<div class="heading-tertiary">WHAT'S<strong> HAPPENING</strong></div> 4380 http://www.sfmms.org/news-publications/sfmms-blog/reinventing-medical-practice-discussion-telemedicine-in-practice.aspx?PostId=4380&tabid=2622 AMA Reinventing Medical Practice Discussion - Telemedicine in Practice <p><img src="http://www.sfmms.org/Portals/27/assets/images/AMA%20logo.png?ver=2016-11-18-140823-357" class="img-border-right" align="right">SFMMS members are invited to participate in a discussion of Telemedicine in Practice &ndash; From Laws and Licensure to Adoption and Payment that is starting Tuesday, May 29 at 7:00am PDT and will run until Friday, June 8 at 3:00pm PDT.</p> Telemedicine is transforming the way health care is delivered and is a strategy for many physician practices and health systems to provide more immediate access to care, improve care coordination, and decrease overall costs to organizations and their patients. If you are thinking about implementing telemedicine in your practice, this discussion is for you. Not only will you learn about relevant laws and licensure status; we will also focus on how to implement telemedicine in your practice by discussing such issues as cybersecurity, adoption and reimbursement. Join this discussion to learn more about implementing telemedicine in practice and where to go for resources to keep up with the latest legislative and payment changes in this space. <br> <br> <p><a href="https://reinvent-medical-practice.communities.ama-assn.org/?redirect_to=https%3A%2F%2Freinvent-medical-practice.communities.ama-assn.org%2Fdiscussions%2F676%2Fabout" target="_blank"><strong>Click here for more information</strong></a>.</p> Thu, 17 May 2018 20:47:03 Z 2018-05-17 20:47 +00:00 2018-05-17 13:47 -07:00 4378 http://www.sfmms.org/news-publications/sfmms-blog/danger-ahead.aspx?PostId=4378&tabid=2622 CMA Danger Ahead <p class=""><span style="background: white;"><strong><img src="http://www.sfmms.org/Portals/27/California-Medical-Assocation-Logo.jpg?ver=2018-05-03-133225-693"><br> </strong></span></p> <p class=""><span style="background: white;"><strong>By Katherine Boroski</strong></span></p> <p class=""><span style="background: white;">Since passage of the Affordable Care Act (ACA), California has made great strides in expanding access to health care and bringing the state&rsquo;s uninsured rate to an all-time low of 7.1 percent. Now, some lawmakers in Sacramento are turning their backs on the gains made under the ACA and pushing a reckless proposal </span>to put a new government bureaucracy in charge of health care. </p> <p class="">The bill&mdash;AB 3087, authored by Ash Kalra (D-San Jose)&mdash;would create a commission of unelected political appointees empowered to arbitrarily cap rates for all health care services in all clinics, hospitals and physician practices in California. By unilaterally setting the price for all medical services, the bill would essentially eliminate the commercial health care market in California.</p> <p class="">&ldquo;No state in America has ever attempted such an unproven policy of inflexible, government-managed price caps across every health care service,&rdquo; <a href="http://www.cmanet.org/news/press-detail/?article=ca-physicians-overwhelmingly-oppose-radical">said</a> California Medical Association (CMA) President Theodore M. Mazer, M.D. &ldquo;It threatens to reverse the historic gains for health coverage and access made in California since the passage of the ACA.&rdquo;</p> <p class=""><strong>AB 3087 Moves California in the Wrong Direction</strong></p> <p class="">This poorly conceived legislation would do nothing to ensure that patient out-of-pocket costs are decreased, nor does it solve the fundamental problems of the health care payment system.</p> <p class="">&ldquo;Simply setting physician rates without addressing the rising cost of providing care will do nothing to address health care spending,&rdquo; said San Francisco pediatrician Shannon Udovic-Constant, M.D., vice chair of the CMA Board of Trustees. &ldquo;AB 3087 would drive a lot of physicians out of our state, and it doesn&rsquo;t address the underlying reasons around rising health care costs.&rdquo; </p> <p class="">This dangerous rate setting proposal would also move California away from value-based care and universal access, backwards to an antiquated fee-for-service model that discourages contracting and stifles innovation. Instead of addressing the underlying issues, this bill would force hospitals to close, push health care providers into early retirement and cause a &ldquo;brain drain&rdquo; of talented medical students and residents fleeing California for more ideal working conditions.</p> <p class=""><strong>Medicare Should Not Be a Benchmark for Costs</strong></p> <p class="">AB 3087 requires the commission to cap prices for commercial payments for all services to Medicare rates, which is a fundamentally flawed approach that does not address coverage and benefits or the costs to provide care. Medicare was created to reimburse medical services for an age-specific population based on federal budgetary and regulatory constraints. Medicare rates do not keep up with inflation or the cost of running a practice. Adjusted for inflation in practice costs, Medicare physician pay has declined 19 percent from 2001 to 2017, or by 1.3 percent per year on average. Medicare rates are not intended to represent the fair market value of health care services. Rather, they fluctuate based on variables unrelated to the services provided, such as the federal budget.</p> <p class=""><strong>AB 3087 Does Not Address Medi-Cal Rates</strong></p> <p class="">Medi-Cal is the largest Medicaid program in the nation, with 13.5 million people&mdash;about one-third of the state&rsquo;s population&mdash;enrolled in the program. And yet, California still pays among the lowest reimbursement rates of all 50 states, creating a serious access issue for patients.</p> <p class="">California&rsquo;s Medi-Cal rates don&rsquo;t come close to covering the cost of providing care&mdash;meaning that physicians lose money for every Medi-Cal patient they serve. Due to low Medi-Cal rates, physicians must make up revenue through their commercial contracts to keep their doors open. Because the AB 3087 proposal does nothing to address California&rsquo;s sub-standard Medi-Cal rates, hospitals and health care providers would continue to be underpaid by these governmental programs, putting them in an untenable situation. </p> <p class="">&ldquo;I expect even lower physician participation in Medi-Cal because it&rsquo;s financially unsustainable already, and it will be even more so if something like this passes,&rdquo; said Christina Wang, a University of California, San Francisco medical student who came to CMA&rsquo;s 24th Annual Legislative Advocacy Conference in April to educate lawmakers about this irresponsible legislation.</p> <p class=""><strong>AB 3087 Would Drive California&rsquo;s Physicians Out</strong></p> <p class="">AB 3087 also ignores the recommendations from the University of California, San Francisco&rsquo;s <a href="http://healthcare.assembly.ca.gov/sites/healthcare.assembly.ca.gov/files/Report%20Final%203_13_18.pdf">report</a>&mdash;commissioned by the Assembly&mdash;on how to achieve universal access to health care, which includes implementing a comprehensive strategy to overcome the physician workforce shortage in the state by removing barriers that prevent physicians and other clinicians from specializing in primary care and practicing in underserved areas. </p> <p class="">Currently, six of nine California regions are facing a primary care provider shortage, and 23 of California&rsquo;s 58 counties fall below the minimum required primary care physician-to-population ratio. The state needs 8,243 additional primary care physicians by 2030&mdash;a 32 percent increase.</p> <p class="">&ldquo;AB 3087 would cause an exodus of practicing physicians, which would exacerbate our physician shortage and make California unattractive to new physician recruits,&rdquo; said Dr. Mazer. &ldquo;When I look at the economics of my own practice, it&rsquo;s enough to tell me that I could not survive that environment and continue to see Medi-Cal patients. And probably at this stage of my career, it would drive me out of practice earlier that I might otherwise.&rdquo;</p> <p class="">The bill also operates on the false premise that the cost of professional services&mdash;in other words, what physicians and hospitals charge for their services&mdash;is what&rsquo;s behind the increase in health care spending in California. </p> <p class="">Data shows, however, that the price of prescription drugs and increases in health care utilization are what&rsquo;s driving health care spending growth. Professional services had relatively low impact on spending growth. In fact, nationally, California had lower than average annual growth in per capita spending on physician and clinical services over the past 20 years. The primary driver of spending on doctor visits is increased utilization, not price.</p> <p class="">&ldquo;Physicians want real solutions to these problems too,&rdquo; said Valencia Walker, M.D., chair of the CMA Council on Legislation. &ldquo;We remain focused on real solutions that would protect the access and coverage gains made under the ACA, further value-based care, ensure patients can access health care in a timely and affordable manner, and tackle California&rsquo;s health care workforce shortage.&rdquo;</p> <p class=""><strong>California Physicians: Time to Take Action</strong></p> <p class="">Physicians are urged to visit actnow.io/PriceFixing to ask their legislators to stop this dangerous bill. </p> <p class=""><strong>Sidebar: California physicians overwhelmingly oppose price fixing bill</strong></p> <p class="">A recent survey of 398 California physicians conducted by CMA found:</p> <p class=""><span>&middot;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>92 percent opposed AB 3087 (6 percent undecided, 2 percent in support).