Newsom Proposes Law to Let Arizona Doctors Perform Abortions in California
Why Nearly 50 California Hospitals Were Forced to End Maternity Ward Services
Forced Sterilization Survivors Undertake Own Healing After Feeling 'Silenced Again' by State
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San Francisco Promotes Treatment for Stimulant Use Disorder Amid Overdose Epidemic
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Gavin Newsom as part of an effort to circumvent a \u003ca href=\"https://apnews.com/article/arizona-abortion-ban-what-to-know-797a4bbbc738497fe2284d6870c5be24\">ban on nearly all abortions\u003c/a> in that state.\u003c/p>\n\u003cp>It would apply only to doctors licensed in good standing in Arizona and their patients and last only through the end of November. Newsom said protecting access to abortions is “just about basic decency” and “respect for women and girls.”\u003c/p>\n\u003cp>Arizona’s long-defunct 1864 law banning nearly all abortions except if the mother’s life is in jeopardy goes into effect on June 8 — although the Arizona House on Wednesday \u003ca href=\"https://apnews.com/article/arizona-abortion-1864-ban-repeal-lawmakers-84b0cd9a8c44ddaefed2c45e9eff1c79\">advanced a repeal of the law\u003c/a>.\u003c/p>\n\u003cp>“This Arizona law is the first border-state law that will directly impact the state of California,” the governor said. “Rather than just acknowledging that fate and future, we’re trying to get ahead of this law.”\u003c/p>\n\u003cp>Newsom joined the California Legislative Women’s Caucus and pro-choice advocates to announce the proposal. Lawmakers called the Arizona law “draconian” and said California had an obligation to get involved. The bill would need to pass by a two-thirds vote in each house of the state Legislature before reaching Newsom’s desk. After he signs it, it will go into effect immediately.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Dr. Tanya Spirtos, a gynecologist and president of the California Medical Association, said it is unfortunate that Arizona abortion patients will have to travel out-of-state, but she’s proud to see California step in to assist them.\u003c/p>\n\u003cp>“All personal medical decisions, including those around abortion, should be made by patients in consultation with their health care providers,” Spirtos said. “By banning virtually all abortions in the state, the ruling will put physicians in harm’s way for simply providing often lifesaving medical care to their patients.”[aside label=\"more abortion coverage\" tag=\"abortion\"]The Arizona Supreme Court cleared the way earlier this month for the near-total ban to move forward. Besides Arizona, \u003ca href=\"https://apnews.com/article/arizona-abortion-restrictions-1864-9c68866d69dca38c728dd27b80592e8f\">14 other states\u003c/a> have banned abortion at all stages of pregnancy.\u003c/p>\n\u003cp>While abortion access in California has never been under serious threat in recent history, Newsom — widely seen as a potential presidential candidate beyond 2024 — has made defending that access a priority of his administration.\u003c/p>\n\u003cp>Newsom pushed for abortion access to be enshrined into the California Constitution. He \u003ca href=\"https://apnews.com/article/abortion-us-supreme-court-california-gavin-newsom-729c1df436b5efa69d1cbff438f5905c\">approved $20 million\u003c/a> of taxpayer money to help pay for women in other states to come to California for abortions. And he has signed \u003ca href=\"https://apnews.com/article/abortion-us-supreme-court-health-california-df6dd40a7e2af65a1c6a4042e4ffa485\">dozens of laws\u003c/a> aimed at making it harder for other states to investigate women for coming to California for abortions, including banning social media companies from \u003ca href=\"https://apnews.com/article/california-abortion-pill-gavin-newsom-b7e392be628411230319215d7c010f21\">complying with subpoenas\u003c/a> or warrants.\u003c/p>\n\u003cp>His actions have endeared him to the Democratic Party’s core constituencies despite some of the state’s other problems — including homelessness, wildfire insurance and a pair of multibillion-dollar budget deficits.\u003c/p>\n\u003cp>In 2022, months after the U.S. Supreme Court overturned Roe v. Wade, California launched a \u003ca href=\"https://apnews.com/article/abortion-travel-health-gavin-newsom-state-budgets-98f36da0cf3219d01e4564ba61a0a6fb\">publicly-funded website\u003c/a> to promote the state’s abortion services, including information about financial help for travel expenses and letting teenagers in other states know that California does not require them to have their parents’ permission to get an abortion in the state.\u003c/p>\n\u003cp>It has also become a chief talking point in Newsom’s role as a top surrogate for President Joe Biden’s reelection campaign. Using money left over from his 2022 reelection campaign, Newsom started a political action committee he calls the “ \u003ca href=\"https://apnews.com/article/california-governor-newsom-president-democrats-2024-843877ca6aca701a5a68b8cb022203a2\">Campaign for Democracy\u003c/a> ” that has paid for billboards and TV ads in Republican-led states to criticize their leaders’ attempts to outlaw or restrict access to abortions. In February, he launched \u003ca href=\"https://apnews.com/article/california-governor-newsom-abortion-politics-travel-67ac67b4fed8434c5908ae89ca2a01f9\">ads in multiple states\u003c/a> to criticize proposals there that aimed to prohibit out-of-state travel for abortions.\u003c/p>\n\u003cp>When an Alabama lawmaker introduced a bill to make it a crime to help someone under 18 get an abortion without telling their parents or guardians, Newsom paid for an ad depicting a young woman trying to leave the state only to be stopped by a police officer who demands that she take a pregnancy test.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Associated Press writer Adam Beam contributed to this report.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"The bill would temporarily allow Arizona doctors to give their patients abortions in California as part of an effort to circumvent a ban on nearly all abortions in that state.","status":"publish","parent":0,"modified":1713999058,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":16,"wordCount":734},"headData":{"title":"Newsom Proposes Law to Let Arizona Doctors Perform Abortions in California | KQED","description":"The bill would temporarily allow Arizona doctors to give their patients abortions in California as part of an effort to circumvent a ban on nearly all abortions in that state.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Newsom Proposes Law to Let Arizona Doctors Perform Abortions in California","datePublished":"2024-04-24T21:51:54.000Z","dateModified":"2024-04-24T22:50:58.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"sticky":false,"nprByline":"Sophie Austin\u003cbr>Associated Press","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11983956/newsom-proposes-law-to-let-arizona-doctors-come-to-california-to-perform-abortions","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Arizona doctors could give their patients abortions in California under a proposal announced Wednesday by Gov. Gavin Newsom as part of an effort to circumvent a \u003ca href=\"https://apnews.com/article/arizona-abortion-ban-what-to-know-797a4bbbc738497fe2284d6870c5be24\">ban on nearly all abortions\u003c/a> in that state.\u003c/p>\n\u003cp>It would apply only to doctors licensed in good standing in Arizona and their patients and last only through the end of November. Newsom said protecting access to abortions is “just about basic decency” and “respect for women and girls.”\u003c/p>\n\u003cp>Arizona’s long-defunct 1864 law banning nearly all abortions except if the mother’s life is in jeopardy goes into effect on June 8 — although the Arizona House on Wednesday \u003ca href=\"https://apnews.com/article/arizona-abortion-1864-ban-repeal-lawmakers-84b0cd9a8c44ddaefed2c45e9eff1c79\">advanced a repeal of the law\u003c/a>.\u003c/p>\n\u003cp>“This Arizona law is the first border-state law that will directly impact the state of California,” the governor said. “Rather than just acknowledging that fate and future, we’re trying to get ahead of this law.”\u003c/p>\n\u003cp>Newsom joined the California Legislative Women’s Caucus and pro-choice advocates to announce the proposal. Lawmakers called the Arizona law “draconian” and said California had an obligation to get involved. The bill would need to pass by a two-thirds vote in each house of the state Legislature before reaching Newsom’s desk. After he signs it, it will go into effect immediately.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Dr. Tanya Spirtos, a gynecologist and president of the California Medical Association, said it is unfortunate that Arizona abortion patients will have to travel out-of-state, but she’s proud to see California step in to assist them.\u003c/p>\n\u003cp>“All personal medical decisions, including those around abortion, should be made by patients in consultation with their health care providers,” Spirtos said. “By banning virtually all abortions in the state, the ruling will put physicians in harm’s way for simply providing often lifesaving medical care to their patients.”\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"more abortion coverage ","tag":"abortion"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>The Arizona Supreme Court cleared the way earlier this month for the near-total ban to move forward. Besides Arizona, \u003ca href=\"https://apnews.com/article/arizona-abortion-restrictions-1864-9c68866d69dca38c728dd27b80592e8f\">14 other states\u003c/a> have banned abortion at all stages of pregnancy.\u003c/p>\n\u003cp>While abortion access in California has never been under serious threat in recent history, Newsom — widely seen as a potential presidential candidate beyond 2024 — has made defending that access a priority of his administration.\u003c/p>\n\u003cp>Newsom pushed for abortion access to be enshrined into the California Constitution. He \u003ca href=\"https://apnews.com/article/abortion-us-supreme-court-california-gavin-newsom-729c1df436b5efa69d1cbff438f5905c\">approved $20 million\u003c/a> of taxpayer money to help pay for women in other states to come to California for abortions. And he has signed \u003ca href=\"https://apnews.com/article/abortion-us-supreme-court-health-california-df6dd40a7e2af65a1c6a4042e4ffa485\">dozens of laws\u003c/a> aimed at making it harder for other states to investigate women for coming to California for abortions, including banning social media companies from \u003ca href=\"https://apnews.com/article/california-abortion-pill-gavin-newsom-b7e392be628411230319215d7c010f21\">complying with subpoenas\u003c/a> or warrants.\u003c/p>\n\u003cp>His actions have endeared him to the Democratic Party’s core constituencies despite some of the state’s other problems — including homelessness, wildfire insurance and a pair of multibillion-dollar budget deficits.\u003c/p>\n\u003cp>In 2022, months after the U.S. Supreme Court overturned Roe v. Wade, California launched a \u003ca href=\"https://apnews.com/article/abortion-travel-health-gavin-newsom-state-budgets-98f36da0cf3219d01e4564ba61a0a6fb\">publicly-funded website\u003c/a> to promote the state’s abortion services, including information about financial help for travel expenses and letting teenagers in other states know that California does not require them to have their parents’ permission to get an abortion in the state.\u003c/p>\n\u003cp>It has also become a chief talking point in Newsom’s role as a top surrogate for President Joe Biden’s reelection campaign. Using money left over from his 2022 reelection campaign, Newsom started a political action committee he calls the “ \u003ca href=\"https://apnews.com/article/california-governor-newsom-president-democrats-2024-843877ca6aca701a5a68b8cb022203a2\">Campaign for Democracy\u003c/a> ” that has paid for billboards and TV ads in Republican-led states to criticize their leaders’ attempts to outlaw or restrict access to abortions. In February, he launched \u003ca href=\"https://apnews.com/article/california-governor-newsom-abortion-politics-travel-67ac67b4fed8434c5908ae89ca2a01f9\">ads in multiple states\u003c/a> to criticize proposals there that aimed to prohibit out-of-state travel for abortions.\u003c/p>\n\u003cp>When an Alabama lawmaker introduced a bill to make it a crime to help someone under 18 get an abortion without telling their parents or guardians, Newsom paid for an ad depicting a young woman trying to leave the state only to be stopped by a police officer who demands that she take a pregnancy test.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Associated Press writer Adam Beam contributed to this report.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11983956/newsom-proposes-law-to-let-arizona-doctors-come-to-california-to-perform-abortions","authors":["byline_news_11983956"],"categories":["news_8"],"tags":["news_866","news_30251","news_22880","news_21477","news_18543"],"featImg":"news_11983961","label":"news"},"news_11983217":{"type":"posts","id":"news_11983217","meta":{"index":"posts_1591205157","site":"news","id":"11983217","score":null,"sort":[1713380414000]},"guestAuthors":[],"slug":"why-nearly-50-california-hospitals-were-forced-to-end-maternity-ward-services","title":"Why Nearly 50 California Hospitals Were Forced to End Maternity Ward Services","publishDate":1713380414,"format":"standard","headTitle":"Why Nearly 50 California Hospitals Were Forced to End Maternity Ward Services | KQED","labelTerm":{"term":18481,"site":"news"},"content":"\u003cp>In just the first few months of 2024, four California hospitals have closed or announced plans to close their maternity wards.\u003c/p>\n\u003cp>The closures are part of an accelerating trend unfolding across the state, creating maternity care deserts and decreasing access to prenatal care. In the past three years, 29 hospitals stopped delivering babies, according to a \u003ca href=\"https://calmatters.org/health/2023/11/california-hospitals-close-maternity-wards/\">CalMatters investigation on maternity ward closures\u003c/a>. Nearly 50 obstetrics departments have closed over the past decade.\u003c/p>\n\u003cp>Now, California lawmakers are trying to slow the trend.\u003c/p>\n\u003cp>Assemblymember \u003ca href=\"https://digitaldemocracy.calmatters.org/legislators/akilah-weber-165432\">Akilah Weber\u003c/a> and Sen. \u003ca href=\"https://digitaldemocracy.calmatters.org/legislators/dave-cortese-164699\">Dave Cortese\u003c/a> are pursuing legislation to increase transparency around planned maternity ward closures, potentially giving counties and the state time to intervene.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Weber, a Democrat from La Mesa, wants hospitals to notify the state a year in advance if labor and delivery services are at risk of ending. The measure would also require the state to conduct a community impact report when a hospital indicates that it may lose maternity care.\u003c/p>\n\u003cp>Cortese, a Democrat from Campbell, wants to increase the public notification requirement of an impending closure from 90 days to 120 days and require the hospital to analyze how a closure could increase costs for the county health system, where the next-closest maternity wards are located and who is most likely to be affected.\u003c/p>\n\u003cp>Cortese’s bill would also require increased notification for planned closures of inpatient psychiatric services.\u003c/p>\n\u003cp>“We cannot continue to just discuss these issues and not implement policies to prevent or mitigate the harms and the continued disparities,” Weber said during an Assembly Health Committee hearing on Tuesday.\u003c/p>\n\u003cp>Groups representing doctors and reproductive health advocates support the measure. Nurses and consumer health advocates support Cortese’s bill.\u003c/p>\n\u003ch2>Why are California maternity wards closing?\u003c/h2>\n\u003cp>Ryan Spencer, a lobbyist for the regional chapter of the American College of Obstetricians and Gynecologists who testified in support of Weber’s measure, said there are often situations during birth where “every minute can be the difference between life and death.”\u003c/p>\n\u003cp>“What if you are a patient like this and literally had nowhere to go, who had to drive hours upon hours to get care? We have to find a way to end this crisis,” Spencer said during his testimony.[aside postID=news_11968835 hero='https://ww2.kqed.org/app/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-021-JY-qut-1020x680.jpg']Maternity wards are closing for several reasons, according to hospital administrators. They cite labor shortages, increasing costs, low reimbursements and declining birth rates.\u003c/p>\n\u003cp>The California Hospital Association opposes Cortese’s bill and has registered “concerns” about Weber’s. The group argues that neither bill will address the underlying reasons for maternity ward closures and may cause hospitals to terminate services sooner as employees leave and patients look elsewhere for care, said Kirsten Barlow, vice president of policy with the hospital association, during a Senate hearing earlier this month.\u003c/p>\n\u003cp>Current law requires hospitals to notify the public 90 days before a proposed service cut but doesn’t require the state to receive additional notification. Weber said that 90 days is “clearly not sufficient for the state to be able to intervene.”\u003c/p>\n\u003ch2>Maternity care deserts emerge\u003c/h2>\n\u003cp>CalMatters found that 12 counties have no hospital delivering babies, including Madera County, where the sudden closure of the county’s only hospital in 2022 spurred a flurry of emergency legislation supporting \u003ca href=\"https://calmatters.org/health/2023/08/california-hospitals-bailout-loans/\">distressed hospitals\u003c/a>.\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/health/2024/02/madera-hospital-reopen/\">Madera Community Hospital\u003c/a> is now on track to reopen but without a maternity ward. The company reopening the hospital, American Advanced Management, has indicated that low insurance reimbursement rates factored into its decision to open without labor and delivery.[aside postID=news_11976372 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/010423-MaderaCommunityHospital-LV_CM_07-copy-1020x680.jpg']“Reopening maternity would be like reopening two hospitals at the same time,” Matthew Beehler, chief strategy officer at American Advanced Management, previously told CalMatters.\u003c/p>\n\u003cp>Still, the bill authors and advocates are adamant that access to maternity care is a necessity. National studies indicate that \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5885848/\">rates of preterm birth increase,\u003c/a> and \u003ca href=\"https://corey-white.com/assets/docs/frw_reduced_form_manuscript_AEJ_R1.pdf\">women receive less prenatal care\u003c/a> when labor and delivery units shut down, particularly in rural areas. CalMatters found that maternity closures in California disproportionately impact low-income and Latino communities.\u003c/p>\n\u003cp>“This is really a very simple bill. It doesn’t do much. It creates a public hearing opportunity at the local level to deal with issues that are …absolutely vital to the survival of our constituents,” Cortese said during a Senate Health Committee hearing on his measure.\u003c/p>\n\u003cp>\u003c/p>\n","blocks":[],"excerpt":"Two California lawmakers introduced bills intended to slow maternity ward closures after an investigation found nearly 50 hospitals had ended labor and delivery services between 2012 and 2023.","status":"publish","parent":0,"modified":1713380834,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":19,"wordCount":778},"headData":{"title":"Why Nearly 50 California Hospitals Were Forced to End Maternity Ward Services | KQED","description":"Two California lawmakers introduced bills intended to slow maternity ward closures after an investigation found nearly 50 hospitals had ended labor and delivery services between 2012 and 2023.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Why Nearly 50 California Hospitals Were Forced to End Maternity Ward Services","datePublished":"2024-04-17T19:00:14.000Z","dateModified":"2024-04-17T19:07:14.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"sticky":false,"nprByline":"Kristen Hwang, CalMatters","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11983217/why-nearly-50-california-hospitals-were-forced-to-end-maternity-ward-services","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>In just the first few months of 2024, four California hospitals have closed or announced plans to close their maternity wards.\u003c/p>\n\u003cp>The closures are part of an accelerating trend unfolding across the state, creating maternity care deserts and decreasing access to prenatal care. In the past three years, 29 hospitals stopped delivering babies, according to a \u003ca href=\"https://calmatters.org/health/2023/11/california-hospitals-close-maternity-wards/\">CalMatters investigation on maternity ward closures\u003c/a>. Nearly 50 obstetrics departments have closed over the past decade.\u003c/p>\n\u003cp>Now, California lawmakers are trying to slow the trend.\u003c/p>\n\u003cp>Assemblymember \u003ca href=\"https://digitaldemocracy.calmatters.org/legislators/akilah-weber-165432\">Akilah Weber\u003c/a> and Sen. \u003ca href=\"https://digitaldemocracy.calmatters.org/legislators/dave-cortese-164699\">Dave Cortese\u003c/a> are pursuing legislation to increase transparency around planned maternity ward closures, potentially giving counties and the state time to intervene.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Weber, a Democrat from La Mesa, wants hospitals to notify the state a year in advance if labor and delivery services are at risk of ending. The measure would also require the state to conduct a community impact report when a hospital indicates that it may lose maternity care.\u003c/p>\n\u003cp>Cortese, a Democrat from Campbell, wants to increase the public notification requirement of an impending closure from 90 days to 120 days and require the hospital to analyze how a closure could increase costs for the county health system, where the next-closest maternity wards are located and who is most likely to be affected.\u003c/p>\n\u003cp>Cortese’s bill would also require increased notification for planned closures of inpatient psychiatric services.\u003c/p>\n\u003cp>“We cannot continue to just discuss these issues and not implement policies to prevent or mitigate the harms and the continued disparities,” Weber said during an Assembly Health Committee hearing on Tuesday.\u003c/p>\n\u003cp>Groups representing doctors and reproductive health advocates support the measure. Nurses and consumer health advocates support Cortese’s bill.\u003c/p>\n\u003ch2>Why are California maternity wards closing?\u003c/h2>\n\u003cp>Ryan Spencer, a lobbyist for the regional chapter of the American College of Obstetricians and Gynecologists who testified in support of Weber’s measure, said there are often situations during birth where “every minute can be the difference between life and death.”\u003c/p>\n\u003cp>“What if you are a patient like this and literally had nowhere to go, who had to drive hours upon hours to get care? We have to find a way to end this crisis,” Spencer said during his testimony.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11968835","hero":"https://ww2.kqed.org/app/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-021-JY-qut-1020x680.jpg","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Maternity wards are closing for several reasons, according to hospital administrators. They cite labor shortages, increasing costs, low reimbursements and declining birth rates.