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Here's How It Works","publishDate":1714244427,"format":"standard","headTitle":"California Regulators Just Approved New Rule to Cap Health Care Costs. Here’s How It Works | KQED","labelTerm":{"term":18481,"site":"news"},"content":"\u003cp>You won’t notice it right away, but a new California state agency took a major step this week toward \u003ca href=\"https://calmatters.org/health/2024/02/health-care-costs-cap/\">reining in the seemingly uncontrollable costs of health care\u003c/a>.\u003c/p>\n\u003cp>The \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB184\">Office of Health Care Affordability\u003c/a> approved the state’s first cap on health industry spending increases, limiting growth to 3% by 2029. This means that hospitals, doctors and health insurers will need to find ways to cut costs to prevent annual per capita spending from exceeding the target. Between 2015 and 2020, per capita health spending in California grew more than 5% each year, according to federal data.\u003c/p>\n\u003cp>A board appointed by Gov. Gavin Newsom and the Legislature on Wednesday approved the new regulations in a 6–1 vote.\u003c/p>\n\u003cp>Health and Human Services Secretary Dr. Mark Ghaly, who chairs the board, said the regulations recognize that Californians are struggling every day to pay for\u003ca href=\"https://calmatters.org/category/health/\"> health care\u003c/a> and that the state has a role in helping them.\u003c/p>\n\u003cp>“We have a place in making sure it becomes more affordable,” Ghaly said.\u003c/p>\n\u003cp>Hospitals, doctors and insurers battled over the regulations for months, arguing that rising inflation and labor costs would make the target impossible to achieve. An earlier proposal would have moved more aggressively to cap costs. The final version gives the industry time to rein in spending.\u003c/p>\n\u003cp>Ghaly said he is confident that health care industry leaders will be able to find solutions to meet the new target. “When that happens, it’s going to be great for Californians.”\u003c/p>\n\u003ch2 id=\"h-how-does-it-work\" class=\"wp-block-heading\">How does it work?\u003c/h2>\n\u003cp>Increased health spending most often translates to higher out-of-pocket costs for consumers through premiums, deductibles and copays. The annual spending benchmark would require health care providers to limit spending growth to 3.5% next year, decreasing to 3% by 2029. Providers — including hospitals, doctors groups and health insurers — must submit spending data to the state to demonstrate that they comply with the cap.\u003c/p>\n\u003cp>The affordability office also has the authority to enforce penalties, including performance improvement plans and fines, for organizations that exceed the benchmark. It will not enforce penalties until 2029.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Assemblymember Jim Wood, a Democrat from Ukiah, at the meeting, urged the board to send a clear message to Californians that the state is taking affordability seriously. Wood spearheaded the legislation that created the office in 2022.\u003c/p>\n\u003cp>“It is not an exaggeration to say that people are deciding whether to get food on the table or get their medicines,” Wood said. “This is not an exercise. This is an effort to impact the real-life experiences of people in California.”\u003c/p>\n\u003ch2 id=\"h-how-will-providers-lower-health-care-costs\" class=\"wp-block-heading\">How will providers lower health care costs?\u003c/h2>\n\u003cp>Ultimately, it’s up to the health care organizations.\u003c/p>\n\u003cp>The board hopes health care organizations will crack down on inefficient and wasteful health spending, such as administrative inefficiency and redundant or poorly coordinated testing. But it doesn’t want to discourage spending on primary care and behavioral health. The affordability office will monitor spending in those areas to ensure organizations do not reduce services or access to preventative care.\u003c/p>\n\u003ch2 id=\"h-will-californians-see-cheaper-health-care\" class=\"wp-block-heading\">Will Californians see cheaper health care?\u003c/h2>\n\u003cp>Yes, but it may not feel like it.\u003c/p>\n\u003cp>The growth cap is not a mandate for providers to lower prices. Californians will not pay less for health insurance next year than they did this year. For those who already can’t afford health care — some estimates peg that number at \u003ca href=\"https://www.chcf.org/publication/2024-chcf-california-health-policy-survey/\" target=\"_blank\" rel=\"noreferrer noopener\">more than 50% of Californians \u003c/a>— the cap won’t bring any immediate relief.\u003c/p>\n\u003cp>The goal of the cap is to prevent future prices from increasing uncontrollably. This year, health insurance premiums on the state’s Affordable Care Act Exchange increased by 9.6% statewide, with double-digit increases in many regions. Personal health care spending shot up 60% between 2010 and 2020, reaching $405 billion, according to federal data. That’s $10,299 per person. \u003ca href=\"https://www.healthsystemtracker.org/brief/tracking-the-rise-in-premium-contributions-and-cost-sharing-for-families-with-large-employer-coverage/#Cumulative%20growth%20in%20out-of-pocket%20and%20total%20health%20spending%20for%20people%20with%20large%20employer%20coverage,%202007-2017\" target=\"_blank\" rel=\"noreferrer noopener\">Household health spending\u003c/a> has also grown twice as fast as wages, according to the Kaiser Family Foundation.\u003c/p>\n\u003cp>In an effort to recognize how many Californians can’t pay for health care, the affordability office tied the cap to the average annual median household income growth, which has historically been about 3% over the past two decades.\u003c/p>\n\u003ch2 id=\"h-will-california-succeed\" class=\"wp-block-heading\">Will California succeed?\u003c/h2>\n\u003cp>California is not the first state to try to lower health care costs. \u003ca href=\"https://www.chcf.org/publication/cost-commissions-eight-states-address-cost-growth/\" target=\"_blank\" rel=\"noreferrer noopener\">Eight other states\u003c/a> have similar cost benchmarks, although California’s is one of the more aggressive targets.\u003c/p>\n\u003cp>Massachusetts, the first state to set a health spending benchmark, has largely met its target growth rate of 3.6% over the past 10 years.\u003c/p>\n\u003cp>However, in recent years, with the impact of the COVID-19 pandemic, states have found it harder to contain costs. \u003ca href=\"https://www.healthaffairs.org/content/forefront/6-29-angeles-piece\" target=\"_blank\" rel=\"noreferrer noopener\">Connecticut, Delaware and Massachusetts\u003c/a> significantly surpassed their spending targets between 2020 and 2021 primarily because of increased health care use, according to a report by the policy journal Health Affairs.\u003c/p>\n\u003ch2 id=\"h-who-opposed-the-spending-cap\" class=\"wp-block-heading\">Who opposed the spending cap?\u003c/h2>\n\u003cp>Former state Sen. Dr. Richard Pan was the sole no-vote on the new regulations, arguing that the state needed to recognize how changing population needs, such as aging, would affect future health care spending.\u003c/p>\n\u003cp>Pan and groups representing hospitals and doctors have argued that the state should have set a more “realistic” target rather than one most organizations will fail to achieve.\u003c/p>\n\u003cp>In a letter to the board, the California Hospital Association proposed a 6.3% target for 2025 and urged state regulators to consider how inflation, aging and a new law that raises the state \u003ca href=\"https://calmatters.org/health/2023/11/california-health-care-minimum-wage-cost/#:~:text=While%20the%20original%20bill%20would,because%20of%20the%20new%20law.\" target=\"_blank\" rel=\"noreferrer noopener\">minimum wage for health care workers\u003c/a> would drive up costs. Association President Carmela Coyle said in a statement after the vote that the new regulations will worsen access to care as organizations are forced to make cuts.\u003c/p>\n\u003cp>“The office is charged by law to do more than limit spending,” Coyle said. “It’s imperative that the board analyze the impact of its decision on patients and create a process to reconsider future targets to protect access to equitable, quality care for every Californian.”\u003c/p>\n\u003cp>The California Association of Health Plans, representing most insurers, and the California Medical Association, representing doctors, voiced support for the phased-in 3% target this week but have previously pushed the affordability office to consider other options.\u003c/p>\n\u003cp>“Adopting a 3% health care spending growth target, which most physician practices and health care entities will be unable to meet, will negatively impact access to health care for Californians,” medical association President Dr. Tanya Spirtos wrote ahead of the vote.\u003c/p>\n\u003ch2 id=\"h-who-supported-the-health-spending-cap\" class=\"wp-block-heading\">Who supported the health spending cap?\u003c/h2>\n\u003cp>The new regulations are largely supported by unions, employers and consumer advocates. Supporters turned up in force at the vote to give examples of how housekeepers, bartenders, teachers, carpenters, nurses and other workers cannot afford health care even with insurance and frequently forgo raises to pay for ever-growing medical spending.\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"news_11975284,science_1991871,news_11983752\"]“Consumers, particularly people of color, are burdened by record medical debt and are making daily choices between health care, housing, and food,” said Kiran Savage-Sangwan, executive director of the California Pan-Ethnic Health Network, at the meeting. “If we want a different outcome, we need to change the incentives in our system.”\u003c/p>\n\u003cp>Anthony Wright, executive director of Health Access California, said the new spending target was “long-awaited, but welcome news for Californians.”\u003c/p>\n\u003cp>“California consumers, patients and payers have been screaming for years about the cost,” Wright said. “This will provide some downward pressure on what has been ever-increasing hikes in our health care costs.”\u003c/p>\n\u003cp>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that\u003c/em> \u003cem>people have access to the care they need, when they need it, at a price they can afford. Visit \u003c/em>\u003ca href=\"http://www.chcf.org/\">\u003cem>www.chcf.org\u003c/em>\u003c/a>\u003cem> to learn more.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"California now is one of 9 states with regulations limiting health care cost increases. Consumers won’t necessarily notice the changes, but supporters say they will make a difference over time.","status":"publish","parent":0,"modified":1714246821,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":33,"wordCount":1327},"headData":{"title":"California Regulators Just Approved New Rule to Cap Health Care Costs. Here's How It Works | KQED","description":"California now is one of 9 states with regulations limiting health care cost increases. Consumers won’t necessarily notice the changes, but supporters say they will make a difference over time.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"California Regulators Just Approved New Rule to Cap Health Care Costs. Here's How It Works","datePublished":"2024-04-27T19:00:27.000Z","dateModified":"2024-04-27T19:40:21.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"sticky":false,"nprByline":"\u003ca href=\"https://calmatters.org/author/kristen-hwang/\">Kristen Hwang\u003c/a>","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11984163/california-caps-rising-health-care-costs-heres-how-it-works","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>You won’t notice it right away, but a new California state agency took a major step this week toward \u003ca href=\"https://calmatters.org/health/2024/02/health-care-costs-cap/\">reining in the seemingly uncontrollable costs of health care\u003c/a>.\u003c/p>\n\u003cp>The \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB184\">Office of Health Care Affordability\u003c/a> approved the state’s first cap on health industry spending increases, limiting growth to 3% by 2029. This means that hospitals, doctors and health insurers will need to find ways to cut costs to prevent annual per capita spending from exceeding the target. Between 2015 and 2020, per capita health spending in California grew more than 5% each year, according to federal data.\u003c/p>\n\u003cp>A board appointed by Gov. Gavin Newsom and the Legislature on Wednesday approved the new regulations in a 6–1 vote.\u003c/p>\n\u003cp>Health and Human Services Secretary Dr. Mark Ghaly, who chairs the board, said the regulations recognize that Californians are struggling every day to pay for\u003ca href=\"https://calmatters.org/category/health/\"> health care\u003c/a> and that the state has a role in helping them.\u003c/p>\n\u003cp>“We have a place in making sure it becomes more affordable,” Ghaly said.\u003c/p>\n\u003cp>Hospitals, doctors and insurers battled over the regulations for months, arguing that rising inflation and labor costs would make the target impossible to achieve. An earlier proposal would have moved more aggressively to cap costs. The final version gives the industry time to rein in spending.\u003c/p>\n\u003cp>Ghaly said he is confident that health care industry leaders will be able to find solutions to meet the new target. “When that happens, it’s going to be great for Californians.”\u003c/p>\n\u003ch2 id=\"h-how-does-it-work\" class=\"wp-block-heading\">How does it work?\u003c/h2>\n\u003cp>Increased health spending most often translates to higher out-of-pocket costs for consumers through premiums, deductibles and copays. The annual spending benchmark would require health care providers to limit spending growth to 3.5% next year, decreasing to 3% by 2029. Providers — including hospitals, doctors groups and health insurers — must submit spending data to the state to demonstrate that they comply with the cap.\u003c/p>\n\u003cp>The affordability office also has the authority to enforce penalties, including performance improvement plans and fines, for organizations that exceed the benchmark. It will not enforce penalties until 2029.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Assemblymember Jim Wood, a Democrat from Ukiah, at the meeting, urged the board to send a clear message to Californians that the state is taking affordability seriously. Wood spearheaded the legislation that created the office in 2022.\u003c/p>\n\u003cp>“It is not an exaggeration to say that people are deciding whether to get food on the table or get their medicines,” Wood said. “This is not an exercise. This is an effort to impact the real-life experiences of people in California.”\u003c/p>\n\u003ch2 id=\"h-how-will-providers-lower-health-care-costs\" class=\"wp-block-heading\">How will providers lower health care costs?\u003c/h2>\n\u003cp>Ultimately, it’s up to the health care organizations.\u003c/p>\n\u003cp>The board hopes health care organizations will crack down on inefficient and wasteful health spending, such as administrative inefficiency and redundant or poorly coordinated testing. But it doesn’t want to discourage spending on primary care and behavioral health. The affordability office will monitor spending in those areas to ensure organizations do not reduce services or access to preventative care.\u003c/p>\n\u003ch2 id=\"h-will-californians-see-cheaper-health-care\" class=\"wp-block-heading\">Will Californians see cheaper health care?\u003c/h2>\n\u003cp>Yes, but it may not feel like it.\u003c/p>\n\u003cp>The growth cap is not a mandate for providers to lower prices. Californians will not pay less for health insurance next year than they did this year. For those who already can’t afford health care — some estimates peg that number at \u003ca href=\"https://www.chcf.org/publication/2024-chcf-california-health-policy-survey/\" target=\"_blank\" rel=\"noreferrer noopener\">more than 50% of Californians \u003c/a>— the cap won’t bring any immediate relief.\u003c/p>\n\u003cp>The goal of the cap is to prevent future prices from increasing uncontrollably. This year, health insurance premiums on the state’s Affordable Care Act Exchange increased by 9.6% statewide, with double-digit increases in many regions. Personal health care spending shot up 60% between 2010 and 2020, reaching $405 billion, according to federal data. That’s $10,299 per person. \u003ca href=\"https://www.healthsystemtracker.org/brief/tracking-the-rise-in-premium-contributions-and-cost-sharing-for-families-with-large-employer-coverage/#Cumulative%20growth%20in%20out-of-pocket%20and%20total%20health%20spending%20for%20people%20with%20large%20employer%20coverage,%202007-2017\" target=\"_blank\" rel=\"noreferrer noopener\">Household health spending\u003c/a> has also grown twice as fast as wages, according to the Kaiser Family Foundation.\u003c/p>\n\u003cp>In an effort to recognize how many Californians can’t pay for health care, the affordability office tied the cap to the average annual median household income growth, which has historically been about 3% over the past two decades.\u003c/p>\n\u003ch2 id=\"h-will-california-succeed\" class=\"wp-block-heading\">Will California succeed?\u003c/h2>\n\u003cp>California is not the first state to try to lower health care costs. \u003ca href=\"https://www.chcf.org/publication/cost-commissions-eight-states-address-cost-growth/\" target=\"_blank\" rel=\"noreferrer noopener\">Eight other states\u003c/a> have similar cost benchmarks, although California’s is one of the more aggressive targets.\u003c/p>\n\u003cp>Massachusetts, the first state to set a health spending benchmark, has largely met its target growth rate of 3.6% over the past 10 years.\u003c/p>\n\u003cp>However, in recent years, with the impact of the COVID-19 pandemic, states have found it harder to contain costs. \u003ca href=\"https://www.healthaffairs.org/content/forefront/6-29-angeles-piece\" target=\"_blank\" rel=\"noreferrer noopener\">Connecticut, Delaware and Massachusetts\u003c/a> significantly surpassed their spending targets between 2020 and 2021 primarily because of increased health care use, according to a report by the policy journal Health Affairs.\u003c/p>\n\u003ch2 id=\"h-who-opposed-the-spending-cap\" class=\"wp-block-heading\">Who opposed the spending cap?\u003c/h2>\n\u003cp>Former state Sen. Dr. Richard Pan was the sole no-vote on the new regulations, arguing that the state needed to recognize how changing population needs, such as aging, would affect future health care spending.\u003c/p>\n\u003cp>Pan and groups representing hospitals and doctors have argued that the state should have set a more “realistic” target rather than one most organizations will fail to achieve.\u003c/p>\n\u003cp>In a letter to the board, the California Hospital Association proposed a 6.3% target for 2025 and urged state regulators to consider how inflation, aging and a new law that raises the state \u003ca href=\"https://calmatters.org/health/2023/11/california-health-care-minimum-wage-cost/#:~:text=While%20the%20original%20bill%20would,because%20of%20the%20new%20law.\" target=\"_blank\" rel=\"noreferrer noopener\">minimum wage for health care workers\u003c/a> would drive up costs. Association President Carmela Coyle said in a statement after the vote that the new regulations will worsen access to care as organizations are forced to make cuts.\u003c/p>\n\u003cp>“The office is charged by law to do more than limit spending,” Coyle said. “It’s imperative that the board analyze the impact of its decision on patients and create a process to reconsider future targets to protect access to equitable, quality care for every Californian.”\u003c/p>\n\u003cp>The California Association of Health Plans, representing most insurers, and the California Medical Association, representing doctors, voiced support for the phased-in 3% target this week but have previously pushed the affordability office to consider other options.\u003c/p>\n\u003cp>“Adopting a 3% health care spending growth target, which most physician practices and health care entities will be unable to meet, will negatively impact access to health care for Californians,” medical association President Dr. Tanya Spirtos wrote ahead of the vote.\u003c/p>\n\u003ch2 id=\"h-who-supported-the-health-spending-cap\" class=\"wp-block-heading\">Who supported the health spending cap?\u003c/h2>\n\u003cp>The new regulations are largely supported by unions, employers and consumer advocates. Supporters turned up in force at the vote to give examples of how housekeepers, bartenders, teachers, carpenters, nurses and other workers cannot afford health care even with insurance and frequently forgo raises to pay for ever-growing medical spending.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"Related Stories ","postid":"news_11975284,science_1991871,news_11983752"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>“Consumers, particularly people of color, are burdened by record medical debt and are making daily choices between health care, housing, and food,” said Kiran Savage-Sangwan, executive director of the California Pan-Ethnic Health Network, at the meeting. “If we want a different outcome, we need to change the incentives in our system.”\u003c/p>\n\u003cp>Anthony Wright, executive director of Health Access California, said the new spending target was “long-awaited, but welcome news for Californians.”\u003c/p>\n\u003cp>“California consumers, patients and payers have been screaming for years about the cost,” Wright said. “This will provide some downward pressure on what has been ever-increasing hikes in our health care costs.”\u003c/p>\n\u003cp>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that\u003c/em> \u003cem>people have access to the care they need, when they need it, at a price they can afford. Visit \u003c/em>\u003ca href=\"http://www.chcf.org/\">\u003cem>www.chcf.org\u003c/em>\u003c/a>\u003cem> to learn more.