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"content": "\u003cp>As a college student, Rob Bonta had a summer job working as a counselor for troubled kids.\u003c/p>\n\u003cp>Now, two decades later, he is bringing legislation to address some of the needs he saw then.\u003c/p>\n\u003cp>\"I worked with some of these kids as a counselor out of college, and I'd walk them home and hear some of these stories,\" said Assemblyman Bonta, D-Oakland. \"Shootings they heard. Or shootings they witnessed the night before.\"\u003c/p>\n\u003caside class=\"pullquote alignright\">'We see childhood trauma as a public health crisis that is critical for the state to address.'\u003ccite>Ben Rubin, Children Now \u003c/cite>\u003c/aside>\n\u003cp>It was the summer of his junior year at Yale, when he worked in the Leadership Education and Athletics Partnership program in Connecticut. That took him to a side of New Haven many people don't see -- the economically depressed inner city. He said kids there endured trauma, sometimes on a daily basis.\u003c/p>\n\u003cp>Those traumatic events add up in children's lives, Bonta said, and \u003ca href=\"https://app.box.com/s/dw2tev06fny3tczomb68/1/2622361035/22579574285/1\" target=\"_blank\">have been shown\u003c/a> to result in higher risk of chronic health conditions and risky health behaviors later in life.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The medical community uses a scale of ACE indicators -- for adverse childhood experiences -- to measure that higher-risk category. People with four or more childhood traumas, such as physical abuse or having a family member with a drinking problem, have a much higher prevalence later in life for a host of health issues -- chronic obstructive pulmonary disease, asthma, kidney disease, stroke, depression, dementia and other maladies.\u003c/p>\n\u003cp>\"We see childhood trauma and ACEs as a public health crisis that is critical for the state to address,\" said Ben Rubin with Children Now, an advocacy group based in Oakland.\u003c/p>\n\u003cp>\"More and more ACE indicators have been gaining traction,\" Rubin said, not just in the medical community but in criminal justice and legislative circles as well. \"We think [addressing] this has been a big deficit in the state. This bill is a good step toward providing services.\"\u003c/p>\n\u003cp>\u003cstrong>Childhood Trauma Bill\u003c/strong>\u003c/p>\n\u003cp>Bonta's legislation, \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB1644\" target=\"_blank\">AB1644\u003c/a>, would establish a four-year pilot program to help some schools and communities provide mental health services, with the state chipping in funds, training and technical assistance. It also would commit state money for the Early Mental Health Initiative, which was cut by the governor in 2012.\u003c/p>\n\u003cp>The benefits for the state are many, he said:\u003c/p>\n\u003cul>\n\u003cli>School classrooms would be more effective if teachers are better able to screen and help children who exhibit symptoms of adverse childhood experiences.\u003c/li>\n\u003cli>Dealing with children's trauma now could mean big savings in health care spending in the future, as ACE indicators are one of the telling signs of those who are the heaviest users of the health care system.\u003c/li>\n\u003cli>The ability of children to become adults who contribute to society goes down among those with a number of ACE indicators, so there are strong economic and workforce reasons to address those problems earlier.\u003c/li>\n\u003c/ul>\n\u003cp>\"It's true, it's our moral imperative to do something about it, to protect our children,\" Bonta said. \"But there's also a financial imperative, because early prevention saves dollars down the road.\"\u003c/p>\n\u003cp>The pilot program would target younger students, up to third grade. It would provide teachers with a better screening tool to identify withdrawal problems, anxiety or bullying, among other behaviors, Rubin said.\u003c/p>\n\u003cp>\"Schools across the state are doing it to some degree, but not with any kind of state support,\" Rubin said. \"We need to invest in providing those services, so we wanted to fund a modest but important state role.\"\u003c/p>\n\u003cp>[contextly_sidebar id=\"hZQ2WEmKe7JNBp4VwKA0k77KegZzOncz\"]Through the pilot program, the state's Department of Public Health could help provide regional training and outreach to schools that provide those types of services, and also expand the number of school sites providing services.\u003c/p>\n\u003cp>\"Every year more and more folks become more aware of what this is,\" Bonta said. \"More and more people are seeing the adverse impact of this and the multiplier effect of it. There are just so many social and health consequences of childhood trauma. It's something we have to address.\"\u003c/p>\n\u003cp>What Bonta saw 20 years ago on the streets echoes the pervasive and persistent quandary now, he said. \"This is not a new problem,\" Bonta said, \"but we want to come at it with new focus and new momentum.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The bill is expected to be heard in committee in April.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>As a college student, Rob Bonta had a summer job working as a counselor for troubled kids.\u003c/p>\n\u003cp>Now, two decades later, he is bringing legislation to address some of the needs he saw then.\u003c/p>\n\u003cp>\"I worked with some of these kids as a counselor out of college, and I'd walk them home and hear some of these stories,\" said Assemblyman Bonta, D-Oakland. \"Shootings they heard. Or shootings they witnessed the night before.\"\u003c/p>\n\u003caside class=\"pullquote alignright\">'We see childhood trauma as a public health crisis that is critical for the state to address.'\u003ccite>Ben Rubin, Children Now \u003c/cite>\u003c/aside>\n\u003cp>It was the summer of his junior year at Yale, when he worked in the Leadership Education and Athletics Partnership program in Connecticut. That took him to a side of New Haven many people don't see -- the economically depressed inner city. He said kids there endured trauma, sometimes on a daily basis.\u003c/p>\n\u003cp>Those traumatic events add up in children's lives, Bonta said, and \u003ca href=\"https://app.box.com/s/dw2tev06fny3tczomb68/1/2622361035/22579574285/1\" target=\"_blank\">have been shown\u003c/a> to result in higher risk of chronic health conditions and risky health behaviors later in life.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The medical community uses a scale of ACE indicators -- for adverse childhood experiences -- to measure that higher-risk category. People with four or more childhood traumas, such as physical abuse or having a family member with a drinking problem, have a much higher prevalence later in life for a host of health issues -- chronic obstructive pulmonary disease, asthma, kidney disease, stroke, depression, dementia and other maladies.\u003c/p>\n\u003cp>\"We see childhood trauma and ACEs as a public health crisis that is critical for the state to address,\" said Ben Rubin with Children Now, an advocacy group based in Oakland.\u003c/p>\n\u003cp>\"More and more ACE indicators have been gaining traction,\" Rubin said, not just in the medical community but in criminal justice and legislative circles as well. \"We think [addressing] this has been a big deficit in the state. This bill is a good step toward providing services.\"\u003c/p>\n\u003cp>\u003cstrong>Childhood Trauma Bill\u003c/strong>\u003c/p>\n\u003cp>Bonta's legislation, \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB1644\" target=\"_blank\">AB1644\u003c/a>, would establish a four-year pilot program to help some schools and communities provide mental health services, with the state chipping in funds, training and technical assistance. It also would commit state money for the Early Mental Health Initiative, which was cut by the governor in 2012.\u003c/p>\n\u003cp>The benefits for the state are many, he said:\u003c/p>\n\u003cul>\n\u003cli>School classrooms would be more effective if teachers are better able to screen and help children who exhibit symptoms of adverse childhood experiences.\u003c/li>\n\u003cli>Dealing with children's trauma now could mean big savings in health care spending in the future, as ACE indicators are one of the telling signs of those who are the heaviest users of the health care system.\u003c/li>\n\u003cli>The ability of children to become adults who contribute to society goes down among those with a number of ACE indicators, so there are strong economic and workforce reasons to address those problems earlier.\u003c/li>\n\u003c/ul>\n\u003cp>\"It's true, it's our moral imperative to do something about it, to protect our children,\" Bonta said. \"But there's also a financial imperative, because early prevention saves dollars down the road.\"\u003c/p>\n\u003cp>The pilot program would target younger students, up to third grade. It would provide teachers with a better screening tool to identify withdrawal problems, anxiety or bullying, among other behaviors, Rubin said.\u003c/p>\n\u003cp>\"Schools across the state are doing it to some degree, but not with any kind of state support,\" Rubin said. \"We need to invest in providing those services, so we wanted to fund a modest but important state role.\"\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>Through the pilot program, the state's Department of Public Health could help provide regional training and outreach to schools that provide those types of services, and also expand the number of school sites providing services.\u003c/p>\n\u003cp>\"Every year more and more folks become more aware of what this is,\" Bonta said. \"More and more people are seeing the adverse impact of this and the multiplier effect of it. There are just so many social and health consequences of childhood trauma. It's something we have to address.\"\u003c/p>\n\u003cp>What Bonta saw 20 years ago on the streets echoes the pervasive and persistent quandary now, he said. \"This is not a new problem,\" Bonta said, \"but we want to come at it with new focus and new momentum.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The bill is expected to be heard in committee in April.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Just 1 percent of doctors are linked to nearly one-third of all paid malpractice claims, an analysis by researchers at Stanford finds, and those physicians have a set of distinctive characteristics.\u003c/p>\n\u003cp>\"This problem of physicians who accumulate multiple claims and continue to practice ... is a significant policy problem,\" said lead author David Studdert, a professor of medicine and law at Stanford, \"and one that we need to address.\"\u003c/p>\n\u003cp>In the study, published in the \u003ca href=\"http://www.nejm.org/doi/full/10.1056/NEJMsa1506137\" target=\"_blank\">New England Journal of Medicine\u003c/a>, researchers looked at more than 66,000 malpractice claims paid against 54,000 physicians nationwide between 2005 and 2014.\u003c/p>\n\u003cp>Researchers focused on paid, rather than unpaid, claims, because that is a marker for substandard care. About one in three malpractice claims is ultimately paid. In the claims the researchers reviewed, one-third resulted in patient death and another 54 percent in serious injury.\u003c/p>\n\u003cp>The study noted that only 6 percent of doctors had any paid claims over the 10-year period studied.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The researchers said that the \"claim-prone\" physicians were disproportionately male (82 percent) and were older, rather than younger. More than half the claims were by doctors in one of four areas: internal medicine, obstetrics and gynecology, general surgery and general practice or family medicine.\u003c/p>\n\u003cp>But the biggest predictor of all in the claim-prone doctors was whether they'd had a prior claim.\u003c/p>\n\u003cp>\"Compared to physicians with only one previous claim,\" Studdert said, \"a physician who has had three previous claims is three times as likely to have another one. A physician who has had four is four times more likely and so on.\"\u003c/p>\n\u003cp>In the study the researchers are clear that they have identified risk factors but that it is up to health care systems, hospital and malpractice insurers to identify and work with these doctors. But they noted that few of these organizations do.\u003c/p>\n\u003cp>\"With notable exception,\" the researchers write, \"fewer still systematically identify and intervene with practitioners who are at high risk for future claims.\" They call for further investigation into predicting which doctors are at risk and then implementing interventions such as training and supervision to improve their quality of care.\u003c/p>\n\u003cp>In California, \u003ca href=\"https://www.breeze.ca.gov/datamart/loginCADCA.do;jsessionid=B624544A8FEC9896B9DD303B85994EC2.vo1\" target=\"_blank\">patients can look up their doctor \u003c/a>on the state's medical board website. Depending on the type of malpractice settlement, it will be part of the public record if the doctor has had either three or four settlements within a five-year period. \u003ca href=\"http://www.mbc.ca.gov/Consumers/public_disclosure.pdf\" target=\"_blank\">Other information is also available\u003c/a>, including whether your doctor has had a felony conviction or is on probation. Patients can use the website simply to determine that a doctor's license is valid.\u003c/p>\n\u003cp>But advocates like Lisa McGiffert, with Consumers Union's Safe Patient Project, say that's not enough and \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/10/29/in-california-doctors-on-probation-not-required-to-tell-you-should-they/\" target=\"_blank\">have been pushing\u003c/a> the Medical Board of California to require that doctors placed on probation notify their patients. The board has resisted taking this step.\u003c/p>\n\u003cp>While probation and multiple malpractice claims are not necessarily linked, McGiffert says she hopes doctors will pay attention to this study. \"Because I have this sense that doctors as a group protect other doctors who are on probation or get in trouble because they think it might happen to them,\" she said, but since this study demonstrates that a small percentage of doctors are responsible for a disproportionate number of claims, it should be reassuring to physicians.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"This study is one more piece of information that regulators can use in determining their strategy in addressing the small percentage of doctors who have problems in their treatment of patients,\" she said.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Just 1 percent of doctors are linked to nearly one-third of all paid malpractice claims, an analysis by researchers at Stanford finds, and those physicians have a set of distinctive characteristics.\u003c/p>\n\u003cp>\"This problem of physicians who accumulate multiple claims and continue to practice ... is a significant policy problem,\" said lead author David Studdert, a professor of medicine and law at Stanford, \"and one that we need to address.\"\u003c/p>\n\u003cp>In the study, published in the \u003ca href=\"http://www.nejm.org/doi/full/10.1056/NEJMsa1506137\" target=\"_blank\">New England Journal of Medicine\u003c/a>, researchers looked at more than 66,000 malpractice claims paid against 54,000 physicians nationwide between 2005 and 2014.\u003c/p>\n\u003cp>Researchers focused on paid, rather than unpaid, claims, because that is a marker for substandard care. About one in three malpractice claims is ultimately paid. In the claims the researchers reviewed, one-third resulted in patient death and another 54 percent in serious injury.\u003c/p>\n\u003cp>The study noted that only 6 percent of doctors had any paid claims over the 10-year period studied.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The researchers said that the \"claim-prone\" physicians were disproportionately male (82 percent) and were older, rather than younger. More than half the claims were by doctors in one of four areas: internal medicine, obstetrics and gynecology, general surgery and general practice or family medicine.\u003c/p>\n\u003cp>But the biggest predictor of all in the claim-prone doctors was whether they'd had a prior claim.\u003c/p>\n\u003cp>\"Compared to physicians with only one previous claim,\" Studdert said, \"a physician who has had three previous claims is three times as likely to have another one. A physician who has had four is four times more likely and so on.\"\u003c/p>\n\u003cp>In the study the researchers are clear that they have identified risk factors but that it is up to health care systems, hospital and malpractice insurers to identify and work with these doctors. But they noted that few of these organizations do.\u003c/p>\n\u003cp>\"With notable exception,\" the researchers write, \"fewer still systematically identify and intervene with practitioners who are at high risk for future claims.\" They call for further investigation into predicting which doctors are at risk and then implementing interventions such as training and supervision to improve their quality of care.\u003c/p>\n\u003cp>In California, \u003ca href=\"https://www.breeze.ca.gov/datamart/loginCADCA.do;jsessionid=B624544A8FEC9896B9DD303B85994EC2.vo1\" target=\"_blank\">patients can look up their doctor \u003c/a>on the state's medical board website. Depending on the type of malpractice settlement, it will be part of the public record if the doctor has had either three or four settlements within a five-year period. \u003ca href=\"http://www.mbc.ca.gov/Consumers/public_disclosure.pdf\" target=\"_blank\">Other information is also available\u003c/a>, including whether your doctor has had a felony conviction or is on probation. Patients can use the website simply to determine that a doctor's license is valid.\u003c/p>\n\u003cp>But advocates like Lisa McGiffert, with Consumers Union's Safe Patient Project, say that's not enough and \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/10/29/in-california-doctors-on-probation-not-required-to-tell-you-should-they/\" target=\"_blank\">have been pushing\u003c/a> the Medical Board of California to require that doctors placed on probation notify their patients. The board has resisted taking this step.\u003c/p>\n\u003cp>While probation and multiple malpractice claims are not necessarily linked, McGiffert says she hopes doctors will pay attention to this study. \"Because I have this sense that doctors as a group protect other doctors who are on probation or get in trouble because they think it might happen to them,\" she said, but since this study demonstrates that a small percentage of doctors are responsible for a disproportionate number of claims, it should be reassuring to physicians.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"This study is one more piece of information that regulators can use in determining their strategy in addressing the small percentage of doctors who have problems in their treatment of patients,\" she said.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Farming Industry Balks at Obamacare Requirements",
