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"content": "\u003cfigure id=\"attachment_20494\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/IMG_0203.jpg\">\u003cimg class=\"size-large wp-image-20494\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/IMG_0203-640x480.jpg\" alt=\" Bunk of an empty segregation cell at California State Prison-Sacramento. (Julie Small/KQED)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Bunk of an empty segregation cell at California State Prison-Sacramento. 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Judge Karlton \u003ca href=\"http://ww2.kqed.org/news/2014/04/11/california-mistreating-mentally-ill-inmates/\" target=\"_blank\">ordered the changes \u003c/a>to California’s policies in April, after a lengthy evidentiary hearing.\u003c!--more-->\u003c/p>\n\u003cp>In court the judge viewed videotapes of custody staff repeatedly pepper spraying mentally ill inmates to force them from their cells. Judge Karlton \u003ca href=\"http://ww2.kqed.org/news/2014/04/11/california-mistreating-mentally-ill-inmates/\" target=\"_blank\">called such use of force on mentally ill inmates “horrific” \u003c/a>and said the state’s policies “demonstrate deliberate indifference to their mental illness and the harms caused by the weapons.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In papers filed Friday in the U.S. Eastern District Court, CDCR agreed to limit the amount of pepper spray that custody officers can use and to ban completely the practice in certain types of housing, unless the prison’s warden authorizes it.\u003c/p>\n\u003cp style=\"text-align: center\">\u003cstrong>[Related:\u003c/strong> \u003ca href=\"http://ww2.kqed.org/stateofhealth/2011/11/22/health-effects-of-pepper-spray-and-tips-to-treat-it/\" target=\"_blank\">How Does Pepper Spray Cause Harm?\u003c/a>]\u003c/p>\n\u003cp>CDCR also proposed changes that would allow mental health clinicians to block the use of force if they believed it would harm their inmate patients. Correctional officers could no longer override such objections. Instead, senior managers would resolve any disputes.\u003c/p>\n\u003cp>Michael Bien, an attorney who represents mentally ill prisoners, called the proposed changes “meaningful reforms that go a long way to addressing some of the critical issues we raised during the trial last fall.”\u003c/p>\n\u003cp>Bien is the lead attorney in a 1990 case -- yet to be resolved -- to improve psychiatric care in prisons.\u003c/p>\n\u003cp>Gov. 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"content": "\u003cfigure id=\"attachment_2438\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/Alzheimers0404-e1406915625176.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-2438\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/Alzheimers0404-e1406915625176.jpg\" alt=\"A woman, suffering from Alzheimer's Disease, in a retirement home corridor. (Sebastien Bozon/AFP/Getty Images)\" width=\"640\" height=\"426\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/27/2012/01/Alzheimers0404-e1406915625176.jpg 640w, https://cdn.kqed.org/wp-content/uploads/sites/27/2012/01/Alzheimers0404-e1406915625176-400x266.jpg 400w, https://cdn.kqed.org/wp-content/uploads/sites/27/2012/01/Alzheimers0404-e1406915625176-320x213.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Sebastien Bozon/AFP/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Polly Stryker\u003c/strong>\u003c/p>\n\u003cp>The assisted living industry in California is big business: More than 7,500 licensed facilities provide care for more than 175,000 people statewide. Starting Monday, and over the next two weeks, \u003cem>The California Report\u003c/em> will bring stories about \u003ca href=\"http://www.ccld.ca.gov/PG543.htm\" target=\"_blank\" rel=\"noopener\">assisted living facilities\u003c/a> in the state.\u003c/p>\n\u003cp>Assisted living is an alternative to more expensive — and often more institutional — care in a skilled nursing facility. In assisted living, staff help seniors with daily needs, such as meals, medicine-taking and bathing. The homes range from small mom-and-pop places with six beds to corporate chains with over 100 beds. A growing number offer dementia care.\u003c/p>\n\u003cp>But while these facilities are licensed, the laws regulating them have not had a major update since 1985, and California has lagged behind other states in updating its rules.\u003c!--more-->\u003c/p>\n\u003cp>A series of reports last year from multiple media outlets — \u003ca href=\"http://ww2.kqed.org/news/2013/09/09/whos-protecting-the-abused-elderly/\" target=\"_blank\" rel=\"noopener\">KQED/Center for Investigative Reporting\u003c/a>, \u003ca href=\"http://www.utsandiego.com/news/2013/Sep/09/deadly-neglect-assisted-living-homes-san-diego/\" target=\"_blank\" rel=\"noopener\">San Diego Union Tribune/Center for Health Reporting\u003c/a> and the \u003ca href=\"http://www.sfgate.com/bayarea/article/Castro-Valley-Janitor-saw-elderly-become-weak-4944795.php#photo-5400480\" target=\"_blank\" rel=\"noopener\">San Francisco Chronicle\u003c/a> — all found abuse and neglect, sometimes leading to death, at assisted living facilities around the state.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>These reports, combined with advocacy momentum, coalesced to spur legislators to try and create the first major update of assisted living facility laws in nearly 30 years.\u003c/p>\n\u003cp>And an update is desperately needed. For example, if someone in an assisted living facility dies from abuse or neglect, the law allows for a meager fine of $150. The main regulatory agency for the industry, the Department of Social Services, is only required to inspect facilities every five years unless there is a complaint.\u003c/p>\n\u003cp style=\"text-align: center\">\u003cstrong>[Related:\u003c/strong> \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/09/11/5-things-to-remember-when-choosing-a-nursing-home/\" target=\"_blank\" rel=\"noopener\">5 Things to Remember When Choosing A Nursing Home\u003c/a>]\u003c/p>\n\u003cp>Fifteen bills are making their way through the state Legislature, and the month of August is key. The Legislature has until Aug. 29 to move bills to the governor’s desk. If passed, the package of legislation would bring changes that include: increasing possible fines from $150 to $15,000; mandating annual inspections; creating a Resident Bill of Rights; mandating liability insurance; and creating a better online database for consumers. You can read summaries of all the bills from the\u003ca href=\"http://caassistedliving.org/advocacy/legislation/legislative-update/\" target=\"_blank\" rel=\"noopener\"> California Assisted Living Association\u003c/a>, the \u003ca href=\"http://www.canhr.org/legislation/rcfe_reform_act.html\" target=\"_blank\" rel=\"noopener\">California Advocates for Nursing Home Reform\u003c/a> or the \u003ca href=\"http://rcfereform.org/CARRs_Advocacy_Platform\" target=\"_blank\" rel=\"noopener\">Consumer Advocates for RCFE Reform\u003c/a>.\u003c/p>\n\u003cp>Here’s our take on three of the bills:\u003c/p>\n\u003cp>\u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201320140AB1571\" target=\"_blank\" rel=\"noopener\">AB1571\u003c/a>, introduced by Assemblywoman Susan Eggman (D-Stockton), would create a better online consumer information system. Right now, if you want to compare assisted living facilities, there’s no easy way to do so, The DSS website doesn’t include specifics of violations. If this bill passes, improvements, including a rating system, would be online by 2019. The California Advocates for Nursing Home Reform (CANHR) is one of the bill’s sponsors.\u003c/p>\n\u003cp>\u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201320140AB2171\" target=\"_blank\" rel=\"noopener\">AB2171\u003c/a>, from Assemblyman Bob Wieckowski (D-Fremont), would create a residents’ bill of rights, giving people rights similar to those that people in nursing homes have. Sponsors include CANHR and the Consumer Attorneys of California. They say it would give residents of assisted living facilities rights they could protect in court with an injunction proactively — like the right to live in a safe environment and to be free from neglect or exploitation — instead of having to show proof of injury after the fact. CALA, the assisted living industry group, sees things differently. It fears the bill would open the floodgates for “shakedown lawsuits” by trial lawyers to sue assisted living facilities. It is the only bill the group opposes.\u003c/p>\n\u003cp>\u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201320140AB1523\" target=\"_blank\" rel=\"noopener\">AB1523\u003c/a>, from Speaker of the Assembly Toni Atkins (D-San Diego), would require assisted living facilities to carry liability insurance. It’s sponsored by \u003ca href=\"http://www.rcfereform.org\" target=\"_blank\" rel=\"noopener\">Consumer Advocates for RCFE Reform\u003c/a>. If citations and legal actions equal higher insurance rates, the thinking goes that the bad places will be weeded out by the high cost of insurance. CALA, the industry group, supports this bill and says its members carry liability insurance already.\u003c/p>\n\u003cp>Ultimately, it’s up to Gov. Jerry Brown to sign or veto the bills that make it to his desk by the time the Legislature wraps up its session Aug. 29. Stakeholders say the governor’s office has given little indication as to what he will do. Pat McGinnis, executive director of CANHR says, “I know he doesn’t think of himself as elderly, but he is at an age where he would be eligible for (assisted living) care, so he ought to be thinking about that. Or think if his mother was in one of these places.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Rachael Myrow and April Dembosky contributed to this report.\u003c/em>\u003c/p>\n\n",
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"title": "Down to the Wire: Lawmakers Have 4 Weeks to Act on Assisted Living Reforms",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_2438\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/Alzheimers0404-e1406915625176.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-2438\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/Alzheimers0404-e1406915625176.jpg\" alt=\"A woman, suffering from Alzheimer's Disease, in a retirement home corridor. (Sebastien Bozon/AFP/Getty Images)\" width=\"640\" height=\"426\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/27/2012/01/Alzheimers0404-e1406915625176.jpg 640w, https://cdn.kqed.org/wp-content/uploads/sites/27/2012/01/Alzheimers0404-e1406915625176-400x266.jpg 400w, https://cdn.kqed.org/wp-content/uploads/sites/27/2012/01/Alzheimers0404-e1406915625176-320x213.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Sebastien Bozon/AFP/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Polly Stryker\u003c/strong>\u003c/p>\n\u003cp>The assisted living industry in California is big business: More than 7,500 licensed facilities provide care for more than 175,000 people statewide. Starting Monday, and over the next two weeks, \u003cem>The California Report\u003c/em> will bring stories about \u003ca href=\"http://www.ccld.ca.gov/PG543.htm\" target=\"_blank\" rel=\"noopener\">assisted living facilities\u003c/a> in the state.\u003c/p>\n\u003cp>Assisted living is an alternative to more expensive — and often more institutional — care in a skilled nursing facility. In assisted living, staff help seniors with daily needs, such as meals, medicine-taking and bathing. The homes range from small mom-and-pop places with six beds to corporate chains with over 100 beds. A growing number offer dementia care.\u003c/p>\n\u003cp>But while these facilities are licensed, the laws regulating them have not had a major update since 1985, and California has lagged behind other states in updating its rules.\u003c!--more-->\u003c/p>\n\u003cp>A series of reports last year from multiple media outlets — \u003ca href=\"http://ww2.kqed.org/news/2013/09/09/whos-protecting-the-abused-elderly/\" target=\"_blank\" rel=\"noopener\">KQED/Center for Investigative Reporting\u003c/a>, \u003ca href=\"http://www.utsandiego.com/news/2013/Sep/09/deadly-neglect-assisted-living-homes-san-diego/\" target=\"_blank\" rel=\"noopener\">San Diego Union Tribune/Center for Health Reporting\u003c/a> and the \u003ca href=\"http://www.sfgate.com/bayarea/article/Castro-Valley-Janitor-saw-elderly-become-weak-4944795.php#photo-5400480\" target=\"_blank\" rel=\"noopener\">San Francisco Chronicle\u003c/a> — all found abuse and neglect, sometimes leading to death, at assisted living facilities around the state.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>These reports, combined with advocacy momentum, coalesced to spur legislators to try and create the first major update of assisted living facility laws in nearly 30 years.\u003c/p>\n\u003cp>And an update is desperately needed. For example, if someone in an assisted living facility dies from abuse or neglect, the law allows for a meager fine of $150. The main regulatory agency for the industry, the Department of Social Services, is only required to inspect facilities every five years unless there is a complaint.\u003c/p>\n\u003cp style=\"text-align: center\">\u003cstrong>[Related:\u003c/strong> \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/09/11/5-things-to-remember-when-choosing-a-nursing-home/\" target=\"_blank\" rel=\"noopener\">5 Things to Remember When Choosing A Nursing Home\u003c/a>]\u003c/p>\n\u003cp>Fifteen bills are making their way through the state Legislature, and the month of August is key. The Legislature has until Aug. 29 to move bills to the governor’s desk. If passed, the package of legislation would bring changes that include: increasing possible fines from $150 to $15,000; mandating annual inspections; creating a Resident Bill of Rights; mandating liability insurance; and creating a better online database for consumers. You can read summaries of all the bills from the\u003ca href=\"http://caassistedliving.org/advocacy/legislation/legislative-update/\" target=\"_blank\" rel=\"noopener\"> California Assisted Living Association\u003c/a>, the \u003ca href=\"http://www.canhr.org/legislation/rcfe_reform_act.html\" target=\"_blank\" rel=\"noopener\">California Advocates for Nursing Home Reform\u003c/a> or the \u003ca href=\"http://rcfereform.org/CARRs_Advocacy_Platform\" target=\"_blank\" rel=\"noopener\">Consumer Advocates for RCFE Reform\u003c/a>.\u003c/p>\n\u003cp>Here’s our take on three of the bills:\u003c/p>\n\u003cp>\u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201320140AB1571\" target=\"_blank\" rel=\"noopener\">AB1571\u003c/a>, introduced by Assemblywoman Susan Eggman (D-Stockton), would create a better online consumer information system. Right now, if you want to compare assisted living facilities, there’s no easy way to do so, The DSS website doesn’t include specifics of violations. If this bill passes, improvements, including a rating system, would be online by 2019. The California Advocates for Nursing Home Reform (CANHR) is one of the bill’s sponsors.\u003c/p>\n\u003cp>\u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201320140AB2171\" target=\"_blank\" rel=\"noopener\">AB2171\u003c/a>, from Assemblyman Bob Wieckowski (D-Fremont), would create a residents’ bill of rights, giving people rights similar to those that people in nursing homes have. Sponsors include CANHR and the Consumer Attorneys of California. They say it would give residents of assisted living facilities rights they could protect in court with an injunction proactively — like the right to live in a safe environment and to be free from neglect or exploitation — instead of having to show proof of injury after the fact. CALA, the assisted living industry group, sees things differently. It fears the bill would open the floodgates for “shakedown lawsuits” by trial lawyers to sue assisted living facilities. It is the only bill the group opposes.\u003c/p>\n\u003cp>\u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201320140AB1523\" target=\"_blank\" rel=\"noopener\">AB1523\u003c/a>, from Speaker of the Assembly Toni Atkins (D-San Diego), would require assisted living facilities to carry liability insurance. It’s sponsored by \u003ca href=\"http://www.rcfereform.org\" target=\"_blank\" rel=\"noopener\">Consumer Advocates for RCFE Reform\u003c/a>. If citations and legal actions equal higher insurance rates, the thinking goes that the bad places will be weeded out by the high cost of insurance. CALA, the industry group, supports this bill and says its members carry liability insurance already.\u003c/p>\n\u003cp>Ultimately, it’s up to Gov. Jerry Brown to sign or veto the bills that make it to his desk by the time the Legislature wraps up its session Aug. 29. Stakeholders say the governor’s office has given little indication as to what he will do. Pat McGinnis, executive director of CANHR says, “I know he doesn’t think of himself as elderly, but he is at an age where he would be eligible for (assisted living) care, so he ought to be thinking about that. Or think if his mother was in one of these places.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Rachael Myrow and April Dembosky contributed to this report.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "National Soda Tax Bill Introduced in Washington",
