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She was diagnosed with uterine cancer two years ago and needs regular checkups. Medina lives in Monterey County, but her health insurance forbids her from using any local hospital.\u003c/p>\n\u003cp>Medina and her wife Jeannie are both Salinas Union High School District teachers. They’re enrolled in a local government employee health insurance plan created a decade ago to save employees and employers money. To do that, it excludes all Monterey County hospitals and their affiliates. As the hospitals have gobbled up local doctors’ offices and urgent care centers, seeing specialists like Medina’s oncologist and getting emergency care have become more difficult.\u003c/p>\n\u003cp>“I think that the community would probably be shocked if they knew that the teachers, the people in our school districts, were not able to access our hospitals,” Jeannie Medina said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>They live in one of California’s most expensive health care markets, where experts said geographic isolation and lack of market competition combine to drive up prices at especially steep rates. Three hospitals in Monterey County — Community Hospital of the Monterey Peninsula, Natividad Medical Center and Mee Memorial Healthcare System — are in the top 10% of highest-priced hospitals in California, according to \u003ca href=\"https://www.rand.org/pubs/research_reports/RRA1144-1.html\">data collected by the research think tank RAND\u003c/a>.\u003c/p>\n\u003cp>A fourth hospital, Salinas Valley Health, is in the top 15% of highest-priced hospitals. The RAND data is compiled through voluntary disclosures from employers and includes price information for about 90% of California’s hospitals.\u003c/p>\n\u003cp>“Monterey is the definition of a market failure,” said Ivana Krajcinovic, an economist and vice president for a union health plan that supports hotel workers in the county.\u003c/p>\n\u003cfigure id=\"attachment_11971663\" class=\"wp-caption alignright\" style=\"max-width: 1568px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11971663\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/121523_Monterey-County-Hospitals_MO_CM_10-copy.jpg\" alt=\"A medical center building seen from the street.\" width=\"1568\" height=\"1045\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/121523_Monterey-County-Hospitals_MO_CM_10-copy.jpg 1568w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/121523_Monterey-County-Hospitals_MO_CM_10-copy-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/121523_Monterey-County-Hospitals_MO_CM_10-copy-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/121523_Monterey-County-Hospitals_MO_CM_10-copy-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/121523_Monterey-County-Hospitals_MO_CM_10-copy-1536x1024.jpg 1536w\" sizes=\"(max-width: 1568px) 100vw, 1568px\">\u003cfigcaption class=\"wp-caption-text\">The emergency entrance of Salinas Valley Health in Salinas on Dec. 15, 2023. \u003ccite>(Manuel Orbegozo for CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Though Monterey elicits images of pristine coastline, swanky restaurants and golf resorts for tourists, it is squarely a blue-collar county. The average annual salary is less than $58,000, and \u003ca href=\"https://www.montereycountywdb.org/wp-content/uploads/2023/02/Economic-Overview-Monterey-County-California.pdf\">fishing and agriculture comprise the county’s largest industry\u003c/a>.\u003c/p>\n\u003cp>Residents and labor advocates said the hospitals are so expensive they’re causing an access and “affordability crisis” on the Central Coast. They said the prices saddle thousands of people with medical debt and compel others to travel hours to give birth or have surgeries.\u003c/p>\n\u003cp>They’ve \u003ca href=\"https://laborcenter.berkeley.edu/why-are-health-care-prices-so-high-for-workers-in-monterey-county/\">taken their complaints to the state’s new Office of Health Care Affordability\u003c/a>, a department created by a \u003ca href=\"https://calmatters.org/health/2022/07/rising-health-care-costs/\">2022 law that’s intended to curb extreme price increases\u003c/a>. But the deal lawmakers struck with the industry to get the bill through the Legislature limits the office to looking only at future price increases, leaving Monterey County residents with little recourse for the existing medical costs there.\u003c/p>\n\u003cp>Hospital executives blame insurers for Monterey County’s affordability woes and argue that the rates hospitals charge are the only way to stay in business at a time when \u003ca href=\"https://calhospital.org/new-report-shows-patients-served-by-one-in-five-california-hospitals-are-at-risk-of-losing-their-hospital-due-to-closure/\">one in five California hospitals is at risk of closure\u003c/a>, according to a report commissioned by the California Hospital Association. Essential services would be cut, and jobs would be lost if prices were lowered, executives at two hospitals told CalMatters.\u003c/p>\n\u003cp>But, independent economists said Monterey hospitals have healthy profit margins and charge patients more than four times the amount needed to break even, based on a comparison with Medicare billing rates.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Jeannie Medina\"]‘I think that the community would probably be shocked if they knew that the teachers, the people in our school districts, were not able to access our hospitals.’[/pullquote]The cost of living in Monterey is high but “not as expensive as San Francisco or Los Angeles, and you see higher prices in Monterey,” said Christopher Whaley, a health economist and lead author of a RAND hospital price transparency study.\u003c/p>\n\u003cp>Even nationally, Monterey is an outlier, Krajcinovic said. Krajcinovic runs UNITE HERE HEALTH, a national insurance plan for the UNITE HERE hospitality workers union. The health plan pays the medical bills of more than 200,000 members across the country, and Monterey is far and away the most expensive place in the network, Krajcinovic said.\u003c/p>\n\u003cp>For comparison, the average price for one night in the hospital in Monterey was $12,300 in 2022, the health plan’s hospital payment data shows. In New York City, it was less than $7,000, and in Chicago, it was $3,500. The price reflects just the cost of the hospital room and does not include the cost of treatment, Krajcinovic said.\u003c/p>\n\u003cp>“We’d be better off putting people up at the Pebble Beach Lodge,” Krajcinovic said.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://flo.uri.sh/visualisation/16151834/embed?auto=1\" width=\"800\" height=\"600\" scrolling=\"yes\" class=\"iframe-class\" frameborder=\"0\">\u003c/iframe>\u003c/p>\n\u003ch2>Tough choices for Salinas families\u003c/h2>\n\u003cp>Things would be a lot easier for the Medina family if Bernie could use the hospital and treatment center just a couple of miles from where the family lives in Salinas, Jeannie Medina said.\u003c/p>\n\u003cp>On New Year’s Eve 2021, the Medinas drove more than 60 miles north to San José for Bernie’s cancer operation. For the next six weeks, as Bernie lost her hair and strength, Jeannie shuttled her to chemotherapy appointments about 20 miles from their home. The chemotherapy center was located in Monterey County, but it was difficult to find one that wasn’t owned by one of the four hospitals, they said.\u003c/p>\n\u003cp>In one instance, early in Bernie’s treatment, she was incorrectly told by the treatment center that a procedure to place a chemotherapy port would be covered by insurance at the Community Hospital of the Monterey Peninsula. She walked away from the procedure with a $25,000 bill, Jeannie Medina said.\u003c/p>\n\u003cfigure id=\"attachment_11971662\" class=\"wp-caption alignnone\" style=\"max-width: 1568px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11971662\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/010224_Medina-Family_CM_01-copy.jpg\" alt=\"A family smile at the camera, two adults and two children.\" width=\"1568\" height=\"1045\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/010224_Medina-Family_CM_01-copy.jpg 1568w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/010224_Medina-Family_CM_01-copy-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/010224_Medina-Family_CM_01-copy-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/010224_Medina-Family_CM_01-copy-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/010224_Medina-Family_CM_01-copy-1536x1024.jpg 1536w\" sizes=\"(max-width: 1568px) 100vw, 1568px\">\u003cfigcaption class=\"wp-caption-text\">Bernie and Jeannie Medina are teachers in Salinas, where they live with their sons, Mark and Michael. When Bernie Medina was diagnosed with cancer, she was forbidden from using any of the local hospitals by her insurance plan. \u003ccite>(Courtesy of Jeannie Medina)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Both of the Medinas said they wish they could use the local hospitals and be supported by loved ones and people they know.\u003c/p>\n\u003cp>“We can’t use the hospitals that some of our spouses work at, that our children and our aunts and our uncles work at,” Jeannie Medina said.\u003c/p>\n\u003cp>If the Medinas opted for an insurance plan that includes the local hospitals, they would pay an extra $3,000 per month in premiums, about $30,000 annually.\u003c/p>\n\u003cp>“It’s just too much,” Jeannie Medina said.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Jeannie Medina\"]‘We can’t use the hospitals that some of our spouses work at, that our children and our aunts and our uncles work at … It’s just too much.’[/pullquote]They get insurance through a local plan called the Municipalities, Colleges, Schools Insurance Group, which serves government employees. It has about 10,500 members, 40% of whom are enrolled in the \u003ca href=\"https://www.mcsig.com/current-plans/\">plan that excludes the local hospitals\u003c/a>, group Executive Director Neddie Sarmiento said. That’s about 4,500 people, most of whom are teachers. The number grows every year, Sarmiento said.\u003c/p>\n\u003cp>Uninsured patients using the hospitals in emergencies are often on the hook for the full cost of medical care.\u003c/p>\n\u003cp>Farmworkers Araceli Ruiz and her husband do everything they can to avoid going to the hospital. They already have medical debt, and they can’t afford more.\u003c/p>\n\u003cp>In 2018, a kitchen accident left Ruiz badly burned and sent her to Natividad Medical Center, where treatment cost $5,000. In 2020, wracked by debilitating stomach pain, Ruiz went to Salinas Valley Health for an emergency gallbladder surgery. She was terrified of dying alone in a hospital overcrowded by COVID-19 patients, she said but believed she would die at home without medical care.\u003c/p>\n\u003cp>She said she now owes the hospitals $17,000. Faced with the choice between paying medical bills or paying rent and buying groceries, Ruiz and her husband can only cover their basic needs, she said.\u003c/p>\n\u003cp>“It is very, very difficult,” Ruiz said in Spanish. “All of this should be more accessible.”\u003c/p>\n\u003ch2>Monterey hospitals defend costs\u003c/h2>\n\u003cp>Local hospital executives fired back at critics of their prices, saying charging less would erode their financial stability and jeopardize health care delivery in the region.\u003c/p>\n\u003cp>“Discounting our rates to a level that does not sustain the long-term viability of our local hospital would be irresponsible. Buckling to rates that could result in large-scale layoffs or cutting vital services would be management malpractice,” said Matt Morgan, vice president and chief financial officer for Montage Health, the parent company of Community Hospital of the Monterey Peninsula, in a statement.\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"news_11969051,news_11959175,news_11970414\"]Morgan pointed to two financially distressed hospitals in neighboring counties as examples of cheaper hospitals that could not remain viable. Hazel Hawkins Memorial Hospital in San Benito County declared bankruptcy in May, and \u003ca href=\"https://lookout.co/watsonville-community-hospital-survived-bankruptcy-will-it-survive-next-few-years/\">Watsonville Community Hospital\u003c/a> in Santa Cruz County which emerged from bankruptcy in 2022 after years of financial trouble.\u003c/p>\n\u003cp>Today, more than half of the state’s hospitals are \u003ca href=\"https://www.kaufmanhall.com/sites/default/files/2023-04/CHA-Financial-Impact-Report.pdf\">operating in the red\u003c/a>, according to a report from the California Hospital Association, the industry lobby. Fears of hospital closures became a reality when \u003ca href=\"https://calmatters.org/health/2023/01/hospital-closure/\">Madera Community Hospital in the San Joaquin Valley\u003c/a> shuttered one year ago, prompting lawmakers to create a $300 million \u003ca href=\"https://calmatters.org/health/2023/08/california-hospitals-bailout-loans/\">bailout loan fund for distressed hospitals\u003c/a>.\u003c/p>\n\u003cp>In an unsigned statement to CalMatters, Natividad Medical Center, the Salinas hospital managed by Monterey County, also said it would be “irresponsible for the hospital to operate at a loss.” Reducing commercial prices would result in “significant annual deficits” and jeopardize services, the statement said.\u003c/p>\n\u003cp>“For Natividad’s essential services to continue, we need adequate reimbursement,” the statement said. “Our community needs us to remain viable, accessible and fully operational.”\u003c/p>\n\u003cp>Salinas Valley Health, a publicly-run district hospital, did not respond to multiple requests for comment. County officials also declined to speak on the record.\u003c/p>\n\u003cp>Mee Memorial Healthcare System, a private hospital on the southern edge of the county, did not respond to requests for comment by the deadline. Mee Memorial has \u003ca href=\"https://www.montereycountyweekly.com/news/local_news/from-struggling-to-flourishing-mee-memorial-hospital-is-a-pandemic-success-story/article_4a32e2a6-8c6f-11ed-9991-f3e77610eef3.html\">faced immense financial difficulties in recent years\u003c/a> but posted significant profits in 2022.\u003c/p>\n\u003cp>Krajcinovic, with UNITE HERE HEALTH, said it’s shocking that the county’s taxpayer-supported hospitals, Natividad Medical Center and Salinas Valley Health, charge the same prices as the private hospitals.\u003c/p>\n\u003cp>“Frankly, how is a county hospital doing this?” she said.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://flo.uri.sh/visualisation/16324007/embed?auto=1\" width=\"800\" height=\"600\" scrolling=\"yes\" class=\"iframe-class\" frameborder=\"0\">\u003c/iframe>\u003c/p>\n\u003cp>Morgan with Community Hospital of the Monterey Peninsula also blamed insurers for passing high premiums onto consumers. The hospital has kept price increases below 5% annually for the past five years, he said in his statement.\u003c/p>\n\u003cp>But according to the California Association of Health Plans, the industry lobby representing insurers, premium increases are directly tied to hospital prices. Hospital spending accounts for 37% of health care cost, the single largest share, spokesperson Mary Ellen Grant said.\u003c/p>\n\u003cp>“The best two examples of ever-increasing costs are prescription drugs and hospital costs,” Grant said.\u003c/p>\n\u003cp>Sarmiento, with the local government and school insurance group, said Monterey County hospital prices are the primary driver for premium increases for its plans. For example, the plan that excludes the local hospitals saw a 2.8% premium increase for 2024. In contrast, the plan with the next highest enrollment that allows members to use the hospitals had a 13.3% premium increase.\u003c/p>\n\u003ch2>Rates four times greater than Medicare\u003c/h2>\n\u003cp>Hospitals, including those in Monterey County, often argue that public insurance programs like Medicare don’t pay enough to make ends meet. When a hospital serves lots of patients with public insurance like Medicare or Medi-Cal, the state’s insurance program for Californians with very low income, they say they have to \u003ca href=\"https://www.aha.org/fact-sheets/2023-03-24-setting-record-straight-correcting-6-misleading-conclusions-medpacs-2023-report-hospital-payment\">charge commercial insurers more to make up the difference\u003c/a>.\u003c/p>\n\u003cp>According to state data, the county-run Natividad serves the \u003ca href=\"https://data.chhs.ca.gov/dataset/fourth-quarter-summary-hospital-utilization-discharges-by-payer-source\">highest proportion of Medi-Cal patients\u003c/a> at 63%. Community Hospital of the Monterey Peninsula serves the fewest at 18%, but it serves the highest proportion of Medicare patients at 46%.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Glenn Melnick, health economics expert and professor, USC Sol Price School of Public Policy\"]‘We don’t have enough competition to make competition work. Prices rise to the environment they’re in. If I’m one of these … hospitals, why would I give you a discount?’[/pullquote]RAND economist Whaley said research proves the hospital argument to be only partially true: \u003ca href=\"https://www.kff.org/medicare/issue-brief/how-much-more-than-medicare-do-private-insurers-pay-a-review-of-the-literature/\">Relatively efficient hospitals operate near Medicare rates\u003c/a>. It isn’t quite enough to pay all the bills, but reimbursement isn’t so inadequate that \u003ca href=\"https://jamanetwork.com/channels/health-forum/fullarticle/2760166\">private insurance\u003c/a> needs to make up five times the difference. Medicare rates are also calculated regionally to account for local cost of living and labor expenses.\u003c/p>\n\u003cp>The RAND data shows Monterey hospitals routinely charge more than four to five times the Medicare rate.\u003c/p>\n\u003cp>“The general consensus is (Medicare) is probably paying 80 to 85% of their costs,” said Patrick Pine, an administrator for an insurance plan that supports farmworkers in California. “How does a hospital justify charging three, four, five, six times or more Medicare?”\u003c/p>\n\u003cp>So, what is happening in Monterey County? Simply put, there’s not enough competition, said Glenn Melnick, an expert in health economics and professor at USC’s Sol Price School of Public Policy.\u003c/p>\n\u003cp>“We don’t have enough competition to make competition work,” Melnick said. “Prices rise to the environment they’re in. If I’m one of these … hospitals, why would I give you a discount?”\u003c/p>\n\u003ch2>Health plans save money with travel\u003c/h2>\n\u003cp>Local labor advocates said they’ve dealt with high hospital prices for decades and now want answers from the state.\u003c/p>\n\u003cp>For months, Office of Health Care Affordability board meetings in Sacramento have been filled with anecdotes during public comment of working-class residents in Monterey hit with exorbitant hospital bills, hounded by collections officers, and filing for bankruptcy.\u003c/p>\n\u003cp>Kati Bassler, president of the Salinas Valley Federation of Teachers, travels monthly to the meetings to share stories of her union members’ struggles to afford health care. More than 70% of the teachers in her union are enrolled in the health plan that excludes Monterey County hospitals, she said.\u003c/p>\n\u003cp>“Their practices are predatory,” she said. “They’ve been developing a monopoly-like practice… They’re unchecked.”\u003c/p>\n\u003cp>Pine, chief administrative officer of the Robert F. Kennedy Farm Workers Medical Plan, which insures about 7,000 United Farm Workers union members, has also started sharing data and stories with the state board.\u003c/p>\n\u003cp>Like the UNITE HERE HEALTH fund, the Robert F. Kennedy Farm Workers Medical Plan pays the medical bills directly for its members and can see the prices hospitals charge — a level of transparency that is unusual for most employer-sponsored health coverage, which typically uses health insurance companies to broker deals. The prices negotiated between hospitals and health insurers are usually a closely guarded industry secret.\u003c/p>\n\u003cfigure id=\"attachment_11971660\" class=\"wp-caption alignnone\" style=\"max-width: 1568px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11971660\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/080923_Salinas-Farmworkers_SN_CM_16-copy.jpg\" alt=\"\" width=\"1568\" height=\"1045\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/080923_Salinas-Farmworkers_SN_CM_16-copy.jpg 1568w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/080923_Salinas-Farmworkers_SN_CM_16-copy-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/080923_Salinas-Farmworkers_SN_CM_16-copy-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/080923_Salinas-Farmworkers_SN_CM_16-copy-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/080923_Salinas-Farmworkers_SN_CM_16-copy-1536x1024.jpg 1536w\" sizes=\"(max-width: 1568px) 100vw, 1568px\">\u003cfigcaption class=\"wp-caption-text\">Farmworkers harvest strawberries in Salinas on Aug. 9, 2023. \u003ccite>(Semantha Norris/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>A United Farm Workers analysis of billing codes showed Salinas Valley Health charged more than $420,000 to treat a farmworker’s parasitic infection while Watsonville Community Hospital, 25 miles to the north in Santa Cruz County, charged around $126,000 for the same treatment over the same number of days, Pine said. That’s more than three times as expensive, and it’s not unusual, Pine said.\u003c/p>\n\u003cp>The plan has saved money by paying for the transportation and lodging of Monterey County members who have procedures done in other counties.\u003c/p>\n\u003cp>“The California coast from Santa Barbara to about Marin County is the most expensive health care market in the state,” Pine said. “Monterey is an anomaly even among the most expensive.”\u003c/p>\n\u003cp>There may be little the new state agency can do. Officials can conduct a market analysis, but the law that created the Office of Health Care Affordability \u003ca href=\"https://calmatters.org/health/2022/07/rising-health-care-costs/\">limited its power to control future price increases\u003c/a>.\u003c/p>\n\u003cp>Elizabeth Landsberg, director of the state department of Health Care Access and Information, where the office is seated, declined to comment.