California
Should a California union dictate how clinics spend money? Employers sue to block ballot measure
California’s billionaires are not the only ones fighting back against the state’s largest health workers union this election season. Now the clinics are too.
The California Primary Care Assn., which represents more than 2,300 community health clinics, and Open Door Community Health Centers filed a lawsuit Thursday to stop Service Employees International Union-United Healthcare Workers West from placing an initiative on the November ballot that would dictate how clinics spend money.
The clinic measure is less prominent than the billionaire-backed fight against a wealth tax, but recently came closer to appearing before voters.
The clinic’s lawsuit, which was filed in the U.S. District Court for the Northern District of California, argues that the union’s ballot measure would interfere with federal laws and regulations that place strict spending requirements on nonprofit health clinics that serve low-income patients.
Joey Cachuela, general counsel for the clinic association, said in a statement the initiative threatens patient care. “We are filing this preelection challenge and need the courts to act to prevent this drastic measure from ever going to the ballot. Patient lives are at risk,” Cachuela said.
Renée Saldaña, a spokesperson for the healthcare workers union, said the proposed initiative was “legally sound” and called the lawsuit a “desperate attempt by the clinic industry to avoid accountability.”
Dr. Elizabeth Sophy, right, who is a part of Father Joe’s Villages Street Health Team, examines Devlin Chambers at an encampment in downtown San Diego on March 22, 2024. Chambers, 60, said he has a pinched nerve in his back.
(Kristian Carreon / CalMatters)
Last month, union members turned in more than 1 million signatures to qualify the “Clinic Funding Accountability and Transparency Act” for the ballot. The union collected nearly double the number of signatures required to place the proposal before voters.
Under California’s election rules, proposals that gather enough signatures qualify for the ballot after the secretary of state’s office verifies their validity.
The union proposal would require federally qualified health centers to spend 90% of revenue on services that fulfill the stated mission to “provide primary and preventive care to low-income and underserved populations.” It would also punish clinics that do not adhere to this spending formula and place the money in a state-operated account that could later be used for worker training and staffing programs.
“It is the intent of this initiative to create a reasonable minimum standard of mission-directed spending … to ensure clinic patient service delivery and workforce stability is prioritized over management and overhead spending,” the initiative states.
Union leaders and members argue that clinics spend too much money on executive pay and administrative overhead and too little on patients. They also contend that some clinics spend only half of their revenue on direct patient care, an allegation that clinics call misleading.
“We have one message for our clinics: Put patients first. It’s time for an end to wasteful spending. It’s time to make sure clinics are putting their money in patient care and not CEO pay,” said Brisa Barrera, a medical assistant from Santa Rosa Community Health during an April rally to celebrate delivering the signatures.
The clinic association, however, argues that the initiative would illegally force hundreds of community health centers to close by stripping nearly $2 billion from health systems.
Tory Starr, chief executive of Open Door Community Health Centers, which operates clinics in Humboldt and Del Norte counties, said the measure would be “devastating” to the organization’s rural patients and would result in layoffs, reduced services and closures.
A nearly identical version of the ballot initiative failed to pass in the state Legislature earlier this year.
The initiative is one of three measures the union has submitted to the ballot. Another aims to limit healthcare executive pay at $450,000, and SEIU-UHW is also backing the “billionaire’s tax” that has drawn ire from both Democrats and Republicans.
Hwang writes for CalMatters.
California
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.
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.
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.
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.
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.
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.
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.
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.
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.
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%.
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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California
California man arrested for impersonating bank official, coercing money from Colorado victim
A 25-year-old California man is charged with three felonies after intercepting a package in Colorado containing $11,000 in cash he allegedly obtained via a computer scam.
Earlier this year, a Mesa County resident contacted authorities after receiving a message. The sender reportedly claimed to be an employee of the Federal Deposit Insurance Corporation (FDIC). The FDIC is an independent agency created by the Congress that insures and oversees the banking industry.
The resident claimed the purported FDIC representative stated the resident’s bank account had been compromised and needed to be secured. The resident was instructed to send cash from the account to an address in southern California, according to the Mesa County Sheriff’s Office.
The resident later chose to stop the shipment. But, according to the sheriff’s office, the box containing the cash was already in the process of being shipped.
A man later identified as Youbin Huang of El Monte, Calif., a Los Angeles suburb, came to the package’s location in Grand Junction and picked it up using documents which contained the Colorado resident’s personal information, per the sheriff’s office.
A nationwide warrant for Haung’s arrest was issued by the Mesa County Sheriff’s Office on Feb. 25. Huang was arrested by the California State Patrol on April 13, according to a press release from the sheriff’s office. Huang was brought to Colorado and booked into the Mesa County Detention Facility on May 10.