"title": "National Soda Tax Bill Introduced in Washington",
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"content": "\u003cfigure id=\"attachment_1002\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/SodaOnShelves_Flickr_KarenBlumberg_12072011.jpg\">\u003cimg class=\"size-large wp-image-1002\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/SodaOnShelves_Flickr_KarenBlumberg_12072011-620x453.jpg\" alt=\"Richmond voters will decide next November on a soda tax. (Karen Blumberg: Flickr)\" width=\"620\" height=\"453\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">National bill would create an excise tax on sugar, as opposed to San Francisco and Berkeley measures which tax ounces of beverage. (Karen Blumberg: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>For the first time since 2009, legislation proposing a national tax on soda and other sugar-sweetened beverages is under consideration in the House of Representatives. U.S. Rep. Rosa DeLauro (D-CT) introduced the \u003ca href=\"http://www.scribd.com/doc/235458388/Delauro-Sweet-Act\" target=\"_blank\">Sugar-Sweetened Beverages Tax Act\u003c/a> -- or SWEET Act -- on Wednesday.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Tax would create a \"built-in incentive\" for soda makers to reduce sugar concentration.\u003c/aside>\n\u003cp>The bill would levy an excise tax on sugar content in beverages. This is different from the taxes proposed in \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/07/23/san-francisco-supervisors-put-soda-tax-on-ballot/\" target=\"_blank\">San Francisco\u003c/a> and \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/07/02/berkeley-city-council-puts-soda-tax-on-november-ballot/\" target=\"_blank\">Berkeley,\u003c/a> which would levy a tax per-ounce of sugar-sweetened beverage.\u003c/p>\n\u003cp>Under the SWEET Act, manufacturers would pay a tax of one cent per teaspoon of sugar or other sweetener added to most beverages. For point of reference, a 20-ounce soda contains 16 teaspoons of sugar. The tax works out to just under a penny-per-ounce of beverage. Drinks such as milk, infant formula, alcoholic beverages and many juices are excluded.\u003c!--more-->\u003c/p>\n\u003cp>But because the tax is based on amount of sugar and not on ounces of beverage, the federal approach is \"a built-in incentive for manufacturers to diminish the concentration of sugar,\" says Dr. Lynn Silver with Oakland's Public Health Institute. Silver and other PHI staff gave input to DeLauro's staff in formulating the bill and also has been part of the Berkeley coalition that helped draft the measure there.\u003c/p>\n\u003cp>She said the national approach is different from local efforts, because a graduated tax is \"more complicated\" to implement at the local level. \"It makes more sense at the federal level which has the resources to track down all the beverages and figure out how much they should be taxed,\" Silver said. \"But for smaller communities, that would be challenging.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>One of the first questions that reasonably pops into people's minds when they hear about such a bill is what is the possibility of it passing? Silver countered that question with a question: \"How many times did health care reform get introduced? Lots. Almost a hundred years before it actually passed -- and it passed in pieces, with Medicare and Medicaid each being created separately.\"\u003c/p>\n\u003cp>[contextly_sidebar id=\"Qc2LtAfWX8zu1Xj8uIRnqcQnHTjUdDtZ\"]\u003c/p>\n\u003cp>Silver said she expected \"many attempts and incremental efforts to really make change.\"\u003c/p>\n\u003cp>Mexico passed a similar soda tax to the one proposed -- a peso per ounce, or about 10 percent -- which took effect in January. The\u003ca href=\"http://online.wsj.com/news/articles/SB10001424052702303801304579407322914779400\" target=\"_blank\"> Wall Street Journal reported\u003c/a> in late February that consumption of sugar-sweetened beverages promptly dropped 5 to 7 percent. At the same time, consumption of diet sodas and bottled water are up.\u003c/p>\n\u003cp>\"I think the first lesson of the Mexican soda tax,\" said Silver, \"is that it's working as expected.\" People are cutting back on sugary beverages and increasing consumption of more healthy alternatives.\u003c/p>\n\u003cp>If the SWEET Act passes, the money would go to the \u003ca href=\"http://www.hhs.gov/open/recordsandreports/prevention/\" target=\"_blank\">Prevention and Public Health Fund\u003c/a> created under the Affordable Care Act. In addition to any public health programs the money might fund, a tax is estimated to have modest effects on health, because of reduced consumption of sugar.\u003c/p>\n\u003cp>A \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/01/09/soda-tax-what-can-a-penny-do/\" target=\"_blank\">U.C. San Francisco study \u003c/a>found that a national penny-per-ounce tax would reduce sugar-sweetened beverage consumption by 15 percent. Researchers said that reduction would lead to modest weight loss and reductions in diabetes. Over 10 years, researchers estimated there would be 26,000 few premature deaths, 95,000 few instances of heart disease and 8,000 fewer strokes.\u003c/p>\n\u003cp>The American Beverage Association opposes the tax. A statement on its website is titled, \"\u003ca href=\"http://www.ameribev.org/blog/2014/07/taxes-do-not-make-people-healthy/\" target=\"_blank\">Taxes Do Not Make People Healthy\u003c/a>.\"\u003c/p>\n\u003cp>It's only the first day of the SWEET Act.\u003c/p>\n\u003cp>Berkeley voters will consider the penny-per-ounce tax in November. It needs a simple majority to pass and money raised would go to the general fund. An advisory committee of public health and nutrition professionals would recommend how to spend the funds, Silver said.\u003c/p>\n\u003cp>The San Francisco measure would levy two-cents-per-ounce. It is a dedicated tax; funds would be spend on health programs. It needs a two-thirds majority to pass.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This post has been updated to clarify the type of tax the national bill would create.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_1002\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/SodaOnShelves_Flickr_KarenBlumberg_12072011.jpg\">\u003cimg class=\"size-large wp-image-1002\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/SodaOnShelves_Flickr_KarenBlumberg_12072011-620x453.jpg\" alt=\"Richmond voters will decide next November on a soda tax. (Karen Blumberg: Flickr)\" width=\"620\" height=\"453\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">National bill would create an excise tax on sugar, as opposed to San Francisco and Berkeley measures which tax ounces of beverage. (Karen Blumberg: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>For the first time since 2009, legislation proposing a national tax on soda and other sugar-sweetened beverages is under consideration in the House of Representatives. U.S. Rep. Rosa DeLauro (D-CT) introduced the \u003ca href=\"http://www.scribd.com/doc/235458388/Delauro-Sweet-Act\" target=\"_blank\">Sugar-Sweetened Beverages Tax Act\u003c/a> -- or SWEET Act -- on Wednesday.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Tax would create a \"built-in incentive\" for soda makers to reduce sugar concentration.\u003c/aside>\n\u003cp>The bill would levy an excise tax on sugar content in beverages. This is different from the taxes proposed in \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/07/23/san-francisco-supervisors-put-soda-tax-on-ballot/\" target=\"_blank\">San Francisco\u003c/a> and \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/07/02/berkeley-city-council-puts-soda-tax-on-november-ballot/\" target=\"_blank\">Berkeley,\u003c/a> which would levy a tax per-ounce of sugar-sweetened beverage.\u003c/p>\n\u003cp>Under the SWEET Act, manufacturers would pay a tax of one cent per teaspoon of sugar or other sweetener added to most beverages. For point of reference, a 20-ounce soda contains 16 teaspoons of sugar. The tax works out to just under a penny-per-ounce of beverage. Drinks such as milk, infant formula, alcoholic beverages and many juices are excluded.\u003c!--more-->\u003c/p>\n\u003cp>But because the tax is based on amount of sugar and not on ounces of beverage, the federal approach is \"a built-in incentive for manufacturers to diminish the concentration of sugar,\" says Dr. Lynn Silver with Oakland's Public Health Institute. Silver and other PHI staff gave input to DeLauro's staff in formulating the bill and also has been part of the Berkeley coalition that helped draft the measure there.\u003c/p>\n\u003cp>She said the national approach is different from local efforts, because a graduated tax is \"more complicated\" to implement at the local level. \"It makes more sense at the federal level which has the resources to track down all the beverages and figure out how much they should be taxed,\" Silver said. \"But for smaller communities, that would be challenging.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>One of the first questions that reasonably pops into people's minds when they hear about such a bill is what is the possibility of it passing? Silver countered that question with a question: \"How many times did health care reform get introduced? Lots. Almost a hundred years before it actually passed -- and it passed in pieces, with Medicare and Medicaid each being created separately.\"\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Silver said she expected \"many attempts and incremental efforts to really make change.\"\u003c/p>\n\u003cp>Mexico passed a similar soda tax to the one proposed -- a peso per ounce, or about 10 percent -- which took effect in January. The\u003ca href=\"http://online.wsj.com/news/articles/SB10001424052702303801304579407322914779400\" target=\"_blank\"> Wall Street Journal reported\u003c/a> in late February that consumption of sugar-sweetened beverages promptly dropped 5 to 7 percent. At the same time, consumption of diet sodas and bottled water are up.\u003c/p>\n\u003cp>\"I think the first lesson of the Mexican soda tax,\" said Silver, \"is that it's working as expected.\" People are cutting back on sugary beverages and increasing consumption of more healthy alternatives.\u003c/p>\n\u003cp>If the SWEET Act passes, the money would go to the \u003ca href=\"http://www.hhs.gov/open/recordsandreports/prevention/\" target=\"_blank\">Prevention and Public Health Fund\u003c/a> created under the Affordable Care Act. In addition to any public health programs the money might fund, a tax is estimated to have modest effects on health, because of reduced consumption of sugar.\u003c/p>\n\u003cp>A \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/01/09/soda-tax-what-can-a-penny-do/\" target=\"_blank\">U.C. San Francisco study \u003c/a>found that a national penny-per-ounce tax would reduce sugar-sweetened beverage consumption by 15 percent. Researchers said that reduction would lead to modest weight loss and reductions in diabetes. Over 10 years, researchers estimated there would be 26,000 few premature deaths, 95,000 few instances of heart disease and 8,000 fewer strokes.\u003c/p>\n\u003cp>The American Beverage Association opposes the tax. A statement on its website is titled, \"\u003ca href=\"http://www.ameribev.org/blog/2014/07/taxes-do-not-make-people-healthy/\" target=\"_blank\">Taxes Do Not Make People Healthy\u003c/a>.\"\u003c/p>\n\u003cp>It's only the first day of the SWEET Act.\u003c/p>\n\u003cp>Berkeley voters will consider the penny-per-ounce tax in November. It needs a simple majority to pass and money raised would go to the general fund. An advisory committee of public health and nutrition professionals would recommend how to spend the funds, Silver said.\u003c/p>\n\u003cp>The San Francisco measure would levy two-cents-per-ounce. It is a dedicated tax; funds would be spend on health programs. It needs a two-thirds majority to pass.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This post has been updated to clarify the type of tax the national bill would create.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Resistance to Translating Prescription Drug Labels",