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11984163/california-caps-rising-health-care-costs-heres-how-it-works","authors":["byline_news_11984163"],"categories":["news_457","news_8"],"tags":["news_25015","news_18543","news_683"],"affiliates":["news_18481"],"featImg":"news_11984165","label":"news_18481"},"news_11980719":{"type":"posts","id":"news_11980719","meta":{"index":"posts_1591205157","site":"news","id":"11980719","score":null,"sort":[1711409723000]},"guestAuthors":[],"slug":"health-care-for-health-care-workers-hundreds-stage-2-day-strike-at-daly-city-hospital","title":"‘Health Care for Health Care Workers’: Hundreds Stage 2-Day Strike at Daly City Hospital","publishDate":1711409723,"format":"standard","headTitle":"‘Health Care for Health Care Workers’: Hundreds Stage 2-Day Strike at Daly City Hospital | KQED","labelTerm":{"site":"news"},"content":"\u003cp>Hundreds of workers at AHMC Seton Medical Center in Daly City walked off the job on Monday as part of a two-day strike to demand the hospital reverse changes it recently made to their health care plans.\u003c/p>\n\u003cp>“We’re striking for better medical benefits, something that actually covers our families, that pays the bills,” said Christina Caridis, an X-ray technician, who was among the throng of hospital staff on the picket line hoisting signs that said “Health Care for Health Care Workers.”\u003c/p>\n\u003cp>“We all have outstanding bills; we’ve gone to collections, and these are bills that they (the hospital) were supposed to pay,” she said.\u003c/p>\n\u003cp>The union representing the workers said the hospital’s administration dramatically changed health care options at the beginning of the year after workers’ previous contract expired, forcing them to pay up to $6,000 a year to maintain their coverage or accept a new plan with limited access to local doctors and hospitals.\u003c/p>\n\u003cp>“I’m worried about my family, my kids not having basic insurance that works,” said Juliya Vinogradsky, a respiratory therapist at Seton, noting that the new, more affordable plan has very few options for local care. “The closest doctors are about 45 minutes to an hour’s drive.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The two-day strike, expected to continue through Tuesday, follows \u003ca href=\"https://www.smdailyjournal.com/news/local/seton-nurses-call-for-better-working-conditions/article_66cb8e32-1eaf-11ed-8290-cfd8dd2926c1.html\">a number of previous labor disputes at the facility\u003c/a> since 2020 when \u003ca href=\"https://www.mercurynews.com/2020/08/14/ahmc-healthcare-finalizes-purchase-of-seton-medical-center/\">AHMC Healthcare purchased the hospital\u003c/a> out of bankruptcy. Since then, the Los Angeles-based company has “gutted patient care services and initiated several rounds of layoffs, cutting non-nurse staffing by nearly 25%,” according to the National Union of Healthcare Workers, which represents more than 400 Seton workers, including nursing assistants, licensed vocational nurses, respiratory therapists, housekeepers and medical technicians.[aside label=\"more health coverage\" tag=\"health\"]The union is still negotiating a new contract with the company and said that while it’s “near agreement” on wages, it won’t consider any deal that doesn’t fully restore workers’ health benefits.\u003c/p>\n\u003cp>“I am mainly here for better health care. This health insurance affects my 6-month-old daughter,” said Rachelle Ortua, a material management technician at Seton, who joined the picket line on Monday. “I’m not even worried about myself. I’m only worried about my daughter.”\u003c/p>\n\u003cp>Ortua said she and her daughter now have to drive at least 45 minutes to see a pediatrician who is covered by her new insurance plan. And the closest hospital with emergency pediatric care, she said, is even further away.\u003c/p>\n\u003cp>“I have chronic asthma, and I’m afraid my daughter has it,” Ortua said. “If she has it and she needs to get admitted, you’re telling me that [with] this health care, I have to travel an hour and a half away for her to be admitted into the hospital? I’m not OK with that.”\u003c/p>\n\u003cp>The union also said it fears that AHMC plans to further drain resources and eventually shutter the safety-net hospital that has primarily served lower-income immigrant communities in northern San Mateo County and San Francisco for generations. When it purchased the hospital in August 2020, the company, in an agreement with the state, committed to keeping it open for at least five and a half years — roughly midway through 2026.\u003c/p>\n\u003cp>But Seton’s administrator said concerns about its commitment to the well-being of its workers and patients are unfounded, calling the strike “unnecessary.” It accused the union of prioritizing “a contract negotiating tactic over patient and community care.”\u003c/p>\n\u003cp>The hospital has offered workers “outstanding wages and extraordinary medical benefits,” including 16% pay increases over three years, the option of free medical benefits for employees and their families, and a generous paid time off package, Seton said in a statement on Monday.\u003c/p>\n\u003cp>Since purchasing Seton in August 2020, when the facility “teetered on the edge of closure,” AMHC has pledged to keep the hospital open and make it financially viable by investing $100 million in repairs and upgrades and undertaking a $75 million seismic retrofit, the statement said.\u003c/p>\n\u003cp>“We have been working diligently to ensure Northern San Mateo County has a community hospital for years to come,” Sarkis Vartanian, the hospital’s head administrator, said in the statement. “My focus has been to provide high-quality, affordable care that meets the needs of our community.”\u003c/p>\n\u003cp>But many workers and local officials said the current state of the hospital suggests otherwise.\u003c/p>\n\u003cp>“They’re supposed to get new equipment and they didn’t get new equipment,” said Daly City Councilmember Pamela DiGiovanni, who joined workers on the picket line on Monday. “One of the doctors told me the bulbs are out in some of the operating rooms. It’s just terrible.”\u003c/p>\n\u003cp>DiGiovanni said she’s been calling Vartanian about these issues “three times a day, and he has not called me back.”\u003c/p>\n\u003cp>The hospital operators have failed to “fix and repair equipment that we need and provide the resources that we need to treat our patients,” Caridis, the X-ray technician, added. “In my personal specialty, I have no equipment to do the procedures that I need to do on a safe basis. We cancel a lot of patients.”\u003c/p>\n\u003cp>Workers like Ortua, the material management technician, acknowledged that the hospital is a business with financial constraints but said penalizing its workers and patients is both unethical and foolhardy.\u003c/p>\n\u003cp>“I understand trying to save money but treating your employees this way, you’ll never save money that way,” she said. “You’re going to lose people and end up losing the hospital. The least you can do is provide us with proper health care.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>KQED’s Sydney Johnson and Matthew Green contributed reporting to this story.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"The union representing more than 400 workers at Seton Medical Center is still negotiating a new contract with the hospital and said that while it’s 'near agreement' on wages, it won’t consider any deal that doesn’t fully restore the previous health benefits package. \r\n","status":"publish","parent":0,"modified":1711511144,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":23,"wordCount":1026},"headData":{"title":"‘Health Care for Health Care Workers’: Hundreds Stage 2-Day Strike at Daly City Hospital | KQED","description":"The union representing more than 400 workers at Seton Medical Center is still negotiating a new contract with the hospital and said that while it’s 'near agreement' on wages, it won’t consider any deal that doesn’t fully restore the previous health benefits package. \r\n","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"‘Health Care for Health Care Workers’: Hundreds Stage 2-Day Strike at Daly City Hospital","datePublished":"2024-03-25T23:35:23.000Z","dateModified":"2024-03-27T03:45:44.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"audioUrl":"https://traffic.omny.fm/d/clips/0af137ef-751e-4b19-a055-aaef00d2d578/ffca7e9f-6831-41c5-bcaf-aaef00f5a073/2d657529-5e20-43e8-a07f-b13f01796488/audio.mp3","sticky":false,"excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11980719/health-care-for-health-care-workers-hundreds-stage-2-day-strike-at-daly-city-hospital","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Hundreds of workers at AHMC Seton Medical Center in Daly City walked off the job on Monday as part of a two-day strike to demand the hospital reverse changes it recently made to their health care plans.\u003c/p>\n\u003cp>“We’re striking for better medical benefits, something that actually covers our families, that pays the bills,” said Christina Caridis, an X-ray technician, who was among the throng of hospital staff on the picket line hoisting signs that said “Health Care for Health Care Workers.”\u003c/p>\n\u003cp>“We all have outstanding bills; we’ve gone to collections, and these are bills that they (the hospital) were supposed to pay,” she said.\u003c/p>\n\u003cp>The union representing the workers said the hospital’s administration dramatically changed health care options at the beginning of the year after workers’ previous contract expired, forcing them to pay up to $6,000 a year to maintain their coverage or accept a new plan with limited access to local doctors and hospitals.\u003c/p>\n\u003cp>“I’m worried about my family, my kids not having basic insurance that works,” said Juliya Vinogradsky, a respiratory therapist at Seton, noting that the new, more affordable plan has very few options for local care. “The closest doctors are about 45 minutes to an hour’s drive.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The two-day strike, expected to continue through Tuesday, follows \u003ca href=\"https://www.smdailyjournal.com/news/local/seton-nurses-call-for-better-working-conditions/article_66cb8e32-1eaf-11ed-8290-cfd8dd2926c1.html\">a number of previous labor disputes at the facility\u003c/a> since 2020 when \u003ca href=\"https://www.mercurynews.com/2020/08/14/ahmc-healthcare-finalizes-purchase-of-seton-medical-center/\">AHMC Healthcare purchased the hospital\u003c/a> out of bankruptcy. Since then, the Los Angeles-based company has “gutted patient care services and initiated several rounds of layoffs, cutting non-nurse staffing by nearly 25%,” according to the National Union of Healthcare Workers, which represents more than 400 Seton workers, including nursing assistants, licensed vocational nurses, respiratory therapists, housekeepers and medical technicians.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"more health coverage ","tag":"health"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>The union is still negotiating a new contract with the company and said that while it’s “near agreement” on wages, it won’t consider any deal that doesn’t fully restore workers’ health benefits.\u003c/p>\n\u003cp>“I am mainly here for better health care. This health insurance affects my 6-month-old daughter,” said Rachelle Ortua, a material management technician at Seton, who joined the picket line on Monday. “I’m not even worried about myself. I’m only worried about my daughter.”\u003c/p>\n\u003cp>Ortua said she and her daughter now have to drive at least 45 minutes to see a pediatrician who is covered by her new insurance plan. And the closest hospital with emergency pediatric care, she said, is even further away.\u003c/p>\n\u003cp>“I have chronic asthma, and I’m afraid my daughter has it,” Ortua said. “If she has it and she needs to get admitted, you’re telling me that [with] this health care, I have to travel an hour and a half away for her to be admitted into the hospital? I’m not OK with that.”\u003c/p>\n\u003cp>The union also said it fears that AHMC plans to further drain resources and eventually shutter the safety-net hospital that has primarily served lower-income immigrant communities in northern San Mateo County and San Francisco for generations. When it purchased the hospital in August 2020, the company, in an agreement with the state, committed to keeping it open for at least five and a half years — roughly midway through 2026.\u003c/p>\n\u003cp>But Seton’s administrator said concerns about its commitment to the well-being of its workers and patients are unfounded, calling the strike “unnecessary.” It accused the union of prioritizing “a contract negotiating tactic over patient and community care.”\u003c/p>\n\u003cp>The hospital has offered workers “outstanding wages and extraordinary medical benefits,” including 16% pay increases over three years, the option of free medical benefits for employees and their families, and a generous paid time off package, Seton said in a statement on Monday.\u003c/p>\n\u003cp>Since purchasing Seton in August 2020, when the facility “teetered on the edge of closure,” AMHC has pledged to keep the hospital open and make it financially viable by investing $100 million in repairs and upgrades and undertaking a $75 million seismic retrofit, the statement said.\u003c/p>\n\u003cp>“We have been working diligently to ensure Northern San Mateo County has a community hospital for years to come,” Sarkis Vartanian, the hospital’s head administrator, said in the statement. “My focus has been to provide high-quality, affordable care that meets the needs of our community.”\u003c/p>\n\u003cp>But many workers and local officials said the current state of the hospital suggests otherwise.\u003c/p>\n\u003cp>“They’re supposed to get new equipment and they didn’t get new equipment,” said Daly City Councilmember Pamela DiGiovanni, who joined workers on the picket line on Monday. “One of the doctors told me the bulbs are out in some of the operating rooms. It’s just terrible.”\u003c/p>\n\u003cp>DiGiovanni said she’s been calling Vartanian about these issues “three times a day, and he has not called me back.”\u003c/p>\n\u003cp>The hospital operators have failed to “fix and repair equipment that we need and provide the resources that we need to treat our patients,” Caridis, the X-ray technician, added. “In my personal specialty, I have no equipment to do the procedures that I need to do on a safe basis. We cancel a lot of patients.”\u003c/p>\n\u003cp>Workers like Ortua, the material management technician, acknowledged that the hospital is a business with financial constraints but said penalizing its workers and patients is both unethical and foolhardy.\u003c/p>\n\u003cp>“I understand trying to save money but treating your employees this way, you’ll never save money that way,” she said. “You’re going to lose people and end up losing the hospital. The least you can do is provide us with proper health care.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>KQED’s Sydney Johnson and Matthew Green contributed reporting to this story.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11980719/health-care-for-health-care-workers-hundreds-stage-2-day-strike-at-daly-city-hospital","authors":["11896"],"categories":["news_457","news_8"],"tags":["news_18543","news_683","news_19904","news_32652","news_33925"],"featImg":"news_11980724","label":"news"},"news_11977093":{"type":"posts","id":"news_11977093","meta":{"index":"posts_1591205157","site":"news","id":"11977093","score":null,"sort":[1709006440000]},"guestAuthors":[],"slug":"everybody-is-just-scrambling-nationwide-cyber-attack-delays-bay-area-pharmacy-orders","title":"'Everybody Is Just Scrambling': Nationwide Cyber Attack Delays Bay Area Pharmacy Orders","publishDate":1709006440,"format":"standard","headTitle":"‘Everybody Is Just Scrambling’: Nationwide Cyber Attack Delays Bay Area Pharmacy Orders | KQED","labelTerm":{"site":"news"},"content":"\u003cp>\u003cem>Updated 8 p.m. Monday\u003c/em>\u003c/p>\n\u003cp>People across the Bay Area are clamoring to fill essential medications after a\u003ca href=\"https://www.reuters.com/business/healthcare-pharmaceuticals/change-healthcare-network-hit-by-cybersecurity-attack-2024-02-22/\"> cyber attack last Wednesday\u003c/a> disrupted data transmission lines between health care providers, insurance companies and pharmacies.\u003c/p>\n\u003cp>East Bay resident Alison Hightower is among them.\u003c/p>\n\u003cp>For two days, she has been trying to refill a medication her husband takes for nerve damage. When she tried to pick it up, the pharmacist at her local Safeway on College Avenue in Oakland said they had been unable to fill most prescriptions since the hack against UnitedHealth Group Inc. last week. [pullquote size=\"medium\" align=\"right\" citation=\"Alison Hightower, East Bay resident\"]‘I stopped at the pharmacy, and they said they are totally shut down and can’t do anything. This will have a huge snowballing effect. …’[/pullquote]“I stopped at the pharmacy, and they said they are totally shut down and can’t do anything,” Hightower told KQED. “This will have a huge snowballing effect. My husband is scrambling to get his medication refilled.”\u003c/p>\n\u003cp>Since the cyber attack, \u003ca href=\"https://www.latimes.com/business/story/2024-02-23/unitedhealth-blames-nation-state-threat-in-hack-disrupting-pharmacy-orders\">pharmacies across the country\u003c/a> — including those at Safeway, Walgreens and CVS — have been unable to fill some prescription orders because the computer system that forwards prescriptions from doctors and processes insurance was disconnected after the hack at UnitedHealth’s technology unit, called Change Healthcare.\u003c/p>\n\u003cp>A spokesperson for Safeway confirmed that people filling online prescriptions may experience a delay due to the nationwide outage with Optum, a third-party healthcare technology vendor owned by UnitedHealth. Other insurance providers including Medicare were also affected.\u003c/p>\n\u003cp>UnitedHealth is Alameda County’s largest health insurer. It’s not clear when the service will be restored. As of noon on Monday \u003ca href=\"https://status.changehealthcare.com/incidents/hqpjz25fn3n7\">Optum reported that the disruption is expected to continue\u003c/a> through at least the end of the day.\u003c/p>\n\u003cfigure id=\"attachment_11977122\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11977122\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240226-PHARMACY-HACK-MD-02-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240226-PHARMACY-HACK-MD-02-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240226-PHARMACY-HACK-MD-02-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240226-PHARMACY-HACK-MD-02-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240226-PHARMACY-HACK-MD-02-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240226-PHARMACY-HACK-MD-02-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240226-PHARMACY-HACK-MD-02-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A Safeway store in Oakland on Feb. 26, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Change Healthcare is experiencing a cybersecurity issue, and our experts are working to address the matter,” the company said in a statement on its website. “Once we became aware of the outside threat, in the interest of protecting our partners and patients, we took immediate action to disconnect our systems to prevent further impact.”\u003c/p>\n\u003cp>Hindering access to medication can be life-threatening.\u003c/p>\n\u003cp>“Our pharmacy operations and the vast majority of prescriptions are not being impacted by this third-party issue,” a spokesperson for Walgreens said in an email. “For the small percentage that may be affected, we have procedures in place so that we can continue to process and fill these prescriptions with minimal delay or interruption.” [aside label='More on Public Health' tag='health'] “Safeway would like to reassure customers and the public that our pharmacy locations are open for business and serving customers,” a spokesperson for Safeway said in an email. “We are working quickly to address this matter and apologize for any inconvenience this may cause.”\u003c/p>\n\u003cp>CVS, which also relies on UnitedHealth technology, said earlier in a prepared statement that the company is still filling prescriptions, but “in certain cases, we are not able to process insurance claims, which our business continuity plan is addressing to ensure patients continue to have access to their prescriptions.” KQED has reached out to CVS for further comment but as of Monday evening has not received a response.\u003c/p>\n\u003cp>The issue is impacting different medications and particularly controlled substances like pain medications and ADHD medication, which are more heavily regulated by the federal government, Ruzly Mantara, a pharmacist in San Francisco, told KQED on Monday.\u003c/p>\n\u003cp>Pharmacists like Mantara need help to convey the news and to provide patients with their medications.\u003c/p>\n\u003cp>“This has never happened before. We are taking this one step at a time,” Mantara told KQED. “The best thing we can do is ask for their patience at this time.” [pullquote size=\"medium\" align=\"right\" citation=\"Ruzly Mantara, pharmacist, San Francisco\"]‘We are able to get faxes and phone calls, but there are some prescriptions that can’t be faxed or called in, so that’s an issue. It creates a big problem.’[/pullquote]As of Sunday afternoon, Mantara said that the computer system could process most insurance plans again but that the pharmacy was still not able to receive prescriptions from doctors.\u003c/p>\n\u003cp>So far, options remain limited for customers who can’t pay out of pocket or don’t have a written prescription.\u003c/p>\n\u003cp>“We are able to get faxes and phone calls, but there are some prescriptions that can’t be faxed or called in, so that’s an issue,” Mantara said. “It creates a big problem.”\u003c/p>\n\u003cp>Hightower’s husband’s medication is expensive and tightly regulated, she said, so paying out of pocket or sending over a written prescription are both unfeasible. She and her husband are continuing to assess their options.\u003c/p>\n\u003cp>“His drug is under more severe regulation, so they don’t keep it in stock, and they have to special order it,” Hightower said. “Everybody is just scrambling.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n","blocks":[],"excerpt":"People are clamoring to obtain pain medications as pharmacies in Oakland and San Francisco feel the crunch of a nationwide data breach. ","status":"publish","parent":0,"modified":1709058357,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":20,"wordCount":873},"headData":{"title":"'Everybody Is Just Scrambling': Nationwide Cyber Attack Delays Bay Area Pharmacy Orders | KQED","description":"People are clamoring to obtain pain medications as pharmacies in Oakland and San Francisco feel the crunch of a nationwide data breach. