Science
Lawmaker wants California workplaces to put Narcan in first-aid kits
A new bill would require California workplaces to stock their first-aid kids with a nasal spray that can prevent opioid overdoses, greatly expanding the range of locations that have the lifesaving medication on hand.
Naloxone, commonly sold under the brand name Narcan, can halt a deadly overdose if administered promptly. When the medicine reaches the brain, it binds to the same receptors as opioids, displacing the drugs so that their dangerous effects are reversed.
As thousands of Californians lose their lives annually to opioid overdoses, state health officials have pushed to expand access to the medication, distributing millions of kits for free.
AB 1976, introduced Wednesday by Assemblymember Matt Haney (D-San Francisco), would build on existing requirements for California employers to have “adequate first-aid materials” for workers.
Including naloxone in the kits would ensure its availability in stores, repair shops and other work sites, giving bystanders more places to turn for the lifesaving medication when they see that someone is overdosing, Haney said.
“There’s no excuse not to have Narcan available where it can save someone — and that means that it has to be everywhere. It has to be accessible in the same way that a fire extinguisher is,” he said.
The legislation doesn’t specify the number of doses that would need to be stocked in each first-aid kit. The revised rules for workplaces would be adopted by the end of 2026, according to the bill.
It is unclear how much the proposal would cost, but the expense of adding naloxone to first-aid kits would be shouldered by businesses rather than the state, Haney said.
A two-dose pack of Narcan currently goes for roughly $45 online, but Haney expects the price to drop significantly as a result of bulk purchasing and state efforts to bring down costs.
“This is an investment, which we hope is a relatively small one, in protecting yourself and people around you. That’s the purpose of a first-aid kit,” Haney said. He added that it’s “a pretty small cost in the scheme of things, particularly when compared to the potential of saving a life.”
The California Chamber of Commerce supports the goals of the legislation but wants to ensure that businesses do not run into problems with the costs and availability of the medication, said senior policy analyst Rob Moutrie. One concern is whether a simultaneous spike in demand from workplaces could squeeze the available supply.
“It comes down to cost and feasibility for us and how we work out those details, but we completely understand his objective,” he said. “We look forward to working closely with [Haney].”
The chamber also wants to address concerns about whether employees would face “unintended liability” if an overdose occurs nearby and they don’t step in to help or fail to use naloxone correctly, Moutrie said. Most workers “don’t have any knowledge of how to handle an overdose,” he said.
Haney introduced a related bill in last year’s session that would have required bars, gas stations, public libraries and residential hotels to keep a nasal spray like Narcan on hand in certain counties deemed to be suffering an overdose crisis. Under that bill, which never made it to the full Assembly for a vote, the California Department of Public Health would have supplied businesses with the medication for free. Officials estimated that the measure would cost the state hundreds of thousands of dollars in its first year.
“I think that bill should have passed, but at the same time, it didn’t go nearly far enough,” Haney said. “There’s nothing more widely accessible than the first-aid kit.”
Health researchers have advocated for “naloxone saturation” — reaching the point when enough has been handed out in an area that it is readily available whenever an overdose occurs. Narcan nasal spray is the best-known version of the emergency medicine, but it can also be administered as an injection.
Having naloxone in workplaces makes sense because it needs to be everywhere, especially as powerful opioids like fentanyl have permeated the drug supply and popped up as an unexpected ingredient in counterfeit pills, putting a broad range of people at risk, said Olivia K. Sugarman, a postdoctoral fellow with the Bloomberg Overdose Initiative at the Johns Hopkins Bloomberg School of Public Health.
“College kids buy Adderall and it’s got fentanyl in it — and they have an overdose,” she said.
Sugarman added that if the bill passes, people will need an easy way to know where naloxone can be found, like “a sticker in a window.” The goal is that even if an employee does not witness an overdose, somebody in the area “would know to go ask” for the medicine, Sugarman said.
The number of people who could be saved by the proposed measure may hinge on how widely the information spreads to those most likely to witness and intervene in an overdose, said Ricky Bluthenthal, a professor in the department of population and public health sciences at USC’s Keck School of Medicine.
But he said there is no downside to making the medication available in a wider range of locations.
“It doesn’t hurt — and it probably helps with this overall idea that we want to normalize people having access to naloxone,” Bluthenthal said.
Some California businesses are already required to have naloxone on hand: Stadiums, concert venues and amusement parks must stock Narcan or other medicines that reverse the effects of opioids under a bill signed by Gov. Newsom in October.
Such medication is also required to be on site at licensed alcohol and drug treatment programs, and at community college and Cal State University campuses. In addition, California requires county offices of education to buy supplies of the emergency medicine for middle schools, junior highs, high schools and adult schools. The biggest school district in the state, Los Angeles Unified, began stocking campuses with naloxone more than a year ago amid alarm over student overdoses.
