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Editorial: California Medi-Cal measure locks in special-interest funding

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Editorial: California Medi-Cal measure locks in special-interest funding


 

Proposition 35, the Medi-Cal funding measure on the Nov. 5 ballot, presents another example of special-interest ballot-box budgeting that limits the discretion of lawmakers and reduces flexibility to respond to fiscal crises. Voters should reject it.

If we’ve learned anything in the past few years, it’s that multibillion budget surpluses one year can morph into gigantic deficits the next. The governor and state lawmakers need flexibility to responsibly address the shortfalls.

California voters should not lock in funding allocations that favor doctors and hospitals over children and community health workers. Nor should they keep tying the hands of lawmakers, who must already contend with, for example, voter mandates for school funding, which must receive about 40% of the state budget; for prudent budget reserves; and for arts education.

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At issue with Proposition 35 is a tax on health plans that provides $7.5 billion of the $161 billion needed to annually fund Medi-Cal — the federal-state health program for low-income people.

The tax is based on the number of people to whom the health plans provide coverage. The state leverages the tax money for matching funds from the federal government.

Medi-Cal, in turn, reimburses the health plans for almost all the tax, with the federal government covering the majority of the cost. In other words, it’s a tax that’s not really a tax but rather a way to pull in more federal money.

Proposition 35 is being sold as a measure that would secure that $7.5 billion in funding by permanently extending the tax on health plans. But this lock-in isn’t needed. State lawmakers, understanding how the tax leverages federal dollars, have generally levied and renewed it for nearly two decades and are incentivized to do so in the future.

Meanwhile, Proposition 35 would not only make the tax permanent, it would also dictate allocation of the spoils. It would pick winners and losers.

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Not surprisingly, the winners include doctors, hospitals and emergency ambulance providers, which explains why they are major financial backers of the measure. Their funding would be protected and, in some cases, increased under Proposition 35.

Among the possible losers are community health workers, private nurses and children under age 5, who are currently protected from losing their Medi-Cal coverage.

To provide the additional funding for the winners under Proposition 35 and still preserve other Medi-Cal programs, the state would need to tap the general fund for another $1 billion to $2 billion annually in 2025 and 2026, according to the Legislative Analyst’s Office.

The current tax will expire at the end of 2026 unless the Legislature and the federal government extend it. But there’s every reason to believe state lawmakers will do their part, just as they have in the past.

Yet, Proposition 35 backers tout that their measure would make the tax permanent starting in 2027 — and use the notion of going after politically unpopular insurance companies for money as a selling point even though those companies will get their money back.

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Backers of the ballot measure also say that the tax revenue has been diverted to bolster the state’s general fund. But the state this fiscal year will provide $62.4 billion to help fund Medi-Cal, including $35 billion from the general fund.

It’s fiscally reckless to keep using ballot measures to earmark unpredictable state revenues. Proposition 35, which is 43 pages long, “hamstrings our ability to have the kind of flexibility that’s required at the moment we’re living in,” says Gov. Gavin Newsom.

He’s right.

More funding for health care for the poor is a laudable goal. So are attempts to raise rates for doctors and other health care providers who serve Medi-Cal patients. Indeed, there are legitimate concerns about Medi-Cal patients not being able to find providers because doctors don’t want to take them on at low payment rates.

But the allocation of limited general fund money should be made when all the competing demands are weighed by state lawmakers. We shouldn’t be locking it in with a ballot measure few voters will ever understand.

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California Schools Are Losing Tree Canopy

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California Schools Are Losing Tree Canopy


About 85% of elementary schools studied in California experienced some loss of trees between 2018 and 2022, according to a paper from the University of California, Davis, published this month in the journal Urban Forestry and Urban Greening.

Members of the UC Davis Urban Science Lab found that while the average decline was less than 2%, some districts in the Central Valley — including schools with few trees to lose — lost up to a quarter of their tree cover. The most severe losses were concentrated in Tulare County, while the most notable gains were found in Imperial County.

This map, figure 2B from the study, illustrates the net change in tree canopy cover at urban school districts between 2018 and 2022. Canopy losses tended to cluster in the Central Valley and parts of Southern California. (UC Davis)

The findings are troubling as climate change will likely intensify extreme heat and drought conditions. The study underscores an urgent need to improve tree canopy in low-shade, high-need schools and to protect existing tree cover in areas facing loss. 

“We are trying to measure to what extent we are exposing kids to temperatures that might be stressing their body to a level that becomes uncomfortable or dangerous,” said Alessandro Ossola, an associate professor of plant sciences who directs the Urban Science Lab at UC Davis. 