"title": "Farming Industry Balks at Obamacare Requirements",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>Obamacare is throwing the agricultural industry into a tailspin. Farm labor contractors who must now offer their workers health insurance are complaining loudly about the cost in their already low-margin business.\u003c/p>\n\u003caside class=\"pullquote alignright\">'No, no, no. My margin is 10 percent. And I have to increase expenses 10 percent? Well, that doesn’t work.'\u003ccite>Jesse Sandoval, farm labor contractor\u003c/cite>\u003c/aside>\n\u003cp>Some are also concerned that the forms they must file with the federal government under the Affordable Care Act will bring immigration problems to the fore: about \u003ca href=\"http://www.ers.usda.gov/topics/farm-economy/farm-labor/background.aspx\" target=\"_blank\">half of the farm labor workforce\u003c/a> in the U.S. is undocumented.\u003c/p>\n\u003cp>“There’s definitely going to be some repercussions to it,” says Jesse Sandoval, a farm labor contractor based in Stockton. \"I think there’s going to be some things that cannot be ignored.\"\u003c/p>\n\u003cp>Sandoval came to an educational conference for farm labor contractors -- essentially staffing agencies for field workers -- held at the San Joaquin County Agricultural Center in Stockton last fall. Men with broad shoulders, wearing denim jackets and cowboy hats, sat in the audience, listening to lectures on a litany of laws and rules regulating their industry, including Obamacare's employer mandate.\u003c/p>\n\u003cp>Last year, employers with 100 or more full-time employees had to offer health insurance to their workers or pay a stiff penalty. This year, employers with 50 to 99 full-time employees must comply.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/243903827\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>Sandoval has about 100 workers on his payroll. When farmers need a crew to pick cherries or pumpkins or asparagus, they call him to send the workers. He needs to offer insurance this year, and he's smarting at the price tag. At $300 a month per employee, he's looking at a $30,000 monthly bill.\u003c/p>\n\u003cp>“Yeah, no. No, no, no,” Sandoval says about absorbing that into his budget. “The numbers aren't there. My margin is 10 percent. And I have to increase expenses 10 percent? Well, that doesn't work.”\u003c/p>\n\u003cp>[contextly_sidebar id=\"pxRkcuCqePJ1SkL5fHgzAqVTxkQMmNhi\"]So, like a lot of contractors, he’s passing the bill onto the farmers, who in turn are passing the bill onto the farmworkers. Under the Affordable Care Act, employees can be asked to contribute 9.5 percent of their income toward health premiums.\u003c/p>\n\u003cp>But for farmworkers who pick oranges or peaches for $10 an hour, that’s still too much.\u003c/p>\n\u003cp>Agostin Garcia says the two contractors he works for near Fresno offered him insurance directly. But when he saw the price tag, he turned them both down.\u003c/p>\n\u003cp>“For me, I’m the only one in my house who works. There’s five of us in the family,” he says in Spanish. “It just wouldn’t work. Either I pay for health insurance, or I pay the rent and utilities.”\u003c/p>\n\u003cp>Garcia says only a fraction of his co-workers have signed up for coverage. He says when farm labor contractors hand out packets explaining the coverage, the page where workers reject it is right on top.\u003c/p>\n\u003cp>“I think they do it intentionally,” Garcia says. “They comply with the laws, by saying, ‘I offered.’ But they know that nobody’s going to accept it, they know that nobody’s going to pay those amounts.”\u003c/p>\n\u003cp>The cost isn’t the only thing about Obamacare stressing people out in the ag industry. Some are worried about immigration problems. Employers have to file new health care forms with the IRS for all their workers, whether they accept the insurance or not.\u003c/p>\n\u003cp>Kaya Bromley, an attorney who advises employers in the farming industry about the Affordable Care Act, says the health law will make it harder for contractors to turn a blind eye when workers give them fraudulent documents.\u003c/p>\n\u003cp>“Now that there’s more transparency because of all of the reporting, I think we're going to have a lot more data on how many illegal or undocumented workers we have,” she says.\u003c/p>\n\u003cp>Among the contractors she consults for, Bromley has seen a range of quasi-legal and even illegal strategies to sidestep the health law.\u003c/p>\n\u003cp>“I have heard of employees who are choosing to opt out because they want to fly under the radar. I have also heard of employers who are urging the opt-out or at least encouraging it,” she says. “And I warn all of them that they are going to be in big trouble.”\u003c/p>\n\u003cp>But it’s still early. There’s been no enforcement yet. The feds haven’t made an example of anyone, Bromley says, and so employers are ignoring the fact that they could face penalties that run several thousand dollars per employee.\u003c/p>\n\u003cp>“It’s huge. And no one’s talking about the enormity of it,” she says. “When it plays out, and the penalties start getting assessed, that's when people will start having religion about it.”\u003c/p>\n\u003cp>Farm labor contractors say they’re stuck in a Catch-22. The Affordable Care Act doesn’t cover undocumented immigrants, but contractors will get fined if they don’t offer them coverage. Contractors aren’t supposed to hire undocumented workers, but the president and Congress can't agree on what to do about the massive number of immigrants living and working here illegally.\u003c/p>\n\u003cp>How are contractors supposed to comply with the new health care law when the feds are deadlocked over how to update the immigration system?\u003c/p>\n\u003cp>“Our government, all they do is talk about it. They don’t fix anything, they make everything worse,” says Golinda Vela Chavez, who helps run a labor contracting company in Salinas.\u003c/p>\n\u003cp>Her company started offering their employees insurance last year, at no cost to the workers, and she says, still, more than half of them turned down the coverage.\u003c/p>\n\u003cp>This year, the company has to start filing the paperwork with the IRS and she says it's been a nightmare.\u003c/p>\n\u003cp>“They don’t try to help you, they want to get you,” she says. “They implement all these things, because they want to get you!”\u003c/p>\n\u003cp>Ofelia Reyes just wants peace of mind. She’s has been harvesting nectarines and tying grapevines in fields near Fresno for 20 years. She recently had a breast cancer scare. None of the contractors she works for have offered her insurance.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“No, never. No one’s ever offered me anything,” she says in Spanish. \"All they say is, ‘Hurry up! Your ladder is waiting for you. Your co-workers are already over there.’ That’s how we live.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Obamacare is throwing the agricultural industry into a tailspin. Farm labor contractors who must now offer their workers health insurance are complaining loudly about the cost in their already low-margin business.\u003c/p>\n\u003caside class=\"pullquote alignright\">'No, no, no. My margin is 10 percent. And I have to increase expenses 10 percent? Well, that doesn’t work.'\u003ccite>Jesse Sandoval, farm labor contractor\u003c/cite>\u003c/aside>\n\u003cp>Some are also concerned that the forms they must file with the federal government under the Affordable Care Act will bring immigration problems to the fore: about \u003ca href=\"http://www.ers.usda.gov/topics/farm-economy/farm-labor/background.aspx\" target=\"_blank\">half of the farm labor workforce\u003c/a> in the U.S. is undocumented.\u003c/p>\n\u003cp>“There’s definitely going to be some repercussions to it,” says Jesse Sandoval, a farm labor contractor based in Stockton. \"I think there’s going to be some things that cannot be ignored.\"\u003c/p>\n\u003cp>Sandoval came to an educational conference for farm labor contractors -- essentially staffing agencies for field workers -- held at the San Joaquin County Agricultural Center in Stockton last fall. Men with broad shoulders, wearing denim jackets and cowboy hats, sat in the audience, listening to lectures on a litany of laws and rules regulating their industry, including Obamacare's employer mandate.\u003c/p>\n\u003cp>Last year, employers with 100 or more full-time employees had to offer health insurance to their workers or pay a stiff penalty. This year, employers with 50 to 99 full-time employees must comply.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/243903827&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/243903827'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Sandoval has about 100 workers on his payroll. When farmers need a crew to pick cherries or pumpkins or asparagus, they call him to send the workers. He needs to offer insurance this year, and he's smarting at the price tag. At $300 a month per employee, he's looking at a $30,000 monthly bill.\u003c/p>\n\u003cp>“Yeah, no. No, no, no,” Sandoval says about absorbing that into his budget. “The numbers aren't there. My margin is 10 percent. And I have to increase expenses 10 percent? Well, that doesn't work.”\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>So, like a lot of contractors, he’s passing the bill onto the farmers, who in turn are passing the bill onto the farmworkers. Under the Affordable Care Act, employees can be asked to contribute 9.5 percent of their income toward health premiums.\u003c/p>\n\u003cp>But for farmworkers who pick oranges or peaches for $10 an hour, that’s still too much.\u003c/p>\n\u003cp>Agostin Garcia says the two contractors he works for near Fresno offered him insurance directly. But when he saw the price tag, he turned them both down.\u003c/p>\n\u003cp>“For me, I’m the only one in my house who works. There’s five of us in the family,” he says in Spanish. “It just wouldn’t work. Either I pay for health insurance, or I pay the rent and utilities.”\u003c/p>\n\u003cp>Garcia says only a fraction of his co-workers have signed up for coverage. He says when farm labor contractors hand out packets explaining the coverage, the page where workers reject it is right on top.\u003c/p>\n\u003cp>“I think they do it intentionally,” Garcia says. “They comply with the laws, by saying, ‘I offered.’ But they know that nobody’s going to accept it, they know that nobody’s going to pay those amounts.”\u003c/p>\n\u003cp>The cost isn’t the only thing about Obamacare stressing people out in the ag industry. Some are worried about immigration problems. Employers have to file new health care forms with the IRS for all their workers, whether they accept the insurance or not.\u003c/p>\n\u003cp>Kaya Bromley, an attorney who advises employers in the farming industry about the Affordable Care Act, says the health law will make it harder for contractors to turn a blind eye when workers give them fraudulent documents.\u003c/p>\n\u003cp>“Now that there’s more transparency because of all of the reporting, I think we're going to have a lot more data on how many illegal or undocumented workers we have,” she says.\u003c/p>\n\u003cp>Among the contractors she consults for, Bromley has seen a range of quasi-legal and even illegal strategies to sidestep the health law.\u003c/p>\n\u003cp>“I have heard of employees who are choosing to opt out because they want to fly under the radar. I have also heard of employers who are urging the opt-out or at least encouraging it,” she says. “And I warn all of them that they are going to be in big trouble.”\u003c/p>\n\u003cp>But it’s still early. There’s been no enforcement yet. The feds haven’t made an example of anyone, Bromley says, and so employers are ignoring the fact that they could face penalties that run several thousand dollars per employee.\u003c/p>\n\u003cp>“It’s huge. And no one’s talking about the enormity of it,” she says. “When it plays out, and the penalties start getting assessed, that's when people will start having religion about it.”\u003c/p>\n\u003cp>Farm labor contractors say they’re stuck in a Catch-22. The Affordable Care Act doesn’t cover undocumented immigrants, but contractors will get fined if they don’t offer them coverage. Contractors aren’t supposed to hire undocumented workers, but the president and Congress can't agree on what to do about the massive number of immigrants living and working here illegally.\u003c/p>\n\u003cp>How are contractors supposed to comply with the new health care law when the feds are deadlocked over how to update the immigration system?\u003c/p>\n\u003cp>“Our government, all they do is talk about it. They don’t fix anything, they make everything worse,” says Golinda Vela Chavez, who helps run a labor contracting company in Salinas.\u003c/p>\n\u003cp>Her company started offering their employees insurance last year, at no cost to the workers, and she says, still, more than half of them turned down the coverage.\u003c/p>\n\u003cp>This year, the company has to start filing the paperwork with the IRS and she says it's been a nightmare.\u003c/p>\n\u003cp>“They don’t try to help you, they want to get you,” she says. “They implement all these things, because they want to get you!”\u003c/p>\n\u003cp>Ofelia Reyes just wants peace of mind. She’s has been harvesting nectarines and tying grapevines in fields near Fresno for 20 years. She recently had a breast cancer scare. None of the contractors she works for have offered her insurance.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“No, never. No one’s ever offered me anything,” she says in Spanish. \"All they say is, ‘Hurry up! Your ladder is waiting for you. Your co-workers are already over there.’ That’s how we live.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Nearly four out of five registered voters — 78 percent — support a warning label on sugary beverages, according to a statewide Field Poll released Wednesday. More than half of those surveyed — 54 percent — “strongly” favor a label.\u003c/p>\n\u003cp>Overall support crossed party lines. “You see bipartisan support, although different levels of support,” said Mark DiCamillo, Field Poll director. Eighty-six percent of Democrats supported a label with 12 percent opposed; among Republicans, 60 percent supported and 37 percent opposed.\u003c/p>\n\u003cp>This is the second Field Poll in two years on the question, with a slight increase over the \u003ca href=\"http://www.field.com/fieldpollonline/subscribers/Rls2461.pdf\" target=\"_blank\" rel=\"noopener\">2014 results\u003c/a> showing 74 percent support.\u003c/p>\n\u003cp>Registered voters across the state were asked about their support for a warning stating: “Studies show that daily consumption of soda and other sugary drinks contributes to diabetes, obesity and tooth decay.”\u003c/p>\n\u003cp>The poll was commissioned by The California Endowment and the California Center for Public Health Advocacy. CCPHA executive director Harold Goldstein said he was “heartened” that even more voters support a warning label now than two years ago.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“What it means to us is voters in California want to know the scientific truth about the harmful effects of these sugary drinks,” Goldstein said, “and they want that information right there on the front of cans and bottles.”\u003c/p>\n\u003cp>Support was especially strong among Latino voters with 85 percent in favor and 13 percent opposed. Even among Latino Republican voters, support ran to 74 percent.\u003c/p>\n\u003cp>“There is not a single subgroup within Latino voting populations that opposes warning labels, at least that we could identify,” said DiCamillo. Latinos make up 23 percent of the state’s registered voters overall, he said, and “are a growing subgroup.”\u003c/p>\n\u003cp>Last year, the California Legislature considered \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB203\" target=\"_blank\" rel=\"noopener\">a bill\u003c/a> that would require a warning label on beverages with added sweeteners that exceeded 75 calories in 12 ounces. The bill stalled in the Senate Health committee when\u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/04/30/health-advocates-frustrated-as-soda-warning-bill-dies/\" target=\"_blank\" rel=\"noopener\"> four members who were present at the hearing abstained from voting\u003c/a>.\u003c/p>\n\u003cp>In a statement Bob Achermann, executive director of CalBev, an industry group, said labels about calories and ingredients are already available and that a warning suggesting sugary beverages are a unique driver of obesity and diabetes would mislead people.\u003c/p>\n\u003cp>“The best way to promote balanced lifestyles is through fact-based information,” Achermann said, “rather than simplistic approaches that target just one product but don’t ultimately address complex health challenges.”\u003c/p>\n\u003cp>Numerous business groups have also voiced their opposition to warning labels.\u003c/p>\n\u003cp>The poll included two questions that asked respondents to select which of three beverages (a 12-ounce can) had the most sugar:\u003c/p>\n\u003cul>\n\u003cli>Coke (39 grams)\u003c/li>\n\u003cli>Minute Maid Lemonade (40 grams)\u003c/li>\n\u003cli>Hawaiian Punch (21 grams)\u003c/li>\n\u003c/ul>\n\u003cp>Only 7 percent of respondents correctly said the can of Minute Maid had the most sugar. In addition, 34 percent said Hawaiian Punch had the most sugar, even though it has about half the sugar content of Coke or Minute Maid Lemonade.\u003c/p>\n\u003cp>In the second question, people picked from:\u003c/p>\n\u003cul>\n\u003cli>O.N.E. Mango Coconut Water (30 grams)\u003c/li>\n\u003cli>Glaceau Orange Mango FruitWater (0 grams)\u003c/li>\n\u003cli>Honest Lemon Tea (21 grams)\u003c/li>\n\u003c/ul>\n\u003cp>Only 14 percent of people correctly picked the coconut water. Fully one-third of respondents — 33 percent — said the Glaceau FruitWater had the most sugar, even though it is a sugar-free drink; 32 percent picked the Honest Lemon Tea.