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"content": "\u003cp>For at least another year and a half, California employers won’t be able to follow In-N-Out’s lead in banning workers from wearing masks on the job.\u003c/p>\n\u003cp>The state’s COVID-19 workplace rules protecting workers’ rights to decide for themselves whether to wear face coverings are locked in at least until February 2025 and could be extended.\u003c/p>\n\u003cp>Those regulations prevented the iconic Irvine-based burger chain from applying its\u003ca href=\"https://calmatters.org/wp-content/uploads/2023/07/Mask-Policy-Update-for-AZ-CO-NV-TX-UT-Associates.pdf\"> new policy (PDF)\u003c/a> prohibiting workers from wearing face masks in its home state, where it operates about 70% of its restaurants.\u003c/p>\n\u003cp>Instead, In-N-Out’s mask ban will apply to workers at its restaurants in Arizona, Colorado, Nevada, Texas and Utah. It \u003ca href=\"https://www.in-n-out.com/docs/default-source/downloads/locations_printable.pdf\">has a total of 116 locations (PDF)\u003c/a> in those states.\u003c/p>\n\u003cp>In a memo, the company said it wants to “emphasize the importance of customer service. And the ability to show our Associates’ smiles and other facial features.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>It is allowing employees to wear masks if they present a medical note that “clearly states the reason for the exemption.”\u003c/p>\n\u003cp>In-N-Out released \u003ca href=\"https://calmatters.org/wp-content/uploads/2023/07/Mask-Policy-Update-for-CA_OR-Associates.pdf\">a different masking policy (PDF)\u003c/a> for employees in California and in Oregon that leaves the choice to mask up to each individual worker. That approach complies with California and Oregon standards that provide continuous protections to employees.[aside label=\"related coverage\" tag=\"mask-requirements\"]In a way, the split is a reminder of California’s more cautious response to the COVID-19 pandemic. The Democratic state was the first to order its residents \u003ca href=\"https://calmatters.org/health/coronavirus/2020/03/california-coronavirus-half-of-californians-gavin-newsom-donald-trump/\">to shelter in place\u003c/a> and shut down non-essential activity. Throughout the pandemic, state health officials have updated guidelines and rules to adapt to evolving transmission patterns.\u003c/p>\n\u003cp>In-N-Out went along with those rules during the pandemic, although the company \u003ca href=\"https://www.latimes.com/california/story/2021-10-27/inside-in-n-out-burgers-escalating-war-with-california-over-covid-19-vaccine-rules\">contested local indoor vaccine mandates\u003c/a> in the fall of 2021. Its refusal to check customers’ vaccination records led to \u003ca href=\"https://www.sfchronicle.com/food/article/In-N-Out-blasts-S-F-over-vaccine-mandate-16546650.php\">temporary shutdowns of restaurants in San Francisco\u003c/a> and in Pleasant Hill of Contra Costa County, according to press reports.\u003c/p>\n\u003cp>Cal/OSHA, the agency charged with ensuring occupational safety in California, earlier this year updated its COVID-19 requirements. Among them: “Employers must allow employees to wear face coverings if they voluntarily choose to do so, unless it would create a safety hazard.”\u003c/p>\n\u003ch2>California employers can require masks\u003c/h2>\n\u003cp>California employers can go a step further and require workers to wear a mask, as long as they also provide flexibility for someone who can’t wear one due to medical reasons or a disability.\u003c/p>\n\u003cp>The state’s pandemic-related regulations for employers have gradually eased, but employers are still required to take several steps in the interest of protecting workers, according to \u003ca href=\"https://www.dir.ca.gov/DOSH/Coronavirus/Covid-19-NE-Reg-FAQs.html#controls\">Cal/OSHA’s COVID-19 prevention regulations\u003c/a>.\u003c/p>\n\u003cp>These include:\u003c/p>\n\u003cul>\n\u003cli>Notifying employees of COVID-19 cases in the workplace.\u003c/li>\n\u003cli>Providing face coverings and free tests to employees during workplace outbreaks, which is defined as at least three cases during a seven-day period.\u003c/li>\n\u003cli>Improving indoor ventilation and air filtration to prevent transmission.\u003c/li>\n\u003c/ul>\n\u003cp>California labor organizations plan to continue advocating for public health rules that protect fast-food workers.\u003c/p>\n\u003cp>Ingrid Vilorio, a Castro Valley Jack In the Box worker and SEIU member, said fast-food employees often lacked basic protections during the pandemic.\u003c/p>\n\u003cp>“That’s why workers like me went on strike and even testified during Cal/OSHA meetings on the need for emergency safety standards that would keep our colleagues, customers and families safe,” she said.\u003c/p>\n\u003cp>“Keeping the right to mask is more about our freedom and power to make decisions that will keep us safe at work,” Vilorio added.\u003c/p>\n\u003ch2>Why fast-food workers might want masks\u003c/h2>\n\u003cp>Cal/OSHA enforces its rules with inspections following complaints or accidents, the agency said in an email. It also conducts scheduled inspections.\u003c/p>\n\u003cp>Alicia Riley, an assistant professor of sociology at UC Santa Cruz who conducted health equity research during the pandemic, said the In-N-Out memo to employees struck her as narrow.\u003c/p>\n\u003cp>“It assumes a lot about why someone would want to wear a mask. It doesn’t consider the situation we know many workers, especially fast-food workers, are in, which is that they’re not living alone,” Riley said. “They may not be at high risk of serious illness, but they may live with someone who is.”\u003c/p>\n\u003cp>Earlier this month, the \u003ca href=\"https://calmatters.org/justice/2023/07/california-covid-workers-comp/\">California Supreme Court sided with an employer\u003c/a> in a case in which a Bay Area woman sued her husband’s employer after she became severely ill when he caught COVID on the job and brought it home. The court ruled she could not claim workers’ compensation.\u003c/p>\n\u003cp>Riley said In-N-Out’s mask ban highlights workplace inequities the pandemic exposed. For example, cooks were among the 25 occupations with the most excess deaths in 2020, \u003ca href=\"https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0252454\">Riley’s research has shown\u003c/a>.\u003c/p>\n\u003ch2>New COVID outbreaks\u003c/h2>\n\u003cp>COVID-19 cases and hospitalizations are down from three years ago, but recent outbreaks show some risk remains.\u003c/p>\n\u003cp>Just last week, the Los Angeles County public health department \u003ca href=\"https://twitter.com/lapublichealth/status/1682131830018052096?s=20\">reported an uptick in COVID-19 cases\u003c/a> and in virus concentration in wastewater following the July 4th weekend. The department said it also is seeing new outbreaks in nursing homes, where residents are highly susceptible to illness. In the span of two weeks, the department said it had opened 23 outbreak investigations.\u003c/p>\n\u003cp>Because the virus will continue to be around, public health experts say workplace rules, such as allowing workers to mask if they choose, make sense.\u003c/p>\n\u003cp>“When we think of a broader public health perspective, measures that help us reduce transmission of any disease that are minimally impactful on other individuals are certainly things we should be interested in maintaining,” said Shira Shafir, an epidemiology professor at UCLA.\u003c/p>\n\u003cp>“Being able to maintain a workforce, being able to minimize the risk of an outbreak occurring at a facility, these are things that are within the best interest of the business as well as in the best interest of the public,” Shafir said.\u003c/p>\n\u003cp>\u003cem>KQED’s Natalia Navarro contributed to this story.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that\u003c/em> \u003cem>people have access to the care they need, when they need it, at a price they can afford. Visit \u003c/em>\u003ca href=\"http://www.chcf.org/\">\u003cem>www.chcf.org\u003c/em>\u003c/a>\u003cem> to learn more.\u003c/em>\u003c/p>\n\n",
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"excerpt": "The iconic California burger joint can't implement an employee mask ban in its home state, where COVID-19 workplace rules allow workers to decide for themselves whether to wear face coverings — at least until February 2025.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>For at least another year and a half, California employers won’t be able to follow In-N-Out’s lead in banning workers from wearing masks on the job.\u003c/p>\n\u003cp>The state’s COVID-19 workplace rules protecting workers’ rights to decide for themselves whether to wear face coverings are locked in at least until February 2025 and could be extended.\u003c/p>\n\u003cp>Those regulations prevented the iconic Irvine-based burger chain from applying its\u003ca href=\"https://calmatters.org/wp-content/uploads/2023/07/Mask-Policy-Update-for-AZ-CO-NV-TX-UT-Associates.pdf\"> new policy (PDF)\u003c/a> prohibiting workers from wearing face masks in its home state, where it operates about 70% of its restaurants.\u003c/p>\n\u003cp>Instead, In-N-Out’s mask ban will apply to workers at its restaurants in Arizona, Colorado, Nevada, Texas and Utah. It \u003ca href=\"https://www.in-n-out.com/docs/default-source/downloads/locations_printable.pdf\">has a total of 116 locations (PDF)\u003c/a> in those states.\u003c/p>\n\u003cp>In a memo, the company said it wants to “emphasize the importance of customer service. And the ability to show our Associates’ smiles and other facial features.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>It is allowing employees to wear masks if they present a medical note that “clearly states the reason for the exemption.”\u003c/p>\n\u003cp>In-N-Out released \u003ca href=\"https://calmatters.org/wp-content/uploads/2023/07/Mask-Policy-Update-for-CA_OR-Associates.pdf\">a different masking policy (PDF)\u003c/a> for employees in California and in Oregon that leaves the choice to mask up to each individual worker. That approach complies with California and Oregon standards that provide continuous protections to employees.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>In a way, the split is a reminder of California’s more cautious response to the COVID-19 pandemic. The Democratic state was the first to order its residents \u003ca href=\"https://calmatters.org/health/coronavirus/2020/03/california-coronavirus-half-of-californians-gavin-newsom-donald-trump/\">to shelter in place\u003c/a> and shut down non-essential activity. Throughout the pandemic, state health officials have updated guidelines and rules to adapt to evolving transmission patterns.\u003c/p>\n\u003cp>In-N-Out went along with those rules during the pandemic, although the company \u003ca href=\"https://www.latimes.com/california/story/2021-10-27/inside-in-n-out-burgers-escalating-war-with-california-over-covid-19-vaccine-rules\">contested local indoor vaccine mandates\u003c/a> in the fall of 2021. Its refusal to check customers’ vaccination records led to \u003ca href=\"https://www.sfchronicle.com/food/article/In-N-Out-blasts-S-F-over-vaccine-mandate-16546650.php\">temporary shutdowns of restaurants in San Francisco\u003c/a> and in Pleasant Hill of Contra Costa County, according to press reports.\u003c/p>\n\u003cp>Cal/OSHA, the agency charged with ensuring occupational safety in California, earlier this year updated its COVID-19 requirements. Among them: “Employers must allow employees to wear face coverings if they voluntarily choose to do so, unless it would create a safety hazard.”\u003c/p>\n\u003ch2>California employers can require masks\u003c/h2>\n\u003cp>California employers can go a step further and require workers to wear a mask, as long as they also provide flexibility for someone who can’t wear one due to medical reasons or a disability.\u003c/p>\n\u003cp>The state’s pandemic-related regulations for employers have gradually eased, but employers are still required to take several steps in the interest of protecting workers, according to \u003ca href=\"https://www.dir.ca.gov/DOSH/Coronavirus/Covid-19-NE-Reg-FAQs.html#controls\">Cal/OSHA’s COVID-19 prevention regulations\u003c/a>.\u003c/p>\n\u003cp>These include:\u003c/p>\n\u003cul>\n\u003cli>Notifying employees of COVID-19 cases in the workplace.\u003c/li>\n\u003cli>Providing face coverings and free tests to employees during workplace outbreaks, which is defined as at least three cases during a seven-day period.\u003c/li>\n\u003cli>Improving indoor ventilation and air filtration to prevent transmission.\u003c/li>\n\u003c/ul>\n\u003cp>California labor organizations plan to continue advocating for public health rules that protect fast-food workers.\u003c/p>\n\u003cp>Ingrid Vilorio, a Castro Valley Jack In the Box worker and SEIU member, said fast-food employees often lacked basic protections during the pandemic.\u003c/p>\n\u003cp>“That’s why workers like me went on strike and even testified during Cal/OSHA meetings on the need for emergency safety standards that would keep our colleagues, customers and families safe,” she said.\u003c/p>\n\u003cp>“Keeping the right to mask is more about our freedom and power to make decisions that will keep us safe at work,” Vilorio added.\u003c/p>\n\u003ch2>Why fast-food workers might want masks\u003c/h2>\n\u003cp>Cal/OSHA enforces its rules with inspections following complaints or accidents, the agency said in an email. It also conducts scheduled inspections.\u003c/p>\n\u003cp>Alicia Riley, an assistant professor of sociology at UC Santa Cruz who conducted health equity research during the pandemic, said the In-N-Out memo to employees struck her as narrow.\u003c/p>\n\u003cp>“It assumes a lot about why someone would want to wear a mask. It doesn’t consider the situation we know many workers, especially fast-food workers, are in, which is that they’re not living alone,” Riley said. “They may not be at high risk of serious illness, but they may live with someone who is.”\u003c/p>\n\u003cp>Earlier this month, the \u003ca href=\"https://calmatters.org/justice/2023/07/california-covid-workers-comp/\">California Supreme Court sided with an employer\u003c/a> in a case in which a Bay Area woman sued her husband’s employer after she became severely ill when he caught COVID on the job and brought it home. The court ruled she could not claim workers’ compensation.\u003c/p>\n\u003cp>Riley said In-N-Out’s mask ban highlights workplace inequities the pandemic exposed. For example, cooks were among the 25 occupations with the most excess deaths in 2020, \u003ca href=\"https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0252454\">Riley’s research has shown\u003c/a>.\u003c/p>\n\u003ch2>New COVID outbreaks\u003c/h2>\n\u003cp>COVID-19 cases and hospitalizations are down from three years ago, but recent outbreaks show some risk remains.\u003c/p>\n\u003cp>Just last week, the Los Angeles County public health department \u003ca href=\"https://twitter.com/lapublichealth/status/1682131830018052096?s=20\">reported an uptick in COVID-19 cases\u003c/a> and in virus concentration in wastewater following the July 4th weekend. The department said it also is seeing new outbreaks in nursing homes, where residents are highly susceptible to illness. In the span of two weeks, the department said it had opened 23 outbreak investigations.\u003c/p>\n\u003cp>Because the virus will continue to be around, public health experts say workplace rules, such as allowing workers to mask if they choose, make sense.\u003c/p>\n\u003cp>“When we think of a broader public health perspective, measures that help us reduce transmission of any disease that are minimally impactful on other individuals are certainly things we should be interested in maintaining,” said Shira Shafir, an epidemiology professor at UCLA.\u003c/p>\n\u003cp>“Being able to maintain a workforce, being able to minimize the risk of an outbreak occurring at a facility, these are things that are within the best interest of the business as well as in the best interest of the public,” Shafir said.\u003c/p>\n\u003cp>\u003cem>KQED’s Natalia Navarro contributed to this story.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that\u003c/em> \u003cem>people have access to the care they need, when they need it, at a price they can afford. Visit \u003c/em>\u003ca href=\"http://www.chcf.org/\">\u003cem>www.chcf.org\u003c/em>\u003c/a>\u003cem> to learn more.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Premiums for health insurance sold through the state marketplace will increase by nearly 10% next year, the highest rate hike since 2018, \u003ca href=\"https://www.coveredca.com/newsroom/news-releases/2023/07/25/\">Covered California officials announced\u003c/a> Tuesday.\u003c/p>\n\u003cp>The projected 9.6% hike is the result of a “complicated time for health care,” Covered California Executive Director Jessica Altman said during a media briefing, but many Californians will be shielded from the increases as a result of federal and state financial assistance.\u003c/p>\n\u003cp>About 90% of enrollees qualify for some type of federal or state financial aid and 20% will see no change in their monthly premium, officials said. About 1.6 million Californians turn to the marketplace for health insurance, which offers plans that cost as little as $10 a month.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The rate increase, however, represents the return of a troubling trend: \u003ca href=\"https://calmatters.org/health/2022/07/rising-health-care-costs/\">runaway health care costs\u003c/a>, experts said.\u003c/p>\n\u003cp>“We’re seeing even larger increases in the private market. It’s worrisome,” said Anthony Wright, executive director of Health Access California, a consumer advocate group. “Individual consumers need health coverage and they need help now.”[pullquote size=\"medium\" align=\"right\" citation=\"Anthony Wright, executive director, Health Access California\"]‘We’re seeing even larger increases in the private market. It’s worrisome. Individual consumers need health coverage and they need help now.’[/pullquote]During the COVID-19 pandemic, an influx of $3 billion from the federal government helped dampen the effect of rising health care costs in California. Covered California premium increases held below 2% between 2020 and 2022.\u003c/p>\n\u003cp>The federal government extended assistance for two more years, but the 2024 increase reflects post-pandemic inflationary pressures, such as \u003ca href=\"https://calmatters.org/health/2023/05/cost-of-insulin/\">higher drug costs\u003c/a>, more people going to see the doctor, labor shortages and wage costs, Altman said.\u003c/p>\n\u003cp>The rate hikes vary by region, with more than one-third of enrollees potentially experiencing a double-digit increase, according to state data. Those who live in Mono, Inyo and Imperial counties may see the largest price increase at 15.8% compared to last year. Those same counties also experienced the \u003ca href=\"https://calmatters.org/health/2022/07/covered-california-rates/\">largest increase last year\u003c/a>.\u003c/p>\n\u003cp>“We’re glad that Covered California has federal and state subsidies to provide immediate help now, but we do need policymakers to double down on containing the costs of health care long-term,” Wright said. “This is a clarion call for the overall cost of health care going forward.”\u003c/p>\n\u003ch2>Covered California waives deductibles for many\u003c/h2>\n\u003cp>Last week, the \u003ca href=\"https://calmatters.org/newsletters/whatmatters/2023/07/california-cost-of-living-3/#wm-story-1\">Covered California board voted\u003c/a> to implement a plan that will make coverage more affordable for about 650,000 enrollees by eliminating their deductibles for the coming year.[aside postID=news_11949192 hero='https://ww2.kqed.org/app/uploads/sites/10/2023/05/IMG_0196-1-1020x765.jpg']The vote capped a \u003ca href=\"https://calmatters.org/health/2023/05/covered-california-cost/\">drawn-out budget battle\u003c/a> between Gov. Gavin Newsom, legislators and health care consumer advocates who have \u003ca href=\"https://calmatters.org/health/2023/02/health-care-costs/\">criticized Newsom\u003c/a> for repeatedly moving money intended for health care subsidies into the state’s general fund.\u003c/p>\n\u003cp>Under the plan, deductibles will be eliminated for individuals earning as much as $33,975 annually and families earning up to $69,375 annually. Previously, people with those plans paid deductibles of up to $5,400. The new plan also significantly reduces out-of-pocket copays for doctor visits and prescription drugs.\u003c/p>\n\u003cp>“Despite the rate increase, Californians who enroll in health care coverage through Covered California will benefit from the greatest level of financial support ever offered … as we head into 2024,” Altman said.\u003c/p>\n\u003ch2>‘Hefty’ health insurance increase\u003c/h2>\n\u003cp>Christine Eibner, a senior economist with the RAND Corporation, a research and policy think tank, called the state’s projected premium increase “hefty.”[aside label='More on Health Care' tag='health-care']“There will be some sliver of people who will have to pay the full cost,” Eibner said. “A lot of people are protected so maybe they don’t care, but who is paying? Ultimately it’s the taxpayer.”\u003c/p>\n\u003cp>A significant number of people who are no longer eligible for Medi-Cal, the state’s public insurance program for individuals with very low-income, also are expected to enroll in Covered California, which could drive future cost increases.\u003c/p>\n\u003cp>“That population is relatively expensive,” Eibner said. “People who are lower income have more health care issues, and bringing them into the market may lead to higher premiums.”\u003c/p>\n\u003cp>The state paused \u003ca href=\"https://calmatters.org/health/2023/07/medi-cal-eligibility-california-review/\">checking people for Medi-Cal eligibility\u003c/a> during the federal COVID-19 public health emergency, but about 225,000 Californians have been kicked off since the state resumed monthly reviews this year. Covered California’s enrollment period runs from November through the end of January.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Premiums for health insurance sold through the state marketplace will increase by nearly 10% next year, the highest rate hike since 2018, \u003ca href=\"https://www.coveredca.com/newsroom/news-releases/2023/07/25/\">Covered California officials announced\u003c/a> Tuesday.\u003c/p>\n\u003cp>The projected 9.6% hike is the result of a “complicated time for health care,” Covered California Executive Director Jessica Altman said during a media briefing, but many Californians will be shielded from the increases as a result of federal and state financial assistance.\u003c/p>\n\u003cp>About 90% of enrollees qualify for some type of federal or state financial aid and 20% will see no change in their monthly premium, officials said. About 1.6 million Californians turn to the marketplace for health insurance, which offers plans that cost as little as $10 a month.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The rate increase, however, represents the return of a troubling trend: \u003ca href=\"https://calmatters.org/health/2022/07/rising-health-care-costs/\">runaway health care costs\u003c/a>, experts said.\u003c/p>\n\u003cp>“We’re seeing even larger increases in the private market. It’s worrisome,” said Anthony Wright, executive director of Health Access California, a consumer advocate group. “Individual consumers need health coverage and they need help now.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>During the COVID-19 pandemic, an influx of $3 billion from the federal government helped dampen the effect of rising health care costs in California. Covered California premium increases held below 2% between 2020 and 2022.\u003c/p>\n\u003cp>The federal government extended assistance for two more years, but the 2024 increase reflects post-pandemic inflationary pressures, such as \u003ca href=\"https://calmatters.org/health/2023/05/cost-of-insulin/\">higher drug costs\u003c/a>, more people going to see the doctor, labor shortages and wage costs, Altman said.\u003c/p>\n\u003cp>The rate hikes vary by region, with more than one-third of enrollees potentially experiencing a double-digit increase, according to state data. Those who live in Mono, Inyo and Imperial counties may see the largest price increase at 15.8% compared to last year. Those same counties also experienced the \u003ca href=\"https://calmatters.org/health/2022/07/covered-california-rates/\">largest increase last year\u003c/a>.