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"'Everybody Is Just Scrambling': Nationwide Cyber Attack Delays Bay Area Pharmacy Orders","datePublished":"2024-02-27T04:00:40.000Z","dateModified":"2024-02-27T18:25:57.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"sticky":false,"excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11977093/everybody-is-just-scrambling-nationwide-cyber-attack-delays-bay-area-pharmacy-orders","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Updated 8 p.m. Monday\u003c/em>\u003c/p>\n\u003cp>People across the Bay Area are clamoring to fill essential medications after a\u003ca href=\"https://www.reuters.com/business/healthcare-pharmaceuticals/change-healthcare-network-hit-by-cybersecurity-attack-2024-02-22/\"> cyber attack last Wednesday\u003c/a> disrupted data transmission lines between health care providers, insurance companies and pharmacies.\u003c/p>\n\u003cp>East Bay resident Alison Hightower is among them.\u003c/p>\n\u003cp>For two days, she has been trying to refill a medication her husband takes for nerve damage. When she tried to pick it up, the pharmacist at her local Safeway on College Avenue in Oakland said they had been unable to fill most prescriptions since the hack against UnitedHealth Group Inc. last week. \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘I stopped at the pharmacy, and they said they are totally shut down and can’t do anything. This will have a huge snowballing effect. …’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Alison Hightower, East Bay resident","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>“I stopped at the pharmacy, and they said they are totally shut down and can’t do anything,” Hightower told KQED. “This will have a huge snowballing effect. My husband is scrambling to get his medication refilled.”\u003c/p>\n\u003cp>Since the cyber attack, \u003ca href=\"https://www.latimes.com/business/story/2024-02-23/unitedhealth-blames-nation-state-threat-in-hack-disrupting-pharmacy-orders\">pharmacies across the country\u003c/a> — including those at Safeway, Walgreens and CVS — have been unable to fill some prescription orders because the computer system that forwards prescriptions from doctors and processes insurance was disconnected after the hack at UnitedHealth’s technology unit, called Change Healthcare.\u003c/p>\n\u003cp>A spokesperson for Safeway confirmed that people filling online prescriptions may experience a delay due to the nationwide outage with Optum, a third-party healthcare technology vendor owned by UnitedHealth. Other insurance providers including Medicare were also affected.\u003c/p>\n\u003cp>UnitedHealth is Alameda County’s largest health insurer. It’s not clear when the service will be restored. As of noon on Monday \u003ca href=\"https://status.changehealthcare.com/incidents/hqpjz25fn3n7\">Optum reported that the disruption is expected to continue\u003c/a> through at least the end of the day.\u003c/p>\n\u003cfigure id=\"attachment_11977122\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11977122\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240226-PHARMACY-HACK-MD-02-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240226-PHARMACY-HACK-MD-02-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240226-PHARMACY-HACK-MD-02-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240226-PHARMACY-HACK-MD-02-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240226-PHARMACY-HACK-MD-02-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240226-PHARMACY-HACK-MD-02-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240226-PHARMACY-HACK-MD-02-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A Safeway store in Oakland on Feb. 26, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Change Healthcare is experiencing a cybersecurity issue, and our experts are working to address the matter,” the company said in a statement on its website. “Once we became aware of the outside threat, in the interest of protecting our partners and patients, we took immediate action to disconnect our systems to prevent further impact.”\u003c/p>\n\u003cp>Hindering access to medication can be life-threatening.\u003c/p>\n\u003cp>“Our pharmacy operations and the vast majority of prescriptions are not being impacted by this third-party issue,” a spokesperson for Walgreens said in an email. “For the small percentage that may be affected, we have procedures in place so that we can continue to process and fill these prescriptions with minimal delay or interruption.” \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"More on Public Health ","tag":"health"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp> “Safeway would like to reassure customers and the public that our pharmacy locations are open for business and serving customers,” a spokesperson for Safeway said in an email. “We are working quickly to address this matter and apologize for any inconvenience this may cause.”\u003c/p>\n\u003cp>CVS, which also relies on UnitedHealth technology, said earlier in a prepared statement that the company is still filling prescriptions, but “in certain cases, we are not able to process insurance claims, which our business continuity plan is addressing to ensure patients continue to have access to their prescriptions.” KQED has reached out to CVS for further comment but as of Monday evening has not received a response.\u003c/p>\n\u003cp>The issue is impacting different medications and particularly controlled substances like pain medications and ADHD medication, which are more heavily regulated by the federal government, Ruzly Mantara, a pharmacist in San Francisco, told KQED on Monday.\u003c/p>\n\u003cp>Pharmacists like Mantara need help to convey the news and to provide patients with their medications.\u003c/p>\n\u003cp>“This has never happened before. We are taking this one step at a time,” Mantara told KQED. “The best thing we can do is ask for their patience at this time.” \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘We are able to get faxes and phone calls, but there are some prescriptions that can’t be faxed or called in, so that’s an issue. It creates a big problem.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Ruzly Mantara, pharmacist, San Francisco","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>As of Sunday afternoon, Mantara said that the computer system could process most insurance plans again but that the pharmacy was still not able to receive prescriptions from doctors.\u003c/p>\n\u003cp>So far, options remain limited for customers who can’t pay out of pocket or don’t have a written prescription.\u003c/p>\n\u003cp>“We are able to get faxes and phone calls, but there are some prescriptions that can’t be faxed or called in, so that’s an issue,” Mantara said. “It creates a big problem.”\u003c/p>\n\u003cp>Hightower’s husband’s medication is expensive and tightly regulated, she said, so paying out of pocket or sending over a written prescription are both unfeasible. She and her husband are continuing to assess their options.\u003c/p>\n\u003cp>“His drug is under more severe regulation, so they don’t keep it in stock, and they have to special order it,” Hightower said. “Everybody is just scrambling.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11977093/everybody-is-just-scrambling-nationwide-cyber-attack-delays-bay-area-pharmacy-orders","authors":["11840"],"categories":["news_8"],"tags":["news_32205","news_27626","news_18543","news_683","news_33563","news_32610","news_18153","news_19960","news_4778","news_2211"],"featImg":"news_11977127","label":"news"},"news_11976372":{"type":"posts","id":"news_11976372","meta":{"index":"posts_1591205157","site":"news","id":"11976372","score":null,"sort":[1708466415000]},"guestAuthors":[],"slug":"57-million-in-california-aid-helps-reopen-shuttered-madera-county-hospital","title":"$57 Million in California Aid Helps Reopen Shuttered Madera County Hospital","publishDate":1708466415,"format":"standard","headTitle":"$57 Million in California Aid Helps Reopen Shuttered Madera County Hospital | KQED","labelTerm":{"term":18481,"site":"news"},"content":"\u003cp>A California hospital that left a county of 160,000 people without \u003ca href=\"https://calmatters.org/category/health/\">critical emergency care\u003c/a> when it shut down 13 months ago took a significant step toward reopening last week, and it could begin accepting patients as early as this summer.\u003c/p>\n\u003cp>That’s good news for the residents of Madera County, but the court-approved deal to revive the hospital elicited mixed reactions among some San Joaquin Valley leaders who wanted a different option.\u003c/p>\n\u003cp>A bankruptcy court last week approved a bid from a Modesto-based hospital management company, \u003ca href=\"https://americanam.org/\">American Advanced Management, Inc\u003c/a>., to take over and reopen Madera Community Hospital.\u003c/p>\n\u003cp>That decision effectively shot down a last-minute proposal from industry powerhouses \u003ca href=\"https://calmatters.org/health/2024/02/madera-community-hospital-ucsf/\">UCSF Health and Adventist Health\u003c/a>. Several lawmakers from the region had endorsed the UCSF-Adventist plan and said in written statements after the bankruptcy hearing that they were still pulling for that proposal.\u003c/p>\n\u003cp>The hospital’s reopening is close but not quite a done deal. Madera County and other parties have another week to appeal the decision. The California Department of Public Health also must approve the hospital’s change-of-management application.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Matthew Beehler, chief strategy officer, American Advanced Management\"]‘Our focus has always been on reopening this hospital as quickly as possible to improve the health and lives of community members.’[/pullquote]The Madera hospital’s closure alarmed the Legislature last year, leading it to create a $300 million bailout fund for \u003ca href=\"https://calmatters.org/health/2023/08/california-hospitals-bailout-loans/\">financially distressed hospitals\u003c/a>. The Madera hospital is eligible for $57 million from that fund.\u003c/p>\n\u003cp>American Advanced Management has submitted its management plan to the California Department of Health Care Access and Information to unlock that money. The department said it is still reviewing the application.\u003c/p>\n\u003cp>Matthew Beehler, chief strategy officer at American Advanced Management, said that pending these approvals, the hospital will be on track to reopen within 4 to 6 months. The company has committed $30 million on top of what the state will chip in to reopen the hospital.\u003c/p>\n\u003cp>“Our focus has always been on reopening this hospital as quickly as possible to improve the health and lives of community members,” he said in a written statement after the bankruptcy hearing.\u003c/p>\n\u003ch2>11th-hour bid for Madera hospital\u003c/h2>\n\u003cp>After months of scrambling to find suitors, \u003ca href=\"https://www.fresnobee.com/news/local/article283253198.html\">Madera Community Hospital entered negotiations\u003c/a> with the American Advanced Management last fall. Then, earlier this month, UCSF Health and Adventist Health announced that they, too, were interested in taking over the hospital and that they’d team up to enter a bid.\u003c/p>\n\u003cp>For months, lawmakers representing the Madera area \u003ca href=\"https://calmatters.org/health/2023/04/hospital-closures-california/\">pushed for the UC Health system\u003c/a> to take over the hospital with the idea that it could bring much-needed resources to the valley. In a press conference earlier this month, they called the proposed UCSF and Adventist partnership “a dream come true.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But the UCSF and Adventist bid came too late. Judge René Lastreto of the U.S. Bankruptcy Court for the Eastern District of California said during last week’s hearing that it didn’t “behoove the creditors or the estate to continue to delay this any further” by entertaining the new proposal.\u003c/p>\n\u003cp>Democratic lawmakers Sen. Anna Caballero, Assemblymember Esmeralda Soria and Assemblymember Joaquin Arambula said they were disappointed the court didn’t give UCSF and Adventist more of a hearing.\u003c/p>\n\u003cp>“We hoped that the court would have granted UCSF, Adventist Health, and Madera County the opportunity to move forward and provide a full presentation of their joint venture to purchase and reopen Madera Community Hospital — to show what it could mean immediately for the residents and the long-term viability of this hospital for the region,” they said in a written statement.\u003c/p>\n\u003ch2>Reopening in sight, but no maternity ward\u003c/h2>\n\u003cp>American Advanced Management plans to reopen the hospital with an emergency room, an intensive care unit, medical imaging and a laboratory, but it will not immediately reopen labor and delivery, \u003ca href=\"https://fresnoland.org/2024/02/12/madera-hospital-reopening-plan-2/\">Fresnoland first reported\u003c/a>.\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"news_11959175,news_11958245,news_11968579\"]That means pregnant patients will continue to travel to Fresno or Merced counties to give birth. \u003ca href=\"https://calmatters.org/health/2023/11/california-hospitals-close-maternity-wards/\">Maternity wards in California are closing\u003c/a> at an accelerated pace. Last year, in addition to Madera Community’s total closure, 11 other hospitals terminated their maternity services.\u003c/p>\n\u003cp>Beehler at American Advanced Management said the company decided not to reinstate a maternity ward because obstetrics is a resource-intensive department that is poorly reimbursed. Other hospitals have released similar statements when announcing the elimination of labor and delivery.\u003c/p>\n\u003cp>“Reopening maternity would be like reopening two hospitals at the same time,” Beehler said.\u003c/p>\n\u003cp>Madera Community Hospital delivered 735 babies in 2022 and another 720 in 2021. The county has a slightly higher birth rate than the state’s \u003ca>at 57.9 births per 1,000 women\u003c/a>.\u003c/p>\n\u003cp>Beehler said the company plans to provide prenatal services through the hospital’s clinics.\u003c/p>\n\u003ch2>Quick hiring key to reopening\u003c/h2>\n\u003cp>Sara Bosse, Madera County’s public health director, told the court last week that a critical element to the hospital’s reopening is how soon a new operator will be able to hire the necessary staff. She said that UCSF and Adventist could more easily attract providers to work in Madera.\u003c/p>\n\u003cp>“A physician that is looking for a position and is actively being recruited they probably would consider a position with UCSF before they would look at a position with an entity they may have not heard of before,” Bosse later told CalMatters.\u003c/p>\n\u003cp>Lawyers for American Advanced Management argued there was no evidence that the smaller hospital operator would have any trouble hiring staff. American Advanced Management is known for buying and managing distressed facilities in largely rural parts of the state. It operates hospitals in Colusa, Glenn and Coalinga.\u003c/p>\n\u003cp>Securing a strong workforce is critical, especially in an area that has long struggled with a shortage of\u003ca href=\"https://chhs.fresnostate.edu/ccphc/documents/SJVPHC%20RHEA%20Report%20Final%203.22.2022%20.pdf\"> primary care providers and specialists (PDF)\u003c/a> compared to wealthier parts of California.\u003c/p>\n\u003cp>“All of those things have to happen pretty quickly in order for any organization to open up a hospital and get it to a place that’s solvent,” Bosse said. “Both bringing on workforce and attracting patients.”\u003c/p>\n\u003cp>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that\u003c/em> \u003cem>people have access to the care they need, when they need it, at a price they can afford. Visit \u003c/em>\u003ca href=\"http://www.chcf.org/\">\u003cem>www.chcf.org\u003c/em>\u003c/a>\u003cem> to learn more.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"A community of 160,000 without critical emergency care for 13 months will have a hospital again, but not everyone’s happy with the deal and challenges remain.","status":"publish","parent":0,"modified":1708464587,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":28,"wordCount":1109},"headData":{"title":"$57 Million in California Aid Helps Reopen Shuttered Madera County Hospital | KQED","description":"A community of 160,000 without critical emergency care for 13 months will have a hospital again, but not everyone’s happy with the deal and challenges remain.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"$57 Million in California Aid Helps Reopen Shuttered Madera County Hospital","datePublished":"2024-02-20T22:00:15.000Z","dateModified":"2024-02-20T21:29:47.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"sticky":false,"nprByline":"\u003ca href=\"https://calmatters.org/author/anaibarra/\">Ana B. Ibarra\u003c/a>","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11976372/57-million-in-california-aid-helps-reopen-shuttered-madera-county-hospital","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>A California hospital that left a county of 160,000 people without \u003ca href=\"https://calmatters.org/category/health/\">critical emergency care\u003c/a> when it shut down 13 months ago took a significant step toward reopening last week, and it could begin accepting patients as early as this summer.\u003c/p>\n\u003cp>That’s good news for the residents of Madera County, but the court-approved deal to revive the hospital elicited mixed reactions among some San Joaquin Valley leaders who wanted a different option.\u003c/p>\n\u003cp>A bankruptcy court last week approved a bid from a Modesto-based hospital management company, \u003ca href=\"https://americanam.org/\">American Advanced Management, Inc\u003c/a>., to take over and reopen Madera Community Hospital.\u003c/p>\n\u003cp>That decision effectively shot down a last-minute proposal from industry powerhouses \u003ca href=\"https://calmatters.org/health/2024/02/madera-community-hospital-ucsf/\">UCSF Health and Adventist Health\u003c/a>. Several lawmakers from the region had endorsed the UCSF-Adventist plan and said in written statements after the bankruptcy hearing that they were still pulling for that proposal.\u003c/p>\n\u003cp>The hospital’s reopening is close but not quite a done deal. Madera County and other parties have another week to appeal the decision. The California Department of Public Health also must approve the hospital’s change-of-management application.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘Our focus has always been on reopening this hospital as quickly as possible to improve the health and lives of community members.’","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Matthew Beehler, chief strategy officer, American Advanced Management","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>The Madera hospital’s closure alarmed the Legislature last year, leading it to create a $300 million bailout fund for \u003ca href=\"https://calmatters.org/health/2023/08/california-hospitals-bailout-loans/\">financially distressed hospitals\u003c/a>. The Madera hospital is eligible for $57 million from that fund.\u003c/p>\n\u003cp>American Advanced Management has submitted its management plan to the California Department of Health Care Access and Information to unlock that money. The department said it is still reviewing the application.\u003c/p>\n\u003cp>Matthew Beehler, chief strategy officer at American Advanced Management, said that pending these approvals, the hospital will be on track to reopen within 4 to 6 months. The company has committed $30 million on top of what the state will chip in to reopen the hospital.\u003c/p>\n\u003cp>“Our focus has always been on reopening this hospital as quickly as possible to improve the health and lives of community members,” he said in a written statement after the bankruptcy hearing.\u003c/p>\n\u003ch2>11th-hour bid for Madera hospital\u003c/h2>\n\u003cp>After months of scrambling to find suitors, \u003ca href=\"https://www.fresnobee.com/news/local/article283253198.html\">Madera Community Hospital entered negotiations\u003c/a> with the American Advanced Management last fall. Then, earlier this month, UCSF Health and Adventist Health announced that they, too, were interested in taking over the hospital and that they’d team up to enter a bid.\u003c/p>\n\u003cp>For months, lawmakers representing the Madera area \u003ca href=\"https://calmatters.org/health/2023/04/hospital-closures-california/\">pushed for the UC Health system\u003c/a> to take over the hospital with the idea that it could bring much-needed resources to the valley. In a press conference earlier this month, they called the proposed UCSF and Adventist partnership “a dream come true.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But the UCSF and Adventist bid came too late. Judge René Lastreto of the U.S. Bankruptcy Court for the Eastern District of California said during last week’s hearing that it didn’t “behoove the creditors or the estate to continue to delay this any further” by entertaining the new proposal.\u003c/p>\n\u003cp>Democratic lawmakers Sen. Anna Caballero, Assemblymember Esmeralda Soria and Assemblymember Joaquin Arambula said they were disappointed the court didn’t give UCSF and Adventist more of a hearing.\u003c/p>\n\u003cp>“We hoped that the court would have granted UCSF, Adventist Health, and Madera County the opportunity to move forward and provide a full presentation of their joint venture to purchase and reopen Madera Community Hospital — to show what it could mean immediately for the residents and the long-term viability of this hospital for the region,” they said in a written statement.