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California pushes to expand the universe of abortion care providers

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California pushes to expand the universe of abortion care providers


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California’s efforts to expand access to abortion care are enabling more types of medical practitioners to perform certain abortion procedures—potentially a boon for patients in rural areas especially, but a source of concern for doctors’ groups that have long fought efforts to expand the role of non-physicians.

The latest move is a law that enables trained physician assistants, also known as physician associates, to perform first-trimester abortions without a supervising physician present. The measure, which passed last year and took effect Jan. 1, also lets PAs who have been disciplined or convicted solely for performing an abortion in a state where the practice is restricted apply for a license in California.

Physician assistants are now on par with nurse practitioners and certified nurse midwives trained in abortion care, who in 2022 won the ability to perform abortions without a doctor present.

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The need for more abortion care practitioners is being driven by efforts in many states to gut abortion rights following the Supreme Court’s 2022 decision ending constitutional protection for the procedure. Thirty-one states have implemented abortion restrictions that range from cutting federal funding for abortion coverage to outright bans, according to the Guttmacher Institute, a research organization concerned with reproductive health.

With the new law, “there will be fewer barriers, and shorter wait times for this essential service,” said Jeremy Meis, president-elect of the California Academy of Physician Associates. While it is unclear how many of California’s 16,000 PAs will be trained in performing abortions, research shows that PAs are more likely than physicians to practice in rural areas where access to abortion is limited. More than 40% of counties in California lack clinics that provide abortion.

Comparing data from the first six months of 2020 with the same period in 2023, the number of abortions jumped from 77,030 to 92,600 a 20% increase as the state became a refuge for women seeking abortions. California has passed a suite of reproductive health laws to build in protections and increase access, and a dozen other states, including Oregon, Minnesota, and New York, have mounted similar efforts. Seventeen states, including California, now allow PAs to perform first-trimester abortions, according to the American Academy of Physician Associates.

There was little opposition to the new California law, with two physicians’ groups supporting it. But the American Medical Association, the country’s most powerful doctors’ lobby, has fought vigorously against what it calls “scope creep”—that is, changes that allow clinicians like PAs to do medical procedures independent of physicians.

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“Our policy stance is the same on scope of practice expansion regardless of procedure,” noted Kelly Jakubek, the AMA’s media relations manager. The AMA’s website points to legislative victories in 2023, including striking down “legislation allowing physician assistants to practice independently without physician oversight,” in states including Arizona and New York. The AMA did not take a formal position on the California legislation. Its local chapter, the California Medical Association, took a neutral position on the legislation.

In preparation for the new law, one physician assistant at Planned Parenthood Pasadena & San Gabriel Valley began learning how to perform aspiration abortions—a procedure also known as dilation and curettage that uses gentle suction to end a pregnancy—at the end of last year.

The PA, who requested anonymity due to concerns about safety, said that with abortion restrictions in place around the country, “I just think it’s really important to be able to provide a comfortable, safe, and very effective way to terminate a pregnancy for patients.”

She is now one of six PAs and midwives at her clinic who can offer aspiration abortions. To reach competency, she participated in 50 procedures and learned how to administer medication that eases pain and anxiety. Such conscious sedation, as it is known, is frequently used for first-trimester abortions. Now she, like any other advanced practice clinician who has obtained skills in performing abortions, can train her peers—another feature of the new law.

The length of time for training and the number of procedures to reach competency varies based on a practitioner’s previous experience.

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“It’s encouraging this cross-profession training and collaborations, which is really important when we’re looking at increasing access to essential services,” said Jessica Dieseldorff, senior program manager of abortion services at Planned Parenthood Mar Monte in Santa Cruz.

In December, California committed $18 million to help accelerate training in abortion and reproductive care for practitioners, including PAs, through the Reproductive Health Care Access Initiative.

Dieseldorff, a nurse practitioner who trains other advanced-practice clinicians in abortion care, said that rural communities, in particular, will reap the benefits since many rely solely on physician assistants and other allied clinicians.

Reflecting on her career, she said much has changed since she became a nurse 25 years ago. At that time, she worked only as support staff to doctors providing abortions.

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“When I began, medication abortions did not exist in this country,” she said, referring to the practice of using two drugs often prescribed to induce abortions. “It’s been gratifying to be able to progress and become a provider myself, provide non-stigmatizing and compassionate and safe care to patients; and now, at this stage in my career to be training others to do the same.”

2024 KFF Health News. Distributed by Tribune Content Agency, LLC.

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When does California high school football season start? Important dates to know in 2026

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When does California high school football season start? Important dates to know in 2026


California’s high school baseball season may be over, but that means football season is on the horizon.

In just a matter of weeks, California’s top programs will return to the field looking to make their mark in one of the nation’s most competitive high school football landscapes.

The 2025 season delivered plenty of memorable moments, from Santa Margarita’s CIF Open Division State Championship Bowl Game title and a No. 3 spot in USA TODAY Sports’ Super 25 football rankings to major offseason roster moves. Now, a new stage is set as teams look to earn their way to the top stages in high school football.

