Public Health

Latest California Healthline Stories

Developmentally Disabled Centers Get a Hearing

A state audit raised some concerns about some of the financial steps taken by some of the state’s California Regional Centers. The centers are designed to help patients with developmental disabilities.

“Many changes have occurred recently, including losing about $500 million in funding,” oversight chair and Senate member Carol Liu (D-La Canada Flintridge) said. “Such changes make it imperative to look at how to provide these necessary services in a cost-effective way.”

“Over $4 billion goes through these centers,” Assembly member Hector De La Torre (D-South Gate) said. “So if something isn’t as efficient as it can be, we need to fix it. Our goal is to watch that money, because that’s a hell of a lot of money.”

Rural Health Clinics Getting Short-Changed?

There was an interesting moment at this week’s annual conference of the California State Rural Health Association. During one of the presentations, a sit-down with two state Assembly members — V. Manuel Perez (D-Coachella) and recently elected Linda Halderman (R-Fresno) — the conversation seemed to veer away from rural health issues.

After hearing about high unemployment, the icy regulatory climate, too much government and arsenic contamination of water supplies, host Steve Barrow gently redirected the conversation.

“You know, rural [medicine] gets lost a lot in the Capitol,” he said. “We care about clean water, and cultural issues, and economic issues — but if we’re talking about economics in rural California, 11 percent of the rural economy is health care. Health care is a big part of economics in rural areas.”

Overuse of Health Services May Be a Myth

This week, at the annual meeting of the American Public Health Association in Denver, researchers analyzed survey data from California — investigating the concern that immigrants are a major drain on health care services.

“People looked at immigrants and undocumented workers and their use of emergency services and preventive care, and found that those groups are actually less likely than other groups to use health care services,” according to David Grant, director of the California Health Interview Survey.

“The data show [lower usage] of emergency services, as well as lower usage of preventive medicine, even among immigrants who have insurance,” he said.

Urgent Care Clinics Arrive With Mixed Reviews in San Diego

The country’s only national urgent care franchise, Doctors Express, opened its first California-based center in San Diego this fall, with a second on its way in early 2011. Not everyone is convinced the new centers will provide much-needed relief to local emergency departments.

Fat Californians Putting Strain on Health Economy

More California adults are obese or overweight than those who aren’t and almost 40% of children in public schools in California are overweight or obese, according to recent research. We asked stakeholders how policymakers and insurers should combat obesity in California.

Medical Home Bill Passes Senate

In the last hours of a late-night vote, the Legislature passed a bill that establishes the Patient-Centered Medical Home Act of 2010. Passage of AB 1542  by Dave Jones (D-Sacramento) did not come easily. It failed a vote the day before, and only got the votes it needed at the end of the final day of the session.

(Update: New developments are covered in the Sept. 7 Capitol Desk.)

A relieved Dave Jones practically bounced out of Senate chambers when several Senate members changed their votes and the bill passed.

Rescission Bill Makes the Cut, Goes to Governor

Fiona Ma had the line of the day. The Speaker Pro Tem was leading the Assembly through its paces, through one bill after another, long into the day. In the late afternoon, she announced that she would lift the call vote on six items — usually a sign of wrapping up the day’s proceedings.

“Now don’t get excited,” Ma said, looking up from speaker’s desk. “We’re not going home yet.”

In fact, the Assembly and Senate worked all day, and then convened for rare night sessions yesterday. They passed a number of bills, including several health-related ones.

Normally Aloof, Formal Senate Plays Prank on Itself

There are a handful of legislators who push health care bills in the Assembly. Bill Emmerson (R-Bermuda Dunes), who sat on the Assembly Committee on Health, has been one of them.

But he was presenting a very different kind of bill Wednesday, a vehicle registration amnesty bill. It was one of those kind and gentle bills, with no opposition and no controversy.

So it was a bit of a shock to hear one state senate member after another stand up and vote decisively “No” on it. In a day where many bills passed without one dissent, this one failed, 2-22. It took a moment to see that many senate members were chuckling away about it.

Recruiting, Training More Health Care Workers

There is a dearth of health care providers in California, and the demand for more highly skilled health workers will only increase when national health care reform goes into effect. That’s the word from Tom Riley, legislative advocate for the California Academy of Family Physicians, speaking at a Senate Health Committee hearing last week.

“We think the time has come for this to be front and center in the health care debate, the workforce issue,” Riley said. “This is a terribly important thing for us to be addressing.”

The proposed law, AB 2551 by Assembly member Ed Hernandez (D-West Covina), would establish the Health Workforce Development Council, a task force charged with tackling how to recruit and train a new segment of the health care workforce.