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"content": "\u003cp>\u003cem>\u003ca href=\"https://www.kqed.org/news/11878067/la-gran-reapertura-de-california-que-ha-cambiado-y-que-no-el-15-de-junio\">Leer en español\u003c/a>\u003c/em>\u003c/p>\n\u003cp>California’s grand reopening day is finally here, but it comes with a few asterisks.\u003c/p>\n\u003cp>This Tuesday, our 15-month-long ordeal of public health restrictions, mandates, bans and color-coded tiers to stem the COVID-19 pandemic will finally come to an end. As Gov. Gavin Newsom \u003ca href=\"https://www.kqed.org/news/11868240/newsom-announces-plan-to-open-up-business-as-usual-in-california-by-june-15\">said in April\u003c/a> and reaffirmed in May, June 15 is when “we can start to open up…business as usual.”\u003c/p>\n\u003cp>But as that much-touted date approaches, the governor’s promise of a sudden milestone is colliding with the loophole-ridden gradualism of California labor law, local control and the imperatives of fighting a diminishing — but not defeated — virus that has killed 62,500 Californians and counting.\u003c/p>\n\u003cp>Some mixed messages along the way have added to the confusion. So what will — and won’t — actually happen on Tuesday? Many of your questions, answered.\u003c/p>\n\u003ch3>Will I be able to sit inside a bar, work out at a gym or go to the movies?\u003c/h3>\n\u003cp>Probably.\u003c/p>\n\u003cp>The average Californian can expect things to look fairly back-to-normal in most of the ways that matter.\u003c/p>\n\u003cp>Moving “\u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/Beyond-Blueprint-Framework.aspx\">beyond the blueprint\u003c/a>,” to use the state’s branding, and instead using federal health guidance for public places means that most businesses can dispense with social distancing requirements, capacity limits and forced closures.\u003c/p>\n\u003cp>But there’s a difference between “can” and “must.”\u003c/p>\n\u003cp>Counties will still be free to impose their own public health restrictions if they choose to — but only if they’re stricter than what the state is requiring. So far, no counties have said that they’ll part ways with the state’s rules, though a few, \u003ca href=\"https://www.nbcbayarea.com/news/coronavirus/what-will-the-bay-area-look-like-when-california-reopens-on-june-15/2561205/\">like San Francisco\u003c/a>, say they’re still mulling over their options.\u003c/p>\n\u003cp>Even so, businesses aren’t taking any chances. On Tuesday, more than 35 business groups sent a letter to county governments across the state begging them to stick to the statewide rules.\u003c/p>\n\u003cp>Though business groups, who don’t relish the idea of getting sued, are hoping for consistent, cheap and easy-to-follow standards, your favorite restaurant, movie theater or hair salon is also free to impose its own public health restrictions.\u003c/p>\n\u003cp>That means you shouldn’t be surprised if you still spot a few “No Mask, No Service” signs after June 15.\u003c/p>\n\u003ch3>Can I go to a concert?\u003c/h3>\n\u003cp>Depends. Are we talking open mic at the local bar or Beyoncé at an arena?\u003c/p>\n\u003cp>The state has said it will \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/Beyond-Blueprint-QA.aspx\">impose additional restrictions on “mega events.”\u003c/a> That’s defined as anything that draws more than 5,000 people indoors or 10,000 outside. (Sorry, nameless dude playing a melodica into a loop pedal, you are not a mega event).\u003c/p>\n\u003cp>According to the most recent state guidance, concerts, conventions and other indoor mega events will only be open to people who can prove that they’ve either been vaccinated (by showing a vaccination card, a photo of the card, or documentation from a doctor) or that they tested negative for the coronavirus in the last 72 hours. That kind of proof won’t necessarily be required at outdoor events such as baseball games, but the state is recommending that stadiums either impose such a rule or require masking.\u003c/p>\n\u003cfigure id=\"attachment_11878044\" class=\"wp-caption alignnone\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11878044\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/06/GettyImages-1233049916-scaled.jpg\" alt=\"Three people sitting inside a bar without facemasks.\" width=\"2560\" height=\"1707\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/GettyImages-1233049916-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/GettyImages-1233049916-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/GettyImages-1233049916-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/GettyImages-1233049916-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/GettyImages-1233049916-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/GettyImages-1233049916-2048x1365.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/GettyImages-1233049916-1920x1280.jpg 1920w\" sizes=\"(max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">Fully vaccinated customers gather at the bar inside Risky Business, a private members-only club in the North Hollywood neighborhood of Los Angeles, California on May 21, 2021. \u003ccite>(Patrick T. Fallon/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Once I’m inside the bar, gym or movie theater, can I finally take this mask off?\u003c/h3>\n\u003cp>Yes, if you’re vaccinated.\u003c/p>\n\u003cp>California’s public health officials confirmed Wednesday that along with relaxed social distancing, the state will also drop its mask mandate on June 15 and instead adopt the recommendations of the federal Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Dr. Mark Ghaly, Health and Human Services Secretary\"]‘We are not requiring businesses to, for example, have somebody at the door checking for vaccine status as a way to comply with this.’[/pullquote]That means vaccinated adults should feel free to go mask-less in most public spaces. There are still exceptions for venues where the potential for many vulnerable people congregating in a confined place is high: hospitals and other health care settings, school classrooms, prisons and jails, public transit and nursing homes.\u003c/p>\n\u003cp>If you’re unvaccinated, you’ll still be required to wear a mask indoors in most public places, though it’s not entirely clear if or how that will be enforced. On Wednesday, Health and Human Services Secretary Mark Ghaly said that businesses can require masks of all customers, implement a vaccination verification system or simply go with the honor system.\u003c/p>\n\u003cp>“We are not requiring businesses to, for example, have somebody at the door checking for vaccine status as a way to comply with this,” he said.\u003c/p>\n\u003cfigure id=\"attachment_11878051\" class=\"wp-caption alignnone\" style=\"max-width: 1024px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11878051\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/06/0682021_ReopeningJune15_PU_Sized_08.jpg\" alt=\"Two people working at the grill of a restaurant.\" width=\"1024\" height=\"682\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/0682021_ReopeningJune15_PU_Sized_08.jpg 1024w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/0682021_ReopeningJune15_PU_Sized_08-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/0682021_ReopeningJune15_PU_Sized_08-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/0682021_ReopeningJune15_PU_Sized_08-160x107.jpg 160w\" sizes=\"(max-width: 1024px) 100vw, 1024px\">\u003cfigcaption class=\"wp-caption-text\">Alex Armstrong, 51 and his wife, Paula Armstrong, 45, prepare pick up orders during lunch hour at their Long Beach restaurant, VBurger, on June 8, 2021. ‘It’s been very challenging for us, but we couldn’t back out,’ said Armstrong of opening mid-pandemic last year. \u003ccite>(Pablo Unzueta for CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>What about when I’m at work?\u003c/h3>\n\u003cp>For anyone who has a job, doesn’t work from home and spends their work hours with other human beings, this Q&A just got a lot more complicated.\u003c/p>\n\u003cp>Since last November, the state’s workplace safety regulator has been requiring most employees across the state to mask up and maintain 6 feet of distance from one another when possible. They’ve also required stores, restaurants and other employers to provide personal protective equipment to their staff, offer testing when necessary and, in some cases, set up pathogen-blocking furnishings such as plexiglass shields.\u003c/p>\n\u003cp>Those requirements seem to be on the way out, but not on June 15.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Rachel Michelin, president of the California Retailers Association\"]‘We can’t be the mask police. This totally contradicts the messaging that came out of the governor’s office, which was June 15, we’re opening up the economy.’[/pullquote]Wednesday night, the state’s Occupational Safety and Health Board agreed to take the new state public health mask guidance into account and vote on new workplace rules on June 17. If affirmed, those rules wouldn’t ordinarily become official policy until June 28. But on Monday, Newsom vowed to sign an executive order putting the rules into effect immediately.\u003c/p>\n\u003cp>The board unanimously voted to revoke a vote last week to adopt new workplace rules that would let workers go without a mask, but only so long as they and all their colleagues are vaccinated. Employers would have also been required to provide N95 masks to staff.\u003c/p>\n\u003cp>That idea did not go over well with the state’s business interests. How, they asked, is an employer supposed to find out which workers are not vaccinated? What if vaccinated employees, chafing at their masks, begin harassing their unvaccinated colleagues? How expensive are all these masks going to be?\u003c/p>\n\u003cp>[aside label ='Related Coverage' tag='coronavirus']“We can’t be the mask police,” said Rachel Michelin, president of the California Retailers Association. “This totally contradicts the messaging that came out of the governor’s office, which was June 15, we’re opening up the economy.”\u003c/p>\n\u003cp>California’s business interests lobbied the governor directly, asking him to do an end run around the state’s workplace safety regulators and issue an executive order to “align” workplace guidelines with guidance from the state public health department and federal CDC. They renewed that request after the Cal/OSHA decision Wednesday night, urging Newsom to provide all employers with “consistency and certainty.”\u003c/p>\n\u003cp>Newsom declined on Friday to say whether he would act on that request. On Wednesday, Ghaly said the administration was “in no way predisposing or pushing for one outcome over the other” but for now was simply leaving it up to the workplace safety board.\u003c/p>\n\u003ch3>Presumably state agencies will be abiding by the state public health guidelines?\u003c/h3>\n\u003cp>You might think that. And that might very well be the case. But at least for now, it appears to be up to the agencies themselves.\u003c/p>\n\u003cp>On Monday night — just hours before the state’s reopening at midnight — the California Department of Human Resources sent an advisory to department heads across state government. State offices that serve the public directly, like offices and stores across the state, will not be required “to inquire about a member of the public’s vaccine status.”\u003c/p>\n\u003cp>Instead, the advisory read, agencies “should provide notice to all customers, guests and members of the public that face coverings are required for unvaccinated individuals. If an individual without a face covering enters a state building, the department should assume the individual is complying with the requirement.”\u003c/p>\n\u003cp>State employers are also being told to keep their flexible work-from-home policies in place.\u003c/p>\n\u003cfigure id=\"attachment_11878049\" class=\"wp-caption alignnone\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11878049\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/06/GettyImages-1233471456-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1707\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/GettyImages-1233471456-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/GettyImages-1233471456-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/GettyImages-1233471456-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/GettyImages-1233471456-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/GettyImages-1233471456-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/GettyImages-1233471456-2048x1365.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/GettyImages-1233471456-1920x1280.jpg 1920w\" sizes=\"(max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">Gov. Gavin Newsom speaks at a press conference to discuss the state reopening at Universal Studios in Hollywood, California on June 15, 2021. California will let fully vaccinated workers go maskless after June 17, Governor Gavin Newsom said on Monday. \u003ccite>(Patrick T. Fallon/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Is the state still going to be in a state of emergency?\u003c/h3>\n\u003cp>Yes.\u003c/p>\n\u003cp>Does that mean the state isn’t actually going to reopen?\u003c/p>\n\u003cp>No.\u003c/p>\n\u003cp>When the governor was asked on Friday whether, come June 15, he would also rescind the state of emergency proclamation that he issued in the early days of the pandemic in March 2020, Newsom — to the surprise of many and dismay of some — said that he would not.\u003c/p>\n\u003cp>So how can the state possibly reopen for “business as usual” when it’s simultaneously under an emergency?\u003c/p>\n\u003cp>The answer might be that the definition of “state of emergency” under California law doesn’t necessarily mean “emergency” in the everyday “something is on fire” sense of the word.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Brandon Stracener, California Constitution Center at UC Berkeley\"]‘Abruptly terminating the emergency would cancel all that wholesale … A gradual transition process that involves the Legislature is far better, and permits a rapid response to any unexpected surge in the pandemic.’[/pullquote]While the California Emergency Services Act does give the governor exceptionally broad powers to govern by fiat during a period of crisis, in practice the governor has evoked that power during the pandemic to administer various public health and economic relief programs and to collect federal aid.\u003c/p>\n\u003cp>“Abruptly terminating the emergency would cancel all that wholesale,” said Brandon Stracener, research fellow at the California Constitution Center at UC Berkeley. “A gradual transition process that involves the Legislature is far better, and permits a rapid response to any unexpected surge in the pandemic.”\u003c/p>\n\u003cp>With executive orders empowered by the proclamation, Newsom has loosened regulations to allow more people to administer vaccines, banned water shut-offs on homes with delinquent utility bills, given cities the ability to freeze commercial evictions, allowed local governments and courts to conduct public hearings over Zoom and given businesses on state roads the freedom to set up parklets and other street-side services.\u003c/p>\n\u003cp>The governor is hoping to extend some of the programs long past June 15 — either as long as the effects of the pandemic coursing through the state last, or until the Legislature can make it permanent by statute.\u003c/p>\n\u003cp>On June 2, for example, the governor’s office assured local governments that they would still be allowed to hold meetings remotely. “The Governor recognizes,” Cabinet Secretary Ana Matosantos wrote in an open letter, “the importance of an orderly return to the ordinary conduct of public meetings of state and local agencies and boards.”\u003c/p>\n\u003cp>Some local governments are deciding to return somewhat to normal; San Francisco Mayor London Breed presided over four weddings at City Hall to mark its reopening Monday.\u003c/p>\n\u003cp>Republicans in the Legislature have long bristled at the governor’s unprecedented use of executive power during the pandemic, and are now attacking him leading up to an all-but-certain recall election this fall. On Monday, Assemblymembers Kevin Kiley of Rocklin and James Gallagher of Yuba City and state Sen. Melissa Melendez from Riverside County demanded that the administration explain what justified the continued proclamation of the emergency.\u003c/p>\n\u003cp>Some emergencies from recent wildfires and past droughts are still active, Newsom’s office notes. State law does give the Legislature the ultimate check on the governor’s emergency powers. All they need to do is pass a resolution declaring the emergency to be over. But they haven’t. And with Democrats enjoying supermajorities in both the Assembly and Senate, they aren’t likely to anytime soon.\u003c/p>\n\u003cfigure id=\"attachment_11859270\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11859270\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/02/RS46696_011_Sacramento_InaugurationDay_01202021-qut.jpg\" alt=\"State Capitol in Sacramento\" width=\"1920\" height=\"1278\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/RS46696_011_Sacramento_InaugurationDay_01202021-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/RS46696_011_Sacramento_InaugurationDay_01202021-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/RS46696_011_Sacramento_InaugurationDay_01202021-qut-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/RS46696_011_Sacramento_InaugurationDay_01202021-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/RS46696_011_Sacramento_InaugurationDay_01202021-qut-1536x1022.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A fence lines the perimeter of the state Capitol building in Sacramento on Inauguration Day, Jan. 20, 2021. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>What about the state Capitol?\u003c/h3>\n\u003cp>The halls of state government will be reopening on June 15, too. But befitting a deliberative body, it’ll be doing so at a slower pace.\u003c/p>\n\u003cp>Starting on Tuesday, the building will be open to a maximum of 500 members of the public. Masks will still be required and social distancing guidelines will still be in effect. After that, the rules committees in both the Assembly and Senate will “continue to assess increasing capacity to a total of 1,000 members of the public as soon as the week of June 21st,” according to a statement released Friday by legislative leaders.\u003c/p>\n\u003cp>Since the beginning of the pandemic, lobbyists, reporters and the general public have been permitted to enter the Capitol only under very limited and supervised conditions.\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "California reopens on June 15. We have answers on where you still need to wear masks, what are the health restrictions for offices and workspaces, and what else is reopening.",
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"title": "What's Actually Changed in California Now That the State Has Reopened? | KQED",
"description": "California reopens on June 15. We have answers on where you still need to wear masks, what are the health restrictions for offices and workspaces, and what else is reopening.",
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"headline": "What's Actually Changed in California Now That the State Has Reopened?",
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"nprByline": "\u003ca href=\"https://calmatters.org/author/ben-christopher/\">Ben Christopher\u003c/a>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>\u003ca href=\"https://www.kqed.org/news/11878067/la-gran-reapertura-de-california-que-ha-cambiado-y-que-no-el-15-de-junio\">Leer en español\u003c/a>\u003c/em>\u003c/p>\n\u003cp>California’s grand reopening day is finally here, but it comes with a few asterisks.\u003c/p>\n\u003cp>This Tuesday, our 15-month-long ordeal of public health restrictions, mandates, bans and color-coded tiers to stem the COVID-19 pandemic will finally come to an end. As Gov. Gavin Newsom \u003ca href=\"https://www.kqed.org/news/11868240/newsom-announces-plan-to-open-up-business-as-usual-in-california-by-june-15\">said in April\u003c/a> and reaffirmed in May, June 15 is when “we can start to open up…business as usual.”\u003c/p>\n\u003cp>But as that much-touted date approaches, the governor’s promise of a sudden milestone is colliding with the loophole-ridden gradualism of California labor law, local control and the imperatives of fighting a diminishing — but not defeated — virus that has killed 62,500 Californians and counting.\u003c/p>\n\u003cp>Some mixed messages along the way have added to the confusion. So what will — and won’t — actually happen on Tuesday? Many of your questions, answered.\u003c/p>\n\u003ch3>Will I be able to sit inside a bar, work out at a gym or go to the movies?\u003c/h3>\n\u003cp>Probably.\u003c/p>\n\u003cp>The average Californian can expect things to look fairly back-to-normal in most of the ways that matter.\u003c/p>\n\u003cp>Moving “\u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/Beyond-Blueprint-Framework.aspx\">beyond the blueprint\u003c/a>,” to use the state’s branding, and instead using federal health guidance for public places means that most businesses can dispense with social distancing requirements, capacity limits and forced closures.\u003c/p>\n\u003cp>But there’s a difference between “can” and “must.”\u003c/p>\n\u003cp>Counties will still be free to impose their own public health restrictions if they choose to — but only if they’re stricter than what the state is requiring. So far, no counties have said that they’ll part ways with the state’s rules, though a few, \u003ca href=\"https://www.nbcbayarea.com/news/coronavirus/what-will-the-bay-area-look-like-when-california-reopens-on-june-15/2561205/\">like San Francisco\u003c/a>, say they’re still mulling over their options.\u003c/p>\n\u003cp>Even so, businesses aren’t taking any chances. On Tuesday, more than 35 business groups sent a letter to county governments across the state begging them to stick to the statewide rules.\u003c/p>\n\u003cp>Though business groups, who don’t relish the idea of getting sued, are hoping for consistent, cheap and easy-to-follow standards, your favorite restaurant, movie theater or hair salon is also free to impose its own public health restrictions.\u003c/p>\n\u003cp>That means you shouldn’t be surprised if you still spot a few “No Mask, No Service” signs after June 15.\u003c/p>\n\u003ch3>Can I go to a concert?\u003c/h3>\n\u003cp>Depends. Are we talking open mic at the local bar or Beyoncé at an arena?\u003c/p>\n\u003cp>The state has said it will \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/Beyond-Blueprint-QA.aspx\">impose additional restrictions on “mega events.”\u003c/a> That’s defined as anything that draws more than 5,000 people indoors or 10,000 outside. (Sorry, nameless dude playing a melodica into a loop pedal, you are not a mega event).\u003c/p>\n\u003cp>According to the most recent state guidance, concerts, conventions and other indoor mega events will only be open to people who can prove that they’ve either been vaccinated (by showing a vaccination card, a photo of the card, or documentation from a doctor) or that they tested negative for the coronavirus in the last 72 hours. That kind of proof won’t necessarily be required at outdoor events such as baseball games, but the state is recommending that stadiums either impose such a rule or require masking.\u003c/p>\n\u003cfigure id=\"attachment_11878044\" class=\"wp-caption alignnone\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11878044\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/06/GettyImages-1233049916-scaled.jpg\" alt=\"Three people sitting inside a bar without facemasks.\" width=\"2560\" height=\"1707\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/GettyImages-1233049916-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/GettyImages-1233049916-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/GettyImages-1233049916-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/GettyImages-1233049916-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/GettyImages-1233049916-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/GettyImages-1233049916-2048x1365.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/GettyImages-1233049916-1920x1280.jpg 1920w\" sizes=\"(max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">Fully vaccinated customers gather at the bar inside Risky Business, a private members-only club in the North Hollywood neighborhood of Los Angeles, California on May 21, 2021. \u003ccite>(Patrick T. Fallon/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Once I’m inside the bar, gym or movie theater, can I finally take this mask off?\u003c/h3>\n\u003cp>Yes, if you’re vaccinated.\u003c/p>\n\u003cp>California’s public health officials confirmed Wednesday that along with relaxed social distancing, the state will also drop its mask mandate on June 15 and instead adopt the recommendations of the federal Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘We are not requiring businesses to, for example, have somebody at the door checking for vaccine status as a way to comply with this.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>That means vaccinated adults should feel free to go mask-less in most public spaces. There are still exceptions for venues where the potential for many vulnerable people congregating in a confined place is high: hospitals and other health care settings, school classrooms, prisons and jails, public transit and nursing homes.\u003c/p>\n\u003cp>If you’re unvaccinated, you’ll still be required to wear a mask indoors in most public places, though it’s not entirely clear if or how that will be enforced. On Wednesday, Health and Human Services Secretary Mark Ghaly said that businesses can require masks of all customers, implement a vaccination verification system or simply go with the honor system.\u003c/p>\n\u003cp>“We are not requiring businesses to, for example, have somebody at the door checking for vaccine status as a way to comply with this,” he said.\u003c/p>\n\u003cfigure id=\"attachment_11878051\" class=\"wp-caption alignnone\" style=\"max-width: 1024px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11878051\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/06/0682021_ReopeningJune15_PU_Sized_08.jpg\" alt=\"Two people working at the grill of a restaurant.\" width=\"1024\" height=\"682\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/0682021_ReopeningJune15_PU_Sized_08.jpg 1024w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/0682021_ReopeningJune15_PU_Sized_08-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/0682021_ReopeningJune15_PU_Sized_08-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/0682021_ReopeningJune15_PU_Sized_08-160x107.jpg 160w\" sizes=\"(max-width: 1024px) 100vw, 1024px\">\u003cfigcaption class=\"wp-caption-text\">Alex Armstrong, 51 and his wife, Paula Armstrong, 45, prepare pick up orders during lunch hour at their Long Beach restaurant, VBurger, on June 8, 2021. ‘It’s been very challenging for us, but we couldn’t back out,’ said Armstrong of opening mid-pandemic last year. \u003ccite>(Pablo Unzueta for CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>What about when I’m at work?\u003c/h3>\n\u003cp>For anyone who has a job, doesn’t work from home and spends their work hours with other human beings, this Q&A just got a lot more complicated.\u003c/p>\n\u003cp>Since last November, the state’s workplace safety regulator has been requiring most employees across the state to mask up and maintain 6 feet of distance from one another when possible. They’ve also required stores, restaurants and other employers to provide personal protective equipment to their staff, offer testing when necessary and, in some cases, set up pathogen-blocking furnishings such as plexiglass shields.\u003c/p>\n\u003cp>Those requirements seem to be on the way out, but not on June 15.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘We can’t be the mask police. This totally contradicts the messaging that came out of the governor’s office, which was June 15, we’re opening up the economy.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Wednesday night, the state’s Occupational Safety and Health Board agreed to take the new state public health mask guidance into account and vote on new workplace rules on June 17. If affirmed, those rules wouldn’t ordinarily become official policy until June 28. But on Monday, Newsom vowed to sign an executive order putting the rules into effect immediately.\u003c/p>\n\u003cp>The board unanimously voted to revoke a vote last week to adopt new workplace rules that would let workers go without a mask, but only so long as they and all their colleagues are vaccinated. Employers would have also been required to provide N95 masks to staff.\u003c/p>\n\u003cp>That idea did not go over well with the state’s business interests. How, they asked, is an employer supposed to find out which workers are not vaccinated? What if vaccinated employees, chafing at their masks, begin harassing their unvaccinated colleagues? How expensive are all these masks going to be?\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“We can’t be the mask police,” said Rachel Michelin, president of the California Retailers Association. “This totally contradicts the messaging that came out of the governor’s office, which was June 15, we’re opening up the economy.”\u003c/p>\n\u003cp>California’s business interests lobbied the governor directly, asking him to do an end run around the state’s workplace safety regulators and issue an executive order to “align” workplace guidelines with guidance from the state public health department and federal CDC. They renewed that request after the Cal/OSHA decision Wednesday night, urging Newsom to provide all employers with “consistency and certainty.”\u003c/p>\n\u003cp>Newsom declined on Friday to say whether he would act on that request. On Wednesday, Ghaly said the administration was “in no way predisposing or pushing for one outcome over the other” but for now was simply leaving it up to the workplace safety board.\u003c/p>\n\u003ch3>Presumably state agencies will be abiding by the state public health guidelines?\u003c/h3>\n\u003cp>You might think that. And that might very well be the case. But at least for now, it appears to be up to the agencies themselves.\u003c/p>\n\u003cp>On Monday night — just hours before the state’s reopening at midnight — the California Department of Human Resources sent an advisory to department heads across state government. State offices that serve the public directly, like offices and stores across the state, will not be required “to inquire about a member of the public’s vaccine status.”\u003c/p>\n\u003cp>Instead, the advisory read, agencies “should provide notice to all customers, guests and members of the public that face coverings are required for unvaccinated individuals. If an individual without a face covering enters a state building, the department should assume the individual is complying with the requirement.”\u003c/p>\n\u003cp>State employers are also being told to keep their flexible work-from-home policies in place.\u003c/p>\n\u003cfigure id=\"attachment_11878049\" class=\"wp-caption alignnone\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11878049\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/06/GettyImages-1233471456-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1707\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/GettyImages-1233471456-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/GettyImages-1233471456-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/GettyImages-1233471456-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/GettyImages-1233471456-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/GettyImages-1233471456-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/GettyImages-1233471456-2048x1365.