\u003c/p>\n\u003cp>Goldstein, the public health advocate, said that marketers are “purposely confusing consumers” by using words like “honest” in the names of their products.\u003c/p>\n\u003cp>“One of the great benefits of a warning label is consumers will no longer be confused,” he said. When they’re grocery shopping, they don’t have to “wonder which (beverages) are harmful and which ones are not.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>When asked why they supported warning labels, 28.6 percent of respondents said that they would promote “greater personal responsibility” in helping people cut their sugar consumption, while 28 percent said consumers have a “right to know the truth” about harmful products. Another 21 percent said parents would be able to make more informed beverage choices for their children.\u003c/p>\n\u003cdiv class=\"page\" title=\"Page 2\">\n\u003cdiv class=\"layoutArea\">\n\u003cdiv class=\"column\">\n\u003cp>The telephone survey was conducted in English and Spanish Dec. 10-Jan. 3, 2016. A total of 1,253 interviews were completed, with an additional 250 interviews among the Latino registered voters statewide.\u003c/p>\n\u003c/div>\n\u003c/div>\n\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Nearly four out of five registered voters — 78 percent — support a warning label on sugary beverages, according to a statewide Field Poll released Wednesday. More than half of those surveyed — 54 percent — “strongly” favor a label.\u003c/p>\n\u003cp>Overall support crossed party lines. “You see bipartisan support, although different levels of support,” said Mark DiCamillo, Field Poll director. Eighty-six percent of Democrats supported a label with 12 percent opposed; among Republicans, 60 percent supported and 37 percent opposed.\u003c/p>\n\u003cp>This is the second Field Poll in two years on the question, with a slight increase over the \u003ca href=\"http://www.field.com/fieldpollonline/subscribers/Rls2461.pdf\" target=\"_blank\" rel=\"noopener\">2014 results\u003c/a> showing 74 percent support.\u003c/p>\n\u003cp>Registered voters across the state were asked about their support for a warning stating: “Studies show that daily consumption of soda and other sugary drinks contributes to diabetes, obesity and tooth decay.”\u003c/p>\n\u003cp>The poll was commissioned by The California Endowment and the California Center for Public Health Advocacy. CCPHA executive director Harold Goldstein said he was “heartened” that even more voters support a warning label now than two years ago.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“What it means to us is voters in California want to know the scientific truth about the harmful effects of these sugary drinks,” Goldstein said, “and they want that information right there on the front of cans and bottles.”\u003c/p>\n\u003cp>Support was especially strong among Latino voters with 85 percent in favor and 13 percent opposed. Even among Latino Republican voters, support ran to 74 percent.\u003c/p>\n\u003cp>“There is not a single subgroup within Latino voting populations that opposes warning labels, at least that we could identify,” said DiCamillo. Latinos make up 23 percent of the state’s registered voters overall, he said, and “are a growing subgroup.”\u003c/p>\n\u003cp>Last year, the California Legislature considered \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB203\" target=\"_blank\" rel=\"noopener\">a bill\u003c/a> that would require a warning label on beverages with added sweeteners that exceeded 75 calories in 12 ounces. The bill stalled in the Senate Health committee when\u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/04/30/health-advocates-frustrated-as-soda-warning-bill-dies/\" target=\"_blank\" rel=\"noopener\"> four members who were present at the hearing abstained from voting\u003c/a>.\u003c/p>\n\u003cp>In a statement Bob Achermann, executive director of CalBev, an industry group, said labels about calories and ingredients are already available and that a warning suggesting sugary beverages are a unique driver of obesity and diabetes would mislead people.\u003c/p>\n\u003cp>“The best way to promote balanced lifestyles is through fact-based information,” Achermann said, “rather than simplistic approaches that target just one product but don’t ultimately address complex health challenges.”\u003c/p>\n\u003cp>Numerous business groups have also voiced their opposition to warning labels.\u003c/p>\n\u003cp>The poll included two questions that asked respondents to select which of three beverages (a 12-ounce can) had the most sugar:\u003c/p>\n\u003cul>\n\u003cli>Coke (39 grams)\u003c/li>\n\u003cli>Minute Maid Lemonade (40 grams)\u003c/li>\n\u003cli>Hawaiian Punch (21 grams)\u003c/li>\n\u003c/ul>\n\u003cp>Only 7 percent of respondents correctly said the can of Minute Maid had the most sugar. In addition, 34 percent said Hawaiian Punch had the most sugar, even though it has about half the sugar content of Coke or Minute Maid Lemonade.\u003c/p>\n\u003cp>In the second question, people picked from:\u003c/p>\n\u003cul>\n\u003cli>O.N.E. Mango Coconut Water (30 grams)\u003c/li>\n\u003cli>Glaceau Orange Mango FruitWater (0 grams)\u003c/li>\n\u003cli>Honest Lemon Tea (21 grams)\u003c/li>\n\u003c/ul>\n\u003cp>Only 14 percent of people correctly picked the coconut water. Fully one-third of respondents — 33 percent — said the Glaceau FruitWater had the most sugar, even though it is a sugar-free drink; 32 percent picked the Honest Lemon Tea.\u003c/p>\n\u003cp>Goldstein, the public health advocate, said that marketers are “purposely confusing consumers” by using words like “honest” in the names of their products.\u003c/p>\n\u003cp>“One of the great benefits of a warning label is consumers will no longer be confused,” he said. When they’re grocery shopping, they don’t have to “wonder which (beverages) are harmful and which ones are not.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>When asked why they supported warning labels, 28.6 percent of respondents said that they would promote “greater personal responsibility” in helping people cut their sugar consumption, while 28 percent said consumers have a “right to know the truth” about harmful products. Another 21 percent said parents would be able to make more informed beverage choices for their children.\u003c/p>\n\u003cdiv class=\"page\" title=\"Page 2\">\n\u003cdiv class=\"layoutArea\">\n\u003cdiv class=\"column\">\n\u003cp>The telephone survey was conducted in English and Spanish Dec. 10-Jan. 3, 2016. A total of 1,253 interviews were completed, with an additional 250 interviews among the Latino registered voters statewide.\u003c/p>\n\u003c/div>\n\u003c/div>\n\u003c/div>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>With drug manufacturers charging $1,000 a pill for \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/05/21/covered-california-considers-capping-patients-drug-costs/\" target=\"_blank\">hepatitis C treatments\u003c/a> and raising the price of a longstanding \u003ca href=\"http://www.huffingtonpost.com/james-peron/why-one-hiv-drug-costs-5000-percent-more-overnight_b_8174724.html\" target=\"_blank\">HIV medication 5,000 percent\u003c/a>, state lawmakers hope to revive a bill that would demystify prescription drug costs.\u003c/p>\n\u003caside class=\"pullquote align right\">\"Sunlight on costs will help control costs.\"\u003ccite>Assemblyman David Chiu, D-San Francisco\u003c/cite>\u003c/aside>\n\u003cp>\u003ca href=\"https://legiscan.com/CA/sponsors/AB463/2015\" target=\"_blank\">Assembly Bill 463\u003c/a> would require pharmaceutical companies to report production and marketing costs associated with any drug treatment priced at $10,000 or more. The bill, called the Pharmaceutical Cost Transparency Act, was initially\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB463\" target=\"_blank\"> introduced last February\u003c/a>, but floundered in the Legislature. Now the authors are hoping the growing outcry in the last six months over drug prices will help garner new supporters.\u003c/p>\n\u003cp>“Discontent with drug prices has reached a real breaking point,” said Assemblyman David Chiu, D-San Francisco, author of the bill. “Skyrocketing drug prices are gouging consumers, are costing government billions of dollars, are hitting at the bottom lines of businesses. And this is significantly impacting our health care costs.”\u003c/p>\n\u003cp>Specifically, the bill would require drug makers to report:\u003c/p>\n\u003cul>\n\u003cli>Profits attributed to the drug\u003c/li>\n\u003cli>Costs associated with clinical drug trials, research and development, and manufacturing\u003c/li>\n\u003cli>Government grants that supported research\u003c/li>\n\u003cli>Marketing and advertising\u003c/li>\n\u003c/ul>\n\u003cp>“I think sunlight on costs will help control costs,” Chiu says. “The data that we do know of, suggests that many of these companies are spending billions of dollars marketing and advertising their drugs, and not as much as they suggest on research and development.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Drug makers oppose the bill. They say the time and money spent on the new reporting requirements would be better spent on developing new life saving drugs.\u003c/p>\n\u003cp>“It’s unclear how the bill will actually help patients in the long run,” says Priscilla VanderVeer, spokesperson for the Pharmaceutical Research and Manufacturers of America, a trade group for the industry. “Does it actually lead to lower prices? Once all this information is compiled, then what?”\u003c/p>\n\u003cp>Drug companies are also concerned that some of the information they would have to report is proprietary.\u003c/p>\n\u003cp>“For competitive purposes, the company doesn't want extreme specifics to fall into the hands of their competitors,” VanderVeer says.\u003c/p>\n\u003cp>For example, if companies disclose how much they are spending on a clinical trial, it could signal to a competitor their level of investment in a certain drug or disease, and the competitor might adjust their own practices.\u003c/p>\n\u003cp>Health insurance companies say they have to disclose proprietary information to regulators to justify hikes in premium rates, and they argue the protections for that information are adequate.\u003c/p>\n\u003cp>Health plans have been particularly interested in seeing AB 463 pass. Even though they can negotiate what they pay pharmaceutical companies for drugs to some extent, they're limited in how much of the cost they can pass on directly to consumers. \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB339\" target=\"_blank\">A new law\u003c/a> in California limits how much plans can charge patients out of pocket for specialty drugs to $250 per month, per prescription.\u003c/p>\n\u003cp>\"At the end of the day, we have to buy these drugs,\" says Charles Bacchi, president and CEO of the California Association of Health Plans.\u003c/p>\n\u003cp>Health insurers will have no choice but to raise premium rates for everybody in order to balance the costs, he says.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"When it comes to high priced specialty drugs, the elephant in the room is how much those drugs cost America,\" Bacchi says. \"The pharmaceutical companies want to try to sweep that under the rug, but you can't sweep an elephant under the rug.\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>With drug manufacturers charging $1,000 a pill for \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/05/21/covered-california-considers-capping-patients-drug-costs/\" target=\"_blank\">hepatitis C treatments\u003c/a> and raising the price of a longstanding \u003ca href=\"http://www.huffingtonpost.com/james-peron/why-one-hiv-drug-costs-5000-percent-more-overnight_b_8174724.html\" target=\"_blank\">HIV medication 5,000 percent\u003c/a>, state lawmakers hope to revive a bill that would demystify prescription drug costs.\u003c/p>\n\u003caside class=\"pullquote align right\">\"Sunlight on costs will help control costs.\"\u003ccite>Assemblyman David Chiu, D-San Francisco\u003c/cite>\u003c/aside>\n\u003cp>\u003ca href=\"https://legiscan.com/CA/sponsors/AB463/2015\" target=\"_blank\">Assembly Bill 463\u003c/a> would require pharmaceutical companies to report production and marketing costs associated with any drug treatment priced at $10,000 or more. The bill, called the Pharmaceutical Cost Transparency Act, was initially\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB463\" target=\"_blank\"> introduced last February\u003c/a>, but floundered in the Legislature. Now the authors are hoping the growing outcry in the last six months over drug prices will help garner new supporters.\u003c/p>\n\u003cp>“Discontent with drug prices has reached a real breaking point,” said Assemblyman David Chiu, D-San Francisco, author of the bill. “Skyrocketing drug prices are gouging consumers, are costing government billions of dollars, are hitting at the bottom lines of businesses. And this is significantly impacting our health care costs.”\u003c/p>\n\u003cp>Specifically, the bill would require drug makers to report:\u003c/p>\n\u003cul>\n\u003cli>Profits attributed to the drug\u003c/li>\n\u003cli>Costs associated with clinical drug trials, research and development, and manufacturing\u003c/li>\n\u003cli>Government grants that supported research\u003c/li>\n\u003cli>Marketing and advertising\u003c/li>\n\u003c/ul>\n\u003cp>“I think sunlight on costs will help control costs,” Chiu says. “The data that we do know of, suggests that many of these companies are spending billions of dollars marketing and advertising their drugs, and not as much as they suggest on research and development.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Drug makers oppose the bill. They say the time and money spent on the new reporting requirements would be better spent on developing new life saving drugs.\u003c/p>\n\u003cp>“It’s unclear how the bill will actually help patients in the long run,” says Priscilla VanderVeer, spokesperson for the Pharmaceutical Research and Manufacturers of America, a trade group for the industry. “Does it actually lead to lower prices? Once all this information is compiled, then what?”\u003c/p>\n\u003cp>Drug companies are also concerned that some of the information they would have to report is proprietary.\u003c/p>\n\u003cp>“For competitive purposes, the company doesn't want extreme specifics to fall into the hands of their competitors,” VanderVeer says.\u003c/p>\n\u003cp>For example, if companies disclose how much they are spending on a clinical trial, it could signal to a competitor their level of investment in a certain drug or disease, and the competitor might adjust their own practices.\u003c/p>\n\u003cp>Health insurance companies say they have to disclose proprietary information to regulators to justify hikes in premium rates, and they argue the protections for that information are adequate.\u003c/p>\n\u003cp>Health plans have been particularly interested in seeing AB 463 pass. Even though they can negotiate what they pay pharmaceutical companies for drugs to some extent, they're limited in how much of the cost they can pass on directly to consumers. \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB339\" target=\"_blank\">A new law\u003c/a> in California limits how much plans can charge patients out of pocket for specialty drugs to $250 per month, per prescription.\u003c/p>\n\u003cp>\"At the end of the day, we have to buy these drugs,\" says Charles Bacchi, president and CEO of the California Association of Health Plans.\u003c/p>\n\u003cp>Health insurers will have no choice but to raise premium rates for everybody in order to balance the costs, he says.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"When it comes to high priced specialty drugs, the elephant in the room is how much those drugs cost America,\" Bacchi says. \"The pharmaceutical companies want to try to sweep that under the rug, but you can't sweep an elephant under the rug.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>The Legislature reconvenes its extraordinary session on health care Monday and officially embarks on the long public debate over the governor's proposed budget.\u003c/p>\n\u003cp>Almost every budget proposal is greeted with opinions about what's missing in it. The big question is, among the cacophony of requests for more funding, which big-ticket health care proposal is likely to be advanced by legislative leaders?\u003c/p>\n\u003cp>The \u003ca href=\"http://ww2.kqed.org/stateofhealth/2016/01/07/browns-budget-plan-new-managed-care-tax-increase-ssi-benefits-more-medi-cal-enrollment/\" target=\"_blank\">front-burner issue is replacing the $1.1 billion \"MCO\" \u003c/a>(managed care organization) tax, and both the state Senate and Assembly are convening their special sessions on health today to address it.\u003c/p>\n\u003cp>Some of the higher-profile pieces of health legislation this session will be on the agenda Monday because the special session on health didn't adjourn when the regular session did last year. A slate of anti-tobacco bills introduced in special session also will be raised in the Assembly today.\u003c/p>\n\u003cp>Health coverage for undocumented adults promises to be pushed hard in the Legislature this year after that effort ended in a \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/06/17/california-budget-includes-health-coverage-of-undocumented-children-a-first-nationally/\" target=\"_blank\">compromise last year to cover undocumented children\u003c/a> in California.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB10\" target=\"_blank\">SB10\u003c/a> by Sen. Ricardo Lara, D-Bell Gardens, picks up where last year's compromise bill left off.\u003c/p>\n\u003cp>\"The budget proposal misses important opportunities to invest in the health of California’s new majority, communities of color,\" said Sarah de Guia, executive director of the California Pan-Ethnic Health Network.\u003c/p>\n\u003cp>Coverage for undocumented children is expected to begin May 1.\u003c/p>\n\u003cp>A number of bills will be heard today in special session, including proposal to impose a $2-a-pack tax on cigarettes and a bill to apply the same regulations to e-cigarettes that are followed by traditional cigarettes.