\u003c/p>\n\u003cp>“We’re glad that Covered California has federal and state subsidies to provide immediate help now, but we do need policymakers to double down on containing the costs of health care long-term,” Wright said. “This is a clarion call for the overall cost of health care going forward.”\u003c/p>\n\u003ch2>Covered California waives deductibles for many\u003c/h2>\n\u003cp>Last week, the \u003ca href=\"https://calmatters.org/newsletters/whatmatters/2023/07/california-cost-of-living-3/#wm-story-1\">Covered California board voted\u003c/a> to implement a plan that will make coverage more affordable for about 650,000 enrollees by eliminating their deductibles for the coming year.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The vote capped a \u003ca href=\"https://calmatters.org/health/2023/05/covered-california-cost/\">drawn-out budget battle\u003c/a> between Gov. Gavin Newsom, legislators and health care consumer advocates who have \u003ca href=\"https://calmatters.org/health/2023/02/health-care-costs/\">criticized Newsom\u003c/a> for repeatedly moving money intended for health care subsidies into the state’s general fund.\u003c/p>\n\u003cp>Under the plan, deductibles will be eliminated for individuals earning as much as $33,975 annually and families earning up to $69,375 annually. Previously, people with those plans paid deductibles of up to $5,400. The new plan also significantly reduces out-of-pocket copays for doctor visits and prescription drugs.\u003c/p>\n\u003cp>“Despite the rate increase, Californians who enroll in health care coverage through Covered California will benefit from the greatest level of financial support ever offered … as we head into 2024,” Altman said.\u003c/p>\n\u003ch2>‘Hefty’ health insurance increase\u003c/h2>\n\u003cp>Christine Eibner, a senior economist with the RAND Corporation, a research and policy think tank, called the state’s projected premium increase “hefty.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“There will be some sliver of people who will have to pay the full cost,” Eibner said. “A lot of people are protected so maybe they don’t care, but who is paying? Ultimately it’s the taxpayer.”\u003c/p>\n\u003cp>A significant number of people who are no longer eligible for Medi-Cal, the state’s public insurance program for individuals with very low-income, also are expected to enroll in Covered California, which could drive future cost increases.\u003c/p>\n\u003cp>“That population is relatively expensive,” Eibner said. “People who are lower income have more health care issues, and bringing them into the market may lead to higher premiums.”\u003c/p>\n\u003cp>The state paused \u003ca href=\"https://calmatters.org/health/2023/07/medi-cal-eligibility-california-review/\">checking people for Medi-Cal eligibility\u003c/a> during the federal COVID-19 public health emergency, but about 225,000 Californians have been kicked off since the state resumed monthly reviews this year. Covered California’s enrollment period runs from November through the end of January.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cstrong>\u003cem>Editor’s note:\u003c/em>\u003c/strong>\u003cem> This story is part of an occasional series examining the rollout of CARE Courts across the state. \u003c/em>\u003ca href=\"https://www.kqed.org/news/11952228/san-francisco-to-implement-newsoms-care-court-plan-to-treat-severe-mental-illness\">\u003cem>Read or listen to KQED’s reporting on San Francisco County here.\u003c/em>\u003c/a>\u003c/p>\n\u003cp>When Heidi Sweeney first began hallucinating, the voices in her head told her Orange County’s Huntington Beach was where she would be safe. There, behind the bikini-clad crowds playing volleyball and riding beach cruisers, she slept in homeless encampments, then beside a bush outside a liquor store, drinking vodka to drown out the din only she could hear.\u003c/p>\n\u003cp>For years, she refused help, insisting to all who offered, “I’m not sick,” until police arrested her for petty theft and public drunkenness. A judge gave her an ultimatum: jail, or treatment. She chose treatment.\u003c/p>\n\u003cp>“I’m so thankful that they did that,” said Sweeney, now 52. “I needed that. I think there’s others out there that need it, too.”\u003c/p>\n\u003cp>If she hadn’t been compelled to get care, Sweeney said she wouldn’t be alive today, back at work and reunited with her husband. It’s why she supports California’s new civil CARE Courts, which will launch this fall in eight counties, including \u003ca href=\"https://www.kqed.org/news/11952228/san-francisco-to-implement-newsoms-care-court-plan-to-treat-severe-mental-illness\">San Francisco\u003c/a>, \u003ca href=\"https://www.kcrw.com/news/shows/greater-la/psych-treatment/care-court\">Los Angeles\u003c/a> and Orange, followed by the rest of the state in 2024.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Under the new system, family members and first responders can ask county judges to order people with psychotic illness into treatment, even if they are not unhoused or haven’t committed a crime.\u003c/p>\n\u003cp>The bill creating the program sailed through the state Legislature with near unanimous support last year amid growing frustration from voters over the state’s increasing population of unhoused residents, even as it drew vehement opposition from disability rights groups, who argued CARE Courts’ hallmark — compelling people who have done nothing wrong into mental health care — is a violation of civil rights.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Maria Hernandez, presiding judge, Orange County Superior Court\"]‘We don’t want to punish people. We want them to maintain their dignity.’[/pullquote]\u003c/p>\n\u003cp>In Orange County, that tension — between those who advocate for voluntary treatment and those who say the status quo allows people to die in the streets “\u003ca href=\"https://www.kqed.org/news/11944448/a-war-of-compassion-debate-over-forced-treatment-of-mental-illness-splits-california-liberals\">with their rights on\u003c/a>” — is playing out in the implementation of the program.\u003c/p>\n\u003cp>Its officials are threading a delicate needle: particularly, how to convince people to accept care without coercion, when their illness causes them to believe they are not ill.\u003c/p>\n\u003cp>“We don’t want to punish people,” said Maria Hernandez, the presiding judge for Orange County Superior Court. “We want them to maintain their dignity.”\u003c/p>\n\u003cfigure id=\"attachment_11955163\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11955163 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/07/230707-ORANGE-COUNTY-CARE-COURT-AD-05-KQED.jpg\" alt=\"A light-skinned middle-aged woman with long brown hair and wearing black judge's robes smiles at the camera from behind a desk.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/230707-ORANGE-COUNTY-CARE-COURT-AD-05-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/230707-ORANGE-COUNTY-CARE-COURT-AD-05-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/230707-ORANGE-COUNTY-CARE-COURT-AD-05-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/230707-ORANGE-COUNTY-CARE-COURT-AD-05-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/230707-ORANGE-COUNTY-CARE-COURT-AD-05-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/230707-ORANGE-COUNTY-CARE-COURT-AD-05-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Orange County Superior Court Presiding Judge Maria Hernandez says CARE Court will resemble the county’s other collaborative courts, like her young adult diversion court, where compassion and science drive her decisions. \u003ccite>(April Dembosky/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Orange County is expecting that between 900 and 1,500 residents will be eligible for CARE Court in any given year, according to the county public defender’s office. Local lawyers, judges and health officials all have aligned in designing their program with a distinct patient focus, endeavoring to make the process as benign and nonthreatening as possible.\u003c/p>\n\u003cp>[aside label='More Stories on CARE Court' tag='care-court']\u003c/p>\n\u003cp>Hernandez said that means modeling the new civil court after the county’s other collaborative courts, where judges often lose the black robe and come down off the bench to work \u003cem>with \u003c/em>people, eye to eye.\u003c/p>\n\u003cp>One prototype, she said, is her \u003ca href=\"https://www.occourts.org/directory/collaborative-courts/YAC_Pamphlet.pdf\">Young Adult Court (PDF)\u003c/a>, where, on a day in June, the mood was downright jovial. Defendants and their family members were chatting and laughing, munching on snacks laid out on a table in the back as three young men “graduated” from the diversion program.\u003c/p>\n\u003cp>“Judge Hernandez is so awesome,” said Abraham, 25, a former graduate, who asked to be identified only by his first name because he was charged with a felony that has since been expunged from his record. “I don’t even look at her as the judge. She’s just like a mom figure. She’s only trying to push you to be the better you.”\u003c/p>\n\u003cp>A minute later, Hernandez walked through the aisle of the courtroom and gave Abraham a hug.\u003c/p>\n\u003ch2>‘Disaster preparedness’\u003c/h2>\n\u003cp>Even if CARE Court is ruled by the likes of Mary Poppins, Orlando Vera, who lives with bipolar disorder, said helping a vulnerable person heal from mental illness shouldn’t involve dragging them into a courtroom.\u003c/p>\n\u003cfigure id=\"attachment_11955161\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11955161 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/07/230707-ORANGE-COUNTY-CARE-COURT-AD-03-KQED.jpg\" alt=\"A very fair-skinned bald man wearing glasses sits in an office setting, smiling and wearing a short-sleeved blue collared polo shirt.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/230707-ORANGE-COUNTY-CARE-COURT-AD-03-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/230707-ORANGE-COUNTY-CARE-COURT-AD-03-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/230707-ORANGE-COUNTY-CARE-COURT-AD-03-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/230707-ORANGE-COUNTY-CARE-COURT-AD-03-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/230707-ORANGE-COUNTY-CARE-COURT-AD-03-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/230707-ORANGE-COUNTY-CARE-COURT-AD-03-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Orlando Vera, co-founder of Peer Voices of Orange County, says he and other people with lived experience of mental illness will attend CARE Court proceedings on behalf of patients. \u003ccite>(April Dembosky/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“It’s not a place [where] you resolve your emotions. It is a very business-oriented environment. So I do feel that this is not the place for it,” Vera said, adding, “Can we stop it? I would say we can’t.”\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Orlando Vera, founder, Peer Voices of Orange County\"]‘Our focus is how do we support those that are going through the system. We need to be their voice.’[/pullquote]\u003c/p>\n\u003cp>After advocates \u003ca href=\"https://www.sacbee.com/news/politics-government/capitol-alert/article274547296.html\">failed to convince the state Supreme Court\u003c/a> to block the program on constitutional grounds, some started referring to the rollout of CARE Court as “disaster preparedness.”\u003c/p>\n\u003cp>\u003ca href=\"https://peervoices.org/\">Peer Voices of Orange County\u003c/a>, a group Vera co-founded and runs, plans to install patient advocates at the courthouse to attend any and all CARE Court hearings.\u003c/p>\n\u003cp>“Our focus is how do we support those that are going through the system,” he said. “We need to be their voice.”\u003c/p>\n\u003ch2>‘CARE’ without coercion\u003c/h2>\n\u003cp>Orange County behavioral health director Veronica Kelley is sympathetic to advocates’ concerns. She said CARE Court is not the program she would have created to improve the state’s mental health system. But she serves at the will of the governor and other elected officials who control her budget.\u003c/p>\n\u003cp>“So we end up building the Winchester Mystery House,” she said. “It is a structure that was OK, but then it just started adding hallways to nowhere and basements that are on top of the building. That’s what our system looks like.”\u003c/p>\n\u003cfigure id=\"attachment_11955162\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11955162 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/07/230707-ORANGE-COUNTY-CARE-COURT-AD-04-KQED.jpg\" alt=\"A white woman with long blond hair and long earrings sits in front of a bookshelf filled with books. She is unsmiling.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/230707-ORANGE-COUNTY-CARE-COURT-AD-04-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/230707-ORANGE-COUNTY-CARE-COURT-AD-04-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/230707-ORANGE-COUNTY-CARE-COURT-AD-04-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/230707-ORANGE-COUNTY-CARE-COURT-AD-04-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/230707-ORANGE-COUNTY-CARE-COURT-AD-04-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/230707-ORANGE-COUNTY-CARE-COURT-AD-04-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Veronica Kelley, behavioral health director for Orange County, will oversee mental health outreach and care provided through the local CARE Court, launching Oct. 1. \u003ccite>(April Dembosky/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But Kelley is committed to making sure CARE Court is not a hallway to nowhere.\u003c/p>\n\u003cp>“It is a hallway that I’m going to, at the end, construct a door that opens out to a bunch of different options,” she said.\u003c/p>\n\u003cp>Kelley is shaping the new court process into something its critics can accept. This is why she wanted Orange County to go first.\u003c/p>\n\u003cp>“So we can help craft it into something that’s not another colossal waste of time and funds, and that we don’t destroy the people we’re trying to serve at the same time,” she told a roomful of patient advocates during a meeting of the state \u003ca href=\"https://www.dhcs.ca.gov/services/MH/Pages/PatientsRights.aspx#:~:text=California%20Office%20of%20Patients'%20Rights,training%20and%20technical%20assistance%20to\">Patient Rights’ Committee\u003c/a>, held in Santa Ana.\u003c/p>\n\u003cp>This means social workers from her \u003ca href=\"https://www.ochealthinfo.com/services-programs/mental-health-crisis-recovery/mental-health\">behavioral health department\u003c/a> or the \u003ca href=\"https://www.pubdef.ocgov.com/\">public defender’s office\u003c/a> might visit people 20, 30 or 40 times to build trust, listen and set goals.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Veronica Kelley, behavioral health director, Orange County\"]‘If someone agrees to do something of their own accord, it is far more probable that there will be long-term success and long-term commitment to the services being provided.’[/pullquote]\u003c/p>\n\u003cp>“If they can’t be convinced, CARE Court isn’t for them. But we’re not going to give up on folks because they say no the first time,” said Martin Schwarz, Orange County’s public defender, who plans to devote eight full-time staff to represent the interests of patients referred into the program.\u003c/p>\n\u003cp>Under the CARE legislation, the court is allowed to fine behavioral health agencies $1,000 per day if they can’t find a patient and enroll them in treatment by certain deadlines.\u003c/p>\n\u003cp>Kelley said her county’s judges have agreed to give her staff the time and extensions they need to do their jobs right. She also vowed that no one who declines services in her county would be institutionalized, as the legislation allows.\u003c/p>\n\u003cp>“If someone agrees to do something of their own accord, it is far more probable that there will be long-term success and long-term commitment to the services being provided,” she said.\u003c/p>\n\u003cp>Kelley and Schwarz pointed to their success with another civil court process established by Laura’s Law in 2002, where for each individual involved in court-ordered outpatient care, there were another 20 who accepted treatment willingly.\u003c/p>\n\u003cp>They say they have the same goal for CARE Court, where the focus will be on finding a treatment plan people accept voluntarily — before a judge has to order it.\u003c/p>\n\u003cp>“Success is measured by who we keep out of the court system,” Schwarz said.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>\u003cem>Editor’s note:\u003c/em>\u003c/strong>\u003cem> This story is part of an occasional series examining the rollout of CARE Courts across the state. \u003c/em>\u003ca href=\"https://www.kqed.org/news/11952228/san-francisco-to-implement-newsoms-care-court-plan-to-treat-severe-mental-illness\">\u003cem>Read or listen to KQED’s reporting on San Francisco County here.\u003c/em>\u003c/a>\u003c/p>\n\u003cp>When Heidi Sweeney first began hallucinating, the voices in her head told her Orange County’s Huntington Beach was where she would be safe. There, behind the bikini-clad crowds playing volleyball and riding beach cruisers, she slept in homeless encampments, then beside a bush outside a liquor store, drinking vodka to drown out the din only she could hear.\u003c/p>\n\u003cp>For years, she refused help, insisting to all who offered, “I’m not sick,” until police arrested her for petty theft and public drunkenness. A judge gave her an ultimatum: jail, or treatment. She chose treatment.\u003c/p>\n\u003cp>“I’m so thankful that they did that,” said Sweeney, now 52. “I needed that. I think there’s others out there that need it, too.”\u003c/p>\n\u003cp>If she hadn’t been compelled to get care, Sweeney said she wouldn’t be alive today, back at work and reunited with her husband. It’s why she supports California’s new civil CARE Courts, which will launch this fall in eight counties, including \u003ca href=\"https://www.kqed.org/news/11952228/san-francisco-to-implement-newsoms-care-court-plan-to-treat-severe-mental-illness\">San Francisco\u003c/a>, \u003ca href=\"https://www.kcrw.com/news/shows/greater-la/psych-treatment/care-court\">Los Angeles\u003c/a> and Orange, followed by the rest of the state in 2024.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In Orange County, that tension — between those who advocate for voluntary treatment and those who say the status quo allows people to die in the streets “\u003ca href=\"https://www.kqed.org/news/11944448/a-war-of-compassion-debate-over-forced-treatment-of-mental-illness-splits-california-liberals\">with their rights on\u003c/a>” — is playing out in the implementation of the program.\u003c/p>\n\u003cp>Its officials are threading a delicate needle: particularly, how to convince people to accept care without coercion, when their illness causes them to believe they are not ill.\u003c/p>\n\u003cp>“We don’t want to punish people,” said Maria Hernandez, the presiding judge for Orange County Superior Court. “We want them to maintain their dignity.”\u003c/p>\n\u003cfigure id=\"attachment_11955163\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11955163 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/07/230707-ORANGE-COUNTY-CARE-COURT-AD-05-KQED.jpg\" alt=\"A light-skinned middle-aged woman with long brown hair and wearing black judge's robes smiles at the camera from behind a desk.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/230707-ORANGE-COUNTY-CARE-COURT-AD-05-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/230707-ORANGE-COUNTY-CARE-COURT-AD-05-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/230707-ORANGE-COUNTY-CARE-COURT-AD-05-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/230707-ORANGE-COUNTY-CARE-COURT-AD-05-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/230707-ORANGE-COUNTY-CARE-COURT-AD-05-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/230707-ORANGE-COUNTY-CARE-COURT-AD-05-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Orange County Superior Court Presiding Judge Maria Hernandez says CARE Court will resemble the county’s other collaborative courts, like her young adult diversion court, where compassion and science drive her decisions. \u003ccite>(April Dembosky/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Orange County is expecting that between 900 and 1,500 residents will be eligible for CARE Court in any given year, according to the county public defender’s office. Local lawyers, judges and health officials all have aligned in designing their program with a distinct patient focus, endeavoring to make the process as benign and nonthreatening as possible.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Hernandez said that means modeling the new civil court after the county’s other collaborative courts, where judges often lose the black robe and come down off the bench to work \u003cem>with \u003c/em>people, eye to eye.\u003c/p>\n\u003cp>One prototype, she said, is her \u003ca href=\"https://www.occourts.org/directory/collaborative-courts/YAC_Pamphlet.pdf\">Young Adult Court (PDF)\u003c/a>, where, on a day in June, the mood was downright jovial. Defendants and their family members were chatting and laughing, munching on snacks laid out on a table in the back as three young men “graduated” from the diversion program.\u003c/p>\n\u003cp>“Judge Hernandez is so awesome,” said Abraham, 25, a former graduate, who asked to be identified only by his first name because he was charged with a felony that has since been expunged from his record. “I don’t even look at her as the judge. She’s just like a mom figure. She’s only trying to push you to be the better you.”\u003c/p>\n\u003cp>A minute later, Hernandez walked through the aisle of the courtroom and gave Abraham a hug.\u003c/p>\n\u003ch2>‘Disaster preparedness’\u003c/h2>\n\u003cp>Even if CARE Court is ruled by the likes of Mary Poppins, Orlando Vera, who lives with bipolar disorder, said helping a vulnerable person heal from mental illness shouldn’t involve dragging them into a courtroom.\u003c/p>\n\u003cfigure id=\"attachment_11955161\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11955161 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/07/230707-ORANGE-COUNTY-CARE-COURT-AD-03-KQED.jpg\" alt=\"A very fair-skinned bald man wearing glasses sits in an office setting, smiling and wearing a short-sleeved blue collared polo shirt.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/230707-ORANGE-COUNTY-CARE-COURT-AD-03-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/230707-ORANGE-COUNTY-CARE-COURT-AD-03-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/230707-ORANGE-COUNTY-CARE-COURT-AD-03-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/230707-ORANGE-COUNTY-CARE-COURT-AD-03-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/230707-ORANGE-COUNTY-CARE-COURT-AD-03-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/230707-ORANGE-COUNTY-CARE-COURT-AD-03-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Orlando Vera, co-founder of Peer Voices of Orange County, says he and other people with lived experience of mental illness will attend CARE Court proceedings on behalf of patients. \u003ccite>(April Dembosky/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“It’s not a place [where] you resolve your emotions. It is a very business-oriented environment. So I do feel that this is not the place for it,” Vera said, adding, “Can we stop it? I would say we can’t.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘Our focus is how do we support those that are going through the system. We need to be their voice.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>After advocates \u003ca href=\"https://www.sacbee.com/news/politics-government/capitol-alert/article274547296.html\">failed to convince the state Supreme Court\u003c/a> to block the program on constitutional grounds, some started referring to the rollout of CARE Court as “disaster preparedness.”\u003c/p>\n\u003cp>\u003ca href=\"https://peervoices.org/\">Peer Voices of Orange County\u003c/a>, a group Vera co-founded and runs, plans to install patient advocates at the courthouse to attend any and all CARE Court hearings.\u003c/p>\n\u003cp>“Our focus is how do we support those that are going through the system,” he said. “We need to be their voice.”\u003c/p>\n\u003ch2>‘CARE’ without coercion\u003c/h2>\n\u003cp>Orange County behavioral health director Veronica Kelley is sympathetic to advocates’ concerns. She said CARE Court is not the program she would have created to improve the state’s mental health system. But she serves at the will of the governor and other elected officials who control her budget.\u003c/p>\n\u003cp>“So we end up building the Winchester Mystery House,” she said. “It is a structure that was OK, but then it just started adding hallways to nowhere and basements that are on top of the building. That’s what our system looks like.”