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/GettyImages-1233471456-1920x1280.jpg 1920w\" sizes=\"(max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">Gov. Gavin Newsom speaks at a press conference to discuss the state reopening at Universal Studios in Hollywood, California on June 15, 2021. California will let fully vaccinated workers go maskless after June 17, Governor Gavin Newsom said on Monday. \u003ccite>(Patrick T. Fallon/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Is the state still going to be in a state of emergency?\u003c/h3>\n\u003cp>Yes.\u003c/p>\n\u003cp>Does that mean the state isn’t actually going to reopen?\u003c/p>\n\u003cp>No.\u003c/p>\n\u003cp>When the governor was asked on Friday whether, come June 15, he would also rescind the state of emergency proclamation that he issued in the early days of the pandemic in March 2020, Newsom — to the surprise of many and dismay of some — said that he would not.\u003c/p>\n\u003cp>So how can the state possibly reopen for “business as usual” when it’s simultaneously under an emergency?\u003c/p>\n\u003cp>The answer might be that the definition of “state of emergency” under California law doesn’t necessarily mean “emergency” in the everyday “something is on fire” sense of the word.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘Abruptly terminating the emergency would cancel all that wholesale … A gradual transition process that involves the Legislature is far better, and permits a rapid response to any unexpected surge in the pandemic.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>While the California Emergency Services Act does give the governor exceptionally broad powers to govern by fiat during a period of crisis, in practice the governor has evoked that power during the pandemic to administer various public health and economic relief programs and to collect federal aid.\u003c/p>\n\u003cp>“Abruptly terminating the emergency would cancel all that wholesale,” said Brandon Stracener, research fellow at the California Constitution Center at UC Berkeley. “A gradual transition process that involves the Legislature is far better, and permits a rapid response to any unexpected surge in the pandemic.”\u003c/p>\n\u003cp>With executive orders empowered by the proclamation, Newsom has loosened regulations to allow more people to administer vaccines, banned water shut-offs on homes with delinquent utility bills, given cities the ability to freeze commercial evictions, allowed local governments and courts to conduct public hearings over Zoom and given businesses on state roads the freedom to set up parklets and other street-side services.\u003c/p>\n\u003cp>The governor is hoping to extend some of the programs long past June 15 — either as long as the effects of the pandemic coursing through the state last, or until the Legislature can make it permanent by statute.\u003c/p>\n\u003cp>On June 2, for example, the governor’s office assured local governments that they would still be allowed to hold meetings remotely. “The Governor recognizes,” Cabinet Secretary Ana Matosantos wrote in an open letter, “the importance of an orderly return to the ordinary conduct of public meetings of state and local agencies and boards.”\u003c/p>\n\u003cp>Some local governments are deciding to return somewhat to normal; San Francisco Mayor London Breed presided over four weddings at City Hall to mark its reopening Monday.\u003c/p>\n\u003cp>Republicans in the Legislature have long bristled at the governor’s unprecedented use of executive power during the pandemic, and are now attacking him leading up to an all-but-certain recall election this fall. On Monday, Assemblymembers Kevin Kiley of Rocklin and James Gallagher of Yuba City and state Sen. Melissa Melendez from Riverside County demanded that the administration explain what justified the continued proclamation of the emergency.\u003c/p>\n\u003cp>Some emergencies from recent wildfires and past droughts are still active, Newsom’s office notes. State law does give the Legislature the ultimate check on the governor’s emergency powers. All they need to do is pass a resolution declaring the emergency to be over. But they haven’t. And with Democrats enjoying supermajorities in both the Assembly and Senate, they aren’t likely to anytime soon.\u003c/p>\n\u003cfigure id=\"attachment_11859270\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11859270\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/02/RS46696_011_Sacramento_InaugurationDay_01202021-qut.jpg\" alt=\"State Capitol in Sacramento\" width=\"1920\" height=\"1278\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/RS46696_011_Sacramento_InaugurationDay_01202021-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/RS46696_011_Sacramento_InaugurationDay_01202021-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/RS46696_011_Sacramento_InaugurationDay_01202021-qut-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/RS46696_011_Sacramento_InaugurationDay_01202021-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/02/RS46696_011_Sacramento_InaugurationDay_01202021-qut-1536x1022.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A fence lines the perimeter of the state Capitol building in Sacramento on Inauguration Day, Jan. 20, 2021. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>What about the state Capitol?\u003c/h3>\n\u003cp>The halls of state government will be reopening on June 15, too. But befitting a deliberative body, it’ll be doing so at a slower pace.\u003c/p>\n\u003cp>Starting on Tuesday, the building will be open to a maximum of 500 members of the public. Masks will still be required and social distancing guidelines will still be in effect. After that, the rules committees in both the Assembly and Senate will “continue to assess increasing capacity to a total of 1,000 members of the public as soon as the week of June 21st,” according to a statement released Friday by legislative leaders.\u003c/p>\n\u003cp>Since the beginning of the pandemic, lobbyists, reporters and the general public have been permitted to enter the Capitol only under very limited and supervised conditions.\u003cbr>\n\u003c/p>\u003c/div>",
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"content": "\u003cp>The COVID-19 pandemic put a spotlight on the importance of child care, in-home care and support for the elderly as well as for members of the disability community across the nation. Now, one of the most contentious parts of negotiations with Republicans over President Biden’s infrastructure plan has to do with the administration’s inclusion of \u003ca href=\"https://www.theatlantic.com/ideas/archive/2021/04/why-care-work-infrastructure/618588/\" target=\"_blank\" rel=\"noopener noreferrer\">$400 billion in spending for at-home care for the elderly and people with disabilities\u003c/a>, with the administration arguing that such domestic work is as essential to a functioning economy as roads and bridges.\u003c/p>\n\u003cp>KQED’s Mina Kim spoke with \u003ca href=\"https://www.pbs.org/newshour/brief/375509/ai-jen-poo\" target=\"_blank\" rel=\"noopener noreferrer\">Ai-jen Poo\u003c/a>, director of the \u003ca href=\"https://www.domesticworkers.org/press/spokespersons/ai-jen-poo/\" target=\"_blank\" rel=\"noopener noreferrer\">National Domestic Workers Alliance\u003c/a>, about domestic workers and what it means to include this work in the infrastructure plan.\u003c/p>\n\u003cp>\u003cem>The following interview has been edited for length and clarity.\u003c/em>\u003c/p>\n\u003ch3>\u003cstrong>Why Care Work Is Best Described as Infrastructure\u003c/strong>\u003c/h3>\n\u003cp>\u003cstrong>Ai-jen Poo:\u003c/strong> We’ve always talked about how domestic work, the work that happens inside of our homes to take care of our family members, our children, our loved ones with disabilities, our aging loved ones, really is the work that makes all other work possible. Having access to care makes it possible for all of us to go out into the world and do what we do every single day.[pullquote size=\"medium\" align=\"right\" citation=\"Ai-jen Poo, director of the National Domestic Workers Alliance\"]‘If you think about the definition of infrastructure, it’s really that which enables society and the economy to function. And what could be more fundamental than having the ability to take care of your loved ones as you prepare to work and participate in our workforce and economy?’[/pullquote]\u003c/p>\n\u003cp>If you think about the definition of infrastructure, it’s really that which enables society and the economy to function. And what could be more fundamental than having the ability to take care of your loved ones as you prepare to work and participate in our workforce and economy?\u003c/p>\n\u003cp>Even if you think about the traditional definition of infrastructure, roads, bridges, tunnels, all of the people who are rebuilding our bridges and fixing our tunnels, they need care, too. So maybe it’s the first form of infrastructure before anything else.\u003c/p>\n\u003ch3>‘Single Greatest Opportunity in Generations’\u003c/h3>\n\u003cp>\u003cem>What do you think about the fact that care work is now in a presidential infrastructure bill?\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Ai-jen Poo:\u003c/strong> I think it’s the single greatest opportunity we’ve had in generations to establish the kind of policies and programs we need to support our ability to care for our families as we work. It’s necessary.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Even before the pandemic, many of us were simmering in a care crisis. We have a situation where the baby boom generation is aging into retirement at a rate of 10,000 people per day, turning 65 every 8 seconds. We’ve basically added an entire generation onto our lifespan and we haven’t adopted any of our systems or policy to support a quality of life and the care we need as we live longer. On both ends of the generational spectrum, we need more care than ever before at a time when we have less of it. Our default care infrastructure in previous generations was just expecting that women will stay home and be full-time family caregivers.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Ai-jen Poo, director of the National Domestic Workers Alliance\"]‘The fact that the work as a profession has always been associated with women of color has profoundly shaped the way that we’ve treated this work in law, policy and in culture.’[/pullquote]We need programs, policies, systems and a strong care workforce to support us. There are over 2.5 million [care workers], and they’re overwhelmingly women — 92% women and majority women of color, including many immigrant women. This is actually the part of the economy with the highest concentration of undocumented immigrants of any workforce. They are also majority primary income earners for their families and majority mothers of small children.\u003c/p>\n\u003cp>We have a workforce who is essential not only to the families they support, but their own families and communities. And it’s also a workforce that has always been majority women of color. Some of the first domestic workers in the U.S. were enslaved Black women. And the fact that the work as a profession has always been associated with women of color has profoundly shaped the way that we’ve treated this work in law, policy and in culture.\u003c/p>\n\u003cp>Starting in the 1930s, when we were putting our foundational labor laws into place, this workforce was excluded intentionally as a result of racism and the legacy of slavery in our country. And it created a situation of extreme insecurity when domestic workers entered a crisis like a pandemic — it just became incredibly exacerbated.\u003c/p>\n\u003cfigure id=\"attachment_11877959\" class=\"wp-caption aligncenter\" style=\"max-width: 1355px\">\u003cimg loading=\"lazy\" decoding=\"async\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/06/RS49609_015_SanFrancisco_AlexPadillaMissionKids_06012021-qut.jpg\" alt=\"\" width=\"1355\" height=\"1003\" class=\"size-full wp-image-11877959\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/RS49609_015_SanFrancisco_AlexPadillaMissionKids_06012021-qut.jpg 1355w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/RS49609_015_SanFrancisco_AlexPadillaMissionKids_06012021-qut-800x592.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/RS49609_015_SanFrancisco_AlexPadillaMissionKids_06012021-qut-1020x755.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/RS49609_015_SanFrancisco_AlexPadillaMissionKids_06012021-qut-160x118.jpg 160w\" sizes=\"auto, (max-width: 1355px) 100vw, 1355px\">\u003cfigcaption class=\"wp-caption-text\">Sen. Alex Padilla speaks with children during a visit to Mission Kids Preschool in San Francisco on June 1, 2021. The visit was part of Padilla’s ‘Infrastructure Listening Tour.’ \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Structural Problems in Pay and Working Conditions\u003c/h3>\n\u003cp>\u003cem>Could you talk a little bit more about some of the more common structural problems that you see regarding pay and working conditions?\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Ai-jen Poo:\u003c/strong> Eighty-two percent of domestic workers didn’t have a single paid sick day. When the second stay-at-home orders came down, you saw dramatic losses in jobs and income because there’s no job security, there’s no contract or work agreement. The wages are essentially poverty wages. \u003c/p>\n\u003cp>So most domestic workers didn’t have the savings to be able to fall back on. I remember in March of 2020, in the first weeks of the pandemic, we held a meeting on Zoom with some of our members and one of them held her phone up to the Zoom screen to show us that she literally had 1 cent left in her bank account.\u003c/p>\n\u003ch3>What Investing in the Care Economy Looks Like\u003c/h3>\n\u003cp>\u003cem>When you say investment in care workers and the care economy, what does it look like?\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Ai-jen Poo:\u003c/strong> The Biden \u003ca href=\"https://www.whitehouse.gov/briefing-room/statements-releases/2021/03/31/fact-sheet-the-american-jobs-plan/\" target=\"_blank\" rel=\"noopener noreferrer\">American Jobs Plan\u003c/a> proposed a $400 billion investment in Medicaid, home and community-based care. What that money would do is expand access to home and community-based services and care for the elderly, and people with disabilities. And it would support raising wages and access to benefits for the workforce.\u003c/p>\n\u003cp>Right now, the average annual income of a home care worker is $17,000 per year. I don’t know a single community where that is sustainable, let alone enough to raise a family on. \u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Ai-jen Poo, director of the National Domestic Workers Alliance\"]‘If you’re a parent or you’re a primary caregiver for a family member who needs assistance with activities of daily life, you know that it’s an impossible choice between work and family members who need you for their basic human needs.’[/pullquote]What we end up seeing is high rates of turnover because people simply cannot survive and sustain themselves doing this work … because the wages are so poor and the conditions are so tough, we have huge parts of this country that we call home care deserts or direct care deserts because people can’t get the support that they need in order to live in their communities. They end up either having to go into a nursing home or having to rely on overstretched family caregivers who have to make impossible choices about whether or not they can work. The money to Medicaid would specifically raise wages for the home care workforce and strengthen that workforce so that they can stay and sustain themselves doing this work.\u003c/p>\n\u003cp>It would expand access to the services for over 800,000 people who are on waiting lists and the millions more who don’t even know there’s a waiting list to wait on.\u003c/p>\n\u003ch3>A Cultural Shift\u003c/h3>\n\u003cp>\u003cem>What evidence do you have that there is a tangible cultural shift happening here?\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Ai-jen Poo:\u003c/strong> I do feel this incredible rage, we call it the “mom’s rage,” that incredible frustration that moms are feeling and have felt throughout the pandemic. \u003c/p>\n\u003cp>If you’re a parent or you’re a primary caregiver for a family member who needs assistance with activities of daily life, you know that it’s an impossible choice between work and family members who need you for their basic human needs.\u003c/p>\n\u003cp>The kind of rage that I’m feeling, especially from women who disproportionately bear the brunt of caregiving responsibilities in our country, and especially women of color who’ve been pushed out of the workforce by the millions, almost 5 million women pushed out of the workforce in the pandemic because of caregiving challenges. That is an indicator that something is very broken.\u003c/p>\n\u003cp>If we are to pull ourselves back from the regression to 1988 women’s workforce participation levels, we’re going to have to rebuild and build something really different. I think people know that in their guts. This cultural norm that we have around care being an individual responsibility and a responsibility of individual families is one that is very deep. It’s not like we’re going to move past it overnight. And it’s not that it isn’t the responsibility of women and families and individuals, but it is about what is our responsibility collectively to each other as a society to ensure that we have real choices and real agency when it comes to the people we love.\u003c/p>\n\u003ch3>\u003cstrong>Protections for Undocumented Domestic Workers\u003c/strong>\u003c/h3>\n\u003cp>\u003cem>Can you comment on protections for undocumented domestic workers?\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Ai-jen Poo:\u003c/strong> There are a tremendous number of undocumented workers — essential workers in this industry. [aside tag=\"undocumented\" label=\"Related Stories\"] We’ve been working really hard to make sure that we seize upon this moment as we’re imagining an economic recovery that is inclusive and supportive of essential workers and includes undocumented domestic workers and care workers that have kept us safe through the pandemic.\u003c/p>\n\u003cp>Sen. Alex Padilla from California has introduced legislation to create a path to citizenship for the 5 million essential workers across industries through this time of crisis, and so we are very busy trying to get support for that legislation. \u003c/p>\n\u003cp>It could be really transformative and it would be inclusive of domestic workers, so let the senator know that you really support his efforts and help us get people signed on to that bill.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>We need programs, policies, systems and a strong care workforce to support us. There are over 2.5 million [care workers], and they’re overwhelmingly women — 92% women and majority women of color, including many immigrant women. This is actually the part of the economy with the highest concentration of undocumented immigrants of any workforce. They are also majority primary income earners for their families and majority mothers of small children.\u003c/p>\n\u003cp>We have a workforce who is essential not only to the families they support, but their own families and communities. And it’s also a workforce that has always been majority women of color. Some of the first domestic workers in the U.S. were enslaved Black women. And the fact that the work as a profession has always been associated with women of color has profoundly shaped the way that we’ve treated this work in law, policy and in culture.\u003c/p>\n\u003cp>Starting in the 1930s, when we were putting our foundational labor laws into place, this workforce was excluded intentionally as a result of racism and the legacy of slavery in our country. And it created a situation of extreme insecurity when domestic workers entered a crisis like a pandemic — it just became incredibly exacerbated.\u003c/p>\n\u003cfigure id=\"attachment_11877959\" class=\"wp-caption aligncenter\" style=\"max-width: 1355px\">\u003cimg loading=\"lazy\" decoding=\"async\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/06/RS49609_015_SanFrancisco_AlexPadillaMissionKids_06012021-qut.jpg\" alt=\"\" width=\"1355\" height=\"1003\" class=\"size-full wp-image-11877959\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/RS49609_015_SanFrancisco_AlexPadillaMissionKids_06012021-qut.jpg 1355w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/RS49609_015_SanFrancisco_AlexPadillaMissionKids_06012021-qut-800x592.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/RS49609_015_SanFrancisco_AlexPadillaMissionKids_06012021-qut-1020x755.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/06/RS49609_015_SanFrancisco_AlexPadillaMissionKids_06012021-qut-160x118.jpg 160w\" sizes=\"auto, (max-width: 1355px) 100vw, 1355px\">\u003cfigcaption class=\"wp-caption-text\">Sen. Alex Padilla speaks with children during a visit to Mission Kids Preschool in San Francisco on June 1, 2021. The visit was part of Padilla’s ‘Infrastructure Listening Tour.’ \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Structural Problems in Pay and Working Conditions\u003c/h3>\n\u003cp>\u003cem>Could you talk a little bit more about some of the more common structural problems that you see regarding pay and working conditions?\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Ai-jen Poo:\u003c/strong> Eighty-two percent of domestic workers didn’t have a single paid sick day. When the second stay-at-home orders came down, you saw dramatic losses in jobs and income because there’s no job security, there’s no contract or work agreement. The wages are essentially poverty wages. \u003c/p>\n\u003cp>So most domestic workers didn’t have the savings to be able to fall back on. I remember in March of 2020, in the first weeks of the pandemic, we held a meeting on Zoom with some of our members and one of them held her phone up to the Zoom screen to show us that she literally had 1 cent left in her bank account.\u003c/p>\n\u003ch3>What Investing in the Care Economy Looks Like\u003c/h3>\n\u003cp>\u003cem>When you say investment in care workers and the care economy, what does it look like?\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Ai-jen Poo:\u003c/strong> The Biden \u003ca href=\"https://www.whitehouse.gov/briefing-room/statements-releases/2021/03/31/fact-sheet-the-american-jobs-plan/\" target=\"_blank\" rel=\"noopener noreferrer\">American Jobs Plan\u003c/a> proposed a $400 billion investment in Medicaid, home and community-based care. What that money would do is expand access to home and community-based services and care for the elderly, and people with disabilities. And it would support raising wages and access to benefits for the workforce.\u003c/p>\n\u003cp>Right now, the average annual income of a home care worker is $17,000 per year. I don’t know a single community where that is sustainable, let alone enough to raise a family on. \u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘If you’re a parent or you’re a primary caregiver for a family member who needs assistance with activities of daily life, you know that it’s an impossible choice between work and family members who need you for their basic human needs.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>What we end up seeing is high rates of turnover because people simply cannot survive and sustain themselves doing this work … because the wages are so poor and the conditions are so tough, we have huge parts of this country that we call home care deserts or direct care deserts because people can’t get the support that they need in order to live in their communities. They end up either having to go into a nursing home or having to rely on overstretched family caregivers who have to make impossible choices about whether or not they can work. The money to Medicaid would specifically raise wages for the home care workforce and strengthen that workforce so that they can stay and sustain themselves doing this work.\u003c/p>\n\u003cp>It would expand access to the services for over 800,000 people who are on waiting lists and the millions more who don’t even know there’s a waiting list to wait on.\u003c/p>\n\u003ch3>A Cultural Shift\u003c/h3>\n\u003cp>\u003cem>What evidence do you have that there is a tangible cultural shift happening here?\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Ai-jen Poo:\u003c/strong> I do feel this incredible rage, we call it the “mom’s rage,” that incredible frustration that moms are feeling and have felt throughout the pandemic. \u003c/p>\n\u003cp>If you’re a parent or you’re a primary caregiver for a family member who needs assistance with activities of daily life, you know that it’s an impossible choice between work and family members who need you for their basic human needs.\u003c/p>\n\u003cp>The kind of rage that I’m feeling, especially from women who disproportionately bear the brunt of caregiving responsibilities in our country, and especially women of color who’ve been pushed out of the workforce by the millions, almost 5 million women pushed out of the workforce in the pandemic because of caregiving challenges. That is an indicator that something is very broken.\u003c/p>\n\u003cp>If we are to pull ourselves back from the regression to 1988 women’s workforce participation levels, we’re going to have to rebuild and build something really different. I think people know that in their guts. This cultural norm that we have around care being an individual responsibility and a responsibility of individual families is one that is very deep. It’s not like we’re going to move past it overnight. And it’s not that it isn’t the responsibility of women and families and individuals, but it is about what is our responsibility collectively to each other as a society to ensure that we have real choices and real agency when it comes to the people we love.\u003c/p>\n\u003ch3>\u003cstrong>Protections for Undocumented Domestic Workers\u003c/strong>\u003c/h3>\n\u003cp>\u003cem>Can you comment on protections for undocumented domestic workers?\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Ai-jen Poo:\u003c/strong> There are a tremendous number of undocumented workers — essential workers in this industry. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp> We’ve been working really hard to make sure that we seize upon this moment as we’re imagining an economic recovery that is inclusive and supportive of essential workers and includes undocumented domestic workers and care workers that have kept us safe through the pandemic.\u003c/p>\n\u003cp>Sen. Alex Padilla from California has introduced legislation to create a path to citizenship for the 5 million essential workers across industries through this time of crisis, and so we are very busy trying to get support for that legislation. \u003c/p>\n\u003cp>It could be really transformative and it would be inclusive of domestic workers, so let the senator know that you really support his efforts and help us get people signed on to that bill.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Last spring, only weeks into the pandemic, Christina Garcia was spending her days struggling to help her two young sons adjust to online schooling when she got such a heavy, painful period she could barely stand. After a few days, her vision began to blur and she found herself too weak to open a jar.\u003c/p>\n\u003cp>Garcia’s regular OB-GYN — like most medical offices at the time — was closed, and she was terrified by the prospect of spending hours waiting in an emergency room shoulder to shoulder with people who might have COVID-19.\u003c/p>\n\u003cp>By the time she stumbled into the newly opened \u003ca href=\"https://www.scvmc.org/clinics-and-locations/Bascom/Pages/Overview.aspx\">Bascom OB-GYN urgent care clinic\u003c/a> at the Santa Clara Valley Medical Center, clutching a pillow to her belly, Garcia was pale and dehydrated from blood loss and certain she was dying.\u003c/p>\n\u003cp>“If I didn’t get to the clinic when I did, I think, things could have ended up very different,” said Garcia, 34, who underwent an emergency hysterectomy for uterine fibroids.\u003c/p>\n\u003cp>Her story illustrates a long-standing gap in women’s health care. For years, many women with common but urgent conditions like painful urinary tract infections or excessive bleeding in the aftermath of a miscarriage have faced a grim choice between waiting weeks for an appointment with their regular OB-GYN or braving hours in an ER waiting room.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Urgent care OB-GYN clinics have begun popping up around the country in recent years, and the COVID pandemic has increased demand. While no data is available on the number of urgent care clinics for women, they are part of a surge of interest in urgent care clinics in general and other alternative models like retail clinics and so-called digital-first health care startups. One of these, the New York-based women’s health startup Tia (“aunt” in Spanish), won $24 million in venture capital funding last spring and is opening physical clinics nationwide.\u003c/p>\n\u003cp>“It’s clear that access and convenience are increasingly more important to consumers than seeing a specific provider,” said Rob Rohatsch, chief medical officer at Solv, an app that books urgent care appointments.\u003c/p>\n\u003cp>The Urgent Care Association has \u003ca href=\"https://www.ucaoa.org/Portals/80/pdfs/benchmarking/UCA-BenchmarkSurvey19_v1.pdf?ver=2020-02-21-182523-333\">reported\u003c/a> steadily \u003ca href=\"https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2698143\">increasing visits by people\u003c/a> who use its members’ walk-in clinics as an alternative to hospital emergency departments. Traffic to these clinics has surged during the past year, according to Solv.\u003c/p>\n\u003cp>The Bascom clinic had been a nearly decadelong dream of Drs. \u003ca href=\"https://www.doximity.com/pub/cheryl-pan-md\">Cheryl Pan\u003c/a> and \u003ca href=\"https://www.linkedin.com/in/anita-sit-54593960/\">Anita Sit\u003c/a>, two obstetrician-gynecologists at the Santa Clara Valley Medical Center, a sprawling public hospital that serves as the regional trauma center, treating critical cases like car accidents and gunshot victims and relegating people suffering less life-threatening problems to long waits.\u003c/p>\n\u003cp>“Women — perhaps pregnant or bleeding — could be sitting there 12 to 14 hours, depending on the time of day,” Pan said.\u003c/p>\n\u003cp>After the onset of the pandemic, doctors worried that women with serious or even deadly issues like Garcia’s might avoid seeking treatment for fear of contracting COVID. ER visits \u003ca href=\"https://www.contagionlive.com/view/emergency-departments-unprecedented-drop-visits-covid19\">plummeted an unprecedented 42%\u003c/a> in the early months of the pandemic, according to the Centers for Disease Control and Prevention. \u003ca href=\"https://www.cdc.gov/mmwr/volumes/69/wr/mm6923e1.htm\">A June CDC report noted that\u003c/a>, while the number of ER visits for heart attacks had increased, visits for nonspecific chest pain had decreased, suggesting that people might be risking their lives by avoiding the ER.\u003c/p>\n\u003cp>“You can imagine that a woman with three kids at home might be even more scared,” Sit said. “We just couldn’t keep sending women having miscarriages to wait hours in the COVID tent.”\u003c/p>\n\u003cp>Instead, women can now be triaged over the phone and seen within a day or two at the Bascom OB-GYN urgent care clinic — much the way they would at their local Planned Parenthood branch for contraceptives or a sexually transmitted disease screening. Bascom is equipped to treat conditions from severe morning sickness to ectopic pregnancies that require emergency surgery. In its first year, the clinic has treated some 1,300 women and served as a backup to local clinics that provide basic reproductive health services in counties hundreds of miles away.