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Nurse practitioner who treated the late actress Stevie Ryan stripped of California licenses

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The nurse practitioner who handled actress Stevie Ryan — and engaged in a sexual relationship together with her months earlier than she killed herself in 2017 — has been stripped of his California licenses, the state’s Board of Registered Nursing stated final week.

The transfer, efficient Feb. 28, got here after the nurse, Gerald “Jay” Baltz, misplaced an administrative regulation continuing that targeted on his therapy of Ryan, identified for her pioneering YouTube movies and her VH1 sketch comedy present “Stevie TV.” The case had been initiated by the top of the nursing board, an company inside the state’s Division of Client Affairs. Baltz is difficult the choice in Los Angeles County Superior Court docket.

The formal accusation, introduced in opposition to Baltz in 2020, sought the suspension or revocation of his nursing licenses for alleged misconduct topic to self-discipline underneath the California Enterprise and Professions Code. The authorized submitting accused him of gross negligence, incompetence, unprofessional conduct and sexual misconduct.

A Occasions investigation, printed in April 2021, detailed Ryan’s rise in Hollywood, her entanglement with Baltz, and her demise at 33. Instructed of the nursing board’s resolution, Steve Ryan, the late actress’ father, stated, “I assume that’s excellent news.”

“It’s laborious to be ok with one thing that’s that life altering for each events,” he stated.

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Within the accusation, Baltz was alleged to have engaged in an inappropriate, boundary-crossing relationship with Ryan whereas she was his affected person, after which a sexual relationship together with her whereas she was receiving therapy on the facility the place he labored. It additionally stated that Baltz allegedly issued Ryan prescriptions for about 10 medication used to deal with a wide range of circumstances — together with despair and bipolar dysfunction — with out offering “clear rationale for prescribed medicines.” He additionally allegedly failed to hunt supervision for her when she was suicidal, the accusation stated.

Suicide prevention and disaster counseling sources

In case you or somebody you realize is battling suicidal ideas, search assist from an expert and name the Nationwide Suicide Prevention Lifeline at 1-800-273-TALK (8255). Textual content “HOME” to 741741 within the U.S. and Canada to achieve the Disaster Textual content Line.

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Following a listening to final fall, a decide from the state’s Workplace of Administrative Hearings issued a proposed resolution in November that ordered Baltz’s 4 state nursing licenses be revoked. The decide wrote that there was trigger to self-discipline Baltz for unprofessional conduct and gross negligence, however not for incompetence or sexual misconduct, partially as a result of Ryan was not his affected person on the time their relationship turned intimate. The Enterprise and Professions Code says that “any act of sexual abuse, misconduct, or relations” with a shopper is grounds for self-discipline, however doesn’t word this is applicable for former shoppers.

Ryan requested out Baltz throughout an April 5, 2017, go to, the proposed resolution stated. That day, Baltz terminated his nurse-patient relationship with Ryan and transferred her care to a different psychological well being supplier at Perception Selections, the ability the place he labored, the submitting stated. Baltz and Ryan dated briefly: They ended issues in late April by way of a textual content message chat, throughout which Baltz stated he hoped she would “by no means say something” about their romantic relationship, in line with the choice.

Three months later, Ryan took her personal life.

Baltz’s “breach {of professional} boundaries with a former affected person with identified psychological well being infirmities evinces a severe lapse in judgment,” the decide wrote within the proposed resolution.

On the listening to, Baltz defined that he felt “horrible” over his romantic relationship with Ryan, and blamed partaking in it on his alcohol abuse, in line with the choice. (He stated he has been sober since Might 2017.) Baltz defended the rationale of his prescribing exercise but in addition acknowledged that he had lied to a nursing board investigator throughout a 2019 interview wherein he was requested about his relationship with Ryan, saying that he did so as a result of he “felt responsible and afraid,” it stated.

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The nursing board adopted the choice in January, however Baltz filed a petition for reconsideration Feb. 14. It argued, partially, that revoking Baltz’s licenses was “improper and punitive” on account of, amongst different elements, the decide having erroneously interpreted the regulation find that Baltz had dedicated unprofessional conduct by having a sexual relationship with Ryan after he stopped treating her. The petition was denied by the board Feb. 24.

Baltz, who left Perception Selections a month after Ryan’s demise and has extra just lately practiced at MelrosePsych within the Beverly Grove neighborhood, might be eligible to hunt the reinstatement of his licenses in three years, in line with the nursing board.

