water use.\u003c/p>\n\u003cp>“Conservation remains a priority,” Crowfoot agreed.\u003c/p>\n\u003cp>Michael Anderson, climatologist with the California Department of Water Resources, said snowpack is at 278% of normal, with another storm system expected to hit the North Coast and move inland and south from there starting Monday. The system, he said, will deliver a relatively cold storm originating in the Gulf of Alaska, unlike some recent blasts of tropical moisture. This means it will drop more snow in the mountains.\u003c/p>\n\u003cp>“Not massive accumulations, but could be locally heavy,” he said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "California Advances Bill to Punish Oil Companies for Price Gouging at the Pump",
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"content": "\u003cp>A first-in-the-nation bill to punish oil companies for profiting from price spikes at the pump breezed through the California Senate on Thursday at the urging of Gov. Gavin Newsom, the first major vote in an effort to pass the law by month’s end.\u003c/p>\n\u003cp>The proposal is in response to sales last summer, when the average price of a gallon of gasoline in California soared to a record high of $6.44. Drivers in some places paid as much as $8 per gallon, prompting widespread outrage in an election year.\u003c/p>\n\u003cp>Newsom, seen as a possible presidential candidate beyond 2024, reacted by attacking the oil industry, specifically the five companies that provide 97% of gasoline in the state. He asked the Democrat-controlled Legislature to pass a new tax on oil company profits, arguing it would protect consumers by preventing price spikes.\u003c/p>\n\u003cp>[aside postID=news_11940489 hero='https://ww2.kqed.org/app/uploads/sites/10/2023/02/GettyImages-1076622970-1-1020x765.jpg']\u003c/p>\n\u003cp>That idea went nowhere in the Legislature, as lawmakers feared it would create chaos in the petroleum market and cause companies to make less gasoline, thus increasing prices.\u003c/p>\n\u003cp>Instead, lawmakers and Newsom settled on a bill that would let the California Energy Commission decide whether to impose civil penalties on oil companies for price gouging. The commission — a five-member panel appointed by the governor with the consent of the Senate — would rely on information from a new state agency that would have the power to monitor the market, including forcing companies to disclose financial information and having the power to subpoena oil executives to testify.\u003c/p>\n\u003cp>At a committee hearing on Wednesday, Newsom adviser Lauren Sanchez said California needs to have subpoena power.\u003c/p>\n\u003cp>“We need to make sure that we have better data on inventories, on production levels, on imports and exports of fuel,” she said. “The state doesn’t have a real-time picture of what is driving those supply issues.”[pullquote size=\"medium\" align=\"right\" citation=\"Sen. Nancy Skinner (D-Berkeley)\"]‘It is our role to protect our residents from any practices of any business that may harm them.’[/pullquote]The bill requires the state auditor to investigate the program in 10 years to find out whether it is working to reduce gas prices. If it’s not, the auditor can order the program to shut down — but lawmakers will have six months to review that decision and reverse it if they choose.\u003c/p>\n\u003cp>“It is our role to protect our residents from any practices of any business that may harm them,” said state Sen. Nancy Skinner, a Democrat from Berkeley and author of the bill.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The bill highlights the challenges of balancing the competing pressures of protecting consumers at the pump while at the same time pushing policies to end the state’s reliance on fossil fuels. \u003ca href=\"https://apnews.com/article/climate-technology-pollution-carbon-neutrality-d89c04fe08f09863eba5342b123c787d\">California’s climate strategy\u003c/a> — which includes \u003ca href=\"https://apnews.com/article/technology-california-air-resources-board-climate-and-environment-dc75c11280f85a8ab134cf392497be68\">banning the sale of most new gas-powered cars by 2035\u003c/a> — would reduce demand for gasoline by 94% by 2045.\u003c/p>\n\u003cp>“To sum it all up, it’s our energy policy — our energy policy and our efforts to replace fossil fuel with all electric in a very, very short amount of time,” said state Sen. Kelly Seyarto, a Republican from Murrieta who opposes the bill. “Why can’t we just tell our constituents that? That’s why your gas prices are so high.”\u003c/p>\n\u003cfigure id=\"attachment_11944575\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11944575\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/RS54117_003_KQED_GasStationSF_03082022-qut.jpg\" alt=\"A digital gas station sign at Circle K reads with record high numbers for the price of a gallon of gasoline. Premium Gasoline is listed at 5.99 per gallon.\" width=\"1920\" height=\"1278\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS54117_003_KQED_GasStationSF_03082022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS54117_003_KQED_GasStationSF_03082022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS54117_003_KQED_GasStationSF_03082022-qut-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS54117_003_KQED_GasStationSF_03082022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS54117_003_KQED_GasStationSF_03082022-qut-1536x1022.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A sign shows prices at $5.69 a gallon for regular gasoline at a Circle K gas station on Potrero Avenue and 17th Street in San Francisco on March 8, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>California’s gasoline prices are already higher than most other states because of taxes, fees and environmental regulations. California’s gas tax is the second-highest in the country, at $0.54 per gallon. And the state requires that oil companies make a special blend of gasoline to sell in California that is better for the environment but more expensive to produce.\u003c/p>\n\u003cp>Republicans on Thursday tried to force a vote on a separate bill that would suspend the state’s gas tax and some gas-related regulations for one year. But Democrats voted not to bring the bill up for debate.\u003c/p>\n\u003cp>At one point last year, the average price of a gallon of gasoline in California was more than $2.60 higher than the national average — a difference regulators say is too large to be explained by taxes, fees and regulations.\u003c/p>\n\u003cp>Much of the oil industry’s complaints about the bill have focused on the new, independent state agency lawmakers would create to investigate the market. Oil companies would be required to disclose massive amounts of data to this agency, giving regulators a better sense of what could be driving price spikes. And, crucially, the agency would have subpoena power to compel oil company executives to testify.[aside label='More on California Gas Prices' tag='gas-prices']Kevin Slagle, spokesperson for the Western States Petroleum Association, said oil companies would have to report data on 15,000 transactions per day, what he called “a ridiculous level of reporting” that would drive up costs. He said the real problem with California’s gas prices are state laws and regulations that hinder the supply of fuel. He criticized Newsom and lawmakers for rushing the bill through the Legislature with little input from the oil industry.\u003c/p>\n\u003cp>“Why does the governor want to jam this through? Clearly it’s because the details of this are not good for California consumers,” Slagle said. “They don’t address the problem, but it provides him a political win.”\u003c/p>\n\u003cp>Dana Williamson, Newsom’s chief of staff, said she has repeatedly had meetings with representatives from the oil industry to discuss the bill, including meetings with specific companies and two meetings with the WSPA.\u003c/p>\n\u003cp>Newsom said the bill would end “the era of oil’s outsized influence” and hold the industry accountable.\u003c/p>\n\u003cp>\u003cem>This story includes reporting from KQED’s Ted Goldberg.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A first-in-the-nation bill to punish oil companies for profiting from price spikes at the pump breezed through the California Senate on Thursday at the urging of Gov. Gavin Newsom, the first major vote in an effort to pass the law by month’s end.