Lawmaker Takes on Insurance Companies and Gets Personal About His Health
State Sen. Scott Wiener opens up about a weeklong stint in the hospital last year and what it’s like to live with Crohn’s disease. The San Francisco Democrat is pushing a bill that would require insurance companies to cover certain medications while patients appeal denials.
After the Pandemic Hit Nursing Homes Hard, California Lawmakers Push to Tighten Licensing Rules
Legislators are proposing an overhaul of California’s licensing system for nursing homes that would make it the most stringent in the country. They argue that disreputable and unlicensed owners and operators have harmed residents. The industry describes the proposed requirements as excessive.
California Handed Its Medicaid Drug Program to One Company. Then Came a Corporate Takeover.
The company awarded the state’s Medi-Cal Rx contract was taken over by another company, Centene. That left the state with a contractor it didn’t pick — one that has been accused of overbilling nine other state Medicaid programs and is now under investigation by California.
California Governor’s Big Promises on Drug Prices Are Slow to Materialize
Gov. Gavin Newsom has launched several initiatives to cut rising drug prices, but the savings haven’t been as monumental as he promised. And his plan to have California make its own generic drugs hasn’t gotten off the ground.
Changes to Medi-Cal’s Troubled Drug Program Reduce Backlog in California, but Problems Persist
After a troubled start to the new Medi-Cal prescription drug program, the state’s contractor has hired staffers to reduce wait times for medication approvals and patients seeking help. But some doctors and clinics report that patients continue to face delays.
‘Somebody Is Gonna Die’: Medi-Cal Patients Struggle to Fill Prescriptions
Problems with California’s new Medicaid prescription drug program are preventing thousands of patients from getting their medications, including some life-saving ones. State officials say they’re working on fixes.
California Inks Sweetheart Deal With Kaiser Permanente, Jeopardizing Medicaid Reforms
The backroom deal with politically connected Kaiser Permanente, which infuriated other Medi-Cal health plans, allows the health care giant to continue selecting the enrollees it wants.
Clinics Say State’s New Medicaid Drug Program Will Force Them to Cut Services
On Jan. 1, California started buying prescription drugs for its nearly 14 million Medicaid enrollees, a responsibility that had primarily been held by managed-care insurance plans. State officials estimate California will save hundreds of millions of dollars by flexing its purchasing power, but some health clinics expect to lose money.
California Ballot Will Be Heavy on Health Care
In the Nov. 8 general election, California voters will consider overturning the state’s flavored tobacco ban and hiking medical malpractice awards. Other proposals to decriminalize psychedelic mushrooms, target dialysis clinics and boost public health funding could also be on the ballot, along with a plan to limit business and school closures during public health emergencies.
After ‘Truly Appalling’ Death Toll in Nursing Homes, California Rethinks Their Funding
California wants to hold nursing homes accountable for the quality of care they provide by tying Medicaid funding more directly to performance. But the nursing home industry, an influential player in the Capitol, is gearing up for a fight.
‘Not Quite on Board’: Parents Proving a Tough Sell on Covid Vax for Teens
California offers a lens on the challenges officials face in persuading parents to embrace covid shots for young children. While the state has a strong showing in overall vaccination rates, just 59% of kids 12 to 17 — eligible for a shot since May — are fully vaccinated.
Health Industry Wields Power in California’s High-Stakes Battle to Lower Health Care Costs
Gov. Gavin Newsom wants to regulate out-of-control health care spending in California. The effort is being shaped by the very health industry players that would be regulated.
California Moves on Climate Change, but Rejects Aggressive Cuts to Greenhouse Emissions
Drought, wildfires, extreme heat: California lawmakers cast climate change as the culprit in an emerging series of public health threats, setting aside billions to help communities respond. But they stopped short of more aggressively reducing the state’s share of the greenhouse emissions warming the planet.
It’s Not Just Covid: Recall Candidates Represent Markedly Different Choices on Health Care
Those seeking to replace California Gov. Gavin Newsom in Tuesday’s recall election disagree with him on more than mask and vaccine mandates. The conservative candidates tend to favor free-market solutions over Newsom’s expansion of publicly funded health coverage.
Voters in Tight Recall Race Sound Off on California Gov. Newsom’s Covid Leadership
Democratic Gov. Gavin Newsom’s pandemic policies are effectively on California’s Sept. 14 recall ballot — and the electorate views them with a mix of resentment, gratitude and disillusionment.
Facing Recall, Newsom Draws Support From Health Care Allies
California Gov. Gavin Newsom faces a recall election in September, fueled in part by anger over his pandemic policies. The health care industry has ponied up more than $4.8 million so far to defend the first-term Democrat.
Olympic Dream Dashed After Bike Crash and Nightmare Medical Bill Over $200K
A bicyclist from California competed in a Pennsylvania race that could have landed him in this month’s Tokyo Olympics. Instead, a crash on the velodrome track landed him in two hospitals where his out-of-state, out-of-network surgeries garnered huge bills.
A Family Wellness Check: California Invests in Treating Parents and Children Together
The state will be the first to offer comprehensive counseling services to parents during pediatric visits as part of Medicaid.
Doctors’ Lobby Scores ‘Major Victory’ on Bill to Hold Physicians Accountable
Patients and some lawmakers have long blasted the Medical Board of California for failing to discipline negligent or abusive physicians. But the politically powerful California Medical Association, which represents doctors, has mobilized against the latest attempt to give the board more money and power to investigate complaints.
Confronting Our ‘Frailties’: California’s Assembly Leader Reflects on a Year of Covid
California Assembly Speaker Anthony Rendon says covid exposed long-standing health care inequities that must be addressed. He told KHN he wants to get more people insured, boost broadband access so more patients can use telehealth and increase funding to local health departments.