\u003c/p>\n\u003cp>It’s still in its pilot phase, however, operating weekdays from 8:30 a.m. to 5 p.m., which “leaves a big chunk of off-hours that we cannot serve women,” Sit acknowledges.\u003c/p>\n\u003cp>A handful of other clinics have taken the concept of urgent care for women a step further. Dr. Miriam Mackovic runs \u003ca href=\"https://www.completewomencare.com/about-us/about-complete-women-care/\">Complete Women Care\u003c/a>, a chain of four clinics in the Los Angeles area that also has an emergency care center in Long Beach, which is staffed 24/7 with a nurse practitioner and equipped with a lab and a pharmacy. Women who walk in are typically seen within 30 minutes, according to Mackovic, and every patient receives a follow-up call the next day.\u003c/p>\n\u003cp>One woman who turned up at a Complete Women Care clinic said that, after desperately seeking treatment at an ER one Saturday night for a nasty yeast infection, she got a bill in the mail for $1,500.\u003c/p>\n\u003cp>“In the middle of the night, urgent care centers are closed. OB-GYN offices are definitely closed. So, what is her option except the ER?” asked Mackovic, an obstetrician-gynecologist who also has an MBA.\u003c/p>\n\u003cp>Mackovic ticked off cautionary tales of patients who’ve arrived at her clinics from as far away as Arizona and Nevada after suffering for weeks while trying to schedule routine operations for uterine cysts or twisted ovaries.\u003c/p>\n\u003cp>“The medical advances are here. Most emergencies can be resolved on an outpatient basis — a woman can have a hysterectomy with just a fine incision and be home the same day,” Mackovic said. “But a woman who has a miscarriage calls her OB, who says there’s no openings for weeks, so she goes to the ER, and the physician says: Are you dying? No? Then follow up with your OB-GYN.”\u003c/p>\n\u003cp>Fees for the uninsured — around 20% of Mackovic’s clientele — run from $100 to around $600, she said.\u003c/p>\n\u003cp>Women in the United States have for years \u003ca href=\"https://www.commonwealthfund.org/publications/issue-briefs/2018/dec/womens-health-us-compared-ten-other-countries\">lagged behind\u003c/a> those in other rich countries in both their access to health care and their health status. America has the highest \u003ca href=\"https://www.vox.com/2020/1/30/21113782/pregnancy-deaths-us-maternal-mortality-rate\">maternal mortality rate\u003c/a> among developed nations.\u003c/p>\n\u003cp>Some women see a doctor only in an emergency.\u003c/p>\n\u003cp>“We have diagnosed so many cancers in the last few years because women walked in for another reason,” said Dr. Adeeti Gupta, founder and CEO of a chain of open-daily clinics in New York City called\u003ca href=\"https://walkingyn.com/\"> Walk In GYN Care\u003c/a> that provides comprehensive care without appointments.\u003c/p>\n\u003cp>Gupta’s three clinics have grown steadily since she opened them seven years ago, largely out of frustration with the months-long wait for an appointment at her own Queens OB-GYN practice. But after the coronavirus hit the city hard, she has seen an uptick in patients — 40% in one location.\u003c/p>\n\u003cp>The country needs more accessible, comprehensive women’s health care to treat everything from the menstrual pains of adolescents to the hot flashes of postmenopausal grannies, Gupta said.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“The thing about women,” she said, “is their problems never stop.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Last spring, only weeks into the pandemic, Christina Garcia was spending her days struggling to help her two young sons adjust to online schooling when she got such a heavy, painful period she could barely stand. After a few days, her vision began to blur and she found herself too weak to open a jar.\u003c/p>\n\u003cp>Garcia’s regular OB-GYN — like most medical offices at the time — was closed, and she was terrified by the prospect of spending hours waiting in an emergency room shoulder to shoulder with people who might have COVID-19.\u003c/p>\n\u003cp>By the time she stumbled into the newly opened \u003ca href=\"https://www.scvmc.org/clinics-and-locations/Bascom/Pages/Overview.aspx\">Bascom OB-GYN urgent care clinic\u003c/a> at the Santa Clara Valley Medical Center, clutching a pillow to her belly, Garcia was pale and dehydrated from blood loss and certain she was dying.\u003c/p>\n\u003cp>“If I didn’t get to the clinic when I did, I think, things could have ended up very different,” said Garcia, 34, who underwent an emergency hysterectomy for uterine fibroids.\u003c/p>\n\u003cp>Her story illustrates a long-standing gap in women’s health care. For years, many women with common but urgent conditions like painful urinary tract infections or excessive bleeding in the aftermath of a miscarriage have faced a grim choice between waiting weeks for an appointment with their regular OB-GYN or braving hours in an ER waiting room.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Urgent care OB-GYN clinics have begun popping up around the country in recent years, and the COVID pandemic has increased demand. While no data is available on the number of urgent care clinics for women, they are part of a surge of interest in urgent care clinics in general and other alternative models like retail clinics and so-called digital-first health care startups. One of these, the New York-based women’s health startup Tia (“aunt” in Spanish), won $24 million in venture capital funding last spring and is opening physical clinics nationwide.\u003c/p>\n\u003cp>“It’s clear that access and convenience are increasingly more important to consumers than seeing a specific provider,” said Rob Rohatsch, chief medical officer at Solv, an app that books urgent care appointments.\u003c/p>\n\u003cp>The Urgent Care Association has \u003ca href=\"https://www.ucaoa.org/Portals/80/pdfs/benchmarking/UCA-BenchmarkSurvey19_v1.pdf?ver=2020-02-21-182523-333\">reported\u003c/a> steadily \u003ca href=\"https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2698143\">increasing visits by people\u003c/a> who use its members’ walk-in clinics as an alternative to hospital emergency departments. Traffic to these clinics has surged during the past year, according to Solv.\u003c/p>\n\u003cp>The Bascom clinic had been a nearly decadelong dream of Drs. \u003ca href=\"https://www.doximity.com/pub/cheryl-pan-md\">Cheryl Pan\u003c/a> and \u003ca href=\"https://www.linkedin.com/in/anita-sit-54593960/\">Anita Sit\u003c/a>, two obstetrician-gynecologists at the Santa Clara Valley Medical Center, a sprawling public hospital that serves as the regional trauma center, treating critical cases like car accidents and gunshot victims and relegating people suffering less life-threatening problems to long waits.\u003c/p>\n\u003cp>“Women — perhaps pregnant or bleeding — could be sitting there 12 to 14 hours, depending on the time of day,” Pan said.\u003c/p>\n\u003cp>After the onset of the pandemic, doctors worried that women with serious or even deadly issues like Garcia’s might avoid seeking treatment for fear of contracting COVID. ER visits \u003ca href=\"https://www.contagionlive.com/view/emergency-departments-unprecedented-drop-visits-covid19\">plummeted an unprecedented 42%\u003c/a> in the early months of the pandemic, according to the Centers for Disease Control and Prevention. \u003ca href=\"https://www.cdc.gov/mmwr/volumes/69/wr/mm6923e1.htm\">A June CDC report noted that\u003c/a>, while the number of ER visits for heart attacks had increased, visits for nonspecific chest pain had decreased, suggesting that people might be risking their lives by avoiding the ER.\u003c/p>\n\u003cp>“You can imagine that a woman with three kids at home might be even more scared,” Sit said. “We just couldn’t keep sending women having miscarriages to wait hours in the COVID tent.”\u003c/p>\n\u003cp>Instead, women can now be triaged over the phone and seen within a day or two at the Bascom OB-GYN urgent care clinic — much the way they would at their local Planned Parenthood branch for contraceptives or a sexually transmitted disease screening. Bascom is equipped to treat conditions from severe morning sickness to ectopic pregnancies that require emergency surgery. In its first year, the clinic has treated some 1,300 women and served as a backup to local clinics that provide basic reproductive health services in counties hundreds of miles away.\u003c/p>\n\u003cp>It’s still in its pilot phase, however, operating weekdays from 8:30 a.m. to 5 p.m., which “leaves a big chunk of off-hours that we cannot serve women,” Sit acknowledges.\u003c/p>\n\u003cp>A handful of other clinics have taken the concept of urgent care for women a step further. Dr. Miriam Mackovic runs \u003ca href=\"https://www.completewomencare.com/about-us/about-complete-women-care/\">Complete Women Care\u003c/a>, a chain of four clinics in the Los Angeles area that also has an emergency care center in Long Beach, which is staffed 24/7 with a nurse practitioner and equipped with a lab and a pharmacy. Women who walk in are typically seen within 30 minutes, according to Mackovic, and every patient receives a follow-up call the next day.\u003c/p>\n\u003cp>One woman who turned up at a Complete Women Care clinic said that, after desperately seeking treatment at an ER one Saturday night for a nasty yeast infection, she got a bill in the mail for $1,500.\u003c/p>\n\u003cp>“In the middle of the night, urgent care centers are closed. OB-GYN offices are definitely closed. So, what is her option except the ER?” asked Mackovic, an obstetrician-gynecologist who also has an MBA.\u003c/p>\n\u003cp>Mackovic ticked off cautionary tales of patients who’ve arrived at her clinics from as far away as Arizona and Nevada after suffering for weeks while trying to schedule routine operations for uterine cysts or twisted ovaries.\u003c/p>\n\u003cp>“The medical advances are here. Most emergencies can be resolved on an outpatient basis — a woman can have a hysterectomy with just a fine incision and be home the same day,” Mackovic said. “But a woman who has a miscarriage calls her OB, who says there’s no openings for weeks, so she goes to the ER, and the physician says: Are you dying? No? Then follow up with your OB-GYN.”\u003c/p>\n\u003cp>Fees for the uninsured — around 20% of Mackovic’s clientele — run from $100 to around $600, she said.\u003c/p>\n\u003cp>Women in the United States have for years \u003ca href=\"https://www.commonwealthfund.org/publications/issue-briefs/2018/dec/womens-health-us-compared-ten-other-countries\">lagged behind\u003c/a> those in other rich countries in both their access to health care and their health status. America has the highest \u003ca href=\"https://www.vox.com/2020/1/30/21113782/pregnancy-deaths-us-maternal-mortality-rate\">maternal mortality rate\u003c/a> among developed nations.\u003c/p>\n\u003cp>Some women see a doctor only in an emergency.\u003c/p>\n\u003cp>“We have diagnosed so many cancers in the last few years because women walked in for another reason,” said Dr. Adeeti Gupta, founder and CEO of a chain of open-daily clinics in New York City called\u003ca href=\"https://walkingyn.com/\"> Walk In GYN Care\u003c/a> that provides comprehensive care without appointments.\u003c/p>\n\u003cp>Gupta’s three clinics have grown steadily since she opened them seven years ago, largely out of frustration with the months-long wait for an appointment at her own Queens OB-GYN practice. But after the coronavirus hit the city hard, she has seen an uptick in patients — 40% in one location.\u003c/p>\n\u003cp>The country needs more accessible, comprehensive women’s health care to treat everything from the menstrual pains of adolescents to the hot flashes of postmenopausal grannies, Gupta said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>It’s been 40 years since the first AIDS cases were reported by the federal government. The decades have brought pain, death and community trauma, but also life-saving medical breakthroughs, perseverance and hope.\u003c/p>\n\u003cp>That journey was honored at Golden Gate Park at the National AIDS Memorial Grove on June 5, as Dr. Anthony Fauci, House Speaker Nancy Pelosi and AIDS activists recalled another pandemic, another struggle, in another time.\u003c/p>\n\u003cp>Rev. Fr. Rusty Smith, executive director of \u003ca href=\"https://www.maitrisf.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Maitri Compassionate Care\u003c/a> spoke to KQED about his work in hospice. Maitri, located in San Francisco’s Duboce Triangle neighborhood, provides hospice care for low-income and homeless people living with AIDS, as well as people who need 24-hour respite care or recovery support after gender affirmation surgery. [pullquote size=\"medium\" align=\"right\" citation=\"Rev. Rusty Smith, executive director of Maitri Compassionate Care\"]‘They actually don’t even need our wisdom about how they got there and what happened to them. What they actually need is care and partnership.’[/pullquote]\u003c/p>\n\u003cp>Smith has been doing this work for over three decades. In the early 1980s during the AIDS crisis, he served as a Catholic seminarian and then became a priest. At the same time, he was the case manager and hospice caregiver at several hospices where people were dying from AIDS. As he sat beside those dying alone, he promised to never forget them.\u003c/p>\n\u003cp>In the following interview, Smith reflects on his past experience and shares how things have changed over the years.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cem>The following has been edited for length and clarity.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>You were working 40 years ago when AIDS was first discovered. What was that like?\u003c/strong>\u003c/p>\n\u003cp>Everyone died. I was a young person, and everyone I worked with, they were people like me. They were people that were in their 20s. And I saw them die within six months. No one I worked with during that time period survived AIDS. Everyone died.\u003c/p>\n\u003cp>Back in that time, in the early ’80s, everyone was afraid to touch and be close and hold people who had AIDS. And there were no or few religious leaders or clergy that allowed themselves to be present for people as they died, so many people died completely by themselves because of the shame involved. And even when I would go and do hospital visitation, we would have to completely gown up.\u003c/p>\n\u003cp>The promises I made were to people who had nobody left. And all of us that were activists, we all said to each other — and to the people that we loved and cared for — that we will never forget you, that we will say the story of your passing. And we made promises to them that we would not stop until there was a cure and until the stigma was gone. And that’s what that entire world was like. There were often weeks and months where I would go to four or five funerals, of men that were young — it wasn’t their time to die.\u003c/p>\n\u003cp>\u003cstrong>How have things changed over the years?\u003c/strong>\u003c/p>\n\u003cp>The face of AIDS has just completely changed. In the early ’80s, everyone within my community — the gay and queer community — primarily gay Caucasian men were dying. Now, it is a vast diversity of all different colors of people, and very strong components of that is poverty and a lack of stable housing, and access to care and services.\u003c/p>\n\u003cp>The other large part of this population that has changed is our \u003ca href=\"https://www.cdc.gov/media/releases/2021/p0414-trans-HIV.html\" target=\"_blank\" rel=\"noopener noreferrer\">transgender women of color \u003c/a>\u003ca href=\"https://www.cdc.gov/media/releases/2021/p0414-trans-HIV.html\" target=\"_blank\" rel=\"noopener noreferrer\">community\u003c/a>. They are being dramatically impacted by HIV and AIDS, and we are seeing that reoccurrence explode when at the very same time in other communities HIV/AIDS is being reduced. But within these communities it’s growing and it’s becoming more difficult to deal with.\u003c/p>\n\u003cp>\u003cstrong>Can you elaborate on why it’s becoming more difficult to deal with?\u003c/strong>\u003c/p>\n\u003cp>I am a white, privileged gay man. It’s not hard for me to go to the doctor and get my needs met. [But] in the early ’80s, it was horrible for me to go to the doctor. It was horrible for me to have to ask for the services I needed because doctors then judged me and shamed me about being openly gay and having gay sex.\u003c/p>\n\u003cp>Today, people who self-identify as being transgender are experiencing those same kinds of oppressive characteristics of medical care, health care, access to care and services, and additionally, access to safe and clean and affordable housing.\u003c/p>\n\u003cp>For many of us who have been through this journey a long time, are things better for people living with HIV/AIDS? Yes, they are. Can you have better access to better medications? Yes, you can. But for those that live on the margins, the same stigmas and obstacles exist that existed actually in the early ’80s. It’s just a different population group.\u003c/p>\n\u003cp>\u003cstrong>A \u003ca href=\"https://www.sfdph.org/dph/files/reports/RptsHIVAIDS/AnnualReport2019_Indigo_20200908_Web.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">2019 report\u003c/a> by the San Francisco Department of Public Health found that the HIV/AIDS population is also getting older. Specifically, it states that as of Dec. 31, 2019, 69% of persons living with HIV were aged 50 years and older. What are your thoughts on this aging population?\u003c/strong>\u003c/p>\n\u003cp>I know this may feel like a mixed celebration, but that is the most amazing news you could imagine — the fact that we as a population are aging, and HIV and AIDS has not killed us.\u003c/p>\n\u003cp>But there’s also that scary news of how do we take care of people when we’ve spent so many years just trying to preserve life? Now that we see an aging population, we have to, I think, reconstruct ourselves into what is long-term care.\u003c/p>\n\u003cp>\u003cstrong>What are some lessons we learned from 40 years ago that we can use today for those living with HIV/AIDS?\u003c/strong>\u003c/p>\n\u003cp>We’re good at [giving care]. We actually know how to do this. The people who come to Maitri, they don’t receive fair care, they receive remarkable care.\u003c/p>\n\u003cp>In the early 1980s, my clients would go to a clinic that was dirty, that often had people working there that disliked and hated them and that treated them badly. Right now, people who come for care and services here find extraordinary care, best practice care, staff that are highly trained and that are kind and gentle. [aside tag=\"aids, hiv\" label=\"More Related Stories\"]\u003c/p>\n\u003cp>The lessons we learned when people are in those circumstances is they don’t need our judgment. They actually don’t even need our wisdom about how they got there and what happened to them. What they actually need is care and partnership.\u003c/p>\n\u003cp>\u003cstrong>You’ve been doing this for over 30 years. What keeps you going?\u003c/strong>\u003c/p>\n\u003cp>One of our residents was getting ready to be discharged into housing, who came here amazingly sick and was resistant to being loved, but we would not allow him not to be.\u003c/p>\n\u003cp>That’s what keeps me here — every staff member here. We do this for the people who are living and struggling with that disease.\u003c/p>\n\u003cp>\u003cstrong>For those living with long-term COVID, any lessons that can be taken from people living with long-term HIV/AIDS?\u003c/strong>\u003c/p>\n\u003cp>I think the instruction here is follow the science, do what the doctors tell you to do, ask questions, do advocacy, but recognize that you’re not by yourself. That actually is what all of us in the ’80s discovered.\u003c/p>\n\u003cp>Being by yourself and dying and struggling with the disease is horrific. COVID-19, I personally feel, has allowed us and invited us to be closer together. And I think that’s the lesson of this disease.\u003c/p>\n\u003cp>\u003cstrong>Any final thoughts?\u003c/strong>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>There is a belief that HIV/AIDS has actually gone away. So much work within the service provider HIV/AIDS community is about prevention and helping people function at the highest level of autonomy possible, even if they do have AIDS. But the promise we made in the early ’80s that still hasn’t happened: We promised that we will work until we found a cure, and we still do not have a cure. We found a vaccine for COVID in a year. [For HIV/AIDs] it’s been 40 years. We still need a cure.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Smith has been doing this work for over three decades. In the early 1980s during the AIDS crisis, he served as a Catholic seminarian and then became a priest. At the same time, he was the case manager and hospice caregiver at several hospices where people were dying from AIDS. As he sat beside those dying alone, he promised to never forget them.\u003c/p>\n\u003cp>In the following interview, Smith reflects on his past experience and shares how things have changed over the years.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>The following has been edited for length and clarity.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>You were working 40 years ago when AIDS was first discovered. What was that like?\u003c/strong>\u003c/p>\n\u003cp>Everyone died. I was a young person, and everyone I worked with, they were people like me. They were people that were in their 20s. And I saw them die within six months. No one I worked with during that time period survived AIDS. Everyone died.\u003c/p>\n\u003cp>Back in that time, in the early ’80s, everyone was afraid to touch and be close and hold people who had AIDS. And there were no or few religious leaders or clergy that allowed themselves to be present for people as they died, so many people died completely by themselves because of the shame involved. And even when I would go and do hospital visitation, we would have to completely gown up.\u003c/p>\n\u003cp>The promises I made were to people who had nobody left. And all of us that were activists, we all said to each other — and to the people that we loved and cared for — that we will never forget you, that we will say the story of your passing. And we made promises to them that we would not stop until there was a cure and until the stigma was gone. And that’s what that entire world was like. There were often weeks and months where I would go to four or five funerals, of men that were young — it wasn’t their time to die.\u003c/p>\n\u003cp>\u003cstrong>How have things changed over the years?\u003c/strong>\u003c/p>\n\u003cp>The face of AIDS has just completely changed. In the early ’80s, everyone within my community — the gay and queer community — primarily gay Caucasian men were dying. Now, it is a vast diversity of all different colors of people, and very strong components of that is poverty and a lack of stable housing, and access to care and services.\u003c/p>\n\u003cp>The other large part of this population that has changed is our \u003ca href=\"https://www.cdc.gov/media/releases/2021/p0414-trans-HIV.html\" target=\"_blank\" rel=\"noopener noreferrer\">transgender women of color \u003c/a>\u003ca href=\"https://www.cdc.gov/media/releases/2021/p0414-trans-HIV.html\" target=\"_blank\" rel=\"noopener noreferrer\">community\u003c/a>. They are being dramatically impacted by HIV and AIDS, and we are seeing that reoccurrence explode when at the very same time in other communities HIV/AIDS is being reduced. But within these communities it’s growing and it’s becoming more difficult to deal with.\u003c/p>\n\u003cp>\u003cstrong>Can you elaborate on why it’s becoming more difficult to deal with?\u003c/strong>\u003c/p>\n\u003cp>I am a white, privileged gay man. It’s not hard for me to go to the doctor and get my needs met. [But] in the early ’80s, it was horrible for me to go to the doctor. It was horrible for me to have to ask for the services I needed because doctors then judged me and shamed me about being openly gay and having gay sex.\u003c/p>\n\u003cp>Today, people who self-identify as being transgender are experiencing those same kinds of oppressive characteristics of medical care, health care, access to care and services, and additionally, access to safe and clean and affordable housing.\u003c/p>\n\u003cp>For many of us who have been through this journey a long time, are things better for people living with HIV/AIDS? Yes, they are. Can you have better access to better medications? Yes, you can. But for those that live on the margins, the same stigmas and obstacles exist that existed actually in the early ’80s. It’s just a different population group.\u003c/p>\n\u003cp>\u003cstrong>A \u003ca href=\"https://www.sfdph.org/dph/files/reports/RptsHIVAIDS/AnnualReport2019_Indigo_20200908_Web.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">2019 report\u003c/a> by the San Francisco Department of Public Health found that the HIV/AIDS population is also getting older. Specifically, it states that as of Dec. 31, 2019, 69% of persons living with HIV were aged 50 years and older. What are your thoughts on this aging population?\u003c/strong>\u003c/p>\n\u003cp>I know this may feel like a mixed celebration, but that is the most amazing news you could imagine — the fact that we as a population are aging, and HIV and AIDS has not killed us.\u003c/p>\n\u003cp>But there’s also that scary news of how do we take care of people when we’ve spent so many years just trying to preserve life? Now that we see an aging population, we have to, I think, reconstruct ourselves into what is long-term care.\u003c/p>\n\u003cp>\u003cstrong>What are some lessons we learned from 40 years ago that we can use today for those living with HIV/AIDS?\u003c/strong>\u003c/p>\n\u003cp>We’re good at [giving care]. We actually know how to do this. The people who come to Maitri, they don’t receive fair care, they receive remarkable care.\u003c/p>\n\u003cp>In the early 1980s, my clients would go to a clinic that was dirty, that often had people working there that disliked and hated them and that treated them badly. Right now, people who come for care and services here find extraordinary care, best practice care, staff that are highly trained and that are kind and gentle. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The lessons we learned when people are in those circumstances is they don’t need our judgment. They actually don’t even need our wisdom about how they got there and what happened to them. What they actually need is care and partnership.\u003c/p>\n\u003cp>\u003cstrong>You’ve been doing this for over 30 years. What keeps you going?\u003c/strong>\u003c/p>\n\u003cp>One of our residents was getting ready to be discharged into housing, who came here amazingly sick and was resistant to being loved, but we would not allow him not to be.\u003c/p>\n\u003cp>That’s what keeps me here — every staff member here. We do this for the people who are living and struggling with that disease.\u003c/p>\n\u003cp>\u003cstrong>For those living with long-term COVID, any lessons that can be taken from people living with long-term HIV/AIDS?\u003c/strong>\u003c/p>\n\u003cp>I think the instruction here is follow the science, do what the doctors tell you to do, ask questions, do advocacy, but recognize that you’re not by yourself. That actually is what all of us in the ’80s discovered.\u003c/p>\n\u003cp>Being by yourself and dying and struggling with the disease is horrific. COVID-19, I personally feel, has allowed us and invited us to be closer together. And I think that’s the lesson of this disease.\u003c/p>\n\u003cp>\u003cstrong>Any final thoughts?\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Amid a pandemic that has pushed millions of \u003ca href=\"https://www.census.gov/library/stories/2021/03/moms-work-and-the-pandemic.html\" target=\"_blank\" rel=\"noopener noreferrer\">mothers out of the workplace\u003c/a>, caused \u003ca href=\"https://www.latimes.com/california/story/2021-05-24/obamacare-made-iuds-affordable-one-reason-behind-californias-covid-baby-bust\" target=\"_blank\" rel=\"noopener noreferrer\">fertility rates to plunge\u003c/a> and \u003ca href=\"https://jamanetwork.com/journals/jamapediatrics/fullarticle/2779182\" target=\"_blank\" rel=\"noopener noreferrer\">heightened the risk of death for pregnant women\u003c/a>, Gov. Gavin Newsom and state Democratic lawmakers are seeking a slate of health proposals for low-income families and children.\u003c/p>\n\u003cp>Newsom, a self-described feminist and the father of four young children, has long advocated family-friendly health and economic policies. Flush with a projected \u003ca href=\"https://www.kqed.org/news/11874125/californias-historic-budget-surplus-is-it-76-billion-or-38-billion\" target=\"_blank\" rel=\"noopener noreferrer\">budget surplus of $75.7 billion\u003c/a>, state politicians have come up with myriad legislative and budget proposals to make poorer families healthier and wealthier.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Assemblymember Cristina Garcia (D-Bell Gardens)\"]‘We don’t need to balance the budget on half of the population that has a uterus.’[/pullquote]They include ending sales taxes on \u003ca href=\"https://esd.dof.ca.gov/dofpublic/public/trailerBill/pdf/414\" target=\"_blank\" rel=\"noopener noreferrer\">menstrual products and diapers\u003c/a>; adding benefits such as doulas and early childhood trauma screenings to Medi-Cal, the state’s Medicaid program; allowing pregnant women to retain Medi-Cal coverage for a year after giving birth; and a pilot program to provide a universal basic income to low-income new parents.\u003c/p>\n\u003cp>“COVID-19 laid inequity bare for all to see,” Assemblymember Wendy Carrillo (D-Los Angeles) said in a written statement. She is the co-author of Senate Bill 65, led by Sen. Nancy Skinner (D-Berkeley), which would pour hundreds of millions of dollars into family and health care programs annually, focusing on minority groups that Carrillo said were “pushed out of the social safety net by the prior White House.”\u003c/p>\n\u003cp>Newsom and the Democratic-controlled legislature are unified on major health care and social safety-net expansions, which would direct billions in health benefits and cash assistance to the state’s most vulnerable residents and low-income parents. Legislative Democrats for years have pushed a progressive agenda to help struggling parents and families, featuring proposals like those to permanently end taxes on menstrual products and diapers — \u003ca href=\"https://lao.ca.gov/Publications/Report/4040\" target=\"_blank\" rel=\"noopener noreferrer\">expected to cost the state millions\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“We don’t need to balance the budget on half of the population that has a uterus,” said Assemblymember Cristina Garcia (D-Bell Gardens), who has \u003ca href=\"https://www.politico.com/states/california/story/2019/05/07/newsom-to-unveil-may-budget-thursday-with-focus-on-low-income-families-1009021\" target=\"_blank\" rel=\"noopener noreferrer\">for years sought an end\u003c/a> to the “pink tax” on diapers and menstrual products.\u003c/p>\n\u003cp>Skinner, chair of the Senate budget committee, is among the powerful lawmakers who’ve put forward legislation to make childbirth safer and parenthood more affordable. Her bill, which cleared the Senate and was up for consideration this week in the state Assembly, has several features that would dramatically expand maternal health care (transgender men also get pregnant and give birth).\u003c/p>\n\u003cp>[aside tag='childbirth' label='Maternity in California']Before the pandemic, Medi-Cal covered mothers only up to 60 days after their pregnancies ended unless their income fell below a certain line or they had a mental health diagnosis. Skinner’s bill, part of a \u003ca href=\"https://www.kff.org/womens-health-policy/issue-brief/expanding-postpartum-medicaid-coverage/\" target=\"_blank\" rel=\"noopener noreferrer\">broader national push\u003c/a> to improve birth outcomes, would expand full Medi-Cal coverage to 12 months after the end of a pregnancy. Other \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220SB65\" target=\"_blank\" rel=\"noopener noreferrer\">parts of the bill\u003c/a> would intensify state reporting and reviews of fetal and pregnancy-related deaths and severe maternal morbidity, expand housing benefits for families that have a pregnant member, and increase training programs for midwives.