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On Your November Ballot: Prop 34 Aims to Expand Medi-Cal Prescription Drug Funding — With Restrictions

In less than two months, Californians will vote on Proposition (Prop) 32. This voter guide is one in a series of articles that will help you understand what supporters and opponents of each of California’s 10 ballot initiatives are saying about each one. Prop 34 would permanently allow Medi-Cal, California’s version of the federal Medicaid program, to pay pharmacies directly for prescription drugs.

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By Edward Henderson, California Black Media  

In less than two months, Californians will vote on Proposition (Prop) 32. This voter guide is one in a series of articles that will help you understand what supporters and opponents of each of California’s 10 ballot initiatives are saying about each one. 

Prop 34 would permanently allow Medi-Cal, California’s version of the federal Medicaid program, to pay pharmacies directly for prescription drugs.

The measure would also require healthcare providers to spend almost all the money (98%) they get from a federal prescription drug program directly on patient care — instead of having the leverage to use it on other things.

Prop 34 would increase the money that comes to California for Medi-Cal prescription drugs with a matching federal subsidy. However, it will restrict healthcare organizations and non-profits from spending that money on other health care-related social services.

Supporters of the proposition argue that, if approved, providers would be held accountable for their spending and provide more affordable care to individuals who need it. California Black Media (CBM) spoke to Elizabeth Helms, President and CEO of the California Chronic Care Coalition (CCCC), who has endorsed a YES vote for Prop 34.

The CCCC is an alliance of multiple patient organizations and provider groups with a focus on access to quality, affordable health care, wellness and prevention, and coordinated care.

“We are patient-centric,” said Helms. “We care that people are able to access the care that they need, including their medications, seeing physicians. And when we see that not happening, or we start hearing it from the field that (people are) having problems, (people) can’t do this, (people) can’t afford this, (people) can’t get timely care; you know, (people are) having to choose food over medicine or all these other things.”

Some of those opposed to the proposition argue that the only reason it is on the ballot is to personally target The AIDS Healthcare Foundation (AHF) and its CEO Michael Weinstein, who supports rent control legislation. The California Apartment Association Issues Committee has provided $21.3 million in campaign support for the measure.

CBM spoke to David Kline, Vice President of Communications & Research at California Taxpayers Association who supports a NO vote for Prop 34.

“This is 100% financed by billionaire landlords and the California Apartment Association, and they don’t have an interest in health care,” said Kline. “This is a revenge initiative, a revenge against AIDS Healthcare Foundation for supporting rent control. And they’ve been very explicit on their website and videos they’ve put out about that have had at. But they don’t mention the AIDS Healthcare Foundation in their argument because they know how popular the organization is. This is a wolf in sheep’s clothing.”

The proposition only applies to providers who spend at least $100 million on expenses other than direct care, that also own and operate buildings and that least 500 severe health and safety violations in the last 10 years. These stipulations have led many to believe it is aimed at The AIDS Healthcare Foundation because they are one of few organizations who meet these criteria

When asked about their thoughts on the involvement of Prop 34 and a focus on Weinstein, the CCCC did not have a comment, reiterating that their focus is “100% on patients” and directing as much funding as possible to their wellbeing.

“The proposition does several things,” said Helms. It protects up to $2 billion in prescription drug rebates for the state of California annually. And these rebates will help offset the cost of the Medi-Cal program, protect access to critical services for millions of low-income patients.

A YES vote on this proposition would require Organizations like the AHF to spend nearly all of their money only on healthcare and no other endeavors.

A NO vote would repeal the proposition and keep things the way they already are.

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Activism

Oakland Post: Week of December 11 – 17, 2024

The printed Weekly Edition of the Oakland Post: Week of December 11 – 17, 2024

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Activism

California Takes Steps to Address Rising Homelessness Among Aging Adults

The lack of accessible and available housing, health-related behaviors, medical problems, social isolation, and limited resources are some of the root causes of homelessness and poverty among aging Californians. Speaking on own her behalf — not representing CCoA — Brown said more alternatives for affordable housing and services would provide a much-needed safety net for older adults in the state.

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Shutterstock. Los Angeles, CA. USA: 2024 August 01: Homeless, unhoused people living in an encampment, temporary shelters and tents on the sidewalk.
Shutterstock. Los Angeles, CA. USA: 2024 August 01: Homeless, unhoused people living in an encampment, temporary shelters and tents on the sidewalk.

By Antonio‌ ‌Ray‌ ‌Harvey‌, California‌ ‌Black‌ ‌Media‌

The California Commission on Aging (CCoA) has published a Housing Policy Brief  that offers recommendations for reducing housing insecurity and homelessness among older adults in California.

The brief summarizes a more in-depth report titled “Housing Those Hardest Hit: Addressing Older Adult Homelessness.” It also includes seven actionable recommendations to mitigate older adult homelessness in three settings: permanent housing, independent housing, and assisted living.

“Expanding housing capacity across all settings in the older adult continuum of care is critical as our state confronts the pressing issues of housing insecurity and homelessness among older adults,” stated CCoA Executive Director Karol Swartzlander.

“The need is urgent, and the time to act is now,” she emphasized.

The CCoA serves as the principal advocating body for older Californians, and it administers programs that support and celebrate Californians as they age. In addition, the CCoA advises the Governor and Legislature, along with state, federal, and local agencies on programs and services that affect older adults in the state.