\u003c/p>\n\u003cfigure id=\"attachment_11955162\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11955162 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/07/230707-ORANGE-COUNTY-CARE-COURT-AD-04-KQED.jpg\" alt=\"A white woman with long blond hair and long earrings sits in front of a bookshelf filled with books. She is unsmiling.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/230707-ORANGE-COUNTY-CARE-COURT-AD-04-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/230707-ORANGE-COUNTY-CARE-COURT-AD-04-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/230707-ORANGE-COUNTY-CARE-COURT-AD-04-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/230707-ORANGE-COUNTY-CARE-COURT-AD-04-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/230707-ORANGE-COUNTY-CARE-COURT-AD-04-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/230707-ORANGE-COUNTY-CARE-COURT-AD-04-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Veronica Kelley, behavioral health director for Orange County, will oversee mental health outreach and care provided through the local CARE Court, launching Oct. 1. \u003ccite>(April Dembosky/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But Kelley is committed to making sure CARE Court is not a hallway to nowhere.\u003c/p>\n\u003cp>“It is a hallway that I’m going to, at the end, construct a door that opens out to a bunch of different options,” she said.\u003c/p>\n\u003cp>Kelley is shaping the new court process into something its critics can accept. This is why she wanted Orange County to go first.\u003c/p>\n\u003cp>“So we can help craft it into something that’s not another colossal waste of time and funds, and that we don’t destroy the people we’re trying to serve at the same time,” she told a roomful of patient advocates during a meeting of the state \u003ca href=\"https://www.dhcs.ca.gov/services/MH/Pages/PatientsRights.aspx#:~:text=California%20Office%20of%20Patients'%20Rights,training%20and%20technical%20assistance%20to\">Patient Rights’ Committee\u003c/a>, held in Santa Ana.\u003c/p>\n\u003cp>This means social workers from her \u003ca href=\"https://www.ochealthinfo.com/services-programs/mental-health-crisis-recovery/mental-health\">behavioral health department\u003c/a> or the \u003ca href=\"https://www.pubdef.ocgov.com/\">public defender’s office\u003c/a> might visit people 20, 30 or 40 times to build trust, listen and set goals.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“If they can’t be convinced, CARE Court isn’t for them. But we’re not going to give up on folks because they say no the first time,” said Martin Schwarz, Orange County’s public defender, who plans to devote eight full-time staff to represent the interests of patients referred into the program.\u003c/p>\n\u003cp>Under the CARE legislation, the court is allowed to fine behavioral health agencies $1,000 per day if they can’t find a patient and enroll them in treatment by certain deadlines.\u003c/p>\n\u003cp>Kelley said her county’s judges have agreed to give her staff the time and extensions they need to do their jobs right. She also vowed that no one who declines services in her county would be institutionalized, as the legislation allows.\u003c/p>\n\u003cp>“If someone agrees to do something of their own accord, it is far more probable that there will be long-term success and long-term commitment to the services being provided,” she said.\u003c/p>\n\u003cp>Kelley and Schwarz pointed to their success with another civil court process established by Laura’s Law in 2002, where for each individual involved in court-ordered outpatient care, there were another 20 who accepted treatment willingly.\u003c/p>\n\u003cp>They say they have the same goal for CARE Court, where the focus will be on finding a treatment plan people accept voluntarily — before a judge has to order it.\u003c/p>\n\u003cp>“Success is measured by who we keep out of the court system,” Schwarz said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>A \u003ca href=\"https://www.kqed.org/news/11954314/3-big-takeaways-from-californias-311-billion-budget-deal\">major proposal from Gov. Gavin Newsom\u003c/a> to overhaul the state’s behavioral and mental health system is likely to take nearly $720 million away from services provided by county governments annually, according to a \u003ca href=\"https://lao.ca.gov/Publications/Report/4782\">new analysis\u003c/a> from the Legislative Analyst’s Office.\u003c/p>\n\u003cp>Although that money would be reallocated within the system, in part to \u003ca href=\"https://calmatters.org/health/mental-health/2023/06/mental-health-funding-2/\">house homeless individuals with severe mental illness\u003c/a> and addiction disorders, the report authors note that Newsom and key legislators supporting the proposal have neither provided a complete justification for the changes nor have they published an analysis on how the changes may “negatively impact current services.”\u003c/p>\n\u003cp>“Consequently, as the Legislature considers the proposal, we recommend asking the administration certain questions to assess whether the proposal is warranted,” the report states.\u003c/p>\n\u003cp>Newsom wants the Legislature to put his proposal before voters next year in tandem with a $4.68 billion bond measure to add psychiatric treatment beds. It would change how the state allocates money under the Mental Health Services Act, which levies a 1% tax on income above $1 million to fund behavioral health services.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Homelessness has become one of the most \u003ca href=\"https://calmatters.org/housing/homelessness/2023/04/california-homeless-spending-audit/\">high-profile challenges plaguing California\u003c/a>, increasing 32% in the past four years. Newsom, who promised to reduce homelessness, announced his intent during his \u003ca href=\"https://calmatters.org/politics/2023/03/gavin-newsom-legacy-tour/\">State of the State tour\u003c/a> to divert nearly one-third of the state’s Mental Health Services Act money to help address homelessness.\u003c/p>\n\u003cp>Since that time, \u003ca href=\"https://calmatters.org/health/2023/04/mental-health-funding/\">local behavioral health providers and county officials\u003c/a> have criticized the proposal because of its potential to cut services and pit mental health programs against homeless services. The state has spent more than $20 billion on \u003ca href=\"https://calmatters.org/housing/homelessness/2023/04/california-homeless-spending-audit/\">housing and homelessness since 2018\u003c/a>.\u003c/p>\n\u003cp>Supporters, meanwhile, say reprioritizing how the money is spent is long overdue in light of the growing needs of the state’s homeless population as well as the addition of new funding sources for mental health programs.\u003c/p>\n\u003cp>In a statement, Newsom’s Deputy Communications Director Brandon Richards said “upsetting the status quo” was necessary in light of California’s changing health care needs.\u003c/p>\n\u003ch2>Mental health needs among California homeless\u003c/h2>\n\u003cp>A recent study from UC San Francisco found that two-thirds of \u003ca href=\"https://calmatters.org/housing/2023/06/california-homeless-growth-report/\">homeless individuals experience mental health conditions\u003c/a>, although income loss is the driving force behind the state’s homelessness crisis.\u003c/p>\n\u003cp>“What’s more upsetting is watching people continue to suffer on the streets with ineffective interventions and inability to access much-needed treatment,” Richards said. “A California behavioral health system of care that is more focused, more transparent, and more accountable for results is what all Californians deserve and what this historic reform aims to achieve.”\u003c/p>\n\u003cp>Roughly one-third of the county mental health infrastructure in the state is supported by the Mental Health Services Act, which was approved by voters in 2004 as a ballot initiative. Substantial changes to the act, like the ones Newsom proposed, require voter approval. Last year the tax generated about $3.8 billion.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Brandon Richards, deputy communications director, Gov. Gavin Newsom\"]‘What’s more upsetting, is watching people continue to suffer on the streets with ineffective interventions and inability to access much-needed treatment.’[/pullquote]\u003c/p>\n\u003cp>Critics of Newsom’s proposal say the new analysis bolsters their argument that the changes will result in significant cuts to current programs, particularly those that \u003ca href=\"https://calmatters.org/health/mental-health/2023/06/mental-health-funding-2/\">support children\u003c/a>.\u003c/p>\n\u003cp>Newsom’s office has so far “danced around” how much money would be cut, said Adrienne Shilton, a lobbyist for the California Alliance of Children and Family Services, which represents behavioral health providers in every county. The report is the first to quantify how the proposal would impact programs statewide.\u003c/p>\n\u003cp>“We’re seeing in real dollars what the impact would be,” Shilton said.\u003c/p>\n\u003cp>The analysis estimates spending on current programs would be reduced from $1.34 billion to $621 million under the plan.\u003c/p>\n\u003ch2>Housing money in Gavin Newsom’s plan\u003c/h2>\n\u003cp>The report identified several key changes and unanswered questions for the Legislature to consider in \u003ca href=\"https://lao.ca.gov/Publications/Series/3\">Newsom’s plan\u003c/a>:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Reduced flexibility: \u003c/strong>Counties would have less flexibility to determine how money is spent. Based on current expenditures, counties would be required to increase spending on housing by $493 million and on “full-service partnerships” by $121 million. “Full-service partnerships” include intensive wraparound services like case management, housing and employment support as well as clinical care.\u003c/li>\n\u003cli>\u003cstrong>Program cuts likely: \u003c/strong>To meet spending targets and caps, counties would likely need to reduce spending on current programs including “outpatient services, crisis response, prevention services, and outreach.”\u003c/li>\n\u003cli>\u003cstrong>Less independent oversight: \u003c/strong>The proposed restructuring moves much of the program implementation and oversight authority to the Department of Health Care Services. The change “significantly limits” the independent oversight of the current Mental Health Services Oversight and Accountability Commission.[aside label='More on Mental Health Care' tag='mental-health']Sacramento Mayor Darrell Steinberg, who helped author the original law and has been a key supporter of the changes, said the law was always meant to prioritize “the plight of people living with serious mental illness on our streets.”\u003c/li>\n\u003c/ul>\n\u003cp>“It’s appropriate, in fact, it’s necessary to set priority status,” Steinberg said.\u003c/p>\n\u003cp>Steinberg and Newsom’s office also contend that the state has invested heavily in the mental health safety net in other ways, including changes to the Medi-Cal system and a $4.4 billion one-time infusion into the \u003ca href=\"https://calmatters.org/health/2022/03/california-children-mental-health-crisis/\">Children and Youth Behavioral Health Initiative\u003c/a>.\u003c/p>\n\u003cp>“It’s no longer a funding source that stands alone,” Steinberg said. “[Now], the opportunity is to weave all these pieces together so that everyone has access to care, and nobody is left out or left behind.”\u003c/p>\n\u003cp>Still, advocates say it is premature to assume those investments have had a positive impact and that many have not yet been implemented. In an opposition letter, Lishaun Francis, senior director for behavioral health at Children Now said the state “has yet to demonstrate that it has delivered” on its promises and that the proposal deprioritizes children and youth.[pullquote size=\"medium\" align=\"right\" citation=\"Sacramento Mayor Darrell Steinberg\"]‘The opportunity is to weave all these pieces together so that everyone has access to care — and nobody is left out or left behind.’[/pullquote]Advocates also say those funding sources, particularly Medi-Cal, won’t reimburse for the non-clinical programs like classroom interventions and family resource centers that have historically been supported by the Mental Health Services Act. Medi-Cal is the state’s health insurance program for extremely low-income Californians.\u003c/p>\n\u003cp>“Families need flexibility,” said Christine Stoner-Mertz, chief executive officer of the California Alliance of Child and Family Services. “We need community-designed practices, and we haven’t been successful in doing that with just Medi-Cal.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A \u003ca href=\"https://www.kqed.org/news/11954314/3-big-takeaways-from-californias-311-billion-budget-deal\">major proposal from Gov. Gavin Newsom\u003c/a> to overhaul the state’s behavioral and mental health system is likely to take nearly $720 million away from services provided by county governments annually, according to a \u003ca href=\"https://lao.ca.gov/Publications/Report/4782\">new analysis\u003c/a> from the Legislative Analyst’s Office.\u003c/p>\n\u003cp>Although that money would be reallocated within the system, in part to \u003ca href=\"https://calmatters.org/health/mental-health/2023/06/mental-health-funding-2/\">house homeless individuals with severe mental illness\u003c/a> and addiction disorders, the report authors note that Newsom and key legislators supporting the proposal have neither provided a complete justification for the changes nor have they published an analysis on how the changes may “negatively impact current services.”\u003c/p>\n\u003cp>“Consequently, as the Legislature considers the proposal, we recommend asking the administration certain questions to assess whether the proposal is warranted,” the report states.\u003c/p>\n\u003cp>Newsom wants the Legislature to put his proposal before voters next year in tandem with a $4.68 billion bond measure to add psychiatric treatment beds. It would change how the state allocates money under the Mental Health Services Act, which levies a 1% tax on income above $1 million to fund behavioral health services.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Homelessness has become one of the most \u003ca href=\"https://calmatters.org/housing/homelessness/2023/04/california-homeless-spending-audit/\">high-profile challenges plaguing California\u003c/a>, increasing 32% in the past four years. Newsom, who promised to reduce homelessness, announced his intent during his \u003ca href=\"https://calmatters.org/politics/2023/03/gavin-newsom-legacy-tour/\">State of the State tour\u003c/a> to divert nearly one-third of the state’s Mental Health Services Act money to help address homelessness.\u003c/p>\n\u003cp>Since that time, \u003ca href=\"https://calmatters.org/health/2023/04/mental-health-funding/\">local behavioral health providers and county officials\u003c/a> have criticized the proposal because of its potential to cut services and pit mental health programs against homeless services. The state has spent more than $20 billion on \u003ca href=\"https://calmatters.org/housing/homelessness/2023/04/california-homeless-spending-audit/\">housing and homelessness since 2018\u003c/a>.\u003c/p>\n\u003cp>Supporters, meanwhile, say reprioritizing how the money is spent is long overdue in light of the growing needs of the state’s homeless population as well as the addition of new funding sources for mental health programs.\u003c/p>\n\u003cp>In a statement, Newsom’s Deputy Communications Director Brandon Richards said “upsetting the status quo” was necessary in light of California’s changing health care needs.\u003c/p>\n\u003ch2>Mental health needs among California homeless\u003c/h2>\n\u003cp>A recent study from UC San Francisco found that two-thirds of \u003ca href=\"https://calmatters.org/housing/2023/06/california-homeless-growth-report/\">homeless individuals experience mental health conditions\u003c/a>, although income loss is the driving force behind the state’s homelessness crisis.\u003c/p>\n\u003cp>“What’s more upsetting is watching people continue to suffer on the streets with ineffective interventions and inability to access much-needed treatment,” Richards said. “A California behavioral health system of care that is more focused, more transparent, and more accountable for results is what all Californians deserve and what this historic reform aims to achieve.”\u003c/p>\n\u003cp>Roughly one-third of the county mental health infrastructure in the state is supported by the Mental Health Services Act, which was approved by voters in 2004 as a ballot initiative. Substantial changes to the act, like the ones Newsom proposed, require voter approval. Last year the tax generated about $3.8 billion.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Critics of Newsom’s proposal say the new analysis bolsters their argument that the changes will result in significant cuts to current programs, particularly those that \u003ca href=\"https://calmatters.org/health/mental-health/2023/06/mental-health-funding-2/\">support children\u003c/a>.\u003c/p>\n\u003cp>Newsom’s office has so far “danced around” how much money would be cut, said Adrienne Shilton, a lobbyist for the California Alliance of Children and Family Services, which represents behavioral health providers in every county. The report is the first to quantify how the proposal would impact programs statewide.\u003c/p>\n\u003cp>“We’re seeing in real dollars what the impact would be,” Shilton said.\u003c/p>\n\u003cp>The analysis estimates spending on current programs would be reduced from $1.34 billion to $621 million under the plan.\u003c/p>\n\u003ch2>Housing money in Gavin Newsom’s plan\u003c/h2>\n\u003cp>The report identified several key changes and unanswered questions for the Legislature to consider in \u003ca href=\"https://lao.ca.gov/Publications/Series/3\">Newsom’s plan\u003c/a>:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Reduced flexibility: \u003c/strong>Counties would have less flexibility to determine how money is spent. Based on current expenditures, counties would be required to increase spending on housing by $493 million and on “full-service partnerships” by $121 million. “Full-service partnerships” include intensive wraparound services like case management, housing and employment support as well as clinical care.\u003c/li>\n\u003cli>\u003cstrong>Program cuts likely: \u003c/strong>To meet spending targets and caps, counties would likely need to reduce spending on current programs including “outpatient services, crisis response, prevention services, and outreach.”\u003c/li>\n\u003cli>\u003cstrong>Less independent oversight: \u003c/strong>The proposed restructuring moves much of the program implementation and oversight authority to the Department of Health Care Services. The change “significantly limits” the independent oversight of the current Mental Health Services Oversight and Accountability Commission.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Sacramento Mayor Darrell Steinberg, who helped author the original law and has been a key supporter of the changes, said the law was always meant to prioritize “the plight of people living with serious mental illness on our streets.”\u003c/li>\n\u003c/ul>\n\u003cp>“It’s appropriate, in fact, it’s necessary to set priority status,” Steinberg said.\u003c/p>\n\u003cp>Steinberg and Newsom’s office also contend that the state has invested heavily in the mental health safety net in other ways, including changes to the Medi-Cal system and a $4.4 billion one-time infusion into the \u003ca href=\"https://calmatters.org/health/2022/03/california-children-mental-health-crisis/\">Children and Youth Behavioral Health Initiative\u003c/a>.\u003c/p>\n\u003cp>“It’s no longer a funding source that stands alone,” Steinberg said. “[Now], the opportunity is to weave all these pieces together so that everyone has access to care, and nobody is left out or left behind.”\u003c/p>\n\u003cp>Still, advocates say it is premature to assume those investments have had a positive impact and that many have not yet been implemented. In an opposition letter, Lishaun Francis, senior director for behavioral health at Children Now said the state “has yet to demonstrate that it has delivered” on its promises and that the proposal deprioritizes children and youth.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Advocates also say those funding sources, particularly Medi-Cal, won’t reimburse for the non-clinical programs like classroom interventions and family resource centers that have historically been supported by the Mental Health Services Act. Medi-Cal is the state’s health insurance program for extremely low-income Californians.\u003c/p>\n\u003cp>“Families need flexibility,” said Christine Stoner-Mertz, chief executive officer of the California Alliance of Child and Family Services. “We need community-designed practices, and we haven’t been successful in doing that with just Medi-Cal.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Doctors are concerned that a Supreme Court ruling issued June 29 will have far-reaching effects not only on the diversity of doctors and other care providers in training, but ultimately, on patient care.\u003c/p>\n\u003cp>The decision found it unconstitutional for colleges and universities to use race as a factor in student admissions, which will affect enrollment decisions at public and private educational institutions, including medical schools.\u003c/p>\n\u003cp>Like other academic institutions, medical schools have long factored race into admission decisions. The schools operated under the principle — and there is considerable evidence they are correct — that a more diverse workforce of doctors does a better job of treating diverse patients.\u003c/p>\n\u003cp>The “decision demonstrates a lack of understanding of the critical benefits of racial and ethnic diversity in educational settings and a failure to recognize the urgent need to address health inequities,” read a statement from David Skorton, president and CEO of the Association of American Medical Colleges, and Frank Trinity, its chief legal officer.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Chief Justice John Roberts wrote \u003ca href=\"https://www.supremecourt.gov/opinions/22pdf/20-1199_hgdj.pdf\">the majority opinion (PDF)\u003c/a>. It held that the admissions programs of defendants Harvard College and the University of North Carolina violate the equal protection clause of the 14th Amendment, which prohibits racial discrimination. The decision overturned decades of legal precedent that had allowed colleges and universities to evaluate prospective students by their race, in addition to factors such as academic records and test scores.\u003c/p>\n\u003cp>In a dissent, Associate Justice Sonia Sotomayor wrote on behalf of the court’s three liberal justices that the ruling “cements a superficial rule of colorblindness as a constitutional principle in an endemically segregated society where race has always mattered and continues to matter.”\u003c/p>\n\u003ch2>What does the ruling mean for med schools?\u003c/h2>\n\u003cp>The decision may have serious repercussions, medical educators say.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Norma Poll-Hunter, senior director of workforce diversity, Association of American Medical Colleges\"]‘Diversity in health care providers contributes to increased student, trainee and physician confidence in working with patient populations who are different from their own identities.’[/pullquote]\u003c/p>\n\u003cp>The AAMC, which represents more than 500 medical schools and teaching hospitals, filed an amicus brief with the court \u003ca href=\"https://www.aamc.org/media/61976/download?attachment\">arguing that diversity\u003c/a> in medical education “literally saves lives” by ensuring that doctors, nurses, and other medical professionals can competently care for an increasingly diverse population.\u003c/p>\n\u003cp>“Diversity in health care providers contributes to increased student, trainee and physician confidence in working with patient populations who are different from their own identities,” said Norma Poll-Hunter, senior director of workforce diversity at the AAMC.\u003c/p>\n\u003cp>Although it’s impossible to predict the full impact of the court’s ruling, looking at some of the nine states that already have bans on race-conscious college admissions \u003ca href=\"https://www.chronicle.com/article/race-conscious-admission-bans?cid=gen_sign_in\">may provide clues\u003c/a>. An \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4454423/\">analysis of bans\u003c/a> in six states found that medical school enrollment of students of color who were members of underrepresented groups fell roughly 17% after the bans were instituted.