\u003c/p>\n\u003cp>The proposal is in response to sales last summer, when the average price of a gallon of gasoline in California soared to a record high of $6.44. Drivers in some places paid as much as $8 per gallon, prompting widespread outrage in an election year.\u003c/p>\n\u003cp>Newsom, seen as a possible presidential candidate beyond 2024, reacted by attacking the oil industry, specifically the five companies that provide 97% of gasoline in the state. He asked the Democrat-controlled Legislature to pass a new tax on oil company profits, arguing it would protect consumers by preventing price spikes.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>That idea went nowhere in the Legislature, as lawmakers feared it would create chaos in the petroleum market and cause companies to make less gasoline, thus increasing prices.\u003c/p>\n\u003cp>Instead, lawmakers and Newsom settled on a bill that would let the California Energy Commission decide whether to impose civil penalties on oil companies for price gouging. The commission — a five-member panel appointed by the governor with the consent of the Senate — would rely on information from a new state agency that would have the power to monitor the market, including forcing companies to disclose financial information and having the power to subpoena oil executives to testify.\u003c/p>\n\u003cp>At a committee hearing on Wednesday, Newsom adviser Lauren Sanchez said California needs to have subpoena power.\u003c/p>\n\u003cp>“We need to make sure that we have better data on inventories, on production levels, on imports and exports of fuel,” she said. “The state doesn’t have a real-time picture of what is driving those supply issues.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The bill requires the state auditor to investigate the program in 10 years to find out whether it is working to reduce gas prices. If it’s not, the auditor can order the program to shut down — but lawmakers will have six months to review that decision and reverse it if they choose.\u003c/p>\n\u003cp>“It is our role to protect our residents from any practices of any business that may harm them,” said state Sen. Nancy Skinner, a Democrat from Berkeley and author of the bill.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The bill highlights the challenges of balancing the competing pressures of protecting consumers at the pump while at the same time pushing policies to end the state’s reliance on fossil fuels. \u003ca href=\"https://apnews.com/article/climate-technology-pollution-carbon-neutrality-d89c04fe08f09863eba5342b123c787d\">California’s climate strategy\u003c/a> — which includes \u003ca href=\"https://apnews.com/article/technology-california-air-resources-board-climate-and-environment-dc75c11280f85a8ab134cf392497be68\">banning the sale of most new gas-powered cars by 2035\u003c/a> — would reduce demand for gasoline by 94% by 2045.\u003c/p>\n\u003cp>“To sum it all up, it’s our energy policy — our energy policy and our efforts to replace fossil fuel with all electric in a very, very short amount of time,” said state Sen. Kelly Seyarto, a Republican from Murrieta who opposes the bill. “Why can’t we just tell our constituents that? That’s why your gas prices are so high.”\u003c/p>\n\u003cfigure id=\"attachment_11944575\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11944575\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/RS54117_003_KQED_GasStationSF_03082022-qut.jpg\" alt=\"A digital gas station sign at Circle K reads with record high numbers for the price of a gallon of gasoline. Premium Gasoline is listed at 5.99 per gallon.\" width=\"1920\" height=\"1278\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS54117_003_KQED_GasStationSF_03082022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS54117_003_KQED_GasStationSF_03082022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS54117_003_KQED_GasStationSF_03082022-qut-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS54117_003_KQED_GasStationSF_03082022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/03/RS54117_003_KQED_GasStationSF_03082022-qut-1536x1022.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A sign shows prices at $5.69 a gallon for regular gasoline at a Circle K gas station on Potrero Avenue and 17th Street in San Francisco on March 8, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>California’s gasoline prices are already higher than most other states because of taxes, fees and environmental regulations. California’s gas tax is the second-highest in the country, at $0.54 per gallon. And the state requires that oil companies make a special blend of gasoline to sell in California that is better for the environment but more expensive to produce.\u003c/p>\n\u003cp>Republicans on Thursday tried to force a vote on a separate bill that would suspend the state’s gas tax and some gas-related regulations for one year. But Democrats voted not to bring the bill up for debate.\u003c/p>\n\u003cp>At one point last year, the average price of a gallon of gasoline in California was more than $2.60 higher than the national average — a difference regulators say is too large to be explained by taxes, fees and regulations.\u003c/p>\n\u003cp>Much of the oil industry’s complaints about the bill have focused on the new, independent state agency lawmakers would create to investigate the market. Oil companies would be required to disclose massive amounts of data to this agency, giving regulators a better sense of what could be driving price spikes. And, crucially, the agency would have subpoena power to compel oil company executives to testify.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Kevin Slagle, spokesperson for the Western States Petroleum Association, said oil companies would have to report data on 15,000 transactions per day, what he called “a ridiculous level of reporting” that would drive up costs. He said the real problem with California’s gas prices are state laws and regulations that hinder the supply of fuel. He criticized Newsom and lawmakers for rushing the bill through the Legislature with little input from the oil industry.\u003c/p>\n\u003cp>“Why does the governor want to jam this through? Clearly it’s because the details of this are not good for California consumers,” Slagle said. “They don’t address the problem, but it provides him a political win.”\u003c/p>\n\u003cp>Dana Williamson, Newsom’s chief of staff, said she has repeatedly had meetings with representatives from the oil industry to discuss the bill, including meetings with specific companies and two meetings with the WSPA.\u003c/p>\n\u003cp>Newsom said the bill would end “the era of oil’s outsized influence” and hold the industry accountable.\u003c/p>\n\u003cp>\u003cem>This story includes reporting from KQED’s Ted Goldberg.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "'We Own This Moment': Homelessness, Rehabilitation and Health Care Took Center Stage in Newsom's State Tour",
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"content": "\u003cp>Gov. Gavin Newsom likes to talk about “the California way.” And as he barnstormed the state with sweeping plans to transform its approach to homelessness, criminal justice and health care, he laid out his ideas for what that “way” means — and his legacy.\u003c/p>\n\u003cp>Throughout his State of the State tour, the governor was often joking and jovial. But on Sunday, the fourth and final day, he took on a more somber tone, standing behind the lectern of a makeshift event space that was once a nine-bed emergency room to talk about improving mental health care.\u003c/p>\n\u003cp>[aside label=\"More on Gov. Gavin Newsom\" tag=\"gavin-newsom\"]\u003c/p>\n\u003cp>He emphasized the far-reaching consequences of inadequate care and shared his own experiences, losing someone he’d attended his high school prom with, as well as his grandfather, a veteran, to suicide.\u003c/p>\n\u003cp>“We own this. We own this moment,” he said. “But we have now the tools and the capacity to turn this ship around.”\u003c/p>\n\u003cp>As he dives into his second term, Newsom chose the tour \u003ca href=\"https://calmatters.org/newsletters/whatmatters/2023/03/newsom-walgreens-abortion-medicine/\">in place of the traditional speech\u003c/a> to a joint session of the Legislature. In many ways, the events echoed the priorities that he was focused on at this same point in his first term four years ago — before unexpected crises, a recall effort and a seemingly inescapable pandemic scrambled his agenda.