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"content": "\u003cp>\u003ca href=\"https://www.kqed.org/news/tag/planned-parenthood\">Planned Parenthood\u003c/a> centers in California are facing an existential threat after the passage of President Donald Trump’s new federal budget, which includes a provision that slashes federal funding for certain health care nonprofits.\u003c/p>\n\u003cp>Under the so-called “\u003ca href=\"https://www.kqed.org/news/12047037/a-betrayal-bay-area-leaders-react-to-us-house-passing-trumps-tax-and-welfare-cuts\">Big Beautiful Bill\u003c/a>,” health care providers that offer abortions are under a one-year prohibition from federal Medicaid funding. Organizers with Planned Parenthood, one of several organizations that could see their funding slashed, are blasting the provision as a “backdoor abortion ban.”\u003c/p>\n\u003cp>“Existing law already prohibits federal dollars from paying for abortion care,” the nonprofit said in a statement. “By attacking Planned Parenthood health centers’ ability to provide the full spectrum of reproductive health care services, they aim to decimate abortion access in states like California where it is legal and a constitutional right.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Votes for the bills fell largely along party lines, with the exception of two Republican representatives who sided with Democrats to vote against Trump’s budget proposal. Nine California Republicans, including Rep. David Valadao, R-Bakersfield, were among those who voted in its favor.\u003c/p>\n\u003cp>More than 80% of Planned Parenthood patients in the state rely on Medi-Cal programs for health care access, according to the organization. Planned Parenthood health centers provide a multitude of services ranging from STI testing and family planning to cancer screening and routine health care.\u003c/p>\n\u003cfigure id=\"attachment_12015956\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12015956\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/092722-RPE-L-ABORTION-BANG-CM-copy.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/092722-RPE-L-ABORTION-BANG-CM-copy.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/092722-RPE-L-ABORTION-BANG-CM-copy-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/092722-RPE-L-ABORTION-BANG-CM-copy-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/092722-RPE-L-ABORTION-BANG-CM-copy-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/092722-RPE-L-ABORTION-BANG-CM-copy-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/092722-RPE-L-ABORTION-BANG-CM-copy-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">An exam room at Planned Parenthood of Orange and San Bernardino Counties’ health center. \u003ccite>(Courtesy of Planned Parenthood of Orange and San Bernardino Counties)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Christian Garcia, vice president of government relations with Planned Parenthood Northern California, said it’s likely that rural communities will be the most affected if the nonprofit is forced to reduce its services. In cities such as Redding, Eureka and Chico, Planned Parenthood is often the only reproductive health care provider within a three-hour radius, he noted.\u003c/p>\n\u003cp>“These are also communities who have lost community hospitals … who now have private hospitals that are religiously associated and are already making it difficult for [patients] to get primary sexual reproductive health care services,” Garcia said. “In the scenario that funding is not accessible, you’re going to see more health care deserts across California.”\u003c/p>\n\u003cp>Planned Parenthood affiliates in California could lose more than $300 million if the organization’s federal funding is slashed, Garcia said. He added that while the nonprofit still has access to the state’s critical reproductive health care investment, it won’t be enough to make up for the massive loss.[aside postID=news_12016046 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/GettyImages-1441687304-1020x680.jpg']In a statement, Gov. Gavin Newsom lambasted Trump’s tax and spending legislation as a “massive tax break for the wealthiest Americans.” The bill’s passage jeopardizes taxpayer jobs, family support through Medicaid, public safety infrastructure and other critical programs across the country and state, Newsom said.\u003c/p>\n\u003cp>He said the cuts to Planned Parenthood would affect more than 1 million patients and force nearly 200 health centers to close.\u003c/p>\n\u003cp>“This bill is a tragedy for the American people, and a complete moral failure,” Newsom said. “With this measure, [Trump’s] legacy is now forever cemented: he has created a more unequal, more indebted, and more dangerous America. Shame on him.”\u003c/p>\n\u003cp>Garcia said Planned Parenthood is prepared to fight back. On Monday, the nonprofit filed a complaint against the Trump administration in federal court, calling the provision that would cut Medicaid funding for certain health care nonprofits “unconstitutional” and an attack on the organization’s centers.\u003c/p>\n\u003cp>The nonprofit is also meeting with state and local partners to ensure that California residents continue to have access to its full gauntlet of services, especially in rural areas where patients are the most vulnerable. As of now, there are no plans to shut down any Planned Parenthood centers and patients can still come in and expect the same level of care, he said.\u003c/p>\n\u003cp>“It’s important for people to know that their health care services are still here,” Garcia said. “Whether you’re a Medicaid patient — whether you’re a Planned Parenthood patient who is on Medicaid — we are here and we’re going to provide services.”\u003c/p>\n\u003cp>\u003cem>KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/lklivans\">\u003cem>Laura Klivans\u003c/em>\u003c/a>\u003cem> contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://www.kqed.org/news/tag/planned-parenthood\">Planned Parenthood\u003c/a> centers in California are facing an existential threat after the passage of President Donald Trump’s new federal budget, which includes a provision that slashes federal funding for certain health care nonprofits.\u003c/p>\n\u003cp>Under the so-called “\u003ca href=\"https://www.kqed.org/news/12047037/a-betrayal-bay-area-leaders-react-to-us-house-passing-trumps-tax-and-welfare-cuts\">Big Beautiful Bill\u003c/a>,” health care providers that offer abortions are under a one-year prohibition from federal Medicaid funding. Organizers with Planned Parenthood, one of several organizations that could see their funding slashed, are blasting the provision as a “backdoor abortion ban.”\u003c/p>\n\u003cp>“Existing law already prohibits federal dollars from paying for abortion care,” the nonprofit said in a statement. “By attacking Planned Parenthood health centers’ ability to provide the full spectrum of reproductive health care services, they aim to decimate abortion access in states like California where it is legal and a constitutional right.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Votes for the bills fell largely along party lines, with the exception of two Republican representatives who sided with Democrats to vote against Trump’s budget proposal. Nine California Republicans, including Rep. David Valadao, R-Bakersfield, were among those who voted in its favor.\u003c/p>\n\u003cp>More than 80% of Planned Parenthood patients in the state rely on Medi-Cal programs for health care access, according to the organization. Planned Parenthood health centers provide a multitude of services ranging from STI testing and family planning to cancer screening and routine health care.\u003c/p>\n\u003cfigure id=\"attachment_12015956\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12015956\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/092722-RPE-L-ABORTION-BANG-CM-copy.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/092722-RPE-L-ABORTION-BANG-CM-copy.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/092722-RPE-L-ABORTION-BANG-CM-copy-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/092722-RPE-L-ABORTION-BANG-CM-copy-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/092722-RPE-L-ABORTION-BANG-CM-copy-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/092722-RPE-L-ABORTION-BANG-CM-copy-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/092722-RPE-L-ABORTION-BANG-CM-copy-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">An exam room at Planned Parenthood of Orange and San Bernardino Counties’ health center. \u003ccite>(Courtesy of Planned Parenthood of Orange and San Bernardino Counties)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Christian Garcia, vice president of government relations with Planned Parenthood Northern California, said it’s likely that rural communities will be the most affected if the nonprofit is forced to reduce its services. In cities such as Redding, Eureka and Chico, Planned Parenthood is often the only reproductive health care provider within a three-hour radius, he noted.\u003c/p>\n\u003cp>“These are also communities who have lost community hospitals … who now have private hospitals that are religiously associated and are already making it difficult for [patients] to get primary sexual reproductive health care services,” Garcia said. “In the scenario that funding is not accessible, you’re going to see more health care deserts across California.”\u003c/p>\n\u003cp>Planned Parenthood affiliates in California could lose more than $300 million if the organization’s federal funding is slashed, Garcia said. He added that while the nonprofit still has access to the state’s critical reproductive health care investment, it won’t be enough to make up for the massive loss.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>In a statement, Gov. Gavin Newsom lambasted Trump’s tax and spending legislation as a “massive tax break for the wealthiest Americans.” The bill’s passage jeopardizes taxpayer jobs, family support through Medicaid, public safety infrastructure and other critical programs across the country and state, Newsom said.\u003c/p>\n\u003cp>He said the cuts to Planned Parenthood would affect more than 1 million patients and force nearly 200 health centers to close.\u003c/p>\n\u003cp>“This bill is a tragedy for the American people, and a complete moral failure,” Newsom said. “With this measure, [Trump’s] legacy is now forever cemented: he has created a more unequal, more indebted, and more dangerous America. Shame on him.”\u003c/p>\n\u003cp>Garcia said Planned Parenthood is prepared to fight back. On Monday, the nonprofit filed a complaint against the Trump administration in federal court, calling the provision that would cut Medicaid funding for certain health care nonprofits “unconstitutional” and an attack on the organization’s centers.\u003c/p>\n\u003cp>The nonprofit is also meeting with state and local partners to ensure that California residents continue to have access to its full gauntlet of services, especially in rural areas where patients are the most vulnerable. As of now, there are no plans to shut down any Planned Parenthood centers and patients can still come in and expect the same level of care, he said.\u003c/p>\n\u003cp>“It’s important for people to know that their health care services are still here,” Garcia said. “Whether you’re a Medicaid patient — whether you’re a Planned Parenthood patient who is on Medicaid — we are here and we’re going to provide services.”\u003c/p>\n\u003cp>\u003cem>KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/lklivans\">\u003cem>Laura Klivans\u003c/em>\u003c/a>\u003cem> contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "a-california-county-may-lose-its-only-hospital-in-a-dispute-over-roads",
"title": "A California County May Lose Its Only Hospital in a Dispute Over Roads",
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"content": "\u003cp>\u003c!-- Creative Commons Attribution-NonCommercial-NoDerivatives https://creativecommons.org/licenses/by-nc-nd/4.0/ -->\u003c/p>\n\u003cp>\u003cem>This story was originally published by \u003ca href=\"https://calmatters.org/\">CalMatters\u003c/a>. \u003ca href=\"https://calmatters.org/subscribe-to-calmatters/\">Sign up\u003c/a> for their newsletters.\u003c/em>\u003c/p>\n\u003cp>A debate over roads may cost Glenn County its only emergency room.\u003c/p>\n\u003cp>Glenn Medical Center, a 25-bed hospital in the rural agricultural town of Willows, north of Sacramento, is about to lose its “critical access” title. Without it, administrators say the hospital couldn’t afford to stay open because it would lose its increased Medicare reimbursements and regulatory flexibilities.\u003c/p>\n\u003cp>Glenn Medical Center received a letter in April from the U.S. Centers for Medicare and Medicaid Services notifying the hospital that it was no longer in compliance with the distance requirement to qualify as “critical access.” That requirement states that hospitals must be more than a 35-mile drive on primary roads — or a 15-mile drive on mountainous or secondary roads — from the next nearest hospital.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The next closest hospital is Colusa Medical Center, which the federal Medicare and Medicaid agency places at 32 miles south of Glenn Medical Center. That makes Glenn County’s hospital three miles short of the qualifying distance for the critical access title. But local health officials and the Willows Fire Department say ambulances and most patients take the “more reliable” route of I-5 and Highway 20, which makes the distance between the hospitals 35.7 miles — far enough to qualify.\u003c/p>\n\u003cp>About 40% of Glenn County’s 30,000 residents rely on public health insurance programs — Medicaid and Medicare — and 12% live under the poverty line.\u003c/p>\n\u003cp>“We treat and see and care for a lot of people who are unseen in the community. A lot of behavioral health crises, a lot of justice-involved folks, a lot of elderly, a lot of people without transportation. And we are truly a lifeline for those folks,” said Lauren Still, chief administrative officer at Glenn Medical Center.\u003c/p>\n\u003cfigure id=\"attachment_12045105\" class=\"wp-caption aligncenter\" style=\"max-width: 2500px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12045105\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/Side-by-side-Downpage-2.jpg\" alt=\"\" width=\"2500\" height=\"833\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/Side-by-side-Downpage-2.jpg 2500w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/Side-by-side-Downpage-2-2000x666.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/Side-by-side-Downpage-2-160x53.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/Side-by-side-Downpage-2-1536x512.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/Side-by-side-Downpage-2-2048x682.jpg 2048w\" sizes=\"auto, (max-width: 2500px) 100vw, 2500px\">\u003cfigcaption class=\"wp-caption-text\">Left: An ambulance parked at Glenn Medical Center in Willows. Right: Emergency medicine physician Dr. Salah Sherif (center) talks with Bradley Ford (right) assistant ER manager, and registered nurse Rebecca Vranich (left). \u003ccite>(Chris Kaufman for CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Closing the only hospital in this Sacramento Valley county would mean residents would have to travel farther for emergency care and ambulances would take longer responding to 911 calls.\u003c/p>\n\u003cp>Dr. Jared Garrison, Glenn County’s health officer, said losing the hospital would be a devastating blow to the community. Garrison worries about the elderly who may be afraid to drive at night and people who don’t have transportation to make it out of the county. Heart attacks, strokes, traumatic injuries and overdoses can become more deadly when hospital treatment is delayed.\u003c/p>\n\u003cp>“If Glenn Medical Center closes, it’s not just a health crisis — it’s an economic and social crisis,” Garrison said. “We’ll see longer emergency response times, job losses, declining local businesses, and worsening health outcomes for our most vulnerable neighbors.”\u003c/p>\n\u003ch2>\u003cstrong>‘This is not the road people would take’\u003c/strong>\u003c/h2>\n\u003cp>Both hospitals, Colusa and Glenn, have been at the same location since their construction decades ago. In 2001, Glenn Medical Center was first approved to participate in the federal \u003ca href=\"https://www.cms.gov/medicare/health-safety-standards/certification-compliance/critical-access-hospitals\">Critical Access Hospital Program\u003c/a> under the same distance rule. Hospital and county health officials say geographically nothing has changed.\u003c/p>\n\u003cp>“We tried to send some emails back and forth and say, ‘Hey, this is not the road people would take. This is not the road the ambulance takes. This is just not accurate,’” Garrison said. The “shorter” route, he explained, actually takes longer because it includes a county road that often floods and is primarily used by farm equipment.\u003c/p>\n\u003cp>The hospital’s appeals to the federal agency have been unsuccessful. Still said she is clinging to one last hope that U.S. Rep. Doug LaMalfa, a Richvale Republican, can make the hospital’s case.\u003c/p>\n\u003cp>Mark Spannagel, chief of staff at LaMalfa’s office, told CalMatters that no resolution has been reached yet, but that conversations with the federal agency continue and that the hospital’s situation is under “heightened review.”\u003c/p>\n\u003cp>The federal Medicare and Medicaid agency is supposed to review critical access hospitals’ eligibility periodically. This review started last year and the issue seems to be a reclassification of roads, Spannagel said.\u003c/p>\n\u003cp>The federal agency did not respond to a CalMatters request for comment about why it changed its decision on the roads.\u003c/p>\n\u003cfigure>\u003cimg decoding=\"async\" src=\"https://calmatters.org/wp-content/uploads/2025/06/061325_Glenn-Medical-Center_CK_26-1024x682.jpg\" alt=\"\">\u003cfigcaption>At left, Glenn County public health officer Dr. Jared Garrison and Lauren Still, chief administrative officer, worry that the hospital may have to close. \u003cem>Chris Kaufman for CalMatters\u003c/em>\u003c/figcaption>\u003c/figure>\n\u003cp>Peggy Wheeler, vice president of policy at the California Hospital Association, said she is aware of four critical access hospitals in California that received a similar letter. Two of them, Bear Valley Community Hospital in Big Bear Lake and George L. Mee Memorial in Monterey County, have since resolved their cases and will be allowed to keep their “critical access” designation.\u003c/p>\n\u003cp>A third, Santa Ynez Valley Cottage Hospital in Solvang is also working with the federal agency and considering its options, Wheeler said. The Cottage Health system declined an interview request from CalMatters.\u003c/p>\n\u003cp>Wheeler explained that hospitals that lose their “critical access” designation may have to apply for other classifications, such as a “low volume provider” or “sole community hospital,” which also provide enhanced Medicare payments.\u003c/p>\n\u003cp>In its letter, the federal agency told Glenn Medical Center that it has until April 23, 2026 to reclassify as another type of hospital to continue participating in the Medicare program.\u003c/p>\n\u003ch2>\u003cstrong>A financial buffer for ‘critical access’ hospitals\u003c/strong>\u003c/h2>\n\u003cp>The Clinton administration created the Critical Access Program in 1997 as a way to support rural hospitals. The goal of the program is to make sure that remote areas far from cities have adequate medical care.\u003c/p>\n\u003cp>“Our hospital was on the brink of closure back in 2001. We got this designation and have kept our doors open for the next 24 years,” said Still at Glenn Medical Center. The hospital is owned by American Advanced Management, the same group that \u003ca href=\"https://calmatters.org/health/2024/02/madera-hospital-reopen/\">recently purchased and reopened Madera Community Hospital\u003c/a>.[aside postID=forum_2010101909199 hero='https://cdn.kqed.org/wp-content/uploads/sites/43/2025/03/iStock-921681588-1-1020x574.jpg']The program gives the hospital a bit of a financial buffer through higher-than-average Medicare reimbursement. Medicare pays critical access hospitals 101% of costs for most inpatient and outpatient services; for comparison, Medicare reimburses \u003ca href=\"https://www.aha.org/2024-01-10-infographic-medicare-significantly-underpays-hospitals-cost-patient-care\">most other hospitals 82% of costs\u003c/a>, according to the American Hospital Association.\u003c/p>\n\u003cp>The designation also allows rural hospitals to stay open even if they don’t meet certain standards required of most other general acute hospitals. For example, Glenn Medical Center does not have a serviceable operating room, and bringing it up to required standards is financially prohibitive, Still said.\u003c/p>\n\u003cp>The financial burden of losing its critical access designation would be such that the hospital would likely have to close its inpatient services by next spring, Still said. Outpatient services, such as clinics and labs, would remain open.\u003c/p>\n\u003cp>Like hospitals across the country, Glenn Medical Center is also bracing for a separate financial blow in the form of potential Medicaid cuts that are currently being debated in Congress. Hospitals could see decreased federal funding and increased costs because of uncompensated care from people who lose their Medicaid coverage. The American Hospital Association has estimated that \u003ca href=\"https://www.aha.org/news/headline/2025-06-16-analysis-highlights-impact-proposed-medicaid-cuts-rural-patients-and-hospitals\">rural hospitals across the country could lose about $50 billion\u003c/a> altogether in federal Medicaid spending by 2034, if President Donald Trump’s “One Big Beautiful Bill” were to pass as currently drafted.\u003c/p>\n\u003cp>Last month, all of California’s Republican House members \u003ca href=\"https://lamalfa.house.gov/media-center/press-releases/lamalfa-applauds-house-passage-budget-reconciliation-package\">voted in support \u003c/a>of the budget bill, including LaMalfa, who represents the area. The Senate is now deliberating on its own version of the bill.\u003c/p>\n\u003cp>To raise awareness of the hospital’s looming loss of its critical access status, Glenn Medical Center \u003ca href=\"https://saveglennmedical.com/\">recently launched a campaign\u003c/a> urging residents to write testimonials and letters in support.\u003c/p>\n\u003cp>Without a local hospital, the county’s two ambulances would have to travel farther, to Enloe Medical Center in Chico, about 36 miles north. Garrison explained that ambulances would probably choose Enloe over Colusa Medical Center because it is the larger of the two and has a trauma center.\u003c/p>\n\u003cp>The vast central-north region between Mendocino and Plumas National Forests is already down a hospital after Adventist’s Feather River Hospital was damaged in the 2018 Camp Fire and did not reopen.\u003c/p>\n\u003cp>If ambulances have to drive 45 minutes out of the county instead of the five to ten minutes to their local hospital, that will affect the ability of Emergency Medical Services to respond to 911 calls, Garrison said.\u003c/p>\n\u003cp>“I was talking to an administrator at Enloe and they estimated that this could increase their wait times by up to two hours,” Garrison said.\u003c/p>\n\u003cp>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that people have access to the care they need, when they need it, at a price they can afford. Visit www.chcf.org to learn more.\u003c/em>\u003c/p>\n\u003cp>\u003cem>This article was \u003ca href=\"https://calmatters.org/health/2025/06/california-glenn-county-hospital-critical-access-closure-medicaid/\">originally published on CalMatters\u003c/a> and was republished under the \u003ca href=\"https://creativecommons.org/licenses/by-nc-nd/4.0/\">Creative Commons Attribution-NonCommercial-NoDerivatives\u003c/a> license.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Glenn County’s only hospital may be forced to close because a federal agency is removing its 'critical access' designation. Patients would have longer waits for ambulances and longer drives for emergency care.",