\u003c/p>\n\u003cp>Advocates said they hope shining a light on the issue during board meetings will force hospitals to lower prices. The week before Christmas, Montage Health, which operates the Community Hospital of the Monterey Peninsula, \u003ca href=\"https://kion546.com/top-stories/2023/12/18/montage-health-forgiving-medical-debt-for-thousands-of-patients-who-were-treated-from-2020-2022/\">forgave $40 million of \u003c/a>\u003ca href=\"https://kion546.com/top-stories/2023/12/18/montage-health-forgiving-medical-debt-for-thousands-of-patients-who-were-treated-from-2020-2022/\" target=\"_blank\" rel=\"noreferrer noopener\">medical\u003c/a>\u003ca href=\"https://kion546.com/top-stories/2023/12/18/montage-health-forgiving-medical-debt-for-thousands-of-patients-who-were-treated-from-2020-2022/\"> debt\u003c/a> for 29,000 patients who utilized the hospital between 2020 and 2022.\u003c/p>\n\u003cp>“We’re hoping with bringing this to light, the hospitals will take a second look and say 200% of Medicare is enough. Let’s take double what it actually costs to run a hospital,” Krajcinovic said. “500% is highway robbery.”\u003c/p>\n\u003cp>\u003cem>CalMatters reporter Nicole Foy contributed to this story.\u003c/em>\u003c/p>\n\u003cp>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that\u003c/em> \u003cem>people have access to the care they need, when they need it, at a price they can afford. Visit \u003c/em>\u003ca href=\"http://www.chcf.org/\">\u003cem>www.chcf.org\u003c/em>\u003c/a>\u003cem> to learn more.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"High prices at hospitals in Monterey County are 'an anomaly even among the most expensive' communities in California. One insurance plan there saves money by paying for members' travel to other counties for procedures.","status":"publish","parent":0,"modified":1704482321,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":true,"iframeSrcs":["https://flo.uri.sh/visualisation/16151834/embed","https://flo.uri.sh/visualisation/16324007/embed"],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":68,"wordCount":2915},"headData":{"title":"'It's Just Too Much': Why Many Insured Californians Avoid Hospitals in This County | KQED","description":"High prices at hospitals in Monterey County are 'an anomaly even among the most expensive' communities in California. One insurance plan there saves money by paying for members' travel to other counties for procedures.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"'It's Just Too Much': Why Many Insured Californians Avoid Hospitals in This County","datePublished":"2024-01-05T20:00:07.000Z","dateModified":"2024-01-05T19:18:41.000Z","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":"\u003ca href=\"https://calmatters.org/author/kristen-hwang/\">Kristen Hwang\u003c/a>","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11971653/why-many-insured-californians-avoid-hospitals-in-this-county-its-just-too-much","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Every three months, Bernie Medina takes a day off of work and drives an hour from Salinas to San José to see her oncologist. She was diagnosed with uterine cancer two years ago and needs regular checkups. Medina lives in Monterey County, but her health insurance forbids her from using any local hospital.\u003c/p>\n\u003cp>Medina and her wife Jeannie are both Salinas Union High School District teachers. They’re enrolled in a local government employee health insurance plan created a decade ago to save employees and employers money. To do that, it excludes all Monterey County hospitals and their affiliates. As the hospitals have gobbled up local doctors’ offices and urgent care centers, seeing specialists like Medina’s oncologist and getting emergency care have become more difficult.\u003c/p>\n\u003cp>“I think that the community would probably be shocked if they knew that the teachers, the people in our school districts, were not able to access our hospitals,” Jeannie Medina 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>They live in one of California’s most expensive health care markets, where experts said geographic isolation and lack of market competition combine to drive up prices at especially steep rates. Three hospitals in Monterey County — Community Hospital of the Monterey Peninsula, Natividad Medical Center and Mee Memorial Healthcare System — are in the top 10% of highest-priced hospitals in California, according to \u003ca href=\"https://www.rand.org/pubs/research_reports/RRA1144-1.html\">data collected by the research think tank RAND\u003c/a>.\u003c/p>\n\u003cp>A fourth hospital, Salinas Valley Health, is in the top 15% of highest-priced hospitals. The RAND data is compiled through voluntary disclosures from employers and includes price information for about 90% of California’s hospitals.\u003c/p>\n\u003cp>“Monterey is the definition of a market failure,” said Ivana Krajcinovic, an economist and vice president for a union health plan that supports hotel workers in the county.\u003c/p>\n\u003cfigure id=\"attachment_11971663\" class=\"wp-caption alignright\" style=\"max-width: 1568px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11971663\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/121523_Monterey-County-Hospitals_MO_CM_10-copy.jpg\" alt=\"A medical center building seen from the street.\" width=\"1568\" height=\"1045\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/121523_Monterey-County-Hospitals_MO_CM_10-copy.jpg 1568w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/121523_Monterey-County-Hospitals_MO_CM_10-copy-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/121523_Monterey-County-Hospitals_MO_CM_10-copy-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/121523_Monterey-County-Hospitals_MO_CM_10-copy-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/121523_Monterey-County-Hospitals_MO_CM_10-copy-1536x1024.jpg 1536w\" sizes=\"(max-width: 1568px) 100vw, 1568px\">\u003cfigcaption class=\"wp-caption-text\">The emergency entrance of Salinas Valley Health in Salinas on Dec. 15, 2023. \u003ccite>(Manuel Orbegozo for CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Though Monterey elicits images of pristine coastline, swanky restaurants and golf resorts for tourists, it is squarely a blue-collar county. The average annual salary is less than $58,000, and \u003ca href=\"https://www.montereycountywdb.org/wp-content/uploads/2023/02/Economic-Overview-Monterey-County-California.pdf\">fishing and agriculture comprise the county’s largest industry\u003c/a>.\u003c/p>\n\u003cp>Residents and labor advocates said the hospitals are so expensive they’re causing an access and “affordability crisis” on the Central Coast. They said the prices saddle thousands of people with medical debt and compel others to travel hours to give birth or have surgeries.\u003c/p>\n\u003cp>They’ve \u003ca href=\"https://laborcenter.berkeley.edu/why-are-health-care-prices-so-high-for-workers-in-monterey-county/\">taken their complaints to the state’s new Office of Health Care Affordability\u003c/a>, a department created by a \u003ca href=\"https://calmatters.org/health/2022/07/rising-health-care-costs/\">2022 law that’s intended to curb extreme price increases\u003c/a>. But the deal lawmakers struck with the industry to get the bill through the Legislature limits the office to looking only at future price increases, leaving Monterey County residents with little recourse for the existing medical costs there.\u003c/p>\n\u003cp>Hospital executives blame insurers for Monterey County’s affordability woes and argue that the rates hospitals charge are the only way to stay in business at a time when \u003ca href=\"https://calhospital.org/new-report-shows-patients-served-by-one-in-five-california-hospitals-are-at-risk-of-losing-their-hospital-due-to-closure/\">one in five California hospitals is at risk of closure\u003c/a>, according to a report commissioned by the California Hospital Association. Essential services would be cut, and jobs would be lost if prices were lowered, executives at two hospitals told CalMatters.\u003c/p>\n\u003cp>But, independent economists said Monterey hospitals have healthy profit margins and charge patients more than four times the amount needed to break even, based on a comparison with Medicare billing rates.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘I think that the community would probably be shocked if they knew that the teachers, the people in our school districts, were not able to access our hospitals.’","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Jeannie Medina","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>The cost of living in Monterey is high but “not as expensive as San Francisco or Los Angeles, and you see higher prices in Monterey,” said Christopher Whaley, a health economist and lead author of a RAND hospital price transparency study.\u003c/p>\n\u003cp>Even nationally, Monterey is an outlier, Krajcinovic said. Krajcinovic runs UNITE HERE HEALTH, a national insurance plan for the UNITE HERE hospitality workers union. The health plan pays the medical bills of more than 200,000 members across the country, and Monterey is far and away the most expensive place in the network, Krajcinovic said.\u003c/p>\n\u003cp>For comparison, the average price for one night in the hospital in Monterey was $12,300 in 2022, the health plan’s hospital payment data shows. In New York City, it was less than $7,000, and in Chicago, it was $3,500. The price reflects just the cost of the hospital room and does not include the cost of treatment, Krajcinovic said.\u003c/p>\n\u003cp>“We’d be better off putting people up at the Pebble Beach Lodge,” Krajcinovic said.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://flo.uri.sh/visualisation/16151834/embed?auto=1\" width=\"800\" height=\"600\" scrolling=\"yes\" class=\"iframe-class\" frameborder=\"0\">\u003c/iframe>\u003c/p>\n\u003ch2>Tough choices for Salinas families\u003c/h2>\n\u003cp>Things would be a lot easier for the Medina family if Bernie could use the hospital and treatment center just a couple of miles from where the family lives in Salinas, Jeannie Medina said.\u003c/p>\n\u003cp>On New Year’s Eve 2021, the Medinas drove more than 60 miles north to San José for Bernie’s cancer operation. For the next six weeks, as Bernie lost her hair and strength, Jeannie shuttled her to chemotherapy appointments about 20 miles from their home. The chemotherapy center was located in Monterey County, but it was difficult to find one that wasn’t owned by one of the four hospitals, they said.\u003c/p>\n\u003cp>In one instance, early in Bernie’s treatment, she was incorrectly told by the treatment center that a procedure to place a chemotherapy port would be covered by insurance at the Community Hospital of the Monterey Peninsula. She walked away from the procedure with a $25,000 bill, Jeannie Medina said.\u003c/p>\n\u003cfigure id=\"attachment_11971662\" class=\"wp-caption alignnone\" style=\"max-width: 1568px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11971662\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/010224_Medina-Family_CM_01-copy.jpg\" alt=\"A family smile at the camera, two adults and two children.\" width=\"1568\" height=\"1045\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/010224_Medina-Family_CM_01-copy.jpg 1568w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/010224_Medina-Family_CM_01-copy-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/010224_Medina-Family_CM_01-copy-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/010224_Medina-Family_CM_01-copy-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/010224_Medina-Family_CM_01-copy-1536x1024.jpg 1536w\" sizes=\"(max-width: 1568px) 100vw, 1568px\">\u003cfigcaption class=\"wp-caption-text\">Bernie and Jeannie Medina are teachers in Salinas, where they live with their sons, Mark and Michael. When Bernie Medina was diagnosed with cancer, she was forbidden from using any of the local hospitals by her insurance plan. \u003ccite>(Courtesy of Jeannie Medina)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Both of the Medinas said they wish they could use the local hospitals and be supported by loved ones and people they know.\u003c/p>\n\u003cp>“We can’t use the hospitals that some of our spouses work at, that our children and our aunts and our uncles work at,” Jeannie Medina said.\u003c/p>\n\u003cp>If the Medinas opted for an insurance plan that includes the local hospitals, they would pay an extra $3,000 per month in premiums, about $30,000 annually.\u003c/p>\n\u003cp>“It’s just too much,” Jeannie Medina said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘We can’t use the hospitals that some of our spouses work at, that our children and our aunts and our uncles work at … It’s just too much.’","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Jeannie Medina","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>They get insurance through a local plan called the Municipalities, Colleges, Schools Insurance Group, which serves government employees. It has about 10,500 members, 40% of whom are enrolled in the \u003ca href=\"https://www.mcsig.com/current-plans/\">plan that excludes the local hospitals\u003c/a>, group Executive Director Neddie Sarmiento said. That’s about 4,500 people, most of whom are teachers. The number grows every year, Sarmiento said.\u003c/p>\n\u003cp>Uninsured patients using the hospitals in emergencies are often on the hook for the full cost of medical care.\u003c/p>\n\u003cp>Farmworkers Araceli Ruiz and her husband do everything they can to avoid going to the hospital. They already have medical debt, and they can’t afford more.\u003c/p>\n\u003cp>In 2018, a kitchen accident left Ruiz badly burned and sent her to Natividad Medical Center, where treatment cost $5,000. In 2020, wracked by debilitating stomach pain, Ruiz went to Salinas Valley Health for an emergency gallbladder surgery. She was terrified of dying alone in a hospital overcrowded by COVID-19 patients, she said but believed she would die at home without medical care.\u003c/p>\n\u003cp>She said she now owes the hospitals $17,000. Faced with the choice between paying medical bills or paying rent and buying groceries, Ruiz and her husband can only cover their basic needs, she said.\u003c/p>\n\u003cp>“It is very, very difficult,” Ruiz said in Spanish. “All of this should be more accessible.”\u003c/p>\n\u003ch2>Monterey hospitals defend costs\u003c/h2>\n\u003cp>Local hospital executives fired back at critics of their prices, saying charging less would erode their financial stability and jeopardize health care delivery in the region.\u003c/p>\n\u003cp>“Discounting our rates to a level that does not sustain the long-term viability of our local hospital would be irresponsible. Buckling to rates that could result in large-scale layoffs or cutting vital services would be management malpractice,” said Matt Morgan, vice president and chief financial officer for Montage Health, the parent company of Community Hospital of the Monterey Peninsula, in a statement.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"Related Stories ","postid":"news_11969051,news_11959175,news_11970414"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Morgan pointed to two financially distressed hospitals in neighboring counties as examples of cheaper hospitals that could not remain viable. Hazel Hawkins Memorial Hospital in San Benito County declared bankruptcy in May, and \u003ca href=\"https://lookout.co/watsonville-community-hospital-survived-bankruptcy-will-it-survive-next-few-years/\">Watsonville Community Hospital\u003c/a> in Santa Cruz County which emerged from bankruptcy in 2022 after years of financial trouble.\u003c/p>\n\u003cp>Today, more than half of the state’s hospitals are \u003ca href=\"https://www.kaufmanhall.com/sites/default/files/2023-04/CHA-Financial-Impact-Report.pdf\">operating in the red\u003c/a>, according to a report from the California Hospital Association, the industry lobby. Fears of hospital closures became a reality when \u003ca href=\"https://calmatters.org/health/2023/01/hospital-closure/\">Madera Community Hospital in the San Joaquin Valley\u003c/a> shuttered one year ago, prompting lawmakers to create a $300 million \u003ca href=\"https://calmatters.org/health/2023/08/california-hospitals-bailout-loans/\">bailout loan fund for distressed hospitals\u003c/a>.\u003c/p>\n\u003cp>In an unsigned statement to CalMatters, Natividad Medical Center, the Salinas hospital managed by Monterey County, also said it would be “irresponsible for the hospital to operate at a loss.” Reducing commercial prices would result in “significant annual deficits” and jeopardize services, the statement said.\u003c/p>\n\u003cp>“For Natividad’s essential services to continue, we need adequate reimbursement,” the statement said. “Our community needs us to remain viable, accessible and fully operational.”\u003c/p>\n\u003cp>Salinas Valley Health, a publicly-run district hospital, did not respond to multiple requests for comment. County officials also declined to speak on the record.\u003c/p>\n\u003cp>Mee Memorial Healthcare System, a private hospital on the southern edge of the county, did not respond to requests for comment by the deadline. Mee Memorial has \u003ca href=\"https://www.montereycountyweekly.com/news/local_news/from-struggling-to-flourishing-mee-memorial-hospital-is-a-pandemic-success-story/article_4a32e2a6-8c6f-11ed-9991-f3e77610eef3.html\">faced immense financial difficulties in recent years\u003c/a> but posted significant profits in 2022.\u003c/p>\n\u003cp>Krajcinovic, with UNITE HERE HEALTH, said it’s shocking that the county’s taxpayer-supported hospitals, Natividad Medical Center and Salinas Valley Health, charge the same prices as the private hospitals.\u003c/p>\n\u003cp>“Frankly, how is a county hospital doing this?” she said.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://flo.uri.sh/visualisation/16324007/embed?auto=1\" width=\"800\" height=\"600\" scrolling=\"yes\" class=\"iframe-class\" frameborder=\"0\">\u003c/iframe>\u003c/p>\n\u003cp>Morgan with Community Hospital of the Monterey Peninsula also blamed insurers for passing high premiums onto consumers. The hospital has kept price increases below 5% annually for the past five years, he said in his statement.\u003c/p>\n\u003cp>But according to the California Association of Health Plans, the industry lobby representing insurers, premium increases are directly tied to hospital prices. Hospital spending accounts for 37% of health care cost, the single largest share, spokesperson Mary Ellen Grant said.\u003c/p>\n\u003cp>“The best two examples of ever-increasing costs are prescription drugs and hospital costs,” Grant said.\u003c/p>\n\u003cp>Sarmiento, with the local government and school insurance group, said Monterey County hospital prices are the primary driver for premium increases for its plans. For example, the plan that excludes the local hospitals saw a 2.8% premium increase for 2024. In contrast, the plan with the next highest enrollment that allows members to use the hospitals had a 13.3% premium increase.\u003c/p>\n\u003ch2>Rates four times greater than Medicare\u003c/h2>\n\u003cp>Hospitals, including those in Monterey County, often argue that public insurance programs like Medicare don’t pay enough to make ends meet. When a hospital serves lots of patients with public insurance like Medicare or Medi-Cal, the state’s insurance program for Californians with very low income, they say they have to \u003ca href=\"https://www.aha.org/fact-sheets/2023-03-24-setting-record-straight-correcting-6-misleading-conclusions-medpacs-2023-report-hospital-payment\">charge commercial insurers more to make up the difference\u003c/a>.\u003c/p>\n\u003cp>According to state data, the county-run Natividad serves the \u003ca href=\"https://data.chhs.ca.gov/dataset/fourth-quarter-summary-hospital-utilization-discharges-by-payer-source\">highest proportion of Medi-Cal patients\u003c/a> at 63%. Community Hospital of the Monterey Peninsula serves the fewest at 18%, but it serves the highest proportion of Medicare patients at 46%.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘We don’t have enough competition to make competition work. Prices rise to the environment they’re in. If I’m one of these … hospitals, why would I give you a discount?’","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Glenn Melnick, health economics expert and professor, USC Sol Price School of Public Policy","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>RAND economist Whaley said research proves the hospital argument to be only partially true: \u003ca href=\"https://www.kff.org/medicare/issue-brief/how-much-more-than-medicare-do-private-insurers-pay-a-review-of-the-literature/\">Relatively efficient hospitals operate near Medicare rates\u003c/a>. It isn’t quite enough to pay all the bills, but reimbursement isn’t so inadequate that \u003ca href=\"https://jamanetwork.com/channels/health-forum/fullarticle/2760166\">private insurance\u003c/a> needs to make up five times the difference. Medicare rates are also calculated regionally to account for local cost of living and labor expenses.\u003c/p>\n\u003cp>The RAND data shows Monterey hospitals routinely charge more than four to five times the Medicare rate.\u003c/p>\n\u003cp>“The general consensus is (Medicare) is probably paying 80 to 85% of their costs,” said Patrick Pine, an administrator for an insurance plan that supports farmworkers in California. “How does a hospital justify charging three, four, five, six times or more Medicare?”\u003c/p>\n\u003cp>So, what is happening in Monterey County? Simply put, there’s not enough competition, said Glenn Melnick, an expert in health economics and professor at USC’s Sol Price School of Public Policy.\u003c/p>\n\u003cp>“We don’t have enough competition to make competition work,” Melnick said. “Prices rise to the environment they’re in. If I’m one of these … hospitals, why would I give you a discount?”\u003c/p>\n\u003ch2>Health plans save money with travel\u003c/h2>\n\u003cp>Local labor advocates said they’ve dealt with high hospital prices for decades and now want answers from the state.\u003c/p>\n\u003cp>For months, Office of Health Care Affordability board meetings in Sacramento have been filled with anecdotes during public comment of working-class residents in Monterey hit with exorbitant hospital bills, hounded by collections officers, and filing for bankruptcy.\u003c/p>\n\u003cp>Kati Bassler, president of the Salinas Valley Federation of Teachers, travels monthly to the meetings to share stories of her union members’ struggles to afford health care. More than 70% of the teachers in her union are enrolled in the health plan that excludes Monterey County hospitals, she said.\u003c/p>\n\u003cp>“Their practices are predatory,” she said. “They’ve been developing a monopoly-like practice… They’re unchecked.”\u003c/p>\n\u003cp>Pine, chief administrative officer of the Robert F. Kennedy Farm Workers Medical Plan, which insures about 7,000 United Farm Workers union members, has also started sharing data and stories with the state board.