\u003c/p>\n\u003cp>More funding for seniors and the disabled will likely be on the Legislature's agenda this year. That population got a boost from an extension of the Coordinated Care Initiative and a bump in Supplemental Security Income and restoration of a 7 percent cut in In-Home Supportive Services hours -- but that's not enough, according to advocacy organization Justice in Aging, particularly since the IHSS restoration was a court-brokered agreement. \"More action and bolder policies will be needed to lift seniors and people with disabilities out of poverty,\" the group said in a written statement.\u003c/p>\n\u003cp>And according to Doug Moore, president of UDW/AFSCME Local 3930, those bolder policies must go beyond tying help for the developmentally disabled to the MCO tax. \"… People with disabilities, seniors, and caregivers are tired of being held hostage as Sacramento bickers about passing renewed taxes,\" Moore said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"We do need additional, long-term revenues, but using vulnerable Californians' health and welfare as a bargaining chip is simply not acceptable.\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Legislature reconvenes its extraordinary session on health care Monday and officially embarks on the long public debate over the governor's proposed budget.\u003c/p>\n\u003cp>Almost every budget proposal is greeted with opinions about what's missing in it. The big question is, among the cacophony of requests for more funding, which big-ticket health care proposal is likely to be advanced by legislative leaders?\u003c/p>\n\u003cp>The \u003ca href=\"http://ww2.kqed.org/stateofhealth/2016/01/07/browns-budget-plan-new-managed-care-tax-increase-ssi-benefits-more-medi-cal-enrollment/\" target=\"_blank\">front-burner issue is replacing the $1.1 billion \"MCO\" \u003c/a>(managed care organization) tax, and both the state Senate and Assembly are convening their special sessions on health today to address it.\u003c/p>\n\u003cp>Some of the higher-profile pieces of health legislation this session will be on the agenda Monday because the special session on health didn't adjourn when the regular session did last year. A slate of anti-tobacco bills introduced in special session also will be raised in the Assembly today.\u003c/p>\n\u003cp>Health coverage for undocumented adults promises to be pushed hard in the Legislature this year after that effort ended in a \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/06/17/california-budget-includes-health-coverage-of-undocumented-children-a-first-nationally/\" target=\"_blank\">compromise last year to cover undocumented children\u003c/a> in California.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB10\" target=\"_blank\">SB10\u003c/a> by Sen. Ricardo Lara, D-Bell Gardens, picks up where last year's compromise bill left off.\u003c/p>\n\u003cp>\"The budget proposal misses important opportunities to invest in the health of California’s new majority, communities of color,\" said Sarah de Guia, executive director of the California Pan-Ethnic Health Network.\u003c/p>\n\u003cp>Coverage for undocumented children is expected to begin May 1.\u003c/p>\n\u003cp>A number of bills will be heard today in special session, including proposal to impose a $2-a-pack tax on cigarettes and a bill to apply the same regulations to e-cigarettes that are followed by traditional cigarettes.\u003c/p>\n\u003cp>More funding for seniors and the disabled will likely be on the Legislature's agenda this year. That population got a boost from an extension of the Coordinated Care Initiative and a bump in Supplemental Security Income and restoration of a 7 percent cut in In-Home Supportive Services hours -- but that's not enough, according to advocacy organization Justice in Aging, particularly since the IHSS restoration was a court-brokered agreement. \"More action and bolder policies will be needed to lift seniors and people with disabilities out of poverty,\" the group said in a written statement.\u003c/p>\n\u003cp>And according to Doug Moore, president of UDW/AFSCME Local 3930, those bolder policies must go beyond tying help for the developmentally disabled to the MCO tax. \"… People with disabilities, seniors, and caregivers are tired of being held hostage as Sacramento bickers about passing renewed taxes,\" Moore said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"We do need additional, long-term revenues, but using vulnerable Californians' health and welfare as a bargaining chip is simply not acceptable.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Brown's Budget Plan: New Managed Care Tax, Increased SSI Benefits, More Medi-Cal Enrollment",
"title": "Brown's Budget Plan: New Managed Care Tax, Increased SSI Benefits, More Medi-Cal Enrollment",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>Gov. Jerry Brown introduced his \u003ca href=\"http://ww2.kqed.org/news/2016/01/07/browns-budget-mantra-caution\" target=\"_blank\">$122.6 billion general fund budget\u003c/a> in Sacramento on Thursday, including a new approach to replacing a soon-to-expire tax on managed care organizations.\u003c/p>\n\u003cp>The present MCO tax will end on June 30 if legislators cannot agree on a replacement. California faces the loss of $1.1 billion in revenue, including federal match funds. A plan launched last year during a special legislative session on health did not advance.\u003c/p>\n\u003cp>Brown is now proposing an overall reform package on taxes insurers pay that he says will ultimately save them money.\u003c/p>\n\u003cp>\"It's lowering the corporate tax, lowering the premiums tax,\" Brown said, \"and you blend all that together. Because of the way the federal government works, money can flow to us, and it will be net for California.\"\u003c/p>\n\u003cp>Brown said he hoped to get the issue resolved \"in a month,\" but stressed there was no deal as yet with the health plans.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003ca href=\"http://www.ebudget.ca.gov/FullBudgetSummary.pdf\" target=\"_blank\">Brown's proposal\u003c/a> includes where that money might be spent:\u003c/p>\n\u003cblockquote>\u003cp>The Budget also assumes that revenues from the tax be placed in a special fund and be used to restore the 7‐percent reduction to the In‐Home Supportive Services ($236 million annually). Finally, the Budget assumes the tax is in place for three years starting in 2016‐17.\u003c/p>\u003c/blockquote>\n\u003cp>Charles Bacchi, California Association of Health Plans CEO, said he appreciated new options on an MCO tax. \"I think they've been working very hard, and certainly credit is due to them. At this time, we're still looking at it. We're still trying to confirm it. There will be more discussions this week with the administration.\"\u003c/p>\n\u003cp>Some are already critical of the proposed plan, which earmarks some of the MCO revenue to the Department of Developmental Services.\u003c/p>\n\u003cp>Tim Hornbecker, director of business development for The Arc of Alameda County, believes tying developmental disabilities funding to the MCO tax is the governor’s way of garnering Republican support for the tax -- he needs a two-thirds vote from the Legislature for the tax to pass.\u003c/p>\n\u003cp>“The governor is using people with developmental disabilities as pawns in the system, until he can get his votes from Republicans,” Hornbecker said.\u003c/p>\n\u003cp>Assemblyman Tom Lackey, R-Palmdale, did not approve of the approach.\u003c/p>\n\u003cp>“These folks deserve to be a top consideration in the general funding arena,\" he said. \"And they’ve been an ‘oh, by the way’ consideration, which is deplorable.”\u003c/p>\n\u003cp>\u003cstrong>SSI Increase\u003c/strong>\u003c/p>\n\u003cp>The budget includes a 2.8 percent increase in benefits for people who receive Supplemental Security Income/State Supplementary Payment (SSI/SSP). An estimated 1.3 million people are expected to receive monthly benefits in 2016-17, and their maximum grants will be $889 per month for individuals and $1,496 per month for couples, an increase of $17 and $31 respectively.\u003c/p>\n\u003cp>\u003cstrong>Medi-Cal Enrollment\u003c/strong>\u003c/p>\n\u003cp>The state's Medi-Cal enrollment is expected to reach a new high in the next fiscal year -- 13.5 million people, or more than a third of all Californians.\u003c/p>\n\u003cp>California expanded Medi-Cal as part of the Affordable Care Act. The federal government has been paying 100 percent of the cost of those in the expansion population, but in 2017, California will be responsible for 5 percent of that cost, or $740.2 million in general fund money.\u003c/p>\n\u003cp>The state is responsible for half the cost of those who were always eligible for Medi-Cal but did not sign up until the Affordable Care Act went into effect. Next year, that's expected to be $1.9 billion from the general fund.\u003c/p>\n\u003cp>\u003cstrong>Undocumented Immigrant Health Care\u003c/strong>\u003c/p>\n\u003cp>On May 1, 170,000 \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/06/17/california-budget-includes-health-coverage-of-undocumented-children-a-first-nationally/\" target=\"_blank\">undocumented children will become eligible \u003c/a>for full Medi-Cal benefits. California is the first state in the country to cover undocumented children. The governor earmarked $145 million in general fund money to cover the new costs.\u003c/p>\n\u003cp>While advocates noted there were no new cuts to programs, they were disappointed that the governor did not go further in restoring funding that was deeply cut in the wake of the 2008 recession.\u003c/p>\n\u003cp>\"This budget proposal largely continues the recession-era cuts to health and human services,\" Anthony Wright, executive director, of Health Access, an advocacy group, said in a statement. \"The [budget] surplus was created in part from $15 billion in HHS cuts; it's high time to restore cuts to Medi-Cal benefits and rates and other public health programs.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>An earlier version of this story incorrectly quoted Gov. Brown who said his revised MCO plan would be \"net for California\" not \"net positive.\" KQED regrets the error.\u003c/em>\u003c/p>\n\n",
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"excerpt": "In a political move to get a managed care tax passed, advocates say he's using people with developmental disabilities as 'pawns.' ",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Gov. Jerry Brown introduced his \u003ca href=\"http://ww2.kqed.org/news/2016/01/07/browns-budget-mantra-caution\" target=\"_blank\">$122.6 billion general fund budget\u003c/a> in Sacramento on Thursday, including a new approach to replacing a soon-to-expire tax on managed care organizations.\u003c/p>\n\u003cp>The present MCO tax will end on June 30 if legislators cannot agree on a replacement. California faces the loss of $1.1 billion in revenue, including federal match funds. A plan launched last year during a special legislative session on health did not advance.\u003c/p>\n\u003cp>Brown is now proposing an overall reform package on taxes insurers pay that he says will ultimately save them money.\u003c/p>\n\u003cp>\"It's lowering the corporate tax, lowering the premiums tax,\" Brown said, \"and you blend all that together. Because of the way the federal government works, money can flow to us, and it will be net for California.\"\u003c/p>\n\u003cp>Brown said he hoped to get the issue resolved \"in a month,\" but stressed there was no deal as yet with the health plans.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://www.ebudget.ca.gov/FullBudgetSummary.pdf\" target=\"_blank\">Brown's proposal\u003c/a> includes where that money might be spent:\u003c/p>\n\u003cblockquote>\u003cp>The Budget also assumes that revenues from the tax be placed in a special fund and be used to restore the 7‐percent reduction to the In‐Home Supportive Services ($236 million annually). Finally, the Budget assumes the tax is in place for three years starting in 2016‐17.\u003c/p>\u003c/blockquote>\n\u003cp>Charles Bacchi, California Association of Health Plans CEO, said he appreciated new options on an MCO tax. \"I think they've been working very hard, and certainly credit is due to them. At this time, we're still looking at it. We're still trying to confirm it. There will be more discussions this week with the administration.\"\u003c/p>\n\u003cp>Some are already critical of the proposed plan, which earmarks some of the MCO revenue to the Department of Developmental Services.\u003c/p>\n\u003cp>Tim Hornbecker, director of business development for The Arc of Alameda County, believes tying developmental disabilities funding to the MCO tax is the governor’s way of garnering Republican support for the tax -- he needs a two-thirds vote from the Legislature for the tax to pass.\u003c/p>\n\u003cp>“The governor is using people with developmental disabilities as pawns in the system, until he can get his votes from Republicans,” Hornbecker said.\u003c/p>\n\u003cp>Assemblyman Tom Lackey, R-Palmdale, did not approve of the approach.\u003c/p>\n\u003cp>“These folks deserve to be a top consideration in the general funding arena,\" he said. \"And they’ve been an ‘oh, by the way’ consideration, which is deplorable.”\u003c/p>\n\u003cp>\u003cstrong>SSI Increase\u003c/strong>\u003c/p>\n\u003cp>The budget includes a 2.8 percent increase in benefits for people who receive Supplemental Security Income/State Supplementary Payment (SSI/SSP). An estimated 1.3 million people are expected to receive monthly benefits in 2016-17, and their maximum grants will be $889 per month for individuals and $1,496 per month for couples, an increase of $17 and $31 respectively.\u003c/p>\n\u003cp>\u003cstrong>Medi-Cal Enrollment\u003c/strong>\u003c/p>\n\u003cp>The state's Medi-Cal enrollment is expected to reach a new high in the next fiscal year -- 13.5 million people, or more than a third of all Californians.\u003c/p>\n\u003cp>California expanded Medi-Cal as part of the Affordable Care Act. The federal government has been paying 100 percent of the cost of those in the expansion population, but in 2017, California will be responsible for 5 percent of that cost, or $740.2 million in general fund money.\u003c/p>\n\u003cp>The state is responsible for half the cost of those who were always eligible for Medi-Cal but did not sign up until the Affordable Care Act went into effect. Next year, that's expected to be $1.9 billion from the general fund.\u003c/p>\n\u003cp>\u003cstrong>Undocumented Immigrant Health Care\u003c/strong>\u003c/p>\n\u003cp>On May 1, 170,000 \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/06/17/california-budget-includes-health-coverage-of-undocumented-children-a-first-nationally/\" target=\"_blank\">undocumented children will become eligible \u003c/a>for full Medi-Cal benefits. California is the first state in the country to cover undocumented children. The governor earmarked $145 million in general fund money to cover the new costs.\u003c/p>\n\u003cp>While advocates noted there were no new cuts to programs, they were disappointed that the governor did not go further in restoring funding that was deeply cut in the wake of the 2008 recession.\u003c/p>\n\u003cp>\"This budget proposal largely continues the recession-era cuts to health and human services,\" Anthony Wright, executive director, of Health Access, an advocacy group, said in a statement. \"The [budget] surplus was created in part from $15 billion in HHS cuts; it's high time to restore cuts to Medi-Cal benefits and rates and other public health programs.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>An earlier version of this story incorrectly quoted Gov. Brown who said his revised MCO plan would be \"net for California\" not \"net positive.\" KQED regrets the error.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "New Dietary Guidelines Crack Down On Sugar. But Red Meat Gets A Pass",
