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Advocates to State Senate: Diabetes Patients Can’t Afford to Wait on “Life-Saving” Bill 

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California Black Media 

A group of doctors, some African American healthcare advocates as well as  Californians living with diabetes are asking the state Senate to take up — and quickly vote on — an “urgent” public health bill that lawmakers have put on ice. 

If passed, the legislation would place a $50 cap on monthly copayments insurers require diabetic patients to cover when buying their insulin treatments.  

Dr. Bill Releford, a podiatrist in Inglewood who specializes in helping diabetics with circulation problems thereby reducing amputation rates, shared the story of Jamal M. 

Every day, Jamal M. is faced with tending to the hard-to-heal lesion so that his foot will not have to be cut off while managing the underlying medical condition he has learned to live with despite the challenges. But to stay on top of them, Releford says, Jamal M. has to keep up with costly co-payments for doses of the life-saving insulin that his doctor prescribes. 

Unfortunately, Jamal M. can’t afford his share of the cost for his insulin, which falls between $400 to $500 per month.  

“Jamal M. was splitting his insulin dosages in half” in an attempt to curb the medical cost to purchase the synthetic hormone that regulates his blood sugar, Releford told California Black Media.  

 “It really wasn’t working,” Releford explained. 

 To give a financial lifeline to Californians like Jamal M. — people seemingly caught between dollars and a deadly disease — state Assemblyman Adrian Nazarian (D-Van Nuys) introduced Assembly Bill (AB) 2203 in February.  

 “I know that this uncertain time during COVID-19 pandemic is difficult for us, and many Californians are struggling to survive,” Nazarian said. “My bill AB 2203 aims to help Californians with diabetes by lowering the out-of-pocket costs for insulin so they can stick to their treatment plan outlined by their physician.” 

The Assembly Health and Appropriations committees voted separately to move the legislation forward with a combined 25-0 yes vote earlier this year.  And although the full Assembly voted June 8 to pass the bill with 64-4, the Senate Health committee, which Dr. Richard Pan (D-Sacramento) chairs, has not yet considered the bill that diabetes advocates have labeled “life-and-death” legislation.  

The average annual cost per diabetes patient for insulin was $5,705 in 2016, reports SingleCare, an online company that offers pharmacy discounts to registered members. Currently, one vial of insulin could cost up to $250. 

Releford, like other African American advocates, says, because diabetes is a co-morbidity that can cause death among COVID-19 patients, keeping his patients healthy is more critical right now than ever.   

Diabetes-related coronavirus complications account for over 30% of the current hospitalizations for patients 35 and older in California. As of early June, the blood-sugar disorder was also the second leading contributing cause of COVID-19 deaths, according to a UCLA study. The first, at that time, was hypertension.  

“According to the Centers for Disease Control, diabetes is a significant underlying medical condition that increases risk of serious COVID-19 complications,” the study reads.  

For Diabetes patients, the UCLA study reports that COVID-19 fatalities are double their percentage of the general population.   

California Black Media (CBM) contacted Dr. Pan’s office to inquire why the Senate has not yet scheduled a hearing for AB 2203.  

Shannan Velayas, a spokesperson for Dr. Pan, who is a practicing pediatrician, said there are some “policy issues” with AB 2203 that still need to be resolved.  

 “Dr. Pan has worked to improve chronic disease management, including diabetes and access to medication throughout his entire career,” Velayas wrote to CBM in an email.  “Unfortunately, because of COVID-19, we are unable to properly vet this bill at this current time for all of its potential issues, including those raised by the Administration in the context of both existing law and other proposals to improve access to insulin for people with diabetes.” 

On Monday, July 27, the Dept. of Managed Health Care (DMHC) sent a letter to Nazarian stating that it “regrets to inform you that it (DMHC) has taken an ‘Oppose Unless Amended position’ on AB 2203.” 

“Existing law already places comprehensive cost-sharing limits on all outpatient prescription drugs, and the DMHC believes that any changes to cost-sharing should be considered holistically among all prescription drugs. The DMHC requests removing the cost-sharing limit,” Mary Watanabe, DMHC’s acting director said in the letter to Nazarian. 

The Association of California Life (ACL), the California Association of Health Plans (CAH) and several health insurance companies have all stated their opposition to AB 2203.  