\u003c/p>\n\u003ch2>What about patients?\u003c/h2>\n\u003cp>At this point, it’s hard to say.\u003c/p>\n\u003cp>Despite the United States having one of the world’s most advanced systems of medical research and clinical care, Black people and some other minorities often fare worse than white people \u003ca href=\"https://www.kff.org/racial-equity-and-health-policy/report/key-data-on-health-and-health-care-by-race-and-ethnicity/#:~:text=Provisional%20data%20from%202021%20show,77.7%20years%20for%20Hispanic%20people\">across a range of health measures\u003c/a>.\u003c/p>\n\u003cp>Their life expectancies are shorter: 65.2 years for American Indian and Alaska Native people and 70.8 for Blacks in 2021, versus 76.4 for whites, according to KFF. Black and AIAN infants were roughly twice as likely to die as white infants, and women in those minority groups had the highest rates of mortality related to pregnancy in 2021.\u003c/p>\n\u003cp>Research shows people of all races tend to prefer to see physicians who are similar to them in race or ethnicity, according to Poll-Hunter. When patients are of the same race as their providers, they report higher levels of satisfaction and trust and better communication.[aside label='More Stories on Health' tag='health']When patients are of the same race or gender as their provider, they may also have better health outcomes, research shows.\u003c/p>\n\u003cp>For example, in a study of 1.8 million infants born in Florida hospitals between 1992 and 2015, Black newborns were \u003ca href=\"https://www.pnas.org/doi/10.1073/pnas.1913405117\">half as likely to die\u003c/a> when cared for by Black physicians as when their doctors were white. Research has historically focused on white newborns with white doctors, said the study’s lead author, Brad Greenwood, a professor of information systems and operations management at George Mason University.\u003c/p>\n\u003cp>“To the extent that physicians of a social outgroup are more likely to be aware of the challenges and issues that arise when treating their group, it stands to reason that these physicians may be more equipped to treat patients with complex needs,” according to the study.\u003c/p>\n\u003cp>The solution, however, is not to try to ensure all Black patients are seen by Black physicians, Greenwood said.\u003c/p>\n\u003cp>“Jim Crow-ing medicine is not going to solve this,” he said, referring to laws enacted in the 19th and 20th centuries that enforced racial segregation.\u003c/p>\n\u003cp>Ensuring a diverse physician base can improve care for all patients, including those from marginalized groups.\u003c/p>\n\u003cp>“As you increase diversity, the diversity of opinion increases the scope of how people think about things and express best practices,” he said.\u003c/p>\n\u003cfigure id=\"attachment_11955176\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11955176\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/07/UCDavis.jpg\" alt=\"The UC Davis logo with a soccer game and bike riders in the background.\" width=\"1920\" height=\"909\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/UCDavis.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/UCDavis-800x379.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/UCDavis-1020x483.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/UCDavis-160x76.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/UCDavis-1536x727.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">After California banned race-conscious admissions in 1996, the medical school at UC Davis upended its process to put less emphasis on MCAT scores and grades — and more on socioeconomic measures. \u003ccite>(Joseph DeSantis/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Do No Harm, a group of medical and policy professionals who oppose race-conscious medical school admissions and other policies that incorporate identity-based considerations into health care decision-making says race-conscious admission is about discrimination, not diversity.\u003c/p>\n\u003cp>“Our view is that whoever gets into health care should be the most qualified,” said \u003ca href=\"https://donoharmmedicine.org/content-author/dr-stanley-goldfarb/\">Stanley Goldfarb\u003c/a>, who chairs the board of Do No Harm. “It doesn’t matter the gender or the race. The only thing that matters is that they’re good, ethical people and good at what they do.”[pullquote size=\"medium\" align=\"right\" citation=\"Norma Poll-Hunter, senior director of workforce diversity, Association of American Medical Colleges\"]‘The reality is that in the United States, we have a history of exclusion, displacement and colonization such that we can’t ignore the reality of race.’[/pullquote]Goldfarb cited studies that showed “\u003ca href=\"https://www.tandfonline.com/doi/abs/10.1080/10410236.2023.2223402?journalCode=hhth20\">no relationship\u003c/a>” between race or ethnicity concordance and the quality of communication, and “\u003ca href=\"https://journals.sagepub.com/doi/10.1177/23743735221103033\">inconclusive\u003c/a>” evidence for patient outcomes.\u003c/p>\n\u003cp>The first med school class that will be affected will be the class of 2028. Some experts have suggested that colleges and medical schools may adopt policies that take \u003ca href=\"https://www.theatlantic.com/ideas/archive/2023/06/affirmative-action-race-socioeconomic-supreme-court/674251/\">income or family wealth\u003c/a> into account when determining whom to admit.\u003c/p>\n\u003cp>After California banned race-conscious admissions in 1996, the medical school at the University of California-Davis upended its process to put less emphasis on MCAT scores and grades and more on socioeconomic measures, \u003ca href=\"https://www.statnews.com/2023/03/07/how-one-medical-school-became-remarkably-diverse-without-considering-race/\">according to Stat\u003c/a>.\u003c/p>\n\u003cp>Poll-Hunter, with the AAMC, isn’t convinced.\u003c/p>\n\u003cp>“There’s no substitute or proxy for race,” she said. “The reality is that in the United States, we have a history of exclusion, displacement and colonization such that we can’t ignore the reality of race.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Doctors are concerned that a Supreme Court ruling issued June 29 will have far-reaching effects not only on the diversity of doctors and other care providers in training, but ultimately, on patient care.\u003c/p>\n\u003cp>The decision found it unconstitutional for colleges and universities to use race as a factor in student admissions, which will affect enrollment decisions at public and private educational institutions, including medical schools.\u003c/p>\n\u003cp>Like other academic institutions, medical schools have long factored race into admission decisions. The schools operated under the principle — and there is considerable evidence they are correct — that a more diverse workforce of doctors does a better job of treating diverse patients.\u003c/p>\n\u003cp>The “decision demonstrates a lack of understanding of the critical benefits of racial and ethnic diversity in educational settings and a failure to recognize the urgent need to address health inequities,” read a statement from David Skorton, president and CEO of the Association of American Medical Colleges, and Frank Trinity, its chief legal officer.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Chief Justice John Roberts wrote \u003ca href=\"https://www.supremecourt.gov/opinions/22pdf/20-1199_hgdj.pdf\">the majority opinion (PDF)\u003c/a>. It held that the admissions programs of defendants Harvard College and the University of North Carolina violate the equal protection clause of the 14th Amendment, which prohibits racial discrimination. The decision overturned decades of legal precedent that had allowed colleges and universities to evaluate prospective students by their race, in addition to factors such as academic records and test scores.\u003c/p>\n\u003cp>In a dissent, Associate Justice Sonia Sotomayor wrote on behalf of the court’s three liberal justices that the ruling “cements a superficial rule of colorblindness as a constitutional principle in an endemically segregated society where race has always mattered and continues to matter.”\u003c/p>\n\u003ch2>What does the ruling mean for med schools?\u003c/h2>\n\u003cp>The decision may have serious repercussions, medical educators say.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The AAMC, which represents more than 500 medical schools and teaching hospitals, filed an amicus brief with the court \u003ca href=\"https://www.aamc.org/media/61976/download?attachment\">arguing that diversity\u003c/a> in medical education “literally saves lives” by ensuring that doctors, nurses, and other medical professionals can competently care for an increasingly diverse population.\u003c/p>\n\u003cp>“Diversity in health care providers contributes to increased student, trainee and physician confidence in working with patient populations who are different from their own identities,” said Norma Poll-Hunter, senior director of workforce diversity at the AAMC.\u003c/p>\n\u003cp>Although it’s impossible to predict the full impact of the court’s ruling, looking at some of the nine states that already have bans on race-conscious college admissions \u003ca href=\"https://www.chronicle.com/article/race-conscious-admission-bans?cid=gen_sign_in\">may provide clues\u003c/a>. An \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4454423/\">analysis of bans\u003c/a> in six states found that medical school enrollment of students of color who were members of underrepresented groups fell roughly 17% after the bans were instituted.\u003c/p>\n\u003ch2>What about patients?\u003c/h2>\n\u003cp>At this point, it’s hard to say.\u003c/p>\n\u003cp>Despite the United States having one of the world’s most advanced systems of medical research and clinical care, Black people and some other minorities often fare worse than white people \u003ca href=\"https://www.kff.org/racial-equity-and-health-policy/report/key-data-on-health-and-health-care-by-race-and-ethnicity/#:~:text=Provisional%20data%20from%202021%20show,77.7%20years%20for%20Hispanic%20people\">across a range of health measures\u003c/a>.\u003c/p>\n\u003cp>Their life expectancies are shorter: 65.2 years for American Indian and Alaska Native people and 70.8 for Blacks in 2021, versus 76.4 for whites, according to KFF. Black and AIAN infants were roughly twice as likely to die as white infants, and women in those minority groups had the highest rates of mortality related to pregnancy in 2021.\u003c/p>\n\u003cp>Research shows people of all races tend to prefer to see physicians who are similar to them in race or ethnicity, according to Poll-Hunter. When patients are of the same race as their providers, they report higher levels of satisfaction and trust and better communication.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>When patients are of the same race or gender as their provider, they may also have better health outcomes, research shows.\u003c/p>\n\u003cp>For example, in a study of 1.8 million infants born in Florida hospitals between 1992 and 2015, Black newborns were \u003ca href=\"https://www.pnas.org/doi/10.1073/pnas.1913405117\">half as likely to die\u003c/a> when cared for by Black physicians as when their doctors were white. Research has historically focused on white newborns with white doctors, said the study’s lead author, Brad Greenwood, a professor of information systems and operations management at George Mason University.\u003c/p>\n\u003cp>“To the extent that physicians of a social outgroup are more likely to be aware of the challenges and issues that arise when treating their group, it stands to reason that these physicians may be more equipped to treat patients with complex needs,” according to the study.\u003c/p>\n\u003cp>The solution, however, is not to try to ensure all Black patients are seen by Black physicians, Greenwood said.\u003c/p>\n\u003cp>“Jim Crow-ing medicine is not going to solve this,” he said, referring to laws enacted in the 19th and 20th centuries that enforced racial segregation.\u003c/p>\n\u003cp>Ensuring a diverse physician base can improve care for all patients, including those from marginalized groups.\u003c/p>\n\u003cp>“As you increase diversity, the diversity of opinion increases the scope of how people think about things and express best practices,” he said.\u003c/p>\n\u003cfigure id=\"attachment_11955176\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11955176\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/07/UCDavis.jpg\" alt=\"The UC Davis logo with a soccer game and bike riders in the background.\" width=\"1920\" height=\"909\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/UCDavis.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/UCDavis-800x379.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/UCDavis-1020x483.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/UCDavis-160x76.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/UCDavis-1536x727.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">After California banned race-conscious admissions in 1996, the medical school at UC Davis upended its process to put less emphasis on MCAT scores and grades — and more on socioeconomic measures. \u003ccite>(Joseph DeSantis/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Do No Harm, a group of medical and policy professionals who oppose race-conscious medical school admissions and other policies that incorporate identity-based considerations into health care decision-making says race-conscious admission is about discrimination, not diversity.\u003c/p>\n\u003cp>“Our view is that whoever gets into health care should be the most qualified,” said \u003ca href=\"https://donoharmmedicine.org/content-author/dr-stanley-goldfarb/\">Stanley Goldfarb\u003c/a>, who chairs the board of Do No Harm. “It doesn’t matter the gender or the race. The only thing that matters is that they’re good, ethical people and good at what they do.”\u003c/p>\u003c/div>",
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"content": "‘The reality is that in the United States, we have a history of exclusion, displacement and colonization such that we can’t ignore the reality of race.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Goldfarb cited studies that showed “\u003ca href=\"https://www.tandfonline.com/doi/abs/10.1080/10410236.2023.2223402?journalCode=hhth20\">no relationship\u003c/a>” between race or ethnicity concordance and the quality of communication, and “\u003ca href=\"https://journals.sagepub.com/doi/10.1177/23743735221103033\">inconclusive\u003c/a>” evidence for patient outcomes.\u003c/p>\n\u003cp>The first med school class that will be affected will be the class of 2028. Some experts have suggested that colleges and medical schools may adopt policies that take \u003ca href=\"https://www.theatlantic.com/ideas/archive/2023/06/affirmative-action-race-socioeconomic-supreme-court/674251/\">income or family wealth\u003c/a> into account when determining whom to admit.\u003c/p>\n\u003cp>After California banned race-conscious admissions in 1996, the medical school at the University of California-Davis upended its process to put less emphasis on MCAT scores and grades and more on socioeconomic measures, \u003ca href=\"https://www.statnews.com/2023/03/07/how-one-medical-school-became-remarkably-diverse-without-considering-race/\">according to Stat\u003c/a>.\u003c/p>\n\u003cp>Poll-Hunter, with the AAMC, isn’t convinced.\u003c/p>\n\u003cp>“There’s no substitute or proxy for race,” she said. “The reality is that in the United States, we have a history of exclusion, displacement and colonization such that we can’t ignore the reality of race.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003cem>Listen to this special episode of Ear Hustle in honor of Pride Month.\u003c/em>\u003c/p>\n\u003cp>[audio src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/06/1109_PRIDE_FOR_PODCAST_FEED_SEG_A_16.mp3\" /]\u003c/p>\n\u003cp>The number of incarcerated Californians requesting gender-affirming health care more than doubled last year, and the state’s corrections agency expects the trend to continue even as the overall population of imprisoned people in California is projected to decline.\u003c/p>\n\u003cp>The estimate comes from budget documents detailing the agency’s responsibilities for two groundbreaking policies the state adopted over the last seven years.\u003c/p>\n\u003cp>One, in 2017, made California the first state to set standards that would grant gender-affirmation surgery to incarcerated people in state prison. It followed the state’s approval of surgery for a \u003ca href=\"https://apnews.com/article/prisons-california-us-news-ca-state-wire-7c3b2f14287849a18e2f9bb27362c05a\">transgender woman\u003c/a> serving a life sentence. She was later transferred to a women’s prison.\u003c/p>\n\u003cp>The other, a 2021 law signed by Gov. Gavin Newsom, requires that every person upon entering prison be asked \u003ca href=\"https://legiscan.com/CA/text/SB132/2019\">gender-specific questions\u003c/a> to determine whether they should be housed in a men’s or women’s facility.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Since the changes took effect, the California Department of Corrections and Rehabilitation found that the number of incarcerated transgender, intersex and nonbinary people consistently grew each year, rising to 1,617 last year. That’s a 234% increase over 2017, according to the documents.\u003c/p>\n\u003cp>“The vulnerable, transgender and transgender diverse population in CDCR has grown and continues to grow and there are enduring needs that need to be met,” Trisha Wallis, a department senior psychologist who specializes in gender health care, said during a budget committee hearing in March.[pullquote size=\"medium\" align=\"right\" citation=\"Trisha Wallis, department senior psychologist\"]‘The vulnerable, transgender and transgender diverse population in CDCR has grown and continues to grow and there are enduring needs that need to be met.’[/pullquote]The agency this year sought a slight boost in funding — $2.2 million — to provide the mandated care. The agency’s request was not controversial and moved through the Legislature without pushback this spring. Budget negotiations between Gov. Newsom and the Legislature are expected to conclude this week.\u003c/p>\n\u003cp>Wallis at the hearing said the program was originally meant to “address equitable access” to safe and optimal gender-affirming care, but she acknowledged that staff shortages led to treatment backlogs.\u003c/p>\n\u003ch2>Backlog grows for gender-affirming care\u003c/h2>\n\u003cp>As of December, 20 incarcerated people since 2017 had received gender-affirming surgery. Another 150 surgeries had been approved, but not completed, according to the budget documents.\u003c/p>\n\u003cp>In the 2021-22 California government budget year, 270 incarcerated people requested gender-affirming surgeries — up from 99 the previous year.\u003c/p>\n\u003cp>The state projects 348 incarcerated people will request gender-affirming treatment this year, and 462 next year. The corrections agency says its staff can evaluate no more than three requests each week.\u003c/p>\n\u003cp>The agency also has received over 364 housing transfer requests since 2021. Only 35 of those were approved and sent to the Central California Women’s Facility in Chowchilla.\u003c/p>\n\u003cp>Advocates for transgender and nonbinary incarcerated people have urged the state to move faster in providing the surgeries and evaluating other incarcerated people’s requests to transfer to facilities that better suit their needs.\u003c/p>\n\u003cp>Some of them criticized the agency’s budget request, arguing the state’s $15 billion-a-year prison system already had plenty of money to carry out the policies.\u003c/p>\n\u003cp>“It’s ridiculous. Two million dollars for stuff they should already be doing?” said Alex Binsfield, a policy analyst with TGI Justice Project, a San Francisco nonprofit that \u003ca href=\"https://tgijp.org/\">advocates for incarcerated transgender people\u003c/a>. “I don’t think pumping any more money into CDCR is going to fix health care there.”[aside label='More on Transgender Rights' tag='transgender-prisoners']Transgender advocates also are on guard for signs that the state is refusing transfers for incarcerated people who identify as transgender but who have not received gender-affirming medical care.\u003c/p>\n\u003cp>“Ultimately the housing question should not be a medical question,” said Jen Orthwein, a psychologist who previously provided treatment to transgender incarcerated people in prisons across California.\u003c/p>\n\u003cp>Terri Hardy, spokesperson for the California Department of Corrections and Rehabilitation, said those fears are unfounded.\u003c/p>\n\u003cp>“Incarcerated people are not required to have gender-affirming surgery in order to transfer to an institution consistent with their gender identity,” Hardy wrote in an email to CalMatters.\u003c/p>\n\u003ch2>Lawsuit challenges California prison transfers\u003c/h2>\n\u003cp>Outside of the Capitol, some conservative-leaning and feminist groups have opposed the prison agency’s gender-affirming policies.\u003c/p>\n\u003cp>The \u003ca href=\"https://womensliberationfront.org/chandler-v-cdcr\">Women’s Liberation Front\u003c/a>, a feminist advocacy group based in Washington, D.C., sued the state in 2021 to halt \u003ca href=\"https://www.scribd.com/document/540465542/Women-s-Liberation-Front-Lawsuit-against-the-California-Department-of-Corrections-and-Rehabilitation\">certain transfers to the state’s women’s prison\u003c/a> in Chowchilla. It argued the transfers put incarcerated females at greater risk of violence and sexual assault. The lawsuit is playing out in the U.S. Eastern District Court of California.\u003c/p>\n\u003cp>“The reality that men and women are factually, materially, immutably different, in ways that disadvantage women and necessitate attention to women’s unique needs, supports protection of incarcerated women by providing women-only correctional facilities,” the lawsuit reads.[pullquote size=\"medium\" align=\"right\" citation=\"Jen Orthwein, psychologist\"]‘There should be no difference to their treatment than that of cisgender people. They shouldn’t have to jump through a number of barriers and be poked and prodded for housing.’[/pullquote]The Transgender Law Center and the American Civil Liberties Union filed a brief challenging that suit. The two liberal organizations contend the 2021 law allowing prison transfers protects vulnerable incarcerated transgender people.\u003c/p>\n\u003cp>Several states have followed California in adopting gender-affirming policies for incarcerated people. Massachusetts and Connecticut allow incarcerated people to be transferred to facilities according to their chosen gender identity. New Jersey, New York City and Rhode Island also require that incarcerated people be housed at facilities appropriate to their gender.\u003c/p>\n\u003cp>Orthwein, the psychologist, urged the state to accommodate more care.\u003c/p>\n\u003cp>“There should be no difference to their treatment than that of cisgender people,” Orthwein said. “They shouldn’t have to jump through a number of barriers and be poked and prodded for housing.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The number of incarcerated Californians requesting gender-affirming health care more than doubled last year, and the state’s corrections agency expects the trend to continue even as the overall population of imprisoned people in California is projected to decline.\u003c/p>\n\u003cp>The estimate comes from budget documents detailing the agency’s responsibilities for two groundbreaking policies the state adopted over the last seven years.\u003c/p>\n\u003cp>One, in 2017, made California the first state to set standards that would grant gender-affirmation surgery to incarcerated people in state prison. It followed the state’s approval of surgery for a \u003ca href=\"https://apnews.com/article/prisons-california-us-news-ca-state-wire-7c3b2f14287849a18e2f9bb27362c05a\">transgender woman\u003c/a> serving a life sentence. She was later transferred to a women’s prison.\u003c/p>\n\u003cp>The other, a 2021 law signed by Gov. Gavin Newsom, requires that every person upon entering prison be asked \u003ca href=\"https://legiscan.com/CA/text/SB132/2019\">gender-specific questions\u003c/a> to determine whether they should be housed in a men’s or women’s facility.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The agency this year sought a slight boost in funding — $2.2 million — to provide the mandated care. The agency’s request was not controversial and moved through the Legislature without pushback this spring. Budget negotiations between Gov. Newsom and the Legislature are expected to conclude this week.