\u003c/p>\n\u003cp>Like the UNITE HERE HEALTH fund, the Robert F. Kennedy Farm Workers Medical Plan pays the medical bills directly for its members and can see the prices hospitals charge — a level of transparency that is unusual for most employer-sponsored health coverage, which typically uses health insurance companies to broker deals. The prices negotiated between hospitals and health insurers are usually a closely guarded industry secret.\u003c/p>\n\u003cfigure id=\"attachment_11971660\" class=\"wp-caption alignnone\" style=\"max-width: 1568px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11971660\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/080923_Salinas-Farmworkers_SN_CM_16-copy.jpg\" alt=\"\" width=\"1568\" height=\"1045\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/080923_Salinas-Farmworkers_SN_CM_16-copy.jpg 1568w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/080923_Salinas-Farmworkers_SN_CM_16-copy-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/080923_Salinas-Farmworkers_SN_CM_16-copy-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/080923_Salinas-Farmworkers_SN_CM_16-copy-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/080923_Salinas-Farmworkers_SN_CM_16-copy-1536x1024.jpg 1536w\" sizes=\"(max-width: 1568px) 100vw, 1568px\">\u003cfigcaption class=\"wp-caption-text\">Farmworkers harvest strawberries in Salinas on Aug. 9, 2023. \u003ccite>(Semantha Norris/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>A United Farm Workers analysis of billing codes showed Salinas Valley Health charged more than $420,000 to treat a farmworker’s parasitic infection while Watsonville Community Hospital, 25 miles to the north in Santa Cruz County, charged around $126,000 for the same treatment over the same number of days, Pine said. That’s more than three times as expensive, and it’s not unusual, Pine said.\u003c/p>\n\u003cp>The plan has saved money by paying for the transportation and lodging of Monterey County members who have procedures done in other counties.\u003c/p>\n\u003cp>“The California coast from Santa Barbara to about Marin County is the most expensive health care market in the state,” Pine said. “Monterey is an anomaly even among the most expensive.”\u003c/p>\n\u003cp>There may be little the new state agency can do. Officials can conduct a market analysis, but the law that created the Office of Health Care Affordability \u003ca href=\"https://calmatters.org/health/2022/07/rising-health-care-costs/\">limited its power to control future price increases\u003c/a>.\u003c/p>\n\u003cp>Elizabeth Landsberg, director of the state department of Health Care Access and Information, where the office is seated, declined to comment.\u003c/p>\n\u003cp>Advocates said they hope shining a light on the issue during board meetings will force hospitals to lower prices. The week before Christmas, Montage Health, which operates the Community Hospital of the Monterey Peninsula, \u003ca href=\"https://kion546.com/top-stories/2023/12/18/montage-health-forgiving-medical-debt-for-thousands-of-patients-who-were-treated-from-2020-2022/\">forgave $40 million of \u003c/a>\u003ca href=\"https://kion546.com/top-stories/2023/12/18/montage-health-forgiving-medical-debt-for-thousands-of-patients-who-were-treated-from-2020-2022/\" target=\"_blank\" rel=\"noreferrer noopener\">medical\u003c/a>\u003ca href=\"https://kion546.com/top-stories/2023/12/18/montage-health-forgiving-medical-debt-for-thousands-of-patients-who-were-treated-from-2020-2022/\"> debt\u003c/a> for 29,000 patients who utilized the hospital between 2020 and 2022.\u003c/p>\n\u003cp>“We’re hoping with bringing this to light, the hospitals will take a second look and say 200% of Medicare is enough. Let’s take double what it actually costs to run a hospital,” Krajcinovic said. “500% is highway robbery.”\u003c/p>\n\u003cp>\u003cem>CalMatters reporter Nicole Foy contributed to this story.\u003c/em>\u003c/p>\n\u003cp>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that\u003c/em> \u003cem>people have access to the care they need, when they need it, at a price they can afford. Visit \u003c/em>\u003ca href=\"http://www.chcf.org/\">\u003cem>www.chcf.org\u003c/em>\u003c/a>\u003cem> to learn more.\u003c/em>\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/11971653/why-many-insured-californians-avoid-hospitals-in-this-county-its-just-too-much","authors":["byline_news_11971653"],"categories":["news_457","news_8"],"tags":["news_27626","news_18543","news_18659","news_18159"],"affiliates":["news_18481"],"featImg":"news_11971654","label":"news_18481"},"news_11959045":{"type":"posts","id":"news_11959045","meta":{"index":"posts_1591205157","site":"news","id":"11959045","score":null,"sort":[1692905354000]},"guestAuthors":[],"slug":"uber-raises-minimum-age-for-california-drivers-to-25-due-to-insurance-costs","title":"Uber Raises Minimum Age for California Drivers to 25 Due to Insurance Costs","publishDate":1692905354,"format":"standard","headTitle":"Uber Raises Minimum Age for California Drivers to 25 Due to Insurance Costs | KQED","labelTerm":{"site":"news"},"content":"\u003cp>Uber raised the minimum age requirement for most of its new drivers in California to 25 on Thursday under rules the company said are necessary because of the rising costs of commercial auto insurance in the state.\u003c/p>\n\u003cp>The new rule applies only to drivers signing up to transport passengers with Uber’s ride-hailing platform, and not to those delivering food with Uber Eats. Previously, people as young as 21 could sign up to drive customers, and the age limit for deliveries was 19.\u003c/p>\n\u003cp>Those under 25 who activated their accounts prior to Wednesday can also continue to drive for Uber, the company said.[aside postID=news_11944344,news_11907530 label='More on Uber']Insurance rates for Uber’s California drivers are significantly higher than for personal vehicles or taxi drivers, according to a company statement announcing the change.\u003c/p>\n\u003cp>“As a result of these lopsided requirements, personal injury attorneys have created a cottage industry specializing in suing rideshare platforms like ours, pushing Uber’s California state-mandated commercial insurance costs to rise by more than 65% in just two years,” the company said. “By increasing the age requirement for new drivers to 25, we hope to mitigate the growth of those costs.”\u003c/p>\n\u003cp>All 50 states require commercial insurance for drivers to earn money with a ride-hailing service. Personal auto insurance typically doesn’t cover activity on ride-hailing apps. Uber maintains commercial auto insurance for drivers — including at least $1 million of liability coverage once a ride is accepted.\u003c/p>\n\u003cp>The minimum age is already 25 for those driving for Lyft.\u003c/p>\n\u003cp>Starting Thursday, drivers under 25 trying to sign up with Uber will receive an email explaining the new policy and providing a link to more information.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The new restriction coincides with a resurgence in passengers following a deep downturn due to the pandemic. Uber is now handling more rides than it did in 2019, raising the company’s hopes that it may finally realize its long-term goal of becoming consistently profitable. Realizing that objective has sharpened management’s focus on cost control, a factor that may have contributed to the decision to drop 25-and-under drivers.\u003c/p>\n\u003cp>Uber’s food delivery service, which will continue to let that demographic work as drivers, accounts for one-third of the company’s revenue.\u003c/p>\n\u003cp>Uber hopes to work with state lawmakers and industry experts “to discuss legislative and regulatory changes that will improve the experience for all California drivers,” according to its statement.\u003c/p>\n\u003cp>\u003c/p>\n","blocks":[],"excerpt":"With the number of riders rising, the company's focus is on becoming consistently profitable.","status":"publish","parent":0,"modified":1692905354,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":12,"wordCount":427},"headData":{"title":"Uber Raises Minimum Age for California Drivers to 25 Due to Insurance Costs | KQED","description":"With the number of riders rising, the company's focus is on becoming consistently profitable.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Uber Raises Minimum Age for California Drivers to 25 Due to Insurance Costs","datePublished":"2023-08-24T19:29:14.000Z","dateModified":"2023-08-24T19:29:14.000Z","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"}}},"nprByline":"The Associated Press","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11959045/uber-raises-minimum-age-for-california-drivers-to-25-due-to-insurance-costs","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Uber raised the minimum age requirement for most of its new drivers in California to 25 on Thursday under rules the company said are necessary because of the rising costs of commercial auto insurance in the state.\u003c/p>\n\u003cp>The new rule applies only to drivers signing up to transport passengers with Uber’s ride-hailing platform, and not to those delivering food with Uber Eats. Previously, people as young as 21 could sign up to drive customers, and the age limit for deliveries was 19.\u003c/p>\n\u003cp>Those under 25 who activated their accounts prior to Wednesday can also continue to drive for Uber, the company said.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11944344,news_11907530","label":"More on Uber "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Insurance rates for Uber’s California drivers are significantly higher than for personal vehicles or taxi drivers, according to a company statement announcing the change.\u003c/p>\n\u003cp>“As a result of these lopsided requirements, personal injury attorneys have created a cottage industry specializing in suing rideshare platforms like ours, pushing Uber’s California state-mandated commercial insurance costs to rise by more than 65% in just two years,” the company said. “By increasing the age requirement for new drivers to 25, we hope to mitigate the growth of those costs.”\u003c/p>\n\u003cp>All 50 states require commercial insurance for drivers to earn money with a ride-hailing service. Personal auto insurance typically doesn’t cover activity on ride-hailing apps. Uber maintains commercial auto insurance for drivers — including at least $1 million of liability coverage once a ride is accepted.\u003c/p>\n\u003cp>The minimum age is already 25 for those driving for Lyft.\u003c/p>\n\u003cp>Starting Thursday, drivers under 25 trying to sign up with Uber will receive an email explaining the new policy and providing a link to more information.\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 new restriction coincides with a resurgence in passengers following a deep downturn due to the pandemic. Uber is now handling more rides than it did in 2019, raising the company’s hopes that it may finally realize its long-term goal of becoming consistently profitable. Realizing that objective has sharpened management’s focus on cost control, a factor that may have contributed to the decision to drop 25-and-under drivers.\u003c/p>\n\u003cp>Uber’s food delivery service, which will continue to let that demographic work as drivers, accounts for one-third of the company’s revenue.\u003c/p>\n\u003cp>Uber hopes to work with state lawmakers and industry experts “to discuss legislative and regulatory changes that will improve the experience for all California drivers,” according to its statement.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11959045/uber-raises-minimum-age-for-california-drivers-to-25-due-to-insurance-costs","authors":["byline_news_11959045"],"categories":["news_8"],"tags":["news_18159","news_4658","news_4523"],"featImg":"news_11959050","label":"news"},"news_11953252":{"type":"posts","id":"news_11953252","meta":{"index":"posts_1591205157","site":"news","id":"11953252","score":null,"sort":[1687093246000]},"guestAuthors":[],"slug":"what-california-can-do-as-home-insurance-companies-retreat-in-face-of-mounting-climate-change-risks","title":"What California Can Do as Home Insurance Companies Retreat in Face of Mounting Climate Change Risks","publishDate":1687093246,"format":"standard","headTitle":"What California Can Do as Home Insurance Companies Retreat in Face of Mounting Climate Change Risks | KQED","labelTerm":{"term":18481,"site":"news"},"content":"\u003cp>After State Farm \u003ca href=\"https://newsroom.statefarm.com/state-farm-general-insurance-company-california-new-business-update//\">declared\u003c/a> in late May that \u003ca href=\"https://calmatters.org/housing/2023/05/state-farm-california-insurance/\">it wouldn’t sell any new home insurance policies in California\u003c/a>, people shopping around for new insurance had one fewer option. When days later \u003ca href=\"https://www.sfchronicle.com/california/article/insurance-allstate-fires-18130622.php\">it was revealed\u003c/a> that Allstate had quietly made the same decision last year, Californians are now left wondering: How bad is this? And how should the state respond?\u003c/p>\n\u003cp>The “crisis” in California’s insurance market was caused by “a laser focus only on affordability,” said Nancy Watkins, a principal at Milliman, an actuarial firm, at a legislative hearing on Wednesday. The companies are operating with “very crude tools” at the expense of availability and reliability, she said.\u003c/p>\n\u003cp>She said the current regulatory system is too rigid. “It’s like you’ve got your steering wheel locked straight ahead, you’ve got your speed set on cruise control, and now you find yourself on the Pacific Coast Highway,” she said. “What insurance company would agree to that?”[pullquote align=\"right\" size=\"medium\" citation=\"Nancy Watkins, principal, Milliman\"]‘It’s like you’ve got your steering wheel locked straight ahead, you’ve got your speed set on cruise control, and now you find yourself on the Pacific Coast Highway. What insurance company would agree to that?’[/pullquote]Home insurance premiums in California are a little cheaper than the national average — and much lower than premiums in other disaster-prone states like Florida and Louisiana. That’s without accounting for the fact that California has some of the most expensive housing in the country.\u003c/p>\n\u003cp>California still has about 115 companies offering home insurance, said Michael Soller, a deputy commissioner for the state’s insurance department. As for whether more companies are likely to follow State Farm and Allstate, “we don’t think that will happen,” he said.\u003c/p>\n\u003cp>Consumer and insurance industry groups and other experts have ideas for what they’d like to see California do in the wake of the news — few of which they agree upon. Here’s the debate over four of those ideas.\u003c/p>\n\u003ch2>1. Require State Farm to keep issuing new policies\u003c/h2>\n\u003cp>There’s disagreement whether this idea, backed by the group Consumer Watchdog, is legal.\u003c/p>\n\u003cp>The idea hinges on how insurance prices are regulated in California. Under current laws, insurance companies can’t just charge whatever they want: They have to submit their proposed rates to the insurance department, which they back up by explaining their projected costs, losses, revenue and more. State regulators can approve a company’s proposed rates, or deny them, if they think, for example, the rates are unjustifiably high, or so low that they could put the company’s finances at risk.[aside label=\"Related Stories\" postID=\"forum_2010101893331,news_11951923,news_11937459\"]Harvey Rosenfield, founder of Consumer Watchdog, said if a company suddenly says that it’s not going to take the same number of customers that it had projected when it got the department’s approval, then it has changed the assumptions on which the approval was based.\u003c/p>\n\u003cp>“They granted themselves a de facto rate increase by reducing the risk” in a state where that’s illegal, said Rosenfield. The department could issue a notice to State Farm, he said, and tell the company it needs to keep selling new home insurance policies until it submits new rates and those rates are approved.\u003c/p>\n\u003cp>The insurance department disputes that it has the power to do this. “Their claims are not supported by law,” said Soller, the deputy commissioner. “There’s a reason why it hasn’t been done by any insurance commissioner before.”\u003c/p>\n\u003ch2>2. Let insurance companies use forward-looking catastrophe models\u003c/h2>\n\u003cp>The kinds of data and statistical models insurance companies can use to set prices may sound like a nighttime sleep aid, but it’s a matter of lively discussion in insurance circles.\u003c/p>\n\u003cp>When a company tries to justify rate changes, it is required to rely on past losses to project future losses. It can’t use factors like the locations of new homes it is covering — whether they’re in downtown San Francisco or rural wine country — or the increased risk of wildfires due to climate change.\u003c/p>\n\u003cp>“We do it in a very old-fashioned way, and it needs to be updated,” said Rex Frazier, president of the Personal Insurance Federation of California, an insurance industry group that counts State Farm as a member. He supports the use of forward-looking models, which are generally provided by other private companies. California already permits insurers to use models for earthquake insurance.\u003c/p>\n\u003cp>If a company is trying to figure out how much it should charge for earthquake coverage, it would look at proximity to fault lines, Frazier said, but for wildfire insurance, California doesn’t do that.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“For wildfire it just says ‘Well, looking backward, what have you paid over the last 20 years for wildfire clients?’” he said.\u003c/p>\n\u003cp>Consumer groups generally oppose letting insurance companies use models, fearing that companies will use them to justify extreme price hikes, and that complex math will make scrutiny a challenge.\u003c/p>\n\u003cp>“They’re just very sophisticated crystal balls,” said Amy Bach, executive director for United Policyholders, a consumer group. Modeling companies generally see their models as intellectual property, which can pose a challenge for transparency. “Our fear is that they overstate risk,” said Bach.\u003c/p>\n\u003cp>About a week and a half after State Farm’s announcement, the insurance department said it would host a public workshop on use of models in insurance pricing, ahead of considering regulations. The \u003ca href=\"https://www.insurance.ca.gov/0250-insurers/0500-legal-info/0300-workshop-insurers/upload/California-Department-of-Insurance-Invitation-to-Workshop-Examining-Catastrophe-Modeling-and-Insurance.pdf\">workshop will take place on July 13 (PDF)\u003c/a>.\u003c/p>\n\u003cp>On Wednesday, the Assembly’s insurance committee held a hearing on models. When asked by a legislator whether the department was moving toward incorporating catastrophe models, a department representative confirmed that it was.\u003c/p>\n\u003cp>“Historic losses do not fully account for growing wildfire risks, or risk mitigation measures taken by communities,” said Michael Peterson, a deputy commissioner at the insurance department, during the hearing.\u003c/p>\n\u003ch2>3. Address the increasing cost of insurance — for insurance companies\u003c/h2>\n\u003cp>Insurance companies are just like us: They buy insurance! When insurance companies buy it, it’s called “reinsurance.”\u003c/p>\n\u003cp>The \u003ca href=\"https://www.ft.com/content/f5f9d450-c539-47a7-bc5c-44a8db57e74e\">cost of reinsurance has risen dramatically\u003c/a>, and State Farm cited “a challenging reinsurance market” as one of the reasons it decided to stop selling new home insurance policies in California.[pullquote align=\"right\" size=\"medium\" citation=\"Rex Frazier, president, Personal Insurance Federation of California\"]‘What are insurers supposed to do when, on the one hand, the Department of Insurance is telling them ‘maintain your solvency,’ and then, on the other hand, when their costs go up, you can’t charge for it?’[/pullquote]When insurance companies explain their costs to the insurance department as part of the process for justifying their prices, they aren’t allowed to include the cost of reinsurance. The department hasn’t historically permitted it, Soller said, because it doesn’t regulate reinsurance.\u003c/p>\n\u003cp>“What are insurers supposed to do when, on the one hand, the Department of Insurance is telling them ‘maintain your solvency,’ and then, on the other hand, when their costs go up, you can’t charge for it?” said Frazier.\u003c/p>\n\u003cp>Insurance industry groups say it would help if they could incorporate the cost of reinsurance into their prices. But consumer groups say that the move would cause premiums to spike.\u003c/p>\n\u003cp>“Californians would see immediate massive rate hikes — both as soon as that went into effect and ongoing,” said Carmen Balber executive director of Consumer Watchdog. A reinsurance provider regulated by California would address problems she sees with the reinsurance market, Balber said, but that doesn’t exist currently.\u003c/p>\n\u003ch2>4. Reduce the risk of disasters\u003c/h2>\n\u003cp>The underlying problem is that disasters happen in California — at an increasing rate thanks to climate change — and that homes are at risk. They’re in the middle of the woods, or surrounded by flammable grasslands, or on the edge of bluffs that are expected to erode. Making homes less likely to burn, flood or collapse would be good for homeowners and would also make California feel less risky to insurers.\u003c/p>\n\u003cp>There’s no shortage of ideas for how to reduce risk, and there’s been action on this front in recent years. The insurance department, for example, has \u003ca href=\"https://calmatters.org/economy/2022/05/fire-insurance-rules/\">required insurance companies to consider whether homeowners take certain steps to protect their homes\u003c/a> — like installing fire-resistant vents and clearing out vegetation under decks — in their prices.\u003c/p>\n\u003cp>California has set aside $2.7 billion for wildfire resilience over the past three years, according to the insurance department. When the department convened a group of environmental advocates, researchers, and public policy and insurance experts to make recommendations on how to reduce the risks of climate change, \u003ca href=\"https://www.insurance.ca.gov/CCI/docs/climate-insurance-report.pdf\">they came up with a long list (PDF)\u003c/a>. Among the recommendations:\u003c/p>\n\u003cul>\n\u003cli>Create statewide hazard maps so that future risks are more clear to the public.\u003c/li>\n\u003cli>Increase funding to retrofit homes.\u003c/li>\n\u003cli>Apply fire-resistant building codes in areas with moderate to higher fire risk.