Latest California Healthline Stories
Report: Grim Future for U.S. Docs; Outlook Brighter in California
Many physicians in California have a brighter outlook for the future of practicing medicine than the grim predictions in a national report released last week by The Physicians Foundation.
Important Bills on Horizon for CMA
The California Medical Association, which keeps an eye on all health-related legislation in California, last week released its “Hot List” of proposed health care bills in the next legislative session.
“Given that health care reform continues to be such a big concern, access to care for patients is going to be a big one,” said Molly Weedn, director of media relations for CMA. “And we’re looking at a lot of public health issues this year, like childhood obesity, for instance.”
There are 30 pieces of proposed legislation on this year’s Hot List, including nine bills sponsored by CMA.
Residency Program May Help Doctor Shortage in Central Valley
A Visalia hospital will become a teaching institution for medical school graduates, a role that should help address a shortage of physicians in Tulare County. Experts say there are not enough residencies in California to meet the need of graduates seeking family medicine residencies.
Committee Moves Stop-Loss Bill Forward
Stop-loss health insurance is a way for small-business employers to offer a form of health care insurance to employees while limiting risk. The trouble with that, according to Senate member Kevin De León (D-Los Angeles), is that the low risk incurred by stop-loss insurers could mean higher rates for the rest of California.
“Here’s the problem,” De León said this week before the Assembly Committee on Health. “Any increase in stop-loss coverage insurance … could lead to a significant exodus of small employers … especially employers with young employees, leaving behind a smaller-group insurance pool subject to skyrocketing premiums.”
Basically, stop-loss coverage allows insurers to cherry-pick or adversely select the youngest and healthiest consumers with low rates, which makes rates rise for everyone else, De León said.
Bill Would Create Office of Oral Health
Dental providers are united in their intention to address the poor quality of dental care for California children, but are divided about the best way to do that.
Legislators at last week’s Assembly Committee on Health decided to put aside the disagreement and rancor over the best method to deal with the problem and voted unanimously to approve SB 694 by Alex Padilla (D-Pacoima).
The main component of the bill was never questioned in the health committee hearing — that is, to establish a statewide Office of Oral Health and to have a high-level director of that office. According to bill author Padilla, that new office taps no state funds.
California Physician Groups Vow To Continue Reforming, Regardless
At a meeting with national representatives last week in Washington, D.C., California physician groups said they plan to continue working to improve care coordination for patients no matter what the Supreme Court says in the much-anticipated Affordable Care Act ruling.
Paramedics Could Lighten L.A. County’s EMS Load
Proponents of expanded roles for emergency medical personnel say a goldmine of untapped health care resources in Los Angeles County is ripe for mining. Changes brought on by health care reform could make the transition smoother.
Scrutiny of Health Care Training Programs Increasing
The training of health care workers at private schools is coming under increasing scrutiny in California. Legislation, research projects and consumer oversight efforts are looking into the costs of education compared with graduation rates, accreditation claims and graduates’ ability to find jobs.
Bill Aims to Expand Number of Residency Slots
Most of the health care reform expansion effort has focused on the logistics of adding coverage for up to 3 million more Californians, but that’s just the start, according to Senate member Michael Rubio (D-Shafter). Those millions of health insurance cards won’t be worth their weight in plastic if you don’t make sure the state has the providers to take care of all of those people, he said.
“Even if we resolve the issue of health insurance,” Rubio said, “health access still is a significant issue.”
Rubio spoke on the Senate floor last week on behalf of his bill to expand the number of residency slots in California, a plan with the potential to significantly increase the number of providers in the state, he said. Setting up the infrastructure to accept private contributions for residency expansion creates an opportunity to add providers in California without using any more general fund dollars, Rubio said.
Flu Vaccine Bill Approved by Senate
There’s more than one kind of resistance to the flu virus.
Senate member Lois Wolk (D-Davis) found that out, and Wednesday introduced to the Senate floor a substantially reworked version of her bill, SB 1318, which would require health care facilities to meet a 90% flu vaccine health-worker compliance rate by 2015.
The bill passed on a 23-9 vote. However, that vote came at a price.