\u003c/p>\n\u003cp>Wallis at the hearing said the program was originally meant to “address equitable access” to safe and optimal gender-affirming care, but she acknowledged that staff shortages led to treatment backlogs.\u003c/p>\n\u003ch2>Backlog grows for gender-affirming care\u003c/h2>\n\u003cp>As of December, 20 incarcerated people since 2017 had received gender-affirming surgery. Another 150 surgeries had been approved, but not completed, according to the budget documents.\u003c/p>\n\u003cp>In the 2021-22 California government budget year, 270 incarcerated people requested gender-affirming surgeries — up from 99 the previous year.\u003c/p>\n\u003cp>The state projects 348 incarcerated people will request gender-affirming treatment this year, and 462 next year. The corrections agency says its staff can evaluate no more than three requests each week.\u003c/p>\n\u003cp>The agency also has received over 364 housing transfer requests since 2021. Only 35 of those were approved and sent to the Central California Women’s Facility in Chowchilla.\u003c/p>\n\u003cp>Advocates for transgender and nonbinary incarcerated people have urged the state to move faster in providing the surgeries and evaluating other incarcerated people’s requests to transfer to facilities that better suit their needs.\u003c/p>\n\u003cp>Some of them criticized the agency’s budget request, arguing the state’s $15 billion-a-year prison system already had plenty of money to carry out the policies.\u003c/p>\n\u003cp>“It’s ridiculous. Two million dollars for stuff they should already be doing?” said Alex Binsfield, a policy analyst with TGI Justice Project, a San Francisco nonprofit that \u003ca href=\"https://tgijp.org/\">advocates for incarcerated transgender people\u003c/a>. “I don’t think pumping any more money into CDCR is going to fix health care there.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Transgender advocates also are on guard for signs that the state is refusing transfers for incarcerated people who identify as transgender but who have not received gender-affirming medical care.\u003c/p>\n\u003cp>“Ultimately the housing question should not be a medical question,” said Jen Orthwein, a psychologist who previously provided treatment to transgender incarcerated people in prisons across California.\u003c/p>\n\u003cp>Terri Hardy, spokesperson for the California Department of Corrections and Rehabilitation, said those fears are unfounded.\u003c/p>\n\u003cp>“Incarcerated people are not required to have gender-affirming surgery in order to transfer to an institution consistent with their gender identity,” Hardy wrote in an email to CalMatters.\u003c/p>\n\u003ch2>Lawsuit challenges California prison transfers\u003c/h2>\n\u003cp>Outside of the Capitol, some conservative-leaning and feminist groups have opposed the prison agency’s gender-affirming policies.\u003c/p>\n\u003cp>The \u003ca href=\"https://womensliberationfront.org/chandler-v-cdcr\">Women’s Liberation Front\u003c/a>, a feminist advocacy group based in Washington, D.C., sued the state in 2021 to halt \u003ca href=\"https://www.scribd.com/document/540465542/Women-s-Liberation-Front-Lawsuit-against-the-California-Department-of-Corrections-and-Rehabilitation\">certain transfers to the state’s women’s prison\u003c/a> in Chowchilla. It argued the transfers put incarcerated females at greater risk of violence and sexual assault. The lawsuit is playing out in the U.S. Eastern District Court of California.\u003c/p>\n\u003cp>“The reality that men and women are factually, materially, immutably different, in ways that disadvantage women and necessitate attention to women’s unique needs, supports protection of incarcerated women by providing women-only correctional facilities,” the lawsuit reads.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The Transgender Law Center and the American Civil Liberties Union filed a brief challenging that suit. The two liberal organizations contend the 2021 law allowing prison transfers protects vulnerable incarcerated transgender people.\u003c/p>\n\u003cp>Several states have followed California in adopting gender-affirming policies for incarcerated people. Massachusetts and Connecticut allow incarcerated people to be transferred to facilities according to their chosen gender identity. New Jersey, New York City and Rhode Island also require that incarcerated people be housed at facilities appropriate to their gender.\u003c/p>\n\u003cp>Orthwein, the psychologist, urged the state to accommodate more care.\u003c/p>\n\u003cp>“There should be no difference to their treatment than that of cisgender people,” Orthwein said. “They shouldn’t have to jump through a number of barriers and be poked and prodded for housing.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cem>Updated 6:10 p.m. Thursday\u003c/em>\u003c/p>\n\u003cp>Contra Costa County health officials announced Thursday that soil testing conducted in the months after a Martinez oil refinery released nearly 50,000 pounds of powdered industrial chemicals last November has found no long-term health risks to residents in the area.\u003c/p>\n\u003cp>Contra Costa Health Officer Dr. Ori Tzvieli said the county is immediately lifting \u003ca href=\"https://ccc.cchealth.org/press-releases/2023/0307-Safety-Advice-Near-Martinez-Refinery-Health-Advisory.pdf\" target=\"_blank\" rel=\"noopener\">a March 7 advisory (PDF)\u003c/a> that recommended residents refrain from consuming fruits and vegetables grown in soil that had received fallout from the Martinez Refining Company’s release. The refinery company is owned and operated by PBF Energy, based in Parsippany, New Jersey.\u003c/p>\n\u003cp>Tzvieli said the soil testing and an associated risk assessment “confirms that the primary health risk from the spent catalyst release occurred in the initial hours and days after the refinery release.”\u003c/p>\n\u003cp>The soil-testing results were released to \u003ca href=\"https://ccc.cchealth.org/hazmat/mrc/\">a community oversight committee\u003c/a> formed after the \u003ca href=\"https://www.kqed.org/forum/2010101892741/martinez-residents-seek-answers-on-toxic-refinery-release\">releases\u003c/a>, which occurred last Nov. 24–25, on Thanksgiving and the following day.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Tzvieli added during a media briefing that followed the committee meeting that because PBF failed to immediately notify officials about the release, questions remain about what health effects residents might experience because of their exposure to the toxic dust immediately after it settled on their neighborhoods.\u003c/p>\n\u003cp>“We weren’t able to do measurement in real time because we didn’t know this was going on until several days later,” Tzvieli said. “So had we been able to do measurement in real time, we would have been able to look at concentrations — what was in the air.”\u003c/p>\n\u003cp>Some of the heavy metals in the dust, such as nickel, pose health concerns, he said.\u003c/p>\n\u003cp>“Some of those can have effects on the immune system, some of these metals can be carcinogenic. So it is a concerning incident,” he said.\u003c/p>\n\u003cp>At the same time, he added, the inability to measure the November release as it was occurring makes it hard to distinguish the hazard the incident posed from the impact of ongoing refinery emissions.\u003c/p>\n\u003cp>“So that’s why it’s hard to give people specific information about the risks that stemmed from this particular release,” Tzvieli said.\u003c/p>\n\u003cp>Consultants hired by the county analyzed soil samples from 14 sites stretching from El Sobrante to Benicia for more than a dozen metals that may have been associated with the release of 24 tons of refinery dust — material described as “spent catalyst” used in the refining process.\u003c/p>\n\u003cp>The results for most of the heavy metals the samples were analyzed for, including aluminum, copper, nickel, zinc and chromium, all came back both within an expected regional background range and below residential health limits set by the state Department of Toxic Substances Control.\u003c/p>\n\u003cp>Jenny Phillips, a toxicologist employed by consultant TRC, reported that samples of arsenic and lead were close to or exceeded state health limits at a handful of sites. But she added that the higher levels of those two toxic metals were probably unrelated to last November’s refinery release. TRC’s report will be made available to the public sometime in the next two weeks, and it will be open for comment for 45 days.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Tony Semenza, Martinez resident and member of the oversight committee\"]‘One hundred ninety-four days after the release, we are now at the point where we’re telling people it’s OK to eat the fresh fruits and vegetables. The process is flawed.’[/pullquote]Matt Kaufmann, Contra Costa County’s deputy health director, emphasized that the investigation of the Martinez incident is far from over. The county has hired a consultant to perform an independent root cause analysis of the release, and county prosecutors are weighing potential charges against the refinery.\u003c/p>\n\u003cp>Kaufmann criticized the refining company for failing to immediately notify local officials when the incident occurred.\u003c/p>\n\u003cp>The test results released Thursday “do not excuse the Martinez Refining Company for the lack of notification at the onset of this incident,” he said. “The lack of timely notification negated our ability as health officials to protect our community, including those most vulnerable, namely the medically compromised, the elderly and the children within our community.”\u003c/p>\n\u003cp>In a statement, PBF Energy spokesperson Brandon Matson said the company was “pleased” the county had released the soil-testing analysis and lifted its health advisory.\u003c/p>\n\u003cp>“The results are in line with our initial statements about the material,” Matson said. He also offered the latest in a string of apologies the company has offered to Martinez residents, saying the company has investigated the release, has identified corrective actions and is committed to implementing them.\u003c/p>\n\u003cp>Tony Semenza, a Martinez resident serving on the oversight committee, expressed frustration that it has taken so long to assess the hazard posed by the releases.\u003c/p>\n\u003cp>“One hundred ninety-four days after the release, we are now at the point where we’re telling people it’s OK to eat the fresh fruits and vegetables,” Semenza said. “The process is flawed. This should have been done much quicker, a while ago. … I’m upset with the way the process works.”\u003c/p>\n\u003cp>[aside label='More Refinery Coverage' postID=news_11947977]The test results come less than two weeks after the FBI confirmed it has launched a joint investigation with the U.S. Environmental Protection Agency into the Martinez plant’s spent catalyst release.\u003c/p>\n\u003cp>Members of the refinery accountability group \u003ca href=\"https://www.healthymartinez.org/\" rel=\"noopener\" target=\"_blank\">Healthy Martinez\u003c/a> welcomed the largely reassuring test results, but expressed continuing misgivings about PBF and the refinery. \u003c/p>\n\u003cp>“I’m grateful that the Thanksgiving release no longer poses serious danger and that Contra Costa Health has demonstrated leadership in this process, but I still don’t trust the refinery that didn’t report it,” said Martinez resident group member Jillian Elliott. \u003c/p>\n\u003cp>“Today’s results are only one piece of the larger issue,” said Heidi Taylor, a longtime Martinez resident and Healthy Martinez member. “It doesn’t change the fact that this oil refinery dumped toxic metals on our community (and) didn’t report it to county health.” \u003c/p>\n\u003cp>Healthy Martinez has also called on PBF to install improved emissions control and air monitoring equipment at the refinery. \u003c/p>\n\u003cp>FBI agents and EPA personnel have gone door to door asking residents about their experience during and after the incident. The probe also has included circulation of an online survey.\u003c/p>\n\u003cp>Martinez resident Wendy Ke said representatives from both federal agencies approached her late last month and asked a series of questions.\u003c/p>\n\u003cp>“It was primarily, ‘Do you have photos, do you have videos, do you have factual documentation? Did you touch the spent catalyst? Did you see it?’” Ke said.\u003c/p>\n\u003cp>She said the morning after Thanksgiving, her neighborhood was coated with what looked like ash, as if there had been a major wildfire nearby.\u003c/p>\n\u003cp>“But it did look a little bit different,” she said. “It didn’t have a light-weight ash to it, like flaky ash. It seemed a little more sticky.”\u003c/p>\n\u003cp>The same morning, resident Zachary Taylor found his neighborhood covered in dust.\u003c/p>\n\u003cp>“Just a consistent coating across everything, almost like a snowfall, like a light dusting, but then we go out across the street and absolutely everything is covered with it,” Taylor said.\u003c/p>\n\u003cfigure id=\"attachment_11952523\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11952523\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/06/060723-MARTINEZ-DUST-KQED.jpg\" alt=\"A fine white powder collected on the edges and near the windshield wiper of a car shown in close detail.\" width=\"800\" height=\"1067\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/060723-MARTINEZ-DUST-KQED.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/060723-MARTINEZ-DUST-KQED-160x213.jpg 160w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Refinery dust known as ‘spent catalyst’ from the PBF Energy plant sits on a car windshield in Martinez in late November 2022. \u003ccite>(Courtesy of Anna Encarnacion)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Refinery catalyst is a powdered chemical compound used in the process of breaking down crude petroleum into products like gasoline. Spent catalyst is the material left over after the high-temperature refining process and contains a mix of potentially hazardous components.\u003c/p>\n\u003cp>Before Thursday’s test results were released, county health officials told Martinez residents that \u003ca href=\"https://ccc.cchealth.org/hazmat/pdf/MRC-Catalyst-Release-FAQs.pdf\">the dust that coated homes, vehicles, lawns, gardens and a nearby schoolyard included heavy metals (PDF)\u003c/a>, including aluminum, chromium, nickel, vanadium and zinc. The county health department said there could have been short-term respiratory problems from breathing in the dust right after the incident, and that potential long-term health impacts would depend on each person’s exposure.\u003c/p>\n\u003cp>Contra Costa County hired TRC, a Connecticut-based consulting and engineering firm, to take \u003ca href=\"https://cchealth.org/hazmat/mrc/pdf/Proposed-Sample-Locations-2023-0427.pdf\">soil samples in 14 locations (PDF)\u003c/a> from El Sobrante to Martinez to Benicia. Those locations were chosen after local air regulators \u003ca href=\"https://legistarweb-production.s3.amazonaws.com/uploads/attachment/pdf/1867499/Martinez-City-Meeting-MRC_Incident_Slides-v5.pdf\">mapped fallout from the release (PDF)\u003c/a>. Crews began collecting samples in May. Health officials say the samples were taken to a lab to see which health risks they might pose through touching, inhaling or consuming food.\u003c/p>\n\u003cp>In March, months after the refinery accident, \u003ca href=\"https://ccc.cchealth.org/press-releases/2023/0307-Safety-Advice-Near-Martinez-Refinery-Health-Advisory.pdf\">the health department urged residents to refrain from eating food grown in soil that might contain the refinery dust (PDF)\u003c/a>.\u003c/p>\n\u003cp>The department also asked local prosecutors to file charges against PBF Energy. That request is under review, according to Ted Asregadoo, a Contra Costa County District Attorney spokesperson.\u003c/p>\n\u003cp>Asregadoo said the office is investigating whether PBF violated the law by failing to report an actual or threatened hazardous material release to county officials and whether the company made illegal discharges into the county stormwater system.\u003c/p>\n\u003cp>County officials have emphasized that \u003ca href=\"https://ccc.cchealth.org/press-releases/2022/1130-Hazardous-Materials-Release-at-Martinez-Oil-Refinery.php\">they learned about the releases not from the refinery but instead from residents\u003c/a>. The refinery initially told residents that its testing suggested the release consisted of only nontoxic material. The company also offered free carwash vouchers to Martinez residents.\u003c/p>\n\u003cp>The Bay Area Air Quality Management District has said \u003ca href=\"https://www.baaqmd.gov/~/media/files/compliance-and-enforcement/incident-reports/2022/updated-incident-report-pbf-mrc-120922-draft-eg-pdf.pdf?la=en&rev=26aa2da8823e4d11b06437a9be2e9717\">the release was caused by a malfunction (PDF)\u003c/a> within the refinery’s fluid catalytic cracking unit. The air district has issued 21 notices of violation against PBF in connection with the November release and continues to investigate the incident, according to district spokesperson Ralph Borrmann.\u003c/p>\n\u003cp>PBF representatives have apologized for the releases, noting the company has cooperated with regulators and made changes to prevent a repeat of the Thanksgiving incident.\u003c/p>\n\u003cp>Nevertheless, some refinery neighbors say their sense of safety has been shattered.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“At this point I feel very uncertain about what I’m breathing, knowing what the potential is for release on a daily basis,” said Ke, who has lived in Martinez for more than a decade.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Updated 6:10 p.m. Thursday\u003c/em>\u003c/p>\n\u003cp>Contra Costa County health officials announced Thursday that soil testing conducted in the months after a Martinez oil refinery released nearly 50,000 pounds of powdered industrial chemicals last November has found no long-term health risks to residents in the area.\u003c/p>\n\u003cp>Contra Costa Health Officer Dr. Ori Tzvieli said the county is immediately lifting \u003ca href=\"https://ccc.cchealth.org/press-releases/2023/0307-Safety-Advice-Near-Martinez-Refinery-Health-Advisory.pdf\" target=\"_blank\" rel=\"noopener\">a March 7 advisory (PDF)\u003c/a> that recommended residents refrain from consuming fruits and vegetables grown in soil that had received fallout from the Martinez Refining Company’s release. The refinery company is owned and operated by PBF Energy, based in Parsippany, New Jersey.\u003c/p>\n\u003cp>Tzvieli said the soil testing and an associated risk assessment “confirms that the primary health risk from the spent catalyst release occurred in the initial hours and days after the refinery release.”\u003c/p>\n\u003cp>The soil-testing results were released to \u003ca href=\"https://ccc.cchealth.org/hazmat/mrc/\">a community oversight committee\u003c/a> formed after the \u003ca href=\"https://www.kqed.org/forum/2010101892741/martinez-residents-seek-answers-on-toxic-refinery-release\">releases\u003c/a>, which occurred last Nov. 24–25, on Thanksgiving and the following day.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Tzvieli added during a media briefing that followed the committee meeting that because PBF failed to immediately notify officials about the release, questions remain about what health effects residents might experience because of their exposure to the toxic dust immediately after it settled on their neighborhoods.\u003c/p>\n\u003cp>“We weren’t able to do measurement in real time because we didn’t know this was going on until several days later,” Tzvieli said. “So had we been able to do measurement in real time, we would have been able to look at concentrations — what was in the air.”\u003c/p>\n\u003cp>Some of the heavy metals in the dust, such as nickel, pose health concerns, he said.\u003c/p>\n\u003cp>“Some of those can have effects on the immune system, some of these metals can be carcinogenic. So it is a concerning incident,” he said.\u003c/p>\n\u003cp>At the same time, he added, the inability to measure the November release as it was occurring makes it hard to distinguish the hazard the incident posed from the impact of ongoing refinery emissions.\u003c/p>\n\u003cp>“So that’s why it’s hard to give people specific information about the risks that stemmed from this particular release,” Tzvieli said.\u003c/p>\n\u003cp>Consultants hired by the county analyzed soil samples from 14 sites stretching from El Sobrante to Benicia for more than a dozen metals that may have been associated with the release of 24 tons of refinery dust — material described as “spent catalyst” used in the refining process.\u003c/p>\n\u003cp>The results for most of the heavy metals the samples were analyzed for, including aluminum, copper, nickel, zinc and chromium, all came back both within an expected regional background range and below residential health limits set by the state Department of Toxic Substances Control.\u003c/p>\n\u003cp>Jenny Phillips, a toxicologist employed by consultant TRC, reported that samples of arsenic and lead were close to or exceeded state health limits at a handful of sites. But she added that the higher levels of those two toxic metals were probably unrelated to last November’s refinery release. TRC’s report will be made available to the public sometime in the next two weeks, and it will be open for comment for 45 days.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Matt Kaufmann, Contra Costa County’s deputy health director, emphasized that the investigation of the Martinez incident is far from over. The county has hired a consultant to perform an independent root cause analysis of the release, and county prosecutors are weighing potential charges against the refinery.\u003c/p>\n\u003cp>Kaufmann criticized the refining company for failing to immediately notify local officials when the incident occurred.\u003c/p>\n\u003cp>The test results released Thursday “do not excuse the Martinez Refining Company for the lack of notification at the onset of this incident,” he said. “The lack of timely notification negated our ability as health officials to protect our community, including those most vulnerable, namely the medically compromised, the elderly and the children within our community.”\u003c/p>\n\u003cp>In a statement, PBF Energy spokesperson Brandon Matson said the company was “pleased” the county had released the soil-testing analysis and lifted its health advisory.\u003c/p>\n\u003cp>“The results are in line with our initial statements about the material,” Matson said. He also offered the latest in a string of apologies the company has offered to Martinez residents, saying the company has investigated the release, has identified corrective actions and is committed to implementing them.\u003c/p>\n\u003cp>Tony Semenza, a Martinez resident serving on the oversight committee, expressed frustration that it has taken so long to assess the hazard posed by the releases.\u003c/p>\n\u003cp>“One hundred ninety-four days after the release, we are now at the point where we’re telling people it’s OK to eat the fresh fruits and vegetables,” Semenza said. “The process is flawed. This should have been done much quicker, a while ago. … I’m upset with the way the process works.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The test results come less than two weeks after the FBI confirmed it has launched a joint investigation with the U.S. Environmental Protection Agency into the Martinez plant’s spent catalyst release.\u003c/p>\n\u003cp>Members of the refinery accountability group \u003ca href=\"https://www.healthymartinez.org/\" rel=\"noopener\" target=\"_blank\">Healthy Martinez\u003c/a> welcomed the largely reassuring test results, but expressed continuing misgivings about PBF and the refinery. \u003c/p>\n\u003cp>“I’m grateful that the Thanksgiving release no longer poses serious danger and that Contra Costa Health has demonstrated leadership in this process, but I still don’t trust the refinery that didn’t report it,” said Martinez resident group member Jillian Elliott. \u003c/p>\n\u003cp>“Today’s results are only one piece of the larger issue,” said Heidi Taylor, a longtime Martinez resident and Healthy Martinez member. “It doesn’t change the fact that this oil refinery dumped toxic metals on our community (and) didn’t report it to county health.” \u003c/p>\n\u003cp>Healthy Martinez has also called on PBF to install improved emissions control and air monitoring equipment at the refinery. \u003c/p>\n\u003cp>FBI agents and EPA personnel have gone door to door asking residents about their experience during and after the incident. The probe also has included circulation of an online survey.