\u003c/p>\n\u003cp>Newsom’s $268 billion budget blueprint includes about $200 million a year to fully implement the expansion of Medi-Cal coverage for new mothers, with matching dollars from the federal government until those funds expire in 2027. If the expansion were not renewed, the state would revert to previous Medi-Cal qualifications.\u003c/p>\n\u003cp>\u003ca href=\"https://www.chcf.org/publication/2019-edition-maternity-care-in-california/\" target=\"_blank\" rel=\"noopener noreferrer\">Medi-Cal covered 45% of all births\u003c/a> in California in 2017, the last year for which data could be found.\u003c/p>\n\u003cp>“Not all postpartum issues end at 60 days, and when patients lose insurance, we can’t address them in the usual way,” said Dr. Yen Truong, an OB-GYN who works with the American College of Obstetricians and Gynecologists on legislative issues in California.\u003c/p>\n\u003cp>About half of pregnancy-related deaths occur during the pregnancy or on the day of delivery, but about 12% take place \u003ca href=\"https://www.cdc.gov/mmwr/volumes/68/wr/mm6818e1.htm\" target=\"_blank\" rel=\"noopener noreferrer\">between seven weeks and a year\u003c/a> after giving birth, according to the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>The U.S. had 17.4 early maternal deaths per 100,000 live births in 2018, according to the most recent CDC data with state figures. California’s rate, \u003ca href=\"https://www.cdc.gov/nchs/maternal-mortality/MMR-2018-State-Data-508.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">11.7 per 100,000\u003c/a>, was among the lowest in the nation, but the state collects data on maternal deaths in a way that could result in underestimates.\u003c/p>\n\u003cp>California’s overall numbers also obscure stark racial disparities. Statewide, Black infants averaged \u003ca href=\"https://www.cdph.ca.gov/Programs/CHSI/CDPH%20Document%20Library/CHSP_2021_ADA_FINAL.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">7.8 deaths per 1,000 live births\u003c/a>, compared with an average of three deaths among white babies. Data from 2013 from \u003ca href=\"http://publichealth.lacounty.gov/owh/docs/DataReport/2017-HealthIndicatorsforWomeninLACounty.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Los Angeles County\u003c/a> showed Black women had pregnancy-related deaths at rates more than four times as high as the overall rate in the state’s largest county.\u003c/p>\n\u003cp>“Given our state’s wealth and medical advancements, this is unacceptable,” Skinner, vice chair of the Legislative Women’s Caucus, said in a news release.\u003c/p>\n\u003cp>Democrats also appear unified on another aspect of Skinner’s bill: a pilot program to test a universal basic income program for struggling families. The bill would give $1,000 a month to low-income expectant and new parents with kids under 2 years old in counties that decide to participate. Newsom has also proposed \u003ca href=\"http://www.ebudget.ca.gov/2021-22/pdf/Revised/BudgetSummary/HealthandHumanServices.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">$35 million over five years\u003c/a> for pilot programs for universal basic income.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Rose Kapolczynski, a campaign consultant\"]‘The budget surplus is allowing many things that were called impossible to be possible, and that includes health care bills.’[/pullquote]These issues could play well, especially among women, and improve Newsom’s standing going into a \u003ca href=\"https://www.kqed.org/news/11875264/new-poll-shows-support-idling-for-newsom-recall-effort\" target=\"_blank\" rel=\"noopener noreferrer\">recall election\u003c/a> later this year, said Rose Kapolczynski, a longtime campaign consultant to former U.S. Sen. Barbara Boxer who has worked on reproductive health care issues in Sacramento.\u003c/p>\n\u003cp>Indefinitely rescinding sales taxes on diapers and menstrual products — the taxes have been \u003ca href=\"https://www.kcra.com/article/sales-tax-for-tampons-diapers-eliminated-in-california-for-2-years/30463779\" target=\"_blank\" rel=\"noopener noreferrer\">temporarily lifted since early last year\u003c/a> — is a particular no-brainer because of its bipartisan appeal, she said.\u003c/p>\n\u003cp>“It’s hard for Republicans to attack something that is a tax cut, and sales taxes are regressive, so progressives would like it,” Kapolczynski said.\u003c/p>\n\u003cp>As for Medi-Cal expansions, Kapolczynski said that even though it wouldn’t affect most Californians, the pandemic has made health care even more important to voters. “The budget surplus is allowing many things that were called impossible to be possible, and that includes health care bills,” she said.\u003c/p>\n\u003cp>[aside tag=\"california-budget\" label=\"More California budget coverage\"]Investing in California’s young families could help close the racial gap in maternal and infant mortality, said \u003ca href=\"https://www.bwwla.org/nourbese-flint-ma/\" target=\"_blank\" rel=\"noopener noreferrer\">Nourbese Flint\u003c/a>, executive director of the Black Women for Wellness Action Project, which endorsed Skinner’s bill.\u003c/p>\n\u003cp>Flint is especially excited about the possibility of covering doulas through Medi-Cal. Doulas, trained as emotional and physical supports for women in pregnancy and postpartum, have been linked to \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5538578/\" target=\"_blank\" rel=\"noopener noreferrer\">lower odds of cesarean births\u003c/a> and \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1595013/\" target=\"_blank\" rel=\"noopener noreferrer\">greater satisfaction with the birth experience\u003c/a>. If doulas saved Medi-Cal money by reducing cesarean births, that could enable the state to renegotiate payments for labor and delivery, according to \u003ca href=\"http://analyses.chbrp.com/document/view.php?id=1496\" target=\"_blank\" rel=\"noopener noreferrer\">an analysis by the independent California Health Benefits Review Program\u003c/a>. Under Newsom’s proposed budget, Medi-Cal coverage of doulas would cost about \u003ca href=\"http://www.ebudget.ca.gov/2021-22/pdf/Revised/BudgetSummary/HealthandHumanServices.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">$4.4 million a year\u003c/a>.\u003c/p>\n\u003cp>California’s would become the first Medicaid program to include “full spectrum” doula coverage, meaning it would include care for women who have abortions, miscarriages and stillbirths, said Amy Chen, a senior attorney at the \u003ca href=\"https://healthlaw.org/about/\" target=\"_blank\" rel=\"noopener noreferrer\">National Health Law Program\u003c/a>.\u003c/p>\n\u003cp>“California has always led the country and been a little bit in front of where our federal government is when it comes to covering folks,” Flint said.\u003c/p>\n\u003cp>\u003cem>California Healthline correspondent Angela Hart contributed to this report.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>This story was produced by \u003ca href=\"https://khn.org/about-us/\" target=\"_blank\" rel=\"noopener noreferrer\">KHN\u003c/a> (Kaiser Health News), a national newsroom that produces in-depth journalism about health issues. Together with Policy Analysis and Polling, KHN is one of the three major operating programs at KFF (Kaiser Family Foundation). \u003ca href=\"https://www.kff.org/about-us/\" target=\"_blank\" rel=\"noopener noreferrer\">KFF\u003c/a> is an endowed nonprofit organization providing information on health issues to the nation.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Amid a pandemic that has pushed millions of \u003ca href=\"https://www.census.gov/library/stories/2021/03/moms-work-and-the-pandemic.html\" target=\"_blank\" rel=\"noopener noreferrer\">mothers out of the workplace\u003c/a>, caused \u003ca href=\"https://www.latimes.com/california/story/2021-05-24/obamacare-made-iuds-affordable-one-reason-behind-californias-covid-baby-bust\" target=\"_blank\" rel=\"noopener noreferrer\">fertility rates to plunge\u003c/a> and \u003ca href=\"https://jamanetwork.com/journals/jamapediatrics/fullarticle/2779182\" target=\"_blank\" rel=\"noopener noreferrer\">heightened the risk of death for pregnant women\u003c/a>, Gov. Gavin Newsom and state Democratic lawmakers are seeking a slate of health proposals for low-income families and children.\u003c/p>\n\u003cp>Newsom, a self-described feminist and the father of four young children, has long advocated family-friendly health and economic policies. Flush with a projected \u003ca href=\"https://www.kqed.org/news/11874125/californias-historic-budget-surplus-is-it-76-billion-or-38-billion\" target=\"_blank\" rel=\"noopener noreferrer\">budget surplus of $75.7 billion\u003c/a>, state politicians have come up with myriad legislative and budget proposals to make poorer families healthier and wealthier.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘We don’t need to balance the budget on half of the population that has a uterus.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>They include ending sales taxes on \u003ca href=\"https://esd.dof.ca.gov/dofpublic/public/trailerBill/pdf/414\" target=\"_blank\" rel=\"noopener noreferrer\">menstrual products and diapers\u003c/a>; adding benefits such as doulas and early childhood trauma screenings to Medi-Cal, the state’s Medicaid program; allowing pregnant women to retain Medi-Cal coverage for a year after giving birth; and a pilot program to provide a universal basic income to low-income new parents.\u003c/p>\n\u003cp>“COVID-19 laid inequity bare for all to see,” Assemblymember Wendy Carrillo (D-Los Angeles) said in a written statement. She is the co-author of Senate Bill 65, led by Sen. Nancy Skinner (D-Berkeley), which would pour hundreds of millions of dollars into family and health care programs annually, focusing on minority groups that Carrillo said were “pushed out of the social safety net by the prior White House.”\u003c/p>\n\u003cp>Newsom and the Democratic-controlled legislature are unified on major health care and social safety-net expansions, which would direct billions in health benefits and cash assistance to the state’s most vulnerable residents and low-income parents. Legislative Democrats for years have pushed a progressive agenda to help struggling parents and families, featuring proposals like those to permanently end taxes on menstrual products and diapers — \u003ca href=\"https://lao.ca.gov/Publications/Report/4040\" target=\"_blank\" rel=\"noopener noreferrer\">expected to cost the state millions\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We don’t need to balance the budget on half of the population that has a uterus,” said Assemblymember Cristina Garcia (D-Bell Gardens), who has \u003ca href=\"https://www.politico.com/states/california/story/2019/05/07/newsom-to-unveil-may-budget-thursday-with-focus-on-low-income-families-1009021\" target=\"_blank\" rel=\"noopener noreferrer\">for years sought an end\u003c/a> to the “pink tax” on diapers and menstrual products.\u003c/p>\n\u003cp>Skinner, chair of the Senate budget committee, is among the powerful lawmakers who’ve put forward legislation to make childbirth safer and parenthood more affordable. Her bill, which cleared the Senate and was up for consideration this week in the state Assembly, has several features that would dramatically expand maternal health care (transgender men also get pregnant and give birth).\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Before the pandemic, Medi-Cal covered mothers only up to 60 days after their pregnancies ended unless their income fell below a certain line or they had a mental health diagnosis. Skinner’s bill, part of a \u003ca href=\"https://www.kff.org/womens-health-policy/issue-brief/expanding-postpartum-medicaid-coverage/\" target=\"_blank\" rel=\"noopener noreferrer\">broader national push\u003c/a> to improve birth outcomes, would expand full Medi-Cal coverage to 12 months after the end of a pregnancy. Other \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220SB65\" target=\"_blank\" rel=\"noopener noreferrer\">parts of the bill\u003c/a> would intensify state reporting and reviews of fetal and pregnancy-related deaths and severe maternal morbidity, expand housing benefits for families that have a pregnant member, and increase training programs for midwives.\u003c/p>\n\u003cp>Newsom’s $268 billion budget blueprint includes about $200 million a year to fully implement the expansion of Medi-Cal coverage for new mothers, with matching dollars from the federal government until those funds expire in 2027. If the expansion were not renewed, the state would revert to previous Medi-Cal qualifications.\u003c/p>\n\u003cp>\u003ca href=\"https://www.chcf.org/publication/2019-edition-maternity-care-in-california/\" target=\"_blank\" rel=\"noopener noreferrer\">Medi-Cal covered 45% of all births\u003c/a> in California in 2017, the last year for which data could be found.\u003c/p>\n\u003cp>“Not all postpartum issues end at 60 days, and when patients lose insurance, we can’t address them in the usual way,” said Dr. Yen Truong, an OB-GYN who works with the American College of Obstetricians and Gynecologists on legislative issues in California.\u003c/p>\n\u003cp>About half of pregnancy-related deaths occur during the pregnancy or on the day of delivery, but about 12% take place \u003ca href=\"https://www.cdc.gov/mmwr/volumes/68/wr/mm6818e1.htm\" target=\"_blank\" rel=\"noopener noreferrer\">between seven weeks and a year\u003c/a> after giving birth, according to the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>The U.S. had 17.4 early maternal deaths per 100,000 live births in 2018, according to the most recent CDC data with state figures. California’s rate, \u003ca href=\"https://www.cdc.gov/nchs/maternal-mortality/MMR-2018-State-Data-508.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">11.7 per 100,000\u003c/a>, was among the lowest in the nation, but the state collects data on maternal deaths in a way that could result in underestimates.\u003c/p>\n\u003cp>California’s overall numbers also obscure stark racial disparities. Statewide, Black infants averaged \u003ca href=\"https://www.cdph.ca.gov/Programs/CHSI/CDPH%20Document%20Library/CHSP_2021_ADA_FINAL.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">7.8 deaths per 1,000 live births\u003c/a>, compared with an average of three deaths among white babies. Data from 2013 from \u003ca href=\"http://publichealth.lacounty.gov/owh/docs/DataReport/2017-HealthIndicatorsforWomeninLACounty.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Los Angeles County\u003c/a> showed Black women had pregnancy-related deaths at rates more than four times as high as the overall rate in the state’s largest county.\u003c/p>\n\u003cp>“Given our state’s wealth and medical advancements, this is unacceptable,” Skinner, vice chair of the Legislative Women’s Caucus, said in a news release.\u003c/p>\n\u003cp>Democrats also appear unified on another aspect of Skinner’s bill: a pilot program to test a universal basic income program for struggling families. The bill would give $1,000 a month to low-income expectant and new parents with kids under 2 years old in counties that decide to participate. Newsom has also proposed \u003ca href=\"http://www.ebudget.ca.gov/2021-22/pdf/Revised/BudgetSummary/HealthandHumanServices.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">$35 million over five years\u003c/a> for pilot programs for universal basic income.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>These issues could play well, especially among women, and improve Newsom’s standing going into a \u003ca href=\"https://www.kqed.org/news/11875264/new-poll-shows-support-idling-for-newsom-recall-effort\" target=\"_blank\" rel=\"noopener noreferrer\">recall election\u003c/a> later this year, said Rose Kapolczynski, a longtime campaign consultant to former U.S. Sen. Barbara Boxer who has worked on reproductive health care issues in Sacramento.\u003c/p>\n\u003cp>Indefinitely rescinding sales taxes on diapers and menstrual products — the taxes have been \u003ca href=\"https://www.kcra.com/article/sales-tax-for-tampons-diapers-eliminated-in-california-for-2-years/30463779\" target=\"_blank\" rel=\"noopener noreferrer\">temporarily lifted since early last year\u003c/a> — is a particular no-brainer because of its bipartisan appeal, she said.\u003c/p>\n\u003cp>“It’s hard for Republicans to attack something that is a tax cut, and sales taxes are regressive, so progressives would like it,” Kapolczynski said.\u003c/p>\n\u003cp>As for Medi-Cal expansions, Kapolczynski said that even though it wouldn’t affect most Californians, the pandemic has made health care even more important to voters. “The budget surplus is allowing many things that were called impossible to be possible, and that includes health care bills,” she said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Investing in California’s young families could help close the racial gap in maternal and infant mortality, said \u003ca href=\"https://www.bwwla.org/nourbese-flint-ma/\" target=\"_blank\" rel=\"noopener noreferrer\">Nourbese Flint\u003c/a>, executive director of the Black Women for Wellness Action Project, which endorsed Skinner’s bill.\u003c/p>\n\u003cp>Flint is especially excited about the possibility of covering doulas through Medi-Cal. Doulas, trained as emotional and physical supports for women in pregnancy and postpartum, have been linked to \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5538578/\" target=\"_blank\" rel=\"noopener noreferrer\">lower odds of cesarean births\u003c/a> and \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1595013/\" target=\"_blank\" rel=\"noopener noreferrer\">greater satisfaction with the birth experience\u003c/a>. If doulas saved Medi-Cal money by reducing cesarean births, that could enable the state to renegotiate payments for labor and delivery, according to \u003ca href=\"http://analyses.chbrp.com/document/view.php?id=1496\" target=\"_blank\" rel=\"noopener noreferrer\">an analysis by the independent California Health Benefits Review Program\u003c/a>. Under Newsom’s proposed budget, Medi-Cal coverage of doulas would cost about \u003ca href=\"http://www.ebudget.ca.gov/2021-22/pdf/Revised/BudgetSummary/HealthandHumanServices.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">$4.4 million a year\u003c/a>.\u003c/p>\n\u003cp>California’s would become the first Medicaid program to include “full spectrum” doula coverage, meaning it would include care for women who have abortions, miscarriages and stillbirths, said Amy Chen, a senior attorney at the \u003ca href=\"https://healthlaw.org/about/\" target=\"_blank\" rel=\"noopener noreferrer\">National Health Law Program\u003c/a>.\u003c/p>\n\u003cp>“California has always led the country and been a little bit in front of where our federal government is when it comes to covering folks,” Flint said.\u003c/p>\n\u003cp>\u003cem>California Healthline correspondent Angela Hart contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>This story was produced by \u003ca href=\"https://khn.org/about-us/\" target=\"_blank\" rel=\"noopener noreferrer\">KHN\u003c/a> (Kaiser Health News), a national newsroom that produces in-depth journalism about health issues. Together with Policy Analysis and Polling, KHN is one of the three major operating programs at KFF (Kaiser Family Foundation). \u003ca href=\"https://www.kff.org/about-us/\" target=\"_blank\" rel=\"noopener noreferrer\">KFF\u003c/a> is an endowed nonprofit organization providing information on health issues to the nation.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "Amid Ongoing Debate, State Senate Approves Bill to Decriminalize Psychedelic Drugs in California",
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"content": "\u003cp>The California Senate approved legislation to decriminalize the possession or sharing of psychedelic drugs, Tuesday.\u003c/p>\n\u003cp>\u003ca href=\"https://sd11.senate.ca.gov/news/20210218-senator-wiener-introduces-legislation-decriminalize-possession-and-personal-use\">Senate Bill 519\u003c/a>, introduced by state Sen. Scott Wiener, D-San Francisco, now heads to the state Assembly.\u003c/p>\n\u003cp>“This is a big step for this legislation and for our movement to end the war on drugs and to take a more health and science-based approach and to move away from criminalization of drugs,” Wiener said in a Twitter video posted on Tuesday.\u003c/p>\n\u003cp>https://twitter.com/Scott_Wiener/status/1399867521612881921?ref_src=twsrc%5Etfw%7Ctwcamp%5Etweetembed%7Ctwterm%5E1399867521612881921%7Ctwgr%5E%7Ctwcon%5Es1_&ref_url=https%3A%2F%2Ffox40.com%2Fnews%2Flocal-news%2Fcalifornia-senate-passes-bill-to-decriminalize-psychedelic-drugs%2F\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>The legislation would allow doctors to prescribe psychedelics for treating mental health disorders such as depression and PTSD. It would also allow psychedelics for personal use, and expunge criminal records for people with prior convictions for possession.\u003c/p>\n\u003cp>In May, the medical journal Nature Medicine published results of \u003ca href=\"https://www.nature.com/articles/s41591-021-01336-3\">a study using the psychedelic drug MDMA\u003c/a>, also known as ecstasy, to treat post-traumatic stress disorder among research participants who received the drug, along with counseling. Sixty-seven percent felt their condition had improved to the extent that they no longer qualified for a diagnosis of PTSD.\u003c/p>\n\u003cp>This study adds to a small but growing body of scientific literature exploring the use of psychedelics like MDMA, LSD and psilocybin as therapy for a range of mental health conditions, including depression, eating disorders and end-of-life anxiety. The bill now working its way through the state Legislature aims to build on this momentum.\u003c/p>\n\u003cp>While many veterans and drug advocacy groups support the bill, opponents say the legislation would lead to an increased rate of psychedelic drugs sold and recreationally used. On May 14, \u003ca href=\"https://www.kqed.org/forum/2010101883458/ca-could-become-the-latest-state-to-decriminalize-psychedelics\">KQED Forum host April Dembosky\u003c/a> talked to the following people involved in this debate:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Juliana Mercer\u003c/strong>, a Marine Corps veteran who used psychedelic therapy to overcome her trauma from her time serving in Iraq and Afghanistan\u003c/li>\n\u003cli>\u003cstrong>Sen. Scott Wiener\u003c/strong>, represents San Francisco in the state Senate\u003c/li>\n\u003cli>\u003cstrong>Dr. Jeffrey Lieberman\u003c/strong>, former president of the American Psychiatric Association and chairman of the Department of Psychiatry, Columbia University College of Physicians and Surgeons\u003c/li>\n\u003cli>\u003cstrong>Larry Morse, \u003c/strong>legislative director, California District Attorneys Association\u003c/li>\n\u003cli>\u003cstrong>Dr. Robert Grant\u003c/strong>, professor of medicine at UCSF and prominent academic voice around decriminalization and psychedelic therapy\u003c/li>\n\u003c/ul>\n\u003cp>\u003cem>The following interview has been edited for length and clarity.\u003c/em>\u003c/p>\n\u003ch3>A Veteran’s Personal Experience\u003c/h3>\n\u003cp>\u003cem>Juliana Mercer graduated military boot camp one week before Sept. 11, 2001, and served in the United States Marines for 16 years. She served two tours of duty, one in Iraq and one in Afghanistan.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Juliana Mercer:\u003c/strong> Between Iraq and Afghanistan, where I saw the traumas of war in between those two deployments, I spent five years working with our wounded in San Diego at the naval hospital, and I did everything that was non-medical for helping them in a holistic way to get back into their lives with their injuries.\u003c/p>\n\u003cp>During those five years I saw the direct result of war; not just the physical trauma, but the mental trauma. And I did my job every day and did it happily because I was helping my brothers and sisters. But losing quite a few fellow Marines and other veterans to suicide between two war deployments really took a toll on me.\u003c/p>\n\u003cp>I didn’t realize that they had taken a toll on me because I was doing my job every day. A few years after exiting the service and continuing to work with nonprofits that help veterans, I felt just this loss of purpose. Even though I was doing purposeful work, I had a loss of who my authentic self was. My first interaction with these medicines really opened up the acknowledgment that I had suffered a lot of loss, and there was a lot of grief in there. It started to help me unpack all of the grief that I had, and hadn’t revisited because I was so busy doing my job and taking care of my Marines.\u003cspan style=\"font-weight: 400\">[aside postID=\"science_1956693\"]\u003c/span>\u003c/p>\n\u003cp>\u003cem>Mercer eventually connected with the \u003ca href=\"https://www.heroicheartsproject.org/\">Heroic Hearts Project\u003c/a>, which specializes in ayahuasca therapy with military veterans, and traveled to a retreat center in Costa Rica for treatment.\u003c/em>\u003c/p>\n\u003cp>We were there for 10 days and we had four sessions with ayahuasca. And these sessions where you drink the medicine, which is the root that’s found in the Amazon, administered by a shaman.\u003c/p>\n\u003cp>You go into these sessions with intentions of what you want to accomplish and what you want to bring up. I think a session lasts anywhere from six to 12 hours. The ayahuasca and psychedelic medicines really opens you up. They open up your heart and they let you start looking inside of yourself, figuring out what the blockages are.\u003c/p>\n\u003cp>These sessions are [like] 10 years of therapy.\u003c/p>\n\u003ch3>The Proposed Legislation Around Psychedelics\u003c/h3>\n\u003cp>\u003cstrong>State Sen. Scott Wiener:\u003c/strong> The legislation is sponsored by [the Heroic Hearts Project], as well as another group of vets that also works with veterans experiencing PTSD, addiction, other mental health challenges, and combat veterans.\u003c/p>\n\u003cp>And right now, these groups are having to send these combat veterans to other countries, to Costa Rica, to Peru, to Mexico to get treatment. We think to ourselves how outrageous it is that these are people who have gone to war for our country, who have sustained terrible injuries — physical and mental — serving our country, and we’re making it illegal for them to get effective treatment in the U.S. and forcing them to travel to another country.\u003c/p>\n\u003cp>I watched what was happening in Oregon and in various cities around the country as part of the movement towards drug decriminalization. The war on drugs has failed. Incarcerating people for using drugs doesn’t work. We need to take a health-based approach. And for psychedelics in particular, the mounting evidence of the health benefits of all of these substances is just extraordinary. People whose lives are being saved.\u003c/p>\n\u003cp>And yet we have stuck with this terrible criminalization approach and say, no, you can’t have your medicine, it’s illegal. And if you possess your medicine, you might get arrested and go to jail. And so the bill simply decriminalizes the possession of psychedelics. It actually does not authorize doctors to prescribe. That would require a change in federal law so that the doctors wouldn’t lose their prescribing privileges. But that, we hope, will happen at some point. But for now, we want to make sure that California stops arresting and prosecuting people for possessing psychedelics. [pullquote size=\"medium\" align=\"right\" citation=\"Scott Wiener, D-San Francisco\"]‘We want to make sure that California stops arresting and prosecuting people for possessing psychedelics.’[/pullquote]\u003c/p>\n\u003cp>We want to effectively decriminalize it and move towards legalization, and then create pathways for people to expunge their records. It’s hard to describe how destructive the war on drugs has been. It has cost this country untold billions. A lot of people have criminal records because they were low-level drug offenses, and we want to make sure that they can clear their records and not have those convictions hanging over them, which can have implications for housing and for employment. So it’s about saying, “Listen, we made a mistake by criminalizing these substances. We’re moving away from that now.”\u003c/p>\n\u003ch3>What Could the Drawbacks of Decriminalizing Psychedelics Be?\u003c/h3>\n\u003cp>\u003cstrong>Dr. Jeffrey Lieberman, Columbia University:\u003c/strong> Hopefully we won’t commit the same mistake that we did in the ’60s where things got out of control, and they were used recreationally.\u003c/p>\n\u003cp>First, let me just say that I completely agree with the legislation. These drugs should not be criminalized. There should be decriminalization. Secondly, I enthusiastically endorse their study for therapeutic uses for various types of conditions. [aside postID=\"science_1970825\"]\u003c/p>\n\u003cp>But at the same time, I’m very concerned that we’re rushing headlong to a point where practice is leaping ahead of knowledge. And the first way in which this is evident is the fact that “psychedelics” is the term that’s being used to define a certain group of psychoactive drugs. But it’s being used in a way that’s not precise.\u003c/p>\n\u003cp>Psychedelics really refer to compounds that have been used by Indigenous peoples ritualistically for centuries, and then synthetically replicated. Ecstasy, MDMA, ketamine, ibogaine are not classical psychedelics. They have different clinical effects and they have different potential uses.\u003c/p>\n\u003cp>All of these drugs do have some potential uses. The problem is they have not been studied sufficiently to know what they are. So if we let the genie out of the bottle too soon, and base it on the enthusiasm of true believers who have had positive experiences, we’re potentially risking trouble.\u003c/p>\n\u003cp>If this is such a big thing socially for our population and people are benefiting from it and want to have access to it, why isn’t it being studied in the way that rigorously and systematically it should be?\u003c/p>\n\u003cp>\u003cstrong>Larry Morse, California District Attorneys Association:\u003c/strong> I endorse completely what Dr. Lieberman said about the lack of adequate studies that we are talking about: powerful, powerful drugs, LSD.\u003c/p>\n\u003cp>I’m of the generation where I literally remember being with people having an extraordinarily bad experience with LSD all through the evening. And it is a flight of naivete to believe that if we make this more readily accessible, legalize this, that it is not going to be used by kids. They are going to get access to it.\u003c/p>\n\u003cp>We are talking about making a drug more readily available. And it is just denial to suggest that it will not fall into the hands of 15-, 16-, 17-year-olds who will have terrible, terrible, terrifying experiences that have significant likelihood or possibility of long-term effects.\u003c/p>\n\u003cp>Psychosis, paranoia, schizophrenia. This is not like some really strong weed. These are powerful drugs that have dramatic effects on people’s moods and can lead to just horrific consequences.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch3>The Prevalence and Equity of Psychedelic Medicines\u003c/h3>\n\u003cp>\u003cstrong>Dr. Robert Grant, UCSF:\u003c/strong> Psychedelics are already in widespread use in the United States. Surveys have shown that something like 30 million Americans have used psychedelic medicines in their lives and something like 1 million use them on any given year.