\u003c/p>\n\u003ch2>Reopening in sight, but no maternity ward\u003c/h2>\n\u003cp>American Advanced Management plans to reopen the hospital with an emergency room, an intensive care unit, medical imaging and a laboratory, but it will not immediately reopen labor and delivery, \u003ca href=\"https://fresnoland.org/2024/02/12/madera-hospital-reopening-plan-2/\">Fresnoland first reported\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"Related Stories ","postid":"news_11959175,news_11958245,news_11968579"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>That means pregnant patients will continue to travel to Fresno or Merced counties to give birth. \u003ca href=\"https://calmatters.org/health/2023/11/california-hospitals-close-maternity-wards/\">Maternity wards in California are closing\u003c/a> at an accelerated pace. Last year, in addition to Madera Community’s total closure, 11 other hospitals terminated their maternity services.\u003c/p>\n\u003cp>Beehler at American Advanced Management said the company decided not to reinstate a maternity ward because obstetrics is a resource-intensive department that is poorly reimbursed. Other hospitals have released similar statements when announcing the elimination of labor and delivery.\u003c/p>\n\u003cp>“Reopening maternity would be like reopening two hospitals at the same time,” Beehler said.\u003c/p>\n\u003cp>Madera Community Hospital delivered 735 babies in 2022 and another 720 in 2021. The county has a slightly higher birth rate than the state’s \u003ca>at 57.9 births per 1,000 women\u003c/a>.\u003c/p>\n\u003cp>Beehler said the company plans to provide prenatal services through the hospital’s clinics.\u003c/p>\n\u003ch2>Quick hiring key to reopening\u003c/h2>\n\u003cp>Sara Bosse, Madera County’s public health director, told the court last week that a critical element to the hospital’s reopening is how soon a new operator will be able to hire the necessary staff. She said that UCSF and Adventist could more easily attract providers to work in Madera.\u003c/p>\n\u003cp>“A physician that is looking for a position and is actively being recruited they probably would consider a position with UCSF before they would look at a position with an entity they may have not heard of before,” Bosse later told CalMatters.\u003c/p>\n\u003cp>Lawyers for American Advanced Management argued there was no evidence that the smaller hospital operator would have any trouble hiring staff. American Advanced Management is known for buying and managing distressed facilities in largely rural parts of the state. It operates hospitals in Colusa, Glenn and Coalinga.\u003c/p>\n\u003cp>Securing a strong workforce is critical, especially in an area that has long struggled with a shortage of\u003ca href=\"https://chhs.fresnostate.edu/ccphc/documents/SJVPHC%20RHEA%20Report%20Final%203.22.2022%20.pdf\"> primary care providers and specialists (PDF)\u003c/a> compared to wealthier parts of California.\u003c/p>\n\u003cp>“All of those things have to happen pretty quickly in order for any organization to open up a hospital and get it to a place that’s solvent,” Bosse said. “Both bringing on workforce and attracting patients.”\u003c/p>\n\u003cp>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that\u003c/em> \u003cem>people have access to the care they need, when they need it, at a price they can afford. Visit \u003c/em>\u003ca href=\"http://www.chcf.org/\">\u003cem>www.chcf.org\u003c/em>\u003c/a>\u003cem> to learn more.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11976372/57-million-in-california-aid-helps-reopen-shuttered-madera-county-hospital","authors":["byline_news_11976372"],"categories":["news_457","news_8"],"tags":["news_27626","news_18543","news_683","news_18659"],"affiliates":["news_18481"],"featImg":"news_11976374","label":"news_18481"},"news_11976304":{"type":"posts","id":"news_11976304","meta":{"index":"posts_1591205157","site":"news","id":"11976304","score":null,"sort":[1708268418000]},"guestAuthors":[],"slug":"state-governments-look-to-protect-health-related-data-as-its-used-in-abortion-battle","title":"State Governments Look to Protect Health-Related Data as It's Used in Abortion Battle","publishDate":1708268418,"format":"standard","headTitle":"State Governments Look to Protect Health-Related Data as It’s Used in Abortion Battle | KQED","labelTerm":{"site":"news"},"content":"\u003cp>Some state governments and federal regulators were already moving to keep individuals’ reproductive health information private when a U.S. senator’s report last week offered a new jolt, describing how cellphone location data was used to send millions of anti-abortion ads to people who visited Planned Parenthood offices.\u003c/p>\n\u003cp>Federal law bars medical providers from sharing health data without a patient’s consent but doesn’t prevent digital tech companies from tracking menstrual cycles or an individual’s location and selling it to data brokers. Legislation for federal bans have never gained momentum, largely because of opposition from the tech industry.\u003c/p>\n\u003cp>Whether that should change has become another political fault line in a nation where most Republican-controlled states have restricted abortion — including 14 with bans in place at every stage of pregnancy — and most Democratic ones have sought to protect access since the U.S. Supreme Court in 2022 overturned Roe v. Wade.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Abortion rights advocates fear that that if such data is not kept private, it could be used not only in targeted ads but also in law enforcement investigations or by abortion opponents looking to harm those who seek to end pregnancies.\u003c/p>\n\u003cp>“It isn’t just sort of creepy,” said Washington state Rep. Vandana Slatter, the sponsor of a law her state adopted last year to rein in unauthorized use of health information. “It’s actually harmful.”\u003c/p>\n\u003cp>But so far, there’s no evidence of widespread use of this kind of data in law enforcement investigations.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Andrea Frey, lawyer for health care providers and digital health systems, Hooper Lundy Bookman\"]‘We’re really pushing forward with the free-flowing and seamless exchange of health care data with the intent of having information accessible so that providers can treat the whole person. Conversely, these privacy concerns come into play.’[/pullquote]“We’re generally talking about a future risk, not something that’s happening on the ground yet,” said Albert Fox Cahn, executive director of the Surveillance Technology Oversight Project and an advocate of protections.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.wyden.senate.gov/imo/media/doc/signed_near_letter_to_ftc_and_sec.pdf\">report last week from Sen. Ron Wyden\u003c/a>, an Oregon Democrat, showed the biggest known anti-abortion ad campaign directed to people who had been identified as having visited abortion providers.\u003c/p>\n\u003cp>Wyden’s investigation found that the information gathered by a now-defunct data broker called Near Intelligence was used by ads from The Veritas Society, a nonprofit founded by Wisconsin Right to Life. The ads targeted people who visited 600 locations in 48 states from 2019 through 2022. There were more than 14 million ads in Wisconsin alone.\u003c/p>\n\u003cp>Wyden called on the Federal Trade Commission to intervene in the bankruptcy case for Near to make sure the location information collected on Americans is destroyed and not sold to another data broker. He’s also asking the Securities Exchange Commission to investigate whether the company committed securities fraud by making misleading statements to investors about the senator’s investigation.\u003c/p>\n\u003cp>It’s not the first time the issue has come up.\u003c/p>\n\u003cp>\u003ca href=\"https://apnews.com/general-news-33f18b834c104df9b2901ef1bf38ae08\">Massachusetts reached a settlement\u003c/a> in 2017 with an ad agency that ran a similar campaign nearly a decade ago.\u003c/p>\n\u003cp>The \u003ca href=\"https://apnews.com/article/technology-health-idaho-federal-trade-commission-government-and-politics-a9aabfc0d25828bc4951c736aaab617a\">FTC sued one data broker\u003c/a>, Kochava, over similar claims in 2022 in an ongoing case, and settled last month with another, X-Mode Social, and its successor, Outlogic, which the government said sold location data of even users who opted out of such sharing. X-Mode was also found to have sold location data to the U.S. military.\u003c/p>\n\u003cp>In both cases, the FTC relied on a law against unfair or deceptive practices.\u003c/p>\n\u003cp>States are also passing or considering their own laws aimed specifically at protecting sensitive health information.\u003c/p>\n\u003cp>Washington’s Slatter, a Democrat, has worked on digital privacy issues for years, but wasn’t able to get a bill with comprehensive protections adopted in her state.\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"news_11973441,news_11962088,news_11953205,forum_2010101904752\"]She said things changed when Roe was overturned. She went to a rally in 2022 and heard women talking about deleting period-tracking apps out of fear of how their data could be exploited.\u003c/p>\n\u003cp>When she introduced a health-specific data privacy bill last year, it wasn’t just lawyers and lobbyists testifying; women of all ages and from many walks of life showed up to support it, too.\u003c/p>\n\u003cp>The measure, which bars selling personal health data without a consumer’s consent and prohibits tracking who visits reproductive or sexual health facilities, was adopted with the support of nearly all the state’s Democratic lawmakers and opposition from all the Republicans.\u003c/p>\n\u003cp>Connecticut and Nevada adopted similar laws last year. New York enacted one that bars using tracking around health care facilities.\u003c/p>\n\u003cp>\u003ca href=\"https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=56.10.&lawCode=CIV\">California\u003c/a> and Maryland took another approach, enacting laws that prevent computerized health networks from sharing information about sensitive health care with other providers without consent.\u003c/p>\n\u003cp>“We’re really pushing forward with the free-flowing and seamless exchange of health care data with the intent of having information accessible so that providers can treat the whole person,” said Andrea Frey, a lawyer who represents health care providers and digital health systems. “Conversely, these privacy concerns come into play.”\u003c/p>\n\u003cp>Illinois, which already had a law limiting how health tracking data — measuring heart rates, steps and others — can be shared, adopted a new one last year that took effect Jan. 1 and that bans providing government license plate reading data to law enforcement in states with abortion bans.\u003c/p>\n\u003cp>Bills addressing the issue in some form have been introduced in several states this year, including Hawaii, Illinois, Maine, Maryland, Massachusetts, Missouri, South Carolina and Vermont.\u003c/p>\n\u003cp>In Virginia, legislation that would prohibit the issuance of search warrants, subpoenas or court orders for electronic or digital menstrual health data recently cleared both chambers of the Democratic-controlled General Assembly.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Virginia state Sen. Barbara Favola\"]‘The next step to enforcing an abortion ban could be accessing menstrual health data, which is why I’m trying to protect that data.’[/pullquote]Democratic Sen. Barbara Favola said she saw the bill as a necessary precaution when Republican politicians, including Virginia Gov. Glenn Youngkin, have sought restrictions on abortion.\u003c/p>\n\u003cp>“The next step to enforcing an abortion ban could be accessing menstrual health data, which is why I’m trying to protect that data,” Favola said in a committee hearing.\u003c/p>\n\u003cp>Opponents asked whether such data had ever been sought by law enforcement, and Favola responded that she wasn’t aware of a particular example.\u003c/p>\n\u003cp>“It’s just in search of a problem that does not exist,” said Republican Sen. Mark Peake.\u003c/p>\n\u003cp>Youngkin’s administration made it clear he opposed similar legislation last year, but his press office didn’t respond to a request for comment on where he stands on the current version.\u003c/p>\n\u003cp>Sean O’Brien, founder of the Yale Privacy Lab, says there is a problem with the way health information is being used, but he’s not sure laws will be the answer because companies could choose to ignore the potential consequences and continue scooping up and selling sensitive information.\u003c/p>\n\u003cp>“The software supply chain is extremely polluted with location tracking of individuals,” he said.\u003c/p>\n\u003cp>\u003cem>Mulvihill reported from Cherry Hill, New Jersey. Associated Press reporters Frank Bajak in Boston and Sarah Rankin in Richmond, Virginia, contributed to this article.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"State governments across the US are adopting or considering laws that would block the sale of personal health data or information about who visits sensitive sites such as sexual health facilities. ","status":"publish","parent":0,"modified":1708209537,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":35,"wordCount":1276},"headData":{"title":"State Governments Look to Protect Health-Related Data as It's Used in Abortion Battle | KQED","description":"State governments across the US are adopting or considering laws that would block the sale of personal health data or information about who visits sensitive sites such as sexual health facilities. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"State Governments Look to Protect Health-Related Data as It's Used in Abortion Battle","datePublished":"2024-02-18T15:00:18.000Z","dateModified":"2024-02-17T22:38:57.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"sticky":false,"nprByline":"Geoff Mulvihill\u003cbr>The Associated Press","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11976304/state-governments-look-to-protect-health-related-data-as-its-used-in-abortion-battle","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Some state governments and federal regulators were already moving to keep individuals’ reproductive health information private when a U.S. senator’s report last week offered a new jolt, describing how cellphone location data was used to send millions of anti-abortion ads to people who visited Planned Parenthood offices.\u003c/p>\n\u003cp>Federal law bars medical providers from sharing health data without a patient’s consent but doesn’t prevent digital tech companies from tracking menstrual cycles or an individual’s location and selling it to data brokers. Legislation for federal bans have never gained momentum, largely because of opposition from the tech industry.\u003c/p>\n\u003cp>Whether that should change has become another political fault line in a nation where most Republican-controlled states have restricted abortion — including 14 with bans in place at every stage of pregnancy — and most Democratic ones have sought to protect access since the U.S. Supreme Court in 2022 overturned Roe v. Wade.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Abortion rights advocates fear that that if such data is not kept private, it could be used not only in targeted ads but also in law enforcement investigations or by abortion opponents looking to harm those who seek to end pregnancies.\u003c/p>\n\u003cp>“It isn’t just sort of creepy,” said Washington state Rep. Vandana Slatter, the sponsor of a law her state adopted last year to rein in unauthorized use of health information. “It’s actually harmful.”\u003c/p>\n\u003cp>But so far, there’s no evidence of widespread use of this kind of data in law enforcement investigations.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘We’re really pushing forward with the free-flowing and seamless exchange of health care data with the intent of having information accessible so that providers can treat the whole person. Conversely, these privacy concerns come into play.’","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Andrea Frey, lawyer for health care providers and digital health systems, Hooper Lundy Bookman","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>“We’re generally talking about a future risk, not something that’s happening on the ground yet,” said Albert Fox Cahn, executive director of the Surveillance Technology Oversight Project and an advocate of protections.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.wyden.senate.gov/imo/media/doc/signed_near_letter_to_ftc_and_sec.pdf\">report last week from Sen. Ron Wyden\u003c/a>, an Oregon Democrat, showed the biggest known anti-abortion ad campaign directed to people who had been identified as having visited abortion providers.\u003c/p>\n\u003cp>Wyden’s investigation found that the information gathered by a now-defunct data broker called Near Intelligence was used by ads from The Veritas Society, a nonprofit founded by Wisconsin Right to Life. The ads targeted people who visited 600 locations in 48 states from 2019 through 2022. There were more than 14 million ads in Wisconsin alone.\u003c/p>\n\u003cp>Wyden called on the Federal Trade Commission to intervene in the bankruptcy case for Near to make sure the location information collected on Americans is destroyed and not sold to another data broker. He’s also asking the Securities Exchange Commission to investigate whether the company committed securities fraud by making misleading statements to investors about the senator’s investigation.\u003c/p>\n\u003cp>It’s not the first time the issue has come up.\u003c/p>\n\u003cp>\u003ca href=\"https://apnews.com/general-news-33f18b834c104df9b2901ef1bf38ae08\">Massachusetts reached a settlement\u003c/a> in 2017 with an ad agency that ran a similar campaign nearly a decade ago.\u003c/p>\n\u003cp>The \u003ca href=\"https://apnews.com/article/technology-health-idaho-federal-trade-commission-government-and-politics-a9aabfc0d25828bc4951c736aaab617a\">FTC sued one data broker\u003c/a>, Kochava, over similar claims in 2022 in an ongoing case, and settled last month with another, X-Mode Social, and its successor, Outlogic, which the government said sold location data of even users who opted out of such sharing. X-Mode was also found to have sold location data to the U.S. military.\u003c/p>\n\u003cp>In both cases, the FTC relied on a law against unfair or deceptive practices.\u003c/p>\n\u003cp>States are also passing or considering their own laws aimed specifically at protecting sensitive health information.\u003c/p>\n\u003cp>Washington’s Slatter, a Democrat, has worked on digital privacy issues for years, but wasn’t able to get a bill with comprehensive protections adopted in her state.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"Related Stories ","postid":"news_11973441,news_11962088,news_11953205,forum_2010101904752"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>She said things changed when Roe was overturned. She went to a rally in 2022 and heard women talking about deleting period-tracking apps out of fear of how their data could be exploited.\u003c/p>\n\u003cp>When she introduced a health-specific data privacy bill last year, it wasn’t just lawyers and lobbyists testifying; women of all ages and from many walks of life showed up to support it, too.\u003c/p>\n\u003cp>The measure, which bars selling personal health data without a consumer’s consent and prohibits tracking who visits reproductive or sexual health facilities, was adopted with the support of nearly all the state’s Democratic lawmakers and opposition from all the Republicans.\u003c/p>\n\u003cp>Connecticut and Nevada adopted similar laws last year. New York enacted one that bars using tracking around health care facilities.\u003c/p>\n\u003cp>\u003ca href=\"https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=56.10.&lawCode=CIV\">California\u003c/a> and Maryland took another approach, enacting laws that prevent computerized health networks from sharing information about sensitive health care with other providers without consent.\u003c/p>\n\u003cp>“We’re really pushing forward with the free-flowing and seamless exchange of health care data with the intent of having information accessible so that providers can treat the whole person,” said Andrea Frey, a lawyer who represents health care providers and digital health systems. “Conversely, these privacy concerns come into play.”\u003c/p>\n\u003cp>Illinois, which already had a law limiting how health tracking data — measuring heart rates, steps and others — can be shared, adopted a new one last year that took effect Jan. 1 and that bans providing government license plate reading data to law enforcement in states with abortion bans.\u003c/p>\n\u003cp>Bills addressing the issue in some form have been introduced in several states this year, including Hawaii, Illinois, Maine, Maryland, Massachusetts, Missouri, South Carolina and Vermont.\u003c/p>\n\u003cp>In Virginia, legislation that would prohibit the issuance of search warrants, subpoenas or court orders for electronic or digital menstrual health data recently cleared both chambers of the Democratic-controlled General Assembly.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘The next step to enforcing an abortion ban could be accessing menstrual health data, which is why I’m trying to protect that data.’","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Virginia state Sen. Barbara Favola","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Democratic Sen. Barbara Favola said she saw the bill as a necessary precaution when Republican politicians, including Virginia Gov. Glenn Youngkin, have sought restrictions on abortion.\u003c/p>\n\u003cp>“The next step to enforcing an abortion ban could be accessing menstrual health data, which is why I’m trying to protect that data,” Favola said in a committee hearing.\u003c/p>\n\u003cp>Opponents asked whether such data had ever been sought by law enforcement, and Favola responded that she wasn’t aware of a particular example.\u003c/p>\n\u003cp>“It’s just in search of a problem that does not exist,” said Republican Sen. Mark Peake.\u003c/p>\n\u003cp>Youngkin’s administration made it clear he opposed similar legislation last year, but his press office didn’t respond to a request for comment on where he stands on the current version.\u003c/p>\n\u003cp>Sean O’Brien, founder of the Yale Privacy Lab, says there is a problem with the way health information is being used, but he’s not sure laws will be the answer because companies could choose to ignore the potential consequences and continue scooping up and selling sensitive information.