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SACRAMENTO, Calif. (AP) — Those body-length receipts from retail stores are here to stay.The California Legislature had been considering banning paper receipts unless requested by a customer. But a legislative committee voted Friday not to send the legislation to the Senate floor for a vote.The move means the bill is unlikely to pass this year.RELATED: Solana Beach moves closer to banning single-use plastic items within city limitsDemocratic Assemblyman Phil Ting had criticized the receipts for harming the environment. An aide dressed as a giant receipt stood beside Ting as he announced the bill at a news conference earlier this year, emphasizing the often absurd lengths of modern receipts.Senate Appropriations Committee chairman Anthony Portantino said the bill did not get out of committee because it had some problems. He said paper receipts have other uses, such as offering coupons to consumers. 918
RICHMOND, Va. (AP) — By the time drug enforcement agents swooped into his small medical office in Martinsville, Virginia, in 2017, Dr. Joel Smithers had prescribed about a half a million doses of highly addictive opioids in two years.Patients from five states drove hundreds of miles to see him, spending up to 16 hours on the road to get prescriptions for oxycodone and other powerful painkillers."He's done great damage and contributed ... to the overall problem in the heartland of the opioid crisis," said Christopher Dziedzic, a supervisory special agent for the Drug Enforcement Administration who oversaw the investigation into Smithers.In the past two decades, opioids have killed about 400,000 Americans, ripped families apart and left communities — many in Appalachia — grappling with ballooning costs of social services like law enforcement, foster care and drug rehab.Smithers, a 36-year-old married father of five, is facing the possibility of life in prison after being convicted in May of more than 800 counts of illegally prescribing drugs, including the oxycodone and oxymorphone that caused the death of a West Virginia woman. When he is sentenced Wednesday, the best Smithers can hope for is a mandatory minimum of 20 years.Authorities say that, instead of running a legitimate medical practice, Smithers headed an interstate drug distribution ring that contributed to the opioid abuse epidemic in West Virginia, Kentucky, Ohio, Tennessee and Virginia.In court filings and at trial, they described an office that lacked basic medical supplies, a receptionist who lived out of a back room during the work week, and patients who slept outside and urinated in the parking lot.At trial, one woman who described herself as an addict compared Smithers' practice to pill mills she frequented in Florida."I went and got medication without — I mean, without any kind of physical exam or bringing medical records, anything like that," the woman testified.A receptionist testified that patients would wait up to 12 hours to see Smithers, who sometimes kept his office open past midnight. Smithers did not accept insurance and took in close to 0,000 in cash and credit card payments over two years."People only went there for one reason, and that was just to get pain medication that they (could) abuse themselves or sell it for profit," Dziedzic said.The opioid crisis has been decades in the making and has been fueled by a mix of prescription and street drugs.From 2000 to 2010, annual deaths linked to prescription opioids increased nearly fourfold. By the 2010s, with more crackdowns on pill mills and more restrictive guidelines on prescriptions, the number of prescriptions declined. Then people with addictions turned to even deadlier opioids. But the number of deaths tied to prescription opioids didn't begin to decline until last year, according to data from the U.S. Centers for Disease Control and Prevention.Martinsville, where Smithers set up shop, has been particularly hard hit.A city of about 14,000 near Virginia's southern border, Martinsville once was a thriving furniture and textile manufacturing center that billed itself as the "Sweatshirt Capital of the World." But when factories began closing in the 1990s, thousands of jobs were lost. Between 2006 and 2012, the city had the nation's third-highest number of opioid pills received per capita, according to an Associated Press analysis of federal data.Andrew Kolodny, a Brandeis University doctor who has long been critical of opioids, said that in recent years, doctors became less comfortable writing lots of opioid prescriptions and many big prescribers retired. That opened an opportunity for others."If you're one of the guys still doing this," he said, "you're going to have tons of patients knocking down your door."During his trial, Smithers testified that after he moved to Virginia, he found himself flooded with patients from other states who said many nearby pain clinics had been shut down. Smithers said he reluctantly began treating these patients, with the goal of weaning them off high doses of immediate-release drugs.He acknowledged during testimony that he sometimes wrote and mailed prescriptions for patients he had not examined but insisted that he had spoken to them over the phone.Once, he met a woman in the parking lot of a Starbucks, she handed him 0 and he gave her a prescription for fentanyl, an opioid pain reliever that is 50 to 100 times more potent than morphine.When area pharmacists