\u003c/p>\n\u003cp>So these medicines are being used. They’re being used largely in a criminalized context where people have to be very shy about talking about how they’ve used psychedelics, and under what circumstances, and who provided them, and whether that was a good setting for their work.\u003c/p>\n\u003cp>The huge advantage of this particular legislation is that it allows for all of that underground use, which is already happening, to come out and be more public — so that people can talk about when their use of psychedelics went well, and when it went badly. These kinds of open discussions are not possible now because of criminalization, and decriminalization will change that.\u003c/p>\n\u003cp>\u003cem>Three-quarters of the participants in the trial cited in Nature Medicine’s \u003ca href=\"https://www.nature.com/articles/s41591-021-01336-3\">study of MDMA and PTSD\u003c/a> were white. What do we know about the effectiveness of this drug, and access to it, for people of color?\u003c/em>\u003c/p>\n\u003cp>Clinical trials in general tend to recruit predominantly white populations, and we think that that’s an issue of trust — that researchers need to do more to establish trust with communities of color. [pullquote size=\"medium\" align=\"right\" citation=\"Dr. Robert Grant, UCSF\"]‘We do know that communities of color are using these therapies. And we also know that communities of color and queer communities are at much higher risk of having PTSD. So the unmet medical need for those communities of color is enormous, and larger than in other populations.’[/pullquote]\u003c/p>\n\u003cp>We do know that communities of color are using these therapies. And we also know that communities of color and queer communities are at much higher risk of having PTSD. So the unmet medical need for those communities of color is enormous, and larger than in other populations.\u003c/p>\n\u003cp>Medicalization pathways left there on their own without decriminalization will be difficult and delayed, and will have even more difficulty recruiting people of color while we have criminalization laws on the books. So this decriminalization law, I believe, will make it easier for the National Institutes of Health to fund these studies, and that will make it easier for people of color to participate in those studies. And it’ll make it easier for people who are using these medicines therapeutically to talk about their experiences.\u003c/p>\n\u003cp>\u003cem>Listen to \u003ca href=\"https://www.kqed.org/forum/2010101883458/ca-could-become-the-latest-state-to-decriminalize-psychedelics\" target=\"_blank\" rel=\"noopener noreferrer\">KQED Forum\u003c/a> to hear the full episode.\u003c/em>\u003c/p>\n\u003cp>\u003cem>The original version of this story was published on May 16.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The California Senate approved legislation to decriminalize the possession or sharing of psychedelic drugs, Tuesday.\u003c/p>\n\u003cp>\u003ca href=\"https://sd11.senate.ca.gov/news/20210218-senator-wiener-introduces-legislation-decriminalize-possession-and-personal-use\">Senate Bill 519\u003c/a>, introduced by state Sen. Scott Wiener, D-San Francisco, now heads to the state Assembly.\u003c/p>\n\u003cp>“This is a big step for this legislation and for our movement to end the war on drugs and to take a more health and science-based approach and to move away from criminalization of drugs,” Wiener said in a Twitter video posted on Tuesday.\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp> \u003c/p>\n\u003cp>The legislation would allow doctors to prescribe psychedelics for treating mental health disorders such as depression and PTSD. It would also allow psychedelics for personal use, and expunge criminal records for people with prior convictions for possession.\u003c/p>\n\u003cp>In May, the medical journal Nature Medicine published results of \u003ca href=\"https://www.nature.com/articles/s41591-021-01336-3\">a study using the psychedelic drug MDMA\u003c/a>, also known as ecstasy, to treat post-traumatic stress disorder among research participants who received the drug, along with counseling. Sixty-seven percent felt their condition had improved to the extent that they no longer qualified for a diagnosis of PTSD.\u003c/p>\n\u003cp>This study adds to a small but growing body of scientific literature exploring the use of psychedelics like MDMA, LSD and psilocybin as therapy for a range of mental health conditions, including depression, eating disorders and end-of-life anxiety. The bill now working its way through the state Legislature aims to build on this momentum.\u003c/p>\n\u003cp>While many veterans and drug advocacy groups support the bill, opponents say the legislation would lead to an increased rate of psychedelic drugs sold and recreationally used. On May 14, \u003ca href=\"https://www.kqed.org/forum/2010101883458/ca-could-become-the-latest-state-to-decriminalize-psychedelics\">KQED Forum host April Dembosky\u003c/a> talked to the following people involved in this debate:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Juliana Mercer\u003c/strong>, a Marine Corps veteran who used psychedelic therapy to overcome her trauma from her time serving in Iraq and Afghanistan\u003c/li>\n\u003cli>\u003cstrong>Sen. Scott Wiener\u003c/strong>, represents San Francisco in the state Senate\u003c/li>\n\u003cli>\u003cstrong>Dr. Jeffrey Lieberman\u003c/strong>, former president of the American Psychiatric Association and chairman of the Department of Psychiatry, Columbia University College of Physicians and Surgeons\u003c/li>\n\u003cli>\u003cstrong>Larry Morse, \u003c/strong>legislative director, California District Attorneys Association\u003c/li>\n\u003cli>\u003cstrong>Dr. Robert Grant\u003c/strong>, professor of medicine at UCSF and prominent academic voice around decriminalization and psychedelic therapy\u003c/li>\n\u003c/ul>\n\u003cp>\u003cem>The following interview has been edited for length and clarity.\u003c/em>\u003c/p>\n\u003ch3>A Veteran’s Personal Experience\u003c/h3>\n\u003cp>\u003cem>Juliana Mercer graduated military boot camp one week before Sept. 11, 2001, and served in the United States Marines for 16 years. She served two tours of duty, one in Iraq and one in Afghanistan.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Juliana Mercer:\u003c/strong> Between Iraq and Afghanistan, where I saw the traumas of war in between those two deployments, I spent five years working with our wounded in San Diego at the naval hospital, and I did everything that was non-medical for helping them in a holistic way to get back into their lives with their injuries.\u003c/p>\n\u003cp>During those five years I saw the direct result of war; not just the physical trauma, but the mental trauma. And I did my job every day and did it happily because I was helping my brothers and sisters. But losing quite a few fellow Marines and other veterans to suicide between two war deployments really took a toll on me.\u003c/p>\n\u003cp>I didn’t realize that they had taken a toll on me because I was doing my job every day. A few years after exiting the service and continuing to work with nonprofits that help veterans, I felt just this loss of purpose. Even though I was doing purposeful work, I had a loss of who my authentic self was. My first interaction with these medicines really opened up the acknowledgment that I had suffered a lot of loss, and there was a lot of grief in there. It started to help me unpack all of the grief that I had, and hadn’t revisited because I was so busy doing my job and taking care of my Marines.\u003cspan style=\"font-weight: 400\">\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/span>\u003c/p>\n\u003cp>\u003cem>Mercer eventually connected with the \u003ca href=\"https://www.heroicheartsproject.org/\">Heroic Hearts Project\u003c/a>, which specializes in ayahuasca therapy with military veterans, and traveled to a retreat center in Costa Rica for treatment.\u003c/em>\u003c/p>\n\u003cp>We were there for 10 days and we had four sessions with ayahuasca. And these sessions where you drink the medicine, which is the root that’s found in the Amazon, administered by a shaman.\u003c/p>\n\u003cp>You go into these sessions with intentions of what you want to accomplish and what you want to bring up. I think a session lasts anywhere from six to 12 hours. The ayahuasca and psychedelic medicines really opens you up. They open up your heart and they let you start looking inside of yourself, figuring out what the blockages are.\u003c/p>\n\u003cp>These sessions are [like] 10 years of therapy.\u003c/p>\n\u003ch3>The Proposed Legislation Around Psychedelics\u003c/h3>\n\u003cp>\u003cstrong>State Sen. Scott Wiener:\u003c/strong> The legislation is sponsored by [the Heroic Hearts Project], as well as another group of vets that also works with veterans experiencing PTSD, addiction, other mental health challenges, and combat veterans.\u003c/p>\n\u003cp>And right now, these groups are having to send these combat veterans to other countries, to Costa Rica, to Peru, to Mexico to get treatment. We think to ourselves how outrageous it is that these are people who have gone to war for our country, who have sustained terrible injuries — physical and mental — serving our country, and we’re making it illegal for them to get effective treatment in the U.S. and forcing them to travel to another country.\u003c/p>\n\u003cp>I watched what was happening in Oregon and in various cities around the country as part of the movement towards drug decriminalization. The war on drugs has failed. Incarcerating people for using drugs doesn’t work. We need to take a health-based approach. And for psychedelics in particular, the mounting evidence of the health benefits of all of these substances is just extraordinary. People whose lives are being saved.\u003c/p>\n\u003cp>And yet we have stuck with this terrible criminalization approach and say, no, you can’t have your medicine, it’s illegal. And if you possess your medicine, you might get arrested and go to jail. And so the bill simply decriminalizes the possession of psychedelics. It actually does not authorize doctors to prescribe. That would require a change in federal law so that the doctors wouldn’t lose their prescribing privileges. But that, we hope, will happen at some point. But for now, we want to make sure that California stops arresting and prosecuting people for possessing psychedelics. \u003c/p>\u003c/div>",
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"content": "‘We want to make sure that California stops arresting and prosecuting people for possessing psychedelics.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>We want to effectively decriminalize it and move towards legalization, and then create pathways for people to expunge their records. It’s hard to describe how destructive the war on drugs has been. It has cost this country untold billions. A lot of people have criminal records because they were low-level drug offenses, and we want to make sure that they can clear their records and not have those convictions hanging over them, which can have implications for housing and for employment. So it’s about saying, “Listen, we made a mistake by criminalizing these substances. We’re moving away from that now.”\u003c/p>\n\u003ch3>What Could the Drawbacks of Decriminalizing Psychedelics Be?\u003c/h3>\n\u003cp>\u003cstrong>Dr. Jeffrey Lieberman, Columbia University:\u003c/strong> Hopefully we won’t commit the same mistake that we did in the ’60s where things got out of control, and they were used recreationally.\u003c/p>\n\u003cp>First, let me just say that I completely agree with the legislation. These drugs should not be criminalized. There should be decriminalization. Secondly, I enthusiastically endorse their study for therapeutic uses for various types of conditions. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But at the same time, I’m very concerned that we’re rushing headlong to a point where practice is leaping ahead of knowledge. And the first way in which this is evident is the fact that “psychedelics” is the term that’s being used to define a certain group of psychoactive drugs. But it’s being used in a way that’s not precise.\u003c/p>\n\u003cp>Psychedelics really refer to compounds that have been used by Indigenous peoples ritualistically for centuries, and then synthetically replicated. Ecstasy, MDMA, ketamine, ibogaine are not classical psychedelics. They have different clinical effects and they have different potential uses.\u003c/p>\n\u003cp>All of these drugs do have some potential uses. The problem is they have not been studied sufficiently to know what they are. So if we let the genie out of the bottle too soon, and base it on the enthusiasm of true believers who have had positive experiences, we’re potentially risking trouble.\u003c/p>\n\u003cp>If this is such a big thing socially for our population and people are benefiting from it and want to have access to it, why isn’t it being studied in the way that rigorously and systematically it should be?\u003c/p>\n\u003cp>\u003cstrong>Larry Morse, California District Attorneys Association:\u003c/strong> I endorse completely what Dr. Lieberman said about the lack of adequate studies that we are talking about: powerful, powerful drugs, LSD.\u003c/p>\n\u003cp>I’m of the generation where I literally remember being with people having an extraordinarily bad experience with LSD all through the evening. And it is a flight of naivete to believe that if we make this more readily accessible, legalize this, that it is not going to be used by kids. They are going to get access to it.\u003c/p>\n\u003cp>We are talking about making a drug more readily available. And it is just denial to suggest that it will not fall into the hands of 15-, 16-, 17-year-olds who will have terrible, terrible, terrifying experiences that have significant likelihood or possibility of long-term effects.\u003c/p>\n\u003cp>Psychosis, paranoia, schizophrenia. This is not like some really strong weed. These are powerful drugs that have dramatic effects on people’s moods and can lead to just horrific consequences.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch3>The Prevalence and Equity of Psychedelic Medicines\u003c/h3>\n\u003cp>\u003cstrong>Dr. Robert Grant, UCSF:\u003c/strong> Psychedelics are already in widespread use in the United States. Surveys have shown that something like 30 million Americans have used psychedelic medicines in their lives and something like 1 million use them on any given year.\u003c/p>\n\u003cp>So these medicines are being used. They’re being used largely in a criminalized context where people have to be very shy about talking about how they’ve used psychedelics, and under what circumstances, and who provided them, and whether that was a good setting for their work.\u003c/p>\n\u003cp>The huge advantage of this particular legislation is that it allows for all of that underground use, which is already happening, to come out and be more public — so that people can talk about when their use of psychedelics went well, and when it went badly. These kinds of open discussions are not possible now because of criminalization, and decriminalization will change that.\u003c/p>\n\u003cp>\u003cem>Three-quarters of the participants in the trial cited in Nature Medicine’s \u003ca href=\"https://www.nature.com/articles/s41591-021-01336-3\">study of MDMA and PTSD\u003c/a> were white. What do we know about the effectiveness of this drug, and access to it, for people of color?\u003c/em>\u003c/p>\n\u003cp>Clinical trials in general tend to recruit predominantly white populations, and we think that that’s an issue of trust — that researchers need to do more to establish trust with communities of color. \u003c/p>\u003c/div>",
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"content": "‘We do know that communities of color are using these therapies. And we also know that communities of color and queer communities are at much higher risk of having PTSD. So the unmet medical need for those communities of color is enormous, and larger than in other populations.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>We do know that communities of color are using these therapies. And we also know that communities of color and queer communities are at much higher risk of having PTSD. So the unmet medical need for those communities of color is enormous, and larger than in other populations.\u003c/p>\n\u003cp>Medicalization pathways left there on their own without decriminalization will be difficult and delayed, and will have even more difficulty recruiting people of color while we have criminalization laws on the books. So this decriminalization law, I believe, will make it easier for the National Institutes of Health to fund these studies, and that will make it easier for people of color to participate in those studies. And it’ll make it easier for people who are using these medicines therapeutically to talk about their experiences.\u003c/p>\n\u003cp>\u003cem>Listen to \u003ca href=\"https://www.kqed.org/forum/2010101883458/ca-could-become-the-latest-state-to-decriminalize-psychedelics\" target=\"_blank\" rel=\"noopener noreferrer\">KQED Forum\u003c/a> to hear the full episode.\u003c/em>\u003c/p>\n\u003cp>\u003cem>The original version of this story was published on May 16.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Bay Area air regulators are considering requiring the oil industry to significantly reduce the amount of pollution local refineries spew into the region’s air.\u003c/p>\n\u003cp>The board that oversees the Bay Area Air Quality Management District plans to vote Wednesday on a proposal that could force two of California’s largest refineries — Chevron’s Richmond refinery and the PBF Energy refinery in Martinez — to install air pollution devices at a cost of hundreds of millions of dollars.\u003c/p>\n\u003cp>Supporters of the proposed rule change, including environmentalists and health and air quality experts, say the change is needed to protect the health of residents who live near the refineries, many of whom are low-income people of color in areas with higher rates of respiratory disease.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Dr. Teresa Muñoz, obstetrician-gynecologist in Richmond\"]‘I am asking the air district to stand with me for our mothers and our babies and to remain true to their mission.’[/pullquote]Advocates argue the board should approve the change, if for no other reason than to honor the agency’s own \u003ca href=\"https://www.baaqmd.gov/about-the-air-district/mission-statement\" target=\"_blank\" rel=\"noopener noreferrer\">stated mission\u003c/a> of protecting and improving public health and air quality.\u003c/p>\n\u003cp>“I am asking the air district to stand with me for our mothers and our babies and to remain true to their mission,” said Dr. Teresa Muñoz, an obstetrician-gynecologist in Richmond, at a press conference last Wednesday held a few blocks from the Chevron refinery. “Please keep your word.”\u003c/p>\n\u003cp>Oil industry representatives, led by Chevron and PBF Energy, are urging the agency to reject the plan.\u003c/p>\n\u003cp>PBF says if the proposal is approved, it will be forced to shut down its Martinez plant, which it purchased from Shell early last year. Attorneys for Chevron say the data the air district staff used in creating the potential change is flawed.\u003c/p>\n\u003cp>“In short, this rulemaking has been procedurally defective, technically inaccurate, and the potential benefits of the proposed amendments are overstated,” Michael Carroll, a partner at Latham & Watkins, wrote on behalf of Chevron in an April 30 \u003ca href=\"https://www.baaqmd.gov/~/media/dotgov/files/rules/reg-6-rule-5-particulate-emissions-from-refinery-fluidized-catalytic-cracking-units/2020-amendment/comments/20210430_chevron_0605-pdf.pdf?la=en\" target=\"_blank\" rel=\"noopener noreferrer\">letter\u003c/a> to the air district.\u003c/p>\n\u003ch3>Cracking Units\u003c/h3>\n\u003cp>At issue are key refinery components called fluidized catalytic cracking units. \u003c/p>\n\u003cp>The cracking units use a chemical catalyst to help break down heavy crude oil into lighter components for products like gasoline. During the cracking process, the catalyst is coated with a carbon material called coke, which is then burned off.\u003c/p>\n\u003cp>The air district says that procedure, part of normal daily operations at many large refineries, emits more \u003ca href=\"https://www.epa.gov/pm-pollution/particulate-matter-pm-basics#PM\" target=\"_blank\" rel=\"noopener noreferrer\">particulate matter\u003c/a> than any other part of the refining process and makes up a significant portion of each plant’s total emissions.\u003c/p>\n\u003ch3>\u003cstrong>Proposal: Bring on the Scrubbers\u003c/strong>\u003c/h3>\n\u003cp>The proposal before the 24-member air district board would amend \u003ca href=\"https://www.baaqmd.gov/rules-and-compliance/rules/reg-6-rule-5-particulate-emissions-from-refinery-fluidized-catalytic-cracking-units?rule_version=2020%20Amendment#:~:text=Description%3A,precursors%20of%20secondary%20particulate%20matter.,\" target=\"_blank\" rel=\"noopener noreferrer\">Regulation 6 Rule 5\u003c/a>, limiting the amount of particulate matter, ammonia and sulfur dioxide the cracking units emit. \u003c/p>\n\u003cp>The air district says the change could cut annual Chevron and PBF emissions of PM10 particulates by an estimated 400 tons — or 72% — from the recently reported level of 554 tons a year. \u003c/p>\n\u003cp>The proposal is not expected to affect Phillips 66 in Rodeo, which does not have a fluid catalytic cracking unit, or Marathon in Martinez, which is currently idled. Both refineries are being converted to produce renewable diesel fuel.\u003c/p>\n\u003cp>If approved, the rule would go into effect in five years, requiring Chevron and PBF to buy and install a system called a wet gas scrubber, a unit that Valero’s Benicia refinery already has. The scrubbers capture and remove pollutants by sending exhaust gas through sprays of scrubbing liquid. The district says the scrubbers can significantly reduce the particulate matter released into the air.\u003c/p>\n\u003ch3>\u003cstrong>Dirty Air\u003c/strong>\u003c/h3>\n\u003cp>Particulate matter is essentially what some experts call “dirty air,” which contains things like soot, dust and dirt.\u003c/p>\n\u003cp>Many Bay Area residents have become more familiar with the air quality concerns associated with particulate matter as a result of massive wildfires in recent years that have fouled the region’s air.\u003c/p>\n\u003cp>“Compelling evidence also indicates that fine particulate matter is the most significant air pollution health hazard in the Bay Area,” \u003ca href=\"https://www.baaqmd.gov/~/media/dotgov/files/rules/reg-6-rule-5-particulate-emissions-from-refinery-fluidized-catalytic-cracking-units/2020-amendment/documents/20210330_sr_0605-pdf.pdf?la=en\" target=\"_blank\" rel=\"noopener noreferrer\">air district staff wrote\u003c/a> in the agency’s report on the proposal. “Reducing particulate matter emissions can reduce mortality and increase average life span.”\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"oil-refineries\"]Fine inhalable particulate matter with diameters that are generally 2.5 micrometers or smaller — known as PM2.5 — can exacerbate conditions for people who have preexisting heart and lung conditions, including children with asthma. \u003c/p>\n\u003cp>Research has linked exposure to particulate matter to cardiovascular disease, changes in cognitive function, low birth weight and preterm births, among other health problems.\u003c/p>\n\u003cp>“Who gets the heaviest exposures to PM2.5? Low-income communities of color,” said John Balmes, a professor of medicine at UCSF, who sits on the California Air Resources Board. “Where do they put refineries? Usually adjacent to low-income communities of color.”\u003c/p>\n\u003cp>The rule change before the board also includes a limit on the total amount of PM10 an oil refinery releases, although most of those emissions are understood to be within the PM2.5 size range, an air district representative said.\u003c/p>\n\u003cp>“The refineries that surround us in the Bay Area are the largest source of industrial air pollution [in the region], which is dangerous to health” said Dr. Amanda Millstein, a pediatrician in Richmond and co-founder of Climate Health Now, a group of California health professionals pushing to transition away from fossil fuels.\u003c/p>\n\u003cp>“It’s time to protect health over the financial interests of the fossil fuel industry,” she said. “The air district board needs to fulfill its mission to provide a healthy breathing environment to every Bay Area resident and require the best available retrofit technology.\u003c/p>\n\u003ch3>\u003cstrong>Industry Opposition\u003c/strong>\u003c/h3>\n\u003cp>PBF says a wet gas scrubber would cost too much and that its Martinez refinery doesn’t have enough space for such a unit. The New Jersey-based company says the scrubber would require considerable amounts of fresh water, electricity and natural gas.\u003c/p>\n\u003cp>In fact, according to air district staff, refineries that use wet gas scrubbers use between 120,000 and 430,000 gallons of water a day.\u003c/p>\n\u003cp>The proposal “will force us to shut down the Martinez refinery,” Paul Davis, PBF’s western region president, wrote in an April 29 letter to the district. He added that the refinery can work to reduce its particulate matter releases but not by as much as air district staff are recommending.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"John Balmes, UCSF professor of medicine and California Air Resources Board member\"]‘Who gets the heaviest exposures to PM2.5? Low-income communities of color. Where do they put refineries? Usually adjacent to low-income communities of color.’[/pullquote]Chevron says it has been steadily reducing its emissions. The San Ramon-based oil giant says its Richmond modernization project, which involved bringing in a new hydrogen plant along with other developments, has brought about a larger reduction in particulate emissions than the district’s proposed change would.\u003c/p>\n\u003cp>Chevron said in a series of letters to the the agency that the district’s research on the proposal was riddled with errors and had not taken into account recent refinery improvements. It also said the district had underestimated the cost of installing and operating a wet gas scrubber and overestimated the projected emissions reductions.\u003c/p>\n\u003cp>“While the capital costs will indeed be exorbitant, the public health benefits will be negligible,” Carroll, of Latham & Watkins, \u003ca href=\"https://www.baaqmd.gov/~/media/dotgov/files/rules/reg-6-rule-5-particulate-emissions-from-refinery-fluidized-catalytic-cracking-units/2020-amendment/comments/20210430_chevron_0605-pdf.pdf?la=en\" target=\"_blank\" rel=\"noopener noreferrer\">wrote\u003c/a> on behalf of Chevron.\u003c/p>\n\u003cp>[ad fullwidth]Refinery industry executives and some labor leaders say the rule change could also reduce high-quality blue-collar jobs.\u003c/p>\n\u003cp>But local environmentalists argue the opposite.\u003c/p>\n\u003cp>“It’s good for public health and good for the economy,” said Dan Sakaguchi, a researcher for Communities for a Better Environment, a Richmond-based group that has long called for stronger refinery regulations.\u003c/p>\n\u003cp>“This policy would result in significant economic benefits, including creating thousands of community-supporting jobs, through the installation of new technology to reduce pollution,” he said.\u003c/p>\n\u003cp>The air district \u003ca href=\"https://www.baaqmd.gov/~/media/files/board-of-directors/2021/bod_agenda_060221_rv-pdf.pdf?la=en\" target=\"_blank\" rel=\"noopener noreferrer\">meeting\u003c/a> will be held on Wednesday at 9:30 a.m. The public can read the agency’s presentation \u003ca href=\"https://www.baaqmd.gov/~/media/files/board-of-directors/2021/bod_presentations_060221_op-pdf.pdf?la=en\" target=\"_blank\" rel=\"noopener noreferrer\">here\u003c/a> and watch the hearing live \u003ca href=\"https://bayareametro.zoom.us/j/82294699509#success\" target=\"_blank\" rel=\"noopener noreferrer\">here\u003c/a>.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Advocates argue the board should approve the change, if for no other reason than to honor the agency’s own \u003ca href=\"https://www.baaqmd.gov/about-the-air-district/mission-statement\" target=\"_blank\" rel=\"noopener noreferrer\">stated mission\u003c/a> of protecting and improving public health and air quality.\u003c/p>\n\u003cp>“I am asking the air district to stand with me for our mothers and our babies and to remain true to their mission,” said Dr. Teresa Muñoz, an obstetrician-gynecologist in Richmond, at a press conference last Wednesday held a few blocks from the Chevron refinery. “Please keep your word.”\u003c/p>\n\u003cp>Oil industry representatives, led by Chevron and PBF Energy, are urging the agency to reject the plan.\u003c/p>\n\u003cp>PBF says if the proposal is approved, it will be forced to shut down its Martinez plant, which it purchased from Shell early last year. Attorneys for Chevron say the data the air district staff used in creating the potential change is flawed.\u003c/p>\n\u003cp>“In short, this rulemaking has been procedurally defective, technically inaccurate, and the potential benefits of the proposed amendments are overstated,” Michael Carroll, a partner at Latham & Watkins, wrote on behalf of Chevron in an April 30 \u003ca href=\"https://www.baaqmd.gov/~/media/dotgov/files/rules/reg-6-rule-5-particulate-emissions-from-refinery-fluidized-catalytic-cracking-units/2020-amendment/comments/20210430_chevron_0605-pdf.pdf?la=en\" target=\"_blank\" rel=\"noopener noreferrer\">letter\u003c/a> to the air district.\u003c/p>\n\u003ch3>Cracking Units\u003c/h3>\n\u003cp>At issue are key refinery components called fluidized catalytic cracking units. \u003c/p>\n\u003cp>The cracking units use a chemical catalyst to help break down heavy crude oil into lighter components for products like gasoline. During the cracking process, the catalyst is coated with a carbon material called coke, which is then burned off.\u003c/p>\n\u003cp>The air district says that procedure, part of normal daily operations at many large refineries, emits more \u003ca href=\"https://www.epa.gov/pm-pollution/particulate-matter-pm-basics#PM\" target=\"_blank\" rel=\"noopener noreferrer\">particulate matter\u003c/a> than any other part of the refining process and makes up a significant portion of each plant’s total emissions.\u003c/p>\n\u003ch3>\u003cstrong>Proposal: Bring on the Scrubbers\u003c/strong>\u003c/h3>\n\u003cp>The proposal before the 24-member air district board would amend \u003ca href=\"https://www.baaqmd.gov/rules-and-compliance/rules/reg-6-rule-5-particulate-emissions-from-refinery-fluidized-catalytic-cracking-units?rule_version=2020%20Amendment#:~:text=Description%3A,precursors%20of%20secondary%20particulate%20matter.,\" target=\"_blank\" rel=\"noopener noreferrer\">Regulation 6 Rule 5\u003c/a>, limiting the amount of particulate matter, ammonia and sulfur dioxide the cracking units emit. \u003c/p>\n\u003cp>The air district says the change could cut annual Chevron and PBF emissions of PM10 particulates by an estimated 400 tons — or 72% — from the recently reported level of 554 tons a year. \u003c/p>\n\u003cp>The proposal is not expected to affect Phillips 66 in Rodeo, which does not have a fluid catalytic cracking unit, or Marathon in Martinez, which is currently idled. Both refineries are being converted to produce renewable diesel fuel.\u003c/p>\n\u003cp>If approved, the rule would go into effect in five years, requiring Chevron and PBF to buy and install a system called a wet gas scrubber, a unit that Valero’s Benicia refinery already has. The scrubbers capture and remove pollutants by sending exhaust gas through sprays of scrubbing liquid. The district says the scrubbers can significantly reduce the particulate matter released into the air.