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"content": "\u003cp>Starting Wednesday, March 23, \u003ca href=\"https://www.hrsa.gov/coviduninsuredclaim/submission-deadline\">the federal program that’s been funding COVID testing and care for people without health insurance has ended\u003c/a>.\u003c/p>\n\u003cp>This means that finding a test if you’re uninsured just became a little more complex.\u003c/p>\n\u003cp>Until now, the providers of COVID tests and care could bill the COVID-19 Uninsured Program from the Health Resources and Services Administration (HRSA) for the costs of giving these services to uninsured folks. This change — which was announced only one week ago, on March 16 — means COVID testing sites can no longer bill the federal government for testing uninsured people. In some cases, this means they’ll no longer be able to provide those services to people without insurance.\u003c/p>\n\u003cp>With the \u003ca href=\"https://www.wsj.com/articles/omicron-ba-2-variant-represents-rising-share-of-u-s-covid-19-cases-11647979879\">potential of another COVID surge ahead from the new BA.2 omicron variant\u003c/a>, it’s important to know how your testing and care options might have changed if you don’t have health insurance. Keep reading for what you need to know.\u003c/p>\n\u003ch2>Your county will almost certainly still offer you a free COVID test with no insurance\u003c/h2>\n\u003cp>While private providers are most affected by this change because they are now unable to bill the federal government for COVID tests for uninsured people (more on that below), your Bay Area county is most likely unaffected by this change. So far, Alameda, Contra Costa, San Francisco, San Mateo, Santa Clara, Sonoma and Marin counties all have confirmed to KQED that there’s no change in their ability to offer uninsured folks free COVID testing.\u003c/p>\n\u003cp>This is because counties usually draw their funding for testing and vaccination from other sources. For example, a spokesperson for Contra Costa County said that its Board of Supervisors “allocated funding from the American Rescue Plan Act for health services for COVID-19 activities, including supporting vaccination and testing services for the community.”\u003c/p>\n\u003cp>This means that if you need a COVID test quickly, and don’t have health insurance, going to a county-sponsored site might be your most reliable route.\u003c/p>\n\u003cp>Use the links below to find your county’s community testing sites:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://covid-19.acgov.org/testing.page\">Alameda County COVID tests\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.cityofberkeley.info/covid19-testing/\">City of Berkeley COVID tests\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.coronavirus.cchealth.org/get-tested\">Contra Costa County COVID tests\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://coronavirus.marinhhs.org/covid-19-testing-information\">Marin County COVID tests\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.countyofnapa.org/2776/COVID-19-Testing\">Napa County COVID tests\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://sf.gov/find-out-about-your-covid-19-testing-options\">San Francisco County COVID tests\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.smcgov.org/testing\">San Mateo County COVID tests\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.sccgov.org/sites/covid19/Pages/covid19-testing.aspx\">Santa Clara County COVID tests\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.solanocounty.com/depts/ph/coronavirus_links/faq___community_testing_sites.asp\">Solano County COVID tests\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://socoemergency.org/emergency/novel-coronavirus/testing-and-tracing/\">Sonoma County COVID tests\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch2>Other testing sites might have stopped offering free COVID tests for uninsured people\u003c/h2>\n\u003cp>Now that providers can no longer claim the costs of testing uninsured folks for COVID from the federal government, you might find that the testing site down the street from you has stopped offering free tests to people without insurance. But different testing providers are handling it in different ways.\u003c/p>\n\u003cp>Some sites may continue offering free COVID tests to those without insurance. In the Bay Area, the provider Virus Geeks promises that now that the HRSA funding has ended, they will cover the costs of free testing for uninsured people. “Everyone who does not have insurance is welcome to get testing at any of our sites for free,” said Virus Geeks CEO Frank Lee in an email.\u003c/p>\n\u003cp>[aside label='Related Coverage' tag='coronavirus']Virus Geeks has sites across the Bay Area, including in San Francisco, Oakland, Redwood City and San Pablo. \u003ca href=\"https://my.virusgeeks.com/\">The full list of Virus Geeks testing centers is available here.\u003c/a>\u003c/p>\n\u003cp>Other testing sites may now ask you to pay an out-of-pocket fee to get a test if you don’t have health insurance. \u003ca href=\"https://www.totaltestingsolutions.com/\">Total Testing Solutions\u003c/a>, for example, says they will “be moving to self-pay testing, but are doing our best to keep it as low as possible,” and offering rapid testing for $49 or virtual testing [at-home tests done with the assistance of a testing expert provided through a video call] for $25.\u003c/p>\n\u003cp>Some testing sites may make changes to their eligibility criteria for uninsured people. This includes \u003ca href=\"https://www.testthepeople.org/\">Test the People\u003c/a>, which has sites in Oakland and San Francisco where — starting Friday, March 25 — only uninsured people who have COVID symptoms will be able to get a free COVID test.\u003c/p>\n\u003cp>Craig Rouskey, CEO of renegade.bio which operates Test the People, estimates that currently 16% to 20% of people using the program’s sites are uninsured. As of Friday, these patients without insurance will be asked to attest to having symptoms before getting their test.\u003c/p>\n\u003cp>Rouskey says that Test the People is “currently reaching out to our partners in public health and nonprofit sectors to support the testing of asymptomatic uninsured individuals,” and that focusing on testing symptomatic people will allow the organization to at least “sequence those positive results from symptomatic people and help track the next variants of concern, which is really where we’re going with the pandemic.”\u003c/p>\n\u003cp>All of this is to say: Getting a COVID test without insurance from a noncounty testing site has now become far less straightforward. So we strongly advise that you check the provider’s website before heading to their testing site — because you might find that if you don’t have insurance, they might charge you for the test, or not provide it at all.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11898455/where-to-find-a-covid-test-near-you-in-the-bay-area#locations\">Find a noncounty testing site near you.\u003c/a>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch2>You can still get free at-home COVID tests from the federal government via USPS\u003c/h2>\n\u003cp>You can order up to eight free at-home COVID-19 antigen tests online from the federal government and the United States Postal Service. Previously, the federal government only provided four free tests per household but, as of March 7, people who have already received their original can make a second order.\u003c/p>\n\u003cp>The tests and shipping are completely free of charge. \u003ca href=\"https://www.kqed.org/news/11901928/you-can-now-order-free-covid-at-home-tests-via-usps\">Find out more about ordering your free COVID at-home tests via USPS.\u003c/a>\u003c/p>\n\u003ch2>Sign up for California’s Uninsured Group program\u003c/h2>\n\u003cp>California is still covering tests for some residents without coverage through the COVID-19 Uninsured Group program, managed by the Department of Health Care Services. Thanks to state legislation from 2020, the program offers free COVID-19 testing, hospital care and treatment to anyone in California who doesn’t have insurance.\u003c/p>\n\u003cp>Any uninsured person can apply to the program, regardless of income or immigration status. Once you’re enrolled, you can receive COVID-19 testing and treatment from any Medi-Cal provider for free across California.\u003c/p>\n\u003cp>The catch: To enroll, “you first have to find a medical provider in your community that has been designated by the state as a qualified provider,” explains David Kane, senior attorney with the Western Center on Law and Poverty — and you can’t submit the application yourself.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.dhcs.ca.gov/services/medi-cal/eligibility/Documents/COVID-19UninsuredGroupProgram/MC-374-ENG-09-2020.pdf\">COVID-19 Uninsured Group program application is available online\u003c/a>, and you can fill it out yourself — but it can only be submitted to Medi-Cal \u003cem>through\u003c/em> that qualified provider (QP). There are dozens of QPs across the Bay Area that can help you file your application so it reaches Medi-Cal. You can find an \u003ca href=\"https://cadhcs.maps.arcgis.com/apps/webappviewer/index.html?id=62f87cadcea54cf887289e7eceda14f5\">interactive map of all the QPs in the Bay Area, along with their contact information here\u003c/a>.\u003c/p>\n\u003cp>“Once you find a qualified provider, that provider has to know how to process an application,” Kane said. He added that because this program is not as widely known, unfortunately some qualified providers may be unfamiliar with how to file an application.\u003c/p>\n\u003cp>Kane acknowledges that the burden of explaining what the Uninsured Group program is should not be placed on the patient, but adds that there are several options available if someone calls a provider who is not aware that this resource exists.\u003c/p>\n\u003cp>“Patients should tell a provider they are uninsured, or underinsured, and need coverage to access this care and that they know specifically about the COVID-19 Uninsured Group program, and ask to be enrolled in that program,” he explained.\u003c/p>\n\u003cp>Kane says that if the provider insists they still don’t know what you’re talking about or that you’re not eligible for the program, you should either:\u003c/p>\n\u003cul>\n\u003cli>Request to speak to someone who works at that provider who is informed about this resource.\u003c/li>\n\u003cli>Reach out to another qualified provider.\u003c/li>\n\u003cli>\u003ca href=\"https://healthconsumer.org/contact/\">Contact the Health Consumer Alliance\u003c/a>, an advocacy group that supports Californians seeking health coverage and offers free legal aid.\u003c/li>\n\u003c/ul>\n\u003cp>“This program exists for people who need it,” Kane said. “Just about everybody [who’s uninsured] in California is eligible. So be persistent until you are enrolled.” Read a \u003ca href=\"https://www.dhcs.ca.gov/services/medi-cal/eligibility/Documents/COVID-19UninsuredGroupProgram/COVID-19UninsuredGroupFAQ.pdf\">FAQ on the state’s COVID-19 Uninsured Group program\u003c/a>.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "No insurance? No problem. Even though federal funding has ended, you can still find a free COVID test near you at these sites.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Starting Wednesday, March 23, \u003ca href=\"https://www.hrsa.gov/coviduninsuredclaim/submission-deadline\">the federal program that’s been funding COVID testing and care for people without health insurance has ended\u003c/a>.\u003c/p>\n\u003cp>This means that finding a test if you’re uninsured just became a little more complex.\u003c/p>\n\u003cp>Until now, the providers of COVID tests and care could bill the COVID-19 Uninsured Program from the Health Resources and Services Administration (HRSA) for the costs of giving these services to uninsured folks. This change — which was announced only one week ago, on March 16 — means COVID testing sites can no longer bill the federal government for testing uninsured people. In some cases, this means they’ll no longer be able to provide those services to people without insurance.\u003c/p>\n\u003cp>With the \u003ca href=\"https://www.wsj.com/articles/omicron-ba-2-variant-represents-rising-share-of-u-s-covid-19-cases-11647979879\">potential of another COVID surge ahead from the new BA.2 omicron variant\u003c/a>, it’s important to know how your testing and care options might have changed if you don’t have health insurance. Keep reading for what you need to know.\u003c/p>\n\u003ch2>Your county will almost certainly still offer you a free COVID test with no insurance\u003c/h2>\n\u003cp>While private providers are most affected by this change because they are now unable to bill the federal government for COVID tests for uninsured people (more on that below), your Bay Area county is most likely unaffected by this change. So far, Alameda, Contra Costa, San Francisco, San Mateo, Santa Clara, Sonoma and Marin counties all have confirmed to KQED that there’s no change in their ability to offer uninsured folks free COVID testing.\u003c/p>\n\u003cp>This is because counties usually draw their funding for testing and vaccination from other sources. For example, a spokesperson for Contra Costa County said that its Board of Supervisors “allocated funding from the American Rescue Plan Act for health services for COVID-19 activities, including supporting vaccination and testing services for the community.”\u003c/p>\n\u003cp>This means that if you need a COVID test quickly, and don’t have health insurance, going to a county-sponsored site might be your most reliable route.\u003c/p>\n\u003cp>Use the links below to find your county’s community testing sites:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://covid-19.acgov.org/testing.page\">Alameda County COVID tests\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.cityofberkeley.info/covid19-testing/\">City of Berkeley COVID tests\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.coronavirus.cchealth.org/get-tested\">Contra Costa County COVID tests\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://coronavirus.marinhhs.org/covid-19-testing-information\">Marin County COVID tests\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.countyofnapa.org/2776/COVID-19-Testing\">Napa County COVID tests\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://sf.gov/find-out-about-your-covid-19-testing-options\">San Francisco County COVID tests\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.smcgov.org/testing\">San Mateo County COVID tests\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.sccgov.org/sites/covid19/Pages/covid19-testing.aspx\">Santa Clara County COVID tests\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.solanocounty.com/depts/ph/coronavirus_links/faq___community_testing_sites.asp\">Solano County COVID tests\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://socoemergency.org/emergency/novel-coronavirus/testing-and-tracing/\">Sonoma County COVID tests\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch2>Other testing sites might have stopped offering free COVID tests for uninsured people\u003c/h2>\n\u003cp>Now that providers can no longer claim the costs of testing uninsured folks for COVID from the federal government, you might find that the testing site down the street from you has stopped offering free tests to people without insurance. But different testing providers are handling it in different ways.\u003c/p>\n\u003cp>Some sites may continue offering free COVID tests to those without insurance. In the Bay Area, the provider Virus Geeks promises that now that the HRSA funding has ended, they will cover the costs of free testing for uninsured people. “Everyone who does not have insurance is welcome to get testing at any of our sites for free,” said Virus Geeks CEO Frank Lee in an email.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Virus Geeks has sites across the Bay Area, including in San Francisco, Oakland, Redwood City and San Pablo. \u003ca href=\"https://my.virusgeeks.com/\">The full list of Virus Geeks testing centers is available here.\u003c/a>\u003c/p>\n\u003cp>Other testing sites may now ask you to pay an out-of-pocket fee to get a test if you don’t have health insurance. \u003ca href=\"https://www.totaltestingsolutions.com/\">Total Testing Solutions\u003c/a>, for example, says they will “be moving to self-pay testing, but are doing our best to keep it as low as possible,” and offering rapid testing for $49 or virtual testing [at-home tests done with the assistance of a testing expert provided through a video call] for $25.\u003c/p>\n\u003cp>Some testing sites may make changes to their eligibility criteria for uninsured people. This includes \u003ca href=\"https://www.testthepeople.org/\">Test the People\u003c/a>, which has sites in Oakland and San Francisco where — starting Friday, March 25 — only uninsured people who have COVID symptoms will be able to get a free COVID test.\u003c/p>\n\u003cp>Craig Rouskey, CEO of renegade.bio which operates Test the People, estimates that currently 16% to 20% of people using the program’s sites are uninsured. As of Friday, these patients without insurance will be asked to attest to having symptoms before getting their test.\u003c/p>\n\u003cp>Rouskey says that Test the People is “currently reaching out to our partners in public health and nonprofit sectors to support the testing of asymptomatic uninsured individuals,” and that focusing on testing symptomatic people will allow the organization to at least “sequence those positive results from symptomatic people and help track the next variants of concern, which is really where we’re going with the pandemic.”\u003c/p>\n\u003cp>All of this is to say: Getting a COVID test without insurance from a noncounty testing site has now become far less straightforward. So we strongly advise that you check the provider’s website before heading to their testing site — because you might find that if you don’t have insurance, they might charge you for the test, or not provide it at all.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11898455/where-to-find-a-covid-test-near-you-in-the-bay-area#locations\">Find a noncounty testing site near you.\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>You can still get free at-home COVID tests from the federal government via USPS\u003c/h2>\n\u003cp>You can order up to eight free at-home COVID-19 antigen tests online from the federal government and the United States Postal Service. Previously, the federal government only provided four free tests per household but, as of March 7, people who have already received their original can make a second order.\u003c/p>\n\u003cp>The tests and shipping are completely free of charge. \u003ca href=\"https://www.kqed.org/news/11901928/you-can-now-order-free-covid-at-home-tests-via-usps\">Find out more about ordering your free COVID at-home tests via USPS.\u003c/a>\u003c/p>\n\u003ch2>Sign up for California’s Uninsured Group program\u003c/h2>\n\u003cp>California is still covering tests for some residents without coverage through the COVID-19 Uninsured Group program, managed by the Department of Health Care Services. Thanks to state legislation from 2020, the program offers free COVID-19 testing, hospital care and treatment to anyone in California who doesn’t have insurance.\u003c/p>\n\u003cp>Any uninsured person can apply to the program, regardless of income or immigration status. Once you’re enrolled, you can receive COVID-19 testing and treatment from any Medi-Cal provider for free across California.\u003c/p>\n\u003cp>The catch: To enroll, “you first have to find a medical provider in your community that has been designated by the state as a qualified provider,” explains David Kane, senior attorney with the Western Center on Law and Poverty — and you can’t submit the application yourself.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.dhcs.ca.gov/services/medi-cal/eligibility/Documents/COVID-19UninsuredGroupProgram/MC-374-ENG-09-2020.pdf\">COVID-19 Uninsured Group program application is available online\u003c/a>, and you can fill it out yourself — but it can only be submitted to Medi-Cal \u003cem>through\u003c/em> that qualified provider (QP). There are dozens of QPs across the Bay Area that can help you file your application so it reaches Medi-Cal. You can find an \u003ca href=\"https://cadhcs.maps.arcgis.com/apps/webappviewer/index.html?id=62f87cadcea54cf887289e7eceda14f5\">interactive map of all the QPs in the Bay Area, along with their contact information here\u003c/a>.\u003c/p>\n\u003cp>“Once you find a qualified provider, that provider has to know how to process an application,” Kane said. He added that because this program is not as widely known, unfortunately some qualified providers may be unfamiliar with how to file an application.\u003c/p>\n\u003cp>Kane acknowledges that the burden of explaining what the Uninsured Group program is should not be placed on the patient, but adds that there are several options available if someone calls a provider who is not aware that this resource exists.\u003c/p>\n\u003cp>“Patients should tell a provider they are uninsured, or underinsured, and need coverage to access this care and that they know specifically about the COVID-19 Uninsured Group program, and ask to be enrolled in that program,” he explained.\u003c/p>\n\u003cp>Kane says that if the provider insists they still don’t know what you’re talking about or that you’re not eligible for the program, you should either:\u003c/p>\n\u003cul>\n\u003cli>Request to speak to someone who works at that provider who is informed about this resource.\u003c/li>\n\u003cli>Reach out to another qualified provider.\u003c/li>\n\u003cli>\u003ca href=\"https://healthconsumer.org/contact/\">Contact the Health Consumer Alliance\u003c/a>, an advocacy group that supports Californians seeking health coverage and offers free legal aid.\u003c/li>\n\u003c/ul>\n\u003cp>“This program exists for people who need it,” Kane said. “Just about everybody [who’s uninsured] in California is eligible. So be persistent until you are enrolled.” Read a \u003ca href=\"https://www.dhcs.ca.gov/services/medi-cal/eligibility/Documents/COVID-19UninsuredGroupProgram/COVID-19UninsuredGroupFAQ.pdf\">FAQ on the state’s COVID-19 Uninsured Group program\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "californias-expanding-medi-cal-but-thousands-of-immigrants-still-wont-qualify",