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"content": "\u003cfigure id=\"attachment_20380\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/139551566.jpg\">\u003cimg class=\"size-large wp-image-20380\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/139551566-640x425.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"425\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Right now, drug labels appear only in English in California, yet 44 percent of Californians speak a language other than English at home. (Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Every Saturday morning, a steady stream of Chinese and Vietnamese patients line up at the Paul Hom Asian Clinic in Sacramento. Most of them speak little to no English.\u003c/p>\n\u003cp>Patient assistance director Danny Tao says people come here to get free medical consultations and drug prescriptions. But, he says that when patients take those prescriptions to be filled, they don’t understand the instructions on the label.\u003c/p>\n\u003cp>\"They go pick them up, and we don’t exactly know if they’re taking it or not -- or if they know how to take it,\" Tao said.\u003c!--more-->\u003c/p>\n\u003cp>Tao says drug labels at most pharmacies in California are printed only in English. That puts patients in danger of taking of any number or errors -- taking too much medication or not enough, taking it at the wrong time of day, and more. Such mistakes can cause serious harm or even death.\u003c/p>\n\u003cp>Tao says that for the drugs his clinic supplies directly, all have a bilingual label.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"It’s going to be English/Chinese or English/Vietnamese,\" he said. \"By the time they get home they know exactly how to take the medication, because it’s in their own language.\"\u003c/p>\n\u003cp>This week California's Board of Pharmacy will discuss new regulations that would require all pharmacies in California to provide translated labels on prescription drug bottles. Statewide, 44 percent of Californians speak a language other than English at home. \u003ca href=\"http://www.rxtran.com/pharmacy-translation-regulations/pharmacy-translation-regulations-new-york-state.html\" target=\"_blank\">New York approved a similar rule \u003c/a>last year to make it easier for non-English speakers to take their medications properly and avoid costly mistakes.\u003c/p>\n\u003cp>But the board’s executive officer Virginia Herold says the move is very controversial. For starters, there is a concern that requiring translated labels would require larger bottles of pills to fit all the text. But she says patients don’t like larger bottles.\u003c/p>\n\u003cp>\u003ciframe width=\"100%\" height=\"166\" scrolling=\"no\" frameborder=\"no\" src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/160863705&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\">\u003c/iframe>\u003c/p>\n\u003cp>\"They decant the drug out of the large container, put it in a baggie or someplace else,\" Herold said. \"There you’ve separated the drug from the container, now the instructions on how to take it have been separated.\"\u003c/p>\n\u003cp>Pharmacists don’t like the proposal because they say it opens them to liability if there’s a mistake in the translation. Brian Warren is with the California Pharmacists Association.\u003c/p>\n\u003cp>\"If the label is translated into Russian and there’s an error, and I’m a pharmacist that does not speak Russian, I cannot verify that that error exists,\" Warren said.\u003c/p>\n\u003cp>At present, the state's board of pharmacy \u003ca href=\"http://www.pharmacy.ca.gov/publications/translations.shtml\" target=\"_blank\">includes on its website\u003c/a> translations of basic instructions such as \"take one pill at bedtime\" in five languages: Chinese, Russian, Spanish, Korean, and Vietnamese.\u003c/p>\n\u003cp>Proponents of translating labels say that concerns about the change are outweighed by the problems patients who speak limited English face under the status quo.\u003c/p>\n\u003cp>\"There’s a risk right now,\" said Sarah de Guia, director of government affairs for the California Pan Ethnic Health Network, an advocacy group. \"They can’t understand anything on their label because the label is not in their language.\"\u003c/p>\n\u003cp>De Guia says the expansion of insurance under the Affordable Care Act places more urgency on the issue.\u003c/p>\n\u003cp>\"You’re going to have 1.5 million more limited-English proficient individuals in the health care system now that the ACA has passed.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The discussions are in the earliest stages, and if new regulations go forward, many details need to be worked out, including how many languages press and who would have responsibility for translation.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_20380\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/139551566.jpg\">\u003cimg class=\"size-large wp-image-20380\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/139551566-640x425.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"425\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Right now, drug labels appear only in English in California, yet 44 percent of Californians speak a language other than English at home. (Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Every Saturday morning, a steady stream of Chinese and Vietnamese patients line up at the Paul Hom Asian Clinic in Sacramento. Most of them speak little to no English.\u003c/p>\n\u003cp>Patient assistance director Danny Tao says people come here to get free medical consultations and drug prescriptions. But, he says that when patients take those prescriptions to be filled, they don’t understand the instructions on the label.\u003c/p>\n\u003cp>\"They go pick them up, and we don’t exactly know if they’re taking it or not -- or if they know how to take it,\" Tao said.\u003c!--more-->\u003c/p>\n\u003cp>Tao says drug labels at most pharmacies in California are printed only in English. That puts patients in danger of taking of any number or errors -- taking too much medication or not enough, taking it at the wrong time of day, and more. Such mistakes can cause serious harm or even death.\u003c/p>\n\u003cp>Tao says that for the drugs his clinic supplies directly, all have a bilingual label.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"It’s going to be English/Chinese or English/Vietnamese,\" he said. \"By the time they get home they know exactly how to take the medication, because it’s in their own language.\"\u003c/p>\n\u003cp>This week California's Board of Pharmacy will discuss new regulations that would require all pharmacies in California to provide translated labels on prescription drug bottles. Statewide, 44 percent of Californians speak a language other than English at home. \u003ca href=\"http://www.rxtran.com/pharmacy-translation-regulations/pharmacy-translation-regulations-new-york-state.html\" target=\"_blank\">New York approved a similar rule \u003c/a>last year to make it easier for non-English speakers to take their medications properly and avoid costly mistakes.\u003c/p>\n\u003cp>But the board’s executive officer Virginia Herold says the move is very controversial. For starters, there is a concern that requiring translated labels would require larger bottles of pills to fit all the text. But she says patients don’t like larger bottles.\u003c/p>\n\u003cp>\u003ciframe width=\"100%\" height=\"166\" scrolling=\"no\" frameborder=\"no\" src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/160863705&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\">\u003c/iframe>\u003c/p>\n\u003cp>\"They decant the drug out of the large container, put it in a baggie or someplace else,\" Herold said. \"There you’ve separated the drug from the container, now the instructions on how to take it have been separated.\"\u003c/p>\n\u003cp>Pharmacists don’t like the proposal because they say it opens them to liability if there’s a mistake in the translation. Brian Warren is with the California Pharmacists Association.\u003c/p>\n\u003cp>\"If the label is translated into Russian and there’s an error, and I’m a pharmacist that does not speak Russian, I cannot verify that that error exists,\" Warren said.\u003c/p>\n\u003cp>At present, the state's board of pharmacy \u003ca href=\"http://www.pharmacy.ca.gov/publications/translations.shtml\" target=\"_blank\">includes on its website\u003c/a> translations of basic instructions such as \"take one pill at bedtime\" in five languages: Chinese, Russian, Spanish, Korean, and Vietnamese.\u003c/p>\n\u003cp>Proponents of translating labels say that concerns about the change are outweighed by the problems patients who speak limited English face under the status quo.\u003c/p>\n\u003cp>\"There’s a risk right now,\" said Sarah de Guia, director of government affairs for the California Pan Ethnic Health Network, an advocacy group. \"They can’t understand anything on their label because the label is not in their language.\"\u003c/p>\n\u003cp>De Guia says the expansion of insurance under the Affordable Care Act places more urgency on the issue.\u003c/p>\n\u003cp>\"You’re going to have 1.5 million more limited-English proficient individuals in the health care system now that the ACA has passed.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The discussions are in the earliest stages, and if new regulations go forward, many details need to be worked out, including how many languages press and who would have responsibility for translation.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "CDC: California Inmates Should Be Tested for Valley Fever Immunity",
"title": "CDC: California Inmates Should Be Tested for Valley Fever Immunity",
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"content": "\u003cfigure id=\"attachment_12470\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/05/AvenalStatePrison_Buzzbo_Flickr-e1372880137951.jpg\">\u003cimg class=\"size-large wp-image-12470\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/05/AvenalStatePrison_Buzzbo_Flickr-620x413.jpg\" alt=\"Aerial view of Avenal State Prison, near Coalinga in the Central Valley, where inmates have been hit hard by Valley Fever. (Buzzbo/Flickr)\" width=\"620\" height=\"413\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Aerial view of Avenal State Prison near Coalinga, one of two Central Valley prisons where inmates are at high risk from Valley fever. (Buzzbo/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By April Laissle\u003c/strong>\u003c/p>\n\u003cp>Federal health officials say the state must take steps to reduce the outbreaks of Valley fever at its prisons. Their recommendations come after 30 inmates in California died from the illness since 2008.\u003c/p>\n\u003cp>The fungal infection is caused by spores in the soil and can cause fever, chest pain and swelling. Two Central Valley prisons, Avenal and Pleasant Valley, have had especially high rates of the disease. Last year, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/07/03/state-to-transfer-inmates-from-prisons-plagued-by-valley-fever/\" target=\"_blank\">California officials agreed to transfer high-risk inmates\u003c/a> from the two prisons.\u003c/p>\n\u003cp>Now, \u003ca href=\"http://www.prisonlaw.com/pdfs/2014CDCValleyFeverReport.pdf\" target=\"_blank\">experts from the Centers for Disease Control suggest\u003c/a> new inmates should be tested for immunity. They say susceptible inmates should not sent to the two Central Valley prisons.\u003c!--more-->\u003c/p>\n\u003cp>Prison officials are reviewing the report.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"Wherever there are ways to mitigate the risk to individuals, we want to take advantage of that,\" said prison health spokeswoman Joyce Hayhoe.\u003c/p>\n\u003cp>The CDC recommends that prisons use skin tests to determine whether inmates have been exposed to Valley fever in the past. If they have been, they are considered at low risk for the infection. CDC researchers predicted that this kind of testing would show that 13 percent of the prison inmate population is immune to valley fever.\u003c/p>\n\u003cp>The San Joaquin Valley is a hotspot for Valley fever because the fungal spores that cause the illness are common in its soil. More than 80 percent of the valley's cases originate in its prisons.\u003c/p>\n\u003cp>\"These prisons are a toxic site for many, many people,\" said prisoner rights advocate and director of the Prison Law Office Don Specter.\u003c/p>\n\u003cp>Several infected prisoners have filed lawsuits against the state, seeking compensation for their life-long medical care.\u003c/p>\n\u003cp>\"The department, in my opinion, has been deliberately indifferent to the serious needs of the prisoners who have contracted these diseases,\" said Specter.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Prison officials are expected to formally respond to the recommendations in the coming weeks.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_12470\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/05/AvenalStatePrison_Buzzbo_Flickr-e1372880137951.jpg\">\u003cimg class=\"size-large wp-image-12470\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/05/AvenalStatePrison_Buzzbo_Flickr-620x413.jpg\" alt=\"Aerial view of Avenal State Prison, near Coalinga in the Central Valley, where inmates have been hit hard by Valley Fever. (Buzzbo/Flickr)\" width=\"620\" height=\"413\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Aerial view of Avenal State Prison near Coalinga, one of two Central Valley prisons where inmates are at high risk from Valley fever. (Buzzbo/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By April Laissle\u003c/strong>\u003c/p>\n\u003cp>Federal health officials say the state must take steps to reduce the outbreaks of Valley fever at its prisons. Their recommendations come after 30 inmates in California died from the illness since 2008.\u003c/p>\n\u003cp>The fungal infection is caused by spores in the soil and can cause fever, chest pain and swelling. Two Central Valley prisons, Avenal and Pleasant Valley, have had especially high rates of the disease. Last year, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/07/03/state-to-transfer-inmates-from-prisons-plagued-by-valley-fever/\" target=\"_blank\">California officials agreed to transfer high-risk inmates\u003c/a> from the two prisons.\u003c/p>\n\u003cp>Now, \u003ca href=\"http://www.prisonlaw.com/pdfs/2014CDCValleyFeverReport.pdf\" target=\"_blank\">experts from the Centers for Disease Control suggest\u003c/a> new inmates should be tested for immunity. They say susceptible inmates should not sent to the two Central Valley prisons.\u003c!--more-->\u003c/p>\n\u003cp>Prison officials are reviewing the report.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Wherever there are ways to mitigate the risk to individuals, we want to take advantage of that,\" said prison health spokeswoman Joyce Hayhoe.\u003c/p>\n\u003cp>The CDC recommends that prisons use skin tests to determine whether inmates have been exposed to Valley fever in the past. If they have been, they are considered at low risk for the infection. CDC researchers predicted that this kind of testing would show that 13 percent of the prison inmate population is immune to valley fever.\u003c/p>\n\u003cp>The San Joaquin Valley is a hotspot for Valley fever because the fungal spores that cause the illness are common in its soil. More than 80 percent of the valley's cases originate in its prisons.\u003c/p>\n\u003cp>\"These prisons are a toxic site for many, many people,\" said prisoner rights advocate and director of the Prison Law Office Don Specter.\u003c/p>\n\u003cp>Several infected prisoners have filed lawsuits against the state, seeking compensation for their life-long medical care.\u003c/p>\n\u003cp>\"The department, in my opinion, has been deliberately indifferent to the serious needs of the prisoners who have contracted these diseases,\" said Specter.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Prison officials are expected to formally respond to the recommendations in the coming weeks.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Mental Health Training for Police Officers Helps Defuse Crises",