\u003c/p>\n\u003cp>In his first act as governor, shortly after he took the oath of office in January 2019, Newsom signed an executive order aimed at lowering prescription drug costs by \u003ca href=\"https://calmatters.org/health/2019/01/lower-california-prescription-drug-costs/\">directing state agencies to negotiate collectively\u003c/a> with pharmaceutical companies for better prices.\u003c/p>\n\u003cp>On Saturday, he finally announced that California \u003ca href=\"https://khn.org/news/article/california-generic-insulin-contract-civica-rx-newsom/\">will partner with Utah-based generic drug company Civica\u003c/a> to manufacture its own insulin, available for $30 a vial. The $50 million deal is the first major development in a plan Newsom has pursued for the past three years to \u003ca href=\"https://calmatters.org/health/2022/04/insulin-costs-california/\">create a generic label\u003c/a> that can challenge an industry he has criticized for charging far too much for life-saving medications.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Gov. Gavin Newsom\"]'We own this. We own this moment. But we have now the tools and the capacity to turn this ship around.'[/pullquote]Two months into his first term, in March 2019, Newsom \u003ca href=\"https://calmatters.org/justice/2019/03/gavin-newsom-halts-executions-california/\">enacted a moratorium on executions\u003c/a> and dismantled the lethal injection chamber at San Quentin State Prison. His decision stunned the political world by quickly reversing a campaign pledge to respect the will of California voters who have repeatedly upheld capital punishment.\u003c/p>\n\u003cp>On Friday, nearly four years to the day after that order, the governor was back at San Quentin, touting his vision to \u003ca href=\"https://calmatters.org/justice/2023/03/san-quentin-prison-gavin-newsom/\">transform California’s oldest correctional facility\u003c/a> from the home of condemned men to a center for rehabilitation and training before those incarcerated there are released back into society.\u003c/p>\n\u003cp>In \u003ca href=\"https://www.ppic.org/publication/ppic-statewide-survey-californians-and-their-government-february-2023/\">public poll after public poll\u003c/a>, these issues are not what Californians identify as the most pressing problems in the state. Yet by regularly resurfacing them, steadily chipping away at breakthroughs on his own terms, Newsom suggests that’s what they represent to him — the issues most fundamental to his platform, those with which he seeks to build his legacy.\u003c/p>\n\u003cp>Governors don’t always get to define their own legacies, however.\u003c/p>\n\u003cp>Growing public anger over California’s ever more visible homelessness crisis has made this seemingly intractable problem the inescapable force of Newsom’s tenure. He recognized it back in 2020, devoting \u003ca href=\"https://calmatters.org/housing/2020/02/newsom-trump-homelessness-state-of-state-proposals-california-crisis/\">his entire State of the State speech\u003c/a> to the topic, and COVID aside, no other issue has consumed more of his time and political capital since, a stark departure from his predecessor. For opponents — from \u003ca href=\"https://calmatters.org/politics/2021/07/newsom-recall-republicans-homelessness/\">those who unsuccessfully sought to recall him\u003c/a> from office in 2021 to those already seeking to stop any \u003ca href=\"https://calmatters.org/politics/election-2022/2022/10/gavin-newsom-campaign-president/\">presidential ambitions he may possess\u003c/a> — it is perhaps his greatest liability.\u003c/p>\n\u003cp>That was reflected in the central role that homelessness played in Newsom’s statewide tour, underlying his major announcements on two separate days.\u003c/p>\n\u003cp>The kick-off event, in Sacramento on Thursday, \u003ca href=\"https://calmatters.org/newsletters/whatmatters/2023/03/san-quentin-newsom/\">touted the governor’s successful push\u003c/a> to get local officials to adopt more aggressive targets for reducing the number of people living on the streets in their communities.\u003c/p>\n\u003cp>The final stop, in San Diego on Sunday, launched a campaign to ask California voters to \u003ca href=\"https://capitolweekly.net/newsom-takes-another-swing-at-getting-mentally-ill-homeless-off-the-streets/\">approve a $3 billion bond measure in 2024 for mental health housing and treatment beds\u003c/a>. It builds on Newsom’s signature policy achievement from last year: A new court system aimed at \u003ca href=\"https://calmatters.org/housing/2022/09/california-lawmakers-approved-care-court-what-comes-next/\">compelling people with several mental illnesses\u003c/a>, who often languish on the streets, into housing and treatment.\u003c/p>\n\u003cp>Wrapping up the tour, Newsom noted that the issues he discussed were connected, but especially housing and homelessness.\u003c/p>\n\u003cp>“I think those two issues truly do represent the twin challenges of this state — our fate and future,” he said Sunday in answer to a CalMatters question. “They’re connected to more of our challenges than any other two issues, and that’s really the thrust of this multiday effort.”\u003c/p>\n\u003cp>To achieve all his goals on homelessness and other issues, Newsom needs the buy-in of state lawmakers, local officials and frontline workers.\u003c/p>\n\u003cp>Still, by orchestrating four days of events across the state instead of delivering a single speech in Sacramento, the governor did succeed on one score: He drew a torrent of media coverage, though reporters were often held a distance away from him at each stop. Newsom’s messaging was \u003ca href=\"https://twitter.com/AssemblyDems/status/1637254095177420800?s=20\">amplified by friendly Democratic allies\u003c/a> at every event, and he called out key legislators whose help he needs.\u003c/p>\n\u003cp>Trying to compete, Republicans in the Legislature posted \u003ca href=\"https://twitter.com/AsmRepublicans/status/1636485199948316672?s=20\">social media videos warning\u003c/a> that California is in crisis — on cost of living, crime, homelessness, schools, water and wildfires — and asserting that they have solutions in what they call \u003ca href=\"https://asmrc.org/california-promise/\">the California Promise\u003c/a>. “Californians want solutions to their everyday problems,” \u003ca href=\"https://twitter.com/J_GallagherAD3/status/1637186799868211200?s=20\">tweeted\u003c/a> Assembly GOP leader \u003ca href=\"https://calmatters.org/legislator-tracker/james-gallagher-1981/\">James Gallagher\u003c/a> of Chico. “The Governor’s shiny object routine is tired.”\u003c/p>\n\u003cp>On each day, and at each event, Newsom was being Newsom — prone to sweeping pronouncements, but less clear on some of the details. At times, he was repackaging or rebranding programs already underway. At others, he urged Californians to imagine a vision for something that doesn’t exist.\u003c/p>\n\u003cp>Here are some key takeaways and impressions from four days on the road with the governor:\u003c/p>\n\u003cfigure id=\"attachment_11944150\" class=\"wp-caption aligncenter\" style=\"max-width: 1200px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11944150\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/NewsomTinyHomeCMIngest.jpg\" alt=\"Gov. Gavin Newsom wearing a blue suit and white-collared shirt observes a tiny home site.\" width=\"1200\" height=\"800\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/NewsomTinyHomeCMIngest.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2023/03/NewsomTinyHomeCMIngest-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/03/NewsomTinyHomeCMIngest-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/03/NewsomTinyHomeCMIngest-160x107.jpg 160w\" sizes=\"(max-width: 1200px) 100vw, 1200px\">\u003cfigcaption class=\"wp-caption-text\">Gov. Gavin Newsom tours a 'tiny home' after announcing the state's plan to address homelessness at Cal Expo in Sacramento, on March 16, 2023. \u003ccite>(Miguel Gutierrez Jr./CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>Day 1: Homelessness in Sacramento\u003c/h2>\n\u003cp>One area where California does lead the way is \u003ca href=\"https://calmatters.org/explainers/californias-homelessness-crisis-explained/\">homelessness\u003c/a> — but on the sheer numbers as much as on innovative policies. About \u003ca href=\"https://www.ppic.org/blog/homeless-populations-are-rising-around-california/#:~:text=As%20of%202022%2C%2030%25%20of,of%20the%20nation's%20homeless%20population.