Los Angeles County officials have also undertaken efforts to hand out boxes of naloxone on the streets and in homeless encampments and have set up free vending machines for people leaving its jails.
Haney argued that naloxone needs to be much more widely available to save lives. He recounted hearing from a mother whose son had overdosed at the auto repair shop where he worked.
“If Narcan was there, he would still be alive,” Haney said. “There are countless stories like that. … It’s a miracle drug in many ways. But it can’t perform miracles if it’s not available when we need it.”
Science
More middle-class Californians cancel health coverage after losing federal aid
Facing higher premiums and the loss of federal subsidies, 374,000 people with health insurance from the state marketplace known as Covered California canceled their coverage in the first three months of the year, according to government statistics.
The cancellations amount to 19% of those who had renewed their policies on the state marketplace during open enrollment, state officials said. Those cancellations are higher than in the past three years when they ranged from 13% to 15% of those who renewed.
Jessica Altman, executive director of Covered California, attributed the jump in cancellations to the expiration of enhanced federal subsidies that caused the cost of a plan to leap for most middle-class Californians.
“We expect coverage losses to increase through the year,” she said.
Overall, Covered California had 1.8 million enrollees in February, down from 1.94 million the year before — a decline of 7%.
Altman said monthly enrollment numbers are delayed because consumers have a three-month grace period to resume their premium payments before the insurance carriers end their coverage for nonpayment.
This year, many middle-class Californians who depend on the state-run insurance marketplace created under the Affordable Care Act faced annual costs that were hundreds of dollars higher than last year because of the end of enhanced federal subsidies that began during the COVID-19 pandemic.
In 2021, Congress voted to temporarily boost the amount of subsidies Americans could receive for an ACA plan.
The law also expanded the program to families who had more money. Before that 2021 vote, only Americans with incomes below 400% of the federal poverty level — currently $62,600 a year for a single person or $128,600 for a family of four — were eligible for ACA subsidies. The 2021 vote eliminated the income cap and limited the cost of premiums for those higher-earning families to no more than 8.5% of their income.
On top of the loss of the enhanced federal subsidies, the average premium charged by insurers this year for a Covered California plan rose by more than 10% because of fast-rising medical costs.
The decline in ACA plan enrollees, however, has been greater in some other states. California has tried to keep people insured by using state tax money to fill in the gap for lower-income families.
This year, the state budgeted $190 million for premium subsidies for people with incomes of up to 165% of the federal poverty level.
In his budget plan, Gov. Gavin Newsom proposed spending $300 million on those state subsidies in 2027. That would expand the subsidies to enrollees with incomes up to 200% of the federal poverty level, or $31,920 for an individual or $66,000 for a family of four.
“We may actually see a number of Covered California enrollees paying less in 2027” because of the additional state subsidies, Altman said.
In May, Newsom also proposed in his budget that an additional $27 million in state money be used to help enrollees pay for the cost of gender-affirming care. That amount is an increase to the $30 million that he earlier proposed be spent this year and next to defray those costs for Covered California enrollees, according to state officials.
Last year, federal health officials enacted a rule that said the federally subsidized ACA plans could no longer cover gender-affirming care because it was no longer considered an “essential health benefit.”
Newsom’s proposed budget still faces debate in Sacramento and approval by the state Legislature.
The state marketplaces, created by the Affordable Care Act, also known as Obamacare, were meant to help those who don’t have access to an employer’s health insurance plan and have incomes too high to qualify for Medi-Cal, the government-paid insurance for the poor and disabled.
Because of the higher cost this year, more people are choosing the lower-priced Bronze plans. Those plans have higher co-pays and deductibles than the more expensive plans.
“We’re very concerned with the large shift to Bronze,” Altman said. “When you have higher cost-sharing, you’re more likely to defer care.”
Science
Political play or budget fix? Competition for JPL’s management comes at a fraught moment
Weeks after Trump administration officials announced that management of NASA’s Jet Propulsion Laboratory would open to competitive bidding for the first time, questions remain as to why Caltech could lose control of the lab its researchers founded in 1936.
On one hand, observers note, high-profile delays and cost overruns on significant recent JPL projects earned sharp criticism from NASA even before the 2024 presidential election.
On the other, the second Trump administration’s record of squeezing scientific funding and attacking institutions in Democrat-led states make it difficult to consider any action separate from the charged political atmosphere, analysts say.
“My first instinct is that this [competition] isn’t necessarily a bad thing. It’s not written in stone that Caltech must run JPL, and it wouldn’t be the worst thing to have some competition for running the place,” said Casey Dreier, chief of space policy at the non-profit Planetary Society.
“That said, that requires this contract evaluation to be fair and unbiased, and this administration has no credibility in such things,” he added. “The responsibility is on NASA to earn the trust and ensure such an evaluation is open and free from political meddling. That’s almost impossible.”