"title": "New Dietary Guidelines Crack Down On Sugar. But Red Meat Gets A Pass",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>With January comes lots of \u003ca href=\"http://www.npr.org/sections/thesalt/2016/01/05/462036387/best-diets-2016-from-fastest-weight-loss-to-conquering-cravings\" target=\"_blank\">diet advice\u003c/a>.\u003c/p>\n\u003cp>And today comes the official advice from the U.S. government: The Obama administration has released its much-anticipated update to the Dietary Guidelines.\u003c/p>\n\u003cp>The guidelines, which are revised every five years, are based on evolving nutrition science and serve as the government's official advice on what to eat.\u003c/p>\n\u003cp>One concrete change: Americans are being told to limit sugar to no more than 10 percent of daily calories.\u003c/p>\n\u003cp>As we've reported, lots of Americans consume up to \u003ca href=\"http://www.npr.org/sections/thesalt/2014/02/03/271130613/sweet-tooth-gone-bad-why-22-teaspoons-of-sugar-per-day-is-deadly\" target=\"_blank\">22 teaspoons a day\u003c/a>. To meet the new 10 percent target, they'd need to cut their sugar intake by nearly half — to no more than 12 teaspoons a day on a 2,000-calorie daily diet.\u003c/p>\n\u003cfigure id=\"attachment_135768\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003cimg class=\"size-thumbnail wp-image-135768\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/01/dietary-guidelines-3_enl-3b6d77ab9d1748e166f4a2d3ac684fd4f299ee2e-400x608.jpg\" alt=\"These two muffins each contain 35 grams (about 8 teaspoons) of sugar. Add in a cup of sweetened blueberry Greek yogurt (18 grams, or about 4 teaspoons, of sugar) and you've got 22 teaspoons of sugar – the amount many Americans eat per day. Under the new Dietary Guidelines, we should eat no more than 10 percent of daily calories from sugar. On a 2,000-calorie daily diet, that's about 12 teaspoons.\" width=\"400\" height=\"608\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/01/dietary-guidelines-3_enl-3b6d77ab9d1748e166f4a2d3ac684fd4f299ee2e-400x608.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/01/dietary-guidelines-3_enl-3b6d77ab9d1748e166f4a2d3ac684fd4f299ee2e-800x1216.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/01/dietary-guidelines-3_enl-3b6d77ab9d1748e166f4a2d3ac684fd4f299ee2e-768x1167.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/01/dietary-guidelines-3_enl-3b6d77ab9d1748e166f4a2d3ac684fd4f299ee2e-1180x1793.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/01/dietary-guidelines-3_enl-3b6d77ab9d1748e166f4a2d3ac684fd4f299ee2e-960x1459.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2016/01/dietary-guidelines-3_enl-3b6d77ab9d1748e166f4a2d3ac684fd4f299ee2e.jpg 1316w\" sizes=\"(max-width: 400px) 100vw, 400px\">\u003cfigcaption class=\"wp-caption-text\">These two muffins each contain 35 grams (about 8 teaspoons) of sugar. Add in a cup of sweetened blueberry Greek yogurt (18 grams, or about 4 teaspoons, of sugar) and you've got 22 teaspoons of sugar – the amount many Americans eat per day. Under the new Dietary Guidelines, we should eat no more than 10 percent of daily calories from sugar. On a 2,000-calorie daily diet, that's about 12 teaspoons. \u003ccite>(Morgan McCloy/NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Over the past five years, a growing body of evidence has linked high levels of sugar consumption to an increased risk of Type 2 diabetes and heart disease, even among Americans who are not overweight or obese.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Much of the dietary advice included in the new guidelines will sound very familiar and remains unchanged from 2010. For instance, there's a focus on consuming more fruits and vegetables, more fiber and whole grains, and less salt.\u003c/p>\n\u003cp>Top administration officials within the U.S. departments of Agriculture and Health and Human Services, who were tasked with writing the guidelines, decided not to include some of the recommendations made by a Dietary Guidelines advisory panel that reviewed the latest nutrition science.\u003c/p>\n\u003cp>For instance, the advisory committee had recommended including \u003ca href=\"http://www.npr.org/sections/thesalt/2014/12/15/370427441/congress-to-nutritionists-dont-talk-about-the-environment\" target=\"_blank\">sustainability\u003c/a> as a factor in making food choices. But administration officials \u003ca href=\"http://www.npr.org/sections/thesalt/2015/10/06/446369955/new-dietary-guidelines-will-not-include-sustainability-goal\" target=\"_blank\">nixed that idea\u003c/a>.\u003c/p>\n\u003cp>The committee had also advised telling Americans to cut back on red and processed meats. But that recommendation sparked a \u003ca href=\"http://www.npr.org/sections/thesalt/2015/03/24/393859592/why-theres-a-big-battle-brewing-over-the-lean-meat-in-your-diet\">vigorous challenge\u003c/a> from the meat industry, and the final dietary guidelines do not include any specific advice to cut back on these sources of protein.\u003c/p>\n\u003cp>The recommendation \"was certainly controversial,\" says \u003ca href=\"http://www.human.cornell.edu/bio.cfm?netid=jtb4\" target=\"_blank\">Tom Brenna\u003c/a>, a nutrition professor at Cornell University and member of the Dietary Guidelines Advisory Committee.\u003c/p>\n\u003cp>\"The red and processed meat recommendation, I think, has morphed a bit into a different kind of message,\" Brenna tells us. \"A little bit like turning a coin over, in a sense, where if you eat less red meat, one is eating more of other protein foods.\"\u003c/p>\n\u003cp>Instead, the guidelines emphasize a \"shift towards other protein foods\" — including more nuts and seeds and about 8 ounces of seafood per week, based on a 2,000-calorie-a-day diet.\u003c/p>\n\u003cp>\u003cimg class=\"aligncenter size-full wp-image-135771\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/01/Screen-Shot-2016-01-07-at-8.31.26-AM.png\" alt=\"Screen Shot 2016-01-07 at 8.31.26 AM\" width=\"820\" height=\"753\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/01/Screen-Shot-2016-01-07-at-8.31.26-AM.png 820w, https://ww2.kqed.org/app/uploads/sites/27/2016/01/Screen-Shot-2016-01-07-at-8.31.26-AM-400x367.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/01/Screen-Shot-2016-01-07-at-8.31.26-AM-800x735.png 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/01/Screen-Shot-2016-01-07-at-8.31.26-AM-768x705.png 768w\" sizes=\"(max-width: 820px) 100vw, 820px\">The suggestion to limit meat intake comes in more subtle form. For instance, the guidelines point out that many teen boys and adult men consume more than the recommended 26 ounces a week of protein from animal sources, so they should \"reduce overall intake of protein foods by decreasing intakes of meat, poultry, and eggs.\"\u003c/p>\n\u003cp>There's also an overall recommendation — unchanged from 2010 — to reduce saturated fat intake to less than 10 percent of daily diet, a shift that could, in practice, require limiting intake of red meat.\u003c/p>\n\u003cp>\"The message to eat more seafood, legumes and other protein foods really does mean substitute those for red meat,\" Brenna says. \"So I think the message is more or less there, it's just not as clear.\"\u003c/p>\n\u003cp>That message to cut the red meat should have been stated more directly, says \u003ca href=\"http://www.cpc.unc.edu/projects/nutrans/popkin\" target=\"_blank\">Barry Popkin\u003c/a>, a nutrition researcher at the University of North Carolina, Chapel Hill. \"I am disappointed that the USDA once again is cutting out recommendations to truly limit red meat intake,\" he tells us in an email.\u003c/p>\n\u003cp>The other major change to the government's nutrition advice: dietary cholesterol. The new guidelines drop a long-standing recommendation to limit cholesterol from foods to 300 milligrams a day.\u003c/p>\n\u003cp>As \u003ca href=\"http://www.nutrition.tufts.edu/faculty/lichtenstein-alice\" target=\"_blank\">Alice Lichtenstein\u003c/a>, vice chairwoman of the the expert panel that advised the government on the guidelines, \u003ca href=\"http://www.npr.org/sections/thesalt/2015/02/19/387517506/nutrition-panel-egg-with-coffee-is-a-ok-but-skip-the-side-of-bacon\" target=\"_blank\">told us\u003c/a> last February, there isn't strong evidence that limiting cholesterol-rich foods lowers the amount of artery-clogging LDL cholesterol that ends up in the blood.\u003c/p>\n\u003cp>The guidelines also call on Americans to cut sodium to no more than 2,300 milligrams per day. Most of us consume far more — about 3,440 milligrams daily on average — much of it in the form of foods like pizzas, soups, breads and cured meats.\u003c/p>\n\u003cp>The Dietary Guidelines have clear implications for federal nutrition policy, influencing everything from the national school lunch program to the advice you get at the doctor's office. But they are written for nutrition professionals, not the general public.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Indeed, one has to wonder whether most Americans are even listening. As the Dietary Guidelines report points out, three-fourths of Americans don't eat the recommended amount of fruits and vegetables. In some age groups (think teens), the percentage of people following the guidelines is in the single digits.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2016 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=New+Dietary+Guidelines+Crack+Down+On+Sugar.+But+Red+Meat+Gets+A+Pass&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>With January comes lots of \u003ca href=\"http://www.npr.org/sections/thesalt/2016/01/05/462036387/best-diets-2016-from-fastest-weight-loss-to-conquering-cravings\" target=\"_blank\">diet advice\u003c/a>.\u003c/p>\n\u003cp>And today comes the official advice from the U.S. government: The Obama administration has released its much-anticipated update to the Dietary Guidelines.\u003c/p>\n\u003cp>The guidelines, which are revised every five years, are based on evolving nutrition science and serve as the government's official advice on what to eat.\u003c/p>\n\u003cp>One concrete change: Americans are being told to limit sugar to no more than 10 percent of daily calories.\u003c/p>\n\u003cp>As we've reported, lots of Americans consume up to \u003ca href=\"http://www.npr.org/sections/thesalt/2014/02/03/271130613/sweet-tooth-gone-bad-why-22-teaspoons-of-sugar-per-day-is-deadly\" target=\"_blank\">22 teaspoons a day\u003c/a>. To meet the new 10 percent target, they'd need to cut their sugar intake by nearly half — to no more than 12 teaspoons a day on a 2,000-calorie daily diet.\u003c/p>\n\u003cfigure id=\"attachment_135768\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003cimg class=\"size-thumbnail wp-image-135768\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/01/dietary-guidelines-3_enl-3b6d77ab9d1748e166f4a2d3ac684fd4f299ee2e-400x608.jpg\" alt=\"These two muffins each contain 35 grams (about 8 teaspoons) of sugar. Add in a cup of sweetened blueberry Greek yogurt (18 grams, or about 4 teaspoons, of sugar) and you've got 22 teaspoons of sugar – the amount many Americans eat per day. Under the new Dietary Guidelines, we should eat no more than 10 percent of daily calories from sugar. On a 2,000-calorie daily diet, that's about 12 teaspoons.\" width=\"400\" height=\"608\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/01/dietary-guidelines-3_enl-3b6d77ab9d1748e166f4a2d3ac684fd4f299ee2e-400x608.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/01/dietary-guidelines-3_enl-3b6d77ab9d1748e166f4a2d3ac684fd4f299ee2e-800x1216.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/01/dietary-guidelines-3_enl-3b6d77ab9d1748e166f4a2d3ac684fd4f299ee2e-768x1167.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/01/dietary-guidelines-3_enl-3b6d77ab9d1748e166f4a2d3ac684fd4f299ee2e-1180x1793.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/01/dietary-guidelines-3_enl-3b6d77ab9d1748e166f4a2d3ac684fd4f299ee2e-960x1459.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2016/01/dietary-guidelines-3_enl-3b6d77ab9d1748e166f4a2d3ac684fd4f299ee2e.jpg 1316w\" sizes=\"(max-width: 400px) 100vw, 400px\">\u003cfigcaption class=\"wp-caption-text\">These two muffins each contain 35 grams (about 8 teaspoons) of sugar. Add in a cup of sweetened blueberry Greek yogurt (18 grams, or about 4 teaspoons, of sugar) and you've got 22 teaspoons of sugar – the amount many Americans eat per day. Under the new Dietary Guidelines, we should eat no more than 10 percent of daily calories from sugar. On a 2,000-calorie daily diet, that's about 12 teaspoons. \u003ccite>(Morgan McCloy/NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Over the past five years, a growing body of evidence has linked high levels of sugar consumption to an increased risk of Type 2 diabetes and heart disease, even among Americans who are not overweight or obese.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Much of the dietary advice included in the new guidelines will sound very familiar and remains unchanged from 2010. For instance, there's a focus on consuming more fruits and vegetables, more fiber and whole grains, and less salt.\u003c/p>\n\u003cp>Top administration officials within the U.S. departments of Agriculture and Health and Human Services, who were tasked with writing the guidelines, decided not to include some of the recommendations made by a Dietary Guidelines advisory panel that reviewed the latest nutrition science.\u003c/p>\n\u003cp>For instance, the advisory committee had recommended including \u003ca href=\"http://www.npr.org/sections/thesalt/2014/12/15/370427441/congress-to-nutritionists-dont-talk-about-the-environment\" target=\"_blank\">sustainability\u003c/a> as a factor in making food choices. But administration officials \u003ca href=\"http://www.npr.org/sections/thesalt/2015/10/06/446369955/new-dietary-guidelines-will-not-include-sustainability-goal\" target=\"_blank\">nixed that idea\u003c/a>.\u003c/p>\n\u003cp>The committee had also advised telling Americans to cut back on red and processed meats. But that recommendation sparked a \u003ca href=\"http://www.npr.org/sections/thesalt/2015/03/24/393859592/why-theres-a-big-battle-brewing-over-the-lean-meat-in-your-diet\">vigorous challenge\u003c/a> from the meat industry, and the final dietary guidelines do not include any specific advice to cut back on these sources of protein.\u003c/p>\n\u003cp>The recommendation \"was certainly controversial,\" says \u003ca href=\"http://www.human.cornell.edu/bio.cfm?netid=jtb4\" target=\"_blank\">Tom Brenna\u003c/a>, a nutrition professor at Cornell University and member of the Dietary Guidelines Advisory Committee.\u003c/p>\n\u003cp>\"The red and processed meat recommendation, I think, has morphed a bit into a different kind of message,\" Brenna tells us. \"A little bit like turning a coin over, in a sense, where if you eat less red meat, one is eating more of other protein foods.\"\u003c/p>\n\u003cp>Instead, the guidelines emphasize a \"shift towards other protein foods\" — including more nuts and seeds and about 8 ounces of seafood per week, based on a 2,000-calorie-a-day diet.\u003c/p>\n\u003cp>\u003cimg class=\"aligncenter size-full wp-image-135771\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/01/Screen-Shot-2016-01-07-at-8.31.26-AM.png\" alt=\"Screen Shot 2016-01-07 at 8.31.26 AM\" width=\"820\" height=\"753\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/01/Screen-Shot-2016-01-07-at-8.31.26-AM.png 820w, https://ww2.kqed.org/app/uploads/sites/27/2016/01/Screen-Shot-2016-01-07-at-8.31.26-AM-400x367.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/01/Screen-Shot-2016-01-07-at-8.31.26-AM-800x735.png 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/01/Screen-Shot-2016-01-07-at-8.31.26-AM-768x705.png 768w\" sizes=\"(max-width: 820px) 100vw, 820px\">The suggestion to limit meat intake comes in more subtle form. For instance, the guidelines point out that many teen boys and adult men consume more than the recommended 26 ounces a week of protein from animal sources, so they should \"reduce overall intake of protein foods by decreasing intakes of meat, poultry, and eggs.\"\u003c/p>\n\u003cp>There's also an overall recommendation — unchanged from 2010 — to reduce saturated fat intake to less than 10 percent of daily diet, a shift that could, in practice, require limiting intake of red meat.\u003c/p>\n\u003cp>\"The message to eat more seafood, legumes and other protein foods really does mean substitute those for red meat,\" Brenna says. \"So I think the message is more or less there, it's just not as clear.\"\u003c/p>\n\u003cp>That message to cut the red meat should have been stated more directly, says \u003ca href=\"http://www.cpc.unc.edu/projects/nutrans/popkin\" target=\"_blank\">Barry Popkin\u003c/a>, a nutrition researcher at the University of North Carolina, Chapel Hill. \"I am disappointed that the USDA once again is cutting out recommendations to truly limit red meat intake,\" he tells us in an email.\u003c/p>\n\u003cp>The other major change to the government's nutrition advice: dietary cholesterol. The new guidelines drop a long-standing recommendation to limit cholesterol from foods to 300 milligrams a day.\u003c/p>\n\u003cp>As \u003ca href=\"http://www.nutrition.tufts.edu/faculty/lichtenstein-alice\" target=\"_blank\">Alice Lichtenstein\u003c/a>, vice chairwoman of the the expert panel that advised the government on the guidelines, \u003ca href=\"http://www.npr.org/sections/thesalt/2015/02/19/387517506/nutrition-panel-egg-with-coffee-is-a-ok-but-skip-the-side-of-bacon\" target=\"_blank\">told us\u003c/a> last February, there isn't strong evidence that limiting cholesterol-rich foods lowers the amount of artery-clogging LDL cholesterol that ends up in the blood.\u003c/p>\n\u003cp>The guidelines also call on Americans to cut sodium to no more than 2,300 milligrams per day. Most of us consume far more — about 3,440 milligrams daily on average — much of it in the form of foods like pizzas, soups, breads and cured meats.\u003c/p>\n\u003cp>The Dietary Guidelines have clear implications for federal nutrition policy, influencing everything from the national school lunch program to the advice you get at the doctor's office. But they are written for nutrition professionals, not the general public.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Indeed, one has to wonder whether most Americans are even listening. As the Dietary Guidelines report points out, three-fourths of Americans don't eat the recommended amount of fruits and vegetables. In some age groups (think teens), the percentage of people following the guidelines is in the single digits.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2016 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=New+Dietary+Guidelines+Crack+Down+On+Sugar.+But+Red+Meat+Gets+A+Pass&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Must Special Ed Students Comply with Vaccine Law? It Varies by District",
"title": "Must Special Ed Students Comply with Vaccine Law? It Varies by District",