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"title": "A California County May Lose Its Only Hospital in a Dispute Over Roads | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003c!-- Creative Commons Attribution-NonCommercial-NoDerivatives https://creativecommons.org/licenses/by-nc-nd/4.0/ -->\u003c/p>\n\u003cp>\u003cem>This story was originally published by \u003ca href=\"https://calmatters.org/\">CalMatters\u003c/a>. \u003ca href=\"https://calmatters.org/subscribe-to-calmatters/\">Sign up\u003c/a> for their newsletters.\u003c/em>\u003c/p>\n\u003cp>A debate over roads may cost Glenn County its only emergency room.\u003c/p>\n\u003cp>Glenn Medical Center, a 25-bed hospital in the rural agricultural town of Willows, north of Sacramento, is about to lose its “critical access” title. Without it, administrators say the hospital couldn’t afford to stay open because it would lose its increased Medicare reimbursements and regulatory flexibilities.\u003c/p>\n\u003cp>Glenn Medical Center received a letter in April from the U.S. Centers for Medicare and Medicaid Services notifying the hospital that it was no longer in compliance with the distance requirement to qualify as “critical access.” That requirement states that hospitals must be more than a 35-mile drive on primary roads — or a 15-mile drive on mountainous or secondary roads — from the next nearest hospital.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The next closest hospital is Colusa Medical Center, which the federal Medicare and Medicaid agency places at 32 miles south of Glenn Medical Center. That makes Glenn County’s hospital three miles short of the qualifying distance for the critical access title. But local health officials and the Willows Fire Department say ambulances and most patients take the “more reliable” route of I-5 and Highway 20, which makes the distance between the hospitals 35.7 miles — far enough to qualify.\u003c/p>\n\u003cp>About 40% of Glenn County’s 30,000 residents rely on public health insurance programs — Medicaid and Medicare — and 12% live under the poverty line.\u003c/p>\n\u003cp>“We treat and see and care for a lot of people who are unseen in the community. A lot of behavioral health crises, a lot of justice-involved folks, a lot of elderly, a lot of people without transportation. And we are truly a lifeline for those folks,” said Lauren Still, chief administrative officer at Glenn Medical Center.\u003c/p>\n\u003cfigure id=\"attachment_12045105\" class=\"wp-caption aligncenter\" style=\"max-width: 2500px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12045105\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/Side-by-side-Downpage-2.jpg\" alt=\"\" width=\"2500\" height=\"833\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/Side-by-side-Downpage-2.jpg 2500w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/Side-by-side-Downpage-2-2000x666.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/Side-by-side-Downpage-2-160x53.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/Side-by-side-Downpage-2-1536x512.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/Side-by-side-Downpage-2-2048x682.jpg 2048w\" sizes=\"auto, (max-width: 2500px) 100vw, 2500px\">\u003cfigcaption class=\"wp-caption-text\">Left: An ambulance parked at Glenn Medical Center in Willows. Right: Emergency medicine physician Dr. Salah Sherif (center) talks with Bradley Ford (right) assistant ER manager, and registered nurse Rebecca Vranich (left). \u003ccite>(Chris Kaufman for CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Closing the only hospital in this Sacramento Valley county would mean residents would have to travel farther for emergency care and ambulances would take longer responding to 911 calls.\u003c/p>\n\u003cp>Dr. Jared Garrison, Glenn County’s health officer, said losing the hospital would be a devastating blow to the community. Garrison worries about the elderly who may be afraid to drive at night and people who don’t have transportation to make it out of the county. Heart attacks, strokes, traumatic injuries and overdoses can become more deadly when hospital treatment is delayed.\u003c/p>\n\u003cp>“If Glenn Medical Center closes, it’s not just a health crisis — it’s an economic and social crisis,” Garrison said. “We’ll see longer emergency response times, job losses, declining local businesses, and worsening health outcomes for our most vulnerable neighbors.”\u003c/p>\n\u003ch2>\u003cstrong>‘This is not the road people would take’\u003c/strong>\u003c/h2>\n\u003cp>Both hospitals, Colusa and Glenn, have been at the same location since their construction decades ago. In 2001, Glenn Medical Center was first approved to participate in the federal \u003ca href=\"https://www.cms.gov/medicare/health-safety-standards/certification-compliance/critical-access-hospitals\">Critical Access Hospital Program\u003c/a> under the same distance rule. Hospital and county health officials say geographically nothing has changed.\u003c/p>\n\u003cp>“We tried to send some emails back and forth and say, ‘Hey, this is not the road people would take. This is not the road the ambulance takes. This is just not accurate,’” Garrison said. The “shorter” route, he explained, actually takes longer because it includes a county road that often floods and is primarily used by farm equipment.\u003c/p>\n\u003cp>The hospital’s appeals to the federal agency have been unsuccessful. Still said she is clinging to one last hope that U.S. Rep. Doug LaMalfa, a Richvale Republican, can make the hospital’s case.\u003c/p>\n\u003cp>Mark Spannagel, chief of staff at LaMalfa’s office, told CalMatters that no resolution has been reached yet, but that conversations with the federal agency continue and that the hospital’s situation is under “heightened review.”\u003c/p>\n\u003cp>The federal Medicare and Medicaid agency is supposed to review critical access hospitals’ eligibility periodically. This review started last year and the issue seems to be a reclassification of roads, Spannagel said.\u003c/p>\n\u003cp>The federal agency did not respond to a CalMatters request for comment about why it changed its decision on the roads.\u003c/p>\n\u003cfigure>\u003cimg decoding=\"async\" src=\"https://calmatters.org/wp-content/uploads/2025/06/061325_Glenn-Medical-Center_CK_26-1024x682.jpg\" alt=\"\">\u003cfigcaption>At left, Glenn County public health officer Dr. Jared Garrison and Lauren Still, chief administrative officer, worry that the hospital may have to close. \u003cem>Chris Kaufman for CalMatters\u003c/em>\u003c/figcaption>\u003c/figure>\n\u003cp>Peggy Wheeler, vice president of policy at the California Hospital Association, said she is aware of four critical access hospitals in California that received a similar letter. Two of them, Bear Valley Community Hospital in Big Bear Lake and George L. Mee Memorial in Monterey County, have since resolved their cases and will be allowed to keep their “critical access” designation.\u003c/p>\n\u003cp>A third, Santa Ynez Valley Cottage Hospital in Solvang is also working with the federal agency and considering its options, Wheeler said. The Cottage Health system declined an interview request from CalMatters.\u003c/p>\n\u003cp>Wheeler explained that hospitals that lose their “critical access” designation may have to apply for other classifications, such as a “low volume provider” or “sole community hospital,” which also provide enhanced Medicare payments.\u003c/p>\n\u003cp>In its letter, the federal agency told Glenn Medical Center that it has until April 23, 2026 to reclassify as another type of hospital to continue participating in the Medicare program.\u003c/p>\n\u003ch2>\u003cstrong>A financial buffer for ‘critical access’ hospitals\u003c/strong>\u003c/h2>\n\u003cp>The Clinton administration created the Critical Access Program in 1997 as a way to support rural hospitals. The goal of the program is to make sure that remote areas far from cities have adequate medical care.\u003c/p>\n\u003cp>“Our hospital was on the brink of closure back in 2001. We got this designation and have kept our doors open for the next 24 years,” said Still at Glenn Medical Center. The hospital is owned by American Advanced Management, the same group that \u003ca href=\"https://calmatters.org/health/2024/02/madera-hospital-reopen/\">recently purchased and reopened Madera Community Hospital\u003c/a>.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The program gives the hospital a bit of a financial buffer through higher-than-average Medicare reimbursement. Medicare pays critical access hospitals 101% of costs for most inpatient and outpatient services; for comparison, Medicare reimburses \u003ca href=\"https://www.aha.org/2024-01-10-infographic-medicare-significantly-underpays-hospitals-cost-patient-care\">most other hospitals 82% of costs\u003c/a>, according to the American Hospital Association.\u003c/p>\n\u003cp>The designation also allows rural hospitals to stay open even if they don’t meet certain standards required of most other general acute hospitals. For example, Glenn Medical Center does not have a serviceable operating room, and bringing it up to required standards is financially prohibitive, Still said.\u003c/p>\n\u003cp>The financial burden of losing its critical access designation would be such that the hospital would likely have to close its inpatient services by next spring, Still said. Outpatient services, such as clinics and labs, would remain open.\u003c/p>\n\u003cp>Like hospitals across the country, Glenn Medical Center is also bracing for a separate financial blow in the form of potential Medicaid cuts that are currently being debated in Congress. Hospitals could see decreased federal funding and increased costs because of uncompensated care from people who lose their Medicaid coverage. The American Hospital Association has estimated that \u003ca href=\"https://www.aha.org/news/headline/2025-06-16-analysis-highlights-impact-proposed-medicaid-cuts-rural-patients-and-hospitals\">rural hospitals across the country could lose about $50 billion\u003c/a> altogether in federal Medicaid spending by 2034, if President Donald Trump’s “One Big Beautiful Bill” were to pass as currently drafted.\u003c/p>\n\u003cp>Last month, all of California’s Republican House members \u003ca href=\"https://lamalfa.house.gov/media-center/press-releases/lamalfa-applauds-house-passage-budget-reconciliation-package\">voted in support \u003c/a>of the budget bill, including LaMalfa, who represents the area. The Senate is now deliberating on its own version of the bill.\u003c/p>\n\u003cp>To raise awareness of the hospital’s looming loss of its critical access status, Glenn Medical Center \u003ca href=\"https://saveglennmedical.com/\">recently launched a campaign\u003c/a> urging residents to write testimonials and letters in support.\u003c/p>\n\u003cp>Without a local hospital, the county’s two ambulances would have to travel farther, to Enloe Medical Center in Chico, about 36 miles north. Garrison explained that ambulances would probably choose Enloe over Colusa Medical Center because it is the larger of the two and has a trauma center.\u003c/p>\n\u003cp>The vast central-north region between Mendocino and Plumas National Forests is already down a hospital after Adventist’s Feather River Hospital was damaged in the 2018 Camp Fire and did not reopen.\u003c/p>\n\u003cp>If ambulances have to drive 45 minutes out of the county instead of the five to ten minutes to their local hospital, that will affect the ability of Emergency Medical Services to respond to 911 calls, Garrison said.\u003c/p>\n\u003cp>“I was talking to an administrator at Enloe and they estimated that this could increase their wait times by up to two hours,” Garrison said.\u003c/p>\n\u003cp>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that people have access to the care they need, when they need it, at a price they can afford. Visit www.chcf.org to learn more.\u003c/em>\u003c/p>\n\u003cp>\u003cem>This article was \u003ca href=\"https://calmatters.org/health/2025/06/california-glenn-county-hospital-critical-access-closure-medicaid/\">originally published on CalMatters\u003c/a> and was republished under the \u003ca href=\"https://creativecommons.org/licenses/by-nc-nd/4.0/\">Creative Commons Attribution-NonCommercial-NoDerivatives\u003c/a> license.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003cem>This story was originally published by \u003ca href=\"https://calmatters.org/\">CalMatters\u003c/a>. \u003ca href=\"https://calmatters.org/subscribe-to-calmatters/\">Sign up\u003c/a> for their newsletters.\u003c/em>\u003c/p>\n\u003cp>State-run health care websites around the country, meant to provide a simple way to shop for insurance, have been quietly sending visitors’ sensitive health information to Google and social media companies, The Markup and CalMatters found.\u003c/p>\n\u003cp>\u003ca href=\"https://github.com/the-markup/investigation-healthcare-exchange-tracking\">The data\u003c/a>, including prescription drug names and dosages, was sent by web trackers on state exchanges set up under the Affordable Care Act to help Americans purchase health coverage.\u003c/p>\n\u003cp>The exchange websites ask users to answer a series of questions, including about their health histories, to find them the most relevant information on plans. But in some cases, when visitors responded to sensitive questions, the invisible trackers sent that information to platforms like Google, LinkedIn, and Snapchat.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The Markup and CalMatters audited the websites of all 19 states that independently operate their own online health exchange. While most of the sites contained advertising trackers of some kind, The Markup and CalMatters found that four states exposed visitors’ sensitive health information.\u003c/p>\n\u003cp>Nevada’s exchange, Nevada Health Link, asks visitors about what prescriptions they use, including the names and dosages of the drugs, to help them find their best options for health insurance. When visitors start typing, it suggests specific medications, including antidepressants, birth control and hormone therapies.\u003c/p>\n\u003cp>As visitors answered the questions, their responses were sent to LinkedIn and Snapchat, according to tests conducted by The Markup and CalMatters in April and May.\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-12045091\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/Image-6-19-25-at-9.49%E2%80%AFAM.jpg\" alt=\"\" width=\"1024\" height=\"747\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/Image-6-19-25-at-9.49 AM.jpg 1024w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/Image-6-19-25-at-9.49 AM-160x117.jpg 160w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\">\u003c/p>\n\u003cp>On the other side of the country, Maine’s exchange, CoverME.gov, sent information on drug prescriptions and dosages to Google through an analytics tool. It also sent the names of doctors and hospitals that people had previously visited.\u003c/p>\n\u003cp>Rhode Island’s exchange, HealthSource RI, sent prescription information, dosages, and doctors’ names to Google.\u003c/p>\n\u003cp>[aside postID=news_12037319 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/GettyImages-2207057172-1020x680.jpg']\u003c/p>\n\u003cp>Massachusetts Health Connector, another exchange, told LinkedIn whether visitors said they were pregnant, blind, or disabled.\u003c/p>\n\u003cp>After being contacted by The Markup and CalMatters, Nevada’s health exchange stopped sending visitors’ data to Snapchat and Massachusetts stopped sending data to LinkedIn. Additionally, The Markup and CalMatters found that Nevada stopped sending data to LinkedIn in early May, as we were testing.\u003c/p>\n\u003cp>The Markup and CalMatters discovered the sharing after finding that California’s exchange, Covered California, \u003ca href=\"https://themarkup.org/pixel-hunt/2025/04/28/how-california-sent-residents-personal-health-data-to-linkedin\">told LinkedIn when a visitor indicated\u003c/a> they were blind, pregnant, or a victim of domestic violence.\u003c/p>\n\u003cp>Experts said state health exchanges’ use of advertising trackers was troubling if not entirely surprising. Such tools can help organizations to reach visitors and tailor ads for them. Google Analytics allows website operators to better understand who is coming to their site and to optimize ad campaigns. The LinkedIn and Snap trackers, like a similar offering from Meta, help companies target their social media ads.\u003c/p>\n\u003cp>Nevada uses the trackers to help target marketing at uninsured residents, according to Russell Cook, Executive Director of the state agency that operates Nevada’s exchange, Silver State Health Insurance Exchange.\u003c/p>\n\u003cp>But health care services need to be especially careful with those tools, said John Haskell, a data privacy attorney who has previously worked as an investigator for the Department of Health and Human Services.\u003c/p>\n\u003cp>“It doesn’t surprise me that organizations that have these massive tech stacks that rely on third party-resources don’t have a full understanding of what the configuration is, what the data flows are, and then once they go to somebody, what that data is being used for,” Haskell said. “It’s something that needs to be addressed.”\u003c/p>\n\u003ch2>How was state exchange data tied to users’ identities?\u003c/h2>\n\u003cp>After \u003ca href=\"https://themarkup.org/pixel-hunt/2025/04/28/how-california-sent-residents-personal-health-data-to-linkedin\">The Markup and CalMatters reported\u003c/a> on Covered California’s sharing of health data with LinkedIn, the exchange removed its trackers and said it would review its data practices. The news \u003ca href=\"https://themarkup.org/impact/2025/05/02/after-markup-investigation-linkedin-and-google-face-lawsuit-alleging-improper-access-to-health-data\">triggered\u003c/a> a class-action lawsuit and questions from federal lawmakers.\u003c/p>\n\u003cp>The Markup and CalMatters then examined websites operated by 18 states other than California, as well as Washington, D.C., to see what information they shared as users navigated them. The sites were established under the Affordable Care Act, which requires states to offer health insurance either through their own exchanges or one operated by the federal government.\u003c/p>\n\u003cp>To test them, we first ran the sites through \u003ca href=\"https://themarkup.org/blacklight\">Blacklight\u003c/a>, a tool we developed to reveal web trackers. We then reviewed network traffic on the sites to see what data the trackers received when visitors filled out forms.\u003c/p>\n\u003cp>The results showed that 18 used some sort of tracker. Some were filled with them. Nevada, for example, used nearly 50. By contrast, Blacklight found no tracker of any kind on Washington, D.C.’s exchange. Popular websites use on average seven trackers, according to \u003ca href=\"https://themarkup.org/blacklight/2020/09/22/how-we-built-a-real-time-privacy-inspector#survey\">Blacklight scans of the 100,000 most trafficked sites on the web\u003c/a>.\u003c/p>\n\u003cdiv id=\"datawrapper-vis-KRc8b\" style=\"min-height: 971px\">\u003cimg decoding=\"async\" src=\"https://datawrapper.dwcdn.net/KRc8b/full.png\" alt=\"\">\u003c/div>\n\u003cp>Many of the sites used trackers in relatively innocuous ways, like counting page views.\u003c/p>\n\u003cp>The four exchanges we found sharing sensitive health data sent varied responses to questions about the tracking.\u003c/p>\n\u003cp>Cook said in a statement that trackers placed by his Nevada agency were “inadvertently obtaining information regarding the name and dosage of prescription drugs” and sending it to LinkedIn and Snapchat.\u003c/p>\n\u003cp>Cook acknowledged such data was “wholly irrelevant to our marketing efforts” and said it had disabled tracking software pending an audit.\u003c/p>\n\u003cp>Jason Lefferts, a spokesperson for Massachusetts Health Connector, said in a statement that “personally identifiable information is not part of the tool’s structure and no personally identifiable information, not even the IP addresses of users of the tool, has ever been shared with any party in any way via this tool.” But LinkedIn’s \u003ca href=\"https://www.linkedin.com/help/lms/answer/a427660\">tracker documentation\u003c/a> makes clear that it correlates the information it receives with specific LinkedIn accounts so companies can use the data for features like retargeting website visitors. The company’s documentation also states it later obscures this information and eventually deletes it.\u003c/p>\n\u003cp>Spokespeople for the Rhode Island and Maine health exchanges said that they pay a vendor, Consumers’ Checkbook, to run a separate site that allows visitors to explore what plans are available to them through their states’ exchanges. It was from these sites that sensitive information was shared to Google. Consumers’ Checkbook’s sites are at different web addresses than the exchange sites, but are prominently linked to on the exchange sites and display identical branding like the state health exchange’s logo, making it unlikely that an average visitor would realize they were no longer on a state-run domain.\u003c/p>\n\u003cp>Christina Spaight O’Reilly, a spokesperson for HealthSource RI, said the company uses Google Analytics to study trends but not to serve ads, and “disables Google Signals Data Collection, ensuring that no data is shared with Google Ads for audience creation or ad personalization, and no session data is linked to Google’s advertising cookies or identifiers.” HealthSource RI’s terms of use mention the use of Google Analytics, she noted. A spokesperson for CoverME.gov made similar points, saying that the agency “does not collect or retain any data entered into the tool.”\u003c/p>\n\u003cp>Consumers’ Checkbook declined to comment beyond the exchanges’ statements.\u003c/p>\n\u003cp>All of the exchanges said that individually identifiable health information, like names and addresses, wasn’t sent to third parties. But the point of the trackers is to enhance information sent about a user with data the platforms already have on that user, and every tracker found by The Markup and CalMatters logged details about individual visitors, such as their operating system, browser, device, and times of visit.\u003c/p>\n\u003cp>In response to requests for comment, the tech companies whose trackers we examined uniformly said they do not want organizations sending them potentially sensitive health data, and that doing so is against their terms of use.\u003c/p>\n\u003cp>Steve Ganem, Director of Product Management for Google Analytics, said that “by default any data sent to Google Analytics does not identify individuals, and we have strict policies against collecting Private Health Information or advertising based on sensitive information.” A spokesperson for LinkedIn, Brionna Ruff, said that advertisers are not allowed “to target ads based on sensitive data categories,” such as health issues. A spokesperson for Snapchat owner Snap said the same, noting that sending purchases of supplies like prescriptions would run afoul of the company’s rules about sensitive data.\u003c/p>\n\u003cp>\u003ca href=\"https://support.google.com/analytics/answer/13297105?hl=en\">A Google Analytics information page\u003c/a> specifically discusses how organizations that use the company’s tools should comply with the Health Insurance Portability and Accountability Act, which protects health data. The page notes that “Google makes no representations that Google Analytics satisfies HIPAA requirements.”\u003c/p>\n\u003cp>“It is important to ensure that your implementation of Google Analytics and the data collected about visitors to your properties satisfies all applicable legal requirements,” the page reads.\u003c/p>\n\u003cp>(Full disclosure: CalMatters uses Google Analytics on our website. \u003ca href=\"https://calmatters.org/about/policies-and-standards/#j-privacy-policy\">Read more about how\u003c/a>.)\u003c/p>\n\u003ch2>More incidents\u003c/h2>\n\u003cp>State exchanges aren’t the only health sites that have sent medical information to social media companies.\u003c/p>\n\u003cp>In 2022, \u003ca href=\"https://themarkup.org/pixel-hunt/2022/06/16/facebook-is-receiving-sensitive-medical-information-from-hospital-websites\">The Markup revealed\u003c/a> that dozens of hospital websites shared information with Facebook’s parent company, Meta, through a tool called the Meta Pixel. The hospitals faced \u003ca href=\"https://themarkup.org/pixel-hunt/2022/09/19/meta-faces-mounting-questions-from-congress-on-health-data-privacy-as-hospitals-remove-facebook-tracker\">scrutiny from Congress and legal action\u003c/a>. \u003ca href=\"https://themarkup.org/pixel-hunt/2023/06/30/need-to-get-plan-b-or-an-hiv-test-online-facebook-may-know-about-it\">Another Markup investigation\u003c/a> found trackers logging information about online drugstore visitors purchasing HIV tests and Plan B.