Latest California Healthline Stories
Gay Latinos Fighting Bias, Stereotypes on Many Levels
Health risks for gay and transgender Latinos run high in part because of multiple social pressures and several different types of discrimination. A recent legislative hearing brought this often hidden community into the light, exploring what can be done to help them.
Food Fight Over Vending Machines
The intent is simple, according to AB 727 author Assembly member Holly Mitchell (D-Los Angeles).
“We would like the food sold in vending machines and cafeterias in state buildings to meet minimum nutritional and sustainability standards,” Mitchell said. “AB 727 will promote a healthier workforce by making healthy food options more acceptable and affordable.”
The Assembly Committee on Health last week approved AB 727, but only after a long, protracted and surprisingly emotional hearing.
How Can California Solve Family Physician Shortage?
California — like many parts of the country — is facing a shortage of family physicians on the eve of a significant expansion of the health care system. We asked experts and stakeholders what California policymakers can do to encourage a healthy supply of care providers.
Health Committee Alters BPA Ban Bill
The bill seemed simple enough — trying to keep endocrine disruptors out of babies’ mouths. But arguments get complicated in Sacramento, and yesterday the Senate Committee on Health decided that only a lighter version of that argument made sense.
On a 5-3 vote, the committee approved AB 1319 by Betsy Butler (D-Marina del Rey), but only after the author agreed to amendments that significantly altered the bill.
It now moves to the Senate Committee on Environmental Quality.
California Running Out of Health Care Providers
Study after study on work force issues in California all come to the same conclusion: There are not enough doctors, nurses and allied health providers to meet projected need. On top of that, those providers are not distributed evenly across the state. But what can be done about it?
Senate Vote Could Be Swayed by AMA Stance
On Monday, the American Medical Association came out against use of bisphenol-A (BPA) in consumer products, citing the chemical’s effect as an endocrine disruptor. That specifically includes endorsement of a ban on use of BPA in baby bottles and baby “sippy” cups, and that ban is at issue in today’s Senate Committee on Health.
AB 1319 (Betsy Butler, D-Marina del Rey) would limit BPA use in baby bottles and cups, infant formula and baby food sold in California. It passed the Assembly at the end of May, and now is up for a vote in today’s Senate health committee hearing.
“The AMA has found that BPA is an endocrine disruptor and it would like to ban products that contain it,” Butler said. “It’s all about the science. There are many medical and health organizations promoting this idea [of banning BPA in baby products]. The opposition to BPA has grown stronger and stronger from the health community.”
Changing the Way Hospitals Do Business
One of the tenets of health care reform is to provide incentives to raise quality, improve outcomes and lower costs.
That idea is what’s behind about $3.3 billion in federal incentives dangled in front of public hospitals in California as part of the Medicaid waiver deal completed late last year. A new policy brief from the California Association of Public Hospitals details some of those changes.
The deal in the waiver agreement — the Delivery System Reform Incentive Program — is a pay-for-performance initiative for 21 public hospitals in California. That change in performance is measured by meeting a myriad of different milestones.
Basic Care, Medical Home, Home Care Act All Clear First Hurdle
A number of health care-related bills just met the deadline for passage out of house of origin. In a way, it’s a litmus test for whether or not bills have the political capital to become law, and quite a few health proposals made the initial cut.
The bills recently passed by the Assembly now head to the state Senate, and vice versa. Beyond the high-profile AB 52 by Mike Feuer (D-Los Angeles) to regulate health insurance rate hikes, there were several health-related bills that moved on:
Health Officials, Public Hospitals at Odds Over Fee
The state says it’s just shifting money around, and that everyone benefits from new federal financing tools known as CPEs — certified public expenditures.
Under the recent federal Medicaid waiver, California can get up to $400 million in federal funds for state-only programs, according to Toby Douglas, director of the California Department of Health Care Services. These are programs licensed or certified by the state providing care and services to a designated population, such as adult day health care or developmental disability care. Public hospitals provide some state-only services, and submit these certified public expenditures, or CPEs, to get federal matching funds.
“But we don’t have enough state-only expenditures, and public hospitals have expenditures beyond what they can get from the waiver,” Douglas said. “We can roll over that money … they get more federal funds, and we get to use their excess certified public expenditures to reach the $400 million mark.
Payment, Practice, Patient Protection Collide
It looked like one of those slam-dunk legislative proposals. SB 173 by Joe Simitian (D-Palo Alto) cruised through the Senate Committee on Health on a 7-1 vote.
No one expected much opposition in a hearing yesterday before the Senate Committee on Appropriations. In fact, committee chair Christine Kehoe (D-San Diego) started to move along after the bill’s presentation without asking if anyone was opposed to the bill. “Oh, there is opposition?” she asked.
There was.