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"content": "\u003cfigure id=\"attachment_20349\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/islavista-2-e1401137755639.jpg\">\u003cimg class=\"size-full wp-image-20349\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/islavista-2-e1401137755639.jpg\" alt=\"An impromptu memorial in Isla Vista, Calif. for a victim of the mass shooting May 23, 2014. (Diane Block/KQED)\" width=\"640\" height=\"480\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2014/07/islavista-2-e1401137755639.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2014/07/islavista-2-e1401137755639-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2014/07/islavista-2-e1401137755639-320x240.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">An impromptu memorial in Isla Vista, Calif. for a victim of the mass shooting May 23, 2014. Incidents such as these have raised the issue of how well law enforcement officers are trained to deal with people with severe mental illness. (Diane Block/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Stephanie O’Neill\u003c/strong>\u003c/p>\n\u003cp>Debbie is a Ventura County mother of a 23-year-old son diagnosed with bipolar disorder. At times his condition becomes so severe that he gets delusional and requires hospitalization.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"They weren’t threatening; they didn't scare him. It stayed really, really calm.\"\u003c/aside>\n\u003cp>\"He doesn’t understand that he’s ill and that he needs help,\" Debbie says. \"He thinks he’s fine.\"\u003c/p>\n\u003cp>Debbie, who asked that her last name be withheld for privacy reasons, says when that happens, she calls the sheriff’s department for help -- as she did earlier this year. Their response, she says, was heartening.\u003c/p>\n\u003cp>\"The police officers ... were so great, because they kept telling him, ‘You’re not in trouble, we’re here to help you,' \" she says. \"So they weren’t threatening; they didn't scare him. It stayed really, really calm.\"\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>And that allowed the deputies to take Debbie's son to the county psychiatric hospital for emergency observation without incident.\u003c/p>\n\u003cp>\"As far as a bad experience goes, it was as good a bad experience as was possible in this situation,\" she says.\u003c/p>\n\u003cp>Among the responding deputies were several who had received special training in what's known as a \"Crisis Intervention Team\" program or CIT. In the training, the deputies had learned how to better handle people suffering from mental illness. The training is based on \u003ca href=\"http://www.citinternational.org/training-overview/163-memphis-model.html\" target=\"_blank\">a renowned model started in Memphis, Tennessee\u003c/a> in 1988 that is now taught internationally.\u003c/p>\n\u003cp>In the CIT training, first responders learn skills that have been shown to help in increasing jail diversion in people with mental illness and improve the likelihood that people will continue treatment with mental health professionals in the community. The training also resulted in decreased rates of injury among police officers.\u003c/p>\n\u003cp>Tragedies such as \u003ca href=\"http://ww2.kqed.org/news/uc-santa-barbara-shootings\" target=\"_blank\">the Isla Vista mass-killings\u003c/a> in late May; the 2011 \u003ca href=\"http://www.scpr.org/news/2013/06/07/37624/trial-set-for-ex-fullerton-cops-in-homeless-beatin/\" target=\"_blank\">beating death of a homeless man\u003c/a> by police in Orange County and the\u003ca href=\"http://www.10news.com/news/u-s-world/video-shows-chp-officer-punching-woman-on-los-angeles-freeway\" target=\"_blank\"> recent video\u003c/a> of a CHP officer repeatedly punching a woman who had run onto a Los Angeles freeway have raised the issue of how well police officers are trained to deal with people who are mentally ill.\u003c/p>\n\u003cp>\u003ca href=\"http://www.post.ca.gov\" target=\"_blank\">California’s Commission on Peace Officer Standards and Training\u003c/a> (POST) requires that all peace officers undergo a minimum of six hours of mental health training while in the academy.\u003c/p>\n\u003cp>The amount and type of additional training required by any agency, however, varies widely:\u003c/p>\n\u003cul>\n\u003cli>Orange County offers a 16-hour modified CIT program offered to law enforcement\u003c/li>\n\u003cli>San Diego Police and Sheriff Departments adopted a 24-hour Psychiatric Emergency Response Team (PERT) training\u003c/li>\n\u003cli>San Francisco Police Department as well as law enforcement agencies in Monterey and Ventura adopted a 40-hour CIT program\u003c/li>\n\u003c/ul>\n\u003cp>\"The idea is to … deescalate and slow down the situation,\" says Kiran Sahota, who oversees CIT training in Ventura County where 72 percent of officers have completed the program. \"Sometimes by just knowing ahead of time that (law enforcement officers) are going to be listening and spending a little extra time, it really can defuse a situation.\"\u003c/p>\n\u003cp>\u003cstrong>\"Sometimes People Fall Through the Cracks\"\u003c/strong>\u003c/p>\n\u003cp>But even so, breakdowns still happen.\u003c/p>\n\u003cp>In Debbie’s case, she says the Ventura County psychiatric hospital released her son before the end of his 14-day hold. Then while he was still in a delusional state, she says, he broke into a neighbor’s vacant house that he thought was his own. He was later arrested and now faces criminal charges.\u003c/p>\n\u003cp>\"He’s never done anything illegal,\" Debbie says. \"If he was in his right mind, he would be mortified.\"\u003c/p>\n\u003cp>A county spokeswoman says patient privacy laws prevent the hospital from commenting on the case.\u003c/p>\n\u003cp>\"Sometimes people fall through the cracks,\" said Devon Corpus, crisis supervisor for Monterey County and an expert in the field of Crisis Intervention Team training. \"You might have officers that have received great training. They’re doing this good work and then they do a hand off to an agency, and there really isn’t a collaboration or team approach to that hand-off.\"\u003c/p>\n\u003caside class=\"pullquote alignright\">\"He was out of his mind. He began to bang his head on the wall, saying, 'If you don’t get me out of here, I’m going to kill myself.'\"\u003c/aside>\n\u003cp>That may have been what happened late last year when Stephanie –- who also lives in Ventura County -- called authorities for help with her 26-year-old son who has bipolar disorder.\u003c/p>\n\u003cp>Stephanie, whose last name was omitted for privacy reasons, says for several days prior to the incident, she and other family members had tried to get her then-suicidal son into a psychiatric hospital.\u003c/p>\n\u003cp>\"But he hadn’t really acted up enough,\" she said. \"And you really have to essentially be out of your mind for them to take you without violating personal rights.\"\u003c/p>\n\u003cp>Ultimately, her son had a fight with his father that became the grounds the family needed to make the call for help.\u003c/p>\n\u003cp>Crisis Intervention Team officers from the Ventura Police Department responded. As happened with Debbie's son, Stephanie says, they were able to calm her son and the situation.\u003c/p>\n\u003cp>But the assault meant her son had to be booked into county jail before being transferred to the psychiatric hospital. Stephanie says the officers told her he would be in jail for just three or four hours before the transfer.\u003c/p>\n\u003cp>\"So I went to bed for the first time in about six weeks with a peaceful mind,\" says Stephanie. \"'Okay, this one’s done. He’s in the hospital. I know he doesn’t love it there, but he’s safe.'\"\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/160271846&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>But, as it turned out, Stephanie says her son wasn't in the hospital, or safe.\u003c/p>\n\u003cp>\"He wound up being in the Ventura County Jail for 28 to 29 hours -- no medication,\" she said. \"They stripped him naked because they thought he might kill himself, somehow, with his clothing. ... So not only was he completely ashamed and out of his mind, he began to bang his head on the wall, saying, 'If you don’t get me out of here, if you don’t get me out of here, I’m going to kill myself.'\"\u003c/p>\n\u003cp>Stephanie says her son’s self-inflicted injuries left him with a severe concussion, a swollen face and two black eyes. A spokesman for the Ventura County Sheriff’s Department, which runs the jail, says the agency could not comment on the case.\u003c/p>\n\u003cp>California Senator Darrell Steinberg (D-Sacramento) says stories like Stephanie’s and Debbie’s are a too-common byproduct of a fragmented and overcrowded mental health system.\u003c/p>\n\u003cp>“The issue of mental illness in the criminal justice system have gotten far too little attention and far too few resources,” Steinberg said.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Steinberg and other lawmakers introduced a series of budget proposals to address the needs of those with mental illness. While none creates a uniform standard for additional statewide training of law enforcement officers, one of the measures adopted in the new state budget provides $12 million to train law enforcement and prison personnel in better handling those with mental illness.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_20349\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/islavista-2-e1401137755639.jpg\">\u003cimg class=\"size-full wp-image-20349\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/islavista-2-e1401137755639.jpg\" alt=\"An impromptu memorial in Isla Vista, Calif. for a victim of the mass shooting May 23, 2014. (Diane Block/KQED)\" width=\"640\" height=\"480\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2014/07/islavista-2-e1401137755639.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2014/07/islavista-2-e1401137755639-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2014/07/islavista-2-e1401137755639-320x240.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">An impromptu memorial in Isla Vista, Calif. for a victim of the mass shooting May 23, 2014. Incidents such as these have raised the issue of how well law enforcement officers are trained to deal with people with severe mental illness. (Diane Block/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Stephanie O’Neill\u003c/strong>\u003c/p>\n\u003cp>Debbie is a Ventura County mother of a 23-year-old son diagnosed with bipolar disorder. At times his condition becomes so severe that he gets delusional and requires hospitalization.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"They weren’t threatening; they didn't scare him. It stayed really, really calm.\"\u003c/aside>\n\u003cp>\"He doesn’t understand that he’s ill and that he needs help,\" Debbie says. \"He thinks he’s fine.\"\u003c/p>\n\u003cp>Debbie, who asked that her last name be withheld for privacy reasons, says when that happens, she calls the sheriff’s department for help -- as she did earlier this year. Their response, she says, was heartening.\u003c/p>\n\u003cp>\"The police officers ... were so great, because they kept telling him, ‘You’re not in trouble, we’re here to help you,' \" she says. \"So they weren’t threatening; they didn't scare him. It stayed really, really calm.\"\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>And that allowed the deputies to take Debbie's son to the county psychiatric hospital for emergency observation without incident.\u003c/p>\n\u003cp>\"As far as a bad experience goes, it was as good a bad experience as was possible in this situation,\" she says.\u003c/p>\n\u003cp>Among the responding deputies were several who had received special training in what's known as a \"Crisis Intervention Team\" program or CIT. In the training, the deputies had learned how to better handle people suffering from mental illness. The training is based on \u003ca href=\"http://www.citinternational.org/training-overview/163-memphis-model.html\" target=\"_blank\">a renowned model started in Memphis, Tennessee\u003c/a> in 1988 that is now taught internationally.\u003c/p>\n\u003cp>In the CIT training, first responders learn skills that have been shown to help in increasing jail diversion in people with mental illness and improve the likelihood that people will continue treatment with mental health professionals in the community. The training also resulted in decreased rates of injury among police officers.\u003c/p>\n\u003cp>Tragedies such as \u003ca href=\"http://ww2.kqed.org/news/uc-santa-barbara-shootings\" target=\"_blank\">the Isla Vista mass-killings\u003c/a> in late May; the 2011 \u003ca href=\"http://www.scpr.org/news/2013/06/07/37624/trial-set-for-ex-fullerton-cops-in-homeless-beatin/\" target=\"_blank\">beating death of a homeless man\u003c/a> by police in Orange County and the\u003ca href=\"http://www.10news.com/news/u-s-world/video-shows-chp-officer-punching-woman-on-los-angeles-freeway\" target=\"_blank\"> recent video\u003c/a> of a CHP officer repeatedly punching a woman who had run onto a Los Angeles freeway have raised the issue of how well police officers are trained to deal with people who are mentally ill.\u003c/p>\n\u003cp>\u003ca href=\"http://www.post.ca.gov\" target=\"_blank\">California’s Commission on Peace Officer Standards and Training\u003c/a> (POST) requires that all peace officers undergo a minimum of six hours of mental health training while in the academy.\u003c/p>\n\u003cp>The amount and type of additional training required by any agency, however, varies widely:\u003c/p>\n\u003cul>\n\u003cli>Orange County offers a 16-hour modified CIT program offered to law enforcement\u003c/li>\n\u003cli>San Diego Police and Sheriff Departments adopted a 24-hour Psychiatric Emergency Response Team (PERT) training\u003c/li>\n\u003cli>San Francisco Police Department as well as law enforcement agencies in Monterey and Ventura adopted a 40-hour CIT program\u003c/li>\n\u003c/ul>\n\u003cp>\"The idea is to … deescalate and slow down the situation,\" says Kiran Sahota, who oversees CIT training in Ventura County where 72 percent of officers have completed the program. \"Sometimes by just knowing ahead of time that (law enforcement officers) are going to be listening and spending a little extra time, it really can defuse a situation.\"\u003c/p>\n\u003cp>\u003cstrong>\"Sometimes People Fall Through the Cracks\"\u003c/strong>\u003c/p>\n\u003cp>But even so, breakdowns still happen.