\u003c/p>\n\u003cp>In 2023, a New York hospital agreed to pay a $300,000 fine for violations of the Health Insurance Portability and Accountability Act, or HIPAA.\u003c/p>\n\u003cp>In response to a series of incidents, the \u003ca href=\"https://www.hhs.gov/sites/default/files/use-online-tracking-technologies.pdf\">Department of Health and Human Services said in 2023\u003c/a> that use of social media trackers to log health information could violate HIPAA, although recent court decisions have narrowed how the law can be applied against companies that use those trackers.\u003c/p>\n\u003cp>Some plaintiffs have used state laws, like those in California, to argue that they should be compensated for having their health data sent to third parties without consent. Others have argued that this kind of tracking runs afoul of \u003ca href=\"https://www.wisnerbaum.com/consumer-class-actions/hr-block-lawsuit/\">wiretapping or even racketeering laws\u003c/a>.\u003cbr>\n“Organizations aren’t investing enough time and resources into properly vetting everything,” said Haskell, who advises clients to be very careful about the information they track on their sites. “When organizations are saying, ‘we didn’t understand that there’s a certain configuration of this tool that we’re using,’ well, I can’t really \u003cem>not\u003c/em> put that on you.”\u003c/p>\n\u003cp>\u003cem>This article was \u003ca href=\"https://calmatters.org/economy/technology/2025/06/more-states-share-health-data-to-trackers/\">originally published on CalMatters\u003c/a> and was republished under the \u003ca href=\"https://creativecommons.org/licenses/by-nc-nd/4.0/\">Creative Commons Attribution-NonCommercial-NoDerivatives\u003c/a> license.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>This story was originally published by \u003ca href=\"https://calmatters.org/\">CalMatters\u003c/a>. \u003ca href=\"https://calmatters.org/subscribe-to-calmatters/\">Sign up\u003c/a> for their newsletters.\u003c/em>\u003c/p>\n\u003cp>State-run health care websites around the country, meant to provide a simple way to shop for insurance, have been quietly sending visitors’ sensitive health information to Google and social media companies, The Markup and CalMatters found.\u003c/p>\n\u003cp>\u003ca href=\"https://github.com/the-markup/investigation-healthcare-exchange-tracking\">The data\u003c/a>, including prescription drug names and dosages, was sent by web trackers on state exchanges set up under the Affordable Care Act to help Americans purchase health coverage.\u003c/p>\n\u003cp>The exchange websites ask users to answer a series of questions, including about their health histories, to find them the most relevant information on plans. But in some cases, when visitors responded to sensitive questions, the invisible trackers sent that information to platforms like Google, LinkedIn, and Snapchat.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The Markup and CalMatters audited the websites of all 19 states that independently operate their own online health exchange. While most of the sites contained advertising trackers of some kind, The Markup and CalMatters found that four states exposed visitors’ sensitive health information.\u003c/p>\n\u003cp>Nevada’s exchange, Nevada Health Link, asks visitors about what prescriptions they use, including the names and dosages of the drugs, to help them find their best options for health insurance. When visitors start typing, it suggests specific medications, including antidepressants, birth control and hormone therapies.\u003c/p>\n\u003cp>As visitors answered the questions, their responses were sent to LinkedIn and Snapchat, according to tests conducted by The Markup and CalMatters in April and May.\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-12045091\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/Image-6-19-25-at-9.49%E2%80%AFAM.jpg\" alt=\"\" width=\"1024\" height=\"747\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/Image-6-19-25-at-9.49 AM.jpg 1024w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/Image-6-19-25-at-9.49 AM-160x117.jpg 160w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\">\u003c/p>\n\u003cp>On the other side of the country, Maine’s exchange, CoverME.gov, sent information on drug prescriptions and dosages to Google through an analytics tool. It also sent the names of doctors and hospitals that people had previously visited.\u003c/p>\n\u003cp>Rhode Island’s exchange, HealthSource RI, sent prescription information, dosages, and doctors’ names to Google.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Massachusetts Health Connector, another exchange, told LinkedIn whether visitors said they were pregnant, blind, or disabled.\u003c/p>\n\u003cp>After being contacted by The Markup and CalMatters, Nevada’s health exchange stopped sending visitors’ data to Snapchat and Massachusetts stopped sending data to LinkedIn. Additionally, The Markup and CalMatters found that Nevada stopped sending data to LinkedIn in early May, as we were testing.\u003c/p>\n\u003cp>The Markup and CalMatters discovered the sharing after finding that California’s exchange, Covered California, \u003ca href=\"https://themarkup.org/pixel-hunt/2025/04/28/how-california-sent-residents-personal-health-data-to-linkedin\">told LinkedIn when a visitor indicated\u003c/a> they were blind, pregnant, or a victim of domestic violence.\u003c/p>\n\u003cp>Experts said state health exchanges’ use of advertising trackers was troubling if not entirely surprising. Such tools can help organizations to reach visitors and tailor ads for them. Google Analytics allows website operators to better understand who is coming to their site and to optimize ad campaigns. The LinkedIn and Snap trackers, like a similar offering from Meta, help companies target their social media ads.\u003c/p>\n\u003cp>Nevada uses the trackers to help target marketing at uninsured residents, according to Russell Cook, Executive Director of the state agency that operates Nevada’s exchange, Silver State Health Insurance Exchange.\u003c/p>\n\u003cp>But health care services need to be especially careful with those tools, said John Haskell, a data privacy attorney who has previously worked as an investigator for the Department of Health and Human Services.\u003c/p>\n\u003cp>“It doesn’t surprise me that organizations that have these massive tech stacks that rely on third party-resources don’t have a full understanding of what the configuration is, what the data flows are, and then once they go to somebody, what that data is being used for,” Haskell said. “It’s something that needs to be addressed.”\u003c/p>\n\u003ch2>How was state exchange data tied to users’ identities?\u003c/h2>\n\u003cp>After \u003ca href=\"https://themarkup.org/pixel-hunt/2025/04/28/how-california-sent-residents-personal-health-data-to-linkedin\">The Markup and CalMatters reported\u003c/a> on Covered California’s sharing of health data with LinkedIn, the exchange removed its trackers and said it would review its data practices. The news \u003ca href=\"https://themarkup.org/impact/2025/05/02/after-markup-investigation-linkedin-and-google-face-lawsuit-alleging-improper-access-to-health-data\">triggered\u003c/a> a class-action lawsuit and questions from federal lawmakers.\u003c/p>\n\u003cp>The Markup and CalMatters then examined websites operated by 18 states other than California, as well as Washington, D.C., to see what information they shared as users navigated them. The sites were established under the Affordable Care Act, which requires states to offer health insurance either through their own exchanges or one operated by the federal government.\u003c/p>\n\u003cp>To test them, we first ran the sites through \u003ca href=\"https://themarkup.org/blacklight\">Blacklight\u003c/a>, a tool we developed to reveal web trackers. We then reviewed network traffic on the sites to see what data the trackers received when visitors filled out forms.\u003c/p>\n\u003cp>The results showed that 18 used some sort of tracker. Some were filled with them. Nevada, for example, used nearly 50. By contrast, Blacklight found no tracker of any kind on Washington, D.C.’s exchange. Popular websites use on average seven trackers, according to \u003ca href=\"https://themarkup.org/blacklight/2020/09/22/how-we-built-a-real-time-privacy-inspector#survey\">Blacklight scans of the 100,000 most trafficked sites on the web\u003c/a>.\u003c/p>\n\u003cdiv id=\"datawrapper-vis-KRc8b\" style=\"min-height: 971px\">\u003cimg decoding=\"async\" src=\"https://datawrapper.dwcdn.net/KRc8b/full.png\" alt=\"\">\u003c/div>\n\u003cp>Many of the sites used trackers in relatively innocuous ways, like counting page views.\u003c/p>\n\u003cp>The four exchanges we found sharing sensitive health data sent varied responses to questions about the tracking.\u003c/p>\n\u003cp>Cook said in a statement that trackers placed by his Nevada agency were “inadvertently obtaining information regarding the name and dosage of prescription drugs” and sending it to LinkedIn and Snapchat.\u003c/p>\n\u003cp>Cook acknowledged such data was “wholly irrelevant to our marketing efforts” and said it had disabled tracking software pending an audit.\u003c/p>\n\u003cp>Jason Lefferts, a spokesperson for Massachusetts Health Connector, said in a statement that “personally identifiable information is not part of the tool’s structure and no personally identifiable information, not even the IP addresses of users of the tool, has ever been shared with any party in any way via this tool.” But LinkedIn’s \u003ca href=\"https://www.linkedin.com/help/lms/answer/a427660\">tracker documentation\u003c/a> makes clear that it correlates the information it receives with specific LinkedIn accounts so companies can use the data for features like retargeting website visitors. The company’s documentation also states it later obscures this information and eventually deletes it.\u003c/p>\n\u003cp>Spokespeople for the Rhode Island and Maine health exchanges said that they pay a vendor, Consumers’ Checkbook, to run a separate site that allows visitors to explore what plans are available to them through their states’ exchanges. It was from these sites that sensitive information was shared to Google. Consumers’ Checkbook’s sites are at different web addresses than the exchange sites, but are prominently linked to on the exchange sites and display identical branding like the state health exchange’s logo, making it unlikely that an average visitor would realize they were no longer on a state-run domain.\u003c/p>\n\u003cp>Christina Spaight O’Reilly, a spokesperson for HealthSource RI, said the company uses Google Analytics to study trends but not to serve ads, and “disables Google Signals Data Collection, ensuring that no data is shared with Google Ads for audience creation or ad personalization, and no session data is linked to Google’s advertising cookies or identifiers.” HealthSource RI’s terms of use mention the use of Google Analytics, she noted. A spokesperson for CoverME.gov made similar points, saying that the agency “does not collect or retain any data entered into the tool.”\u003c/p>\n\u003cp>Consumers’ Checkbook declined to comment beyond the exchanges’ statements.\u003c/p>\n\u003cp>All of the exchanges said that individually identifiable health information, like names and addresses, wasn’t sent to third parties. But the point of the trackers is to enhance information sent about a user with data the platforms already have on that user, and every tracker found by The Markup and CalMatters logged details about individual visitors, such as their operating system, browser, device, and times of visit.\u003c/p>\n\u003cp>In response to requests for comment, the tech companies whose trackers we examined uniformly said they do not want organizations sending them potentially sensitive health data, and that doing so is against their terms of use.\u003c/p>\n\u003cp>Steve Ganem, Director of Product Management for Google Analytics, said that “by default any data sent to Google Analytics does not identify individuals, and we have strict policies against collecting Private Health Information or advertising based on sensitive information.” A spokesperson for LinkedIn, Brionna Ruff, said that advertisers are not allowed “to target ads based on sensitive data categories,” such as health issues. A spokesperson for Snapchat owner Snap said the same, noting that sending purchases of supplies like prescriptions would run afoul of the company’s rules about sensitive data.\u003c/p>\n\u003cp>\u003ca href=\"https://support.google.com/analytics/answer/13297105?hl=en\">A Google Analytics information page\u003c/a> specifically discusses how organizations that use the company’s tools should comply with the Health Insurance Portability and Accountability Act, which protects health data. The page notes that “Google makes no representations that Google Analytics satisfies HIPAA requirements.”\u003c/p>\n\u003cp>“It is important to ensure that your implementation of Google Analytics and the data collected about visitors to your properties satisfies all applicable legal requirements,” the page reads.\u003c/p>\n\u003cp>(Full disclosure: CalMatters uses Google Analytics on our website. \u003ca href=\"https://calmatters.org/about/policies-and-standards/#j-privacy-policy\">Read more about how\u003c/a>.)\u003c/p>\n\u003ch2>More incidents\u003c/h2>\n\u003cp>State exchanges aren’t the only health sites that have sent medical information to social media companies.\u003c/p>\n\u003cp>In 2022, \u003ca href=\"https://themarkup.org/pixel-hunt/2022/06/16/facebook-is-receiving-sensitive-medical-information-from-hospital-websites\">The Markup revealed\u003c/a> that dozens of hospital websites shared information with Facebook’s parent company, Meta, through a tool called the Meta Pixel. The hospitals faced \u003ca href=\"https://themarkup.org/pixel-hunt/2022/09/19/meta-faces-mounting-questions-from-congress-on-health-data-privacy-as-hospitals-remove-facebook-tracker\">scrutiny from Congress and legal action\u003c/a>. \u003ca href=\"https://themarkup.org/pixel-hunt/2023/06/30/need-to-get-plan-b-or-an-hiv-test-online-facebook-may-know-about-it\">Another Markup investigation\u003c/a> found trackers logging information about online drugstore visitors purchasing HIV tests and Plan B.\u003c/p>\n\u003cp>In 2023, a New York hospital agreed to pay a $300,000 fine for violations of the Health Insurance Portability and Accountability Act, or HIPAA.\u003c/p>\n\u003cp>In response to a series of incidents, the \u003ca href=\"https://www.hhs.gov/sites/default/files/use-online-tracking-technologies.pdf\">Department of Health and Human Services said in 2023\u003c/a> that use of social media trackers to log health information could violate HIPAA, although recent court decisions have narrowed how the law can be applied against companies that use those trackers.\u003c/p>\n\u003cp>Some plaintiffs have used state laws, like those in California, to argue that they should be compensated for having their health data sent to third parties without consent. Others have argued that this kind of tracking runs afoul of \u003ca href=\"https://www.wisnerbaum.com/consumer-class-actions/hr-block-lawsuit/\">wiretapping or even racketeering laws\u003c/a>.\u003cbr>\n“Organizations aren’t investing enough time and resources into properly vetting everything,” said Haskell, who advises clients to be very careful about the information they track on their sites. “When organizations are saying, ‘we didn’t understand that there’s a certain configuration of this tool that we’re using,’ well, I can’t really \u003cem>not\u003c/em> put that on you.”\u003c/p>\n\u003cp>\u003cem>This article was \u003ca href=\"https://calmatters.org/economy/technology/2025/06/more-states-share-health-data-to-trackers/\">originally published on CalMatters\u003c/a> and was republished under the \u003ca href=\"https://creativecommons.org/licenses/by-nc-nd/4.0/\">Creative Commons Attribution-NonCommercial-NoDerivatives\u003c/a> license.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003ca href=\"https://www.kqed.org/news/tag/santa-clara-county\">Santa Clara County officials\u003c/a> celebrated the opening of a new residential treatment facility in San José on Thursday that will provide shared living space for people in jail diversion programs with mental health treatment needs.\u003c/p>\n\u003cp>The opening of what’s known as the Vermont House, just off The Alameda, will add 15 beds to the county’s growing inventory of places for \u003ca href=\"https://www.kqed.org/news/11977258/despite-progress-santa-clara-county-sees-sharp-rise-in-first-time-homelessness\">people who need transitional housing\u003c/a> and different levels of treatment or services.\u003c/p>\n\u003cp>“Having a stable and secure roof over one’s head helps to diminish all of the other challenges one may face,” Board of Supervisors President Otto Lee said Thursday during an event marking the opening.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“By investing in these additional pathway-toward-treatment services, we can get more people toward care more quickly so that they can get the help they need. And by investing in these programs, we’re improving the quality of life for everyone in our community,” Lee said.\u003c/p>\n\u003cp>The Vermont House beds are spread across two homes, each of which will include a room for a live-in manager or site supervisor, and there will be “wraparound” services for tenants, including case management to help with things such as job placement or benefits applications. There will also be security on site during the week, at night and on weekends, officials said.\u003c/p>\n\u003cfigure id=\"attachment_12044069\" class=\"wp-caption aligncenter\" style=\"max-width: 1999px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12044069\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/250612-SCCVERMONT-JG-1_qed.jpg\" alt=\"\" width=\"1999\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/250612-SCCVERMONT-JG-1_qed.jpg 1999w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/250612-SCCVERMONT-JG-1_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/250612-SCCVERMONT-JG-1_qed-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1999px) 100vw, 1999px\">\u003cfigcaption class=\"wp-caption-text\">A private bedroom is seen on June 12, 2025, at Vermont House in San José, a newly opened residential treatment facility for people leaving jail with mental health needs. \u003ccite>(Joseph Geha/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Melissa Santos, head of people and workforce development at Community Solutions, the contractor who operates Vermont House for the county, said the program’s clients also can receive support for shopping and meal planning and therapy sessions, among other services.\u003c/p>\n\u003cp>“Essentially, the idea is independent living. We’re building their skills, and we’re helping them to gain the skills that they need to then go on with the next chapter of their lives,” Santos said.[aside postID=news_12043787 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/250606-SJICEPROTEST-JG-5-KQED.jpg']The program aims to keep clients at the home for about six months to a year, and, during that time, works to find a permanent housing opportunity for them, whether it be an individual apartment or rejoining family or friends.\u003c/p>\n\u003cp>The county purchased the Vermont House property from San José in January using a California Health Facilities Financing Authority grant. The city previously ran a program for housing formerly homeless veterans at the site.\u003c/p>\n\u003cp>The house will now serve as a “middle ground for people leaving incarceration whose mental health does not require hospitalization or crisis stabilization, but would benefit from a structured treatment environment and support,” the county said in a statement.\u003c/p>\n\u003cp>“Everyone, every resident here will have their own bedroom, their own space, closet, bed, beautiful light, windows and a dresser and the ability to close the door and to have privacy and security while they are proceeding on their journey back toward health,” Supervisor Susan Ellenberg said Thursday.\u003c/p>\n\u003cfigure id=\"attachment_12044070\" class=\"wp-caption aligncenter\" style=\"max-width: 1999px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12044070\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/250612-SCCVERMONT-JG-4_qed.jpg\" alt=\"\" width=\"1999\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/250612-SCCVERMONT-JG-4_qed.jpg 1999w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/250612-SCCVERMONT-JG-4_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/250612-SCCVERMONT-JG-4_qed-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1999px) 100vw, 1999px\">\u003cfigcaption class=\"wp-caption-text\">Santa Clara County Supervisor Susan Ellenberg speaks during an event celebrating the opening of Vermont House, a new residential treatment facility in San José for people leaving jail with mental health needs. \u003ccite>(Joseph Geha/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“When residents walk through here, my anticipation and hope is that they immediately feel at home, that they feel well taken care of, that they feel comfortable,” she said.\u003c/p>\n\u003cp>During the event on Thursday, Ellenberg and other supervisors appeared to allude to an ongoing war of words with \u003ca href=\"https://www.kqed.org/news/12042370/in-san-jose-a-controversial-choice-for-unhoused-shelter-or-arrest\">San José Mayor Matt Mahan\u003c/a>, with whom they have clashed over his recently approved \u003ca href=\"https://www.kqed.org/news/12043418/san-jose-council-approves-mahans-shelter-enforcement-plan\">Responsibility to Shelter plan\u003c/a>, which aims to get unhoused people into temporary housing by arresting them if they refuse shelter multiple times.\u003c/p>\n\u003cp>Mahan has called on the county to expand shelter and treatment services as part of his campaign around the program.\u003c/p>\n\u003cp>“Every level of government bears responsibility,” Ellenberg said in an interview. “So, of course, we need to expand services, and we are working with urgency to do so. We are literally moving at the fastest speed possible in order to expand these services. I would love to see all of our cities work at that same speed to expand the supply of housing at all levels of income.”\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/12017754/meet-betty-duong-santa-clara-countys-first-vietnamese-american-supervisor\">Supervisor Betty Duong\u003c/a>, who represents the area where the Vermont House is located, said such facilities will be critical in the push to end homelessness.\u003c/p>\n\u003cfigure id=\"attachment_12044071\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12044071\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/250612-SCCVERMONT-JG-3_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/250612-SCCVERMONT-JG-3_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/250612-SCCVERMONT-JG-3_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/250612-SCCVERMONT-JG-3_qed-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Santa Clara County Supervisor Betty Duong speaks during an event marking the opening of Vermont House, a newly opened county-run residential treatment facility in San José for people leaving jail with mental health needs. \u003ccite>(Joseph Geha/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We know that true solutions require critical, clinical, true compassion and care. This is not a problem that we can incarcerate and criminalize our way out of,” Duong said during the event.\u003c/p>\n\u003cp>Under Ellenberg and Lee’s leadership, the county in 2022 declared a \u003ca href=\"https://www.kqed.org/news/11903644/santa-clara-county-considered-building-a-mental-health-facility-instead-of-a-new-jail-it-chose-the-jail\">mental health crisis\u003c/a> and set a goal to add 530 more beds for people with varying mental health needs by 2030, on top of the 1,060 the county oversaw at the time.