Through his attorneys, Baltz declined a number of interview requests. In an interview with The Occasions, certainly one of his legal professionals, Michael Khouri, stated that “for a few years, Gerald Baltz has been a extremely regarded nurse practitioner with a big affected person following who all say nothing however great issues concerning the man.”

Khouri downplayed among the allegations Baltz confronted, together with those who pertained to the consumption word he wrote when he started offering care to Ryan in 2015. The word allegedly “offered scant data” and “didn’t doc” parts of Ryan’s well being historical past, the accusation stated. “If each physician in California was disciplined as a result of their notes weren’t full, there could be no docs,” Khouri stated.

Baltz is a nurse practitioner — a registered nurse with further training, permitting him to prescribe drugs and supply diagnoses, amongst different actions. With such tasks, nurse practitioners, whose work in California requires doctor oversight, have a novel function within the healthcare system, a reality highlighted at Baltz’s listening to in October earlier than the executive regulation decide.

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Stevie Ryan, seen in 2008, took her personal life in 2017 on the age of 33.

(Charley Gallay/Getty Photographs)

A serious space of disagreement on the listening to centered on Baltz’s actions when Ryan felt suicidal. California regulation obligates nurses who observe “irregular traits” in sufferers to provoke “acceptable reporting, or referral” to others within the medical subject.

The decide’s resolution quoted Baltz’s notes from his classes with Ryan, together with one from their ultimate go to that stated “she feels suicidal.” A nurse practitioner who served as an professional witness for the top of the nursing board stated that Baltz didn’t refer Ryan to the next stage of care. Baltz opted to refer Ryan to his supervising doctor for a specialised course of therapy, a transfer the witness described as substandard.

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Baltz testified that Ryan “was not at inherent threat for suicide as a result of she endorsed a passive demise want for a number of years,” the choice stated. He additionally stated he believed he had referred the problem “to an acceptable stage of upper care” along with his supervising doctor. The decide famous, nevertheless, that there was no “indication that [Baltz] ever carried out any suicide threat evaluation” for Ryan, even after her criticism of feeling suicidal at their final session. Subsequently, the decide wrote, it was “questionable” how Baltz had concluded that therapy with the doctor was acceptable as a substitute of “a referral to a psychiatric hospital or emergency care.”

The decide famous that Baltz had submitted optimistic character reference letters and accomplished an academic coaching program on skilled boundaries. The choice additionally defined {that a} medical counselor who served as an professional witness for Baltz performed a “intercourse offender threat evaluation” of the nurse and located that he “just isn’t in danger for re-offending sexually.” Nonetheless, the decide wrote that Baltz had proven “little proof of rehabilitation,” saying that he had offered no “concrete plans to stop the reoccurrence of an analogous incident.”

Baltz “was grossly negligent in failing to offer care or to train atypical precaution in [Ryan’s] case, which he knew, or ought to have identified, might have jeopardized that affected person’s well being or life,” the decide stated.

Khouri, Baltz’s legal professional, stated that “society is worse off having his license revoked.”

“Is he remorseful for what occurred? After all he’s,” Khouri stated. “Can we respect the board’s energy to render judgments on skilled guidelines violations? After all we do. However we disagree with the penalty.”

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To that finish, Baltz is continuous to pursue the matter: On Feb. 16, he filed a petition for writ of administrative mandate in L.A. County Superior Court docket. The submitting requested the courtroom to vacate the choice to revoke Baltz’s licenses, arguing that the nursing board misinterpreted and misapplied related statutes in its disciplining of him, amongst different contentions.

The nursing board declined to touch upon Baltz’s courtroom submitting, a spokesman stated, explaining that it doesn’t focus on lively litigation. The events will meet Might 26 to set a trial date.

Baltz just isn’t training in California as he awaits the end result of his courtroom problem: Phone calls to MelrosePsych
this week have been met by an automatic message that stated one other supplier is “masking for Dr. Baltz within the interim.” He additionally has nursing licenses in Colorado and Washington, however their standing is now in flux.

In keeping with an August submitting with Colorado’s Board of Nursing, Baltz voluntarily agreed to a “non-disciplinary interim cessation of apply settlement” whereas it investigated claims surrounding his conduct in California. Baltz denied he violated the Nurse Observe Act, the authorized doc stated.

In Washington, Baltz faces the revocation, restriction or suspension of his license after being accused of unprofessional conduct by the state’s Nursing Care High quality Assurance Fee, which, in a December assertion of fees, cited allegations he confronted right here.

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Pals of Ryan together with Yuni Kim stated that they have been grateful for the nursing board’s resolution to revoke Baltz’s California licenses. He had continued to work throughout the board’s years-long scrutiny of his actions.