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"content": "\u003cp>California now has one of the \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/06/29/bill-ending-vaccine-exemptions-passes-california-senate-moves-to-governors-desk/\" target=\"_blank\">strictest vaccination laws\u003c/a> in the country, but ambiguity in its wording has left school districts deciding on their own whether to grant special education students a de facto exemption.\u003c/p>\n\u003caside class=\"pullquote alignright\">'School districts are grappling with how they want to approach this right now.'\u003cbr>\n\u003ccite>Jonathan Read, attorney\u003c/cite>\u003c/aside>\n\u003cp>The California Department of Public Health and the California Department of Education have not yet issued guidance on how to apply \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB277\" target=\"_blank\">the vaccination law \u003c/a>to special education students. Under the federal \u003ca href=\"http://idea.ed.gov/\" target=\"_blank\">Individuals with Disabilities Education Act\u003c/a>, students who qualify for special education services, such as speech therapy or small-group instruction, must receive those services. Failure to comply leaves districts vulnerable to lawsuits from parents.\u003c/p>\n\u003cp>At the same time, beginning July 1, the state law will require all kindergarten, transitional kindergarten and seventh-grade students to be vaccinated against 10 communicable diseases before they are allowed to attend school, unless they have a medical condition that makes them unable to do so. Under the new law, parents can no longer refuse to vaccinate their children in public or private schools and child-care centers based on their personal beliefs.\u003c/p>\n\u003cp>With kindergarten enrollment beginning this month in the Sacramento City Unified School District and continuing through the spring in districts around the state, school lawyers are parsing the law on their own.\u003c/p>\n\u003cp>The intent of the new law is “to increase community immunity,” said Shannan Martinez, a spokeswoman for state Sen. Richard Pan, D-Sacramento, who co-authored the legislation, Senate Bill 277. Pan said he acted to address rising numbers of unvaccinated children and a corresponding increase in outbreaks of diseases once considered obliterated in the U.S., including the \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/04/16/disneyland-measles-outbreak-to-be-declared-over/\" target=\"_blank\">measles outbreak tied to Disneyland last year\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But the law appears to have unwittingly created a loophole that could be used to exempt the 10 percent of students who are enrolled in special education, a number far greater than the 2.5 percent of kindergarten students who opted out of vaccinations during the 2014-2015 school year through personal belief exemptions.\u003c/p>\n\u003caside class=\"pullquote alignright\">'We are not holding anyone to vaccination requirements that would interfere with access to special education programs.'\u003cbr>\n\u003ccite>Dr. Kimberly Uyeda, L.A. Unified School District\u003c/cite>\u003c/aside>\n\u003cp>The Los Angeles Unified School District, which serves more than 640,000 K-12 students and is the largest district in the state, has decided not to require students in special education to comply with required immunizations if that requirement would prevent them from getting services, including instruction in general education classrooms, to which they are legally entitled, said Dr. Kimberly Uyeda, director of student medical services for the district.\u003c/p>\n\u003cp>“We are not holding anyone to vaccination requirements that would interfere with access to special education programs,” Uyeda said. The decision was based on advice from district legal counsel, she said. The district serves about 73,000 special education students, but only “a very small number” are not fully vaccinated, she said.\u003c/p>\n\u003cp>“The broadest way the law can be interpreted is that special education students get access to everything, regardless of immunization status,” said Jennifer Nix, an attorney with School and College Legal Services of California. In terms of the risk of lawsuits from special education parents, “it is the safest route, but I don’t know if it’s the right route,” Nix said.\u003c/p>\n\u003cp>While the immunization law specifically exempts students who are home-schooled or who are enrolled in independent study with no classroom attendance, it does not use the word “exempt” to describe the status of students in special education. Instead, the law states that it does not “prohibit” special education students from access to services. Special education students wouldn’t necessarily be attending school, Martinez said.\u003c/p>\n\u003cp>Unlike students who are home-schooled or studying independently outside of classrooms, students who receive special education services -– they number one in 10 students in California, according to \u003ca href=\"http://www.lao.ca.gov/handouts/education/2015/Overview-of-Special-Education-in-California050715.pdf\" target=\"_blank\">a 2015 report from the Legislative Analyst’s Office\u003c/a> -– are in school buildings and almost always spend time in general education classrooms, physical education classes or cafeterias.\u003c/p>\n\u003cp>[contextly_sidebar id=\"IJg8DasAtRTB1SNDndbXhRlaoqNX6euf\"]Jonathan Read, who specializes in special education law at the San Diego firm Fagen Friedman & Fulfrost, said that in the absence of guidance from the state, the immunization law is being interpreted in two ways. The first is that special education students are required by federal law to be educated in the least restrictive environment, which often means spending time in general education classrooms, and that right cannot be limited by a state law requiring them to be vaccinated to obtain access.\u003c/p>\n\u003cp>The second interpretation is that immunizations are a health and safety concern. While districts are obligated to make inclusive special education environments available, according to this line of reasoning, Read said, it is up to parents to decide whether they want their child to have access to those environments by having their child vaccinated.\u003c/p>\n\u003cp>“School districts are grappling with how they want to approach this right now,” Read said.\u003c/p>\n\u003cp>“There are going to be some conflicts,” said Maggie Roberts, associate managing attorney at Disability Rights California, the state’s watchdog group. “School districts will feel they have the right to keep out kids” who are not immunized, she said, while parents will press schools to fulfill their obligation to provide special education services, even if their children are not vaccinated.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/09/24/orange-county-says-special-ed-students-must-also-comply-with-vaccination-law/\" target=\"_blank\">Orange County has made the strongest public statement\u003c/a>, insisting that special education students be vaccinated along with all other students on campus, except those with medical exemptions. “If you exempt all special education kids, you’re going to decrease the vaccination rate by 11 or 12 percent,” said Ronald Wenkart, general counsel for the Orange County Office of Education. “I don’t see how you can interpret the law that way.”\u003c/p>\n\u003cp>Wenkart has advised school districts in the county that special education students must be vaccinated.\u003c/p>\n\u003cp>Other districts are planning for scenarios that could include providing special education services at home for unvaccinated students or meeting with the students in separate facilities at or near school grounds.\u003c/p>\n\u003cp>In the Sacramento City Unified School District, Terri Fox, lead district nurse, said one plan could be to refuse to admit an unvaccinated special education student who requires only an hour or two a week of speech therapy, for instance, and instead provide services to the student offsite. The student would be home-schooled for the remainder of his or her instruction.\u003c/p>\n\u003cp>But unvaccinated students who require extensive academic, behavioral and therapeutic assistance all day in a special education classroom “will probably have to be admitted,” Fox said.\u003c/p>\n\u003cp>In the Long Beach Unified School District, Joyce Cox, program specialist for student health services, said a formal policy has not been adopted. But one idea might be to offer temporary home instruction for students in special education, she said. “That is a way you could still deliver services to the child, and still comply with the state law -- but that decision has not been made,” she said.\u003c/p>\n\u003cp>Gail Williams, director of health services at Fresno Unified, said she will meet with parents of special education students to encourage them to vaccinate their children. If that fails, the path is not clear, she said.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“Our numbers are small,” she said. “We will handle it on a case-by-case basis.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>California now has one of the \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/06/29/bill-ending-vaccine-exemptions-passes-california-senate-moves-to-governors-desk/\" target=\"_blank\">strictest vaccination laws\u003c/a> in the country, but ambiguity in its wording has left school districts deciding on their own whether to grant special education students a de facto exemption.\u003c/p>\n\u003caside class=\"pullquote alignright\">'School districts are grappling with how they want to approach this right now.'\u003cbr>\n\u003ccite>Jonathan Read, attorney\u003c/cite>\u003c/aside>\n\u003cp>The California Department of Public Health and the California Department of Education have not yet issued guidance on how to apply \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB277\" target=\"_blank\">the vaccination law \u003c/a>to special education students. Under the federal \u003ca href=\"http://idea.ed.gov/\" target=\"_blank\">Individuals with Disabilities Education Act\u003c/a>, students who qualify for special education services, such as speech therapy or small-group instruction, must receive those services. Failure to comply leaves districts vulnerable to lawsuits from parents.\u003c/p>\n\u003cp>At the same time, beginning July 1, the state law will require all kindergarten, transitional kindergarten and seventh-grade students to be vaccinated against 10 communicable diseases before they are allowed to attend school, unless they have a medical condition that makes them unable to do so. Under the new law, parents can no longer refuse to vaccinate their children in public or private schools and child-care centers based on their personal beliefs.\u003c/p>\n\u003cp>With kindergarten enrollment beginning this month in the Sacramento City Unified School District and continuing through the spring in districts around the state, school lawyers are parsing the law on their own.\u003c/p>\n\u003cp>The intent of the new law is “to increase community immunity,” said Shannan Martinez, a spokeswoman for state Sen. Richard Pan, D-Sacramento, who co-authored the legislation, Senate Bill 277. Pan said he acted to address rising numbers of unvaccinated children and a corresponding increase in outbreaks of diseases once considered obliterated in the U.S., including the \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/04/16/disneyland-measles-outbreak-to-be-declared-over/\" target=\"_blank\">measles outbreak tied to Disneyland last year\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But the law appears to have unwittingly created a loophole that could be used to exempt the 10 percent of students who are enrolled in special education, a number far greater than the 2.5 percent of kindergarten students who opted out of vaccinations during the 2014-2015 school year through personal belief exemptions.\u003c/p>\n\u003caside class=\"pullquote alignright\">'We are not holding anyone to vaccination requirements that would interfere with access to special education programs.'\u003cbr>\n\u003ccite>Dr. Kimberly Uyeda, L.A. Unified School District\u003c/cite>\u003c/aside>\n\u003cp>The Los Angeles Unified School District, which serves more than 640,000 K-12 students and is the largest district in the state, has decided not to require students in special education to comply with required immunizations if that requirement would prevent them from getting services, including instruction in general education classrooms, to which they are legally entitled, said Dr. Kimberly Uyeda, director of student medical services for the district.\u003c/p>\n\u003cp>“We are not holding anyone to vaccination requirements that would interfere with access to special education programs,” Uyeda said. The decision was based on advice from district legal counsel, she said. The district serves about 73,000 special education students, but only “a very small number” are not fully vaccinated, she said.\u003c/p>\n\u003cp>“The broadest way the law can be interpreted is that special education students get access to everything, regardless of immunization status,” said Jennifer Nix, an attorney with School and College Legal Services of California. In terms of the risk of lawsuits from special education parents, “it is the safest route, but I don’t know if it’s the right route,” Nix said.\u003c/p>\n\u003cp>While the immunization law specifically exempts students who are home-schooled or who are enrolled in independent study with no classroom attendance, it does not use the word “exempt” to describe the status of students in special education. Instead, the law states that it does not “prohibit” special education students from access to services. Special education students wouldn’t necessarily be attending school, Martinez said.\u003c/p>\n\u003cp>Unlike students who are home-schooled or studying independently outside of classrooms, students who receive special education services -– they number one in 10 students in California, according to \u003ca href=\"http://www.lao.ca.gov/handouts/education/2015/Overview-of-Special-Education-in-California050715.pdf\" target=\"_blank\">a 2015 report from the Legislative Analyst’s Office\u003c/a> -– are in school buildings and almost always spend time in general education classrooms, physical education classes or cafeterias.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>Jonathan Read, who specializes in special education law at the San Diego firm Fagen Friedman & Fulfrost, said that in the absence of guidance from the state, the immunization law is being interpreted in two ways. The first is that special education students are required by federal law to be educated in the least restrictive environment, which often means spending time in general education classrooms, and that right cannot be limited by a state law requiring them to be vaccinated to obtain access.\u003c/p>\n\u003cp>The second interpretation is that immunizations are a health and safety concern. While districts are obligated to make inclusive special education environments available, according to this line of reasoning, Read said, it is up to parents to decide whether they want their child to have access to those environments by having their child vaccinated.\u003c/p>\n\u003cp>“School districts are grappling with how they want to approach this right now,” Read said.\u003c/p>\n\u003cp>“There are going to be some conflicts,” said Maggie Roberts, associate managing attorney at Disability Rights California, the state’s watchdog group. “School districts will feel they have the right to keep out kids” who are not immunized, she said, while parents will press schools to fulfill their obligation to provide special education services, even if their children are not vaccinated.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/09/24/orange-county-says-special-ed-students-must-also-comply-with-vaccination-law/\" target=\"_blank\">Orange County has made the strongest public statement\u003c/a>, insisting that special education students be vaccinated along with all other students on campus, except those with medical exemptions. “If you exempt all special education kids, you’re going to decrease the vaccination rate by 11 or 12 percent,” said Ronald Wenkart, general counsel for the Orange County Office of Education. “I don’t see how you can interpret the law that way.”\u003c/p>\n\u003cp>Wenkart has advised school districts in the county that special education students must be vaccinated.\u003c/p>\n\u003cp>Other districts are planning for scenarios that could include providing special education services at home for unvaccinated students or meeting with the students in separate facilities at or near school grounds.\u003c/p>\n\u003cp>In the Sacramento City Unified School District, Terri Fox, lead district nurse, said one plan could be to refuse to admit an unvaccinated special education student who requires only an hour or two a week of speech therapy, for instance, and instead provide services to the student offsite. The student would be home-schooled for the remainder of his or her instruction.\u003c/p>\n\u003cp>But unvaccinated students who require extensive academic, behavioral and therapeutic assistance all day in a special education classroom “will probably have to be admitted,” Fox said.\u003c/p>\n\u003cp>In the Long Beach Unified School District, Joyce Cox, program specialist for student health services, said a formal policy has not been adopted. But one idea might be to offer temporary home instruction for students in special education, she said. “That is a way you could still deliver services to the child, and still comply with the state law -- but that decision has not been made,” she said.\u003c/p>\n\u003cp>Gail Williams, director of health services at Fresno Unified, said she will meet with parents of special education students to encourage them to vaccinate their children. If that fails, the path is not clear, she said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Opponents of a \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/10/05/governor-brown-signs-physician-assisted-suicide-bill-into-law-california-right-to-die/\" target=\"_blank\" rel=\"noopener\">new California law\u003c/a> that will allow terminally ill patients to legally end their own lives say they did not collect enough signatures to ask voters to repeal the law.\u003c/p>\n\u003cp>The group Seniors Against Suicide had hoped to take the right-to-die question to California voters in November. Proponents needed to submit nearly 366,000 signatures by Monday to qualify for the ballot.\u003c/p>\n\u003cp>But backer Mark Hoffman says in an email to supporters that the group does not have enough signatures to qualify.\u003c/p>\n\u003cp>[contextly_sidebar id=”Lsbqe97gfMpXGFZFjLqQ37PGHO1BEBOl”]Right-to-die was among the most hotly contested issues last year. The legislative debate followed the case of Brittany Maynard, a terminally ill 29-year-old who moved to Oregon from California to take her own life. \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/03/25/posthumous-brittany-maynard-video-supports-calif-death-with-dignity-bill/\" target=\"_blank\" rel=\"noopener\">In a video aired posthumously\u003c/a>, Maynard called for California lawmakers to legalize the option.\u003c/p>\n\u003cp>\u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520162AB15\" target=\"_blank\" rel=\"noopener\">Under the law\u003c/a>, two doctors must determine that a patient has six months or less to live. The patient must request the life-ending medications and be physically able to swallow the drugs. Patients must be mentally competent to make the decision and reaffirm the decision in writing within 48 hours of taking the medication.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>California is the fifth state to legalize “aid in dying,” along with Oregon, Washington, Montana and Vermont. The law cannot take effect until California’s special session on health care ends.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Opponents of a \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/10/05/governor-brown-signs-physician-assisted-suicide-bill-into-law-california-right-to-die/\" target=\"_blank\" rel=\"noopener\">new California law\u003c/a> that will allow terminally ill patients to legally end their own lives say they did not collect enough signatures to ask voters to repeal the law.\u003c/p>\n\u003cp>The group Seniors Against Suicide had hoped to take the right-to-die question to California voters in November. Proponents needed to submit nearly 366,000 signatures by Monday to qualify for the ballot.