FROM THE FOUNDATION

All Over the Map

Newly updated to include breast cancer, prostate cancer, and spine procedures, this CHCF-sponsored research shows that practice patterns vary dramatically from place to place.

Medi-Cal Transforms

Medi-Cal is the main source of health insurance for one in five Californians. An updated report gives an overview of the program's key features, describes how the program is evolving, and examines the challenges ahead.

Obama Care in the Second Term

CHCF is a long-time sponsor of the UC Irvine Forecast Conference. A webcast of this year's conference on health policy in President Obama's second term is now available.

Doctors and Nurses

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05/24/2013

Allow Nurse Practitioners Independence, Editorial Urges

A Sacramento Bee editorial argues that lawmakers should pass a bill that would give nurse practitioners authority to practice independently without having to seek a physician's signature for "simple, straightforward" medical decisions. The authors write, "[Physicians] worry that allowing nurse practitioners to operate independently would cause competition with primary care doctors and increase fragmentation of care. This is overwrought." The Senate may vote on the bill as early as Friday. Sacramento Bee.

05/23/2013

Number of Elective Surgeries Varies by Region, Study Finds

A California HealthCare Foundation study finds wide variations in the number of elective surgeries by region. CHCF publishes California Healthline. According to the study, several factors, including access to information about the procedures, physician preferences and patient input, contribute to the geographical differences. Los Angeles Times.

05/23/2013

Senate Panel Approves Immigration Bill With Provider Provision

The Senate Judiciary Committee has passed an immigration bill that would make it easier for foreign-born health professionals to work in the U.S. The bill also would allow some foreign-born people to purchase health plans through insurance exchanges. Modern Healthcare, Politico.

05/22/2013

ACA Loophole Could Force Calif. Physicians To Cover Care Costs

Observers are concerned that an Affordable Care Act loophole that allows families who fail to pay premiums for subsidized health plans to continue receiving coverage for three months could leave physicians responsible for the cost of care. Sacramento Bee.

05/22/2013

Proposed Ballot Measure Requires Doctor Drug Testing

A campaign will launch this summer in support of a proposed state ballot measure that would require that physicians randomly are subjected to drug and alcohol testing. Bob Pack -- former executive at AOL and NetZero -- is leading the $2 million campaign to place the measure on the November 2014 ballot. A California Medical Association spokesperson said the campaign is a "publicity stunt." AP/Miami Herald.

05/21/2013

Reports Find Variation in Prostate, Breast Cancer Treatments Across Calif.

The California HealthCare Foundation has released two reports that find variations in treatment for prostate and breast cancer according to where patients live in the state. Experts say the findings indicate that physicians most often are determining treatments. Contra Costa Times.

05/02/2013

Votes Being Counted in Union Election for Kaiser Workers

The National Labor Relations Board has begun counting votes in an election to determine whether 45,500 Kaiser Permanente workers will continue to be represented by Service Employees International Union-United Healthcare Workers West or switch to representation by the National Union of Healthcare Workers-California Nurses Association. An administrative law judge called for the new election after finding that SEIU misconduct interfered with workers' right of free choice in an October 2010 election that SEIU-UHW won by 61%. Sacramento Business Journal.

05/01/2013

Columnist: Lawmakers Should Not Select Scope of Practice

Sacramento Bee columnist Dan Walters writes that a state Senate committee's recent approval of a series of bills that would expand the scope of practice for non-physicians overrides doctors' concerns about the measures and implicitly concludes that physicians "are just trying to protect their turf and their incomes." According to Walters, "we should all be afraid" when lawmakers determine "which medical practitioner can perform which procedure." Sacramento Bee.

04/30/2013

Columnist Urges Overhaul of Medical Board of California

Los Angeles Times columnist Michael Hiltzik writes that the Medical Board of California has "sat inertly by while its disciplinary program against incompetent and dangerous doctors falls to pieces" and that the board's regulation of physician-owned outpatient surgical centers "is almost nonexistent." According to Hiltzik, lawmakers are "talking about rubbing out the current membership and their executive director" as part of a legislative re-authorization process that "plainly is needed." Los Angeles Times.

04/30/2013

Scope-of-Practice Bills Pass First Hurdle in Legislature

On Monday, the state Senate Business, Professions and Economic Development Committee approved a set of bills that would expand the scope of practice for nurse practitioners, optometrists and pharmacists to address a physician shortage. The bills, by Sen. Ed Hernandez, now proceed to the Senate Appropriations Committee. Riverside Press-Enterprise.

04/29/2013

Medical Board Supports Bills That Seek To Curb Prescription Drug Misuse

The Medical Board of California supports a series of bills that would address prescription drug misuse in the state. The board also has expressed opposition to a bill that would eliminate its authority to investigate physician misconduct. Los Angeles Times, AP/Modern Healthcare.

04/26/2013

Bill Would Strip Medical Board of Power To Investigate Physicians

A bill by state Sen. Curren Price and Assembly member Richard Gordon would shift the authority to investigate alleged misconduct by physicians from the Medical Board of California to California's attorney general. Sacramento Business Journal, Los Angeles Times.

04/24/2013

Study Finds Challenges To Obtaining Specialized Pediatric Care in Calif.

A UCLA Center for Health Policy Research study finds that California children experience more difficulties obtaining sub-specialized pediatric care than children in any other state. The study also finds disparities in access to such care related to factors such as geography, race and ethnicity. HealthyCal.

04/23/2013

Calif. Struggles To Draw Young Primary Care Doctors to Rural Areas

Rural communities in the state are struggling to attract young primary care physicians to replace retiring doctors in California, an expert says. Some observers say the Affordable Care Act could exacerbate the primary care physician shortage, while others say it could help attract doctors to such areas. HealthyCal.

04/23/2013

Editorial: Scope-of-Practice Bills Require More Debate

A Sacramento Bee editorial argues that bills that would expand the scope of practice of non-physicians in California "have merits and lapses," adding that "[m]ore dialogue is needed to identify both the former and latter." According to the editorial, state lawmakers "should not rush to pass" the bills until "[l]egitimate concerns" about the measures have been "considered in some depth." Sacramento Bee.

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