\u003c/p>\n\u003cp>The county is nearly 40% toward the goal, officials said, having added 208 beds since July 1, 2022, including a mix of acute facilities, mental health community homes, substance use homes and withdrawal management centers.\u003c/p>\n\u003cp>Another 227 beds are in the pipeline, the county said, including 77 in development at the planned Behavioral Health Services Center on the Valley Medical Center campus.\u003c/p>\n\u003cp>Also on Thursday, supervisors were expected to approve the county’s annual budget, including about $870 million for behavioral health programs and services, the county said. The funds will go toward expanding treatment bed capacity, substance use treatment services and a new mobile narcotic treatment program, among other programs.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://www.kqed.org/news/tag/santa-clara-county\">Santa Clara County officials\u003c/a> celebrated the opening of a new residential treatment facility in San José on Thursday that will provide shared living space for people in jail diversion programs with mental health treatment needs.\u003c/p>\n\u003cp>The opening of what’s known as the Vermont House, just off The Alameda, will add 15 beds to the county’s growing inventory of places for \u003ca href=\"https://www.kqed.org/news/11977258/despite-progress-santa-clara-county-sees-sharp-rise-in-first-time-homelessness\">people who need transitional housing\u003c/a> and different levels of treatment or services.\u003c/p>\n\u003cp>“Having a stable and secure roof over one’s head helps to diminish all of the other challenges one may face,” Board of Supervisors President Otto Lee said Thursday during an event marking the opening.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“By investing in these additional pathway-toward-treatment services, we can get more people toward care more quickly so that they can get the help they need. And by investing in these programs, we’re improving the quality of life for everyone in our community,” Lee said.\u003c/p>\n\u003cp>The Vermont House beds are spread across two homes, each of which will include a room for a live-in manager or site supervisor, and there will be “wraparound” services for tenants, including case management to help with things such as job placement or benefits applications. There will also be security on site during the week, at night and on weekends, officials said.\u003c/p>\n\u003cfigure id=\"attachment_12044069\" class=\"wp-caption aligncenter\" style=\"max-width: 1999px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12044069\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/250612-SCCVERMONT-JG-1_qed.jpg\" alt=\"\" width=\"1999\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/250612-SCCVERMONT-JG-1_qed.jpg 1999w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/250612-SCCVERMONT-JG-1_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/250612-SCCVERMONT-JG-1_qed-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1999px) 100vw, 1999px\">\u003cfigcaption class=\"wp-caption-text\">A private bedroom is seen on June 12, 2025, at Vermont House in San José, a newly opened residential treatment facility for people leaving jail with mental health needs. \u003ccite>(Joseph Geha/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Melissa Santos, head of people and workforce development at Community Solutions, the contractor who operates Vermont House for the county, said the program’s clients also can receive support for shopping and meal planning and therapy sessions, among other services.\u003c/p>\n\u003cp>“Essentially, the idea is independent living. We’re building their skills, and we’re helping them to gain the skills that they need to then go on with the next chapter of their lives,” Santos said.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The program aims to keep clients at the home for about six months to a year, and, during that time, works to find a permanent housing opportunity for them, whether it be an individual apartment or rejoining family or friends.\u003c/p>\n\u003cp>The county purchased the Vermont House property from San José in January using a California Health Facilities Financing Authority grant. The city previously ran a program for housing formerly homeless veterans at the site.\u003c/p>\n\u003cp>The house will now serve as a “middle ground for people leaving incarceration whose mental health does not require hospitalization or crisis stabilization, but would benefit from a structured treatment environment and support,” the county said in a statement.\u003c/p>\n\u003cp>“Everyone, every resident here will have their own bedroom, their own space, closet, bed, beautiful light, windows and a dresser and the ability to close the door and to have privacy and security while they are proceeding on their journey back toward health,” Supervisor Susan Ellenberg said Thursday.\u003c/p>\n\u003cfigure id=\"attachment_12044070\" class=\"wp-caption aligncenter\" style=\"max-width: 1999px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12044070\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/250612-SCCVERMONT-JG-4_qed.jpg\" alt=\"\" width=\"1999\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/250612-SCCVERMONT-JG-4_qed.jpg 1999w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/250612-SCCVERMONT-JG-4_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/250612-SCCVERMONT-JG-4_qed-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1999px) 100vw, 1999px\">\u003cfigcaption class=\"wp-caption-text\">Santa Clara County Supervisor Susan Ellenberg speaks during an event celebrating the opening of Vermont House, a new residential treatment facility in San José for people leaving jail with mental health needs. \u003ccite>(Joseph Geha/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“When residents walk through here, my anticipation and hope is that they immediately feel at home, that they feel well taken care of, that they feel comfortable,” she said.\u003c/p>\n\u003cp>During the event on Thursday, Ellenberg and other supervisors appeared to allude to an ongoing war of words with \u003ca href=\"https://www.kqed.org/news/12042370/in-san-jose-a-controversial-choice-for-unhoused-shelter-or-arrest\">San José Mayor Matt Mahan\u003c/a>, with whom they have clashed over his recently approved \u003ca href=\"https://www.kqed.org/news/12043418/san-jose-council-approves-mahans-shelter-enforcement-plan\">Responsibility to Shelter plan\u003c/a>, which aims to get unhoused people into temporary housing by arresting them if they refuse shelter multiple times.\u003c/p>\n\u003cp>Mahan has called on the county to expand shelter and treatment services as part of his campaign around the program.\u003c/p>\n\u003cp>“Every level of government bears responsibility,” Ellenberg said in an interview. “So, of course, we need to expand services, and we are working with urgency to do so. We are literally moving at the fastest speed possible in order to expand these services. I would love to see all of our cities work at that same speed to expand the supply of housing at all levels of income.”\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/12017754/meet-betty-duong-santa-clara-countys-first-vietnamese-american-supervisor\">Supervisor Betty Duong\u003c/a>, who represents the area where the Vermont House is located, said such facilities will be critical in the push to end homelessness.\u003c/p>\n\u003cfigure id=\"attachment_12044071\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12044071\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/250612-SCCVERMONT-JG-3_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/250612-SCCVERMONT-JG-3_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/250612-SCCVERMONT-JG-3_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/250612-SCCVERMONT-JG-3_qed-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Santa Clara County Supervisor Betty Duong speaks during an event marking the opening of Vermont House, a newly opened county-run residential treatment facility in San José for people leaving jail with mental health needs. \u003ccite>(Joseph Geha/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We know that true solutions require critical, clinical, true compassion and care. This is not a problem that we can incarcerate and criminalize our way out of,” Duong said during the event.\u003c/p>\n\u003cp>Under Ellenberg and Lee’s leadership, the county in 2022 declared a \u003ca href=\"https://www.kqed.org/news/11903644/santa-clara-county-considered-building-a-mental-health-facility-instead-of-a-new-jail-it-chose-the-jail\">mental health crisis\u003c/a> and set a goal to add 530 more beds for people with varying mental health needs by 2030, on top of the 1,060 the county oversaw at the time.\u003c/p>\n\u003cp>The county is nearly 40% toward the goal, officials said, having added 208 beds since July 1, 2022, including a mix of acute facilities, mental health community homes, substance use homes and withdrawal management centers.\u003c/p>\n\u003cp>Another 227 beds are in the pipeline, the county said, including 77 in development at the planned Behavioral Health Services Center on the Valley Medical Center campus.\u003c/p>\n\u003cp>Also on Thursday, supervisors were expected to approve the county’s annual budget, including about $870 million for behavioral health programs and services, the county said. The funds will go toward expanding treatment bed capacity, substance use treatment services and a new mobile narcotic treatment program, among other programs.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>In the face of a $12 billion state deficit, Gov. Gavin Newsom’s revised budget plan has sparked a wave of \u003ca href=\"https://www.kqed.org/news/12041584/health-advocates-say-newsoms-medi-cal-budget-could-cripple-womens-reproductive-care\">backlash\u003c/a> among acupuncture advocates across the state.\u003c/p>\n\u003cp>A coalition of San Francisco health care providers and patients gathered in Chinatown on Tuesday to slam Newsom’s exclusion of acupuncture from state-subsidized Medi-Cal services from the proposal, released earlier this month.\u003c/p>\n\u003cp>Michael Bozier, a San Francisco resident, said acupuncture is the only treatment that has relieved his debilitating and chronic pain from a car accident 40 years ago.\u003c/p>\n\u003cp>“As we look to vote to fund or defund acupuncture, remember … there is a face and a name to suffering,” Bozier said. “Help when the opportunity calls — save the acupuncture.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Eliminating the benefit would result in an estimated saving of $5.4 million from the state’s general fund this year, and “$13.1 million ongoing,” according to the state’s revised Department of Health Care Services budget.\u003c/p>\n\u003cp>In a statement, Newsom’s staff attributed the cuts to tough choices the Trump administration has forced upon the state.\u003c/p>\n\u003cp>“Because of the $16 billion Trump Slump and higher-than-expected health care utilization, the state must take difficult but necessary steps to ensure fiscal stability and preserve the long-term viability of Medi-Cal for all Californians,” a spokesperson said by email.\u003c/p>\n\u003cfigure id=\"attachment_12041726\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12041726 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/IMG_8129-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1920\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/IMG_8129-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/IMG_8129-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/IMG_8129-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/IMG_8129-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/IMG_8129-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/IMG_8129-2048x1536.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/IMG_8129-1920x1440.jpg 1920w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">Acupuncture advocates and health care providers rally in San Francisco’s Chinatown on Tuesday to protest Gov. Gavin Newsom’s revised budget plan, which excludes acupuncture from Medi-Cal coverage amid a $12 billion state deficit. \u003ccite>(Gilare Zada/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Last year, Newsom also attempted to slash the traditional Chinese treatment from Medi-Cal, the state’s health insurance for low-income residents.\u003c/p>\n\u003cp>But the AAPI legislative caucus, state Sen. Scott Wiener and other legislative leadership were able to restore acupuncture in the budget, said Kenneth Wilkerson, a spokesperson for North East Medical Services, a nonprofit community health center.\u003c/p>\n\u003cp>“Here we are again,” Wilkerson told KQED in an email, “trying to restore this critical benefit again this year.”\u003c/p>\n\u003cp>Of the 20,000 patient visits to NEMS since 2017, 90% “were funded by Medi-Cal,” state Assemblymember Matt Haney said at the protest.\u003c/p>\n\u003cp>If the cuts go through, those who won’t be able to afford it out of pocket “will be forced into much more expensive, sometimes addictive medications, and higher cost, riskier treatments,” Haney added.[aside postID=news_12041305 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/GettyImages-2201320740-1020x680.jpg']At the press conference, retired acupuncturist Han Shulin carried a book of scrolls, bound by leather ties and filled with loose-leaf parchment that frayed at the corners.\u003c/p>\n\u003cp>The book bears ancient Chinese instructions for acupuncture treatment, Shulin said at the event, referring to the book as “a kind of acupuncture bible.”\u003c/p>\n\u003cp>\u003cstrong>“\u003c/strong>Our job is to inherit, to achieve acupunctures, to let acupunctions travel the world, to let them travel the whole family,” Shulin said, the book’s yellowed pages wrestling with light gusts of wind.\u003c/p>\n\u003cp>In a major \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/39384145/\">study —\u003c/a> in which Veterans Affairs Healthcare of Connecticut and Yale University researchers followed nearly 2 million veterans suffering from musculoskeletal disorders from 2005 to 2017 — researchers found that for over 270,000 veterans who used acupuncture services, opioid prescriptions “dropped significantly after these approaches were integrated.”\u003c/p>\n\u003cp>After these results, the VA widely adopted acupuncture as part of its holistic health model, “because it works and it reduces long-term costs,” Lin Yang, vice-president of the California Acupuncture Coalition, said at the event.\u003c/p>\n\u003cp>Speaking at the event, District 3 Supervisor Danny Sauter recalled that a year earlier, his campaign trail led him to Chinatown’s Portsmouth Square, where the budget cut protest was located. He had asked a senior citizen what was most important to her, expecting her response to involve housing affordability or public safety.\u003c/p>\n\u003cp>But he said he was surprised when she responded: ‘Zom Gao,’ or acupuncture, in Mandarin.\u003c/p>\n\u003cp>“She grabbed my hand and showed [me] where she gets acupuncture,” Sauter said. “She said, ‘Zom-Gao.’ She said acupuncture is the most important thing to her.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>In the face of a $12 billion state deficit, Gov. Gavin Newsom’s revised budget plan has sparked a wave of \u003ca href=\"https://www.kqed.org/news/12041584/health-advocates-say-newsoms-medi-cal-budget-could-cripple-womens-reproductive-care\">backlash\u003c/a> among acupuncture advocates across the state.\u003c/p>\n\u003cp>A coalition of San Francisco health care providers and patients gathered in Chinatown on Tuesday to slam Newsom’s exclusion of acupuncture from state-subsidized Medi-Cal services from the proposal, released earlier this month.\u003c/p>\n\u003cp>Michael Bozier, a San Francisco resident, said acupuncture is the only treatment that has relieved his debilitating and chronic pain from a car accident 40 years ago.\u003c/p>\n\u003cp>“As we look to vote to fund or defund acupuncture, remember … there is a face and a name to suffering,” Bozier said. “Help when the opportunity calls — save the acupuncture.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Eliminating the benefit would result in an estimated saving of $5.4 million from the state’s general fund this year, and “$13.1 million ongoing,” according to the state’s revised Department of Health Care Services budget.\u003c/p>\n\u003cp>In a statement, Newsom’s staff attributed the cuts to tough choices the Trump administration has forced upon the state.\u003c/p>\n\u003cp>“Because of the $16 billion Trump Slump and higher-than-expected health care utilization, the state must take difficult but necessary steps to ensure fiscal stability and preserve the long-term viability of Medi-Cal for all Californians,” a spokesperson said by email.\u003c/p>\n\u003cfigure id=\"attachment_12041726\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12041726 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/IMG_8129-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1920\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/IMG_8129-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/IMG_8129-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/IMG_8129-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/IMG_8129-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/IMG_8129-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/IMG_8129-2048x1536.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/IMG_8129-1920x1440.jpg 1920w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">Acupuncture advocates and health care providers rally in San Francisco’s Chinatown on Tuesday to protest Gov. Gavin Newsom’s revised budget plan, which excludes acupuncture from Medi-Cal coverage amid a $12 billion state deficit. \u003ccite>(Gilare Zada/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Last year, Newsom also attempted to slash the traditional Chinese treatment from Medi-Cal, the state’s health insurance for low-income residents.\u003c/p>\n\u003cp>But the AAPI legislative caucus, state Sen. Scott Wiener and other legislative leadership were able to restore acupuncture in the budget, said Kenneth Wilkerson, a spokesperson for North East Medical Services, a nonprofit community health center.\u003c/p>\n\u003cp>“Here we are again,” Wilkerson told KQED in an email, “trying to restore this critical benefit again this year.”\u003c/p>\n\u003cp>Of the 20,000 patient visits to NEMS since 2017, 90% “were funded by Medi-Cal,” state Assemblymember Matt Haney said at the protest.\u003c/p>\n\u003cp>If the cuts go through, those who won’t be able to afford it out of pocket “will be forced into much more expensive, sometimes addictive medications, and higher cost, riskier treatments,” Haney added.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>At the press conference, retired acupuncturist Han Shulin carried a book of scrolls, bound by leather ties and filled with loose-leaf parchment that frayed at the corners.\u003c/p>\n\u003cp>The book bears ancient Chinese instructions for acupuncture treatment, Shulin said at the event, referring to the book as “a kind of acupuncture bible.”\u003c/p>\n\u003cp>\u003cstrong>“\u003c/strong>Our job is to inherit, to achieve acupunctures, to let acupunctions travel the world, to let them travel the whole family,” Shulin said, the book’s yellowed pages wrestling with light gusts of wind.\u003c/p>\n\u003cp>In a major \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/39384145/\">study —\u003c/a> in which Veterans Affairs Healthcare of Connecticut and Yale University researchers followed nearly 2 million veterans suffering from musculoskeletal disorders from 2005 to 2017 — researchers found that for over 270,000 veterans who used acupuncture services, opioid prescriptions “dropped significantly after these approaches were integrated.”\u003c/p>\n\u003cp>After these results, the VA widely adopted acupuncture as part of its holistic health model, “because it works and it reduces long-term costs,” Lin Yang, vice-president of the California Acupuncture Coalition, said at the event.\u003c/p>\n\u003cp>Speaking at the event, District 3 Supervisor Danny Sauter recalled that a year earlier, his campaign trail led him to Chinatown’s Portsmouth Square, where the budget cut protest was located. He had asked a senior citizen what was most important to her, expecting her response to involve housing affordability or public safety.\u003c/p>\n\u003cp>But he said he was surprised when she responded: ‘Zom Gao,’ or acupuncture, in Mandarin.\u003c/p>\n\u003cp>“She grabbed my hand and showed [me] where she gets acupuncture,” Sauter said. “She said, ‘Zom-Gao.’ She said acupuncture is the most important thing to her.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>California’s congressional delegation split along party lines early Thursday morning, as the U.S. House of Representatives passed a sweeping budget plan on a \u003ca href=\"https://clerk.house.gov/Votes/2025145\">narrow\u003c/a> 215–214 vote.\u003c/p>\n\u003cp>The One Big Beautiful Act contains much of President Donald Trump’s legislative agenda, including an extension of the 2017 tax cuts, which are partially offset by cuts to health care, food assistance and clean energy programs. Key pieces of the bill will have an outsized impact on California — such as \u003ca href=\"https://www.kqed.org/news/12039102/californians-worried-about-medi-cal-congressional-republicans-consider-cuts\">cuts to Medicaid\u003c/a> and the expansion of the state and local tax deduction — and will likely feature prominently in next year’s midterm congressional campaigns.\u003c/p>\n\u003cp>California is home to a dozen congressional districts deemed “competitive” by the Cook Political Report — more than any other state — putting a microscope on the vote of many swing-district members. In the end, all 43 California Democrats in the House voted against the bill, while the state’s nine Republican representatives voted in support. The legislation now heads to the U.S. Senate, where it can pass with a simple majority vote under budget reconciliation rules.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Republicans in California touted the bill’s extension of income tax cuts that are set to expire at the end of the year, in addition to new tax breaks on tips and overtime, and increased funding for border security.\u003c/p>\n\u003cp>“By this time next year, Americans could be experiencing one of the most explosive periods of growth in our history,” Rep. Tom McClintock, a Republican from the Sierra foothills, said early Thursday on the House floor. “All of that means secure borders, safer communities, lower taxes, abundant energy, more and better jobs, a higher standard of living and a better quality of life.”\u003c/p>\n\u003cp>Democrats focused much of their criticism on the bill’s cuts to Medicaid, which provides healthcare coverage for Americans with low incomes and disabilities, as well as covering nursing home costs. Los Angeles Democratic Rep. Sydney Kamlager-Dove called the legislation a “backstabbing billionaire bill” during the House debate.\u003c/p>\n\u003cfigure id=\"attachment_12041312\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12041312\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/Sydney-Kamlager-Dove-Getty.jpg\" alt=\"\" width=\"2000\" height=\"1600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/Sydney-Kamlager-Dove-Getty.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/Sydney-Kamlager-Dove-Getty-800x640.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/Sydney-Kamlager-Dove-Getty-1020x816.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/Sydney-Kamlager-Dove-Getty-160x128.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/Sydney-Kamlager-Dove-Getty-1536x1229.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/Sydney-Kamlager-Dove-Getty-1920x1536.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">U.S. Representative Sydney Kamlager-Dove, D-CA, speaks as bipartisan lawmakers mark the end of Second Chance Month with Federal Clean Slate Legislation on April 30, 2025, in Washington, D.C. \u003ccite>(Shannon Finney/Getty Images for The Clean Slate Initiative)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“My constituents call my office asking me to protect their Medicaid,” she said. “They don’t ask that their life-saving benefits be taken away and given to the 1%.”