"title": "California's Expanding Medi-Cal — But Thousands of Immigrants Still Won't Qualify",
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"headTitle": "California’s Expanding Medi-Cal — But Thousands of Immigrants Still Won’t Qualify | KQED",
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"content": "\u003cp>Many working undocumented immigrants won’t qualify for state health insurance even if they don’t earn a living wage. That leaves them with few viable options for coverage.\u003c/p>\n\u003cp>Lucia Marroquin knows what it’s like to wait out pain in hopes that it will go away on its own. She is suffering from kidney stones and may need surgery. But because she lacks health coverage, her first question when she falls ill is always, “How much will that cost me?”\u003c/p>\n\u003cp>So when California officials announced plans to extend Medi-Cal coverage to more undocumented adults, the Fresno County resident was hopeful that she would finally qualify for health insurance.\u003c/p>\n\u003cp>But her farmworker husband’s annual income of $35,000 puts the couple over the limit to qualify for Medi-Cal, which is reserved for residents with lower incomes. So even under Gov. Gavin Newsom’s planned expansion, she’ll likely be left with no health insurance.[pullquote size=\"medium\" align=\"right\" citation=\"Arturo Vargas Bustamante, professor, UCLA Fielding School of Public Health\"]‘This is a great achievement and it is absolutely amazing, but there will still be some who will remain uninsured.’[/pullquote]\u003c/p>\n\u003cp>Experts say allowing people to sign up for comprehensive Medi-Cal coverage regardless of their immigration status is the single biggest step California can take to insure as many people as possible in the current system. Newsom called his latest planned expansion “\u003ca href=\"https://twitter.com/GavinNewsom/status/1480618598762647553?s=20&t=6kiFbKIbAMdNs3tpMmRspw\">universal access to coverage\u003c/a>.”\u003c/p>\n\u003cp>But the expansion would still leave several hundred thousand undocumented immigrants like Marroquin uninsured. They are unable to qualify because they have jobs where they earn above Medi-Cal’s annual income thresholds for most adults: $17,609 for single people, $23,792 for a couple and $36,156 for a family of four.\u003c/p>\n\u003cp>That leaves many immigrants with low incomes with few viable options for health coverage. While most Californians who earn over the Medi-Cal limit can get subsidized coverage through \u003ca href=\"https://www.coveredca.com/learning-center/information-for-immigrants/\">Covered California, undocumented people are not allowed\u003c/a> to buy insurance through the marketplace under the federal Affordable Care Act.\u003c/p>\n\u003cp>On May 1, about \u003ca href=\"https://www.gov.ca.gov/2021/07/27/governor-newsom-signs-into-law-first-in-the-nation-expansion-of-medi-cal-to-undocumented-californians-age-50-and-over-bold-initiatives-to-advance-more-equitable-and-prevention-focused-health-care/\">235,000 undocumented people\u003c/a> age 50 and older will gain new access to Medi-Cal under a law signed last summer. A second proposal, unveiled in Newsom’s January budget, would include another 700,000 undocumented adults in the 26-to-49 age group, starting as early as 2024, if approved in this year’s final budget. Children and young adults are already eligible.\u003c/p>\n\u003cp>“This is a great achievement and it is absolutely amazing, but there will still be some who will remain uninsured,” said Arturo Vargas Bustamante, health policy professor at the UCLA Fielding School of Public Health. “It’s not universal health care, but the situation for many immigrants in California will be much better.”\u003c/p>\n\u003cp>In 2023, after Medi-Cal expands to cover undocumented immigrants 50 and older, about \u003ca href=\"https://www.itup.org/wp-content/uploads/2021/12/Final.-ITUP-Snapshot-2021.pdf#page=3\">3.2 million people will remain uninsured in California\u003c/a>, according to researchers at the UC Berkeley Labor Center and the UCLA Center for Health Policy Research. Of those, 1.16 million will be unauthorized immigrants.[aside postID=\"news_11901253,news_11901347,news_11902149\" label=\"Related Posts\"]Even if Newsom’s next step is approved — covering undocumented adults 26 to 49 years old as early as 2024 — that would still leave roughly 450,000 undocumented people under 65 with no health coverage (the difference between 1.16 million people and the 700,000 who would gain access).\u003c/p>\n\u003ch2>‘Doesn’t have to be free. Just a fair price’\u003c/h2>\n\u003cp>The governor’s latest proposal would help Virginia Moscoso, a 29-year-old mother of two in Yolo County who is undocumented. She is enrolled in restricted-scope Medi-Cal, which is limited to emergencies and pregnancies, but hopes she would obtain full benefits if the proposal is approved in the final budget.\u003c/p>\n\u003cp>Full-scope benefits allow people coverage for routine, preventive care, long-term care and \u003ca href=\"https://www.cdss.ca.gov/in-home-supportive-services\">in-home supportive services\u003c/a>.\u003c/p>\n\u003cp>Moscoso is especially interested in dental care. A few months back, she had a toothache that she alleviated with home remedies, but she is overdue for a checkup.\u003c/p>\n\u003cfigure id=\"attachment_11906905\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/03/Screen-Shot-2022-03-01-at-11.37.59-AM.png\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11906905\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/03/Screen-Shot-2022-03-01-at-11.37.59-AM-800x532.png\" alt=\"A woman wearing a pink shirt rests her arms on a fence outside.\" width=\"800\" height=\"532\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/Screen-Shot-2022-03-01-at-11.37.59-AM-800x532.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/Screen-Shot-2022-03-01-at-11.37.59-AM-1020x678.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/Screen-Shot-2022-03-01-at-11.37.59-AM-160x106.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/Screen-Shot-2022-03-01-at-11.37.59-AM-1536x1021.png 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/Screen-Shot-2022-03-01-at-11.37.59-AM.png 1552w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Virginia Moscoso, who lives in the Yolo County town of Dunnigan, will qualify for full-scope Medi-Cal if Gov. Gavin Newsom’s budget is approved, expanding it to undocumented immigrants age 26 through 49. But the expansion would still leave hundreds of thousands of undocumented immigrants who earn over the income threshold with no insurance. \u003ccite>(Miguel Gutierrez Jr./CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In the past, Moscoso has worked seasonal jobs in farm fields, but her family of four mostly relies on her husband’s earnings of about $35,000, which means they would likely qualify — just barely — for Medi-Cal under Newsom’s expansion. Her children are already enrolled in Medi-Cal, and that’s a huge help, she said.\u003c/p>\n\u003cp>She’s grateful that apart from her pregnancies, she hasn’t needed to use her emergency Medi-Cal. But if she qualified for primary care, it would make a lot more sense than waiting until she’s ill in the hospital.\u003c/p>\n\u003cp>“For me it would be a great blessing,” Moscoso said. “Because when you go to the doctor, it’s never just the one visit — you need tests and medication, and it adds up.”\u003c/p>\n\u003cp>Many people without health insurance seek care at community clinics where services may be offered on a sliding fee scale, so what they pay is based on their income.\u003c/p>\n\u003cp>That’s how Marroquin, 55, usually gets care. Each visit to the clinic costs her about $40. A recent ultrasound for her kidney stones cost her $200.\u003c/p>\n\u003cp>Marroquin has applied for emergency Medi-Cal in the past but was denied because her husband’s income of $35,000 was too high.\u003c/p>\n\u003cp>“It’s very difficult to be without coverage,” Marroquin said. “It doesn’t have to be free, just at a fair price. As my husband says, we can get car insurance, why can’t we buy health insurance?”\u003c/p>\n\u003cp>For most adult enrollees, the limit to qualify for Medi-Cal is \u003ca href=\"https://www.dhcs.ca.gov/services/medi-cal/Pages/DoYouQualifyForMedi-Cal.aspx\">138% of the federal poverty level\u003c/a>. Eligibility takes into account income and household size. (Certain groups like pregnant women qualify at slightly higher incomes.)\u003c/p>\n\u003cp>People like Marroquin with wages near that threshold are considered to be among the working poor: They \u003ca href=\"https://livingwage.mit.edu/states/06\">are not earning a living wage in California\u003c/a>. Most Californians in that situation can buy subsidized plans from Covered California. But undocumented immigrants cannot, and while they can purchase coverage directly from insurance companies, it is often unaffordable. For instance, premiums for a couple in their 50s could cost more than $1,000 a month, said \u003ca href=\"https://www.quotevalley.com/contact.aspx\">Alex Hernandez\u003c/a>, a health insurance agent in Merced.\u003c/p>\n\u003cp>“I think some people, especially if they have an illness, see the value of having insurance despite the cost. But it’s tough,” Hernandez said. Facing such high premiums, he said, “most people are going to say forget it.”\u003c/p>\n\u003cp>In 2016, California applied for a waiver from the federal government to allow undocumented people to buy from Covered California. But the state \u003ca href=\"https://khn.org/news/california-withdraws-bid-to-allow-undocumented-immigrants-to-buy-unsubsidized-obamacare-plans/\">withdrew the application\u003c/a> at the request of the Legislature when former President Donald Trump took office.\u003c/p>\n\u003cp>Insurance Commissioner Ricardo Lara, who spearheaded legislation for the waiver application when he was a state senator, said the request was rescinded because of concern that the Trump administration would use immigrants’ information against them.\u003c/p>\n\u003cp>The waiver application has not been resubmitted by the state, but it’s still an option, Lara said.\u003c/p>\n\u003cp>Even if a waiver were approved, undocumented residents would still have to purchase insurance without federal subsidies. The state could, in theory, provide some financial assistance, health advocates say.\u003c/p>\n\u003cp>Lara said Newsom made Medi-Cal expansion for undocumented immigrants a priority in this year’s budget, which shows just how much attitudes around the issue have changed.\u003c/p>\n\u003cp>“Back in the day this was an issue that people thought would cost you the election or cost you grief. It’s a tremendous shift in attitude toward the undocumented community,” Lara said.\u003c/p>\n\u003cp>But to truly get to universal coverage, California will need to continue innovative approaches and drill down on affordability, Lara said. He authored a \u003ca href=\"https://khn.org/news/single-payer-health-care-bill-introduced-in-california-senate/\">single-payer bill in 2017\u003c/a> and thinks that type of system is inevitable, but will take time. In the meantime, he said the state should keep expanding coverage where it can.\u003c/p>\n\u003cp>Last month, the Legislature’s latest version of \u003ca href=\"https://calmatters.org/politics/2022/02/california-single-payer-legislature/?utm_source=CalMatters+Newsletters&utm_campaign=da289b23b6-WHATMATTERS&utm_medium=email&utm_term=0_faa7be558d-da289b23b6-150460103&mc_cid=da289b23b6&mc_eid=099a508f5c\">a bill that would have created a state-funded single-payer system\u003c/a> died on the Assembly floor. \u003ca href=\"https://a27.asmdc.org/press-releases/20220131-assemblymember-ash-kalra-author-ab-1400-ca-guaranteed-health-care-all-act\">It didn’t have enough votes\u003c/a>, according to its author, Assemblymember Ash Kalra of San Jose.\u003c/p>\n\u003cp>Lack of access because of immigration status is just one piece of the remaining uninsured. Many other Californians forgo coverage despite being eligible, likely because of the cost. According to the UC Berkeley and UCLA study, 2 million uninsured people qualify for Medi-Cal, employer coverage or Covered California.\u003c/p>\n\u003cp>“The most common reason that people eligible for employer coverage remain uninsured is that they can’t afford the premium contributions,” said Laurel Lucia, director of the Health Care Program at UC Berkeley’s Labor Center.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://e.infogram.com/af381a4c-1356-4991-a3b4-b2ca7a12f01a?src=embed\" title=\"uninsured 2023- UC estimates\" width=\"950\" height=\"800\" scrolling=\"no\" frameborder=\"0\" style=\"border:none;\" allowfullscreen=\"allowfullscreen\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>People eligible for Medi-Cal may go without it for a number of reasons. A report from the California Health Care Foundation found that \u003ca href=\"https://www.chcf.org/publication/medi-cal-maze-why-many-eligible-californians-dont-enroll/\">people may be deterred from applying\u003c/a> because of misinformation about or a negative perception of the Medi-Cal program. Some who tried applying reported having a hard time navigating the enrollment process.\u003c/p>\n\u003cp>Similarly, people eligible for Covered California may go without it because they either don’t know they are eligible for financial aid or may still not be able to afford it even with the help.\u003c/p>\n\u003cp>Covered California officials last month announced that because of a \u003ca href=\"https://calmatters.org/health/2021/04/health-insurance-subsidies/\">temporary boost in federal subsidies\u003c/a>, two-thirds of enrollees in its most recent sign-up period were eligible to \u003ca href=\"https://www.coveredca.com/pdfs/news/01-25-22-CoveredCA-1.8-Million.pdf\">get coverage for $10 or less a month\u003c/a>. This year’s enrollment period closed with a record 1.8 million Californians signed up for health insurance through the marketplace.\u003c/p>\n\u003cp>To further aid with affordability, the chairs of the Legislature’s health committees recently introduced \u003ca href=\"https://health-access.org/press_release/2022/02/health-access-ca-health-committee-chairs-introduce-bills-to-increase-affordability-in-coveredca/\">bills that aim to reduce deductibles and copays\u003c/a> for people enrolled through Covered California.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Many working undocumented immigrants won't qualify for state health insurance even if they don't earn a living wage. That leaves them with few viable options for coverage.",
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"title": "California's Expanding Medi-Cal — But Thousands of Immigrants Still Won't Qualify | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Many working undocumented immigrants won’t qualify for state health insurance even if they don’t earn a living wage. That leaves them with few viable options for coverage.\u003c/p>\n\u003cp>Lucia Marroquin knows what it’s like to wait out pain in hopes that it will go away on its own. She is suffering from kidney stones and may need surgery. But because she lacks health coverage, her first question when she falls ill is always, “How much will that cost me?”\u003c/p>\n\u003cp>So when California officials announced plans to extend Medi-Cal coverage to more undocumented adults, the Fresno County resident was hopeful that she would finally qualify for health insurance.\u003c/p>\n\u003cp>But her farmworker husband’s annual income of $35,000 puts the couple over the limit to qualify for Medi-Cal, which is reserved for residents with lower incomes. So even under Gov. Gavin Newsom’s planned expansion, she’ll likely be left with no health insurance.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Experts say allowing people to sign up for comprehensive Medi-Cal coverage regardless of their immigration status is the single biggest step California can take to insure as many people as possible in the current system. Newsom called his latest planned expansion “\u003ca href=\"https://twitter.com/GavinNewsom/status/1480618598762647553?s=20&t=6kiFbKIbAMdNs3tpMmRspw\">universal access to coverage\u003c/a>.”\u003c/p>\n\u003cp>But the expansion would still leave several hundred thousand undocumented immigrants like Marroquin uninsured. They are unable to qualify because they have jobs where they earn above Medi-Cal’s annual income thresholds for most adults: $17,609 for single people, $23,792 for a couple and $36,156 for a family of four.\u003c/p>\n\u003cp>That leaves many immigrants with low incomes with few viable options for health coverage. While most Californians who earn over the Medi-Cal limit can get subsidized coverage through \u003ca href=\"https://www.coveredca.com/learning-center/information-for-immigrants/\">Covered California, undocumented people are not allowed\u003c/a> to buy insurance through the marketplace under the federal Affordable Care Act.\u003c/p>\n\u003cp>On May 1, about \u003ca href=\"https://www.gov.ca.gov/2021/07/27/governor-newsom-signs-into-law-first-in-the-nation-expansion-of-medi-cal-to-undocumented-californians-age-50-and-over-bold-initiatives-to-advance-more-equitable-and-prevention-focused-health-care/\">235,000 undocumented people\u003c/a> age 50 and older will gain new access to Medi-Cal under a law signed last summer. A second proposal, unveiled in Newsom’s January budget, would include another 700,000 undocumented adults in the 26-to-49 age group, starting as early as 2024, if approved in this year’s final budget. Children and young adults are already eligible.\u003c/p>\n\u003cp>“This is a great achievement and it is absolutely amazing, but there will still be some who will remain uninsured,” said Arturo Vargas Bustamante, health policy professor at the UCLA Fielding School of Public Health. “It’s not universal health care, but the situation for many immigrants in California will be much better.”\u003c/p>\n\u003cp>In 2023, after Medi-Cal expands to cover undocumented immigrants 50 and older, about \u003ca href=\"https://www.itup.org/wp-content/uploads/2021/12/Final.-ITUP-Snapshot-2021.pdf#page=3\">3.2 million people will remain uninsured in California\u003c/a>, according to researchers at the UC Berkeley Labor Center and the UCLA Center for Health Policy Research. Of those, 1.16 million will be unauthorized immigrants.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Even if Newsom’s next step is approved — covering undocumented adults 26 to 49 years old as early as 2024 — that would still leave roughly 450,000 undocumented people under 65 with no health coverage (the difference between 1.16 million people and the 700,000 who would gain access).\u003c/p>\n\u003ch2>‘Doesn’t have to be free. Just a fair price’\u003c/h2>\n\u003cp>The governor’s latest proposal would help Virginia Moscoso, a 29-year-old mother of two in Yolo County who is undocumented. She is enrolled in restricted-scope Medi-Cal, which is limited to emergencies and pregnancies, but hopes she would obtain full benefits if the proposal is approved in the final budget.\u003c/p>\n\u003cp>Full-scope benefits allow people coverage for routine, preventive care, long-term care and \u003ca href=\"https://www.cdss.ca.gov/in-home-supportive-services\">in-home supportive services\u003c/a>.\u003c/p>\n\u003cp>Moscoso is especially interested in dental care. A few months back, she had a toothache that she alleviated with home remedies, but she is overdue for a checkup.\u003c/p>\n\u003cfigure id=\"attachment_11906905\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/03/Screen-Shot-2022-03-01-at-11.37.59-AM.png\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11906905\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/03/Screen-Shot-2022-03-01-at-11.37.59-AM-800x532.png\" alt=\"A woman wearing a pink shirt rests her arms on a fence outside.