</p> <p class=""><span>&middot;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>58 percent believed AB 3087 would force them to leave California and practice elsewhere.</p> <p class=""><span>&middot;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>39 percent believed AB 3087 would force them into early retirement.</p> <p class=""><span>&middot;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Only 5 percent believed AB 3087 would have little to no effect on their medical practice.</p> <p class=""><span>&middot;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Of the 79 percent of respondents who currently serve Medi-Cal patients, 64 percent believed AB 3087 would force them to decrease the number of Medi-Cal patients they serve.<hr> </p> <div style="padding: 1pt 0in 0in; border-top-width: 1pt; border-style: solid none none; border-right-width: initial; border-right-color: initial; border-bottom-width: initial; border-bottom-color: initial; border-left-width: initial; border-left-color: initial;"> <p class="" style="padding: 0in; border: none;"><em>Katherine Boroski is Senior Director of Communications for the California Medical Association.</em></p> </div> Tue, 15 May 2018 16:56:28 Z 2018-05-15 16:56 +00:00 2018-05-15 09:56 -07:00 4377 http://www.sfmms.org/news-publications/sfmms-blog/governor-browns-2018-19-may-revise-budget-proposal.aspx?PostId=4377&tabid=2622 Uncategorized Governor Brown's 2018-19 May Revise Budget Proposal <p class="" style="margin-bottom: 10pt;"><strong><span style="color: black;">Overview</span></strong></p> <p class="" style="margin-bottom: 10pt;"><span style="color: black;">Today, Governor Brown released his May Revise proposal for fiscal year 2018-19.&nbsp; The May Revise includes total General Fund expenditures of $137.6 billion, an increase of $10 billion or 8.3 percent over the current year.&nbsp; Additionally, General Fund revenues are up $8 billion through 2018-19 compared to the January projections.&nbsp; The Administration is proposing to use the majority of the increased revenue to pay for higher program costs and ongoing commitments, including nearly half required for Proposition 98, K-12 funding.&nbsp; With the remaining funds, the Administration proposes to fund the following one-time proposals:&nbsp;&nbsp;&nbsp;&nbsp; </span></p> <p class="" style="margin: 0in 0in 10pt 34.35pt;"><span style="color: black;">$2 billion in infrastructure spending to address the state&rsquo;s massive liabilities from years of deferred maintenance. </span></p> <p class="" style="margin: 0in 0in 10pt 34.35pt;"><span style="color: black;">$359 million to address homelessness. </span></p> <p class="" style="margin: 0in 0in 10pt 34.35pt;"><span style="color: black;">$312 million for enhanced early detection of mental health problems and the education of mental health professionals. </span></p> <p class="" style="margin-bottom: 10pt;"><strong><span>Medi-Cal</span></strong></p> <p class="" style="margin-bottom: 10pt;"><span style="color: black;">The May Revise continues the Administration&rsquo;s commitment to maintain Proposition 56 funding&nbsp; to provide supplemental payments for Medi-Cal providers; however, claims for physician payments for the designated CPT codes were lower than expected.&nbsp; As a result, expenditures in the current fiscal year are also lower than expected.&nbsp; The total dollar amount allocated for physician payments remains unchanged at $1.3 billion and any funds unspent in 2017-18 and 2018-19 will rollover for expenditure in 2019-20.&nbsp; </span></p> <p class="" style="margin-bottom: 10pt;"><strong><span style="color: black;">University of California (UC) Graduate Medical Education (GME) Funding</span></strong></p> <p class="" style="text-align: justify;"><span>The May Revise maintains the allocation of $40 million for GME as required by Proposition 56.&nbsp; Additionally, the May Revise includes $55 million one-time General Fund to support psychiatric graduate medical education programs serving Health Professional Shortage Areas or Medically Underserved Areas, which is part of a larger package of mental health proposals that the Governor is putting forward.&nbsp; CMA is currently in the process of confirming that this additional General Fund effectively undoes the &ldquo;fund swap,&rdquo; which previously cut $50 million from the UC&rsquo;s budget and backfilled it with Proposition 56 dollars; however, because the General Fund dollars are only available on a one-time basis, it is unclear how the Proposition 56 funding will be allocated beyond 2018-19.&nbsp; </span></p> <p class="" style="text-align: justify;"><span style="color: black;">&nbsp;</span></p> <p class="" style="margin-bottom: 10pt;"><strong><span style="color: black;">Next Steps</span></strong></p> <p class="" style="margin-bottom: 10pt;"><span>Beginning next week, the budget subcommittees in both houses of the Legislature will hold hearings during the two weeks leading up to Memorial Day weekend to deliberate on the May Revise issues and take action on all of the issues that have been heard since January and held open.&nbsp; CMA will continue to advocate for our budget priorities. </span></p> <p class="" style="margin-bottom: 10pt;"><span style="color: black;">For more information or questions, contact Michelle Baca, Associate Director, Government Relations, </span><span style="color: black;"><a href="mailto:mbaca@cmanet.org"><span style="color: blue;">mbaca@cmanet.org</span></a></span><span style="color: black;">.</span></p> Mon, 14 May 2018 17:44:15 Z 2018-05-14 17:44 +00:00 2018-05-14 10:44 -07:00 4376 http://www.sfmms.org/news-publications/sfmms-blog/cma-practice-resources.aspx?PostId=4376&tabid=2622 CMA CMA Practice Resources <p style="color: rgb(58, 58, 58); margin-bottom: 20px; padding: 0px; border: 0px;">CMA Practice Resources (CPR) is a free monthly e-bulletin from the California Medical Association&rsquo;s practice management experts that focuses on critical payor and health care industry changes and how they directly impact the business of a physician practice. Each issue includes tips on reimbursement and contracting related issues along with information on the latest practice management news.</p> <ul style="color: rgb(58, 58, 58); margin-bottom: 20px; padding-left: 40px; border: 0px; list-style-image: initial;"> <li style="margin-left: 0px; border: 0px;"><strong style="margin: 0px; padding: 0px; border: 0px;">SUBSCRIBE NOW:</strong>&nbsp;Sign up now for a&nbsp;<a href="http://www.cmanet.org/news-and-events/publications/" style="color: rgb(0, 86, 156); margin: 0px; padding: 0px; border: 0px;">free subscription</a>&nbsp;to our email bulletin.</li> <li style="margin-left: 0px; border: 0px;"><strong style="margin: 0px; padding: 0px; border: 0px;">SPREAD THE WORD:</strong>&nbsp;Please share this bulletin with your coworkers and colleagues.</li> <li style="margin-left: 0px; border: 0px;"><strong style="margin: 0px; padding: 0px; border: 0px;">QUESTIONS:</strong>&nbsp;Contact us with&nbsp;<a href="http://www.cmanet.org/cpr/cpr-archives/2018/may-2018/#questions" style="color: rgb(0, 86, 156); margin: 0px; padding: 0px; border: 0px;">your questions</a>&nbsp;about articles in this issue.</li> <li style="margin-left: 0px; border: 0px;"><strong style="margin: 0px; padding: 0px; border: 0px;">TELL US WHAT YOU THINK:</strong>&nbsp;CMA is interested&nbsp;<a href="http://www.cmanet.org/cpr/cpr-archives/2018/may-2018/#think" style="color: rgb(0, 86, 156); margin: 0px; padding: 0px; border: 0px;">in your feedback</a>.</li> <li style="margin-left: 0px; border: 0px;"><strong style="margin: 0px; padding: 0px; border: 0px;">PRINT:</strong>&nbsp;<a href="http://www.cmanet.org/resource-library/list?filter&amp;keyword=193" style="color: rgb(0, 86, 156); margin: 0px; padding: 0px; border: 0px;">Download a printable version</a>&nbsp;of this newsletter.</li> </ul> <p style="color: rgb(58, 58, 58); margin-bottom: 20px; padding: 0px; border: 0px;"><strong style="margin: 0px; padding: 0px; border: 0px;">In this issue:</strong></p> <ul style="color: rgb(58, 58, 58); margin-bottom: 20px; padding-left: 40px; border: 0px; list-style-image: initial;"> <li style="margin-left: 0px; border: 0px;"><a href="http://www.cmanet.org/cpr/cpr-archives/2018/may-2018/#1" style="color: rgb(0, 86, 156); margin: 0px; padding: 0px; border: 0px;">Health Net to delay modifier 25 and emergency services policy changes until July 1</a>&nbsp;</li> <li style="margin-left: 0px; border: 0px;"><a href="http://www.cmanet.org/cpr/cpr-archives/2018/may-2018/#2" style="color: rgb(0, 86, 156); margin: 0px; padding: 0px; border: 0px;">Health care community condemns physician price fixing bill</a>&nbsp;</li> <li style="margin-left: 0px; border: 0px;"><a href="http://www.cmanet.org/cpr/cpr-archives/2018/may-2018/#3" style="color: rgb(0, 86, 156); margin: 0px; padding: 0px; border: 0px;">Act now to avoid costly virtual credit card fees on Aetna physician payments</a>&nbsp;</li> <li style="margin-left: 0px; border: 0px;"><a href="http://www.cmanet.org/cpr/cpr-archives/2018/may-2018/#4" style="color: rgb(0, 86, 156); margin: 0px; padding: 0px; border: 0px;">DHCS begins retroactive reprocessing of two undervalued CPT codes</a>&nbsp;</li> <li style="margin-left: 0px; border: 0px;"><a href="http://www.cmanet.org/cpr/cpr-archives/2018/may-2018/#5" style="color: rgb(0, 86, 156); margin: 0px; padding: 0px; border: 0px;">UnitedHealthcare updates emergency department facility E/M coding policy</a>&nbsp;</li> <li style="margin-left: 0px; border: 0px;"><a