\u003c/p>\n\u003cp>“The software supply chain is extremely polluted with location tracking of individuals,” he said.\u003c/p>\n\u003cp>\u003cem>Mulvihill reported from Cherry Hill, New Jersey. Associated Press reporters Frank Bajak in Boston and Sarah Rankin in Richmond, Virginia, contributed to this article.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11976304/state-governments-look-to-protect-health-related-data-as-its-used-in-abortion-battle","authors":["byline_news_11976304"],"categories":["news_6188","news_8"],"tags":["news_866","news_683","news_1859"],"featImg":"news_11976310","label":"news"},"news_11975284":{"type":"posts","id":"news_11975284","meta":{"index":"posts_1591205157","site":"news","id":"11975284","score":null,"sort":[1707588014000]},"guestAuthors":[],"slug":"california-sets-ambitious-goal-to-cap-medical-bills-but-the-health-care-industry-is-pushing-back","title":"California Wants to Cap Medical Bills, but the Health Care Industry Pushes Back","publishDate":1707588014,"format":"standard","headTitle":"California Wants to Cap Medical Bills, but the Health Care Industry Pushes Back | KQED","labelTerm":{"term":18481,"site":"news"},"content":"\u003cp>A new state office charged with controlling the rising cost of health care in California is moving toward one of the most aggressive goals in the nation, aiming to cap cost increases to 3% a year.\u003c/p>\n\u003cp>You might not notice immediately if the Office of Health Care Affordability commits to the tentative goal it released last month and takes steps to enforce it. But, over time, experts say the cap on price increases could make a difference in how much Californians pay for health care.\u003c/p>\n\u003cp>“A 3.0% target places California on the path of a more sustainable, affordable and equitable health care system, slowing the trajectory of growth and improving affordability for all,” the office wrote in its recommendation.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Office of Health Care Affordability\"]‘A 3.0% target places California on the path of a more sustainable, affordable and equitable health care system, slowing the trajectory of growth and improving affordability for all.’[/pullquote]The agency’s announcement immediately drew criticism from health care industry representatives who called it “unrealistic” and “arbitrary.” They contend it could harm patients by reducing access to care if health providers are watching their spending reduce services.\u003c/p>\n\u003cp>Meanwhile, consumer advocates and health economists characterized it as a good first step in the state’s effort to control costs.\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/health/2022/07/rising-health-care-costs/\">Gov. Gavin Newsom established the office\u003c/a> through a provision in the 2022 state budget. Its job is to collect health expenditure data from providers and insurers, analyze it and set limits on spending for the industry.\u003c/p>\n\u003cp>\u003ca href=\"https://www.chcf.org/publication/cost-commissions-eight-states-address-cost-growth/\">Eight other states\u003c/a> have cost benchmarks. At 3%, California’s would be one of the more stringent caps — third only to Connecticut and Nevada.\u003c/p>\n\u003cp>California’s proposed target would allow health care prices and spending to increase but slower than in recent years. Between 2015 and 2020, per capita health spending grew each year by an average of 5.2%, outpacing wages, according to the Office of Health Care Affordability.\u003c/p>\n\u003cp>Health spending in California reached $405 billion in 2020 — that’s $10,299 per person, according to federal data. This includes what private insurers, public programs and individuals pay for direct services and goods, such as hospital and physician care, prescription drugs and medical devices. It does not include the administrative costs of insurance or public health funding.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The office plans to roll out one statewide cap but may eventually create regional and sector-specific targets. Officials said they came up with the 3% figure because that is how much the annual median household income has changed over the last 20 years.\u003c/p>\n\u003cp>“Most importantly, tying to historical median household income growth signals that health care spending should not grow faster than the income of California families,” Vishaal Pegany, deputy director of the Office of Health Care Affordability, said during the most recent board meeting.\u003c/p>\n\u003cp>Providers and entities that fail to meet the proposed benchmark could have to make improvements or face financial penalties. They would not be punished in the program’s first year.\u003c/p>\n\u003cp>The \u003ca href=\"https://hcai.ca.gov/public-meetings/february-health-care-affordability-board-meeting/\">state’s health care affordability board\u003c/a> is scheduled to continue discussions this month and has until June 1 to approve a cost target that would go into effect in 2025 and last through 2029.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://e.infogram.com/d62c39a9-a90d-491d-a17f-680523ba32ad?parent_url=https%3A%2F%2Fcalmatters.org%2Fhealth%2F2024%2F02%2Fhealth-care-costs-cap%2F&src=embed#async_embed\" width=\"800\" height=\"730\" scrolling=\"yes\" class=\"iframe-class\" frameborder=\"0\">\u003c/iframe>\u003c/p>\n\u003ch2>No instant savings on health care costs\u003c/h2>\n\u003cp>Many Californians are struggling with health care costs. \u003ca href=\"https://www.chcf.org/blog/top-takeaways-california-health-policy-poll/#:~:text=Meanwhile%2C%20close%20to%204%20in,racial%20equity%20in%20health%20care.\">Four in 10 Californians have medical debt\u003c/a>, according to the California Health Care Foundation.\u003c/p>\n\u003cp>Data show that people are spending more of their income on health care. A recently published \u003ca href=\"https://laborcenter.berkeley.edu/wp-content/uploads/2024/01/Measuring-Consumer-Affordability-final.pdf\">study by the UC Berkeley Labor Center (PDF)\u003c/a> found that costs like deductibles are becoming more common. In 2002, 33% of private sector workers enrolled in coverage through their jobs had a deductible. By 2022, 77% of workers did.\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"news_11974310,news_11970414,news_11949192\"]The size of those deductibles has grown exponentially. Between 2002 and 2022, deductibles for a single-person plan grew 380% or an average of 8.7% every year, researchers found. Deductibles for family plans grew 332% or 7.8% annually.\u003c/p>\n\u003cp>Consumers will probably not feel a difference immediately because the state’s plan is to slow the growth of health spending and not necessarily reduce it.\u003c/p>\n\u003cp>But over time, it could make a difference. Glenn Melnick, a health economist at the University of Southern California, gives this example: “If I have to pay 25% of my (health insurance) premium, let’s say I get it from work, if my premium goes up more slowly, my contribution will be less.”\u003c/p>\n\u003cp>“What if this target had been in place for the last 10 years?” he said.\u003c/p>\n\u003ch2>California providers criticize cap\u003c/h2>\n\u003cp>Representatives for hospitals and doctors caution that basing the spending cap solely on household income rather than taking into account what it costs them to provide care could result in less access and poorer quality of care for patients.\u003c/p>\n\u003cp>They argue the proposed cap doesn’t take into account things providers have no control over, such as general inflation, rising pharmaceutical costs and natural increases in spending driven by the state’s aging population.\u003c/p>\n\u003cp>“[The office’s] proposed target entirely ignores the drivers of health care spending. In doing so, it would force health care providers to significantly cut back on the care they provide or face penalties,” wrote Ben Johnson, vice president of policy at the California Hospital Association, in a letter to the board.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Ben Johnson, vice president of policy, California Hospital Association\"]‘[The office’s] proposed target entirely ignores the drivers of health care spending. In doing so, it would force health care providers to significantly cut back on the care they provide or face penalties.’[/pullquote]Some industry representatives noted specific access issues, such as narrow provider networks and long wait times, are already a top concern for the public. “A 3% target put in place for five years seems likely to result in wait times increasing,” Janice Rocco, chief of staff at the California Medical Association, said during the board’s recent meeting.\u003c/p>\n\u003cp>Dr. Richard Pan, a Sacramento pediatrician and former state senator who sits on the health care affordability board, said that for the state’s plan to truly work, the office and board would have to nail down the methodology behind the spending target so that the industry groups have confidence in it.\u003c/p>\n\u003cp>“We still have some time; these things need to be thought out,” Pan said. “Not everyone has to agree, but it has to be credible to the people that have to implement it.”\u003c/p>\n\u003cp>Melnick of USC said the industry’s argument that a cost-growth target would harm health access and quality is already an issue with today’s spending levels.\u003c/p>\n\u003cp>“A lot of people put off care because they can’t afford it,” he said. “That’s an access and quality impact.”\u003c/p>\n\u003cp>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that\u003c/em> \u003cem>people have access to the care they need, when they need it, at a price they can afford. Visit \u003c/em>\u003ca href=\"http://www.chcf.org/\">\u003cem>www.chcf.org\u003c/em>\u003c/a>\u003cem> to learn more.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"California’s new Office of Health Care Affordability has a mandate to control price increases and is proposing a 3% cost-increase target that’s among the most aggressive in America. ","status":"publish","parent":0,"modified":1707528174,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":true,"iframeSrcs":["https://e.infogram.com/d62c39a9-a90d-491d-a17f-680523ba32ad"],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":31,"wordCount":1231},"headData":{"title":"California Wants to Cap Medical Bills, but the Health Care Industry Pushes Back | KQED","description":"California’s new Office of Health Care Affordability has a mandate to control price increases and is proposing a 3% cost-increase target that’s among the most aggressive in America. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"California Wants to Cap Medical Bills, but the Health Care Industry Pushes Back","datePublished":"2024-02-10T18:00:14.000Z","dateModified":"2024-02-10T01:22:54.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"sticky":false,"nprByline":"\u003ca href=\"https://calmatters.org/author/anaibarra/\">Ana B. Ibarra\u003c/a>","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11975284/california-sets-ambitious-goal-to-cap-medical-bills-but-the-health-care-industry-is-pushing-back","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>A new state office charged with controlling the rising cost of health care in California is moving toward one of the most aggressive goals in the nation, aiming to cap cost increases to 3% a year.\u003c/p>\n\u003cp>You might not notice immediately if the Office of Health Care Affordability commits to the tentative goal it released last month and takes steps to enforce it. But, over time, experts say the cap on price increases could make a difference in how much Californians pay for health care.\u003c/p>\n\u003cp>“A 3.0% target places California on the path of a more sustainable, affordable and equitable health care system, slowing the trajectory of growth and improving affordability for all,” the office wrote in its recommendation.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘A 3.0% target places California on the path of a more sustainable, affordable and equitable health care system, slowing the trajectory of growth and improving affordability for all.’","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Office of Health Care Affordability","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>The agency’s announcement immediately drew criticism from health care industry representatives who called it “unrealistic” and “arbitrary.” They contend it could harm patients by reducing access to care if health providers are watching their spending reduce services.\u003c/p>\n\u003cp>Meanwhile, consumer advocates and health economists characterized it as a good first step in the state’s effort to control costs.\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/health/2022/07/rising-health-care-costs/\">Gov. Gavin Newsom established the office\u003c/a> through a provision in the 2022 state budget. Its job is to collect health expenditure data from providers and insurers, analyze it and set limits on spending for the industry.\u003c/p>\n\u003cp>\u003ca href=\"https://www.chcf.org/publication/cost-commissions-eight-states-address-cost-growth/\">Eight other states\u003c/a> have cost benchmarks. At 3%, California’s would be one of the more stringent caps — third only to Connecticut and Nevada.\u003c/p>\n\u003cp>California’s proposed target would allow health care prices and spending to increase but slower than in recent years. Between 2015 and 2020, per capita health spending grew each year by an average of 5.2%, outpacing wages, according to the Office of Health Care Affordability.\u003c/p>\n\u003cp>Health spending in California reached $405 billion in 2020 — that’s $10,299 per person, according to federal data. This includes what private insurers, public programs and individuals pay for direct services and goods, such as hospital and physician care, prescription drugs and medical devices. It does not include the administrative costs of insurance or public health funding.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The office plans to roll out one statewide cap but may eventually create regional and sector-specific targets. Officials said they came up with the 3% figure because that is how much the annual median household income has changed over the last 20 years.\u003c/p>\n\u003cp>“Most importantly, tying to historical median household income growth signals that health care spending should not grow faster than the income of California families,” Vishaal Pegany, deputy director of the Office of Health Care Affordability, said during the most recent board meeting.\u003c/p>\n\u003cp>Providers and entities that fail to meet the proposed benchmark could have to make improvements or face financial penalties. They would not be punished in the program’s first year.\u003c/p>\n\u003cp>The \u003ca href=\"https://hcai.ca.gov/public-meetings/february-health-care-affordability-board-meeting/\">state’s health care affordability board\u003c/a> is scheduled to continue discussions this month and has until June 1 to approve a cost target that would go into effect in 2025 and last through 2029.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://e.infogram.com/d62c39a9-a90d-491d-a17f-680523ba32ad?parent_url=https%3A%2F%2Fcalmatters.org%2Fhealth%2F2024%2F02%2Fhealth-care-costs-cap%2F&src=embed#async_embed\" width=\"800\" height=\"730\" scrolling=\"yes\" class=\"iframe-class\" frameborder=\"0\">\u003c/iframe>\u003c/p>\n\u003ch2>No instant savings on health care costs\u003c/h2>\n\u003cp>Many Californians are struggling with health care costs. \u003ca href=\"https://www.chcf.org/blog/top-takeaways-california-health-policy-poll/#:~:text=Meanwhile%2C%20close%20to%204%20in,racial%20equity%20in%20health%20care.\">Four in 10 Californians have medical debt\u003c/a>, according to the California Health Care Foundation.\u003c/p>\n\u003cp>Data show that people are spending more of their income on health care. A recently published \u003ca href=\"https://laborcenter.berkeley.edu/wp-content/uploads/2024/01/Measuring-Consumer-Affordability-final.pdf\">study by the UC Berkeley Labor Center (PDF)\u003c/a> found that costs like deductibles are becoming more common. In 2002, 33% of private sector workers enrolled in coverage through their jobs had a deductible. By 2022, 77% of workers did.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"Related Stories ","postid":"news_11974310,news_11970414,news_11949192"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>The size of those deductibles has grown exponentially. Between 2002 and 2022, deductibles for a single-person plan grew 380% or an average of 8.7% every year, researchers found. Deductibles for family plans grew 332% or 7.8% annually.\u003c/p>\n\u003cp>Consumers will probably not feel a difference immediately because the state’s plan is to slow the growth of health spending and not necessarily reduce it.\u003c/p>\n\u003cp>But over time, it could make a difference. Glenn Melnick, a health economist at the University of Southern California, gives this example: “If I have to pay 25% of my (health insurance) premium, let’s say I get it from work, if my premium goes up more slowly, my contribution will be less.”\u003c/p>\n\u003cp>“What if this target had been in place for the last 10 years?” he said.\u003c/p>\n\u003ch2>California providers criticize cap\u003c/h2>\n\u003cp>Representatives for hospitals and doctors caution that basing the spending cap solely on household income rather than taking into account what it costs them to provide care could result in less access and poorer quality of care for patients.\u003c/p>\n\u003cp>They argue the proposed cap doesn’t take into account things providers have no control over, such as general inflation, rising pharmaceutical costs and natural increases in spending driven by the state’s aging population.\u003c/p>\n\u003cp>“[The office’s] proposed target entirely ignores the drivers of health care spending. In doing so, it would force health care providers to significantly cut back on the care they provide or face penalties,” wrote Ben Johnson, vice president of policy at the California Hospital Association, in a letter to the board.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘[The office’s] proposed target entirely ignores the drivers of health care spending. In doing so, it would force health care providers to significantly cut back on the care they provide or face penalties.’","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Ben Johnson, vice president of policy, California Hospital Association","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Some industry representatives noted specific access issues, such as narrow provider networks and long wait times, are already a top concern for the public. “A 3% target put in place for five years seems likely to result in wait times increasing,” Janice Rocco, chief of staff at the California Medical Association, said during the board’s recent meeting.\u003c/p>\n\u003cp>Dr. Richard Pan, a Sacramento pediatrician and former state senator who sits on the health care affordability board, said that for the state’s plan to truly work, the office and board would have to nail down the methodology behind the spending target so that the industry groups have confidence in it.\u003c/p>\n\u003cp>“We still have some time; these things need to be thought out,” Pan said. “Not everyone has to agree, but it has to be credible to the people that have to implement it.”\u003c/p>\n\u003cp>Melnick of USC said the industry’s argument that a cost-growth target would harm health access and quality is already an issue with today’s spending levels.\u003c/p>\n\u003cp>“A lot of people put off care because they can’t afford it,” he said. “That’s an access and quality impact.”\u003c/p>\n\u003cp>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that\u003c/em> \u003cem>people have access to the care they need, when they need it, at a price they can afford. Visit \u003c/em>\u003ca href=\"http://www.chcf.org/\">\u003cem>www.chcf.org\u003c/em>\u003c/a>\u003cem> to learn more.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11975284/california-sets-ambitious-goal-to-cap-medical-bills-but-the-health-care-industry-is-pushing-back","authors":["byline_news_11975284"],"categories":["news_457","news_8"],"tags":["news_27626","news_25015","news_683","news_1054"],"affiliates":["news_18481"],"featImg":"news_11975288","label":"news_18481"},"news_11974310":{"type":"posts","id":"news_11974310","meta":{"index":"posts_1591205157","site":"news","id":"11974310","score":null,"sort":[1706742489000]},"guestAuthors":[],"slug":"covered-californias-enrollment-deadline-now-extended-to-feb-9","title":"Covered California's Enrollment Deadline Now Extended to Feb. 9","publishDate":1706742489,"format":"standard","headTitle":"Covered California’s Enrollment Deadline Now Extended to Feb. 9 | KQED","labelTerm":{"site":"news"},"content":"\u003cp>The deadline to enroll in a health care plan through Covered California — \u003ca href=\"https://www.coveredca.com/\">the state’s health insurance marketplace that offers hundreds of low-cost coverage plans\u003c/a> — has been extended until Friday, Feb. 9.\u003c/p>\n\u003cp>Previously, the deadline to sign up for a plan was Wednesday, Jan. 31.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Jessica Altman, executive director, Covered California\"]‘We want any Californian who needs health insurance to have the opportunity to get covered for the rest of 2024, and extending the open-enrollment period will ensure they have the time they need.’[/pullquote]State officials made the announcement \u003ca href=\"https://www.coveredca.com/newsroom/news-releases/2024/01/31/\">through a press release on Wednesday\u003c/a>, explaining that Covered California’s service center was recently taken offline in response to a cybersecurity incident that affected the third-party vendor that supports its phone lines. Many residents who tried to sign up for a health care plan by calling the service center experienced long wait times, the release said, which also noted that “at this time,” there was no indication that any members’ personal information was compromised.\u003c/p>\n\u003cp>“We want any Californian who needs health insurance to have the opportunity to get covered for the rest of 2024, and extending the open-enrollment period will ensure they have the time they need,” Covered California Executive Director Jessica Altman said.