\">30% of people who are unhoused in the U.S. were in California\u003c/a> in 2022, according to the Public Policy Institute of California.\u003c/p>\n\u003cp>So it makes sense that Newsom’s first stop was Cal Expo, home of the California State Fair, and one site where the state plans to \u003ca href=\"https://www.gov.ca.gov/2023/03/16/governor-newsom-announces-1-billion-in-homelessness-funding-launches-states-largest-mobilization-of-small-homes/\">establish a community of “tiny homes” for unhoused individuals\u003c/a>.\u003c/p>\n\u003cp>Following his remarks, Newsom ducked into each of the “tiny home” models set up, on green turf with picnic tables off to the side, as the event’s backdrop.\u003c/p>\n\u003cp>The governor was flanked by industry officials and, as was the case throughout the tour, by state lawmakers and local elected leaders, including San José Mayor Matt Mahan, who spoke about a \u003ca href=\"https://sanjosespotlight.com/san-jose-housed-more-than-2500-people-but-still-falls-short/\">so-far successful pilot program\u003c/a> in his Bay Area city.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But how much Newsom reduces homelessness will be a hallmark of his tenure — regardless of how much, or how little, it’s under his control. He acknowledged some limitations: substance use disorders, mental health and wealth inequality. Success of the tiny homes, he said, depends on local governments ensuring the quality of the services in the long term.\u003c/p>\n\u003cp>“The entire homeless strategy in California is not the state of California,” he said. “Homeless strategy is realized not just locally but also begins locally and percolates up.”\u003c/p>\n\u003cp>[aside label=\"More on Housing\" tag=\"housing\"]The state’s willingness to fund local efforts came after “some tough conversations,” the governor noted. Just a few months ago, he threatened to withhold funding based on \u003ca href=\"https://calmatters.org/housing/homeless/2022/11/california-homeless-newsom-funding-reversal/\">plans cities and counties submitted\u003c/a>. With cities and counties pledging to get more people off the streets, he announced that his administration plans to free up $1 billion in state money to help them.\u003c/p>\n\u003cp>Newsom also highlighted programs that he launched during the pandemic: Project Roomkey, which places individuals in motel and hotel rooms as a short-term solution, and Project Homekey, where the state buys properties that can be converted into homes.\u003c/p>\n\u003cp>The “tiny home” program is not “‘it.’ This is a component of a larger strategy,” he said, pointing to the \u003ca href=\"https://www.usnews.com/news/best-states/california/articles/2023-01-10/california-budget-more-for-homelessness-less-for-climate\">$3.4 billion he put in his proposed budget\u003c/a> to address homelessness, despite what he projected as a $22.5 billion deficit.\u003c/p>\n\u003cp>For some, Newsom’s ambitious plan wasn’t enough. Senate Republican Leader \u003ca href=\"https://calmatters.org/legislator-tracker/brian-jones-1968/\">Brian Jones\u003c/a> of El Cajon \u003ca href=\"https://republicans.senate.ca.gov/content/newsom-slaps-another-band-aid-homeless-crisis\">called it another “Band-Aid on a crisis\u003c/a>.”\u003c/p>\n\u003cfigure id=\"attachment_11944147\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11944147\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/RS47374_Johnson_IMG_7568-scaled.jpg\" alt=\"Teal and orange tiny houses are in a neat row with colorfully painted wine barrels out front of each one with white flowers sprouting.\" width=\"2560\" height=\"1656\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/RS47374_Johnson_IMG_7568-scaled.jpg 2560w, https://ww2.kqed.org/app/uploads/sites/10/2023/03/RS47374_Johnson_IMG_7568-800x518.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/03/RS47374_Johnson_IMG_7568-1020x660.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/03/RS47374_Johnson_IMG_7568-160x104.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/03/RS47374_Johnson_IMG_7568-1536x994.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/03/RS47374_Johnson_IMG_7568-2048x1325.jpg 2048w, https://ww2.kqed.org/app/uploads/sites/10/2023/03/RS47374_Johnson_IMG_7568-1920x1242.jpg 1920w\" sizes=\"(max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">During Gov. Gavin Newsom's statewide tour, he stopped at Cal Expo in Sacramento, where he visited a site of tiny homes similar to these pictured at the Tiny House Empowerment Village in Oakland. \u003ccite>(MJ Johnson/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>For others, Newsom’s \u003cem>proposals\u003c/em> didn’t go far enough. Just before the governor’s event, the California State Association of Counties \u003ca href=\"https://twitter.com/CSAC_Counties/status/1636451132980752384?s=20\">urged state lawmakers to set up a new system\u003c/a> for routing state homelessness funding through regional plans with clear responsibilities assigned to local governments.\u003c/p>\n\u003cp>The 1,200 “tiny homes” will go to Los Angeles, San Diego County, San José and Sacramento — places Newsom said showed “enthusiasm.” But at least for now, the program excludes \u003ca href=\"https://sfstandard.com/public-health/homelessness/newsoms-homeless-plan-leaves-out-major-cities-hardest-hit-by-the-crisis/?utm_source=The+San+Francisco+Standard&utm_campaign=6dde48bdf3-EMAIL_CAMPAIGN_2022_06_21_02_54_COPY_01&utm_medium=email&utm_term=0_f81e82e2a3-6dde48bdf3-527994129\">San Francisco and other cities mired in crisis\u003c/a>.\u003c/p>\n\u003ch2>Day 2: Criminal justice at San Quentin\u003c/h2>\n\u003cp>San Quentin State Prison is already considered a model for rehabilitation in California — attested to by incarcerated people made available to the press. Programs such as a news service and a coding course have been transformational and, at a minimum, offer people incarcerated there a place outside their cells to breathe. Those incarcerated at other state prisons request transfers to San Quentin for the opportunities.\u003c/p>\n\u003cp>So at Friday’s event, when the governor \u003ca href=\"https://www.gov.ca.gov/2023/03/17/san-quentin-transformation/\">spoke in sweeping terms about a plan to “transform”\u003c/a> the prison into a “national model” for rehabilitation, questions prevailed: How long will it take? How much of the \u003ca href=\"https://calmatters.org/justice/2023/03/san-quentin-prison-gavin-newsom/\">Scandinavian model will it emulate\u003c/a>?\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Gov. Gavin Newsom\"]'I'm for people that are committed, not passively interested, in changing themselves, and in turn helping us keep our communities safe and changing our communities as a consequence.'[/pullquote]But the big question came from \u003ca href=\"https://sanquentinnews.com/steve-brooks-wins-prestigious-spj-award-sqnews-staff-writer-recognized-for-excellence-in-commentary/\">Steve Brooks, editor of the San Quentin News\u003c/a>: How will this model help incarcerated people with overcrowding and poor living conditions? And would the Scandinavian model mean violent offenders wouldn’t get to take part in the rehabilitation programs?\u003c/p>\n\u003cp>“No, quite the contrary,” Newsom replied, speaking inside a warehouse that is to be converted into a training center. “And I don’t refer to it as the Scandinavian model. This is the California model, the California way. ... I’m for people that are committed, not passively interested, in changing themselves, and in turn helping us keep our communities safe and changing our communities as a consequence.”\u003c/p>\n\u003cp>The new facility will be designed by an advisory committee that includes crime victims, formerly incarcerated people and academics, the governor’s office said. Newsom is also asking the Legislature for $20 million for the plan.\u003c/p>\n\u003cp>Asked whether he plans to ask voters to make permanent his \u003ca href=\"https://calmatters.org/politics/2022/02/california-death-penalty-end/\">moratorium on the death penalty\u003c/a>, Newsom didn’t commit to a ballot measure. As of March 8, there were \u003ca href=\"https://www.cdcr.ca.gov/capital-punishment/condemned-inmate-list-secure-request/\">668 people sentenced to death in California\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_11944151\" class=\"wp-caption aligncenter\" style=\"max-width: 1200px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11944151\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/SQPhotogCMIngest.jpg\" alt=\"Prisoners of San Quentin, wearing light blue shirts and navy pants, sit on chairs in rows observing a speech by Gov. Gavin Newsom. One man in the foreground holds a digital camera as he looks onward.