\u003c/p>\n\u003cp>The largest cuts to Medicaid spending, known as Medi-Cal in California, will come through the implementation of new requirements that adults ages 19–64 document 80 hours of monthly work, volunteering or education in order to receive health care coverage. People with disabilities, pregnant women and caregivers will be exempted from the requirements.\u003c/p>\n\u003cp>The Center on Budget on Policy Priorities \u003ca href=\"https://www.cbpp.org/research/health/harsh-work-requirements-in-house-republican-bill-would-take-away-medicaid-coverage\">estimated\u003c/a> that the new documentation requirements could lead to health care coverage loss for between 2.2 million and 3.4 million Californians, depending on how strictly the state implements the law.[aside postID=news_12040842 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/npr.brightspotcdn-1020x680.jpg']Their study found that “much of the coverage loss due to work requirements would occur among people who work or should qualify for an exemption but nevertheless would lose coverage due to red tape.”\u003c/p>\n\u003cp>Another provision of the bill would punish California more directly by reducing federal payments to states that allow undocumented residents to enroll in Medicaid or have expanded health coverage to children and pregnant women who have green cards. California has expanded Medi-Cal coverage eligibility to all residents, regardless of immigration status, and does so with state funds. The Center on Budget on Policy Priorities found the penalty could \u003ca href=\"https://www.cbpp.org/research/health/house-republican-bill-grows-even-harsher-cutting-medicaid-funding-to-states-that\">cost California\u003c/a> $27 billion between 2028 and 2034.\u003c/p>\n\u003cp>“Our constituents lose, our hospitals and our clinics close, our veterans’ communities lose — this is a bad bill,” said Rep. Mike Thompson, a Democrat from Napa.\u003c/p>\n\u003cp>The cuts to Medi-Cal could be a particularly vulnerable issue for Republicans in California. A \u003ca href=\"https://www.kqed.org/news/12033802/how-cuts-medicaid-republican-gains-california\">KQED analysis\u003c/a> found that the congressional districts that moved the most toward President Trump in last year’s election also rely disproportionately on Medi-Cal.\u003c/p>\n\u003cp>While the health care cuts will have an outsized impact in working-class political battlegrounds, including many communities in the Central Valley, the GOP will likely tout a provision of the budget bill that expands the state and local tax (SALT) deduction limit — a boon to residents in competitive suburban districts.\u003c/p>\n\u003cp>The SALT deduction allows taxpayers to subtract what they owe in state and local taxes, such as property taxes, from their federal tax bill. The legislation passed by the House raises the limit on that deduction from $10,000 to $40,000. In 2022, 15% of California taxpayers \u003ca href=\"https://bipartisanpolicy.org/explainer/which-states-benefit-most-from-the-salt-deduction/\">utilized\u003c/a> the SALT deduction, the second-highest share of any state, according to the Bipartisan Policy Center.\u003c/p>\n\u003cp>“Increasing the SALT cap means bringing vital tax relief for hardworking, middle-class families I represent who face double taxation,” Orange County Republican Rep. Young Kim wrote on the social media platform X on Wednesday.\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "The Medi-Cal cuts and SALT deduction changes in the One Big Beautiful Act have far-reaching consequences for California. ",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>California’s congressional delegation split along party lines early Thursday morning, as the U.S. House of Representatives passed a sweeping budget plan on a \u003ca href=\"https://clerk.house.gov/Votes/2025145\">narrow\u003c/a> 215–214 vote.\u003c/p>\n\u003cp>The One Big Beautiful Act contains much of President Donald Trump’s legislative agenda, including an extension of the 2017 tax cuts, which are partially offset by cuts to health care, food assistance and clean energy programs. Key pieces of the bill will have an outsized impact on California — such as \u003ca href=\"https://www.kqed.org/news/12039102/californians-worried-about-medi-cal-congressional-republicans-consider-cuts\">cuts to Medicaid\u003c/a> and the expansion of the state and local tax deduction — and will likely feature prominently in next year’s midterm congressional campaigns.\u003c/p>\n\u003cp>California is home to a dozen congressional districts deemed “competitive” by the Cook Political Report — more than any other state — putting a microscope on the vote of many swing-district members. In the end, all 43 California Democrats in the House voted against the bill, while the state’s nine Republican representatives voted in support. The legislation now heads to the U.S. Senate, where it can pass with a simple majority vote under budget reconciliation rules.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Republicans in California touted the bill’s extension of income tax cuts that are set to expire at the end of the year, in addition to new tax breaks on tips and overtime, and increased funding for border security.\u003c/p>\n\u003cp>“By this time next year, Americans could be experiencing one of the most explosive periods of growth in our history,” Rep. Tom McClintock, a Republican from the Sierra foothills, said early Thursday on the House floor. “All of that means secure borders, safer communities, lower taxes, abundant energy, more and better jobs, a higher standard of living and a better quality of life.”\u003c/p>\n\u003cp>Democrats focused much of their criticism on the bill’s cuts to Medicaid, which provides healthcare coverage for Americans with low incomes and disabilities, as well as covering nursing home costs. Los Angeles Democratic Rep. Sydney Kamlager-Dove called the legislation a “backstabbing billionaire bill” during the House debate.\u003c/p>\n\u003cfigure id=\"attachment_12041312\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12041312\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/Sydney-Kamlager-Dove-Getty.jpg\" alt=\"\" width=\"2000\" height=\"1600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/Sydney-Kamlager-Dove-Getty.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/Sydney-Kamlager-Dove-Getty-800x640.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/Sydney-Kamlager-Dove-Getty-1020x816.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/Sydney-Kamlager-Dove-Getty-160x128.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/Sydney-Kamlager-Dove-Getty-1536x1229.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/Sydney-Kamlager-Dove-Getty-1920x1536.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">U.S. Representative Sydney Kamlager-Dove, D-CA, speaks as bipartisan lawmakers mark the end of Second Chance Month with Federal Clean Slate Legislation on April 30, 2025, in Washington, D.C. \u003ccite>(Shannon Finney/Getty Images for The Clean Slate Initiative)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“My constituents call my office asking me to protect their Medicaid,” she said. “They don’t ask that their life-saving benefits be taken away and given to the 1%.”\u003c/p>\n\u003cp>The largest cuts to Medicaid spending, known as Medi-Cal in California, will come through the implementation of new requirements that adults ages 19–64 document 80 hours of monthly work, volunteering or education in order to receive health care coverage. People with disabilities, pregnant women and caregivers will be exempted from the requirements.\u003c/p>\n\u003cp>The Center on Budget on Policy Priorities \u003ca href=\"https://www.cbpp.org/research/health/harsh-work-requirements-in-house-republican-bill-would-take-away-medicaid-coverage\">estimated\u003c/a> that the new documentation requirements could lead to health care coverage loss for between 2.2 million and 3.4 million Californians, depending on how strictly the state implements the law.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Their study found that “much of the coverage loss due to work requirements would occur among people who work or should qualify for an exemption but nevertheless would lose coverage due to red tape.”\u003c/p>\n\u003cp>Another provision of the bill would punish California more directly by reducing federal payments to states that allow undocumented residents to enroll in Medicaid or have expanded health coverage to children and pregnant women who have green cards. California has expanded Medi-Cal coverage eligibility to all residents, regardless of immigration status, and does so with state funds. The Center on Budget on Policy Priorities found the penalty could \u003ca href=\"https://www.cbpp.org/research/health/house-republican-bill-grows-even-harsher-cutting-medicaid-funding-to-states-that\">cost California\u003c/a> $27 billion between 2028 and 2034.\u003c/p>\n\u003cp>“Our constituents lose, our hospitals and our clinics close, our veterans’ communities lose — this is a bad bill,” said Rep. Mike Thompson, a Democrat from Napa.\u003c/p>\n\u003cp>The cuts to Medi-Cal could be a particularly vulnerable issue for Republicans in California. A \u003ca href=\"https://www.kqed.org/news/12033802/how-cuts-medicaid-republican-gains-california\">KQED analysis\u003c/a> found that the congressional districts that moved the most toward President Trump in last year’s election also rely disproportionately on Medi-Cal.\u003c/p>\n\u003cp>While the health care cuts will have an outsized impact in working-class political battlegrounds, including many communities in the Central Valley, the GOP will likely tout a provision of the budget bill that expands the state and local tax (SALT) deduction limit — a boon to residents in competitive suburban districts.\u003c/p>\n\u003cp>The SALT deduction allows taxpayers to subtract what they owe in state and local taxes, such as property taxes, from their federal tax bill. The legislation passed by the House raises the limit on that deduction from $10,000 to $40,000. In 2022, 15% of California taxpayers \u003ca href=\"https://bipartisanpolicy.org/explainer/which-states-benefit-most-from-the-salt-deduction/\">utilized\u003c/a> the SALT deduction, the second-highest share of any state, according to the Bipartisan Policy Center.\u003c/p>\n\u003cp>“Increasing the SALT cap means bringing vital tax relief for hardworking, middle-class families I represent who face double taxation,” Orange County Republican Rep. Young Kim wrote on the social media platform X on Wednesday.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "Dozens of UC Workers, Labor Leaders Arrested While Protesting Understaffing, Unfair Wages",
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"content": "\u003cp>About two dozen demonstrators were arrested Wednesday morning after staging a sit-in to support UC laborers during the final day of the \u003ca href=\"https://www.kqed.org/news/tag/university-of-california\">University of California’\u003c/a>s Board of Regents meeting in San Francisco.\u003c/p>\n\u003cp>Lorena Gonzalez, the president of the California Labor Federation, and Teresa Romero, the national president of United Farm Workers, joined about 20 union-backed UC workers who were zip-tied and removed from the William J. Rutter Center at UC San Francisco’s Mission Bay campus just after 9:30 a.m.\u003c/p>\n\u003cp>Demonstrators refused to leave the room as the board prepared to go into a closed-door meeting, chanting “Whose university? Our university” in an effort to call out UC leadership for what they say are unsafe job vacancy rates and unfair wages amid ongoing contract negotiations.\u003c/p>\n\u003cp>“Our UC unions have been on strike four times, they’ve been without a contract since November, and it’s time for the UC Regents to intervene and settle the contract,” Gonzalez said as campus police officers arrested her and others who remained in the conference hall after the public comment period of the Regents’ regularly scheduled bi-monthly meeting.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In a statement, the UC said it “supports our employees’ rights to engage in lawful protests and free speech activities. At the same time, all community members must abide by the University’s reasonable time, place and manner rules.”\u003c/p>\n\u003cp>The action follows four recent \u003ca href=\"https://www.kqed.org/news/12034098/nearly-60000-uc-workers-hit-picket-lines-in-3rd-statewide-strike-in-recent-months\">work stoppages by members\u003c/a> of the American Federation of State, County and Municipal Employees (AFSCME) Local 3299 and University Professional and Technical Employees (UPTE) Local 9119 unions, which represent a collective 55,000 UC employees, since they kicked off bargaining campaigns last June and January, respectively.\u003c/p>\n\u003cfigure id=\"attachment_12040397\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/IMG_7525-scaled-e1747342689641.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12040397\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/IMG_7525-scaled-e1747342689641.jpg\" alt=\"\" width=\"2000\" height=\"1500\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">About two dozen demonstrators were arrested on May 15, 2025, after staging a sit-in to protest what they called “unsafe job vacancy rates and unfair wages amid ongoing contract negotiations” on the final day of the University of California’s Board of Regents meeting in San Francisco. \u003ccite>(Juan Carlos Lara/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Both negotiations have been in a stalemate for months as the unions lobby for higher wages, which they say haven’t kept up with the cost of living around UC campuses, leaving some workers without stable housing and others with hour-long commutes to their jobs.\u003c/p>\n\u003cp>The university has offered UPTE a 5% wage increase starting July 1, 2025, followed by a 3% raise both in 2026 and 2027. Its “best and final” offer for AFSCME in April included raises of 5% in 2025, 4% in 2026 and 3% in 2027, 2028 and 2029.\u003c/p>\n\u003cp>While university officials said earlier this month that they have attempted to negotiate “mutually beneficial contracts” with both unions repeatedly, the unions have said the proposals are insufficient.\u003c/p>\n\u003cp>“They want these workers to accept a permanent wage cut, higher healthcare costs, continued desperate under-staffing, no assistance with housing, even though they’re giving all the assistance in the world to their wealthiest executives who clearly don’t need it,” said Todd Steinhaus, a spokesperson for AFSCME. The union’s stance is that meager wage increases are outpaced by inflation, netting a loss of income.\u003c/p>\n\u003cp>Workers are also pushing for increased staffing at medical sites, like UCSF, that they say are chronically understaffed, contributing to employee burnout and poor patient care.\u003c/p>\n\u003cp>[aside postID=news_12039972 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/DSC06624_qed-1020x680.jpg']\u003c/p>\n\u003cp>UPTE said UCSF’s social workers are paid 32% less than hospital-based workers, compounding staffing shortages within the school’s citywide case management programs through San Francisco’s public-private partnership with Tipping Point Community, Mayor Daniel Lurie’s anti-poverty nonprofit, that offers housing-focused services.\u003c/p>\n\u003cp>In March, the school enacted a \u003ca href=\"https://ucnet.universityofcalifornia.edu/employee-news/president-drake-on-the-university-of-california-financial-outlook/\">systemwide hiring freeze\u003c/a> in response to the Trump administration’s threats to university funding, prompting complaints with state workforce regulators alleging that the UC failed to notify them of the hiring freeze or to allow bargaining over it ahead of time.\u003c/p>\n\u003cp>After the arrests on Wednesday, hundreds of union members marched through the campus, holding signs that read “Safe Staffing Now” and “Fair Contract Now.”\u003c/p>\n\u003cp>“Given the continued threats to federal funding, the University is grateful it has been able to provide its UPTE and AFSCME-represented employees with fair and reasonable wage and health care offers,” the UC statement said. It said that AFSCME has only provided one counteroffer, and UPTE has yet to provide a counteroffer to its deal proposed late last year.\u003c/p>\n\u003cp>Elizabeth Strater, the national vice president of United Farm Workers, was among the crowd gathered to oppose UC leaders. She said the wider labor movement in the state is watching to see how the school system handles its contract negotiations with workers moving forward.\u003c/p>\n\u003cp>“The whole of the California labor movement has got their eyes on UC right now,” she told KQED at the meeting. “We’ve been watching people really try to get some justice for these frontline workers for a long period of time, and I think we’re at a point right now where we’re not asking anymore. We really do expect [the UC] to do right by these workers.”\u003c/p>\n\u003cp>\u003cem>KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/jlara\">\u003cem>Juan Carlos Lara\u003c/em>\u003c/a>\u003cem> contributed to this story.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>About two dozen demonstrators were arrested Wednesday morning after staging a sit-in to support UC laborers during the final day of the \u003ca href=\"https://www.kqed.org/news/tag/university-of-california\">University of California’\u003c/a>s Board of Regents meeting in San Francisco.\u003c/p>\n\u003cp>Lorena Gonzalez, the president of the California Labor Federation, and Teresa Romero, the national president of United Farm Workers, joined about 20 union-backed UC workers who were zip-tied and removed from the William J. Rutter Center at UC San Francisco’s Mission Bay campus just after 9:30 a.m.\u003c/p>\n\u003cp>Demonstrators refused to leave the room as the board prepared to go into a closed-door meeting, chanting “Whose university? Our university” in an effort to call out UC leadership for what they say are unsafe job vacancy rates and unfair wages amid ongoing contract negotiations.\u003c/p>\n\u003cp>“Our UC unions have been on strike four times, they’ve been without a contract since November, and it’s time for the UC Regents to intervene and settle the contract,” Gonzalez said as campus police officers arrested her and others who remained in the conference hall after the public comment period of the Regents’ regularly scheduled bi-monthly meeting.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In a statement, the UC said it “supports our employees’ rights to engage in lawful protests and free speech activities. At the same time, all community members must abide by the University’s reasonable time, place and manner rules.”\u003c/p>\n\u003cp>The action follows four recent \u003ca href=\"https://www.kqed.org/news/12034098/nearly-60000-uc-workers-hit-picket-lines-in-3rd-statewide-strike-in-recent-months\">work stoppages by members\u003c/a> of the American Federation of State, County and Municipal Employees (AFSCME) Local 3299 and University Professional and Technical Employees (UPTE) Local 9119 unions, which represent a collective 55,000 UC employees, since they kicked off bargaining campaigns last June and January, respectively.\u003c/p>\n\u003cfigure id=\"attachment_12040397\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/IMG_7525-scaled-e1747342689641.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12040397\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/IMG_7525-scaled-e1747342689641.jpg\" alt=\"\" width=\"2000\" height=\"1500\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">About two dozen demonstrators were arrested on May 15, 2025, after staging a sit-in to protest what they called “unsafe job vacancy rates and unfair wages amid ongoing contract negotiations” on the final day of the University of California’s Board of Regents meeting in San Francisco. \u003ccite>(Juan Carlos Lara/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Both negotiations have been in a stalemate for months as the unions lobby for higher wages, which they say haven’t kept up with the cost of living around UC campuses, leaving some workers without stable housing and others with hour-long commutes to their jobs.\u003c/p>\n\u003cp>The university has offered UPTE a 5% wage increase starting July 1, 2025, followed by a 3% raise both in 2026 and 2027. Its “best and final” offer for AFSCME in April included raises of 5% in 2025, 4% in 2026 and 3% in 2027, 2028 and 2029.\u003c/p>\n\u003cp>While university officials said earlier this month that they have attempted to negotiate “mutually beneficial contracts” with both unions repeatedly, the unions have said the proposals are insufficient.\u003c/p>\n\u003cp>“They want these workers to accept a permanent wage cut, higher healthcare costs, continued desperate under-staffing, no assistance with housing, even though they’re giving all the assistance in the world to their wealthiest executives who clearly don’t need it,” said Todd Steinhaus, a spokesperson for AFSCME. The union’s stance is that meager wage increases are outpaced by inflation, netting a loss of income.\u003c/p>\n\u003cp>Workers are also pushing for increased staffing at medical sites, like UCSF, that they say are chronically understaffed, contributing to employee burnout and poor patient care.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>UPTE said UCSF’s social workers are paid 32% less than hospital-based workers, compounding staffing shortages within the school’s citywide case management programs through San Francisco’s public-private partnership with Tipping Point Community, Mayor Daniel Lurie’s anti-poverty nonprofit, that offers housing-focused services.\u003c/p>\n\u003cp>In March, the school enacted a \u003ca href=\"https://ucnet.universityofcalifornia.edu/employee-news/president-drake-on-the-university-of-california-financial-outlook/\">systemwide hiring freeze\u003c/a> in response to the Trump administration’s threats to university funding, prompting complaints with state workforce regulators alleging that the UC failed to notify them of the hiring freeze or to allow bargaining over it ahead of time.\u003c/p>\n\u003cp>After the arrests on Wednesday, hundreds of union members marched through the campus, holding signs that read “Safe Staffing Now” and “Fair Contract Now.”\u003c/p>\n\u003cp>“Given the continued threats to federal funding, the University is grateful it has been able to provide its UPTE and AFSCME-represented employees with fair and reasonable wage and health care offers,” the UC statement said. It said that AFSCME has only provided one counteroffer, and UPTE has yet to provide a counteroffer to its deal proposed late last year.\u003c/p>\n\u003cp>Elizabeth Strater, the national vice president of United Farm Workers, was among the crowd gathered to oppose UC leaders. She said the wider labor movement in the state is watching to see how the school system handles its contract negotiations with workers moving forward.\u003c/p>\n\u003cp>“The whole of the California labor movement has got their eyes on UC right now,” she told KQED at the meeting. “We’ve been watching people really try to get some justice for these frontline workers for a long period of time, and I think we’re at a point right now where we’re not asking anymore. We really do expect [the UC] to do right by these workers.”\u003c/p>\n\u003cp>\u003cem>KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/jlara\">\u003cem>Juan Carlos Lara\u003c/em>\u003c/a>\u003cem> contributed to this story.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>You believe the country is at a breaking point. Your partner thinks the media is lying — or that \u003ca href=\"https://www.kqed.org/news/tag/donald-trump\">President Donald Trump\u003c/a> is the only one \u003ca href=\"https://www.kqed.org/news/12039390/do-california-trump-supporters-have-buyers-remorse-not-so-far\">telling the truth\u003c/a>.\u003c/p>\n\u003cp>Or maybe it’s the other way around.\u003c/p>\n\u003cp>These days, political differences aren’t just disagreements — they’re reckonings.\u003c/p>\n\u003cp>What do you do when the political views of your spouse, partner or love interest start to make your skin crawl? Or when they embrace conspiracy theories or defend policies you find morally indefensible?\u003c/p>\n\u003cp>If that’s happened to you, we want to hear your story.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>KQED’s \u003cem>LoveLab\u003c/em> explores how we love — and stay connected — when the ground shifts beneath us. In our next episode, we’ll look at relationships strained by politics.\u003c/p>\n\u003cp>If you’ve experienced this — or are going through it now — we’d like to hear your story.\u003c/p>\n\u003cp>Here are three ways to share your experience:\u003c/p>\n\u003cul>\n\u003cli>Fill out the short form below\u003c/li>\n\u003cli>Record a one-minute voice memo and email it to \u003ca href=\"mailto:lmcclurg@kqed.org\">lmcclurg@kqed.org\u003c/a>\u003c/li>\n\u003cli>Or leave us a voicemail at 415-553-3300\u003c/li>\n\u003c/ul>\n\u003cp>Please include your name, location, age and the best way to reach you. The information you share will only be used by KQED journalists who may follow up for a deeper conversation.\u003c/p>\n\u003cp>Thank you for your honesty. We’ll try to help you make sense of the tension — and the tenderness — when love splits the aisle.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>https://docs.google.com/forms/d/e/1FAIpQLSeXK5Tdq3WYNYX7H8nIFDKIm2UP_uFHL1vwFo7VRkz54MRi4g/viewform?embedded=true\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>You believe the country is at a breaking point. Your partner thinks the media is lying — or that \u003ca href=\"https://www.kqed.org/news/tag/donald-trump\">President Donald Trump\u003c/a> is the only one \u003ca href=\"https://www.kqed.org/news/12039390/do-california-trump-supporters-have-buyers-remorse-not-so-far\">telling the truth\u003c/a>.\u003c/p>\n\u003cp>Or maybe it’s the other way around.\u003c/p>\n\u003cp>These days, political differences aren’t just disagreements — they’re reckonings.\u003c/p>\n\u003cp>What do you do when the political views of your spouse, partner or love interest start to make your skin crawl? Or when they embrace conspiracy theories or defend policies you find morally indefensible?\u003c/p>\n\u003cp>If that’s happened to you, we want to hear your story.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>KQED’s \u003cem>LoveLab\u003c/em> explores how we love — and stay connected — when the ground shifts beneath us. In our next episode, we’ll look at relationships strained by politics.\u003c/p>\n\u003cp>If you’ve experienced this — or are going through it now — we’d like to hear your story.\u003c/p>\n\u003cp>Here are three ways to share your experience:\u003c/p>\n\u003cul>\n\u003cli>Fill out the short form below\u003c/li>\n\u003cli>Record a one-minute voice memo and email it to \u003ca href=\"mailto:lmcclurg@kqed.org\">lmcclurg@kqed.org\u003c/a>\u003c/li>\n\u003cli>Or leave us a voicemail at 415-553-3300\u003c/li>\n\u003c/ul>\n\u003cp>Please include your name, location, age and the best way to reach you. The information you share will only be used by KQED journalists who may follow up for a deeper conversation.\u003c/p>\n\u003cp>Thank you for your honesty. We’ll try to help you make sense of the tension — and the tenderness — when love splits the aisle.\u003c/p>\n\u003cp>\u003c/p>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe\n src='https://docs.google.com/forms/d/e/1FAIpQLSeXK5Tdq3WYNYX7H8nIFDKIm2UP_uFHL1vwFo7VRkz54MRi4g/viewform?embedded=true?embedded=true'\n title='https://docs.google.com/forms/d/e/1FAIpQLSeXK5Tdq3WYNYX7H8nIFDKIm2UP_uFHL1vwFo7VRkz54MRi4g/viewform?embedded=true'\n width='760' height='500'\n frameborder='0'\n marginheight='0' marginwidth='0'>\u003c/iframe>\u003c/div>\u003c/p>\u003cp>\n\u003c/div>\u003c/p>",
