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Blacks Missing Out on ‘Obamacare’ Savings

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According to the AJS report, more than 40 percent of Black enrollees and more than half of White enrollees didn’t know which services were covered under their health plans and which services they would pay for out-of-pocket. (Stock Image)

According to the AJS report, more than 40 percent of Black enrollees and more than half of White enrollees didn’t know which services were covered under their health plans and which services they would pay for out-of-pocket. (Stock Image)

By Freddie Allen
NNPA Senior Washington Correspondent

WASHINGTON (NNPA) – Even as health care costs continue to cause concerns for the poor, nearly 40 percent African Americans and about half of Whites didn’t know that the Affordable Care Act (ACA) can help those that need it the most to cover some of those costs.

According to the new report by the Alliance for a Just Society (AJS), a national research network that analyzes health issues including Medicaid, prescription drugs, and insurance industry practices play a major role in coverage savings.

In the report titled, “Breaking Barriers: Improving health insurance enrollment and access to health care,” researchers detailed the stories of 1,200 low- to moderate-income earners, living in 10 states (California, Florida, Idaho, Louisiana, Michigan, Mississippi, Montana, New Mexico, Oregon, and Texas). Six of those states refused to expand Medicaid programs using federal funds, effectively pushing many poor people into the coverage gap and limiting their access to health care.

The AJS report said that the rejection of Medicaid expansion in those states remained the most significant barrier to health care for the poor and African Americans.

In the report, Linda Quick, the president of the South Florida Hospital and Healthcare Association, said, “Trying to convince legislators with economic arguments has NOT persuaded the supposedly ‘business-oriented’ chambers-of-commerce-backed legislators about Medicaid expansion. Their objection is clearly ideological, not practical.”

Most states – 28 and Washington, D.C. – have expanded Medicaid and Blacks accounted for 16.7 percent of the marketplace enrollees and Whites made up 62.9 percent of the enrollees. The second enrollment period just ended in February 2015 and 11.4 million Americans have signed up for private health insurance coverage through marketplace exchanges.

But cost technology and language access created barriers that made it more difficult for some to register, especially poor people of color.

According to the report, less than half of the African American respondents had e-mail addresses (49.3 percent) and only 47.7 percent had Internet at home, below the national average, compared to 64.8 percent of Whites who had e-mail addresses and 77.5 percent with Internet at home.

Antron McKay-West of Upgrade Mississippi, a youth development and community group, said that it’s so rural, most people can’t imagine life there.

“Most people don’t have Internet, if they do, it is very slow, it’s not the technology most are used to,” McKay-West, who grew up in the Mississippi Delta, said in the AJS report. “During enrollment, some people were told to just go to the library and use the Internet. In the neighborhood where I grew up, the library is 15 miles away.”

More than 40 percent of Black enrollees and more than half of White enrollees didn’t know which services were covered under their health plans and which services they would pay for out-of-pocket.

The report offered a number of recommendations, including expanding Medicaid in the 22 states that refused federal funding, ensuring that all health plans cover yearly check-ups, immunizations and screenings at no additional cost and measuring results by collecting data on by race, ethnicity, primary language, gender, disability, and sexual orientation. The report also recommended expanding school-based health clinics in underserved communities.

LeeAnn Hall, the executive director of AJS, said, “We will continue to fight to see that disparities are addressed and that these recommendations are put in place.”

Gary Delgado, the author of the report and a longtime civil and human rights leader, said that the Affordable Care Act is a big, new house built on the old foundation.

“We’re still not serving people of color,” said Delgado. “We need to build a more inclusive health care system.”

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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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Bay Area

How Is AI Affecting California? The State Wants You to Share Your Story

The program marks the first time the state has opened the platform to all Californians. State officials said the effort is designed to give residents a direct role in discussions about how AI should be regulated and used as the technology rapidly expands across industries.