“I really feel aid — I additionally really feel like I need to cry, as a result of it ought to have by no means come to this,” stated Kim, who started sobbing. “The aid is mired with grief. She was my greatest good friend.”

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State Farm seeks major rate hikes for California homeowners and renters

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State Farm seeks major rate hikes for California homeowners and renters

State Farm General is seeking to dramatically increase residential insurance rates for millions of Californians, a move that would deepen the state’s ongoing crisis over housing coverage.

In two filings with the state’s Department of Insurance on Thursday signaling financial trouble for the insurance giant, State Farm disclosed it is seeking a 30% rate increase for homeowners; a 36% increase for condo owners; and a 52% increase for renters.

“State Farm General’s latest rate filings raise serious questions about its financial condition,” Ricardo Lara, California’s insurance commissioner, said in a statement. “This has the potential to affect millions of California consumers and the integrity of our residential property insurance market.”

State Farm did not return requests for comment.

Lara noted that nothing immediately changes for policyholders as a result of the filings. His said his department would use all of its “investigatory tools to get to the bottom of State Farm’s financial situation,” including a rate hearing if necessary, before making a decision on whether to approve the requests.

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That process could take months: The department is averaging 180 days for its reviews, and complex cases can take even longer, according to a department spokesperson.

The department has already approved recent State Farm requests for significant home insurance rate increases, including a 6.9% bump in January 2023 and a 20% hike that went into effect in March.

State Farm’s bid to sharply increase home insurance rates seeks to utilize a little-known and rarely used exception to the state’s usual insurance rate-making formula. Typically, such a move signals that an insurance provider is facing serious financial issues.

In one of the filings, State Farm General said the purpose of its request was to restore its financial condition. “If the variance is denied,” the insurer wrote, “further deterioration of surplus is anticipated.”

California is facing an insurance crisis as climate change and extreme weather contribute to catastrophic fires that have destroyed thousands of homes in recent years.

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In March, State Farm announced that it wouldn’t renew 72,000 property owner policies statewide, joining Farmers, Allstate and other companies in either not writing or limiting new policies, or tightening underwriting standards.

The companies blamed wildfires, inflation that raised reconstruction costs, higher prices for reinsurance they buy to boost their balance sheets and protect themselves from catastrophes, as well as outdated state regulations — claims disputed by some consumer advocates.

As insurers have pulled back from the homeowners market, lawmakers in Sacramento are scrambling to make coverage available and affordable for residents living in high-risk areas.

Times staff writer Laurence Darmiento contributed to this report.

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High interest rates are hurting people. Here's why it's worse for Californians

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High interest rates are hurting people. Here's why it's worse for Californians

By the numbers, the overall U.S. economy may look good, but down at the street level the view is a lot grimmer and grittier.

The surge in interest rates imposed by the Federal Reserve to slow inflation has closed like an acrid cloud over would-be homeowners, car buyers, growing families, and businesses new and old, large and small. It has meant missing opportunities, settling for less — and waiting and waiting and waiting.

It’s not that the average American is underwater. It’s that many feel that they’re struggling more than they anticipated and feel more constricted. In the American Dream, if you work hard, things are supposed to get better. Fairly or not, that may be a big part of why so many voters have expressed unhappiness with President Biden’s handling of the economy.

The cost of borrowing, whether for mortgages, credit cards or car loans, is the highest in more than two decades. And that is weighing especially hard on people in California, where housing, gas and many other things are more expensive than in most other states.

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California’s economy also relies more on interest rate-sensitive sectors such as real estate and high tech, which helps explain why the state has been lagging in job growth and its unemployment rate is the highest in the nation.

Harder to budget

When interest rates rise, savers can earn more on their deposits. But in America’s consumer society, for most people higher rates mean that a lot of things cost a little (or a lot) more. That makes it harder to stretch an individual or family budget. It may mean giving up on the nicer car you had your heart set on, or settling for a smaller house, or a shorter, less glamorous vacation.

And with every uptick in interest rates, which is almost inevitably passed on to customers, some have had to give up on a purchase entirely.

Geovanny Panchame, a creative director at an advertising agency, knows these feelings all too well: He thinks often about what could have been if he and his wife had bought the starter home they were planning for in 2020.

Back then, they had been pre-approved at an interest rate of 3.1% — right around the national average — but were outbid several times. They figured they’d wait a few years to save more money for a nicer place.

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Four years later, the couple are still renting an apartment in Culver City — and now they’re expecting their first child.