\u003c/p>\n\u003cp>The California Hospital Association opposes Cortese’s bill and has registered “concerns” about Weber’s. The group argues that neither bill will address the underlying reasons for maternity ward closures and may cause hospitals to terminate services sooner as employees leave and patients look elsewhere for care, said Kirsten Barlow, vice president of policy with the hospital association, during a Senate hearing earlier this month.\u003c/p>\n\u003cp>Current law requires hospitals to notify the public 90 days before a proposed service cut but doesn’t require the state to receive additional notification. Weber said that 90 days is “clearly not sufficient for the state to be able to intervene.”\u003c/p>\n\u003ch2>Maternity care deserts emerge\u003c/h2>\n\u003cp>CalMatters found that 12 counties have no hospital delivering babies, including Madera County, where the sudden closure of the county’s only hospital in 2022 spurred a flurry of emergency legislation supporting \u003ca href=\"https://calmatters.org/health/2023/08/california-hospitals-bailout-loans/\">distressed hospitals\u003c/a>.\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/health/2024/02/madera-hospital-reopen/\">Madera Community Hospital\u003c/a> is now on track to reopen but without a maternity ward. The company reopening the hospital, American Advanced Management, has indicated that low insurance reimbursement rates factored into its decision to open without labor and delivery.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11976372","hero":"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/010423-MaderaCommunityHospital-LV_CM_07-copy-1020x680.jpg","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>“Reopening maternity would be like reopening two hospitals at the same time,” Matthew Beehler, chief strategy officer at American Advanced Management, previously told CalMatters.\u003c/p>\n\u003cp>Still, the bill authors and advocates are adamant that access to maternity care is a necessity. National studies indicate that \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5885848/\">rates of preterm birth increase,\u003c/a> and \u003ca href=\"https://corey-white.com/assets/docs/frw_reduced_form_manuscript_AEJ_R1.pdf\">women receive less prenatal care\u003c/a> when labor and delivery units shut down, particularly in rural areas. CalMatters found that maternity closures in California disproportionately impact low-income and Latino communities.\u003c/p>\n\u003cp>“This is really a very simple bill. It doesn’t do much. It creates a public hearing opportunity at the local level to deal with issues that are …absolutely vital to the survival of our constituents,” Cortese said during a Senate Health Committee hearing on his measure.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11983217/why-nearly-50-california-hospitals-were-forced-to-end-maternity-ward-services","authors":["byline_news_11983217"],"categories":["news_457","news_8"],"tags":["news_18538","news_18543","news_18659","news_33578","news_21771","news_33583"],"affiliates":["news_18481"],"featImg":"news_11983218","label":"news_18481"},"news_11982828":{"type":"posts","id":"news_11982828","meta":{"index":"posts_1591205157","site":"news","id":"11982828","score":null,"sort":[1713178825000]},"guestAuthors":[],"slug":"forced-sterilization-survivors-undertake-own-healing-after-feeling-silenced-again-by-state","title":"Forced Sterilization Survivors Undertake Own Healing After Feeling 'Silenced Again' by State","publishDate":1713178825,"format":"standard","headTitle":"Forced Sterilization Survivors Undertake Own Healing After Feeling ‘Silenced Again’ by State | KQED","labelTerm":{"site":"news"},"content":"\u003cp>[dropcap]O[/dropcap]ne morning last spring, Moonlight Pulido called on rituals drawn from her Native American spirituality to confront a painful experience.\u003c/p>\n\u003cp>She stepped outside of her home in Carson, California, and lit a bundle of white sage that she keeps in an abalone shell by the back door. Pulido, who is Apache, fanned the smoke around her with a feather.\u003c/p>\n\u003cp>She was preparing to make quilt squares for a project to honor people who were \u003ca href=\"https://www.kqed.org/news/11965926/survivors-of-californias-forced-sterilization-denied-reparations\">forcibly sterilized at state prisons in California\u003c/a>. A survivor herself, she said she was searching for a way to release the hurt and heartache.\u003c/p>\n\u003cp>In 2005, while she was incarcerated at Valley State Prison in California’s Central Valley, a doctor ordered a hysterectomy without her consent.\u003c/p>\n\u003cp>“This guy really thought that he could play God and decide who was worthy and who wasn’t,” Pulido said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Pulido, 59, was released in 2022. She spends her days caring for her mother, who has dementia. She also works in her stepfather’s appliance repair shop and volunteers with advocacy organizations.\u003c/p>\n\u003cp>In February 2023, she learned that one of the organizations she volunteers for, the California Coalition for Women Prisoners, or CCWP, was organizing a memorial quilt for prison sterilization survivors. She said it was an opportunity to let go of her animosity.\u003c/p>\n\u003cp>“Even though he took something that I can never get back, my spirit still felt free to heal and move on,” Pulido said.\u003c/p>\n\u003cp>Advocates and survivors say the quilt is a response to widespread disappointment over California’s implementation of a 2021 reparations law intended to make amends for a shameful chapter of the state’s history. The historic legislation allocated $4.5 million in reparative compensation to survivors who were forcibly sterilized in state prisons, state-run hospitals, homes and institutions.\u003c/p>\n\u003cp>Pulido is one of 573 people who applied. Her application was approved, and she received $35,000. However, as of March 5, just 115 applicants had been approved. The two-year program has been criticized by dozens of advocates, including CCWP and even those who drafted the bill, because of the interpretation of the reparations law. Roughly 70% of applicants were rejected.\u003c/p>\n\u003cp>[aside postID=news_11965926]The law also distributed $1 million between three state agencies to commission memorials that mark the harm caused by forced or involuntary sterilizations. The process required consultation with survivors and advocates. However, a review of the state’s memorialization efforts by UC Berkeley’s Investigative Reporting Program and KQED revealed that after making minimal progress in its first year the state rewrote its contracts to eliminate community engagement requirements that it had apparently failed to meet.\u003c/p>\n\u003cp>This story’s reporting is based on multiple public records requests, more than 600 pages of documents, and interviews with lawmakers, public officials and prison representatives. In interviews, advocates and survivors told KQED they feel excluded and disrespected.\u003c/p>\n\u003cp>“[The memorialization process] echoes what we saw across the whole program, which was a following of the letter of the law and not the spirit of the law,” said Jennifer James, an associate professor of sociology at UCSF and member of CCWP.\u003c/p>\n\u003ch2>‘Revictimized and silenced again’\u003c/h2>\n\u003cp>The memorial funding went to the three state agencies that allowed the forced sterilizations to occur: the California Department of Corrections and Rehabilitation, the California Department of State Hospitals and the California Department of Developmental Services. The agencies were charged with leading a collaborative memorialization process that would “acknowledge the wrongful sterilization of thousands of vulnerable people,” according to the legislation.\u003c/p>\n\u003cp>In their 2022 contracts with the California Victim Compensation Board, which oversees the reparations program, the state agencies were required to hold regular meetings, submit quarterly progress reports and create project teams that included survivors and advocates. Roughly one year later, the agencies had not fulfilled any of those requirements.\u003c/p>\n\u003cp>Instead of being held accountable by the compensation board, the agency’s contracts with the compensation board were rewritten.\u003c/p>\n\u003cp>The revised contracts reduced opportunities for community participation and transparency, according to KQED’s analysis of the original and revised contracts. For example, the requirement for agencies, survivors and advocates to meet “weekly or monthly to discuss and finalize the design, location and language that will appear on the markers or plaques” was deleted, as was the stipulation for agencies to provide quarterly reports.\u003c/p>\n\u003cp>When asked about the changes to the memorialization contracts, the compensation board said in a statement that “the contracts were amended to better reflect the roles and responsibilities of each department as described in state law. CalVCB’s statutory role is strictly fiduciary.”\u003c/p>\n\u003cp>Additionally, the funds originally earmarked for memorials have been almost cut in half to $550,000. It’s unclear how any unspent money will be used.\u003c/p>\n\u003cp>The state allocated $7.5 million to the two-year program, with $4.5 million earmarked for compensation, $1 million for memorialization and $2 million for program administration and outreach. Each individual whose application is approved receives $15,000. A second and final payment of $20,000, \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240SB143\">signed into law by Gov. Gavin Newsom\u003c/a> in September 2023, will be processed by October. Up to $1 million of any remaining compensation funds could be extended for survivors if legislation is passed in the next few years.\u003c/p>\n\u003cp>When reparations advocates passed the legislation, they envisioned a collaborative and reparative process with the state where survivors, activists and community members could shape a memorial using the artists and materials they selected. Now advocates and survivors like Kelli Dillon, an advisor of the reparations bill, say they feel cheated.\u003c/p>\n\u003cp>“We thought we were going to be in partnership [with these agencies], and we were totally revictimized and silenced again,” said Dillon, who was coercively sterilized in 2001 at Central California Women’s Facility and was approved for reparations.\u003c/p>\n\u003cfigure id=\"attachment_11976953\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11976953\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240222-REPARATIONS-QUILT-KSM-07-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240222-REPARATIONS-QUILT-KSM-07-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240222-REPARATIONS-QUILT-KSM-07-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240222-REPARATIONS-QUILT-KSM-07-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240222-REPARATIONS-QUILT-KSM-07-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240222-REPARATIONS-QUILT-KSM-07-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240222-REPARATIONS-QUILT-KSM-07-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">After feeling dismissed by the state, forced sterilization survivors and advocates created their own memorialization project: a quilt centered around a theme of healing and growth. \u003ccite>(Kathryn Styer Martínez/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Records show that CDCR contracted Boules Consulting in July 2022 at $100 an hour to facilitate 30 hours of meetings between the agencies and the community, but only one meeting was held. Three days before it took place, the compensation board invited the eight survivors whose applications had been approved.\u003c/p>\n\u003cp>The meeting was a critical turning point. There was a tense back and forth between agency representatives and advocates, who shut down the meeting because only two survivors could attend on such short notice. A survivor-centered memorialization process, advocates argued, was contingent on meaningful outreach, opportunities for participation, inclusivity and accessibility.\u003c/p>\n\u003cp>Agency representatives postponed the meeting so more survivors could attend. Instead, according to records obtained through a public records request, CDCR’s Chief of Legislative Affairs, Sydney Tanimoto, emailed Boules Consulting to say there had been a “change of plans.” CDCR would move to a survey format instead of virtual meetings.\u003c/p>\n\u003cp>“The Administration pivoted to a survey model to address accessibility concerns raised by stakeholders as part of the initial stakeholder meeting,” Terri Hardy, a CDCR press secretary, said in a statement to KQED.\u003c/p>\n\u003cp>Survivors and advocates were deeply troubled by the decision.\u003c/p>\n\u003cp>“It could have been a historic moment where people who were greatly harmed could have gained a form of reparation through the process and that was lost,” said Cynthia Chandler, an attorney in Alameda County District Attorney Pamela Price’s office who helped draft the reparations law. “That can’t possibly happen through a survey.”\u003c/p>\n\u003cp>A short questionnaire was sent to a dozen advocates and survivors to assess their visual, auditory and language needs to participate in the survey process. Advocates with expertise in disability rights who had attended the meeting were not consulted, according to Silvia Yee, public policy director at Disability Rights Education and Defense Fund.\u003c/p>\n\u003cp>The first survey related to the design, location and language of the memorials was sent to 24 survivors whose applications had been approved. Based on six responses, the consultant wrote a final recommendation report suggesting the memorial be placed in front of the state capital and CDCR headquarters. A second survey, related to the language for the memorials was sent nearly five months later to 94 survivors. About a third responded.\u003c/p>\n\u003cp>Now, agencies say that they plan to install plaques, benches and gazebos at nine facilities where the sterilizations took place. As of March 26, the agencies had spent roughly $170,000. By the end of its contract, Boules Consulting had charged CDCR $9,900 for the work.\u003c/p>\n\u003cp>In response to KQED’s findings, the four state agencies sent a joint statement, saying that they “have worked together in partnership to meet and surpass the requirements established in the legislation.”\u003c/p>\n\u003cp>“All four departments recognized stakeholder input was a critical part of the process,” the statement continued. “Each department worked with CalVCB to actively engage in outreach efforts by using information collected and conducting targeted searches in hopes of reaching more survivors.”\u003c/p>\n\u003cp>Pulido said she never received a survey.\u003c/p>\n\u003cp>“It feels cold,” she said. “We should have been asked what kind of memorial we wanted.”\u003c/p>\n\u003cp>She said that if she had been asked, she would have replied that she’d like the memorial plaque to carry her name.\u003c/p>\n\u003cp>“I want them to know that I was victimized,” she said. “Remember me. Remember my fight and what I went through.”\u003c/p>\n\u003cp>Survivors of prison sterilization aren’t the only ones frustrated by the state’s memorialization efforts. Between 1909 and 1979, at least 20,000 Californians — disproportionately women and racial minorities — were forcibly sterilized while at state-run homes and hospitals.\u003c/p>\n\u003cp>The state’s memorialization plans don’t include any markers at Pacific Colony, a former state hospital. This upsets Stacy Cordova, whose great-aunt, Mary Franco, was sterilized when she was 13 at Pacific Colony in 1934. Franco had been institutionalized after being molested by a neighbor. She was labeled a “sex delinquent” and “low moron,” according to facility records reviewed by KQED.\u003c/p>\n\u003cp>Cordova said she never received a survey. “Why have I never been contacted?” she said. “It really makes me sad that this promise has gone unfulfilled.”\u003c/p>\n\u003cfigure id=\"attachment_11981912\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11981912\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240404-FORCED-STERILIZATION-STACY_04-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240404-FORCED-STERILIZATION-STACY_04-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240404-FORCED-STERILIZATION-STACY_04-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240404-FORCED-STERILIZATION-STACY_04-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240404-FORCED-STERILIZATION-STACY_04-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240404-FORCED-STERILIZATION-STACY_04-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240404-FORCED-STERILIZATION-STACY_04-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Stacy Cordova, at her home in Azusa on Feb. 11, 2024, looks through records from Pacific Colony, where her great-aunt was forcibly sterilized in 1934 when she was 13. \u003ccite>(Cayla Mihalovich for KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Cordova, a special education teacher who lives in Azusa, made her own memorial. She created a historical radio project titled “\u003ca href=\"http://www.americanhistoryeugenix.com/\">American History EugeniX\u003c/a>” to be used as a curriculum in high school and college classes. She will share the histories of people who were sterilized in the 1920s and 1930s based on eugenics records she found in the California State Archives. She hopes to launch the project this month.\u003c/p>\n\u003ch2>‘You have to gather stories’\u003c/h2>\n\u003cp>After the reparations law was passed, advocates and researchers tried to guard against the exclusion many now feel. They prepared a guidance document for the state agencies to follow as memorials were created, noting that including community input, specifically from survivors and their descendants, was crucial to the process.\u003c/p>\n\u003cp>An omission of survivor input, the document stated, “conveys not only an ugly message about state power, but ultimately will constitute a failure of contemporary agencies to properly acknowledge their role in past wrongs and harms.”\u003c/p>\n\u003cp>The document provided examples of memorialization projects from around the world, which are seen as successful because survivors were “active partners in the conceptualization and placement.” Advocates pointed to Los Angeles General Medical Center’s “Sobrevivir,” which recognizes hundreds of survivors who were forcibly sterilized at the hospital during the 1960s and 1970s.\u003c/p>\n\u003cp>Artist Phung Huynh made “Sobrevivir,” a monument with roses and praying hands etched into steel, with a budget of roughly $100,000. The flat disk is in the medical center’s courtyard. Huynh said she spent a year gathering input on what her piece should look like through open forums and correspondence with descendants of survivors and activists.\u003c/p>\n\u003cp>“You have to gather stories, be sensitive and thoughtful because it’s going to live in the community that it’s serving,” Huynh said of public art. “They have to feel like it represents who they are and the specific history that we’re trying to remember.”\u003c/p>\n\u003cp>[aside label='More Reparations Stories' postID=news_11981271,news_11975584,news_11961026]Alexandra Minna Stern, a UCLA humanities professor and the founder of the Sterilization and Social Justice Lab, helped draft the guidance document. She said the state has failed to engage survivors. Her lab has consulted on numerous memorialization efforts for survivors of eugenics-era sterilizations, including in Indiana and North Carolina.\u003c/p>\n\u003cp>“It’s frustrating to me that the state has taken over the memorialization efforts and turned it into plaques that will be [inscribed] with language they wrote and the coalition responded to,” Stern said. “Memorialization should be more than just plaques.”\u003c/p>\n\u003cp>After feeling dismissed by the state, survivors and advocates with CCWP met in January 2023 to discuss ideas for creating their own memorialization project. They landed on a memorial quilt centered around a theme of healing and growth.\u003c/p>\n\u003cp>“We are upset and angry,” said Diana Block, an advocate at CCWP. “But we chose to put our energy into developing something positive.”\u003c/p>\n\u003cp>They spent a year collecting handmade quilt squares from over 100 survivors and their supporters. Some advocates hosted quilt-making parties. Others who are currently incarcerated crocheted squares of their own.\u003c/p>\n\u003cp>Pulido sent her squares to Linda Evans, a formerly incarcerated quiltmaker and CCWP member, who assembled the 5-foot-long, 20-block quilt. It is bordered by red fabric and features images such as a lopsided heart, a peace sign and butterflies that envelop words like “hope” and “lies.”\u003c/p>\n\u003cp>The remaining squares will be assembled into an afghan by Chyrl Lamar, a formerly incarcerated CCWP member.\u003c/p>\n\u003cp>This spring, survivors and advocates of CCWP hope to bring the completed memorial quilt, called “Together We Rise, Together We Heal,” to the Central California Women’s Facility in Chowchilla, California, where many of the illegal sterilizations occurred. From there, the community-led memorial will travel around the country to libraries, prisons, museums and state capitals to serve as a centerpiece for education and conversation.\u003c/p>\n\u003cp>“History disappears,” Evans said. “If we don’t capture it and keep it in the present, we have a real danger of repeating terrible things that happened in the past.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Cayla Mihalovich is a reporter with the Investigative Reporting Program at the UC Berkeley Graduate School of Journalism.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"A law required California to involve survivors in memorializing the state's history of forced sterilization. Survivors say that didn’t happen — so they undertook their own project of healing.","status":"publish","parent":0,"modified":1713120512,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":58,"wordCount":2523},"headData":{"title":"Forced Sterilization Survivors Undertake Own Healing After Feeling 'Silenced Again' by State | KQED","description":"A law required California to involve survivors in memorializing the state's history of forced sterilization. Survivors say that didn’t happen — so they undertook their own project of healing.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Forced Sterilization Survivors Undertake Own Healing After Feeling 'Silenced Again' by State","datePublished":"2024-04-15T11:00:25.000Z","dateModified":"2024-04-14T18:48:32.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"sticky":false,"nprByline":"Cayla Mihalovich","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11982828/forced-sterilization-survivors-undertake-own-healing-after-feeling-silenced-again-by-state","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003c/p>\u003cp>\u003cspan class=\"utils-parseShortcode-shortcodes-__dropcapShortcode__dropcap\">O\u003c/span>\u003c/p>\u003cp>ne morning last spring, Moonlight Pulido called on rituals drawn from her Native American spirituality to confront a painful experience.\u003c/p>\n\u003cp>She stepped outside of her home in Carson, California, and lit a bundle of white sage that she keeps in an abalone shell by the back door. Pulido, who is Apache, fanned the smoke around her with a feather.\u003c/p>\n\u003cp>She was preparing to make quilt squares for a project to honor people who were \u003ca href=\"https://www.kqed.org/news/11965926/survivors-of-californias-forced-sterilization-denied-reparations\">forcibly sterilized at state prisons in California\u003c/a>. A survivor herself, she said she was searching for a way to release the hurt and heartache.