\u003c/p>\n\u003cp>But backer Mark Hoffman says in an email to supporters that the group does not have enough signatures to qualify.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>Right-to-die was among the most hotly contested issues last year. The legislative debate followed the case of Brittany Maynard, a terminally ill 29-year-old who moved to Oregon from California to take her own life. \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/03/25/posthumous-brittany-maynard-video-supports-calif-death-with-dignity-bill/\" target=\"_blank\" rel=\"noopener\">In a video aired posthumously\u003c/a>, Maynard called for California lawmakers to legalize the option.\u003c/p>\n\u003cp>\u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520162AB15\" target=\"_blank\" rel=\"noopener\">Under the law\u003c/a>, two doctors must determine that a patient has six months or less to live. The patient must request the life-ending medications and be physically able to swallow the drugs. Patients must be mentally competent to make the decision and reaffirm the decision in writing within 48 hours of taking the medication.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Diana Matsushima cares for both her husband and sister-in-law full-time, giving them their medications and driving them to their doctor appointments.\u003c/p>\n\u003caside class=\"pullquote alignright\">A new state law ensures caregivers have the information they need to take care of a patient at home.\u003c/aside>\n\u003cp>But when either ends up hospitalized, Matsushima said her role as their primary caregiver is often overlooked. She isn’t always included in the discussions at the hospital, and she sometimes leaves confused about how to best care for them when she gets home. When they are discharged, she said the nurses hand her a stack of papers without much -- if any -- explanation.\u003c/p>\n\u003cp>“They print out these cryptic notes,” said Matsushima. “My background is health education and I don’t know what these things mean to me and my family.”\u003c/p>\n\u003cp>Beginning Jan. 1, family caregivers like Matsushima could have a much different experience. A new California law, \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB675\" target=\"_blank\">SB 675\u003c/a>, requires hospital staffers to involve a family caregiver during the hospitalization and discharge process, which supporters say will improve patients’ overall health and reduce their chances of readmission.\u003c/p>\n\u003cp>The law, sponsored by state Sen. Carol Liu, D-La Cañada Flintridge, mandates that hospitals give patients an opportunity to identify a caregiver, notify that caregiver when the patient is to be discharged and provide information and instruction on patient’s needs and medications following the hospitalization. Hospitals still must follow privacy laws and aren’t required to release information if the patient doesn’t give consent.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>California is among 18 states to pass such laws over the past two years, including Arkansas, New Hampshire, Oregon and Virginia. It’s part of a growing awareness among policymakers and legislators that family caregivers play an important role during and after a relative’s hospitalization.\u003c/p>\n\u003cp>How hospitals communicate with caregivers is expected to become more important as the population ages and the number of unpaid family caregivers continues to increase. An estimated 40 million Americans have cared for a relative in the past year, according to a 2015 study by the National Alliance for Caregiving and AARP.\u003c/p>\n\u003cp>The changes are largely being driven by AARP, which is leading a campaign to reduce barriers for family caregivers. The impetus comes from the organization’s 2012 survey, which found that 46 percent of caregivers perform medical tasks, such as giving injections, most without any training or guidance from medical professionals. AARP crafted model legislation known as the Caregiver Advise, Record, Enable, or CARE Act, and is promoting it around the nation.\u003c/p>\n\u003cfigure id=\"attachment_132363\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003cimg class=\"wp-image-132363 size-thumbnail\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/12/Matsushima-3-400x267.jpg\" alt=\"Diana and Yoshi Matsushima at their home in Glendale. Diane is also a caregiver for her sister who has had two major operations in the last few years.\" width=\"400\" height=\"267\">\u003cfigcaption class=\"wp-caption-text\">Diana and Yoshi Matsushima at their home in Glendale. Diane is also a caregiver for her sister-in-law who has had two major operations in the last year. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Elaine Ryan, AARP’s vice president of state advocacy and strategy, said the legislation is designed to improve caregivers’ competency and give them peace of mind.\u003c/p>\n\u003cp>“A piece of paper can’t really educate people how to fill a syringe or clean a PICC line,” Ryan said, referring to a catheter inserted into a vein in a patient’s arm. The laws “make sure that family caregivers have all the information they need to safely care for their loved one at home.”\u003c/p>\n\u003cp>Matsushima said she has struggled to get that sort of information since 2009, when her husband had a stroke and she became a caregiver. During one hospital visit, she had to demand that nurses instruct her how to remove her husband’s catheter.\u003c/p>\n\u003cp>Over the past year, she has also helped her sister-in-law through two surgeries and two lengthy hospital stays. The first time her sister-in-law was discharged, Matsushima said she got very little notice or guidance. Two days later, her sister-in-law fell while getting out of bed and ended up back in the hospital.\u003c/p>\n\u003cp>Matsushima said she feels “fed up with hospitals” and hopes the new law will make things better for her and other caregivers.\u003c/p>\n\u003cp>Around the country, however, some hospital associations say their members already include caregivers in the discharge planning process and that adding specific requirements only adds more work. At the same time, hospitals face increased pressure from the Centers for Medicare & Medicaid Services to keep patients from being readmitted, and some recognize that improving communication with family caregivers can’t hurt.\u003c/p>\n\u003cp>In New Jersey, where a similar law passed last year, the state’s hospital association had some reservations but made a political decision to work with AARP to tailor their model legislation to the state, said Neil Eicher, vice president of government relations for the association. That meant making changes, including stripping out time requirements for notifying caregivers of discharge.\u003c/p>\n\u003cp>“We understand the importance of having good discharge planning,” he said. “We just didn’t want our hands tied to those time frames.”\u003c/p>\n\u003cp>Oklahoma also passed a caregiver law last year, and Sandra Harrison of the state’s hospital association said some members find it challenging to implement.\u003c/p>\n\u003cp>“You’ve now got a requirement to educate the caregiver,” she said. “But not everybody has a caregiver … And not all caregivers want to learn or carry out the instructions.”\u003c/p>\n\u003cp>Currently, hospital staff members often make incorrect assumptions about who the caregivers are or how much they know, said Donna Benton, associate research professor of gerontology at University of Southern California. They send people home without knowing whether food is in the house or someone to get patients’ medication or bring them to a follow-up appointment.\u003c/p>\n\u003cp>“This is a very important bill,” said Benton, co-director of the Los Angeles Caregiver Resource Center. “This really puts the pressure on the hospital to actually identify the caregiver and try to meet with them according to their schedule.”\u003c/p>\n\u003cp>Pamela Bingham, an engineer who lives in Virginia, said she quickly felt overwhelmed by everything she had to learn to care for her parents. Her father, who died earlier this year, had kidney disease, diabetes and high blood pressure. She still takes care of her mother, who is blind and has dementia and diabetes.\u003c/p>\n\u003cp>“It was like I was a nurse,” she said. “And it takes nurses years to learn this stuff.”\u003c/p>\n\u003cp>Bingham said she was relieved to see a law pass in Virginia earlier this year so caregivers can get more guidance. She said doctors and nurses are focused on treating patients while they are at the hospital – not on what happens after they and their caregivers leave.\u003c/p>\n\u003cp>“Bills like this are important,” she said. “They force the hospitals to really focus on the discharge process.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>This story was reported while participating in a fellowship supported by New America Media, the Gerontological Society of America and The Commonwealth Fund.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Diana Matsushima cares for both her husband and sister-in-law full-time, giving them their medications and driving them to their doctor appointments.\u003c/p>\n\u003caside class=\"pullquote alignright\">A new state law ensures caregivers have the information they need to take care of a patient at home.\u003c/aside>\n\u003cp>But when either ends up hospitalized, Matsushima said her role as their primary caregiver is often overlooked. She isn’t always included in the discussions at the hospital, and she sometimes leaves confused about how to best care for them when she gets home. When they are discharged, she said the nurses hand her a stack of papers without much -- if any -- explanation.\u003c/p>\n\u003cp>“They print out these cryptic notes,” said Matsushima. “My background is health education and I don’t know what these things mean to me and my family.”\u003c/p>\n\u003cp>Beginning Jan. 1, family caregivers like Matsushima could have a much different experience. A new California law, \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB675\" target=\"_blank\">SB 675\u003c/a>, requires hospital staffers to involve a family caregiver during the hospitalization and discharge process, which supporters say will improve patients’ overall health and reduce their chances of readmission.\u003c/p>\n\u003cp>The law, sponsored by state Sen. Carol Liu, D-La Cañada Flintridge, mandates that hospitals give patients an opportunity to identify a caregiver, notify that caregiver when the patient is to be discharged and provide information and instruction on patient’s needs and medications following the hospitalization. Hospitals still must follow privacy laws and aren’t required to release information if the patient doesn’t give consent.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>California is among 18 states to pass such laws over the past two years, including Arkansas, New Hampshire, Oregon and Virginia. It’s part of a growing awareness among policymakers and legislators that family caregivers play an important role during and after a relative’s hospitalization.\u003c/p>\n\u003cp>How hospitals communicate with caregivers is expected to become more important as the population ages and the number of unpaid family caregivers continues to increase. An estimated 40 million Americans have cared for a relative in the past year, according to a 2015 study by the National Alliance for Caregiving and AARP.\u003c/p>\n\u003cp>The changes are largely being driven by AARP, which is leading a campaign to reduce barriers for family caregivers. The impetus comes from the organization’s 2012 survey, which found that 46 percent of caregivers perform medical tasks, such as giving injections, most without any training or guidance from medical professionals. AARP crafted model legislation known as the Caregiver Advise, Record, Enable, or CARE Act, and is promoting it around the nation.\u003c/p>\n\u003cfigure id=\"attachment_132363\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003cimg class=\"wp-image-132363 size-thumbnail\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/12/Matsushima-3-400x267.jpg\" alt=\"Diana and Yoshi Matsushima at their home in Glendale. Diane is also a caregiver for her sister who has had two major operations in the last few years.\" width=\"400\" height=\"267\">\u003cfigcaption class=\"wp-caption-text\">Diana and Yoshi Matsushima at their home in Glendale. Diane is also a caregiver for her sister-in-law who has had two major operations in the last year. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Elaine Ryan, AARP’s vice president of state advocacy and strategy, said the legislation is designed to improve caregivers’ competency and give them peace of mind.\u003c/p>\n\u003cp>“A piece of paper can’t really educate people how to fill a syringe or clean a PICC line,” Ryan said, referring to a catheter inserted into a vein in a patient’s arm. The laws “make sure that family caregivers have all the information they need to safely care for their loved one at home.”\u003c/p>\n\u003cp>Matsushima said she has struggled to get that sort of information since 2009, when her husband had a stroke and she became a caregiver. During one hospital visit, she had to demand that nurses instruct her how to remove her husband’s catheter.\u003c/p>\n\u003cp>Over the past year, she has also helped her sister-in-law through two surgeries and two lengthy hospital stays. The first time her sister-in-law was discharged, Matsushima said she got very little notice or guidance. Two days later, her sister-in-law fell while getting out of bed and ended up back in the hospital.\u003c/p>\n\u003cp>Matsushima said she feels “fed up with hospitals” and hopes the new law will make things better for her and other caregivers.\u003c/p>\n\u003cp>Around the country, however, some hospital associations say their members already include caregivers in the discharge planning process and that adding specific requirements only adds more work. At the same time, hospitals face increased pressure from the Centers for Medicare & Medicaid Services to keep patients from being readmitted, and some recognize that improving communication with family caregivers can’t hurt.\u003c/p>\n\u003cp>In New Jersey, where a similar law passed last year, the state’s hospital association had some reservations but made a political decision to work with AARP to tailor their model legislation to the state, said Neil Eicher, vice president of government relations for the association. That meant making changes, including stripping out time requirements for notifying caregivers of discharge.\u003c/p>\n\u003cp>“We understand the importance of having good discharge planning,” he said. “We just didn’t want our hands tied to those time frames.”\u003c/p>\n\u003cp>Oklahoma also passed a caregiver law last year, and Sandra Harrison of the state’s hospital association said some members find it challenging to implement.\u003c/p>\n\u003cp>“You’ve now got a requirement to educate the caregiver,” she said. “But not everybody has a caregiver … And not all caregivers want to learn or carry out the instructions.”\u003c/p>\n\u003cp>Currently, hospital staff members often make incorrect assumptions about who the caregivers are or how much they know, said Donna Benton, associate research professor of gerontology at University of Southern California. They send people home without knowing whether food is in the house or someone to get patients’ medication or bring them to a follow-up appointment.\u003c/p>\n\u003cp>“This is a very important bill,” said Benton, co-director of the Los Angeles Caregiver Resource Center. “This really puts the pressure on the hospital to actually identify the caregiver and try to meet with them according to their schedule.”\u003c/p>\n\u003cp>Pamela Bingham, an engineer who lives in Virginia, said she quickly felt overwhelmed by everything she had to learn to care for her parents. Her father, who died earlier this year, had kidney disease, diabetes and high blood pressure. She still takes care of her mother, who is blind and has dementia and diabetes.\u003c/p>\n\u003cp>“It was like I was a nurse,” she said. “And it takes nurses years to learn this stuff.”\u003c/p>\n\u003cp>Bingham said she was relieved to see a law pass in Virginia earlier this year so caregivers can get more guidance. She said doctors and nurses are focused on treating patients while they are at the hospital – not on what happens after they and their caregivers leave.\u003c/p>\n\u003cp>“Bills like this are important,” she said. “They force the hospitals to really focus on the discharge process.”\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 reported while participating in a fellowship supported by New America Media, the Gerontological Society of America and The Commonwealth Fund.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>The new year arrives Friday, and with it a host of new state laws.\u003c/p>\n\u003cp>Here's our roundup of new ones coming in health. Most take effect on Friday, except where noted:\u003c/p>\n\u003cp>\u003cstrong>Vaccines: \u003c/strong>\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB277\" target=\"_blank\">SB 277\u003c/a> was perhaps the most vehemently debated bill in Sacramento in a long time. Sen. Richard Pan (D-Sacramento) introduced the bill just weeks after a measles outbreak tied to Disneyland. The law requires that all children be fully vaccinated to attend school -- both public and private -- unless they have a medical exemption. The law takes effect July 1, in advance of the 2016-2017 school year.\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB792\" target=\"_blank\"> A second law\u003c/a> related to vaccines requires all child-care workers to be vaccinated against measles, pertussis and influenza.\u003c/p>\n\u003cp>\u003cstrong>Physician-Assisted Suicide\u003c/strong>: Gov. Jerry Brown signed the \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520162AB15\" target=\"_blank\">End of Life Option Act \u003c/a>into law with\u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/10/05/governor-brown-signs-physician-assisted-suicide-bill-into-law-california-right-to-die/\" target=\"_blank\"> an unusually personal comment.\u003c/a> The law permits physicians to prescribe lethal medication to terminally ill patients who request it. There is no firm date for the law to go into effect because it was passed as part of an ongoing special legislative session that was called by the governor to address health care financing. It won't take effect until 90 days after the session ends. California became the fifth state to allow the practice, along with Oregon, Washington, Montana and Vermont.