\u003c/li>\n\u003c/ul>\n\u003cp>Cutting greenhouse gas emissions would ultimately be the best way to reduce the risk, said Alice Hill, chair of the group convened by the department and a senior fellow for energy and the environment at the Council on Foreign Relations. But the world will get warmer even if we reduce emissions, she said, so focusing on where and how homes are built remains important.\u003c/p>\n\u003cp>“That could mean not building in areas that are just becoming too risky,” Hill said.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"After California's largest home insurance provider said it wouldn't issue new policies, consumer and insurance industry groups share ideas for what they'd like to see California do. Here's the debate over four of these.","status":"publish","parent":0,"modified":1687217157,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":31,"wordCount":1670},"headData":{"title":"What California Can Do as Home Insurance Companies Retreat in Face of Mounting Climate Change Risks | KQED","description":"After California's largest home insurance provider said it wouldn't issue new policies, consumer and insurance industry groups share ideas for what they'd like to see California do. Here's the debate over four of these.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"What California Can Do as Home Insurance Companies Retreat in Face of Mounting Climate Change Risks","datePublished":"2023-06-18T13:00:46.000Z","dateModified":"2023-06-19T23:25:57.000Z","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"}}},"nprByline":"\u003ca href=\"https://calmatters.org/author/grace-gedye/\">Grace Gedye\u003c/a>","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11953252/what-california-can-do-as-home-insurance-companies-retreat-in-face-of-mounting-climate-change-risks","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>After State Farm \u003ca href=\"https://newsroom.statefarm.com/state-farm-general-insurance-company-california-new-business-update//\">declared\u003c/a> in late May that \u003ca href=\"https://calmatters.org/housing/2023/05/state-farm-california-insurance/\">it wouldn’t sell any new home insurance policies in California\u003c/a>, people shopping around for new insurance had one fewer option. When days later \u003ca href=\"https://www.sfchronicle.com/california/article/insurance-allstate-fires-18130622.php\">it was revealed\u003c/a> that Allstate had quietly made the same decision last year, Californians are now left wondering: How bad is this? And how should the state respond?\u003c/p>\n\u003cp>The “crisis” in California’s insurance market was caused by “a laser focus only on affordability,” said Nancy Watkins, a principal at Milliman, an actuarial firm, at a legislative hearing on Wednesday. The companies are operating with “very crude tools” at the expense of availability and reliability, she said.\u003c/p>\n\u003cp>She said the current regulatory system is too rigid. “It’s like you’ve got your steering wheel locked straight ahead, you’ve got your speed set on cruise control, and now you find yourself on the Pacific Coast Highway,” she said. “What insurance company would agree to that?”\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘It’s like you’ve got your steering wheel locked straight ahead, you’ve got your speed set on cruise control, and now you find yourself on the Pacific Coast Highway. What insurance company would agree to that?’","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Nancy Watkins, principal, Milliman","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Home insurance premiums in California are a little cheaper than the national average — and much lower than premiums in other disaster-prone states like Florida and Louisiana. That’s without accounting for the fact that California has some of the most expensive housing in the country.\u003c/p>\n\u003cp>California still has about 115 companies offering home insurance, said Michael Soller, a deputy commissioner for the state’s insurance department. As for whether more companies are likely to follow State Farm and Allstate, “we don’t think that will happen,” he said.\u003c/p>\n\u003cp>Consumer and insurance industry groups and other experts have ideas for what they’d like to see California do in the wake of the news — few of which they agree upon. Here’s the debate over four of those ideas.\u003c/p>\n\u003ch2>1. Require State Farm to keep issuing new policies\u003c/h2>\n\u003cp>There’s disagreement whether this idea, backed by the group Consumer Watchdog, is legal.\u003c/p>\n\u003cp>The idea hinges on how insurance prices are regulated in California. Under current laws, insurance companies can’t just charge whatever they want: They have to submit their proposed rates to the insurance department, which they back up by explaining their projected costs, losses, revenue and more. State regulators can approve a company’s proposed rates, or deny them, if they think, for example, the rates are unjustifiably high, or so low that they could put the company’s finances at risk.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"Related Stories ","postid":"forum_2010101893331,news_11951923,news_11937459"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Harvey Rosenfield, founder of Consumer Watchdog, said if a company suddenly says that it’s not going to take the same number of customers that it had projected when it got the department’s approval, then it has changed the assumptions on which the approval was based.\u003c/p>\n\u003cp>“They granted themselves a de facto rate increase by reducing the risk” in a state where that’s illegal, said Rosenfield. The department could issue a notice to State Farm, he said, and tell the company it needs to keep selling new home insurance policies until it submits new rates and those rates are approved.\u003c/p>\n\u003cp>The insurance department disputes that it has the power to do this. “Their claims are not supported by law,” said Soller, the deputy commissioner. “There’s a reason why it hasn’t been done by any insurance commissioner before.”\u003c/p>\n\u003ch2>2. Let insurance companies use forward-looking catastrophe models\u003c/h2>\n\u003cp>The kinds of data and statistical models insurance companies can use to set prices may sound like a nighttime sleep aid, but it’s a matter of lively discussion in insurance circles.\u003c/p>\n\u003cp>When a company tries to justify rate changes, it is required to rely on past losses to project future losses. It can’t use factors like the locations of new homes it is covering — whether they’re in downtown San Francisco or rural wine country — or the increased risk of wildfires due to climate change.\u003c/p>\n\u003cp>“We do it in a very old-fashioned way, and it needs to be updated,” said Rex Frazier, president of the Personal Insurance Federation of California, an insurance industry group that counts State Farm as a member. He supports the use of forward-looking models, which are generally provided by other private companies. California already permits insurers to use models for earthquake insurance.\u003c/p>\n\u003cp>If a company is trying to figure out how much it should charge for earthquake coverage, it would look at proximity to fault lines, Frazier said, but for wildfire insurance, California doesn’t do that.\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>“For wildfire it just says ‘Well, looking backward, what have you paid over the last 20 years for wildfire clients?’” he said.\u003c/p>\n\u003cp>Consumer groups generally oppose letting insurance companies use models, fearing that companies will use them to justify extreme price hikes, and that complex math will make scrutiny a challenge.\u003c/p>\n\u003cp>“They’re just very sophisticated crystal balls,” said Amy Bach, executive director for United Policyholders, a consumer group. Modeling companies generally see their models as intellectual property, which can pose a challenge for transparency. “Our fear is that they overstate risk,” said Bach.\u003c/p>\n\u003cp>About a week and a half after State Farm’s announcement, the insurance department said it would host a public workshop on use of models in insurance pricing, ahead of considering regulations. The \u003ca href=\"https://www.insurance.ca.gov/0250-insurers/0500-legal-info/0300-workshop-insurers/upload/California-Department-of-Insurance-Invitation-to-Workshop-Examining-Catastrophe-Modeling-and-Insurance.pdf\">workshop will take place on July 13 (PDF)\u003c/a>.\u003c/p>\n\u003cp>On Wednesday, the Assembly’s insurance committee held a hearing on models. When asked by a legislator whether the department was moving toward incorporating catastrophe models, a department representative confirmed that it was.\u003c/p>\n\u003cp>“Historic losses do not fully account for growing wildfire risks, or risk mitigation measures taken by communities,” said Michael Peterson, a deputy commissioner at the insurance department, during the hearing.\u003c/p>\n\u003ch2>3. Address the increasing cost of insurance — for insurance companies\u003c/h2>\n\u003cp>Insurance companies are just like us: They buy insurance! When insurance companies buy it, it’s called “reinsurance.”\u003c/p>\n\u003cp>The \u003ca href=\"https://www.ft.com/content/f5f9d450-c539-47a7-bc5c-44a8db57e74e\">cost of reinsurance has risen dramatically\u003c/a>, and State Farm cited “a challenging reinsurance market” as one of the reasons it decided to stop selling new home insurance policies in California.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘What are insurers supposed to do when, on the one hand, the Department of Insurance is telling them ‘maintain your solvency,’ and then, on the other hand, when their costs go up, you can’t charge for it?’","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Rex Frazier, president, Personal Insurance Federation of California","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>When insurance companies explain their costs to the insurance department as part of the process for justifying their prices, they aren’t allowed to include the cost of reinsurance. The department hasn’t historically permitted it, Soller said, because it doesn’t regulate reinsurance.\u003c/p>\n\u003cp>“What are insurers supposed to do when, on the one hand, the Department of Insurance is telling them ‘maintain your solvency,’ and then, on the other hand, when their costs go up, you can’t charge for it?” said Frazier.\u003c/p>\n\u003cp>Insurance industry groups say it would help if they could incorporate the cost of reinsurance into their prices. But consumer groups say that the move would cause premiums to spike.\u003c/p>\n\u003cp>“Californians would see immediate massive rate hikes — both as soon as that went into effect and ongoing,” said Carmen Balber executive director of Consumer Watchdog. A reinsurance provider regulated by California would address problems she sees with the reinsurance market, Balber said, but that doesn’t exist currently.\u003c/p>\n\u003ch2>4. Reduce the risk of disasters\u003c/h2>\n\u003cp>The underlying problem is that disasters happen in California — at an increasing rate thanks to climate change — and that homes are at risk. They’re in the middle of the woods, or surrounded by flammable grasslands, or on the edge of bluffs that are expected to erode. Making homes less likely to burn, flood or collapse would be good for homeowners and would also make California feel less risky to insurers.\u003c/p>\n\u003cp>There’s no shortage of ideas for how to reduce risk, and there’s been action on this front in recent years. The insurance department, for example, has \u003ca href=\"https://calmatters.org/economy/2022/05/fire-insurance-rules/\">required insurance companies to consider whether homeowners take certain steps to protect their homes\u003c/a> — like installing fire-resistant vents and clearing out vegetation under decks — in their prices.\u003c/p>\n\u003cp>California has set aside $2.7 billion for wildfire resilience over the past three years, according to the insurance department. When the department convened a group of environmental advocates, researchers, and public policy and insurance experts to make recommendations on how to reduce the risks of climate change, \u003ca href=\"https://www.insurance.ca.gov/CCI/docs/climate-insurance-report.pdf\">they came up with a long list (PDF)\u003c/a>. Among the recommendations:\u003c/p>\n\u003cul>\n\u003cli>Create statewide hazard maps so that future risks are more clear to the public.\u003c/li>\n\u003cli>Increase funding to retrofit homes.\u003c/li>\n\u003cli>Apply fire-resistant building codes in areas with moderate to higher fire risk.\u003c/li>\n\u003c/ul>\n\u003cp>Cutting greenhouse gas emissions would ultimately be the best way to reduce the risk, said Alice Hill, chair of the group convened by the department and a senior fellow for energy and the environment at the Council on Foreign Relations. But the world will get warmer even if we reduce emissions, she said, so focusing on where and how homes are built remains important.\u003c/p>\n\u003cp>“That could mean not building in areas that are just becoming too risky,” Hill 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/11953252/what-california-can-do-as-home-insurance-companies-retreat-in-face-of-mounting-climate-change-risks","authors":["byline_news_11953252"],"categories":["news_31795","news_19906","news_6266","news_8"],"tags":["news_32828","news_20472","news_32779","news_18159","news_32780","news_4463"],"affiliates":["news_18481"],"featImg":"news_11953264","label":"news_18481"},"news_11951923":{"type":"posts","id":"news_11951923","meta":{"index":"posts_1591205157","site":"news","id":"11951923","score":null,"sort":[1685659028000]},"guestAuthors":[],"slug":"state-farm-abruptly-halts-california-home-insurance-due-to-profit-loss-over-fires-floods","title":"California Scrambles to Save Its Home Insurance Industry After State Farm Opts Out of Selling New Policies","publishDate":1685659028,"format":"standard","headTitle":"California Scrambles to Save Its Home Insurance Industry After State Farm Opts Out of Selling New Policies | KQED","labelTerm":{"term":18481,"site":"news"},"content":"\u003cp>State Farm made national headlines last week when it said it would stop selling new home insurance policies in California. As California’s largest single provider of bundled home insurance policies — the company had \u003ca href=\"https://www.insurance.ca.gov/01-consumers/120-company/04-mrktshare/2021/upload/Top25grps2021wa_Revised.pdf\">20% of the market in 2021 (PDF)\u003c/a> — the news struck some as the beginning of a fresh emergency, with insurers abandoning a fire- and flood-ravaged state.\u003c/p>\n\u003cp>But the retraction of California’s biggest home coverage provider is only the latest development in a wildfire-fueled crisis that has smoldered beneath the surface of the state’s insurance market for years.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Seren Taylor, vice president, Personal Insurance Federation of California\"] ‘State Farm sort of publicly said what they were doing, but I think for the last few years, we’ve all seen insurers restricting and pulling back their business in California.’[/pullquote]After the disastrous fires of 2017 and 2018, the number of Californians who were told by their insurers that their policies wouldn’t be renewed \u003ca href=\"https://www.insurance.ca.gov/01-consumers/200-wrr/upload/CDI-Fact-Sheet-Residential-Insurance-Market-Policy-Count-Data-December-2022.pdf\">jumped up by 42% (PDF)\u003c/a> to almost 235,000 households. The two severe wildfire years wiped out decades of industry profits.\u003c/p>\n\u003cp>Last year, American International Group \u003ca href=\"https://www.wsj.com/articles/wildfire-risk-in-california-drives-insurers-to-pull-policies-for-pricey-homes-11642593601?mod=article_inline\">let thousands of customers know their home insurance policies would not be renewed\u003c/a>, and Chubb, a high-end insurer, said it would continue to non-renew some of its customers.\u003c/p>\n\u003cp>And late last year, thousands of condo owners also found themselves among the uninsurable as the state’s regulated insurers \u003ca href=\"https://www.sandiegouniontribune.com/business/story/2023-02-10/san-diego-lawmakers-urge-state-to-help-condo-owners-hit-by-soaring-insurance-costs\">dropped suburban homeowner association members\u003c/a> in droves across San Diego County’s wildfire-prone shrubland.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[aside postID=\"news_11937459,science_1980493,news_11933739\" label=\"Related Posts\"]“State Farm sort of publicly said what they were doing, but I think for the last few years, we’ve all seen insurers restricting and pulling back their business in California,” said Seren Taylor, vice president of Personal Insurance Federation of California, an industry trade group that counts State Farm as a member.\u003c/p>\n\u003cp>State officials emphasized that State Farm’s current policyholders will not lose coverage.\u003c/p>\n\u003cp>“It’s important to note that current customers will not lose their insurance,” wrote Michael Soller, deputy insurance commissioner at California’s Insurance Department, in an email to CalMatters. This decision will affect people who are shopping for home insurance, in that they will have one fewer provider to choose from.\u003c/p>\n\u003cp>State Farm in a press release blamed high construction costs that make it extra expensive to rebuild after a home is destroyed in California, growing natural disaster risk — particularly from wildfires — and “a challenging reinsurance market.”\u003c/p>\n\u003cp>Insurance companies frequently purchase their own insurance — known as “reinsurance” — to minimize the risk of getting hit with millions of dollars of costs all at once, as might happen during a catastrophic wildfire or a major hurricane.\u003c/p>\n\u003cp>\u003ca href=\"https://www.wsj.com/articles/insurers-are-facing-a-steep-rise-in-reinsurance-rates-11667858056\">Reinsurance premiums have spiked\u003c/a> in recent years in disaster-prone states like fire-ravaged California and storm-battered Florida, Louisiana and Texas. California law prohibits insurers from passing along the cost of reinsurance to customers. Industry groups are lobbying to change that.\u003c/p>\n\u003cp>“This is tough for legislators,” said John Norwood, a lobbyist for independent insurance brokers. “Because the solution is prices going up.”\u003c/p>\n\u003ch2>How California regulates home insurance\u003c/h2>\n\u003cp>High rebuild costs, increasingly severe wildfires and high prices of reinsurance all are risks that insurance companies might be willing to take on.\u003c/p>\n\u003cp>But only for the right price.\u003c/p>\n\u003cp>Increases in insurance premiums in California are approved or denied by the state’s elected insurance commissioner, Ricardo Lara. Industry groups have long argued that Lara’s office has not allowed providers to set prices commensurate with the cost of doing business in fire-prone California.\u003c/p>\n\u003cp>“We have very inexpensive home insurance in California,” compared to other states, said Michael Wara, director of the climate and energy policy program at the Stanford Woods Institute for the Environment. “But the thing is, five years ago, we realized, ‘Oh, yeah, actually in California you can burn down 50,000 houses overnight.’”\u003c/p>\n\u003cp>The consequences of a continued drip-drip decline of insurers from California could be far more costly in the long run, warns Dan Dunmoyer, president of the California Building Industry Association.\u003c/p>\n\u003cp>As an illustration, he points to California history. After the 1994 Northridge earthquake dealt roughly $42 billion in damage across Southern California, \u003ca href=\"https://www.latimes.com/opinion/la-xpm-2014-jan-17-la-oe-ones-northridge-quake-insurance-20140117-story.html\">many home insurers opted to stop doing new business\u003c/a> in California entirely.\u003c/p>\n\u003cp>Because home insurance is a basic requirement for most home loans, the exodus of insurers caused the state real estate industry to grind to a halt, Dunmoyer recalled.\u003c/p>\n\u003cp>“The whole world stopped,” he said. “That’s the worst-case scenario. We’re not quite there yet.”\u003c/p>\n\u003ch2>Can California block State Farm’s retreat?\u003c/h2>\n\u003cp>There are various ideas circulating — some more drastic than others— about what the state can do to keep State Farm in the market.\u003c/p>\n\u003cp>The advocacy group Consumer Watchdog on Tuesday argued that \u003ca href=\"https://consumerwatchdog.org/insurance/insurance-commissioner-lara-must-use-prop-103-authority-to-reverse-state-farms-pullback/\">Insurance Commissioner Lara\u003c/a> has the power to order State Farm to reverse its decision. That authority, the group said, comes from Proposition 103, a voter-backed initiative passed in 1988 that gave the department the power to approve or deny premium increases.\u003c/p>\n\u003cp>Wara, from Stanford Law, said the idea was a “nonconstructive approach to this problem.”\u003c/p>\n\u003cp>He said the entire insurance industry likely would sue the state if the California insurance department were to assert that authority, and the lawsuit would take several years to resolve. He said he finds it “hard to believe” that a court would force the industry to keep issuing new insurance policies during the years the case was in court.\u003c/p>\n\u003cp>“That is a recipe for the entire market falling apart, potentially overnight,” Wara said. “That would undo not just the insurance market, but everybody that has a home mortgage in California, everybody that wants to buy or sell a home in California.”\u003c/p>\n\u003ch2>Last resort for California homeowners\u003c/h2>\n\u003cp>Another sword hanging over the state’s insurance industry: The possible demise of the FAIR Plan, the limited insurance plan Californians can turn to when no standard private company will cover them. It’s funded by levies on private insurance companies that do business in the state.\u003c/p>\n\u003cp>“A lot of other insurers have stopped selling,” said Amy Bach, executive director of United Policyholders, a consumer group. “If you talk to an agent or broker today, they’re going to tell you it can be pretty hard to find insurance” outside of the FAIR Plan, Bach said.\u003c/p>\n\u003cp>As the risk of catastrophic wildfire ramps up across California, that risk falls disproportionately on the FAIR Plan. And if an especially severe fire season renders the plan bankrupt, the tab will fall on those insurers still doing business in the state in proportion to their share of the market, said Wara.\u003c/p>\n\u003cp>State Farm, as the largest insurer, would have to chip in the most. That’s one reason the company might have decided to not issue new policies anywhere in California rather than just limiting new policies to places with low wildfire risk. “State Farm is saying ‘we want less of that,’” Wara said.