\u003c/p>\n\u003cp>In 2005, while she was incarcerated at Valley State Prison in California’s Central Valley, a doctor ordered a hysterectomy without her consent.\u003c/p>\n\u003cp>“This guy really thought that he could play God and decide who was worthy and who wasn’t,” Pulido said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Pulido, 59, was released in 2022. She spends her days caring for her mother, who has dementia. She also works in her stepfather’s appliance repair shop and volunteers with advocacy organizations.\u003c/p>\n\u003cp>In February 2023, she learned that one of the organizations she volunteers for, the California Coalition for Women Prisoners, or CCWP, was organizing a memorial quilt for prison sterilization survivors. She said it was an opportunity to let go of her animosity.\u003c/p>\n\u003cp>“Even though he took something that I can never get back, my spirit still felt free to heal and move on,” Pulido said.\u003c/p>\n\u003cp>Advocates and survivors say the quilt is a response to widespread disappointment over California’s implementation of a 2021 reparations law intended to make amends for a shameful chapter of the state’s history. The historic legislation allocated $4.5 million in reparative compensation to survivors who were forcibly sterilized in state prisons, state-run hospitals, homes and institutions.\u003c/p>\n\u003cp>Pulido is one of 573 people who applied. Her application was approved, and she received $35,000. However, as of March 5, just 115 applicants had been approved. The two-year program has been criticized by dozens of advocates, including CCWP and even those who drafted the bill, because of the interpretation of the reparations law. Roughly 70% of applicants were rejected.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11965926","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>The law also distributed $1 million between three state agencies to commission memorials that mark the harm caused by forced or involuntary sterilizations. The process required consultation with survivors and advocates. However, a review of the state’s memorialization efforts by UC Berkeley’s Investigative Reporting Program and KQED revealed that after making minimal progress in its first year the state rewrote its contracts to eliminate community engagement requirements that it had apparently failed to meet.\u003c/p>\n\u003cp>This story’s reporting is based on multiple public records requests, more than 600 pages of documents, and interviews with lawmakers, public officials and prison representatives. In interviews, advocates and survivors told KQED they feel excluded and disrespected.\u003c/p>\n\u003cp>“[The memorialization process] echoes what we saw across the whole program, which was a following of the letter of the law and not the spirit of the law,” said Jennifer James, an associate professor of sociology at UCSF and member of CCWP.\u003c/p>\n\u003ch2>‘Revictimized and silenced again’\u003c/h2>\n\u003cp>The memorial funding went to the three state agencies that allowed the forced sterilizations to occur: the California Department of Corrections and Rehabilitation, the California Department of State Hospitals and the California Department of Developmental Services. The agencies were charged with leading a collaborative memorialization process that would “acknowledge the wrongful sterilization of thousands of vulnerable people,” according to the legislation.\u003c/p>\n\u003cp>In their 2022 contracts with the California Victim Compensation Board, which oversees the reparations program, the state agencies were required to hold regular meetings, submit quarterly progress reports and create project teams that included survivors and advocates. Roughly one year later, the agencies had not fulfilled any of those requirements.\u003c/p>\n\u003cp>Instead of being held accountable by the compensation board, the agency’s contracts with the compensation board were rewritten.\u003c/p>\n\u003cp>The revised contracts reduced opportunities for community participation and transparency, according to KQED’s analysis of the original and revised contracts. For example, the requirement for agencies, survivors and advocates to meet “weekly or monthly to discuss and finalize the design, location and language that will appear on the markers or plaques” was deleted, as was the stipulation for agencies to provide quarterly reports.\u003c/p>\n\u003cp>When asked about the changes to the memorialization contracts, the compensation board said in a statement that “the contracts were amended to better reflect the roles and responsibilities of each department as described in state law. CalVCB’s statutory role is strictly fiduciary.”\u003c/p>\n\u003cp>Additionally, the funds originally earmarked for memorials have been almost cut in half to $550,000. It’s unclear how any unspent money will be used.\u003c/p>\n\u003cp>The state allocated $7.5 million to the two-year program, with $4.5 million earmarked for compensation, $1 million for memorialization and $2 million for program administration and outreach. Each individual whose application is approved receives $15,000. A second and final payment of $20,000, \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240SB143\">signed into law by Gov. Gavin Newsom\u003c/a> in September 2023, will be processed by October. Up to $1 million of any remaining compensation funds could be extended for survivors if legislation is passed in the next few years.\u003c/p>\n\u003cp>When reparations advocates passed the legislation, they envisioned a collaborative and reparative process with the state where survivors, activists and community members could shape a memorial using the artists and materials they selected. Now advocates and survivors like Kelli Dillon, an advisor of the reparations bill, say they feel cheated.\u003c/p>\n\u003cp>“We thought we were going to be in partnership [with these agencies], and we were totally revictimized and silenced again,” said Dillon, who was coercively sterilized in 2001 at Central California Women’s Facility and was approved for reparations.\u003c/p>\n\u003cfigure id=\"attachment_11976953\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11976953\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240222-REPARATIONS-QUILT-KSM-07-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240222-REPARATIONS-QUILT-KSM-07-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240222-REPARATIONS-QUILT-KSM-07-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240222-REPARATIONS-QUILT-KSM-07-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240222-REPARATIONS-QUILT-KSM-07-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240222-REPARATIONS-QUILT-KSM-07-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240222-REPARATIONS-QUILT-KSM-07-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">After feeling dismissed by the state, forced sterilization survivors and advocates created their own memorialization project: a quilt centered around a theme of healing and growth. \u003ccite>(Kathryn Styer Martínez/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Records show that CDCR contracted Boules Consulting in July 2022 at $100 an hour to facilitate 30 hours of meetings between the agencies and the community, but only one meeting was held. Three days before it took place, the compensation board invited the eight survivors whose applications had been approved.\u003c/p>\n\u003cp>The meeting was a critical turning point. There was a tense back and forth between agency representatives and advocates, who shut down the meeting because only two survivors could attend on such short notice. A survivor-centered memorialization process, advocates argued, was contingent on meaningful outreach, opportunities for participation, inclusivity and accessibility.\u003c/p>\n\u003cp>Agency representatives postponed the meeting so more survivors could attend. Instead, according to records obtained through a public records request, CDCR’s Chief of Legislative Affairs, Sydney Tanimoto, emailed Boules Consulting to say there had been a “change of plans.” CDCR would move to a survey format instead of virtual meetings.\u003c/p>\n\u003cp>“The Administration pivoted to a survey model to address accessibility concerns raised by stakeholders as part of the initial stakeholder meeting,” Terri Hardy, a CDCR press secretary, said in a statement to KQED.\u003c/p>\n\u003cp>Survivors and advocates were deeply troubled by the decision.\u003c/p>\n\u003cp>“It could have been a historic moment where people who were greatly harmed could have gained a form of reparation through the process and that was lost,” said Cynthia Chandler, an attorney in Alameda County District Attorney Pamela Price’s office who helped draft the reparations law. “That can’t possibly happen through a survey.”\u003c/p>\n\u003cp>A short questionnaire was sent to a dozen advocates and survivors to assess their visual, auditory and language needs to participate in the survey process. Advocates with expertise in disability rights who had attended the meeting were not consulted, according to Silvia Yee, public policy director at Disability Rights Education and Defense Fund.\u003c/p>\n\u003cp>The first survey related to the design, location and language of the memorials was sent to 24 survivors whose applications had been approved. Based on six responses, the consultant wrote a final recommendation report suggesting the memorial be placed in front of the state capital and CDCR headquarters. A second survey, related to the language for the memorials was sent nearly five months later to 94 survivors. About a third responded.\u003c/p>\n\u003cp>Now, agencies say that they plan to install plaques, benches and gazebos at nine facilities where the sterilizations took place. As of March 26, the agencies had spent roughly $170,000. By the end of its contract, Boules Consulting had charged CDCR $9,900 for the work.\u003c/p>\n\u003cp>In response to KQED’s findings, the four state agencies sent a joint statement, saying that they “have worked together in partnership to meet and surpass the requirements established in the legislation.”\u003c/p>\n\u003cp>“All four departments recognized stakeholder input was a critical part of the process,” the statement continued. “Each department worked with CalVCB to actively engage in outreach efforts by using information collected and conducting targeted searches in hopes of reaching more survivors.”\u003c/p>\n\u003cp>Pulido said she never received a survey.\u003c/p>\n\u003cp>“It feels cold,” she said. “We should have been asked what kind of memorial we wanted.”\u003c/p>\n\u003cp>She said that if she had been asked, she would have replied that she’d like the memorial plaque to carry her name.\u003c/p>\n\u003cp>“I want them to know that I was victimized,” she said. “Remember me. Remember my fight and what I went through.”\u003c/p>\n\u003cp>Survivors of prison sterilization aren’t the only ones frustrated by the state’s memorialization efforts. Between 1909 and 1979, at least 20,000 Californians — disproportionately women and racial minorities — were forcibly sterilized while at state-run homes and hospitals.\u003c/p>\n\u003cp>The state’s memorialization plans don’t include any markers at Pacific Colony, a former state hospital. This upsets Stacy Cordova, whose great-aunt, Mary Franco, was sterilized when she was 13 at Pacific Colony in 1934. Franco had been institutionalized after being molested by a neighbor. She was labeled a “sex delinquent” and “low moron,” according to facility records reviewed by KQED.\u003c/p>\n\u003cp>Cordova said she never received a survey. “Why have I never been contacted?” she said. “It really makes me sad that this promise has gone unfulfilled.”\u003c/p>\n\u003cfigure id=\"attachment_11981912\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11981912\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240404-FORCED-STERILIZATION-STACY_04-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240404-FORCED-STERILIZATION-STACY_04-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240404-FORCED-STERILIZATION-STACY_04-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240404-FORCED-STERILIZATION-STACY_04-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240404-FORCED-STERILIZATION-STACY_04-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240404-FORCED-STERILIZATION-STACY_04-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240404-FORCED-STERILIZATION-STACY_04-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Stacy Cordova, at her home in Azusa on Feb. 11, 2024, looks through records from Pacific Colony, where her great-aunt was forcibly sterilized in 1934 when she was 13. \u003ccite>(Cayla Mihalovich for KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Cordova, a special education teacher who lives in Azusa, made her own memorial. She created a historical radio project titled “\u003ca href=\"http://www.americanhistoryeugenix.com/\">American History EugeniX\u003c/a>” to be used as a curriculum in high school and college classes. She will share the histories of people who were sterilized in the 1920s and 1930s based on eugenics records she found in the California State Archives. She hopes to launch the project this month.\u003c/p>\n\u003ch2>‘You have to gather stories’\u003c/h2>\n\u003cp>After the reparations law was passed, advocates and researchers tried to guard against the exclusion many now feel. They prepared a guidance document for the state agencies to follow as memorials were created, noting that including community input, specifically from survivors and their descendants, was crucial to the process.\u003c/p>\n\u003cp>An omission of survivor input, the document stated, “conveys not only an ugly message about state power, but ultimately will constitute a failure of contemporary agencies to properly acknowledge their role in past wrongs and harms.”\u003c/p>\n\u003cp>The document provided examples of memorialization projects from around the world, which are seen as successful because survivors were “active partners in the conceptualization and placement.” Advocates pointed to Los Angeles General Medical Center’s “Sobrevivir,” which recognizes hundreds of survivors who were forcibly sterilized at the hospital during the 1960s and 1970s.\u003c/p>\n\u003cp>Artist Phung Huynh made “Sobrevivir,” a monument with roses and praying hands etched into steel, with a budget of roughly $100,000. The flat disk is in the medical center’s courtyard. Huynh said she spent a year gathering input on what her piece should look like through open forums and correspondence with descendants of survivors and activists.\u003c/p>\n\u003cp>“You have to gather stories, be sensitive and thoughtful because it’s going to live in the community that it’s serving,” Huynh said of public art. “They have to feel like it represents who they are and the specific history that we’re trying to remember.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"More Reparations Stories ","postid":"news_11981271,news_11975584,news_11961026"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Alexandra Minna Stern, a UCLA humanities professor and the founder of the Sterilization and Social Justice Lab, helped draft the guidance document. She said the state has failed to engage survivors. Her lab has consulted on numerous memorialization efforts for survivors of eugenics-era sterilizations, including in Indiana and North Carolina.\u003c/p>\n\u003cp>“It’s frustrating to me that the state has taken over the memorialization efforts and turned it into plaques that will be [inscribed] with language they wrote and the coalition responded to,” Stern said. “Memorialization should be more than just plaques.”\u003c/p>\n\u003cp>After feeling dismissed by the state, survivors and advocates with CCWP met in January 2023 to discuss ideas for creating their own memorialization project. They landed on a memorial quilt centered around a theme of healing and growth.\u003c/p>\n\u003cp>“We are upset and angry,” said Diana Block, an advocate at CCWP. “But we chose to put our energy into developing something positive.”\u003c/p>\n\u003cp>They spent a year collecting handmade quilt squares from over 100 survivors and their supporters. Some advocates hosted quilt-making parties. Others who are currently incarcerated crocheted squares of their own.\u003c/p>\n\u003cp>Pulido sent her squares to Linda Evans, a formerly incarcerated quiltmaker and CCWP member, who assembled the 5-foot-long, 20-block quilt. It is bordered by red fabric and features images such as a lopsided heart, a peace sign and butterflies that envelop words like “hope” and “lies.”\u003c/p>\n\u003cp>The remaining squares will be assembled into an afghan by Chyrl Lamar, a formerly incarcerated CCWP member.\u003c/p>\n\u003cp>This spring, survivors and advocates of CCWP hope to bring the completed memorial quilt, called “Together We Rise, Together We Heal,” to the Central California Women’s Facility in Chowchilla, California, where many of the illegal sterilizations occurred. From there, the community-led memorial will travel around the country to libraries, prisons, museums and state capitals to serve as a centerpiece for education and conversation.\u003c/p>\n\u003cp>“History disappears,” Evans said. “If we don’t capture it and keep it in the present, we have a real danger of repeating terrible things that happened in the past.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Cayla Mihalovich is a reporter with the Investigative Reporting Program at the UC Berkeley Graduate School of Journalism.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11982828/forced-sterilization-survivors-undertake-own-healing-after-feeling-silenced-again-by-state","authors":["byline_news_11982828"],"categories":["news_31795","news_457","news_6188","news_8","news_13"],"tags":["news_30652","news_21405","news_27626","news_32261","news_18543","news_160"],"featImg":"news_11981910","label":"news"},"news_11982330":{"type":"posts","id":"news_11982330","meta":{"index":"posts_1591205157","site":"news","id":"11982330","score":null,"sort":[1712746849000]},"guestAuthors":[],"slug":"the-first-over-the-counter-birth-control-pill-is-now-available-how-does-it-work","title":"The 1st Over-the-Counter Birth Control Pill is Now Available. How Does it Work?","publishDate":1712746849,"format":"standard","headTitle":"The 1st Over-the-Counter Birth Control Pill is Now Available. How Does it Work? | KQED","labelTerm":{"site":"news"},"content":"\u003cp>Opill — the \u003ca href=\"https://opill.com/\">over-the-counter birth control pill\u003c/a> that was \u003ca href=\"https://apnews.com/article/birth-control-pills-without-prescription-fda-b6728e98af5f1625520e0fa5fbc911c3\">approved by the Food and Drug Administration last year\u003c/a> — is \u003ca href=\"https://apnews.com/article/birth-control-pill-pharmacy-contraceptive-add40fec7589dae8ba26eb29bee36b8b\">now available\u003c/a>.\u003c/p>\n\u003cp>This means people now have access to a birth control pill without needing a prescription from a doctor or requiring health insurance — making it accessible “over-the-counter,” like a painkiller like Tylenol.[pullquote size=\"medium\" align=\"right\" citation=\"Sophia Yen, clinical associate professor, Stanford Medical School\"]‘I think it’s really important for people to know that this is the best, most efficacious method available over the counter.’[/pullquote]\u003c/p>\n\u003cp>“I think it’s really important for people to know that this is the best, most efficacious method available over the counter,” said Sophia Yen, a clinical associate professor at Stanford Medical School and \u003ca href=\"https://www.pandiahealth.com/dr-sophia-yen/\">co-founder of Pandia Health\u003c/a>, an organization specializing in reproductive care.\u003c/p>\n\u003cp>Back in 2019, the American College of Obstetrics and Gynecology recommended that all birth control methods — \u003ca href=\"https://www.usatoday.com/story/news/health/2019/09/26/birth-control-should-sold-over-counter-gynecologists-without-prescription-acog/2439101001/\">including the ring, patch, and the pill\u003c/a> — should become available over-the-counter, as Opill now is. And now, this pill is becoming readily \u003ca href=\"https://apnews.com/article/birth-control-pill-pharmacy-contraceptive-add40fec7589dae8ba26eb29bee36b8b\">available at a time\u003c/a> when reproductive rights — like access to abortion — have been under \u003ca href=\"https://www.kqed.org/news/tag/abortion\">legal attacks throughout the country after the Supreme Court overturned Roe v. Wade\u003c/a>.\u003c/p>\n\u003cp>If you are a person who wants to start taking birth control but may not have health insurance or access to a prescriber, keep reading to find out what to know about the over-the-counter birth control pill.\u003c/p>\n\u003ch3>Who can buy Opill, and where is it available?\u003c/h3>\n\u003cp>You can buy Opill in the following ways in California, with no insurance required:\u003c/p>\n\u003cul>\n\u003cli>Over-the-counter at a pharmacy like Walgreens or CVS.\u003c/li>\n\u003cli>In the family planning aisles of a major retail store (for example, Walmart).\u003c/li>\n\u003cli>Online at \u003ca href=\"http://opill.com\">opill.com\u003c/a>.\u003c/li>\n\u003c/ul>\n\u003cp>There is \u003ca href=\"https://apnews.com/article/birth-control-pill-pharmacy-contraceptive-add40fec7589dae8ba26eb29bee36b8b\">no age restriction on sales\u003c/a>, and the packaging is described by the company as “discreet,” for buyer’s privacy.\u003c/p>\n\u003cp>According to the manufacturer, you \u003ca href=\"https://cdn.shopify.com/s/files/1/0719/3211/7296/files/Opill-CIL.pdf?v=1707506323\">should not use Opill\u003c/a>:\u003c/p>\n\u003cul>\n\u003cli>If you have ever had breast cancer.\u003c/li>\n\u003cli>Together with another birth control pill, vaginal ring, patch, implant, injection or an IUD.\u003c/li>\n\u003cli>If you are allergic to ingredients in Opill (for example, some people allergic to aspirin are also allergic to tartrazine, which is the color additive in Opill).\u003c/li>\n\u003c/ul>\n\u003ch3>How much does Opill cost?\u003c/h3>\n\u003cp>According to Opill’s website, a month’s supply retails for $19.99. A three-pack supply of Opill costs \u003ca href=\"https://opill.com/products/opill?variant=47067484487984\">around $50\u003c/a>, and a six-pack costs $90.\u003c/p>\n\u003cp>As of August 2023, California passed \u003ca href=\"https://www.americanprogress.org/article/the-first-over-the-counter-birth-control-pill-marks-a-pivotal-moment-in-birth-control-access/#:~:text=Is%20Opill%20covered%20by%20insurance,prescription%20and%20without%20cost%20sharing.\">a law requiring state-regulated private health insurers\u003c/a> to cover over-the-counter contraception without a prescription and without cost sharing. But as NPR notes, “\u003ca href=\"https://www.npr.org/sections/health-shots/2024/03/04/1235404522/opill-over-counter-birth-control-pill-contraceptive-shop\">not everyone wants their birth control pill to show up on their insurance\u003c/a>, so they may choose to pay out of pocket” rather than having insurance cover those costs.\u003c/p>\n\u003cp>Opill is also eligible for reimbursement through a \u003ca href=\"https://opill.com/pages/faqs?topic=buying-opill\">Flexible Spending Account or Health Savings Account\u003c/a> — meaning the \u003ca href=\"https://hr.nih.gov/about/news/benefits/difference-between-flexible-spending-account-fsa-and-health-savings-account-hsa\">money people set aside in their employee benefits\u003c/a> can potentially be used to purchase Opill.\u003c/p>\n\u003cp>There is also \u003ca href=\"https://opill.com/pages/cost-assistance-program\">a cost assistance program for low-income folks who want to purchase Opill\u003c/a>. In order to be eligible for the cost assistance program, a person must:\u003c/p>\n\u003cul>\n\u003cli>Reside in the United States or its territories, and\u003c/li>\n\u003cli>Not be covered by commercial or public insurance (like Medicaid/Medi-Cal, Medicare, VA health care), and\u003c/li>\n\u003cli>Have a household income at or below \u003ca href=\"https://www.medicaidplanningassistance.org/federal-poverty-guidelines/\">200% of the Federal Poverty Level\u003c/a> (For one person, that is at or below $30,120. For a household of two people, it is $40,880.)