\" width=\"800\" height=\"532\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/Screen-Shot-2022-03-01-at-11.37.59-AM-800x532.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/Screen-Shot-2022-03-01-at-11.37.59-AM-1020x678.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/Screen-Shot-2022-03-01-at-11.37.59-AM-160x106.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/Screen-Shot-2022-03-01-at-11.37.59-AM-1536x1021.png 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/Screen-Shot-2022-03-01-at-11.37.59-AM.png 1552w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Virginia Moscoso, who lives in the Yolo County town of Dunnigan, will qualify for full-scope Medi-Cal if Gov. Gavin Newsom’s budget is approved, expanding it to undocumented immigrants age 26 through 49. But the expansion would still leave hundreds of thousands of undocumented immigrants who earn over the income threshold with no insurance. \u003ccite>(Miguel Gutierrez Jr./CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In the past, Moscoso has worked seasonal jobs in farm fields, but her family of four mostly relies on her husband’s earnings of about $35,000, which means they would likely qualify — just barely — for Medi-Cal under Newsom’s expansion. Her children are already enrolled in Medi-Cal, and that’s a huge help, she said.\u003c/p>\n\u003cp>She’s grateful that apart from her pregnancies, she hasn’t needed to use her emergency Medi-Cal. But if she qualified for primary care, it would make a lot more sense than waiting until she’s ill in the hospital.\u003c/p>\n\u003cp>“For me it would be a great blessing,” Moscoso said. “Because when you go to the doctor, it’s never just the one visit — you need tests and medication, and it adds up.”\u003c/p>\n\u003cp>Many people without health insurance seek care at community clinics where services may be offered on a sliding fee scale, so what they pay is based on their income.\u003c/p>\n\u003cp>That’s how Marroquin, 55, usually gets care. Each visit to the clinic costs her about $40. A recent ultrasound for her kidney stones cost her $200.\u003c/p>\n\u003cp>Marroquin has applied for emergency Medi-Cal in the past but was denied because her husband’s income of $35,000 was too high.\u003c/p>\n\u003cp>“It’s very difficult to be without coverage,” Marroquin said. “It doesn’t have to be free, just at a fair price. As my husband says, we can get car insurance, why can’t we buy health insurance?”\u003c/p>\n\u003cp>For most adult enrollees, the limit to qualify for Medi-Cal is \u003ca href=\"https://www.dhcs.ca.gov/services/medi-cal/Pages/DoYouQualifyForMedi-Cal.aspx\">138% of the federal poverty level\u003c/a>. Eligibility takes into account income and household size. (Certain groups like pregnant women qualify at slightly higher incomes.)\u003c/p>\n\u003cp>People like Marroquin with wages near that threshold are considered to be among the working poor: They \u003ca href=\"https://livingwage.mit.edu/states/06\">are not earning a living wage in California\u003c/a>. Most Californians in that situation can buy subsidized plans from Covered California. But undocumented immigrants cannot, and while they can purchase coverage directly from insurance companies, it is often unaffordable. For instance, premiums for a couple in their 50s could cost more than $1,000 a month, said \u003ca href=\"https://www.quotevalley.com/contact.aspx\">Alex Hernandez\u003c/a>, a health insurance agent in Merced.\u003c/p>\n\u003cp>“I think some people, especially if they have an illness, see the value of having insurance despite the cost. But it’s tough,” Hernandez said. Facing such high premiums, he said, “most people are going to say forget it.”\u003c/p>\n\u003cp>In 2016, California applied for a waiver from the federal government to allow undocumented people to buy from Covered California. But the state \u003ca href=\"https://khn.org/news/california-withdraws-bid-to-allow-undocumented-immigrants-to-buy-unsubsidized-obamacare-plans/\">withdrew the application\u003c/a> at the request of the Legislature when former President Donald Trump took office.\u003c/p>\n\u003cp>Insurance Commissioner Ricardo Lara, who spearheaded legislation for the waiver application when he was a state senator, said the request was rescinded because of concern that the Trump administration would use immigrants’ information against them.\u003c/p>\n\u003cp>The waiver application has not been resubmitted by the state, but it’s still an option, Lara said.\u003c/p>\n\u003cp>Even if a waiver were approved, undocumented residents would still have to purchase insurance without federal subsidies. The state could, in theory, provide some financial assistance, health advocates say.\u003c/p>\n\u003cp>Lara said Newsom made Medi-Cal expansion for undocumented immigrants a priority in this year’s budget, which shows just how much attitudes around the issue have changed.\u003c/p>\n\u003cp>“Back in the day this was an issue that people thought would cost you the election or cost you grief. It’s a tremendous shift in attitude toward the undocumented community,” Lara said.\u003c/p>\n\u003cp>But to truly get to universal coverage, California will need to continue innovative approaches and drill down on affordability, Lara said. He authored a \u003ca href=\"https://khn.org/news/single-payer-health-care-bill-introduced-in-california-senate/\">single-payer bill in 2017\u003c/a> and thinks that type of system is inevitable, but will take time. In the meantime, he said the state should keep expanding coverage where it can.\u003c/p>\n\u003cp>Last month, the Legislature’s latest version of \u003ca href=\"https://calmatters.org/politics/2022/02/california-single-payer-legislature/?utm_source=CalMatters+Newsletters&utm_campaign=da289b23b6-WHATMATTERS&utm_medium=email&utm_term=0_faa7be558d-da289b23b6-150460103&mc_cid=da289b23b6&mc_eid=099a508f5c\">a bill that would have created a state-funded single-payer system\u003c/a> died on the Assembly floor. \u003ca href=\"https://a27.asmdc.org/press-releases/20220131-assemblymember-ash-kalra-author-ab-1400-ca-guaranteed-health-care-all-act\">It didn’t have enough votes\u003c/a>, according to its author, Assemblymember Ash Kalra of San Jose.\u003c/p>\n\u003cp>Lack of access because of immigration status is just one piece of the remaining uninsured. Many other Californians forgo coverage despite being eligible, likely because of the cost. According to the UC Berkeley and UCLA study, 2 million uninsured people qualify for Medi-Cal, employer coverage or Covered California.\u003c/p>\n\u003cp>“The most common reason that people eligible for employer coverage remain uninsured is that they can’t afford the premium contributions,” said Laurel Lucia, director of the Health Care Program at UC Berkeley’s Labor Center.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://e.infogram.com/af381a4c-1356-4991-a3b4-b2ca7a12f01a?src=embed\" title=\"uninsured 2023- UC estimates\" width=\"950\" height=\"800\" scrolling=\"no\" frameborder=\"0\" style=\"border:none;\" allowfullscreen=\"allowfullscreen\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>People eligible for Medi-Cal may go without it for a number of reasons. A report from the California Health Care Foundation found that \u003ca href=\"https://www.chcf.org/publication/medi-cal-maze-why-many-eligible-californians-dont-enroll/\">people may be deterred from applying\u003c/a> because of misinformation about or a negative perception of the Medi-Cal program. Some who tried applying reported having a hard time navigating the enrollment process.\u003c/p>\n\u003cp>Similarly, people eligible for Covered California may go without it because they either don’t know they are eligible for financial aid or may still not be able to afford it even with the help.\u003c/p>\n\u003cp>Covered California officials last month announced that because of a \u003ca href=\"https://calmatters.org/health/2021/04/health-insurance-subsidies/\">temporary boost in federal subsidies\u003c/a>, two-thirds of enrollees in its most recent sign-up period were eligible to \u003ca href=\"https://www.coveredca.com/pdfs/news/01-25-22-CoveredCA-1.8-Million.pdf\">get coverage for $10 or less a month\u003c/a>. This year’s enrollment period closed with a record 1.8 million Californians signed up for health insurance through the marketplace.\u003c/p>\n\u003cp>To further aid with affordability, the chairs of the Legislature’s health committees recently introduced \u003ca href=\"https://health-access.org/press_release/2022/02/health-access-ca-health-committee-chairs-introduce-bills-to-increase-affordability-in-coveredca/\">bills that aim to reduce deductibles and copays\u003c/a> for people enrolled through Covered California.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>California has some of the strongest patient health protections in the country, but they often carry such weak enforcement power that insurance companies find it cheaper to pay the fines for violating the law than to provide the health care patients are entitled to under it.\u003c/p>\n\u003cp>A new bill introduced Wednesday aims to change that by increasing the minimum penalties insurers have to pay for violations by a factor of 10, from $2,500 to $25,000.\u003c/p>\n\u003cp>“That will create a stronger incentive to follow the law and not just look at fines as a nuisance or a cost of doing business,” said Sen. Scott Wiener, D-San Francisco, author of the bill, \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB858\" target=\"_blank\" rel=\"noopener noreferrer\">SB 858\u003c/a>.\u003c/p>\n\u003cp>Some of the original fine amounts were set in 1975, when, Wiener notes, the price of gasoline was around $0.59 a gallon\u003cspan style=\"font-weight: 400\"> and chicken was $0.59 a pound\u003c/span>. Meanwhile, in the last two decades, average monthly health premiums in California have quadrupled.\u003c/p>\n\u003cp>It’s only fair that the penalties insurers face rise in step with premium increases and inflation, says Diana Douglas, policy manager for \u003ca href=\"https://health-access.org/about-us/staff/\">Health Access\u003c/a>, a consumer advocacy group sponsoring the legislation.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The bill also would give state regulators greater flexibility when they assess fines. In addition to raising the floor for penalties and tying them to premiums, the bill would allow regulators to consider factors like: an insurer’s financial status, including profits and reserves; the insurer’s history of violations; the cost of the care that was denied; and the harm to patients, in coming up with a fine that is meaningful enough to deter denials of care.\u003c/p>\n\u003cp>“What we don’t want is to keep seeing plans making this determination that to provide this coverage would cost $100,000, but the penalty is only $2,000,” Douglas said.\u003c/p>\n\u003cp>The California Association of Health Plans, a trade group for insurance companies, declined to comment on the legislation Wednesday, saying it needed more time to review it.\u003c/p>\n\u003cp>Sen. Wiener also introduced a second bill Wednesday, \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB853\" target=\"_blank\" rel=\"noopener noreferrer\">SB 853\u003c/a>, that would make it easier for patients to access specialty drugs. In cases where insurers deny coverage of an expensive drug and the patient appeals the decision, Wiener wants to make sure patients can still get the drug while they wait the weeks or months for the appeal to be resolved.\u003c/p>\n\u003cp>“If you are a patient who is having serious health problems and you need that medicine now, it’s unreasonable to say, ‘Hey, you need to wait potentially months for this appeal to run its course,’” Wiener said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Under the proposal, insurers would have to cover the cost of the drug pending appeal, and if the denial of the drug were ultimately upheld, insurers could not try to recoup the cost of covering it temporarily.\u003c/p>\n\n",
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"excerpt": "Senate Bill 858 would increase the minimum penalties against health care insurers to $25,000. It's a 10-fold increase from the $2,500 minimum set in 1975.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>California has some of the strongest patient health protections in the country, but they often carry such weak enforcement power that insurance companies find it cheaper to pay the fines for violating the law than to provide the health care patients are entitled to under it.\u003c/p>\n\u003cp>A new bill introduced Wednesday aims to change that by increasing the minimum penalties insurers have to pay for violations by a factor of 10, from $2,500 to $25,000.\u003c/p>\n\u003cp>“That will create a stronger incentive to follow the law and not just look at fines as a nuisance or a cost of doing business,” said Sen. Scott Wiener, D-San Francisco, author of the bill, \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB858\" target=\"_blank\" rel=\"noopener noreferrer\">SB 858\u003c/a>.\u003c/p>\n\u003cp>Some of the original fine amounts were set in 1975, when, Wiener notes, the price of gasoline was around $0.59 a gallon\u003cspan style=\"font-weight: 400\"> and chicken was $0.59 a pound\u003c/span>. Meanwhile, in the last two decades, average monthly health premiums in California have quadrupled.\u003c/p>\n\u003cp>It’s only fair that the penalties insurers face rise in step with premium increases and inflation, says Diana Douglas, policy manager for \u003ca href=\"https://health-access.org/about-us/staff/\">Health Access\u003c/a>, a consumer advocacy group sponsoring the legislation.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The bill also would give state regulators greater flexibility when they assess fines. In addition to raising the floor for penalties and tying them to premiums, the bill would allow regulators to consider factors like: an insurer’s financial status, including profits and reserves; the insurer’s history of violations; the cost of the care that was denied; and the harm to patients, in coming up with a fine that is meaningful enough to deter denials of care.\u003c/p>\n\u003cp>“What we don’t want is to keep seeing plans making this determination that to provide this coverage would cost $100,000, but the penalty is only $2,000,” Douglas said.\u003c/p>\n\u003cp>The California Association of Health Plans, a trade group for insurance companies, declined to comment on the legislation Wednesday, saying it needed more time to review it.\u003c/p>\n\u003cp>Sen. Wiener also introduced a second bill Wednesday, \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB853\" target=\"_blank\" rel=\"noopener noreferrer\">SB 853\u003c/a>, that would make it easier for patients to access specialty drugs. In cases where insurers deny coverage of an expensive drug and the patient appeals the decision, Wiener wants to make sure patients can still get the drug while they wait the weeks or months for the appeal to be resolved.\u003c/p>\n\u003cp>“If you are a patient who is having serious health problems and you need that medicine now, it’s unreasonable to say, ‘Hey, you need to wait potentially months for this appeal to run its course,’” Wiener said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Under the proposal, insurers would have to cover the cost of the drug pending appeal, and if the denial of the drug were ultimately upheld, insurers could not try to recoup the cost of covering it temporarily.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003ca href=\"https://www.coveredca.com/newsroom/news-releases/2021/01/28/california-joins-president-biden-in-responding-to-covid-19-pandemic-by-announcing-special-enrollment-to-help-people-get-insurance/\" target=\"_blank\" rel=\"noopener noreferrer\">Covered California\u003c/a> says it will give people more time to purchase health insurance this year.\u003c/p>\n\u003cp>Open enrollment for the state’s health insurance marketplace was set to end Sunday. But on Thursday, the agency that runs the marketplace said it would launch a \u003ca href=\"https://www.coveredca.com/pdfs/01-28-21-CoveredCA-COVID-19-SEP-Final.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">special enrollment period Feb. 1 that will run through May 15.\u003c/a>\u003c/p>\n\u003cp>The federal Affordable Care Act created health insurance marketplaces for some people to purchase individual insurance plans with the help of federal subsidies. Most states let the federal government run their marketplaces for them but California runs its own through Covered California. [aside tag=\"aca, health\" label=\"More Related Stories\"]\u003c/p>\n\u003cp>The announcement came on the same day that President Biden signed an executive order declaring a special enrollment period for states served by the federal marketplace.\u003c/p>\n\u003cp>In a news release, Covered California said of the estimated 2.7 million Californians who lack health insurance, about 1.2 million are either eligible for subsidies to help pay their monthly premiums or qualify for government-funded insurance through Medicaid.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Earlier this month, Covered California said nearly 1.6 million people had purchased health insurance through the marketplace.\u003c/p>\n\n",
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"content": "\u003cp>\u003cem>This post was updated 11 a.m. Dec. 16\u003c/em>\u003c/p>\n\u003cp>Are you hoping to sign up for 2021 health insurance through the Affordable Care Act? The deadline to enroll for California coverage that starts Jan. 1 has now been extended — to Dec. 30.\u003c/p>\n\u003cp>\"Californians need health coverage more than ever and that's why we just extended our open enrollment period for Covered California,\" said Gov. Gavin Newsom in \u003ca href=\"https://twitter.com/cagovernor/status/1339277586518605824?s=21\">a video posted to Twitter\u003c/a> announcing the extension.\u003c/p>\n\u003cp>\u003ca href=\"https://www.healthcare.gov/get-coverage/\">Healthcare.gov\u003c/a> is the national marketplace for health coverage, and if you live in California, the site will redirect you to\u003ca href=\"https://www.coveredca.com/\"> Covered California\u003c/a>'s site to sign up for your coverage. The Healthcare.gov deadline was previously Dec. 15, and remains as such almost all other states.\u003c/p>\n\u003cp>https://twitter.com/cagovernor/status/1339277586518605824?s=21\u003c/p>\n\u003cp>To compare the cost of coverage plans available through the ACA, and to begin an application, visit \u003ca href=\"https://www.healthcare.gov/quick-guide/getting-marketplace-health-insurance/\">Healthcare.gov's \"tips to get started\" page\u003c/a>.\u003c/p>\n\u003ch3>Am I Eligible for ACA Coverage?\u003c/h3>\n\u003cp>Obtaining coverage through the ACA's health insurance marketplace – also commonly known as Obamacare – is intended as an option for people who won't receive coverage starting Jan. 1, 2021 through their employer, or through programs like Medicaid, Medicare or the Children's Health Insurance Program. Coverage via ACA plans sold during open enrollment takes effect Jan. 1.\u003c/p>\n\u003cp>To be eligible for health coverage through the ACA's marketplace, you must be a United States resident who's either a U.S. citizen, a U.S. national or is lawfully present in the country. (\u003ca href=\"https://www.healthcare.gov/immigrants/immigration-status\">Read more about eligible immigration statuses\u003c/a>).\u003c/p>\n\u003cp>People with Medicare coverage are \u003ca href=\"https://www.healthcare.gov/medicare/medicare-and-the-marketplace/\">not eligible for health or dental plans\u003c/a> through the ACA. \u003ca href=\"https://www.healthcare.gov/incarcerated-people\">Incarcerated people\u003c/a> also do not qualify for coverage. \u003ca href=\"https://www.healthcare.gov/glossary/pre-existing-condition/\">Preexisting conditions\u003c/a> like cancer or diabetes do not disqualify applicants, and insurance companies in the ACA marketplace cannot refuse to cover their treatment or charge more to do so.\u003c/p>\n\u003cp>For more about the timeline for coverage, how the marketplace works and requirements for applying, Healthcare.gov offers \u003ca href=\"https://www.healthcare.gov/quick-guide/one-page-guide-to-the-marketplace/\">this quick overview of the ACA system\u003c/a>.\u003c/p>\n\u003ch3>What if I Miss the New Dec. 30 Deadline?\u003c/h3>\n\u003cp>Dec. 30 is the Covered California deadline to buy health coverage that starts Jan. 1, 2021 — but the \u003ca href=\"https://www.coveredca.com/support/before-you-buy/enrollment-dates-and-deadlines/\">open enrollment period is active through Jan. 31, 2021.\u003c/a> This means you could miss the Dec. 30 deadline and still sign up for coverage that would start on Feb. 1.\u003c/p>\n\u003cp>If you don't enroll in time to make the Dec. 30 deadline, and miss the Jan. 31 open enrollment deadline too, you might still be eligible for what's called a special enrollment period.