FROM THE FOUNDATION

Physician Supply and Demand in California

While physician supply has increased in recent years, California as a whole barely meets the national recommended minimum range. And future demand is expected to outpace supply due to a confluence of factors. Read details in a new CHCF Almanac report.

Where Big Money Goes in Medi-Cal Spending

Seven percent of Medi-Cal beneficiaries accounted for more than three-quarters of fee-for-service program expenditures in fiscal year 2008. This snapshot profiles this small but expensive population and uses the findings to suggest ways to slow spending growth.

Gauging the Physician Shortage in Medi-Cal

This report uses survey data to measure physician participation in the Medi-Cal program and examine differences across specialties and regions. It finds that low participation rates are a persistent problem and discusses the implications for low-income patients.

Public Health

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07/29/2010

Contra Costa Votes To Keep First 5 Out of County Rule

The Contra Costa County board of supervisors voted not to make the county's First 5 commission a government department, thwarting a recommendation from a grand jury. The grand jury report concluded that First 5 members could be engaged in conflict-of-interest practices. The board will request a yearly report from the commission as a way to increase oversight. First 5 uses tobacco tax revenue to fund early childhood health and education programs. Contra Costa Times.

07/29/2010

Editorial: End Brand-Name Rx Makers' Control of Market

The practice of allowing brand-name prescription drugmakers to pay makers of generic drugs to delay market entry of generic products should be stopped, a Washington Post editorial states. The editorial supports legislation before the U.S. Senate Appropriations Committee that would ban such practice for competitive reasons, concluding that consumers could wind up saving billions of dollars. Washington Post.

07/29/2010

Officials, Advocates Call for Bristol-Myers Squibb To Cut HIV Drug Prices

Controller John Chiang and the AIDS Healthcare Foundation are urging Bristol-Myers Squibb to lower the price of its HIV/AIDS drug Reyataz. California's AIDS Drug Assistance Program dispensed 69,709 prescriptions of Reyataz last fiscal year. Payers & Providers, Sacramento Bee.

07/29/2010

Survey: One out of Five Californians Report Need for Mental Health Help

UCLA researchers found that one in five Californians said they could use assistance with an emotional or mental health issue. However, only about one in three of those who said they could use help actually visited a professional for treatment. Los Angeles Times' "Booster Shots" et al.

07/29/2010

Ventura County To Expand Inmate Mental Health Care

The Ventura County Board of Supervisors has approved a plan to expand a diversion program that transfers county jail inmates with mental health issues to an outpatient treatment program. The board will fund the expansion of the Multi-Agency Referral and Recovery Team program using funds from California's 2004 Mental Health Services Act. Ventura County Star.

07/28/2010

Bill Would Grant Parole to Incapacitated Inmates

A bill by Sen. Mark Leno would grant parole to 32 of the state's sickest inmates, with the goal of saving California up to $40 million annually. Some opponents of the measure say that it should be more inclusive because it would affect a small number of the 3,000 extraordinarily ill inmates, while others argue that certain inmates should not have the opportunity for parole. Leno's bill has passed the Senate, and the Assembly might take it up after the summer recess. KALW's "Crosscurrents."

07/28/2010

San Bernardino County Plans New Task Force on HIV/AIDS

Meaghan Ellis -- director of nursing and community health for San Bernardino County -- will lead a task force to review past and current HIV/AIDS care provided at county clinics. Roughly 700 individuals receive treatment for HIV/AIDS at three county clinics. Riverside Press-Enterprise.

07/28/2010

State's Tobacco Tax Revenue Drops as Cigarette Sales Fall

Last year, cigarette sales in California dropped to their lowest level in the past decade. As a result, the state has seen a decline in revenue from tobacco taxes, which help fund early childhood health and education programs. Sacramento Bee et al.

07/27/2010

FCC, FDA Partner To Promote Wireless Health Technology

On Monday, the Federal Communications Commission and FDA announced a partnership to encourage the use of wireless medical technology. In a statement, FCC and FDA said that wireless health care devices will reduce costs and improve patient care and that the agencies will work to streamline regulatory procedures. The Hill's "Hillicon Valley."

07/26/2010

Bill Could Gain Support as Whooping Cough Cases Break Records

Assembly member Juan Arambula has resurrected a bill that would allow schools to require whooping cough immunizations for incoming seventh-graders. The measure might gain new support because of California's recent outbreak of the disease. Fresno Bee, Redding Record Searchlight.

07/26/2010

Bills Address Distribution of Over-the-Counter Syringes

Two bills before California lawmakers would extend or change a current law that allows counties to decide whether to permit pharmacies to provide syringes to individuals without a prescription. AB 1701 -- pending before the Senate Appropriations Committee -- by Assembly member Wesley Chesbro would extend the current law, which expires at the end of the year, for eight more years. SB 1029 -- pending before the Assembly Appropriations Committee -- by Sen. Leland Yee would give pharmacists permanent discretion. The initiatives aim to curb the spread of HIV, hepatitis and other diseases. Oakland Tribune.

07/26/2010

Laird Offers Suggestions on How To Improve Kids' Health

In response to a questionnaire from First 5 San Luis Obispo County, former Assembly member and state Senate candidate John Laird said he supports legislation to ensure that "all children receive and have access to primary and preventive health services." He added that "untreated dental and other health concerns" are moral issues that impede school attendance and learning. Laird is scheduled to appear at a debate Monday night with other candidates for the vacant 15th Senate District seat. San Luis Obispo Tribune.

07/26/2010

Patients of VA Facilities Allowed To Use Medical Marijuana Where Legal

Veterans who seek care at Veterans Affairs facilities will be permitted to use medical marijuana in states where it is legal. Health care officials say the decision will affect how physicians prescribe pain medications. New York Times, AP/San Francisco Chronicle.

07/23/2010

Genetic Tests Offer Few Real Benefits, Federal Investigation Concludes

A Government Accountability Office report finds that genetic testing kits could provide contradictory and misleading results for consumers. Test makers say their products are sensitive to different genetic markers, which could contribute to different results. CQ HealthBeat et al.

07/22/2010

Budget Stalemate Hampering State Mammogram Program

Health program managers across California are struggling to continue providing breast cancer screening services to low-income women through the state's Every Woman Counts program. Enrollment for Every Woman Counts will remain frozen until lawmakers pass a budget package and determine how much to set aside for the program. In the meantime, many clinics that provide the screening services are considering whether to shut down or tap into their reserve funds. HealthyCal.

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