\u003c/p>\n\u003cp>Martinez resident Wendy Ke said representatives from both federal agencies approached her late last month and asked a series of questions.\u003c/p>\n\u003cp>“It was primarily, ‘Do you have photos, do you have videos, do you have factual documentation? Did you touch the spent catalyst? Did you see it?’” Ke said.\u003c/p>\n\u003cp>She said the morning after Thanksgiving, her neighborhood was coated with what looked like ash, as if there had been a major wildfire nearby.\u003c/p>\n\u003cp>“But it did look a little bit different,” she said. “It didn’t have a light-weight ash to it, like flaky ash. It seemed a little more sticky.”\u003c/p>\n\u003cp>The same morning, resident Zachary Taylor found his neighborhood covered in dust.\u003c/p>\n\u003cp>“Just a consistent coating across everything, almost like a snowfall, like a light dusting, but then we go out across the street and absolutely everything is covered with it,” Taylor said.\u003c/p>\n\u003cfigure id=\"attachment_11952523\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11952523\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/06/060723-MARTINEZ-DUST-KQED.jpg\" alt=\"A fine white powder collected on the edges and near the windshield wiper of a car shown in close detail.\" width=\"800\" height=\"1067\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/060723-MARTINEZ-DUST-KQED.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/060723-MARTINEZ-DUST-KQED-160x213.jpg 160w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Refinery dust known as ‘spent catalyst’ from the PBF Energy plant sits on a car windshield in Martinez in late November 2022. \u003ccite>(Courtesy of Anna Encarnacion)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Refinery catalyst is a powdered chemical compound used in the process of breaking down crude petroleum into products like gasoline. Spent catalyst is the material left over after the high-temperature refining process and contains a mix of potentially hazardous components.\u003c/p>\n\u003cp>Before Thursday’s test results were released, county health officials told Martinez residents that \u003ca href=\"https://ccc.cchealth.org/hazmat/pdf/MRC-Catalyst-Release-FAQs.pdf\">the dust that coated homes, vehicles, lawns, gardens and a nearby schoolyard included heavy metals (PDF)\u003c/a>, including aluminum, chromium, nickel, vanadium and zinc. The county health department said there could have been short-term respiratory problems from breathing in the dust right after the incident, and that potential long-term health impacts would depend on each person’s exposure.\u003c/p>\n\u003cp>Contra Costa County hired TRC, a Connecticut-based consulting and engineering firm, to take \u003ca href=\"https://cchealth.org/hazmat/mrc/pdf/Proposed-Sample-Locations-2023-0427.pdf\">soil samples in 14 locations (PDF)\u003c/a> from El Sobrante to Martinez to Benicia. Those locations were chosen after local air regulators \u003ca href=\"https://legistarweb-production.s3.amazonaws.com/uploads/attachment/pdf/1867499/Martinez-City-Meeting-MRC_Incident_Slides-v5.pdf\">mapped fallout from the release (PDF)\u003c/a>. Crews began collecting samples in May. Health officials say the samples were taken to a lab to see which health risks they might pose through touching, inhaling or consuming food.\u003c/p>\n\u003cp>In March, months after the refinery accident, \u003ca href=\"https://ccc.cchealth.org/press-releases/2023/0307-Safety-Advice-Near-Martinez-Refinery-Health-Advisory.pdf\">the health department urged residents to refrain from eating food grown in soil that might contain the refinery dust (PDF)\u003c/a>.\u003c/p>\n\u003cp>The department also asked local prosecutors to file charges against PBF Energy. That request is under review, according to Ted Asregadoo, a Contra Costa County District Attorney spokesperson.\u003c/p>\n\u003cp>Asregadoo said the office is investigating whether PBF violated the law by failing to report an actual or threatened hazardous material release to county officials and whether the company made illegal discharges into the county stormwater system.\u003c/p>\n\u003cp>County officials have emphasized that \u003ca href=\"https://ccc.cchealth.org/press-releases/2022/1130-Hazardous-Materials-Release-at-Martinez-Oil-Refinery.php\">they learned about the releases not from the refinery but instead from residents\u003c/a>. The refinery initially told residents that its testing suggested the release consisted of only nontoxic material. The company also offered free carwash vouchers to Martinez residents.\u003c/p>\n\u003cp>The Bay Area Air Quality Management District has said \u003ca href=\"https://www.baaqmd.gov/~/media/files/compliance-and-enforcement/incident-reports/2022/updated-incident-report-pbf-mrc-120922-draft-eg-pdf.pdf?la=en&rev=26aa2da8823e4d11b06437a9be2e9717\">the release was caused by a malfunction (PDF)\u003c/a> within the refinery’s fluid catalytic cracking unit. The air district has issued 21 notices of violation against PBF in connection with the November release and continues to investigate the incident, according to district spokesperson Ralph Borrmann.\u003c/p>\n\u003cp>PBF representatives have apologized for the releases, noting the company has cooperated with regulators and made changes to prevent a repeat of the Thanksgiving incident.\u003c/p>\n\u003cp>Nevertheless, some refinery neighbors say their sense of safety has been shattered.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“At this point I feel very uncertain about what I’m breathing, knowing what the potential is for release on a daily basis,” said Ke, who has lived in Martinez for more than a decade.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "San Francisco to Deploy 130 Sheriff's Deputies in Downtown Drug Crackdown",
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"content": "\u003cp>The San Francisco Sheriff’s Office is tasking its emergency unit with arresting and compelling treatment for people who use drugs or are intoxicated in public, city leaders announced Thursday.\u003c/p>\n\u003cp>The plan comes shortly after \u003ca href=\"https://www.kqed.org/news/11950520/compassion-is-killing-people-london-breed-pushes-for-more-arrests-to-tackle-sfs-drug-crisis\">Mayor London Breed last month told the Board of Supervisors that “force” needs to be part of the city’s response to drug use\u003c/a>. The sheriff’s plan includes deploying 130 additional deputies to the Tenderloin and South of Market neighborhoods, two areas where drug use, sales and overdoses are concentrated in the city.\u003c/p>\n\u003cp>The deputies will work overtime for a six-month deployment beginning this month.\u003c/p>\n\u003cp>“In many cases, individuals suffering from drug addiction only seek help when they hit their lowest point, and the sad truth for many is that the low point is incarceration,” Sheriff Paul Miyamoto said at a press conference Thursday morning outside City Hall.\u003c/p>\n\u003cp>The Emergency Services Unit at the sheriff’s office will work with the Mayor’s Office to increase arrests for drug sellers as well as people using drugs outdoors and in public settings, particularly those who are deemed to pose a threat to themselves or others.\u003c/p>\n\u003cfigure id=\"attachment_11952546\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11952546\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/06/RS66153_031_KQED_SheriffPressConference_06082023-KQED.jpg\" alt=\"A man in an official uniform with a starred badge pinned to it speaks into an array of microphones from an outdoor lectern, flanked by law enforcement officers and others.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66153_031_KQED_SheriffPressConference_06082023-KQED.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66153_031_KQED_SheriffPressConference_06082023-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66153_031_KQED_SheriffPressConference_06082023-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66153_031_KQED_SheriffPressConference_06082023-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66153_031_KQED_SheriffPressConference_06082023-KQED-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Sheriff Paul Miyamoto speaks during a news conference outside City Hall Thursday morning. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Law enforcement including the San Francisco Police Department, \u003ca href=\"https://www.kqed.org/news/11948062/newsom-taps-chp-national-guard-to-fight-san-franciscos-fentanyl-crisis\">the California Highway Patrol and the National Guard\u003c/a> in recent months have renewed focus on the Tenderloin and SoMa, two areas that have become central to ongoing debates over how to respond to challenges around outdoor drug use and sales, homelessness and substance use disorders.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Part of the solution is making sure we have enough law enforcement on the ground in the Tenderloin, South of Market and in the Civic Center area to make sure drug dealers understand that their behavior will not be tolerated any longer in this city and that those who are struggling with addiction get the help they so desperately need,” District Attorney Brooke Jenkins told reporters at Thursday’s press conference.\u003c/p>\n\u003cp>But public health experts have historically decried the notion put forward Thursday that jails can rehabilitate substance use disorders for many. And incarceration can make life much worse for some people seeking employment or housing upon release.\u003c/p>\n\u003cp>Some fear the approach mimics tried-and-failed approaches to cracking down on drugs in the past, which led to outsized incarceration for members of Black and brown communities.\u003c/p>\n\u003cp>“Rounding up individuals for being under the influence is another war-on-drugs tactic that we know from decades of experience and research will not be effective in addressing our city’s public health crisis,” said San Francisco Public Defender Mano Raju in a statement following Thursday’s press conference. “Our jails, which already subject people to frequent lockdowns, little contact with family, and no sunlight, are not well-equipped to treat individuals with substance use disorder.”\u003c/p>\n\u003cfigure id=\"attachment_11952547\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11952547\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/06/RS66158_040_KQED_SheriffPressConference_06082023-KQED.jpg\" alt=\"A woman in a purple suit speaks into an array of microphones from an outdoor lectern, flanked by law enforcement officers and others.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66158_040_KQED_SheriffPressConference_06082023-KQED.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66158_040_KQED_SheriffPressConference_06082023-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66158_040_KQED_SheriffPressConference_06082023-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66158_040_KQED_SheriffPressConference_06082023-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66158_040_KQED_SheriffPressConference_06082023-KQED-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">San Francisco District Attorney Brooke Jenkins speaks during Thursday’s press conference. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Numerous studies show that \u003ca href=\"https://www.kqed.org/news/11948421/newsoms-plan-to-crack-down-on-fentanyl-in-san-francisco-could-cause-more-harm-than-good-some-addiction-experts-say\">efforts to criminalize drug use can also lead to increased overdoses\u003c/a> once targeted operations subside, and even immediately after individual arrests themselves.\u003c/p>\n\u003cp>In Indianapolis, \u003ca href=\"https://ajph.aphapublications.org/doi/10.2105/AJPH.2023.307329\">researchers found that opioid overdose deaths doubled within a 500-meter radius of each drug arrest\u003c/a>. “Elevated fatal and nonfatal opioid overdoses were sustained over one, two and three weeks,” reads \u003ca href=\"https://ajph.aphapublications.org/doi/10.2105/AJPH.2023.307329\">a report published June 7, 2023, in the \u003cem>American Journal of Public Health\u003c/em>\u003c/a>.\u003c/p>\n\u003cp>One reason for the uptick in overdoses, the paper explains, is that disrupting the drug supply can drive drug users to find new suppliers who may have tainted substances, and pushing people to use drugs alone or secretly can lead to more erratic drug use.\u003c/p>\n\u003cp>Earlier this week, Breed applauded arrests made on 25 people for public intoxication with drugs or alcohol in the Tenderloin and SoMa. But, \u003cem>The San Francisco Chronicle \u003c/em>reported, \u003ca href=\"https://www.sfchronicle.com/sf/article/sf-mayor-breed-arrests-drug-dealers-treatment-18135871.php\">none of them accepted drug treatment upon release from jail\u003c/a>.\u003c/p>\n\u003cp>[aside label='Related Coverage' tag='overdose,overdoses,fentanyl,fatal-overdoses,fentanyl-overdoses']Law enforcement officials on Thursday expressed awareness that arrests alone won’t fix the problematic drug use or crime trends. They suggested that it was part of a broader effort.\u003c/p>\n\u003cp>“While it’s an unpopular stance to take, arresting and putting people in jail, it can be a critical gateway to help and needs to be a part of the multipronged approach,” Miyamoto said. “We’re not advocating for harsher punishments or increased incarceration for those who are struggling with harmful choices. There needs to be a multipronged approach to these problems, not just a single focus on harm reduction and treating this as a health crisis.”\u003c/p>\n\u003cp>Although the six-month-long deployment will be focused on SoMa and the Tenderloin, the sheriff said it could potentially reach into other neighborhoods. The deputies will patrol in marked vehicles and on foot, Miyamoto said. In a press release, officials said that deputies “undergo extensive, specialized training for handling situations that require intervention for destructive or criminal behavior.”\u003c/p>\n\u003cp>The latest push to criminalize drug use in the Tenderloin and SoMa comes amid a staffing shortage in both SFPD and the Sheriff’s Office. Also on Thursday, city leaders held a hearing on those staffing challenges, for which some have called for additional funding to resolve.\u003c/p>\n\u003cp>“We have to be funded properly. We have to be staffed properly, and we definitely are working toward getting in that direction,” Police Chief Bill Scott said Thursday at the press conference. “But that doesn’t happen without our elected officials supporting us.”\u003c/p>\n\u003cp>\u003cem>KQED reporter Billy Cruz contributed to this story.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story has been updated.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The San Francisco Sheriff’s Office is tasking its emergency unit with arresting and compelling treatment for people who use drugs or are intoxicated in public, city leaders announced Thursday.\u003c/p>\n\u003cp>The plan comes shortly after \u003ca href=\"https://www.kqed.org/news/11950520/compassion-is-killing-people-london-breed-pushes-for-more-arrests-to-tackle-sfs-drug-crisis\">Mayor London Breed last month told the Board of Supervisors that “force” needs to be part of the city’s response to drug use\u003c/a>. The sheriff’s plan includes deploying 130 additional deputies to the Tenderloin and South of Market neighborhoods, two areas where drug use, sales and overdoses are concentrated in the city.\u003c/p>\n\u003cp>The deputies will work overtime for a six-month deployment beginning this month.\u003c/p>\n\u003cp>“In many cases, individuals suffering from drug addiction only seek help when they hit their lowest point, and the sad truth for many is that the low point is incarceration,” Sheriff Paul Miyamoto said at a press conference Thursday morning outside City Hall.\u003c/p>\n\u003cp>The Emergency Services Unit at the sheriff’s office will work with the Mayor’s Office to increase arrests for drug sellers as well as people using drugs outdoors and in public settings, particularly those who are deemed to pose a threat to themselves or others.\u003c/p>\n\u003cfigure id=\"attachment_11952546\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11952546\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/06/RS66153_031_KQED_SheriffPressConference_06082023-KQED.jpg\" alt=\"A man in an official uniform with a starred badge pinned to it speaks into an array of microphones from an outdoor lectern, flanked by law enforcement officers and others.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66153_031_KQED_SheriffPressConference_06082023-KQED.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66153_031_KQED_SheriffPressConference_06082023-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66153_031_KQED_SheriffPressConference_06082023-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66153_031_KQED_SheriffPressConference_06082023-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66153_031_KQED_SheriffPressConference_06082023-KQED-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Sheriff Paul Miyamoto speaks during a news conference outside City Hall Thursday morning. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Law enforcement including the San Francisco Police Department, \u003ca href=\"https://www.kqed.org/news/11948062/newsom-taps-chp-national-guard-to-fight-san-franciscos-fentanyl-crisis\">the California Highway Patrol and the National Guard\u003c/a> in recent months have renewed focus on the Tenderloin and SoMa, two areas that have become central to ongoing debates over how to respond to challenges around outdoor drug use and sales, homelessness and substance use disorders.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Part of the solution is making sure we have enough law enforcement on the ground in the Tenderloin, South of Market and in the Civic Center area to make sure drug dealers understand that their behavior will not be tolerated any longer in this city and that those who are struggling with addiction get the help they so desperately need,” District Attorney Brooke Jenkins told reporters at Thursday’s press conference.\u003c/p>\n\u003cp>But public health experts have historically decried the notion put forward Thursday that jails can rehabilitate substance use disorders for many. And incarceration can make life much worse for some people seeking employment or housing upon release.\u003c/p>\n\u003cp>Some fear the approach mimics tried-and-failed approaches to cracking down on drugs in the past, which led to outsized incarceration for members of Black and brown communities.\u003c/p>\n\u003cp>“Rounding up individuals for being under the influence is another war-on-drugs tactic that we know from decades of experience and research will not be effective in addressing our city’s public health crisis,” said San Francisco Public Defender Mano Raju in a statement following Thursday’s press conference. “Our jails, which already subject people to frequent lockdowns, little contact with family, and no sunlight, are not well-equipped to treat individuals with substance use disorder.”\u003c/p>\n\u003cfigure id=\"attachment_11952547\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11952547\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/06/RS66158_040_KQED_SheriffPressConference_06082023-KQED.jpg\" alt=\"A woman in a purple suit speaks into an array of microphones from an outdoor lectern, flanked by law enforcement officers and others.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66158_040_KQED_SheriffPressConference_06082023-KQED.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66158_040_KQED_SheriffPressConference_06082023-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66158_040_KQED_SheriffPressConference_06082023-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66158_040_KQED_SheriffPressConference_06082023-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66158_040_KQED_SheriffPressConference_06082023-KQED-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">San Francisco District Attorney Brooke Jenkins speaks during Thursday’s press conference. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Numerous studies show that \u003ca href=\"https://www.kqed.org/news/11948421/newsoms-plan-to-crack-down-on-fentanyl-in-san-francisco-could-cause-more-harm-than-good-some-addiction-experts-say\">efforts to criminalize drug use can also lead to increased overdoses\u003c/a> once targeted operations subside, and even immediately after individual arrests themselves.\u003c/p>\n\u003cp>In Indianapolis, \u003ca href=\"https://ajph.aphapublications.org/doi/10.2105/AJPH.2023.307329\">researchers found that opioid overdose deaths doubled within a 500-meter radius of each drug arrest\u003c/a>. “Elevated fatal and nonfatal opioid overdoses were sustained over one, two and three weeks,” reads \u003ca href=\"https://ajph.aphapublications.org/doi/10.2105/AJPH.2023.307329\">a report published June 7, 2023, in the \u003cem>American Journal of Public Health\u003c/em>\u003c/a>.\u003c/p>\n\u003cp>One reason for the uptick in overdoses, the paper explains, is that disrupting the drug supply can drive drug users to find new suppliers who may have tainted substances, and pushing people to use drugs alone or secretly can lead to more erratic drug use.\u003c/p>\n\u003cp>Earlier this week, Breed applauded arrests made on 25 people for public intoxication with drugs or alcohol in the Tenderloin and SoMa. But, \u003cem>The San Francisco Chronicle \u003c/em>reported, \u003ca href=\"https://www.sfchronicle.com/sf/article/sf-mayor-breed-arrests-drug-dealers-treatment-18135871.php\">none of them accepted drug treatment upon release from jail\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Law enforcement officials on Thursday expressed awareness that arrests alone won’t fix the problematic drug use or crime trends. They suggested that it was part of a broader effort.\u003c/p>\n\u003cp>“While it’s an unpopular stance to take, arresting and putting people in jail, it can be a critical gateway to help and needs to be a part of the multipronged approach,” Miyamoto said. “We’re not advocating for harsher punishments or increased incarceration for those who are struggling with harmful choices. There needs to be a multipronged approach to these problems, not just a single focus on harm reduction and treating this as a health crisis.”\u003c/p>\n\u003cp>Although the six-month-long deployment will be focused on SoMa and the Tenderloin, the sheriff said it could potentially reach into other neighborhoods. The deputies will patrol in marked vehicles and on foot, Miyamoto said. In a press release, officials said that deputies “undergo extensive, specialized training for handling situations that require intervention for destructive or criminal behavior.”\u003c/p>\n\u003cp>The latest push to criminalize drug use in the Tenderloin and SoMa comes amid a staffing shortage in both SFPD and the Sheriff’s Office. Also on Thursday, city leaders held a hearing on those staffing challenges, for which some have called for additional funding to resolve.\u003c/p>\n\u003cp>“We have to be funded properly. We have to be staffed properly, and we definitely are working toward getting in that direction,” Police Chief Bill Scott said Thursday at the press conference. “But that doesn’t happen without our elected officials supporting us.”\u003c/p>\n\u003cp>\u003cem>KQED reporter Billy Cruz contributed to this story.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story has been updated.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "San Francisco to Implement Newsom's CARE Court Plan to Treat Severe Mental Illness",