\u003c/p>\n\u003ch3>\u003cstrong>Dirty Air\u003c/strong>\u003c/h3>\n\u003cp>Particulate matter is essentially what some experts call “dirty air,” which contains things like soot, dust and dirt.\u003c/p>\n\u003cp>Many Bay Area residents have become more familiar with the air quality concerns associated with particulate matter as a result of massive wildfires in recent years that have fouled the region’s air.\u003c/p>\n\u003cp>“Compelling evidence also indicates that fine particulate matter is the most significant air pollution health hazard in the Bay Area,” \u003ca href=\"https://www.baaqmd.gov/~/media/dotgov/files/rules/reg-6-rule-5-particulate-emissions-from-refinery-fluidized-catalytic-cracking-units/2020-amendment/documents/20210330_sr_0605-pdf.pdf?la=en\" target=\"_blank\" rel=\"noopener noreferrer\">air district staff wrote\u003c/a> in the agency’s report on the proposal. “Reducing particulate matter emissions can reduce mortality and increase average life span.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Fine inhalable particulate matter with diameters that are generally 2.5 micrometers or smaller — known as PM2.5 — can exacerbate conditions for people who have preexisting heart and lung conditions, including children with asthma. \u003c/p>\n\u003cp>Research has linked exposure to particulate matter to cardiovascular disease, changes in cognitive function, low birth weight and preterm births, among other health problems.\u003c/p>\n\u003cp>“Who gets the heaviest exposures to PM2.5? Low-income communities of color,” said John Balmes, a professor of medicine at UCSF, who sits on the California Air Resources Board. “Where do they put refineries? Usually adjacent to low-income communities of color.”\u003c/p>\n\u003cp>The rule change before the board also includes a limit on the total amount of PM10 an oil refinery releases, although most of those emissions are understood to be within the PM2.5 size range, an air district representative said.\u003c/p>\n\u003cp>“The refineries that surround us in the Bay Area are the largest source of industrial air pollution [in the region], which is dangerous to health” said Dr. Amanda Millstein, a pediatrician in Richmond and co-founder of Climate Health Now, a group of California health professionals pushing to transition away from fossil fuels.\u003c/p>\n\u003cp>“It’s time to protect health over the financial interests of the fossil fuel industry,” she said. “The air district board needs to fulfill its mission to provide a healthy breathing environment to every Bay Area resident and require the best available retrofit technology.\u003c/p>\n\u003ch3>\u003cstrong>Industry Opposition\u003c/strong>\u003c/h3>\n\u003cp>PBF says a wet gas scrubber would cost too much and that its Martinez refinery doesn’t have enough space for such a unit. The New Jersey-based company says the scrubber would require considerable amounts of fresh water, electricity and natural gas.\u003c/p>\n\u003cp>In fact, according to air district staff, refineries that use wet gas scrubbers use between 120,000 and 430,000 gallons of water a day.\u003c/p>\n\u003cp>The proposal “will force us to shut down the Martinez refinery,” Paul Davis, PBF’s western region president, wrote in an April 29 letter to the district. He added that the refinery can work to reduce its particulate matter releases but not by as much as air district staff are recommending.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘Who gets the heaviest exposures to PM2.5? Low-income communities of color. Where do they put refineries? Usually adjacent to low-income communities of color.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Chevron says it has been steadily reducing its emissions. The San Ramon-based oil giant says its Richmond modernization project, which involved bringing in a new hydrogen plant along with other developments, has brought about a larger reduction in particulate emissions than the district’s proposed change would.\u003c/p>\n\u003cp>Chevron said in a series of letters to the the agency that the district’s research on the proposal was riddled with errors and had not taken into account recent refinery improvements. It also said the district had underestimated the cost of installing and operating a wet gas scrubber and overestimated the projected emissions reductions.\u003c/p>\n\u003cp>“While the capital costs will indeed be exorbitant, the public health benefits will be negligible,” Carroll, of Latham & Watkins, \u003ca href=\"https://www.baaqmd.gov/~/media/dotgov/files/rules/reg-6-rule-5-particulate-emissions-from-refinery-fluidized-catalytic-cracking-units/2020-amendment/comments/20210430_chevron_0605-pdf.pdf?la=en\" target=\"_blank\" rel=\"noopener noreferrer\">wrote\u003c/a> on behalf of Chevron.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Refinery industry executives and some labor leaders say the rule change could also reduce high-quality blue-collar jobs.\u003c/p>\n\u003cp>But local environmentalists argue the opposite.\u003c/p>\n\u003cp>“It’s good for public health and good for the economy,” said Dan Sakaguchi, a researcher for Communities for a Better Environment, a Richmond-based group that has long called for stronger refinery regulations.\u003c/p>\n\u003cp>“This policy would result in significant economic benefits, including creating thousands of community-supporting jobs, through the installation of new technology to reduce pollution,” he said.\u003c/p>\n\u003cp>The air district \u003ca href=\"https://www.baaqmd.gov/~/media/files/board-of-directors/2021/bod_agenda_060221_rv-pdf.pdf?la=en\" target=\"_blank\" rel=\"noopener noreferrer\">meeting\u003c/a> will be held on Wednesday at 9:30 a.m. The public can read the agency’s presentation \u003ca href=\"https://www.baaqmd.gov/~/media/files/board-of-directors/2021/bod_presentations_060221_op-pdf.pdf?la=en\" target=\"_blank\" rel=\"noopener noreferrer\">here\u003c/a> and watch the hearing live \u003ca href=\"https://bayareametro.zoom.us/j/82294699509#success\" target=\"_blank\" rel=\"noopener noreferrer\">here\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>South Hayward has one of the highest rates of per-capita deaths in Alameda County. It also has one of the lowest vaccination rates. Some aren’t sure whether they want the vaccine, but there are also many other barriers related to language, work and access.\u003c/p>\n\u003cp>For volunteers, county officials and community clinics, addressing these barriers is central to a monthslong, on-the-ground effort to get more people vaccinated in a neighborhood with many immigrants and low-wage workers.\u003c/p>\n\u003cp>\u003cb>Guest: \u003c/b>\u003ca href=\"https://twitter.com/FaridaJhabvala\">Farida Jhabvala Romero\u003c/a>, KQED immigration reporter\u003c/p>\n\u003cp>Episode transcript \u003ca href=\"https://bit.ly/3fdEBRI\">here\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>South Hayward has one of the highest rates of per-capita deaths in Alameda County. It also has one of the lowest vaccination rates. Some aren’t sure whether they want the vaccine, but there are also many other barriers related to language, work and access.\u003c/p>\n\u003cp>For volunteers, county officials and community clinics, addressing these barriers is central to a monthslong, on-the-ground effort to get more people vaccinated in a neighborhood with many immigrants and low-wage workers.\u003c/p>\n\u003cp>\u003cb>Guest: \u003c/b>\u003ca href=\"https://twitter.com/FaridaJhabvala\">Farida Jhabvala Romero\u003c/a>, KQED immigration reporter\u003c/p>\n\u003cp>Episode transcript \u003ca href=\"https://bit.ly/3fdEBRI\">here\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>In the parking lot of a small supermarket in South Hayward, a handful of volunteers with the Tiburcio Vasquez Health Center asked shoppers in Spanish if they had received the COVID-19 vaccine, and if not, encouraged them to book an appointment.\u003c/p>\n\u003cp>One of the community health workers — known among Latino immigrants as \u003cem>promotoras\u003c/em> — struck up a conversation with a woman who got out of a pickup truck holding a baby and a toddler dressed in pajamas.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Guadalupe Perez, Tiburcio Vasquez Health Center promotora\"]‘Some people say, ‘No, I don’t want to go in, especially because I heard somebody got sick. So I don’t want to get sick and miss work.’’[/pullquote]The woman, Mayra Contreras, said she was still deciding whether to get the shot, and needed more information. But she said her hands are full working as a babysitter and helping her own children keep up with virtual school at home.\u003c/p>\n\u003cp>“I’m going to think about it,” said Contreras, 36, after accepting a bilingual flyer dispelling \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/vaccines/facts.html\">common myths\u003c/a> about the vaccine and explaining how to sign up. “It’s also because of time. Life is just stressful with kids.”\u003c/p>\n\u003cp>Contreras is one of tens of thousands of residents in ZIP Code 94544 who don’t yet have the shot against the deadly disease. South Hayward, as well as East Oakland and other working-class neighborhoods along the I-880 highway, are lagging behind the rest of Alameda County in \u003ca href=\"https://covid-19.acgov.org/data.page\">vaccination rates\u003c/a> even though they are the very places where people have suffered the highest rates of illness and death from COVID-19.\u003c/p>\n\u003cp>As demand for doses dwindled at mega vaccination sites such as at the Oakland Coliseum, which is \u003ca href=\"https://covid-19.acgov.org/covid19-assets/docs/press/press-release-2021.05.05.pdf\">set to close\u003c/a> on Sunday, Bay Area public health officials are shifting strategies to target communities where a greater proportion of eligible people remain unvaccinated.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In South Hayward, health workers say, some adults are holding out because of unreliable information they got from friends or social media. But others are busy with two jobs, trying to make up income they lost earlier in the pandemic, and find it challenging to take time off to get the shot and recover from possible \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/vaccines/expect/after.html\">side effects\u003c/a>, said Guadalupe Perez, a long-time \u003cem>promotora\u003c/em> with the Tiburcio Vasquez clinic.\u003c/p>\n\u003cp>“Some people say, ‘No, I don’t want to go in, especially because I heard somebody got sick. So I don’t want to get sick and miss work,’ ” said Perez. She recommends they weigh the risks of getting seriously ill from the coronavirus versus the short-term tiredness and chills they might feel from the vaccine.\u003c/p>\n\u003cfigure id=\"attachment_11874708\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11874708\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/05/RS48958_012_Hayward_Promotoras_05102021-qut.jpg\" alt=\"\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/RS48958_012_Hayward_Promotoras_05102021-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/RS48958_012_Hayward_Promotoras_05102021-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/RS48958_012_Hayward_Promotoras_05102021-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/RS48958_012_Hayward_Promotoras_05102021-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/RS48958_012_Hayward_Promotoras_05102021-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Health outreach worker Guadalupe Perez speaks with a customer at Yeyo’s Meat Market about the COVID-19 vaccine in South Hayward on May 10, 2021. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In California, all employees who work for more than 30 days in a year for the same employer are entitled to up to 24 hours of \u003ca href=\"https://www.dir.ca.gov/covid/paid-sick-leave.html\">paid sick leave\u003c/a> they can use to get vaccinated and recover, regardless of their immigration status.\u003c/p>\n\u003cp>The state has mandated COVID-19-related sick leave of \u003ca href=\"https://www.dir.ca.gov/dlse/COVID19Resources/FAQ-for-SPSL-2021.html\">up to 80 hours\u003c/a> for larger employers through September. But many low-wage and front-line workers don’t know they have that right, or they fear retaliation if they assert it, according to a recent \u003ca href=\"https://www.kqed.org/news/11870797/low-wage-workers-lack-covid-protections-fear-retaliation-california-survey-shows\">survey\u003c/a> of hundreds of workers in the restaurant, home health care, janitorial and additional industries.\u003c/p>\n\u003cp>Others who are eligible for the COVID-19 vaccine have delayed it because of lingering medical questions.\u003c/p>\n\u003cp>Norma Bernabe, a tortilla factory worker, said she and her family want to get vaccinated, but they are unsure of when to do it safely. She was very ill with the coronavirus in March, she said, and her husband and 13-year-old son were also sick.\u003c/p>\n\u003cp>[aside postID=news_11866749 hero='https://ww2.kqed.org/app/uploads/sites/10/2021/03/LatinoCovidDeaths-1020x689.jpg']“My husband heard we had to wait 90 days, but I don’t know,” said Bernabe, who also lives in South Hayward, before entering Yeyo’s Meat Market on Gading Road. “That’s why we haven’t made an appointment.”\u003c/p>\n\u003cp>The Centers for Disease Control and Prevention \u003ca href=\"https://covid-19.acgov.org/vaccines-faq#medical\">recommends\u003c/a> most infected people get vaccinated as soon as they finish their isolation period and COVID-19 symptoms disappear, but those who were treated with monoclonal antibodies or convalescent plasma should wait 90 days.\u003c/p>\n\u003cp>Perez, the \u003cem>promotora\u003c/em>, suggested Bernabe check with her doctor first, and then sign up for the shot.\u003c/p>\n\u003cp>As of late last month, 121 people residing in ZIP code 94544 had died due to the virus, more than in any other ZIP code in the county, according to the Alameda County Health Department.\u003c/p>\n\u003cp>The next ZIP code over, 94541, which includes the Cherryland neighborhood, registered the second highest number of COVID-19 fatalities in the county: 107. Both of the populous ZIP codes — where more than 40% of residents identify as Latino and more than a third are immigrants — also had the county’s highest rates of coronavirus deaths per capita.\u003c/p>\n\u003cp>Most of those who died were elderly, including residents at more than a dozen long-term care facilities in those ZIP codes. But many of the younger victims were front-line workers — including an airline mechanic, a butcher, a cook, a dishwasher, a registered nurse and a street sweeper, according to county death records obtained by KQED and the \u003ca href=\"https://documentingcovid19.io/\" target=\"_blank\" rel=\"noopener noreferrer\">Documenting COVID-19\u003c/a> project at Columbia University’s Brown Institute for Media Innovation.\u003c/p>\n\u003cp>[aside tag=\"latinos\" label=\"More Latino coverage\"]Despite the death toll in 94544 and 94541, barely half of the residents 16 and older there are fully vaccinated as of this week, compared to nearly 60% for the entire county, and closer to 80% in wealthier ZIP codes in the Berkeley and Oakland hills.\u003c/p>\n\u003cp>“We have a ways to go,” said Dr. Nicholas Moss, Alameda County health officer. “And it’s compounded by the fact that these are often communities that, because of COVID restrictions and the economic impacts, were in a very difficult spot going into the vaccination campaign.”\u003c/p>\n\u003cp>Latinos in the county got a later start getting vaccinated, he said, because they tend to be younger and fewer of them work in health care jobs, so they didn’t qualify for the early tiers of eligibility. In addition, residents who are not fluent in English or face technology barriers, had a harder time signing up for appointments when vaccine supply was limited, he said.\u003c/p>\n\u003cp>“It’s been a confusing process,” said Moss. “The information has been confusing about when you’re eligible and how to sign up and where we go.”\u003c/p>\n\u003cp>But now that there are enough doses and everyone age 12 and older is eligible, county health officials are focusing on building up the vaccination efforts of community clinics, private health care providers and pharmacies in areas officials consider high priority.\u003c/p>\n\u003cfigure id=\"attachment_11874784\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11874784\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/05/RS48963_017_Hayward_Promotoras_05102021-qut-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/RS48963_017_Hayward_Promotoras_05102021-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/RS48963_017_Hayward_Promotoras_05102021-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/RS48963_017_Hayward_Promotoras_05102021-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/RS48963_017_Hayward_Promotoras_05102021-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/RS48963_017_Hayward_Promotoras_05102021-qut.jpg 1920w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Community health workers, or promotoras, explain how to sign up for the COVID-19 vaccine and dispel common myths at Yeyo’s Meat Market in South Hayward on May 10, 2021. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>To protect more people living in 94544, the county plans to launch a new vaccination site there that will stay open after hours and on Sundays, said Kimi Watkins-Tartt, who directs the Alameda County Public Health Department. That will supplement vaccine clinics at local health centers, like Tiburcio Vasquez, where shots are offered mostly during the work day and on Saturdays.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Dr. Nicholas Moss, Alameda County health officer\"]‘These are often communities that, because of COVID restrictions and the economic impacts, were in a very difficult spot going into the vaccination campaign.’[/pullquote]The county also plans to hold several pop-up clinics at events, schools and businesses, said Watkins-Tartt, to give people more opportunities to get their questions answered and feel comfortable about the vaccine.\u003c/p>\n\u003cp>“We are adding to what’s already there,” she said. “We also just want to be in the community and wait for people to get ready, because even though we want people to get vaccinated as quickly as possible, we also know that a lot of this is also building trust.”\u003c/p>\n\u003cp>The county has already opened an inoculation site at the Hayward Adult School, in ZIP code 94541, and held pop-up clinics at local assisted living centers and other housing facilities, as well as at the Muhajireen Mosque in 94544 — all of which have helped to push up vaccination rates, said health officials.\u003c/p>\n\u003cp>With the virus still circulating as the state prepares to fully reopen next month and remove most mask mandates and social distancing requirements for people who are fully vaccinated, county officials plan to be in South Hayward and other impacted neighborhoods “indefinitely,” said Moss, the county health officer.\u003c/p>\n\u003cp>“I’ve come to believe that COVID is not going away any time soon, that people are going to get vaccinated or they’ll get COVID,” he said. “I don’t think people are going to be able to avoid it and avoid vaccination.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "South Hayward, East Oakland and other working-class neighborhoods along the I-880 highway are lagging behind the rest of Alameda County in vaccination rates, even though they are the very places where people have suffered the highest rates of illness and death from COVID-19.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>In the parking lot of a small supermarket in South Hayward, a handful of volunteers with the Tiburcio Vasquez Health Center asked shoppers in Spanish if they had received the COVID-19 vaccine, and if not, encouraged them to book an appointment.\u003c/p>\n\u003cp>One of the community health workers — known among Latino immigrants as \u003cem>promotoras\u003c/em> — struck up a conversation with a woman who got out of a pickup truck holding a baby and a toddler dressed in pajamas.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The woman, Mayra Contreras, said she was still deciding whether to get the shot, and needed more information. But she said her hands are full working as a babysitter and helping her own children keep up with virtual school at home.\u003c/p>\n\u003cp>“I’m going to think about it,” said Contreras, 36, after accepting a bilingual flyer dispelling \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/vaccines/facts.html\">common myths\u003c/a> about the vaccine and explaining how to sign up. “It’s also because of time. Life is just stressful with kids.”\u003c/p>\n\u003cp>Contreras is one of tens of thousands of residents in ZIP Code 94544 who don’t yet have the shot against the deadly disease. South Hayward, as well as East Oakland and other working-class neighborhoods along the I-880 highway, are lagging behind the rest of Alameda County in \u003ca href=\"https://covid-19.acgov.org/data.page\">vaccination rates\u003c/a> even though they are the very places where people have suffered the highest rates of illness and death from COVID-19.\u003c/p>\n\u003cp>As demand for doses dwindled at mega vaccination sites such as at the Oakland Coliseum, which is \u003ca href=\"https://covid-19.acgov.org/covid19-assets/docs/press/press-release-2021.05.05.pdf\">set to close\u003c/a> on Sunday, Bay Area public health officials are shifting strategies to target communities where a greater proportion of eligible people remain unvaccinated.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In South Hayward, health workers say, some adults are holding out because of unreliable information they got from friends or social media. But others are busy with two jobs, trying to make up income they lost earlier in the pandemic, and find it challenging to take time off to get the shot and recover from possible \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/vaccines/expect/after.html\">side effects\u003c/a>, said Guadalupe Perez, a long-time \u003cem>promotora\u003c/em> with the Tiburcio Vasquez clinic.\u003c/p>\n\u003cp>“Some people say, ‘No, I don’t want to go in, especially because I heard somebody got sick. So I don’t want to get sick and miss work,’ ” said Perez. She recommends they weigh the risks of getting seriously ill from the coronavirus versus the short-term tiredness and chills they might feel from the vaccine.\u003c/p>\n\u003cfigure id=\"attachment_11874708\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11874708\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/05/RS48958_012_Hayward_Promotoras_05102021-qut.jpg\" alt=\"\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/RS48958_012_Hayward_Promotoras_05102021-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/RS48958_012_Hayward_Promotoras_05102021-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/RS48958_012_Hayward_Promotoras_05102021-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/RS48958_012_Hayward_Promotoras_05102021-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/RS48958_012_Hayward_Promotoras_05102021-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Health outreach worker Guadalupe Perez speaks with a customer at Yeyo’s Meat Market about the COVID-19 vaccine in South Hayward on May 10, 2021. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In California, all employees who work for more than 30 days in a year for the same employer are entitled to up to 24 hours of \u003ca href=\"https://www.dir.ca.gov/covid/paid-sick-leave.html\">paid sick leave\u003c/a> they can use to get vaccinated and recover, regardless of their immigration status.\u003c/p>\n\u003cp>The state has mandated COVID-19-related sick leave of \u003ca href=\"https://www.dir.ca.gov/dlse/COVID19Resources/FAQ-for-SPSL-2021.html\">up to 80 hours\u003c/a> for larger employers through September. But many low-wage and front-line workers don’t know they have that right, or they fear retaliation if they assert it, according to a recent \u003ca href=\"https://www.kqed.org/news/11870797/low-wage-workers-lack-covid-protections-fear-retaliation-california-survey-shows\">survey\u003c/a> of hundreds of workers in the restaurant, home health care, janitorial and additional industries.\u003c/p>\n\u003cp>Others who are eligible for the COVID-19 vaccine have delayed it because of lingering medical questions.\u003c/p>\n\u003cp>Norma Bernabe, a tortilla factory worker, said she and her family want to get vaccinated, but they are unsure of when to do it safely. She was very ill with the coronavirus in March, she said, and her husband and 13-year-old son were also sick.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“My husband heard we had to wait 90 days, but I don’t know,” said Bernabe, who also lives in South Hayward, before entering Yeyo’s Meat Market on Gading Road. “That’s why we haven’t made an appointment.”\u003c/p>\n\u003cp>The Centers for Disease Control and Prevention \u003ca href=\"https://covid-19.acgov.org/vaccines-faq#medical\">recommends\u003c/a> most infected people get vaccinated as soon as they finish their isolation period and COVID-19 symptoms disappear, but those who were treated with monoclonal antibodies or convalescent plasma should wait 90 days.\u003c/p>\n\u003cp>Perez, the \u003cem>promotora\u003c/em>, suggested Bernabe check with her doctor first, and then sign up for the shot.\u003c/p>\n\u003cp>As of late last month, 121 people residing in ZIP code 94544 had died due to the virus, more than in any other ZIP code in the county, according to the Alameda County Health Department.\u003c/p>\n\u003cp>The next ZIP code over, 94541, which includes the Cherryland neighborhood, registered the second highest number of COVID-19 fatalities in the county: 107. Both of the populous ZIP codes — where more than 40% of residents identify as Latino and more than a third are immigrants — also had the county’s highest rates of coronavirus deaths per capita.\u003c/p>\n\u003cp>Most of those who died were elderly, including residents at more than a dozen long-term care facilities in those ZIP codes. But many of the younger victims were front-line workers — including an airline mechanic, a butcher, a cook, a dishwasher, a registered nurse and a street sweeper, according to county death records obtained by KQED and the \u003ca href=\"https://documentingcovid19.io/\" target=\"_blank\" rel=\"noopener noreferrer\">Documenting COVID-19\u003c/a> project at Columbia University’s Brown Institute for Media Innovation.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Despite the death toll in 94544 and 94541, barely half of the residents 16 and older there are fully vaccinated as of this week, compared to nearly 60% for the entire county, and closer to 80% in wealthier ZIP codes in the Berkeley and Oakland hills.\u003c/p>\n\u003cp>“We have a ways to go,” said Dr. Nicholas Moss, Alameda County health officer. “And it’s compounded by the fact that these are often communities that, because of COVID restrictions and the economic impacts, were in a very difficult spot going into the vaccination campaign.”\u003c/p>\n\u003cp>Latinos in the county got a later start getting vaccinated, he said, because they tend to be younger and fewer of them work in health care jobs, so they didn’t qualify for the early tiers of eligibility. In addition, residents who are not fluent in English or face technology barriers, had a harder time signing up for appointments when vaccine supply was limited, he said.\u003c/p>\n\u003cp>“It’s been a confusing process,” said Moss. “The information has been confusing about when you’re eligible and how to sign up and where we go.”\u003c/p>\n\u003cp>But now that there are enough doses and everyone age 12 and older is eligible, county health officials are focusing on building up the vaccination efforts of community clinics, private health care providers and pharmacies in areas officials consider high priority.\u003c/p>\n\u003cfigure id=\"attachment_11874784\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11874784\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/05/RS48963_017_Hayward_Promotoras_05102021-qut-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/RS48963_017_Hayward_Promotoras_05102021-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/RS48963_017_Hayward_Promotoras_05102021-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/RS48963_017_Hayward_Promotoras_05102021-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/RS48963_017_Hayward_Promotoras_05102021-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/RS48963_017_Hayward_Promotoras_05102021-qut.jpg 1920w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Community health workers, or promotoras, explain how to sign up for the COVID-19 vaccine and dispel common myths at Yeyo’s Meat Market in South Hayward on May 10, 2021. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>To protect more people living in 94544, the county plans to launch a new vaccination site there that will stay open after hours and on Sundays, said Kimi Watkins-Tartt, who directs the Alameda County Public Health Department. That will supplement vaccine clinics at local health centers, like Tiburcio Vasquez, where shots are offered mostly during the work day and on Saturdays.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The county also plans to hold several pop-up clinics at events, schools and businesses, said Watkins-Tartt, to give people more opportunities to get their questions answered and feel comfortable about the vaccine.\u003c/p>\n\u003cp>“We are adding to what’s already there,” she said. “We also just want to be in the community and wait for people to get ready, because even though we want people to get vaccinated as quickly as possible, we also know that a lot of this is also building trust.”\u003c/p>\n\u003cp>The county has already opened an inoculation site at the Hayward Adult School, in ZIP code 94541, and held pop-up clinics at local assisted living centers and other housing facilities, as well as at the Muhajireen Mosque in 94544 — all of which have helped to push up vaccination rates, said health officials.\u003c/p>\n\u003cp>With the virus still circulating as the state prepares to fully reopen next month and remove most mask mandates and social distancing requirements for people who are fully vaccinated, county officials plan to be in South Hayward and other impacted neighborhoods “indefinitely,” said Moss, the county health officer.\u003c/p>\n\u003cp>“I’ve come to believe that COVID is not going away any time soon, that people are going to get vaccinated or they’ll get COVID,” he said. “I don’t think people are going to be able to avoid it and avoid vaccination.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "california-lawmakers-just-killed-200-bills-from-police-background-checks-to-rape-kits",
"title": "California Lawmakers Just Killed 200 Bills, From Police Background Checks to Rape Kits",
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"headTitle": "California Lawmakers Just Killed 200 Bills, From Police Background Checks to Rape Kits | KQED",
"labelTerm": {},
