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California Nov Ballot ’22: Prop 1 Aims to Amend State Constitution to Protect Abortion Rights   

“When we talk about maternal mortality, we aren’t even talking about the 50,000 near misses, [the women of all races who had] serious pregnancy-related complications, like a hemorrhage, an infection, a C-section wound coming apart,” McLemore continued. “We’re not talking about people like Serena Williams and Beyonce who live but had trauma. Black women are less likely to be believed by their health care providers, and they are undertreated and under-diagnosed.”

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Prop 1 is on the November 8, 2022, General Election Ballot.
Prop 1 is on the November 8, 2022, General Election Ballot.

By Edward Henderson | California Black Media

California voters are being asked to decide on whether or not language in the California Constitution should be changed to explicitly ensure the right to reproductive health.

Proposition 1, proposed by Senate President Pro Tempore Toni Atkins (D-San Diego), amends the California Constitution to prohibit the state from interfering with one’s right to choose to have an abortion or refuse contraceptives.

The Reproductive Privacy Act passed in 2002 guarantees these protections, however Prop 1 supporters are concerned that the act could be interpreted in a way that would put them at risk of misinterpretation and new limitations could be placed on reproductive freedom.

If Prop 1 fails to pass, the Constitution won’t change and the Reproductive Privacy Act would continue to guarantee one’s right to an abortion up to the point of viability.

According to Akins, “[Proposition 1] would make it undeniably clear that in California, abortion and contraception are health care and are a private matter between a patient and their medical provider.

Before the U.S. Supreme Court’s decision to overturn Roe v. Wade on June 22, Akins said: “We are on the precipice of a U.S. Supreme Court decision that could topple Roe v. Wade and erode the right to abortion that was secured nearly 50 years ago — altering reproductive freedom in America as we know it.

“I have seen what is at stake when people don’t have access to abortion—the real lives and real families that are at risk. In California, we are resolute in our determination to protect women and families, no matter who happens to be wielding power at the federal level,” she continued.

Current state law places some restrictions on abortions. California courts have interpreted the right to privacy so that the state can only restrict abortions when needed to meet certain state interests such as public health and safety. For example, California law requires abortion providers to be licensed.

Abortions can only be performed on a viable fetus if the pregnancy puts the health or life of the person who is pregnant at risk. Under state law, a fetus is considered viable if the fetus likely would be able to survive outside the uterus.

Failure to expand Constitutional language could shift the grounds for physicians to deny reproductive freedom affecting Black Women, some experts say.

Monica McLemore, an associate professor at the University of California San Francisco School of Nursing, told Bloomberg.com about the distrust and negative experiences Black women have when it comes to medical professionals.

“The health system we have in the U.S. isn’t functioning well for Black and Brown communities. But it’s a more nuanced discussion; there are a whole lot of other things that can go wrong than just death,” she said.

“When we talk about maternal mortality, we aren’t even talking about the 50,000 near misses, [the women of all races who had] serious pregnancy-related complications, like a hemorrhage, an infection, a C-section wound coming apart,” McLemore continued. “We’re not talking about people like Serena Williams and Beyonce who live but had trauma. Black women are less likely to be believed by their health care providers, and they are undertreated and under-diagnosed.”

Opponents of Prop 1 believe that it is unnecessary and written so broadly that it could face years of protracted court battles to clear up the language, costing the state millions of dollars in legal fees. They raise particular concern that the measure would override state regulations that now limit abortions after the point when a fetus is viable on its own outside of the womb, at about 24 weeks of pregnancy. These late-term abortions are currently only legal if the health or life of the mother is threatened.

Catherine Hadro, media relations director for the No on Proposition 1 Campaign, spoke with California Black Media about the cost that could come from it.

“Everyone knows that abortion is and will remain legal in the state of California. The California Legislature has already set aside $220 million to expand abortion access in the state of California. Twenty million of (those dollars) is specifically to pay for women coming from out of state into California to get abortions.

“The California Legislature has said they expect it’s going to cost an additional $100 million within the next five years to pay for women coming into California for abortion. This is only going to increase and cost California taxpayers even more if abortion is legalized up till the point of birth … This is just another example of politicians throwing money at another problem that does not exist.”