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"content": "\u003cp>For the past few years, San Francisco’s international reputation as a vibrant and scenic destination for tourists and conventions has been overtaken by a drumbeat of stories focused on homelessness, an epidemic of fentanyl overdose deaths and people with severe and untreated psychoses living on the streets.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"San Francisco Mayor London Breed\"]‘There’s never enough money for anything. Period. But the fact is that can’t be an excuse for not trying.’[/pullquote]Now, San Francisco is poised to be among the first eight counties in California this year to implement CARE Court, a new approach to treating severe mental illness that Gov. Gavin Newsom calls a “paradigm shift,” but which supporters and opponents alike fear will fail to deliver on its sweeping promises.\u003c/p>\n\u003cp>Supporters of the program, like Mayor London Breed, said it’s time for the city to undergo a course correction.\u003c/p>\n\u003cfigure id=\"attachment_11952229\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/06/RS57121_006_KQED_DABrookeJenkins_07072022-qut-KQED.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11952229 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/06/RS57121_006_KQED_DABrookeJenkins_07072022-qut-KQED-800x533.jpg\" alt=\"A Black woman with shoulder-length black, curly hair and bright red lipstick, wearing a blue blazer and an ochre blouse, gestures as she speaks in front of a flag of California inside what appears to be a large room.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS57121_006_KQED_DABrookeJenkins_07072022-qut-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS57121_006_KQED_DABrookeJenkins_07072022-qut-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS57121_006_KQED_DABrookeJenkins_07072022-qut-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS57121_006_KQED_DABrookeJenkins_07072022-qut-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS57121_006_KQED_DABrookeJenkins_07072022-qut-KQED.jpg 1920w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">San Francisco Mayor London Breed speaks at a press event at City Hall on July 7, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We’ve got to start having honest conversations about the fact that things are changing, and it is not OK to allow what’s happening on the street to happen on the streets,” she recently told KQED.\u003c/p>\n\u003cp>The new courts — CARE stands for Community Assistance, Recovery and Empowerment — will allow first responders, family members, clinicians and others to ask a judge to order treatment plans for people diagnosed with schizophrenia and other psychotic disorders. While not limited to people who are also experiencing homelessness, the program focuses on people who are not currently receiving mental health treatment. Every county in California will have to implement the new civil courts by 2024.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Participation is voluntary, but supporters hope the so-called “black robe effect” — where people ordered to do something by a judge feel compelled to do so — will increase compliance.\u003c/p>\n\u003cp>Opponents of the program, including the American Civil Liberties Union and Disability Rights California, have argued that people, particularly Black Californians, will be targeted to enter the program because Black residents are overrepresented in both the number of \u003ca href=\"https://files.hudexchange.info/reports/published/CoC_PopSub_State_CA_2020.pdf\">people experiencing homelessness (PDF)\u003c/a> and the number of \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4274585/\">people diagnosed with psychotic disorders\u003c/a>.\u003c/p>\n\u003cp>Johnny Crawford, who works on a cleaning crew in San Francisco, said he shared those concerns.\u003c/p>\n\u003cp>“I have mental health issues and I’ve dealt with addiction,” he said. “I think trying to push somebody into doing something they don’t want to do, it’s not fair. It’s not right. I wouldn’t do it.”\u003c/p>\n\u003cp>Supervisor Rafael Mandelman said those \u003ca href=\"https://www.kqed.org/news/11944448/a-war-of-compassion-debate-over-forced-treatment-of-mental-illness-splits-california-liberals\">civil liberty concerns\u003c/a> were being trumped by a larger concern: how to get people who aren’t engaged in mental health services into treatment.\u003c/p>\n\u003cp>“There are certainly folks on the Board of Supervisors and there are certainly people in the broader ballot body politic who really don’t want to see any more coercion of people into care who are not voluntarily seeking it,” Mandelman said, adding, “There’s a larger group of people who want these problems solved and want to see people get care.”\u003c/p>\n\u003cp>[aside postID=\"news_11944448,news_11924117,news_11914873\" label=\"Related Posts\"]Supporters argue a treatment plan developed through CARE Court will be less restrictive than alternatives, such as state hospitalization or conservatorship.\u003c/p>\n\u003cp>To qualify, an individual must be 18 years or older, diagnosed with schizophrenia or another psychotic disorder, deemed likely to benefit from a supervised treatment plan and found to be at risk of harming themselves or others.\u003c/p>\n\u003cp>A recent analysis by the Benioff Homelessness and Housing Initiative at UCSF and the California Policy Lab found that, based on data from hospital emergency rooms and the criminal justice system, \u003ca href=\"https://www.capolicylab.org/news/new-analysis-estimates-766-people-may-be-eligible-for-referral-to-care-court-in-san-francisco-though-capacity-is-a-concern/\">upwards of 760 people in San Francisco might be eligible\u003c/a> for referral to CARE Court when the program begins in October. Some experts expect the number to be more than 1,000.\u003c/p>\n\u003cp>Ensuring counties have enough funding to run the new CARE Courts is a concern shared by critics and supporters alike. Among the agencies involved in implementing CARE Court will be the Superior Court, the Department of Public Health, the Human Services Agency, the Department of Homelessness and Supportive Housing, the City Attorney’s Office and the Public Defender’s Office.\u003c/p>\n\u003cp>San Francisco City Attorney David Chiu said each participant will be required to go through five court hearings before a treatment plan is approved. But, he said, the state hasn’t allocated any additional funds for that.\u003c/p>\n\u003cp>“In addition to the work our office is going to do, there’s the work of, say, public defenders and other advocates, work of the court itself. And all of these actors are going to need additional resources,” Chiu said.\u003c/p>\n\u003cp>And, once someone has a treatment plan in place, San Francisco social worker Charlie Berman said, it isn’t clear whether the city’s existing facilities will be able to absorb new patients. For the past decade, Berman has worked on the streets of San Francisco with people suffering from severe mental illness — exactly the population CARE Court targets.\u003c/p>\n\u003cp>“I think CARE Court really isn’t going to do much of anything more than the existing programs we have, because those existing programs are already not really able to do their job as well as they should due to lack of capacity,” he said. “And that means so many people who are cycling in and out of the [psychiatric] emergency room aren’t getting inpatient services because half the people at S.F. General [Hospital] are awaiting placement.”\u003c/p>\n\u003cp>Supervisor Hillary Ronen is frustrated and worried that CARE Courts will simply shift attention and funding away from other programs aimed at helping the city’s unhoused population, including those with serious mental illness.\u003c/p>\n\u003cp>“It’s not the design of CARE Court that I have a problem with,” she said. “It’s the constant diversion of attention and strategies and the inability to just stick with one strategy and see it through.”\u003c/p>\n\u003cp>Ronen added, “Overall, the diversion from everything that we were already doing in San Francisco towards implementing CARE Court is a net negative for the city.”\u003c/p>\n\u003cp>Breed — who may ultimately be held accountable for the success or failure of the program — dismisses those concerns.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“There’s never enough money for anything. Period. But the fact is that can’t be an excuse for not trying,” she said. “People are sick and tired, and we have to clean up the streets.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Now, San Francisco is poised to be among the first eight counties in California this year to implement CARE Court, a new approach to treating severe mental illness that Gov. Gavin Newsom calls a “paradigm shift,” but which supporters and opponents alike fear will fail to deliver on its sweeping promises.\u003c/p>\n\u003cp>Supporters of the program, like Mayor London Breed, said it’s time for the city to undergo a course correction.\u003c/p>\n\u003cfigure id=\"attachment_11952229\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/06/RS57121_006_KQED_DABrookeJenkins_07072022-qut-KQED.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11952229 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/06/RS57121_006_KQED_DABrookeJenkins_07072022-qut-KQED-800x533.jpg\" alt=\"A Black woman with shoulder-length black, curly hair and bright red lipstick, wearing a blue blazer and an ochre blouse, gestures as she speaks in front of a flag of California inside what appears to be a large room.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS57121_006_KQED_DABrookeJenkins_07072022-qut-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS57121_006_KQED_DABrookeJenkins_07072022-qut-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS57121_006_KQED_DABrookeJenkins_07072022-qut-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS57121_006_KQED_DABrookeJenkins_07072022-qut-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS57121_006_KQED_DABrookeJenkins_07072022-qut-KQED.jpg 1920w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">San Francisco Mayor London Breed speaks at a press event at City Hall on July 7, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We’ve got to start having honest conversations about the fact that things are changing, and it is not OK to allow what’s happening on the street to happen on the streets,” she recently told KQED.\u003c/p>\n\u003cp>The new courts — CARE stands for Community Assistance, Recovery and Empowerment — will allow first responders, family members, clinicians and others to ask a judge to order treatment plans for people diagnosed with schizophrenia and other psychotic disorders. While not limited to people who are also experiencing homelessness, the program focuses on people who are not currently receiving mental health treatment. Every county in California will have to implement the new civil courts by 2024.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Participation is voluntary, but supporters hope the so-called “black robe effect” — where people ordered to do something by a judge feel compelled to do so — will increase compliance.\u003c/p>\n\u003cp>Opponents of the program, including the American Civil Liberties Union and Disability Rights California, have argued that people, particularly Black Californians, will be targeted to enter the program because Black residents are overrepresented in both the number of \u003ca href=\"https://files.hudexchange.info/reports/published/CoC_PopSub_State_CA_2020.pdf\">people experiencing homelessness (PDF)\u003c/a> and the number of \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4274585/\">people diagnosed with psychotic disorders\u003c/a>.\u003c/p>\n\u003cp>Johnny Crawford, who works on a cleaning crew in San Francisco, said he shared those concerns.\u003c/p>\n\u003cp>“I have mental health issues and I’ve dealt with addiction,” he said. “I think trying to push somebody into doing something they don’t want to do, it’s not fair. It’s not right. I wouldn’t do it.”\u003c/p>\n\u003cp>Supervisor Rafael Mandelman said those \u003ca href=\"https://www.kqed.org/news/11944448/a-war-of-compassion-debate-over-forced-treatment-of-mental-illness-splits-california-liberals\">civil liberty concerns\u003c/a> were being trumped by a larger concern: how to get people who aren’t engaged in mental health services into treatment.\u003c/p>\n\u003cp>“There are certainly folks on the Board of Supervisors and there are certainly people in the broader ballot body politic who really don’t want to see any more coercion of people into care who are not voluntarily seeking it,” Mandelman said, adding, “There’s a larger group of people who want these problems solved and want to see people get care.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Supporters argue a treatment plan developed through CARE Court will be less restrictive than alternatives, such as state hospitalization or conservatorship.\u003c/p>\n\u003cp>To qualify, an individual must be 18 years or older, diagnosed with schizophrenia or another psychotic disorder, deemed likely to benefit from a supervised treatment plan and found to be at risk of harming themselves or others.\u003c/p>\n\u003cp>A recent analysis by the Benioff Homelessness and Housing Initiative at UCSF and the California Policy Lab found that, based on data from hospital emergency rooms and the criminal justice system, \u003ca href=\"https://www.capolicylab.org/news/new-analysis-estimates-766-people-may-be-eligible-for-referral-to-care-court-in-san-francisco-though-capacity-is-a-concern/\">upwards of 760 people in San Francisco might be eligible\u003c/a> for referral to CARE Court when the program begins in October. Some experts expect the number to be more than 1,000.\u003c/p>\n\u003cp>Ensuring counties have enough funding to run the new CARE Courts is a concern shared by critics and supporters alike. Among the agencies involved in implementing CARE Court will be the Superior Court, the Department of Public Health, the Human Services Agency, the Department of Homelessness and Supportive Housing, the City Attorney’s Office and the Public Defender’s Office.\u003c/p>\n\u003cp>San Francisco City Attorney David Chiu said each participant will be required to go through five court hearings before a treatment plan is approved. But, he said, the state hasn’t allocated any additional funds for that.\u003c/p>\n\u003cp>“In addition to the work our office is going to do, there’s the work of, say, public defenders and other advocates, work of the court itself. And all of these actors are going to need additional resources,” Chiu said.\u003c/p>\n\u003cp>And, once someone has a treatment plan in place, San Francisco social worker Charlie Berman said, it isn’t clear whether the city’s existing facilities will be able to absorb new patients. For the past decade, Berman has worked on the streets of San Francisco with people suffering from severe mental illness — exactly the population CARE Court targets.\u003c/p>\n\u003cp>“I think CARE Court really isn’t going to do much of anything more than the existing programs we have, because those existing programs are already not really able to do their job as well as they should due to lack of capacity,” he said. “And that means so many people who are cycling in and out of the [psychiatric] emergency room aren’t getting inpatient services because half the people at S.F. General [Hospital] are awaiting placement.”\u003c/p>\n\u003cp>Supervisor Hillary Ronen is frustrated and worried that CARE Courts will simply shift attention and funding away from other programs aimed at helping the city’s unhoused population, including those with serious mental illness.\u003c/p>\n\u003cp>“It’s not the design of CARE Court that I have a problem with,” she said. “It’s the constant diversion of attention and strategies and the inability to just stick with one strategy and see it through.”\u003c/p>\n\u003cp>Ronen added, “Overall, the diversion from everything that we were already doing in San Francisco towards implementing CARE Court is a net negative for the city.”\u003c/p>\n\u003cp>Breed — who may ultimately be held accountable for the success or failure of the program — dismisses those concerns.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>San Francisco is poised to pay $2.2 million to settle a lawsuit over a \u003ca href=\"https://www.kqed.org/news/11782161/newly-uncovered-cases-of-patient-abuse-at-laguna-honda-bring-incident-count-to-130\">patient abuse scandal at Laguna Honda Hospital and Rehabilitation Center\u003c/a>, where a group of nurses were found to have taken nude photos of some patients and drugged and abused others between 2016 and 2019.\u003c/p>\n\u003cp>The lawsuit involved 11 older residents at the city-run hospital who were under conservatorship, in which a court-appointed family member or other individual was charged with overseeing their finances and medical care. Each of the victims will be compensated based on the extent of abuses they suffered.\u003c/p>\n\u003cp>The settlement amount was agreed to Thursday by the Board of Supervisors’ Government Audit and Oversight Committee and now heads to the full board and mayor for final approval.\u003c/p>\n\u003cp>“We believe this is an appropriate resolution given all of the circumstances,” said Jen Kwart, spokesperson for the City Attorney’s Office. “Laguna Honda Hospital is committed to providing excellent care and treating all residents with dignity.”\u003c/p>\n\u003cp>The lawsuit stems from a \u003ca href=\"https://www.documentcloud.org/documents/23831881-laguna-honda-2567-1\">2019 California Department of Public Health investigation (PDF)\u003c/a> that confirmed multiple claims of patient abuse by six former nurses at the hospital.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"laguna-honda\"]“This first settlement is really a step in the direction to try to get justice for those people who have been experiencing neglect and, in my own opinion, still experiencing neglect up at Laguna Honda,” said Kathryn Stebner, an attorney who represented the plaintiffs and is pursuing two other pending cases against the city related to abuses at the hospital.\u003c/p>\n\u003cp>“One of the women had a gag over her mouth and part of her breasts were showing,” she added. “Other people were given medications without their consent.”\u003c/p>\n\u003cp>The 2021 lawsuit was filed just months before the hospital — one of the country’s oldest and largest skilled nursing and rehabilitation centers — reported two nonfatal patient overdoses involving smuggled methamphetamine and fentanyl. That disclosure triggered a series of on-site inspections from state and federal officials, which eventually resulted in regulators decertifying the 157-year-old hospital.\u003c/p>\n\u003cp>Last year, Laguna Honda was found to still be out of compliance on a number of safety issues, \u003ca href=\"https://www.kqed.org/news/11950092/san-francisco-laguna-honda-hospital-granted-extension\">prompting federal regulators to cut Medicare and Medi-Cal funding\u003c/a>, which covers the majority of its mostly lower-income patients. The hospital was also required to draft a closure plan and begin discharging or relocating patients by September 2022.\u003c/p>\n\u003cp>But of the 57 patients who were initially transferred or discharged, 12 died shortly after being relocated. San Francisco subsequently sued the federal government, temporarily halting the transfer process.\u003c/p>\n\u003cp>Last month, \u003ca href=\"https://www.kqed.org/news/11950092/san-francisco-laguna-honda-hospital-granted-extension\">regulators again postponed the transfer deadline\u003c/a>, to Sept. 19, 2023, and have allowed subsidized Medicare and Medi-Cal payments for remaining patients at the hospital to continue through March 2024.\u003c/p>\n\u003cp>Stebner’s firm is also representing families of patients — as part of a class-action suit against the city — who died after being discharged in 2022.\u003c/p>\n\u003cp>“This is a good start,” Stebner said of the most recent settlement. But, she added, “we still have a lot of work to do.”\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Francisco is poised to pay $2.2 million to settle a lawsuit over a \u003ca href=\"https://www.kqed.org/news/11782161/newly-uncovered-cases-of-patient-abuse-at-laguna-honda-bring-incident-count-to-130\">patient abuse scandal at Laguna Honda Hospital and Rehabilitation Center\u003c/a>, where a group of nurses were found to have taken nude photos of some patients and drugged and abused others between 2016 and 2019.\u003c/p>\n\u003cp>The lawsuit involved 11 older residents at the city-run hospital who were under conservatorship, in which a court-appointed family member or other individual was charged with overseeing their finances and medical care. Each of the victims will be compensated based on the extent of abuses they suffered.\u003c/p>\n\u003cp>The settlement amount was agreed to Thursday by the Board of Supervisors’ Government Audit and Oversight Committee and now heads to the full board and mayor for final approval.\u003c/p>\n\u003cp>“We believe this is an appropriate resolution given all of the circumstances,” said Jen Kwart, spokesperson for the City Attorney’s Office. “Laguna Honda Hospital is committed to providing excellent care and treating all residents with dignity.”\u003c/p>\n\u003cp>The lawsuit stems from a \u003ca href=\"https://www.documentcloud.org/documents/23831881-laguna-honda-2567-1\">2019 California Department of Public Health investigation (PDF)\u003c/a> that confirmed multiple claims of patient abuse by six former nurses at the hospital.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“This first settlement is really a step in the direction to try to get justice for those people who have been experiencing neglect and, in my own opinion, still experiencing neglect up at Laguna Honda,” said Kathryn Stebner, an attorney who represented the plaintiffs and is pursuing two other pending cases against the city related to abuses at the hospital.\u003c/p>\n\u003cp>“One of the women had a gag over her mouth and part of her breasts were showing,” she added. “Other people were given medications without their consent.”\u003c/p>\n\u003cp>The 2021 lawsuit was filed just months before the hospital — one of the country’s oldest and largest skilled nursing and rehabilitation centers — reported two nonfatal patient overdoses involving smuggled methamphetamine and fentanyl. That disclosure triggered a series of on-site inspections from state and federal officials, which eventually resulted in regulators decertifying the 157-year-old hospital.\u003c/p>\n\u003cp>Last year, Laguna Honda was found to still be out of compliance on a number of safety issues, \u003ca href=\"https://www.kqed.org/news/11950092/san-francisco-laguna-honda-hospital-granted-extension\">prompting federal regulators to cut Medicare and Medi-Cal funding\u003c/a>, which covers the majority of its mostly lower-income patients. The hospital was also required to draft a closure plan and begin discharging or relocating patients by September 2022.\u003c/p>\n\u003cp>But of the 57 patients who were initially transferred or discharged, 12 died shortly after being relocated. San Francisco subsequently sued the federal government, temporarily halting the transfer process.\u003c/p>\n\u003cp>Last month, \u003ca href=\"https://www.kqed.org/news/11950092/san-francisco-laguna-honda-hospital-granted-extension\">regulators again postponed the transfer deadline\u003c/a>, to Sept. 19, 2023, and have allowed subsidized Medicare and Medi-Cal payments for remaining patients at the hospital to continue through March 2024.\u003c/p>\n\u003cp>Stebner’s firm is also representing families of patients — as part of a class-action suit against the city — who died after being discharged in 2022.\u003c/p>\n\u003cp>“This is a good start,” Stebner said of the most recent settlement. But, she added, “we still have a lot of work to do.”\u003cbr>\n\u003c/p>\u003c/div>",