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"title": "Citing ‘Trump Slump,’ Newsom Unveils Budget Gap, Aims to Cap Undocumented Health Care",
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"content": "\u003cp>\u003cem>Updated 3:35 p.m. Wednesday\u003c/em>\u003c/p>\n\u003cp>California’s fiscal outlook has taken a turn for the worse, \u003ca href=\"https://www.kqed.org/news/tag/gavin-newsom\">Gov. Gavin Newsom\u003c/a> said as he unveiled an updated 2025–26 state budget plan on Wednesday with a projected $11.9 billion shortfall.\u003c/p>\n\u003cp>The governor said President Donald Trump’s tariffs and market volatility, combined with rising state health care costs, have derailed what appeared to be a relatively \u003ca href=\"https://www.kqed.org/news/12020389/newsom-projects-slight-budget-surplus-with-focus-on-saving-accountability\">healthy budget\u003c/a> just a few months ago. In response, he is proposing cuts that include scaling back the state’s offer of \u003ca href=\"https://www.kqed.org/news/12031544/providing-health-care-for-immigrants-is-costing-california-more-than-expected-is-coverage-at-risk\">health insurance\u003c/a> to low-income undocumented immigrants.\u003c/p>\n\u003cp>And he pledged to continue pushing back against the president’s agenda in court. California has already filed more than a dozen lawsuits against this Trump administration, \u003ca href=\"https://www.kqed.org/news/12036199/trumps-tariffs-could-wreck-californias-economy-the-state-is-suing\">including one last month targeting the tariffs.\u003c/a>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“California is under assault,” Newsom said, arguing that the uncertainty caused by the tariffs, in particular, has made it difficult to plan ahead. “The impacts of these tariffs … are being felt disproportionately in the fourth-largest economy in the world that has so much goods, volume and trade.”\u003c/p>\n\u003cp>Newsom’s proposal kicks off a month of high-stakes negotiations with leaders of the state Legislature, which must pass a budget plan by June 15. In a statement, Assembly Speaker Robert Rivas echoed the governor’s blame of Trump for revenue shortfalls.\u003c/p>\n\u003cp>“The Assembly will thoroughly review the Governor’s May budget revision during public hearings, and we will continue to stand up to the chaotic actions of Trump and his Republican allies,” Rivas said.\u003c/p>\n\u003cfigure id=\"attachment_11753593\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11753593\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/RS5067_NurseChecksBloodPressure-e1747249186287.jpg\" alt=\"As part of a budget deal, low-income adults between the ages of 19 and 25 living in California illegally could become eligible for California's Medicaid program, Medi-Cal.\" width=\"2000\" height=\"1333\">\u003cfigcaption class=\"wp-caption-text\">Under the governor’s plan, Medi-Cal will stop enrolling new undocumented immigrants starting Jan. 1. Those already covered can keep their benefits, but adults over 18 will face a $100 monthly premium beginning in 2027. \u003ccite>(David McNew/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Under the governor’s plan, Medi-Cal, the state’s Medicaid program for Californians with low incomes or disabilities, will stop enrolling new undocumented adults beginning on Jan. 1. Californians without legal status currently on the program will maintain coverage, but beginning in 2027, enrollees older than 18 will be charged a $100 monthly premium.\u003c/p>\n\u003cp>“We believe that people should have some skin in the game as it relates to contributions,” Newsom said.\u003c/p>\n\u003cp>The changes will save the state an estimated $5.4 billion by 2028–29, but advocates for immigrants are already warning that they will result in hundreds of thousands of Californians losing health care coverage.\u003c/p>\n\u003cp>“We are outraged,” said Joshua Stehlik, policy director for the California Immigrant Policy Center. “We feel like the governor is abandoning his legacy with this proposed rollback.”[aside postID=news_12039730 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/080924-ENCAMPMENT-SWEEP-MD-01-KQED-1020x680.jpg']“It feels like a particularly difficult moment to target vulnerable immigrants when they’re under such relentless attacks by the Trump administration,” Stehlik added.\u003c/p>\n\u003cp>Republicans in the state legislature said Newsom should have acted earlier to rein in healthcare spending on undocumented Californians.\u003c/p>\n\u003cp>“I urged the governor to immediately freeze his reckless Medi-Cal expansion for illegal immigrants a year and a half ago, before it buried our healthcare system and bankrupted the state,” said Senate Republican Leader Brian Jones in a statement. “Had he listened, we wouldn’t be in this crisis — breaking promises, scrambling for loans, and cutting services for legal Californians just to keep this broken program afloat.”\u003c/p>\n\u003cp>Newsom blamed Trump’s increased tariffs for what he dubbed a “Trump Slump” in the stock market. California’s progressive tax system leaves the state’s revenue heavily reliant on high-income earners and especially vulnerable to dips in the market.\u003c/p>\n\u003cp>The governor said Trump’s protectionist policies have led to an estimated $16 billion decline in state revenues through the next fiscal year — $10 billion of it from losses in expected capital gains tax. And he cited declines in tourism and port activity as further evidence of how the president’s trade policy is hurting the Golden State.\u003c/p>\n\u003cfigure id=\"attachment_12034427\" class=\"wp-caption aligncenter\" style=\"max-width: 1600px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12034427\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/npr.brightspotcdn-copy-4.jpg\" alt=\"\" width=\"1600\" height=\"1067\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/npr.brightspotcdn-copy-4.jpg 1600w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/npr.brightspotcdn-copy-4-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/npr.brightspotcdn-copy-4-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/npr.brightspotcdn-copy-4-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/npr.brightspotcdn-copy-4-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1600px) 100vw, 1600px\">\u003cfigcaption class=\"wp-caption-text\">President Donald Trump holds a chart as he delivers remarks on reciprocal tariffs during an event in the Rose Garden entitled “Make America Wealthy Again” at the White House in Washington, D.C., on April 2, 2025. \u003ccite>(Brendan Smialowski/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>As Trump has eased the tariffs he announced in early April, major stock indexes have recovered their losses, with the S&P 500 returning to positive territory for the year this week.\u003c/p>\n\u003cp>Before the April downturn, an extended surge in the stock market had filled California’s budget coffers. Newsom’s initial January spending plan projected a modest $363 million surplus and no spending cuts — although the governor proposed using $7.1 billion from the state’s rainy day reserve fund.[aside postID=science_1996769 hero='https://cdn.kqed.org/wp-content/uploads/sites/35/2025/05/DeltaGetty-1020x574.jpg']During a two-hour press conference announcing his spending plan, Newsom pinned responsibility for revenue declines on Trump’s trade agenda, but maintained he was “not blaming the president for the deficit.”\u003c/p>\n\u003cp>“I certainly am attaching those revenue concerns directly to the activities of the administration, unquestionable,” Newsom said. “But not the totality of the deficit.”\u003c/p>\n\u003cp>Despite the downturn in revenues, Newsom labeled the current deficit “pretty mild,” as it accounts for just 5.8% of the total $226 billion general fund budget.\u003c/p>\n\u003cp>But the budget picture could get worse.\u003c/p>\n\u003cp>Republicans in Congress are considering a budget bill that cuts funding to programs such as Medicaid, which is paid for jointly by the federal government and states. Those cuts could require Newsom and legislative leaders to amend their spending plan later this year.\u003c/p>\n\u003cp>“I wouldn’t be surprised if we’re talking about significant revisions to the state budget in August,” said Chris Hoene, executive director of the California Budget & Policy Center.\u003c/p>\n\u003cfigure id=\"attachment_12030841\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12030841\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/GettyImages-2201320740.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/GettyImages-2201320740.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/GettyImages-2201320740-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/GettyImages-2201320740-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/GettyImages-2201320740-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/GettyImages-2201320740-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/GettyImages-2201320740-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A “Save Medicaid” sign is affixed to the podium for the House Democrats’ press event to oppose the Republicans’ budget on the House steps of the Capitol on Feb. 25, 2024. \u003ccite>(Bill Clark/CQ-Roll Call, Inc., via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>One proposal in the current House spending plan would reduce federal Medicaid funding to states, such as California, that provide health coverage to undocumented immigrants. That change could cost California $27 billion between 2028 and 2034, according to \u003ca href=\"https://www.cbpp.org/research/health/house-republican-bill-would-cut-medicaid-funding-to-states-providing-own-health\">an estimate\u003c/a> from the Center on Budget and Policy Priorities.\u003c/p>\n\u003cp>As governor, Newsom has pushed the expansion of Medi-Cal to cover California residents regardless of legal status. He has championed the initiative as a way to save the state money in the long run, but the program’s full rollout has cost $2.7 billion more than his administration expected.\u003c/p>\n\u003cp>“No state has done more than the state of California, no state will continue to do more than the state of California, by a long shot,” Newsom said about the undocumented health care program. “That’s a point of pride and it’s a point of privilege to be [a] governor that’s been part of that effort.”\u003c/p>\n\u003cp>In addition to the changes to undocumented health care, Newsom is proposing to close the shortfall by shifting more than $5 billion in from special funds, capping overtime for in-home supportive service workers and paying for $1.7 billion in state firefighting costs with revenue raised from polluters through the state’s cap-and-trade program — which he proposed extending through 2045.\u003c/p>\n\u003cp>\u003cem>KQED’s \u003ca href=\"https://www.kqed.org/author/tychehendricks\">Tyche Hendricks\u003c/a> contributed to this report. \u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Gov. Gavin Newsom said tariffs, market volatility and rising state health care costs have led to a projected $12 billion budget gap after projecting a modest surplus a few months ago. ",
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"title": "Citing ‘Trump Slump,’ Newsom Unveils Budget Gap, Aims to Cap Undocumented Health Care | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Updated 3:35 p.m. Wednesday\u003c/em>\u003c/p>\n\u003cp>California’s fiscal outlook has taken a turn for the worse, \u003ca href=\"https://www.kqed.org/news/tag/gavin-newsom\">Gov. Gavin Newsom\u003c/a> said as he unveiled an updated 2025–26 state budget plan on Wednesday with a projected $11.9 billion shortfall.\u003c/p>\n\u003cp>The governor said President Donald Trump’s tariffs and market volatility, combined with rising state health care costs, have derailed what appeared to be a relatively \u003ca href=\"https://www.kqed.org/news/12020389/newsom-projects-slight-budget-surplus-with-focus-on-saving-accountability\">healthy budget\u003c/a> just a few months ago. In response, he is proposing cuts that include scaling back the state’s offer of \u003ca href=\"https://www.kqed.org/news/12031544/providing-health-care-for-immigrants-is-costing-california-more-than-expected-is-coverage-at-risk\">health insurance\u003c/a> to low-income undocumented immigrants.\u003c/p>\n\u003cp>And he pledged to continue pushing back against the president’s agenda in court. California has already filed more than a dozen lawsuits against this Trump administration, \u003ca href=\"https://www.kqed.org/news/12036199/trumps-tariffs-could-wreck-californias-economy-the-state-is-suing\">including one last month targeting the tariffs.\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“California is under assault,” Newsom said, arguing that the uncertainty caused by the tariffs, in particular, has made it difficult to plan ahead. “The impacts of these tariffs … are being felt disproportionately in the fourth-largest economy in the world that has so much goods, volume and trade.”\u003c/p>\n\u003cp>Newsom’s proposal kicks off a month of high-stakes negotiations with leaders of the state Legislature, which must pass a budget plan by June 15. In a statement, Assembly Speaker Robert Rivas echoed the governor’s blame of Trump for revenue shortfalls.\u003c/p>\n\u003cp>“The Assembly will thoroughly review the Governor’s May budget revision during public hearings, and we will continue to stand up to the chaotic actions of Trump and his Republican allies,” Rivas said.\u003c/p>\n\u003cfigure id=\"attachment_11753593\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11753593\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/RS5067_NurseChecksBloodPressure-e1747249186287.jpg\" alt=\"As part of a budget deal, low-income adults between the ages of 19 and 25 living in California illegally could become eligible for California's Medicaid program, Medi-Cal.\" width=\"2000\" height=\"1333\">\u003cfigcaption class=\"wp-caption-text\">Under the governor’s plan, Medi-Cal will stop enrolling new undocumented immigrants starting Jan. 1. Those already covered can keep their benefits, but adults over 18 will face a $100 monthly premium beginning in 2027. \u003ccite>(David McNew/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Under the governor’s plan, Medi-Cal, the state’s Medicaid program for Californians with low incomes or disabilities, will stop enrolling new undocumented adults beginning on Jan. 1. Californians without legal status currently on the program will maintain coverage, but beginning in 2027, enrollees older than 18 will be charged a $100 monthly premium.\u003c/p>\n\u003cp>“We believe that people should have some skin in the game as it relates to contributions,” Newsom said.\u003c/p>\n\u003cp>The changes will save the state an estimated $5.4 billion by 2028–29, but advocates for immigrants are already warning that they will result in hundreds of thousands of Californians losing health care coverage.\u003c/p>\n\u003cp>“We are outraged,” said Joshua Stehlik, policy director for the California Immigrant Policy Center. “We feel like the governor is abandoning his legacy with this proposed rollback.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“It feels like a particularly difficult moment to target vulnerable immigrants when they’re under such relentless attacks by the Trump administration,” Stehlik added.\u003c/p>\n\u003cp>Republicans in the state legislature said Newsom should have acted earlier to rein in healthcare spending on undocumented Californians.\u003c/p>\n\u003cp>“I urged the governor to immediately freeze his reckless Medi-Cal expansion for illegal immigrants a year and a half ago, before it buried our healthcare system and bankrupted the state,” said Senate Republican Leader Brian Jones in a statement. “Had he listened, we wouldn’t be in this crisis — breaking promises, scrambling for loans, and cutting services for legal Californians just to keep this broken program afloat.”\u003c/p>\n\u003cp>Newsom blamed Trump’s increased tariffs for what he dubbed a “Trump Slump” in the stock market. California’s progressive tax system leaves the state’s revenue heavily reliant on high-income earners and especially vulnerable to dips in the market.\u003c/p>\n\u003cp>The governor said Trump’s protectionist policies have led to an estimated $16 billion decline in state revenues through the next fiscal year — $10 billion of it from losses in expected capital gains tax. And he cited declines in tourism and port activity as further evidence of how the president’s trade policy is hurting the Golden State.\u003c/p>\n\u003cfigure id=\"attachment_12034427\" class=\"wp-caption aligncenter\" style=\"max-width: 1600px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12034427\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/npr.brightspotcdn-copy-4.jpg\" alt=\"\" width=\"1600\" height=\"1067\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/npr.brightspotcdn-copy-4.jpg 1600w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/npr.brightspotcdn-copy-4-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/npr.brightspotcdn-copy-4-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/npr.brightspotcdn-copy-4-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/npr.brightspotcdn-copy-4-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1600px) 100vw, 1600px\">\u003cfigcaption class=\"wp-caption-text\">President Donald Trump holds a chart as he delivers remarks on reciprocal tariffs during an event in the Rose Garden entitled “Make America Wealthy Again” at the White House in Washington, D.C., on April 2, 2025. \u003ccite>(Brendan Smialowski/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>As Trump has eased the tariffs he announced in early April, major stock indexes have recovered their losses, with the S&P 500 returning to positive territory for the year this week.\u003c/p>\n\u003cp>Before the April downturn, an extended surge in the stock market had filled California’s budget coffers. Newsom’s initial January spending plan projected a modest $363 million surplus and no spending cuts — although the governor proposed using $7.1 billion from the state’s rainy day reserve fund.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>During a two-hour press conference announcing his spending plan, Newsom pinned responsibility for revenue declines on Trump’s trade agenda, but maintained he was “not blaming the president for the deficit.”\u003c/p>\n\u003cp>“I certainly am attaching those revenue concerns directly to the activities of the administration, unquestionable,” Newsom said. “But not the totality of the deficit.”\u003c/p>\n\u003cp>Despite the downturn in revenues, Newsom labeled the current deficit “pretty mild,” as it accounts for just 5.8% of the total $226 billion general fund budget.\u003c/p>\n\u003cp>But the budget picture could get worse.\u003c/p>\n\u003cp>Republicans in Congress are considering a budget bill that cuts funding to programs such as Medicaid, which is paid for jointly by the federal government and states. Those cuts could require Newsom and legislative leaders to amend their spending plan later this year.\u003c/p>\n\u003cp>“I wouldn’t be surprised if we’re talking about significant revisions to the state budget in August,” said Chris Hoene, executive director of the California Budget & Policy Center.\u003c/p>\n\u003cfigure id=\"attachment_12030841\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12030841\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/GettyImages-2201320740.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/GettyImages-2201320740.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/GettyImages-2201320740-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/GettyImages-2201320740-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/GettyImages-2201320740-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/GettyImages-2201320740-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/GettyImages-2201320740-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A “Save Medicaid” sign is affixed to the podium for the House Democrats’ press event to oppose the Republicans’ budget on the House steps of the Capitol on Feb. 25, 2024. \u003ccite>(Bill Clark/CQ-Roll Call, Inc., via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>One proposal in the current House spending plan would reduce federal Medicaid funding to states, such as California, that provide health coverage to undocumented immigrants. That change could cost California $27 billion between 2028 and 2034, according to \u003ca href=\"https://www.cbpp.org/research/health/house-republican-bill-would-cut-medicaid-funding-to-states-providing-own-health\">an estimate\u003c/a> from the Center on Budget and Policy Priorities.\u003c/p>\n\u003cp>As governor, Newsom has pushed the expansion of Medi-Cal to cover California residents regardless of legal status. He has championed the initiative as a way to save the state money in the long run, but the program’s full rollout has cost $2.7 billion more than his administration expected.\u003c/p>\n\u003cp>“No state has done more than the state of California, no state will continue to do more than the state of California, by a long shot,” Newsom said about the undocumented health care program. “That’s a point of pride and it’s a point of privilege to be [a] governor that’s been part of that effort.”\u003c/p>\n\u003cp>In addition to the changes to undocumented health care, Newsom is proposing to close the shortfall by shifting more than $5 billion in from special funds, capping overtime for in-home supportive service workers and paying for $1.7 billion in state firefighting costs with revenue raised from polluters through the state’s cap-and-trade program — which he proposed extending through 2045.\u003c/p>\n\u003cp>\u003cem>KQED’s \u003ca href=\"https://www.kqed.org/author/tychehendricks\">Tyche Hendricks\u003c/a> contributed to this report. \u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "californians-worried-about-medi-cal-congressional-republicans-consider-cuts",