href="http://www.cmanet.org/cpr/cpr-archives/2018/may-2018/#6" style="color: rgb(0, 86, 156); margin: 0px; padding: 0px; border: 0px;">Medicare Advantage plans to see 3.4% payment increase in 2019</a>&nbsp;</li> <li style="margin-left: 0px; border: 0px;"><a href="http://www.cmanet.org/cpr/cpr-archives/2018/may-2018/#7" style="color: rgb(0, 86, 156); margin: 0px; padding: 0px; border: 0px;">Physicians must check CURES database prior to prescribing effective October 2, 2018</a>&nbsp;</li> <li style="margin-left: 0px; border: 0px;"><a href="http://www.cmanet.org/cpr/cpr-archives/2018/may-2018/#8" style="color: rgb(0, 86, 156); margin: 0px; padding: 0px; border: 0px;">CMS renames EHR Incentive Programs and Advancing Care Information</a></li> <li style="margin-left: 0px; border: 0px;"><a href="http://www.cmanet.org/cpr/cpr-archives/2018/may-2018/#9" style="color: rgb(0, 86, 156); margin: 0px; padding: 0px; border: 0px;">CMS to offer QPP frequently asked question and answer session</a>&nbsp;</li> <li style="margin-left: 0px; border: 0px;"><a href="http://www.cmanet.org/cpr/cpr-archives/2018/may-2018/#coding" style="color: rgb(0, 86, 156); margin: 0px; padding: 0px; border: 0px;">The Coding Corner: Modifier 59</a><br> &nbsp;</li> </ul> <p style="color: rgb(58, 58, 58); margin-bottom: 20px; padding: 0px; border: 0px;"><strong style="margin: 0px; padding: 0px; border: 0px;">Regular features:</strong></p> <ul style="color: rgb(58, 58, 58); margin-bottom: 20px; padding-left: 40px; border: 0px; list-style-image: initial;"> <li style="margin-left: 0px; border: 0px;"><a href="http://www.cmanet.org/cpr/cpr-archives/2018/may-2018/#problems" style="color: rgb(0, 86, 156); margin: 0px; padding: 0px; border: 0px;">Problems getting paid?</a></li> <li style="margin-left: 0px; border: 0px;"><a href="http://www.cmanet.org/cpr/cpr-archives/2018/may-2018/#newsletters" style="color: rgb(0, 86, 156); margin: 0px; padding: 0px; border: 0px;">Health plan provider newsletters</a></li> </ul> <p><span style="font-size: 16px;"><a href="http://www.mbc.ca.gov/Licensees/Prescribing/CURES/CURES_Mandatory_Flyer.pdf" target="_blank">Click here for PDF</a></span></p> Mon, 14 May 2018 17:18:52 Z 2018-05-14 17:18 +00:00 2018-05-14 10:18 -07:00 4375 http://www.sfmms.org/news-publications/sfmms-blog/gun-violence-prevention-advocacy-stories.aspx?PostId=4375&tabid=2622 Advocacy Gun Violence Prevention Advocacy Stories <p class="" style="color: rgb(38, 38, 38); margin-bottom: 25px;"><span style="color: rgb(38, 38, 38);">The American Academy of Pediatrics is collecting physician stories about the impact of gun violence. Senator Feinstein&rsquo;s office requested stories that can be used in hearings if the <a href="https://www.feinstein.senate.gov/public/index.cfm/press-releases?id=88C4194F-0AB6-400A-A2FB-99774C0A9A14" target="_blank">assault weapons legislation</a> she wrote with Jeff Flake to raise the minimum age to purchase assault weapons from 18 to 21 moves forward. Please add your own stories/perspectives and invite colleagues in your practice who may want to share their experiences as well. Remember to de-identify patient information so as to comply with HIPAA. Visit&nbsp;</span><a href="http://bit.ly/2wxdb5b" style="">http://bit.ly/2wxdb5b</a><span style="color: rgb(38, 38, 38);">&nbsp;to contribute to the Google form.</span></p> <p class="" style="color: rgb(38, 38, 38); margin-bottom: 25px;"><em><hr> </em></p> <p class="" style="color: rgb(38, 38, 38); margin-bottom: 25px;"><em>Washington</em>&ndash; U.S. Sens. Dianne Feinstein (D-Calif.) and Jeff Flake (R-Ariz.) in late February introduced the Age 21 Act, a bipartisan bill to raise the minimum age required to purchase assault weapons and high-capacity magazines from 18 to 21.</p> <p class="" style="color: rgb(38, 38, 38); margin-bottom: 25px;">Under current federal law, an individual is required to be 21 years-old to purchase a handgun, but only 18 years-old to purchase an assault weapon like the AR-15 and AK-47. The Age 21 Act would create parity in federal firearms law by prohibiting the sale of those assault weapons to individuals under the age of 21.&nbsp;</p> <p class="" style="color: rgb(38, 38, 38); margin-bottom: 25px;"><span>&ldquo;Under current law, licensed gun dealers cannot sell a handgun to anyone under 21, but they are allowed to sell assault rifles like the AR-15 to anyone over 18. This policy is dangerous and makes absolutely no sense,&rdquo;&nbsp;</span>said Feinstein.&nbsp;<span>&ldquo;If you can&rsquo;t buy a beer, you shouldn&rsquo;t be able to buy a weapon of war. While we need to do much more to reform our gun laws, ensuring teenagers can&rsquo;t legally buy weapons of war is a commonsense step forward.&rdquo;</span></p> <p class="" style="color: rgb(38, 38, 38); margin-bottom: 25px;"><span>&ldquo;If the law says someone under the age of 21 is too young to purchase a handgun, than it ought to say they&rsquo;re too young to purchase an assault weapon,&rdquo;&nbsp;</span>said Flake.<span>&nbsp;&ldquo;This bipartisan fix is long overdue, and would&rsquo;ve made as much sense before the tragedy in Parkland as it does after. I hope we can work together to get this passed and signed into law without delay.&rdquo;</span></p> <p class="" style="color: rgb(38, 38, 38); margin-bottom: 25px;"><span>To view a full-text PDF of the bill, click&nbsp;</span><a href="https://www.feinstein.senate.gov/public/index.cfm?a=files.serve&amp;File_id=9271771D-DC7D-416D-8D29-465F87E71E7A" target="_blank" style="color: rgb(82, 120, 171); background-color: transparent;">here</a><span>.</span></p> Thu, 10 May 2018 22:06:16 Z 2018-05-10 22:06 +00:00 2018-05-10 15:06 -07:00 4374 http://www.sfmms.org/news-publications/sfmms-blog/new-medi-cal-funding-are-you-getting-your-share.aspx?PostId=4374&tabid=2622 Medi Cal New Medi-Cal Funding: Are You Getting Your Share? <p class=""><span style="color: rgb(99, 100, 102);">The California&nbsp;Healthcare, Research and Prevention Tobacco Tax Act of 2016 (Proposition 56) created new revenues dedicated to the Medi-Cal program. Physicians will receive supplemental payments in both fee-for-service and Medi-Cal managed care when providing Medi-Cal services under certain CPT codes. A total of $325 million was allocated for physician payments in the budget for 2017-18, with $488 million proposed for 2018-19.<br> <br> The Department of Health Care Services (DHCS) reports that supplemental payments to physicians for eligible Medi-Cal fee-for-services began in January 2018. Payments for Medi-Cal managed care services were recently authorized, but have not yet been distributed to physicians.<br> <br> <a href="https://www.surveymonkey.com/r/prop56payments" target="_blank">CMA is seeking physician feedback</a> to determine if physicians are:<u5:p></u5:p></span></p> <ol> <li class="" style="color: rgb(99, 100, 102);"><span>Aware of the availability of the supplemental payments;<u5:p></u5:p></span></li> <li class="" style="color: rgb(99, 100, 102);"><span>Receiving the supplemental payments; and<u5:p></u5:p></span></li> <li class="" style="color: rgb(99, 100, 102);"><span>Being notified of why they are receiving supplemental payments.<u5:p></u5:p></span></li> </ol> <p class=""><span style="color: rgb(99, 100, 102);">The results of <a href="https://www.surveymonkey.com/r/prop56payments" target="_blank">this survey</a> will be helpful in informing our advocacy on the Proposition 56 supplemental payments for 2018-2019. We need your feedback! </span><span style="color: rgb(192, 0, 0);"><strong>Please share your experience by <a href="https://www.surveymonkey.com/r/prop56payments" target="_blank" style="">responding to our brief survey</a>. It is critical that we receive your response no later than May 11, 2018.</strong></span><span style="color: rgb(99, 100, 102);"><u5:p></u5:p></span></p> <p style="text-align: center;"> <span><a href="https://www.surveymonkey.com/r/prop56payments" target="_blank"><span style="font-size: 16px; color: rgb(0, 176, 240);"><strong>Please take the survey now!</strong></span></a></span><u5:p></u5:p></p> Tue, 08 May 2018 18:46:57 Z 2018-05-08 18:46 +00:00 2018-05-08 11:46 -07:00 4370 http://www.sfmms.org/news-publications/sfmms-blog/nominate-a-deserving-physician-by-june-4.aspx?PostId=4370&tabid=2622 CMA Nominate a deserving physician by June 4! <img src="http://www.sfmms.org/Portals/27/California-Medical-Assocation-Logo.jpg?ver=2018-05-03-133225-693" width="200" height="200"> <p><span style="color: rgb(99, 100, 102);">The California Medical Association (CMA) annually honors inspirational physician members with the following awards during the House of Delegates. CMA is now accepting nominations for the following awards:<br> <br> <a href="https://cmanet.us1.list-manage.com/track/click?u=145aa039e469fec82f515d867&amp;id=96fc8a596c&amp;e=c8926ac8d9" target="_blank"><strong><span style="color: rgb(0, 86, 156);">2018 COMPASSIONATE SERVICE AWARD</span></strong></a><br> </span><em><span style="color: rgb(56, 56, 56);">$1,000 stipend and recognition plaque</span></em><span style="color: rgb(99, 100, 102);"><br> This award best illustrates the association&rsquo;s commitment to community and charity care. Nomination eligibility: active physicians or physician organizations who have demonstrated a history of providing charity or donated care to communities within the state of California. The selection process will focus heavily on services donated by physicians, or organizations, to the indigent or services rendered to charitable groups<strong>.</strong><br> <br> <a href="https://cmanet.us1.list-manage.com/track/click?u=145aa039e469fec82f515d867&amp;id=a7e7389c7a&amp;e=c8926ac8d9" target="_blank"><strong><span style="color: rgb(0, 86, 156);">2018 DEV A. GNANADEV MEMBERSHIP AWARD</span></strong></a><br> </span><em><span style="color: rgb(56, 56, 56);">$1,000 stipend and recognition plaque</span></em><span style="color: rgb(99, 100, 102);"><br> This award demonstrates a special or unique effort toward membership recruitment resulting in membership growth in their area during the past year.