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ESCONDIDO — When Greg Spence talks board games, he isn't referring to your Yahtzee's or Scrabbles.The board games he's passionate about can take hours to play - think Settlers of Catan, Spirit Island, or Sagrada.“There are so many games out there that get deep into different genres and strategies and tactics that are so much fun,” he said. “You can get lost in the variety of board games.”The problem Spence discovered with in-depth games, however, is they have dozens of pieces and can even take half-an-hour to set up.That's why in 2013, he launched the company called The Broken Token - which helps gamers organize pieces. Their products include levels of wooden trays, often marked for different kinds of game pieces.The Broken Token did so well that Spence quit his day job and opened a manufacturing space in Escondido. He's now selling internationally.But last year, he almost left California for Missouri or Indiana, states that would offer more distribution flexibility and are closer to conventions. The states are also lower cost than California, which has some of the highest taxes in the nation.“We didn't want to leave, but we were trying to make the best decision for the company,” Spence said.But instead, he got in touch with the group Innovate 78, a collection of city economic officials that pointed him in the direction of a California Competes tax credit. The 0,000 credit will allow The Broken Token to move into a new facility in Vista. In exchange, the company will invest 0,000 locally and hire 14 additional people through 2023.“There are places out there like us that need good staff and good talent,” Spence said,He added the pandemic hit them in terms of manufacturing and supply. But, they're catching up - with social distancing in place. 1785

Epidiolex, the first cannabis-based medication approved by the US Food and Drug Administration, is now available by prescription in all 50 states.The twice-daily oral solution is approved for use in patients 2 and older to treat two types of epileptic syndromes: Dravet syndrome, a rare genetic dysfunction of the brain that begins in the first year of life, and Lennox-Gastaut syndrome, a form of epilepsy with multiple types of seizures that begins in early childhood, usually between ages 3 and 5."Because these patients have historically not responded well to available seizure medications, there has been a dire need for new therapies that aim to reduce the frequency and impact of seizures," said Justin Gover, CEO of GW Pharmaceuticals, the maker of Epidiolex, in a written statement. "We are committed to ensuring that these patients can access this novel cannabinoid medicine that has been thoroughly studied in clinical trials, manufactured to assure quality and consistency, and is eligible to be covered by insurance for appropriate patients." 1063

ENCINITAS (CNS) - The family of three women killed last summer when a multi-ton section of sandstone collapsed onto them at Grandview Surf Beach have a filed a lawsuit against the city of Encinitas, the state of California, and a local homeowners' association, while also calling Wednesday on legislators to support a bill aimed at preventing future coastal bluff collapses.Family members of Julie Davis, 65; her 35-year-old daughter, Anne Clave; both of Encinitas, and Davis' 62-year-old sister, Elizabeth Charles of San Francisco, said little has been done to improve conditions or beachgoer safety more than a year after their loved ones were killed.Moreover, during Wednesday's news conference announcing the lawsuit, attorneys alleged that the city knew of the dangers regarding the cliff's instability for decades, but did not take the necessary measures to prevent the erosion that contributed to the fatal bluff collapse on Aug. 2, 2019, nor do enough to warn beachgoers of the hazards.Encinitas officials did not immediately return a request for comment.In an email, a spokesperson for the California State Parks said: California State Parks is not able to comment on pending litigation.The three victims and other family members gathered at the beach for a celebratory occasion, as Charles had recently recovered from breast cancer. A portion of the cliff collapsed on top of them just before 3 p.m., "crushing the decedents in front of their loved ones and family members," according to the complaint filed Tuesday alleging wrongful death and negligence.Attorneys say several factors contributed to hazardous groundwater seepage in the area, including increased urban development, poor storm drain and irrigation management, and the continued growth of non-native plants along the bluff.Deborah Chang, one of the attorneys representing the family, said those conditions made the bluff a "ticking time bomb" for a collapse like the one that killed the three women."It wasn't a question of if something was going to happen, but when," Chang said.Development in the area diverted groundwater into other areas of the bluff, weakening its stability, according to the lawsuit.An irrigation system that was to be removed remains in place Wednesday, while non-native plants allowed to flourish in the area have accelerated the erosion and instability of the cliffs, the complaint states.Additionally, the complaint alleges that a defective drainage system used by the Leucadia-Seabluffe Village Community Association and Seabreeze Management Company has contributed to the accumulation of water atop the cliffs.Bibi Fell, another of the family's attorneys, said, "This was not an unknown, natural occurrence. It was decades in the making."Chang said that in addition to compensatory damages, they are hoping the spotlight brought onto the issue by the lawsuit will effectuate some kind of change to prevent further tragedies.The family also threw their support behind SB 1090, introduced earlier this year by Sen. Patricia Bates, R-Laguna Niguel, which would obligate public agencies and private owners of seafront property in San Diego and Orange counties to mitigate coastal erosion.The women's family members said safety measures that could have prevented last year's fatal collapse have still not been enacted, yet people continue to visit Grandview Surf Beach on a daily basis.Curtis Clave, Anne Clave's husband, said despite ongoing bluff collapses in the area, he continues to see people at the beach, including "dozens of families" resting up against the bluffs on Tuesday."We're standing here today calling on local and state officials to finally stand up and do something. This issue needs to be addressed immediately. These bluffs continue to fall and we can't stand to see another family go through what we did, and are still and will always be going through," Clave said. 3895