"title": "Californians Worried About Medi-Cal as Congressional Republicans Consider Cuts",
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"headTitle": "Californians Worried About Medi-Cal as Congressional Republicans Consider Cuts | KQED",
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"content": "\u003cp>Californians are expressing widespread worry about the future of \u003ca href=\"https://www.kqed.org/news/tag/medicaid\">Medicaid\u003c/a>, as Republicans in Congress weigh cuts to the program that covers health care for Americans with low incomes and disabilities.\u003c/p>\n\u003cp>GOP leaders are looking for budget savings to pay for the extension of tax cuts favored by President Donald Trump, but the idea of cutting Medicaid has raised alarm among some in the party — including \u003ca href=\"https://www.kqed.org/news/12032994/democrats-focus-their-message-on-gop-cuts-to-medicaid\">California Republicans\u003c/a> who represent districts with high numbers of Medicaid recipients. A \u003ca href=\"https://escholarship.org/uc/item/1nd0h87z\">pair of surveys\u003c/a> released \u003ca href=\"https://escholarship.org/uc/item/40r36594\">this week\u003c/a> by the UC Berkeley Institute of Governmental Studies found broad concern about \u003ca href=\"https://www.kqed.org/news/tag/medi-cal\">Medi-Cal\u003c/a>, the state’s Medicaid program, among California voters.\u003c/p>\n\u003cp>A full two-thirds, 67%, of registered voters who receive coverage through Medi-Cal are worried that they, or a family member, will lose insurance due to changes being pursued by the Trump administration. In a separate survey, 56% of voters polled said that the Trump administration’s proposed changes to Medi-Cal will have a “negative impact” on California.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Only tariffs ranked higher on voters’ lists of issues facing negative headwinds from Washington, said Mark DiCamillo, the poll’s director.\u003c/p>\n\u003cp>“Medi-Cal was right up there, so it’s one of the areas where most voters have concerns,” he said.\u003c/p>\n\u003cp>The program has emerged as a key inflection point in House Republicans’ budget talks this week. House Speaker Mike Johnson has been meeting privately in his office with groups of Republicans, as he works to enact the president’s legislative agenda with a slim seven-seat majority.\u003c/p>\n\u003cfigure id=\"attachment_12030841\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12030841\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/GettyImages-2201320740.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/GettyImages-2201320740.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/GettyImages-2201320740-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/GettyImages-2201320740-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/GettyImages-2201320740-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/GettyImages-2201320740-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/GettyImages-2201320740-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A “Save Medicaid” sign is affixed to the podium for the House Democrats’ press event to oppose the Republicans’ budget on the House steps of the Capitol on Tuesday, February 25, 2024. \u003ccite>(Bill Clark/CQ-Roll Call, Inc., via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The IGS surveys did not ask specifically about the budget plan, which sets a target of $880 billion in spending cuts over the next decade from the committee that oversees Medicaid spending. Trump has supported the budget framework, but told NBC last week that House Republicans are “not cutting [Medicaid]. They’re looking at fraud, waste and abuse.”\u003c/p>\n\u003cp>An \u003ca href=\"https://www.cbo.gov/system/files/2025-03/61235-Boyle-Pallone.pdf\">analysis\u003c/a> by the nonpartisan Congressional Budget Office shows that there is no way to reach the spending target without cutting Medicaid.\u003c/p>\n\u003cp>For most enrollees, Medi-Cal costs are shared evenly between California and the federal government. However, the federal government picks up 90% of the tab for the Medicaid expansion authorized through the Affordable Care Act, which covers Californians making up to $21,597.\u003c/p>\n\u003cp>Fiscal conservatives in the GOP caucus have floated ideas such as reducing the federal cost-share for expansion enrollees or enacting a per-enrollee cap on federal spending. Those proposals would generate significant savings in the range of $700 billion, according to the Congressional Budget Office, but also result in millions of Americans losing their health insurance.[aside postID=news_12038904 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/20240524_MobileHeadStart-34_qut-1020x680.jpg']Supporters of Medi-Cal warn that the impact of cuts will ripple beyond the patients who lose insurance. A \u003ca href=\"https://laborcenter.berkeley.edu/california-could-lose-up-to-217000-jobs-if-congress-cuts-medicaid/\">report\u003c/a> from the UC Berkeley Labor Center found that reductions to the healthcare program could result in the loss of up to 217,000 jobs.\u003c/p>\n\u003cp>In the rural Central Valley community of Visalia, Kaweah Health Center receives more than 30% of its revenue from Medi-Cal. The hospital is also the largest employer in Tulare County.\u003c/p>\n\u003cp>“When a healthcare job is lost, that healthcare worker has less money to spend in their community, at the stores they normally shop at,” said Laurel Lucia, director of the Health Care Program at the Labor Center. “That in turn could lead to job losses in those other non-healthcare industries.”\u003c/p>\n\u003cp>The potential cuts could also slow Republican momentum in California heading into the 2026 midterm elections. A \u003ca href=\"https://www.kqed.org/news/12033802/how-cuts-medicaid-republican-gains-california\">KQED analysis\u003c/a> found the congressional districts that shifted most toward Trump between 2020 and 2024 rely disproportionately on Medi-Cal. Enrollment is especially high in a pair of Central Valley swing districts held by Republican Rep. David Valadao and Democratic Rep. Adam Gray.\u003c/p>\n\u003cp>Republicans may be backing away from changes to the federal matching fund rates provided to the states.\u003c/p>\n\u003cp>New Jersey Republican Rep. Jeff Van Drew said those Medicaid changes “are dead.”\u003c/p>\n\u003cp>Instead, moderate Republicans have emphasized support for a different suite of ideas, such as restricting Medicaid access for undocumented immigrants and adults without jobs — ideas that would likely result in fewer savings, but generate less political blowback.\u003c/p>\n\u003cp>California has expanded Medi-Cal enrollment to residents without citizenship, a move that appears broadly popular in the new IGS polling. Support for providing Medi-Cal coverage for undocumented Californians stands at 61% for undocumented children, 49% for adults up to age 49, and 53% for those over age 50.\u003c/p>\n\u003cp>\u003cem>This story includes reporting from \u003c/em>\u003ca href=\"https://apnews.com/\">\u003cem>The Associated Press\u003c/em>\u003c/a>\u003cem> and KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/mbolanos\">\u003cem>Madi Bolaños\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "New polling from the UC Berkeley Institute of Governmental Studies finds two-thirds of California voters on Medi-Cal fear losing their health coverage.",
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"title": "Californians Worried About Medi-Cal as Congressional Republicans Consider Cuts | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Californians are expressing widespread worry about the future of \u003ca href=\"https://www.kqed.org/news/tag/medicaid\">Medicaid\u003c/a>, as Republicans in Congress weigh cuts to the program that covers health care for Americans with low incomes and disabilities.\u003c/p>\n\u003cp>GOP leaders are looking for budget savings to pay for the extension of tax cuts favored by President Donald Trump, but the idea of cutting Medicaid has raised alarm among some in the party — including \u003ca href=\"https://www.kqed.org/news/12032994/democrats-focus-their-message-on-gop-cuts-to-medicaid\">California Republicans\u003c/a> who represent districts with high numbers of Medicaid recipients. A \u003ca href=\"https://escholarship.org/uc/item/1nd0h87z\">pair of surveys\u003c/a> released \u003ca href=\"https://escholarship.org/uc/item/40r36594\">this week\u003c/a> by the UC Berkeley Institute of Governmental Studies found broad concern about \u003ca href=\"https://www.kqed.org/news/tag/medi-cal\">Medi-Cal\u003c/a>, the state’s Medicaid program, among California voters.\u003c/p>\n\u003cp>A full two-thirds, 67%, of registered voters who receive coverage through Medi-Cal are worried that they, or a family member, will lose insurance due to changes being pursued by the Trump administration. In a separate survey, 56% of voters polled said that the Trump administration’s proposed changes to Medi-Cal will have a “negative impact” on California.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Only tariffs ranked higher on voters’ lists of issues facing negative headwinds from Washington, said Mark DiCamillo, the poll’s director.\u003c/p>\n\u003cp>“Medi-Cal was right up there, so it’s one of the areas where most voters have concerns,” he said.\u003c/p>\n\u003cp>The program has emerged as a key inflection point in House Republicans’ budget talks this week. House Speaker Mike Johnson has been meeting privately in his office with groups of Republicans, as he works to enact the president’s legislative agenda with a slim seven-seat majority.\u003c/p>\n\u003cfigure id=\"attachment_12030841\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12030841\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/GettyImages-2201320740.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/GettyImages-2201320740.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/GettyImages-2201320740-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/GettyImages-2201320740-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/GettyImages-2201320740-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/GettyImages-2201320740-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/GettyImages-2201320740-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A “Save Medicaid” sign is affixed to the podium for the House Democrats’ press event to oppose the Republicans’ budget on the House steps of the Capitol on Tuesday, February 25, 2024. \u003ccite>(Bill Clark/CQ-Roll Call, Inc., via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The IGS surveys did not ask specifically about the budget plan, which sets a target of $880 billion in spending cuts over the next decade from the committee that oversees Medicaid spending. Trump has supported the budget framework, but told NBC last week that House Republicans are “not cutting [Medicaid]. They’re looking at fraud, waste and abuse.”\u003c/p>\n\u003cp>An \u003ca href=\"https://www.cbo.gov/system/files/2025-03/61235-Boyle-Pallone.pdf\">analysis\u003c/a> by the nonpartisan Congressional Budget Office shows that there is no way to reach the spending target without cutting Medicaid.\u003c/p>\n\u003cp>For most enrollees, Medi-Cal costs are shared evenly between California and the federal government. However, the federal government picks up 90% of the tab for the Medicaid expansion authorized through the Affordable Care Act, which covers Californians making up to $21,597.\u003c/p>\n\u003cp>Fiscal conservatives in the GOP caucus have floated ideas such as reducing the federal cost-share for expansion enrollees or enacting a per-enrollee cap on federal spending. Those proposals would generate significant savings in the range of $700 billion, according to the Congressional Budget Office, but also result in millions of Americans losing their health insurance.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Supporters of Medi-Cal warn that the impact of cuts will ripple beyond the patients who lose insurance. A \u003ca href=\"https://laborcenter.berkeley.edu/california-could-lose-up-to-217000-jobs-if-congress-cuts-medicaid/\">report\u003c/a> from the UC Berkeley Labor Center found that reductions to the healthcare program could result in the loss of up to 217,000 jobs.\u003c/p>\n\u003cp>In the rural Central Valley community of Visalia, Kaweah Health Center receives more than 30% of its revenue from Medi-Cal. The hospital is also the largest employer in Tulare County.\u003c/p>\n\u003cp>“When a healthcare job is lost, that healthcare worker has less money to spend in their community, at the stores they normally shop at,” said Laurel Lucia, director of the Health Care Program at the Labor Center. “That in turn could lead to job losses in those other non-healthcare industries.”\u003c/p>\n\u003cp>The potential cuts could also slow Republican momentum in California heading into the 2026 midterm elections. A \u003ca href=\"https://www.kqed.org/news/12033802/how-cuts-medicaid-republican-gains-california\">KQED analysis\u003c/a> found the congressional districts that shifted most toward Trump between 2020 and 2024 rely disproportionately on Medi-Cal. Enrollment is especially high in a pair of Central Valley swing districts held by Republican Rep. David Valadao and Democratic Rep. Adam Gray.\u003c/p>\n\u003cp>Republicans may be backing away from changes to the federal matching fund rates provided to the states.\u003c/p>\n\u003cp>New Jersey Republican Rep. Jeff Van Drew said those Medicaid changes “are dead.”\u003c/p>\n\u003cp>Instead, moderate Republicans have emphasized support for a different suite of ideas, such as restricting Medicaid access for undocumented immigrants and adults without jobs — ideas that would likely result in fewer savings, but generate less political blowback.\u003c/p>\n\u003cp>California has expanded Medi-Cal enrollment to residents without citizenship, a move that appears broadly popular in the new IGS polling. Support for providing Medi-Cal coverage for undocumented Californians stands at 61% for undocumented children, 49% for adults up to age 49, and 53% for those over age 50.\u003c/p>\n\u003cp>\u003cem>This story includes reporting from \u003c/em>\u003ca href=\"https://apnews.com/\">\u003cem>The Associated Press\u003c/em>\u003c/a>\u003cem> and KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/mbolanos\">\u003cem>Madi Bolaños\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "ct-scans-save-lives-but-as-theyre-used-more-often-how-many-are-causing-cancer",
"title": "CT Scans Save Lives. But as They’re Used More Often, How Many Are Causing Cancer?",
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"content": "\u003cp>As CT scans become increasingly prevalent in U.S. health care, radiation from the often lifesaving imaging technique could come with a steep long-term cost: tens of thousands more cases of cancer, according to a \u003ca href=\"https://www.kqed.org/news/tag/ucsf\">UCSF\u003c/a> study published Monday in \u003ca href=\"https://jamanetwork.com/journals/jamainternalmedicine\">JAMA Internal Medicine\u003c/a>.\u003c/p>\n\u003cp>Researchers analyzed CT scan data and estimated that the 93 million scans performed in 2023 — nearly one for every three people in the country — could lead to approximately 103,000 future cancer cases over patients’ lifetimes. A similar analysis years earlier estimated that routine CT exposures in 2007 would lead to about 29,000 future cancer cases.\u003c/p>\n\u003cp>The projection reflects both the sharp rise in how often CT scans are used and the higher radiation doses many patients now receive.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Most patients will not develop cancer from a CT scan,” said Dr. Rebecca Smith-Bindman, lead author and professor of epidemiology and biostatistics at UCSF. “But if you’re not getting any benefit, then even a small risk is unacceptable.”\u003c/p>\n\u003cp>During a CT scan, a patient lies on a table that slides through a large, donut-shaped machine. Inside, an X-ray tube rotates around the body, capturing images of thin slices — like layers of a loaf of bread. A computer then assembles those slices into a 3D image that doctors use to spot injuries, tumors or other abnormalities.\u003c/p>\n\u003cfigure id=\"attachment_12032820\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12032820\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/UCSFGetty.jpg\" alt=\"\" width=\"2000\" height=\"1343\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/UCSFGetty.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/UCSFGetty-800x537.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/UCSFGetty-1020x685.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/UCSFGetty-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/UCSFGetty-1536x1031.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/UCSFGetty-1920x1289.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">UCSF Mission Bay campus on Feb. 10, 2025, in San Francisco, California. \u003ccite>(Justin Sullivan/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The process exposes the body to radiation, which can alter DNA. Most of the time, the body repairs these changes. However, occasionally, a cell keeps dividing abnormally, and over time, that can lead to cancer.\u003c/p>\n\u003cp>“There’s DNA damage response pathways that are active all the time that take these insults, and they repair your DNA,” said Dr. Patricia Nguyen, a cardiologist at Stanford who was not involved in the study. “But as we age, those responses aren’t as strong … and that’s when damaged cells can turn into cancer.”\u003c/p>\n\u003cp>The researchers used the National Cancer Institute’s Radiation Risk Assessment Tool, which estimates cancer risk based on scan type, patient age and radiation dose. The model draws on historical data, including studies of Japanese atomic bomb survivors. While the methodology is widely accepted in public health research, it has limitations.\u003c/p>\n\u003cp>“They don’t know what’s happening biologically to the actual patient,” Nguyen said. “They are just basing it on formulas or retrospective data … we don’t know what happens in each individual.”[aside postID=news_12035344 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250408-CAL-TECH-TESTING-113-ZS-KQED-1020x680.jpg']CT scans are often essential — especially in emergencies like a serious car crash, when doctors need to quickly check for internal bleeding. But they’re also used far more often than necessary. Some are ordered for mild headaches or routine infections, when they’re unlikely to change a diagnosis or improve care.\u003c/p>\n\u003cp>“Our estimates put CT on par with other significant risk factors, such as alcohol consumption and excess body weight,” Smith-Bindman said. “Reducing the number of scans and reducing doses per scan would save lives.”\u003c/p>\n\u003cp>Use of the technology has climbed 35% over the last decade. A mix of pressure and convenience drives the increase: Doctors have less time with patients, imaging is typically reimbursed by insurance, and patients often expect a clear answer. Meanwhile, as medicine shifts away from open surgeries to less invasive procedures, physicians increasingly rely on CT scans to plan and guide treatment.\u003c/p>\n\u003cp>The researchers found that certain types of CT scans — especially of the abdomen and pelvis — were responsible for a large share of the projected cancer cases. Many involved “multiphase” imaging, where a patient is scanned two or three times in one session. While that approach can be clinically useful, the study found it’s often unnecessary.\u003c/p>\n\u003cp>The takeaway isn’t to avoid CT scans but to be more thoughtful about when they’re used — and why. For some patients, asking a simple question may be the best safeguard.\u003c/p>\n\u003cp>“Every test has potential risks,” Nguyen said. “And patients should ask: Why am I getting this? What will the result change?”\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>As CT scans become increasingly prevalent in U.S. health care, radiation from the often lifesaving imaging technique could come with a steep long-term cost: tens of thousands more cases of cancer, according to a \u003ca href=\"https://www.kqed.org/news/tag/ucsf\">UCSF\u003c/a> study published Monday in \u003ca href=\"https://jamanetwork.com/journals/jamainternalmedicine\">JAMA Internal Medicine\u003c/a>.\u003c/p>\n\u003cp>Researchers analyzed CT scan data and estimated that the 93 million scans performed in 2023 — nearly one for every three people in the country — could lead to approximately 103,000 future cancer cases over patients’ lifetimes. A similar analysis years earlier estimated that routine CT exposures in 2007 would lead to about 29,000 future cancer cases.\u003c/p>\n\u003cp>The projection reflects both the sharp rise in how often CT scans are used and the higher radiation doses many patients now receive.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Most patients will not develop cancer from a CT scan,” said Dr. Rebecca Smith-Bindman, lead author and professor of epidemiology and biostatistics at UCSF. “But if you’re not getting any benefit, then even a small risk is unacceptable.”\u003c/p>\n\u003cp>During a CT scan, a patient lies on a table that slides through a large, donut-shaped machine. Inside, an X-ray tube rotates around the body, capturing images of thin slices — like layers of a loaf of bread. A computer then assembles those slices into a 3D image that doctors use to spot injuries, tumors or other abnormalities.\u003c/p>\n\u003cfigure id=\"attachment_12032820\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12032820\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/UCSFGetty.jpg\" alt=\"\" width=\"2000\" height=\"1343\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/UCSFGetty.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/UCSFGetty-800x537.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/UCSFGetty-1020x685.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/UCSFGetty-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/UCSFGetty-1536x1031.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/UCSFGetty-1920x1289.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">UCSF Mission Bay campus on Feb. 10, 2025, in San Francisco, California. \u003ccite>(Justin Sullivan/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The process exposes the body to radiation, which can alter DNA. Most of the time, the body repairs these changes. However, occasionally, a cell keeps dividing abnormally, and over time, that can lead to cancer.\u003c/p>\n\u003cp>“There’s DNA damage response pathways that are active all the time that take these insults, and they repair your DNA,” said Dr. Patricia Nguyen, a cardiologist at Stanford who was not involved in the study. “But as we age, those responses aren’t as strong … and that’s when damaged cells can turn into cancer.”\u003c/p>\n\u003cp>The researchers used the National Cancer Institute’s Radiation Risk Assessment Tool, which estimates cancer risk based on scan type, patient age and radiation dose. The model draws on historical data, including studies of Japanese atomic bomb survivors. While the methodology is widely accepted in public health research, it has limitations.\u003c/p>\n\u003cp>“They don’t know what’s happening biologically to the actual patient,” Nguyen said. “They are just basing it on formulas or retrospective data … we don’t know what happens in each individual.