Author Archives: state of health

State Reverses Abortion Coverage Rule for 2 Catholic Universities

Santa Clara University's employee health insurance will stop covering 'elective' abortions next year unless state officials change their minds. (Michael Zimmer/Flickr)

The two universities affected by the move are Loyola Marymount and Santa Clara University, above. (Michael Zimmer/Flickr)

By Ted Goldberg and Lisa Aliferis

In a reversal, Gov. Jerry Brown’s administration is barring two Catholic universities in California from offering health plans to their employees that limit abortion coverage.

Previously, state health officials had approved plans used by Santa Clara University and Loyola Marymount in Los Angeles that did not cover any abortion procedures, unless they were “medically necessary” to protect the health of the mother.

But earlier this month, the Department of Managed Health Care (DMHC) said they were reviewing that approval.

The DMHC is now sending letters to insurance companies for both universities, requiring them to cover all abortions.  Continue reading

Strong Support for Proposition 45 — Tougher Rules on Health Insurance Rates

(Getty Images)

(Getty Images)

By Helen Shen, Kaiser Health News

California voters are showing strong early support for a ballot initiative that would expand the state’s authority to regulate health insurance rates.

Nearly 7 of every 10 respondents indicated that they would vote in favor of Proposition 45, while 16 percent would vote against it, according to a Field poll released Wednesday.

Proposition 45 would give California’s insurance commissioner the power to veto excessive health insurance rate increases.

Health insurance rates in the state are currently overseen by the Department of Managed Health Care and the California Department of Insurance. Insurance companies are required to submit proposed rate increases for review each year by state regulators, who may declare rates unreasonable but cannot block them from going into effect. Continue reading

Sacramento Patient Being Tested for Possible Exposure to Ebola

Ebola virus magnified 108,000 times. (Getty Images)

Ebola virus magnified 108,000 times. (Getty Images)

By Lisa Aliferis and April Dembosky

Don’t panic, folks. Really.

A patient who may have been exposed to the Ebola virus is being tested at Kaiser’s South Sacramento Hospital.

The other key information here is that California Department of Public Health officials call the unidentified patient “low risk,” according to criteria established by the CDC that considers travel history, exposure to infection, and clinical features.

In a call with reporters Wednesday afternoon, CDPH deputy Dr. Gil Chavez said the state has received no reports of any high risk patients. CDPH said the patient is being tested out of an “abundance of caution.”

In a statement, Dr. Stephen Parodi, director of hospital operations for Kaiser Northern California, said the unidentified patient is being kept in a specially equipped negative pressure room, and staff working with the patient are using “personal protective equipment.” Continue reading

Judge Orders Overhaul in Segregation for California’s Mentally Ill Inmates

All Inmates are shackled whenever they leave their cells. (Julie Small/KQED)

All Inmates are shackled whenever they leave their cells. (Julie Small/KQED)

By Julie Small

Segregating prison inmates who repeatedly break the rules or turn violent against other inmates or guards is not new in California. For years the state has placed these inmates in special housing sections with multiple barriers between them and others.

Evidence that segregation ‘can and does cause serious psychological harm’ in inmates with serious mental illness.

But the practice of isolating inmates whose bad behavior may be part of a mental illness is under fire amid a rash of suicides and attempted suicides. The focus on this type of treatment comes against a backdrop of lawsuits brought by inmates against the state over the last two decades. Those lawsuits have exposed a correctional system poorly equipped to handle their extraordinary needs.

Now a federal judge says that kind of punishment poses too great a risk for inmates with serious mental illness who, he says, can and do worsen in segregation.  Continue reading

The Assisted Living Reform Bills That Died

By Polly Stryker

Taking some fresh air in the courtyard at Westchester Villa, an assisted facility in Inglewood. (Rachael Myrow/KQED)

Taking some fresh air in the courtyard at Westchester Villa, an assisted facility in Inglewood. (Rachael Myrow/KQED)

Last Thursday, August 14, was the day that bills still in the state Senate Appropriations Committee sank or swam. The Senate Appropriations Committee is where bills costing $150,000 or more go for consideration. If bills make it out of this committee, then bills are still in play and could make it to the governor’s desk, albeit with potential amendments along the way. If not, they die.