\" width=\"1200\" height=\"800\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/SQPhotogCMIngest.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2023/03/SQPhotogCMIngest-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/03/SQPhotogCMIngest-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/03/SQPhotogCMIngest-160x107.jpg 160w\" sizes=\"(max-width: 1200px) 100vw, 1200px\">\u003cfigcaption class=\"wp-caption-text\">Gregory Eskridge (right) and other incarcerated men who report for the San Quentin News attend Gov. Gavin Newsom’s press event at San Quentin State Prison announcing the transformation of the facility to focus on training and rehabilitation, on March 17, 2023. \u003ccite>(Martin do Nascimento/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>San Quentin currently houses 3,906 people, with security levels ranging from medium to maximum security. One person housed there is Angelo Mecchi. Newsom said that on a visit several weeks ago, Mecchi saw him and flagged that they’d played in the same Little League in Marin County.\u003c/p>\n\u003cp>“That spoke to me on a different level,” Newsom said. “We are many journeys, many parts — but one body. When one part suffers, we all suffer.”\u003c/p>\n\u003ch2>Day 3: Health care costs in Downey\u003c/h2>\n\u003cp>Three days into the tour, Newsom seemed particularly upbeat about Saturday’s announcement: \u003ca href=\"https://www.gov.ca.gov/2023/03/18/governor-newsom-announces-30-insulin-through-calrx/\">securing a contractor to produce insulin\u003c/a>, bringing the costs for patients with diabetes down to $30.\u003c/p>\n\u003cp>“What this does is a game changer,” he said. “This fundamentally lowers the cost, period, full stop.”\u003c/p>\n\u003cp>“I’m just really proud of this,” he added later, standing in front of a row of refrigerators that contained insulin medications at a Kaiser Permanente warehouse.\u003c/p>\n\u003cp>Advocacy groups were just as excited. “California’s investment to directly manufacture prescription drugs is a game-changer with national impact,” Anthony Wright, executive director of Health Access California said in a statement. “Even a modest decrease in the cost of key drugs could save hundreds of millions or even billions of dollars.”\u003c/p>\n\u003cp>If manufacturing begins as planned later this year, the state would then seek approval from the Food and Drug Administration and start distributing early next year.\u003c/p>\n\u003cp>The governor said the long-term plan is to have Civica make the insulin in California. “The future happens here first. We are America’s coming attraction,” he said during what turned out to be the shortest of the four stops.\u003c/p>\n\u003cp>And he doesn’t plan to stop with insulin. Newsom disclosed that the state’s Medi-Cal Rx is exploring making its own naloxone (better known by its brand name Narcan) to treat opioid overdoses.\u003c/p>\n\u003cp>He also said this push to lower health care costs builds on California’s record of universal health care regardless of preexisting conditions or immigration status.\u003c/p>\n\u003cp>“If we are arguably now the fourth-largest economy on planet Earth, we’ve got to start acting like it,” he said, adding one of his common boasts: “Only in California. Eat your heart out, the rest of the United States.”\u003c/p>\n\u003cfigure id=\"attachment_11944160\" class=\"wp-caption aligncenter\" style=\"max-width: 1200px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11944160\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/CMIngestInsulin.jpg\" alt=\"A close up shot of a little girl's arm with an insulin patch. She's wearing a pink and purple floral dress.\" width=\"1200\" height=\"800\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/CMIngestInsulin.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2023/03/CMIngestInsulin-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/03/CMIngestInsulin-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/03/CMIngestInsulin-160x107.jpg 160w\" sizes=\"(max-width: 1200px) 100vw, 1200px\">\u003cfigcaption class=\"wp-caption-text\">A girl shows off her insulin pod that continuously gives her insulin throughout the day to help manage her Type 1 diabetes. \u003ccite>(Anne Wernikoff/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>Day 4: Mental health in San Diego\u003c/h2>\n\u003cp>Unlike the CalExpo and San Quentin stops, the settings over the weekend were less directly tied to the topics at hand. And in between the official tour events, Newsom made other stops, including at the City of Refuge social service nonprofit in Sacramento, at the Los Angeles River with Assembly Speaker Anthony Rendon, and at the Scripps Institution of Oceanography in San Diego.\u003c/p>\n\u003cp>So, on the final day of the tour, Newsom seemed a little less energized before his turn to speak at Alvarado Hospital Medical Center \u003ca href=\"https://www.gov.ca.gov/2023/03/19/governor-newsom-proposes-modernization-of-californias-behavioral-health-system-and-more-mental-health-housing/\">about his mental health initiative\u003c/a>.\u003c/p>\n\u003cp>Mark Ghaly, secretary of the California Health and Human Services Agency, who accompanied Newsom on both Saturday and Sunday, took on some of the more detailed policy questions, such as how many beds are needed.\u003c/p>\n\u003cp>Besides the $3 billion bond issue to build new treatment centers to treat 10,000 more people a year, \u003ca href=\"https://www.latimes.com/california/story/2023-03-19/newsom-mental-health-housing-bond-measure-services-counties-substance-use-treatment\">Newsom wants to redirect another $1 billion\u003c/a> from an income tax on millionaires — approved by voters in 2004 — to operate them. That concerns county officials, who say any loss of state behavioral health money could also cost them federal matching funds.\u003c/p>\n\u003cp>The governor’s packed schedule meant zipping off quickly to the next event, and his team declined an interview request for Newsom to discuss the tour as a whole.\u003c/p>\n\u003cp>And while details of the tour stops were closely guarded, protestors managed to get word of his Sunday appearance. About 10 people stood outside the hospital with signs asking Newsom to speak out against the construction of a \u003ca href=\"https://calmatters.org/newsletters/whatmatters/2023/01/monterey-park-shooting-gun-safety/#wm-story-3\">controversial barrier at Friendship Park\u003c/a>, which straddles the border of California and Mexico.\u003c/p>\n\u003cp>“The governor of California should understand this is not a sideline issue,” said John Fanestil, a member of the Friends of Friendship Park community group, who was at the protest. “It should be his central issue on a visit to San Diego.”\u003c/p>\n\u003cp>Newsom hasn’t made an official statement, but told reporters at the border Sunday that he was trying to understand the Biden administration’s support for the barrier.\u003c/p>\n\u003cp>But back on message, he also \u003ca href=\"https://twitter.com/WendyFry_/status/1637581231406850048?s=20\">announced $30 million to beef up the California National Guard’s efforts\u003c/a> to stop drug trafficking, especially fentanyl — and to shore up his legacy, this time on the opioid crisis.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Gov. Gavin Newsom started defining his legacy on a four-day statewide tour that focuses on priorities interrupted by crisis and the COVID pandemic, including homelessness, criminal justice and health care.",