"content": "\u003cp>Forget about new protections for California kids cruising the internet. There will be no new requirements for crime labs to process old rape kits, or for background checks to explore if law enforcement officers have been affiliated with hate groups. And some households behind on their water bills won’t get more time to pay them back before their pipes get shut off.\u003c/p>\n\u003cp>Those were some of the more than 200 bills California lawmakers killed Thursday in the rapid-fire and often \u003ca href=\"https://calmatters.org/politics/2017/09/capitol-suspense-california-bills-vanish-almost-without-trace/\">mysterious procedure known as the suspense file\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>\u003ca href=\"#culling\">Skip to: details on the key proposals lawmakers killed this week\u003c/a>\u003c/strong>\u003c/p>\n\u003cp>Officially, the procedure promotes fiscal responsibility, allowing lawmakers to consider costly bills together and weigh their priorities. But it’s well known at the state Capitol that the suspense file is also a political tool that allows the most powerful legislators to keep controversial bills from reaching the Assembly or Senate floor — typically with no explanation, and sometimes without a public vote.\u003c/p>\n\u003cp>“It’s driven by a hundred different factors, some of which we can never explain and maybe the transparency is weak on,” said Assemblymember Lorena Gonzalez, the San Diego Democrat who chairs the appropriations committee.\u003c/p>\n\u003cp>“But I’ve never once had the speaker come to me and say, ‘This isn’t politically feasible,’ ” Gonzalez said.\u003c/p>\n\u003cp>With more than 350 bills on the Senate’s suspense file and more than 500 on the Assembly’s, the lobbying leading up to Thursday was intense: “Everybody but God himself has contacted me on a bill,” Gonzalez said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Though she downplayed the role of politics, one of her predecessors said the job is like being the “speaker’s henchman.” They can use the suspense file to prevent an idea they don’t like from becoming law, exact revenge on a fellow lawmaker or shield their colleagues from having to take a position on a controversial proposal.\u003c/p>\n\u003cp>“You’ve got to be prepared to take really tough decisions for the caucus,” former Assemblymember Mike Gatto said on a \u003ca href=\"https://podcasts.apple.com/us/podcast/interview-with-former-assemblyman-mike-gatto/id1282148486?i=1000520630981\">recent podcast\u003c/a>.\u003c/p>\n\u003cp>[aside label='More Politics' tag='politics']Governors also try to bottle some things up in the suspense file, Gatto said, adding that when he left office in 2016, then-Gov. Jerry Brown thanked him for keeping legislation from reaching his desk.\u003c/p>\n\u003cp>The suspense file, of course, is not the only tool for slaying bills. Lawmakers can also kill them simply by doing nothing. For the last two years, the Assembly has allowed policy committee chairpersons to decide whether to give bills a hearing. That means they can \u003ca href=\"https://calmatters.org/politics/2019/04/california-legislators-killing-bills-committee-democrats/\">silently snuff them just by not taking them up for a vote\u003c/a>.\u003c/p>\n\u003cp>This is how Democrats, who control the Legislature, have killed some of the \u003ca href=\"https://calmatters.org/newsletters/whatmatters/2021/04/alex-lee-progressive-california/\">most progressive bills introduced this year\u003c/a>, including proposals to develop a single-payer health care system, ban fracking and levy a wealth tax. It’s also what doomed an attempt to \u003ca href=\"https://www.sfchronicle.com/local/article/California-soda-tax-bill-dies-in-another-win-for-16113143.php\">repeal a ban on local soda taxes\u003c/a>.\u003c/p>\n\u003cp>Gov. Gavin Newsom has said he will not sign tax increases this year, with the state awash in COVID-19 relief money from the federal government and taxes paid by wealthier residents benefiting from a booming stock market.\u003c/p>\n\u003cp>“When you’re enjoying a $76-plus billion — and growing — operating surplus, I don’t think it’s the time to do tax increases,” Newsom said last week as he \u003ca href=\"https://calmatters.org/politics/2021/05/gavin-newsom-spending-spree-california-budget/\">presented his updated budget\u003c/a>.\u003c/p>\n\u003cp>Still, one major tax increase survived the suspense file Thursday — a proposal to \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220AB71\">increase taxes on international corporations to fund homeless services\u003c/a>.\u003c/p>\n\u003cp> \u003c/p>\n\u003ch3>Key Proposals That Stalled This Week\u003c/h3>\n\u003cfigure id=\"attachment_11835456\" class=\"wp-caption aligncenter\" style=\"max-width: 1418px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11835456\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/08/Image-from-iOS-7.jpg\" alt=\"\" width=\"1418\" height=\"945\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Image-from-iOS-7.jpg 1418w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Image-from-iOS-7-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Image-from-iOS-7-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Image-from-iOS-7-160x107.jpg 160w\" sizes=\"auto, (max-width: 1418px) 100vw, 1418px\">\u003cfigcaption class=\"wp-caption-text\">Demonstrators stop at a police barricade outside of the Oakland Police Department on Broadway in Oakland on Aug. 26, 2020. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Criminal Justice\u003c/strong>\u003c/p>\n\u003cp>A year after protests across the country over police accountability and racism, lobbying by law enforcement groups effectively watered down or stopped a handful of bills aimed at policing the police:\u003c/p>\n\u003cul>\n\u003cli>A proposed requirement that background checks explore if law enforcement officers have been affiliated with \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220AB655\">hate groups in the past\u003c/a> stalled amid opposition from the California Correctional Peace Officers Association\u003c/li>\n\u003c/ul>\n\u003cul>\n\u003cli>A bill requiring police departments to pull in different agencies to \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220AB594\">investigate police shootings of armed people\u003c/a> is on hold until next year\u003c/li>\n\u003c/ul>\n\u003cul>\n\u003cli>The biggest police reform bill of the year — which would allow the state to kick bad cops out of the profession for certain types of misconduct and make it easier for people to sue officers and departments for civil rights violations — survived the suspense file, but only after it was watered down. The version that’s moving ahead is more limited in when a person can sue the police — a change the bill’s author, state Sen. Steve Bradford, said was “difficult to accept.” But the Gardena Democrat said in a statement: “Compromise requires us to work together to find common ground.”\u003c/li>\n\u003c/ul>\n\u003cp>For the second year in a row, the appropriations committee killed a bill requiring law enforcement agencies to process their backlogged rape kits. The California Public Defenders Association argued the bill would take away resources to test other types of evidence.\u003c/p>\n\u003cp>\u003cem>—Byrhonda Lyons and Robert Lewis\u003c/em>\u003c/p>\n\u003cfigure id=\"attachment_11829079\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11829079\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/07/RS41773_007_KQED_HousingSanFrancisco_02102020_2898-qut.jpg\" alt=\"\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS41773_007_KQED_HousingSanFrancisco_02102020_2898-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS41773_007_KQED_HousingSanFrancisco_02102020_2898-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS41773_007_KQED_HousingSanFrancisco_02102020_2898-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS41773_007_KQED_HousingSanFrancisco_02102020_2898-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS41773_007_KQED_HousingSanFrancisco_02102020_2898-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">San Francisco on Feb. 10, 2020. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Housing\u003c/strong>\u003c/p>\n\u003cp>An effort to \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220AB1135\">streamline affordable housing funding\u003c/a> by creating one place for developers to apply for tax credits, bonds and subsidies is on hold until next year. \u003ca href=\"https://ternercenter.berkeley.edu/wp-content/uploads/pdfs/LIHTC_Construction_Costs_March_2020.pdf\">UC Berkeley’s Terner Center\u003c/a> and the \u003ca href=\"https://www.auditor.ca.gov/pdfs/reports/2020-108.pdf\">state auditor\u003c/a> argued this approach would cut the cost and time it takes to build affordable housing, but state Treasurer Fiona Ma, whose office would have given up some power, called the overhaul “risky.”\u003c/p>\n\u003cp>Assemblymember Buffy Wicks’ \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220AB1188\">third attempt to create a registry\u003c/a> making it easier to determine who owns rental housing died amid opposition from the California Association of Realtors, which argued the registry would burden property owners. The California Association of Realtors — a political powerhouse in Sacramento — spent \u003ca href=\"https://cal-access.sos.ca.gov/PDFGen/pdfgen.prg?filingid=2579564&amendid=0\">nearly $350,000 on lobbying\u003c/a> between January and March and also opposed a measure to curb evictions and another to help first-time homebuyers by ending a mortgage interest deduction on second homes, which \u003ca href=\"https://calmatters.org/housing/2021/05/california-homeownership-black/\">died before they even got to the Assembly appropriations committee\u003c/a>.\u003c/p>\n\u003cp>\u003cem>—Manuela Tobias\u003c/em>\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-11874743\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/05/iStock-1198252594.jpg\" alt=\"\" width=\"2309\" height=\"1299\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/iStock-1198252594.jpg 2309w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/iStock-1198252594-800x450.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/iStock-1198252594-1020x574.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/iStock-1198252594-160x90.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/iStock-1198252594-1536x864.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/iStock-1198252594-2048x1152.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/iStock-1198252594-1920x1080.jpg 1920w\" sizes=\"auto, (max-width: 2309px) 100vw, 2309px\">\u003cbr>\n\u003cstrong>Poverty and Inequality\u003c/strong>\u003c/p>\n\u003cp>A \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB223\">proposal\u003c/a> to shield more \u003ca href=\"https://calmatters.org/california-divide/2021/01/water-debt-california-households-face-water-shutoffs/\">Californians who are late on water bills\u003c/a> from having their water shut off stalled in the face of opposition from municipal water agencies. But hope is not lost for those late on water bills. Newsom wants to spend $1 billion to bail out consumers and providers crushed by water debt. And \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB222\">another bill\u003c/a> to create a water assistance program survived Thursday’s bloodbath.\u003c/p>\n\u003cp>A number of proposals aimed at using the tax system to help low-income consumers also died, including a \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB691\">bill\u003c/a> to make parents without income eligible for California’s tax credit for young children of as much as $1,000, a \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB276\">proposal\u003c/a> to help low-income workers maximize their tax refund by choosing from the last three years of income and a \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB553\">plan\u003c/a> to create a state tax credit for employers who hire people who are disabled veterans, on public assistance or formerly incarcerated. For each, legislative analysts questioned whether the benefits outweigh the cost to the state.\u003c/p>\n\u003cp>\u003cem>—Jackie Botts\u003c/em>\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-11806716\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/03/Nursing-Home-Hall.jpg\" alt=\"Even among nursing homes crowned with the maximum government rating of five stars for overall quality, nearly half have been cited for an infection-control lapse.\" width=\"1920\" height=\"1314\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/03/Nursing-Home-Hall.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/03/Nursing-Home-Hall-160x110.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/03/Nursing-Home-Hall-800x548.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/03/Nursing-Home-Hall-1020x698.jpg 1020w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003c/p>\n\u003cp>\u003cstrong>Health Care\u003c/strong>\u003c/p>\n\u003cp>Insurance companies prevailed in killing a bill that would have allowed the state to require health plans to issue “emergency payments” to struggling health providers in public health crises. \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220AB454\">The legislation\u003c/a> was backed by doctors and dentists who said the pandemic left many medical and dental practices \u003ca href=\"https://calmatters.org/health/2020/04/coronavirus-private-practice-doctors/\">cash-strapped \u003c/a>because of fewer patient visits.\u003c/p>\n\u003cp>A\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billAnalysisClient.xhtml?bill_id=202120220AB285\"> bill\u003c/a> to hire a chief school nurse at the state level also failed, even though — as \u003ca href=\"https://calmatters.org/health/2020/10/california-without-school-nurse-pandemic/\">CalMatters reported\u003c/a> last year — California is one of only 10 states without someone in that position.\u003c/p>\n\u003cp>\u003cem>—Ana B. Ibarra and Barbara Feder Ostrov\u003c/em>\u003c/p>\n\u003cfigure id=\"attachment_10485439\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-10485439\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2015/04/SolarPanel-e1428694379439.jpg\" alt=\"Residential solar panel.\" width=\"1920\" height=\"1440\">\u003cfigcaption class=\"wp-caption-text\">A residential solar panel. \u003ccite>(Craig Miller/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Environment \u003c/strong>\u003c/p>\n\u003cp>An attempt to streamline permitting for residential solar systems died amid opposition from unions representing electrical workers. Environmental groups supported the\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB617\"> bill\u003c/a> that would have required cities and counties to establish online permitting and automated approvals for residential solar systems — a response to the often sluggish permitting process and the associated costs that has caused consumers to cool toward adopting solar systems.\u003c/p>\n\u003cp>Environmentalists also lost out with the stalling of a bill to require companies doing business in California with more than $1 billion in annual revenues to publicly \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220SB260\">report their greenhouse gas emissions\u003c/a> from both direct sources, such as manufacturing, and indirect, such as from their supply chain. The bill’s delay until next year “shows just how much control corporate polluters still have in California,” the head of the California League of Conservation Voters said in a statement.\u003c/p>\n\u003cp>\u003cem>—Julie Cart\u003c/em>\u003c/p>\n\u003cfigure id=\"attachment_11796288\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11796288\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/01/Sather-Tower-UCBerkeley.jpg\" alt=\"Students walk near Sather Tower on the UC Berkeley campus.\" width=\"1920\" height=\"1282\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/01/Sather-Tower-UCBerkeley.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/01/Sather-Tower-UCBerkeley-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/01/Sather-Tower-UCBerkeley-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/01/Sather-Tower-UCBerkeley-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/01/Sather-Tower-UCBerkeley-1200x801.jpg 1200w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Students walk near Sather Tower on the UC Berkeley campus. \u003ccite>(Justin Sullivan/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Higher Education\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220AB288\">Legislation aimed at preventing\u003c/a> universities from reducing students’ financial aid when they receive private scholarships is on hold until at least next year. A bill that \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220AB940\">would have dedicated $20 million\u003c/a> to expand mental health services to students attending the state’s public colleges and universities also stalled, but Assemblymember Kevin McCarty said he’ll try to fund it through the state budget. \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220SB566\">Legislation\u003c/a> to ensure support staff at California State University campuses get 5% merit raises failed amid opposition from university leaders.\u003c/p>\n\u003cp>Another measure that stalled \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220SB379\">would have barred\u003c/a> the University of California from entering into contracts with health providers that forbid UC medical staff from providing reproductive health care and gender-affirming care for transgender patients. It was pulled to give the UC until next year to establish its own policies, said a spokesperson for the bill’s author, state Sen. Scott Wiener of San Francisco. The proposal was also \u003ca href=\"https://thealliance.net/sites/default/files/sb_379_oppose_senhealth_041421.pdf\">opposed\u003c/a> by Catholic hospitals, which have partnerships with UC hospitals.\u003c/p>\n\u003cp>Left to live another day is arguably the most consequential higher education bill — \u003ca href=\"https://calmatters.org/education/higher-education/2021/04/cal-grant-expansion-older-students/\">a massive expansion of state financial aid\u003c/a>.\u003c/p>\n\u003cp>\u003cem>—Felicia Mello and Mikhail Zinshteyn\u003c/em>\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-10897055\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2016/03/RS11152_131990247-e1477087351446.jpg\" alt=\"Democratic lawmakers in California are moving to stop a private equity firm from buying the internet registry for .org domain names, which are commonly used by non-profits and advocacy groups.\" width=\"1920\" height=\"1280\">\u003cbr>\n\u003cstrong>Broadband Access and Internet Safety\u003c/strong>\u003c/p>\n\u003cp>The pandemic-induced shift to remote work and distance learning prompted a \u003ca href=\"https://calmatters.org/projects/california-digital-divide-broadband/\">slate of proposals aimed at closing the digital divide\u003c/a>. Two of them died Thursday:\u003c/p>\n\u003cul>\n\u003cli>One proposed \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220AB1176\">a statewide broadband subsidy\u003c/a> for low-income people. While it aimed to improve \u003ca href=\"https://calmatters.org/projects/california-broadband-student-access/\">broadband affordability — a barrier to access that has been laid bare by the pandemic\u003c/a> — anti-poverty groups and advocates for lower taxes on businesses opposed its plan to charge telecom companies 23 cents per month per user. Plus, the federal government just created its own \u003ca href=\"https://www.fcc.gov/broadbandbenefit\">$50 per month pandemic broadband benefit\u003c/a> for low-income consumers, though it’s temporary\u003c/li>\n\u003cli>A \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220AB34\">bill\u003c/a> to put a $10 billion bond on the 2022 ballot to fund a public-sector-run broadband network was scrapped after the governor \u003ca href=\"https://calmatters.org/projects/newsom-broadband-expansion/\">earmarked $7 billion\u003c/a> for internet deployment in his budget proposal\u003c/li>\n\u003c/ul>\n\u003cp>Concern that kids can too easily drift into violent or inappropriate content online prompted \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220AB1545\">a bill\u003c/a> that would have prohibited features such as auto-play videos and in-app purchases, unless parents opt-in for their children. But it died for a second year in a row, even after being narrowed to address the tech industry’s opposition to an earlier version.\u003c/p>\n\u003cp>\u003cem>—Jackie Botts, Ben Christopher and Zayna Syed\u003c/em>\u003c/p>\n\u003cp>\u003cem>CalMatters reporters Rachel Becker, Nigel Duara and Jocelyn Wiener contributed to this story.\u003c/em>\u003c/p>\n\u003cp>\u003cem>Editor’s note: An earlier version of this story incorrectly reported that bills to increase transparency and accountability on nursing home ownership and to shorten the waiting period for end-of-life decisions had been killed. Also, the story has been changed to say that a bill to require reporting of greenhouse gas emissions has been delayed a year.\u003c/em>\u003c/p>\n\u003cp>\u003cem>This article was originally published by \u003ca href=\"https://calmatters.org/politics/2021/05/california-bills-legislators-kill/\">CalMatters\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>\u003cem>This \u003ca href=\"https://calmatters.network/2021/05/20/suspense-file-day-which-controversial-bills-did-california-legislators-kill/\" target=\"_blank\" rel=\"noopener noreferrer\">article\u003c/a> first appeared on \u003ca href=\"https://calmatters.network\" target=\"_blank\" rel=\"noopener noreferrer\">CalMatters Network\u003c/a> and is republished here under a Creative Commons license.\u003cimg decoding=\"async\" style=\"width: 1em; height: 1em; margin-left: 10px;\" src=\"https://calmatters.network/wp-content/uploads/2021/01/cropped-cropped-calmatters-favicon-32x32-1.png\">\u003cimg decoding=\"async\" id=\"republication-tracker-tool-source\" style=\"width: 1px; height: 1px;\" src=\"https://calmatters.network/?republication-pixel=true&post=64435&ga=UA-59722930-8\">\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Lawmakers shelved dozens of significant bills this week, many opposed by special interests. They include proposals on police reform, housing, health care and more.",
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"title": "California Lawmakers Just Killed 200 Bills, From Police Background Checks to Rape Kits | KQED",
"description": "Lawmakers shelved dozens of significant bills this week, many opposed by special interests. They include proposals on police reform, housing, health care and more.",
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"headline": "California Lawmakers Just Killed 200 Bills, From Police Background Checks to Rape Kits",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Forget about new protections for California kids cruising the internet. There will be no new requirements for crime labs to process old rape kits, or for background checks to explore if law enforcement officers have been affiliated with hate groups. And some households behind on their water bills won’t get more time to pay them back before their pipes get shut off.\u003c/p>\n\u003cp>Those were some of the more than 200 bills California lawmakers killed Thursday in the rapid-fire and often \u003ca href=\"https://calmatters.org/politics/2017/09/capitol-suspense-california-bills-vanish-almost-without-trace/\">mysterious procedure known as the suspense file\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>\u003ca href=\"#culling\">Skip to: details on the key proposals lawmakers killed this week\u003c/a>\u003c/strong>\u003c/p>\n\u003cp>Officially, the procedure promotes fiscal responsibility, allowing lawmakers to consider costly bills together and weigh their priorities. But it’s well known at the state Capitol that the suspense file is also a political tool that allows the most powerful legislators to keep controversial bills from reaching the Assembly or Senate floor — typically with no explanation, and sometimes without a public vote.\u003c/p>\n\u003cp>“It’s driven by a hundred different factors, some of which we can never explain and maybe the transparency is weak on,” said Assemblymember Lorena Gonzalez, the San Diego Democrat who chairs the appropriations committee.\u003c/p>\n\u003cp>“But I’ve never once had the speaker come to me and say, ‘This isn’t politically feasible,’ ” Gonzalez said.\u003c/p>\n\u003cp>With more than 350 bills on the Senate’s suspense file and more than 500 on the Assembly’s, the lobbying leading up to Thursday was intense: “Everybody but God himself has contacted me on a bill,” Gonzalez said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Though she downplayed the role of politics, one of her predecessors said the job is like being the “speaker’s henchman.” They can use the suspense file to prevent an idea they don’t like from becoming law, exact revenge on a fellow lawmaker or shield their colleagues from having to take a position on a controversial proposal.\u003c/p>\n\u003cp>“You’ve got to be prepared to take really tough decisions for the caucus,” former Assemblymember Mike Gatto said on a \u003ca href=\"https://podcasts.apple.com/us/podcast/interview-with-former-assemblyman-mike-gatto/id1282148486?i=1000520630981\">recent podcast\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Governors also try to bottle some things up in the suspense file, Gatto said, adding that when he left office in 2016, then-Gov. Jerry Brown thanked him for keeping legislation from reaching his desk.\u003c/p>\n\u003cp>The suspense file, of course, is not the only tool for slaying bills. Lawmakers can also kill them simply by doing nothing. For the last two years, the Assembly has allowed policy committee chairpersons to decide whether to give bills a hearing. That means they can \u003ca href=\"https://calmatters.org/politics/2019/04/california-legislators-killing-bills-committee-democrats/\">silently snuff them just by not taking them up for a vote\u003c/a>.\u003c/p>\n\u003cp>This is how Democrats, who control the Legislature, have killed some of the \u003ca href=\"https://calmatters.org/newsletters/whatmatters/2021/04/alex-lee-progressive-california/\">most progressive bills introduced this year\u003c/a>, including proposals to develop a single-payer health care system, ban fracking and levy a wealth tax. It’s also what doomed an attempt to \u003ca href=\"https://www.sfchronicle.com/local/article/California-soda-tax-bill-dies-in-another-win-for-16113143.php\">repeal a ban on local soda taxes\u003c/a>.\u003c/p>\n\u003cp>Gov. Gavin Newsom has said he will not sign tax increases this year, with the state awash in COVID-19 relief money from the federal government and taxes paid by wealthier residents benefiting from a booming stock market.\u003c/p>\n\u003cp>“When you’re enjoying a $76-plus billion — and growing — operating surplus, I don’t think it’s the time to do tax increases,” Newsom said last week as he \u003ca href=\"https://calmatters.org/politics/2021/05/gavin-newsom-spending-spree-california-budget/\">presented his updated budget\u003c/a>.\u003c/p>\n\u003cp>Still, one major tax increase survived the suspense file Thursday — a proposal to \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220AB71\">increase taxes on international corporations to fund homeless services\u003c/a>.\u003c/p>\n\u003cp> \u003c/p>\n\u003ch3>Key Proposals That Stalled This Week\u003c/h3>\n\u003cfigure id=\"attachment_11835456\" class=\"wp-caption aligncenter\" style=\"max-width: 1418px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11835456\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/08/Image-from-iOS-7.jpg\" alt=\"\" width=\"1418\" height=\"945\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Image-from-iOS-7.jpg 1418w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Image-from-iOS-7-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Image-from-iOS-7-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Image-from-iOS-7-160x107.jpg 160w\" sizes=\"auto, (max-width: 1418px) 100vw, 1418px\">\u003cfigcaption class=\"wp-caption-text\">Demonstrators stop at a police barricade outside of the Oakland Police Department on Broadway in Oakland on Aug. 26, 2020. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Criminal Justice\u003c/strong>\u003c/p>\n\u003cp>A year after protests across the country over police accountability and racism, lobbying by law enforcement groups effectively watered down or stopped a handful of bills aimed at policing the police:\u003c/p>\n\u003cul>\n\u003cli>A proposed requirement that background checks explore if law enforcement officers have been affiliated with \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220AB655\">hate groups in the past\u003c/a> stalled amid opposition from the California Correctional Peace Officers Association\u003c/li>\n\u003c/ul>\n\u003cul>\n\u003cli>A bill requiring police departments to pull in different agencies to \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220AB594\">investigate police shootings of armed people\u003c/a> is on hold until next year\u003c/li>\n\u003c/ul>\n\u003cul>\n\u003cli>The biggest police reform bill of the year — which would allow the state to kick bad cops out of the profession for certain types of misconduct and make it easier for people to sue officers and departments for civil rights violations — survived the suspense file, but only after it was watered down. The version that’s moving ahead is more limited in when a person can sue the police — a change the bill’s author, state Sen. Steve Bradford, said was “difficult to accept.” But the Gardena Democrat said in a statement: “Compromise requires us to work together to find common ground.”\u003c/li>\n\u003c/ul>\n\u003cp>For the second year in a row, the appropriations committee killed a bill requiring law enforcement agencies to process their backlogged rape kits. The California Public Defenders Association argued the bill would take away resources to test other types of evidence.\u003c/p>\n\u003cp>\u003cem>—Byrhonda Lyons and Robert Lewis\u003c/em>\u003c/p>\n\u003cfigure id=\"attachment_11829079\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11829079\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/07/RS41773_007_KQED_HousingSanFrancisco_02102020_2898-qut.jpg\" alt=\"\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS41773_007_KQED_HousingSanFrancisco_02102020_2898-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS41773_007_KQED_HousingSanFrancisco_02102020_2898-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS41773_007_KQED_HousingSanFrancisco_02102020_2898-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS41773_007_KQED_HousingSanFrancisco_02102020_2898-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/07/RS41773_007_KQED_HousingSanFrancisco_02102020_2898-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">San Francisco on Feb. 10, 2020. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Housing\u003c/strong>\u003c/p>\n\u003cp>An effort to \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220AB1135\">streamline affordable housing funding\u003c/a> by creating one place for developers to apply for tax credits, bonds and subsidies is on hold until next year. \u003ca href=\"https://ternercenter.berkeley.edu/wp-content/uploads/pdfs/LIHTC_Construction_Costs_March_2020.pdf\">UC Berkeley’s Terner Center\u003c/a> and the \u003ca href=\"https://www.auditor.ca.gov/pdfs/reports/2020-108.pdf\">state auditor\u003c/a> argued this approach would cut the cost and time it takes to build affordable housing, but state Treasurer Fiona Ma, whose office would have given up some power, called the overhaul “risky.”\u003c/p>\n\u003cp>Assemblymember Buffy Wicks’ \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220AB1188\">third attempt to create a registry\u003c/a> making it easier to determine who owns rental housing died amid opposition from the California Association of Realtors, which argued the registry would burden property owners. The California Association of Realtors — a political powerhouse in Sacramento — spent \u003ca href=\"https://cal-access.sos.ca.gov/PDFGen/pdfgen.prg?filingid=2579564&amendid=0\">nearly $350,000 on lobbying\u003c/a> between January and March and also opposed a measure to curb evictions and another to help first-time homebuyers by ending a mortgage interest deduction on second homes, which \u003ca href=\"https://calmatters.org/housing/2021/05/california-homeownership-black/\">died before they even got to the Assembly appropriations committee\u003c/a>.\u003c/p>\n\u003cp>\u003cem>—Manuela Tobias\u003c/em>\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-11874743\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/05/iStock-1198252594.jpg\" alt=\"\" width=\"2309\" height=\"1299\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/iStock-1198252594.jpg 2309w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/iStock-1198252594-800x450.