\u003c/p>\n\u003cp>This may allow you to enroll if you've had a change in your household (like getting married, getting divorced or having a baby), a change in where you live, or you lose your qualifying health insurance (for example, because you lost your job.)\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>If you already signed up for coverage through the Affordable Care Act, and want to make changes to the plan you bought, qualifying for a special enrollment period is the only way you'll be able to do so. \u003ca href=\"https://www.healthcare.gov/coverage-outside-open-enrollment/special-enrollment-period/\">Find out more about the special enrollment period.\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>This post was updated 11 a.m. Dec. 16\u003c/em>\u003c/p>\n\u003cp>Are you hoping to sign up for 2021 health insurance through the Affordable Care Act? The deadline to enroll for California coverage that starts Jan. 1 has now been extended — to Dec. 30.\u003c/p>\n\u003cp>\"Californians need health coverage more than ever and that's why we just extended our open enrollment period for Covered California,\" said Gov. Gavin Newsom in \u003ca href=\"https://twitter.com/cagovernor/status/1339277586518605824?s=21\">a video posted to Twitter\u003c/a> announcing the extension.\u003c/p>\n\u003cp>\u003ca href=\"https://www.healthcare.gov/get-coverage/\">Healthcare.gov\u003c/a> is the national marketplace for health coverage, and if you live in California, the site will redirect you to\u003ca href=\"https://www.coveredca.com/\"> Covered California\u003c/a>'s site to sign up for your coverage. The Healthcare.gov deadline was previously Dec. 15, and remains as such almost all other states.\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>To compare the cost of coverage plans available through the ACA, and to begin an application, visit \u003ca href=\"https://www.healthcare.gov/quick-guide/getting-marketplace-health-insurance/\">Healthcare.gov's \"tips to get started\" page\u003c/a>.\u003c/p>\n\u003ch3>Am I Eligible for ACA Coverage?\u003c/h3>\n\u003cp>Obtaining coverage through the ACA's health insurance marketplace – also commonly known as Obamacare – is intended as an option for people who won't receive coverage starting Jan. 1, 2021 through their employer, or through programs like Medicaid, Medicare or the Children's Health Insurance Program. Coverage via ACA plans sold during open enrollment takes effect Jan. 1.\u003c/p>\n\u003cp>To be eligible for health coverage through the ACA's marketplace, you must be a United States resident who's either a U.S. citizen, a U.S. national or is lawfully present in the country. (\u003ca href=\"https://www.healthcare.gov/immigrants/immigration-status\">Read more about eligible immigration statuses\u003c/a>).\u003c/p>\n\u003cp>People with Medicare coverage are \u003ca href=\"https://www.healthcare.gov/medicare/medicare-and-the-marketplace/\">not eligible for health or dental plans\u003c/a> through the ACA. \u003ca href=\"https://www.healthcare.gov/incarcerated-people\">Incarcerated people\u003c/a> also do not qualify for coverage. \u003ca href=\"https://www.healthcare.gov/glossary/pre-existing-condition/\">Preexisting conditions\u003c/a> like cancer or diabetes do not disqualify applicants, and insurance companies in the ACA marketplace cannot refuse to cover their treatment or charge more to do so.\u003c/p>\n\u003cp>For more about the timeline for coverage, how the marketplace works and requirements for applying, Healthcare.gov offers \u003ca href=\"https://www.healthcare.gov/quick-guide/one-page-guide-to-the-marketplace/\">this quick overview of the ACA system\u003c/a>.\u003c/p>\n\u003ch3>What if I Miss the New Dec. 30 Deadline?\u003c/h3>\n\u003cp>Dec. 30 is the Covered California deadline to buy health coverage that starts Jan. 1, 2021 — but the \u003ca href=\"https://www.coveredca.com/support/before-you-buy/enrollment-dates-and-deadlines/\">open enrollment period is active through Jan. 31, 2021.\u003c/a> This means you could miss the Dec. 30 deadline and still sign up for coverage that would start on Feb. 1.\u003c/p>\n\u003cp>If you don't enroll in time to make the Dec. 30 deadline, and miss the Jan. 31 open enrollment deadline too, you might still be eligible for what's called a special enrollment period.\u003c/p>\n\u003cp>This may allow you to enroll if you've had a change in your household (like getting married, getting divorced or having a baby), a change in where you live, or you lose your qualifying health insurance (for example, because you lost your job.)\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>If you already signed up for coverage through the Affordable Care Act, and want to make changes to the plan you bought, qualifying for a special enrollment period is the only way you'll be able to do so. \u003ca href=\"https://www.healthcare.gov/coverage-outside-open-enrollment/special-enrollment-period/\">Find out more about the special enrollment period.\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"disqusTitle": "Covered California Opens Special Enrollment Period in Response to Coronavirus Crisis",
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"content": "\u003cp>California health officials are now allowing anyone who lost a job or work hours because of business closures related to the coronavirus to sign up for health insurance, making it the seventh state to do so.\u003c/p>\n\u003cp>Earlier this week, 80,000 Californians filed for unemployment in one day – the normal rate is 2,000 a day – and many of them lost their health coverage along with their jobs. Officials at Covered California, the state’s Affordable Care Act marketplace, are expecting hundreds of thousands of people to seek coverage due to job loss through the course of the pandemic.\u003c/p>\n\u003cp>“We think there’s so much fear, so much confusion that we need to step up,” said Peter Lee, executive director of Covered California, in announcing the new special enrollment period that will last through June. “If we need to extend it after that, we will.”\u003c/p>\n\u003cp>More broadly, experts believe the collision of a global health pandemic with an economic downturn will be a stress test for the Affordable Care Act, with favorability likely to grow as more people need and use it. Monday marks 10 years since the health reforms were signed into law.\u003c/p>\n\u003cp>“This will be the first recession since the Affordable Care Act went into place,” said Larry Levitt, a health policy expert at the Kaiser Family Foundation. “There’s a safety net for people who lose employer-based insurance that never existed in previous recessions.”\u003c/p>\n\u003cp>California has various protections in place for people who may find themselves in need of a new plan or struggling to pay their premiums.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>How do I get coverage if I lost my job?\u003c/strong>\u003cbr>\nStart with Covered California. If you’ve lost your job and have no income, most likely you will qualify for free or low-cost coverage through Medi-Cal, the state’s insurance program for low-income Californians. If you lost hours at work and are earning less money, you may qualify for a subsidy to help you pay for a new plan; if you already have a plan through Covered California, you will likely qualify for additional financial aid.\u003c/p>\n\u003cp>Even if you didn’t have insurance when you were employed, you can still buy a new plan now. Previously, only people who lost a health plan after losing their job could sign up through the individual marketplace anytime. During the special enrollment period, anyone can sign up.\u003c/p>\n\u003cp>\u003cstrong>What if I have a health plan but I miss a payment?\u003c/strong>\u003cbr>\nCalifornia and most other states have a three-month grace period on paying health premiums. If you miss a monthly payment, your insurer will continue to pay your health care bills. If you miss a second or third payment, your insurer can stop paying claims, but can’t cancel your coverage. You have three months to catch up on your payments.\u003c/p>\n\u003cp>[aside label=\"Coronavirus Coverage\" tag=\"coronavirus\"]\u003c/p>\n\u003cp>\u003cstrong>If I get the coronavirus, will I be facing a big medical bill?\u003c/strong>\u003cbr>\nCalifornia regulators now require insurers to cover the complete cost of testing for the virus, so no copays for consumers. On the other hand, experts estimate the cost of a hospital stay for coronavirus is about $20,000. If you’re insured, out-of-pocket costs are an estimated $1,300. But if you have a high-deductible plan, which a lot of people do, you may be required to pay the maximum annual out-of-pocket cost, which is $6,000 in California.\u003c/p>\n\u003cp>Still, Levitt points out, that’s better than having no insurance.\u003c/p>\n\u003cp>“We’re hearing stories out of Italy, of hospitals needing to ration care,” Levitt said. “We’re not hearing stories of people getting enormous hospital bills in the mail and we are going to see those stories here.”\u003c/p>\n\u003cp>\u003cstrong>Is this outbreak going to bankrupt the health insurance industry?\u003c/strong>\u003cbr>\nHealth insurance companies are very concerned about the costs they are facing in this pandemic, says Peter Lee. They are required to spend 80% of their revenues on patient care, so they’re operating on slim profit margins. Companies may be able to offset some of the costs of coronavirus treatment because they won’t have to pay for many elective surgeries that have been canceled. But insurers are already looking to Congress and federal officials for financial help, just like the airlines industry.\u003c/p>\n\u003cp>\u003cstrong>Will my premiums go up next year?\u003c/strong>\u003cbr>\nProbably. It all depends on how many people become severely ill from the virus. If the costs are extreme and insurers see their financial reserves dwindle, they are allowed to raise premiums the following year to refill them.\u003c/p>\n\u003cp>\u003cstrong>What could this mean for the political future of the Affordable Care Act?\u003c/strong>\u003cbr>\nWhile public sentiment toward the health law was generally low in the early years, that changed when Republicans tried to repeal it in 2017. Millions of Americans had come to depend on its protections, and experts believe millions more will come to benefit from it this year.\u003c/p>\n\u003cp>“Americans are historically ambivalent about government,” said Jonathan Oberlander, a political science professor at the University of North Carolina-Chapel Hill. “In times of desperation, they’re not afraid to embrace high doses of government intervention.”\u003c/p>\n\u003cp>Similarly, Oberlander believes the Supreme Court will be very unlikely to strike down the law in the case currently before it. “It is unimaginable to me that the court will rule that the Affordable Care Act is unconstitutional and throw out the law in the middle of this pandemic,” he said. “That would devastate the legitimacy of the Supreme Court, and the human toll of that decision would be awful.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>California health officials are now allowing anyone who lost a job or work hours because of business closures related to the coronavirus to sign up for health insurance, making it the seventh state to do so.\u003c/p>\n\u003cp>Earlier this week, 80,000 Californians filed for unemployment in one day – the normal rate is 2,000 a day – and many of them lost their health coverage along with their jobs. Officials at Covered California, the state’s Affordable Care Act marketplace, are expecting hundreds of thousands of people to seek coverage due to job loss through the course of the pandemic.\u003c/p>\n\u003cp>“We think there’s so much fear, so much confusion that we need to step up,” said Peter Lee, executive director of Covered California, in announcing the new special enrollment period that will last through June. “If we need to extend it after that, we will.”\u003c/p>\n\u003cp>More broadly, experts believe the collision of a global health pandemic with an economic downturn will be a stress test for the Affordable Care Act, with favorability likely to grow as more people need and use it. Monday marks 10 years since the health reforms were signed into law.\u003c/p>\n\u003cp>“This will be the first recession since the Affordable Care Act went into place,” said Larry Levitt, a health policy expert at the Kaiser Family Foundation. “There’s a safety net for people who lose employer-based insurance that never existed in previous recessions.”\u003c/p>\n\u003cp>California has various protections in place for people who may find themselves in need of a new plan or struggling to pay their premiums.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Gov. Gavin Newsom rolled out a \u003ca href=\"https://www.kqed.org/news/11795344/newsom-zeroes-in-on-education-gaps-homelessness-and-wildfires-in-state-budget\" target=\"_blank\" rel=\"noopener noreferrer\">$222 billion state budget\u003c/a> on Friday, which included a plan to lower prescription drug costs by creating a \u003ca href=\"http://bit.ly/fioregeneric\" target=\"_blank\" rel=\"noopener noreferrer\">California generic drug label.\u003c/a>\u003c/p>\n\u003cp>If any place can throw its group buying power around, it’s California, the \u003ca href=\"https://www.latimes.com/business/la-fi-california-economy-gdp-20180504-story.html\" target=\"_blank\" rel=\"noopener noreferrer\">world’s fifth-largest economy\u003c/a>.\u003c/p>\n\u003cp>I’d wager that all Californians (OK, except for the ones who work for pharmaceutical companies) agree with Newsom’s statement that, “the cost of health care is just too damn high.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cp>Four members of Unite Here Local 2 — the local union threatening to strike against catering companies at San Francisco International Airport — were among dozens arrested during a labor protest at American Airlines’ Fort Worth, Texas headquarters on Tuesday.\u003c/p>\n\u003cp>Airline catering workers represented by Unite Here blocked an entrance to the company’s offices in an act of civil disobedience aimed at drawing increased attention to a nationwide labor dispute.\u003c/p>\n\u003cp>[pullquote size='medium' align='right' citation=\"Roberto Alvarez, SFO loader\"]‘I took arrest today because even though I load carts full of food and beverage for American Airlines flights, I’m uninsured and have to go to a free clinic.’[/pullquote]\u003c/p>\n\u003cp>“I don’t make enough and there’s people who make less than I do, and American Airlines makes billions of dollars in profit,” said Roberto Alvarez, a loader at SFO, in a phone interview from the scene of the protest. “I’m willing to do this to send a message to American Airlines that we need better pay and health care.”\u003c/p>\n\u003cp>Alvarez, Unite Here Local 2 President Ananda Singh, the unit’s food service director Lorraine Powell and another worker, Linda Fajarado, were among those arrested, according to a union spokesman.\u003c/p>\n\u003cp>In all, 58 people were arrested at the demonstration, said Forth Worth Police Officer J. Pollani. The protesters face a charge of obstructing streets and sidewalks and a $274 fine, Pollani said in an email.\u003c/p>\n\u003cfigure id=\"attachment_11767285\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/08/Unite-Here-Protest-American-Airlines-Texas-800x454.jpg\" alt=\"Airline catering workers represented by the Unite Here union block an entrance to American Airlines' corporate headquarters in Fort Worth, Texas on Tuesday.\" width=\"800\" height=\"454\" class=\"size-medium wp-image-11767285\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/Unite-Here-Protest-American-Airlines-Texas-800x454.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/Unite-Here-Protest-American-Airlines-Texas-160x91.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/Unite-Here-Protest-American-Airlines-Texas-1020x579.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/Unite-Here-Protest-American-Airlines-Texas-1200x681.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/Unite-Here-Protest-American-Airlines-Texas.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Airline catering workers represented by the Unite Here union block an entrance to American Airlines’ corporate headquarters in Fort Worth, Texas on Tuesday. \u003ccite>(Courtesy Unite Here Local 2)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“I took arrest today because even though I load carts full of food and beverage for American Airlines flights, I’m uninsured and have to go to a free clinic,” Alvarez said in a union statement following his arrest. \u003c/p>\n\u003cp>“My company insurance is so expensive that I can’t afford it, and I don’t think that’s right. I’m going to do whatever it takes to make one job enough.” \u003c/p>\n\u003cp>The demonstration comes two months after an overwhelming majority of the nearly 1,600 Unite Here Local 2 workers at SFO employed by airline contractors Sky Chefs and Gate Gourmet \u003ca href=\"https://www.kqed.org/news/11754988/sfo-airline-catering-workers-vote-yes-to-authorize-strike\" target=\"_blank\" rel=\"noopener\">voted to authorize their union leadership to call a strike\u003c/a>. The companies provide food and beverage services to several airlines, including American.\u003c/p>\n\u003cp>https://twitter.com/unitehere/status/1161293685813702656?s=20\u003c/p>\n\u003cp>Unite Here, which staged \u003ca href=\"https://www.kqed.org/news/11709707/tentative-deal-reached-to-end-san-francisco-marriott-strike\" target=\"_blank\" rel=\"noopener\">a months-long strike at Marriott hotels\u003c/a> in the Bay Area and across the country last fall, say catering workers at local divisions at 32 other airports have authorized walkouts as well.\u003c/p>\n\u003cp>Through a spokesman, Sky Chefs said that since May the firm had been working with a federal mediator in talks with Unite Here.\u003c/p>\n\u003cp>[aside label=\"Related Coverage\" tag=\"unite-here\"]\u003c/p>\n\u003cp>“Our company has offered improvements in wages, and is discussing numerous other issues covered by our collective bargaining agreement,” Sky Chefs said in a statement Tuesday. “While this is a short period of time to negotiate a complex labor agreement, we feel progress is being made with the help of the federal monitor. We remain committed to negotiating in good faith, and we hope that union members will act lawfully as they exercise their right to demonstrate or protest.”\u003c/p>\n\u003cp>Gate Gourmet issued a similar message: “Gate Gourmet continues to work in good faith with the union and federally appointed mediator to make improvements for our people across wages and benefits as we have in the past,” the company said.\u003c/p>\n\u003cp>American Airlines said it hoped the two sides would come to a deal soon and said it expected that agreement would cost it more.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“We believe in the collective bargaining process, and so we are confident that LSG Sky Chefs and Unite Here will come to an agreement that increases pay and benefits for LSG’s employees and ensures LSG can continue to operate successfully,” the airline said in a statement.\u003c/p>\n\u003cp>“We understand that a new contract will, ultimately, increase the costs to LSG Sky Chef’s customers, including American. While we are not part of the ongoing negotiations, we urge both LSG Sky Chefs and Unite Here to bargain in good faith and get a deal done,” the company said.\u003c/p>\n\u003cp>Unite Here says the median wage for catering workers at SFO is $18.66 an hour, and its members pay an average monthly premium of $800 for family health coverage.\u003c/p>\n\u003cp>The union’s members are not allowed to strike unless they receive permission from the National Mediation Board. Because the employees are employed at an airport, they need authorization from the independent federal agency to walk off the job.\u003c/p>\n\u003cp>Unite Here has submitted a formal application to the board to strike against Sky Chefs, but has yet to do so in its dispute with Gate Gourmet, according to a union spokesman. A mediation board representative did not return a request for comment.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We believe in the collective bargaining process, and so we are confident that LSG Sky Chefs and Unite Here will come to an agreement that increases pay and benefits for LSG’s employees and ensures LSG can continue to operate successfully,” the airline said in a statement.\u003c/p>\n\u003cp>“We understand that a new contract will, ultimately, increase the costs to LSG Sky Chef’s customers, including American. While we are not part of the ongoing negotiations, we urge both LSG Sky Chefs and Unite Here to bargain in good faith and get a deal done,” the company said.\u003c/p>\n\u003cp>Unite Here says the median wage for catering workers at SFO is $18.66 an hour, and its members pay an average monthly premium of $800 for family health coverage.\u003c/p>\n\u003cp>The union’s members are not allowed to strike unless they receive permission from the National Mediation Board. Because the employees are employed at an airport, they need authorization from the independent federal agency to walk off the job.\u003c/p>\n\u003cp>Unite Here has submitted a formal application to the board to strike against Sky Chefs, but has yet to do so in its dispute with Gate Gourmet, according to a union spokesman. A mediation board representative did not return a request for comment.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"disqusTitle": "California Is First State To Offer Health Benefits To Adult Undocumented Immigrants",