\u003c/p>\n\u003cp>That problem isn’t unique to California.\u003c/p>\n\u003cp>In Texas, the increasing severity of Gulf Coast hurricanes has driven tens of thousands of homeowners onto that state’s chartered backstop insurer, leading to \u003ca href=\"https://www.eenews.net/articles/growing-insurance-crisis-spreads-to-texas/\">talk of an inevitable crisis\u003c/a>.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>In Florida, the crisis may already have arrived. This week, Florida’s insurance commissioner authorized a \u003ca href=\"https://thecapitolist.com/citizens-insurance-secures-1-25-billion-in-credit-ahead-of-hurricane-season/\">$1.25 billion line of credit\u003c/a> to that state’s insurer of last resort — now the single largest insurer — in preparation for the coming storm season.\u003c/p>\n\n","blocks":[],"excerpt":"Wildfires and expensive rebuilding wiped out profits among California home insurers. State Farm isn't the first insurer to retreat from the state, and may not be the last.","status":"publish","parent":0,"modified":1685663445,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":34,"wordCount":1322},"headData":{"title":"California Scrambles to Save Its Home Insurance Industry After State Farm Opts Out of Selling New Policies | KQED","description":"Wildfires and expensive rebuilding wiped out profits among California home insurers. State Farm isn't the first insurer to retreat from the state, and may not be the last.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"California Scrambles to Save Its Home Insurance Industry After State Farm Opts Out of Selling New Policies","datePublished":"2023-06-01T22:37:08.000Z","dateModified":"2023-06-01T23:50:45.000Z","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"}}},"nprByline":"Ben Christopher and Grace Gedye","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11951923/state-farm-abruptly-halts-california-home-insurance-due-to-profit-loss-over-fires-floods","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>State Farm made national headlines last week when it said it would stop selling new home insurance policies in California. As California’s largest single provider of bundled home insurance policies — the company had \u003ca href=\"https://www.insurance.ca.gov/01-consumers/120-company/04-mrktshare/2021/upload/Top25grps2021wa_Revised.pdf\">20% of the market in 2021 (PDF)\u003c/a> — the news struck some as the beginning of a fresh emergency, with insurers abandoning a fire- and flood-ravaged state.\u003c/p>\n\u003cp>But the retraction of California’s biggest home coverage provider is only the latest development in a wildfire-fueled crisis that has smoldered beneath the surface of the state’s insurance market for years.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":" ‘State Farm sort of publicly said what they were doing, but I think for the last few years, we’ve all seen insurers restricting and pulling back their business in California.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Seren Taylor, vice president, Personal Insurance Federation of California","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>After the disastrous fires of 2017 and 2018, the number of Californians who were told by their insurers that their policies wouldn’t be renewed \u003ca href=\"https://www.insurance.ca.gov/01-consumers/200-wrr/upload/CDI-Fact-Sheet-Residential-Insurance-Market-Policy-Count-Data-December-2022.pdf\">jumped up by 42% (PDF)\u003c/a> to almost 235,000 households. The two severe wildfire years wiped out decades of industry profits.\u003c/p>\n\u003cp>Last year, American International Group \u003ca href=\"https://www.wsj.com/articles/wildfire-risk-in-california-drives-insurers-to-pull-policies-for-pricey-homes-11642593601?mod=article_inline\">let thousands of customers know their home insurance policies would not be renewed\u003c/a>, and Chubb, a high-end insurer, said it would continue to non-renew some of its customers.\u003c/p>\n\u003cp>And late last year, thousands of condo owners also found themselves among the uninsurable as the state’s regulated insurers \u003ca href=\"https://www.sandiegouniontribune.com/business/story/2023-02-10/san-diego-lawmakers-urge-state-to-help-condo-owners-hit-by-soaring-insurance-costs\">dropped suburban homeowner association members\u003c/a> in droves across San Diego County’s wildfire-prone shrubland.\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":"aside","attributes":{"named":{"postid":"news_11937459,science_1980493,news_11933739","label":"Related Posts "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>“State Farm sort of publicly said what they were doing, but I think for the last few years, we’ve all seen insurers restricting and pulling back their business in California,” said Seren Taylor, vice president of Personal Insurance Federation of California, an industry trade group that counts State Farm as a member.\u003c/p>\n\u003cp>State officials emphasized that State Farm’s current policyholders will not lose coverage.\u003c/p>\n\u003cp>“It’s important to note that current customers will not lose their insurance,” wrote Michael Soller, deputy insurance commissioner at California’s Insurance Department, in an email to CalMatters. This decision will affect people who are shopping for home insurance, in that they will have one fewer provider to choose from.\u003c/p>\n\u003cp>State Farm in a press release blamed high construction costs that make it extra expensive to rebuild after a home is destroyed in California, growing natural disaster risk — particularly from wildfires — and “a challenging reinsurance market.”\u003c/p>\n\u003cp>Insurance companies frequently purchase their own insurance — known as “reinsurance” — to minimize the risk of getting hit with millions of dollars of costs all at once, as might happen during a catastrophic wildfire or a major hurricane.\u003c/p>\n\u003cp>\u003ca href=\"https://www.wsj.com/articles/insurers-are-facing-a-steep-rise-in-reinsurance-rates-11667858056\">Reinsurance premiums have spiked\u003c/a> in recent years in disaster-prone states like fire-ravaged California and storm-battered Florida, Louisiana and Texas. California law prohibits insurers from passing along the cost of reinsurance to customers. Industry groups are lobbying to change that.\u003c/p>\n\u003cp>“This is tough for legislators,” said John Norwood, a lobbyist for independent insurance brokers. “Because the solution is prices going up.”\u003c/p>\n\u003ch2>How California regulates home insurance\u003c/h2>\n\u003cp>High rebuild costs, increasingly severe wildfires and high prices of reinsurance all are risks that insurance companies might be willing to take on.\u003c/p>\n\u003cp>But only for the right price.\u003c/p>\n\u003cp>Increases in insurance premiums in California are approved or denied by the state’s elected insurance commissioner, Ricardo Lara. Industry groups have long argued that Lara’s office has not allowed providers to set prices commensurate with the cost of doing business in fire-prone California.\u003c/p>\n\u003cp>“We have very inexpensive home insurance in California,” compared to other states, said Michael Wara, director of the climate and energy policy program at the Stanford Woods Institute for the Environment. “But the thing is, five years ago, we realized, ‘Oh, yeah, actually in California you can burn down 50,000 houses overnight.’”\u003c/p>\n\u003cp>The consequences of a continued drip-drip decline of insurers from California could be far more costly in the long run, warns Dan Dunmoyer, president of the California Building Industry Association.\u003c/p>\n\u003cp>As an illustration, he points to California history. After the 1994 Northridge earthquake dealt roughly $42 billion in damage across Southern California, \u003ca href=\"https://www.latimes.com/opinion/la-xpm-2014-jan-17-la-oe-ones-northridge-quake-insurance-20140117-story.html\">many home insurers opted to stop doing new business\u003c/a> in California entirely.\u003c/p>\n\u003cp>Because home insurance is a basic requirement for most home loans, the exodus of insurers caused the state real estate industry to grind to a halt, Dunmoyer recalled.\u003c/p>\n\u003cp>“The whole world stopped,” he said. “That’s the worst-case scenario. We’re not quite there yet.”\u003c/p>\n\u003ch2>Can California block State Farm’s retreat?\u003c/h2>\n\u003cp>There are various ideas circulating — some more drastic than others— about what the state can do to keep State Farm in the market.\u003c/p>\n\u003cp>The advocacy group Consumer Watchdog on Tuesday argued that \u003ca href=\"https://consumerwatchdog.org/insurance/insurance-commissioner-lara-must-use-prop-103-authority-to-reverse-state-farms-pullback/\">Insurance Commissioner Lara\u003c/a> has the power to order State Farm to reverse its decision. That authority, the group said, comes from Proposition 103, a voter-backed initiative passed in 1988 that gave the department the power to approve or deny premium increases.\u003c/p>\n\u003cp>Wara, from Stanford Law, said the idea was a “nonconstructive approach to this problem.”\u003c/p>\n\u003cp>He said the entire insurance industry likely would sue the state if the California insurance department were to assert that authority, and the lawsuit would take several years to resolve. He said he finds it “hard to believe” that a court would force the industry to keep issuing new insurance policies during the years the case was in court.\u003c/p>\n\u003cp>“That is a recipe for the entire market falling apart, potentially overnight,” Wara said. “That would undo not just the insurance market, but everybody that has a home mortgage in California, everybody that wants to buy or sell a home in California.”\u003c/p>\n\u003ch2>Last resort for California homeowners\u003c/h2>\n\u003cp>Another sword hanging over the state’s insurance industry: The possible demise of the FAIR Plan, the limited insurance plan Californians can turn to when no standard private company will cover them. It’s funded by levies on private insurance companies that do business in the state.\u003c/p>\n\u003cp>“A lot of other insurers have stopped selling,” said Amy Bach, executive director of United Policyholders, a consumer group. “If you talk to an agent or broker today, they’re going to tell you it can be pretty hard to find insurance” outside of the FAIR Plan, Bach said.\u003c/p>\n\u003cp>As the risk of catastrophic wildfire ramps up across California, that risk falls disproportionately on the FAIR Plan. And if an especially severe fire season renders the plan bankrupt, the tab will fall on those insurers still doing business in the state in proportion to their share of the market, said Wara.\u003c/p>\n\u003cp>State Farm, as the largest insurer, would have to chip in the most. That’s one reason the company might have decided to not issue new policies anywhere in California rather than just limiting new policies to places with low wildfire risk. “State Farm is saying ‘we want less of that,’” Wara said.\u003c/p>\n\u003cp>That problem isn’t unique to California.\u003c/p>\n\u003cp>In Texas, the increasing severity of Gulf Coast hurricanes has driven tens of thousands of homeowners onto that state’s chartered backstop insurer, leading to \u003ca href=\"https://www.eenews.net/articles/growing-insurance-crisis-spreads-to-texas/\">talk of an inevitable crisis\u003c/a>.\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>In Florida, the crisis may already have arrived. This week, Florida’s insurance commissioner authorized a \u003ca href=\"https://thecapitolist.com/citizens-insurance-secures-1-25-billion-in-credit-ahead-of-hurricane-season/\">$1.25 billion line of credit\u003c/a> to that state’s insurer of last resort — now the single largest insurer — in preparation for the coming storm season.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11951923/state-farm-abruptly-halts-california-home-insurance-due-to-profit-loss-over-fires-floods","authors":["byline_news_11951923"],"categories":["news_8"],"tags":["news_20341","news_32781","news_3431","news_32779","news_28791","news_18159","news_32780"],"affiliates":["news_18481"],"featImg":"news_11951934","label":"news_18481"},"news_11940023":{"type":"posts","id":"news_11940023","meta":{"index":"posts_1591205157","site":"news","id":"11940023","score":null,"sort":[1675382773000]},"guestAuthors":[],"slug":"californias-medi-cal-plan-struggles-to-fix-mental-health-care-for-young-people","title":"California's Medi-Cal Plan Struggles to Fix Mental Health Care for Young People","publishDate":1675382773,"format":"standard","headTitle":"KQED News","labelTerm":{},"content":"\u003cp>A year has passed since a massive statewide effort called \u003ca href=\"https://www.dhcs.ca.gov/calaim\">CalAIM\u003c/a> began rolling out. Among several significant changes CalAIM promised: an overhaul of the availability of mental health care for young people insured by Medi-Cal, the public insurance program for lower-income Californians.\u003c/p>\n\u003cp>Advocates for youth mental health say they remain enthusiastic about CalAIM’s potential, using words like “game-changing” and “transformational.”\u003c/p>\n\u003cp>But they also say the new framework is being born at a tricky time. Three years into the pandemic, provider burnout and escalating patient need have combined to create a severe \u003ca href=\"https://calmatters.org/health/2022/09/california-shortage-mental-health-workers/\">mental health workforce shortage\u003c/a>. Meanwhile, community-based organizations that provide many of the mental health services outlined under CalAIM say they feel left out of the loop in important conversations about coming payment reforms.[pullquote size=\"medium\" align=\"right\" citation=\"Adrienne Shilton, director of public policy, California Alliance of Child and Family Services\"]'Where are the people who are going to be delivering these services?'[/pullquote]\u003c/p>\n\u003cp>Gov. Gavin \u003ca href=\"https://ebudget.ca.gov/2023-24/pdf/BudgetSummary/HealthandHumanServices.pdf\">Newsom’s budget proposal (PDF)\u003c/a> — which would delay certain behavioral health investments to combat a \u003ca href=\"https://calmatters.org/california-budget/2023/01/california-budget-newsom-deficit/\">projected $22 billion deficit\u003c/a> — also risks hampering progress for CalAIM.\u003c/p>\n\u003cp>“Our members are really panicked right now,” said Adrienne Shilton, director of public policy for the nonprofit California Alliance of Child and Family Services. In September 2022, hers was one of a dozen organizations that signed \u003ca href=\"https://www.documentcloud.org/documents/23587669-final-dhcs-letter-on-rates-9-12-2022-2\">a letter to the state Department of Health Care Services\u003c/a> expressing concerns about a lack of transparency around the new rate structure.\u003c/p>\n\u003cp>“Providers must have the ability to plan and prepare alongside their county partners,” it said. Shilton’s organization also co-authored \u003ca href=\"https://calmatters.org/wp-content/uploads/2022/06/CA-Alliance-and-CBHDA-Feedback-on-BHCIP-Funding-Delays.pdf\">a letter Wednesday to legislators (PDF)\u003c/a>, decrying the proposed budget delays.\u003c/p>\n\u003cp>Shilton told CalMatters earlier that other issues CalAIM is meant to address, including alleviating burdensome documentation requirements, have yet to change the on-the-ground reality for many providers.[aside postID=\"news_11926757,news_11934623\" label=\"Related Posts\"]\u003ca href=\"https://www.dhcs.ca.gov/calaim\">CalAIM\u003c/a> is about much more than mental health. The initiative, short for California Advancing and Innovating Medi-Cal, is a five-year plan that began rolling out a year ago. It aims to provide children and adults insured by Medi-Cal with better access to a range of health and mental health services. It also strives to use a \u003ca href=\"https://calmatters.org/health/2022/02/california-medi-cal-reform/\">“whole person care”\u003c/a> approach to addressing social issues that affect health, including housing and food insecurity.\u003c/p>\n\u003cp>It also redesigns the payment system to more seamlessly integrate the county mental health plans and managed care organizations that pay for those services.\u003c/p>\n\u003cp>The relevance and urgency of addressing children’s mental health is especially clear: Racism. School closures. Online bullying. Climate disaster. A pandemic pocked with grief, loss and fear.\u003c/p>\n\u003cp>All of these factors have aggravated a youth mental health crisis that’s been raging for more than a decade. Incidence of \u003ca href=\"https://www.auditor.ca.gov/pdfs/reports/2019-125.pdf\">self-harm for young people, which increased dramatically (PDF)\u003c/a> even before the pandemic, has \u003ca href=\"https://calmatters.org/health/2021/09/children-suicide-residential-treatment-crisis-california/\">spiked further\u003c/a> in the past few years.\u003c/p>\n\u003cp>CalAIM has not yet significantly shifted the on-the-ground reality for many of these young people, experts say, but a number of important policy changes are officially underway:\u003c/p>\n\u003cul>\n\u003cli>About 40% of the state’s children and youth are insured by Medi-Cal. They no longer need a formal diagnosis to access specialty mental health services.\u003c/li>\n\u003cli>The state has simplified behavioral health documentation requirements.\u003c/li>\n\u003cli>A “No Wrong Door Policy” should make it easier for children and adults to receive behavioral health care no matter where they enter the system, replacing what can feel like a bureaucratic maze that varies by county.\u003c/li>\n\u003cli>An “enhanced care management” benefit provides services and case management to members of priority populations, including those who are unhoused, experiencing early psychosis or involved with the child welfare or criminal justice systems.\u003c/li>\n\u003c/ul>\n\u003cp>Other efforts, including changing the way mental health services are paid for, also are rolling out this year.\u003c/p>\n\u003cp>Newsom’s administration, which early on made behavioral health a signature issue, is simultaneously unveiling several other ambitious initiatives, all of which require additional staffing and funding: a statewide program to set up new court systems to address the needs of people with severe mental illness, known as \u003ca href=\"https://calmatters.org/housing/2022/09/california-lawmakers-approved-care-court-what-comes-next/\">CARE Court\u003c/a>; expanded crisis response services through state funding \u003ca href=\"https://calmatters.org/health/2022/07/california-mental-health-crisis-hotline/\">for a 988 hotline\u003c/a>; and a \u003ca href=\"https://calmatters.org/health/2022/03/california-children-mental-health-crisis/\">major initiative to improve mental health care for children and youth\u003c/a>, parts of which will be\u003ca href=\"https://www.chhs.ca.gov/wp-content/uploads/2022/10/CYBHI-101-Deck-September-2022.pdf\"> affected by the proposed budget delays (PDF)\u003c/a>.\u003c/p>\n\u003cp>Despite belt-tightening in other areas of the governor’s proposed January budget, CalAIM continues to be funded. Newsom’s proposal would dedicate more than $10 billion to CalAIM implementation, including \u003ca href=\"https://www.dhcs.ca.gov/CalAIM/Pages/CalBH-CBC.aspx\">$6.1 billion over five years\u003c/a> to improve local treatment services and pay for short-term stays in treatment facilities for people with serious mental and behavioral health illnesses.\u003c/p>\n\u003cp>“We’re committed. We’re not touching that,” he said in a press conference earlier this month.\u003c/p>\n\u003cp>The budget proposal does, however, delay more than $1.1 billion in other behavioral health investments over the next two years, including money intended to increase treatment capacity for adults and kids in crisis, and money for workforce development. These \u003ca href=\"https://www.infrastructure.buildingcalhhs.com/wp-content/uploads/2022/05/BHCIP-and-CCE-Infrastructure-Funds-Status-Legislative-Update-April-2022-Update.pdf\">investments were intended in part to shore up CalAIM’s goals (PDF)\u003c/a>, according to state documents.\u003c/p>\n\u003cp>“We’re concerned about the delays,” Shilton said. “This is funding outside of CalAIM but … the system is so stressed. Having this additional investment from the state was really beneficial.”\u003c/p>\n\u003cp>The governor’s office did not respond to questions about the proposed funding delays. He will revise his budget proposal in May, based on actual state revenue, and hammer out a final funding deal with legislators in June.\u003c/p>\n\u003cp>While CalAIM is an important step toward meeting the mental health needs of vulnerable young people, experts say staffing shortages, especially, are complicating the picture. As a result, some say, it’s not yet clear how and when official policy changes will translate into better mental health treatment for individuals. The proposed budget would delay nearly $400 million for health care workforce training, including some social work and behavioral health pipeline programs.\u003c/p>\n\u003cp>“Where are the people who are going to be delivering these services?” Shilton said.\u003c/p>\n\u003cp>Michelle Cabrera, executive director of the County Behavioral Health Directors Association of California, calls CalAIM “an uber-ambitious reform agenda that’s sitting on top of a system that’s really been through the storm.”\u003c/p>\n\u003cp>Counties are being asked to implement “ambitious, sweeping new reforms on top of the worst workforce crisis we’ve ever seen,” she said.\u003c/p>\n\u003cp>In an emailed response to CalMatters, the Department of Health Care Services said the Newsom administration is committed to “collaborating closely” with counties, health plans and others to plan, implement and monitor the various “unprecedented and intersecting initiatives.”\u003c/p>\n\u003cp>Still, community-based organizations that contract with counties and managed care organizations to provide mental health services say they are worried about the payment they will receive for their services and how that could affect their ability to recruit and retain necessary staff.\u003c/p>\n\u003cp>Jodi Kurata, chief executive officer of the Association of Community Human Service Agencies, which represents nonprofit organizations in Los Angeles, said the groups she works with are too overwhelmed dealing with workforce shortages to focus on the administrative transformation underway.\u003c/p>\n\u003cp>“The system right now is just so depleted,” she said.\u003c/p>\n\u003cp>She said she worries that inadequate rates could lead to a further exodus of nonprofit mental health care providers from the Medi-Cal system, a concern others have echoed.\u003c/p>\n\u003cp>The state says a preliminary draft of revised payment rates has been shared with counties. The Department of Health Care Services said it has committed to publishing a fee schedule in the first few months of this year.