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"nprByline": " \u003ca href=\"https://calmatters.org/author/sameea-kamal/\">Sameea Kamal\u003c/a>, \u003ca href=\"https://calmatters.org/author/alexei-koseff/\">Alexei Koseff\u003c/a>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Gov. Gavin Newsom likes to talk about “the California way.” And as he barnstormed the state with sweeping plans to transform its approach to homelessness, criminal justice and health care, he laid out his ideas for what that “way” means — and his legacy.\u003c/p>\n\u003cp>Throughout his State of the State tour, the governor was often joking and jovial. But on Sunday, the fourth and final day, he took on a more somber tone, standing behind the lectern of a makeshift event space that was once a nine-bed emergency room to talk about improving mental health care.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>He emphasized the far-reaching consequences of inadequate care and shared his own experiences, losing someone he’d attended his high school prom with, as well as his grandfather, a veteran, to suicide.\u003c/p>\n\u003cp>“We own this. We own this moment,” he said. “But we have now the tools and the capacity to turn this ship around.”\u003c/p>\n\u003cp>As he dives into his second term, Newsom chose the tour \u003ca href=\"https://calmatters.org/newsletters/whatmatters/2023/03/newsom-walgreens-abortion-medicine/\">in place of the traditional speech\u003c/a> to a joint session of the Legislature. In many ways, the events echoed the priorities that he was focused on at this same point in his first term four years ago — before unexpected crises, a recall effort and a seemingly inescapable pandemic scrambled his agenda.\u003c/p>\n\u003cp>In his first act as governor, shortly after he took the oath of office in January 2019, Newsom signed an executive order aimed at lowering prescription drug costs by \u003ca href=\"https://calmatters.org/health/2019/01/lower-california-prescription-drug-costs/\">directing state agencies to negotiate collectively\u003c/a> with pharmaceutical companies for better prices.\u003c/p>\n\u003cp>On Saturday, he finally announced that California \u003ca href=\"https://khn.org/news/article/california-generic-insulin-contract-civica-rx-newsom/\">will partner with Utah-based generic drug company Civica\u003c/a> to manufacture its own insulin, available for $30 a vial. The $50 million deal is the first major development in a plan Newsom has pursued for the past three years to \u003ca href=\"https://calmatters.org/health/2022/04/insulin-costs-california/\">create a generic label\u003c/a> that can challenge an industry he has criticized for charging far too much for life-saving medications.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Two months into his first term, in March 2019, Newsom \u003ca href=\"https://calmatters.org/justice/2019/03/gavin-newsom-halts-executions-california/\">enacted a moratorium on executions\u003c/a> and dismantled the lethal injection chamber at San Quentin State Prison. His decision stunned the political world by quickly reversing a campaign pledge to respect the will of California voters who have repeatedly upheld capital punishment.\u003c/p>\n\u003cp>On Friday, nearly four years to the day after that order, the governor was back at San Quentin, touting his vision to \u003ca href=\"https://calmatters.org/justice/2023/03/san-quentin-prison-gavin-newsom/\">transform California’s oldest correctional facility\u003c/a> from the home of condemned men to a center for rehabilitation and training before those incarcerated there are released back into society.\u003c/p>\n\u003cp>In \u003ca href=\"https://www.ppic.org/publication/ppic-statewide-survey-californians-and-their-government-february-2023/\">public poll after public poll\u003c/a>, these issues are not what Californians identify as the most pressing problems in the state. Yet by regularly resurfacing them, steadily chipping away at breakthroughs on his own terms, Newsom suggests that’s what they represent to him — the issues most fundamental to his platform, those with which he seeks to build his legacy.\u003c/p>\n\u003cp>Governors don’t always get to define their own legacies, however.\u003c/p>\n\u003cp>Growing public anger over California’s ever more visible homelessness crisis has made this seemingly intractable problem the inescapable force of Newsom’s tenure. He recognized it back in 2020, devoting \u003ca href=\"https://calmatters.org/housing/2020/02/newsom-trump-homelessness-state-of-state-proposals-california-crisis/\">his entire State of the State speech\u003c/a> to the topic, and COVID aside, no other issue has consumed more of his time and political capital since, a stark departure from his predecessor. For opponents — from \u003ca href=\"https://calmatters.org/politics/2021/07/newsom-recall-republicans-homelessness/\">those who unsuccessfully sought to recall him\u003c/a> from office in 2021 to those already seeking to stop any \u003ca href=\"https://calmatters.org/politics/election-2022/2022/10/gavin-newsom-campaign-president/\">presidential ambitions he may possess\u003c/a> — it is perhaps his greatest liability.\u003c/p>\n\u003cp>That was reflected in the central role that homelessness played in Newsom’s statewide tour, underlying his major announcements on two separate days.\u003c/p>\n\u003cp>The kick-off event, in Sacramento on Thursday, \u003ca href=\"https://calmatters.org/newsletters/whatmatters/2023/03/san-quentin-newsom/\">touted the governor’s successful push\u003c/a> to get local officials to adopt more aggressive targets for reducing the number of people living on the streets in their communities.\u003c/p>\n\u003cp>The final stop, in San Diego on Sunday, launched a campaign to ask California voters to \u003ca href=\"https://capitolweekly.net/newsom-takes-another-swing-at-getting-mentally-ill-homeless-off-the-streets/\">approve a $3 billion bond measure in 2024 for mental health housing and treatment beds\u003c/a>. It builds on Newsom’s signature policy achievement from last year: A new court system aimed at \u003ca href=\"https://calmatters.org/housing/2022/09/california-lawmakers-approved-care-court-what-comes-next/\">compelling people with several mental illnesses\u003c/a>, who often languish on the streets, into housing and treatment.\u003c/p>\n\u003cp>Wrapping up the tour, Newsom noted that the issues he discussed were connected, but especially housing and homelessness.\u003c/p>\n\u003cp>“I think those two issues truly do represent the twin challenges of this state — our fate and future,” he said Sunday in answer to a CalMatters question. “They’re connected to more of our challenges than any other two issues, and that’s really the thrust of this multiday effort.”\u003c/p>\n\u003cp>To achieve all his goals on homelessness and other issues, Newsom needs the buy-in of state lawmakers, local officials and frontline workers.\u003c/p>\n\u003cp>Still, by orchestrating four days of events across the state instead of delivering a single speech in Sacramento, the governor did succeed on one score: He drew a torrent of media coverage, though reporters were often held a distance away from him at each stop. Newsom’s messaging was \u003ca href=\"https://twitter.com/AssemblyDems/status/1637254095177420800?s=20\">amplified by friendly Democratic allies\u003c/a> at every event, and he called out key legislators whose help he needs.\u003c/p>\n\u003cp>Trying to compete, Republicans in the Legislature posted \u003ca href=\"https://twitter.com/AsmRepublicans/status/1636485199948316672?s=20\">social media videos warning\u003c/a> that California is in crisis — on cost of living, crime, homelessness, schools, water and wildfires — and asserting that they have solutions in what they call \u003ca href=\"https://asmrc.org/california-promise/\">the California Promise\u003c/a>. “Californians want solutions to their everyday problems,” \u003ca href=\"https://twitter.com/J_GallagherAD3/status/1637186799868211200?s=20\">tweeted\u003c/a> Assembly GOP leader \u003ca href=\"https://calmatters.org/legislator-tracker/james-gallagher-1981/\">James Gallagher\u003c/a> of Chico. “The Governor’s shiny object routine is tired.”\u003c/p>\n\u003cp>On each day, and at each event, Newsom was being Newsom — prone to sweeping pronouncements, but less clear on some of the details. At times, he was repackaging or rebranding programs already underway. At others, he urged Californians to imagine a vision for something that doesn’t exist.\u003c/p>\n\u003cp>Here are some key takeaways and impressions from four days on the road with the governor:\u003c/p>\n\u003cfigure id=\"attachment_11944150\" class=\"wp-caption aligncenter\" style=\"max-width: 1200px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11944150\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/NewsomTinyHomeCMIngest.jpg\" alt=\"Gov. Gavin Newsom wearing a blue suit and white-collared shirt observes a tiny home site.\" width=\"1200\" height=\"800\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/NewsomTinyHomeCMIngest.