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"content": "\u003cp>California has become the first state in the country to offer government-subsidized health benefits to young adults living in the U.S. illegally.\u003c/p>\n\u003cp>The measure, signed by Gov. Gavin Newsom on Tuesday, extends coverage for the state's Medicaid program to low-income, undocumented adults age 25 and younger\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"undocumented-immigrants\"]\u003c/p>\n\u003cp>Since 2016, California \u003ca href=\"https://www.ppic.org/publication/health-coverage-and-care-for-undocumented-immigrants/\" target=\"_blank\" rel=\"noopener\">has allowed\u003c/a> children under 18 to receive taxpayer-backed health care despite immigration status.\u003c/p>\n\u003cp>The idea of giving health benefits to undocumented immigrants is \u003ca href=\"https://psmag.com/economics/what-would-happen-if-the-government-covered-undocumented-immigrants-health-care\">supported\u003c/a> by most of the Democratic candidates running for president, and California's move comes as the Trump administration continues to ramp up its hard-line crackdown on illegal immigration. On Tuesday, Newsom said the state law draws a sharp contrast with Trump's immigration policies.\u003c/p>\n\u003cp>\"If you believe in universal health care, you believe in universal health care,\" Newsom \u003ca href=\"https://www.facebook.com/CAgovernor/videos/366129283968781/\" target=\"_blank\" rel=\"noopener\">said\u003c/a>. \"We are the most un-Trump state in America when it comes to health policy.\"\u003c/p>\n\u003cp>In California, extending health benefits to undocumented immigrants is widely popular. A \u003ca href=\"https://www.ppic.org/wp-content/uploads/ppic-statewide-survey-californians-and-their-government-march-2019.pdfhttps:/www.ppic.org/publication/ppic-statewide-survey-californians-and-their-government-march-2019/\" target=\"_blank\" rel=\"noopener\">March survey\u003c/a> conducted by the nonpartisan Public Policy Institute of California found that almost two-thirds of state residents support providing coverage to young adults who are not legally authorized to live in the country.\u003c/p>\n\u003cp>California, the group \u003ca href=\"https://www.pewresearch.org/fact-tank/2019/06/12/5-facts-about-illegal-immigration-in-the-u-s/\" target=\"_blank\" rel=\"noopener\">notes\u003c/a>, has more immigrants than any other state. And an estimated 14% of them do not have legal status.\u003c/p>\n\u003cp>A national survey suggests that many Americans across the country are far less accepting of the notion of giving health coverage to those who came into the U.S. illegally. A CNN poll conducted after the Democratic debates last month \u003ca href=\"http://cdn.cnn.com/cnn/2019/images/07/01/rel8a.-.democrats.and.healthcare.pdf\" target=\"_blank\" rel=\"noopener\">found that\u003c/a> 59% of respondents do not think government-backed health coverage should be provided to undocumented immigrants.\u003c/p>\n\u003cp>In most states, people living in the country illegally \u003ca href=\"http://www.ncsl.org/research/immigration/immigrant-eligibility-for-health-care-programs-in-the-united-states.aspx\" target=\"_blank\" rel=\"noopener\">are not\u003c/a> eligible for federal health insurance programs like Medicaid and Medicare, except in some cases, like medical emergencies and pregnancies, according to the National Conference of State Legislatures.\u003c/p>\n\u003cp>Republican lawmakers in California criticized the law, arguing that the state should be spending health care dollars on those living in the state legally.\u003c/p>\n\u003cp>\"We are going to be a magnet that is going to further attract people to a state of California that's willing to write a blank check to anyone that wants to come here,\" \u003ca href=\"https://stone.cssrc.us/content/senator-stone-opposed-sb-29-another-expense-california-cannot-afford\" target=\"_blank\" rel=\"noopener\">said\u003c/a> state Sen. Jeff Stone, R-Temecula, at a May legislative hearing. \"We are doing a disservice to citizens who legally call California their home.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The plan does not cover all undocumented immigrants under 25, only those whose incomes are low enough to qualify. State officials \u003ca href=\"http://www.ebudget.ca.gov/2019-20/pdf/BudgetSummary/FullBudgetSummary.pdf\">estimate\u003c/a> that in the first year the program will cover about 138,000 residents and cost California taxpayers $98 million.\u003c/p>\n\u003cp>Trump has publicly attacked Newsom's plans.\u003c/p>\n\u003cp>\"It's crazy what they're doing. It's crazy,\" Trump \u003ca href=\"https://www.whitehouse.gov/briefings-statements/remarks-president-trump-signing-h-r-3401/\" target=\"_blank\" rel=\"noopener\">told\u003c/a> reporters last week. \"And it's mean, and it's very unfair to our citizens. And we're going to stop it, but we may need an election to stop it.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2019 NPR. To see more, visit https://www.npr.org.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=California+Is+1st+State+To+Offer+Health+Benefits+To+Adult+Undocumented+Immigrants&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cp>\u003c/p>\n",
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"excerpt": "Expanding health benefits to more undocumented immigrants is widely praised by state Democrats, but some Republicans worry that it will make California a \"magnet\" for migrants in search of coverage. ",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>California has become the first state in the country to offer government-subsidized health benefits to young adults living in the U.S. illegally.\u003c/p>\n\u003cp>The measure, signed by Gov. Gavin Newsom on Tuesday, extends coverage for the state's Medicaid program to low-income, undocumented adults age 25 and younger\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Since 2016, California \u003ca href=\"https://www.ppic.org/publication/health-coverage-and-care-for-undocumented-immigrants/\" target=\"_blank\" rel=\"noopener\">has allowed\u003c/a> children under 18 to receive taxpayer-backed health care despite immigration status.\u003c/p>\n\u003cp>The idea of giving health benefits to undocumented immigrants is \u003ca href=\"https://psmag.com/economics/what-would-happen-if-the-government-covered-undocumented-immigrants-health-care\">supported\u003c/a> by most of the Democratic candidates running for president, and California's move comes as the Trump administration continues to ramp up its hard-line crackdown on illegal immigration. On Tuesday, Newsom said the state law draws a sharp contrast with Trump's immigration policies.\u003c/p>\n\u003cp>\"If you believe in universal health care, you believe in universal health care,\" Newsom \u003ca href=\"https://www.facebook.com/CAgovernor/videos/366129283968781/\" target=\"_blank\" rel=\"noopener\">said\u003c/a>. \"We are the most un-Trump state in America when it comes to health policy.\"\u003c/p>\n\u003cp>In California, extending health benefits to undocumented immigrants is widely popular. A \u003ca href=\"https://www.ppic.org/wp-content/uploads/ppic-statewide-survey-californians-and-their-government-march-2019.pdfhttps:/www.ppic.org/publication/ppic-statewide-survey-californians-and-their-government-march-2019/\" target=\"_blank\" rel=\"noopener\">March survey\u003c/a> conducted by the nonpartisan Public Policy Institute of California found that almost two-thirds of state residents support providing coverage to young adults who are not legally authorized to live in the country.\u003c/p>\n\u003cp>California, the group \u003ca href=\"https://www.pewresearch.org/fact-tank/2019/06/12/5-facts-about-illegal-immigration-in-the-u-s/\" target=\"_blank\" rel=\"noopener\">notes\u003c/a>, has more immigrants than any other state. And an estimated 14% of them do not have legal status.\u003c/p>\n\u003cp>A national survey suggests that many Americans across the country are far less accepting of the notion of giving health coverage to those who came into the U.S. illegally. A CNN poll conducted after the Democratic debates last month \u003ca href=\"http://cdn.cnn.com/cnn/2019/images/07/01/rel8a.-.democrats.and.healthcare.pdf\" target=\"_blank\" rel=\"noopener\">found that\u003c/a> 59% of respondents do not think government-backed health coverage should be provided to undocumented immigrants.\u003c/p>\n\u003cp>In most states, people living in the country illegally \u003ca href=\"http://www.ncsl.org/research/immigration/immigrant-eligibility-for-health-care-programs-in-the-united-states.aspx\" target=\"_blank\" rel=\"noopener\">are not\u003c/a> eligible for federal health insurance programs like Medicaid and Medicare, except in some cases, like medical emergencies and pregnancies, according to the National Conference of State Legislatures.\u003c/p>\n\u003cp>Republican lawmakers in California criticized the law, arguing that the state should be spending health care dollars on those living in the state legally.\u003c/p>\n\u003cp>\"We are going to be a magnet that is going to further attract people to a state of California that's willing to write a blank check to anyone that wants to come here,\" \u003ca href=\"https://stone.cssrc.us/content/senator-stone-opposed-sb-29-another-expense-california-cannot-afford\" target=\"_blank\" rel=\"noopener\">said\u003c/a> state Sen. Jeff Stone, R-Temecula, at a May legislative hearing. \"We are doing a disservice to citizens who legally call California their home.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The plan does not cover all undocumented immigrants under 25, only those whose incomes are low enough to qualify. State officials \u003ca href=\"http://www.ebudget.ca.gov/2019-20/pdf/BudgetSummary/FullBudgetSummary.pdf\">estimate\u003c/a> that in the first year the program will cover about 138,000 residents and cost California taxpayers $98 million.\u003c/p>\n\u003cp>Trump has publicly attacked Newsom's plans.\u003c/p>\n\u003cp>\"It's crazy what they're doing. It's crazy,\" Trump \u003ca href=\"https://www.whitehouse.gov/briefings-statements/remarks-president-trump-signing-h-r-3401/\" target=\"_blank\" rel=\"noopener\">told\u003c/a> reporters last week. \"And it's mean, and it's very unfair to our citizens. And we're going to stop it, but we may need an election to stop it.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2019 NPR. To see more, visit https://www.npr.org.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=California+Is+1st+State+To+Offer+Health+Benefits+To+Adult+Undocumented+Immigrants&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "uc-berkeleys-insurance-plan-change-will-limit-mental-health-care-for-students-therapists-say",
"title": "UC Berkeley's Insurance Plan Change Will Limit Mental Health Care for Students, Therapists Say",
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"headTitle": "UC Berkeley’s Insurance Plan Change Will Limit Mental Health Care for Students, Therapists Say | KQED",
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"content": "\u003cp>Psychotherapist Orit Weksler operates out of a bright office in Berkeley outfitted with a big, yellow couch, a box filled with sand and shelves stocked with small plastic figurines for patients to play with.\u003c/p>\n\u003cp>“Take whatever speaks to you, put it in the sand, and it creates a kind of picture, kind of like a dream scene,” Weksler said. “It’s just a way to start a conversation.”\u003c/p>\n\u003cp>\u003ca href=\"https://www.berkeley.edu/\" target=\"_blank\" rel=\"noopener\">UC Berkeley\u003c/a> students make up about a third of Weksler’s practice. Navigating things like the red-tape imposed by insurance companies and erratic student schedules makes the job tough. “It’s a very big commitment on our part,” Weksler said. “We do this because we love working with students.”\u003c/p>\n\u003cfigure id=\"attachment_11737674\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11737674\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/04/Orit-Weksler-800x600.jpg\" alt=\"Psychotherapist Orit Weksler poses in her Berkeley office with her sand tray and shelves of figurines.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Orit-Weksler-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Orit-Weksler-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Orit-Weksler-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Orit-Weksler-1200x900.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Orit-Weksler-1920x1440.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Orit-Weksler-1832x1374.jpg 1832w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Orit-Weksler-1376x1032.jpg 1376w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Orit-Weksler-1044x783.jpg 1044w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Orit-Weksler-632x474.jpg 632w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Orit-Weksler-536x402.jpg 536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Orit-Weksler.jpg 2048w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Psychotherapist Orit Weksler in her Berkeley office with her sand tray and shelves of figurines. \u003ccite>(Chloe Veltman/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Now, Berkeley’s decision to change up its health insurance provider — for the third time in six years — is putting that love to the test.\u003c/p>\n\u003cp>The main issue is the choice of insurance provider: \u003ca href=\"https://www.blueshieldca.com/\" target=\"_blank\" rel=\"noopener\">Blue Shield\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Weksler is one of five mental health professionals interviewed for this story in person, on the phone or via email. All of them complained about the company’s low reimbursement rates and slow, bureaucratic processes.\u003c/p>\n\u003cp>“\u003ca href=\"https://www.anthem.com/\" target=\"_blank\" rel=\"noopener\">Anthem\u003c/a> and \u003ca href=\"https://www.aetna.com/\" target=\"_blank\" rel=\"noopener\">Aetna\u003c/a> before them only pay us about 50 percent of our regular full fee,” Weksler said of UC Berkeley’s current and previous two student medical insurance partners. “Blue Shield will offer even less, which will make it impossible for most of us to offer more than one or two slots per week for students, due to the cost of living.”\u003c/p>\n\u003cp>[pullquote size='small' align='right' citation='Shana Charles, an assistant professor at Cal State Fullerton in the public health department']‘The UC system is a public system, and it does have a charge to take care of its students. This calls for possible government intervention or regulation of some kind.’[/pullquote]\u003c/p>\n\u003cp>Weksler said many of her colleagues have voiced their concerns on a community listserv about what the switch to Blue Shield might mean for students’ access to services going forward, in a climate where there are more students seeking therapy than there are therapists to provide it.\u003c/p>\n\u003cp>“People are going to get on the Blue Shield list to be able to continue to provide care for students who are currently on their caseload,” Weksler says. “But they’re not going to open any slots for new students.”\u003c/p>\n\u003cp>The new plan will serve around 20,000 students and is scheduled to begin Aug. 1.\u003c/p>\n\u003cp>Blue Shield spokeswoman Amanda Wardell said her company plans to make the transition as easy as possible and provide a high level of care.\u003c/p>\n\u003cp>“As a nonprofit health plan, Blue Shield of California is dedicated to meeting the healthcare needs of UC Berkeley students with our extensive network of providers,” Wardell said in a statement. “We are committed to working with UC Berkeley Student Health Insurance Plan (SHIP) to make this transition easy and ensuring access to high-quality care that is worthy of our family and friends.”\u003c/p>\n\u003cfigure id=\"attachment_11737676\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11737676\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/04/Bahar-Navab-800x600.jpg\" alt=\"Bahar Navab, associate director of insurance and business development for UC Berkeley's University Health Services.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Bahar-Navab-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Bahar-Navab-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Bahar-Navab-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Bahar-Navab-1200x900.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Bahar-Navab-1920x1440.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Bahar-Navab-1832x1374.jpg 1832w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Bahar-Navab-1376x1032.jpg 1376w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Bahar-Navab-1044x783.jpg 1044w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Bahar-Navab-632x474.jpg 632w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Bahar-Navab-536x402.jpg 536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Bahar-Navab.jpg 2048w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Bahar Navab, associate director of insurance and business development for UC Berkeley’s University Health Services. \u003ccite>(Chloe Veltman/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>UC Berkeley \u003ca href=\"https://uhs.berkeley.edu/home\" target=\"_blank\" rel=\"noopener\">University Health Services\u003c/a>’ (UHS) associate director of insurance and business development, Bahar Navab, defended the switch as being necessary in the face of ever-escalating healthcare costs.\u003c/p>\n\u003cp>“We have to find the right balance of let’s reimburse our providers a livable wage, while also not having the cost of the plan be unsustainable,” Navab said.\u003c/p>\n\u003cp>Navab said UHS considered bids from 10 insurance providers, and engaged students, the Berkeley administration and other campus stakeholders during the five-month-long bidding and evaluation process, before settling on Blue Shield. (The California-based provider is offering its services in collaboration with \u003ca href=\"https://wellfleetinsurance.com\" target=\"_blank\" rel=\"noopener\">Wellfleet\u003c/a>, a Massachusetts-based insurance firm that specializes in student insurance plans.)\u003c/p>\n\u003cp>[pullquote size='small' align='right' citation='Bahar Navab, University Health Services at UC Berkeley']‘We have to find the right balance of let’s reimburse our providers a livable wage, while also not having the cost of the plan be unsustainable.’[/pullquote]\u003c/p>\n\u003cp>Navab said her department has been working closely with Blue Shield to advocate for reimbursement rates on par with what the current insurer, Anthem, paid healthcare providers. She also said the new plan will not require doctors and other specialists to join the standard Blue Shield network. Instead, UHS has negotiated a special “carve out” for healthcare providers to work with UC Berkeley students.\u003c/p>\n\u003cp>“The carve out will offer providers more consistent rates,” Navab said. “Additionally, we have been working with Blue Shield to reduce administrative barriers, figure out how to streamline the transition and make it as seamless and painless as possible.”\u003c/p>\n\u003cp>Weksler is skeptical of phrases like “carve out”: “It’s just words,” she said.\u003c/p>\n\u003cp>She wants UHS leaders to engage health practitioners in more conversations about policy and best practices in order to serve students’ healthcare needs in a way that makes financial sense for the university, students and providers.\u003c/p>\n\u003cp>\u003cb>\u003c/b>“I want to see that they understand what the actual problems are and that they’re committed to helping us,” Weksler said.\u003c/p>\n\u003cfigure id=\"attachment_11737675\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11737675\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/04/Nuha-Khalfay-800x533.jpeg\" alt=\"UC Berkeley senior, Nuha Khalfay.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Nuha-Khalfay-800x533.jpeg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Nuha-Khalfay-160x107.jpeg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Nuha-Khalfay-1020x680.jpeg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Nuha-Khalfay-1200x800.jpeg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Nuha-Khalfay.jpeg 1600w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">UC Berkeley senior, Nuha Khalfay. \u003ccite>(Chloe Veltman/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>UC Berkeley student Nuha Khalfay, who studies public health, said she’s confident the university has students’ best interests at heart and is happy about some aspects of the new plan — such as the coverage of facial feminization surgery for transgender students for the first time.\u003c/p>\n\u003cp>[aside tag='mental-health' label='Mental Health Care in California']\u003c/p>\n\u003cp>But Khalfay said some of her friends on campus have had to travel far to find in-network providers willing to see them in recent months, and worries about the situation getting worse.\u003c/p>\n\u003cp>“If providers can’t be reimbursed at the rates that they need to take students who go to UC Berkeley, then UC Berkeley students will lose out on the diversity of providers that they could have access to,” Khalfay said.\u003c/p>\n\u003cp>According to Didi Wu, president of \u003ca href=\"https://sspc.berkeley.edu/\" target=\"_blank\" rel=\"noopener\">Student-to-Student Peer Counseling\u003c/a>, a network of Berkeley students offering counseling services to their fellow students, the need for mental health care on campus has never been greater. “There has definitely been increasing demand for counseling among students,” Wu said.\u003c/p>\n\u003cp>A UC system spokeswoman said Berkeley was the only campus in the system to offer Blue Shield as a primary provider.\u003c/p>\n\u003cp>“To switch providers multiple times within a few years is kind of unusual,” said Shana Charles, an assistant professor at \u003ca href=\"http://www.fullerton.edu/\" target=\"_blank\" rel=\"noopener\">Cal State Fullerton\u003c/a> in the public health department and a faculty associate with the \u003ca href=\"https://healthpolicy.ucla.edu\" target=\"_blank\" rel=\"noopener\">UCLA Center for Health Policy Research\u003c/a>.\u003c/p>\n\u003cp>Charles said the fact that mental health specialists are speaking out against the new plan before it’s even been put into motion suggests “a broken system.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cb>\u003c/b>“The UC system is a public system, and it does have a charge to take care of its students,” Charles said. “This calls for possible government intervention or regulation of some kind.”\u003c/p>\n\n",