\u003c/p>\n\u003cp>Cabrera, of the County Behavioral Health Directors Association, said CalAIM’s new payment structure marks an important shift in that the state will now allow counties to pay providers without being capped, and will remove many burdensome documentation requirements. She said counties are just now seeing the new rates, and that the administration’s “aggressive” timeline will likely lead to a “bumpy ride this year” before ultimately resulting in a positive change.\u003c/p>\n\u003ch2>When care depends on your county\u003c/h2>\n\u003cp>Other longstanding funding problems remain unaddressed. This past fall, Young Minds Advocacy, a children’s mental health advocacy organization, published a report showing that \u003ca href=\"https://static1.squarespace.com/static/5e8cda3fbb668903f24a24ca/t/638787ce2c4a6b17b39c295f/1669826513743/30NOV2022_YMA_REPORT.pdf\">longstanding variability in the way the state funds county specialty mental health services has translated into disparities (PDF)\u003c/a> in the kinds of intensive care offered to young Medi-Cal enrollees.\u003c/p>\n\u003cp>For decades, said Patrick Gardner, an attorney who founded the advocacy organization, the state has underfunded certain counties, “and their performance has suffered accordingly, sometimes pretty dramatically.”\u003c/p>\n\u003cp>In his report, Gardner found that counties with significantly lower-than-average state funding generally provided young people with less intensive services than counties with significantly higher-than-average state funding. According to his report, in 2019–20, poorly funded San Joaquin and Madera counties provided just 16% and 17% of the estimated need for care, while the better-funded Santa Clara and Butte counties provided 86%.\u003c/p>\n\u003cp>While CalAIM is moving “in the right direction,” Gardner said, it fails to address this fundamental issue. (Cabrera contends that the analysis fails to capture the services that counties provide without billing Medi-Cal.)\u003c/p>\n\u003cp>Despite these concerns, many mental health care advocates say they are witnessing important changes to the way care is delivered under CalAIM.\u003c/p>\n\u003cp>“We are seeing shifts happening already,” said Leticia Galyean, CEO and president of Seneca Family of Agencies. She said her organization — which serves youth and families in 14 counties — is especially seeing “an immediate benefit” in terms of faster access to specialty mental health care for foster youth, unhoused youth and those involved in the juvenile justice system.\u003c/p>\n\u003cp>Brian Blalock, senior staff attorney at the Youth Law Center, which advocates for youth in the child welfare and juvenile justice systems, called CalAIM “the most important thing California has done in a long time.”\u003c/p>\n\u003cp>“There’s just tremendous opportunity there,” he said.\u003c/p>\n\u003cp>Now, he added, “we as a state can go in either direction — either we realize that promise, or we let this pass us by.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"A year into the rollout of CalAIM, payment details are murky and obstacles remain in finding help for Medi-Cal recipients with mental health needs.","status":"publish","parent":0,"modified":1675382773,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":40,"wordCount":1759},"headData":{"title":"California's Medi-Cal Plan Struggles to Fix Mental Health Care for Young People | KQED","description":"A year into the rollout of CalAIM, payment details are murky and obstacles remain in finding help for Medi-Cal recipients with mental health needs.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"California's Medi-Cal Plan Struggles to Fix Mental Health Care for Young People","datePublished":"2023-02-03T00:06:13.000Z","dateModified":"2023-02-03T00:06:13.000Z","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":"CalMatters","sourceUrl":"https://calmatters.org/","nprByline":"\u003ca href=\"https://calmatters.org/author/jocelyn-wiener/\">Jocelyn Wiener\u003c/a> and \u003ca href=\"https://calmatters.org/author/Kristen-Hwang/\">Kristen Hwang\u003c/a>","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11940023/californias-medi-cal-plan-struggles-to-fix-mental-health-care-for-young-people","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>A year has passed since a massive statewide effort called \u003ca href=\"https://www.dhcs.ca.gov/calaim\">CalAIM\u003c/a> began rolling out. Among several significant changes CalAIM promised: an overhaul of the availability of mental health care for young people insured by Medi-Cal, the public insurance program for lower-income Californians.\u003c/p>\n\u003cp>Advocates for youth mental health say they remain enthusiastic about CalAIM’s potential, using words like “game-changing” and “transformational.”\u003c/p>\n\u003cp>But they also say the new framework is being born at a tricky time. Three years into the pandemic, provider burnout and escalating patient need have combined to create a severe \u003ca href=\"https://calmatters.org/health/2022/09/california-shortage-mental-health-workers/\">mental health workforce shortage\u003c/a>. Meanwhile, community-based organizations that provide many of the mental health services outlined under CalAIM say they feel left out of the loop in important conversations about coming payment reforms.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'Where are the people who are going to be delivering these services?'","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Adrienne Shilton, director of public policy, California Alliance of Child and Family Services","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Gov. Gavin \u003ca href=\"https://ebudget.ca.gov/2023-24/pdf/BudgetSummary/HealthandHumanServices.pdf\">Newsom’s budget proposal (PDF)\u003c/a> — which would delay certain behavioral health investments to combat a \u003ca href=\"https://calmatters.org/california-budget/2023/01/california-budget-newsom-deficit/\">projected $22 billion deficit\u003c/a> — also risks hampering progress for CalAIM.\u003c/p>\n\u003cp>“Our members are really panicked right now,” said Adrienne Shilton, director of public policy for the nonprofit California Alliance of Child and Family Services. In September 2022, hers was one of a dozen organizations that signed \u003ca href=\"https://www.documentcloud.org/documents/23587669-final-dhcs-letter-on-rates-9-12-2022-2\">a letter to the state Department of Health Care Services\u003c/a> expressing concerns about a lack of transparency around the new rate structure.\u003c/p>\n\u003cp>“Providers must have the ability to plan and prepare alongside their county partners,” it said. Shilton’s organization also co-authored \u003ca href=\"https://calmatters.org/wp-content/uploads/2022/06/CA-Alliance-and-CBHDA-Feedback-on-BHCIP-Funding-Delays.pdf\">a letter Wednesday to legislators (PDF)\u003c/a>, decrying the proposed budget delays.\u003c/p>\n\u003cp>Shilton told CalMatters earlier that other issues CalAIM is meant to address, including alleviating burdensome documentation requirements, have yet to change the on-the-ground reality for many providers.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11926757,news_11934623","label":"Related Posts "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003ca href=\"https://www.dhcs.ca.gov/calaim\">CalAIM\u003c/a> is about much more than mental health. The initiative, short for California Advancing and Innovating Medi-Cal, is a five-year plan that began rolling out a year ago. It aims to provide children and adults insured by Medi-Cal with better access to a range of health and mental health services. It also strives to use a \u003ca href=\"https://calmatters.org/health/2022/02/california-medi-cal-reform/\">“whole person care”\u003c/a> approach to addressing social issues that affect health, including housing and food insecurity.\u003c/p>\n\u003cp>It also redesigns the payment system to more seamlessly integrate the county mental health plans and managed care organizations that pay for those services.\u003c/p>\n\u003cp>The relevance and urgency of addressing children’s mental health is especially clear: Racism. School closures. Online bullying. Climate disaster. A pandemic pocked with grief, loss and fear.\u003c/p>\n\u003cp>All of these factors have aggravated a youth mental health crisis that’s been raging for more than a decade. Incidence of \u003ca href=\"https://www.auditor.ca.gov/pdfs/reports/2019-125.pdf\">self-harm for young people, which increased dramatically (PDF)\u003c/a> even before the pandemic, has \u003ca href=\"https://calmatters.org/health/2021/09/children-suicide-residential-treatment-crisis-california/\">spiked further\u003c/a> in the past few years.\u003c/p>\n\u003cp>CalAIM has not yet significantly shifted the on-the-ground reality for many of these young people, experts say, but a number of important policy changes are officially underway:\u003c/p>\n\u003cul>\n\u003cli>About 40% of the state’s children and youth are insured by Medi-Cal. They no longer need a formal diagnosis to access specialty mental health services.\u003c/li>\n\u003cli>The state has simplified behavioral health documentation requirements.\u003c/li>\n\u003cli>A “No Wrong Door Policy” should make it easier for children and adults to receive behavioral health care no matter where they enter the system, replacing what can feel like a bureaucratic maze that varies by county.\u003c/li>\n\u003cli>An “enhanced care management” benefit provides services and case management to members of priority populations, including those who are unhoused, experiencing early psychosis or involved with the child welfare or criminal justice systems.\u003c/li>\n\u003c/ul>\n\u003cp>Other efforts, including changing the way mental health services are paid for, also are rolling out this year.\u003c/p>\n\u003cp>Newsom’s administration, which early on made behavioral health a signature issue, is simultaneously unveiling several other ambitious initiatives, all of which require additional staffing and funding: a statewide program to set up new court systems to address the needs of people with severe mental illness, known as \u003ca href=\"https://calmatters.org/housing/2022/09/california-lawmakers-approved-care-court-what-comes-next/\">CARE Court\u003c/a>; expanded crisis response services through state funding \u003ca href=\"https://calmatters.org/health/2022/07/california-mental-health-crisis-hotline/\">for a 988 hotline\u003c/a>; and a \u003ca href=\"https://calmatters.org/health/2022/03/california-children-mental-health-crisis/\">major initiative to improve mental health care for children and youth\u003c/a>, parts of which will be\u003ca href=\"https://www.chhs.ca.gov/wp-content/uploads/2022/10/CYBHI-101-Deck-September-2022.pdf\"> affected by the proposed budget delays (PDF)\u003c/a>.\u003c/p>\n\u003cp>Despite belt-tightening in other areas of the governor’s proposed January budget, CalAIM continues to be funded. Newsom’s proposal would dedicate more than $10 billion to CalAIM implementation, including \u003ca href=\"https://www.dhcs.ca.gov/CalAIM/Pages/CalBH-CBC.aspx\">$6.1 billion over five years\u003c/a> to improve local treatment services and pay for short-term stays in treatment facilities for people with serious mental and behavioral health illnesses.\u003c/p>\n\u003cp>“We’re committed. We’re not touching that,” he said in a press conference earlier this month.\u003c/p>\n\u003cp>The budget proposal does, however, delay more than $1.1 billion in other behavioral health investments over the next two years, including money intended to increase treatment capacity for adults and kids in crisis, and money for workforce development. These \u003ca href=\"https://www.infrastructure.buildingcalhhs.com/wp-content/uploads/2022/05/BHCIP-and-CCE-Infrastructure-Funds-Status-Legislative-Update-April-2022-Update.pdf\">investments were intended in part to shore up CalAIM’s goals (PDF)\u003c/a>, according to state documents.\u003c/p>\n\u003cp>“We’re concerned about the delays,” Shilton said. “This is funding outside of CalAIM but … the system is so stressed. Having this additional investment from the state was really beneficial.”\u003c/p>\n\u003cp>The governor’s office did not respond to questions about the proposed funding delays. He will revise his budget proposal in May, based on actual state revenue, and hammer out a final funding deal with legislators in June.\u003c/p>\n\u003cp>While CalAIM is an important step toward meeting the mental health needs of vulnerable young people, experts say staffing shortages, especially, are complicating the picture. As a result, some say, it’s not yet clear how and when official policy changes will translate into better mental health treatment for individuals. The proposed budget would delay nearly $400 million for health care workforce training, including some social work and behavioral health pipeline programs.\u003c/p>\n\u003cp>“Where are the people who are going to be delivering these services?” Shilton said.\u003c/p>\n\u003cp>Michelle Cabrera, executive director of the County Behavioral Health Directors Association of California, calls CalAIM “an uber-ambitious reform agenda that’s sitting on top of a system that’s really been through the storm.”\u003c/p>\n\u003cp>Counties are being asked to implement “ambitious, sweeping new reforms on top of the worst workforce crisis we’ve ever seen,” she said.\u003c/p>\n\u003cp>In an emailed response to CalMatters, the Department of Health Care Services said the Newsom administration is committed to “collaborating closely” with counties, health plans and others to plan, implement and monitor the various “unprecedented and intersecting initiatives.”\u003c/p>\n\u003cp>Still, community-based organizations that contract with counties and managed care organizations to provide mental health services say they are worried about the payment they will receive for their services and how that could affect their ability to recruit and retain necessary staff.\u003c/p>\n\u003cp>Jodi Kurata, chief executive officer of the Association of Community Human Service Agencies, which represents nonprofit organizations in Los Angeles, said the groups she works with are too overwhelmed dealing with workforce shortages to focus on the administrative transformation underway.\u003c/p>\n\u003cp>“The system right now is just so depleted,” she said.\u003c/p>\n\u003cp>She said she worries that inadequate rates could lead to a further exodus of nonprofit mental health care providers from the Medi-Cal system, a concern others have echoed.\u003c/p>\n\u003cp>The state says a preliminary draft of revised payment rates has been shared with counties. The Department of Health Care Services said it has committed to publishing a fee schedule in the first few months of this year.\u003c/p>\n\u003cp>Cabrera, of the County Behavioral Health Directors Association, said CalAIM’s new payment structure marks an important shift in that the state will now allow counties to pay providers without being capped, and will remove many burdensome documentation requirements. She said counties are just now seeing the new rates, and that the administration’s “aggressive” timeline will likely lead to a “bumpy ride this year” before ultimately resulting in a positive change.\u003c/p>\n\u003ch2>When care depends on your county\u003c/h2>\n\u003cp>Other longstanding funding problems remain unaddressed. This past fall, Young Minds Advocacy, a children’s mental health advocacy organization, published a report showing that \u003ca href=\"https://static1.squarespace.com/static/5e8cda3fbb668903f24a24ca/t/638787ce2c4a6b17b39c295f/1669826513743/30NOV2022_YMA_REPORT.pdf\">longstanding variability in the way the state funds county specialty mental health services has translated into disparities (PDF)\u003c/a> in the kinds of intensive care offered to young Medi-Cal enrollees.\u003c/p>\n\u003cp>For decades, said Patrick Gardner, an attorney who founded the advocacy organization, the state has underfunded certain counties, “and their performance has suffered accordingly, sometimes pretty dramatically.”\u003c/p>\n\u003cp>In his report, Gardner found that counties with significantly lower-than-average state funding generally provided young people with less intensive services than counties with significantly higher-than-average state funding. According to his report, in 2019–20, poorly funded San Joaquin and Madera counties provided just 16% and 17% of the estimated need for care, while the better-funded Santa Clara and Butte counties provided 86%.\u003c/p>\n\u003cp>While CalAIM is moving “in the right direction,” Gardner said, it fails to address this fundamental issue. (Cabrera contends that the analysis fails to capture the services that counties provide without billing Medi-Cal.)\u003c/p>\n\u003cp>Despite these concerns, many mental health care advocates say they are witnessing important changes to the way care is delivered under CalAIM.\u003c/p>\n\u003cp>“We are seeing shifts happening already,” said Leticia Galyean, CEO and president of Seneca Family of Agencies. She said her organization — which serves youth and families in 14 counties — is especially seeing “an immediate benefit” in terms of faster access to specialty mental health care for foster youth, unhoused youth and those involved in the juvenile justice system.\u003c/p>\n\u003cp>Brian Blalock, senior staff attorney at the Youth Law Center, which advocates for youth in the child welfare and juvenile justice systems, called CalAIM “the most important thing California has done in a long time.”\u003c/p>\n\u003cp>“There’s just tremendous opportunity there,” he said.\u003c/p>\n\u003cp>Now, he added, “we as a state can go in either direction — either we realize that promise, or we let this pass us by.”\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/11940023/californias-medi-cal-plan-struggles-to-fix-mental-health-care-for-young-people","authors":["byline_news_11940023"],"categories":["news_8"],"tags":["news_30670","news_32357","news_18159","news_2605","news_31651"],"featImg":"news_11940029","label":"source_news_11940023"},"news_11931287":{"type":"posts","id":"news_11931287","meta":{"index":"posts_1591205157","site":"news","id":"11931287","score":null,"sort":[1667779214000]},"guestAuthors":[],"slug":"how-to-protect-your-car-from-catalytic-converter-theft-and-what-to-do-if-it-happens","title":"How to Protect Your Car From Catalytic Converter Theft, and What to Do if It Happens","publishDate":1667779214,"format":"standard","headTitle":"NPR | KQED News","labelTerm":{"term":253,"site":"news"},"content":"\u003cp>How can car owners protect themselves from the wave of catalytic converter theft that has swept the country?\u003c/p>\n\u003cp>Claims for stolen catalytic converters doubled in the year ending June 2022, \u003ca href=\"https://newsroom.statefarm.com/continued-surge-in-catalytic-converter-theft/\">according to State Farm\u003c/a>, the largest auto insurer in the U.S., whose customers reported more than 43,200 stolen converters that year.\u003c/p>\n\u003cp>And since 2019, converter theft has risen 1,215%, \u003ca href=\"https://www.nicb.org/news/blog/rise-vehicle-theft\">according to the National Insurance Crime Bureau\u003c/a>, an industry group that tracks insurance-related crimes.\u003c/p>\n\u003cp>On Wednesday, \u003ca href=\"https://www.npr.org/2022/11/03/1133788485/catalytic-converters-theft-ring-federal-fbi\">the Department of Justice announced the arrest of 21 people\u003c/a> in connection with a crime ring accused of making $545 million by trafficking stolen catalytic converters.\u003c/p>\n\u003cp>Catalytic converters — which helps a car clean its exhaust — have become a target for theft in large part because of the price of precious metals, like palladium and platinum, that are used in the parts.\u003c/p>\n\u003cp>And, crucially, their location on the exterior of a car's underside makes them easy to steal, David Glawe of the NCIB \u003ca href=\"https://www.wbur.org/hereandnow/2022/04/22/catalytic-converters-cars-theft\">told NPR earlier this year\u003c/a>.\u003c/p>\n\u003cp>Stealing a converter takes just a few minutes and a battery-operated saw. \"You slide under the car, slice through your exhaust system, and you're in and out usually within 30 seconds to a minute,\" Glawe said.\u003c/p>\n\u003cp>Especially at risk are cars with enough tire clearance for a thief to easily slide underneath, like SUVs and pickup trucks. Hybrids are also attractive targets because their converters contain even more precious metals.[pullquote align=\"right\" size=\"medium\" citation=\"Todd Foreman, director of law enforcement outreach, Institute of Scrap Recycling Industries\"]'It's happening because people go to the hospital and either park and visit, or they're in the hospital for a long period of time, and their car sits there.'[/pullquote]Replacing a stolen converter can cost thousands. Here are some precautions you can take:\u003c/p>\n\u003ch2>How can I protect my car from catalytic converter theft?\u003c/h2>\n\u003cp>Insurance companies, mechanics and police departments have recommended a wide range of anti-theft measures designed to deter a would-be thief. \"It's a holistic approach,\" said Glawe.\u003c/p>\n\u003cp>The simplest solution is to keep your car away from public access when you're not using it. If you have access to a garage, keep your car there. Those without a garage should try to park their car in a well-lit area, or somewhere you can install a security camera.\u003c/p>\n\u003cp>But even a garage might not be enough to protect your car. Public parking spots of all kinds have become a target for daytime theft, the Institute of Scrap Recycling Industries, a recycling industry trade group, has warned.\u003c/p>\n\u003cp>\"[At] hospitals, it's happening because people go to the hospital and either park and visit, or they're in the hospital for a long period of time, and their car sits there,\" said Todd Foreman, the group's director of law enforcement outreach. \"It's happening to big trucks, to churches.\"\u003c/p>\n\u003cp>Some cities have hosted workshops in which car owners can get their vehicle identification numbers engraved on their catalytic converter for free — an indication to would-be buyers that the converter has been stolen.\u003c/p>\n\u003cp>Foreman also recommends painting your converter with brightly colored, high-temperature paint, which can put off a thief who'd have to scrape it all off before selling. \"If they climb under a car and see it's spray-painted,\" he said, \"they know they're more likely to be caught stealing those catalytic converters.\"\u003c/p>\n\u003cp>Other solutions might cost a bit of money: Owners can attach alarm systems that are triggered by the vibration of a thief's saw. Other, more expensive anti-theft devices are designed to make a converter more cumbersome to remove. Mechanics can also weld on metal plates or rebar to shield the converter.