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/iStock-1198252594-1020x574.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/iStock-1198252594-160x90.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/iStock-1198252594-1536x864.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/iStock-1198252594-2048x1152.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/05/iStock-1198252594-1920x1080.jpg 1920w\" sizes=\"auto, (max-width: 2309px) 100vw, 2309px\">\u003cbr>\n\u003cstrong>Poverty and Inequality\u003c/strong>\u003c/p>\n\u003cp>A \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB223\">proposal\u003c/a> to shield more \u003ca href=\"https://calmatters.org/california-divide/2021/01/water-debt-california-households-face-water-shutoffs/\">Californians who are late on water bills\u003c/a> from having their water shut off stalled in the face of opposition from municipal water agencies. But hope is not lost for those late on water bills. Newsom wants to spend $1 billion to bail out consumers and providers crushed by water debt. And \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB222\">another bill\u003c/a> to create a water assistance program survived Thursday’s bloodbath.\u003c/p>\n\u003cp>A number of proposals aimed at using the tax system to help low-income consumers also died, including a \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB691\">bill\u003c/a> to make parents without income eligible for California’s tax credit for young children of as much as $1,000, a \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB276\">proposal\u003c/a> to help low-income workers maximize their tax refund by choosing from the last three years of income and a \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB553\">plan\u003c/a> to create a state tax credit for employers who hire people who are disabled veterans, on public assistance or formerly incarcerated. For each, legislative analysts questioned whether the benefits outweigh the cost to the state.\u003c/p>\n\u003cp>\u003cem>—Jackie Botts\u003c/em>\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-11806716\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/03/Nursing-Home-Hall.jpg\" alt=\"Even among nursing homes crowned with the maximum government rating of five stars for overall quality, nearly half have been cited for an infection-control lapse.\" width=\"1920\" height=\"1314\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/03/Nursing-Home-Hall.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/03/Nursing-Home-Hall-160x110.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/03/Nursing-Home-Hall-800x548.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/03/Nursing-Home-Hall-1020x698.jpg 1020w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003c/p>\n\u003cp>\u003cstrong>Health Care\u003c/strong>\u003c/p>\n\u003cp>Insurance companies prevailed in killing a bill that would have allowed the state to require health plans to issue “emergency payments” to struggling health providers in public health crises. \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220AB454\">The legislation\u003c/a> was backed by doctors and dentists who said the pandemic left many medical and dental practices \u003ca href=\"https://calmatters.org/health/2020/04/coronavirus-private-practice-doctors/\">cash-strapped \u003c/a>because of fewer patient visits.\u003c/p>\n\u003cp>A\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billAnalysisClient.xhtml?bill_id=202120220AB285\"> bill\u003c/a> to hire a chief school nurse at the state level also failed, even though — as \u003ca href=\"https://calmatters.org/health/2020/10/california-without-school-nurse-pandemic/\">CalMatters reported\u003c/a> last year — California is one of only 10 states without someone in that position.\u003c/p>\n\u003cp>\u003cem>—Ana B. Ibarra and Barbara Feder Ostrov\u003c/em>\u003c/p>\n\u003cfigure id=\"attachment_10485439\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-10485439\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2015/04/SolarPanel-e1428694379439.jpg\" alt=\"Residential solar panel.\" width=\"1920\" height=\"1440\">\u003cfigcaption class=\"wp-caption-text\">A residential solar panel. \u003ccite>(Craig Miller/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Environment \u003c/strong>\u003c/p>\n\u003cp>An attempt to streamline permitting for residential solar systems died amid opposition from unions representing electrical workers. Environmental groups supported the\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB617\"> bill\u003c/a> that would have required cities and counties to establish online permitting and automated approvals for residential solar systems — a response to the often sluggish permitting process and the associated costs that has caused consumers to cool toward adopting solar systems.\u003c/p>\n\u003cp>Environmentalists also lost out with the stalling of a bill to require companies doing business in California with more than $1 billion in annual revenues to publicly \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220SB260\">report their greenhouse gas emissions\u003c/a> from both direct sources, such as manufacturing, and indirect, such as from their supply chain. The bill’s delay until next year “shows just how much control corporate polluters still have in California,” the head of the California League of Conservation Voters said in a statement.\u003c/p>\n\u003cp>\u003cem>—Julie Cart\u003c/em>\u003c/p>\n\u003cfigure id=\"attachment_11796288\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11796288\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/01/Sather-Tower-UCBerkeley.jpg\" alt=\"Students walk near Sather Tower on the UC Berkeley campus.\" width=\"1920\" height=\"1282\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/01/Sather-Tower-UCBerkeley.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/01/Sather-Tower-UCBerkeley-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/01/Sather-Tower-UCBerkeley-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/01/Sather-Tower-UCBerkeley-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/01/Sather-Tower-UCBerkeley-1200x801.jpg 1200w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Students walk near Sather Tower on the UC Berkeley campus. \u003ccite>(Justin Sullivan/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Higher Education\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220AB288\">Legislation aimed at preventing\u003c/a> universities from reducing students’ financial aid when they receive private scholarships is on hold until at least next year. A bill that \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220AB940\">would have dedicated $20 million\u003c/a> to expand mental health services to students attending the state’s public colleges and universities also stalled, but Assemblymember Kevin McCarty said he’ll try to fund it through the state budget. \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220SB566\">Legislation\u003c/a> to ensure support staff at California State University campuses get 5% merit raises failed amid opposition from university leaders.\u003c/p>\n\u003cp>Another measure that stalled \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220SB379\">would have barred\u003c/a> the University of California from entering into contracts with health providers that forbid UC medical staff from providing reproductive health care and gender-affirming care for transgender patients. It was pulled to give the UC until next year to establish its own policies, said a spokesperson for the bill’s author, state Sen. Scott Wiener of San Francisco. The proposal was also \u003ca href=\"https://thealliance.net/sites/default/files/sb_379_oppose_senhealth_041421.pdf\">opposed\u003c/a> by Catholic hospitals, which have partnerships with UC hospitals.\u003c/p>\n\u003cp>Left to live another day is arguably the most consequential higher education bill — \u003ca href=\"https://calmatters.org/education/higher-education/2021/04/cal-grant-expansion-older-students/\">a massive expansion of state financial aid\u003c/a>.\u003c/p>\n\u003cp>\u003cem>—Felicia Mello and Mikhail Zinshteyn\u003c/em>\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-10897055\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2016/03/RS11152_131990247-e1477087351446.jpg\" alt=\"Democratic lawmakers in California are moving to stop a private equity firm from buying the internet registry for .org domain names, which are commonly used by non-profits and advocacy groups.\" width=\"1920\" height=\"1280\">\u003cbr>\n\u003cstrong>Broadband Access and Internet Safety\u003c/strong>\u003c/p>\n\u003cp>The pandemic-induced shift to remote work and distance learning prompted a \u003ca href=\"https://calmatters.org/projects/california-digital-divide-broadband/\">slate of proposals aimed at closing the digital divide\u003c/a>. Two of them died Thursday:\u003c/p>\n\u003cul>\n\u003cli>One proposed \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220AB1176\">a statewide broadband subsidy\u003c/a> for low-income people. While it aimed to improve \u003ca href=\"https://calmatters.org/projects/california-broadband-student-access/\">broadband affordability — a barrier to access that has been laid bare by the pandemic\u003c/a> — anti-poverty groups and advocates for lower taxes on businesses opposed its plan to charge telecom companies 23 cents per month per user. Plus, the federal government just created its own \u003ca href=\"https://www.fcc.gov/broadbandbenefit\">$50 per month pandemic broadband benefit\u003c/a> for low-income consumers, though it’s temporary\u003c/li>\n\u003cli>A \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220AB34\">bill\u003c/a> to put a $10 billion bond on the 2022 ballot to fund a public-sector-run broadband network was scrapped after the governor \u003ca href=\"https://calmatters.org/projects/newsom-broadband-expansion/\">earmarked $7 billion\u003c/a> for internet deployment in his budget proposal\u003c/li>\n\u003c/ul>\n\u003cp>Concern that kids can too easily drift into violent or inappropriate content online prompted \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220AB1545\">a bill\u003c/a> that would have prohibited features such as auto-play videos and in-app purchases, unless parents opt-in for their children. But it died for a second year in a row, even after being narrowed to address the tech industry’s opposition to an earlier version.\u003c/p>\n\u003cp>\u003cem>—Jackie Botts, Ben Christopher and Zayna Syed\u003c/em>\u003c/p>\n\u003cp>\u003cem>CalMatters reporters Rachel Becker, Nigel Duara and Jocelyn Wiener contributed to this story.\u003c/em>\u003c/p>\n\u003cp>\u003cem>Editor’s note: An earlier version of this story incorrectly reported that bills to increase transparency and accountability on nursing home ownership and to shorten the waiting period for end-of-life decisions had been killed. Also, the story has been changed to say that a bill to require reporting of greenhouse gas emissions has been delayed a year.\u003c/em>\u003c/p>\n\u003cp>\u003cem>This article was originally published by \u003ca href=\"https://calmatters.org/politics/2021/05/california-bills-legislators-kill/\">CalMatters\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>\u003cem>This \u003ca href=\"https://calmatters.network/2021/05/20/suspense-file-day-which-controversial-bills-did-california-legislators-kill/\" target=\"_blank\" rel=\"noopener noreferrer\">article\u003c/a> first appeared on \u003ca href=\"https://calmatters.network\" target=\"_blank\" rel=\"noopener noreferrer\">CalMatters Network\u003c/a> and is republished here under a Creative Commons license.\u003cimg decoding=\"async\" style=\"width: 1em; height: 1em; margin-left: 10px;\" src=\"https://calmatters.network/wp-content/uploads/2021/01/cropped-cropped-calmatters-favicon-32x32-1.png\">\u003cimg decoding=\"async\" id=\"republication-tracker-tool-source\" style=\"width: 1px; height: 1px;\" src=\"https://calmatters.network/?republication-pixel=true&post=64435&ga=UA-59722930-8\">\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Don't scrap those masks just yet. California health officials on Monday said the state will wait until its planned reopening date of June 15 to let fully vaccinated Californians take their masks off in most indoor settings.\u003c/p>\n\u003cp>\"This four-week period will give Californians time to prepare for this change while we continue the relentless focus on delivering vaccines, particularly to underserved communities and those that were hard hit throughout this pandemic,” said Dr. Mark Ghaly, secretary of California's Health and Human Services Agency, touting the \"amazing progress\" the state has made in its fight against COVID-19.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Dr. Mark Ghaly, secretary of California's Health and Human Services Agency\"]'This four-week period will give Californians time to prepare for this change while we continue the relentless focus on delivering vaccines, particularly to underserved communities and those that were hard hit throughout this pandemic.'[/pullquote]The announcement comes as more than a dozen other states have already begun lifting their mask mandates after getting the green light from the Centers for Disease Control and Prevention, which \u003ca href=\"https://www.npr.org/sections/health-shots/2021/05/14/996879305/confused-by-cdcs-latest-mask-guidance-heres-what-weve-learned\">issued new guidance\u003c/a> on Thursday that says it is safe for fully vaccinated people to forgo face coverings and social distancing in most indoor settings, including stores and restaurants.\u003c/p>\n\u003cp>\"It's in no way saying that the science or the direction by the CDC is wrong or there's a challenge to it,\" Ghaly said. \"It's really just giving ourselves some additional time to have it implemented with a high degree of integrity, with the continued focus on protecting the public health in mind.\"\u003c/p>\n\u003cp>Amid plummeting COVID-19 infections in California and rising inoculation rates, Gov. Gavin Newsom — who is facing a recall election — has been under pressure to ease mask restrictions, and just last week offered conflicting previews on when the state might lift them.\u003c/p>\n\u003cp>\"Until June 15, when California plans to fully reopen our economy, California will keep our existing guidance around masks in place,\" Ghaly said. \"In indoor settings, when you're outside of one's home, including on transportation and in our schools, face coverings continue to be required, regardless of vaccination status.\"\u003c/p>\n\u003cp>Only at that point, he said, when the state plans to drop most of its current pandemic-related restrictions, will it implement the CDC’s new masking guidelines that \"allow fully vaccinated Californians to go without a mask in most indoor settings.\"\u003c/p>\n\u003cp>Even after June 15, California will continue to require mask-wearing in all public schools, in line with CDC guidelines. Masks will also still be required in some public spaces, including hospitals, public transit and congregate housing facilities like nursing homes, homeless shelters and prisons.\u003c/p>\n\u003cp>Ghaly said all businesses in California are expected to adhere to the guidelines, including national chains like Starbucks, Walmart and Trader Joe's, which have already announced they will no longer require customers to don masks in regions where the new CDC guidelines have been adopted. That four-week delay, he added, will help California businesses prepare for the transition to fewer restrictions and give more residents a chance to get vaccinated.\u003c/p>\n\u003cp>As of Monday, \u003ca href=\"https://www.kqed.org/news/11859829/see-how-many-people-got-the-covid-19-vaccine-in-your-county-so-far\">some 15.4 million Californians\u003c/a> — almost 40% of the state — had been fully vaccinated against the virus, and the state's positivity rate had fallen to below 1%, among the lowest in the country.\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"news_11864473,news_11855623,news_11868240\"]Under \u003ca href=\"https://covid19.ca.gov/masks-and-ppe/#:~:text=For%20unvaccinated%20persons%2C%20face%20coverings,Live%20performances\">current state rules\u003c/a>, people who are fully vaccinated do not need to wear masks outdoors except in specific crowded environments like concerts or sporting events, while unvaccinated people are only required to wear masks outdoors when physical distancing can't be maintained.\u003c/p>\n\u003cp>The CDC's new mask guidance – an abrupt reversal of recommendations it had issued just weeks earlier – caught many local health officials by surprise, leaving them scrambling to decide whether to ease restrictions in the face of mounting public pressure. And while some health experts and officials say the new guidance is justified given the effectiveness of the vaccines and the drop in case rates, others have criticized the change as premature and confusing.\u003c/p>\n\u003cp>\"My blood is boiling that @CDCgov acted so irresponsibly to adopt an \"honor code\" for public mask wearing,\" Ann O'Leary, Newsom's former chief of staff, said \u003ca href=\"https://twitter.com/Ann_OLeary/status/1393984434571923456\">on Twitter\u003c/a>. \"It’s not good public health advice to say to parents whose kids can’t get vaccinated, just trust the public to do the right thing with all the politicization over masks.\"\u003c/p>\n\u003cp>Bob Wachter, chair of the UCSF Department of Medicine, commended state officials for sticking to the June 15 timeline.\u003c/p>\n\u003cp>\"Good call - simply too much virus & too many unvaxxed folks who won't [wear] mask for no-mask indoor spaces to be safe now,\" he said \u003ca href=\"https://twitter.com/Bob_Wachter/status/1394349999194972163\">in a tweet\u003c/a> on Monday.\u003c/p>\n\u003cp>https://twitter.com/Bob_Wachter/status/1394349999194972163\u003c/p>\n\u003cp>[ad fullwidth]Meanwhile, some business leaders said they're concerned the split between state and federal requirements is likely to increase public confusion and put some businesses in difficult positions.\u003c/p>\n\u003cp>\"It's very difficult for small business owners to have to play 'mask cop' on a daily basis,\" said John Kabateck, director of the California chapter of the National Federation of Independent Businesses. \"We hope that they will not be vulnerable to penalties and scrutiny by state regulators or plaintiffs' attorneys because they’re trying to make sense of this labyrinth.\"\u003c/p>\n\u003cp>Still, Kabateck said he was generally supportive of the state's decision.\u003c/p>\n\u003cp>\"We’re on our way to a full reopening in California,\" he said. \"If wearing masks for a little bit longer is an ounce of prevention that’s going to let mom-and-pops reopen their doors and get people back to work, that’s a step in the right direction.\"\u003c/p>\n\u003cp>\u003cem>This article includes reporting from the Associated Press.\u003c/em>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Don't scrap those masks just yet. California health officials on Monday said the state will wait until its planned reopening date of June 15 to let fully vaccinated Californians take their masks off in most indoor settings.\u003c/p>\n\u003cp>\"This four-week period will give Californians time to prepare for this change while we continue the relentless focus on delivering vaccines, particularly to underserved communities and those that were hard hit throughout this pandemic,” said Dr. Mark Ghaly, secretary of California's Health and Human Services Agency, touting the \"amazing progress\" the state has made in its fight against COVID-19.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The announcement comes as more than a dozen other states have already begun lifting their mask mandates after getting the green light from the Centers for Disease Control and Prevention, which \u003ca href=\"https://www.npr.org/sections/health-shots/2021/05/14/996879305/confused-by-cdcs-latest-mask-guidance-heres-what-weve-learned\">issued new guidance\u003c/a> on Thursday that says it is safe for fully vaccinated people to forgo face coverings and social distancing in most indoor settings, including stores and restaurants.\u003c/p>\n\u003cp>\"It's in no way saying that the science or the direction by the CDC is wrong or there's a challenge to it,\" Ghaly said. \"It's really just giving ourselves some additional time to have it implemented with a high degree of integrity, with the continued focus on protecting the public health in mind.\"\u003c/p>\n\u003cp>Amid plummeting COVID-19 infections in California and rising inoculation rates, Gov. Gavin Newsom — who is facing a recall election — has been under pressure to ease mask restrictions, and just last week offered conflicting previews on when the state might lift them.\u003c/p>\n\u003cp>\"Until June 15, when California plans to fully reopen our economy, California will keep our existing guidance around masks in place,\" Ghaly said. \"In indoor settings, when you're outside of one's home, including on transportation and in our schools, face coverings continue to be required, regardless of vaccination status.\"\u003c/p>\n\u003cp>Only at that point, he said, when the state plans to drop most of its current pandemic-related restrictions, will it implement the CDC’s new masking guidelines that \"allow fully vaccinated Californians to go without a mask in most indoor settings.\"\u003c/p>\n\u003cp>Even after June 15, California will continue to require mask-wearing in all public schools, in line with CDC guidelines. Masks will also still be required in some public spaces, including hospitals, public transit and congregate housing facilities like nursing homes, homeless shelters and prisons.\u003c/p>\n\u003cp>Ghaly said all businesses in California are expected to adhere to the guidelines, including national chains like Starbucks, Walmart and Trader Joe's, which have already announced they will no longer require customers to don masks in regions where the new CDC guidelines have been adopted. That four-week delay, he added, will help California businesses prepare for the transition to fewer restrictions and give more residents a chance to get vaccinated.\u003c/p>\n\u003cp>As of Monday, \u003ca href=\"https://www.kqed.org/news/11859829/see-how-many-people-got-the-covid-19-vaccine-in-your-county-so-far\">some 15.4 million Californians\u003c/a> — almost 40% of the state — had been fully vaccinated against the virus, and the state's positivity rate had fallen to below 1%, among the lowest in the country.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Under \u003ca href=\"https://covid19.ca.gov/masks-and-ppe/#:~:text=For%20unvaccinated%20persons%2C%20face%20coverings,Live%20performances\">current state rules\u003c/a>, people who are fully vaccinated do not need to wear masks outdoors except in specific crowded environments like concerts or sporting events, while unvaccinated people are only required to wear masks outdoors when physical distancing can't be maintained.\u003c/p>\n\u003cp>The CDC's new mask guidance – an abrupt reversal of recommendations it had issued just weeks earlier – caught many local health officials by surprise, leaving them scrambling to decide whether to ease restrictions in the face of mounting public pressure. And while some health experts and officials say the new guidance is justified given the effectiveness of the vaccines and the drop in case rates, others have criticized the change as premature and confusing.\u003c/p>\n\u003cp>\"My blood is boiling that @CDCgov acted so irresponsibly to adopt an \"honor code\" for public mask wearing,\" Ann O'Leary, Newsom's former chief of staff, said \u003ca href=\"https://twitter.com/Ann_OLeary/status/1393984434571923456\">on Twitter\u003c/a>. \"It’s not good public health advice to say to parents whose kids can’t get vaccinated, just trust the public to do the right thing with all the politicization over masks.\"\u003c/p>\n\u003cp>Bob Wachter, chair of the UCSF Department of Medicine, commended state officials for sticking to the June 15 timeline.\u003c/p>\n\u003cp>\"Good call - simply too much virus & too many unvaxxed folks who won't [wear] mask for no-mask indoor spaces to be safe now,\" he said \u003ca href=\"https://twitter.com/Bob_Wachter/status/1394349999194972163\">in a tweet\u003c/a> on Monday.\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Meanwhile, some business leaders said they're concerned the split between state and federal requirements is likely to increase public confusion and put some businesses in difficult positions.\u003c/p>\n\u003cp>\"It's very difficult for small business owners to have to play 'mask cop' on a daily basis,\" said John Kabateck, director of the California chapter of the National Federation of Independent Businesses. \"We hope that they will not be vulnerable to penalties and scrutiny by state regulators or plaintiffs' attorneys because they’re trying to make sense of this labyrinth.\"\u003c/p>\n\u003cp>Still, Kabateck said he was generally supportive of the state's decision.\u003c/p>\n\u003cp>\"We’re on our way to a full reopening in California,\" he said. \"If wearing masks for a little bit longer is an ounce of prevention that’s going to let mom-and-pops reopen their doors and get people back to work, that’s a step in the right direction.\"\u003c/p>\n\u003cp>\u003cem>This article includes reporting from the Associated Press.\u003c/em>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Don't scrap those masks just yet. California health officials on Monday said the state will wait until its planned reopening date of June 15 to let fully vaccinated Californians take their masks off in most indoor settings.\u003c/p>\n\u003cp>\"This four-week period will give Californians time to prepare for this change while we continue the relentless focus on delivering vaccines, particularly to underserved communities and those that were hard hit throughout this pandemic,” said Dr. Mark Ghaly, secretary of California's Health and Human Services Agency, touting the \"amazing progress\" the state has made in its fight against COVID-19.\u003c/p>\n\u003cp>The announcement comes as more than a dozen other states have already begun lifting their mask mandates after getting the green light from the Centers for Disease Control and Prevention, which \u003ca href=\"https://www.npr.org/sections/health-shots/2021/05/14/996879305/confused-by-cdcs-latest-mask-guidance-heres-what-weve-learned\">issued new guidance\u003c/a> on Thursday that says it is safe for fully vaccinated people to forgo face coverings and social distancing in most indoor settings, including stores and restaurants.\u003c/p>\n\u003cp>\"It's in no way saying that the science or the direction by the CDC is wrong or there's a challenge to it,\" Ghaly said. \"It's really just giving ourselves some additional time to have it implemented with a high degree of integrity, with the continued focus on protecting the public health in mind.\"\u003c/p>\n\u003cp>\"Until June 15, when California plans to fully reopen our economy, California will keep our existing guidance around masks in place,\" Ghaly said. \"In indoor settings, when you're outside of one's home, including on transportation and in our schools, face coverings continue to be required, regardless of vaccination status.\"\u003c/p>\n\u003cp>Only at that point, he said, when the state plans to drop most of its current pandemic-related restrictions, will it implement the CDC’s new masking guidelines that \"allow fully vaccinated Californians to go without a mask in most indoor settings.\"\u003c/p>\n\u003cp>Even after June 15, California will continue to require mask-wearing in all public schools, in line with CDC guidelines. Masks will also still be required in some public spaces, including hospitals, public transit and congregate housing facilities like nursing homes, homeless shelters and prisons.\u003c/p>\n\u003cp>As of Monday, \u003ca href=\"https://www.kqed.org/news/11859829/see-how-many-people-got-the-covid-19-vaccine-in-your-county-so-far\">some 15.4 million Californians\u003c/a> — almost 40% of the state — had been fully vaccinated against the virus, and the state's positivity rate had fallen to below 1%, among the lowest in the country.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11874066/when-can-you-stop-wearing-a-mask-in-california-state-says-june-15-2\">Read the full story here\u003c/a>. \u003c/p>\n\u003cp>\u003cem>— \u003ca href=\"https://twitter.com/MGreenKQED\">Matthew Green\u003c/a>\u003c/em>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Don't scrap those masks just yet. California health officials on Monday said the state will wait until its planned reopening date of June 15 to let fully vaccinated Californians take their masks off in most indoor settings.\u003c/p>\n\u003cp>\"This four-week period will give Californians time to prepare for this change while we continue the relentless focus on delivering vaccines, particularly to underserved communities and those that were hard hit throughout this pandemic,” said Dr. Mark Ghaly, secretary of California's Health and Human Services Agency, touting the \"amazing progress\" the state has made in its fight against COVID-19.\u003c/p>\n\u003cp>The announcement comes as more than a dozen other states have already begun lifting their mask mandates after getting the green light from the Centers for Disease Control and Prevention, which \u003ca href=\"https://www.npr.org/sections/health-shots/2021/05/14/996879305/confused-by-cdcs-latest-mask-guidance-heres-what-weve-learned\">issued new guidance\u003c/a> on Thursday that says it is safe for fully vaccinated people to forgo face coverings and social distancing in most indoor settings, including stores and restaurants.\u003c/p>\n\u003cp>\"It's in no way saying that the science or the direction by the CDC is wrong or there's a challenge to it,\" Ghaly said. \"It's really just giving ourselves some additional time to have it implemented with a high degree of integrity, with the continued focus on protecting the public health in mind.\"\u003c/p>\n\u003cp>\"Until June 15, when California plans to fully reopen our economy, California will keep our existing guidance around masks in place,\" Ghaly said. \"In indoor settings, when you're outside of one's home, including on transportation and in our schools, face coverings continue to be required, regardless of vaccination status.\"\u003c/p>\n\u003cp>Only at that point, he said, when the state plans to drop most of its current pandemic-related restrictions, will it implement the CDC’s new masking guidelines that \"allow fully vaccinated Californians to go without a mask in most indoor settings.\"\u003c/p>\n\u003cp>Even after June 15, California will continue to require mask-wearing in all public schools, in line with CDC guidelines. Masks will also still be required in some public spaces, including hospitals, public transit and congregate housing facilities like nursing homes, homeless shelters and prisons.\u003c/p>\n\u003cp>As of Monday, \u003ca href=\"https://www.kqed.org/news/11859829/see-how-many-people-got-the-covid-19-vaccine-in-your-county-so-far\">some 15.4 million Californians\u003c/a> — almost 40% of the state — had been fully vaccinated against the virus, and the state's positivity rate had fallen to below 1%, among the lowest in the country.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11874066/when-can-you-stop-wearing-a-mask-in-california-state-says-june-15-2\">Read the full story here\u003c/a>. \u003c/p>\n\u003cp>\u003cem>— \u003ca href=\"https://twitter.com/MGreenKQED\">Matthew Green\u003c/a>\u003c/em>\u003c/p>\n\u003c/div>\u003c/p>",
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"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
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"soldout": {
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"title": "SOLD OUT: Rethinking Housing in America",
"tagline": "A new future for housing",
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}