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2023/03/NewsomTinyHomeCMIngest-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/03/NewsomTinyHomeCMIngest-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/03/NewsomTinyHomeCMIngest-160x107.jpg 160w\" sizes=\"(max-width: 1200px) 100vw, 1200px\">\u003cfigcaption class=\"wp-caption-text\">Gov. Gavin Newsom tours a 'tiny home' after announcing the state's plan to address homelessness at Cal Expo in Sacramento, on March 16, 2023. \u003ccite>(Miguel Gutierrez Jr./CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>Day 1: Homelessness in Sacramento\u003c/h2>\n\u003cp>One area where California does lead the way is \u003ca href=\"https://calmatters.org/explainers/californias-homelessness-crisis-explained/\">homelessness\u003c/a> — but on the sheer numbers as much as on innovative policies. About \u003ca href=\"https://www.ppic.org/blog/homeless-populations-are-rising-around-california/#:~:text=As%20of%202022%2C%2030%25%20of,of%20the%20nation's%20homeless%20population.\">30% of people who are unhoused in the U.S. were in California\u003c/a> in 2022, according to the Public Policy Institute of California.\u003c/p>\n\u003cp>So it makes sense that Newsom’s first stop was Cal Expo, home of the California State Fair, and one site where the state plans to \u003ca href=\"https://www.gov.ca.gov/2023/03/16/governor-newsom-announces-1-billion-in-homelessness-funding-launches-states-largest-mobilization-of-small-homes/\">establish a community of “tiny homes” for unhoused individuals\u003c/a>.\u003c/p>\n\u003cp>Following his remarks, Newsom ducked into each of the “tiny home” models set up, on green turf with picnic tables off to the side, as the event’s backdrop.\u003c/p>\n\u003cp>The governor was flanked by industry officials and, as was the case throughout the tour, by state lawmakers and local elected leaders, including San José Mayor Matt Mahan, who spoke about a \u003ca href=\"https://sanjosespotlight.com/san-jose-housed-more-than-2500-people-but-still-falls-short/\">so-far successful pilot program\u003c/a> in his Bay Area city.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But how much Newsom reduces homelessness will be a hallmark of his tenure — regardless of how much, or how little, it’s under his control. He acknowledged some limitations: substance use disorders, mental health and wealth inequality. Success of the tiny homes, he said, depends on local governments ensuring the quality of the services in the long term.\u003c/p>\n\u003cp>“The entire homeless strategy in California is not the state of California,” he said. “Homeless strategy is realized not just locally but also begins locally and percolates up.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The state’s willingness to fund local efforts came after “some tough conversations,” the governor noted. Just a few months ago, he threatened to withhold funding based on \u003ca href=\"https://calmatters.org/housing/homeless/2022/11/california-homeless-newsom-funding-reversal/\">plans cities and counties submitted\u003c/a>. With cities and counties pledging to get more people off the streets, he announced that his administration plans to free up $1 billion in state money to help them.\u003c/p>\n\u003cp>Newsom also highlighted programs that he launched during the pandemic: Project Roomkey, which places individuals in motel and hotel rooms as a short-term solution, and Project Homekey, where the state buys properties that can be converted into homes.\u003c/p>\n\u003cp>The “tiny home” program is not “‘it.’ This is a component of a larger strategy,” he said, pointing to the \u003ca href=\"https://www.usnews.com/news/best-states/california/articles/2023-01-10/california-budget-more-for-homelessness-less-for-climate\">$3.4 billion he put in his proposed budget\u003c/a> to address homelessness, despite what he projected as a $22.5 billion deficit.\u003c/p>\n\u003cp>For some, Newsom’s ambitious plan wasn’t enough. Senate Republican Leader \u003ca href=\"https://calmatters.org/legislator-tracker/brian-jones-1968/\">Brian Jones\u003c/a> of El Cajon \u003ca href=\"https://republicans.senate.ca.gov/content/newsom-slaps-another-band-aid-homeless-crisis\">called it another “Band-Aid on a crisis\u003c/a>.”\u003c/p>\n\u003cfigure id=\"attachment_11944147\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11944147\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/RS47374_Johnson_IMG_7568-scaled.jpg\" alt=\"Teal and orange tiny houses are in a neat row with colorfully painted wine barrels out front of each one with white flowers sprouting.\" width=\"2560\" height=\"1656\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/RS47374_Johnson_IMG_7568-scaled.jpg 2560w, https://ww2.kqed.org/app/uploads/sites/10/2023/03/RS47374_Johnson_IMG_7568-800x518.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/03/RS47374_Johnson_IMG_7568-1020x660.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/03/RS47374_Johnson_IMG_7568-160x104.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/03/RS47374_Johnson_IMG_7568-1536x994.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/03/RS47374_Johnson_IMG_7568-2048x1325.jpg 2048w, https://ww2.kqed.org/app/uploads/sites/10/2023/03/RS47374_Johnson_IMG_7568-1920x1242.jpg 1920w\" sizes=\"(max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">During Gov. Gavin Newsom's statewide tour, he stopped at Cal Expo in Sacramento, where he visited a site of tiny homes similar to these pictured at the Tiny House Empowerment Village in Oakland. \u003ccite>(MJ Johnson/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>For others, Newsom’s \u003cem>proposals\u003c/em> didn’t go far enough. Just before the governor’s event, the California State Association of Counties \u003ca href=\"https://twitter.com/CSAC_Counties/status/1636451132980752384?s=20\">urged state lawmakers to set up a new system\u003c/a> for routing state homelessness funding through regional plans with clear responsibilities assigned to local governments.\u003c/p>\n\u003cp>The 1,200 “tiny homes” will go to Los Angeles, San Diego County, San José and Sacramento — places Newsom said showed “enthusiasm.” But at least for now, the program excludes \u003ca href=\"https://sfstandard.com/public-health/homelessness/newsoms-homeless-plan-leaves-out-major-cities-hardest-hit-by-the-crisis/?utm_source=The+San+Francisco+Standard&utm_campaign=6dde48bdf3-EMAIL_CAMPAIGN_2022_06_21_02_54_COPY_01&utm_medium=email&utm_term=0_f81e82e2a3-6dde48bdf3-527994129\">San Francisco and other cities mired in crisis\u003c/a>.\u003c/p>\n\u003ch2>Day 2: Criminal justice at San Quentin\u003c/h2>\n\u003cp>San Quentin State Prison is already considered a model for rehabilitation in California — attested to by incarcerated people made available to the press. Programs such as a news service and a coding course have been transformational and, at a minimum, offer people incarcerated there a place outside their cells to breathe. Those incarcerated at other state prisons request transfers to San Quentin for the opportunities.\u003c/p>\n\u003cp>So at Friday’s event, when the governor \u003ca href=\"https://www.gov.ca.gov/2023/03/17/san-quentin-transformation/\">spoke in sweeping terms about a plan to “transform”\u003c/a> the prison into a “national model” for rehabilitation, questions prevailed: How long will it take? How much of the \u003ca href=\"https://calmatters.org/justice/2023/03/san-quentin-prison-gavin-newsom/\">Scandinavian model will it emulate\u003c/a>?\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>But the big question came from \u003ca href=\"https://sanquentinnews.com/steve-brooks-wins-prestigious-spj-award-sqnews-staff-writer-recognized-for-excellence-in-commentary/\">Steve Brooks, editor of the San Quentin News\u003c/a>: How will this model help incarcerated people with overcrowding and poor living conditions? And would the Scandinavian model mean violent offenders wouldn’t get to take part in the rehabilitation programs?\u003c/p>\n\u003cp>“No, quite the contrary,” Newsom replied, speaking inside a warehouse that is to be converted into a training center. “And I don’t refer to it as the Scandinavian model. This is the California model, the California way. ... I’m for people that are committed, not passively interested, in changing themselves, and in turn helping us keep our communities safe and changing our communities as a consequence.”\u003c/p>\n\u003cp>The new facility will be designed by an advisory committee that includes crime victims, formerly incarcerated people and academics, the governor’s office said. Newsom is also asking the Legislature for $20 million for the plan.