California Health Worker Union, Hospital Association Tout Dueling Ballot Initiatives
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Looming Medicaid Cuts Supercharge California’s Latest Labor-Industry Fight
One of California’s largest healthcare unions is sponsoring two initiatives that would regulate community clinics and cap executive and managerial pay at hospitals and physician groups. In the most recent eruption of a long-standing feud, the measures have drawn fierce opposition from a wide swath of the medical industry.
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States Eye Aid To Prop Up Distressed Hospitals Amid Federal Medicaid Cuts
Hundreds of hospitals nationwide are bracing for Medicaid cuts as a result of the One Big Beautiful Bill Act. Some state lawmakers are eyeing loans and other forms of financial aid to distressed hospitals in rural and urban areas, as healthcare providers warn of cuts to critical services and scramble for funding.
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Reckoning With State and Federal Cuts, Los Angeles Safety-Net Clinics Push for a New Tax
Across California and the nation, health providers, advocates, local officials, and state legislators are eyeing tax increases to offset a loss of more than $900 billion in federal Medicaid dollars as a result of the GOP’s One Big Beautiful Bill Act. In Los Angeles County, community clinics have banded together in support of a half-cent sales tax.
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GOP Cuts Will Cripple Medicaid Enrollment, Warns CEO of Largest Public Health Plan
Martha Santana-Chin, a daughter of Mexican immigrants, last year took the helm of L.A. Care, the nation’s largest publicly operated health plan. She warns that looming federal cuts will push up to 650,000 people off L.A. Care’s Medicaid rolls by the end of 2028.
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One Big Beautiful Bill Act Complicates State Health Care Affordability Efforts
The federal budget bill President Donald Trump signed into law in July is creating uncertainty for states trying to rein in health care spending. In California, a lawsuit by the hospital industry challenging state spending caps cites the law, which will slash Medicaid spending, as one of many financial pressures.
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Many Fear Federal Loan Caps Will Deter Aspiring Doctors and Worsen MD Shortage
Health care professionals fear that new caps on federal student lending, set to start in July, will put medical school out of reach for many who want to become doctors and exacerbate physician shortages. Others say unlimited federal lending has fed a rise in academic costs, saddling families and, ultimately, taxpayers with debt.
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California’s Health Insurance Marketplace Braces for Chaos as Shutdown Persists
Jessica Altman, the head of California’s Affordable Care Act health insurance marketplace, warns letters will be sent out this week with sky-high premiums unless Washington extends covid-era enhanced tax credits by then. Even if Congress acts later and rates are lower than feared, she says, shoppers could be scared off.
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Health Care Cuts Threaten Homegrown Solutions to Rural Doctor Shortages
In a rural, largely Republican region of California, homegrown efforts to bolster the medical workforce face an uphill battle, in part because of federal health care cuts approved by the GOP Congress and signed by President Donald Trump in July, as well as a state budget deficit.
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Lawfully Present Immigrants Help Stabilize ACA Plans. Why Does the GOP Want Them Out?
The GOP’s tax and spending law and a new rule by the Centers for Medicare & Medicaid Services will make it harder to enroll in Affordable Care Act health plans, will raise consumers’ out-of-pocket costs, and could prompt younger, healthier people, including lawfully present immigrants who will lose financial aid, to drop coverage.
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Republican Megabill Will Mean Higher Health Costs for Many Americans
Spending cuts hitting medical providers, Medicaid and Affordable Care Act enrollees, and lawfully present immigrants are just some of the biggest changes the GOP has in store for health care — with ramifications that could touch all Americans.
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Federal Proposals Threaten Provider Taxes, Key Source of Medicaid Funding for States
Republican proposals to tighten the use of special taxes to fund Medicaid programs could deprive states of billions of dollars for safety net health care. In California, any such limit would come on top of Medicaid cuts proposed by California Democrats in response to a $12 billion state deficit.
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Covered California Pushes for Better Health Care as Federal Spending Cuts Loom
Monica Soni, Covered California’s chief medical officer, oversees an effort to hold health plans financially accountable for the quality of care they provide, including childhood vaccination rates, which have fallen in California and nationwide. She worries federal spending cuts could soon bring turbulence to the state’s Affordable Care Act marketplace.
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California’s Primary Care Shortage Persists Despite Ambitious Moves To Close Gap
The state has in recent years embraced several initiatives recommended in an influential health care workforce report, including alternative payment arrangements for primary care doctors to earn more. Despite increasing residency programs, student debt forgiveness, and tuition-free medical school, California is unlikely to meet patient demand, observers say.
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To Patients, Parents, and Caregivers, Proposed Medicaid Cuts Are a Personal Affront
At a town hall in Orange County, California, angry residents said Congress should keep its hands off Medicaid. The cuts contemplated in a House budget blueprint would bore a giant hole in California’s version of the safety net health insurance program, Medi-Cal, which covers nearly 15 million residents.
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Kaiser Permanente Back in the Hot Seat Over Mental Health Care, but It’s Not Only a KP Issue
Mental health workers on strike in Southern California say Kaiser Permanente is woefully understaffed, its therapists are burned out, and patients are often denied timely access to care. The insurer says it has largely fixed the problem. But across California and the nation, mental health parity is still not a reality.
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Doctors, Nurses Press Ahead as Wildfires Strain Los Angeles’ Health Care
A primary care clinic burned, medical offices closed, and hospitals struggled with possible evacuations. The wildfires that have incinerated large swaths of Los Angeles County are stressing the region’s health care infrastructure. Still, providers continue to find ways to deliver vital care.
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Climate Change Threatens the Mental Well-Being of Youths. Here’s How To Help Them Cope.
The growing toll of climate-related disasters is a risk to the emotional well-being of young people. An Orange County, California, pediatric emergency doctor wants to add questions about climate change to standard mental health screenings conducted in pediatricians’ offices and other settings where kids seek care.
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How Potential Medicaid Cuts Could Play Out in California
As Donald Trump prepares to reenter the White House with a Republican-controlled Congress, health officials and community advocates in California worry that large-scale Medicaid cuts could be enacted as soon as next year. More than 60% of California’s $161 billion Medi-Cal budget comes from Washington.
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California Medicaid Ballot Measure Is Popular, Well Funded — And Perilous, Opponents Warn
Proposition 35, which would use revenue from a tax on managed-care plans to raise the pay of health care providers who serve Medi-Cal patients, has united a broad swath of California’s health care, business, and political establishments. But a newly formed, smaller group of opponents says it will do more harm than good.
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