Federal health officials Wednesday issued insurance coverage rules designed to deliver on the promise that every American will have access to free COVID-19 vaccines when they are approved.The regulations from the Centers for Medicare and Medicaid Services, or CMS, will also increase what Medicare pays hospitals for COVID-19 treatments. The changes arrive at a time when coronavirus infections are rising in much of the country, signaling a third wave that could eclipse the number of cases seen earlier this year.Congress and President Donald Trump have already enacted legislation that calls for vaccines to be free, but the new rules were needed to align that policy with the many arcane payment requirements for public and private insurance.“CMS is acting now to remove bureaucratic barriers while ensuring that states, providers and health plans have the information and direction they need to ensure broad vaccine access and coverage for all Americans,” agency head Seema Verma said in a statement.The rules aim to resolve potential legal issues over whether Medicare could cover a vaccine that receives “emergency use authorization” from the Food and Drug Administration. That’s a step short of full approval, and questions arose about whether Medicare could pay under its standard coverage policies.Under Wednesday’s announcement:— Seniors with traditional Medicare will pay nothing for COVID-19 vaccines, and any copays and deductibles are waived.— The government will pay private Medicare Advantage plans to administer the vaccine to seniors. Enrollees will not be charged.— Workplace and individual health insurance plans will cover the COVID-19 vaccine as a preventive service, with no cost sharing. The requirement applies to the vast majority of private plans, which are mandated to cover approved preventive care under the Obama-era Affordable Care Act — even as the Trump administration is trying to overturn that law at the Supreme Court.— State Medicaid and Children’s Health Insurance plans will have to provide vaccines for free for the duration of the coronavirus public health emergency.— Doctors, clinics and hospitals vaccinating uninsured people will be able to get paid through a federal fund set up to assist health care providers under financial stress.The regulations take effect immediately.A White House-backed initiative called “Operation Warp Speed” seeks to have a vaccine ready for distribution in the coming months. The government is spending billions of dollars to manufacture vaccines even before they receive FDA approval, thereby cutting the timeline for delivery. Officials at the FDA have pledged that the program will not interfere with their own science-based decisions. Vaccines that do not meet the test for approval would be discarded. 2791

Election offices across the country are making preparations to ensure everything is ready for a smooth voting process. A crucial piece to make sure that happens is recruiting enough poll workers for Election Day."The majority of poll workers are over age 60, and so, often in some of those higher risk categories for complications for COVID-19. So in the primaries this year we saw a lot of challenges getting poll workers," said Ben Hovland, Chairman of the U.S. Election Assistance Commission. Hovland says, in years past, most poll workers have been retirees volunteering their entire day and doing an important civic duty at polling places.During this summer's primaries, as COVID-19 cases rose, cities and states nationwide had some difficulty retaining poll workers. So much so, that the U.S. Election Assistance Commission launched National Poll Worker Recruitment Day."We created a website Helpamericavote.gov. If you go there you can choose your county and jurisdiction in the drop down menu and it can get you to your local election official and you can sign up if you want. But again, we’re seeing a number of places that still need poll workers," said Hovland.In Madison, Wisconsin, more than 1,000 poll workers canceled their volunteer shift for the primary and an August election. But then, something extraordinary happened. The city had more people sign up to be poll workers than ever before."We heard from a lot of people who said, 'I’m signing up to work at the polls because my grandma usually does and my mom usually does and can’t right now because of COVID, so I want to fill that spot.' We had to stop taking applications, which we’ve never had to do before," said Madison's City Clerk, Maribel Witzel-Behl. Witzel-Behl says during the last three presidential elections they had 3,000 poll workers. Now, they have 6,000 signed up. Many are local college students or people who were given the day off by their employer in order to participate in the presidential election."Now, almost 4,000 of those 6,000 poll workers are first-time poll workers and so that’s a pretty amazing thing to think about," said Witzel-Behl. Witzel-Behl says extra workers will help them be "pandemic proof" on Election Day. Poll workers are instructed to follow strict health guidelines, which include not having a fever within the last few days or showing any symptoms of COVID-19.Now that so many are signed up, the City of Madison will be conducting 50 new poll worker virtual training sessions to get them ready for the big day. Officials hope this boost in volunteers gives a renewed and longstanding interest for civic engagement."We're glad that the poll workers who have been in place for decades and may have a greater risk for COVID-19 don't have to feel bad about staying home and sitting this one out. That there are plenty of people to fill in and they're able to stay safe because we want our whole community to be safe," said Witzel-Behl.The U.S. Election Assistance Commission says there are also other ways people can contribute to a smooth Election Day. This includes being prepared to vote, simply by ensuring you're at the correct polling place, bringing the proper identification and making sure your address information is updated."That means you're in the polling place less time. That means shorter lines behind you. It's good for you, it's good for poll workers and it's good for election officials," said Hovland.Hovland says always check with your local election office for the most accurate information and to sign up to be a poll worker. 3574