\u003c/p>\n\u003cp>\u003cstrong>Medi-Cal for Undocumented Children\u003c/strong>: California became\u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/06/17/california-budget-includes-health-coverage-of-undocumented-children-a-first-nationally/\" target=\"_blank\"> the first state in the country\u003c/a> to extend state-subsidized health coverage to children who are living in the United States illegally. An estimated 170,000 children under age 19 will become eligible for Medi-Cal, the state's health insurance problem for people who are low income, when \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB4\" target=\"_blank\">the law\u003c/a> goes into effect on May 1. (Legislators are expected to consider \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB10\" target=\"_blank\">SB10,\u003c/a> which would extend Medi-Cal to adults, in 2016 as well.)\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>Reproductive Services Notification\u003c/strong>: \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB775\" target=\"_blank\">The new law\u003c/a> covers required notifications at two types of facilities. Unlicensed facilities now will be required to notify clients that they are not licensed as medical facilities by the state. Meanwhile, licensed medical facilities are required to notify clients that California has public programs that provide free or low-cost access to contraceptives, prenatal care and abortion services. The law was\u003ca href=\"http://ww2.kqed.org/news/2015/11/04/california-law-adds-new-twist-to-abortion-religious-freedom-debate\" target=\"_blank\"> challenged by centers \u003c/a>that do not provide abortions. Just before Christmas, \u003ca href=\"http://www.sacbee.com/news/politics-government/capitol-alert/article51197235.html\" target=\"_blank\">a federal judge upheld the law\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>Translation of Prescription Drug Information\u003c/strong>: Pharmacists are now required, upon request, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/09/10/calif-legislature-approves-bill-requiring-prescription-labels-in-5-foreign-languages/\" target=\"_blank\">to provide labels or medication information \u003c/a>in the five most common languages in California, after English: Spanish, Tagalog, Chinese, Vietnamese or Korean.\u003c/p>\n\u003cp>\u003cstrong>Hospitals and Caregivers\u003c/strong>: \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB675\" target=\"_blank\">AB675\u003c/a> requires hospitals to include family caregivers in the hospitalization and discharge process. \u003ca href=\"http://newamericamedia.org/2015/12/california-latest-state-requiring-hospitals-to-keep-caregivers-in-the-loop.php\" target=\"_blank\">The goal \u003c/a>is to improve a patient's care and reduce the chance of readmission. California is one of 18 states to pass this type of law in the last two years.\u003c/p>\n\u003cp>\u003cstrong>CONSUMER PROTECTIONS:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Caps on Drug Copays\u003c/strong>: \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB339\" target=\"_blank\">This law\u003c/a> limits patient's cost-sharing on specialty drugs to $250 a month and prohibits placing most or all drugs used to treat a certain condition on the highest cost tier in drug formularies.\u003c/li>\n\u003cli>\u003cstrong>Accurate Provider Directories\u003c/strong>: Insurers now must maintain an accurate database of providers on a website -- and they must update that directory every week, under \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB137\" target=\"_blank\">this new law. \u003c/a>The directories will include languages spoken by providers other than English.\u003c/li>\n\u003cli>\u003cstrong>Cost-sharing Limits in Family Plans\u003c/strong>: \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB1305\" target=\"_blank\">This law\u003c/a> brings California into line with federal regulations, that an individual patient faces the out-of-pocket maximum set by the Affordable Care Act (now $6,600) for an individual, even if they are in a family plan (which has a max of $13,200 at present).\u003c/li>\n\u003cli>\u003cstrong>Insurance offered by Large Employers\u003c/strong>: Large employers \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB248\" target=\"_blank\">must now follow consumer protections \u003c/a>that ensure they do not offer so-called junk insurance that does not offer minimum value, as defined.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>LGBT HEALTH CARE:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Sperm Donation:\u003c/strong> \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB960\" target=\"_blank\">AB960 \u003c/a>was inspired by lesbian couples who want to have children. Many receive sperm donations from friends or relatives. This law says that the donor will not be viewed as the \"natural parent\" unless otherwise agreed to in writing prior to conception of the child.\u003c/li>\n\u003cli>\u003cstrong>Demographic Data Collection\u003c/strong>: \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB959\" target=\"_blank\">This law requires\u003c/a> state departments overseeing health programs to collect voluntary information about sexual orientation and gender identity just as they collect race and ethnicity data.\u003c/li>\n\u003c/ul>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>FOSTER CHILDREN\u003c/strong>:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Placements for Trans Children\u003c/strong>: Foster children \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB731\" target=\"_blank\">now have the right \u003c/a>to placements consistent with their gender identity.\u003c/li>\n\u003cli>\u003cstrong>Psychotropic Medications\u003c/strong>: Child welfare social workers \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB238\" target=\"_blank\">will be better able \u003c/a>to oversee mental health treatments, including use of psychotropic medications, by foster children.\u003c/li>\n\u003cli>\u003cstrong>Foster Children Who Are Parents\u003c/strong>: This law \u003ca href=\"http://www.calyouthconn.org/assets/files/AB%20260%20Fact%20Sheet%20(4.1.15).pdf\" target=\"_blank\">provides support and protections\u003c/a> for foster children who are parents themselves.\u003c/li>\n\u003c/ul>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The new year arrives Friday, and with it a host of new state laws.\u003c/p>\n\u003cp>Here's our roundup of new ones coming in health. Most take effect on Friday, except where noted:\u003c/p>\n\u003cp>\u003cstrong>Vaccines: \u003c/strong>\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB277\" target=\"_blank\">SB 277\u003c/a> was perhaps the most vehemently debated bill in Sacramento in a long time. Sen. Richard Pan (D-Sacramento) introduced the bill just weeks after a measles outbreak tied to Disneyland. The law requires that all children be fully vaccinated to attend school -- both public and private -- unless they have a medical exemption. The law takes effect July 1, in advance of the 2016-2017 school year.\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB792\" target=\"_blank\"> A second law\u003c/a> related to vaccines requires all child-care workers to be vaccinated against measles, pertussis and influenza.\u003c/p>\n\u003cp>\u003cstrong>Physician-Assisted Suicide\u003c/strong>: Gov. Jerry Brown signed the \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520162AB15\" target=\"_blank\">End of Life Option Act \u003c/a>into law with\u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/10/05/governor-brown-signs-physician-assisted-suicide-bill-into-law-california-right-to-die/\" target=\"_blank\"> an unusually personal comment.\u003c/a> The law permits physicians to prescribe lethal medication to terminally ill patients who request it. There is no firm date for the law to go into effect because it was passed as part of an ongoing special legislative session that was called by the governor to address health care financing. It won't take effect until 90 days after the session ends. California became the fifth state to allow the practice, along with Oregon, Washington, Montana and Vermont.\u003c/p>\n\u003cp>\u003cstrong>Medi-Cal for Undocumented Children\u003c/strong>: California became\u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/06/17/california-budget-includes-health-coverage-of-undocumented-children-a-first-nationally/\" target=\"_blank\"> the first state in the country\u003c/a> to extend state-subsidized health coverage to children who are living in the United States illegally. An estimated 170,000 children under age 19 will become eligible for Medi-Cal, the state's health insurance problem for people who are low income, when \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB4\" target=\"_blank\">the law\u003c/a> goes into effect on May 1. (Legislators are expected to consider \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB10\" target=\"_blank\">SB10,\u003c/a> which would extend Medi-Cal to adults, in 2016 as well.)\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Reproductive Services Notification\u003c/strong>: \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB775\" target=\"_blank\">The new law\u003c/a> covers required notifications at two types of facilities. Unlicensed facilities now will be required to notify clients that they are not licensed as medical facilities by the state. Meanwhile, licensed medical facilities are required to notify clients that California has public programs that provide free or low-cost access to contraceptives, prenatal care and abortion services. The law was\u003ca href=\"http://ww2.kqed.org/news/2015/11/04/california-law-adds-new-twist-to-abortion-religious-freedom-debate\" target=\"_blank\"> challenged by centers \u003c/a>that do not provide abortions. Just before Christmas, \u003ca href=\"http://www.sacbee.com/news/politics-government/capitol-alert/article51197235.html\" target=\"_blank\">a federal judge upheld the law\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>Translation of Prescription Drug Information\u003c/strong>: Pharmacists are now required, upon request, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/09/10/calif-legislature-approves-bill-requiring-prescription-labels-in-5-foreign-languages/\" target=\"_blank\">to provide labels or medication information \u003c/a>in the five most common languages in California, after English: Spanish, Tagalog, Chinese, Vietnamese or Korean.\u003c/p>\n\u003cp>\u003cstrong>Hospitals and Caregivers\u003c/strong>: \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB675\" target=\"_blank\">AB675\u003c/a> requires hospitals to include family caregivers in the hospitalization and discharge process. \u003ca href=\"http://newamericamedia.org/2015/12/california-latest-state-requiring-hospitals-to-keep-caregivers-in-the-loop.php\" target=\"_blank\">The goal \u003c/a>is to improve a patient's care and reduce the chance of readmission. California is one of 18 states to pass this type of law in the last two years.\u003c/p>\n\u003cp>\u003cstrong>CONSUMER PROTECTIONS:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Caps on Drug Copays\u003c/strong>: \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB339\" target=\"_blank\">This law\u003c/a> limits patient's cost-sharing on specialty drugs to $250 a month and prohibits placing most or all drugs used to treat a certain condition on the highest cost tier in drug formularies.\u003c/li>\n\u003cli>\u003cstrong>Accurate Provider Directories\u003c/strong>: Insurers now must maintain an accurate database of providers on a website -- and they must update that directory every week, under \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB137\" target=\"_blank\">this new law. \u003c/a>The directories will include languages spoken by providers other than English.\u003c/li>\n\u003cli>\u003cstrong>Cost-sharing Limits in Family Plans\u003c/strong>: \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB1305\" target=\"_blank\">This law\u003c/a> brings California into line with federal regulations, that an individual patient faces the out-of-pocket maximum set by the Affordable Care Act (now $6,600) for an individual, even if they are in a family plan (which has a max of $13,200 at present).\u003c/li>\n\u003cli>\u003cstrong>Insurance offered by Large Employers\u003c/strong>: Large employers \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB248\" target=\"_blank\">must now follow consumer protections \u003c/a>that ensure they do not offer so-called junk insurance that does not offer minimum value, as defined.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>LGBT HEALTH CARE:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Sperm Donation:\u003c/strong> \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB960\" target=\"_blank\">AB960 \u003c/a>was inspired by lesbian couples who want to have children. Many receive sperm donations from friends or relatives. This law says that the donor will not be viewed as the \"natural parent\" unless otherwise agreed to in writing prior to conception of the child.\u003c/li>\n\u003cli>\u003cstrong>Demographic Data Collection\u003c/strong>: \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB959\" target=\"_blank\">This law requires\u003c/a> state departments overseeing health programs to collect voluntary information about sexual orientation and gender identity just as they collect race and ethnicity data.\u003c/li>\n\u003c/ul>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>FOSTER CHILDREN\u003c/strong>:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Placements for Trans Children\u003c/strong>: Foster children \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB731\" target=\"_blank\">now have the right \u003c/a>to placements consistent with their gender identity.\u003c/li>\n\u003cli>\u003cstrong>Psychotropic Medications\u003c/strong>: Child welfare social workers \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB238\" target=\"_blank\">will be better able \u003c/a>to oversee mental health treatments, including use of psychotropic medications, by foster children.\u003c/li>\n\u003cli>\u003cstrong>Foster Children Who Are Parents\u003c/strong>: This law \u003ca href=\"http://www.calyouthconn.org/assets/files/AB%20260%20Fact%20Sheet%20(4.1.15).pdf\" target=\"_blank\">provides support and protections\u003c/a> for foster children who are parents themselves.\u003c/li>\n\u003c/ul>\n\n\u003c/div>\u003c/p>",
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},
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"id": "baycurious",
"title": "Bay Curious",
"tagline": "Exploring the Bay Area, one question at a time",
"info": "KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.",
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},
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"info": "The day's top stories from BBC News compiled twice daily in the week, once at weekends.",
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},
"californiareport": {
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"info": "KQED’s statewide radio news program providing daily coverage of issues, trends and public policy decisions.",
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"order": 8
},
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},
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"tagline": "Your state, your stories",
"info": "Every week, The California Report Magazine takes you on a road trip for the ears: to visit the places and meet the people who make California unique. The in-depth storytelling podcast from the California Report.",
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"airtime": "SUN 1pm-2pm, TUE 10pm, WED 1am",
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"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
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"order": 1
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"title": "Code Switch / Life Kit",
"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
"airtime": "THU 10pm, FRI 1am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
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"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
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"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
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"source": "kqed",
"order": 9
},
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"info": "Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. It is produced in partnership with WNYC.",
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"meta": {
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"source": "WNYC"
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"link": "/radio/program/freakonomics-radio",
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"id": "fresh-air",
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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"hidden-brain": {
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"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"airtime": "SUN 7pm-8pm",
"meta": {
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"source": "NPR"
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"how-i-built-this": {
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"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
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"airtime": "SUN 7:30pm-8pm",
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"hyphenacion": {
"id": "hyphenacion",
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"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game and Brown has some lessons he'd like to share. ",
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"order": 18
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},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
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"source": "npr"
},
"link": "/radio/program/latino-usa",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
"site": "news",
"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
}
},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
"site": "radio",
"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
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"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
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