<br> <br> <a href="https://cmanet.us1.list-manage.com/track/click?u=145aa039e469fec82f515d867&amp;id=5601cf328b&amp;e=c8926ac8d9" target="_blank"><strong><span style="color: rgb(0, 86, 156);">2018 GARY NYE, M.D., AWARD</span></strong></a><br> This award honors significant contributions toward improving physician health and wellness. The CMA Physicians&rsquo; and Dentists&rsquo; Confidential Line Committee acts as the nominating committee to the House of Delegates.<br> <br> <a href="https://cmanet.us1.list-manage.com/track/click?u=145aa039e469fec82f515d867&amp;id=994e1a77f2&amp;e=c8926ac8d9" target="_blank"><strong><span style="color: rgb(0, 86, 156);">2018 FREDERICK K.M. PLESSNER MEMORIAL AWARD</span></strong></a><br> </span><em><span style="color: rgb(56, 56, 56);">$1,000 stipend and commemorative silver bowl</span></em><span style="color: rgb(99, 100, 102);"><br> This award best exemplifies the practice and ethics of a rural practitioner. Nomination eligibility: physicians currently in active practice or recently retired, i.e., retired from active practice for a period of no longer than three years. The selection process shall take into consideration services donated by the physician to the indigent or services rendered to charitable groups.<br> &nbsp;<br> All nominations must reflect active CMA membership from a physician residing and practicing in California.<br> &nbsp;<br> <a href="https://cmanet.us1.list-manage.com/track/click?u=145aa039e469fec82f515d867&amp;id=478b821b12&amp;e=c8926ac8d9" target="_blank"><strong><span style="color: rgb(0, 86, 156);">DEADLINE: Monday, June 4, 2018</span></strong></a><br> &nbsp;<br> For more information, please contact:<br> <br> <strong>Manjot (MJ) Cheema</strong><br> Associate Director, Governance<br> California Medical Association<br> 1201 J Street, Suite 200<br> Sacramento, CA 95814<br> (916) 551-2565<br> <a href="mailto:mcheema@cmanet.org"><span style="color: rgb(0, 86, 156);">mcheema@cmanet.org</span></a></span></p> Fri, 04 May 2018 23:28:55 Z 2018-05-04 23:28 +00:00 2018-05-04 16:28 -07:00 4369 http://www.sfmms.org/news-publications/sfmms-blog/all-of-us-research-program-launch-date-released.aspx?PostId=4369&tabid=2622 Volunteer All of Us Research Program Launch Date Released <div><span style="color: rgb(128, 128, 128);"><img src="http://www.sfmms.org/Portals/27/All%20of%20Us.jpg?ver=2018-05-03-131557-243" width="300" height="204"><br> </span></div> <span style="color: rgb(128, 128, 128);"> <div><span style="color: rgb(128, 128, 128);"><br> </span></div> The </span><em style="color: gray;">All of Us</em><span style="color: rgb(128, 128, 128);"> Research Program is a national effort to recruit a million or more volunteers U.S., to share their health information and inform the research and treatments that will lead to tailored medicine, and better health outcomes for communities - especially those that have been historically underserved.</span><br> <span style="color: rgb(128, 128, 128);"> &nbsp;</span><br> <span style="color: rgb(128, 128, 128);"> The National Institutes&nbsp;of Health (NIH) is partnering with community and provider groups, including&nbsp;National Council of Asian Pacific Islander Physicians&nbsp;(NCAPIP), to make sure that the word gets out to <span style="color: gray;">Asian American, Native Hawaiian, and Pacific Islander (AANHPI)</span>&nbsp;communities and the providers who serve them.&nbsp;</span> <div><span style="color: rgb(128, 128, 128);"><br> </span> <p><a href="https://allofus.nih.gov/?utm_source=NCAPIP+Advocacy+Listserv&amp;utm_campaign=be010d35d8-EMAIL_CAMPAIGN_2018_04_24&amp;utm_medium=email&amp;utm_term=0_6bf543a6f8-be010d35d8-67512893" target="_blank"><span style="font-size: 13px;">Learn more about <em style="">All of Us</em></span></a></p> </div> Thu, 03 May 2018 20:18:35 Z 2018-05-03 20:18 +00:00 2018-05-03 13:18 -07:00 4340 http://www.sfmms.org/news-publications/sfmms-blog/article-references-for-april-may-2018-san-francisco-marin-medicine.aspx?PostId=4340&tabid=2622 San Francisco Marin Medicine Article References for April/ May 2018 San Francisco Marin Medicine <div><strong><span style="color: rgb(127, 127, 127);">References cited in:&nbsp;Vegan Diets in Clinical Practice :The Power of Plant-Based Diets in Clinical Approaches to Health Care</span></strong></div> <p class=""><span style="color: rgb(127, 127, 127);">Author(s): Neal D. Barnard, MD, FACC </span></p> <p class="" style="margin-left: 0.5in;"><span>Page :11</span></p> <p class="" style="margin-left: 0.5in;"><span>References: </span></p> <p class="" style="border: none; margin-left: 80px;"><span>1.&nbsp;&nbsp;&nbsp; </span><span>Melina V, Craig W, Levin S. Position of the Academy of Nutrition and Dietetics: vegetarian diets. <em>J Acad Nutr Diet</em>. 2016(12); 116:1970&ndash;1980. </span></p> <p class="" style="border: none; margin-left: 80px;"><span>2.&nbsp;&nbsp;&nbsp; </span><span>Barnard ND, Levin SM, Yokoyama Y. A systematic review and meta-analysis of changes in body weight in clinical trials of vegetarian diets. <em>J Acad Nutr Diet</em>. 2015 Jun; 115:954&ndash;69.</span></p> <p class="" style="border: none; margin-left: 80px;"><span>3.&nbsp;&nbsp;&nbsp; </span><span>Dansinger ML, Gleason JA, Griffith JL, Selker HP, Schaefer EJ. Comparison of the Atkins, Ornish, Weight Watchers, and Zone diets for weight loss and heart disease risk reduction. <em>JAMA. </em>2005; 293:43&ndash;53.&nbsp; </span></p> <p class="" style="border: none; margin-left: 80px;"><span>4.&nbsp;&nbsp;&nbsp; </span><span>&nbsp;Wang F, Zheng J, Yang B, Jiang J, Fu Y, Li D. Effects of vegetarian diets on blood lipids: A systematic review and meta-analysis of randomized controlled trials. <em>J Am Heart Assoc. </em>2015; 4:e002408. </span></p> <p class="" style="border: none; margin-left: 80px;"><span>5.&nbsp;&nbsp;&nbsp; </span><span>Jenkins DJ, Kendall CW, Marchie A, et al. Direct comparison of a dietary portfolio of cholesterol-lowering foods with a statin in hypercholesterolemic participants. <em>Am J Clin Nutr</em>. 2005; 81:380&ndash;7. </span></p> <p class="" style="border: none; margin-left: 80px;"><span>6.&nbsp;&nbsp;&nbsp; </span><span>&nbsp;Yokoyama Y, Barnard ND, Levin SM, Watanabe M. Vegetarian diets and glycemic control in diabetes: A systematic review and meta-analysis. <em>Cardiovascular Diagnosis and Therapy.</em> 2014; 4(5):373&ndash;382. </span></p> <p class="" style="border: none; margin-left: 80px;"><span>7.&nbsp;&nbsp;&nbsp; </span><span>Bunner AE, Wells CL, Gonzales J, Agarwal U, Bayat E, Barnard ND. A dietary intervention for chronic diabetic neuropathy pain: A randomized controlled pilot study. <em>Nutr Diabetes.</em> 2015, May 26; 5:e158. doi: 10.1038/nutd.2015.8. </span></p> <p class="" style="border: none; margin-left: 80px;"><span>8.&nbsp;&nbsp;&nbsp; </span><span>&nbsp;Tsilas CS, de Souza RJ, Blanco Mejia S, et al. Relation of total sugars, fructose, and sucrose with incident type 2 diabetes: A systematic review and meta-analysis of prospective cohort studies. <em>CMAJ. </em>2017; 189:E711&ndash;720. doi: 10.1503/cmaj.160706. </span></p> <p class="" style="border: none; margin-left: 80px;"><span>9.&nbsp;&nbsp;&nbsp; </span><span>Petersen KF, Dufour S, Befroy D, Garcia R, Shulman GI. Impaired mitochondrial activity in the insulin-resistant offspring of patients with type 2 diabetes. <em>N Engl J Med. </em>2004; 350:664&ndash;671. </span></p> <p class="" style="border: none; margin-left: 80px;"><span>10. </span><span>Barnard ND, Cohen J, Jenkins DJ, et al. A low-fat vegan diet and a conventional diabetes diet in the treatment of type 2 diabetes: A randomized, controlled, 74-week clinical trial. <em>Am J Clin Nutr.</em> 2009; 89(suppl):1588S&ndash;96S. </span></p> <p class="" style="border: none; margin-left: 80px;"><span>11. </span><span>Yokoyama Y, Barnard ND, Levin SM, Watanabe M. Vegetarian diets and glycemic control in diabetes: A systematic review and meta-analysis. <em>Cardiovascular Diagnosis and Therapy.</em> 2014; 4(5):373&ndash;382. </span></p> <p class="" style="border: none; margin-left: 80px;"><span>12. </span><span>Yokoyama Y, Nishimura K, Barnard ND, et al. Vegetarian diets and blood pressure: A meta-analysis. <em>JAMA Internal Medicine.</em> 2014; 174:577&ndash;87. </span></p> <p class="" style="border: none; margin-left: 80px;"><span>13. </span><span>Lu W, Chen H, Niu Y, Wu H, Xia D, Wu Y. Dairy products intake and cancer mortality risk: A meta-analysis of 11 population-based cohort studies. <em>Nutr J</em>. 2016; 15:91&ndash;102. </span></p> <p class="" style="border: none; margin-left: 80px;"><span>14. </span><span>Ornish D, Weidner G, Fair WR, et al. Intensive lifestyle changes may affect the progression of prostate cancer. <em>J Urol</em>. 2005; 174:1065&ndash;70. </span></p> <p class="" style="border: none; margin-left: 80px;"><span>15. </span><span>Wu AH, Yu, MC, Tseng CC, Pike MC. Epidemiology of soy exposures and breast cancer risk. <em>Br J Cancer. </em>2008; 98:9&ndash;14. &nbsp;</span></p> <p class="" style="border: none; margin-left: 80px;"><span>16. </span><span>Chen M, Rao Y, Zheng Y, et al. Association between soy isoflavone intake and breast cancer risk for pre- and post-menopausal women: A meta-analysis of epidemiological studies. <em>PLoS ONE.</em> 2014; 9(2):e89288.&nbsp; </span></p> <p class="" style="border: none; margin-left: 80px;"><span>17. </span><span>&nbsp;Nechuta SJ, Caan BJ, Chen WY, et al. Soy food intake after diagnosis of breast cancer and survival: An in-depth analysis of combined evidence from cohort studies of U.S. and Chinese women. <em>Am J Clin Nutr.</em> 2012; 96:123&ndash;32.