\u003c/p>\n\u003cp>In Debbie’s case, she says the Ventura County psychiatric hospital released her son before the end of his 14-day hold. Then while he was still in a delusional state, she says, he broke into a neighbor’s vacant house that he thought was his own. He was later arrested and now faces criminal charges.\u003c/p>\n\u003cp>\"He’s never done anything illegal,\" Debbie says. \"If he was in his right mind, he would be mortified.\"\u003c/p>\n\u003cp>A county spokeswoman says patient privacy laws prevent the hospital from commenting on the case.\u003c/p>\n\u003cp>\"Sometimes people fall through the cracks,\" said Devon Corpus, crisis supervisor for Monterey County and an expert in the field of Crisis Intervention Team training. \"You might have officers that have received great training. They’re doing this good work and then they do a hand off to an agency, and there really isn’t a collaboration or team approach to that hand-off.\"\u003c/p>\n\u003caside class=\"pullquote alignright\">\"He was out of his mind. He began to bang his head on the wall, saying, 'If you don’t get me out of here, I’m going to kill myself.'\"\u003c/aside>\n\u003cp>That may have been what happened late last year when Stephanie –- who also lives in Ventura County -- called authorities for help with her 26-year-old son who has bipolar disorder.\u003c/p>\n\u003cp>Stephanie, whose last name was omitted for privacy reasons, says for several days prior to the incident, she and other family members had tried to get her then-suicidal son into a psychiatric hospital.\u003c/p>\n\u003cp>\"But he hadn’t really acted up enough,\" she said. \"And you really have to essentially be out of your mind for them to take you without violating personal rights.\"\u003c/p>\n\u003cp>Ultimately, her son had a fight with his father that became the grounds the family needed to make the call for help.\u003c/p>\n\u003cp>Crisis Intervention Team officers from the Ventura Police Department responded. As happened with Debbie's son, Stephanie says, they were able to calm her son and the situation.\u003c/p>\n\u003cp>But the assault meant her son had to be booked into county jail before being transferred to the psychiatric hospital. Stephanie says the officers told her he would be in jail for just three or four hours before the transfer.\u003c/p>\n\u003cp>\"So I went to bed for the first time in about six weeks with a peaceful mind,\" says Stephanie. \"'Okay, this one’s done. He’s in the hospital. I know he doesn’t love it there, but he’s safe.'\"\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/160271846&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>But, as it turned out, Stephanie says her son wasn't in the hospital, or safe.\u003c/p>\n\u003cp>\"He wound up being in the Ventura County Jail for 28 to 29 hours -- no medication,\" she said. \"They stripped him naked because they thought he might kill himself, somehow, with his clothing. ... So not only was he completely ashamed and out of his mind, he began to bang his head on the wall, saying, 'If you don’t get me out of here, if you don’t get me out of here, I’m going to kill myself.'\"\u003c/p>\n\u003cp>Stephanie says her son’s self-inflicted injuries left him with a severe concussion, a swollen face and two black eyes. A spokesman for the Ventura County Sheriff’s Department, which runs the jail, says the agency could not comment on the case.\u003c/p>\n\u003cp>California Senator Darrell Steinberg (D-Sacramento) says stories like Stephanie’s and Debbie’s are a too-common byproduct of a fragmented and overcrowded mental health system.\u003c/p>\n\u003cp>“The issue of mental illness in the criminal justice system have gotten far too little attention and far too few resources,” Steinberg said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Steinberg and other lawmakers introduced a series of budget proposals to address the needs of those with mental illness. While none creates a uniform standard for additional statewide training of law enforcement officers, one of the measures adopted in the new state budget provides $12 million to train law enforcement and prison personnel in better handling those with mental illness.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "San Francisco Supervisors Put Soda Tax on Ballot",
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"content": "\u003cfigure id=\"attachment_20311\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/177844339.jpg\">\u003cimg class=\"size-large wp-image-20311\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/177844339-640x495.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"495\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images) \u003ccite>(Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The San Francisco Board of Supervisors approved a November ballot measure to tax soda and sugary drinks Tuesday afternoon, but not with the unanimous vote they were looking for.\u003c/p>\n\u003cp>If passed by a two-thirds majority of San Francisco voters, the new legislation will tax soda and other sugar-sweetened beverages at two cents per ounce and direct the revenue to the city's public health and recreation and parks departments and the school district.\u003c/p>\n\u003cp>The board voted 6-4 this afternoon to place the initiative by supervisors Scott Wiener and Eric Mar before voters, with supervisors Jane Kim, Katy Tang, Norman Yee and London Breed voting against it.\u003c!--more-->\u003c/p>\n\u003cp>Supervisor John Avalos, who has publicly supported the measure, was absent for today's meeting.\u003c/p>\n\u003cp>At a rally prior to the meeting, Mar said he thinks the tax will be an effective deterrent to selling sugary drinks, and that city economists have estimated it could reduce consumption 30 to 40 percent.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"It is a common sense measure that can put San Francisco on the map as the first city to fight for the health of our youth,\" Mar said.\u003c/p>\n\u003cp>Those health impacts, Mar argued, are huge. He said that of children today, one-third of them will develop type 2 diabetes, and for minorities that number is even higher, with as many as one-half likely to develop type 2 diabetes.\u003c/p>\n\u003cp>The disproportionate effect on minorities is one reason that Supervisor Malia Cohen called the measure \"crucial\" during the meeting.\u003c/p>\n\u003cp>\"Bullets are not the only thing that are killing African American males,\" Cohen said. \"You also have sugary beverages.\"\u003c/p>\n\u003cp>But Kim said today that she objected to the measure because of the disproportionate effect the tax will have on those same communities.\u003c/p>\n\u003cp>Calling it a regressive flat tax, Kim said that it \"unfairly burdens low-income communities\" similar to other sin taxes such as high taxes on cigarettes.\u003c/p>\n\u003cp>While agreeing with the policy goals of attempting to curb unhealthy habits, Kim suggested alternatives such as education, subsidizing healthier foods, policies to put healthier foods in corner liquor stores, and restricting sales with licenses like liquor licenses.\u003c/p>\n\u003cp>Mar sternly objected to Kim's objections, saying, \"Maybe you weren't listening.\"\u003c/p>\n\u003cp>\"It's very clear education isn't enough\" to improve health, he said.\u003c/p>\n\u003cp>Cohen called it \"disingenuous\" to argue that the tax was regressive because the diseases caused by a high sugar diet so disproportionately affect low-income communities that the deterrent is most crucial there.\u003c/p>\n\u003cp>\"These diseases we are looking to solve are also regressive,\" she said.\u003c/p>\n\u003cp>Wiener said the comparison to a cigarette tax was apt, and that tobacco taxes are something he strongly supported. He said that he was disheartened that a recent statewide ballot measure to tax cigarettes failed but heartened that it received 73 percent support in San Francisco.\u003c/p>\n\u003cp>\"Tax policy is a critical part,\" he said. \"The cigarette tax is a great model.\"\u003c/p>\n\u003cp>Opponents who have formed a \"Stop Unfair Beverage Taxes\" coalition said today that singling out sugary drinks for taxation is unfair as sugar-sweetened beverage consumption is down while rates of diabetes and obesity have continued to rise.\u003c/p>\n\u003cp>But Campos and Mar argued that sugary beverages are a big part of the problem because it was easier to consume large quantities of sugar in a drink and metabolize larger quantities of sugar.\u003c/p>\n\u003cp>The Hispanic Chambers of Commerce of San Francisco also released a statement objecting to the initiative -- arguing that the new tax and increased prices will impact many already struggling businesses.\u003c/p>\n\u003cp>Supervisor David Campos, who ultimately voted yes today, echoed the comments that the measure would level a regressive tax on low-income communities.\u003c/p>\n\u003cp>\"I do believe in something like this I'm going to err on the side of giving voters a choice,\" he said, but said that he thought there was \"something Big Brother about this.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>He and Kim said that the citywide conversation about it leading to the November election will at least improve education about the health effects of sugary drinks.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"It is a common sense measure that can put San Francisco on the map as the first city to fight for the health of our youth,\" Mar said.\u003c/p>\n\u003cp>Those health impacts, Mar argued, are huge. He said that of children today, one-third of them will develop type 2 diabetes, and for minorities that number is even higher, with as many as one-half likely to develop type 2 diabetes.\u003c/p>\n\u003cp>The disproportionate effect on minorities is one reason that Supervisor Malia Cohen called the measure \"crucial\" during the meeting.\u003c/p>\n\u003cp>\"Bullets are not the only thing that are killing African American males,\" Cohen said. \"You also have sugary beverages.\"\u003c/p>\n\u003cp>But Kim said today that she objected to the measure because of the disproportionate effect the tax will have on those same communities.\u003c/p>\n\u003cp>Calling it a regressive flat tax, Kim said that it \"unfairly burdens low-income communities\" similar to other sin taxes such as high taxes on cigarettes.\u003c/p>\n\u003cp>While agreeing with the policy goals of attempting to curb unhealthy habits, Kim suggested alternatives such as education, subsidizing healthier foods, policies to put healthier foods in corner liquor stores, and restricting sales with licenses like liquor licenses.\u003c/p>\n\u003cp>Mar sternly objected to Kim's objections, saying, \"Maybe you weren't listening.\"\u003c/p>\n\u003cp>\"It's very clear education isn't enough\" to improve health, he said.\u003c/p>\n\u003cp>Cohen called it \"disingenuous\" to argue that the tax was regressive because the diseases caused by a high sugar diet so disproportionately affect low-income communities that the deterrent is most crucial there.\u003c/p>\n\u003cp>\"These diseases we are looking to solve are also regressive,\" she said.\u003c/p>\n\u003cp>Wiener said the comparison to a cigarette tax was apt, and that tobacco taxes are something he strongly supported. He said that he was disheartened that a recent statewide ballot measure to tax cigarettes failed but heartened that it received 73 percent support in San Francisco.\u003c/p>\n\u003cp>\"Tax policy is a critical part,\" he said. \"The cigarette tax is a great model.\"\u003c/p>\n\u003cp>Opponents who have formed a \"Stop Unfair Beverage Taxes\" coalition said today that singling out sugary drinks for taxation is unfair as sugar-sweetened beverage consumption is down while rates of diabetes and obesity have continued to rise.\u003c/p>\n\u003cp>But Campos and Mar argued that sugary beverages are a big part of the problem because it was easier to consume large quantities of sugar in a drink and metabolize larger quantities of sugar.\u003c/p>\n\u003cp>The Hispanic Chambers of Commerce of San Francisco also released a statement objecting to the initiative -- arguing that the new tax and increased prices will impact many already struggling businesses.\u003c/p>\n\u003cp>Supervisor David Campos, who ultimately voted yes today, echoed the comments that the measure would level a regressive tax on low-income communities.\u003c/p>\n\u003cp>\"I do believe in something like this I'm going to err on the side of giving voters a choice,\" he said, but said that he thought there was \"something Big Brother about this.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>He and Kim said that the citywide conversation about it leading to the November election will at least improve education about the health effects of sugary drinks.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_20294\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/RS9106_CHCF_pic-LARGE-hpf.jpg\">\u003cimg class=\"size-full wp-image-20294\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/RS9106_CHCF_pic-LARGE-hpf.jpg\" alt=\"Aerial view of the California Health Care Facility in Stockton. (Photo: California Department of Correction and Rehabilitation)\" width=\"640\" height=\"404\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2014/07/RS9106_CHCF_pic-LARGE-hpf.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2014/07/RS9106_CHCF_pic-LARGE-hpf-400x253.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2014/07/RS9106_CHCF_pic-LARGE-hpf-320x202.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Aerial view of the California Health Care Facility in Stockton. (Photo: California Department of Correction and Rehabilitation)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Julie Small\u003c/strong>\u003c/p>\n\u003cp>The federal receiver who manages medical care in California prisons reopened admissions Monday at a Stockton facility for the state’s sickest inmates. The receiver's decision ends a temporary court-ordered suspension at Stockton's California Health Care Facility.\u003c/p>\n\u003caside class=\"pullquote alignleft\">“We are going to slowly begin admitting medical patients.”\u003c/aside>\n\u003cp>In early 2014 the federal overseer of medical care in California prisons suspended all transfers to the $800 million prison medical complex because of \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/03/05/prison-officials-hope-to-resume-admissions-at-stockton-health-care-facility/\" target=\"_blank\">unsanitary conditions\u003c/a>. Receiver Clark Kelso found doctors and nurses at the facility lacked essential supplies, such as bandages and catheters for incontinent inmates. He also found that staff was too small to provide around-the-clock care to the hundreds of inmates at the prison with complex medical conditions.\u003c/p>\n\u003cp>Spokeswoman Joyce Hayhoe said Monday that after a series of improvements, the Stockton prison may accept inmates again.\u003c!--more-->\u003c/p>\n\u003cp>“We are going to slowly begin admitting medical patients,” Hayhoe said. “We’ll be very closely monitoring our progress to make sure that the things that we’ve been able to fix at the facility are sustained.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The receiver hired a new medical CEO, streamlined the supply ordering process, retrained staff, and is in the process of hiring more nurses.