“It sets a precedent that treats one class of drugs differently as it creates a special category for insulin,” those groups wrote in a joint statement. “This inevitably will increase the cost of premiums for all insureds and enrollees by inappropriately socializing the cost of these drugs against all rate payers.” 

If passed by the Senate and signed into law by Gov. Newsom, AB 2203 would apply to anyone with an individual, group, or non-employer insurance plan. Besides the $50 cap on the copay, AB 2203 would authorize the California Attorney General to investigate the pricing of insulin to ensure protection for consumers. 

Aldon Thomas Stiles contributed to the reporting for this article.

 

Antonio Ray Harvey

Antonio Ray Harvey

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Doctors Seeing More Cases of Preventable Childhood Illnesses

OAKLAND POST — Physicians have said vaccine skepticism has expanded beyond childhood immunizations. Doctors also reported growing resistance to other preventive treatments.

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By Stacy M. Brown

Doctors across the United States say they are treating children for illnesses that routine vaccinations once made increasingly uncommon, raising concerns that years of declining immunization rates are beginning to reverse decades of public health progress.

Pediatricians have described seeing more cases of whooping cough, rotavirus infections, bacterial pneumonia and other potentially life-threatening illnesses that vaccines have long helped suppress. Some physicians reported treating conditions they had rarely encountered during their careers, while others said that growing vaccine hesitancy is changing how emergency rooms and hospitals care for children.

The reports come as measles outbreaks continue to spread across multiple states and vaccination coverage remains below federal public health targets.

Johns Hopkins University’s International Vaccine Access Center reported 2,077 confirmed measles cases nationwide as of May 29. Researchers warned that outbreaks reported across the country have raised concerns about continued transmission, additional hospitalizations and deaths, and the possible loss of the nation’s measles elimination status.

Public health experts have long viewed measles as a warning sign because of its ability to spread rapidly through communities with lower vaccination coverage. The New York Times reported that physicians increasingly fear the resurgence of measles may be followed by the return of other vaccine-preventable diseases.

Doctors say that is already happening.

Dr. Meghan Hofto, a pediatric hospitalist at the University of Alabama at Birmingham, said she has already treated roughly as many children with rotavirus this year as she saw during the previous decade. Rotavirus once caused tens of thousands of hospitalizations annually before vaccines sharply reduced its spread. None of the children she treated this year had been vaccinated.

Hofto also described caring for infants with pertussis, commonly known as whooping cough.

“It’s hard to know when they’re safe to go home,” Hofto told The Times.

The rise in whooping cough cases has been particularly striking. More than 28,000 cases were reported nationwide last year, compared with approximately 7,000 in 2023, according to figures cited by The Times. Many of the affected infants were too young to receive vaccinations themselves and relied on broader community protection to reduce their exposure.

Other doctors described similarly troubling cases.

Dr. Jessica Kirk, a pediatric hospitalist in Alabama, recently treated an unvaccinated toddler hospitalized with pneumonia caused by simultaneous infections of Haemophilus influenzae and Streptococcus pneumoniae. Vaccines exist to protect against both illnesses. The child required oxygen and antibiotics to recover.

Researchers at Johns Hopkins have been tracking vaccination trends nationwide and found continuing signs of vulnerability.

At the same time, vaccine policy has become increasingly contentious in state legislatures.

Johns Hopkins researchers reported that lawmakers across the country continue to introduce bills affecting childhood vaccination requirements, vaccine access and non-medical exemptions. Researchers also noted that state policies governing exemptions remain a significant factor in vaccination coverage and disease transmission risks.

Physicians have said vaccine skepticism has expanded beyond childhood immunizations. Doctors also reported growing resistance to other preventive treatments.

For doctors confronting the return of illnesses that vaccines once pushed to the margins of American medicine, the challenge is becoming increasingly personal.

“It just feels like you’re a tiny little boat with a giant tidal wave coming at you,” Dr. Erin Charles, a regional pediatric hospitalist at Seattle Children’s Hospital, told reporters. “And you might convince one family here and there.”

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Community

Asm. Isaac Bryan’s Environmental Reparations Bill Passes on Assembly Floor

“All this bill does is allocate resources from that repair fund and direct cash assistance to families that have had negative health impacts as a result of living next to that oil field,” said Bryan during remarks on the Assembly floor.

