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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

RUSKIN, Fla. — Tampa Bay area businesses have adjusted and adapted during the COVID-19 crisis to meet the needs of their customers. One generous customer decided to leave behind a big tip at a restaurant in Ruskin, which impacted every single employee.“Knowing everything that’s gone on with the pandemic, it really was a good feeling that there’s still some good in the world that they would go out of their way [to] choose our establishment to do the challenge,” said manager Robert Godfrey.For employees at South Shore Pizza in Ruskin, Christmas came early. Godfrey explained a customer came in this week for a large pizza and eight-piece wing order, which would cost about .Instead, the customer tipped ,020 to be divided evenly among the staff.“It means the world to them,” said Godfrey. “That’s unexpected, ‘Oh thank you very much.”The surprise was part of a 2020 tip challenge that took off at the beginning of the year. After the tip was split, employees ended up with about .“I think it’s very generous. It helps a lot,” said Avery Loschinkohl. “A lot of the people working here are teenagers who want to have a part-time job to make some extra money so that really helped a lot.”During a year full of the unexpected, employees ask people to treat each other like family, show strangers kindness, and pay it forward.“There’s still a lot of good in the world. Take care of all your service industry,” said Godfrey.This story was first reported by Mary O'Connell at WFTS in Tampa Bay, Florida. 1516

SACRAMENTO, Calif. (AP) — California's DMV is trying to improve customer service by accepting credit cards, upgrading its website and offering clearer instructions on how to obtain a new federally mandated ID, but Gov. Gavin Newsom cautioned Tuesday the agency's long wait times and other troubles aren't over."This is going to take a few years. Next year will be tough," Newsom said, referencing an expected surge in people using the Department of Motor Vehicles next year to acquire new IDs that will be required for air travel.Newsom spoke as he released a report detailing efforts the DMV is making to improve services after wait times averaged two hours last summer, prompting outrage from lawmakers and customers. The state hired the high-powered firm McKinsey & Company to recommend improvements, with the funding coming out of roughly 0 million in new money the DMV got in this year's state budget.Newsom also announced he's appointed Steve Gordon as the agency's director. Gordon is a longtime employee of the private sector, working for Cisco Systems and most recently for zTransforms, a consulting company focused on business-wide process improvement. He is not registered in a political party and will make 6,000. The state Senate must approve his appointment.The DMV has been plagued by slow-downs related to the state's "motor voter" registration program and an uptick in people applying for REAL IDs, the new federal IDs that will be required for airplane travel starting in October 2020. More than 28 million Californians may seek a REAL ID.Beyond hiring McKinsey, the state has brought in a public relations firm to create a statewide awareness campaign about the new IDs and a consulting firm to think about what DMV offices should look like. The report did not say how much each is being paid.Other changes include the planned acceptance of credit cards, which will start at a Davis office in September before expanding to Fresno, Victorville and Roseville. The state hopes to eventually accept credit cards statewide. The DMV has also started launching REAL ID "pop ups" at businesses and plans to open 100 kiosks in August, where people can do routine transactions such as renewing vehicle registration without going to a customer service window.The goal, Newsom said, is to improve through small changes. "We're not going big at first — we want to go small and build on successes," he said.The department plans to hire between 1,800 and 1,900 new workers, most of them temporary, through next year. Newsom's announcement comes a day before the DMV plans to close offices statewide for half a day for a day of training for its more than 5,000 employees.Republican lawmakers were divided on the Democratic governor's actions. Republican Assemblyman Jim Patterson of Fresno faulted Newsom for "making excuses" for the DMV rather than re-imagining it and criticized him for saying wait times could be long again next summer. But GOP Sen. Pat Bates from Laguna Niguel said Newsom was taking "steps in the right direction to help fix the DMV."The report did not address problems with the state's "motor voter" registration programming, and Newsom said an audit on the program will be coming out soon. 3234

SACRAMENTO, Calif. (AP) — With the smell of California wildfires in the air, President Donald Trump on Monday ignored the scientific consensus that climate change is playing a central role in West Coast infernos. He reiterated his unfounded claim that poor forest management is to blame. California Gov. Gavin Newsom was respectful with President Donald Trump about climate change during his visit to the state for a briefing about the massive wildfires that have burned throughout the state this year.During his visit, Newsom took a much softer tone, telling Trump they could agree to disagree on climate change. Newsom said his state can do a better job of forest management, but he tells President Donald Trump that it is “self-evident that climate change is real and that is exacerbating this.”Trump said things are getting cooler and said he does not believe the science saying otherwise.“Well, I don’t think science knows actually," Trump said.The fires are threatening to become another front in Trump’s reelection bid, which is already facing hurdles because of the coronavirus pandemic, joblessness and social unrest. His Democratic challenger, Joe Biden, in his own speech Monday said the destruction and mounting death toll across California, Oregon and Washington required stronger presidential leadership, and he labeled Trump a “climate arsonist.”Biden said, "Hurricanes don’t swerve to avoid red states or blue states. Wildfires don’t skip towns that voted a certain way. The impacts of climate change don’t pick and choose. That’s because it’s not a partisan phenomenon. It’s science.” 1609

Roberta McCain, the mother of late Sen. John McCain, has died at the remarkable age of 108.Cindy McCain, the senator’s widow, announced her mother-in-law’s passing on Twitter on Monday.“I couldn’t have asked for a better role model or a better friend,” she wrote. “She joins her husband Jack, her son John and daughter Sandy.”The family celebrated the matriarch’s 108th birthday in February. “The View” co-host Meghan McCain, who has often spoken highly of her grandmother on the talk show, expressed how grateful she was for her on Twitter.Happy 108th Birthday to my nana Roberta. You are our matriarch. Completely ageless, classic, lovely, strong, smart, sarcastic, irreverent and all things I love in this world. We are so grateful for you. pic.twitter.com/qvLAAIvsf8— Meghan McCain (@MeghanMcCain) February 7, 2020 As Sen. McCain ran for president in 2008, his mother joined him and other family members on the campaign trail, despite her advanced age.In a 2005 book, the senator wrote proudly and lovingly of his mother: 1033