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California Watch

News stories in this section spotlight activities in California, including actions by the state Assembly and state Senate; proposed legislation; regulators like the Department of Managed Health Care and Department of Insurance; and the state ACA exchange, Covered California.

California Takes Another Swipe at Trump Small Business Health Rule

California is the first state to legislatively prohibit some of its residents from taking advantage of a Trump administration rule that expanded access to small business health plans.

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California’s Newly Minted Health Care Laws: Doctor Misconduct, Drug Prices, Kids; Meals And More

California Gov. Jerry Brown, who faced the final bill-signing deadline of his gubernatorial career on Sunday, approved a variety of health care measures that will directly affect consumers — right down to the drinks in their children’s kiddie meals.

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Immigrants’ Health Premiums Far Exceed What Plans Pay For Their Care

President Donald Trump has repeatedly condemned U.S. immigration policy, arguing that many immigrants pose a threat to the nation and drain U.S. resources. But a study released Monday about health insurance challenges the president’s portrayal.

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Drugmakers Play The Patent Game To Lock In Prices, Block Competitors

David Herzberg was alarmed when he heard that Richard Sackler, former chairman of opioid giant Purdue Pharma, was listed as an inventor on a new patent for an opioid addiction treatment.

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Feds Settle Huge Whistleblower Suit Over Medicare Advantage Fraud

One of the nation’s largest dialysis providers will pay $270 million to settle a whistleblower’s allegation that it helped Medicare Advantage insurance plans cheat the government for several years.

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Blood, Sweat And Workplace Wellness: Where To Draw The Line On Incentives

Workplace wellness programs that offer employees a financial carrot for undergoing health screenings, sticking to exercise regimens or improving their cholesterol levels have long been controversial.

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Ruling On Health Care Subsidies Could Prove Costly for Government

A federal court ruled this month that a Montana insurer is entitled to federal compensation for subsidy payments under the Affordable Care Act that President Trump abruptly ended last October, a ruling that could reverberate through insurance markets and cost the government hundreds of millions of dollars.

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Paper Jam: California’s Medicaid Program Hits ‘Print’ When The Feds Need Info

In the shadow of Silicon Valley, the hub of the world’s digital revolution, California officials still submit their records to the feds justifying billions in Medicaid spending the old-fashioned way: on paper.

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New Medicare Advantage Tool To Lower Drug Prices Puts Crimp In Patients’ Choices

Starting next year, Medicare Advantage plans will be able to add restrictions on expensive, injectable drugs administered by doctors to treat cancer, rheumatoid arthritis, macular degeneration and other serious diseases.

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California Grapples With Growing Physician Shortage For Low-Income Patients

When Paul Lyons opened a primary-care practice in the Palm Springs area for low-income patients, the need was clear.

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