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When do teams return to action for the 2026 season? Here are all the dates to know:

California high school football season start dates: CIF

First practice date: July 27, 2026

Date of first games: Aug. 21, 2026

High school football practices for teams competing within the CIF in “Week 0” games get underway on July 27, 2026, with the date of the first games set for Aug. 21. Teams who have a bye in their schedule will play on this timeline.

Teams that do not have a bye in their schedule, and therefore do not have a “Week 0” game, will kick off on Aug. 28 with their first practice date set for Aug. 3.

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Singer Oliver Tree’s body back in California after helicopter crash in Brazil

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Singer Oliver Tree’s body back in California after helicopter crash in Brazil


The body of singer Oliver Tree was back in California this weekend after he was listed as a passenger on a helicopter that crashed above Rio de Janeiro one week ago.

His social media accounts on Sunday afternoon announced the return of his body after the June 14 collision of two helicopters, which killed all six people on board.

“Oliver is now back in California where he can finally rest,” the post said.

According to The Associated Press, police identified the five other people as Gaspar Prim Díaz, a popular Argentine YouTuber known as Gaspi; another Argentine, Lucas Vignale; and Brazilians Lucas Brito, Charles Marsillac and Alexandre Souza.

The cause of the collision was under investigation. The AP reported last week that authorities were investigating the possibility of human error by a pilot or air traffic controllers.

Tree, 32, had been performing in South America as part of a world tour. He had a show scheduled for June 6 in São Paulo, according to a schedule on his Facebook page.

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Charred vehicles seen from an overhead, aerial perspective.
The site of the helicopter collision in the Recreio dos Bandeirantes neighborhood of Rio de Janeiro on June 15.Fabio Teixeira / Anadolu via Getty Images

The post Sunday thanked fans and supporters for an outpouring of devotion to the memory of the quirky and uplifting artist.

“The constant love, support and positivity is helping the family, friends and collaborators make it through these extremely difficult times,” it said.

Tree, whose real name was Oliver Tree Nickell, was from Santa Cruz. His father, Jesse Nickell, said he learned of his son’s death from a producer working on music with him in Brazil.

“Peace be with Oliver,” he said by text last week.

Tree was recognizable for his bright fashion, mullet haircut with prominent bangs, thin mustache and encouraging outlook. A motto on his Instagram account says, “No matter how strange you think you look, no matter how ugly you feel, you are beautiful.”

Tree also worked with marquee names in pop and electronic dance music. His biggest tracks were “Life Goes On,” which peaked at 71 on the Billboard Hot 100 in 2022, and “Miss You,” with German musician Robin Schulz, which peaked at 84 on the chart the same year.

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Tree’s influence spread beyond chart data, however, and tributes poured in far and wide following last week’s news that he was on the passenger list of one of the aircraft.

The post on his social media accounts said he had been working on an endowment that would produce a grant and that the plan would be moving forward.

Oliver Tree performing onstage.
Oliver Tree performing at the Austin City Limits Music Festival in Texas in 2022.Rick Kern / WireImage via Getty Images

“‘Dr. Oliver Tree’s Extremely Epic Grant For Baby Geniuses’ coming soon,” the post said. “We will make sure his wish comes to fruition so that more joy, love and art can be spread into the world, that was his final wish.”

Speaking on the “Zack Sang Show” on YouTube in April, Tree discussed the grant and said his music was likely to be more valued after he died.

“That’s when people appreciate you, when you’re not there anymore,” he said.

The Instagram statement offered some assurance.

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“Your legacy will live on forever,” it said.





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Is California home insurance cheap, considering the risks?

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Is California home insurance cheap, considering the risks?


California property owners can expect the nation’s steepest insurance premium hikes this year.

Nevertheless, that surge will leave California property owners paying below U.S. norms, according to my trusty spreadsheet‘s peek at a report by policy tracker Insurify. Its numbers reflect what private insurers charge to cover properties across all 50 states and Washington, D.C.

For Californians, that means an estimated 16% jump in premiums for 2026. It’s the biggest jump in the country, four times the 4% hike a typical American faces.

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Years of rising property damage are largely behind this, with the 2025 Los Angeles wildfires as the latest example.

After California, Nebraska is seeing a 13% increase, followed by New Mexico at 11% and Georgia at 10%. Meanwhile, policies are actually getting cheaper in Hawaii and Massachusetts (down 2%) and Maine (down 1%).

Relative bargain

Please do not be mad at me for relaying this insurance math.

Even after the 2026 increase, California property insurance remains a relative bargain compared with the rest of the country.

Lower California rates are one reason why many property owners have trouble finding coverage. State insurance regulation has made it difficult for insurers to raise their rates, even as their costs and risks surge.

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Owners who cannot obtain insurance coverage most often use the state’s FAIR Plan. Those premiums are expected to rise by 29% next year.