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"title": "UC Berkeley's Insurance Plan Change Will Limit Mental Health Care for Students, Therapists Say | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Psychotherapist Orit Weksler operates out of a bright office in Berkeley outfitted with a big, yellow couch, a box filled with sand and shelves stocked with small plastic figurines for patients to play with.\u003c/p>\n\u003cp>“Take whatever speaks to you, put it in the sand, and it creates a kind of picture, kind of like a dream scene,” Weksler said. “It’s just a way to start a conversation.”\u003c/p>\n\u003cp>\u003ca href=\"https://www.berkeley.edu/\" target=\"_blank\" rel=\"noopener\">UC Berkeley\u003c/a> students make up about a third of Weksler’s practice. Navigating things like the red-tape imposed by insurance companies and erratic student schedules makes the job tough. “It’s a very big commitment on our part,” Weksler said. “We do this because we love working with students.”\u003c/p>\n\u003cfigure id=\"attachment_11737674\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11737674\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/04/Orit-Weksler-800x600.jpg\" alt=\"Psychotherapist Orit Weksler poses in her Berkeley office with her sand tray and shelves of figurines.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Orit-Weksler-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Orit-Weksler-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Orit-Weksler-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Orit-Weksler-1200x900.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Orit-Weksler-1920x1440.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Orit-Weksler-1832x1374.jpg 1832w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Orit-Weksler-1376x1032.jpg 1376w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Orit-Weksler-1044x783.jpg 1044w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Orit-Weksler-632x474.jpg 632w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Orit-Weksler-536x402.jpg 536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Orit-Weksler.jpg 2048w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Psychotherapist Orit Weksler in her Berkeley office with her sand tray and shelves of figurines. \u003ccite>(Chloe Veltman/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Now, Berkeley’s decision to change up its health insurance provider — for the third time in six years — is putting that love to the test.\u003c/p>\n\u003cp>The main issue is the choice of insurance provider: \u003ca href=\"https://www.blueshieldca.com/\" target=\"_blank\" rel=\"noopener\">Blue Shield\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Weksler is one of five mental health professionals interviewed for this story in person, on the phone or via email. All of them complained about the company’s low reimbursement rates and slow, bureaucratic processes.\u003c/p>\n\u003cp>“\u003ca href=\"https://www.anthem.com/\" target=\"_blank\" rel=\"noopener\">Anthem\u003c/a> and \u003ca href=\"https://www.aetna.com/\" target=\"_blank\" rel=\"noopener\">Aetna\u003c/a> before them only pay us about 50 percent of our regular full fee,” Weksler said of UC Berkeley’s current and previous two student medical insurance partners. “Blue Shield will offer even less, which will make it impossible for most of us to offer more than one or two slots per week for students, due to the cost of living.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Weksler said many of her colleagues have voiced their concerns on a community listserv about what the switch to Blue Shield might mean for students’ access to services going forward, in a climate where there are more students seeking therapy than there are therapists to provide it.\u003c/p>\n\u003cp>“People are going to get on the Blue Shield list to be able to continue to provide care for students who are currently on their caseload,” Weksler says. “But they’re not going to open any slots for new students.”\u003c/p>\n\u003cp>The new plan will serve around 20,000 students and is scheduled to begin Aug. 1.\u003c/p>\n\u003cp>Blue Shield spokeswoman Amanda Wardell said her company plans to make the transition as easy as possible and provide a high level of care.\u003c/p>\n\u003cp>“As a nonprofit health plan, Blue Shield of California is dedicated to meeting the healthcare needs of UC Berkeley students with our extensive network of providers,” Wardell said in a statement. “We are committed to working with UC Berkeley Student Health Insurance Plan (SHIP) to make this transition easy and ensuring access to high-quality care that is worthy of our family and friends.”\u003c/p>\n\u003cfigure id=\"attachment_11737676\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11737676\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/04/Bahar-Navab-800x600.jpg\" alt=\"Bahar Navab, associate director of insurance and business development for UC Berkeley's University Health Services.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Bahar-Navab-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Bahar-Navab-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Bahar-Navab-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Bahar-Navab-1200x900.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Bahar-Navab-1920x1440.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Bahar-Navab-1832x1374.jpg 1832w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Bahar-Navab-1376x1032.jpg 1376w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Bahar-Navab-1044x783.jpg 1044w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Bahar-Navab-632x474.jpg 632w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Bahar-Navab-536x402.jpg 536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Bahar-Navab.jpg 2048w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Bahar Navab, associate director of insurance and business development for UC Berkeley’s University Health Services. \u003ccite>(Chloe Veltman/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>UC Berkeley \u003ca href=\"https://uhs.berkeley.edu/home\" target=\"_blank\" rel=\"noopener\">University Health Services\u003c/a>’ (UHS) associate director of insurance and business development, Bahar Navab, defended the switch as being necessary in the face of ever-escalating healthcare costs.\u003c/p>\n\u003cp>“We have to find the right balance of let’s reimburse our providers a livable wage, while also not having the cost of the plan be unsustainable,” Navab said.\u003c/p>\n\u003cp>Navab said UHS considered bids from 10 insurance providers, and engaged students, the Berkeley administration and other campus stakeholders during the five-month-long bidding and evaluation process, before settling on Blue Shield. (The California-based provider is offering its services in collaboration with \u003ca href=\"https://wellfleetinsurance.com\" target=\"_blank\" rel=\"noopener\">Wellfleet\u003c/a>, a Massachusetts-based insurance firm that specializes in student insurance plans.)\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Navab said her department has been working closely with Blue Shield to advocate for reimbursement rates on par with what the current insurer, Anthem, paid healthcare providers. She also said the new plan will not require doctors and other specialists to join the standard Blue Shield network. Instead, UHS has negotiated a special “carve out” for healthcare providers to work with UC Berkeley students.\u003c/p>\n\u003cp>“The carve out will offer providers more consistent rates,” Navab said. “Additionally, we have been working with Blue Shield to reduce administrative barriers, figure out how to streamline the transition and make it as seamless and painless as possible.”\u003c/p>\n\u003cp>Weksler is skeptical of phrases like “carve out”: “It’s just words,” she said.\u003c/p>\n\u003cp>She wants UHS leaders to engage health practitioners in more conversations about policy and best practices in order to serve students’ healthcare needs in a way that makes financial sense for the university, students and providers.\u003c/p>\n\u003cp>\u003cb>\u003c/b>“I want to see that they understand what the actual problems are and that they’re committed to helping us,” Weksler said.\u003c/p>\n\u003cfigure id=\"attachment_11737675\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11737675\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/04/Nuha-Khalfay-800x533.jpeg\" alt=\"UC Berkeley senior, Nuha Khalfay.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Nuha-Khalfay-800x533.jpeg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Nuha-Khalfay-160x107.jpeg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Nuha-Khalfay-1020x680.jpeg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Nuha-Khalfay-1200x800.jpeg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/04/Nuha-Khalfay.jpeg 1600w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">UC Berkeley senior, Nuha Khalfay. \u003ccite>(Chloe Veltman/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>UC Berkeley student Nuha Khalfay, who studies public health, said she’s confident the university has students’ best interests at heart and is happy about some aspects of the new plan — such as the coverage of facial feminization surgery for transgender students for the first time.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But Khalfay said some of her friends on campus have had to travel far to find in-network providers willing to see them in recent months, and worries about the situation getting worse.\u003c/p>\n\u003cp>“If providers can’t be reimbursed at the rates that they need to take students who go to UC Berkeley, then UC Berkeley students will lose out on the diversity of providers that they could have access to,” Khalfay said.\u003c/p>\n\u003cp>According to Didi Wu, president of \u003ca href=\"https://sspc.berkeley.edu/\" target=\"_blank\" rel=\"noopener\">Student-to-Student Peer Counseling\u003c/a>, a network of Berkeley students offering counseling services to their fellow students, the need for mental health care on campus has never been greater. “There has definitely been increasing demand for counseling among students,” Wu said.\u003c/p>\n\u003cp>A UC system spokeswoman said Berkeley was the only campus in the system to offer Blue Shield as a primary provider.\u003c/p>\n\u003cp>“To switch providers multiple times within a few years is kind of unusual,” said Shana Charles, an assistant professor at \u003ca href=\"http://www.fullerton.edu/\" target=\"_blank\" rel=\"noopener\">Cal State Fullerton\u003c/a> in the public health department and a faculty associate with the \u003ca href=\"https://healthpolicy.ucla.edu\" target=\"_blank\" rel=\"noopener\">UCLA Center for Health Policy Research\u003c/a>.\u003c/p>\n\u003cp>Charles said the fact that mental health specialists are speaking out against the new plan before it’s even been put into motion suggests “a broken system.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cb>\u003c/b>“The UC system is a public system, and it does have a charge to take care of its students,” Charles said. “This calls for possible government intervention or regulation of some kind.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>It was way easier for candidate Gavin Newsom to endorse \u003ca href=\"https://calmatters.org/articles/single-payer-health-care-what-californians-need-to-know/\">single-payer health care coverage\u003c/a> for everyone than it is now for Gov. Newsom to deliver it. Yet hardcore advocates say they’re pleased with the moves he’s made thus far—even if it may take years to come to fruition.\u003c/p>\n\u003cp>“This is a governor that is operating from a compass of action,” said Stephanie Roberson, government relations director for the politically powerful California Nurses Association, which hasn’t exactly been \u003ca href=\"https://calmatters.org/articles/union-boss-roseann-demoro-doesnt-play-nice/\">known for its patience\u003c/a> on the issue.\u003c/p>\n\u003cp>Newsom has taken two tacks. He’s asking the Trump administration to let the state create its own single-payer system offering coverage to all Californians—a move almost everyone regards as a very long shot. And he’s also pushing specific ideas to expand health care coverage to hundreds of thousands of still-uninsured Californians—a move that seems much more do-able.\u003c/p>\n\u003cp>During his campaign, Newsom \u003ca href=\"https://www.latimes.com/politics/essential/la-pol-ca-essential-politics-updates-in-speech-to-single-payer-advocates-1506103477-htmlstory.html\">promised the nurses\u003c/a> that he would make it happen. But the state can’t do it alone. That’s why he sent a letter to the federal government right out of the gate, asking the administration and Congress to set up an “innovation waiver” to allow California to create its own single-payer system.\u003c/p>\n\u003cp>[documentcloud url=\"https://www.documentcloud.org/documents/5698578-Letter-to-White-House.html\" width=800 height=800]\u003c/p>\n\u003cp>Experts say there is little chance the Trump administration will give the state the go-ahead on this.\u003c/p>\n\u003cp>“He’s making a statement and sometimes making statements is important—even if there’s little chance of making progress in the immediate future,” said Gerald Kominski, senior fellow at the \u003ca href=\"https://healthpolicy.ucla.edu/Pages/home.aspx\">UCLA Center for Health Policy Research\u003c/a>. “It’s a way of drawing a line in the sand.\u003c/p>\n\u003cp>”It’s also a way to stave off criticism from advocates,” said Jesus Ramirez-Valles, director of the \u003ca href=\"https://healthequity.sfsu.edu/\">Health Equity Institute\u003c/a> at San Francisco State University. “He can say ‘I tried it’ and there is no risk on him. If he doesn’t do what he promised, then he is risking opposition.”\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/news/11712068/poll-californians-want-universal-health-coverage-free-community-college\">Poll: Californians Want Universal Health Coverage, Free Community College\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/news/11712068/poll-californians-want-universal-health-coverage-free-community-college\">\u003cimg decoding=\"async\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/01/RS249_doctor-examining-senior.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>Federal permission would also require Congress to support a new waiver system—one that would allow the state to redirect funds that usually go to the federal government, such as Medicare income taxes, to a state funding authority that would manage and pay for a single-payer health care system, Kominski said.\u003c/p>\n\u003cp>Current waiver systems do not allow for this type of financial management by the state. Other states have used existing waiver programs for permission to set prices or to implement additional requirements, but not to collect federal money.\u003c/p>\n\u003cp>“You have to ask for the money,” said Roberson of the nurses union. “We are not going to sit on our hands and hope something is going to happen. This strengthens the governor’s commitment to Medicare for all.”\u003c/p>\n\u003cp>Meantime, Newsom is tackling the block of 3 million uninsured California residents by chipping away at the edges—proposing spending to help struggling middle-income families buy health insurance, and providing state coverage to some undocumented young adults.\u003c/p>\n\u003cblockquote class=\"twitter-tweet\">\n\u003cp dir=\"ltr\" lang=\"en\">Powerful forces may try to stand in our way, but California won’t back down. We’re going to build a universal healthcare system that covers every Californian and will inspire the nation.\u003ca href=\"https://t.co/Oa5nAFbA2Z\">https://t.co/Oa5nAFbA2Z\u003c/a>\u003c/p>\n\u003cp>— Gavin Newsom (@GavinNewsom) \u003ca href=\"https://twitter.com/GavinNewsom/status/1088614181174169601?ref_src=twsrc%5Etfw\">January 25, 2019\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cp>He’ll need approval from the Legislature, now a supermajority of Democrats, many of whom have supported similar ideas in recent years.\u003c/p>\n\u003cp>Two \u003ca href=\"http://www.ebudget.ca.gov/2019-20/pdf/BudgetSummary/HealthandHumanServices.pdf\">intertwined proposals\u003c/a> in his budget would offer hundreds of thousands of middle-income families additional state subsidies to buy health insurance, and require every Californian to obtain health coverage or pay a tax penalty.\u003c/p>\n\u003cp>This “state mandate” would replace the controversial federal mandate—a central component of the Affordable Care Act, or Obamacare— that the Trump administration recently canceled. A few other blue states were quicker to create a replacement state mandate, but California’s progressive lawmakers were wary of penalizing people who \u003ca href=\"https://calmatters.org/articles/california-ideas-counteract-obamacare-mandate-repeal/\">failed to buy health insurance\u003c/a> unless the state also cushioned the blow by offering people more subsidies to lower the costs.\u003c/p>\n\u003cp>Newsom also proposes to use $260 million in state funds to extend Medi-Cal, the government health program for people who can’t afford insurance, to low-income undocumented immigrants ages 18 to 26.\u003c/p>\n\u003cp>It’s a classic “Resistance State” action for Newsom, as California tries to counteract the Trump administration’s federal moves to undermine Obamacare. Last year a joint \u003ca href=\"http://laborcenter.berkeley.edu/pdf/2018/CA-Coverage-Gains-To-Erode-Without-Further-State-Action.pdf\">UCLA and UC Berkeley study\u003c/a> found that the uninsured rate in California would rise to nearly 13 percent by 2023 if nothing is done at the state level to prevent it.\u003c/p>\n\u003cp>Since the Affordable Care Act known as Obamacare was enacted, California’s uninsured rate has dropped from about 17 percent to roughly 7 percent. Roughly half of those 3 million remaining qualify for assistance.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://e.infogram.com/38f2f57c-a5b8-4386-bc7a-afd2c3af941f?src=embed\" title=\"The Uninsured\" width=\"800\" height=\"840\" scrolling=\"no\" frameborder=\"0\" style=\"border:none;\" allowfullscreen=\"allowfullscreen\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>The \u003ca href=\"https://www.coveredca.com/pdfs/fpl-chart.pdf\">federal poverty level\u003c/a> for 2019 is set at earnings of $12,140 for one person and $25,100 for a family of four.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://e.infogram.com/0eadb36d-d922-4353-aced-f5e9b46e787c?src=embed\" title=\"Income Limits for Current and Proposed Subsidies\" width=\"800\" height=\"717\" scrolling=\"no\" frameborder=\"0\" style=\"border:none;\" allowfullscreen=\"allowfullscreen\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>The budget does not include cost estimates for the additional subsidies but Newsom intends to pay for the expansion by having the state collect penalties from Californians who forego insurance. His budget proposal estimates that the mandate penalty could raise about $500 million a year, similar to what about \u003ca href=\"https://www.irs.gov/statistics/soi-tax-stats-historic-table-2\">600,000 Californians paid\u003c/a> to the federal government when it had a mandate and collected its own penalties.