\u003c/li>\n\u003c/ul>\n\u003ch3>How does Opill work to prevent pregnancy?\u003c/h3>\n\u003cp>Opill is a daily progestin-only pill, also known as a “mini-pill.”\u003c/p>\n\u003cp>Progestin-only pills work by \u003ca href=\"https://www.thewomens.org.au/health-information/contraception/contraceptive-pills#:~:text=The%20combined%20pill%20contains%20two,through%20to%20fertilise%20the%20egg.\">thickening the mucus at the entrance of the uterus\u003c/a> so sperm cannot pass through to fertilize an egg and result in pregnancy. \u003ca href=\"https://cdn.shopify.com/s/files/1/0719/3211/7296/files/Opill-CIL.pdf?v=1707506323\">Opill takes 48 hours to become effective\u003c/a>, so extra protection — such as condoms — should be used for those first two days.\u003c/p>\n\u003cp>There are a few things to consider about choosing a progestin-only pill like Opill, Yen said. Other prescription birth control pills typically both include estrogen and progestin, and are known as the “combined pill”, because they contain two hormones that \u003ca href=\"https://www.thewomens.org.au/health-information/contraception/contraceptive-pills#:~:text=The%20combined%20pill%20contains%20two,through%20to%20fertilise%20the%20egg.\">prevent the ovaries from releasing an egg each month\u003c/a>. This means they are \u003ca href=\"https://gynraleigh.com/birth-control-progestin-only-pills-vs-combination-pills/#:~:text=One%20of%20the%20main%20advantages,women%20who%20cannot%20take%20estrogen.\">slightly more effective than the progestin-only counterparts\u003c/a> like Opill.\u003c/p>\n\u003cp>Bleeding patterns on the progestin-only pills can also be unpredictable, Yen said. However, some people — like \u003ca href=\"https://gynraleigh.com/birth-control-progestin-only-pills-vs-combination-pills/#:~:text=One%20of%20the%20main%20advantages,women%20who%20cannot%20take%20estrogen.\">individuals over the age of 35, people breastfeeding, or those who are at higher risk of blood clots\u003c/a> — may want to avoid estrogen and, therefore, seek out a progestin-only pill anyway.\u003c/p>\n\u003cp>Research from \u003ca href=\"https://www.ncbi.nlm.nih.gov/books/NBK430882/\">Louisiana State University Health Sciences Center\u003c/a> has found that when either pill is used perfectly — meaning every day, on time — “less than one woman out of 100 will become pregnant in the first year of use.”\u003c/p>\n\u003cp>But “perfect” use isn’t always realistic. This is why research notes that \u003ca href=\"https://www.ncbi.nlm.nih.gov/books/NBK430882/\">the failure rate for “typical use” of combined oral contraceptive pills\u003c/a> — that is, pills not always used consistently — is 9% “due to human error.\u003c/p>\n\u003cp>That means timing is important. A person using birth control pills needs to take one pill at the same time every day for maximum effectiveness at preventing pregnancy — but “any birth control pill has a window of forgiveness,” Yen said.\u003c/p>\n\u003cp>A combination pill, she explained, has “a 24-hour window of forgiveness, generally.”\u003c/p>\n\u003cp>“Usually we say: ‘You miss one pill? Take it as soon as you remember it. If you miss three pills, [the] game’s up, and you need emergency contraception.'”\u003c/p>\n\u003cp>However, a progestin-only pill like Opill has a smaller window of forgiveness because “you don’t have estrogen as the backup” as you do with the combination pill, Yen said, “so the window of forgiveness is three hours, technically.”\u003c/p>\n\u003cp>But “who hasn’t been late taking their birth control by three hours?” Yen said, acknowledging how unexpected schedule changes or straight-up forgetfulness can impact a person’s pill regimen. If you do find you’re taking your progestin-only pill three hours late or more, “you will need to abstain from sex for at least the next 48 hours,” she recommends, “while the hormone level gets [back] up to a level that can protect you.” \u003ca href=\"https://opill.com/pages/faqs?topic=taking-opill\">Opill’s own FAQs also note that you should “use a condom\u003c/a> each time you have sex for the next two days” if you don’t abstain.\u003c/p>\n\u003cp>What if a person is three or more hours late in taking their pill and they’ve had sex in the past three to five days? Since sperm can live for up to five days, in this case, Yen suggests seeking out emergency contraception as soon as possible.\u003c/p>\n\u003cp>Often, confusion over when to take birth control can arise when a person is traveling and arriving in a new time zone. In this case, the next pill needs to be taken 24 hours after you last took a pill, advised Yen.\u003c/p>\n\u003ch3>What should I do if I miss the ‘window of forgiveness’ with my birth control pill?\u003c/h3>\n\u003cp>Emergency contraception \u003ca href=\"https://www.who.int/news-room/fact-sheets/detail/emergency-contraception#:~:text=Emergency%20contraception%20(EC)%20can%20prevent,assault%20if%20without%20contraception%20coverage.\">can prevent 95% of pregnancies within five days\u003c/a> of unprotected sex, like a broken condom or missing the window of forgiveness. Options include \u003ca href=\"https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception/whats-plan-b-morning-after-pill\">morning-after pills like Plan B\u003c/a>, \u003ca href=\"https://www.plannedparenthood.org/learn/birth-control/iud/non-hormonal-copper-iud\">the copper IUD\u003c/a> and \u003ca href=\"https://www.plannedparenthood.org/learn/birth-control/iud/hormonal-iuds#:~:text=The%20hormonal%20IUD%20releases%20a,while%20you're%20using%20it.\">the hormonal IUD\u003c/a>. You can find a clinic that offers these services \u003ca href=\"https://www.plannedparenthood.org/get-care\">using Planned Parenthood’s search tool\u003c/a>.[aside tag=\"health\" label=\"More Health Stories\"]\u003c/p>\n\u003cp>Yen said emergency contraception that is prescribed “beats any over-the-counter emergency contraception and efficacy at every single time point,” Yen said. “And thanks to the Affordable Care Act, if you have insurance, it’s available with no co-pay, no deductible, aka free.”\u003c/p>\n\u003cp>However, Yen said a person’s body mass index does factor in whether or not the over-the-counter emergency contraception is effective. For example, if a person’s BMI is greater than 26 — a medication like Plan B may not work as well. If it is greater than 30, Yen said, it “doesn’t work at all.”\u003c/p>\n\u003cp>Yen said Ella — a \u003ca href=\"https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception/whats-ella-morning-after-pill\">prescription emergency contraception\u003c/a> (also known as a “morning-after pill”) — is effective with BMIs up to 35. Planned Parenthood has \u003ca href=\"https://www.plannedparenthood.org/online-tools/emergency-contraception\">a quiz for people to see which method of emergency contraception could work for them\u003c/a>.\u003c/p>\n\u003ch3>Can a birth control pill prevent STIs?\u003c/h3>\n\u003cp>No, pills \u003ca href=\"https://cdn.shopify.com/s/files/1/0719/3211/7296/files/Opill-CIL.pdf?v=1707506323\">cannot prevent sexually transmitted infections\u003c/a>.\u003c/p>\n\u003cp>If a person is aged 12 to 19 in California, \u003ca href=\"https://www.teensource.org/condoms/free\">the Condom Access Project has a search tool to find free condoms\u003c/a>.\u003c/p>\n\u003cp>You can \u003ca href=\"https://www.sfcityclinic.org/patient-education-resources/all-about-condoms\">also get condoms\u003c/a> in the \u003ca href=\"https://www.sfcityclinic.org/services/sti-and-hiv-testing\">San Francisco City Clinic\u003c/a>, which provides low-cost STI testing. Free or low-cost condoms are also available at the Public Health Division on Van Ness Avenue.\u003c/p>\n\u003cp>Your county may also provide free condoms as \u003ca href=\"https://publichealth.sccgov.org/services/community-resources#3925188384-263336965\">Santa Clara County does at the Crane Center\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"Opill, the over-the-counter birth control pill that was approved by the Food and Drug Administration last year, is now available.","status":"publish","parent":0,"modified":1712790176,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":35,"wordCount":1554},"headData":{"title":"The 1st Over-the-Counter Birth Control Pill is Now Available. How Does it Work? | KQED","description":"Opill, the over-the-counter birth control pill that was approved by the Food and Drug Administration last year, is now available.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"The 1st Over-the-Counter Birth Control Pill is Now Available. How Does it Work?","datePublished":"2024-04-10T11:00:49.000Z","dateModified":"2024-04-10T23:02:56.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"sticky":false,"excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11982330/the-first-over-the-counter-birth-control-pill-is-now-available-how-does-it-work","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Opill — the \u003ca href=\"https://opill.com/\">over-the-counter birth control pill\u003c/a> that was \u003ca href=\"https://apnews.com/article/birth-control-pills-without-prescription-fda-b6728e98af5f1625520e0fa5fbc911c3\">approved by the Food and Drug Administration last year\u003c/a> — is \u003ca href=\"https://apnews.com/article/birth-control-pill-pharmacy-contraceptive-add40fec7589dae8ba26eb29bee36b8b\">now available\u003c/a>.\u003c/p>\n\u003cp>This means people now have access to a birth control pill without needing a prescription from a doctor or requiring health insurance — making it accessible “over-the-counter,” like a painkiller like Tylenol.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘I think it’s really important for people to know that this is the best, most efficacious method available over the counter.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Sophia Yen, clinical associate professor, Stanford Medical School","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“I think it’s really important for people to know that this is the best, most efficacious method available over the counter,” said Sophia Yen, a clinical associate professor at Stanford Medical School and \u003ca href=\"https://www.pandiahealth.com/dr-sophia-yen/\">co-founder of Pandia Health\u003c/a>, an organization specializing in reproductive care.\u003c/p>\n\u003cp>Back in 2019, the American College of Obstetrics and Gynecology recommended that all birth control methods — \u003ca href=\"https://www.usatoday.com/story/news/health/2019/09/26/birth-control-should-sold-over-counter-gynecologists-without-prescription-acog/2439101001/\">including the ring, patch, and the pill\u003c/a> — should become available over-the-counter, as Opill now is. And now, this pill is becoming readily \u003ca href=\"https://apnews.com/article/birth-control-pill-pharmacy-contraceptive-add40fec7589dae8ba26eb29bee36b8b\">available at a time\u003c/a> when reproductive rights — like access to abortion — have been under \u003ca href=\"https://www.kqed.org/news/tag/abortion\">legal attacks throughout the country after the Supreme Court overturned Roe v. Wade\u003c/a>.\u003c/p>\n\u003cp>If you are a person who wants to start taking birth control but may not have health insurance or access to a prescriber, keep reading to find out what to know about the over-the-counter birth control pill.\u003c/p>\n\u003ch3>Who can buy Opill, and where is it available?\u003c/h3>\n\u003cp>You can buy Opill in the following ways in California, with no insurance required:\u003c/p>\n\u003cul>\n\u003cli>Over-the-counter at a pharmacy like Walgreens or CVS.\u003c/li>\n\u003cli>In the family planning aisles of a major retail store (for example, Walmart).\u003c/li>\n\u003cli>Online at \u003ca href=\"http://opill.com\">opill.com\u003c/a>.\u003c/li>\n\u003c/ul>\n\u003cp>There is \u003ca href=\"https://apnews.com/article/birth-control-pill-pharmacy-contraceptive-add40fec7589dae8ba26eb29bee36b8b\">no age restriction on sales\u003c/a>, and the packaging is described by the company as “discreet,” for buyer’s privacy.\u003c/p>\n\u003cp>According to the manufacturer, you \u003ca href=\"https://cdn.shopify.com/s/files/1/0719/3211/7296/files/Opill-CIL.pdf?v=1707506323\">should not use Opill\u003c/a>:\u003c/p>\n\u003cul>\n\u003cli>If you have ever had breast cancer.\u003c/li>\n\u003cli>Together with another birth control pill, vaginal ring, patch, implant, injection or an IUD.\u003c/li>\n\u003cli>If you are allergic to ingredients in Opill (for example, some people allergic to aspirin are also allergic to tartrazine, which is the color additive in Opill).\u003c/li>\n\u003c/ul>\n\u003ch3>How much does Opill cost?\u003c/h3>\n\u003cp>According to Opill’s website, a month’s supply retails for $19.99. A three-pack supply of Opill costs \u003ca href=\"https://opill.com/products/opill?variant=47067484487984\">around $50\u003c/a>, and a six-pack costs $90.\u003c/p>\n\u003cp>As of August 2023, California passed \u003ca href=\"https://www.americanprogress.org/article/the-first-over-the-counter-birth-control-pill-marks-a-pivotal-moment-in-birth-control-access/#:~:text=Is%20Opill%20covered%20by%20insurance,prescription%20and%20without%20cost%20sharing.\">a law requiring state-regulated private health insurers\u003c/a> to cover over-the-counter contraception without a prescription and without cost sharing. But as NPR notes, “\u003ca href=\"https://www.npr.org/sections/health-shots/2024/03/04/1235404522/opill-over-counter-birth-control-pill-contraceptive-shop\">not everyone wants their birth control pill to show up on their insurance\u003c/a>, so they may choose to pay out of pocket” rather than having insurance cover those costs.\u003c/p>\n\u003cp>Opill is also eligible for reimbursement through a \u003ca href=\"https://opill.com/pages/faqs?topic=buying-opill\">Flexible Spending Account or Health Savings Account\u003c/a> — meaning the \u003ca href=\"https://hr.nih.gov/about/news/benefits/difference-between-flexible-spending-account-fsa-and-health-savings-account-hsa\">money people set aside in their employee benefits\u003c/a> can potentially be used to purchase Opill.\u003c/p>\n\u003cp>There is also \u003ca href=\"https://opill.com/pages/cost-assistance-program\">a cost assistance program for low-income folks who want to purchase Opill\u003c/a>. In order to be eligible for the cost assistance program, a person must:\u003c/p>\n\u003cul>\n\u003cli>Reside in the United States or its territories, and\u003c/li>\n\u003cli>Not be covered by commercial or public insurance (like Medicaid/Medi-Cal, Medicare, VA health care), and\u003c/li>\n\u003cli>Have a household income at or below \u003ca href=\"https://www.medicaidplanningassistance.org/federal-poverty-guidelines/\">200% of the Federal Poverty Level\u003c/a> (For one person, that is at or below $30,120. For a household of two people, it is $40,880.)\u003c/li>\n\u003c/ul>\n\u003ch3>How does Opill work to prevent pregnancy?\u003c/h3>\n\u003cp>Opill is a daily progestin-only pill, also known as a “mini-pill.”\u003c/p>\n\u003cp>Progestin-only pills work by \u003ca href=\"https://www.thewomens.org.au/health-information/contraception/contraceptive-pills#:~:text=The%20combined%20pill%20contains%20two,through%20to%20fertilise%20the%20egg.\">thickening the mucus at the entrance of the uterus\u003c/a> so sperm cannot pass through to fertilize an egg and result in pregnancy. \u003ca href=\"https://cdn.shopify.com/s/files/1/0719/3211/7296/files/Opill-CIL.pdf?v=1707506323\">Opill takes 48 hours to become effective\u003c/a>, so extra protection — such as condoms — should be used for those first two days.\u003c/p>\n\u003cp>There are a few things to consider about choosing a progestin-only pill like Opill, Yen said. Other prescription birth control pills typically both include estrogen and progestin, and are known as the “combined pill”, because they contain two hormones that \u003ca href=\"https://www.thewomens.org.au/health-information/contraception/contraceptive-pills#:~:text=The%20combined%20pill%20contains%20two,through%20to%20fertilise%20the%20egg.\">prevent the ovaries from releasing an egg each month\u003c/a>. This means they are \u003ca href=\"https://gynraleigh.com/birth-control-progestin-only-pills-vs-combination-pills/#:~:text=One%20of%20the%20main%20advantages,women%20who%20cannot%20take%20estrogen.\">slightly more effective than the progestin-only counterparts\u003c/a> like Opill.\u003c/p>\n\u003cp>Bleeding patterns on the progestin-only pills can also be unpredictable, Yen said. However, some people — like \u003ca href=\"https://gynraleigh.com/birth-control-progestin-only-pills-vs-combination-pills/#:~:text=One%20of%20the%20main%20advantages,women%20who%20cannot%20take%20estrogen.\">individuals over the age of 35, people breastfeeding, or those who are at higher risk of blood clots\u003c/a> — may want to avoid estrogen and, therefore, seek out a progestin-only pill anyway.\u003c/p>\n\u003cp>Research from \u003ca href=\"https://www.ncbi.nlm.nih.gov/books/NBK430882/\">Louisiana State University Health Sciences Center\u003c/a> has found that when either pill is used perfectly — meaning every day, on time — “less than one woman out of 100 will become pregnant in the first year of use.”\u003c/p>\n\u003cp>But “perfect” use isn’t always realistic. This is why research notes that \u003ca href=\"https://www.ncbi.nlm.nih.gov/books/NBK430882/\">the failure rate for “typical use” of combined oral contraceptive pills\u003c/a> — that is, pills not always used consistently — is 9% “due to human error.\u003c/p>\n\u003cp>That means timing is important. A person using birth control pills needs to take one pill at the same time every day for maximum effectiveness at preventing pregnancy — but “any birth control pill has a window of forgiveness,” Yen said.\u003c/p>\n\u003cp>A combination pill, she explained, has “a 24-hour window of forgiveness, generally.”\u003c/p>\n\u003cp>“Usually we say: ‘You miss one pill? Take it as soon as you remember it. If you miss three pills, [the] game’s up, and you need emergency contraception.'”\u003c/p>\n\u003cp>However, a progestin-only pill like Opill has a smaller window of forgiveness because “you don’t have estrogen as the backup” as you do with the combination pill, Yen said, “so the window of forgiveness is three hours, technically.”\u003c/p>\n\u003cp>But “who hasn’t been late taking their birth control by three hours?” Yen said, acknowledging how unexpected schedule changes or straight-up forgetfulness can impact a person’s pill regimen. If you do find you’re taking your progestin-only pill three hours late or more, “you will need to abstain from sex for at least the next 48 hours,” she recommends, “while the hormone level gets [back] up to a level that can protect you.” \u003ca href=\"https://opill.com/pages/faqs?topic=taking-opill\">Opill’s own FAQs also note that you should “use a condom\u003c/a> each time you have sex for the next two days” if you don’t abstain.\u003c/p>\n\u003cp>What if a person is three or more hours late in taking their pill and they’ve had sex in the past three to five days? Since sperm can live for up to five days, in this case, Yen suggests seeking out emergency contraception as soon as possible.\u003c/p>\n\u003cp>Often, confusion over when to take birth control can arise when a person is traveling and arriving in a new time zone. In this case, the next pill needs to be taken 24 hours after you last took a pill, advised Yen.\u003c/p>\n\u003ch3>What should I do if I miss the ‘window of forgiveness’ with my birth control pill?\u003c/h3>\n\u003cp>Emergency contraception \u003ca href=\"https://www.who.int/news-room/fact-sheets/detail/emergency-contraception#:~:text=Emergency%20contraception%20(EC)%20can%20prevent,assault%20if%20without%20contraception%20coverage.\">can prevent 95% of pregnancies within five days\u003c/a> of unprotected sex, like a broken condom or missing the window of forgiveness. Options include \u003ca href=\"https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception/whats-plan-b-morning-after-pill\">morning-after pills like Plan B\u003c/a>, \u003ca href=\"https://www.plannedparenthood.org/learn/birth-control/iud/non-hormonal-copper-iud\">the copper IUD\u003c/a> and \u003ca href=\"https://www.plannedparenthood.org/learn/birth-control/iud/hormonal-iuds#:~:text=The%20hormonal%20IUD%20releases%20a,while%20you're%20using%20it.\">the hormonal IUD\u003c/a>. You can find a clinic that offers these services \u003ca href=\"https://www.plannedparenthood.org/get-care\">using Planned Parenthood’s search tool\u003c/a>.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"tag":"health","label":"More Health Stories "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Yen said emergency contraception that is prescribed “beats any over-the-counter emergency contraception and efficacy at every single time point,” Yen said. “And thanks to the Affordable Care Act, if you have insurance, it’s available with no co-pay, no deductible, aka free.”\u003c/p>\n\u003cp>However, Yen said a person’s body mass index does factor in whether or not the over-the-counter emergency contraception is effective. For example, if a person’s BMI is greater than 26 — a medication like Plan B may not work as well. If it is greater than 30, Yen said, it “doesn’t work at all.”\u003c/p>\n\u003cp>Yen said Ella — a \u003ca href=\"https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception/whats-ella-morning-after-pill\">prescription emergency contraception\u003c/a> (also known as a “morning-after pill”) — is effective with BMIs up to 35. Planned Parenthood has \u003ca href=\"https://www.plannedparenthood.org/online-tools/emergency-contraception\">a quiz for people to see which method of emergency contraception could work for them\u003c/a>.\u003c/p>\n\u003ch3>Can a birth control pill prevent STIs?\u003c/h3>\n\u003cp>No, pills \u003ca href=\"https://cdn.shopify.com/s/files/1/0719/3211/7296/files/Opill-CIL.pdf?v=1707506323\">cannot prevent sexually transmitted infections\u003c/a>.\u003c/p>\n\u003cp>If a person is aged 12 to 19 in California, \u003ca href=\"https://www.teensource.org/condoms/free\">the Condom Access Project has a search tool to find free condoms\u003c/a>.\u003c/p>\n\u003cp>You can \u003ca href=\"https://www.sfcityclinic.org/patient-education-resources/all-about-condoms\">also get condoms\u003c/a> in the \u003ca href=\"https://www.sfcityclinic.org/services/sti-and-hiv-testing\">San Francisco City Clinic\u003c/a>, which provides low-cost STI testing. Free or low-cost condoms are also available at the Public Health Division on Van Ness Avenue.\u003c/p>\n\u003cp>Your county may also provide free condoms as \u003ca href=\"https://publichealth.sccgov.org/services/community-resources#3925188384-263336965\">Santa Clara County does at the Crane Center\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11982330/the-first-over-the-counter-birth-control-pill-is-now-available-how-does-it-work","authors":["11867"],"categories":["news_31795","news_457","news_28250","news_8"],"tags":["news_866","news_19985","news_19944","news_27626","news_18543"],"featImg":"news_11982372","label":"news"},"news_11982445":{"type":"posts","id":"news_11982445","meta":{"index":"posts_1591205157","site":"news","id":"11982445","score":null,"sort":[1712705497000]},"guestAuthors":[],"slug":"not-what-i-signed-up-for-sf-librarians-demand-more-security-guards","title":"'Not What I Signed Up For': SF Librarians Demand More Security Guards","publishDate":1712705497,"format":"standard","headTitle":"‘Not What I Signed Up For’: SF Librarians Demand More Security Guards | KQED","labelTerm":{"site":"news"},"content":"\u003cp>About 100 librarians and their supporters rallied outside San Francisco’s Main Library on Tuesday to demand the city hire security guards for every branch. Workers decried a lack of security at most of the city’s branches and said they are often forced to de-escalate volatile situations and step into the role of providing security themselves.