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The team continued the research this past summer at elementary schools across the state, measuring tree canopies and maximum temperatures at playgrounds, basketball courts, soccer fields and other outdoor spaces.

UC Davis researchers discovered California school playgrounds are hitting a scorching 120°F heat index. Watch as they use high-tech sensors and a roving cart named MaRTyna to measure extreme heat across elementary schools. (Jael Mackendorf/UC Davis)

Tree canopies cover only about 4% to 6% of the average California school campus. That means the roughly 5.8 million K-12 public school students in California often take breaks and participate in outdoor activities under the glaring sun. 

As part of the work, researchers mapped tree cover and heat over the course of a hot day at schools in inland and coastal areas of Northern and Southern California.

UC Davis student Tyler Reece Wakabayashi works with MaRTyna, a roving cart that measures information related to mean radiant temperature and other data points. (Jael Mackendorf /UC Davis) 

The research is a joint effort with UC Davis, UC Berkeley and UCLA and is funded by the U.S. Forest Service and supported by the nonprofit Green Schoolyards America through its California Schoolyard Tree Canopy study. 

“Most schools are actually a nature desert, which is antithetical because we know that early life exposure of humans to nature is critical for them to develop skills, improve their microbiome, become more environmentally active and so on,” Ossola said. “Trees are a hidden asset and an underutilized asset.”

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This news release is adapted from a longer article from the UC Davis College of Agricultural and Environmental Sciences. Read their full feature story, “Researchers Measure Schoolyard Heat One Step at a Time.”



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Strings attached to bills Newsom signed on antisemitism, AI transparency and other major California policies

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Strings attached to bills Newsom signed on antisemitism, AI transparency and other major California policies


Though hailed by some for signing new laws to combat antisemitism in California schools, Gov. Gavin Newsom expressed enough reservations about the bills to urge state lawmakers to make some changes.

Supporters of the legislation, Senate Bill 48 and Assembly Bill 715, said it was needed to protect Jewish students on campus, while opponents argued it was broadly written and would stifle free speech and classroom discussions about current events in the Middle East, including the Israel-Hamas war.

Newsom, when he signed the bills, directed legislators to work quickly on a follow-up measure to address “urgent concerns about unintended consequences.”

The governor made similar requests for nearly a dozen other major bills he signed into law this year, including measures providing safeguards on artificial intelligence, protections for children online and banning law enforcement officers donning masks — a direct response to federal agents hiding their identities during immigration raids across the state.

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Newsom’s addendums provide a glimpse into the sometimes flawed or incomplete process of crafting new laws, at times hastily at the end of legislative session, requiring flaws or unresolved conflicts to be remedied later.

San Jose State University professor emeritus and political analyst Larry Gerston said governors sometimes go this route when, despite having concerns, they feel the legislation is too urgent to veto.

“I think you are looking at a situation where he thought the issue was sufficiently important and needed to go ahead and get it moving,” he said.

Gerston, however, noted those with a cynical view of politics could argue governors use this tactic as a way to undo or water down legislation that — for various political reasons — they wanted to pass in the moment.

“Depending upon your attitude toward the governor, politics and legislation, [that viewpoint] could be right or wrong,” he said.

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One of the authors of the antisemitism bills, Assemblymember Rick Chavez Zbur (D-Los Angeles), said he will put forth another measure next year and continue working with educational organizations and the California Legislative Jewish Caucus to ensure the right balance is struck.

“The assertions that the bill is intended to prevent instruction about controversial topics, including topics related to Israel, is just not accurate,” said Zbur, who introduced AB 715. “We will be making sure that it’s clear that instruction on complicated issues, on controversial issues, that critical education can continue to take place.”

Zbur said he will reexamine a provision requiring the “factual accuracy” of instructional materials.

“One of the things that we’ve agreed to do was focus on making sure that the bill continues to meet its goal, but revisit that factually accurate language to make sure that, for example, you can continue to teach [works of] fiction in the classroom,” he said.

Another new law flagged by Newsom bans local and federal agents from wearing masks or facial coverings during operations.

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The governor approved Senate Bill 627 — carried by Sens. Scott Wiener (D-San Francisco) and Jesse Arreguín (D-Berkeley) — last month as a response to the Trump administration’s aggressive immigration raids that are often conducted by masked agents in unmarked cars. Newsom said it was unacceptable for “secret police” to grab people off the streets.

“This bill establishes important transparency and public accountability measures to protect public safety, but it requires follow-up legislation,” Newsom wrote in his signing statement. “Given the importance of the issue, the legislature must craft a bill that prevents unnecessary masking without compromising law enforcement operations.”