&nbsp; </span></p> <p class="" style="border: none; margin-left: 80px;"><span>18. </span><span>Morris MC, Evans EA, Bienias JL, et al. Dietary fats and the risk of incident Alzheimer&rsquo;s disease. <em>Arch Neurol.</em> 2003; 60:194&ndash;200.&nbsp; </span></p> <p class="" style="border: none; margin-left: 80px;"><span>19. </span><span>Barnard ND, Bunner AE, Agarwal U. Saturated and trans fats and dementia: A systematic review. <em>Neurobiol Aging.</em> 2014; 35 Suppl 2:S65&ndash;73.</span></p> <p class="" style="border: none;"><strong style="font-size: 1em;"><span style="color: rgb(127, 127, 127);">References cited in: Prescribing a Vegan Diet: How Clinicians Can Guide Patients into Following an Effective Vegan Diet</span></strong></p> <p class=""><span>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Author(s): </span><span>&nbsp;</span><span>Neal D. Barnard, MD, FACC </span></p> <p class=""><span>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Page: 12,13</span></p> <p class=""><span>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; References:</span></p> <p class="" style="border: none; margin-left: 80px;"><span>1.&nbsp;&nbsp;&nbsp; </span><span>&nbsp;Lee V, McKay T, Ardern CI. Awareness and perception of plant-based diets for the treatment and management of type 2 diabetes in a community education clinic: A pilot study. <em>J Nutr Metab.</em> 2015; 2015:236234. doi: 10.1155/2015/236234. Epub 2015 Jan 31.&nbsp; </span></p> <p class="" style="border: none; margin-left: 80px;"><span>2.&nbsp;&nbsp;&nbsp; </span><span>Barnard ND, Gloede L, Cohen J, Jenkins DJA, Turner-McGrievy G, Green AA, Ferdowsian H. A low-fat vegan diet elicits greater macronutrient changes, but is comparable in adherence and acceptability, compared with a more conventional diabetes diet among individuals with type 2 diabetes. <em>J Am Diet Assoc. </em>2009; 109:263&ndash;72.&nbsp;&nbsp; </span></p> <p class="" style="border: none; margin-left: 80px;"><span>3.&nbsp;&nbsp;&nbsp; </span><span>Turner-McGrievy GM, Barnard ND, Cohen J, Jenkins DJA, Gloede L, Green AA. Changes in nutrient intake and dietary quality among participants with type 2 diabetes following a low-fat vegan diet or a conventional diabetes diet for 22 weeks. <em>J Am Diet Assoc.</em> 2008; 108:1636&ndash;45.&nbsp; </span></p> <p class="" style="border: none; margin-left: 80px;"><span>4.&nbsp;&nbsp;&nbsp; </span><span>Melina V, Craig W. Levin S. Position of the Academy of Nutrition and Dietetics: Vegetarian diets. <em>J Acad Nutr Diet</em>. 2016(12); 116:1970&ndash;1980. </span></p> <p class="" style="border: none; margin-left: 80px;"><span>5.&nbsp;&nbsp;&nbsp; </span><span>Physicians Committee for Responsible Medicine. Nutrition Education Curriculum. <a href="http://www.pcrm.org/health/healthcare-professionals/nutritioncurriculum" target="_blank">http://www.pcrm.org/health/healthcare-professionals/nutritioncurriculum</a>.<strong> </strong>&nbsp;</span></p> <span> <p class=""><strong><span style="color: rgb(127, 127, 127);">References cited in:&nbsp;<strong>Firearm Violence Prevention<span class="gmail-apple-converted-space">&nbsp;</span></strong></span></strong></p> <p class="gmail-p2" style="margin: 0in 0in 0.0001pt 80px; text-align: justify;"><span>1. Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. Web-Based Injury Statistics Query and Reporting System (WISQARS). <a href="http://www.cdc.gov/injury/wisqars">www.cdc.gov/injury/wisqars</a>. Accessed May 5, 2017.<span class="gmail-apple-converted-space">&nbsp;<br> <br> </span></span></p> <p class="gmail-p2" style="margin: 0in 0in 0.0001pt 80px; text-align: justify;"><span>2. Wintemute GJ, Betz ME, Ranney ML. Yes, you can: Physicians, patients, and firearms. <em>Ann Intern Med</em>. 2016; 165:205&ndash;213. doi: 10.7326/M15-2905.<span class="gmail-apple-converted-space">&nbsp;<br> <br> </span></span></p> <p class="gmail-p2" style="margin: 0in 0in 0.0001pt 80px; text-align: justify;"><span>3. Ibid.<span class="gmail-apple-converted-space">&nbsp;</span></span></p> <p class="gmail-p2" style="margin: 0in 0in 0.0001pt 80px; text-align: justify;"><span class="gmail-apple-converted-space"><br> </span></p> <p class="gmail-p2" style="margin: 0in 0in 0.0001pt 80px; text-align: justify;"><span>4. Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. Web-Based Injury Statistics Query and Reporting System (WISQARS). <a href="http://www.cdc.gov/injury/wisqars">www.cdc.gov/injury/wisqars</a>. Accessed May 5, 2017.<span class="gmail-apple-converted-space">&nbsp;</span></span></p> <p class="gmail-p2" style="margin: 0in 0in 0.0001pt 80px; text-align: justify;"><span class="gmail-apple-converted-space"><br> </span></p> <p class="gmail-p2" style="margin: 0in 0in 0.0001pt 80px; text-align: justify;"><span>5. Wintemute GJ. Presentation at Firearm Violence Prevention Committee Meeting. April 19, 2017. <span class="gmail-apple-converted-space">&nbsp;</span></span></p> <p class="gmail-p2" style="margin: 0in 0in 0.0001pt 80px; text-align: justify;"><span class="gmail-apple-converted-space"><br> </span></p> <p class="gmail-p2" style="margin: 0in 0in 0.0001pt 80px; text-align: justify;"><span>6. Wintemute GJ, Betz ME, Ranney ML. Yes, you can: Physicians, patients, and firearms. <em>Ann Intern Med.</em> 2016; 165:205&ndash;213. doi: 10.7326/M15-2905.<span class="gmail-apple-converted-space">&nbsp;</span></span></p> <p class="gmail-p2" style="margin: 0in 0in 0.0001pt 80px; text-align: justify;"><span class="gmail-apple-converted-space"><br> </span></p> <p class="gmail-p2" style="margin: 0in 0in 0.0001pt 80px; text-align: justify;"><span>7. Pollack H, PhD, Crime Lab, University of Chicago. Preventing gun violence: Moving from crisis to action: An evidence-based approach to preventing gun violence in Chicago.<span class="gmail-apple-converted-space">&nbsp; </span>AMA/ABA program, March 24, 2017.<span class="gmail-apple-converted-space">&nbsp;</span></span></p> <p class="gmail-p2" style="margin: 0in 0in 0.0001pt 80px; text-align: justify;"><span class="gmail-apple-converted-space"><br> </span></p> <p class="gmail-p2" style="margin: 0in 0in 0.0001pt 80px; text-align: justify;"><span>8. Wintemute GJ.<span class="gmail-apple-converted-space">&nbsp;</span></span></p> <p class="gmail-p2" style="margin: 0in 0in 0.0001pt 80px; text-align: justify;"><span class="gmail-apple-converted-space"><br> </span></p> <p class="gmail-p2" style="margin: 0in 0in 0.0001pt 80px; text-align: justify;"><span>9. Cerd&aacute; M. Gun violence: Risk, consequences, and prevention. <em>American Journal of Epidemiology</em>. March 2016; 183,6:516&ndash;517.</span></p> </span> Thu, 26 Apr 2018 21:28:01 Z 2018-04-26 21:28 +00:00 2018-04-26 14:28 -07:00 4364 http://www.sfmms.org/news-publications/sfmms-blog/call-for-nominations-for-the-2017-j-elliott-royer-award-in-psychiatry.aspx?PostId=4364&tabid=2622 Leadership development,SFMMS Member,UCSF Call for Nominations for the 2017 J. Elliott Royer Award in Psychiatry The J. Elliot Royer Award was established in 1957 by the late J. Elliot Royer, MD, as a bequest in his will.<br> <br> The award recognizes two psychiatrists or neurologists, one academic and one community, active in the medical field in San Francisco, Alameda or Contra Costa counties who during the year have made the most significant contribution to the advancement of psychiatry or neurology. The award alternates each year between the specialties of Neurology and Psychiatry. This year, two recipients will be selected for this cash award, one to an academic psychiatrist and the other to a community-based practitioner. <div><br> <div> <h3><span style="color: rgb(192, 0, 0);"><strong>Selection Criteria</strong></span></h3> <p style="">The award for Academic Excellence will be judged by:</p> <p style="margin-left: 40px;">a. Record of high-impact scholarly contributions to the field of psychiatry.<br> b. University service.<br> c. Community service.<br> d. Regional, national, or international prominence.</p> <p>The award for Community Excellence will be judged by:</p> <p style="margin-left: 40px;">a. Evidence of service to the local, state or national community.<br> b. Evidence of teaching excellence.<br> c. Evidence of original, creative contributions to the field.<br> d. The general esteem and aspect of the candidate's peers as a role model and mentor to others in&nbsp;the field.</p> <h3><span style="color: rgb(192, 0, 0);"><strong>Nomination Deadline</strong></span></h3> <p><span style="text-decoration: underline;">Nominations will be received until 5:00 pm on Monday, May 7, 2018</span>.</p> <p>The committee will accept no more than three letters - one nominating and two supporting.&nbsp;The nomination must be accompanied by a curriculum vitae.&nbsp;Please submit nominations electronically as a single PDF to: <strong><a href="mailto:erika.pham@ucsf.edu" class="ApplyClass">erika.pham@ucsf.edu</a>.</strong></p> <p><strong>Please let SFMMS know if you have a candidate in mind for the Award for Community Excellence in Psychiatry by emailing <a href="mailto:membership@sfmms.org" class="ApplyClass">membership@sfmms.org</a>.<br> </strong></p> <p><a href="http://www.sfmms.org/Portals/27/assets/docs/Blog/2018%20Royer%20Award%20Flyer%20PSYCHIATRY.PDF?ver=2018-04-25-093219-937" target="_blank"><strong>See full announcement here</strong></a>.</p> </div> </div> Wed, 25 Apr 2018 16:34:05 Z 2018-04-25 16:34 +00:00 2018-04-25 09:34 -07:00 4358 http://www.sfmms.org/news-publications/sfmms-blog/ama-supports-proposition-e-to-prohibit-the-sale-of-flavored-tobacco-products.aspx?PostId=4358&tabid=2622 Advocacy,AMA,Public Health AMA Supports Proposition E to Prohibit the Sale of Flavored Tobacco Products <p><img src="http://www.sfmms.org/Portals/27/assets/images/Blog/AMA%20Logo.jpg?ver=2016-12-14-130716-440" class="img-border-right" align="right"></p> <p><span style="font-size: 13px;">The San Francisco Marin Medical Society was pleased to receive a letter of support&nbsp;recently&nbsp;for local initiative, Prop E, from the American Medical Association.