中山肛瘘怎么治疗最好中山便血的主要症状,中山华都医院肛胀科好不好,中山市混合痔专科医院,中山经常便血大便不成形,中山痔疮好治吗,中山痔疮怎么样治疗,中山肛瘘去哪家医院

SACRAMENTO, Calif. (AP) — California Gov. Gavin Newsom has launched a statewide tour to promote his health care proposals, which include requiring everyone to purchase health insurance and offering subsidies to families of four with incomes as high as 0,000 a year.Newsom's proposals would make California the first state in the country to help people who earn up to 600% of the federal poverty level. People could get about 0 a month to help pay their health insurance premiums.The Democratic governor wants to pay for it by making it a law that everyone has to buy health insurance or pay a penalty. The state would use the penalty money to offer the new subsidies.Newsom discussed the proposal with small business owners in Sacramento on Tuesday. 763

SACRAMENTO, Calif. (AP) — As the political battle to overturn California's gas tax increase intensified, the state transportation agency coordinated frequently with the public affairs firm working to block the repeal on behalf of unions, construction companies and local government groups, emails obtained by The Associated Press show.The California State Transportation Agency and Sacramento-based Bicker, Castillo & Fairbanks organized news conferences and other efforts to promote legislation to raise the tax to fund road and bridge repairs, which passed the Legislature in April 2017. After Gov. Jerry Brown signed it, the agency and firm continued planning events and coordinating social media posts as opponents gathered signatures for repeal.Three ethics experts interviewed by the AP said the emails raise concerns that the agency's relationship with the firm was too close, but none saw a clear violation of campaign laws, which prohibit the use of public resources for political campaigns.REPORT: Gas tax funds reportedly being used to campaign against Prop 6The repeal qualified for the November ballot in June. The firm, BCF, continues to work for the anti-repeal coalition, which includes the League of California Cities and the California Chamber of Commerce.Some communications between BCF and the state agency involved politics, according to more than 200 emails from 2017 and the first half of this year obtained by the AP through the California Public Records Act.Last fall, the agency and firm discussed opinion pieces "targeting" U.S. Rep. Darrell Issa and three other vulnerable Republicans in Congress. National Democratic leaders see those seats as key to winning control of the U.S. House.RELATED: Caltrans' gas tax freeway signs raise concerns with FedsIn January, a BCF partner, Kathy Fairbanks, communicated with the agency about designing a campaign logo for Proposition 69, a June ballot measure involving how gas tax proceeds are spent. And an undated memo shows the agency and firm also planned to coordinate efforts for several months through the primary.Loyola Law School Professor and government ethics expert Jessica Levinson said the relationship between the firm and agency appears too close, and the exchange about the congressmen crossed an ethical line.RELATED: California campaign watchdog investigates gas tax campaign"I mean way over the line," she said.BCF and agency officials said the communications were appropriate to educate the public about the law and that they ramped down coordination when the firm took an official campaign role."Clearly the agency was trying to coordinate with the campaign, and they shouldn't have," said Bob Stern, a government ethics expert who helped write California's campaign laws. But he added the actual amount of time government workers spent coordinating with the firm was likely minimal.Ann Ravel, who served on the Federal Election Commission and California's Fair Political Practices Commission, said the volume of emails raises questions about whether the agency aided one side.RELATED: Poll: Support strong for Proposition 6, which repeals California's gas tax"It seems like maybe it's a little too cozy, but I wouldn't say that it's clearly inappropriate," Ravel said.The legislation approved last year raised gas taxes by 12 cents per gallon and added diesel and vehicle fees to generate billion annually. Proposition 6 would repeal the increase and require voters approve gas and vehicle tax increases.The ballot measure is a centerpiece of California Republicans' efforts to boost turnout. GOP Congress members — including House Speaker Paul Ryan of Wisconsin, Majority Leader Kevin McCarthy of Bakersfield and Orange County's Mimi Walters — are among the repeal's biggest financial backers.Leaders of the repeal campaign have asked the federal government to investigate their claims that public resources have been used against them, based on emails and other documents that show local government workers discussing the repeal effort. Those documents are different from the ones the AP obtained. Opponents also circulated a video of a Caltrans contractor passing out anti-Proposition 6 fliers to drivers.The California Department of Transportation, known as Caltrans, falls under the state transportation agency.Melissa Figueroa, the agency's deputy secretary for communications and strategic planning, said it's the agency's job to inform the public about the impact of laws, and it has done so in the past, including for California's "motor voter" registration law."We're trying to be good stewards of taxpayer dollars," Figueroa said.The agency communicated much less frequently with the firm and stopped coordinating social media posts once the official anti-Proposition 6 campaign started, Figueroa said."Prior to that point, it was more of a collaborative effort because they were not in campaign mode," Figueroa said.BCF partner Brandon Castillo said the coalition registered as a fundraising committee in December and officially became a ballot measure campaign in March to support Proposition 69.BCF and other gas tax supporters routinely asked the agency for information, but they did not coordinate on creating campaign materials, Figueroa said. The agency also fulfilled numerous public records requests filed by gas tax opponents, she said.However, an undated memo outlining agency and coalition plans from March through the primary election shows the firm and the agency coordinated the timing of announcements and events. It details plans for the state to tout new construction projects while the coalition campaigned for Proposition 69.The agency and coalition coordinated their schedules, but the agency wasn't involved in campaigning for Proposition 69, Figueroa said.Castillo sent the email about op-eds focused on GOP candidates Sept. 20, 2017."Hey Melissa — We're penning opeds (sic) targeting the following congressional republicans," he wrote. He identified Reps. Jeff Denham, Steve Knight, Walters and Issa and asked Figueroa for information about projects funded by the gas tax increase in their districts.At the time, the coalition was working to persuade California's influential Republican congressional delegates to reject the repeal.Several days after Castillo's email, Figueroa suggested she or Brian Kelly, then the agency's leader, help find an author for the piece targeting Issa, considered the most vulnerable California incumbent before he decided against seeking re-election.Castillo responded saying coalition members were working on it and asked: "Do you have anyone in mind that could influence Republicans/Issa?"The documents obtained by the AP don't include further exchanges on the issue. In interviews, Castillo and Figueroa said the agency never suggested an author. Figueroa said she offered help because the op-ed would educate people in Issa's district.The piece ultimately was written by the mayor of Encinitas, a suburb north of San Diego, and ran the following month in the San Diego Union-Tribune. It touted projects in the district funded by the gas tax increase but didn't mention Issa.Levinson found the exchange surprising because it seemed to directly reference campaign activities."I don't want to say it's a smoking gun, but that is so much more explicit than I ever would have predicted they would be," she said.Prominent gas tax repeal supporters, including gubernatorial candidate John Cox and conservative activist Carl DeMaio, criticized the agency's activity."It's against the law, and it also shows that you can't trust them with money," DeMaio said. "I think that what you're seeing is just the tip of the iceberg." 7732