Newsom said clarifications about safety gear and additional exemptions for legitimate law enforcement activities were needed.

“I read this bill as permitting the use of motorcycle or other safety helmets, sunglasses, or other standard law enforcement gear not designed or used for the purpose of hiding anyone’s identity, but the follow-up legislation must also remove any uncertainty or ambiguities,” he wrote.

Wiener agreed to revisit the measure.

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“I’m committed to working with the Governor’s office to further refine SB 627 early next year to ensure it is as workable as possible for many law enforcement officers working in good faith,” he said.

California is the first state to ban masking for federal law enforcement and the law will likely be challenged in court. The move drew ire from U.S. Department of Homeland Security Secretary Kristi Noem, who called the legislation “despicable” and said forcing officers to reveal their faces increases their risk of being targeted by criminals.

Newsom is also urging legislators to adjust two new tech-related laws from Assemblymember Buffy Wicks (D-Oakland).

Assembly Bill 853, dubbed the California AI Transparency Act, is intended to help people identify content created by artificial intelligence. It requires large online platforms, such as social media sites, to provide accessible provenance data on uploaded content starting in 2027. Provenance data is information about the origin and modification history of online content.

In his signing statement, Newsom called the legislation a “critical step” but said it could interfere with privacy.

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“Some stakeholders remain concerned that provisions of the bill, while well-intentioned, present implementation challenges that could lead to unintended consequences, including impairment of user privacy,” he wrote. “I encourage the legislature to enact follow up legislation in 2026, before the law takes effect, to address these technical feasibility issues.”

Assembly Bill 1043 aims to help prevent children from viewing inappropriate content online. It directs operating system providers to allow parents to input their children’s ages when setting up equipment such as laptops or smartphones, and then requires users to be grouped in different age brackets. It gained approval from tech companies including Meta and Google while others raised concerns.

“Streaming services and video game developers contend that this bill’s framework, while well-suited to traditional software applications, does not fit their respective products,” Newsom wrote in his signing statement. “Many of these companies have existing age verification systems in place, addressing complexities such as multi-user accounts shared by a family and user profiles utilized across multiple devices.”

The governor urged lawmakers to address those concerns before the law is set to take effect in 2027.

Wicks was unavailable for comment.

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Vote centers for California’s special election on redistricting open this weekend

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Vote centers for California’s special election on redistricting open this weekend


Want to cast your ballot in person? Need a replacement ballot or help registering to vote?

You’re in luck: The first batch of vote centers open for California’s special election on redistricting on Saturday, Oct. 25.

Vote centers offer a range of services. They are places for people to return their ballots in person, rather than by mail or at a drop box. But voters can also find help for their voting-related issues, obtain a replacement ballot, or register to vote and cast a provisional ballot.

Southern California’s guide to Prop. 50, the 2025 redistricting election

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Many vote centers open this weekend; another set of vote centers open on Saturday, Nov. 1. Check your county elections offices for specific locations and hours of operation.

On Election Day, Nov. 4, vote centers will be open from 7 a.m. to 8 p.m. (Remember, if you’re in line to vote at 8 p.m., you can stay in line and still vote.)

Keep in mind, not every county conducts elections under California’s Voter’s Choice Act, which expands early, in-person voting and utilizes vote centers as options for voters.

In Southern California, Los Angeles, Orange and Riverside counties operate under this model, as well as San Diego and Ventura counties.

San Bernardino County conducts elections using the traditional polling place model, though it does offer early voting sites available for residents. And with the use of electronic poll pads for voter check-in, said spokesperson David Wert, registered voters can cast their ballot at any polling place in the county.

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You can find the nearest early voting or drop-off location through the California secretary of state’s website at www.caearlyvoting.sos.ca.gov. Simply input your county — you can also narrow your search by adding your city or ZIP code — and view nearby results in a list or on a map.

And aside from vote centers, secure drop boxes are also available for voters to cast a ballot.

Ballots, which were mailed to every registered voter at the beginning of October, can also be returned via U.S. Postal Service. They come with prepaid postage and return envelopes, and must be postmarked on or before Election Day, and arrive to county elections offices no later than seven days after Nov. 4, to be counted.

Find more information at your county elections office:

• L.A. County: www.lavote.gov/home/voting-elections

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• Orange County: www.ocvote.gov

• Riverside County: www.voteinfo.net

• San Bernardino County: www.elections.sbcounty.gov

Staff writer Jeff Horseman contributed to this report.



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