\u003c/p>\n\u003ch2>Ways to sign up\u003c/h2>\n\u003cp>Consumers have several ways to find a health care plan — not just over the phone. One option is visiting Covered California’s website at \u003ca href=\"https://www.coveredca.com/\">coveredca.com\u003c/a>.\u003c/p>\n\u003cp>If your job doesn’t provide health insurance and you don’t qualify for Medi-Cal, you may be eligible for a Covered California plan. Thanks to a mix of federal and state subsidies, many plans offer monthly premiums under $30.\u003c/p>\n\u003cp>If you are undocumented, you can also look for an insurance plan through Covered California — but you’ll have to meet the income requirements for Medi-Cal.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>California is one of two states \u003ca href=\"https://www.coveredca.com/learning-center/tax-penalty-details-and-exemptions/penalty/\">that requires residents to pay a penalty if uninsured\u003c/a>. The penalty for not having coverage the entire year would be at least $900 per adult when you file taxes this year. If you have a child under 18 that is dependent on you, that’s an additional $450 per kid.\u003c/p>\n\u003ch2>An increase in enrollment\u003c/h2>\n\u003cp>More than 243,000 people have already signed up this enrollment period, state officials said — \u003ca href=\"https://www.coveredca.com/newsroom/news-releases/2024/01/25/end-of-oe/\">a 13% increase from last year\u003c/a>. California already boasts one of the lowest uninsured rates in the country, with only 6.2% of non-elderly Californians lacking health insurance, \u003ca href=\"https://www.chcf.org/publication/california-achieves-lowest-uninsured-rate-ever-2022/\">according to a 2023 report from the California Health Care Foundation\u003c/a>. When the state launched its insurance marketplace in 2013, \u003ca href=\"https://calbudgetcenter.org/resources/continuing-the-path-towards-universal-health-coverage-in-california/#:~:text=The%20percentage%20of%20Californians%20without,uninsured%20rate%20was%20over%2017%25.\">the uninsured rate was around 17%\u003c/a>.\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"news_11949192,news_11956545,news_11961980\"]The nation’s top health official, United States Health and Human Services Secretary Xavier Becerra, visited San Francisco on Tuesday to mark these new figures, and offered uninsured Californians a last push of encouragement to apply to Covered California (before the deadline extension was then announced on Wednesday).\u003c/p>\n\u003cp>“My mother would always say, \u003cem>mejor prevenir que remediar\u003c/em> — better to prevent than to remediate an illness,” Becerra said. “Health care insurance helps you prevent your children from becoming ill. If you don’t have insurance, you wait till they’re so ill they have to go to the hospital.”\u003c/p>\n\u003cp>At the national level, 21.3 million people nationwide enrolled in a health care plan this year through the Affordable Care Act (ACA) marketplaces. Many are receiving subsidies for their plans owing to the Inflation Reduction Act that Congress passed in 2022, and Becerra said he hoped Congress would vote to keep those subsidies in place.\u003c/p>\n\u003cp>Despite multiple attempts by Congressional Republicans each year to repeal ACA — also known as Obamacare — marketplaces have only grown since the health care law passed in 2010. “There was talk that when the Affordable Care Act launched, insurers would not buy in because it wouldn’t be a profitable enterprise for them,” Becerra said.\u003c/p>\n\u003cp>“Well, they’re in. Now what’s happening is they’re offering a panoply of plans; it’s tough to figure out which one is good for you,” he added.\u003c/p>\n\u003cp>“So we’re going to move more towards requiring the plans [to] provide some standardization, so people can make some good guesses about what might be good for them,” Becerra said.\u003c/p>\n\u003cp>\u003c/p>\n","blocks":[],"excerpt":"The deadline for Covered California health care enrollment was extended to give Californians 'the time they need,' Covered California Executive Director Jessica Altman said.","status":"publish","parent":0,"modified":1706742489,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":17,"wordCount":764},"headData":{"title":"Covered California's Enrollment Deadline Now Extended to Feb. 9 | KQED","description":"The deadline for Covered California health care enrollment was extended to give Californians 'the time they need,' Covered California Executive Director Jessica Altman said.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Covered California's Enrollment Deadline Now Extended to Feb. 9","datePublished":"2024-01-31T23:08:09.000Z","dateModified":"2024-01-31T23:08:09.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"sticky":false,"excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11974310/covered-californias-enrollment-deadline-now-extended-to-feb-9","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The deadline to enroll in a health care plan through Covered California — \u003ca href=\"https://www.coveredca.com/\">the state’s health insurance marketplace that offers hundreds of low-cost coverage plans\u003c/a> — has been extended until Friday, Feb. 9.\u003c/p>\n\u003cp>Previously, the deadline to sign up for a plan was Wednesday, Jan. 31.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘We want any Californian who needs health insurance to have the opportunity to get covered for the rest of 2024, and extending the open-enrollment period will ensure they have the time they need.’","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Jessica Altman, executive director, Covered California","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>State officials made the announcement \u003ca href=\"https://www.coveredca.com/newsroom/news-releases/2024/01/31/\">through a press release on Wednesday\u003c/a>, explaining that Covered California’s service center was recently taken offline in response to a cybersecurity incident that affected the third-party vendor that supports its phone lines. Many residents who tried to sign up for a health care plan by calling the service center experienced long wait times, the release said, which also noted that “at this time,” there was no indication that any members’ personal information was compromised.\u003c/p>\n\u003cp>“We want any Californian who needs health insurance to have the opportunity to get covered for the rest of 2024, and extending the open-enrollment period will ensure they have the time they need,” Covered California Executive Director Jessica Altman said.\u003c/p>\n\u003ch2>Ways to sign up\u003c/h2>\n\u003cp>Consumers have several ways to find a health care plan — not just over the phone. One option is visiting Covered California’s website at \u003ca href=\"https://www.coveredca.com/\">coveredca.com\u003c/a>.\u003c/p>\n\u003cp>If your job doesn’t provide health insurance and you don’t qualify for Medi-Cal, you may be eligible for a Covered California plan. Thanks to a mix of federal and state subsidies, many plans offer monthly premiums under $30.\u003c/p>\n\u003cp>If you are undocumented, you can also look for an insurance plan through Covered California — but you’ll have to meet the income requirements for Medi-Cal.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>California is one of two states \u003ca href=\"https://www.coveredca.com/learning-center/tax-penalty-details-and-exemptions/penalty/\">that requires residents to pay a penalty if uninsured\u003c/a>. The penalty for not having coverage the entire year would be at least $900 per adult when you file taxes this year. If you have a child under 18 that is dependent on you, that’s an additional $450 per kid.\u003c/p>\n\u003ch2>An increase in enrollment\u003c/h2>\n\u003cp>More than 243,000 people have already signed up this enrollment period, state officials said — \u003ca href=\"https://www.coveredca.com/newsroom/news-releases/2024/01/25/end-of-oe/\">a 13% increase from last year\u003c/a>. California already boasts one of the lowest uninsured rates in the country, with only 6.2% of non-elderly Californians lacking health insurance, \u003ca href=\"https://www.chcf.org/publication/california-achieves-lowest-uninsured-rate-ever-2022/\">according to a 2023 report from the California Health Care Foundation\u003c/a>. When the state launched its insurance marketplace in 2013, \u003ca href=\"https://calbudgetcenter.org/resources/continuing-the-path-towards-universal-health-coverage-in-california/#:~:text=The%20percentage%20of%20Californians%20without,uninsured%20rate%20was%20over%2017%25.\">the uninsured rate was around 17%\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"Related Stories ","postid":"news_11949192,news_11956545,news_11961980"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>The nation’s top health official, United States Health and Human Services Secretary Xavier Becerra, visited San Francisco on Tuesday to mark these new figures, and offered uninsured Californians a last push of encouragement to apply to Covered California (before the deadline extension was then announced on Wednesday).\u003c/p>\n\u003cp>“My mother would always say, \u003cem>mejor prevenir que remediar\u003c/em> — better to prevent than to remediate an illness,” Becerra said. “Health care insurance helps you prevent your children from becoming ill. If you don’t have insurance, you wait till they’re so ill they have to go to the hospital.”\u003c/p>\n\u003cp>At the national level, 21.3 million people nationwide enrolled in a health care plan this year through the Affordable Care Act (ACA) marketplaces. Many are receiving subsidies for their plans owing to the Inflation Reduction Act that Congress passed in 2022, and Becerra said he hoped Congress would vote to keep those subsidies in place.\u003c/p>\n\u003cp>Despite multiple attempts by Congressional Republicans each year to repeal ACA — also known as Obamacare — marketplaces have only grown since the health care law passed in 2010. “There was talk that when the Affordable Care Act launched, insurers would not buy in because it wouldn’t be a profitable enterprise for them,” Becerra said.\u003c/p>\n\u003cp>“Well, they’re in. Now what’s happening is they’re offering a panoply of plans; it’s tough to figure out which one is good for you,” he added.\u003c/p>\n\u003cp>“So we’re going to move more towards requiring the plans [to] provide some standardization, so people can make some good guesses about what might be good for them,” Becerra said.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11974310/covered-californias-enrollment-deadline-now-extended-to-feb-9","authors":["11708"],"categories":["news_457","news_8"],"tags":["news_5164","news_27626","news_683","news_1054"],"featImg":"news_11974380","label":"news"},"news_11973562":{"type":"posts","id":"news_11973562","meta":{"index":"posts_1591205157","site":"news","id":"11973562","score":null,"sort":[1706144405000]},"guestAuthors":[],"slug":"bay-area-health-care-workers-protest-arms-sales-to-israel","title":"Bay Area Health Care Workers Protest Arms Sales to Israel","publishDate":1706144405,"format":"standard","headTitle":"Bay Area Health Care Workers Protest Arms Sales to Israel | KQED","labelTerm":{"site":"news"},"content":"\u003cp>Bay Area health care workers rallied outside the San Leandro facility of military contractor L3Harris on Wednesday. About 200 nurses, pediatricians, psychiatrists and other doctors and activists gathered to protest what they call “war profiteering” by the company, which has provided surveillance technologies to Israel for years and whose components are used in missiles, warplanes and tanks.\u003c/p>\n\u003cp>“We are here today in front of L3Harris because we know with certainty that they are complicit in mass civilian casualties,” said Dr. Nida Bajwa, a family medicine doctor at San Francisco General Hospital.\u003c/p>\n\u003cp>Protesters pointed to “joint direct attack munitions,” or JDAMs, which Boeing manufactures with components from L3Harris. In a \u003ca href=\"https://www.amnesty.org/en/latest/news/2023/12/israel-opt-us-made-munitions-killed-43-civilians-in-two-documented-israeli-air-strikes-in-gaza-new-investigation/\">December report from Amnesty International\u003c/a>, these weapons were linked to “two deadly, unlawful air strikes on homes full of civilians” in Gaza on Oct. 10 and Oct. 22 that killed 43 people, including 19 children.\u003c/p>\n\u003cfigure id=\"attachment_11973553\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11973553\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-06-KQED.jpg\" alt=\"Healthcare workers rally in front of the L3 Harris office in San Leandro on Jan. 24, 2024.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-06-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-06-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-06-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-06-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-06-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-06-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Health care workers rally in front of the L3Harris office in San Leandro on Jan. 24, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Joint direct attack munitions are essentially an upgrade that converts unguided “dumb” bombs into precision-guided “smart” bombs. Protesters said this technology is being used to target hospitals and other vital civilian infrastructure in the Gaza Strip.\u003c/p>\n\u003cp>L3Harris did not respond to requests for comment.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Jess Ghannam, clinical professor of psychiatry, UCSF\"]‘We stand against the destruction of any health care facility, any hospital, the killing of any doctor, any nurse. For me, it’s personal because my colleagues, my friends, my peers have been killed in Gaza.’[/pullquote]“We stand against the destruction of any health care facility, any hospital, the killing of any doctor, any nurse,” said Jess Ghannam, a Palestinian American clinical professor of psychiatry at UCSF who has worked in Gaza for decades. “For me, it’s personal because my colleagues, my friends, my peers have been killed in Gaza.”\u003c/p>\n\u003cp>Since Oct. 7, at least 300 health care workers have died as a result of Israeli strikes in Gaza, \u003ca href=\"https://www.ochaopt.org/content/hostilities-gaza-strip-and-israel-reported-impact-day-68\">according to the United Nations\u003c/a>. A shortage of medical supplies has left doctors to perform surgeries and amputations without anesthesia or adequate sanitation.\u003c/p>\n\u003cp>“Mothers in Gaza are being forced to choose between risking their lives going to an already overwhelmed health care system or giving birth in the streets amidst rubble,” said Dr. Saba Ali, a pediatrician at UCSF. “In hospitals, mothers are undergoing cesarean sections without anesthesia, and at times without electricity. Some are being \u003ca href=\"https://news.un.org/en/story/2024/01/1145677\">discharged as early as three hours after giving birth\u003c/a> because health care facilities don’t have enough beds.”\u003c/p>\n\u003cfigure id=\"attachment_11973554\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11973554\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-07-KQED.jpg\" alt=\"Jess Ghannam speaks at a rally of healthcare workers in front of the L3 Harris office in San Leandro on Jan. 24, 2024.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-07-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-07-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-07-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-07-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-07-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-07-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Jess Ghannam speaks at a rally of health care workers in front of the L3Harris office in San Leandro on Jan. 24, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In northern Gaza, seven out of 24 hospitals remain partially functional, and in southern Gaza, seven of 12 hospitals are partially functional, according to the World Health Organization.\u003c/p>\n\u003cp>Outside L3Harris, protesters painted the sidewalk with the words “war profiteer.” A \u003ca href=\"https://www.l3harris.com/sites/default/files/2023-12/LHX_InvestorDay_ExecutivePresentations_Final.pdf\">Dec. 12 report\u003c/a> for L3Harris investors stated that there was “increased demand for missiles driven by Ukraine (and) Israel.”\u003c/p>\n\u003cp>“A 2,000-pound bomb, somehow smart, dropped in the most densely populated area on the planet,” Ghannam said. “L3Harris has blood on its hands, it’s complicit, it’s culpable.”\u003c/p>\n\u003cfigure id=\"attachment_11973555\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11973555\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-08-KQED.jpg\" alt=\"Rally-goers raise their fists in support of Gaza in front of the L3 Harris office in San Leandro on Jan. 24, 2024.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-08-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-08-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-08-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-08-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-08-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-08-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Rallygoers raise their fists in support of Gaza in front of the L3Harris office in San Leandro on Jan. 24, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At the entrance to the facility, protesters hung banners that read “Stop Bombing Hospitals” and “Genocide Manufactured Here.” On a clothesline hung light blue scrubs, each printed with the name of a health care worker who died in Gaza. Between protesters speaking, they played audio clips of doctors in Gaza that described hospital walls shaking from nearby bombardment, airstrikes on hospitals killing patients and doctors and an operating room ceiling collapsing after an explosion.\u003c/p>\n\u003cp>Protest organizers said 200 employees left the facility by early afternoon, and operations were halted for the day.\u003c/p>\n\u003cfigure id=\"attachment_11973556\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11973556\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-09-KQED.jpg\" alt=\"The names of healthcare workers killed in Gaza are printed on scrubs hung in front of the L3 Harris office in San Leandro on Jan. 24, 2024.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-09-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-09-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-09-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-09-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-09-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-09-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The names of health care workers killed in Gaza are printed on scrubs hung in front of the L3Harris office in San Leandro on Jan. 24, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In another protest on Wednesday, nearly 50 students rallied at a meeting of UC regents at the UCSF Mission Bay Campus in San Francisco, calling on the university system to divest from companies they say are profiting from the war in Gaza.\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"news_11972100,news_11971593,forum_2010101904469\"]Yara Kaadan, political director for Students for Justice in Palestine at UC Davis, said her campus has financial contracts with RTX (formerly Raytheon Technologies), which manufactures and sells weapons and military technology.\u003c/p>\n\u003cp>“We want this academic institution to invest its money in the community and education, not through war or the occupation of anybody in the Global South or the Middle East,” Kaadan said.\u003c/p>\n\u003cp>Kaadan also said the coalition was protesting \u003ca href=\"https://regents.universityofcalifornia.edu/regmeet/jan24/jointacadaudit.pdf\">item J3 on the UC Board of Regents’ agenda\u003c/a>, which she said, “seeks to ban any department or organization under UC jurisdiction from releasing any political statements that quote-unquote, go against UC values.”\u003c/p>\n\u003cp>“I think this is a huge violation of the First Amendment,” Kaadan said. “\u003cb>\u003c/b>People should be allowed to have political discourse within the system and have political agreements that don’t always align with the people who are in charge.”\u003c/p>\n\u003cp>The UC regents did not immediately respond to a request for comment.\u003c/p>\n\u003cp>\u003cem>KQED’s Madi Bolaños contributed reporting to this story.\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n","blocks":[],"excerpt":"Hundreds of health care workers chanted 'stop bombing hospitals' at the protest in San Leandro outside L3Harris, a defense manufacturer that builds components for precision weapons sold to Israel. ","status":"publish","parent":0,"modified":1706904667,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":22,"wordCount":964},"headData":{"title":"Bay Area Health Care Workers Protest Arms Sales to Israel | KQED","description":"Hundreds of health care workers chanted 'stop bombing hospitals' at the protest in San Leandro outside L3Harris, a defense manufacturer that builds components for precision weapons sold to Israel. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Bay Area Health Care Workers Protest Arms Sales to Israel","datePublished":"2024-01-25T01:00:05.000Z","dateModified":"2024-02-02T20:11:07.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"sticky":false,"excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11973562/bay-area-health-care-workers-protest-arms-sales-to-israel","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Bay Area health care workers rallied outside the San Leandro facility of military contractor L3Harris on Wednesday. About 200 nurses, pediatricians, psychiatrists and other doctors and activists gathered to protest what they call “war profiteering” by the company, which has provided surveillance technologies to Israel for years and whose components are used in missiles, warplanes and tanks.\u003c/p>\n\u003cp>“We are here today in front of L3Harris because we know with certainty that they are complicit in mass civilian casualties,” said Dr. Nida Bajwa, a family medicine doctor at San Francisco General Hospital.