SACRAMENTO, Calif. (AP) — California lawmakers are negotiating a pair of proposed tax increases as the deadline approaches for Democratic Gov. Gavin Newsom to sign a 4.8 billion operating budget.Lawmakers approved the budget bill last week, but lawmakers still must pass more than a dozen "trailer bills" that detail how the money must be spent.Monday, the state Senate approved a plan to raise taxes on some business income and give that money to people who earn less than ,000 a year in their annual tax refunds. The Assembly, meanwhile, approved a fee of up to 80 cents per month on phone bills — including cell phones — to pay for an upgrade to California's aging 911 system following the most devastating wildfire season in state history.The businesses taxes are a tough vote in the Assembly , where Democrats in power have concerns about voting to align the state's tax code with a portion of the 2017 federal tax law signed by Republican President Donald Trump. The 911 fee is a tough vote in the Senate, where lawmakers are wary of voting again on a cell phone fee after a similar proposal fell one vote shy of passing last year.Lawmakers in both chambers breezed through a series of trailer bills on Monday that did things like temporarily suspend taxes on diapers and tampons and extend the state's paid family leave program by two weeks. Lawmakers passed each one with little debate and with bipartisan agreement on several points.But the Legislature is poised for a pair of critical votes on Thursday on the 911 fee and business taxes, with leaders in both chambers trying to pressure the other one to vote."It is really kind of part of our strategy to make sure one house takes a vote that may feel difficult by the other house, and vice versa," said Sen. Holly Mitchell, a Los Angeles Democrat and chairwoman of the Senate Budget Committee. "I think those are appropriate dots to connect."The business tax changes are part of a plan to selectively adopt some of the federal tax changes Trump signed into law in 2017. Some items would lower taxes and others would increase them. Overall, the state would get an additional .6 billion in revenue during the fiscal year that begins July 1.Newsom wants to use most of that money to triple the state's earned income tax credit program, which boosts the size of annual tax refunds for low-income people. The plan would make about 1 million more people eligible for the credit. Plus, it would give ,000 to people who make less than ,000 a year and have at least one child under 6.But the plan would still not include immigrants who pay taxes but do not have Social Security numbers. Newsom would not include that in the budget because he said it was too expensive, but pledged to work toward it in future years.In an effort to win votes, lawmakers have stopped referring to the bill as "conforming" to the federal tax code, but instead call it "loophole closure." Assemblyman Adam Gray, a moderate Democrat from Merced, supports the bill. He said he has never seen "so much consternation" about a tax bill, noting lawmakers often conform to federal tax changes without controversy.The 911 fee is an effort to upgrade the state's system so it can handle text messages, photos and videos. But the fund that pays for the system is based on a fee for each phone call. The fund has been steadily declining as more people opt to send text messages.Assemblyman Jay Obernolte, R-Big Bear Lake, argued that the state should use some of its surplus to pay for the changes rather than raise fees on consumers. But Assemblywoman Christy Smith, D-Santa Clarita, argued that the state's 911 system is essential and requires funding beyond a short-term surplus."Yes, we have a surplus. But we don't always have a surplus in California," she said. "We will always have emergencies."___Associated Press writer Andrew Oxford contributed. 3896

Robert Mueller could soon roar back into the news with some big announcements later this week.Roger Stone is telling anyone who will listen that Robert Mueller has it wrong. Stone is saying he did not coordinate with WikiLeaks during the 2016 campaign or try to pressure a friend into lying to the special counsel.The Trump ally and veteran GOP dirty trickster made that case in a CNN interview the other day. He repeated it in what one friend described as "nervous energy" calls to friends and associates in recent days.Stone believes the special counsel's office will seek an indictment. CNN reporting details emails and other evidence that question whether Stone coordinated with WikiLeaks -- and perhaps the Trump campaign -- about Democratic emails hacked and released late in the 2016 campaign.The new reporting on Stone raises a bigger issue that has some of the President's friends and allies worried.Mueller has been quiet for weeks. Justice Department guidelines urge prosecutors to be cautious in the 60 days or so before an election, so not to be seen as trying to influence voters. But with the election Tuesday, Trump-related investigations could climb back into the news. That includes the work of the special counsel and separate federal investigations in New York. 1294

SACRAMENTO, Calif. (KGTV) -- California Monday launched the state’s first ever mental health line.The free service will offer non-emergency emotional support and referrals to California residents via telephone or instant messaging. State residents can access the California Peer-Run Warm Line at 1-855-845-7415.