&nbsp;</span></p> <p><span style="font-size: 13px;">"On behalf of James L. Madara, MD, CEO/Executive Vice President, American Medical Association (AMA), attached please find a letter expressing the AMA&rsquo;s support for Proposition E, to prohibit the sale of flavored tobacco products."</span></p> <p><span style="font-size: 13px;"><a href="http://www.sfmms.org/Portals/27/assets/docs/Blog/AMA%20Letter%20to%20Larry%20Tramutola%20support%20Proposition%20E-FINAL.pdf?ver=2018-04-24-092314-980" target="_blank"><strong>Read the letter here</strong></a>.</span></p> Tue, 24 Apr 2018 16:28:45 Z 2018-04-24 16:28 +00:00 2018-04-24 09:28 -07:00 4355 http://www.sfmms.org/news-publications/sfmms-blog/ama-sees-progress-in-declining-opioid-prescriptions-urges-continued-focus-on-evidence-based-treatment.aspx?PostId=4355&tabid=2622 AMA AMA Sees Progress in Declining Opioid Prescriptions, Urges Continued Focus on Evidence-Based Treatment <h1><span style="color: rgb(0, 112, 192);"><strong><img src="http://www.sfmms.org/Portals/27/assets/images/Blog/AMA%20Logo.jpg?ver=2016-12-14-130716-440" class="img-border-right" align="right"></strong>AMA Sees Progress in Declining Opioid Prescriptions, Urges Continued Focus on Evidence-Based Treatment</span></h1> <h2>Twenty-two percent decline in opioid prescriptions over four years announced by IQVIA</h2> Statement attributed to: Patrice A. Harris, MD, MA, chair of the AMA Opioid Task Force<br> <br> &ldquo;A 22-percent decrease in opioid prescriptions nationally between 2013 and 2017 reflects the fact that physicians and other health care professionals are increasingly judicious when prescribing opioids. It is notable that every state has experienced a decrease, but this is tempered by the fact that deaths related to heroin and illicit fentanyl are increasing at a staggering rate, and deaths related to prescription opioids also continue to rise. These statistics again prove that simply decreasing prescription opioid supplies will not end the epidemic. We need well-designed initiatives that bring together public and private insurers, policymakers, public health infrastructure, and communities with the shared goal to improve access and coverage for comprehensive pain management and treatment for substance use disorders.<br> <br> &ldquo;Additionally, it is a sign of progress that IQVIA reported an increase in new treatment starts for medication assisted treatment (MAT) for patients with opioid use disorder, nearly doubling from 44,000 in December 2015 to 82,000 in December 2017. This evidence-based treatment can slow and even stop this epidemic. Physicians and other stakeholders accept that bold action is needed. We go where the evidence leads us. We all must take care that policies and practices don't restrict access to one alternative for pain relief without increasing access to comprehensive, multidisciplinary pain care, including non-opioid-based options." <br> <br> In 2015, the AMA launched the AMA Opioid Task Force and continues to work with state medical societies to address legislation and regulation ranging from developing effective prescription drug monitoring programs, continuing medical education, restrictions on treatment for opioid use disorder as well as enactment of naloxone access and Good Samaritan overdose protections.<br> <br> To learn more about AMA efforts to end the opioid epidemic, visit <a href="https://www.end-opioid-epidemic.org/" target="_blank"><strong>end-opioid-epidemic.org</strong></a> and <a href="https://wire.ama-assn.org/delivering-care/opioid-abuse-and-misuse" target="_blank"><strong>AMA Wire</strong></a>. <div><br> <h3><span style="color: rgb(192, 0, 0);"><strong>Relevant IQVIA Resources</strong></span></h3> <p><a href="http://www.sfmms.org/Portals/27/assets/docs/Blog/IQVIA%20Opioids%20Rx%20by%20State%202013-2017final.pdf?ver=2018-04-20-132928-417" target="_blank"><strong>Opioid Rx's by State</strong></a></p> <p><a href="http://www.sfmms.org/Portals/27/assets/docs/Blog/IQVIA%20Opioid%20state%20and%20payer%20views%202017%20FINAL.PDF?ver=2018-04-20-132928-143" target="_blank"><strong>Opioid State and Payer Views</strong></a></p> </div> Fri, 20 Apr 2018 20:35:51 Z 2018-04-20 20:35 +00:00 2018-04-20 13:35 -07:00 4347 http://www.sfmms.org/news-publications/sfmms-blog/the-california-medical-association-has-formally-endorsed-gavin-newsom-for-governor.aspx?PostId=4347&tabid=2622 CMA The California Medical Association Has Formally Endorsed Gavin Newsom for Governor <img src="http://www.sfmms.org/Portals/27/assets/images/Blog/Newsom.jpg?ver=2018-04-19-092614-363" class="img-border-right" align="right" width="250" height="376">Today, the California Medical Association (CMA) formally endorsed Lieutenant Governor Gavin Newsom&rsquo;s 2018 bid to become California&rsquo;s next governor.<br> <br> &ldquo;California&rsquo;s physicians are proud to support Gavin Newsom for Governor,&rdquo; said CMA President Theodore M. Mazer, M.D. &ldquo;Gavin is a lifelong champion for health care in California, and we know he will continue to fight for pragmatic solutions to our most crucial health care challenges, including working to achieve universal access and tackling our state&rsquo;s physician shortage.&rdquo;<br> <br> As Mayor of the City and County of San Francisco, Newsom worked with health care providers to bring the nation&rsquo;s first universal access health system to all residents, regardless of income or immigration status. He fought alongside CMA to restore hundreds of millions of dollars in harmful statewide cuts to Medi-Cal services and vowed to protect access to care for all Californians. Newsom was also the first statewide official to support Proposition 56 and its full state budget allocation to health care delivery.<br> <br> More recently, he has reaffirmed his support for a comprehensive legislative approach that creates a pathway to universal health access, renewed investment in prevention and wellness, and bold reforms that bend the cost curve without exacerbating the provider gap. Newsom has long advocated that any strong and successful universal access plan must address California&rsquo;s critical physician shortages and expand medical residency programs so patients can access timely and affordable health care, as well as standardize and reduce administrative burdens so physicians can spend more time on patient care than paperwork.<br> <br> He will also continue working to protect Medicare and raise Medi-Cal reimbursement rates &ndash; currently among the nation&rsquo;s lowest &ndash; to help increase access for the nearly 14 million Californians, including half of the state&rsquo;s children, currently covered by the program.<br> <br> &ldquo;After more than a decade of partnership working side-by-side with California&rsquo;s physicians to expand health access and improve health outcomes for every Californian, it is a high and humbling honor to receive their endorsement for Governor,&rdquo; said Newsom. &ldquo;The promise of universal health is within our grasp, and we need everyone at the policy table working in common cause to achieve it, especially the physicians Californians depend on day in and day out to deliver high-quality patient care.&rdquo; <br> <br> For more information on Gavin Newsom&rsquo;s candidacy, please visit <a href="https://www.gavinnewsom.com/" target="_blank"><strong>GavinNewsom.com</strong></a>. Thu, 19 Apr 2018 16:28:03 Z 2018-04-19 16:28 +00:00 2018-04-19 09:28 -07:00 4346 http://www.sfmms.org/news-publications/sfmms-blog/survey-how-would-the-ab-3087-price-fixing-proposal-affect-your-practice.aspx?PostId=4346&tabid=2622 CMA Survey: How Would the AB 3087 Price Fixing Proposal Affect Your Practice? <h1 style="text-align: center;"><span style="color: rgb(0, 112, 192);"><strong><a href="https://www.surveymonkey.com/r/ab3087" target="_blank"><img src="http://www.sfmms.org/Portals/27/assets/images/Blog/ab-3087-survey-banner-915x322.jpg?ver=2018-04-18-123733-757" class="img-border"></a><br> </strong></span></h1> <p>&nbsp;</p> <p> Assemblymember Ash Kalra (D-San Jose) recently announced a radical physician rate setting proposal (AB 3087) that would increase patient out-of-pocket costs, create state-sanctioned rationing of health care for all Californians and force physicians out of state or into early retirement.</p> The California Medical Association is asking physicians to answer a few questions about how AB 3087 will impact their practices. The survey is anonymous and the results will help in our legislative efforts to fight this dangerous and irresponsible legislation.<br> <br> <strong><a href="https://www.surveymonkey.com/r/ab3087" target="_blank">Take the survey now</a>.</strong> <br> <br> And, if you are among California's physicians that will be forced into early retirement or out of state if AB 3087 passes, we want to tell your story. Drop us a line at <a href="mailto:communications@cmanet.org" class="ApplyClass"><strong>communications@cmanet.org</strong></a>.