\u003c/p>\n\u003cp>“I am a librarian, I am a branch manager — I am not a policewoman, I am not a security guard,” said Nicole Germain, manager of the Portola Branch Library and president of the Library Guild of SEIU 1021, the union which represents San Francisco library workers.\u003c/p>\n\u003cp>As public spaces, libraries — and the people who work in them — often directly face the city’s most difficult social challenges, like homelessness and substance use disorder.\u003c/p>\n\u003cp>Currently, eight of the city’s 28 public libraries have at least one security guard.\u003c/p>\n\u003cp>Germain said on one occasion, she had to intervene when a half-naked and “mentally unstable” man began wielding a sharp metal object and yelling at people. She chose to physically put herself between the man and a group of preschoolers.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“This is not what I signed up for when I became a librarian,” Germain said. “However, as a branch manager and children’s librarian, that is the position I find myself in.”\u003c/p>\n\u003cp>Union negotiators have asked for more security for the city’s libraries for years. In 2019, the city agreed to hire three more security guards, including at the Portola branch.\u003c/p>\n\u003cp>Germain said it makes a difference and works as a preventative measure. “People are more apt to behave,” she said.\u003c/p>\n\u003cfigure id=\"attachment_11982522\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11982522 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-14-KQED-4.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-14-KQED-4.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-14-KQED-4-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-14-KQED-4-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-14-KQED-4-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-14-KQED-4-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-14-KQED-4-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Nicole Germain speaks at Tuesday’s rally in front of San Francisco’s Main Library. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>San Francisco Supervisor Connie Chan joined Tuesday’s rally to support library workers’ demands.\u003c/p>\n\u003cp>“If San Francisco can advocate for our corporations, for our pharmacies, for our downtown stores to be staffed up with guards and police and deputy sheriffs — why can’t we guard our libraries?” Chan said.\u003c/p>\n\u003cp>Chan is also chair of the city’s Budget and Finance Committee. She said San Francisco’s youth commissioners recently came to a committee meeting to talk about their priorities for the city.\u003c/p>\n\u003cp>“They talk about what they want to see in the budget, as they are our future, and where they want the city to invest our money,” Chan said. “And the one place they mentioned is the library.”\u003c/p>\n\u003cfigure id=\"attachment_11982523\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11982523 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-19-KQED-4.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-19-KQED-4.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-19-KQED-4-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-19-KQED-4-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-19-KQED-4-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-19-KQED-4-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-19-KQED-4-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">District 1 Supervisor Connie Chan speaks at Tuesday’s rally in front of San Francisco’s Main Library on Larkin Street. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Jessica Choy, who works part-time at the Park Branch Library in the city’s Haight-Ashbury neighborhood, said she’s also fighting for full-time employment.\u003c/p>\n\u003cp>“Our public libraries rely on a huge number of part-time workers like me. Even when we get raises, it’s not enough to get by in one of the most expensive cities in the world,” Choy said. “We’re only guaranteed 20 hours a week. So we’re hustling to get extra hours every day, some of us waking up at midnight checking our apps, trying to pick up a shift.”\u003c/p>\n\u003cp>The rally comes as San Francisco’s contracts across 10 unions, representing more than 25,000 city workers, are set to expire June 30. And for the first time in decades, negotiations over those contracts are happening against a backdrop of potential strikes. In July, the California Public Employment Relations Board \u003ca href=\"https://missionlocal.org/2023/07/strike-san-francisco-perb/\">struck down a 50-year-old city rule prohibiting city workers from striking\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Tuesday’s rally is the latest in a series of union actions, with \u003ca href=\"https://www.kqed.org/news/11980278/sf-social-welfare-workers-protest-proposition-f-saying-it-will-worsen-agencys-staffing-crisis\">workers across city departments\u003c/a> seeking to draw attention to what they say is a pervasive understaffing crisis. At these actions, the unions have also been collecting signatures from city employees pledging to join a strike if one is called.\u003c/p>\n\n","blocks":[],"excerpt":"At a rally on Tuesday outside San Francisco's Main Library, workers said they are often forced to de-escalate volatile situations and step into the role of providing security themselves.\r\n\r\n","status":"publish","parent":0,"modified":1712756420,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":18,"wordCount":695},"headData":{"title":"'Not What I Signed Up For': SF Librarians Demand More Security Guards | KQED","description":"At a rally on Tuesday outside San Francisco's Main Library, workers said they are often forced to de-escalate volatile situations and step into the role of providing security themselves.\r\n\r\n","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"'Not What I Signed Up For': SF Librarians Demand More Security Guards","datePublished":"2024-04-09T23:31:37.000Z","dateModified":"2024-04-10T13:40:20.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"sticky":false,"excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11982445/not-what-i-signed-up-for-sf-librarians-demand-more-security-guards","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>About 100 librarians and their supporters rallied outside San Francisco’s Main Library on Tuesday to demand the city hire security guards for every branch. Workers decried a lack of security at most of the city’s branches and said they are often forced to de-escalate volatile situations and step into the role of providing security themselves.\u003c/p>\n\u003cp>“I am a librarian, I am a branch manager — I am not a policewoman, I am not a security guard,” said Nicole Germain, manager of the Portola Branch Library and president of the Library Guild of SEIU 1021, the union which represents San Francisco library workers.\u003c/p>\n\u003cp>As public spaces, libraries — and the people who work in them — often directly face the city’s most difficult social challenges, like homelessness and substance use disorder.\u003c/p>\n\u003cp>Currently, eight of the city’s 28 public libraries have at least one security guard.\u003c/p>\n\u003cp>Germain said on one occasion, she had to intervene when a half-naked and “mentally unstable” man began wielding a sharp metal object and yelling at people. She chose to physically put herself between the man and a group of preschoolers.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“This is not what I signed up for when I became a librarian,” Germain said. “However, as a branch manager and children’s librarian, that is the position I find myself in.”\u003c/p>\n\u003cp>Union negotiators have asked for more security for the city’s libraries for years. In 2019, the city agreed to hire three more security guards, including at the Portola branch.\u003c/p>\n\u003cp>Germain said it makes a difference and works as a preventative measure. “People are more apt to behave,” she said.\u003c/p>\n\u003cfigure id=\"attachment_11982522\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11982522 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-14-KQED-4.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-14-KQED-4.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-14-KQED-4-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-14-KQED-4-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-14-KQED-4-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-14-KQED-4-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-14-KQED-4-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Nicole Germain speaks at Tuesday’s rally in front of San Francisco’s Main Library. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>San Francisco Supervisor Connie Chan joined Tuesday’s rally to support library workers’ demands.\u003c/p>\n\u003cp>“If San Francisco can advocate for our corporations, for our pharmacies, for our downtown stores to be staffed up with guards and police and deputy sheriffs — why can’t we guard our libraries?” Chan said.\u003c/p>\n\u003cp>Chan is also chair of the city’s Budget and Finance Committee. She said San Francisco’s youth commissioners recently came to a committee meeting to talk about their priorities for the city.\u003c/p>\n\u003cp>“They talk about what they want to see in the budget, as they are our future, and where they want the city to invest our money,” Chan said. “And the one place they mentioned is the library.”\u003c/p>\n\u003cfigure id=\"attachment_11982523\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11982523 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-19-KQED-4.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-19-KQED-4.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-19-KQED-4-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-19-KQED-4-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-19-KQED-4-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-19-KQED-4-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-19-KQED-4-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">District 1 Supervisor Connie Chan speaks at Tuesday’s rally in front of San Francisco’s Main Library on Larkin Street. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Jessica Choy, who works part-time at the Park Branch Library in the city’s Haight-Ashbury neighborhood, said she’s also fighting for full-time employment.\u003c/p>\n\u003cp>“Our public libraries rely on a huge number of part-time workers like me. Even when we get raises, it’s not enough to get by in one of the most expensive cities in the world,” Choy said. “We’re only guaranteed 20 hours a week. So we’re hustling to get extra hours every day, some of us waking up at midnight checking our apps, trying to pick up a shift.”\u003c/p>\n\u003cp>The rally comes as San Francisco’s contracts across 10 unions, representing more than 25,000 city workers, are set to expire June 30. And for the first time in decades, negotiations over those contracts are happening against a backdrop of potential strikes. In July, the California Public Employment Relations Board \u003ca href=\"https://missionlocal.org/2023/07/strike-san-francisco-perb/\">struck down a 50-year-old city rule prohibiting city workers from striking\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Tuesday’s rally is the latest in a series of union actions, with \u003ca href=\"https://www.kqed.org/news/11980278/sf-social-welfare-workers-protest-proposition-f-saying-it-will-worsen-agencys-staffing-crisis\">workers across city departments\u003c/a> seeking to draw attention to what they say is a pervasive understaffing crisis. At these actions, the unions have also been collecting signatures from city employees pledging to join a strike if one is called.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11982445/not-what-i-signed-up-for-sf-librarians-demand-more-security-guards","authors":["11896"],"categories":["news_6188","news_28250","news_8"],"tags":["news_18543","news_4020","news_18179","news_38","news_23243"],"featImg":"news_11982521","label":"news"},"news_11981762":{"type":"posts","id":"news_11981762","meta":{"index":"posts_1591205157","site":"news","id":"11981762","score":null,"sort":[1712228432000]},"guestAuthors":[],"slug":"major-richmond-refinery-accidents-settled-as-part-of-chevron-deal","title":"Major Richmond Refinery Accidents Settled as Part of Chevron Deal","publishDate":1712228432,"format":"standard","headTitle":"Major Richmond Refinery Accidents Settled as Part of Chevron Deal | KQED","labelTerm":{"site":"news"},"content":"\u003cp>An agreement local air regulators made with Chevron earlier this year includes the settling of dozens of violations tied to some of the largest accidents at the company’s Richmond refinery over the last five years.\u003c/p>\n\u003cp>The Bay Area Air Quality Management District \u003ca href=\"https://www.kqed.org/news/11975650/bay-air-district-hails-decisive-victory-in-battle-to-cut-refinery-pollution\">announced in February that it had reached deals with Chevron and the Martinez Refining Company\u003c/a>, ending a legal war over a rule intended to reduce a harmful form of pollution emitted by the energy companies’ local refineries.\u003c/p>\n\u003cp>Under the agreement, Chevron is also paying $20 million to settle 678 separate violations related to its Richmond refinery. That marks the highest penalty agreement the energy giant has ever made with the air district, according to Philip Fine, the agency’s executive officer.\u003c/p>\n\u003cp>“This a new era of enforcement and holding facilities accountable,” Fine told the Richmond City Council on Feb. 27. “They need to feel these penalties in order to incentivize them to stay in compliance.”\u003c/p>\n\u003cp>The deal resolves all of the air district’s open enforcement actions with Chevron that took place between 2019 and June 30, 2023.\u003c/p>\n\u003cp>[aside postID=news_11975650]“We believe this resolution will allow us to turn our full focus on the future safe and reliable operation of our facility,” Chevron said in a statement sent by company spokesperson Caitlin Powell.\u003c/p>\n\u003cp>Air district officials told KQED 105 of the violations Chevron settled are tied to eight major incidents at the refinery over the last five years. They include several cases in which refinery components malfunctioned, leading to flaring.\u003c/p>\n\u003cp>\u003ca href=\"https://www.baaqmd.gov/plans-and-climate/emission-tracking-and-monitoring/flare-minimization-plans\">Flaring operations\u003c/a> take place when refineries send gasses to their flares to reduce pressure inside the facilities during malfunctions as well as start-up and shutdown operations. Oil industry officials have emphasized that the practice is a way to prevent more serious and possibly dangerous accidents.\u003c/p>\n\u003cp>Some of the flaring operations involved in the settlement released significant amounts of toxic gas into the air above the Richmond area. In several of these incidents, nearby residents could see black smoke and fire bursting into the sky, with some calling the air district to complain. Those cases garnered a significant amount of news coverage and social media posts.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Regulators say 71 of the violations are connected to \u003ca href=\"https://www.kqed.org/news/11894150/chevron-refinery-malfunction-during-storm-shut-down-processing-units-causing-fire-and-toxic-flaring\">several days of pollution releases from the Richmond refinery that began Oct. 24, 2021\u003c/a>, when one of the Bay Area’s strongest storms in recent years brought significant rain to the region. The refinery sustained a series of malfunctions that led to three days of flaring and significant concerns by Richmond area residents.\u003c/p>\n\u003cp>Two weeks after the releases started, the City Council asked Chevron executives to explain what happened in a public hearing. \u003ca href=\"https://www.kqed.org/news/11895438/richmond-to-chevron-listen-to-our-residents-concerns-about-your-problems\">Residents who showed up to the virtual meeting left upset\u003c/a>. They complained that company representatives did not have an explanation for what caused the major refinery malfunction. One of them, Randy Joseph, told the council and the company that he learned nothing from the hearing.\u003c/p>\n\u003cp>[aside postID=news_11895438]Reached two and a half years later, on the heels of the deal that essentially closes the book on that accident, Joseph said his dissatisfaction with Chevron has not subsided.\u003c/p>\n\u003cp>“Chevron always has the answers,” Joseph said in an interview. “They just refuse to share with us. They know they’re polluting. They also know they can come and say nothing and get away with it,” he said.\u003c/p>\n\u003cp>A few months after the October 2021 incident, \u003ca href=\"https://www.kqed.org/news/11901875/chevron-richmond-refinery-roof-leak-october-2021-flaring-incident\">KQED reported that problems started when an atmospheric river storm poured rain through a leaky roof into a key part of the refinery\u003c/a>, triggering significant power and steam loss. That, in turn, knocked half a dozen petroleum processing units offline, caused a small fire, and resulted in several days in which the refinery flared off toxic gases.\u003c/p>\n\u003cp>“They never came back to City Council. They never came back and explained. They never came back to apologize,” said Joseph, who is a community organizer with the group Reimagine Richmond and said he only learned of the cause of that accident from KQED’s reporting.\u003c/p>\n\u003cp>[aside label='Related Coverage' tag='chevron']Chevron says it informs the public and the air district about its releases. The company points out that residents can check real-time air quality data through \u003ca href=\"https://richmondairmonitoring.org/\">the refinery’s fenceline monitoring system\u003c/a>. The causes of many flaring events are posted several months later on \u003ca href=\"https://www.baaqmd.gov/about-air-quality/research-and-data/flare-data/flare-causal-reports\">the air district’s website\u003c/a>.\u003c/p>\n\u003cp>“Chevron Richmond also will be implementing various improvements to our flare monitoring and sampling systems and setting up ways to discuss flaring events and other air quality issues directly with our community,” the company said through its representative.\u003c/p>\n\u003cp>The 71 violations for the October 2021 incident involve times in which Chevron broke public nuisance, permit condition, visible emission and flare monitoring regulations, according to Kristine Roselius, an air district spokesperson. But the settlement essentially obscures the fine amount for each penalty.\u003c/p>\n\u003cp>“We accounted for the seriousness of these violations in determining an appropriate overall penalty amount for all the covered violations, but there is no allocation of specific dollar amounts to each individual violation, Roselius said in an email.\u003c/p>\n\u003cp>In the last decade, the oil industry \u003ca href=\"https://www.kqed.org/news/11960699/oil-industry-sets-back-efforts-to-increase-fines-against-polluting-california-refineries-yet-again\">has successfully killed or delayed legislative attempts to increase penalties on refineries\u003c/a> that violate air quality laws in California. The most recent bill, proposed by Assemblymember Buffy Wicks (D-Oakland), would increase the ceiling of many of those penalties to $30,000 per violation. That bill, \u003ca href=\"https://legiscan.com/CA/bill/AB1465/2023\">AB 1465\u003c/a>, is on hold.\u003c/p>\n\u003cp>Air district officials say 13 of Chevron’s violations settled in the recent deal were tied to an \u003ca href=\"https://www.kqed.org/news/11860389/chevron-says-flawed-electrical-diagram-triggered-major-flaring-incident\">incident on Nov. 2, 2020,\u003c/a> when an incorrectly labeled electrical diagram caused a power outage leading to the flaring of more than 100,000 pounds of sulfur dioxide and other chemicals.\u003c/p>\n\u003cp>The agency says 11 other violations were connected to a \u003ca href=\"https://www.cchealth.org/home/showpublisheddocument/28612/638337601986530000\">malfunction at the Richmond refinery on March 9, 2023,\u003c/a> when a hydrogen-producing plant tripped offline thanks to an electrical equipment malfunction. On the same day, a fire broke out thanks to a pump seal leak.\u003c/p>\n\u003cp>For years, Chevron’s Richmond refinery has flared more than the Bay Area’s other refineries.\u003c/p>\n\u003cp>The company argues that its “flaring performance has been steadily improving over the past few years.”\u003c/p>\n\u003cp>“To supplement these efforts, we will be formalizing an operator training program related to flare reduction and conducting a comprehensive assessment of previous flaring events to identify if any additional corrective actions are warranted,” the company said.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"An agreement air regulators made with Chevron earlier this year includes settling dozens of violations tied to some of the largest accidents at the company’s Richmond refinery over the last five years.","status":"publish","parent":0,"modified":1712189495,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":27,"wordCount":1101},"headData":{"title":"Major Richmond Refinery Accidents Settled as Part of Chevron Deal | KQED","description":"An agreement air regulators made with Chevron earlier this year includes settling dozens of violations tied to some of the largest accidents at the company’s Richmond refinery over the last five years.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Major Richmond Refinery Accidents Settled as Part of Chevron Deal","datePublished":"2024-04-04T11:00:32.000Z","dateModified":"2024-04-04T00:11:35.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"sticky":false,"excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11981762/major-richmond-refinery-accidents-settled-as-part-of-chevron-deal","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>An agreement local air regulators made with Chevron earlier this year includes the settling of dozens of violations tied to some of the largest accidents at the company’s Richmond refinery over the last five years.\u003c/p>\n\u003cp>The Bay Area Air Quality Management District \u003ca href=\"https://www.kqed.org/news/11975650/bay-air-district-hails-decisive-victory-in-battle-to-cut-refinery-pollution\">announced in February that it had reached deals with Chevron and the Martinez Refining Company\u003c/a>, ending a legal war over a rule intended to reduce a harmful form of pollution emitted by the energy companies’ local refineries.\u003c/p>\n\u003cp>Under the agreement, Chevron is also paying $20 million to settle 678 separate violations related to its Richmond refinery. That marks the highest penalty agreement the energy giant has ever made with the air district, according to Philip Fine, the agency’s executive officer.\u003c/p>\n\u003cp>“This a new era of enforcement and holding facilities accountable,” Fine told the Richmond City Council on Feb. 27. “They need to feel these penalties in order to incentivize them to stay in compliance.”\u003c/p>\n\u003cp>The deal resolves all of the air district’s open enforcement actions with Chevron that took place between 2019 and June 30, 2023.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11975650","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>“We believe this resolution will allow us to turn our full focus on the future safe and reliable operation of our facility,” Chevron said in a statement sent by company spokesperson Caitlin Powell.