\u003c/p>\n\u003cp>Asked whether he plans to ask voters to make permanent his \u003ca href=\"https://calmatters.org/politics/2022/02/california-death-penalty-end/\">moratorium on the death penalty\u003c/a>, Newsom didn’t commit to a ballot measure. As of March 8, there were \u003ca href=\"https://www.cdcr.ca.gov/capital-punishment/condemned-inmate-list-secure-request/\">668 people sentenced to death in California\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_11944151\" class=\"wp-caption aligncenter\" style=\"max-width: 1200px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11944151\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/SQPhotogCMIngest.jpg\" alt=\"Prisoners of San Quentin, wearing light blue shirts and navy pants, sit on chairs in rows observing a speech by Gov. Gavin Newsom. One man in the foreground holds a digital camera as he looks onward.\" width=\"1200\" height=\"800\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/SQPhotogCMIngest.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2023/03/SQPhotogCMIngest-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/03/SQPhotogCMIngest-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/03/SQPhotogCMIngest-160x107.jpg 160w\" sizes=\"(max-width: 1200px) 100vw, 1200px\">\u003cfigcaption class=\"wp-caption-text\">Gregory Eskridge (right) and other incarcerated men who report for the San Quentin News attend Gov. Gavin Newsom’s press event at San Quentin State Prison announcing the transformation of the facility to focus on training and rehabilitation, on March 17, 2023. \u003ccite>(Martin do Nascimento/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>San Quentin currently houses 3,906 people, with security levels ranging from medium to maximum security. One person housed there is Angelo Mecchi. Newsom said that on a visit several weeks ago, Mecchi saw him and flagged that they’d played in the same Little League in Marin County.\u003c/p>\n\u003cp>“That spoke to me on a different level,” Newsom said. “We are many journeys, many parts — but one body. When one part suffers, we all suffer.”\u003c/p>\n\u003ch2>Day 3: Health care costs in Downey\u003c/h2>\n\u003cp>Three days into the tour, Newsom seemed particularly upbeat about Saturday’s announcement: \u003ca href=\"https://www.gov.ca.gov/2023/03/18/governor-newsom-announces-30-insulin-through-calrx/\">securing a contractor to produce insulin\u003c/a>, bringing the costs for patients with diabetes down to $30.\u003c/p>\n\u003cp>“What this does is a game changer,” he said. “This fundamentally lowers the cost, period, full stop.”\u003c/p>\n\u003cp>“I’m just really proud of this,” he added later, standing in front of a row of refrigerators that contained insulin medications at a Kaiser Permanente warehouse.\u003c/p>\n\u003cp>Advocacy groups were just as excited. “California’s investment to directly manufacture prescription drugs is a game-changer with national impact,” Anthony Wright, executive director of Health Access California said in a statement. “Even a modest decrease in the cost of key drugs could save hundreds of millions or even billions of dollars.”\u003c/p>\n\u003cp>If manufacturing begins as planned later this year, the state would then seek approval from the Food and Drug Administration and start distributing early next year.\u003c/p>\n\u003cp>The governor said the long-term plan is to have Civica make the insulin in California. “The future happens here first. We are America’s coming attraction,” he said during what turned out to be the shortest of the four stops.\u003c/p>\n\u003cp>And he doesn’t plan to stop with insulin. Newsom disclosed that the state’s Medi-Cal Rx is exploring making its own naloxone (better known by its brand name Narcan) to treat opioid overdoses.\u003c/p>\n\u003cp>He also said this push to lower health care costs builds on California’s record of universal health care regardless of preexisting conditions or immigration status.\u003c/p>\n\u003cp>“If we are arguably now the fourth-largest economy on planet Earth, we’ve got to start acting like it,” he said, adding one of his common boasts: “Only in California. Eat your heart out, the rest of the United States.”\u003c/p>\n\u003cfigure id=\"attachment_11944160\" class=\"wp-caption aligncenter\" style=\"max-width: 1200px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11944160\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/CMIngestInsulin.jpg\" alt=\"A close up shot of a little girl's arm with an insulin patch. She's wearing a pink and purple floral dress.\" width=\"1200\" height=\"800\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/03/CMIngestInsulin.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2023/03/CMIngestInsulin-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/03/CMIngestInsulin-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/03/CMIngestInsulin-160x107.jpg 160w\" sizes=\"(max-width: 1200px) 100vw, 1200px\">\u003cfigcaption class=\"wp-caption-text\">A girl shows off her insulin pod that continuously gives her insulin throughout the day to help manage her Type 1 diabetes. \u003ccite>(Anne Wernikoff/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>Day 4: Mental health in San Diego\u003c/h2>\n\u003cp>Unlike the CalExpo and San Quentin stops, the settings over the weekend were less directly tied to the topics at hand. And in between the official tour events, Newsom made other stops, including at the City of Refuge social service nonprofit in Sacramento, at the Los Angeles River with Assembly Speaker Anthony Rendon, and at the Scripps Institution of Oceanography in San Diego.\u003c/p>\n\u003cp>So, on the final day of the tour, Newsom seemed a little less energized before his turn to speak at Alvarado Hospital Medical Center \u003ca href=\"https://www.gov.ca.gov/2023/03/19/governor-newsom-proposes-modernization-of-californias-behavioral-health-system-and-more-mental-health-housing/\">about his mental health initiative\u003c/a>.\u003c/p>\n\u003cp>Mark Ghaly, secretary of the California Health and Human Services Agency, who accompanied Newsom on both Saturday and Sunday, took on some of the more detailed policy questions, such as how many beds are needed.\u003c/p>\n\u003cp>Besides the $3 billion bond issue to build new treatment centers to treat 10,000 more people a year, \u003ca href=\"https://www.latimes.com/california/story/2023-03-19/newsom-mental-health-housing-bond-measure-services-counties-substance-use-treatment\">Newsom wants to redirect another $1 billion\u003c/a> from an income tax on millionaires — approved by voters in 2004 — to operate them. That concerns county officials, who say any loss of state behavioral health money could also cost them federal matching funds.\u003c/p>\n\u003cp>The governor’s packed schedule meant zipping off quickly to the next event, and his team declined an interview request for Newsom to discuss the tour as a whole.\u003c/p>\n\u003cp>And while details of the tour stops were closely guarded, protestors managed to get word of his Sunday appearance. About 10 people stood outside the hospital with signs asking Newsom to speak out against the construction of a \u003ca href=\"https://calmatters.org/newsletters/whatmatters/2023/01/monterey-park-shooting-gun-safety/#wm-story-3\">controversial barrier at Friendship Park\u003c/a>, which straddles the border of California and Mexico.\u003c/p>\n\u003cp>“The governor of California should understand this is not a sideline issue,” said John Fanestil, a member of the Friends of Friendship Park community group, who was at the protest. “It should be his central issue on a visit to San Diego.”\u003c/p>\n\u003cp>Newsom hasn’t made an official statement, but told reporters at the border Sunday that he was trying to understand the Biden administration’s support for the barrier.\u003c/p>\n\u003cp>But back on message, he also \u003ca href=\"https://twitter.com/WendyFry_/status/1637581231406850048?s=20\">announced $30 million to beef up the California National Guard’s efforts\u003c/a> to stop drug trafficking, especially fentanyl — and to shore up his legacy, this time on the opioid crisis.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
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"soldout": {
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"title": "SOLD OUT: Rethinking Housing in America",
"tagline": "A new future for housing",
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