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SACRAMENTO, Calif. (AP) — California voters on Tuesday rejected a ballot measure that would have capped dialysis clinics' profits in an effort to improve patient care.Proposition 8 would have limited profits for dialysis clinics that provide vital treatment for people whose kidneys don't work properly.The measure was the most expensive initiative on the 2018 ballot in California, generating more than 0 million in campaign contributions. A health care workers union, Service Employees International Union-United Healthcare Workers West, funded the million supporting campaign. Dialysis companies contributed more than 1 million to kill the initiative.The union argued Proposition 8 would stop the dialysis companies from cutting corners to make money and force them to invest more of their revenue into patient care. Supporters say the profit-hungry companies don't adequately clean clinics and overwork staff.Dialysis providers say the measure was actually a tactic to pressure the dialysis companies to let workers unionize and would have forced clinics to close. They say most California clinics provide high quality care.Dialysis companies' effort to kill the measure was the most expensive campaign on one side of a ballot initiative in the U.S. since at least 2002. Most of that money came from the two largest dialysis companies operating in California: Denver-based DaVita Inc. and Germany-based Fresenius Medical Care.The measure would have barred dialysis clinics from charging patients more than 115 percent of what providers spend on patient care and quality improvement. If clinics exceeded that limit, they would have to provide rebates or pay penalties.Although the measure didn't spell out exactly which expenses counted toward the limit, dialysis companies argued critical management expenses would be classified as profits and bankrupt clinics.RELATED CONTENT 1898

SACRAMENTO, Calif. (AP) — California's incoming governor said Tuesday his transition started with a "reality check" as the state contended with a mass shooting and two deadly wildfires.Lt. Gov. Gavin Newsom appeared alongside fellow Democrat and outgoing Gov. Jerry Brown for the first time since he was elected California's 40th governor last week."That puts everything in perspective," Newsom said of the tragedies, standing behind a large brass bear that former Gov. Arnold Schwarzenegger installed in front of the governor's office during his tenure.Newsom said he's focused for now on staffing his administration. The governor appoints hundreds of people who serve at top levels of state agencies and departments. He announced last week that he'd picked former Hillary Clinton aide Ann O'Leary to be his chief of staff and Ana Matosantos, a former chief of finance for the state, to be his cabinet secretary.He and Brown did not offer details of their discussions."Pick an issue. We've had a chance to dialogue at least broadly about it," Newsom said.With fires raging on both ends of California, one of them the deadliest and most destructive in the state's history, Newsom sidestepped questions about what action should be taken against utilities if their equipment is found to be responsible. The fires started near the time and place where Southern California Edison and Pacific Gas & Electric reported equipment irregularities, but no cause has been determined."I'm going to assess the facts first before I opine," he said.Newsom called legislation enacted last year to improve forest management and protect utilities from financial ruin "a good first step, obviously a work in progress." The measure included money to clear dead trees from fire-prone areas and made it easier for utilities to pass along the costs of wildfire lawsuits to their customers. California is one of two states with a legal standard that holds utilities entirely liable if their equipment causes a wildfire.Brown said California is "pretty well maxed out" from fighting several deadly wildfires and he's grateful for the help from surrounding states and the federal government.He said the state is doing everything possible to prevent fires, but "some things only God can do.""This is unprecedented, or what I call the new abnormal," Brown said. "The winds are faster, the temperatures are hotter. The soil and vegetation is dryer. This is unprecedented. And it's a tragedy, and we as human beings have to be humble in the face of it, but also resolute and determined." 2568

SACRAMENTO, Calif. (AP) — The California Legislature is scheduled to keep meeting despite the threat of coronavirus.The U.S. Centers for Disease Control and Prevention has urged all gatherings of more than 50 people to cancel. California Gov. Gavin Newsom has asked all bars to close and for anyone 65 and older to stay at home. Legislative leaders have canceled all committee hearings at the Capitol. But the legislative sessions are still scheduled. At least one lawmaker, 71-year-old Assemblywoman Shirley Weber, stayed home Monday. State Sen. Richard Pan said the Legislature is going to continue its work. 618