\u003c/p>\n\u003cp>Air district officials told KQED 105 of the violations Chevron settled are tied to eight major incidents at the refinery over the last five years. They include several cases in which refinery components malfunctioned, leading to flaring.\u003c/p>\n\u003cp>\u003ca href=\"https://www.baaqmd.gov/plans-and-climate/emission-tracking-and-monitoring/flare-minimization-plans\">Flaring operations\u003c/a> take place when refineries send gasses to their flares to reduce pressure inside the facilities during malfunctions as well as start-up and shutdown operations. Oil industry officials have emphasized that the practice is a way to prevent more serious and possibly dangerous accidents.\u003c/p>\n\u003cp>Some of the flaring operations involved in the settlement released significant amounts of toxic gas into the air above the Richmond area. In several of these incidents, nearby residents could see black smoke and fire bursting into the sky, with some calling the air district to complain. Those cases garnered a significant amount of news coverage and social media posts.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Regulators say 71 of the violations are connected to \u003ca href=\"https://www.kqed.org/news/11894150/chevron-refinery-malfunction-during-storm-shut-down-processing-units-causing-fire-and-toxic-flaring\">several days of pollution releases from the Richmond refinery that began Oct. 24, 2021\u003c/a>, when one of the Bay Area’s strongest storms in recent years brought significant rain to the region. The refinery sustained a series of malfunctions that led to three days of flaring and significant concerns by Richmond area residents.\u003c/p>\n\u003cp>Two weeks after the releases started, the City Council asked Chevron executives to explain what happened in a public hearing. \u003ca href=\"https://www.kqed.org/news/11895438/richmond-to-chevron-listen-to-our-residents-concerns-about-your-problems\">Residents who showed up to the virtual meeting left upset\u003c/a>. They complained that company representatives did not have an explanation for what caused the major refinery malfunction. One of them, Randy Joseph, told the council and the company that he learned nothing from the hearing.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11895438","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Reached two and a half years later, on the heels of the deal that essentially closes the book on that accident, Joseph said his dissatisfaction with Chevron has not subsided.\u003c/p>\n\u003cp>“Chevron always has the answers,” Joseph said in an interview. “They just refuse to share with us. They know they’re polluting. They also know they can come and say nothing and get away with it,” he said.\u003c/p>\n\u003cp>A few months after the October 2021 incident, \u003ca href=\"https://www.kqed.org/news/11901875/chevron-richmond-refinery-roof-leak-october-2021-flaring-incident\">KQED reported that problems started when an atmospheric river storm poured rain through a leaky roof into a key part of the refinery\u003c/a>, triggering significant power and steam loss. That, in turn, knocked half a dozen petroleum processing units offline, caused a small fire, and resulted in several days in which the refinery flared off toxic gases.\u003c/p>\n\u003cp>“They never came back to City Council. They never came back and explained. They never came back to apologize,” said Joseph, who is a community organizer with the group Reimagine Richmond and said he only learned of the cause of that accident from KQED’s reporting.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"Related Coverage ","tag":"chevron"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Chevron says it informs the public and the air district about its releases. The company points out that residents can check real-time air quality data through \u003ca href=\"https://richmondairmonitoring.org/\">the refinery’s fenceline monitoring system\u003c/a>. The causes of many flaring events are posted several months later on \u003ca href=\"https://www.baaqmd.gov/about-air-quality/research-and-data/flare-data/flare-causal-reports\">the air district’s website\u003c/a>.\u003c/p>\n\u003cp>“Chevron Richmond also will be implementing various improvements to our flare monitoring and sampling systems and setting up ways to discuss flaring events and other air quality issues directly with our community,” the company said through its representative.\u003c/p>\n\u003cp>The 71 violations for the October 2021 incident involve times in which Chevron broke public nuisance, permit condition, visible emission and flare monitoring regulations, according to Kristine Roselius, an air district spokesperson. But the settlement essentially obscures the fine amount for each penalty.\u003c/p>\n\u003cp>“We accounted for the seriousness of these violations in determining an appropriate overall penalty amount for all the covered violations, but there is no allocation of specific dollar amounts to each individual violation, Roselius said in an email.\u003c/p>\n\u003cp>In the last decade, the oil industry \u003ca href=\"https://www.kqed.org/news/11960699/oil-industry-sets-back-efforts-to-increase-fines-against-polluting-california-refineries-yet-again\">has successfully killed or delayed legislative attempts to increase penalties on refineries\u003c/a> that violate air quality laws in California. The most recent bill, proposed by Assemblymember Buffy Wicks (D-Oakland), would increase the ceiling of many of those penalties to $30,000 per violation. That bill, \u003ca href=\"https://legiscan.com/CA/bill/AB1465/2023\">AB 1465\u003c/a>, is on hold.\u003c/p>\n\u003cp>Air district officials say 13 of Chevron’s violations settled in the recent deal were tied to an \u003ca href=\"https://www.kqed.org/news/11860389/chevron-says-flawed-electrical-diagram-triggered-major-flaring-incident\">incident on Nov. 2, 2020,\u003c/a> when an incorrectly labeled electrical diagram caused a power outage leading to the flaring of more than 100,000 pounds of sulfur dioxide and other chemicals.\u003c/p>\n\u003cp>The agency says 11 other violations were connected to a \u003ca href=\"https://www.cchealth.org/home/showpublisheddocument/28612/638337601986530000\">malfunction at the Richmond refinery on March 9, 2023,\u003c/a> when a hydrogen-producing plant tripped offline thanks to an electrical equipment malfunction. On the same day, a fire broke out thanks to a pump seal leak.\u003c/p>\n\u003cp>For years, Chevron’s Richmond refinery has flared more than the Bay Area’s other refineries.\u003c/p>\n\u003cp>The company argues that its “flaring performance has been steadily improving over the past few years.”\u003c/p>\n\u003cp>“To supplement these efforts, we will be formalizing an operator training program related to flare reduction and conducting a comprehensive assessment of previous flaring events to identify if any additional corrective actions are warranted,” the company said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11981762/major-richmond-refinery-accidents-settled-as-part-of-chevron-deal","authors":["258"],"categories":["news_19906","news_457","news_8","news_356"],"tags":["news_20628","news_424","news_20023","news_27626","news_18543","news_3111","news_21107","news_579"],"featImg":"news_11981785","label":"news"},"news_11980854":{"type":"posts","id":"news_11980854","meta":{"index":"posts_1591205157","site":"news","id":"11980854","score":null,"sort":[1711533606000]},"guestAuthors":[],"slug":"babies-and-toddlers-are-entitled-to-developmental-therapies-many-arent-getting-them","title":"Babies and Toddlers With Developmental Delays Are Entitled to Care. Many Aren't Getting It","publishDate":1711533606,"format":"audio","headTitle":"Babies and Toddlers With Developmental Delays Are Entitled to Care. Many Aren’t Getting It | KQED","labelTerm":{},"content":"\u003cp class=\"p1\">\u003ca href=\"#episode-transcript\">\u003ci>View the full episode transcript.\u003c/i>\u003c/a>\u003c/p>\n\u003cp>Every child in California under 3 is entitled to early intervention services like physical, speech, and occupational therapy if they show signs that they need developmental support. Experts say getting these services early and in-person is critical for babies’ development, and that it can actually reduce the need for special education services later in life.\u003c/p>\n\u003cp>But many families aren’t receiving the care they need. KQED’s Daisy Nguyen explains why.\u003c/p>\n\u003cp>\u003cb>Links: \u003c/b>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.kqed.org/news/11980312/a-caregivers-guide-to-navigating-early-intervention-services\">‘Early Start’ 101: Here’s How Families Can Access Early Intervention Services for Younger Kids\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" frameborder=\"0\" height=\"200\" scrolling=\"no\" src=\"https://playlist.megaphone.fm/?e=KQINC5200793499\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003ch2 id=\"episode-transcript\">Episode Transcript\u003c/h2>\n\u003cp>\u003ci>This is a computer-generated transcript. While our team has reviewed it, there may be errors.\u003c/i>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I’m Ericka Cruz Guevarra and welcome to the Bay. Local news to keep you rooted. Baby brains have lots to absorb early on. They’re learning how to walk and talk, and their brains are most adaptable in the first three years of life. That makes it a crucial period, because if the child shows signs of delays in their development, those first three years are the time to intervene.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>Receiving early intervention services could really change the developmental path of a child. It could make a big difference, but it has to be given during this period.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>In California, babies are entitled to help from the state. They show signs of developmental delay, and it happens through a program known as Early Start. But many of the neediest families aren’t getting that help today. I talked with KQED early childhood education reporter Daisy Nguyen about the barriers to getting babies crucial, life altering services on time.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>Reyna Balladares, is a foster parent who lives in the tenderloin.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>Then she became a foster parent, during the pandemic. She told me that at the time when the, you know, the world was shutting down, she wanted to open up her home to help foster children. She first took care of a baby boy for about six months. And, I think that was a really good experience for her, even though ultimately, you know, that the child was placed in a different home.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>And then she met this little girl, this newborn baby in 2021.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>She told me that she just remembered the the baby’s smile and just how sweet her face was. How she lit up when she saw her second city.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>You know, it broke her heart that the situation, that in which this girl came to her. But the little glimmer of hope when she saw that the girl was making some progress in her development, really reinforced her desire to want to advocate for this, for this little girl.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>When did Reyna start to notice this little girl struggling a little bit in her development?\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>She said this child was just slow to begin walking and talking. And I think because Reyna had raised two daughters, she had some personal experience.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>She just felt something wasn’t right. And she she said she mentioned this to doctors who initially told her this is normal. That was slightly dismissive. But she was certain that there was something going on. And ultimately, after seeing specialists, it was confirmed to her that this little girl needed a lot of early intervention services, essentially to help her reach her potential. It was recommended that this little girl receives a physical therapy, speech therapy, occupational therapy, and feeding therapy.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>We’re talking about really important services that kids need very early on. And I mean, I have to imagine time is of the essence. Why was it so hard for Rina to get the services that she needed for this baby girl? Why did she have to push so hard?\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>When I learned was just that the regional center has been overwhelmed, especially since the pandemic, with just a high caseload of children seeking services and probably some staffing shortages, not only at the regional center, but also with a shortage of early intervention providers. Families have to really push to get the services that they need in a timely manner and in the way that they want it to receive it, meaning if they want it to happen in the natural environment of the child.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>Reyna said that what she stumbled upon was just a lot of resistance by the therapist to come to the tenderloin, where she lives. She told me that the regional center coordinators told her that the therapists were just afraid to come to the tenderloin because they felt unsafe.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>What does Reyna say about what it was like to not have therapists willing to meet with her foster daughter in person?\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>She just felt it was unjust that it was because of where she lives. The therapists weren’t coming there to provide the services that her foster daughter crucially needed.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>What happened instead was that she was given an alternative, but it wasn’t what she wanted. So the Golden Gate Regional Center was telling her that she could take her foster child to the different clinics across San Francisco to make all these different appointments, which kind of stacked up during the week for her. She had to take a lot of time out of her working days.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>But the other alternative was to have these services done through zoom.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>It wasn’t ideal. She said her foster child would not respond to the therapist or just not want to sit in front of a screen.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I want to step back a little bit, Daisy, and talk a little bit more about what early intervention services are, what kind of services are we talking about? Exactly? And I know these services are also things that families are entitled to. Right.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>Children with developmental delays are entitled to receive a host of early intervention services to enhance their ability to sit or walk or talk. The services could include physical therapy, speech therapy, occupational therapy. It could even include equipment that helps young children maintain or improve certain skills, or parents could also receive some counseling and training to support their child’s developmental needs.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>Getting the services as early as possible is crucial for children. Experts say that’s because this is a period when children’s brain are rapidly developing, and so they’re more adaptable. So receiving early intervention services could really change the developmental path of a child. It could make a big difference.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>But it has to be given during this period. This is a federal program that’s administered in California by a network of nonprofit regional centers. So in the Bay area, the Golden Gate Regional Center is responsible for coordinating these services for families in San Francisco, Marin, and San Mateo County.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>What are the bigger systemic problems with the state system for these early intervention services?\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>This program has always been plagued by understaffing and underinvestment by the government. The therapist who would provide these services. They are not paid a competitive rate. The rates in which the providers get paid have never been as competitive as what the private market is able to pay for these services, and so they’re just less incentivized to to provide services through this program.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>And so they’re in demand, which means that the number of families who who need the service, who requested these services and are eligible for these services have to kind of wait sometimes just to get it. The other issue is that they don’t get paid to travel to a family’s home.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>So as an alternative, what they’re able to offer to families is appointments in their offices or through telehealth, meaning appointments through zoom. And but for these some of these families, this is not what they considered an ideal way for their children to receive these services. They consider it substandard.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Coming up, how underfunding has hurt those who need the most help and how do we fix this? Stay with us.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I want to talk more Daisy through, I guess, some of the consequences of this inadequate funding, as you were kind of just starting to talk about. What did you find?\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>Doctor Jennifer Albon is a pediatrician at UCSF.\u003c/p>\n\u003cp>\u003cstrong>Dr. Jennifer Albon: \u003c/strong>Most of my young patients are needing early intervention services.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>So she just is seeing, you know, growing geographic and socioeconomic disparities when it comes to who gets early intervention services in their home.\u003c/p>\n\u003cp>\u003cstrong>Dr. Jennifer Albon: \u003c/strong>I have many families who, like, live in certain neighborhoods of San Francisco, and the regional center has flat out told them and told us that there’s not providers who will go to your neighborhood, even within San Francisco.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>What does Doctor Albon say about the importance of providing this treatment in these children’s homes, but specifically no matter where they live?\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>She says it’s just more ideal because children learn best when they’re in familiar surroundings.\u003c/p>\n\u003cp>\u003cstrong>Dr. Jennifer Albon: \u003c/strong>You know, they get scared of coming into like, offices and other things like that. So it’s harder for them to participate when it’s not like their natural environments.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>The parents are also receiving some of the training themselves, so that for the rest of that week, when there’s no therapy, they’re able to practice what they’ve been trained to, you know, by the therapists to do.\u003c/p>\n\u003cp>\u003cstrong>Dr. Jennifer Albon: \u003c/strong>The goal for it to be kind of in their natural environment is that they have all of their regular things. And the and the therapists are showing the family what to do with what they have at home or in these natural environments.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>And I should add that it is it’s a lot. It’s a law where it says that services should ideally be provided in the natural environment. The growth in online therapies have made it accessible for many people. But I think in the case with young children, it’s it’s created more inequities.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Will these issues that we’re talking about are systemic, as you described earlier, and they’re also not all new, but what can we do to fix this problem?\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>I spoke with leaders of the regional centers, and they say that’s really like the you know, they recognize that this is a distressing situation that they’ve been trying to address for a long time, and they can’t compel therapists to see children in person if they’re just not getting, you know, they’re not being paid enough to do it. And so they’re really calling for greater investment by the state and federal government in the program.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>The state has been gradually been increasing the reimbursement rates for early intervention services. But this budget year, Governor Gavin Newsom wants to delay full implementation of the increases, and the regional center leaders are saying like they they really don’t think delay is a good idea, because increasing the rate is encouraging the therapists to do the work to go and see children in the natural environment. And also it’s encouraging them to to hire more people.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>Ultra regional center services Sacramento and about 9 or 10 surrounding counties, and they receive some federal pandemic aid money to implement a pilot project, where they offered an incentive to therapists to go to underserved zip codes and also hard to reach areas in their region. And they noticed that these incentives, which is I think it was something like $200 per visit, that they saw an increase in the number of children seen in these underserved areas. So clearly, you know, money talks.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Coming back to Reyna Balladares, what is she going to do next?\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>Her foster child just turned three, which means she is, quote unquote, aged out of, early intervention services. And Raina believes that she could have made much more progress if she had received consistent services. Her daughter now will need more, special education services through the San Francisco Unified School District.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>That is kind of heartbreaking, because it sounds like she wasn’t able to get the critical services she needed on time. But at the same time, Raina seems like this very active parent who knows a lot and who really pushed to make sure her kid got the services she needed. But I also imagine there’s probably lots of families who struggle to navigate these services, or maybe just don’t even have the time to and I mean, just maybe give up.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>I think that’s what compelled, Reyna to speak with me, because she would she wanted to speak out on behalf of those parents who you can imagine. I think having a child who, if you’re. Especially if you’re a first time parent, just absorbing the news that your child has a developmental delay. These families are often in crisis, and they don’t have the time to make constant calls to the regional center and push for these types of services.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Ultimately, Reyna wants to adopt the the baby girl, right?\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>She fell in love with this child.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>She is much closer to getting the adoption approved bundle.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>And when I met with them, I mean, you can just see this clear bond. And, she she just wants to do what’s best for this little girl.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Well, Daisy, thank you so much for breaking this down for us. I really appreciate it.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>Yeah. No problem.