\u003c/p>\n\u003ch2>What should I do if it's been stolen?\u003c/h2>\n\u003cp>If your converter has been stolen, you're likely to notice right away: Without the converter, your car will be much noisier than usual.\u003c/p>\n\u003cp>Most cars will run without a catalytic converter, though it's inadvisable to do so for longer than necessary. Because the purpose of a catalytic converter is to reduce harmful emissions, cars without one will pollute much more heavily than an intact car, and you could fail an emissions inspection in states that require them.\u003c/p>\n\u003cp>When thieves use a saw to remove a catalytic converter, they can also cause damage to nearby parts of your car, like the alternator or fuel lines. It's best to get your car checked out by a mechanic as soon as possible.\u003c/p>\n\u003cp>And check your car insurance. Comprehensive coverage on an auto insurance policy will cover damage to your car that occurs outside of a collision — including theft.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n","blocks":[],"excerpt":"A wave of catalytic converter theft is sweeping the US, and California is the state that's been hardest hit.","status":"publish","parent":0,"modified":1667785833,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":21,"wordCount":794},"headData":{"title":"How to Protect Your Car From Catalytic Converter Theft, and What to Do if It Happens | KQED","description":"A wave of catalytic converter theft is sweeping the US, and California is the state that's been hardest hit.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"How to Protect Your Car From Catalytic Converter Theft, and What to Do if It Happens","datePublished":"2022-11-07T00:00:14.000Z","dateModified":"2022-11-07T01:50:33.000Z","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"}}},"disqusIdentifier":"11931287 https://ww2.kqed.org/news/?p=11931287","disqusUrl":"https://ww2.kqed.org/news/2022/11/06/how-to-protect-your-car-from-catalytic-converter-theft-and-what-to-do-if-it-happens/","disqusTitle":"How to Protect Your Car From Catalytic Converter Theft, and What to Do if It Happens","nprByline":"\u003ca href=\"https://www.npr.org/people/348743421/becky-sullivan\">Becky Sullivan\u003c/a>","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","path":"/news/11931287/how-to-protect-your-car-from-catalytic-converter-theft-and-what-to-do-if-it-happens","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>How can car owners protect themselves from the wave of catalytic converter theft that has swept the country?\u003c/p>\n\u003cp>Claims for stolen catalytic converters doubled in the year ending June 2022, \u003ca href=\"https://newsroom.statefarm.com/continued-surge-in-catalytic-converter-theft/\">according to State Farm\u003c/a>, the largest auto insurer in the U.S., whose customers reported more than 43,200 stolen converters that year.\u003c/p>\n\u003cp>And since 2019, converter theft has risen 1,215%, \u003ca href=\"https://www.nicb.org/news/blog/rise-vehicle-theft\">according to the National Insurance Crime Bureau\u003c/a>, an industry group that tracks insurance-related crimes.\u003c/p>\n\u003cp>On Wednesday, \u003ca href=\"https://www.npr.org/2022/11/03/1133788485/catalytic-converters-theft-ring-federal-fbi\">the Department of Justice announced the arrest of 21 people\u003c/a> in connection with a crime ring accused of making $545 million by trafficking stolen catalytic converters.\u003c/p>\n\u003cp>Catalytic converters — which helps a car clean its exhaust — have become a target for theft in large part because of the price of precious metals, like palladium and platinum, that are used in the parts.\u003c/p>\n\u003cp>And, crucially, their location on the exterior of a car's underside makes them easy to steal, David Glawe of the NCIB \u003ca href=\"https://www.wbur.org/hereandnow/2022/04/22/catalytic-converters-cars-theft\">told NPR earlier this year\u003c/a>.\u003c/p>\n\u003cp>Stealing a converter takes just a few minutes and a battery-operated saw. \"You slide under the car, slice through your exhaust system, and you're in and out usually within 30 seconds to a minute,\" Glawe said.\u003c/p>\n\u003cp>Especially at risk are cars with enough tire clearance for a thief to easily slide underneath, like SUVs and pickup trucks. Hybrids are also attractive targets because their converters contain even more precious metals.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'It's happening because people go to the hospital and either park and visit, or they're in the hospital for a long period of time, and their car sits there.'","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Todd Foreman, director of law enforcement outreach, Institute of Scrap Recycling Industries","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Replacing a stolen converter can cost thousands. Here are some precautions you can take:\u003c/p>\n\u003ch2>How can I protect my car from catalytic converter theft?\u003c/h2>\n\u003cp>Insurance companies, mechanics and police departments have recommended a wide range of anti-theft measures designed to deter a would-be thief. \"It's a holistic approach,\" said Glawe.\u003c/p>\n\u003cp>The simplest solution is to keep your car away from public access when you're not using it. If you have access to a garage, keep your car there. Those without a garage should try to park their car in a well-lit area, or somewhere you can install a security camera.\u003c/p>\n\u003cp>But even a garage might not be enough to protect your car. Public parking spots of all kinds have become a target for daytime theft, the Institute of Scrap Recycling Industries, a recycling industry trade group, has warned.\u003c/p>\n\u003cp>\"[At] hospitals, it's happening because people go to the hospital and either park and visit, or they're in the hospital for a long period of time, and their car sits there,\" said Todd Foreman, the group's director of law enforcement outreach. \"It's happening to big trucks, to churches.\"\u003c/p>\n\u003cp>Some cities have hosted workshops in which car owners can get their vehicle identification numbers engraved on their catalytic converter for free — an indication to would-be buyers that the converter has been stolen.\u003c/p>\n\u003cp>Foreman also recommends painting your converter with brightly colored, high-temperature paint, which can put off a thief who'd have to scrape it all off before selling. \"If they climb under a car and see it's spray-painted,\" he said, \"they know they're more likely to be caught stealing those catalytic converters.\"\u003c/p>\n\u003cp>Other solutions might cost a bit of money: Owners can attach alarm systems that are triggered by the vibration of a thief's saw. Other, more expensive anti-theft devices are designed to make a converter more cumbersome to remove. Mechanics can also weld on metal plates or rebar to shield the converter.\u003c/p>\n\u003ch2>What should I do if it's been stolen?\u003c/h2>\n\u003cp>If your converter has been stolen, you're likely to notice right away: Without the converter, your car will be much noisier than usual.\u003c/p>\n\u003cp>Most cars will run without a catalytic converter, though it's inadvisable to do so for longer than necessary. Because the purpose of a catalytic converter is to reduce harmful emissions, cars without one will pollute much more heavily than an intact car, and you could fail an emissions inspection in states that require them.\u003c/p>\n\u003cp>When thieves use a saw to remove a catalytic converter, they can also cause damage to nearby parts of your car, like the alternator or fuel lines. It's best to get your car checked out by a mechanic as soon as possible.\u003c/p>\n\u003cp>And check your car insurance. Comprehensive coverage on an auto insurance policy will cover damage to your car that occurs outside of a collision — including theft.\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>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11931287/how-to-protect-your-car-from-catalytic-converter-theft-and-what-to-do-if-it-happens","authors":["byline_news_11931287"],"categories":["news_8"],"tags":["news_1202","news_31794","news_27626","news_18159","news_4500"],"affiliates":["news_253"],"featImg":"news_11931292","label":"news_253"},"news_11864811":{"type":"posts","id":"news_11864811","meta":{"index":"posts_1591205157","site":"news","id":"11864811","score":null,"sort":[1617264026000]},"guestAuthors":[],"slug":"california-contractors-are-abusing-workers-comp-rules-a-new-bill-would-change-that","title":"California Contractors Are Abusing Workers' Comp Rules. A New Bill Would Change That","publishDate":1617264026,"format":"standard","headTitle":"KQED News","labelTerm":{"site":"news"},"content":"\u003cp>A state Senate bill that would require all of California's quarter million contractors to carry workers' compensation insurance is moving ahead with strong support from both parties — and backing from regulators, industry and workers groups.\u003c/p>\n\u003cp>State officials and industry leaders say the bill is aimed at closing a loophole in state law. They say thousands of companies lie to regulators by telling them they do not employ anyone when they actually do. That allows them to avoid buying insurance that's crucial to helping workers who get injured on the job.\u003c/p>\n\u003cp>\"The bill will greatly curb the underground economy,\" Skip Daum, a lobbyist for the the American Subcontractors Association of California, told lawmakers this month.\u003c/p>\n\u003cp>Currently, there are more than 230,000 contractors with active licenses in California, according to the agency that regulates the state's construction industry. The Contractors State License Board says more than half of those firms — 53% — say they are exempt from carrying insurance because they have no employees.\u003c/p>\n\u003cp>\"Many contractors are falsely making that claim,\" state Sen. Bill Dodd, D-Napa, the bill's author, said at a committee hearing in early March.\u003c/p>\n\u003cp>Many contractors who claim to be exempt actually have employees, state regulators say. When those workers are injured or killed on the job, that exemption leaves them and their families unprotected.\u003c/p>\n\u003cp>\"This drives up the cost of workers' compensation insurance for the good actors and puts workers at risk,\" Dodd said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Those abuses are at the heart of a series of \u003ca href=\"https://www.kqed.org/news/11780384/employer-in-key-wildfire-gig-economy-trial-from-soberanes-blaze-found-guilty\" target=\"_blank\" rel=\"noopener noreferrer\">KQED stories\u003c/a> on the deaths of bulldozer operators and water tender drivers employed by contractors hired by Cal Fire to help fight wildfires.\u003c/p>\n\u003cp>Among those cases were the deaths of three heavy equipment operators killed during wildfires in 2016, 2017 and 2018. After their deaths, state officials learned that the contractors who sent them to fight the fires lacked workers' comp insurance.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Veena Dubal, professor, UC Hastings College of the Law\"]'Failure to carry workers' compensation has had devastating impacts for workers (and their families) who are injured on the job.'[/pullquote]Every year the Contractors State License Board issues hundreds of stop-work orders to companies that are found to have employees and an workers' compensation exemption on file with the agency, according to Mike Jamnetski, the board's chief of legislation.\u003c/p>\n\u003cp>But that disciplinary action \"has not moved the proverbial needle,\" Jamnetski said at the March 8 hearing before the Senate Business, Professions and Economic Development Committee.\u003c/p>\n\u003cp>The contractors board does not have enough staff to audit the 123,000 contractors who claim they do not employ people, Jamnetski said.\u003c/p>\n\u003cp>Dodd's proposal, \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB216\" target=\"_blank\" rel=\"noopener noreferrer\">Senate Bill 216\u003c/a>, is sponsored by the state contractors board. It would require all concrete, heating, air conditioning and tree service contractors to buy workers' comp right away. By 2025, all licensed contractors in California would be required to purchase coverage.\u003c/p>\n\u003cp>The bill faces no apparent opposition in the Legislature.\u003c/p>\n\u003cp>The committee passed the bill in a 14-0 vote after members of nine associations representing contractor groups, unions and lawyers who handle workers' comp cases voiced support.\u003c/p>\n\u003cp>[aside postID=news_11780384,news_11405049,news_11367902 label='Related Coverage']Daum, the lobbyist with the subcontractors association, said contractors who try to hide the fact they have employees and neglect their responsibility to get workers' comp have an unfair advantage over those who follow the rules: Without paying for insurance, their costs are lower, allowing them to make lower bids on project contracts.\u003c/p>\n\u003cp>The bill does not require a set level of workers' comp coverage. Currently, about half of California's construction companies that have the benefit have chosen what are called minimum policies.\u003c/p>\n\u003cp>Many contractors who have not claimed employees in the past are expected to choose such plans, which range from $500 to $5,000 a year, according to the State Compensation Insurance Fund, one of California's leading providers of the benefit.\u003c/p>\n\u003cp>The cost range depends on the industry in which the contractor works, how many people they employ and their claims history, the fund's chief risk officer, Ken Van Laar, said in an email.\u003c/p>\n\u003cp>\"As we've seen, failure to carry workers' compensation has had devastating impacts for workers (and their families) who are injured on the job,\" said Veena Dubal, a UC Hastings College of the Law professor specializing in employment law.\u003c/p>\n\u003cp>If the bill passes and contractors do not get workers' comp, the state could suspend their license and they could be charged with a misdemeanor.\u003c/p>\n\u003cp>Dubal raised concerns that not complying with the potential new rules could lead to criminal prosecution.\u003c/p>\n\u003cp>\"I think it's really troubling,\" Dubal said. \"Addressing workplace violations through criminal law is a trend that, I'm afraid, will be used to disproportionately impact small business, racial minorities and immigrant contractors.\"\u003c/p>\n\u003cp>In response to Dubal's concerns, Natalie Watmore, a CSLB representative, noted that the bill does not change the existing criminal penalties for contractors who lack workers' comp. It just expands the existing regulations to more industries and cuts out exemptions for companies that do not claim employees.\u003c/p>\n\u003cp>Watmore said the agency does not expect to refer a significant number of cases for criminal enforcement. She emphasized that the proposed regulations apply to all contractors regardless of their background.\u003c/p>\n\u003cp>SB 216 was recently placed in the Senate Committee on Appropriations' suspense file and is expected to face its next hearing in late May.\u003c/p>\n\u003cp>If it passes, state officials say they plan to make sure contractors are aware of the new rules by posting them on a CSLB \u003ca href=\"https://www.cslb.ca.gov/Resources/Newsletters/winter-2021-CLC.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">newsletter\u003c/a>, industry \u003ca href=\"https://www.cslb.ca.gov/media_room/industry_bulletins/\" target=\"_blank\" rel=\"noopener noreferrer\">bulletins\u003c/a>, social media posts and \u003ca href=\"https://www.cslb.ca.gov/Media_Room/consumer_education/licensing_workshops.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">workshops\u003c/a> for firms to get contractors' licenses.\u003c/p>\n\u003cp>\u003c/p>\n","blocks":[],"excerpt":"A new state Senate bill would close a loophole that has allowed thousands of contractors to avoid buying insurance to cover workers injured or killed on the job.","status":"publish","parent":0,"modified":1617297894,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":29,"wordCount":948},"headData":{"title":"California Contractors Are Abusing Workers' Comp Rules. A New Bill Would Change That | KQED","description":"A new state Senate bill would close a loophole that has allowed thousands of contractors to avoid buying insurance to cover workers injured or killed on the job.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"California Contractors Are Abusing Workers' Comp Rules. A New Bill Would Change That","datePublished":"2021-04-01T08:00:26.000Z","dateModified":"2021-04-01T17:24:54.000Z","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"}}},"disqusIdentifier":"11864811 https://ww2.kqed.org/news/?p=11864811","disqusUrl":"https://ww2.kqed.org/news/2021/04/01/california-contractors-are-abusing-workers-comp-rules-a-new-bill-would-change-that/","disqusTitle":"California Contractors Are Abusing Workers' Comp Rules. A New Bill Would Change That","path":"/news/11864811/california-contractors-are-abusing-workers-comp-rules-a-new-bill-would-change-that","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>A state Senate bill that would require all of California's quarter million contractors to carry workers' compensation insurance is moving ahead with strong support from both parties — and backing from regulators, industry and workers groups.\u003c/p>\n\u003cp>State officials and industry leaders say the bill is aimed at closing a loophole in state law. They say thousands of companies lie to regulators by telling them they do not employ anyone when they actually do. That allows them to avoid buying insurance that's crucial to helping workers who get injured on the job.\u003c/p>\n\u003cp>\"The bill will greatly curb the underground economy,\" Skip Daum, a lobbyist for the the American Subcontractors Association of California, told lawmakers this month.\u003c/p>\n\u003cp>Currently, there are more than 230,000 contractors with active licenses in California, according to the agency that regulates the state's construction industry. The Contractors State License Board says more than half of those firms — 53% — say they are exempt from carrying insurance because they have no employees.\u003c/p>\n\u003cp>\"Many contractors are falsely making that claim,\" state Sen. Bill Dodd, D-Napa, the bill's author, said at a committee hearing in early March.\u003c/p>\n\u003cp>Many contractors who claim to be exempt actually have employees, state regulators say. When those workers are injured or killed on the job, that exemption leaves them and their families unprotected.\u003c/p>\n\u003cp>\"This drives up the cost of workers' compensation insurance for the good actors and puts workers at risk,\" Dodd 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>Those abuses are at the heart of a series of \u003ca href=\"https://www.kqed.org/news/11780384/employer-in-key-wildfire-gig-economy-trial-from-soberanes-blaze-found-guilty\" target=\"_blank\" rel=\"noopener noreferrer\">KQED stories\u003c/a> on the deaths of bulldozer operators and water tender drivers employed by contractors hired by Cal Fire to help fight wildfires.\u003c/p>\n\u003cp>Among those cases were the deaths of three heavy equipment operators killed during wildfires in 2016, 2017 and 2018. After their deaths, state officials learned that the contractors who sent them to fight the fires lacked workers' comp insurance.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'Failure to carry workers' compensation has had devastating impacts for workers (and their families) who are injured on the job.'","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Veena Dubal, professor, UC Hastings College of the Law","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Every year the Contractors State License Board issues hundreds of stop-work orders to companies that are found to have employees and an workers' compensation exemption on file with the agency, according to Mike Jamnetski, the board's chief of legislation.\u003c/p>\n\u003cp>But that disciplinary action \"has not moved the proverbial needle,\" Jamnetski said at the March 8 hearing before the Senate Business, Professions and Economic Development Committee.\u003c/p>\n\u003cp>The contractors board does not have enough staff to audit the 123,000 contractors who claim they do not employ people, Jamnetski said.\u003c/p>\n\u003cp>Dodd's proposal, \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB216\" target=\"_blank\" rel=\"noopener noreferrer\">Senate Bill 216\u003c/a>, is sponsored by the state contractors board. It would require all concrete, heating, air conditioning and tree service contractors to buy workers' comp right away. By 2025, all licensed contractors in California would be required to purchase coverage.\u003c/p>\n\u003cp>The bill faces no apparent opposition in the Legislature.\u003c/p>\n\u003cp>The committee passed the bill in a 14-0 vote after members of nine associations representing contractor groups, unions and lawyers who handle workers' comp cases voiced support.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11780384,news_11405049,news_11367902","label":"Related Coverage "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Daum, the lobbyist with the subcontractors association, said contractors who try to hide the fact they have employees and neglect their responsibility to get workers' comp have an unfair advantage over those who follow the rules: Without paying for insurance, their costs are lower, allowing them to make lower bids on project contracts.\u003c/p>\n\u003cp>The bill does not require a set level of workers' comp coverage. Currently, about half of California's construction companies that have the benefit have chosen what are called minimum policies.\u003c/p>\n\u003cp>Many contractors who have not claimed employees in the past are expected to choose such plans, which range from $500 to $5,000 a year, according to the State Compensation Insurance Fund, one of California's leading providers of the benefit.\u003c/p>\n\u003cp>The cost range depends on the industry in which the contractor works, how many people they employ and their claims history, the fund's chief risk officer, Ken Van Laar, said in an email.\u003c/p>\n\u003cp>\"As we've seen, failure to carry workers' compensation has had devastating impacts for workers (and their families) who are injured on the job,\" said Veena Dubal, a UC Hastings College of the Law professor specializing in employment law.\u003c/p>\n\u003cp>If the bill passes and contractors do not get workers' comp, the state could suspend their license and they could be charged with a misdemeanor.