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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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California Islamic calligraphy artist preserves ancient tradition during Arab American Heritage Month

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California Islamic calligraphy artist preserves ancient tradition during Arab American Heritage Month


As Arab American Heritage Month is celebrated, one Northern California artist is keeping the centuries-old tradition of Islamic calligraphy alive, one carefully measured stroke at a time.

Sehar Shahzad is a student calligrapher. Before starting any project, Shahzad said “one of the first things that calligraphers learn is how to cut their pens.” 

Her tools must be in pristine condition.

“Your instruments are just as important as anything else in this art,” she said.

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Shahzad said that as a young girl growing up in Toronto, she took up Islamic calligraphy while reflecting on her religion.

“It’s not like I’d never seen it before, but it was my first time kind of trying it,” she said. “And there’s no other way to say it except that I just fell in love with it.”

Now married with three children, Islamic calligraphy is very much part of her life.

“I remember thinking that this isn’t something that I just want to learn for fun,” she said. “I really want to be able to master it.”

Shahzad said that every angle and curve follows strict geometric rules and is measured with dots.

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“For example, this letter here was just a little bit too long, so we use these nuqtas to help us guide and understand how long that letter should be,” she said.

Like the Arabic language, Islamic calligraphy is read from right to left. Its bold simplicity requires precision and a deep understanding of proportion.

“When you’re creating a composition, it’s not only about the letter itself,” Shahzad said. “It’s about composition as a whole and making sure that everything balances together.”

Even though she’s still mastering her form, Shahzad’s work is featured in the prayer room of a Muslim cemetery in Napa and in the domes of mosques in San Jose, Hayward, and San Francisco.

Still, she considers her work on paper the most special.

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“A form of meditation, a form of worship, requires focus, requires discipline, really brings me to a different space,” Shahzad said. “And I think that’s what I love most.”

Proving that in this fast-paced world, this millennia-long tradition is far from disappearing.

Shahzad’s work will be featured at the upcoming Light Upon Light art exhibit at the Tarbiya Institute in Roseville from April 24-26.



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California sees lowest number of firearm-related deaths since 1968, new data shows

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California sees lowest number of firearm-related deaths since 1968, new data shows


LOS ANGELES (KABC) — California Attorney General Rob Bonta on Tuesday highlighted what he called historic progress in the state’s fight against gun violence.

“California has achieved something historic with the lowest rates of firearm deaths, suicides and homicides on record,” he said during a press conference.

According to Bonta, in 2024, California saw the lowest numbers of firearm-related deaths since 1968. That also drove the state’s overall homicide rate to its lowest level on record in Centers for Disease Control and Prevention data, Bonta’s office said.

However, Bonta warned lawmakers that those gains could be at risk without continued investment.

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“This progress is fragile,” he said. “It was driven in part by significant investments that are now declining or disappearing, and without continued and increased investment, we risk losing it.”

Bonta urged policymakers to continue advancing gun violence prevention efforts and education initiatives.

To learn more, click here.

Copyright © 2026 KABC Television, LLC. All rights reserved.



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California lawmaker introduces bill to protect wildlife from euthanasia, create coexistence program

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California lawmaker introduces bill to protect wildlife from euthanasia, create coexistence program


A Southern California state senator has proposed a new law that would prevent euthanasia in the state’s wildlife just a month after a mother bear was put down for swiping at a woman in Monrovia, feet away from where her two cubs were located. 

The legislation, SB 1135, which was introduced by Sen. Catherine Blakespear (D-Encinitas), calls for the establishment of a state program that promotes the coexistence with wildlife and codifies a wolf-livestock coexistence and compensation program. The move comes two years after funding for a similar wildlife coexistence program expired. 

“We can and must responsibly support people and wild animals to exist in a California where we are all under growing pressures and cumulative threats like extreme heat, frequent drought and intense wildfires that animals respond to by moving in search of resources to survive,” Sen. Blakespear said in a statement. “That means investing in science-based, situation-specific, proactive strategies to minimize negative interactions and prevent escalation to conflicts that pose risks for people and animals. SB 1135 proposes a program to better protect people, wildlife and communities.”

Blondie, the mother bear that was euthanized in March after it swiped at a woman in Monrovia.

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The proposed coexistence program, which would be allocated nearly $50 million through the state’s 2026-27 budget, would build on the previous version, which deployed trained regional human-wildlife conflict staff around the state. The absence was noted by CDFW leaders during a state Assembly meeting in January, according to Blakespear. 

“Over the last five years, wildlife incident reports logged by the California Department of Fish and Wildlife (CDFW) increased by 31 percent and calls, emails and field contacts rose by 58 percent,” Blakespear’s proposal says. 

She noted the recent headline across the state, including “Blondie,” the Monrovia mother bear who was captured and put down by wildlife officials in March after it swiped at a woman near the home it was living under with its two cubs

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The home in question belongs to Richard Franco. He, along with many other Monrovia residents, has documented his encounters with bears over the years, even setting up a system of trail cameras to track the bears’ movements. 

“Getting to know her, you could see what a devoted mother she was,” Franco said. “She was always building a nest.”

Read more: Orphaned bear cubs taken to San Diego for care after mom is euthanized for attacking people

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One of the two bear cubs captured by California Department of Fish and Wildlife officials in Monrovia on Sunday, March 15, 2026.

CBS LA

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Franco and many of his neighbors were angered upon learning that CDFW officials had euthanized Blondie after her capture, which they credited to the fact that she had swiped at the woman days earlier and another person in 2025.

“Forcing them out, and then euthanizing the mom was just traumatic for us,” said one Monrovia couple. “It was just tragic, and there was no need for it; it was completely unnecessary.”

Situations like this are what caught Blakespear’s attention, leading to her proposal last week. 

“It is really my desire to make sure that wild places stay wild, and not be having to resort to lethal measures like killing bears or killing wolves,” Blakespear said, while speaking with CBS LA. “We need to have a program that is up and going so we can be educating people.”

The program calls for focus on public education, maintaining a statewide incident reporting system and deploying devices like barriers, noise and light machines and other technology that would deter predators from places where they shouldn’t be. 

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SB 1135 passed on a 5-1 vote and will now be considered by the Senate Appropriations Committee. 



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