Pushing to buy a house and get settled before their son is born in December, they recently made an $885,000 offer for a three-bedroom, 1.5-bath home in Inglewood. They plan to put down 10%. At the current average mortgage interest rate of 7%, that would mean a monthly payment of about $5,300 — $1,900 more than if they had an interest rate of 3.1%.

The source of that increase is the Federal Reserve’s power to set basic interest rates, which determines the interest rates for almost everything else in the economy. The Fed’s benchmark rate went up rapidly, from near zero in early 2022 to a generational high of about 5.5%, where it has been for almost a year. The rate has been higher in the past, but after two decades in which it was mostly at rock bottom, most people had gotten used to both very low inflation and low interest rates.

“Clearly, we look back and we probably should have kept going and hopped into something,” Panchame, 39, said. “I’ve been really sacrificing a lot to get to this point to purchase a home and now I just feel like I got here but I didn’t work quick enough because interest rates have gotten the better of me.”

Add property taxes and home insurance, and it’s even more painful for home buyers because those costs have also risen sharply since the COVID-19 pandemic, along with housing prices themselves.

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A typical buyer of a mid-tier home in California, priced at about $785,000 in the spring, was looking at a total housing payment of about $5,900 a month. That’s up from $3,250 in March of 2020 and almost $4,600 in March of 2022, when the Fed began raising interest rates, according to the California Legislative Analyst’s Office.

It wasn’t supposed to work like that: Lifting interest rates as fast and as high as the Fed did, in its effort to curb inflation, should have led to falling home prices.

But that didn’t happen, mainly because relatively few homes came on the market. Most existing homeowners had locked in lower mortgage rates before the surge; selling those houses once interest rates took off would have meant paying higher prices and interest rates on other homes, or bloated rents for apartments.

For most homeowners sitting on the low rates of the past, their financial well-being was further supported by low unemployment and incomes that generally remained on par with inflation or grew a little faster. And many had cushions of savings built up in early phases of the pandemic, thanks partly to government support.

All of which has kept the U.S. economy as a whole humming along, blunting the full effects of higher interest rates.

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“Consumers are doing their job,” said Claire Li, senior analyst at Moody’s Investors Service, though she added that there are now signs of slower spending, evidenced by consumers cutting back on credit card purchases.

Unlike most home loans, credit card interest rates aren’t fixed. And today the average rate has bounced up to almost 22% from 14.6% in 2021, according to Fed data. That’s starting to squeeze more borrowers, adding to their unease.

Rising credit card debt

In California, the 30-day delinquency rate on credit cards is nearing 5% — something not seen since late 2009 around the end of the Great Recession, according to the California Policy Lab at UC Berkeley.

Lower-income and younger borrowers are more prone to falling behind on credit card, auto and other consumer loan payments than those with higher incomes. And it’s these groups that are feeling the effects of higher interest rates the most.

Christian Shorter, a self-employed tech serviceman who lives in Chino, just bought a used Volkswagen Jetta for $21,000. He put down $3,500 and financed the rest over 69 months at an annual interest rate of 24%. His monthly payment is more than $480, and by the end of the loan he will have paid about $15,000 in interest.

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Shorter, 45, said he doesn’t have good credit. He plans to take out a personal loan when interest rates drop and pay off the car debt. “Definitely, definitely, they should lower interest rates,” he said of the Fed.

Between the jump in interest rates and prices of new vehicles, some auto buyers have downgraded to cheaper models. The biggest shift, though, especially in California, has been a move by more buyers to turn to electric vehicles to save on fuel costs, says Joseph Yoon, a consumer analyst at Edmunds, the car research and information firm in Santa Monica.

In May, he said, buyers on average financed about $41,000 on a new vehicle purchase at an interest rate of 7.3% (compared with 4.1% in December 2021). Over 69 months, that translates to a monthly payment of $745.

“For a big part of the population, they’re looking at this car market and saying, ‘I got to wait for something to break,’ like interest rates or dealer incentives,” Yoon said.

For a lot of small-business owners, who drive much of the economy in Los Angeles, they don’t have the luxury of waiting it out. They need funds to survive, or to expand when things are going well.

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But many can’t qualify with traditional commercial lenders, and when they can they’re typically looking at interest rates of 9%; that’s more than double what they were before the Fed’s rate hikes, according to surveys by the National Federation of Independent Business.

One result: More and more people in Southern California are looking for help from lenders such as Brea-based Lendistry, one of the nation’s largest minority-led community development financial institutions.

From January to May, applications were up 21% and the dollar volume of loans rose 33% compared with a year earlier, said Everett Sands, Lendistry’s chief executive. Interest rates on his loans range from 7.5% to 14.5%.