<br> Wed, 18 Apr 2018 19:43:35 Z 2018-04-18 19:43 +00:00 2018-04-18 12:43 -07:00 4339 http://www.sfmms.org/news-publications/sfmms-blog/kentfield-hospital-presents-free-to-breathe-journey-to-neuro-recovery-event.aspx?PostId=4339&tabid=2622 Educational Event Kentfield Hospital Presents: Free to Breathe & Journey to Neuro Recovery Event <p><span style="font-size: 24px; color: rgb(0, 112, 192);"><strong style=""><img src="http://www.sfmms.org/Portals/27/Kentfield%20Hospital%20Logo.png?ver=2018-04-16-161941-203"></strong></span></p> <p><strong style="font-size: x-large;"><span style="color: rgb(127, 127, 127);">Free to Breathe (Neurodiagnostic Ventilator Weaning Program) &amp; Journey to Neuro Recovery (Transitional Neuro ICU Program)</span></strong><span style="font-size: 24px; color: rgb(0, 112, 192);"><strong style=""><br> </strong></span></p> <p><span style="font-size: 16px; color: rgb(0, 112, 192);"><strong>Date: </strong>Thursday, April 19th 2018</span></p> <p><span style="font-size: 16px; color: rgb(0, 112, 192);"><strong>Time: </strong>5:30pm - 8:30pm</span></p> <p><span style="font-size: 16px; color: rgb(0, 112, 192);"><strong>Location: Jason's Restaurant</strong><br> <span style="font-weight: bold; white-space: pre;"> </span><strong>&nbsp;</strong>300 Drakes Landing Road<br> <span style="white-space: pre;"> </span>&nbsp;Greenbrae, CA 94904</span></p> <p><span style="font-size: 16px; color: rgb(0, 112, 192);"><strong>Guest Speakers: </strong>Dr. Alex Barchuk &amp; Dr. David Palestrant</span></p> <p><span style="font-size: 16px; color: rgb(0, 112, 192);"><strong>Credits:</strong> Offering 1 CEU credit</span></p> <p><strong style=""><span style="font-size: 16px; color: rgb(192, 0, 0);">Please save the date and RSVP by April 12th to:</span></strong></p> <p><span style="font-size: 16px; color: rgb(192, 0, 0);">Laurie Barchuk, LVN<br> (415) 624-4889 or email lbarchuk@kentfieldrehab.com</span></p> Mon, 16 Apr 2018 23:33:40 Z 2018-04-16 23:33 +00:00 2018-04-16 16:33 -07:00 4338 http://www.sfmms.org/news-publications/sfmms-blog/new-ama-resource-to-help-medical-staffs-address-disruptive-physician-behavior.aspx?PostId=4338&tabid=2622 AMA,Physician Resource New AMA Resource: Addressing Disruptive Physician Behavior <img src="http://www.sfmms.org/Portals/27/assets/images/Blog/AMA%20Logo.jpg?ver=2016-12-14-130716-440" class="img-border-right" align="right">Inappropriate and disruptive behavior on the part of physicians and other hospital staff is more than a teamwork issue; these behaviors also present a serious threat to patient safety and quality of care. Accordingly, physicians and their medical staff organizations must adopt clear guidelines for identifying and fairly addressing inappropriate and disruptive behavior in the hospital setting.&nbsp; <div><br> </div> <div>The AMA has created a new resource to help medical staffs address disruptive physician behavior. Now available in the AMA Education Center, this <a href="https://cme.ama-assn.org/Activity/5976608/Detail.aspx" target="_blank"><strong>free 30-minute learning module</strong></a>&nbsp;shows physicians how to define appropriate, inappropriate, and disruptive behavior, presents guidelines for dealing with these behaviors in a fair manner, and provides users with their own downloadable copy of the AMA Model Medical Staff Code of Conduct that they can integrate into their medical staff bylaws.<br> <div><br> </div> <div>Protect yourself, your colleagues and your medical staff from communication and behavior misunderstandings. Complete this module and share the code of conduct today.&nbsp;</div> </div> Fri, 13 Apr 2018 20:14:17 Z 2018-04-13 20:14 +00:00 2018-04-13 13:14 -07:00 4337 http://www.sfmms.org/news-publications/sfmms-blog/cma-survey-finds-rampant-health-plan-payment-abuses.aspx?PostId=4337&tabid=2622 CMA,Payment,Reimbursement CMA Survey Finds Rampant Health Plan Payment Abuses <h1><strong><span style="color: rgb(0, 112, 192);">CMA Survey Finds Rampant Health Plan Payment Abuses</span></strong></h1> Despite a California law passed in 2000 to address widespread payment abuses by health care service plans, many payors continue to flout the law. A recent survey by the California Medical Association (CMA) confirms that health plans regularly engage in unfair payment practices, with two-thirds of physician practices reporting routine payment abuses in violation of state law. <br> <br> The Department of Managed Health Care (DMHC) has been slow to address provider complaints and has taken few enforcement actions against health plans that unlawfully underpay providers. When DMHC has acted, the penalty amounts have been small in relation to the economic injury to consumers and providers. Because of this, some health care service plans make economic decisions to violate the law, knowing that any penalty amount that may be imposed will be outweighed by the extra revenue the health plans will generate by, for example, underpaying medical care.<br> <br> Last month, CMA, along with its county medical societies and several specialty societies, surveyed physicians to obtain feedback on the health plans that are routinely engaging in unfair payment patterns, the types of violations and the results of physician efforts to resolve the issues both through internal plan processes as well as through DMHC. In a period of nine days, 741 physician practices representing thousands of physicians responded to the survey.<br> <br> Key survey results include: <ul> <li>Two-thirds of physician practice respondents report routine problems with plans engaging in various unfair payment patterns, defined as a practice, policy or procedure that results in repeated delays in the adjudication and correct reimbursement of provider claims, as outlined in 28 C.C.R. &sect;1300.71.</li> <li>More than half of practices report that health plans attempt to rescind or modify authorizations after the physician renders the service in good faith.</li> <li>Sixty-two percent report that Anthem Blue Cross is the most problematic when it comes to unfair payment practices; Blue Shield of California was second most problematic (52 percent).</li> <li>The health plan provider dispute resolution processes are largely ineffective, with 32 percent of practices indicating disputes are resolved only half of the time, and 29 percent indicating disputes are rarely resolved through the plans&rsquo; internal processes.</li> <li>Though most practices do utilize the health plans&rsquo; internal processes to attempt to resolve issues, 63 percent report that plans routinely fail to respond to their appeals within 45 business days of receipt, as required by California law. Anthem Blue Cross is identified as the most problematic (66 percent), with Blue Shield the second most problematic (61 percent).</li> <li>When health plans do respond to physician appeals, 74 percent of practices state the health plan responses do not include a clear explanation for the plans&rsquo; determination.</li> </ul> <p>These survey results confirm that health plans overwhelmingly continue to engage in unfair payment practices, despite the legislation that passed 18 years ago attempting to stop these abuses. It further demonstrates that, although plans are required to maintain fast, fair and cost-effective provider dispute processes, their processes are largely ineffective. <a href="http://www.cmanet.org/files/assets/news/2018/04/unfair-payment-practices-results-3-20-18-final.pdf" target="_blank"><strong>To view the full survey results, click here</strong></a>.<br> <br> To address this issue, CMA is sponsoring AB 2674 (Aguiar-Curry), which would require DMHC to investigate provider complaints that a health care service plan has underpaid or failed to pay the provider in violation of the Knox-Keene Act. If DMHC finds that a health plan has unlawfully underpaid a provider, AB 2674 would require the penalty amount to, at a minimum, equal the amount of the underpayment plus interest. Furthermore, AB 2674 would protect the health care delivery system by ensuring providers are made whole when health care service plans violate the law. The bill would also deter future violations of the law, thereby saving providers and the state vital resources that should be invested in patient care.</p> <p> </p> <h3><span style="color: rgb(192, 0, 0);"><strong>CMA Can Help You Get Paid</strong></span></h3> Physicians are reminded that members have access to CMA&rsquo;s practice management experts for free one-on-one help with contracting, billing and payment problems. Need assistance? Contact CMA's reimbursement helpline, at (888) 401-5911 or <a href="mailto:economicservices@cmanet.org" class="ApplyClass"><strong>economicservices@cmanet.org</strong></a>. <p>&nbsp;</p> Fri, 13 Apr 2018 16:54:18 Z 2018-04-13 16:54 +00:00 2018-04-13 09:54 -07:00 4332 http://www.sfmms.org/news-publications/sfmms-blog/ca-physicians-overwhelmingly-oppose-radical-heath-care-price-fixing-bill-that-would-significantly-reduce-patient-access-and-consumer-choice-while-increasing-out-of-pocket-costs.aspx?PostId=4332&tabid=2622 Advocacy,CMA CA Physicians Overwhelmingly Oppose Radical Heath Care Price Fixing Bill that Would Significantly Reduce Patient Access and Consumer Choice, While Increasing Out-of-Pocket Costs <p class=""><strong>Sacramento, CALIF.</strong> &ndash; Today, Assemblymember Ash Kalra (D-San Jose) announced radical new legislation that would increase patient out-of-pocket costs and result in a dangerous government intrusion into the health care market by creating state-sanctioned rationing of health care for all Californians.</p> <p class="">Assembly Bill 3087 would establish an undemocratic, government-run commission with nine political appointees who would unilaterally set the price for all medical services that are not already controlled by the government, essentially eliminating commercial health care markets in California. None of the political appointees are required to be patient-focused or have any tangible experience in the delivery of health care to patients.</p> <p class="">&ldquo;No state in America has ever attempted such an unproven policy of inflexible, government-managed price caps across every health care service,&rdquo; said California Medical Association (CMA) President Theodore M. Mazer. &ldquo;It threatens to reverse the historic gains for health coverage and access made in California since the passage of the Affordable Care Act.