From 2017 to 2022, the number of adults aged 55-64 who accessed homelessness services across California increased by over 90%, while the number of adults over 65 in the state, overall, increased by over 166% – exceeding any other age group, according to the report.

According to CCoa, the commission blends housing solutions within a comprehensive continuum of care, presenting policymakers with targeted strategies that accommodate the diverse housing and supportive service needs of older adults.

Efforts to address homelessness is now one of CCoA’s top priorities, says Swartzlander.

“The need is urgent, and the time to act is now,” she added.

In 1990, 11% of the homeless population was over the age of 50 while in 2023 older adults represented nearly half of the state’s homeless population.  Among this population, 41% first experienced homelessness after the age of 50.

According to the U.S. Department of Housing and Urban Development’s annual Point-in-Time Count, 38,028 adults aged 55 and older experienced homelessness in California in 2023. Furthermore, the report stated that 41% first experienced homelessness after the age of 50.

Former Assemblymember Cheryl Brown (D-San Bernardino), who just completed a six-year term as chairperson of the CCoA, said there must be policies in place to “remedy the problem” of older adults becoming homeless in the state.

The lack of accessible and available housing, health-related behaviors, medical problems, social isolation, and limited resources are some of the root causes of homelessness and poverty among aging Californians. Speaking on own her behalf — not representing CCoA — Brown said more alternatives for affordable housing and services would provide a much-needed safety net for older adults in the state.

“We need to go back to square one and come up with some policies that would help older adults have options,” Brown said. “It’s a tragedy that these people have paid into the system (taxes, social security), and did it the right way, and they still need these services.”

In the policy brief, the CCoA presents seven recommendations to mitigate aging adult homelessness. They are exploring a statewide subsidy for older adults at-risk of homelessness; developing a state homeshare program; expanding ministerial approval for smaller assisted living facilities; reforming housing laws; expanding assisted living waivers; and funding community care suggestions.

Editorial Note: California Black Media will follow up this article with more investigations into the lived experiences of older adults impacted by the of homelessness and housing insecurity crisis in the state.

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Bay Area

2024 in Review: 7 Questions for Incoming Black Caucus Vice Chair Asm. Isaac Bryan

Assemblymember Isaac Bryan (D-Ladera Heights) has focused his legislative career on addressing racial inequities and systemic injustice, criminal justice reform, environmental justice, and economic equality.  

Now in his fourth year in the legislature, Bryan serves as a generational bridge within the California Legislative Black Caucus (CLBC). This month, he assumes the influential role of CLBC Vice Chair.

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Asm. Isaac Bryan sharing a light moment while Dolores Huerta provides testimony June 11, 2024 (capitol photo)
Asm. Isaac Bryan sharing a light moment while Dolores Huerta provides testimony June 11, 2024 (capitol photo)

By Joe W. Bowers Jr., California Black Media

At 32, Isaac Bryan (D-Ladera Heights) has emerged as one of California’s most dynamic Assemblymembers.

Bryan has focused his legislative career on addressing racial inequities and systemic injustice, criminal justice reform, environmental justice, and economic equality.

Now in his fourth year in the legislature, Bryan serves as a generational bridge within the California Legislative Black Caucus (CLBC). This month, he assumes the influential role of CLBC Vice Chair.

Representing the 55th Assembly District, Bryan’s legislative efforts have been crucial in passing policies that uplift marginalized communities, while addressing long-standing systemic inequities.

Recently, Bryan spoke with California Black Media (CBM). He reflected on his legislative efforts in 2024, the challenges he faced, and his vision for 2025.

His responses have been edited for length and clarity.

Reflecting on 2024, what do you believe was your most impactful achievement for advancing the interests of Black Californians, and why?

The first is AB 2716. It is a major win for environmental justice that addresses long-standing health and safety concerns for Black and lower-income residents living near oil and gas production fields. The second is AB 2906. That bill ensures that foster care children, many of whom are disproportionately Black, receive their rightful survivor benefits from federal programs after their parents pass away. Previously, these funds were often redirected to county budgets. AB 2906 is a real game-changer for foster care youth.

As the incoming Vice Chair of the Black Caucus, how have your leadership and policy efforts helped address key issues impacting Black Californians? 

Leadership is about bringing people together across racial, geographic, and political lines to make meaningful change. The Black Caucus secured $300 million in ongoing funding for California’s lowest-performing students, who are disproportionately Black.

What were the most significant challenges you faced in advocating for Black Californians?

Misinformation and disinformation were huge obstacles in 2024, especially during an election year. These tactics have been used to divide Black communities and diminish their political influence. Another major challenge was navigating the state’s budget deficit, which threatened critical programs for Black Californians. We had to fight hard to protect programs in education, housing, and social services from severe cuts.

What events or movements inspired you the most in your efforts to support Black communities?

Watching grassroots organizations and everyday people stand up for their communities, especially when it comes to health and safety, has been powerful. It’s inspiring to see local advocates and community members speak up and demand the right to live in safe, healthy environments.

What lessons from 2024 have shaped your approach to policy and decision-making?

The biggest lesson from 2024 is the importance of persistence. We have to stay committed to the long game. The fight for equity, whether it’s in housing, education, or environmental justice, requires consistency. You can’t let up.

In one word, what do you see as the most pressing issue Black Californians are facing?

Equity. We need to make sure that Black Californians are not left behind as we move forward as a state.

What is the one goal you are most committed to achieving in 2025?

Making sure that the state’s budget is not balanced on the backs of Black Californians. The budget is a moral document It needs to reflect our values of fairness and justice.

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