“Business owners, they’re resilient, entrepreneurial, scrappy — they’ll figure out a way,” he said, adding that he sees many doing side jobs like driving for Uber or making Instacart deliveries at night.

Even so, Sands said, the higher borrowing costs inevitably mean less money spent on things like investing in new technology and software and bringing on additional staff, as well as delays in owners growing their businesses.

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“Some of them lose out in progressing forward.”

‘When you put everything on the line, you get desperate.’

— Jurni Rayne, Gritz N Wafflez

Jurni Rayne, 42, started her brunch business, Gritz N Wafflez, as a ghost kitchen in February 2022, preparing food orders for delivery services. She financed that by maxing out her credit cards and getting a merchant cash advance, which is like a payday loan with super high interest rates. Her debts reached $70,000.

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“When you put everything on the line, you get desperate,” said Rayne, a Dallas native who moved to Los Angeles a decade ago and has worked as a manager at California Pizza Kitchen and the Cheesecake Factory. “You don’t care about the interest rate, because it’s something like between passion and insanity.”

She has since paid off all the merchant loans. And her business has seen such strong growth that last year Rayne got out of the ghost kitchen and into a small spot in Pico-Union, starting with just three tables. She now has 17 tables and a staff of 14.

This fall she’ll be moving to a bigger location in Koreatown and has her sights on a second restaurant in South Los Angeles. But she frets that she could have expanded sooner if interest rates had been lower and she’d had more access to financing.

Economists call that an opportunity cost. For Rayne, it’s personal.

“Absolutely, lower interest rates would have helped me,” she said.

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For many others, the wait for lower rates continues without the balm of intermediate success.

Lynn Miller, 60, began looking to buy a home in Orange County about a year ago, hoping to upgrade from her current 1,600-square-foot apartment.

“It’s not bad, it’s just not mine — the dishwasher is crappy, the washing machine is old,” she said of her rental in Corona del Mar. “I’m obviously not going to invest in these appliances. It’s just different not owning your own home.”

It’s been a discouraging process, she said, especially when she inputs her numbers into the mortgage calculators on Zillow and Realtor.com, which churn out estimates based on current interest rates.

“If you look at those monthly payment numbers, it’s shocking,” Miller, a marketing consultant, said. “It’ll get better, but it’s just not better right now.”

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She’s continuing her house search — she’d love to buy a single-family, three-bedroom home with a backyard for a dog — but is holding off for now.

“I’m still waiting because I do think that interest rates are going to go down,” Miller said, although she knows it’s a guessing game. “I could end up waiting a long time.”

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California lawmakers advance tax on Big Tech to help fund news industry

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California lawmakers advance tax on Big Tech to help fund news industry

The California state Senate on Thursday passed legislation aimed at helping the news industry by imposing a new tax on some of the biggest tech companies in the world.

Senate Bill 1327 would tax Amazon, Meta and Google for the data they collect from users and pump the money from this “data extraction mitigation fee” into news organizations by giving them a tax credit for employing full-time journalists.

“Just as we have funded a movie industry tax credit, with no state involvement in content, the same goes for this journalism tax credit,” Sen. Steve Glazer (D-Orinda) said as he presented the bill on the Senate floor, casting it as a measure to protect democracy and a free press.

Its passage comes the same week lawmakers advanced another bill that seeks to resuscitate the local news business, which has suffered from declining revenue as technology changes the way people consume news. Assembly Bill 886 would require digital platforms to pay news outlets a fee when they sell advertising alongside news content.

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Glazer said his bill is meant as a complement to the other measure, adding that he and its author, Assemblymember Buffy Wicks (D-Oakland), plan to work with the companies that could be affected by both bills “in balancing everyone’s interest.”

The legislation passed 27 to 7, with one Republican — Sen. Scott Wilk (R-Santa Clarita) — joining Democrats in support. As a tax increase, it required support from two-thirds of the Senate and now advances to the Assembly.

A Republican who opposed the bill said technology is changing many industries, not just journalism, and that some of the innovations have led to inspiring new ways to consume news, such as through podcasts or nonprofit news outlets.

“These are all new models, and very few people under the age of 50 … even pick up a paper newspaper,” said Sen. Roger Niello (R-Fair Oaks.) “So this is an evolution of the marketplace.”

Opponents of the bill include tech company trade associations Technet, Internet Coalition and Chamber of Progress; the California Chamber of Commerce; and numerous local chambers of commerce.

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Supporters include unions representing journalists, a coalition of online and nonprofit news outlets, and the publishers of several small newspapers.

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