Note that Insurify projects the average annual premium in California for 2026 will be $2,843, ranking 21st-highest among all states.

Do you know of many housing-related expenses where you can say California prices are 7% below the national norm?

The most expensive premiums are found in Florida at $8,458 per year, followed by Oklahoma at $5,205, Louisiana at $5,035, Nebraska at $4,560 and Texas at $4,529. These states face high risks from hurricanes, tornadoes or hail.

The cheapest insurance is in Vermont at $1,094 annually, followed by Maine at $1,359 and Utah at $1,370.

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Even cheaper?

Keep in mind, the average Californian is insuring a very expensive property.

California insurance policies commonly cover $488,000 in repairs, according to Insurify. This is the second-highest amount among the states and 43% above the national average of $342,000.

Only Hawaii is higher at $500,000. The lowest policy coverage is in Oklahoma at $292,000.

Stack up what homeowners pay against how much coverage they get, and California’s pricing looks even more reasonable.

This premium-to-coverage ratio indicates that the typical Californian pays 0.6% of the coverage offered. That ranks No. 30 among the states and is one-third below the nation’s 0.9% ratio.

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The highest ratios are in Florida (2.6%), Oklahoma (1.8%), Louisiana (1.7%) and Texas (1.4%). The lows were in Vermont, Alaska, the District of Columbia, New Hampshire and New Jersey, all at 0.4% or less.

Loss likelihood

If you own property in California, you probably already know this, but here’s a reminder of a never-ending risk: natural disasters.

My trusty spreadsheet also reviewed data from various government and industry sources to see how often disasters strike – and how much those ugly events cost. The incidents tracked include wildfires, floods, earthquakes, hurricanes, tornadoes, blizzards and hail.

To grade the 50 states and the District of Columbia on their relative natural disaster risks, five measures were developed that account for the frequency and damage of calamities, weighted against population and geographic size.

When you add it all up, California ranks third for the likelihood of expensive disasters.

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Florida is the riskiest state, followed by Hawaii, California, Louisiana and Tennessee.

If you want a safer place, consider Alaska, Nevada, Utah, Arizona, or Wisconsin.

Of course, this is just a simple way to look at a complex problem that befuddles property owners, insurance companies and policymakers alike.

Clearly, these aren’t just California headaches. One-third of Americans live in 10 states with the highest risk.

How often

The history of disasters offers us clues as to where the next one may hit.

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Look at the five measures used to create the risk rankings, starting with how often these disasters actually happen.

Using the number of federal disasters declared over the past decade and dividing that by each state’s square miles, California comes in at No. 9.

By this measure, the most disaster-prone are D.C., Rhode Island, Hawaii, Connecticut and Washington state. The least are Ohio, Wisconsin, Pennsylvania, Alaska and Michigan.

Next is the number of major storms per square mile.

California is much lower on this list, ranking 41st. The stormiest are D.C., New Jersey, Maryland, Hawaii and Rhode Island. The calmest are Alaska, Oregon, Nevada, Utah and Idaho.

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The price tag

Think about what it costs to clean up after disasters. This is a major driver of home insurance premiums.

First, look at the dollar amount of damages divided by the number of people in each state. California ranks ninth-highest for disaster costs per person.

The biggest bills? Louisiana, Hawaii, Texas, Florida and Colorado. The smallest? Delaware, Rhode Island, Massachusetts, Connecticut and New Jersey.

Next, check out the cost per storm. California’s disasters are the fifth most expensive.

The most expensive storms happen in Florida, Louisiana, Texas and Oregon. The least expensive are in Delaware, Montana, Wyoming, Rhode Island and Kentucky.

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Finally, if you look at insurance losses per person, California ranks fourth highest.

The largest insurance losses are in Colorado, Nebraska and Florida. After California, Wyoming is next. The lowest losses are in Utah, Hawaii, Nevada, Alaska and Oregon.

Clearly, the property-loss odds are stacked against Californians.

Skipping the costs

Some property owners take one look at their insurance bill and decide to go without.

LendingTree, using Census housing cost data, estimates 11% of California property owners have no homeowner’s insurance policy.

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That’s the 11th-lowest level of no coverage among the states. The national rate is 14%.

West Virginia has the highest share of owners without coverage at 24%, followed by New Mexico at 23% and Louisiana at 21%. The fewest uninsured homes are in Colorado, Oregon and New Hampshire at 10%.

So why do so many Californians still pay for coverage?

Contemplate the estimated California premium against statewide household income to see that the cost is relatively affordable.

This 2.8% insurance-cost burden ranks No. 25 among the states. It’s also one-fifth of the nation’s 3.6%.

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The highest burden? Florida at 11%, and Louisiana and Oklahoma at 8%. Lows? Vermont, New Hampshire, Utah and Maine, all 1%.

Jonathan Lansner is the business columnist for the Southern California News Group. He can be reached at jlansner@scng.com

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