JPL became part of NASA when the space agency was formed in 1958, and Caltech has been awarded the contract to run the institution outright ever since.
Its current 10-year contract with NASA, which is valued at up to $30 billion, runs through Sept. 30, 2028.
NASA Administrator Jared Isaacman announced the competition on May 22 as part of a slate of sweeping organizational changes at the space agency.
“When you step back, it is worth considering how many additional missions we could have undertaken with the resources lost to program cancellations and cost overruns over the years,” Isaacman wrote in a memo to staff. “That is the problem we must fix, so the American taxpayer and space-loving community can receive the highest scientific return on every dollar we spend at NASA.”
Competing the contract for JPL, the lone Federally Funded Research and Development Center (FFRDC) in NASA’s portfolio, was an effort to address cost-efficiency concerns, Isaacman wrote.
“This process will take several years, and I do not anticipate it having any impact on the projects underway or the location of the facilities,” he wrote. “It does, however, provide an opportunity to evaluate management costs, overhead burdens, and ideally find ways to get after the science faster and more affordably.”
In a joint statement, Caltech President Thomas F. Rosenbaum and JPL Director Dave Gallagher said the competition was “no surprise” and that a team was already in place “to ensure we are positioned for success.”
In July, NASA’s Office of Procurement held an informational event for companies and institutions interested in the upcoming FFRDC contract.
The dozens of registered attendees included universities like USC, Texas A&M University and Georgia Tech, aerospace companies such as Boeing and Lockheed Martin and nonprofit corporations like MITRE, which manages several FFRDCs, and Universities Space Research Association, a university consortium founded by the National Academy of Sciences in 1969. (SpaceX, which has been awarded more than $13 billion in NASA contracts in the last decade, was not on the list.)
“Lockheed Martin has more than 50 years of deep space exploration success with JPL, supporting landmark missions to Jupiter, Venus, Saturn, Pluto, including nearly a dozen missions to Mars,” said Bob Behnken, VP of Exploration and Technology Strategy. “We look forward to building on that unmatched partnership in the years ahead. We are closely following NASA’s review and will continue to assess how we can best contribute to the agency’s mission.”
Other attendees contacted by The Times declined to discuss their involvement.
Isaacman indicated that JPL could come under scrutiny even before he took over NASA. The billionaire entrepreneur referenced high costs at the La Cañada Flintridge institution in a memo prepared in advance of his confirmation hearings on his priorities for the space agency.
“Contract structure: Very expensive,” Isaacman wrote of JPL in a table outlining organizational issues at each of NASA’s centers. “Must increase the output and ‘time-to-science’ KPI.”
The institution has recently suffered a number of high-profile management stumbles.
After the JPL-managed Psyche mission to a metal-rich asteroid failed to meet its 2022 launch date, NASA commissioned an independent review that said internal reorganizations and personnel changes created distracted and uninformed managers and burned-out, stretched-thin staffers.
After a 2023 independent review found there was “near zero probability” of the JPL-managed Mars Sample Return mission making its proposed 2028 launch date, and “no credible” way to bring rocks back from the Red Planet within the stated budget, Isaacman’s predecessor Bill Nelson put out a call for proposals to industry and all other NASA centers, forcing JPL to compete for its own project.
After Trump’s election, Nelson announced that the final decision would be in the next administration’s hands.
The White House pushed for massive cuts to NASA’s 2026 budget that Congress overturned, and has lobbied for similarly steep cuts again this year. JPL has instituted painful cost-cutting measures of its own, reducing staffing from roughly 6,500 employees in 2023 to 4,500 last year through layoffs and attrition.
Its struggles come at a point when NASA is enthusiastically embracing private industry. Last month the agency awarded several key contracts for its upcoming lunar missions to Jeff Bezos’s Blue Origin and other private companies.
Trump has also made no secret of his willingness to punish states that haven’t voted for him through job losses. In announcing his decision to move U.S. Space Command from Colorado to Alabama, Trump acknowledged that his loss in Colorado in three presidential elections played a part in the move.
It’s impossible to consider any decision on JPL’s future separate from the administration’s track record of politically-motivated decisions, Dreier said.
“At the heart of this is why? Why now? If this is not just some rank political attack on California, what do they hope to gain from this?” Dreier said. “That deserves explanation, because the administration otherwise has no credibility here.”
Science
Dive Into a Very Noisy Sea With Some Very Rare Whales
The Gulf of Mexico, which the Trump administration calls the Gulf of America, is one of the noisiest bodies of water in the United States. Air gun blasts are the loudest element there, according to research by scientists who monitor underwater acoustics. Shipping traffic is another major contributor.
The noise could affect the ability of Rice’s whales to find food and mates, scientists say. The chronic stress of living in a loud environment could be detrimental to their health.
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