\u003c/p>\n\u003cp>For its part, the California Department of Corrections and Rehabilitation added hundreds of custody and support staff.\u003c/p>\n\u003cp>Spokeswoman Terry Thornton says a $12 million boost in this year’s budget will pay to add another 100 employees. “The increase in custody staff enables the medical staff to do their job and focus on providing inmate patient care.”\u003c/p>\n\u003cp>Don Spector, an attorney with the Prison Law Office, who monitors inmate medical care agreed conditions at the California Health Care Facility improved dramatically since January, but worried what would happen when the prison reaches full capacity -- with double the number of inmates.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/159826827&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_20294\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/RS9106_CHCF_pic-LARGE-hpf.jpg\">\u003cimg class=\"size-full wp-image-20294\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/RS9106_CHCF_pic-LARGE-hpf.jpg\" alt=\"Aerial view of the California Health Care Facility in Stockton. (Photo: California Department of Correction and Rehabilitation)\" width=\"640\" height=\"404\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2014/07/RS9106_CHCF_pic-LARGE-hpf.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2014/07/RS9106_CHCF_pic-LARGE-hpf-400x253.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2014/07/RS9106_CHCF_pic-LARGE-hpf-320x202.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Aerial view of the California Health Care Facility in Stockton. (Photo: California Department of Correction and Rehabilitation)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Julie Small\u003c/strong>\u003c/p>\n\u003cp>The federal receiver who manages medical care in California prisons reopened admissions Monday at a Stockton facility for the state’s sickest inmates. The receiver's decision ends a temporary court-ordered suspension at Stockton's California Health Care Facility.\u003c/p>\n\u003caside class=\"pullquote alignleft\">“We are going to slowly begin admitting medical patients.”\u003c/aside>\n\u003cp>In early 2014 the federal overseer of medical care in California prisons suspended all transfers to the $800 million prison medical complex because of \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/03/05/prison-officials-hope-to-resume-admissions-at-stockton-health-care-facility/\" target=\"_blank\">unsanitary conditions\u003c/a>. Receiver Clark Kelso found doctors and nurses at the facility lacked essential supplies, such as bandages and catheters for incontinent inmates. He also found that staff was too small to provide around-the-clock care to the hundreds of inmates at the prison with complex medical conditions.\u003c/p>\n\u003cp>Spokeswoman Joyce Hayhoe said Monday that after a series of improvements, the Stockton prison may accept inmates again.\u003c!--more-->\u003c/p>\n\u003cp>“We are going to slowly begin admitting medical patients,” Hayhoe said. “We’ll be very closely monitoring our progress to make sure that the things that we’ve been able to fix at the facility are sustained.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cfigure id=\"attachment_18390\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/187045612.jpg\">\u003cimg class=\"size-large wp-image-18390\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/187045612-640x426.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By David Gorn,\u003c/strong>\u003ca href=\"http://www.californiahealthline.org/capitol-desk/2014/7/many-steps-to-go-before-authorizing-autism-therapy-as-benefit-state-says\" target=\"_blank\"> California Healthline\u003c/a>\u003c/p>\n\u003cp>State officials on Friday said they have not determined whether or not to offer applied behavior analysis (ABA therapy) as a Medi-Cal benefit to children with autism.\u003c/p>\n\u003cp>Federal officials \u003ca style=\"color: #6d1618\" href=\"http://ww2.kqed.org/stateofhealth/2014/07/08/feds-say-autism-aba-therapy-now-covered-as-childrens-medicaid-benefit/\" target=\"_blank\">earlier this month issued guidance\u003c/a> on the subject, saying it is covered for Medicaid beneficiaries under age 21 as part of the \u003ca href=\"http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Benefits/Early-and-Periodic-Screening-Diagnostic-and-Treatment.html\" target=\"_blank\">Early and Periodic Screening, Diagnosis and Treatment\u003c/a> program.\u003c/p>\n\u003cp>\"Under the Medicaid state plan, services to address [autism spectrum disorder] may be covered under several different … benefit categories,\" the CMS guidance said. For children, it said, \"states must cover services that could otherwise be covered at state option under these categories consistent with the provisions … for Early and Periodic Screening, Diagnostic and Treatment services (EPSDT).\u003c!--more-->\u003c/p>\n\u003cp>According to René Mollow, deputy director of benefits and eligibility at the Department of Health Care Services, there are many steps before determination of coverage can be made.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"We are not changing course on this issue,\" Mollow said in an email. \"Now that we have federal guidance, we are beginning the process of planning and implementing policy based upon that federal guidance and state statutory requirements. It is a complex process involving the department and control agencies, stakeholders, Legislature, administration and federal government.\"\u003c/p>\n\u003cp>Mollow said the steps DHCS still needs to take to determine the state's course in regard to ABA therapy are laid out in law.\u003c/p>\n\u003cp>\"Specifically, the law states that DHCS will implement Behavioral Health Treatment (BHT) to the extent that it is required by the federal government to be covered by Medi-Cal for individuals under 21 years of age,\" Mollow said.\u003c/p>\n\u003cp>\"DHCS will implement BHT services only if: 1) it receives federal approval to obtain federal financial participation; 2) it seeks an appropriation of state funding required for the fiscal year; 3) statutory authority for the benefit is provided; and 4) it consults with stakeholders.\"\u003c/p>\n\u003cp>She said the department will solicit input from stakeholders at least 30 days prior to submitting a state plan amendment or waiver to CMS.\u003c/p>\n\u003cp>Mollow said she didn't know how long that process might take.\u003c/p>\n\u003cp>\"It is too early in our process to predict a timeline,\" she said. \"There are numerous contingencies ... All of them can have an impact on how we form and implement policy for these services.\"\u003c/p>\n\u003cp>The CMS guidance issued July 7 says:\u003c/p>\n\u003cp>\"States are required to arrange for and cover for individuals eligible for the EPSDT benefit any Medicaid coverable service … that is determined to be medically necessary to correct or ameliorate any physical or behavioral conditions.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"The EPSDT benefit is more robust than the Medicaid benefit package required for adults and is designed to assure that children receive early detection and preventive care, in addition to medically necessary treatment services, so that health problems are averted or diagnosed and treated as early as possible. All children, including children with [autism spectrum disorder], must receive EPSDT screenings designed to identify health and developmental issues, including ASD, as early as possible.\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_18390\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/187045612.jpg\">\u003cimg class=\"size-large wp-image-18390\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/187045612-640x426.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By David Gorn,\u003c/strong>\u003ca href=\"http://www.californiahealthline.org/capitol-desk/2014/7/many-steps-to-go-before-authorizing-autism-therapy-as-benefit-state-says\" target=\"_blank\"> California Healthline\u003c/a>\u003c/p>\n\u003cp>State officials on Friday said they have not determined whether or not to offer applied behavior analysis (ABA therapy) as a Medi-Cal benefit to children with autism.\u003c/p>\n\u003cp>Federal officials \u003ca style=\"color: #6d1618\" href=\"http://ww2.kqed.org/stateofhealth/2014/07/08/feds-say-autism-aba-therapy-now-covered-as-childrens-medicaid-benefit/\" target=\"_blank\">earlier this month issued guidance\u003c/a> on the subject, saying it is covered for Medicaid beneficiaries under age 21 as part of the \u003ca href=\"http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Benefits/Early-and-Periodic-Screening-Diagnostic-and-Treatment.html\" target=\"_blank\">Early and Periodic Screening, Diagnosis and Treatment\u003c/a> program.\u003c/p>\n\u003cp>\"Under the Medicaid state plan, services to address [autism spectrum disorder] may be covered under several different … benefit categories,\" the CMS guidance said. For children, it said, \"states must cover services that could otherwise be covered at state option under these categories consistent with the provisions … for Early and Periodic Screening, Diagnostic and Treatment services (EPSDT).\u003c!--more-->\u003c/p>\n\u003cp>According to René Mollow, deputy director of benefits and eligibility at the Department of Health Care Services, there are many steps before determination of coverage can be made.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"We are not changing course on this issue,\" Mollow said in an email. \"Now that we have federal guidance, we are beginning the process of planning and implementing policy based upon that federal guidance and state statutory requirements. It is a complex process involving the department and control agencies, stakeholders, Legislature, administration and federal government.\"\u003c/p>\n\u003cp>Mollow said the steps DHCS still needs to take to determine the state's course in regard to ABA therapy are laid out in law.\u003c/p>\n\u003cp>\"Specifically, the law states that DHCS will implement Behavioral Health Treatment (BHT) to the extent that it is required by the federal government to be covered by Medi-Cal for individuals under 21 years of age,\" Mollow said.\u003c/p>\n\u003cp>\"DHCS will implement BHT services only if: 1) it receives federal approval to obtain federal financial participation; 2) it seeks an appropriation of state funding required for the fiscal year; 3) statutory authority for the benefit is provided; and 4) it consults with stakeholders.\"\u003c/p>\n\u003cp>She said the department will solicit input from stakeholders at least 30 days prior to submitting a state plan amendment or waiver to CMS.\u003c/p>\n\u003cp>Mollow said she didn't know how long that process might take.\u003c/p>\n\u003cp>\"It is too early in our process to predict a timeline,\" she said. \"There are numerous contingencies ... All of them can have an impact on how we form and implement policy for these services.\"\u003c/p>\n\u003cp>The CMS guidance issued July 7 says:\u003c/p>\n\u003cp>\"States are required to arrange for and cover for individuals eligible for the EPSDT benefit any Medicaid coverable service … that is determined to be medically necessary to correct or ameliorate any physical or behavioral conditions.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"The EPSDT benefit is more robust than the Medicaid benefit package required for adults and is designed to assure that children receive early detection and preventive care, in addition to medically necessary treatment services, so that health problems are averted or diagnosed and treated as early as possible. All children, including children with [autism spectrum disorder], must receive EPSDT screenings designed to identify health and developmental issues, including ASD, as early as possible.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Feds Want California to Clear Medi-Cal Backlog",
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"content": "\u003cfigure id=\"attachment_20126\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/RS1449_saccapitoldome090911-scr.jpg\">\u003cimg class=\"size-large wp-image-20126\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/RS1449_saccapitoldome090911-scr-640x426.jpg\" alt=\"State officials have until Monday to submit plan. (Justin Sullivan/Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">State officials must submit plan by Monday. (Justin Sullivan/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Phil Galewitz\u003c/strong>,\u003ca href=\"http://capsules.kaiserhealthnews.org/index.php/2014/07/feds-demand-medicaid-backlog-fixes-by-six-states/\" target=\"_blank\"> Kaiser Health News\u003c/a>\u003c/p>\n\u003cp>Tired of waiting for states to reduce their backlogs of Medicaid applications, the Obama administration has given California and five other states until Monday to submit plans to resolve issues that have prevented more than 1 million low-income or disabled people from getting health coverage.\u003c/p>\n\u003caside class=\"pullquote alignleft\">600,000 people signed up, but not yet enrolled, in Medi-Cal. \u003c/aside>\n\u003cp>“CMS is asking several state Medicaid agencies to provide updated mitigation plans to address gaps that exist in their eligibility and enrollment systems to ensure timely processing of applications and access to coverage for eligible people,” said Aaron Albright, a spokesman for the Centers for Medicare & Medicaid Services. He said the agency will monitor states’ progress in solving the problems getting people enrolled in the state-federal insurance program for the poor.\u003c/p>\n\u003cp>In addition to California, the other states are Alaska, Kansas, Michigan, Missouri and Tennessee.\u003c!--more-->\u003c/p>\n\u003cp>The agency sent letters June 27 requesting the plans, giving states 10 days to respond. It is unclear if any have submitted plans yet. The letters was\u003ca href=\"http://insidehealthpolicy.com/login-redirect-no-cookie?n=77308&destination=node/77308\" target=\"_blank\"> first reported by InsideHealthPolicy\u003c/a>, a trade publication.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/07/03/nearly-a-million-people-backlogged-in-medi-cal-expansion/\" target=\"_blank\">California had a backlog of 900,000 applications\u003c/a> pending applications in May — about half of them received within the previous 45 days. Although officials have not provided details on their plans for reducing the backlog, the largest in the nation, they recently said it has dropped to 600,000 cases. States typically have up to 45 days to complete the Medicaid enrollment process.\u003c/p>\n\u003cp>“We continue to make progress and will work with our county partners and Covered California to process the remaining applications and quickly deliver health coverage to all who are eligible,” health department spokesman Norman Williams said in an email Wednesday.\u003c/p>\n\u003cp>Tennessee Medicaid spokeswoman Kelly Gunderson denied the state has a backlog of applications saying, “There are numerous aspects of the letter with which we do not agree, and we are currently working on our response to CMS.”