\u003c/p>\n\u003cp>Protesters pointed to “joint direct attack munitions,” or JDAMs, which Boeing manufactures with components from L3Harris. In a \u003ca href=\"https://www.amnesty.org/en/latest/news/2023/12/israel-opt-us-made-munitions-killed-43-civilians-in-two-documented-israeli-air-strikes-in-gaza-new-investigation/\">December report from Amnesty International\u003c/a>, these weapons were linked to “two deadly, unlawful air strikes on homes full of civilians” in Gaza on Oct. 10 and Oct. 22 that killed 43 people, including 19 children.\u003c/p>\n\u003cfigure id=\"attachment_11973553\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11973553\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-06-KQED.jpg\" alt=\"Healthcare workers rally in front of the L3 Harris office in San Leandro on Jan. 24, 2024.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-06-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-06-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-06-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-06-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-06-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-06-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Health care workers rally in front of the L3Harris office in San Leandro on Jan. 24, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Joint direct attack munitions are essentially an upgrade that converts unguided “dumb” bombs into precision-guided “smart” bombs. Protesters said this technology is being used to target hospitals and other vital civilian infrastructure in the Gaza Strip.\u003c/p>\n\u003cp>L3Harris did not respond to requests for comment.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘We stand against the destruction of any health care facility, any hospital, the killing of any doctor, any nurse. For me, it’s personal because my colleagues, my friends, my peers have been killed in Gaza.’","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Jess Ghannam, clinical professor of psychiatry, UCSF","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>“We stand against the destruction of any health care facility, any hospital, the killing of any doctor, any nurse,” said Jess Ghannam, a Palestinian American clinical professor of psychiatry at UCSF who has worked in Gaza for decades. “For me, it’s personal because my colleagues, my friends, my peers have been killed in Gaza.”\u003c/p>\n\u003cp>Since Oct. 7, at least 300 health care workers have died as a result of Israeli strikes in Gaza, \u003ca href=\"https://www.ochaopt.org/content/hostilities-gaza-strip-and-israel-reported-impact-day-68\">according to the United Nations\u003c/a>. A shortage of medical supplies has left doctors to perform surgeries and amputations without anesthesia or adequate sanitation.\u003c/p>\n\u003cp>“Mothers in Gaza are being forced to choose between risking their lives going to an already overwhelmed health care system or giving birth in the streets amidst rubble,” said Dr. Saba Ali, a pediatrician at UCSF. “In hospitals, mothers are undergoing cesarean sections without anesthesia, and at times without electricity. Some are being \u003ca href=\"https://news.un.org/en/story/2024/01/1145677\">discharged as early as three hours after giving birth\u003c/a> because health care facilities don’t have enough beds.”\u003c/p>\n\u003cfigure id=\"attachment_11973554\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11973554\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-07-KQED.jpg\" alt=\"Jess Ghannam speaks at a rally of healthcare workers in front of the L3 Harris office in San Leandro on Jan. 24, 2024.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-07-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-07-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-07-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-07-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-07-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-07-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Jess Ghannam speaks at a rally of health care workers in front of the L3Harris office in San Leandro on Jan. 24, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In northern Gaza, seven out of 24 hospitals remain partially functional, and in southern Gaza, seven of 12 hospitals are partially functional, according to the World Health Organization.\u003c/p>\n\u003cp>Outside L3Harris, protesters painted the sidewalk with the words “war profiteer.” A \u003ca href=\"https://www.l3harris.com/sites/default/files/2023-12/LHX_InvestorDay_ExecutivePresentations_Final.pdf\">Dec. 12 report\u003c/a> for L3Harris investors stated that there was “increased demand for missiles driven by Ukraine (and) Israel.”\u003c/p>\n\u003cp>“A 2,000-pound bomb, somehow smart, dropped in the most densely populated area on the planet,” Ghannam said. “L3Harris has blood on its hands, it’s complicit, it’s culpable.”\u003c/p>\n\u003cfigure id=\"attachment_11973555\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11973555\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-08-KQED.jpg\" alt=\"Rally-goers raise their fists in support of Gaza in front of the L3 Harris office in San Leandro on Jan. 24, 2024.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-08-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-08-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-08-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-08-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-08-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-08-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Rallygoers raise their fists in support of Gaza in front of the L3Harris office in San Leandro on Jan. 24, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At the entrance to the facility, protesters hung banners that read “Stop Bombing Hospitals” and “Genocide Manufactured Here.” On a clothesline hung light blue scrubs, each printed with the name of a health care worker who died in Gaza. Between protesters speaking, they played audio clips of doctors in Gaza that described hospital walls shaking from nearby bombardment, airstrikes on hospitals killing patients and doctors and an operating room ceiling collapsing after an explosion.\u003c/p>\n\u003cp>Protest organizers said 200 employees left the facility by early afternoon, and operations were halted for the day.\u003c/p>\n\u003cfigure id=\"attachment_11973556\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11973556\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-09-KQED.jpg\" alt=\"The names of healthcare workers killed in Gaza are printed on scrubs hung in front of the L3 Harris office in San Leandro on Jan. 24, 2024.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-09-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-09-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-09-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-09-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-09-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240124-HEALTCARE-GAZA-RALLY-MD-09-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The names of health care workers killed in Gaza are printed on scrubs hung in front of the L3Harris office in San Leandro on Jan. 24, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In another protest on Wednesday, nearly 50 students rallied at a meeting of UC regents at the UCSF Mission Bay Campus in San Francisco, calling on the university system to divest from companies they say are profiting from the war in Gaza.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"Related Stories ","postid":"news_11972100,news_11971593,forum_2010101904469"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Yara Kaadan, political director for Students for Justice in Palestine at UC Davis, said her campus has financial contracts with RTX (formerly Raytheon Technologies), which manufactures and sells weapons and military technology.\u003c/p>\n\u003cp>“We want this academic institution to invest its money in the community and education, not through war or the occupation of anybody in the Global South or the Middle East,” Kaadan said.\u003c/p>\n\u003cp>Kaadan also said the coalition was protesting \u003ca href=\"https://regents.universityofcalifornia.edu/regmeet/jan24/jointacadaudit.pdf\">item J3 on the UC Board of Regents’ agenda\u003c/a>, which she said, “seeks to ban any department or organization under UC jurisdiction from releasing any political statements that quote-unquote, go against UC values.”\u003c/p>\n\u003cp>“I think this is a huge violation of the First Amendment,” Kaadan said. “\u003cb>\u003c/b>People should be allowed to have political discourse within the system and have political agreements that don’t always align with the people who are in charge.”\u003c/p>\n\u003cp>The UC regents did not immediately respond to a request for comment.\u003c/p>\n\u003cp>\u003cem>KQED’s Madi Bolaños contributed reporting to this story.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11973562/bay-area-health-care-workers-protest-arms-sales-to-israel","authors":["11896"],"categories":["news_8"],"tags":["news_27626","news_6631","news_683","news_18659","news_745"],"featImg":"news_11973559","label":"news"},"news_11971102":{"type":"posts","id":"news_11971102","meta":{"index":"posts_1591205157","site":"news","id":"11971102","score":null,"sort":[1703880035000]},"guestAuthors":[],"slug":"california-becomes-first-state-to-offer-health-insurance-to-all-eligible-undocumented-adults","title":"California Will Soon Be First State to Offer Health Insurance to Eligible Undocumented Adults","publishDate":1703880035,"format":"standard","headTitle":"California Will Soon Be First State to Offer Health Insurance to Eligible Undocumented Adults | KQED","labelTerm":{"term":18481,"site":"news"},"content":"\u003cp>\u003cem>Lea este artículo en \u003ca href=\"https://calmatters.org/calmatters-en-espanol/2023/12/california-se-convierte-en-el-primer-estado-en-ofrecer-seguro-medico-a-todos-los-adultos-indocumentados-elegibles/\">español\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>Perla Lopez hands a stack of papers to Baudeilio, a 44-year-old undocumented immigrant and day laborer. She has just helped him apply for Medi-Cal at the benefits center at St. John’s Community Health in South Los Angeles.\u003c/p>\n\u003cp>“If you see anything you don’t understand from the county, come back here,” Lopez tells Baudeilio in Spanish.\u003c/p>\n\u003cp>The application takes less than 20 minutes. The paperwork, though brief, marks a major milestone in California’s decades-long expansion of health care for undocumented immigrants.\u003c/p>\n\u003cp>Beginning Jan. 1, for the first time, undocumented immigrants of all ages will qualify for Medi-Cal, the state’s health insurance program for extremely low-income people. It makes \u003ca href=\"https://www.kff.org/racial-equity-and-health-policy/fact-sheet/key-facts-on-health-coverage-of-immigrants/\" target=\"_blank\" rel=\"noreferrer noopener\">California the only state\u003c/a> to fund comprehensive health care for undocumented immigrants.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Baudeilio, who has been denied coverage before and asked that his last name not be published to protect him from immigration authorities, will join more than 700,000 undocumented immigrants between the ages of 26 and 49 who will become eligible for Medi-Cal as part of the state’s final expansion of the program — the realization of a long-awaited dream for Californians without legal status.\u003c/p>\n\u003cp>“This is the culmination of literally decades of work, and it’s huge,” said Sarah Dar, policy director for the California Immigrant Policy Center. “It’s huge because of all the work and effort and advocacy that went into making this possible, and it’s also huge because of the impact that it’s going to have.”\u003c/p>\n\u003cp>Gov. Gavin Newsom and the state’s Democratic-led Legislature have committed more than $4 billion annually to the Medi-Cal expansion. \u003ca href=\"https://ebudget.ca.gov/2022-23/pdf/Enacted/BudgetSummary/HealthandHumanServices.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Newsom’s 2022 budget\u003c/a> made the latest expansion possible, and though the state is now headed into a \u003ca href=\"https://calmatters.org/politics/2023/12/budget-deficit-california/\" target=\"_blank\" rel=\"noreferrer noopener\">$68 billion deficit\u003c/a>, advocates said the positive impact Medi-Cal will have on individual health is priceless.[aside label=\"more Medi-cal-coverage\" tag=\"medi-cal\"]The change resonates deeply with Lopez, who is herself undocumented and eligible to work through the Deferred Action for Childhood Arrivals program.\u003c/p>\n\u003cp>Last year, when the state \u003ca href=\"https://calmatters.org/health/2022/02/medi-cal-expansion-immigrants/\" target=\"_blank\" rel=\"noreferrer noopener\">expanded Medi-Cal to older immigrants over 50\u003c/a>, Lopez’s mother was finally able to get medication and blood testing equipment for her diabetes. This year, surrounded by tinsel and other Christmas decorations in her brightly lit office, Lopez is happy she gets to deliver good news to undocumented patients.\u003c/p>\n\u003cp>“It really touches me,” she said. “It’s a stressor we take away from them. … For people with health issues, Medi-Cal really makes a difference.”\u003c/p>\n\u003cp>The clinic where Lopez works estimates about 13,000 of its patients will become eligible for Medi-Cal in the new year. They’re part of the largest group in California’s ambitious plan to close the insurance gap. Los Angeles County alone accounts for roughly half of the enrollees who are expected to qualify for Medi-Cal.\u003c/p>\n\u003cp>“It’s an exciting moment for our patients as well as for us,” said Annie Uraga, benefits counselor coordinator at St. John’s Community Health. “They’re ready. Many of them are in need or waiting for specialist visits.”\u003c/p>\n\u003ch2>California’s health insurance expansion\u003c/h2>\n\u003cp>The final expansion comes nine years after then-Gov. Jerry Brown signed the 2015 law making undocumented children eligible for state insurance, and it is due to the efforts of advocates trekking to the Capitol to plead their case.\u003c/p>\n\u003cp>“When we talk to people who are impacted by this, the difference it makes in their lives is something that truly numbers and words cannot even describe,” Dar, with the California Immigrant Policy Center, said. “In many cases, people have lived for decades without any kind of health care whatsoever.”\u003c/p>\n\u003cp>Full-scope Medi-Cal, which offers access to primary and preventive care, specialists, pharmaceuticals, and other wraparound services, will change lives, Dar said. California does not share immigration information with federal authorities, and enrolling in Medi-Cal will not threaten chances to pursue legal residency.\u003c/p>\n\u003cp>The California Immigrant Policy Center and consumer advocacy group Health Access California have been the leading force in the campaign to eliminate citizenship requirements for Medi-Cal. The work was not easy, even in left-leaning California. Many moderate Democrats voted against the legislation or refrained from weighing in on the debate in the early days, Dar said, but slowly, public opinion and political will shifted.\u003c/p>\n\u003cp>About \u003ca href=\"https://www.ppic.org/publication/immigrants-and-health-in-california/\" target=\"_blank\" rel=\"noreferrer noopener\">66% of California adults supported health coverage\u003c/a> for undocumented immigrants in March 2021, up from 54% in 2015, according to a survey by the Public Policy Institute of California.\u003c/p>\n\u003cp>\u003ca href=\"https://www.sacbee.com/news/politics-government/article239976023.html\" target=\"_blank\" rel=\"noreferrer noopener\">Former Republican President Donald Trump\u003c/a> lambasted California’s expansion for young adults in 2020 and claimed California and other states would “bankrupt our nation by providing free taxpayer-funded health care to millions of illegal aliens.” California Republican leaders, though less harsh in their condemnation of the state’s immigration policies in recent years, have \u003ca href=\"https://src.senate.ca.gov/content/highlights-and-analysis-2022-23-governors-budget\" target=\"_blank\" rel=\"noreferrer noopener\">accused Newsom of overloading the state’s budget\u003c/a> and Medi-Cal system.\u003c/p>\n\u003cp>“Medi-Cal is already strained by serving 14.6 million Californians —more than a third of the state’s population. Adding 764,000 more individuals to the system will certainly exacerbate current provider access problems,” the Senate Republican Caucus said in a January 2022 budget analysis.\u003c/p>\n\u003cp>For his part, Newsom has played a critical role in propelling the movement forward, said Rachel Linn Gish, communications director for Health Access California. Newsom, who took office in 2019, campaigned on the \u003ca href=\"https://www.politico.com/states/california/story/2018/11/29/how-newsoms-big-win-gives-him-a-mandate-on-health-care-715530\" target=\"_blank\" rel=\"noreferrer noopener\">promise of establishing universal health care in California\u003c/a>, and advocates have spent the duration of his governorship pushing him to keep that promise.[pullquote align=\"right\" size=\"medium\" citation=\"Rachel Linn Gish, Health Access California\"]‘You cannot talk about coverage for all if you’re not talking about coverage for everyone regardless of their immigration status.’[/pullquote]“You cannot talk about coverage for all if you’re not talking about coverage for everyone regardless of their immigration status,” Linn Gish said. “Gov. Newsom made it a major platform of his from day one, and I think it’s hard to untie those two things.”\u003c/p>\n\u003cp>Newsom has faced pressure to do more for undocumented immigrants and to do it faster. Advocates and some legislators lobbied Newsom to roll out this last expansion sooner, in part because of the \u003ca href=\"https://calmatters.org/california-divide/2022/01/omicron-essential-workers-alone/\" target=\"_blank\" rel=\"noreferrer noopener\">disproportionate toll COVID-19 took on essential workers\u003c/a>, many of whom are undocumented.\u003c/p>\n\u003cp>This expansion is \u003ca href=\"https://ebudget.ca.gov/2022-23/pdf/Enacted/BudgetSummary/HealthandHumanServices.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">projected to cost\u003c/a> more than $835 million in the next six months and $2.6 billion every year after that. Previous expansions, which opened the door to more than 1.1 million undocumented enrollees, cost the state approximately $1.6 billion annually, according to \u003ca href=\"https://lao.ca.gov/Publications/Report/4423\" target=\"_blank\" rel=\"noreferrer noopener\">past Legislative Analyst’s Office reports\u003c/a>. The total $4 billion price tag, though significant, represents a fraction of Medi-Cal’s expansive $37 billion budget.\u003c/p>\n\u003cp>Still, many \u003ca href=\"https://calmatters.org/health/2022/02/medi-cal-expansion-immigrants/\" target=\"_blank\" rel=\"noreferrer noopener\">undocumented Californians will remain ineligible\u003c/a>\u003ca href=\"https://calmatters.org/health/2022/02/medi-cal-expansion-immigrants/\"> for health insurance\u003c/a>. Roughly half a million immigrants make too much money to qualify for Medi-Cal but still can’t afford private insurance. Advocates want to expand Covered California to include that population, but the state’s ballooning deficit makes that unlikely in the near future.\u003c/p>\n\u003ch2>Health disparities among undocumented immigrants\u003c/h2>\n\u003cp>Many undocumented immigrants avoid medical care, making it difficult to compare their health to other California residents. Some studies indicate they experience \u003ca href=\"https://www.ppic.org/publication/health-conditions-and-health-care-among-californias-undocumented-immigrants/\">higher rates of chronic conditions\u003c/a> like heart disease, asthma and high blood pressure. Immigrants without legal status in California are also \u003ca href=\"https://link.springer.com/article/10.1007/s11113-021-09689-w\">more likely to suffer from \u003c/a>\u003ca href=\"https://link.springer.com/article/10.1007/s11113-021-09689-w\" target=\"_blank\" rel=\"noreferrer noopener\">mental\u003c/a>\u003ca href=\"https://link.springer.com/article/10.1007/s11113-021-09689-w\"> distress and self-report poor health\u003c/a>.\u003c/p>\n\u003cp>Dr. Efrain Talamantes, chief operating officer at AltaMed in Los Angeles, the largest federally qualified health center in California, said he frequently sees young, undocumented individuals who feel healthy but “already are having the end damage of chronic conditions that have not been detected.”\u003c/p>\n\u003cp>The new Medi-Cal expansion will allow Talamantes and others who serve undocumented communities to give patients affordable, high-level care. Although California offers many undocumented immigrants emergency Medi-Cal, and \u003ca href=\"https://dhs.lacounty.gov/my-health-la/\">some counties fund their own programs\u003c/a>, services can be disjointed with monthslong wait times.\u003c/p>\n\u003cp>“When these patients now receive Medi-Cal and are part of a managed care health care plan with us, then we’re responsible for their entire care from primary and specialty to hospital care,” Talamantes said.\u003c/p>\n\u003cp>Miriam Pozuelos is one such potential beneficiary. The Los Angeles-area mother said the expansion lifts a huge financial burden from her family. She and her husband now pay out-of-pocket for any medical services and often go without. Both have already applied to full-scope Medi-Cal for January.\u003c/p>\n\u003cp>“When me and my family heard about this expansion, we were just really hoping that it would actually come true and that we can start getting the care that we need and not be worried about ‘I have to pay this enormous bill,’” Pozuelos said in Spanish.\u003c/p>\n\u003cp>Back at the St. John’s Community Health benefits center, Lopez helps another undocumented immigrant renew his emergency Medi-Cal, which will automatically roll over to full-scope next month. Wilder, 41, who requested his last name be withheld to protect him from immigration authorities, said he needs two root canals totaling $8,000. He has searched for months for a cheaper option without success, he said. He also needs medication for high blood pressure but can’t always afford it.\u003c/p>\n\u003cp>The Medi-Cal expansion means he’ll finally be able to take care of his health, Wilder said.