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"content": "\u003cp>For the first time in state history, child care centers in California had to test their drinking water for possible lead contamination, and preliminary results show about a quarter of those that reported results contained unsafe levels of lead, according to data recently reported by state regulators.\u003c/p>\n\u003cp>Of the nearly 6,900 centers whose results have been disclosed, almost 1,700 had lead levels that exceeded 5 parts per billion (ppb) — the state’s allowable limit for child care centers. Of those, \u003ca href=\"https://www.ewg.org/news-insights/news-release/2023/05/1-4-california-child-care-centers-found-have-alarming-levels\">13 had lead levels above 500 ppb\u003c/a>, including four in the Bay Area.\u003c/p>\n\u003cp>La Petite Academy in San Diego reported the highest levels of lead — 11,300 ppb — of any child care center in the state. That’s more than 2,200 times higher than what California allows, and comes close to some of the highest levels detected \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5353852/#:~:text=In%20the%20wake%20of%20the,23%2C%20100%20%CE%BCg%2FL.\">during the catastrophic water crisis in Flint, Michigan\u003c/a>, nearly a decade ago.\u003c/p>\n\u003cp>The facility has since gotten rid of two drinking fountains with the highest lead samples and found its remaining water sources safe after retesting them, said Joanna Cline, spokesperson for the center.[pullquote align=\"right\" size=\"medium\" citation=\"Susan Little, senior advocate, Environmental Working Group\"]‘What’s so tragic about this is that this testing is not only an indicator of existing problems, but it also is an indicator of what could have been going on for decades in the drinking water in these centers throughout the state.’[/pullquote]The results indicate that the young children at those centers have been drinking lead-contaminated water for years, which is particularly worrisome because their bodies can absorb significantly more lead —\u003ca href=\"https://www.who.int/news-room/fact-sheets/detail/lead-poisoning-and-health#:~:text=Young%20children%20are%20particularly%20vulnerable%20to%20lead%20poisoning%20because%20they,adults%20from%20a%20given%20source.\"> up to five times as much\u003c/a> — than those of adults, said Susan Little, a senior advocate with the \u003ca href=\"https://www.ewg.org/news-insights/news-release/2023/05/1-4-california-child-care-centers-found-have-alarming-levels\">Environmental Working Group\u003c/a>, the nonprofit that analyzed the test results.\u003c/p>\n\u003cp>“What’s so tragic about this is that this testing is not only an indicator of existing problems, but it also is an indicator of what could have been going on for decades in the drinking water in these centers throughout the state,” Little told KQED.\u003c/p>\n\u003cp>Lead is a toxic metal found throughout the environment that can enter drinking water from corroded pipes, and has been found to \u003ca href=\"https://www.cdc.gov/nceh/lead/prevention/children.htm\">harm children’s nervous systems and brain development\u003c/a> if ingested in highly concentrated amounts. Exposure to lead — even at low levels — has been linked to developmental delays and cognition and behavioral problems.\u003c/p>\n\u003cp>For those reasons, the \u003ca href=\"https://publications.aap.org/pediatrics/article/138/1/e20161493/52600/Prevention-of-Childhood-Lead-Toxicity?_ga=2.241873154.1051551116.1684909652-1546072125.1684909652\">American Academy of Pediatrics in 2016 recommended\u003c/a> that lead concentrations in drinking water at schools not exceed 1 ppb.\u003c/p>\n\u003cp>EWG’s study stems from a state law passed in 2018, \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180AB2370\">AB 2370\u003c/a>, that required all licensed child care centers located in buildings constructed before 2010 to test every faucet for lead contamination by January of this year, and then retest the water every five years.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Under the law, the state would order any facilities with water exceeding the limit of 5 ppb to reduce lead levels to as close to zero as possible.\u003c/p>\n\u003cp>The standards for child care centers are higher than those at elementary, middle and high schools, which don’t have to test every tap and are not required to replace fixtures or notify parents unless lead levels exceed 15 ppb.\u003c/p>\n\u003cp>Assemblymember Chris Holden, who authored AB 2370, introduced a bill this year that would require schools to meet the same standards as child care centers.\u003c/p>\n\u003cp>“By aligning childcare and school lead testing standards we can protect children from the toxic effects of lead,” Holden said in a statement.\u003c/p>\n\u003cp>Child care centers had a two-year window to have their drinking water tested for lead contamination. But so far, months past the deadline, hundreds have still not reported results, according to EWG’s analysis.\u003c/p>\n\u003cp>\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/05/8UZvG-california-child-care-centers-that-reported-lead-levels-above-500-ppb-5.png\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-11950822\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/05/8UZvG-california-child-care-centers-that-reported-lead-levels-above-500-ppb-5.png\" alt=\"A bar chart showing 13 child care centers in California with the highest lead levels.\" width=\"1640\" height=\"1032\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/8UZvG-california-child-care-centers-that-reported-lead-levels-above-500-ppb-5.png 1640w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/8UZvG-california-child-care-centers-that-reported-lead-levels-above-500-ppb-5-800x503.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/8UZvG-california-child-care-centers-that-reported-lead-levels-above-500-ppb-5-1020x642.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/8UZvG-california-child-care-centers-that-reported-lead-levels-above-500-ppb-5-160x101.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/8UZvG-california-child-care-centers-that-reported-lead-levels-above-500-ppb-5-1536x967.png 1536w\" sizes=\"(max-width: 1640px) 100vw, 1640px\">\u003c/a>\u003c/p>\n\u003cp>Little said she expects the number of facilities with unhealthy lead exposure to grow as more test results come in.\u003c/p>\n\u003cp>“It appears this is the tip of the iceberg,” she said, noting that licensed family child care homes in California, which outnumber child care centers, are not even required to test their water for lead.\u003c/p>\n\u003cp>Little advises parents who send their children to family child care homes to encourage their providers to install newer faucets and lead-removing filters.\u003c/p>\n\u003cp>Parents who send their children to a center \u003ca href=\"https://static.ewg.org/upload/pdf/California_statewide_childcare_testing_results_as_of_April_23_2023_-_Statewide_results_as_of_4.27.23.pdf?_gl=1*1wkx0xy*_gcl_au*MTQyNzQ2MDgzNy4xNjg0OTA2Mzk4*_ga*MTEwNTE3ODc1OS4xNjg0OTA2Mzk4*_ga_CS21GC49KT*MTY4NDkwOTY0OS4yLjEuMTY4NDkxMTY2MS4wLjAuMA..&_ga=2.69131411.367003707.1684906398-1105178759.1684906398\">can look up lead-level results (PDF)\u003c/a> in EWG’s database and, if the results from that facility are missing, press them to test their water.\u003c/p>\n\u003cp>If the center has been found to have an unsafe level of lead in its water, Little encourages parents to ask providers for details on what they have done to lower those levels.\u003c/p>\n\u003cp>Kumiko Inui, director of ABC Preschool in San Francisco, whose lead levels ranked fourth highest in the study, said that result was due to an outdoor sink that hadn’t been used in years and has since been shut off. But she said other fixtures at the Japanese-English bilingual preschool were below 5 ppb, and that the school uses a filter in its kitchen sink and supplies bottled water to students.[aside postID=news_11926006 hero='https://ww2.kqed.org/app/uploads/sites/10/2022/09/Screen-Shot-2022-09-15-at-8.16.23-PM-1200x750-1-1020x638.png']“I’m disappointed to get this kind of attention,” she said.\u003c/p>\n\u003cp>Jessica Griswold, principal of St. Catherine of Siena in Martinez, which ranked fifth in the statewide study, said high levels of lead were found in water from a sink in the director’s office that similarly hadn’t been used for several years. As a precaution, she said, students now get their drinking water from dispensers instead of fountains.\u003c/p>\n\u003cp>A spokesperson for Kidango Linda Vista in San José, which had the 11th highest lead levels, said the center replaced problematic fixtures and supply lines and retested the water.\u003c/p>\n\u003cp>“We are pleased to report that each classroom at Linda Vista now has alternate fixtures that dispense water containing zero lead particles,” the spokesperson, Mario Fierro-Hernandez, said in a statement.\u003c/p>\n\u003cp>Tiffany Teele, the director of the Bunker Hill Parents Participation Nursery School in San Mateo, which ranked 13th in lead levels, said an outdoor faucet that was only used for washing hands was the problematic fixture. The school has since replaced the faucet, retested the water and has been cleared, she said.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>For the first time in state history, child care centers in California had to test their drinking water for possible lead contamination, and preliminary results show about a quarter of those that reported results contained unsafe levels of lead, according to data recently reported by state regulators.\u003c/p>\n\u003cp>Of the nearly 6,900 centers whose results have been disclosed, almost 1,700 had lead levels that exceeded 5 parts per billion (ppb) — the state’s allowable limit for child care centers. Of those, \u003ca href=\"https://www.ewg.org/news-insights/news-release/2023/05/1-4-california-child-care-centers-found-have-alarming-levels\">13 had lead levels above 500 ppb\u003c/a>, including four in the Bay Area.\u003c/p>\n\u003cp>La Petite Academy in San Diego reported the highest levels of lead — 11,300 ppb — of any child care center in the state. That’s more than 2,200 times higher than what California allows, and comes close to some of the highest levels detected \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5353852/#:~:text=In%20the%20wake%20of%20the,23%2C%20100%20%CE%BCg%2FL.\">during the catastrophic water crisis in Flint, Michigan\u003c/a>, nearly a decade ago.\u003c/p>\n\u003cp>The facility has since gotten rid of two drinking fountains with the highest lead samples and found its remaining water sources safe after retesting them, said Joanna Cline, spokesperson for the center.\u003c/p>\u003c/div>",
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"content": "‘What’s so tragic about this is that this testing is not only an indicator of existing problems, but it also is an indicator of what could have been going on for decades in the drinking water in these centers throughout the state.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The results indicate that the young children at those centers have been drinking lead-contaminated water for years, which is particularly worrisome because their bodies can absorb significantly more lead —\u003ca href=\"https://www.who.int/news-room/fact-sheets/detail/lead-poisoning-and-health#:~:text=Young%20children%20are%20particularly%20vulnerable%20to%20lead%20poisoning%20because%20they,adults%20from%20a%20given%20source.\"> up to five times as much\u003c/a> — than those of adults, said Susan Little, a senior advocate with the \u003ca href=\"https://www.ewg.org/news-insights/news-release/2023/05/1-4-california-child-care-centers-found-have-alarming-levels\">Environmental Working Group\u003c/a>, the nonprofit that analyzed the test results.\u003c/p>\n\u003cp>“What’s so tragic about this is that this testing is not only an indicator of existing problems, but it also is an indicator of what could have been going on for decades in the drinking water in these centers throughout the state,” Little told KQED.\u003c/p>\n\u003cp>Lead is a toxic metal found throughout the environment that can enter drinking water from corroded pipes, and has been found to \u003ca href=\"https://www.cdc.gov/nceh/lead/prevention/children.htm\">harm children’s nervous systems and brain development\u003c/a> if ingested in highly concentrated amounts. Exposure to lead — even at low levels — has been linked to developmental delays and cognition and behavioral problems.\u003c/p>\n\u003cp>For those reasons, the \u003ca href=\"https://publications.aap.org/pediatrics/article/138/1/e20161493/52600/Prevention-of-Childhood-Lead-Toxicity?_ga=2.241873154.1051551116.1684909652-1546072125.1684909652\">American Academy of Pediatrics in 2016 recommended\u003c/a> that lead concentrations in drinking water at schools not exceed 1 ppb.\u003c/p>\n\u003cp>EWG’s study stems from a state law passed in 2018, \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180AB2370\">AB 2370\u003c/a>, that required all licensed child care centers located in buildings constructed before 2010 to test every faucet for lead contamination by January of this year, and then retest the water every five years.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Under the law, the state would order any facilities with water exceeding the limit of 5 ppb to reduce lead levels to as close to zero as possible.\u003c/p>\n\u003cp>The standards for child care centers are higher than those at elementary, middle and high schools, which don’t have to test every tap and are not required to replace fixtures or notify parents unless lead levels exceed 15 ppb.\u003c/p>\n\u003cp>Assemblymember Chris Holden, who authored AB 2370, introduced a bill this year that would require schools to meet the same standards as child care centers.\u003c/p>\n\u003cp>“By aligning childcare and school lead testing standards we can protect children from the toxic effects of lead,” Holden said in a statement.\u003c/p>\n\u003cp>Child care centers had a two-year window to have their drinking water tested for lead contamination. But so far, months past the deadline, hundreds have still not reported results, according to EWG’s analysis.\u003c/p>\n\u003cp>\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/05/8UZvG-california-child-care-centers-that-reported-lead-levels-above-500-ppb-5.png\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-11950822\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/05/8UZvG-california-child-care-centers-that-reported-lead-levels-above-500-ppb-5.png\" alt=\"A bar chart showing 13 child care centers in California with the highest lead levels.\" width=\"1640\" height=\"1032\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/8UZvG-california-child-care-centers-that-reported-lead-levels-above-500-ppb-5.png 1640w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/8UZvG-california-child-care-centers-that-reported-lead-levels-above-500-ppb-5-800x503.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/8UZvG-california-child-care-centers-that-reported-lead-levels-above-500-ppb-5-1020x642.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/8UZvG-california-child-care-centers-that-reported-lead-levels-above-500-ppb-5-160x101.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/8UZvG-california-child-care-centers-that-reported-lead-levels-above-500-ppb-5-1536x967.png 1536w\" sizes=\"(max-width: 1640px) 100vw, 1640px\">\u003c/a>\u003c/p>\n\u003cp>Little said she expects the number of facilities with unhealthy lead exposure to grow as more test results come in.\u003c/p>\n\u003cp>“It appears this is the tip of the iceberg,” she said, noting that licensed family child care homes in California, which outnumber child care centers, are not even required to test their water for lead.\u003c/p>\n\u003cp>Little advises parents who send their children to family child care homes to encourage their providers to install newer faucets and lead-removing filters.\u003c/p>\n\u003cp>Parents who send their children to a center \u003ca href=\"https://static.ewg.org/upload/pdf/California_statewide_childcare_testing_results_as_of_April_23_2023_-_Statewide_results_as_of_4.27.23.pdf?_gl=1*1wkx0xy*_gcl_au*MTQyNzQ2MDgzNy4xNjg0OTA2Mzk4*_ga*MTEwNTE3ODc1OS4xNjg0OTA2Mzk4*_ga_CS21GC49KT*MTY4NDkwOTY0OS4yLjEuMTY4NDkxMTY2MS4wLjAuMA..&_ga=2.69131411.367003707.1684906398-1105178759.1684906398\">can look up lead-level results (PDF)\u003c/a> in EWG’s database and, if the results from that facility are missing, press them to test their water.\u003c/p>\n\u003cp>If the center has been found to have an unsafe level of lead in its water, Little encourages parents to ask providers for details on what they have done to lower those levels.\u003c/p>\n\u003cp>Kumiko Inui, director of ABC Preschool in San Francisco, whose lead levels ranked fourth highest in the study, said that result was due to an outdoor sink that hadn’t been used in years and has since been shut off. But she said other fixtures at the Japanese-English bilingual preschool were below 5 ppb, and that the school uses a filter in its kitchen sink and supplies bottled water to students.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“I’m disappointed to get this kind of attention,” she said.\u003c/p>\n\u003cp>Jessica Griswold, principal of St. Catherine of Siena in Martinez, which ranked fifth in the statewide study, said high levels of lead were found in water from a sink in the director’s office that similarly hadn’t been used for several years. As a precaution, she said, students now get their drinking water from dispensers instead of fountains.\u003c/p>\n\u003cp>A spokesperson for Kidango Linda Vista in San José, which had the 11th highest lead levels, said the center replaced problematic fixtures and supply lines and retested the water.\u003c/p>\n\u003cp>“We are pleased to report that each classroom at Linda Vista now has alternate fixtures that dispense water containing zero lead particles,” the spokesperson, Mario Fierro-Hernandez, said in a statement.\u003c/p>\n\u003cp>Tiffany Teele, the director of the Bunker Hill Parents Participation Nursery School in San Mateo, which ranked 13th in lead levels, said an outdoor faucet that was only used for washing hands was the problematic fixture. The school has since replaced the faucet, retested the water and has been cleared, she said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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}
},
"baycurious": {
"id": "baycurious",
"title": "Bay Curious",
"tagline": "Exploring the Bay Area, one question at a time",
"info": "KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/news/series/baycurious",
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"source": "kqed",
"order": 3
},
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"npr": "https://www.npr.org/podcasts/500557090/bay-curious",
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}
},
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"id": "bbc-world-service",
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"info": "The day's top stories from BBC News compiled twice daily in the week, once at weekends.",
"airtime": "MON-FRI 9pm-10pm, TUE-FRI 1am-2am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.bbc.co.uk/sounds/play/live:bbc_world_service",
"meta": {
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"source": "BBC World Service"
},
"link": "/radio/program/bbc-world-service",
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"apple": "https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2",
"tuneIn": "https://tunein.com/radio/BBC-World-Service-p455581/",
"rss": "https://podcasts.files.bbci.co.uk/p02nq0gn.rss"
}
},
"californiareport": {
"id": "californiareport",
"title": "The California Report",
"tagline": "California, day by day",
"info": "KQED’s statewide radio news program providing daily coverage of issues, trends and public policy decisions.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-California-Report-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/californiareport",
"meta": {
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"source": "kqed",
"order": 8
},
"link": "/californiareport",
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"amazon": "https://music.amazon.com/podcasts/26099305-72af-4542-9dde-ac1807fe36d5/kqed-s-the-california-report",
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}
},
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"title": "The California Report Magazine",
"tagline": "Your state, your stories",
"info": "Every week, The California Report Magazine takes you on a road trip for the ears: to visit the places and meet the people who make California unique. The in-depth storytelling podcast from the California Report.",
"airtime": "FRI 4:30pm-5pm, 6:30pm-7pm, 11pm-11:30pm",
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"officialWebsiteLink": "/californiareportmagazine",
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"order": 10
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM3NjkwNjk1OTAz",
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},
"city-arts": {
"id": "city-arts",
"title": "City Arts & Lectures",
"info": "A one-hour radio program to hear celebrated writers, artists and thinkers address contemporary ideas and values, often discussing the creative process. Please note: tapes or transcripts are not available",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/05/cityartsandlecture-300x300.jpg",
"officialWebsiteLink": "https://www.cityarts.net/",
"airtime": "SUN 1pm-2pm, TUE 10pm, WED 1am",
"meta": {
"site": "news",
"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
"subscribe": {
"tuneIn": "https://tunein.com/radio/City-Arts-and-Lectures-p692/",
"rss": "https://www.cityarts.net/feed/"
}
},
"closealltabs": {
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"officialWebsiteLink": "/podcasts/closealltabs",
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"source": "kqed",
"order": 1
},
"link": "/podcasts/closealltabs",
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"title": "Code Switch / Life Kit",
"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"meta": {
"site": "radio",
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},
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
"airtime": "THU 10pm, FRI 1am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
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"meta": {
"site": "news",
"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
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"apple": "https://itunes.apple.com/us/podcast/commonwealth-club-of-california-podcast/id976334034?mt=2",
"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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}
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"id": "forum",
"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
"airtime": "MON-FRI 9am-11am, 10pm-11pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
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"meta": {
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"source": "kqed",
"order": 9
},
"link": "/forum",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
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"freakonomics-radio": {
"id": "freakonomics-radio",
"title": "Freakonomics Radio",
"info": "Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. It is produced in partnership with WNYC.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/freakonomicsRadio.png",
"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
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"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
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},
"fresh-air": {
"id": "fresh-air",
"title": "Fresh Air",
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"link": "/radio/program/fresh-air",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/381444908/podcast.xml"
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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"rss": "https://feeds.npr.org/510051/podcast.xml"
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},
"hidden-brain": {
"id": "hidden-brain",
"title": "Hidden Brain",
"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"officialWebsiteLink": "https://www.npr.org/series/423302056/hidden-brain",
"airtime": "SUN 7pm-8pm",
"meta": {
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"source": "NPR"
},
"link": "/radio/program/hidden-brain",
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},
"how-i-built-this": {
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"title": "How I Built This with Guy Raz",
"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/howIBuiltThis.png",
"officialWebsiteLink": "https://www.npr.org/podcasts/510313/how-i-built-this",
"airtime": "SUN 7:30pm-8pm",
"meta": {
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"source": "npr"
},
"link": "/radio/program/how-i-built-this",
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"apple": "https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2",
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},
"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
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"officialWebsiteLink": "/podcasts/hyphenacion",
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"order": 15
},
"link": "/podcasts/hyphenacion",
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},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/podcasts/jerrybrown",
"meta": {
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"source": "kqed",
"order": 18
},
"link": "/podcasts/jerrybrown",
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"apple": "https://itunes.apple.com/us/podcast/id1492194549",
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}
},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/latino-usa",
"subscribe": {
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
"site": "news",
"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
}
},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Masters-of-Scale-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
"site": "radio",
"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
"subscribe": {
"apple": "http://mastersofscale.app.link/",
"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
"subscribe": {
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
"npr": "https://www.npr.org/podcasts/464615685/mind-shift-podcast",
"stitcher": "https://www.stitcher.com/podcast/kqed/stories-teachers-share",
"spotify": "https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"
}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
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