\u003c/p>\n\u003cp>All of the states relied on the federal online insurance marketplace that was established under the Affordable Care Act — with the exception of California, which set up its own marketplace known as Covered California. California and Michigan have expanded Medicaid under the health law, but the other four states did not.\u003c/p>\n\u003cp>About 6 million people have gained Medicaid coverage since September, mostly as a result of the Affordable Care Act.\u003c/p>\n\u003cp>A Kaiser Health News \u003ca href=\"http://www.kaiserhealthnews.org/Stories/2014/June/09/More-Than-17-Million-Consumers-Still-Wait-For-Medicaid-Decisions.aspx\" target=\"_blank\">analysis of 15 large states\u003c/a> in June found that more than 1.7 million more were still waiting for their applications to be processed—with some stuck in limbo for as long as eight months.\u003c/p>\n\u003cp>The reasons for the problems include technological glitches that prevented the federal insurance marketplace from transferring data on applicants to state Medicaid agencies. Also, many states were unable to handle an enrollment surge because of inadequate staffing, their own computer problems and other issues.\u003c/p>\n\u003cp>\u003cem>Kaiser Health News (KHN) is a nonprofit news organization covering health care policy and politics. It is an editorially independent program of the \u003c/em>\u003ca href=\"http://www.kff.org/\">\u003cstrong>\u003cem>Kaiser Family Foundation\u003c/em>\u003c/strong>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_20126\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/RS1449_saccapitoldome090911-scr.jpg\">\u003cimg class=\"size-large wp-image-20126\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/RS1449_saccapitoldome090911-scr-640x426.jpg\" alt=\"State officials have until Monday to submit plan. (Justin Sullivan/Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">State officials must submit plan by Monday. (Justin Sullivan/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Phil Galewitz\u003c/strong>,\u003ca href=\"http://capsules.kaiserhealthnews.org/index.php/2014/07/feds-demand-medicaid-backlog-fixes-by-six-states/\" target=\"_blank\"> Kaiser Health News\u003c/a>\u003c/p>\n\u003cp>Tired of waiting for states to reduce their backlogs of Medicaid applications, the Obama administration has given California and five other states until Monday to submit plans to resolve issues that have prevented more than 1 million low-income or disabled people from getting health coverage.\u003c/p>\n\u003caside class=\"pullquote alignleft\">600,000 people signed up, but not yet enrolled, in Medi-Cal. \u003c/aside>\n\u003cp>“CMS is asking several state Medicaid agencies to provide updated mitigation plans to address gaps that exist in their eligibility and enrollment systems to ensure timely processing of applications and access to coverage for eligible people,” said Aaron Albright, a spokesman for the Centers for Medicare & Medicaid Services. He said the agency will monitor states’ progress in solving the problems getting people enrolled in the state-federal insurance program for the poor.\u003c/p>\n\u003cp>In addition to California, the other states are Alaska, Kansas, Michigan, Missouri and Tennessee.\u003c!--more-->\u003c/p>\n\u003cp>The agency sent letters June 27 requesting the plans, giving states 10 days to respond. It is unclear if any have submitted plans yet. The letters was\u003ca href=\"http://insidehealthpolicy.com/login-redirect-no-cookie?n=77308&destination=node/77308\" target=\"_blank\"> first reported by InsideHealthPolicy\u003c/a>, a trade publication.\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://ww2.kqed.org/stateofhealth/2014/07/03/nearly-a-million-people-backlogged-in-medi-cal-expansion/\" target=\"_blank\">California had a backlog of 900,000 applications\u003c/a> pending applications in May — about half of them received within the previous 45 days. Although officials have not provided details on their plans for reducing the backlog, the largest in the nation, they recently said it has dropped to 600,000 cases. States typically have up to 45 days to complete the Medicaid enrollment process.\u003c/p>\n\u003cp>“We continue to make progress and will work with our county partners and Covered California to process the remaining applications and quickly deliver health coverage to all who are eligible,” health department spokesman Norman Williams said in an email Wednesday.\u003c/p>\n\u003cp>Tennessee Medicaid spokeswoman Kelly Gunderson denied the state has a backlog of applications saying, “There are numerous aspects of the letter with which we do not agree, and we are currently working on our response to CMS.”\u003c/p>\n\u003cp>All of the states relied on the federal online insurance marketplace that was established under the Affordable Care Act — with the exception of California, which set up its own marketplace known as Covered California. California and Michigan have expanded Medicaid under the health law, but the other four states did not.\u003c/p>\n\u003cp>About 6 million people have gained Medicaid coverage since September, mostly as a result of the Affordable Care Act.\u003c/p>\n\u003cp>A Kaiser Health News \u003ca href=\"http://www.kaiserhealthnews.org/Stories/2014/June/09/More-Than-17-Million-Consumers-Still-Wait-For-Medicaid-Decisions.aspx\" target=\"_blank\">analysis of 15 large states\u003c/a> in June found that more than 1.7 million more were still waiting for their applications to be processed—with some stuck in limbo for as long as eight months.\u003c/p>\n\u003cp>The reasons for the problems include technological glitches that prevented the federal insurance marketplace from transferring data on applicants to state Medicaid agencies. Also, many states were unable to handle an enrollment surge because of inadequate staffing, their own computer problems and other issues.\u003c/p>\n\u003cp>\u003cem>Kaiser Health News (KHN) is a nonprofit news organization covering health care policy and politics. It is an editorially independent program of the \u003c/em>\u003ca href=\"http://www.kff.org/\">\u003cstrong>\u003cem>Kaiser Family Foundation\u003c/em>\u003c/strong>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "San Francisco Supes Approve Laura's Law, Can Compel Mentally Ill Into Treatment",
"title": "San Francisco Supes Approve Laura's Law, Can Compel Mentally Ill Into Treatment",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_20083\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/RS1833_SanFranciscoCityHall-scr.jpg\">\u003cimg class=\"size-large wp-image-20083\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/RS1833_SanFranciscoCityHall-scr-640x428.jpg\" alt=\"(jivedanson/Flickr)\" width=\"640\" height=\"428\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(jivedanson/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Update 10pm by Isabel Angell\u003c/strong>\u003c/p>\n\u003cp>San Francisco Supervisors passed a version of Laura's Law today that compels treatment for certain mental health patients. Supervisor Mark Farrell, who sponsored the legislation, said Laura's Law will be an \"important tool\" for the city.\u003c/p>\n\u003cp>\"I do believe we need to do more as a city and we need to do more to help those who are clearly suffering and cannot help themselves. In order to make a difference here at the local level, we have to continue to challenge ourselves and the status quo,\" Farrell said before the vote.\u003c/p>\n\u003cp>A last-minute amendment from Supervisor Jane Kim that added an external evaluation after three years helped the ordinance pass 9-2. Supervisor Eric Mar, who cast one of the \"no\" votes, called mental health treatment a civil rights issue.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"I really feel that if we move forward without full and adequate funding of our mental health system this may be leading to a false hope of safety in our neighborhoods...and I worry that there's a danger of further stigmatizing people with mental illness.\"\u003c/p>\n\u003cp>\u003cstrong>Original post\u003c/strong>:\u003c/p>\n\u003cp>\u003cstrong>By Lynne Shallcross\u003c/strong>\u003c/p>\n\u003cp>The San Francisco Board of Supervisors voted 9-2 Tuesday afternoon to enact Laura's Law, \u003cspan class=\"Apple-style-span\" style=\"color: #000000\">\u003cspan class=\"Apple-style-span\">with Supervisors John Avalos and Eric Mar voting no.\u003c/span>\u003c/span>\u003c/p>\n\u003cp>It’s been more than a decade since California enacted Laura’s Law, allowing courts to compel mentally ill people into treatment. But that doesn't mean it's in force statewide. It's up to counties to implement the law, and they've been slow. Since the law was passed, just two of California's 58 counties have adopted it -- Orange and Nevada counties -- while Yolo and Los Angeles counties are experimenting with versions of the law.\u003c/p>\n\u003cp>Supporters of Laura’s Law say it helps assist those who are too ill to realize or accept that they need treatment, while the law’s critics say it risks stripping away a person's civil rights and won’t adequately address the issue of mental health treatment. They say a better approach would be to simply expand the availability of community mental health services.\u003c/p>\n\u003cp>Laura’s Law was named for Laura Wilcox, who was killed in 2001 by a behavioral health client in Nevada City, a small community northeast of Sacramento. The law allows a family member, roommate, mental health provider, police officer or probation officer to ask the court to order a mentally ill individual into outpatient treatment. The law has clear stipulations: it can apply only to people who have been hospitalized or jailed twice in the previous three years due to mental illness -- or those who have been violent to themselves or others in the previous four years. Additionally, anyone subject to this law must be given the chance to voluntarily enter treatment and then refuse.\u003c/p>\n\u003cp>Two mental health experts and the politician behind bringing Laura’s Law to San Francisco discussed their differing perspectives on the law on \u003ca href=\"http://www.kqed.org/a/forum/R201407080900\" target=\"_blank\">KQED’s Forum\u003c/a> Tuesday morning.\u003c/p>\n\u003cp>Mark Farrell is the San Francisco supervisor, representing District 2, who introduced the proposal to implement Laura's Law. He said that of the more than 40 million Americans who suffer from mental illness, close to 10 million suffer from severe mental illnesses, such as schizophrenia and bipolar disorder — and half of those go untreated.\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/157864583&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false&visual=true\" width=\"100%\" height=\"450\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>In San Francisco, Farrell said, about 40 percent of people who are homeless suffer from mental illness. “This is not a panacea to cure homelessness, but it is a tool in a toolbox that we need as a city and county.” Most importantly, he said, the law will help those who are severely mentally ill receive the treatment they deserve.\u003c/p>\n\u003cp>Farrell points to data from counties in the state that have implemented the law, as well as other states that have similar laws on the books. He said the results show that not only do the laws help mentally ill individuals and their families, but they also alleviate the burden on public safety departments.\u003c/p>\n\u003cp>John Rouse, a psychiatry professor at UC San Francisco, said the power of the court under Laura’s Law lies in forcing a person back to the hospital for treatment or evaluation.\u003c/p>\n\u003cp>“The people who have put this into practice have told me that with each patient, they pretty much have to do that once, and at that point, the patient will realize how it works,” Rouse said. “And the next time you say, ‘Look, we really don’t want you to have to go back to the hospital, let’s get you back to the clinic.’ And it usually works from then on.”\u003c/p>\n\u003cp>But Eduardo Vega, executive director of the Mental Health Association of San Francisco, believes this law misses the mark. Vega said that while his group doesn’t ordinarily oppose a call for expanded mental health services, he said in this case the city needs to do better.\u003c/p>\n\u003cp>“What we’ve seen, unfortunately, with this particular legislation -- and the reason we’ve opposed it the last two times it came to the Board of Supervisors -- is that there’s a court order attached to what is otherwise a nice frame for intensive services,” Vega said. The court order, he said, works against people’s rights and doesn’t help the therapeutic relationship.\u003c/p>\n\u003cp>“The one thing I’ve come away with after 25 years of working with people with the most serious psychiatric issues is that when you approach people in the spirit of human kindness, with genuine outreach and positive engagement, you can make progress with them,” Vega said. “When you approach people with a stick behind your back, or a threat to their dignity and to their self-determination, that relationship is not the same and it never will be.”\u003c/p>\n\u003cp>The \u003cem>Forum\u003c/em> guests could not even agree on the data surrounding the impact of legislation like Laura’s Law. Vega said that no study has been able to show that a court order alone makes a difference in whether mentally ill people engage successfully with treatment.\u003c/p>\n\u003cp>Rouse, on the other hand, pointed to data from New York, which has a similar law called Kendra’s Law. The data there, Rouse said, indicates that people who were ordered into treatment had no greater sense of coercion and in fact felt more “connected” to their treatment, including greater attachment to case managers and sense of participation in their own treatment.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Though Vega’s organization didn’t support the law’s adoption, he said it will work proactively with others, such as public defenders and patients’ rights groups, as the law is implemented. “We want to create value, we want to help people who are very severely disabled. We might disagree on what the right mechanisms for that are, but we don’t disagree that we need to be doing more, and we need to restore funding in general.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_20083\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/RS1833_SanFranciscoCityHall-scr.jpg\">\u003cimg class=\"size-large wp-image-20083\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/RS1833_SanFranciscoCityHall-scr-640x428.jpg\" alt=\"(jivedanson/Flickr)\" width=\"640\" height=\"428\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(jivedanson/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Update 10pm by Isabel Angell\u003c/strong>\u003c/p>\n\u003cp>San Francisco Supervisors passed a version of Laura's Law today that compels treatment for certain mental health patients. Supervisor Mark Farrell, who sponsored the legislation, said Laura's Law will be an \"important tool\" for the city.