\u003c/p>\n\u003cp>“It’s nice seeing them leaving happy and smiling,” Lopez said. “Even if it takes us three hours, they leave with a sense of relief that they can see the doctor.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that\u003c/em> \u003cem>people have access to the care they need, when they need it, at a price they can afford. Visit \u003c/em>\u003ca href=\"http://www.chcf.org/\">\u003cem>www.chcf.org\u003c/em>\u003c/a>\u003cem> to learn more.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"Beginning Jan. 1, undocumented immigrants of all ages will qualify for Medi-Cal, the state's health insurance program for people with extremely low-income.","status":"publish","parent":0,"modified":1703884900,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":35,"wordCount":1737},"headData":{"title":"California Will Soon Be First State to Offer Health Insurance to Eligible Undocumented Adults | KQED","description":"Beginning Jan. 1, undocumented immigrants of all ages will qualify for Medi-Cal, the state's health insurance program for people with extremely low-income.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"California Will Soon Be First State to Offer Health Insurance to Eligible Undocumented Adults","datePublished":"2023-12-29T20:00:35.000Z","dateModified":"2023-12-29T21:21:40.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"sticky":false,"nprByline":"\u003ca href=\"https://calmatters.org/author/kristen-hwang/\">Kristen Hwang\u003c/a>","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11971102/california-becomes-first-state-to-offer-health-insurance-to-all-eligible-undocumented-adults","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Lea este artículo en \u003ca href=\"https://calmatters.org/calmatters-en-espanol/2023/12/california-se-convierte-en-el-primer-estado-en-ofrecer-seguro-medico-a-todos-los-adultos-indocumentados-elegibles/\">español\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>Perla Lopez hands a stack of papers to Baudeilio, a 44-year-old undocumented immigrant and day laborer. She has just helped him apply for Medi-Cal at the benefits center at St. John’s Community Health in South Los Angeles.\u003c/p>\n\u003cp>“If you see anything you don’t understand from the county, come back here,” Lopez tells Baudeilio in Spanish.\u003c/p>\n\u003cp>The application takes less than 20 minutes. The paperwork, though brief, marks a major milestone in California’s decades-long expansion of health care for undocumented immigrants.\u003c/p>\n\u003cp>Beginning Jan. 1, for the first time, undocumented immigrants of all ages will qualify for Medi-Cal, the state’s health insurance program for extremely low-income people. It makes \u003ca href=\"https://www.kff.org/racial-equity-and-health-policy/fact-sheet/key-facts-on-health-coverage-of-immigrants/\" target=\"_blank\" rel=\"noreferrer noopener\">California the only state\u003c/a> to fund comprehensive health care for undocumented immigrants.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Baudeilio, who has been denied coverage before and asked that his last name not be published to protect him from immigration authorities, will join more than 700,000 undocumented immigrants between the ages of 26 and 49 who will become eligible for Medi-Cal as part of the state’s final expansion of the program — the realization of a long-awaited dream for Californians without legal status.\u003c/p>\n\u003cp>“This is the culmination of literally decades of work, and it’s huge,” said Sarah Dar, policy director for the California Immigrant Policy Center. “It’s huge because of all the work and effort and advocacy that went into making this possible, and it’s also huge because of the impact that it’s going to have.”\u003c/p>\n\u003cp>Gov. Gavin Newsom and the state’s Democratic-led Legislature have committed more than $4 billion annually to the Medi-Cal expansion. \u003ca href=\"https://ebudget.ca.gov/2022-23/pdf/Enacted/BudgetSummary/HealthandHumanServices.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Newsom’s 2022 budget\u003c/a> made the latest expansion possible, and though the state is now headed into a \u003ca href=\"https://calmatters.org/politics/2023/12/budget-deficit-california/\" target=\"_blank\" rel=\"noreferrer noopener\">$68 billion deficit\u003c/a>, advocates said the positive impact Medi-Cal will have on individual health is priceless.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"more Medi-cal-coverage ","tag":"medi-cal"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>The change resonates deeply with Lopez, who is herself undocumented and eligible to work through the Deferred Action for Childhood Arrivals program.\u003c/p>\n\u003cp>Last year, when the state \u003ca href=\"https://calmatters.org/health/2022/02/medi-cal-expansion-immigrants/\" target=\"_blank\" rel=\"noreferrer noopener\">expanded Medi-Cal to older immigrants over 50\u003c/a>, Lopez’s mother was finally able to get medication and blood testing equipment for her diabetes. This year, surrounded by tinsel and other Christmas decorations in her brightly lit office, Lopez is happy she gets to deliver good news to undocumented patients.\u003c/p>\n\u003cp>“It really touches me,” she said. “It’s a stressor we take away from them. … For people with health issues, Medi-Cal really makes a difference.”\u003c/p>\n\u003cp>The clinic where Lopez works estimates about 13,000 of its patients will become eligible for Medi-Cal in the new year. They’re part of the largest group in California’s ambitious plan to close the insurance gap. Los Angeles County alone accounts for roughly half of the enrollees who are expected to qualify for Medi-Cal.\u003c/p>\n\u003cp>“It’s an exciting moment for our patients as well as for us,” said Annie Uraga, benefits counselor coordinator at St. John’s Community Health. “They’re ready. Many of them are in need or waiting for specialist visits.”\u003c/p>\n\u003ch2>California’s health insurance expansion\u003c/h2>\n\u003cp>The final expansion comes nine years after then-Gov. Jerry Brown signed the 2015 law making undocumented children eligible for state insurance, and it is due to the efforts of advocates trekking to the Capitol to plead their case.\u003c/p>\n\u003cp>“When we talk to people who are impacted by this, the difference it makes in their lives is something that truly numbers and words cannot even describe,” Dar, with the California Immigrant Policy Center, said. “In many cases, people have lived for decades without any kind of health care whatsoever.”\u003c/p>\n\u003cp>Full-scope Medi-Cal, which offers access to primary and preventive care, specialists, pharmaceuticals, and other wraparound services, will change lives, Dar said. California does not share immigration information with federal authorities, and enrolling in Medi-Cal will not threaten chances to pursue legal residency.\u003c/p>\n\u003cp>The California Immigrant Policy Center and consumer advocacy group Health Access California have been the leading force in the campaign to eliminate citizenship requirements for Medi-Cal. The work was not easy, even in left-leaning California. Many moderate Democrats voted against the legislation or refrained from weighing in on the debate in the early days, Dar said, but slowly, public opinion and political will shifted.\u003c/p>\n\u003cp>About \u003ca href=\"https://www.ppic.org/publication/immigrants-and-health-in-california/\" target=\"_blank\" rel=\"noreferrer noopener\">66% of California adults supported health coverage\u003c/a> for undocumented immigrants in March 2021, up from 54% in 2015, according to a survey by the Public Policy Institute of California.\u003c/p>\n\u003cp>\u003ca href=\"https://www.sacbee.com/news/politics-government/article239976023.html\" target=\"_blank\" rel=\"noreferrer noopener\">Former Republican President Donald Trump\u003c/a> lambasted California’s expansion for young adults in 2020 and claimed California and other states would “bankrupt our nation by providing free taxpayer-funded health care to millions of illegal aliens.” California Republican leaders, though less harsh in their condemnation of the state’s immigration policies in recent years, have \u003ca href=\"https://src.senate.ca.gov/content/highlights-and-analysis-2022-23-governors-budget\" target=\"_blank\" rel=\"noreferrer noopener\">accused Newsom of overloading the state’s budget\u003c/a> and Medi-Cal system.\u003c/p>\n\u003cp>“Medi-Cal is already strained by serving 14.6 million Californians —more than a third of the state’s population. Adding 764,000 more individuals to the system will certainly exacerbate current provider access problems,” the Senate Republican Caucus said in a January 2022 budget analysis.\u003c/p>\n\u003cp>For his part, Newsom has played a critical role in propelling the movement forward, said Rachel Linn Gish, communications director for Health Access California. Newsom, who took office in 2019, campaigned on the \u003ca href=\"https://www.politico.com/states/california/story/2018/11/29/how-newsoms-big-win-gives-him-a-mandate-on-health-care-715530\" target=\"_blank\" rel=\"noreferrer noopener\">promise of establishing universal health care in California\u003c/a>, and advocates have spent the duration of his governorship pushing him to keep that promise.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘You cannot talk about coverage for all if you’re not talking about coverage for everyone regardless of their immigration status.’","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Rachel Linn Gish, Health Access California","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>“You cannot talk about coverage for all if you’re not talking about coverage for everyone regardless of their immigration status,” Linn Gish said. “Gov. Newsom made it a major platform of his from day one, and I think it’s hard to untie those two things.”\u003c/p>\n\u003cp>Newsom has faced pressure to do more for undocumented immigrants and to do it faster. Advocates and some legislators lobbied Newsom to roll out this last expansion sooner, in part because of the \u003ca href=\"https://calmatters.org/california-divide/2022/01/omicron-essential-workers-alone/\" target=\"_blank\" rel=\"noreferrer noopener\">disproportionate toll COVID-19 took on essential workers\u003c/a>, many of whom are undocumented.\u003c/p>\n\u003cp>This expansion is \u003ca href=\"https://ebudget.ca.gov/2022-23/pdf/Enacted/BudgetSummary/HealthandHumanServices.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">projected to cost\u003c/a> more than $835 million in the next six months and $2.6 billion every year after that. Previous expansions, which opened the door to more than 1.1 million undocumented enrollees, cost the state approximately $1.6 billion annually, according to \u003ca href=\"https://lao.ca.gov/Publications/Report/4423\" target=\"_blank\" rel=\"noreferrer noopener\">past Legislative Analyst’s Office reports\u003c/a>. The total $4 billion price tag, though significant, represents a fraction of Medi-Cal’s expansive $37 billion budget.\u003c/p>\n\u003cp>Still, many \u003ca href=\"https://calmatters.org/health/2022/02/medi-cal-expansion-immigrants/\" target=\"_blank\" rel=\"noreferrer noopener\">undocumented Californians will remain ineligible\u003c/a>\u003ca href=\"https://calmatters.org/health/2022/02/medi-cal-expansion-immigrants/\"> for health insurance\u003c/a>. Roughly half a million immigrants make too much money to qualify for Medi-Cal but still can’t afford private insurance. Advocates want to expand Covered California to include that population, but the state’s ballooning deficit makes that unlikely in the near future.\u003c/p>\n\u003ch2>Health disparities among undocumented immigrants\u003c/h2>\n\u003cp>Many undocumented immigrants avoid medical care, making it difficult to compare their health to other California residents. Some studies indicate they experience \u003ca href=\"https://www.ppic.org/publication/health-conditions-and-health-care-among-californias-undocumented-immigrants/\">higher rates of chronic conditions\u003c/a> like heart disease, asthma and high blood pressure. Immigrants without legal status in California are also \u003ca href=\"https://link.springer.com/article/10.1007/s11113-021-09689-w\">more likely to suffer from \u003c/a>\u003ca href=\"https://link.springer.com/article/10.1007/s11113-021-09689-w\" target=\"_blank\" rel=\"noreferrer noopener\">mental\u003c/a>\u003ca href=\"https://link.springer.com/article/10.1007/s11113-021-09689-w\"> distress and self-report poor health\u003c/a>.\u003c/p>\n\u003cp>Dr. Efrain Talamantes, chief operating officer at AltaMed in Los Angeles, the largest federally qualified health center in California, said he frequently sees young, undocumented individuals who feel healthy but “already are having the end damage of chronic conditions that have not been detected.”\u003c/p>\n\u003cp>The new Medi-Cal expansion will allow Talamantes and others who serve undocumented communities to give patients affordable, high-level care. Although California offers many undocumented immigrants emergency Medi-Cal, and \u003ca href=\"https://dhs.lacounty.gov/my-health-la/\">some counties fund their own programs\u003c/a>, services can be disjointed with monthslong wait times.\u003c/p>\n\u003cp>“When these patients now receive Medi-Cal and are part of a managed care health care plan with us, then we’re responsible for their entire care from primary and specialty to hospital care,” Talamantes said.\u003c/p>\n\u003cp>Miriam Pozuelos is one such potential beneficiary. The Los Angeles-area mother said the expansion lifts a huge financial burden from her family. She and her husband now pay out-of-pocket for any medical services and often go without. Both have already applied to full-scope Medi-Cal for January.\u003c/p>\n\u003cp>“When me and my family heard about this expansion, we were just really hoping that it would actually come true and that we can start getting the care that we need and not be worried about ‘I have to pay this enormous bill,’” Pozuelos said in Spanish.\u003c/p>\n\u003cp>Back at the St. John’s Community Health benefits center, Lopez helps another undocumented immigrant renew his emergency Medi-Cal, which will automatically roll over to full-scope next month. Wilder, 41, who requested his last name be withheld to protect him from immigration authorities, said he needs two root canals totaling $8,000. He has searched for months for a cheaper option without success, he said. He also needs medication for high blood pressure but can’t always afford it.\u003c/p>\n\u003cp>The Medi-Cal expansion means he’ll finally be able to take care of his health, Wilder said.\u003c/p>\n\u003cp>“It’s nice seeing them leaving happy and smiling,” Lopez said. “Even if it takes us three hours, they leave with a sense of relief that they can see the doctor.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that\u003c/em> \u003cem>people have access to the care they need, when they need it, at a price they can afford. Visit \u003c/em>\u003ca href=\"http://www.chcf.org/\">\u003cem>www.chcf.org\u003c/em>\u003c/a>\u003cem> to learn more.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11971102/california-becomes-first-state-to-offer-health-insurance-to-all-eligible-undocumented-adults","authors":["byline_news_11971102"],"categories":["news_8"],"tags":["news_27626","news_18543","news_683","news_2605","news_32785"],"affiliates":["news_18481"],"featImg":"news_11971104","label":"news_18481"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","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.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. 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But is this once sleepy suburb ready for them?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/American-Suburb-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/news/series/american-suburb-podcast","meta":{"site":"news","source":"kqed","order":"13"},"link":"/news/series/american-suburb-podcast/","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328","tuneIn":"https://tunein.com/radio/American-Suburb-p1086805/","rss":"https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"}},"baycurious":{"id":"baycurious","title":"Bay Curious","tagline":"Exploring the Bay Area, one question at a time","info":"KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg","imageAlt":"\"KQED Bay Curious","officialWebsiteLink":"/news/series/baycurious","meta":{"site":"news","source":"kqed","order":"4"},"link":"/podcasts/baycurious","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/bay-curious/id1172473406","npr":"https://www.npr.org/podcasts/500557090/bay-curious","rss":"https://ww2.kqed.org/news/category/bay-curious-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvbmV3cy9jYXRlZ29yeS9iYXktY3VyaW91cy1wb2RjYXN0L2ZlZWQvcG9kY2FzdA","stitcher":"https://www.stitcher.com/podcast/kqed/bay-curious","spotify":"https://open.spotify.com/show/6O76IdmhixfijmhTZLIJ8k"}},"bbc-world-service":{"id":"bbc-world-service","title":"BBC World Service","info":"The day's top stories from BBC News compiled twice daily in the week, once at weekends.","airtime":"MON-FRI 9pm-10pm, TUE-FRI 1am-2am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.bbc.co.uk/sounds/play/live:bbc_world_service","meta":{"site":"news","source":"BBC World Service"},"link":"/radio/program/bbc-world-service","subscribe":{"apple":"https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2","tuneIn":"https://tunein.com/radio/BBC-World-Service-p455581/","rss":"https://podcasts.files.bbci.co.uk/p02nq0gn.rss"}},"code-switch-life-kit":{"id":"code-switch-life-kit","title":"Code Switch / Life Kit","info":"\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />","airtime":"SUN 9pm-10pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg","meta":{"site":"radio","source":"npr"},"link":"/radio/program/code-switch-life-kit","subscribe":{"apple":"https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy","spotify":"https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV","rss":"https://feeds.npr.org/510312/podcast.xml"}},"commonwealth-club":{"id":"commonwealth-club","title":"Commonwealth Club of California Podcast","info":"The Commonwealth Club of California is the nation's oldest and largest public affairs forum. 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On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. 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For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us","airtime":"SUN 2pm-3pm, MON 12am-1am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/onTheMedia.png","officialWebsiteLink":"https://www.wnycstudios.org/shows/otm","meta":{"site":"news","source":"wnyc"},"link":"/radio/program/on-the-media","subscribe":{"apple":"https://itunes.apple.com/us/podcast/on-the-media/id73330715?mt=2","tuneIn":"https://tunein.com/radio/On-the-Media-p69/","rss":"http://feeds.wnyc.org/onthemedia"}},"our-body-politic":{"id":"our-body-politic","title":"Our Body Politic","info":"Presented by KQED, KCRW and KPCC, and created and hosted by award-winning journalist Farai Chideya, Our Body Politic is unapologetically centered on reporting on not just how women of color experience the major political events of today, but how they’re impacting those very issues.","airtime":"SAT 6pm-7pm, SUN 1am-2am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Our-Body-Politic-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://our-body-politic.simplecast.com/","meta":{"site":"news","source":"kcrw"},"link":"/radio/program/our-body-politic","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/our-body-politic/id1533069868","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5zaW1wbGVjYXN0LmNvbS9feGFQaHMxcw","spotify":"https://open.spotify.com/show/4ApAiLT1kV153TttWAmqmc","rss":"https://feeds.simplecast.com/_xaPhs1s","tuneIn":"https://tunein.com/podcasts/News--Politics-Podcasts/Our-Body-Politic-p1369211/"}},"pbs-newshour":{"id":"pbs-newshour","title":"PBS NewsHour","info":"Analysis, background reports and updates from the PBS NewsHour putting today's news in context.","airtime":"MON-FRI 3pm-4pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/PBS-News-Hour-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.pbs.org/newshour/","meta":{"site":"news","source":"pbs"},"link":"/radio/program/pbs-newshour","subscribe":{"apple":"https://itunes.apple.com/us/podcast/pbs-newshour-full-show/id394432287?mt=2","tuneIn":"https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/","rss":"https://www.pbs.org/newshour/feeds/rss/podcasts/show"}},"perspectives":{"id":"perspectives","title":"Perspectives","tagline":"KQED's series of of daily listener commentaries since 1991","info":"KQED's series of of daily listener commentaries since 1991.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Perspectives-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/perspectives/","meta":{"site":"radio","source":"kqed","order":"15"},"link":"/perspectives","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/id73801135","npr":"https://www.npr.org/podcasts/432309616/perspectives","rss":"https://ww2.kqed.org/perspectives/category/perspectives/feed/","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvcGVyc3BlY3RpdmVzL2NhdGVnb3J5L3BlcnNwZWN0aXZlcy9mZWVkLw"}},"planet-money":{"id":"planet-money","title":"Planet Money","info":"The economy explained. 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The result is stories that inform and inspire, arming our listeners with information to right injustices, hold the powerful accountable and improve lives.Reveal is hosted by Al Letson and showcases the award-winning work of CIR and newsrooms large and small across the nation. In a radio and podcast market crowded with choices, Reveal focuses on important and often surprising stories that illuminate the world for our listeners.","airtime":"SAT 4pm-5pm","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/reveal300px.png","officialWebsiteLink":"https://www.revealnews.org/episodes/","meta":{"site":"news","source":"npr"},"link":"/radio/program/reveal","subscribe":{"apple":"https://itunes.apple.com/us/podcast/reveal/id886009669","tuneIn":"https://tunein.com/radio/Reveal-p679597/","rss":"http://feeds.revealradio.org/revealpodcast"}},"says-you":{"id":"says-you","title":"Says You!","info":"Public radio's game show of bluff and bluster, words and whimsy. 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