\u003c/p>\n\u003cp>Peter Lee, who directs the state health insurance exchange \u003ca href=\"https://www.coveredca.com/\">Covered California\u003c/a>, praised Newsom’s proposals during a recent\u003ca href=\"https://board.coveredca.com/meetings/\" target=\"_blank\" rel=\"noopener\"> board meeting.\u003c/a>\u003c/p>\n\u003cp>“Not only does his initiative propose an individual penalty show courage,” he said, “it shows some thoughtfulness about the challenges that middle-class Americans face.”\u003c/p>\n\u003cp>Enrollment for Covered California, which recently ended, was down 15 percent over last year. Lee said the elimination of the federal penalty is partly to blame.\u003c/p>\n\u003cp>A \u003ca href=\"https://board.coveredca.com/meetings/2019/01-17%20Meeting/Draft_Affordability_Report%20_1-16.pdf\" target=\"_blank\" rel=\"noopener\">draft affordability report\u003c/a> Covered California is preparing for the Legislature concludes that if Newsom’s two proposals—expanded subsidies and a mandate—are adopted, enrollment could rise by nearly 650,000 people.\u003c/p>\n\u003cp>Funding the subsidies with penalties is, of course, a bit of a Catch-22: The more successful California is in getting people to obtain health care, the smaller the penalty fund to pay for the subsidies that help fund that care.\u003c/p>\n\u003cp>“You’re accomplishing your goal, but you’re taking away revenue,” Kominski said. “This is the kind of problem we should be happy to have.”\u003c/p>\n\u003cp>The conundrum is reminiscent of the state’s tobacco tax, which was intended to deter people from smoking. Success has meant a drop in the amount of money the tax brings in.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://e.infogram.com/e221a34e-9b03-4257-9021-bb6c216bb105?src=embed\" title=\"KFF Poll - Health care\" width=\"800\" height=\"658\" scrolling=\"no\" frameborder=\"0\" style=\"border:none;\" allowfullscreen=\"allowfullscreen\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>Despite what many see as dismal prospects for single-payer in California so long as the Trump administration can quash the state’s waiver request, the California Nurses Association is undaunted. They’re working on a soon-to-be-introduced single-payer bill, more detailed than the version that \u003ca href=\"https://calmatters.org/articles/trump_california/single-payer-health-bill-set-aside/\" target=\"_blank\" rel=\"noopener\">died in 2017\u003c/a>. That one carried a \u003ca href=\"https://oag.ca.gov/system/files/initiatives/pdfs/fiscal-impact-estimate-report%2817-0019%29.pdf\" target=\"_blank\" rel=\"noopener\">$400 billion price tag\u003c/a>, more than three times the state’s annual budget, lacked support from then-Gov. Jerry Brown and was scant on details. The new version, nurses union rep Roberson said, will be specific about how single-payer would work and how it would be paid for.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“We’re not eradicating providers, we are not seeking to dismantle hospitals,” she said. “The fundamental structure of healthcare delivery will stay in place, what we are changing is how healthcare is financed.”\u003c/p>\n\u003cp>And if the Trump administration rejects the waiver request? Roberson sees other paths to a state single-payer system, including petitioning the Centers for Medicare and Medicaid, or trying to set up a system under Affordable Care Act provisions.\u003c/p>\n\u003cp>If the nurses union and other single-payer advocates end up pursuing those other avenues, the question becomes whether Newsom will as well.\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"http://calmatters.org/\" target=\"_blank\" rel=\"noopener\">CALmatters.org\u003c/a> is a nonprofit, nonpartisan media venture explaining California policies and politics.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>It was way easier for candidate Gavin Newsom to endorse \u003ca href=\"https://calmatters.org/articles/single-payer-health-care-what-californians-need-to-know/\">single-payer health care coverage\u003c/a> for everyone than it is now for Gov. Newsom to deliver it. Yet hardcore advocates say they’re pleased with the moves he’s made thus far—even if it may take years to come to fruition.\u003c/p>\n\u003cp>“This is a governor that is operating from a compass of action,” said Stephanie Roberson, government relations director for the politically powerful California Nurses Association, which hasn’t exactly been \u003ca href=\"https://calmatters.org/articles/union-boss-roseann-demoro-doesnt-play-nice/\">known for its patience\u003c/a> on the issue.\u003c/p>\n\u003cp>Newsom has taken two tacks. He’s asking the Trump administration to let the state create its own single-payer system offering coverage to all Californians—a move almost everyone regards as a very long shot. And he’s also pushing specific ideas to expand health care coverage to hundreds of thousands of still-uninsured Californians—a move that seems much more do-able.\u003c/p>\n\u003cp>During his campaign, Newsom \u003ca href=\"https://www.latimes.com/politics/essential/la-pol-ca-essential-politics-updates-in-speech-to-single-payer-advocates-1506103477-htmlstory.html\">promised the nurses\u003c/a> that he would make it happen. But the state can’t do it alone. That’s why he sent a letter to the federal government right out of the gate, asking the administration and Congress to set up an “innovation waiver” to allow California to create its own single-payer system.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Experts say there is little chance the Trump administration will give the state the go-ahead on this.\u003c/p>\n\u003cp>“He’s making a statement and sometimes making statements is important—even if there’s little chance of making progress in the immediate future,” said Gerald Kominski, senior fellow at the \u003ca href=\"https://healthpolicy.ucla.edu/Pages/home.aspx\">UCLA Center for Health Policy Research\u003c/a>. “It’s a way of drawing a line in the sand.\u003c/p>\n\u003cp>”It’s also a way to stave off criticism from advocates,” said Jesus Ramirez-Valles, director of the \u003ca href=\"https://healthequity.sfsu.edu/\">Health Equity Institute\u003c/a> at San Francisco State University. “He can say ‘I tried it’ and there is no risk on him. If he doesn’t do what he promised, then he is risking opposition.”\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/news/11712068/poll-californians-want-universal-health-coverage-free-community-college\">Poll: Californians Want Universal Health Coverage, Free Community College\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/news/11712068/poll-californians-want-universal-health-coverage-free-community-college\">\u003cimg decoding=\"async\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/01/RS249_doctor-examining-senior.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>Federal permission would also require Congress to support a new waiver system—one that would allow the state to redirect funds that usually go to the federal government, such as Medicare income taxes, to a state funding authority that would manage and pay for a single-payer health care system, Kominski said.\u003c/p>\n\u003cp>Current waiver systems do not allow for this type of financial management by the state. Other states have used existing waiver programs for permission to set prices or to implement additional requirements, but not to collect federal money.\u003c/p>\n\u003cp>“You have to ask for the money,” said Roberson of the nurses union. “We are not going to sit on our hands and hope something is going to happen. This strengthens the governor’s commitment to Medicare for all.”\u003c/p>\n\u003cp>Meantime, Newsom is tackling the block of 3 million uninsured California residents by chipping away at the edges—proposing spending to help struggling middle-income families buy health insurance, and providing state coverage to some undocumented young adults.\u003c/p>\n\u003cblockquote class=\"twitter-tweet\">\n\u003cp dir=\"ltr\" lang=\"en\">Powerful forces may try to stand in our way, but California won’t back down. We’re going to build a universal healthcare system that covers every Californian and will inspire the nation.\u003ca href=\"https://t.co/Oa5nAFbA2Z\">https://t.co/Oa5nAFbA2Z\u003c/a>\u003c/p>\n\u003cp>— Gavin Newsom (@GavinNewsom) \u003ca href=\"https://twitter.com/GavinNewsom/status/1088614181174169601?ref_src=twsrc%5Etfw\">January 25, 2019\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cp>He’ll need approval from the Legislature, now a supermajority of Democrats, many of whom have supported similar ideas in recent years.\u003c/p>\n\u003cp>Two \u003ca href=\"http://www.ebudget.ca.gov/2019-20/pdf/BudgetSummary/HealthandHumanServices.pdf\">intertwined proposals\u003c/a> in his budget would offer hundreds of thousands of middle-income families additional state subsidies to buy health insurance, and require every Californian to obtain health coverage or pay a tax penalty.\u003c/p>\n\u003cp>This “state mandate” would replace the controversial federal mandate—a central component of the Affordable Care Act, or Obamacare— that the Trump administration recently canceled. A few other blue states were quicker to create a replacement state mandate, but California’s progressive lawmakers were wary of penalizing people who \u003ca href=\"https://calmatters.org/articles/california-ideas-counteract-obamacare-mandate-repeal/\">failed to buy health insurance\u003c/a> unless the state also cushioned the blow by offering people more subsidies to lower the costs.\u003c/p>\n\u003cp>Newsom also proposes to use $260 million in state funds to extend Medi-Cal, the government health program for people who can’t afford insurance, to low-income undocumented immigrants ages 18 to 26.\u003c/p>\n\u003cp>It’s a classic “Resistance State” action for Newsom, as California tries to counteract the Trump administration’s federal moves to undermine Obamacare. Last year a joint \u003ca href=\"http://laborcenter.berkeley.edu/pdf/2018/CA-Coverage-Gains-To-Erode-Without-Further-State-Action.pdf\">UCLA and UC Berkeley study\u003c/a> found that the uninsured rate in California would rise to nearly 13 percent by 2023 if nothing is done at the state level to prevent it.\u003c/p>\n\u003cp>Since the Affordable Care Act known as Obamacare was enacted, California’s uninsured rate has dropped from about 17 percent to roughly 7 percent. Roughly half of those 3 million remaining qualify for assistance.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://e.infogram.com/38f2f57c-a5b8-4386-bc7a-afd2c3af941f?src=embed\" title=\"The Uninsured\" width=\"800\" height=\"840\" scrolling=\"no\" frameborder=\"0\" style=\"border:none;\" allowfullscreen=\"allowfullscreen\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>The \u003ca href=\"https://www.coveredca.com/pdfs/fpl-chart.pdf\">federal poverty level\u003c/a> for 2019 is set at earnings of $12,140 for one person and $25,100 for a family of four.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://e.infogram.com/0eadb36d-d922-4353-aced-f5e9b46e787c?src=embed\" title=\"Income Limits for Current and Proposed Subsidies\" width=\"800\" height=\"717\" scrolling=\"no\" frameborder=\"0\" style=\"border:none;\" allowfullscreen=\"allowfullscreen\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>The budget does not include cost estimates for the additional subsidies but Newsom intends to pay for the expansion by having the state collect penalties from Californians who forego insurance. His budget proposal estimates that the mandate penalty could raise about $500 million a year, similar to what about \u003ca href=\"https://www.irs.gov/statistics/soi-tax-stats-historic-table-2\">600,000 Californians paid\u003c/a> to the federal government when it had a mandate and collected its own penalties.\u003c/p>\n\u003cp>Peter Lee, who directs the state health insurance exchange \u003ca href=\"https://www.coveredca.com/\">Covered California\u003c/a>, praised Newsom’s proposals during a recent\u003ca href=\"https://board.coveredca.com/meetings/\" target=\"_blank\" rel=\"noopener\"> board meeting.\u003c/a>\u003c/p>\n\u003cp>“Not only does his initiative propose an individual penalty show courage,” he said, “it shows some thoughtfulness about the challenges that middle-class Americans face.”\u003c/p>\n\u003cp>Enrollment for Covered California, which recently ended, was down 15 percent over last year. Lee said the elimination of the federal penalty is partly to blame.\u003c/p>\n\u003cp>A \u003ca href=\"https://board.coveredca.com/meetings/2019/01-17%20Meeting/Draft_Affordability_Report%20_1-16.pdf\" target=\"_blank\" rel=\"noopener\">draft affordability report\u003c/a> Covered California is preparing for the Legislature concludes that if Newsom’s two proposals—expanded subsidies and a mandate—are adopted, enrollment could rise by nearly 650,000 people.\u003c/p>\n\u003cp>Funding the subsidies with penalties is, of course, a bit of a Catch-22: The more successful California is in getting people to obtain health care, the smaller the penalty fund to pay for the subsidies that help fund that care.\u003c/p>\n\u003cp>“You’re accomplishing your goal, but you’re taking away revenue,” Kominski said. “This is the kind of problem we should be happy to have.”\u003c/p>\n\u003cp>The conundrum is reminiscent of the state’s tobacco tax, which was intended to deter people from smoking. Success has meant a drop in the amount of money the tax brings in.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://e.infogram.com/e221a34e-9b03-4257-9021-bb6c216bb105?src=embed\" title=\"KFF Poll - Health care\" width=\"800\" height=\"658\" scrolling=\"no\" frameborder=\"0\" style=\"border:none;\" allowfullscreen=\"allowfullscreen\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>Despite what many see as dismal prospects for single-payer in California so long as the Trump administration can quash the state’s waiver request, the California Nurses Association is undaunted. They’re working on a soon-to-be-introduced single-payer bill, more detailed than the version that \u003ca href=\"https://calmatters.org/articles/trump_california/single-payer-health-bill-set-aside/\" target=\"_blank\" rel=\"noopener\">died in 2017\u003c/a>. That one carried a \u003ca href=\"https://oag.ca.gov/system/files/initiatives/pdfs/fiscal-impact-estimate-report%2817-0019%29.pdf\" target=\"_blank\" rel=\"noopener\">$400 billion price tag\u003c/a>, more than three times the state’s annual budget, lacked support from then-Gov. Jerry Brown and was scant on details. The new version, nurses union rep Roberson said, will be specific about how single-payer would work and how it would be paid for.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We’re not eradicating providers, we are not seeking to dismantle hospitals,” she said. “The fundamental structure of healthcare delivery will stay in place, what we are changing is how healthcare is financed.”\u003c/p>\n\u003cp>And if the Trump administration rejects the waiver request? Roberson sees other paths to a state single-payer system, including petitioning the Centers for Medicare and Medicaid, or trying to set up a system under Affordable Care Act provisions.\u003c/p>\n\u003cp>If the nurses union and other single-payer advocates end up pursuing those other avenues, the question becomes whether Newsom will as well.\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"http://calmatters.org/\" target=\"_blank\" rel=\"noopener\">CALmatters.org\u003c/a> is a nonprofit, nonpartisan media venture explaining California policies and politics.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>[dropcap]I[/dropcap]n a scramble to keep people enrolled in health care plans, what did New Jersey, Vermont and the District of Columbia do earlier this year that California has not done?\u003c/p>\n\u003cp>They began requiring that their residents carry health coverage or face a state penalty for going without it. Such “individual mandates” aim to replace the federal mandate—perhaps the most controversial but essential part of the Affordable Care Act, often called Obamacare—that sought to force people to sign up for health insurance or pay a tax penalty. The Republican Congress and the Trump administration have repealed that federal penalty, effective next year.\u003c/p>\n\u003cp>The clock is ticking. Obamacare has led to a record number of Californians having medical coverage. But a new study warns that if the state does nothing to counteract the Trump administration’s moves to undermine Obamacare, up to 1 million more Californians could be without health insurance within the next five years.\u003c/p>\n\u003cp>What’s kept California from enacting its own mandate? Some state Democratic leaders are wary of enacting a state mandate without also making health insurance cheaper for Californians.\u003c/p>\n\u003cp>“Providing subsidies is a better reality for members of our community than providing penalties,” said Assemblyman Joaquin Arambula, a Fresno Democrat who co-chaired the select committee on universal health care that conducted town halls across the state last summer. “It’s the carrot versus the stick.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Sacramento state Sen. Richard Pan, a Democrat who chairs the Senate Health Committee, said the Legislature is focused on keeping the state’s insurance market exchange, known as Covered California, strong. Some 2 million Californians buy health coverage through the exchange, which provides federal subsidies to low-income purchasers.\u003c/p>\n\u003cp>“We are going to do what we can in California to stabilize the insurance market, to do what we can to make health insurance, particularly on Covered California, affordable,” said Pan, who has not yet endorsed any particular remedy. “We are up against a federal administration that is doing the opposite and forcing people to pay higher premiums.\u003c/p>\n\u003cp>“As we look at options, like do we want to do an individual mandate, we also need to recognize part of what is driving that is not only the removal of the federal mandate, but also actions taken to increase insurance premiums,” Pan continued.\u003c/p>\n\u003cp>Since the Affordable Care Act was implemented in 2013, the state’s uninsured rate has dropped from 20 percent to 7 percent. Currently 3.4 million Californians are uninsured, undocumented immigrant adults making up the majority of that group.\u003c/p>\n\u003caside class=\"pullquote alignright\">“We don’t want to require people to buy coverage that they can’t afford.”\u003cbr>\n— \u003cspan style=\"font-style: italic\">Anthony Wright, executive director of HealthAccess, which advocates for consumers\u003c/span>\u003c/aside>\n\u003cp>But without more aggressive state intervention to counter Washington’s retreat from the program, an estimated 500,000 to 800,000 more Californians under 65 will be uninsured by 2023, according to a new study from the UC Berkeley Center for Labor Research and Education and the UCLA Center for Health Policy Research.\u003c/p>\n\u003cp>A mandate and state subsidies are among options the Legislature will be exploring to combat the expected exodus from insurance. But both are controversial. An Economist/YouGov poll found that 66 percent of Americans oppose a mandate. And although a few other states such as Vermont and Massachusetts do offer state subsidies, in California state subsidies could cost up to an estimated $500 million, at a time when an incoming Democratic governor and Democratic supermajorities in the Legislature have promised pricey programs such as universal health care and universal preschool.\u003c/p>\n\u003cp>So far, Covered California enrollment, now underway through Jan. 15, is meeting projections—with a big caveat. As of the end of November, more than 90,000 newly insured people signed up, said Peter Lee, its executive director. But those projections already were lowered by 10 to 12 percent compared to last year because it was unknown what effect the removal of the penalty would have on sign-ups.\u003c/p>\n\u003cp>“There’s no question that a penalty imposed on individuals for whom health insurance is affordable is a good policy,” said Lee, who said he would follow whatever rules the Legislature adopts. “The penalty encourages people to participate in a system that, if they don’t, we all bear the cost. And it encourages people to do the right thing for themselves.”\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/news/11698852/6-things-to-know-about-covered-california-open-enrollment-for-2019\">6 Things To Know About Covered California Open Enrollment for 2019\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/news/11698852/6-things-to-know-about-covered-california-open-enrollment-for-2019\">\u003cimg decoding=\"async\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/10/RS11278_479421059-1038x576.