started refusing to fill prescriptions written by Smithers, he directed patients to far-flung pharmacies, including two in West Virginia. Prosecutors say Smithers also used some patients to distribute drugs to other patients. Four people were indicted in Kentucky on conspiracy charges.At his trial, Smithers portrayed himself as a caring doctor who was deceived by some patients."I learned several lessons the hard way about trusting people that I should not have trusted," he said.Smithers' lawyer told the judge he had been diagnosed with depression and anxiety. Family members said through a spokesperson that they believe his decisions were influenced by personal stress, and emotional and mental strain.Even before he opened his Martinsville practice in August 2015, Smithers had raised suspicions. West Virginia authorities approached him in June 2015 about a complaint with his practice there, but when they returned the next day with a subpoena, they found his office cleaned out and a dumpster filled with shredded papers and untested urine samples.Some of Smithers' patients have remained fiercely loyal to him, insisting their severe chronic pain was eased by the powerful painkillers he prescribed.Lennie Hartshorn Jr., the father of the West Virginia woman who died two days after taking drugs Smithers prescribed, testified for the defense.Hartshorn said his daughter, Heather Hartshorn, told someone "she would rather be dead than in pain all the time." According to a form Heather Hartshorn filled out when she went to see Smithers, she had chronic pain in her lower back, legs, hips and neck from a severe car accident and a fall.When asked by Smithers' lawyer if he blames Smithers for anything, Lennie Hartshorn said he does not.Smithers has been denied bond while he awaits sentencing. His attorney did not respond to inquiries from AP. Smithers has said he plans to appeal.____Associated Press reporters Geoff Mulvihill and Riin Aljas contributed to this story. 6501
REXBURG, Idaho — Officials at BYU-Idaho are warning students about intentionally contracting COVID-19 in order to sell their plasma.In a news release issued Monday, the school says it is "deeply troubled" over reports that university students may be exposing themselves to the virus in order to contract it and sell the plasma that contains COVID-19 antibodies."The university condemns this behavior and is actively seeking evidence of any such conduct among our student body," the statement read. "Students who are determined to have intentionally exposed themselves or others to the virus will be immediately suspended from the university and may be permanently dismissed."Despite the warning, there has been no confirmation that any BYU-Idaho student has intentionally exposed themselves to COVID-19."We have been made aware of this information but at this point, it is only just rumors," said Mimi Taylor of Eastern Idaho Public Health. "We obviously do not support this type of behavior as it poses a risk to public health."EastIdahoNews.com reported earlier in October that plasma centers in the Rexburg area were offering more cash for those who have the COVID-19 antibody.The school also said it is monitoring rising COVID-19 trends in Idaho and Madison County. Should cases rise, the university may move to fully-online learning."We urge all members of the campus community to act respectfully and responsibly by observing all public health and university protocols and placing the well-being of others above personal benefit or convenience," the statement continued.This story was originally published by staff at KSTU. 1637
SACRAMENTO, Calif. (KGTV) — California has become the third state to declare a state of emergency due to the threat of the coronavirus.Gov. Gavin Newsom told reporters Wednesday that the state is declaring a statewide emergency in order to take advantage of additional government resources. The declaration comes after developments that a California patient died of coronavirus after reportedly being infected on a cruise from San Francisco to Mexico from Feb. 11 to Feb. 21.The victim was an elderly adult with underlying health issues and was in isolation at the time of death, Placer County health officials said. The cruise ship that the victim had been on earlier is currently being investigated by the Centers for Disease Control and Prevention. Another passenger who is infected is in stable condition at a Sonoma County hospital.The ship is currently at sea, but testing kits will be flown out to its crew for passengers to be tested before the ship docks in San Francisco."There’s a reason that we didn’t want the ship in the Port of San Francisco and in the state of California at this time," Newsom said. "The ship will not come on shore until we appropriately assess the passengers."RELATED: Screener at Los Angeles airport tests positive for coronavirusPassengers currently aboard who were also on the February voyage will also be tested. The CDC is working to identify other passengers from the ship's previous trip and where they got off the vessel. At least nine counties have declared an emergency over the virus, according to state officials. There are at least 53 confirmed cases of coronavirus in California, the Associated Press reported, and has been one death in the state.San Diego County health officials are scheduled to given an update of the local response on Thursday. 1805
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