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>CT scans are often essential — especially in emergencies like a serious car crash, when doctors need to quickly check for internal bleeding. But they’re also used far more often than necessary. Some are ordered for mild headaches or routine infections, when they’re unlikely to change a diagnosis or improve care.\u003c/p>\n\u003cp>“Our estimates put CT on par with other significant risk factors, such as alcohol consumption and excess body weight,” Smith-Bindman said. “Reducing the number of scans and reducing doses per scan would save lives.”\u003c/p>\n\u003cp>Use of the technology has climbed 35% over the last decade. A mix of pressure and convenience drives the increase: Doctors have less time with patients, imaging is typically reimbursed by insurance, and patients often expect a clear answer. Meanwhile, as medicine shifts away from open surgeries to less invasive procedures, physicians increasingly rely on CT scans to plan and guide treatment.\u003c/p>\n\u003cp>The researchers found that certain types of CT scans — especially of the abdomen and pelvis — were responsible for a large share of the projected cancer cases. Many involved “multiphase” imaging, where a patient is scanned two or three times in one session. While that approach can be clinically useful, the study found it’s often unnecessary.\u003c/p>\n\u003cp>The takeaway isn’t to avoid CT scans but to be more thoughtful about when they’re used — and why. For some patients, asking a simple question may be the best safeguard.\u003c/p>\n\u003cp>“Every test has potential risks,” Nguyen said. “And patients should ask: Why am I getting this? What will the result change?”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Tens of thousands of workers in health care, service, research and other roles at the \u003ca href=\"https://www.kqed.org/news/12027153/uc-workers-vote-to-strike-amid-federal-funding-threats\">University of California\u003c/a> walked off the job on Tuesday for the third time in five months as contentious contract negotiations drag on.\u003c/p>\n\u003cp>Labor experts said \u003ca href=\"https://www.kqed.org/news/12028446/tens-of-thousands-uc-workers-strike-disrupting-campuses-hospitals-labs\">yet another strike\u003c/a> across all UC campuses, hospitals and laboratories — this one limited to a single day — points to a high level of frustration with the state’s second-largest employer as workers push for improved wages and staffing.\u003c/p>\n\u003cp>“These workers — who are community members but also patients in the health care system — are determined to make sure that these jobs are sustainable and that they can remain in these jobs,” said Rebecca Givan, a professor of labor studies and employment relations at Rutgers University who has followed the health care industry for decades.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Tuesday’s walkout over UC’s alleged unfair labor practices was initiated by the University Professional and Technical Employees (UPTE), which represents about 20,000 physician assistants, pharmacists, IT analysts and others. An additional 37,000 patient care, technical and service workers represented by the American Federation of State, County and Municipal Employees (AFSCME) joined the strike in solidarity.\u003c/p>\n\u003cp>Both unions have repeatedly gone to state regulators to accuse the UC system of unlawful bad-faith bargaining, which the university strongly denies. The California Public Employment Relations Board is investigating the allegations.\u003c/p>\n\u003cp>At UC Berkeley on Tuesday, a long line of workers marched around campus, holding signs that read “For our patients, for our research, for our students,” and “On Strike,” before a midday rally.\u003c/p>\n\u003cp>[aside postID=news_12032232 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/GettyImages-2201544551-1020x729.jpg']\u003c/p>\n\u003cp>“All we want is to be able to have adequate staffing, to have enough co-workers to accomplish whatever our mission is at our worksite,” said Catherine Callaway, a UC Berkeley museum scientist and UPTE worksite representative. “What it feels like day to day is looking at all the things that you can’t possibly get done, watching your co-workers slowly burn out, watching people leave before they should really have to.”\u003c/p>\n\u003cp>UPTE members \u003ca href=\"https://upte.org/ucstrike\">argue that the university’s plans\u003c/a> to increase their health care costs without bargaining over the changes will exacerbate a recruitment and retention crisis that is hurting patient care and research. The university denies that a staffing crisis is taking place, \u003ca href=\"https://labor.universityofcalifornia.edu/_files/upte-2025-fact-sheet.pdf\">pointing (PDF)\u003c/a> to lower turnover rates and increasing headcounts.\u003c/p>\n\u003cp>Last month, UC President Michael Drake announced \u003ca href=\"https://www.kqed.org/news/12032232/head-of-ucs-largest-union-blasts-top-brass-for-hiring-freeze-amid-massive-vacancy-crisis\">a systemwide hiring freeze\u003c/a> and other cost-saving measures as the university faces threats to its federal and state funding. Since contract negotiations with AFSCME and UPTE began in January and June 2024, respectively, UC has offered “generous wage increases,” expanded sick leave and other benefits to try to avoid strike disruptions, according to a \u003ca href=\"https://www.universityofcalifornia.edu/press-room/statement-april-1-upte-and-afscme-strike\">statement\u003c/a> by the university.\u003c/p>\n\u003cp>“These strikes cost the University system millions of dollars, at a time when federal and state funding is uncertain,” the UC statement read. “UPTE and AFSCME are not being forthright in their characterizations, which is upsetting since we’ve made sincere efforts to find mutually beneficial solutions. Regardless, we are hopeful AFSCME and UPTE will make meaningful efforts to settle these contracts soon.”\u003c/p>\n\u003cfigure id=\"attachment_12034103\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12034103\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250226-UC-STRIKE-MD-12_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250226-UC-STRIKE-MD-12_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250226-UC-STRIKE-MD-12_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250226-UC-STRIKE-MD-12_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250226-UC-STRIKE-MD-12_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250226-UC-STRIKE-MD-12_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250226-UC-STRIKE-MD-12_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Members of the University Professional and Technical Employees Local 9119 and the American Federation of State County and Municipal Employees Local 3299 strike at the UC Mission Bay Campus in San Francisco on Feb. 26, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The unions argue that even if budget reductions are necessary, the cuts should not be disproportionately shouldered by their members’ paychecks and working conditions. They have noted that the university approved big raises for campus chancellors last year and continued to invest in new hospital buildings and other large capital projects.\u003c/p>\n\u003cp>AFSCME and UC representatives are scheduled to meet in the coming weeks, according to a university spokesperson. State regulators have intervened in the UPTE negotiations after that union declared in January that talks with UC broke down.\u003c/p>\n\u003cp>The strikes by UPTE and AFSCME, including for a few days in November and February, have been the largest in the country in 2024 and so far this year, according to Johnnie Kallas, who directs the \u003ca href=\"https://striketracker.ilr.cornell.edu/\">Labor Action Tracker\u003c/a>, a project by Cornell University and the University of Illinois.\u003c/p>\n\u003cp>In health care, education and other settings, limited-duration strikes are much more common than indefinite walkouts, which tend to be more disruptive for employers as well as workers who forgo their paychecks, Kallas added.\u003c/p>\n\u003cp>“Workers and their representatives in the unions are very frustrated that UC hasn’t — at least in their mind — meaningfully come to the table to resolve their outstanding issues,” he said. “But it hasn’t reached the point where, for a variety of reasons, the union and the workers have decided they want to go on an even longer strike, which would be even more disruptive.”\u003c/p>\n\u003cp>\u003cem>KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/bkrans\">\u003cem>Brian Krans\u003c/em>\u003c/a>\u003cem> contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Tens of thousands of workers in health care, service, research and other roles at the \u003ca href=\"https://www.kqed.org/news/12027153/uc-workers-vote-to-strike-amid-federal-funding-threats\">University of California\u003c/a> walked off the job on Tuesday for the third time in five months as contentious contract negotiations drag on.\u003c/p>\n\u003cp>Labor experts said \u003ca href=\"https://www.kqed.org/news/12028446/tens-of-thousands-uc-workers-strike-disrupting-campuses-hospitals-labs\">yet another strike\u003c/a> across all UC campuses, hospitals and laboratories — this one limited to a single day — points to a high level of frustration with the state’s second-largest employer as workers push for improved wages and staffing.\u003c/p>\n\u003cp>“These workers — who are community members but also patients in the health care system — are determined to make sure that these jobs are sustainable and that they can remain in these jobs,” said Rebecca Givan, a professor of labor studies and employment relations at Rutgers University who has followed the health care industry for decades.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Tuesday’s walkout over UC’s alleged unfair labor practices was initiated by the University Professional and Technical Employees (UPTE), which represents about 20,000 physician assistants, pharmacists, IT analysts and others. An additional 37,000 patient care, technical and service workers represented by the American Federation of State, County and Municipal Employees (AFSCME) joined the strike in solidarity.\u003c/p>\n\u003cp>Both unions have repeatedly gone to state regulators to accuse the UC system of unlawful bad-faith bargaining, which the university strongly denies. The California Public Employment Relations Board is investigating the allegations.\u003c/p>\n\u003cp>At UC Berkeley on Tuesday, a long line of workers marched around campus, holding signs that read “For our patients, for our research, for our students,” and “On Strike,” before a midday rally.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“All we want is to be able to have adequate staffing, to have enough co-workers to accomplish whatever our mission is at our worksite,” said Catherine Callaway, a UC Berkeley museum scientist and UPTE worksite representative. “What it feels like day to day is looking at all the things that you can’t possibly get done, watching your co-workers slowly burn out, watching people leave before they should really have to.”\u003c/p>\n\u003cp>UPTE members \u003ca href=\"https://upte.org/ucstrike\">argue that the university’s plans\u003c/a> to increase their health care costs without bargaining over the changes will exacerbate a recruitment and retention crisis that is hurting patient care and research. The university denies that a staffing crisis is taking place, \u003ca href=\"https://labor.universityofcalifornia.edu/_files/upte-2025-fact-sheet.pdf\">pointing (PDF)\u003c/a> to lower turnover rates and increasing headcounts.\u003c/p>\n\u003cp>Last month, UC President Michael Drake announced \u003ca href=\"https://www.kqed.org/news/12032232/head-of-ucs-largest-union-blasts-top-brass-for-hiring-freeze-amid-massive-vacancy-crisis\">a systemwide hiring freeze\u003c/a> and other cost-saving measures as the university faces threats to its federal and state funding. Since contract negotiations with AFSCME and UPTE began in January and June 2024, respectively, UC has offered “generous wage increases,” expanded sick leave and other benefits to try to avoid strike disruptions, according to a \u003ca href=\"https://www.universityofcalifornia.edu/press-room/statement-april-1-upte-and-afscme-strike\">statement\u003c/a> by the university.\u003c/p>\n\u003cp>“These strikes cost the University system millions of dollars, at a time when federal and state funding is uncertain,” the UC statement read. “UPTE and AFSCME are not being forthright in their characterizations, which is upsetting since we’ve made sincere efforts to find mutually beneficial solutions. Regardless, we are hopeful AFSCME and UPTE will make meaningful efforts to settle these contracts soon.”\u003c/p>\n\u003cfigure id=\"attachment_12034103\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12034103\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250226-UC-STRIKE-MD-12_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250226-UC-STRIKE-MD-12_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250226-UC-STRIKE-MD-12_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250226-UC-STRIKE-MD-12_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250226-UC-STRIKE-MD-12_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250226-UC-STRIKE-MD-12_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250226-UC-STRIKE-MD-12_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Members of the University Professional and Technical Employees Local 9119 and the American Federation of State County and Municipal Employees Local 3299 strike at the UC Mission Bay Campus in San Francisco on Feb. 26, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The unions argue that even if budget reductions are necessary, the cuts should not be disproportionately shouldered by their members’ paychecks and working conditions. They have noted that the university approved big raises for campus chancellors last year and continued to invest in new hospital buildings and other large capital projects.\u003c/p>\n\u003cp>AFSCME and UC representatives are scheduled to meet in the coming weeks, according to a university spokesperson. State regulators have intervened in the UPTE negotiations after that union declared in January that talks with UC broke down.\u003c/p>\n\u003cp>The strikes by UPTE and AFSCME, including for a few days in November and February, have been the largest in the country in 2024 and so far this year, according to Johnnie Kallas, who directs the \u003ca href=\"https://striketracker.ilr.cornell.edu/\">Labor Action Tracker\u003c/a>, a project by Cornell University and the University of Illinois.\u003c/p>\n\u003cp>In health care, education and other settings, limited-duration strikes are much more common than indefinite walkouts, which tend to be more disruptive for employers as well as workers who forgo their paychecks, Kallas added.\u003c/p>\n\u003cp>“Workers and their representatives in the unions are very frustrated that UC hasn’t — at least in their mind — meaningfully come to the table to resolve their outstanding issues,” he said. “But it hasn’t reached the point where, for a variety of reasons, the union and the workers have decided they want to go on an even longer strike, which would be even more disruptive.”\u003c/p>\n\u003cp>\u003cem>KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/bkrans\">\u003cem>Brian Krans\u003c/em>\u003c/a>\u003cem> contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"rss": "https://podcasts.files.bbci.co.uk/p02nq0gn.rss"
}
},
"californiareport": {
"id": "californiareport",
"title": "The California Report",
"tagline": "California, day by day",
"info": "KQED’s statewide radio news program providing daily coverage of issues, trends and public policy decisions.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-California-Report-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/californiareport",
"meta": {
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"source": "kqed",
"order": 8
},
"link": "/californiareport",
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}
},
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"id": "californiareportmagazine",
"title": "The California Report Magazine",
"tagline": "Your state, your stories",
"info": "Every week, The California Report Magazine takes you on a road trip for the ears: to visit the places and meet the people who make California unique. The in-depth storytelling podcast from the California Report.",
"airtime": "FRI 4:30pm-5pm, 6:30pm-7pm, 11pm-11:30pm",
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"officialWebsiteLink": "/californiareportmagazine",
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"order": 10
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM3NjkwNjk1OTAz",
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}
},
"city-arts": {
"id": "city-arts",
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"info": "A one-hour radio program to hear celebrated writers, artists and thinkers address contemporary ideas and values, often discussing the creative process. Please note: tapes or transcripts are not available",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/05/cityartsandlecture-300x300.jpg",
"officialWebsiteLink": "https://www.cityarts.net/",
"airtime": "SUN 1pm-2pm, TUE 10pm, WED 1am",
"meta": {
"site": "news",
"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
"subscribe": {
"tuneIn": "https://tunein.com/radio/City-Arts-and-Lectures-p692/",
"rss": "https://www.cityarts.net/feed/"
}
},
"closealltabs": {
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"info": "Close All Tabs breaks down how digital culture shapes our world through thoughtful insights and irreverent humor.",
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"officialWebsiteLink": "/podcasts/closealltabs",
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"order": 1
},
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"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 />",
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"meta": {
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy",
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"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. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
"airtime": "THU 10pm, FRI 1am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
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"meta": {
"site": "news",
"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/commonwealth-club-of-california-podcast/id976334034?mt=2",
"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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}
},
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"id": "forum",
"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
"airtime": "MON-FRI 9am-11am, 10pm-11pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
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"meta": {
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"source": "kqed",
"order": 9
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
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"id": "freakonomics-radio",
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"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/freakonomicsRadio.png",
"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
"subscribe": {
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"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
"rss": "https://feeds.feedburner.com/freakonomicsradio"
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},
"fresh-air": {
"id": "fresh-air",
"title": "Fresh Air",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/381444908/podcast.xml"
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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"rss": "https://feeds.npr.org/510051/podcast.xml"
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},
"hidden-brain": {
"id": "hidden-brain",
"title": "Hidden Brain",
"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"officialWebsiteLink": "https://www.npr.org/series/423302056/hidden-brain",
"airtime": "SUN 7pm-8pm",
"meta": {
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"source": "NPR"
},
"link": "/radio/program/hidden-brain",
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},
"how-i-built-this": {
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"title": "How I Built This with Guy Raz",
"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/howIBuiltThis.png",
"officialWebsiteLink": "https://www.npr.org/podcasts/510313/how-i-built-this",
"airtime": "SUN 7:30pm-8pm",
"meta": {
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"source": "npr"
},
"link": "/radio/program/how-i-built-this",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/3zxy",
"apple": "https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2",
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},
"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
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"officialWebsiteLink": "/podcasts/hyphenacion",
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"order": 15
},
"link": "/podcasts/hyphenacion",
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"spotify": "https://open.spotify.com/show/2p3Fifq96nw9BPcmFdIq0o?si=39209f7b25774f38",
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"rss": "https://feeds.megaphone.fm/KQINC2275451163"
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},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/podcasts/jerrybrown",
"meta": {
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"source": "kqed",
"order": 18
},
"link": "/podcasts/jerrybrown",
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"apple": "https://itunes.apple.com/us/podcast/id1492194549",
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}
},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
"meta": {
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"source": "npr"
},
"link": "/radio/program/latino-usa",
"subscribe": {
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
"site": "news",
"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
}
},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
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"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
"subscribe": {
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"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
"subscribe": {
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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"stitcher": "https://www.stitcher.com/podcast/kqed/stories-teachers-share",
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}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
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"link": "/radio/program/morning-edition"
},
"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. 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. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
"imageAlt": "On Our Watch from NPR and KQED",
"officialWebsiteLink": "/podcasts/onourwatch",
"meta": {
"site": "news",
"source": "kqed",
"order": 11
},
"link": "/podcasts/onourwatch",
"subscribe": {
"apple": "https://podcasts.apple.com/podcast/id1567098962",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw",
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"spotify": "https://open.spotify.com/show/0OLWoyizopu6tY1XiuX70x",
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"stitcher": "https://www.stitcher.com/show/on-our-watch",
"rss": "https://feeds.npr.org/510360/podcast.xml"
}
},
"on-the-media": {
"id": "on-the-media",
"title": "On The Media",
"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. 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",
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"info": "One of public radio's most dynamic voices, Sam Sanders helped launch The NPR Politics Podcast and hosted NPR's hit show It's Been A Minute. Now, the award-winning host returns with something brand new, The Sam Sanders Show. Every week, Sam Sanders and friends dig into the culture that shapes our lives: what's driving the biggest trends, how artists really think, and even the memes you can't stop scrolling past. Sam is beloved for his way of unpacking the world and bringing you up close to fresh currents and engaging conversations. The Sam Sanders Show is smart, funny and always a good time.",
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