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SACRAMENTO, Calif. (AP) -- A judge preliminarily ordered California Gov. Gavin Newsom to stop issuing directives related to the coronavirus that might interfere with state law.Sutter County Superior Court Judge Sarah Heckman tentatively ruled Monday that one of the dozens of executive orders Newsom has issued overstepped his authority. She more broadly barred him from infringing on the state Legislature.The judge said Newsom overstepped his authority with an executive order that directed counties to send all registered California voters mail-in ballots and regulated the number of polling stations.The lawsuit stems from an executive order that was issued before the state's Legislature passed a similar law related to mail-in ballots.It's the second time a judge in the same county has reached the conclusion, which runs counter to other state and federal court decisions backing the governor's emergency powers.Heckman's decision will become final in 10 days.Newsom's administration says it disagrees and is evaluating its next steps. 1050

SACRAMENTO, Calif. (AP) — A ballot initiative led by business giants Uber, Lyft and Doordash is now set to go before California voters in November. It is a multimillion-dollar attempt to shield app-based drivers in the state from a labor law, known as AB5, that makes companies give more benefits and wage protections to their workers. California approved the labor law last year, the strictest in the country on when employers can classify workers as independent contractors. The law, while praised by many labor groups, set off lawsuits from independent contractors who said it put them out of work.All three companies plan to spend at least million each promoting the measure to keep their drivers as independent contractors. “At a time when California’s economy is in crisis with 4 million people out of work, we need to make it easier, not harder, for people to quickly start earning,” a statement from Uber said.The result could set a national precedent if successful. 986

RIVERVIEW, Fla. -- A video captured the moment a Riverview woman regained her hearing after losing it nearly two decades earlier.Abbey O'Brien, 22, was deaf in her right ear. She received a hearing implant in May.Video shows the moment her Cochlear Osia System was activated a month later. 297

SACRAMENTO, Calif. (AP) — Gov. Gavin Newsom's first act as governor Monday was to propose state-funded health coverage for 138,000 young people in the country illegally and a reinstatement of a mandate that everyone buy insurance or face fines.Newsom also proposed giving subsidies to middle-class families that make too much to qualify them under former President Barack Obama's health care law. He signed an order giving the state more bargaining power in negotiating prescription drug prices and sent a letter to President Donald Trump and congressional leaders seeking more authority over federal health care dollars.Newsom was elected following a campaign that leaned heavily on his promise to provide health coverage to everyone. His actions hours after he took the oath of office take a step in that direction but the 0 million price tag will require approval from the Democratically controlled Legislature.His proposals were a preview of his budget to be released later this week. They mirror ideas pushed last year by Democrats in the Assembly, who were unable to convince former Gov. Jerry Brown to embrace them.California has a projected surplus of billion.Obama's health law required everyone in the country to buy insurance or pay a penalty, a controversial policy meant to ensure that the insurance pool has a mix of healthy and sick people. The penalty was zeroed out in 2017 by the Republican Congress and President Donald Trump. Insurance companies, concerned that only people with expensive health problems would buy coverage, responded by raising premiums for people who buy their own coverage without going through an employer.California would join Massachusetts, New Jersey and Vermont as states with their own insurance mandates.Obama's health law also created subsidies to help people buy coverage if they don't get it from an employer or a government program such as Medicare or Medicaid. The subsidies cover a large share of the cost for people with modest incomes but phase out as incomes rise, topping out at about ,000 per year for an individual and 0,000 for a family of four.With high monthly premiums and large deductibles before insurance kicks in for many services, those plans can be too expensive for many, especially those who lack a federal subsidy. Newsom would use 0 million in state money to make the subsidies larger for 1.1 million families that already get them and provide new assistance to about 250,000 people who make too much.Newsom's plan would provide financial assistance for individuals who make up to about ,000 a year and families of four making up to 0,000.California's uninsured rate has dropped from 16 percent in 2013 to just over 7 percent four years later. Many of those who still lack coverage are ineligible for publicly funded programs, such as Medi-Cal and private insurance subsidies, because they're living in the country illegally.Medi-Cal, the state's version of Medicaid, is jointly funded by the state and federal government and provides coverage to one in three Californians.California uses state money to extend Medi-Cal coverage to people living in the country illegally up to age 19. Newsom proposes pushing back the cutoff to age 26, covering an additional 138,000 people at a cost of about 0 million a year, according to Newsom's spokesman, Nathan Click.Newsom signed an executive order directing state agencies to move toward purchasing drugs in bulk for all of the 13 million people on Medi-Cal. Purchasing for all but 2 million people is currently handled by the private insurers that serve as managed care organizations. Newsom hopes bulk purchasing drugs will give the state enormous bargaining power to negotiate lower prices.His order directs state agencies to explore letting others, including employers and private insurers — join the state's purchasing pool. 3877

Rural hospitals across the country are in a difficult spot right now. COVID-19 is hitting them harder than many metropolitan hospitals as they deal with issues of lower staffing.According to the National Center for Biotechnology Information, about 20% of our nation’s population lives in rural areas, yet less than 9% of our nation’s physicians practice there.Add on the fact that according to CDC data, COVID is killing rural Americans at a rate 3.5 times higher than those living in metropolitan areas, and this issue is affecting staff and patient care.“I’m very worried about rural health care because rural health care is teetering on the brink right now,” said Dr. Kurt Papenfus, an ER doctor at Keefe Memorial Hospital in rural Cheyenne Wells, Colorado. “There’s a darkness in this illness that I can’t say I’ve said about any other illness.In late October, Dr. Papenfus contracted COVID-19 as he was traveling back from the Northeast to visit his daughter.“I was very cognizant and was wearing a mask at all times, social distancing, and washing my hands,” Papenfus said. “But I remember having this thought on the train that this is a super-spreader event.”When he got home, Papenfus got tested and was confirmed positive for COVID-19. The diagnosis put Keefe Memorial in a tailspin as he served as the only ER doctor in the small 25-bed hospital.“We are a trauma level four hospital so keeping that physician on staff 24/7 is what we are required to do,” said Stella Worley, Keefe Memorial’s CEO. “And it is getting to be more of a challenge to have hired physicians out here in rural [America].”Within minutes of learning of Dr. Papenfus’ COVID-positive diagnosis, Worley was on the phone with several different hospitals working to find a replacement. Within a few hours, they had settled on a former ER doctor who moved to another hospital in Texas a few months prior.After she agreed, Keefe Memorial paid the doctor to drive 10 hours from Texas to Colorado and fill in immediately as Papenfus recovered at home for the next two weeks.“Worst-case scenario is you would have to divert patients if there’s no one in the door to care,” said Worley.Populations in rural America tend to be older, poorer, and less insured than the nation at large, according to the National Conference of State Legislatures.Since 2010, hospital closures in rural America have been growing as there have been 118, including 17 last year.The closures only exacerbate a growing lack of health care coverage in rural America, said Dr. Dan Derksen, a rural health care expert and family physician“Once a critical access hospital (25 beds with a 24/7 emergency department and at least 35 miles from another facility) closes, they almost never come back,” he said. 2756

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