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>Covered California is working on a report commissioned by the Legislature on how to best bolster the system. It’s due in February, and Lee said a variety of options are on the table, including a mandate, expanding subsidies and using state money to lower premiums, a process called reinsurance.\u003c/p>\n\u003cp>Some of those ideas echo the recommendations UC researchers offered in their study: incorporate a state mandate with penalty funds going toward making insurance more affordable, state-funded subsidies in addition to the existing federal subsidies, and a Medi-Cal expansion to include low-income undocumented immigrants.\u003c/p>\n\u003cp>These are not new ideas but they are politically and financially costly, said Gerald Kominski, a fellow at the UCLA Center for Health Policy Research.“We know that the mandate drives people into the market,” said Kominski. “If you’re going to pay a tax penalty and not have health insurance, why not look for insurance when almost 90 percent of those who buy in through Covered California received some sort of subsidy.”\u003c/p>\n\u003cp>“The state could consider bringing the whole threshold down for everybody,” he continued. “The point is to lower the thresholds and make people pay less out of pocket. That would increase affordability for lots of families.” Some advocates agree that a potential state mandate must also include a mechanism for making insurance more attainable.\u003c/p>\n\u003cfigure id=\"attachment_11712113\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11712113\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/12/HealthCareSignups-800x535.jpg\" alt=\"People wait to register for helath care insurance during an enrollment fair on March 28, 2014 in Bay Point.\" width=\"800\" height=\"535\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2018/12/HealthCareSignups-800x535.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/12/HealthCareSignups-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/12/HealthCareSignups-1020x682.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/12/HealthCareSignups-1200x802.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/12/HealthCareSignups.jpg 1920w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">People wait to register for health care insurance during an enrollment fair on March 28, 2014, in Bay Point. \u003ccite>(Justin Sullivan/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We don’t want to require people to buy coverage that they can’t afford. And what they can afford may be different in a high-cost-of-living state like California,” said Anthony Wright, executive director of HealthAccess, which advocates for consumers. “That’s why it’s hard to have a conversation about a mandate without affordability assistance.”\u003c/p>\n\u003cp>Under the federal mandate, Americans were compelled to carry health insurance or pay a penalty of $695 per adult or 2.5 percent of household income, whichever is higher, unless insurance costs more than 8 percent of a household’s income.\u003c/p>\n\u003cp>With the repeal of that ultimatum, California is bracing for the biggest dropouts among its residents who have been buying insurance through the subsidized Covered California program. The program projects it could lose 10 to 30 percent of its participants.\u003c/p>\n\u003caside class=\"pullquote alignright\">“There’s no question that a penalty imposed on individuals for whom health insurance is affordable is a good policy.” \u003ccite>Peter Lee, executive director for Covered California\u003c/cite>\u003c/aside>\n\u003cp>But the state also expects wider losses, including among the 46 percent of Californians who get insurance through employers, because they also will no longer be required to have it. Even Medi-Cal, the state-paid program for low-income Californians, will lose about 350,000 people, the study estimates, because the lack of a federal mandate may deter people from seeking health coverage at all—meaning they’ll never discover if they qualify for Medi-Cal. Last year the California Legislature considered creating a state mandate as part of budget discussions that included making insurance more affordable, but neither idea made it into the final budget proposal submitted to the governor.\u003c/p>\n\u003cp>Experts and advocates are hopeful that these ideas may gain traction under Gov.-elect Gavin Newsom, who has talked a big game on health care and access, pledging during his campaign to support single payer and universal coverage. If more Californians drop their health insurance, everyone pays. People most likely to drop out are the young and the healthy, experts say. But they are critical to keeping the whole operation afloat because the system cannot be made up of only sick people.\u003c/p>\n\u003cp>California already has taken steps to shore up the Affordable Care Act: banning short-term health plans, adopting legislation barring work requirements for Medi-Cal and offering a longer open enrollment period.\u003c/p>\n\u003cp>“Legislators tell us to expect a fresh look at state initiatives to stabilize the insurance market,” said Richard Cauchi who oversees health initiatives for the National Conference of State Legislatures. “So ‘stay tuned’ to see how many states will create their own solutions.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/\">CALmatters.org\u003c/a> is a nonprofit, nonpartisan media venture explaining California policies and politics.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003c/p>\u003cp>\u003cspan class=\"utils-parseShortcode-shortcodes-__dropcapShortcode__dropcap\">I\u003c/span>\u003c/p>\u003cp>n a scramble to keep people enrolled in health care plans, what did New Jersey, Vermont and the District of Columbia do earlier this year that California has not done?\u003c/p>\n\u003cp>They began requiring that their residents carry health coverage or face a state penalty for going without it. Such “individual mandates” aim to replace the federal mandate—perhaps the most controversial but essential part of the Affordable Care Act, often called Obamacare—that sought to force people to sign up for health insurance or pay a tax penalty. The Republican Congress and the Trump administration have repealed that federal penalty, effective next year.\u003c/p>\n\u003cp>The clock is ticking. Obamacare has led to a record number of Californians having medical coverage. But a new study warns that if the state does nothing to counteract the Trump administration’s moves to undermine Obamacare, up to 1 million more Californians could be without health insurance within the next five years.\u003c/p>\n\u003cp>What’s kept California from enacting its own mandate? Some state Democratic leaders are wary of enacting a state mandate without also making health insurance cheaper for Californians.\u003c/p>\n\u003cp>“Providing subsidies is a better reality for members of our community than providing penalties,” said Assemblyman Joaquin Arambula, a Fresno Democrat who co-chaired the select committee on universal health care that conducted town halls across the state last summer. “It’s the carrot versus the stick.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Sacramento state Sen. Richard Pan, a Democrat who chairs the Senate Health Committee, said the Legislature is focused on keeping the state’s insurance market exchange, known as Covered California, strong. Some 2 million Californians buy health coverage through the exchange, which provides federal subsidies to low-income purchasers.\u003c/p>\n\u003cp>“We are going to do what we can in California to stabilize the insurance market, to do what we can to make health insurance, particularly on Covered California, affordable,” said Pan, who has not yet endorsed any particular remedy. “We are up against a federal administration that is doing the opposite and forcing people to pay higher premiums.\u003c/p>\n\u003cp>“As we look at options, like do we want to do an individual mandate, we also need to recognize part of what is driving that is not only the removal of the federal mandate, but also actions taken to increase insurance premiums,” Pan continued.\u003c/p>\n\u003cp>Since the Affordable Care Act was implemented in 2013, the state’s uninsured rate has dropped from 20 percent to 7 percent. Currently 3.4 million Californians are uninsured, undocumented immigrant adults making up the majority of that group.\u003c/p>\n\u003caside class=\"pullquote alignright\">“We don’t want to require people to buy coverage that they can’t afford.”\u003cbr>\n— \u003cspan style=\"font-style: italic\">Anthony Wright, executive director of HealthAccess, which advocates for consumers\u003c/span>\u003c/aside>\n\u003cp>But without more aggressive state intervention to counter Washington’s retreat from the program, an estimated 500,000 to 800,000 more Californians under 65 will be uninsured by 2023, according to a new study from the UC Berkeley Center for Labor Research and Education and the UCLA Center for Health Policy Research.\u003c/p>\n\u003cp>A mandate and state subsidies are among options the Legislature will be exploring to combat the expected exodus from insurance. But both are controversial. An Economist/YouGov poll found that 66 percent of Americans oppose a mandate. And although a few other states such as Vermont and Massachusetts do offer state subsidies, in California state subsidies could cost up to an estimated $500 million, at a time when an incoming Democratic governor and Democratic supermajorities in the Legislature have promised pricey programs such as universal health care and universal preschool.\u003c/p>\n\u003cp>So far, Covered California enrollment, now underway through Jan. 15, is meeting projections—with a big caveat. As of the end of November, more than 90,000 newly insured people signed up, said Peter Lee, its executive director. But those projections already were lowered by 10 to 12 percent compared to last year because it was unknown what effect the removal of the penalty would have on sign-ups.\u003c/p>\n\u003cp>“There’s no question that a penalty imposed on individuals for whom health insurance is affordable is a good policy,” said Lee, who said he would follow whatever rules the Legislature adopts. “The penalty encourages people to participate in a system that, if they don’t, we all bear the cost. And it encourages people to do the right thing for themselves.”\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/news/11698852/6-things-to-know-about-covered-california-open-enrollment-for-2019\">6 Things To Know About Covered California Open Enrollment for 2019\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/news/11698852/6-things-to-know-about-covered-california-open-enrollment-for-2019\">\u003cimg decoding=\"async\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/10/RS11278_479421059-1038x576.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>Covered California is working on a report commissioned by the Legislature on how to best bolster the system. It’s due in February, and Lee said a variety of options are on the table, including a mandate, expanding subsidies and using state money to lower premiums, a process called reinsurance.\u003c/p>\n\u003cp>Some of those ideas echo the recommendations UC researchers offered in their study: incorporate a state mandate with penalty funds going toward making insurance more affordable, state-funded subsidies in addition to the existing federal subsidies, and a Medi-Cal expansion to include low-income undocumented immigrants.\u003c/p>\n\u003cp>These are not new ideas but they are politically and financially costly, said Gerald Kominski, a fellow at the UCLA Center for Health Policy Research.“We know that the mandate drives people into the market,” said Kominski. “If you’re going to pay a tax penalty and not have health insurance, why not look for insurance when almost 90 percent of those who buy in through Covered California received some sort of subsidy.”\u003c/p>\n\u003cp>“The state could consider bringing the whole threshold down for everybody,” he continued. “The point is to lower the thresholds and make people pay less out of pocket. That would increase affordability for lots of families.” Some advocates agree that a potential state mandate must also include a mechanism for making insurance more attainable.\u003c/p>\n\u003cfigure id=\"attachment_11712113\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11712113\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/12/HealthCareSignups-800x535.jpg\" alt=\"People wait to register for helath care insurance during an enrollment fair on March 28, 2014 in Bay Point.\" width=\"800\" height=\"535\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2018/12/HealthCareSignups-800x535.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/12/HealthCareSignups-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/12/HealthCareSignups-1020x682.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/12/HealthCareSignups-1200x802.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/12/HealthCareSignups.jpg 1920w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">People wait to register for health care insurance during an enrollment fair on March 28, 2014, in Bay Point. \u003ccite>(Justin Sullivan/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We don’t want to require people to buy coverage that they can’t afford. And what they can afford may be different in a high-cost-of-living state like California,” said Anthony Wright, executive director of HealthAccess, which advocates for consumers. “That’s why it’s hard to have a conversation about a mandate without affordability assistance.”\u003c/p>\n\u003cp>Under the federal mandate, Americans were compelled to carry health insurance or pay a penalty of $695 per adult or 2.5 percent of household income, whichever is higher, unless insurance costs more than 8 percent of a household’s income.\u003c/p>\n\u003cp>With the repeal of that ultimatum, California is bracing for the biggest dropouts among its residents who have been buying insurance through the subsidized Covered California program. The program projects it could lose 10 to 30 percent of its participants.\u003c/p>\n\u003caside class=\"pullquote alignright\">“There’s no question that a penalty imposed on individuals for whom health insurance is affordable is a good policy.” \u003ccite>Peter Lee, executive director for Covered California\u003c/cite>\u003c/aside>\n\u003cp>But the state also expects wider losses, including among the 46 percent of Californians who get insurance through employers, because they also will no longer be required to have it. Even Medi-Cal, the state-paid program for low-income Californians, will lose about 350,000 people, the study estimates, because the lack of a federal mandate may deter people from seeking health coverage at all—meaning they’ll never discover if they qualify for Medi-Cal. Last year the California Legislature considered creating a state mandate as part of budget discussions that included making insurance more affordable, but neither idea made it into the final budget proposal submitted to the governor.\u003c/p>\n\u003cp>Experts and advocates are hopeful that these ideas may gain traction under Gov.-elect Gavin Newsom, who has talked a big game on health care and access, pledging during his campaign to support single payer and universal coverage. If more Californians drop their health insurance, everyone pays. People most likely to drop out are the young and the healthy, experts say. But they are critical to keeping the whole operation afloat because the system cannot be made up of only sick people.\u003c/p>\n\u003cp>California already has taken steps to shore up the Affordable Care Act: banning short-term health plans, adopting legislation barring work requirements for Medi-Cal and offering a longer open enrollment period.\u003c/p>\n\u003cp>“Legislators tell us to expect a fresh look at state initiatives to stabilize the insurance market,” said Richard Cauchi who oversees health initiatives for the National Conference of State Legislatures. “So ‘stay tuned’ to see how many states will create their own solutions.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"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. ",
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"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. ",
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"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.",
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"mindshift": {
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"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>",
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"order": 12
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"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?",
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"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": "The economy explained. Imagine you could call up a friend and say, Meet me at the bar and tell me what's going on with the economy. Now imagine that's actually a fun evening.",
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"politicalbreakdown": {
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"title": "Political Breakdown",
"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
"airtime": "THU 6:30pm-7pm",
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"possible": {
"id": "possible",
"title": "Possible",
"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
"airtime": "SUN 2pm",
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},
"pri-the-world": {
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"title": "PRI's The World: Latest Edition",
"info": "Each weekday, host Marco Werman and his team of producers bring you the world's most interesting stories in an hour of radio that reminds us just how small our planet really is.",
"airtime": "MON-FRI 2pm-3pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-World-Podcast-Tile-360x360-1.jpg",
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},
"radiolab": {
"id": "radiolab",
"title": "Radiolab",
"info": "A two-time Peabody Award-winner, Radiolab is an investigation told through sounds and stories, and centered around one big idea. In the Radiolab world, information sounds like music and science and culture collide. Hosted by Jad Abumrad and Robert Krulwich, the show is designed for listeners who demand skepticism, but appreciate wonder. WNYC Studios is the producer of other leading podcasts including Freakonomics Radio, Death, Sex & Money, On the Media and many more.",
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},
"reveal": {
"id": "reveal",
"title": "Reveal",
"info": "Created by The Center for Investigative Reporting and PRX, Reveal is public radios first one-hour weekly radio show and podcast dedicated to investigative reporting. Credible, fact based and without a partisan agenda, Reveal combines the power and artistry of driveway moment storytelling with data-rich reporting on critically important issues. The result is stories that inform and inspire, arming our listeners with information to right injustices, hold the powerful accountable and improve lives.Reveal is hosted by Al Letson and showcases the award-winning work of CIR and newsrooms large and small across the nation. In a radio and podcast market crowded with choices, Reveal focuses on important and often surprising stories that illuminate the world for our listeners.",
"airtime": "SAT 4pm-5pm",
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"officialWebsiteLink": "https://www.revealnews.org/episodes/",
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"link": "/radio/program/reveal",
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"tuneIn": "https://tunein.com/radio/Reveal-p679597/",
"rss": "http://feeds.revealradio.org/revealpodcast"
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},
"rightnowish": {
"id": "rightnowish",
"title": "Rightnowish",
"tagline": "Art is where you find it",
"info": "Rightnowish digs into life in the Bay Area right now… ish. Journalist Pendarvis Harshaw takes us to galleries painted on the sides of liquor stores in West Oakland. We'll dance in warehouses in the Bayview, make smoothies with kids in South Berkeley, and listen to classical music in a 1984 Cutlass Supreme in Richmond. Every week, Pen talks to movers and shakers about how the Bay Area shapes what they create, and how they shape the place we call home.",
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"order": 16
},
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},
"science-friday": {
"id": "science-friday",
"title": "Science Friday",
"info": "Science Friday is a weekly science talk show, broadcast live over public radio stations nationwide. Each week, the show focuses on science topics that are in the news and tries to bring an educated, balanced discussion to bear on the scientific issues at hand. Panels of expert guests join host Ira Flatow, a veteran science journalist, to discuss science and to take questions from listeners during the call-in portion of the program.",
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