SACRAMENTO, Calif. (AP) — Democratic Gov. Jerry Brown helped his party become dominant in California politics during his eight years leading the nation's most populous state, and less than a month before leaving office, he is predicting it will be difficult for his successor to control Democrats' hunger for more spending and rules.The leader of California Democrats has kept lawmakers in check by limiting spending on social programs in favor of saving it to protect against a future economic downtown. He sometimes butted heads with legislative leaders, warning spending too much now could hurt taxpayers or require budget cuts later.Democrats hold all statewide offices and expanded their supermajority in the Legislature last month, allowing them to approve tax hikes and virtually any law without Republican support."I'd say we're in for contentious times and for too many rules, too many constricting mandates and probably too much spending," Brown told The Associated Press in an interview Tuesday.He said Gov.-elect Gavin Newsom may have a hard time keeping fellow Democrats in check because "he's got to please some of these groups enough of the time to still be viable as a political leader."In the interview, Brown, 80, called for more blunt discussions about the danger of wildfires to force officials and residents to act, pushed back against critics who say he's too friendly to oil companies, and chided world leaders for failing to tackle climate change with urgency.He leaves office Jan. 7 after wrapping up a record four terms, first from 1975 to 1983 and again since 2011.The governor's comments on Democratic priorities reflect the more frugal attitude he brought to Sacramento. He entered office with a billion deficit and leaves a nearly billion rainy day fund and a surplus.Brown, however, has backed his own expensive plans. He used Democratic majorities to pass a controversial gas tax increase for road maintenance and has steadfastly defended a billion project to build a high-speed rail line between Los Angeles and San Francisco that's seen repeated delays and cost overruns.While he warned against overspending, he said he expected dissonant voices among the Democratic majority — a result of what he called the party's greater diversity of people and ideas. Republicans, he said, hold a "slavish adherence" to a limited agenda and President Donald Trump.Brown is leaving office on the heels of the deadliest U.S. wildfire in a century. Flames tore through the town of Paradise last month, killing at least 86 people and destroying 14,000 homes. He's blamed climate change for more destructive blazes in recent years and warned things will worsen.The governor called the need to limit building in areas at high risk for wildfires "obvious" but said it's "politically painful" to implement when people want to rebuild their homes and developers see opportunities.People who choose to live in high-risk areas need to plan escape routes, build cellars and manage vegetation, he said. And the state must provide more information about the true danger of wildfires, he said."I don't think governments lay out for people the stark warning: You may die in this particular environment," Brown said.Wildfires offer Brown an opportunity to call for swifter action against climate change, which is making California drier and more prone to flames. He's urged action beyond California, working with the U.N., creating a global coalition to reduce climate emissions and holding meetings in China and Russia.He's working on a climate-focused partnership between the University of California system and Tsinghau University in Beijing he can dive in to when he leaves office, he said. His spokesman Evan Westrup declined to provide more details.Critics say Brown has a blind spot when it comes to oil because he keeps allowing drilling permits and new wells. Brown scoffs at the claims, saying the state's overall oil production has dropped steadily since the 1980s. He says simply stopping it won't halt demand. He's pushed to make electric vehicles more accessible and worked to improve public transit."The problem is burning oil, consuming it," he said. "The only way you stop that is electric cars, land use so you don't have to travel so far and other forms of reducing carbon emissions."He said climate change advocates still must be careful to not overplay their hand. He pointed to a planned fuel tax in France that led to violent protests. French President Emmanuel Macron early this month backed down on the tax, which critics said would hurt the working class.Brown said Macron didn't add enough rebates or tax credits to cushion the blow for low-income people."You have to get the right idea, you have to be careful and nuanced and then you have to be very skillful in the execution, and you can fail in many different ways," Brown said.In a common theme, he ended the interview with a global wake-up call."The threat of nuclear annihilation and climate change on a permanent basis looms, and therefore it is time for new leaders to rise up and make the case and mobilize the people for what needs to be done," he said. "What needs to be done is unprecedented, and therein lies the dilemma." 5238

SACRAMENTO, Calif. (AP) — A former Democratic California lawmaker was fined 0,000 Thursday after an audit found he spent political contributions on a vacation in Asia, personal plane tickets and remodeling his vacation home in Hawaii.The Mercury News of San Jose reports that the Fair Political Practices Commission found Joe Canciamilla violated campaign finance laws at least 30 times, used 0,529 in campaign funds from 2011 to 2015, and falsified state filings to cover it up.Canciamilla, 64, resigned as Contra Costa elections chief last month. He was the youngest public official in state history when he was elected at age 17 to the Pittsburg school board. He later served on the Pittsburg City Council and Contra Costa County Board of Supervisors before winning three terms in the state Assembly as Democrat in 2000.He opened a campaign account for a county judge seat in 2011 but ultimately did not run. He was appointed clerk-recorder in 2013 and won election to the office twice.An investigation by the commission’s enforcement staff found that Canciamilla repeatedly mixed campaign contributions with his personal funds starting in 2011. He spent ,000 from campaign funds on a vacation to Asia and bought plane tickets for a trip to London and Washington, D.C. for him and his spouse and used campaign money to pay off credit card charges incurred from remodeling his house in Hawaii.The commission’s enforcement staff recommended a maximum fine of ,000 per count, or a total of 0,000 for 30 counts. Canciamilla agreed to the settlement earlier this month, which the commission formally approved Thursday.Canciamilla’s lawyer Andy Rockas said in a statement that Canciamilla has paid back the disputed amounts and the fine, takes full responsibility for his actions and hopes the fines won’t severely overshadow his 46 years of public service.The commission has also referred the matter to the county district attorney’s office, which is conducting a review and could bring criminal charges. 2024