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>That was Daisy Nguyen, an early childhood education reporter for KQED. This 38 minute conversation with Daisy was cut down and edited by our intern, Ellie Prickett-Morgan and our senior editor, Alan Montecillo. Maria Esquinca is our producer. She scored this episode and added all the tape music courtesy of the Audio Network. Special thanks as well to Carlos Cabrera-Lomelí.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>By the way, did you know that the Bay is listener supported? Meaning our funders are people just like you? So if you appreciate the value that the Bay brings to your life, consider becoming a KQED member. Just go to KQED.org/Donate. The Bay is a production of listener supported KQED in San Francisco. I’m Ericka Cruz Guevarra. Thanks for listening. Talk to you next time.\u003c/p>\n\n","blocks":[],"excerpt":"Experts say getting these services early and in-person is critical for babies’ development.","status":"publish","parent":0,"modified":1711565224,"stats":{"hasAudio":true,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":75,"wordCount":2625},"headData":{"title":"Babies and Toddlers With Developmental Delays Are Entitled to Care. Many Aren't Getting It | KQED","description":"Experts say getting these services early and in-person is critical for babies’ development.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Babies and Toddlers With Developmental Delays Are Entitled to Care. Many Aren't Getting It","datePublished":"2024-03-27T10:00:06.000Z","dateModified":"2024-03-27T18:47:04.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"source":"The Bay","sourceUrl":"https://www.kqed.org/podcasts/thebay/","audioUrl":"https://www.podtrac.com/pts/redirect.mp3/chrt.fm/track/G6C7C3/traffic.megaphone.fm/KQINC5200793499.mp3?updated=1711491360","sticky":false,"excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11980854/babies-and-toddlers-are-entitled-to-developmental-therapies-many-arent-getting-them","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp class=\"p1\">\u003ca href=\"#episode-transcript\">\u003ci>View the full episode transcript.\u003c/i>\u003c/a>\u003c/p>\n\u003cp>Every child in California under 3 is entitled to early intervention services like physical, speech, and occupational therapy if they show signs that they need developmental support. Experts say getting these services early and in-person is critical for babies’ development, and that it can actually reduce the need for special education services later in life.\u003c/p>\n\u003cp>But many families aren’t receiving the care they need. KQED’s Daisy Nguyen explains why.\u003c/p>\n\u003cp>\u003cb>Links: \u003c/b>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.kqed.org/news/11980312/a-caregivers-guide-to-navigating-early-intervention-services\">‘Early Start’ 101: Here’s How Families Can Access Early Intervention Services for Younger Kids\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" frameborder=\"0\" height=\"200\" scrolling=\"no\" src=\"https://playlist.megaphone.fm/?e=KQINC5200793499\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003ch2 id=\"episode-transcript\">Episode Transcript\u003c/h2>\n\u003cp>\u003ci>This is a computer-generated transcript. While our team has reviewed it, there may be errors.\u003c/i>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I’m Ericka Cruz Guevarra and welcome to the Bay. Local news to keep you rooted. Baby brains have lots to absorb early on. They’re learning how to walk and talk, and their brains are most adaptable in the first three years of life. That makes it a crucial period, because if the child shows signs of delays in their development, those first three years are the time to intervene.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>Receiving early intervention services could really change the developmental path of a child. It could make a big difference, but it has to be given during this period.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>In California, babies are entitled to help from the state. They show signs of developmental delay, and it happens through a program known as Early Start. But many of the neediest families aren’t getting that help today. I talked with KQED early childhood education reporter Daisy Nguyen about the barriers to getting babies crucial, life altering services on time.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>Reyna Balladares, is a foster parent who lives in the tenderloin.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>Then she became a foster parent, during the pandemic. She told me that at the time when the, you know, the world was shutting down, she wanted to open up her home to help foster children. She first took care of a baby boy for about six months. And, I think that was a really good experience for her, even though ultimately, you know, that the child was placed in a different home.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>And then she met this little girl, this newborn baby in 2021.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>She told me that she just remembered the the baby’s smile and just how sweet her face was. How she lit up when she saw her second city.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>You know, it broke her heart that the situation, that in which this girl came to her. But the little glimmer of hope when she saw that the girl was making some progress in her development, really reinforced her desire to want to advocate for this, for this little girl.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>When did Reyna start to notice this little girl struggling a little bit in her development?\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>She said this child was just slow to begin walking and talking. And I think because Reyna had raised two daughters, she had some personal experience.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>She just felt something wasn’t right. And she she said she mentioned this to doctors who initially told her this is normal. That was slightly dismissive. But she was certain that there was something going on. And ultimately, after seeing specialists, it was confirmed to her that this little girl needed a lot of early intervention services, essentially to help her reach her potential. It was recommended that this little girl receives a physical therapy, speech therapy, occupational therapy, and feeding therapy.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>We’re talking about really important services that kids need very early on. And I mean, I have to imagine time is of the essence. Why was it so hard for Rina to get the services that she needed for this baby girl? Why did she have to push so hard?\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>When I learned was just that the regional center has been overwhelmed, especially since the pandemic, with just a high caseload of children seeking services and probably some staffing shortages, not only at the regional center, but also with a shortage of early intervention providers. Families have to really push to get the services that they need in a timely manner and in the way that they want it to receive it, meaning if they want it to happen in the natural environment of the child.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>Reyna said that what she stumbled upon was just a lot of resistance by the therapist to come to the tenderloin, where she lives. She told me that the regional center coordinators told her that the therapists were just afraid to come to the tenderloin because they felt unsafe.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>What does Reyna say about what it was like to not have therapists willing to meet with her foster daughter in person?\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>She just felt it was unjust that it was because of where she lives. The therapists weren’t coming there to provide the services that her foster daughter crucially needed.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>What happened instead was that she was given an alternative, but it wasn’t what she wanted. So the Golden Gate Regional Center was telling her that she could take her foster child to the different clinics across San Francisco to make all these different appointments, which kind of stacked up during the week for her. She had to take a lot of time out of her working days.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>But the other alternative was to have these services done through zoom.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>It wasn’t ideal. She said her foster child would not respond to the therapist or just not want to sit in front of a screen.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I want to step back a little bit, Daisy, and talk a little bit more about what early intervention services are, what kind of services are we talking about? Exactly? And I know these services are also things that families are entitled to. Right.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>Children with developmental delays are entitled to receive a host of early intervention services to enhance their ability to sit or walk or talk. The services could include physical therapy, speech therapy, occupational therapy. It could even include equipment that helps young children maintain or improve certain skills, or parents could also receive some counseling and training to support their child’s developmental needs.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>Getting the services as early as possible is crucial for children. Experts say that’s because this is a period when children’s brain are rapidly developing, and so they’re more adaptable. So receiving early intervention services could really change the developmental path of a child. It could make a big difference.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>But it has to be given during this period. This is a federal program that’s administered in California by a network of nonprofit regional centers. So in the Bay area, the Golden Gate Regional Center is responsible for coordinating these services for families in San Francisco, Marin, and San Mateo County.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>What are the bigger systemic problems with the state system for these early intervention services?\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>This program has always been plagued by understaffing and underinvestment by the government. The therapist who would provide these services. They are not paid a competitive rate. The rates in which the providers get paid have never been as competitive as what the private market is able to pay for these services, and so they’re just less incentivized to to provide services through this program.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>And so they’re in demand, which means that the number of families who who need the service, who requested these services and are eligible for these services have to kind of wait sometimes just to get it. The other issue is that they don’t get paid to travel to a family’s home.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>So as an alternative, what they’re able to offer to families is appointments in their offices or through telehealth, meaning appointments through zoom. And but for these some of these families, this is not what they considered an ideal way for their children to receive these services. They consider it substandard.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Coming up, how underfunding has hurt those who need the most help and how do we fix this? Stay with us.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I want to talk more Daisy through, I guess, some of the consequences of this inadequate funding, as you were kind of just starting to talk about. What did you find?\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>Doctor Jennifer Albon is a pediatrician at UCSF.\u003c/p>\n\u003cp>\u003cstrong>Dr. Jennifer Albon: \u003c/strong>Most of my young patients are needing early intervention services.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>So she just is seeing, you know, growing geographic and socioeconomic disparities when it comes to who gets early intervention services in their home.\u003c/p>\n\u003cp>\u003cstrong>Dr. Jennifer Albon: \u003c/strong>I have many families who, like, live in certain neighborhoods of San Francisco, and the regional center has flat out told them and told us that there’s not providers who will go to your neighborhood, even within San Francisco.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>What does Doctor Albon say about the importance of providing this treatment in these children’s homes, but specifically no matter where they live?\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>She says it’s just more ideal because children learn best when they’re in familiar surroundings.\u003c/p>\n\u003cp>\u003cstrong>Dr. Jennifer Albon: \u003c/strong>You know, they get scared of coming into like, offices and other things like that. So it’s harder for them to participate when it’s not like their natural environments.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>The parents are also receiving some of the training themselves, so that for the rest of that week, when there’s no therapy, they’re able to practice what they’ve been trained to, you know, by the therapists to do.\u003c/p>\n\u003cp>\u003cstrong>Dr. Jennifer Albon: \u003c/strong>The goal for it to be kind of in their natural environment is that they have all of their regular things. And the and the therapists are showing the family what to do with what they have at home or in these natural environments.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>And I should add that it is it’s a lot. It’s a law where it says that services should ideally be provided in the natural environment. The growth in online therapies have made it accessible for many people. But I think in the case with young children, it’s it’s created more inequities.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Will these issues that we’re talking about are systemic, as you described earlier, and they’re also not all new, but what can we do to fix this problem?\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>I spoke with leaders of the regional centers, and they say that’s really like the you know, they recognize that this is a distressing situation that they’ve been trying to address for a long time, and they can’t compel therapists to see children in person if they’re just not getting, you know, they’re not being paid enough to do it. And so they’re really calling for greater investment by the state and federal government in the program.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>The state has been gradually been increasing the reimbursement rates for early intervention services. But this budget year, Governor Gavin Newsom wants to delay full implementation of the increases, and the regional center leaders are saying like they they really don’t think delay is a good idea, because increasing the rate is encouraging the therapists to do the work to go and see children in the natural environment. And also it’s encouraging them to to hire more people.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>Ultra regional center services Sacramento and about 9 or 10 surrounding counties, and they receive some federal pandemic aid money to implement a pilot project, where they offered an incentive to therapists to go to underserved zip codes and also hard to reach areas in their region. And they noticed that these incentives, which is I think it was something like $200 per visit, that they saw an increase in the number of children seen in these underserved areas. So clearly, you know, money talks.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Coming back to Reyna Balladares, what is she going to do next?\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>Her foster child just turned three, which means she is, quote unquote, aged out of, early intervention services. And Raina believes that she could have made much more progress if she had received consistent services. Her daughter now will need more, special education services through the San Francisco Unified School District.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>That is kind of heartbreaking, because it sounds like she wasn’t able to get the critical services she needed on time. But at the same time, Raina seems like this very active parent who knows a lot and who really pushed to make sure her kid got the services she needed. But I also imagine there’s probably lots of families who struggle to navigate these services, or maybe just don’t even have the time to and I mean, just maybe give up.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>I think that’s what compelled, Reyna to speak with me, because she would she wanted to speak out on behalf of those parents who you can imagine. I think having a child who, if you’re. Especially if you’re a first time parent, just absorbing the news that your child has a developmental delay. These families are often in crisis, and they don’t have the time to make constant calls to the regional center and push for these types of services.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Ultimately, Reyna wants to adopt the the baby girl, right?\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>She fell in love with this child.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>She is much closer to getting the adoption approved bundle.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>And when I met with them, I mean, you can just see this clear bond. And, she she just wants to do what’s best for this little girl.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Well, Daisy, thank you so much for breaking this down for us. I really appreciate it.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>Yeah. No problem.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>That was Daisy Nguyen, an early childhood education reporter for KQED. This 38 minute conversation with Daisy was cut down and edited by our intern, Ellie Prickett-Morgan and our senior editor, Alan Montecillo. Maria Esquinca is our producer. She scored this episode and added all the tape music courtesy of the Audio Network. Special thanks as well to Carlos Cabrera-Lomelí.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>By the way, did you know that the Bay is listener supported? Meaning our funders are people just like you? So if you appreciate the value that the Bay brings to your life, consider becoming a KQED member. Just go to KQED.org/Donate. The Bay is a production of listener supported KQED in San Francisco. I’m Ericka Cruz Guevarra. Thanks for listening. Talk to you next time.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11980854/babies-and-toddlers-are-entitled-to-developmental-therapies-many-arent-getting-them","authors":["8654","11829","11802","11649","11898"],"programs":["news_28779"],"categories":["news_8"],"tags":["news_32102","news_33933","news_18543","news_33812","news_17762","news_22598"],"featImg":"news_11979221","label":"source_news_11980854"},"news_11980719":{"type":"posts","id":"news_11980719","meta":{"index":"posts_1591205157","site":"news","id":"11980719","score":null,"sort":[1711409723000]},"guestAuthors":[],"slug":"health-care-for-health-care-workers-hundreds-stage-2-day-strike-at-daly-city-hospital","title":"‘Health Care for Health Care Workers’: Hundreds Stage 2-Day Strike at Daly City Hospital","publishDate":1711409723,"format":"standard","headTitle":"‘Health Care for Health Care Workers’: Hundreds Stage 2-Day Strike at Daly City Hospital | KQED","labelTerm":{"site":"news"},"content":"\u003cp>Hundreds of workers at AHMC Seton Medical Center in Daly City walked off the job on Monday as part of a two-day strike to demand the hospital reverse changes it recently made to their health care plans.\u003c/p>\n\u003cp>“We’re striking for better medical benefits, something that actually covers our families, that pays the bills,” said Christina Caridis, an X-ray technician, who was among the throng of hospital staff on the picket line hoisting signs that said “Health Care for Health Care Workers.”\u003c/p>\n\u003cp>“We all have outstanding bills; we’ve gone to collections, and these are bills that they (the hospital) were supposed to pay,” she said.\u003c/p>\n\u003cp>The union representing the workers said the hospital’s administration dramatically changed health care options at the beginning of the year after workers’ previous contract expired, forcing them to pay up to $6,000 a year to maintain their coverage or accept a new plan with limited access to local doctors and hospitals.\u003c/p>\n\u003cp>“I’m worried about my family, my kids not having basic insurance that works,” said Juliya Vinogradsky, a respiratory therapist at Seton, noting that the new, more affordable plan has very few options for local care. “The closest doctors are about 45 minutes to an hour’s drive.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The two-day strike, expected to continue through Tuesday, follows \u003ca href=\"https://www.smdailyjournal.com/news/local/seton-nurses-call-for-better-working-conditions/article_66cb8e32-1eaf-11ed-8290-cfd8dd2926c1.html\">a number of previous labor disputes at the facility\u003c/a> since 2020 when \u003ca href=\"https://www.mercurynews.com/2020/08/14/ahmc-healthcare-finalizes-purchase-of-seton-medical-center/\">AHMC Healthcare purchased the hospital\u003c/a> out of bankruptcy. Since then, the Los Angeles-based company has “gutted patient care services and initiated several rounds of layoffs, cutting non-nurse staffing by nearly 25%,” according to the National Union of Healthcare Workers, which represents more than 400 Seton workers, including nursing assistants, licensed vocational nurses, respiratory therapists, housekeepers and medical technicians.[aside label=\"more health coverage\" tag=\"health\"]The union is still negotiating a new contract with the company and said that while it’s “near agreement” on wages, it won’t consider any deal that doesn’t fully restore workers’ health benefits.\u003c/p>\n\u003cp>“I am mainly here for better health care. This health insurance affects my 6-month-old daughter,” said Rachelle Ortua, a material management technician at Seton, who joined the picket line on Monday. “I’m not even worried about myself. I’m only worried about my daughter.”\u003c/p>\n\u003cp>Ortua said she and her daughter now have to drive at least 45 minutes to see a pediatrician who is covered by her new insurance plan. And the closest hospital with emergency pediatric care, she said, is even further away.\u003c/p>\n\u003cp>“I have chronic asthma, and I’m afraid my daughter has it,” Ortua said. “If she has it and she needs to get admitted, you’re telling me that [with] this health care, I have to travel an hour and a half away for her to be admitted into the hospital? I’m not OK with that.”\u003c/p>\n\u003cp>The union also said it fears that AHMC plans to further drain resources and eventually shutter the safety-net hospital that has primarily served lower-income immigrant communities in northern San Mateo County and San Francisco for generations. When it purchased the hospital in August 2020, the company, in an agreement with the state, committed to keeping it open for at least five and a half years — roughly midway through 2026.\u003c/p>\n\u003cp>But Seton’s administrator said concerns about its commitment to the well-being of its workers and patients are unfounded, calling the strike “unnecessary.” It accused the union of prioritizing “a contract negotiating tactic over patient and community care.”