\u003c/p>\n\u003cp>Dubal raised concerns that not complying with the potential new rules could lead to criminal prosecution.\u003c/p>\n\u003cp>\"I think it's really troubling,\" Dubal said. \"Addressing workplace violations through criminal law is a trend that, I'm afraid, will be used to disproportionately impact small business, racial minorities and immigrant contractors.\"\u003c/p>\n\u003cp>In response to Dubal's concerns, Natalie Watmore, a CSLB representative, noted that the bill does not change the existing criminal penalties for contractors who lack workers' comp. It just expands the existing regulations to more industries and cuts out exemptions for companies that do not claim employees.\u003c/p>\n\u003cp>Watmore said the agency does not expect to refer a significant number of cases for criminal enforcement. She emphasized that the proposed regulations apply to all contractors regardless of their background.\u003c/p>\n\u003cp>SB 216 was recently placed in the Senate Committee on Appropriations' suspense file and is expected to face its next hearing in late May.\u003c/p>\n\u003cp>If it passes, state officials say they plan to make sure contractors are aware of the new rules by posting them on a CSLB \u003ca href=\"https://www.cslb.ca.gov/Resources/Newsletters/winter-2021-CLC.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">newsletter\u003c/a>, industry \u003ca href=\"https://www.cslb.ca.gov/media_room/industry_bulletins/\" target=\"_blank\" rel=\"noopener noreferrer\">bulletins\u003c/a>, social media posts and \u003ca href=\"https://www.cslb.ca.gov/Media_Room/consumer_education/licensing_workshops.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">workshops\u003c/a> for firms to get contractors' licenses.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11864811/california-contractors-are-abusing-workers-comp-rules-a-new-bill-would-change-that","authors":["258"],"categories":["news_1758","news_457","news_6266","news_6188","news_28250","news_8","news_13"],"tags":["news_21595","news_18538","news_18159","news_19904","news_17968","news_23007","news_19377"],"featImg":"news_11867414","label":"news"},"news_11811846":{"type":"posts","id":"news_11811846","meta":{"index":"posts_1591205157","site":"news","id":"11811846","score":null,"sort":[1586561376000]},"guestAuthors":[],"slug":"restaurants-denied-insurance-claims-connecting-spiritually-during-pandemic","title":"Restaurants Denied insurance Claims, Connecting Spiritually during Pandemic","publishDate":1586561376,"format":"video","headTitle":"KQED Newsroom | KQED News","labelTerm":{"term":7052,"site":"news"},"content":"\u003cp>\u003cb>Restaurants, Already Reeling, Face New Hurdle from Insurance Companies\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">This week, the San Francisco Board of Supervisors passed a resolution saying that COVID-19 results in property loss or damage and poses an “extreme danger” to the public. The action is intended to help small businesses such as restaurants which have been hit especially hard by the pandemic. According to the California Restaurant Association, 20 to 30 percent of restaurants in the state are at risk of closing permanently due to the crisis. Restaurants like Cassava in San Francisco and elsewhere in the state are staying open by shifting to takeout or delivery service only. Many of them have applied for federal or city funds to survive the crisis. But now they face a new hurdle as insurance companies deny claims filed for lost income because the coronavirus did not result in a direct physical loss or damage to their commercial property, according to the insurers. \u003c/span>\u003c/p>\n\u003cp>\u003cb>Guests:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Yuka Ioroi, co-owner and general manager, Cassava\u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Laurie Thomas, executive director, Golden Gate Restaurant Association\u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cb>Faith in the Age of Coronavirus\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">As millions of Americans stay at home to avoid the spread of the coronavirus, houses of worship are no longer places that people can gather for support and affirmation. So faith-based communities have had to adapt by conducting services online to keep their followers safe, yet spiritually connected. Still, delivering sermons in a house of worship empty of parishioners can be a challenge for religious leaders accustomed to communion with their congregation. It’s also provided an opportunity to reflect on and reimagine traditional religious holidays like Passover, Easter and Ramadan which are all taking places this month. \u003c/span>\u003c/p>\n\u003cp>\u003cb>Guests:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Rabbi Sydney Mintz, Congregation Emanu-El \u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Rev. Vanessa Rush Southern, First Unitarian Universalist Society of San Francisco\u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n","blocks":[],"excerpt":"According to the California Restaurant Association, 20 to 30 percent of restaurants in the state are at risk of closing permanently due to the crisis.","status":"publish","parent":0,"modified":1586561376,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":6,"wordCount":306},"headData":{"title":"Restaurants Denied insurance Claims, Connecting Spiritually during Pandemic | KQED","description":"According to the California Restaurant Association, 20 to 30 percent of restaurants in the state are at risk of closing permanently due to the crisis.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Restaurants Denied insurance Claims, Connecting Spiritually during Pandemic","datePublished":"2020-04-10T23:29:36.000Z","dateModified":"2020-04-10T23:29:36.000Z","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"}}},"disqusIdentifier":"11811846 https://ww2.kqed.org/news/?p=11811846","disqusUrl":"https://ww2.kqed.org/news/2020/04/10/restaurants-denied-insurance-claims-connecting-spiritually-during-pandemic/","disqusTitle":"Restaurants Denied insurance Claims, Connecting Spiritually during Pandemic","videoEmbed":"https://youtu.be/TvYi5BiIi7k","path":"/news/11811846/restaurants-denied-insurance-claims-connecting-spiritually-during-pandemic","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cb>Restaurants, Already Reeling, Face New Hurdle from Insurance Companies\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">This week, the San Francisco Board of Supervisors passed a resolution saying that COVID-19 results in property loss or damage and poses an “extreme danger” to the public. The action is intended to help small businesses such as restaurants which have been hit especially hard by the pandemic. According to the California Restaurant Association, 20 to 30 percent of restaurants in the state are at risk of closing permanently due to the crisis. Restaurants like Cassava in San Francisco and elsewhere in the state are staying open by shifting to takeout or delivery service only. Many of them have applied for federal or city funds to survive the crisis. But now they face a new hurdle as insurance companies deny claims filed for lost income because the coronavirus did not result in a direct physical loss or damage to their commercial property, according to the insurers. \u003c/span>\u003c/p>\n\u003cp>\u003cb>Guests:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Yuka Ioroi, co-owner and general manager, Cassava\u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Laurie Thomas, executive director, Golden Gate Restaurant Association\u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cb>Faith in the Age of Coronavirus\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">As millions of Americans stay at home to avoid the spread of the coronavirus, houses of worship are no longer places that people can gather for support and affirmation. So faith-based communities have had to adapt by conducting services online to keep their followers safe, yet spiritually connected. Still, delivering sermons in a house of worship empty of parishioners can be a challenge for religious leaders accustomed to communion with their congregation. It’s also provided an opportunity to reflect on and reimagine traditional religious holidays like Passover, Easter and Ramadan which are all taking places this month. \u003c/span>\u003c/p>\n\u003cp>\u003cb>Guests:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Rabbi Sydney Mintz, Congregation Emanu-El \u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Rev. Vanessa Rush Southern, First Unitarian Universalist Society of San Francisco\u003c/span>\u003c/li>\n\u003c/ul>\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>\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11811846/restaurants-denied-insurance-claims-connecting-spiritually-during-pandemic","authors":["236"],"programs":["news_7052"],"categories":["news_223","news_1758","news_24114","news_457","news_8","news_13"],"tags":["news_27350","news_18159","news_20297","news_19177","news_856","news_22714"],"featImg":"news_11811958","label":"news_7052"},"news_11806163":{"type":"posts","id":"news_11806163","meta":{"index":"posts_1591205157","site":"news","id":"11806163","score":null,"sort":[1583968499000]},"guestAuthors":[],"slug":"coronavirus-how-canceled-conferences-are-impacting-local-businesses","title":"Coronavirus: How Canceled Conferences Are Impacting Local Businesses","publishDate":1583968499,"format":"standard","headTitle":"KQED News","labelTerm":{},"content":"\u003cp>The kitchen staff at \u003ca href=\"https://www.google.com/url?q=http://www.leftcoastcatering.com&sa=D&ust=1583898946366000&usg=AFQjCNGO_R8h1xtRWeVmVOUqnZTZFf7rIQ\">Left Coast Catering\u003c/a>, a small San Francisco food preparer, had been busily cooking for a large Blue Cross Blue Shield (BCBS) conference at the Yerba Buena Center for the Arts, scheduled for last week.\u003c/p>\n\u003cp>But just days before the start of the conference, as coronavirus fears intensified, BCBS canceled the event, leaving business owner Laurine Wickett stuck with $7,000 worth of \u003ca href=\"https://www.lexico.com/definition/crudites\">crudités\u003c/a> in her commercial fridges. She ended up donating the unused food to a local nonprofit that delivers food to local shelters and food pantries.\u003c/p>\n\u003cp>[pullquote size='medium' align='right' citation=\"Laurine Wickett, Left Coast Catering\"]'I don’t see any new inquiries coming in because of this fear, so there’s basically nothing in the pipeline for the next foreseeable future.'[/pullquote]\u003c/p>\n\u003cp>In fact, Wickett has been fielding cancellation calls all week. In her 25 years on the job, she said she's never seen business drop so fast.\u003c/p>\n\u003cp>“I don’t see any new inquiries coming in because of this fear, so there’s basically nothing in the pipeline for the next foreseeable future.” she said. “I’m looking at almost five to six months that I’m going to have to get myself through. And we’re just going to have to get our team down to bare bones.”\u003c/p>\n\u003cp>Wickett said she has managed to weather major economic slowdowns, like the dot-com bubble crash of the early 2000s and the Great Recession, when there were still always plenty of weddings and bar mitzvahs to work.\u003c/p>\n\u003cp>“But this is completely different, where people are panicking and we’re dealing with fear,” she said. “And you really can’t measure or predict this.”\u003c/p>\n\u003cp>Wickett is hardly alone. Businesses across the Bay Area are just beginning to feel the pain, as a host of events and conferences throughout the region are being canceled or rescheduled in an effort to prevent the spread of the coronavirus.\u003c/p>\n\u003cp>There have been 10 large conference cancellations at San Francisco's Moscone Center, including \u003ca href=\"https://events.google.com/io/\">Google I/O\u003c/a>, the \u003ca href=\"https://developers.facebook.com/blog/post/2020/02/27/important-f8-2020-update/\">Facebook Developer Conference\u003c/a> and the \u003ca href=\"https://www.gdconf.com/news/important-gdc-2020-update\">Game Developers Conference (GDC)\u003c/a>. Some events, like GDC, have recently announced plans to proceed online — good news for attendees, but little consolation to vendors.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The canceled events at Moscone alone amount to nearly $179 million in lost revenue, according to the venue.\u003c/p>\n\u003cp>Every year, spending on meetings and conventions in San Francisco amounts to almost $2 billion, roughly 19% of total tourism spending in the city, according to the San Francisco Travel Association. In other words, an ongoing surge in cancellations would significantly impact the economy of the city and the region.\u003c/p>\n\u003cp>And related losses aren't likely to be covered by insurance, say insurance brokers and risk analysts like Gisele Norris with the firm Aon.\u003c/p>\n\u003cp>“It’s something insurers would say, ‘If we cover that, it’ll bankrupt us.’ Because everyone is going to have that loss at the same time,” Norris said.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"coronavirus\"]Norris said the coronavirus outbreak is affecting the world economy much differently than other recent health scares, like H1N1 or the Zika virus, because it’s impacting more people in the United States and other wealthy nations.\u003c/p>\n\u003cp>While businesses can purchase insurance that covers event cancellations due to communicable diseases, like the coronavirus — and many did just that after the H1N1 scare in 2009 — any policies that were opened within the last month are likely to specifically exclude COVID-19 instances.\u003c/p>\n\u003cp>And among insurance policies that do include communicable diseases, most only cover losses if an event was explicitly canceled by order of public health officials, rather than at the discretion of the event organizers.\u003c/p>\n\u003cp>But even in light of those potential losses, Norris said, a growing number of event organizers see cancellation as the most prudent option, both in terms of safety and financial security.\u003c/p>\n\u003cp>“Event organizers may be concerned about their own liability should their venue be a breeding ground for infectious disease,” Norris said.\u003c/p>\n\u003cp>\u003c/p>\n","blocks":[],"excerpt":"Businesses across the Bay Area are just beginning to feel the pain, as a host of events and conferences throughout the region are being canceled or rescheduled in an effort to prevent the spread of the coronavirus.","status":"publish","parent":0,"modified":1584111893,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":20,"wordCount":695},"headData":{"title":"Coronavirus: How Canceled Conferences Are Impacting Local Businesses | KQED","description":"Businesses across the Bay Area are just beginning to feel the pain, as a host of events and conferences throughout the region are being canceled or rescheduled in an effort to prevent the spread of the coronavirus.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Coronavirus: How Canceled Conferences Are Impacting Local Businesses","datePublished":"2020-03-11T23:14:59.000Z","dateModified":"2020-03-13T15:04:53.000Z","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"}}},"disqusIdentifier":"11806163 https://ww2.kqed.org/news/?p=11806163","disqusUrl":"https://ww2.kqed.org/news/2020/03/11/coronavirus-how-canceled-conferences-are-impacting-local-businesses/","disqusTitle":"Coronavirus: How Canceled Conferences Are Impacting Local Businesses","source":"Coronavirus","sourceUrl":"https://www.kqed.org/coronavirus","audioUrl":"https://traffic.omny.fm/d/clips/0af137ef-751e-4b19-a055-aaef00d2d578/ffca7e9f-6831-41c5-bcaf-aaef00f5a073/50f1dc88-92fd-4177-934d-ab7b01218437/audio.mp3","path":"/news/11806163/coronavirus-how-canceled-conferences-are-impacting-local-businesses","audioDuration":148000,"audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The kitchen staff at \u003ca href=\"https://www.google.com/url?q=http://www.leftcoastcatering.com&sa=D&ust=1583898946366000&usg=AFQjCNGO_R8h1xtRWeVmVOUqnZTZFf7rIQ\">Left Coast Catering\u003c/a>, a small San Francisco food preparer, had been busily cooking for a large Blue Cross Blue Shield (BCBS) conference at the Yerba Buena Center for the Arts, scheduled for last week.\u003c/p>\n\u003cp>But just days before the start of the conference, as coronavirus fears intensified, BCBS canceled the event, leaving business owner Laurine Wickett stuck with $7,000 worth of \u003ca href=\"https://www.lexico.com/definition/crudites\">crudités\u003c/a> in her commercial fridges. She ended up donating the unused food to a local nonprofit that delivers food to local shelters and food pantries.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'I don’t see any new inquiries coming in because of this fear, so there’s basically nothing in the pipeline for the next foreseeable future.'","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Laurine Wickett, Left Coast Catering","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In fact, Wickett has been fielding cancellation calls all week. In her 25 years on the job, she said she's never seen business drop so fast.\u003c/p>\n\u003cp>“I don’t see any new inquiries coming in because of this fear, so there’s basically nothing in the pipeline for the next foreseeable future.” she said. “I’m looking at almost five to six months that I’m going to have to get myself through. And we’re just going to have to get our team down to bare bones.”\u003c/p>\n\u003cp>Wickett said she has managed to weather major economic slowdowns, like the dot-com bubble crash of the early 2000s and the Great Recession, when there were still always plenty of weddings and bar mitzvahs to work.\u003c/p>\n\u003cp>“But this is completely different, where people are panicking and we’re dealing with fear,” she said. “And you really can’t measure or predict this.”\u003c/p>\n\u003cp>Wickett is hardly alone. Businesses across the Bay Area are just beginning to feel the pain, as a host of events and conferences throughout the region are being canceled or rescheduled in an effort to prevent the spread of the coronavirus.\u003c/p>\n\u003cp>There have been 10 large conference cancellations at San Francisco's Moscone Center, including \u003ca href=\"https://events.google.com/io/\">Google I/O\u003c/a>, the \u003ca href=\"https://developers.facebook.com/blog/post/2020/02/27/important-f8-2020-update/\">Facebook Developer Conference\u003c/a> and the \u003ca href=\"https://www.gdconf.com/news/important-gdc-2020-update\">Game Developers Conference (GDC)\u003c/a>. Some events, like GDC, have recently announced plans to proceed online — good news for attendees, but little consolation to vendors.\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 canceled events at Moscone alone amount to nearly $179 million in lost revenue, according to the venue.\u003c/p>\n\u003cp>Every year, spending on meetings and conventions in San Francisco amounts to almost $2 billion, roughly 19% of total tourism spending in the city, according to the San Francisco Travel Association. In other words, an ongoing surge in cancellations would significantly impact the economy of the city and the region.\u003c/p>\n\u003cp>And related losses aren't likely to be covered by insurance, say insurance brokers and risk analysts like Gisele Norris with the firm Aon.\u003c/p>\n\u003cp>“It’s something insurers would say, ‘If we cover that, it’ll bankrupt us.’ Because everyone is going to have that loss at the same time,” Norris said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"related coverage ","tag":"coronavirus"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Norris said the coronavirus outbreak is affecting the world economy much differently than other recent health scares, like H1N1 or the Zika virus, because it’s impacting more people in the United States and other wealthy nations.\u003c/p>\n\u003cp>While businesses can purchase insurance that covers event cancellations due to communicable diseases, like the coronavirus — and many did just that after the H1N1 scare in 2009 — any policies that were opened within the last month are likely to specifically exclude COVID-19 instances.\u003c/p>\n\u003cp>And among insurance policies that do include communicable diseases, most only cover losses if an event was explicitly canceled by order of public health officials, rather than at the discretion of the event organizers.\u003c/p>\n\u003cp>But even in light of those potential losses, Norris said, a growing number of event organizers see cancellation as the most prudent option, both in terms of safety and financial security.\u003c/p>\n\u003cp>“Event organizers may be concerned about their own liability should their venue be a breeding ground for infectious disease,” Norris said.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11806163/coronavirus-how-canceled-conferences-are-impacting-local-businesses","authors":["11672"],"categories":["news_1758","news_8","news_248"],"tags":["news_27350","news_27504","news_1879","news_249","news_93","news_18159","news_2621","news_3276","news_353","news_21331"],"featImg":"news_11806166","label":"source_news_11806163"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. 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You ask the questions. You decide what Bay Curious investigates. 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Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />","airtime":"SUN 9pm-10pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg","meta":{"site":"radio","source":"npr"},"link":"/radio/program/code-switch-life-kit","subscribe":{"apple":"https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy","spotify":"https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV","rss":"https://feeds.npr.org/510312/podcast.xml"}},"commonwealth-club":{"id":"commonwealth-club","title":"Commonwealth Club of California Podcast","info":"The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.","airtime":"THU 10pm, FRI 1am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.commonwealthclub.org/podcasts","meta":{"site":"news","source":"Commonwealth Club of California"},"link":"/radio/program/commonwealth-club","subscribe":{"apple":"https://itunes.apple.com/us/podcast/commonwealth-club-of-california-podcast/id976334034?mt=2","google":"https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw","tuneIn":"https://tunein.com/radio/Commonwealth-Club-of-California-p1060/"}},"considerthis":{"id":"considerthis","title":"Consider This","tagline":"Make sense of the day","info":"Make sense of the day. Every weekday afternoon, Consider This helps you consider the major stories of the day in less than 15 minutes, featuring the reporting and storytelling resources of NPR. 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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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