\u003c/p>\n\u003cp>\"I do believe we need to do more as a city and we need to do more to help those who are clearly suffering and cannot help themselves. In order to make a difference here at the local level, we have to continue to challenge ourselves and the status quo,\" Farrell said before the vote.\u003c/p>\n\u003cp>A last-minute amendment from Supervisor Jane Kim that added an external evaluation after three years helped the ordinance pass 9-2. Supervisor Eric Mar, who cast one of the \"no\" votes, called mental health treatment a civil rights issue.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"I really feel that if we move forward without full and adequate funding of our mental health system this may be leading to a false hope of safety in our neighborhoods...and I worry that there's a danger of further stigmatizing people with mental illness.\"\u003c/p>\n\u003cp>\u003cstrong>Original post\u003c/strong>:\u003c/p>\n\u003cp>\u003cstrong>By Lynne Shallcross\u003c/strong>\u003c/p>\n\u003cp>The San Francisco Board of Supervisors voted 9-2 Tuesday afternoon to enact Laura's Law, \u003cspan class=\"Apple-style-span\" style=\"color: #000000\">\u003cspan class=\"Apple-style-span\">with Supervisors John Avalos and Eric Mar voting no.\u003c/span>\u003c/span>\u003c/p>\n\u003cp>It’s been more than a decade since California enacted Laura’s Law, allowing courts to compel mentally ill people into treatment. But that doesn't mean it's in force statewide. It's up to counties to implement the law, and they've been slow. Since the law was passed, just two of California's 58 counties have adopted it -- Orange and Nevada counties -- while Yolo and Los Angeles counties are experimenting with versions of the law.\u003c/p>\n\u003cp>Supporters of Laura’s Law say it helps assist those who are too ill to realize or accept that they need treatment, while the law’s critics say it risks stripping away a person's civil rights and won’t adequately address the issue of mental health treatment. They say a better approach would be to simply expand the availability of community mental health services.\u003c/p>\n\u003cp>Laura’s Law was named for Laura Wilcox, who was killed in 2001 by a behavioral health client in Nevada City, a small community northeast of Sacramento. The law allows a family member, roommate, mental health provider, police officer or probation officer to ask the court to order a mentally ill individual into outpatient treatment. The law has clear stipulations: it can apply only to people who have been hospitalized or jailed twice in the previous three years due to mental illness -- or those who have been violent to themselves or others in the previous four years. Additionally, anyone subject to this law must be given the chance to voluntarily enter treatment and then refuse.\u003c/p>\n\u003cp>Two mental health experts and the politician behind bringing Laura’s Law to San Francisco discussed their differing perspectives on the law on \u003ca href=\"http://www.kqed.org/a/forum/R201407080900\" target=\"_blank\">KQED’s Forum\u003c/a> Tuesday morning.\u003c/p>\n\u003cp>Mark Farrell is the San Francisco supervisor, representing District 2, who introduced the proposal to implement Laura's Law. He said that of the more than 40 million Americans who suffer from mental illness, close to 10 million suffer from severe mental illnesses, such as schizophrenia and bipolar disorder — and half of those go untreated.\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/157864583&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false&visual=true\" width=\"100%\" height=\"450\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>In San Francisco, Farrell said, about 40 percent of people who are homeless suffer from mental illness. “This is not a panacea to cure homelessness, but it is a tool in a toolbox that we need as a city and county.” Most importantly, he said, the law will help those who are severely mentally ill receive the treatment they deserve.\u003c/p>\n\u003cp>Farrell points to data from counties in the state that have implemented the law, as well as other states that have similar laws on the books. He said the results show that not only do the laws help mentally ill individuals and their families, but they also alleviate the burden on public safety departments.\u003c/p>\n\u003cp>John Rouse, a psychiatry professor at UC San Francisco, said the power of the court under Laura’s Law lies in forcing a person back to the hospital for treatment or evaluation.\u003c/p>\n\u003cp>“The people who have put this into practice have told me that with each patient, they pretty much have to do that once, and at that point, the patient will realize how it works,” Rouse said. “And the next time you say, ‘Look, we really don’t want you to have to go back to the hospital, let’s get you back to the clinic.’ And it usually works from then on.”\u003c/p>\n\u003cp>But Eduardo Vega, executive director of the Mental Health Association of San Francisco, believes this law misses the mark. Vega said that while his group doesn’t ordinarily oppose a call for expanded mental health services, he said in this case the city needs to do better.\u003c/p>\n\u003cp>“What we’ve seen, unfortunately, with this particular legislation -- and the reason we’ve opposed it the last two times it came to the Board of Supervisors -- is that there’s a court order attached to what is otherwise a nice frame for intensive services,” Vega said. The court order, he said, works against people’s rights and doesn’t help the therapeutic relationship.\u003c/p>\n\u003cp>“The one thing I’ve come away with after 25 years of working with people with the most serious psychiatric issues is that when you approach people in the spirit of human kindness, with genuine outreach and positive engagement, you can make progress with them,” Vega said. “When you approach people with a stick behind your back, or a threat to their dignity and to their self-determination, that relationship is not the same and it never will be.”\u003c/p>\n\u003cp>The \u003cem>Forum\u003c/em> guests could not even agree on the data surrounding the impact of legislation like Laura’s Law. Vega said that no study has been able to show that a court order alone makes a difference in whether mentally ill people engage successfully with treatment.\u003c/p>\n\u003cp>Rouse, on the other hand, pointed to data from New York, which has a similar law called Kendra’s Law. The data there, Rouse said, indicates that people who were ordered into treatment had no greater sense of coercion and in fact felt more “connected” to their treatment, including greater attachment to case managers and sense of participation in their own treatment.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "Feds Say Autism Therapy Now Covered As Children's Medicaid Benefit",
"title": "Feds Say Autism Therapy Now Covered As Children's Medicaid Benefit",
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"content": "\u003cfigure id=\"attachment_17935\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/186380264-e1393616709383.jpg\">\u003cimg class=\"size-large wp-image-17935\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/186380264-640x426.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By David Gorn,\u003c/strong> \u003ca href=\"http://www.californiahealthline.org/capitol-desk/2014/7/cms-guidance-says-autism-therapy-covered-as-medicaid-benefit-for-kids\" target=\"_blank\">California Healthline\u003c/a>\u003c/p>\n\u003cp>CMS officials \u003ca style=\"color: #6d1618\" href=\"http://www.medicaid.gov/Federal-Policy-Guidance/Downloads/CIB-07-07-14.pdf\" target=\"_blank\">released federal guidance\u003c/a> for states on Medicaid coverage of autism therapy on Monday, and that guidance indicates it is covered for beneficiaries under age 21.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"ABA therapy must be covered (by Medi-Cal). It's very, very clear.\" \u003c/aside>\n\u003cp>\"It's a good day. It's such a good day,\" said Julie Kornack, senior public policy analyst at the Center for Autism and Related Disorders, an advocacy group based in Tarzana. \"Whenever you get a decision that we've been seeking for years, that is a good day.\"\u003c/p>\n\u003cp>Applied behavior analysis treatment, known as ABA therapy, now is a benefit for those under age 21 under the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) provision of Medicaid -- and therefore it also must be covered under Medi-Cal, California's version of Medicaid, according to Kristin Jacobson, president of Autism Deserves Equal Coverage, an advocacy group based in Burlingame.\u003c!--more-->\u003c/p>\n\u003cp>\"ABA therapy must be covered under EPSDT. It's very, very clear,\" Jacobson said. \"Any coverable benefit must be provided under the age of 21. If it's coverable in any way, then you have to provide it.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>On top of that, CMS' new guidance says state officials don't need to file a State Plan Amendment to start coverage of autism therapy. \"It doesn't have to be in your state plan, it says it right there,\" Jacobson said.\u003c/p>\n\u003cp>State officials were a little more careful.\u003c/p>\n\u003cp>According to Norman Williams, deputy director of public affairs for the Department of Health Care Services, the health policy experts at DHCS need a bit more time to fully review the guidance.\u003c/p>\n\u003cp>Kornack acknowledged that \"lawyers are still dissecting the guidance and [that] there's some leeway here about how states will implement this.\"\u003c/p>\n\u003cp>\"But whether they implement is no longer a question,\" she said.\u003c/p>\n\u003cp>State officials previously have said they were awaiting federal guidance on the question of ABA therapy coverage -- and Kornack, for one, can't wait to hear the official word from the state.\u003c/p>\n\u003cp>\"I don't think we could ask for better clarification than what we just got,\" she said. \"There's some latitude for states in terms of how to augment the waiver, there will be complexities. But there's no latitude about whether they provide services. The question about whether they provide it is done.\"\u003c/p>\n\u003cp>Jacobson said now it's just a matter of the time of implementation till Medi-Cal children can access ABA therapy services.\u003c/p>\n\u003cp>\"When I look at as clarification of existing requirements, I don't know how much you could delay it,\" she said. \"They have to make it available and accessible, and make families aware that it's available and accessible. I'd say, if families already have medical necessity established, they should try to pursue coverage right away.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"BWwh2OirqqsTtzUNMv2viXsdoF50551A\"]\u003c/p>\n\n",
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"excerpt": "While Calif. officials are still reviewing the guidance, advocates say the federal decision is clear.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_17935\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/186380264-e1393616709383.jpg\">\u003cimg class=\"size-large wp-image-17935\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/186380264-640x426.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By David Gorn,\u003c/strong> \u003ca href=\"http://www.californiahealthline.org/capitol-desk/2014/7/cms-guidance-says-autism-therapy-covered-as-medicaid-benefit-for-kids\" target=\"_blank\">California Healthline\u003c/a>\u003c/p>\n\u003cp>CMS officials \u003ca style=\"color: #6d1618\" href=\"http://www.medicaid.gov/Federal-Policy-Guidance/Downloads/CIB-07-07-14.pdf\" target=\"_blank\">released federal guidance\u003c/a> for states on Medicaid coverage of autism therapy on Monday, and that guidance indicates it is covered for beneficiaries under age 21.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"ABA therapy must be covered (by Medi-Cal). It's very, very clear.\" \u003c/aside>\n\u003cp>\"It's a good day. It's such a good day,\" said Julie Kornack, senior public policy analyst at the Center for Autism and Related Disorders, an advocacy group based in Tarzana. \"Whenever you get a decision that we've been seeking for years, that is a good day.\"\u003c/p>\n\u003cp>Applied behavior analysis treatment, known as ABA therapy, now is a benefit for those under age 21 under the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) provision of Medicaid -- and therefore it also must be covered under Medi-Cal, California's version of Medicaid, according to Kristin Jacobson, president of Autism Deserves Equal Coverage, an advocacy group based in Burlingame.\u003c!--more-->\u003c/p>\n\u003cp>\"ABA therapy must be covered under EPSDT. It's very, very clear,\" Jacobson said. \"Any coverable benefit must be provided under the age of 21. If it's coverable in any way, then you have to provide it.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>On top of that, CMS' new guidance says state officials don't need to file a State Plan Amendment to start coverage of autism therapy. \"It doesn't have to be in your state plan, it says it right there,\" Jacobson said.\u003c/p>\n\u003cp>State officials were a little more careful.\u003c/p>\n\u003cp>According to Norman Williams, deputy director of public affairs for the Department of Health Care Services, the health policy experts at DHCS need a bit more time to fully review the guidance.\u003c/p>\n\u003cp>Kornack acknowledged that \"lawyers are still dissecting the guidance and [that] there's some leeway here about how states will implement this.\"\u003c/p>\n\u003cp>\"But whether they implement is no longer a question,\" she said.\u003c/p>\n\u003cp>State officials previously have said they were awaiting federal guidance on the question of ABA therapy coverage -- and Kornack, for one, can't wait to hear the official word from the state.\u003c/p>\n\u003cp>\"I don't think we could ask for better clarification than what we just got,\" she said. \"There's some latitude for states in terms of how to augment the waiver, there will be complexities. But there's no latitude about whether they provide services. The question about whether they provide it is done.\"\u003c/p>\n\u003cp>Jacobson said now it's just a matter of the time of implementation till Medi-Cal children can access ABA therapy services.\u003c/p>\n\u003cp>\"When I look at as clarification of existing requirements, I don't know how much you could delay it,\" she said. \"They have to make it available and accessible, and make families aware that it's available and accessible. I'd say, if families already have medical necessity established, they should try to pursue coverage right away.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"BWwh2OirqqsTtzUNMv2viXsdoF50551A\"]\u003c/p>\n\n\u003c/div>\u003c/p>",
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"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
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"tagline": "Art is where you find it",
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"soldout": {
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