\u003c/p>\n\u003cp>The hospital has offered workers “outstanding wages and extraordinary medical benefits,” including 16% pay increases over three years, the option of free medical benefits for employees and their families, and a generous paid time off package, Seton said in a statement on Monday.\u003c/p>\n\u003cp>Since purchasing Seton in August 2020, when the facility “teetered on the edge of closure,” AMHC has pledged to keep the hospital open and make it financially viable by investing $100 million in repairs and upgrades and undertaking a $75 million seismic retrofit, the statement said.\u003c/p>\n\u003cp>“We have been working diligently to ensure Northern San Mateo County has a community hospital for years to come,” Sarkis Vartanian, the hospital’s head administrator, said in the statement. “My focus has been to provide high-quality, affordable care that meets the needs of our community.”\u003c/p>\n\u003cp>But many workers and local officials said the current state of the hospital suggests otherwise.\u003c/p>\n\u003cp>“They’re supposed to get new equipment and they didn’t get new equipment,” said Daly City Councilmember Pamela DiGiovanni, who joined workers on the picket line on Monday. “One of the doctors told me the bulbs are out in some of the operating rooms. It’s just terrible.”\u003c/p>\n\u003cp>DiGiovanni said she’s been calling Vartanian about these issues “three times a day, and he has not called me back.”\u003c/p>\n\u003cp>The hospital operators have failed to “fix and repair equipment that we need and provide the resources that we need to treat our patients,” Caridis, the X-ray technician, added. “In my personal specialty, I have no equipment to do the procedures that I need to do on a safe basis. We cancel a lot of patients.”\u003c/p>\n\u003cp>Workers like Ortua, the material management technician, acknowledged that the hospital is a business with financial constraints but said penalizing its workers and patients is both unethical and foolhardy.\u003c/p>\n\u003cp>“I understand trying to save money but treating your employees this way, you’ll never save money that way,” she said. “You’re going to lose people and end up losing the hospital. The least you can do is provide us with proper health care.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>KQED’s Sydney Johnson and Matthew Green contributed reporting to this story.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"The union representing more than 400 workers at Seton Medical Center is still negotiating a new contract with the hospital and said that while it’s 'near agreement' on wages, it won’t consider any deal that doesn’t fully restore the previous health benefits package. \r\n","status":"publish","parent":0,"modified":1711511144,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":23,"wordCount":1026},"headData":{"title":"‘Health Care for Health Care Workers’: Hundreds Stage 2-Day Strike at Daly City Hospital | KQED","description":"The union representing more than 400 workers at Seton Medical Center is still negotiating a new contract with the hospital and said that while it’s 'near agreement' on wages, it won’t consider any deal that doesn’t fully restore the previous health benefits package. \r\n","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"‘Health Care for Health Care Workers’: Hundreds Stage 2-Day Strike at Daly City Hospital","datePublished":"2024-03-25T23:35:23.000Z","dateModified":"2024-03-27T03:45:44.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"audioUrl":"https://traffic.omny.fm/d/clips/0af137ef-751e-4b19-a055-aaef00d2d578/ffca7e9f-6831-41c5-bcaf-aaef00f5a073/2d657529-5e20-43e8-a07f-b13f01796488/audio.mp3","sticky":false,"excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11980719/health-care-for-health-care-workers-hundreds-stage-2-day-strike-at-daly-city-hospital","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Hundreds of workers at AHMC Seton Medical Center in Daly City walked off the job on Monday as part of a two-day strike to demand the hospital reverse changes it recently made to their health care plans.\u003c/p>\n\u003cp>“We’re striking for better medical benefits, something that actually covers our families, that pays the bills,” said Christina Caridis, an X-ray technician, who was among the throng of hospital staff on the picket line hoisting signs that said “Health Care for Health Care Workers.”\u003c/p>\n\u003cp>“We all have outstanding bills; we’ve gone to collections, and these are bills that they (the hospital) were supposed to pay,” she said.\u003c/p>\n\u003cp>The union representing the workers said the hospital’s administration dramatically changed health care options at the beginning of the year after workers’ previous contract expired, forcing them to pay up to $6,000 a year to maintain their coverage or accept a new plan with limited access to local doctors and hospitals.\u003c/p>\n\u003cp>“I’m worried about my family, my kids not having basic insurance that works,” said Juliya Vinogradsky, a respiratory therapist at Seton, noting that the new, more affordable plan has very few options for local care. “The closest doctors are about 45 minutes to an hour’s drive.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The two-day strike, expected to continue through Tuesday, follows \u003ca href=\"https://www.smdailyjournal.com/news/local/seton-nurses-call-for-better-working-conditions/article_66cb8e32-1eaf-11ed-8290-cfd8dd2926c1.html\">a number of previous labor disputes at the facility\u003c/a> since 2020 when \u003ca href=\"https://www.mercurynews.com/2020/08/14/ahmc-healthcare-finalizes-purchase-of-seton-medical-center/\">AHMC Healthcare purchased the hospital\u003c/a> out of bankruptcy. Since then, the Los Angeles-based company has “gutted patient care services and initiated several rounds of layoffs, cutting non-nurse staffing by nearly 25%,” according to the National Union of Healthcare Workers, which represents more than 400 Seton workers, including nursing assistants, licensed vocational nurses, respiratory therapists, housekeepers and medical technicians.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"more health coverage ","tag":"health"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>The union is still negotiating a new contract with the company and said that while it’s “near agreement” on wages, it won’t consider any deal that doesn’t fully restore workers’ health benefits.\u003c/p>\n\u003cp>“I am mainly here for better health care. This health insurance affects my 6-month-old daughter,” said Rachelle Ortua, a material management technician at Seton, who joined the picket line on Monday. “I’m not even worried about myself. I’m only worried about my daughter.”\u003c/p>\n\u003cp>Ortua said she and her daughter now have to drive at least 45 minutes to see a pediatrician who is covered by her new insurance plan. And the closest hospital with emergency pediatric care, she said, is even further away.\u003c/p>\n\u003cp>“I have chronic asthma, and I’m afraid my daughter has it,” Ortua said. “If she has it and she needs to get admitted, you’re telling me that [with] this health care, I have to travel an hour and a half away for her to be admitted into the hospital? I’m not OK with that.”\u003c/p>\n\u003cp>The union also said it fears that AHMC plans to further drain resources and eventually shutter the safety-net hospital that has primarily served lower-income immigrant communities in northern San Mateo County and San Francisco for generations. When it purchased the hospital in August 2020, the company, in an agreement with the state, committed to keeping it open for at least five and a half years — roughly midway through 2026.\u003c/p>\n\u003cp>But Seton’s administrator said concerns about its commitment to the well-being of its workers and patients are unfounded, calling the strike “unnecessary.” It accused the union of prioritizing “a contract negotiating tactic over patient and community care.”\u003c/p>\n\u003cp>The hospital has offered workers “outstanding wages and extraordinary medical benefits,” including 16% pay increases over three years, the option of free medical benefits for employees and their families, and a generous paid time off package, Seton said in a statement on Monday.\u003c/p>\n\u003cp>Since purchasing Seton in August 2020, when the facility “teetered on the edge of closure,” AMHC has pledged to keep the hospital open and make it financially viable by investing $100 million in repairs and upgrades and undertaking a $75 million seismic retrofit, the statement said.\u003c/p>\n\u003cp>“We have been working diligently to ensure Northern San Mateo County has a community hospital for years to come,” Sarkis Vartanian, the hospital’s head administrator, said in the statement. “My focus has been to provide high-quality, affordable care that meets the needs of our community.”\u003c/p>\n\u003cp>But many workers and local officials said the current state of the hospital suggests otherwise.\u003c/p>\n\u003cp>“They’re supposed to get new equipment and they didn’t get new equipment,” said Daly City Councilmember Pamela DiGiovanni, who joined workers on the picket line on Monday. “One of the doctors told me the bulbs are out in some of the operating rooms. It’s just terrible.”\u003c/p>\n\u003cp>DiGiovanni said she’s been calling Vartanian about these issues “three times a day, and he has not called me back.”\u003c/p>\n\u003cp>The hospital operators have failed to “fix and repair equipment that we need and provide the resources that we need to treat our patients,” Caridis, the X-ray technician, added. “In my personal specialty, I have no equipment to do the procedures that I need to do on a safe basis. We cancel a lot of patients.”\u003c/p>\n\u003cp>Workers like Ortua, the material management technician, acknowledged that the hospital is a business with financial constraints but said penalizing its workers and patients is both unethical and foolhardy.\u003c/p>\n\u003cp>“I understand trying to save money but treating your employees this way, you’ll never save money that way,” she said. “You’re going to lose people and end up losing the hospital. The least you can do is provide us with proper health care.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>KQED’s Sydney Johnson and Matthew Green contributed reporting to this story.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11980719/health-care-for-health-care-workers-hundreds-stage-2-day-strike-at-daly-city-hospital","authors":["11896"],"categories":["news_457","news_8"],"tags":["news_18543","news_683","news_19904","news_32652","news_33925"],"featImg":"news_11980724","label":"news"},"news_11979144":{"type":"posts","id":"news_11979144","meta":{"index":"posts_1591205157","site":"news","id":"11979144","score":null,"sort":[1710288284000]},"guestAuthors":[],"slug":"san-francisco-promotes-treatment-for-stimulant-use-disorder-amid-overdose-epidemic","title":"San Francisco Promotes Treatment for Stimulant Use Disorder Amid Overdose Epidemic","publishDate":1710288284,"format":"standard","headTitle":"San Francisco Promotes Treatment for Stimulant Use Disorder Amid Overdose Epidemic | KQED","labelTerm":{"site":"news"},"content":"\u003cp>The rate of overdose deaths in San Francisco remained steady in the first two months of 2024, according to data released Monday from the Office of the Chief Medical Examiner.\u003c/p>\n\u003cp>The new data shows there were 131 overdose deaths in San Francisco between January and February of this year. That’s compared to 136 overdose deaths over the same period a year ago. There were 811 overdose deaths in San Francisco in all of 2023.\u003c/p>\n\u003cp>Most of these overdoses involved fentanyl, an opioid about 50 times stronger than heroin. But many people who die from an overdose in the city are combining substances with fentanyl, like methamphetamine or cocaine.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Hillary Kunins, director, Behavioral Health and Mental Health SF\"]‘We want everyone to know, even though addiction is a chronic illness, recovery is possible.’[/pullquote]In response, city health officials say they are expanding opportunities for contingency management, a positive-reinforcement-based model that’s primarily used for adjusting methamphetamine and cocaine use.\u003c/p>\n\u003cp>“Recovering from stimulants improves an individual’s health and reduces their overall risk of overdose,” Christy Soran, deputy medical director of substance use services for the Department of Public Health, told reporters on Tuesday.\u003c/p>\n\u003cp>Unlike opioid addiction or alcoholism, there are no government-approved medications for stimulant-use disorder. Contingency management offers another option. People participating typically attend weekly or regular meetings with a group and counselor, and they take a drug test for the substance they are targeting. If the test is negative, a small stipend, such as a gift card, is offered.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" title=\"Percent of overdoses in Jan. – Feb. 2024 involving at least this drug\n\" aria-label=\"Bar Chart\" id=\"datawrapper-chart-df81A\" src=\"https://datawrapper.dwcdn.net/df81A/3/\" scrolling=\"no\" frameborder=\"0\" style=\"border: none;\" width=\"600\" height=\"321\" data-external=\"1\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>\u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6768930/\">Veterans Affairs\u003c/a> has used contingency management for decades. A \u003ca href=\"https://www.sciencedirect.com/science/article/abs/pii/S0376871618300784\">2018 study\u003c/a> found that, on average, VA patients attended more than half of their counseling sessions, and 91% of participants tested negative for the targeted substance.\u003c/p>\n\u003cp>[aside postID=\"news_11965813,news_11972898,news_11967618\" label=\"Related Stories\"]San Francisco’s embrace of contingency management is not new. But its expansion comes alongside statewide efforts to grow access to the model.\u003c/p>\n\u003cp>In 2021, California became the first state to cover contingency management through Medi-Cal.\u003c/p>\n\u003cp>The state has also allocated $58.5 million to pilot contingency management programs in \u003ca href=\"https://www.dhcs.ca.gov/Pages/DMC-ODS-Contingency-Management.aspx\">nearly two dozen other California counties\u003c/a>. In those programs, each patient receives a maximum of $599 over six months, after which they are referred for follow-up recovery programs and services.\u003c/p>\n\u003cp>Locally, the San Francisco Department of Public Health provides contingency management at the \u003ca href=\"https://citywide.ucsf.edu/stimulant-treatment-outpatient-program-stop\">Citywide Clinic’s Stimulant Treatment Outpatient Program\u003c/a>, the \u003ca href=\"https://psych.ucsf.edu/news/office-based-buprenorphine-induction-clinics-work-highlighted-national-magazine\">Office-Based Buprenorphine Induction Clinic\u003c/a> and \u003ca href=\"https://sf.gov/reports/october-2022/overdose-prevention-plan-2022\">Project HOUDINI LINK\u003c/a>. The San Francisco AIDS Foundation and others also provide similar programs.\u003c/p>\n\u003cp>Meanwhile, San Francisco has been working to increase opioid addiction treatments like buprenorphine or methadone medications as overdose deaths have remained at epidemic levels.\u003c/p>\n\u003cp>“These medications, specifically buprenorphine and methadone, each reduce a person’s risk of dying by approximately 50%,” Hillary Kunins, director of Behavioral Health and Mental Health SF for the San Francisco Department of Public Health, said on Tuesday to reporters. “I really cannot understate the effectiveness of these medications. They save lives, and they are within every person’s reach.”\u003c/p>\n\u003cp>Buprenorphine is available across the San Francisco Health Network, including in primary care and hospital settings.\u003c/p>\n\u003cp>“We want everyone to know, even though addiction is a chronic illness, recovery is possible,” Kunins said. “There is a way out of addiction and into a healthier life.”\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n","blocks":[],"excerpt":"The new data shows there were 131 overdose deaths in San Francisco so far in 2024. ","status":"publish","parent":0,"modified":1710351865,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":true,"iframeSrcs":["https://datawrapper.dwcdn.net/df81A/3/"],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":17,"wordCount":579},"headData":{"title":"San Francisco Promotes Treatment for Stimulant Use Disorder Amid Overdose Epidemic | KQED","description":"The new data shows there were 131 overdose deaths in San Francisco so far in 2024. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"San Francisco Promotes Treatment for Stimulant Use Disorder Amid Overdose Epidemic","datePublished":"2024-03-13T00:04:44.000Z","dateModified":"2024-03-13T17:44:25.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"sticky":false,"excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11979144/san-francisco-promotes-treatment-for-stimulant-use-disorder-amid-overdose-epidemic","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The rate of overdose deaths in San Francisco remained steady in the first two months of 2024, according to data released Monday from the Office of the Chief Medical Examiner.\u003c/p>\n\u003cp>The new data shows there were 131 overdose deaths in San Francisco between January and February of this year. That’s compared to 136 overdose deaths over the same period a year ago. There were 811 overdose deaths in San Francisco in all of 2023.\u003c/p>\n\u003cp>Most of these overdoses involved fentanyl, an opioid about 50 times stronger than heroin. But many people who die from an overdose in the city are combining substances with fentanyl, like methamphetamine or cocaine.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘We want everyone to know, even though addiction is a chronic illness, recovery is possible.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Hillary Kunins, director, Behavioral Health and Mental Health SF","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>In response, city health officials say they are expanding opportunities for contingency management, a positive-reinforcement-based model that’s primarily used for adjusting methamphetamine and cocaine use.\u003c/p>\n\u003cp>“Recovering from stimulants improves an individual’s health and reduces their overall risk of overdose,” Christy Soran, deputy medical director of substance use services for the Department of Public Health, told reporters on Tuesday.\u003c/p>\n\u003cp>Unlike opioid addiction or alcoholism, there are no government-approved medications for stimulant-use disorder. Contingency management offers another option. People participating typically attend weekly or regular meetings with a group and counselor, and they take a drug test for the substance they are targeting. If the test is negative, a small stipend, such as a gift card, is offered.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" title=\"Percent of overdoses in Jan. – Feb. 2024 involving at least this drug\n\" aria-label=\"Bar Chart\" id=\"datawrapper-chart-df81A\" src=\"https://datawrapper.dwcdn.net/df81A/3/\" scrolling=\"no\" frameborder=\"0\" style=\"border: none;\" width=\"600\" height=\"321\" data-external=\"1\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>\u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6768930/\">Veterans Affairs\u003c/a> has used contingency management for decades. A \u003ca href=\"https://www.sciencedirect.com/science/article/abs/pii/S0376871618300784\">2018 study\u003c/a> found that, on average, VA patients attended more than half of their counseling sessions, and 91% of participants tested negative for the targeted substance.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11965813,news_11972898,news_11967618","label":"Related Stories "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>San Francisco’s embrace of contingency management is not new. But its expansion comes alongside statewide efforts to grow access to the model.\u003c/p>\n\u003cp>In 2021, California became the first state to cover contingency management through Medi-Cal.\u003c/p>\n\u003cp>The state has also allocated $58.5 million to pilot contingency management programs in \u003ca href=\"https://www.dhcs.ca.gov/Pages/DMC-ODS-Contingency-Management.aspx\">nearly two dozen other California counties\u003c/a>. In those programs, each patient receives a maximum of $599 over six months, after which they are referred for follow-up recovery programs and services.\u003c/p>\n\u003cp>Locally, the San Francisco Department of Public Health provides contingency management at the \u003ca href=\"https://citywide.ucsf.edu/stimulant-treatment-outpatient-program-stop\">Citywide Clinic’s Stimulant Treatment Outpatient Program\u003c/a>, the \u003ca href=\"https://psych.ucsf.edu/news/office-based-buprenorphine-induction-clinics-work-highlighted-national-magazine\">Office-Based Buprenorphine Induction Clinic\u003c/a> and \u003ca href=\"https://sf.gov/reports/october-2022/overdose-prevention-plan-2022\">Project HOUDINI LINK\u003c/a>. The San Francisco AIDS Foundation and others also provide similar programs.\u003c/p>\n\u003cp>Meanwhile, San Francisco has been working to increase opioid addiction treatments like buprenorphine or methadone medications as overdose deaths have remained at epidemic levels.\u003c/p>\n\u003cp>“These medications, specifically buprenorphine and methadone, each reduce a person’s risk of dying by approximately 50%,” Hillary Kunins, director of Behavioral Health and Mental Health SF for the San Francisco Department of Public Health, said on Tuesday to reporters. “I really cannot understate the effectiveness of these medications. They save lives, and they are within every person’s reach.”\u003c/p>\n\u003cp>Buprenorphine is available across the San Francisco Health Network, including in primary care and hospital settings.\u003c/p>\n\u003cp>“We want everyone to know, even though addiction is a chronic illness, recovery is possible,” Kunins said. “There is a way out of addiction and into a healthier life.”\u003cbr>\n\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11979144/san-francisco-promotes-treatment-for-stimulant-use-disorder-amid-overdose-epidemic","authors":["11840"],"categories":["news_457","news_8"],"tags":["news_25959","news_23051","news_18543","news_31709","news_22661","news_38"],"featImg":"news_11969941","label":"news"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. 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You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED MindShift: How We Will Learn","officialWebsiteLink":"/mindshift/","meta":{"site":"news","source":"kqed","order":"2"},"link":"/podcasts/mindshift","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5","npr":"https://www.npr.org/podcasts/464615685/mind-shift-podcast","stitcher":"https://www.stitcher.com/podcast/kqed/stories-teachers-share","spotify":"https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"}},"morning-edition":{"id":"morning-edition","title":"Morning Edition","info":"\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. 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On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg","imageAlt":"On Our Watch from NPR and KQED","officialWebsiteLink":"/podcasts/onourwatch","meta":{"site":"news","source":"kqed","order":"1"},"link":"/podcasts/onourwatch","subscribe":{"apple":"https://podcasts.apple.com/podcast/id1567098962","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw","npr":"https://rpb3r.app.goo.gl/onourwatch","spotify":"https://open.spotify.com/show/0OLWoyizopu6tY1XiuX70x","tuneIn":"https://tunein.com/radio/On-Our-Watch-p1436229/","stitcher":"https://www.stitcher.com/show/on-our-watch","rss":"https://feeds.npr.org/510360/podcast.xml"}},"on-the-media":{"id":"on-the-media","title":"On The Media","info":"Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. 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