Huang is charged with theft, identity theft, and computer fraud, all felonies, and all state charges. He was advised June 11 and posted an $11,000 cash bond to obtain his release from jail that day. He has another court hearing on July 9.
The Mesa County Sheriff’s Office stated in its press release that Huang was “intimately involved in the perpetration of the scam.” It did not specifically state that Huang acted alone, nor if he was the person who impersonated an FDIC employee and communicated with the Colorado resident online.
MCSO recommended Coloradans never give out their personal or financial information to an unsolicited caller, allow remote access to their phones or computers, send gift cards or crypto currency as a form of payment, or send cash in the mail. As well, if they are unsure about what they are being asked to do, call law enforcement, family members, or a trusted friend to get advice.
California
Smoke advisory issued Saturday as Boyle Heights fire continues
Massive fire erupts at Boyle Heights cold storage facility
The blaze began on the roof’s solar panels before an interior ammonia leak and explosions forced rare, defensive aerial water drops on the 491,000-square-foot warehouse.
Fox – LA
A smoke advisory remains in place across Boyle Heights after a flare-up at a cold-storage warehouse fire, with officials urging residents to limit outdoor exposure as smoky conditions spread.
Public health officials warned Saturday that smoke from the South Los Palos Street blaze had drifted into surrounding neighborhoods, advising people to stay indoors, close windows, and avoid breathing in the smoke.
The blaze began shortly after 2:30 p.m. Wednesday at 1400 S. Los Palos St., and rapidly spread across the solar panels on the roof of the 491,000-square-foot warehouse, while an ammonia leak developed inside the building and thick smoke billowed into the air, prompting shelter-in-place orders for nearby residents and businesses.
LAFD officials said Saturday that crews spent the night working to prevent the fire from spreading to nearby homes and other units in the complex, including an adjacent cold storage facility.
“The good news is, all of our air monitoring that has been done by our department, Hazmat, LA County Hazmat, as well as AQMD, has shown that there are no additional toxic chemicals or hazards within that smoke other than normal structure fire smoke,” LAFD Capt. Branden Silverman said. “That said, no smoke is good smoke. We know that people are being affected by this in our city as well as LA County’s jurisdiction, and we do want you to take precautions to avoid that smoke whenever possible.”
This is a breaking news story. Check back later for more details.
Smoke advisory in effect; residents urged to limit exposure
The South Coast Air Quality Management District has extended a particle pollution advisory through at least midday Saturday as smoke from the fire continues to drift across Boyle Heights, East Los Angeles and nearby communities.
While shelter-in-place orders issued earlier in the week have been lifted, officials emphasized that smoky air remains a concern.
Fire officials said visible smoke may increase at times as crews continue suppression efforts, though there is no additional hazard beyond the smoke itself.
- Health guidance remains consistent:
- Use air purifiers or air conditioning if available
- Stay indoors with windows and doors closed
- Avoid outdoor activity, especially for sensitive groups
Fire reignites after wind shift; crews brace for ongoing flare-ups
The fire, which began Wednesday afternoon at a roughly 500,000-square-foot cold-storage facility, flared up again Friday evening after a shift in wind conditions, sending black and white smoke billowing into the sky.
Los Angeles Fire Department officials have described the incident as complex, warning the fire will likely “ebb and flow” due to deep-seated flames inside the structure and difficult access conditions.
Firefighters remain largely limited to exterior operations due to safety concerns inside the building, continuing to pour water onto the structure and targeting hotspots.
No injuries have been reported.
Shelters open as precaution; officials stress safety
Although there are no evacuation orders, officials have opened temporary shelters for residents seeking relief from smoke or uncomfortable conditions, according to a statement by Los Angeles County Board of Supervisors Chair Hilda Solis.
Shelters include:
- City Terrace Park, 1126 N. Hazard Ave.
- Pecan Recreation Center, 145 S. Pecan St.
Los Angeles County leaders said the sites were opened “out of an abundance of caution” as firefighting operations continue.
Residents are also being urged to:
- Monitor air quality alerts
- Keep pets indoors
- Wear masks if going outside
What caused the Boyle Heights fire?
Officials and the facility operator, Lineage Logistics, say the blaze appears to be linked to rooftop solar panels on the warehouse, though the exact cause remains under investigation.
The blaze spread across rooftop solar panels before firefighters discovered flames burning deep inside the cold‑storage areas, complicating containment efforts.
Fire officials noted that the structure’s size and layout — along with hazards such as stored equipment and limited access — have required unusual tactics, including the use of water-dropping helicopters typically used on wildfires.
Where is Boyle Heights?
Boyle Heights is a densely populated neighborhood just east of downtown Los Angeles, bordered by major freeways including the 101 and 5. It sits near East Los Angeles and is home to residential communities, schools, and industrial sites, including the cold-storage warehouse where the fire is burning.
City News Service contributed to this report.
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