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By Bo Tefu, California Black Media  

Gov. Gavin Newsom announced May 7 that California is expanding its Engaged California digital democracy initiative statewide, inviting residents to help shape future state policies on artificial intelligence (AI) and its impact on jobs and the economy.

The program marks the first time the state has opened the platform to all Californians. State officials said the effort is designed to give residents a direct role in discussions about how AI should be regulated and used as the technology rapidly expands across industries.

“We’ve got to be clear-eyed about this moment: AI is moving fast, bringing enormous opportunity, but also real risks,” Newsom said in a statement. “Californians deserve a seat at the table as we shape what’s to come.”

The initiative will roll out in two phases. Beginning immediately, Californians can sign up online to share how AI is affecting their work and communities and provide ideas for possible government action. Later this summer, a smaller group reflecting the state’s workforce demographics will participate in live discussions focused on developing policy recommendations.

State officials said the goal is to identify areas of agreement among Californians and provide policymakers with public feedback as the state develops future AI regulations and workforce strategies.

Engaged California is modeled after digital democracy programs used in Taiwan and is intended to encourage structured public discussion rather than social media-style debate. Officials described the effort as a form of “deliberative democracy” aimed at helping residents engage directly in state decision-making.

“The more Californians are engaged in the democratic process, the better able we’ll be to confront the challenges we face together,” said Nick Maduros, California Secretary of Government Operations, in a statement.

The statewide launch builds on two earlier pilot programs. One pilot gathered public input following the Los Angeles firestorms to help guide recovery efforts, while another collected ideas from state employees about improving government operations.

California has positioned itself as a national leader in AI policy and development. Since 2023, the Newsom administration has introduced initiatives focused on responsible AI use in government, cybersecurity protections, workforce training and regulations targeting risks such as deepfakes and AI-generated robocalls.

The state has also partnered with companies in Silicon Valley — including NVIDIA, Google, Adobe, IBM and Microsoft — to expand AI education and workforce training programs across California schools and universities.

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Activism

California Launches Free Diaper Program for Newborns Statewide

The initiative, called Golden State Start, will provide 400 free diapers to every newborn delivered at participating California hospitals beginning this summer. The state is partnering with Baby2Baby, a California-based nonprofit that distributes essential items to children in need nationwide.

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By Bo Tefu, California Black Media

Gov. Gavin Newsom announced Friday that California will launch a first-in-the-nation program providing free diapers to families with newborns, part of a broader effort to lower costs for parents and improve infant health outcomes.

The initiative, called Golden State Start, will provide 400 free diapers to every newborn delivered at participating California hospitals beginning this summer. The state is partnering with Baby2Baby, a California-based nonprofit that distributes essential items to children in need nationwide.

State officials said hospitals participating in the program will give families the diapers when they are discharged after birth, helping parents leave with an immediate supply of newborn essentials.

“Every baby born in California deserves a healthy start in life,” Newsom said in a statement. He said the program is part of California’s broader affordability efforts, which also include free school meals, universal preschool for four-year-olds and expanded after-school programs.

The announcement comes ahead of Mother’s Day and is tied to the administration’s broader CalRx initiative, which aims to reduce costs for essential products and medications. State officials said California is also exploring ways to lower diaper prices by challenging high costs from major brands.

The first year of the program will prioritize hospitals serving large numbers of Medi-Cal patients, with plans to expand to additional hospitals and birthing centers over time. Officials said the effort is intended to reduce financial pressure on low-income families and improve infant and maternal health by ensuring parents have access to clean diapers.

“California families deserve to feel supported during one of life’s more exciting, yet vulnerable transitions,” First Partner Jennifer Siebel Newsom said in a statement. She said the program would allow parents to focus on caring for their newborns instead of worrying about basic supplies.

According to Baby2Baby, one in two families in the United States struggles to afford diapers. The organization has distributed more than half a billion items to children over the past 15 years through partnerships with shelters, hospitals, foster care programs and schools.

State officials said Baby2Baby will oversee diaper purchasing, warehousing and distribution through its existing hospital and community partnerships across California.

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