Gov. Gavin Newsom has begun airing ads supporting Prop 1 using least $2 million of his own campaign funds to pay for them.

“Fundamental freedoms are vanishing. Women are under attack. This November, we say NOT here. Prop 1 will enshrine reproductive rights in the CA constitution,” Newsom says in the ad.

Prop 1 is on the November 8, 2022, General Election Ballot.

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Oakland Post: Week of May 28 – June 30, 2025

The printed Weekly Edition of the Oakland Post: Week of May 28 – June 3, 2025

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Oakland Post: Week of May 21 – 27, 2025

The printed Weekly Edition of the Oakland Post: Week of May 21 – 27, 2025

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OPINION: Your Voice and Vote Impact the Quality of Your Health Care

One of the most dangerous developments we’re seeing now? Deep federal cuts are being proposed to Medicaid, the life-saving health insurance program that covers nearly 80 million lower-income individuals nationwide. That is approximately 15 million Californians and about 1 million of the state’s nearly 3 million Black Californians who are at risk of losing their healthcare. 

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Rhonda M. Smith.
Rhonda M. Smith.

By Rhonda M. Smith, Special to California Black Media Partners

Shortly after last year’s election, I hopped into a Lyft and struck up a conversation with the driver. As we talked, the topic inevitably turned to politics. He confidently told me that he didn’t vote — not because he supported Donald Trump, but because he didn’t like Kamala Harris’ résumé. When I asked what exactly he didn’t like, he couldn’t specifically articulate his dislike or point to anything specific. In his words, he “just didn’t like her résumé.”

That moment really hit hard for me. As a Black woman, I’ve lived through enough election cycles to recognize how often uncertainty, misinformation, or political apathy keep people from voting, especially Black voters whose voices are historically left out of the conversation and whose health, economic security, and opportunities are directly impacted by the individual elected to office, and the legislative branches and political parties that push forth their agenda.

That conversation with the Lyft driver reflects a troubling surge in fear-driven politics across our country. We’ve seen White House executive orders gut federal programs meant to help our most vulnerable populations and policies that systematically exclude or harm Black and underserved communities.

One of the most dangerous developments we’re seeing now? Deep federal cuts are being proposed to Medicaid, the life-saving health insurance program that covers nearly 80 million lower-income individuals nationwide. That is approximately 15 million Californians and about 1 million of the state’s nearly 3 million Black Californians who are at risk of losing their healthcare.

Medicaid, called Medi-Cal in California, doesn’t just cover care. It protects individuals and families from medical debt, keeps rural hospitals open, creates jobs, and helps our communities thrive. Simply put; Medicaid is a lifeline for 1 in 5 Black Americans. For many, it’s the only thing standing between them and a medical emergency they can’t afford, especially with the skyrocketing costs of health care. The proposed cuts mean up to 7.2 million Black Americans could lose their healthcare coverage, making it harder for them to receive timely, life-saving care. Cuts to Medicaid would also result in fewer prenatal visits, delayed cancer screenings, unfilled prescriptions, and closures of community clinics. When healthcare is inaccessible or unaffordable, it doesn’t just harm individuals, it weakens entire communities and widens inequities.

The reality is Black Americans already face disproportionately higher rates of poorer health outcomes. Our life expectancy is nearly five years shorter in comparison to White Americans. Black pregnant people are 3.6 times more likely to die during pregnancy or postpartum than their white counterparts.

These policies don’t happen in a vacuum. They are determined by who holds power and who shows up to vote. Showing up amplifies our voices. Taking action and exercising our right to vote is how we express our power.

I urge you to start today. Call your representatives, on both sides of the aisle, and demand they protect Medicaid (Medi-Cal), the Affordable Care Act (Covered CA), and access to food assistance programs, maternal health resources, mental health services, and protect our basic freedoms and human rights. Stay informed, talk to your neighbors and register to vote.

About the Author

Rhonda M. Smith is the Executive Director of the California Black Health Network, a statewide nonprofit dedicated to advancing health equity for all Black Californians.

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