Going into the home stretch of this legislative session, 16 bills were on the table that, altogether, constituted the first major overhaul of the assisted living industry in nearly 30 years.

Two have already made it to the governor’s desk. AB1523 mandates liability insurance for all assisted living facilities. Advocates say liability insurance is one of the best ways to improve conditions in the industry. Operators whose violations make buying insurance too expensive will be simply forced out of business. The industry group California Assisted Living Association supported AB1523. AB1572 mandates facility operators allow and support resident and family councils at assisted living facilities. CALA supported that one as well.

Most of the rest of the bills are still swimming. But what about the bills that died?

Continue reading

California Prisons Begin ‘Use-of-Force’ Reforms for Mentally Ill Inmates

A psychiatric segregation cell at Sacramento Prison. (Julie Small/KQED)

A psychiatric segregation cell at Sacramento Prison. (Julie Small/KQED)

By Julie Small

The number of inmates with mild to severe mental illness has grown to 37,000 in California, about a quarter of the prison population.

A series of lawsuits brought by inmates against the state over the last two decades has exposed a correctional system poorly equipped to handle their extraordinary needs.

Now California is trying to comply with a federal court order to change when and how correctional officers use pepper spray to force uncooperative inmates to leave their cells or follow orders.

Pepper spray may have contributed to three inmate deaths and an unknown number of injuries — unknown because the California Department of Corrections and Rehabilitations doesn’t consider the effects of pepper spray an injury. Continue reading

UC Davis Experiments with Fast-Tracking Medical School

(UC Davis Gateways Project/Flickr)

(UC Davis Gateways Project/Flickr)

By Pauline Bartolone, Kaiser Health News

Some doctors in California will soon be able to practice after three years of medical school instead of the traditional four. The American Medical Association is providing seed money for the effort in the form of a $1 million, five-year grant to UC Davis.

Student Ngabo Nzigira is in his sixth week of medical school and he’s already interacting with patients, as he trains under the guidance of a doctor at Kaiser Permanente in Sacramento.

In a traditional medical school, Nzigira wouldn’t be in a clinic until his third year. In this accelerated course, students can shave up to $60,000 off their education debt. Still, Nzigira initially had hesitations. Continue reading

Long-Sought Autism Therapy A Medi-Cal Benefit, State Says

(Getty Images)

(Getty Images)

By David Gorn, California Healthline

State officials Tuesday said autism therapy clearly is a covered Medicaid benefit, and they hope to submit a state plan amendment by Sept. 30 to start the process to make it a benefit for those under age 21, enrolled in the state’s Medi-Cal program. Medi-Cal is California’s version of Medicaid.

According to René Mollow, deputy director of benefits and eligibility at the Department of Health Care Services, Medi-Cal children are entitled to applied behavior analysis — known as ABA therapy.

“Right now we’re working on the development of a state plan amendment. We want to engage the stakeholders in developing that,” Mollow said. “We’re looking to have it submitted at the end of September, and having it retroactive to July 1.” Continue reading

California Prisons to Restrict Pepper Spray, Segregation of Mentally Ill Inmates

 Bunk of an empty segregation cell at California State Prison-Sacramento. (Julie Small/KQED)

Bunk of an empty segregation cell at California State Prison-Sacramento. (Julie Small/KQED)

By Julie Small

California prison officials proposed major policy changes Friday to curtail when and how correctional staff use pepper spray on mentally ill inmates or segregate them from the general prison population.

The California Department of Corrections and Rehabilitation (CDCR) planned to vest mental health clinicians with greater say in whether correctional staff may use force or segregate inmate patients. The agency also set strict time limits on the segregation of mentally ill inmates who had committed no serious violations or crimes in prison.

CDCR proposed these changes to comply with a court order issued by U.S. District Judge Lawrence Karlton. Judge Karlton ordered the changes to California’s policies in April, after a lengthy evidentiary hearing. Continue reading