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Asm. Isaac Bryan (D-Ladera Heights). File photo.

By Bo Tefu, California Black Media

On May 26, the California State Assembly passed legislation to provide direct financial assistance to families harmed by pollution from a major urban oil field in South Los Angeles.

Assembly Bill (AB) 1661, introduced by Assemblymember Isaac Bryan (D-Ladera Heights), cleared the Assembly floor with a 44-10 vote after lawmakers concluded debate on the measure.

The bill would direct money from a community repair fund toward families who suffered negative health effects from living near what Bryan described as the state’s largest toxic urban oil field. The repair fund was created under legislation approved two years ago that shut down the oil field and required polluters to contribute financially to community recovery efforts.

“All this bill does is allocate resources from that repair fund and direct cash assistance to families that have had negative health impacts as a result of living next to that oil field,” said Bryan during remarks on the Assembly floor.

Bryan called the proposal “the largest environmental reparations opportunity for South LA” and told lawmakers the bill had not received opposition during the legislative process.

The legislation is part of California’s broader push to address environmental justice concerns in communities historically exposed to industrial pollution. South Los Angeles residents and environmental advocates have long raised concerns about health risks associated with oil drilling operations near homes, schools and parks.

Supporters say the measure represents a new approach to environmental accountability by ensuring that communities affected by pollution directly benefit from funds collected from responsible companies.

After debate concluded, Assembly leadership opened the roll call vote, and the measure passed with majority support from lawmakers.

AB 1661 now moves to the Senate for further review.

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Activism

Rep. Kamlager-Dove Introduces Bill to Protect Women in Custody After Reports Detailing Miscarriages and Neglect

The Pregnant Women in Custody Act would expand safeguards beyond the federal prison system to include women detained by U.S. Immigration and Customs Enforcement, U.S. Customs and Border Protection and the Office of Refugee Resettlement. The proposal follows reports of pregnant women being shackled, denied medical care and suffering miscarriages while in immigration detention.

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By Bo Tefu, California Black Media

Congresswoman Sydney Kamlager-Dove (D-CA-37) on May 7, reintroduced updated legislation aimed at strengthening protections and healthcare standards for pregnant and postpartum women held in federal custody, including in immigration detention facilities.

The Pregnant Women in Custody Act would expand safeguards beyond the federal prison system to include women detained by U.S. Immigration and Customs Enforcement, U.S. Customs and Border Protection and the Office of Refugee Resettlement. The proposal follows reports of pregnant women being shackled, denied medical care and suffering miscarriages while in immigration detention.

The legislation builds on a bipartisan version previously passed by the House during the 117th Congress. The updated bill includes new standards for healthcare access, mental health and substance use treatment, high-risk pregnancy care, family unity protections and increased federal oversight.

“Proper pregnancy care is a human right, regardless of your immigration or incarceration status,” Kamlager-Dove said in a statement. “It’s unacceptable that there are virtually no legal safeguards for pregnant women in federal custody.”

The bill would also limit the use of restraints and restrictive housing for pregnant women, improve data collection on maternal health in custody and require additional staff training and enforcement measures.

Supporters of the measure said the legislation is intended to address long-standing concerns about maternal healthcare and safety in detention settings, particularly for Black women and low-income women who are disproportionately impacted by incarceration and health disparities.

“Pregnant women in custody should never be subjected to dangerous and inhumane treatment that threatens their health, dignity, or the well-being of their babies,” said Patrice Willoughby, chief of policy and legislative affairs for the NAACP and a longtime public policy and government affairs strategist, in a statement.

A 2021 report estimated there are about 58,000 admissions of pregnant women into U.S. jails and prisons each year. Kamlager’s statement also cited a recent investigation by NBC News and Bloomberg Law that identified allegations of severe mistreatment or medical neglect involving at least 54 pregnant women or families in county jails between 2017 and 2024.

Federal policy under the Department of Homeland Security restricts the detention of pregnant, postpartum and nursing immigrants except in extreme cases. However, the agency reported that ICE deported 363 pregnant, postpartum or nursing women between January 2025 and February 2026, including 16 recorded miscarriages during that period.

The bill is cosponsored by several House Democrats and backed by organizations including the NAACP and the Vera Institute of Justice.

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