&rdquo;</p> <p class="">Despite fundamentally altering how health care services are provided in California, the bill explicitly prohibits health care professionals from participating on the commission. This commission&mdash;constructed to view patient care simply as a cost center&mdash;would have the unprecedented authority to ration the timing and quality of care California patients receive by fixing the prices of the commercial health care market.</p> <p class="">This bill does nothing to ensure that patient out-of-pocket costs are decreased and moves California away from the goal of value-based care backwards to an antiquated fee-for-service model. It would also have the consequence of dramatically reducing consumer choices.&nbsp;</p> <p class="">&ldquo;AB 3087 is a poorly conceived, monumental threat to patient access to health care that goes against the Assembly&rsquo;s own expert <a href="http://healthcare.assembly.ca.gov/sites/healthcare.assembly.ca.gov/files/Report%20Final%203_13_18.pdf" target="_blank"><span style="color: rgb(0, 176, 240);"><strong>recommendations</strong></span></a>,&rdquo; said Dr. Mazer. &ldquo;This dangerously flawed legislation would result in government-sanctioned rationing of care and higher out-of-pocket costs for patients.&rdquo;</p> <p class="">The bill would also put additional cost pressure on the California health care delivery system by allowing lawyers and lobbyists to be reimbursed by the Commission for lobbying the Commission. This process mirrors existing intervenor fee models that have not reduced overall consumer cost&mdash;but have served as a means for special interests to, as one former State Insurance Commissioner <a href="http://www.sacbee.com/news/investigations/the-public-eye/article126279069.html" target="_blank"><span style="color: rgb(0, 176, 240);"><strong>alleged</strong></span></a>, get &ldquo;fat off the public trough.&rdquo; Brazenly, the bill also creates a direct funding mechanism that would financially benefit one of the bill's sponsors.&nbsp;</p> <p class="">AB 3087 also ignores the recommendations from the University of California, San Francisco&rsquo;s <a href="http://healthcare.assembly.ca.gov/sites/healthcare.assembly.ca.gov/files/Report%20Final%203_13_18.pdf" target="_blank"><span style="color: rgb(0, 176, 240);"><strong>report</strong></span></a>&mdash;commissioned by the Assembly&mdash;to achieve universal access to health care, which includes implementing a comprehensive strategy to overcome the physician workforce shortage in the state by removing barriers that prevent physicians and other clinicians from specializing in primary care and practicing in underserved areas. Currently, six of nine California regions are already <a href="http://www.cmanet.org/news/press-detail/?article=health-care-organizations-applaud-legislature" target="_blank"><span style="color: rgb(0, 176, 240);"><strong>facing</strong></span></a> a primary care provider shortage, and 23 of California&rsquo;s 58 counties <span style="color: rgb(0, 176, 240);"><a href="http://www.cmanet.org/news/press-detail/?article=health-care-organizations-applaud-legislature" target="_blank"><span style="color: rgb(0, 176, 240);"><strong>fall</strong></span></a> </span>below the minimum required primary care physician-to-population ratio. The state <span style="color: rgb(63, 63, 63);">needs</span> 8,243 additional primary care physicians by 2030 &ndash; a 32 percent increase.</p> <p class="">&ldquo;AB 3087 would cause an exodus of practicing physicians, which would exacerbate our physician shortage and make California unattractive to new physician recruits,&rdquo; said Dr. Mazer. &ldquo;The Legislature should reject AB 3087, and instead, focus on real solutions that further value-based care, ensure a patient can access a physician when they need one and tackle California&rsquo;s physician shortage.&rdquo;</p> <p class="">Historically, policies of inflexible and arbitrary price caps are viewed as ineffective in controlling costs and detrimental to access to health care. During federal health reform discussions, both the Obama and Clinton Administration considered price-cap proposals but ultimately rejected them on the basis that they posed too many direct and indirect risks to the overall health care delivery system.&nbsp;</p> <p class="">CMA is encouraging physicians to make their voices heard at <a href="http://actnow.io/PriceFixing" target="_blank"><span style="color: rgb(0, 176, 240);"><strong>http://actnow.io/PriceFixing</strong></span></a>.</p> Mon, 09 Apr 2018 18:00:51 Z 2018-04-09 18:00 +00:00 2018-04-09 11:00 -07:00 4206 http://www.sfmms.org/news-publications/sfmms-blog/list-of-california-firearm-bills.aspx?PostId=4206&tabid=2622 Politics and Medicine,Public Health List of California Firearm Bills <h1 class="" style="background: white; margin-bottom: 0.0001pt; text-align: left;"><strong><span style="color: rgb(0, 112, 192);">California Firearm Bills</span></strong></h1> <p class="" style="background: white; margin-bottom: 0.0001pt;"><strong><span style="font-size: 12pt; font-family: &quot;Times New Roman&quot;, serif;"><br> </span></strong></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-size: 12pt; font-family: Verdana;">Below is a list&nbsp;of 42 current California firearm bills being routed through the State Legislature. The list was compiled by the Washington DC office of the American College of Surgeons in health policy and advocacy. List as of late March 2018.</span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><strong><span style="font-size: 12pt; font-family: Verdana;">&nbsp;</span></strong></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Number:</span></strong><span style="font-size: 12pt;">&nbsp;</span><a href="https://track.govhawk.com/public/bills/1058635" target="_blank"><span style="font-size: 12pt; color: windowtext;">AB 3131</span></a></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Title:</span></strong><span style="font-size: 12pt;">&nbsp;Law enforcement agencies: military equipment: funding, acquisition, and use.</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Introduced Date:</span></strong><span style="font-size: 12pt;">&nbsp;02/16/2018</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Last Action:</span></strong><span style="font-size: 12pt;">&nbsp;Bill Created - (04/03/2018)</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><strong><span style="font-size: 12pt; font-family: Verdana;">&nbsp;</span></strong></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Number:</span></strong><span style="font-size: 12pt;">&nbsp;</span><a href="https://track.govhawk.com/public/bills/1058579" target="_blank"><span style="font-size: 12pt; color: windowtext;">AB 2290</span></a></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Title:</span></strong><span style="font-size: 12pt;">&nbsp;Restraining orders: minor witness: visitation.</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Introduced Date:</span></strong><span style="font-size: 12pt;">&nbsp;02/13/2018</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Last Action:</span></strong><span style="font-size: 12pt;">&nbsp;Bill Created - (04/03/2018)</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><strong><span style="font-size: 12pt; font-family: Verdana;">&nbsp;</span></strong></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Number:</span></strong><span style="font-size: 12pt;">&nbsp;</span><a href="https://track.govhawk.com/public/bills/1058576" target="_blank"><span style="font-size: 12pt; color: windowtext;">AB 2222</span></a></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Title:</span></strong><span style="font-size: 12pt;">&nbsp;Crime prevention and investigation: informational databases.</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Introduced Date:</span></strong><span style="font-size: 12pt;">&nbsp;02/12/2018</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Last Action:</span></strong><span style="font-size: 12pt;">&nbsp;Bill Created - (04/03/2018)</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><strong><span style="font-size: 12pt; font-family: Verdana;">&nbsp;</span></strong></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Number:</span></strong><span style="font-size: 12pt;">&nbsp;</span><a href="https://track.govhawk.com/public/bills/1058546" target="_blank"><span style="font-size: 12pt; color: windowtext;">SB 1346</span></a></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Title:</span></strong><span style="font-size: 12pt;">&nbsp;Firearms: multiburst trigger activators.</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Introduced Date:</span></strong><span style="font-size: 12pt;">&nbsp;02/16/2018</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Last Action:</span></strong><span style="font-size: 12pt;">&nbsp;Bill Created - (04/03/2018)</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><strong><span style="font-size: 12pt; font-family: Verdana;">&nbsp;</span></strong></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Number:</span></strong><span style="font-size: 12pt;">&nbsp;</span><a href="https://track.govhawk.com/public/bills/1037721" target="_blank"><span style="font-size: 12pt; color: windowtext;">AB 2817</span></a></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Title:</span></strong><span style="font-size: 12pt;">&nbsp;Firearms: emergency transfers.</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Sponsor:</span></strong><span style="font-size: 12pt;">&nbsp;Miguel Santiago</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Introduced Date:</span></strong><span style="font-size: 12pt;">&nbsp;02/16/2018</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Last Action:</span></strong><span style="font-size: 12pt;">&nbsp;From committee chair, with author's amendments: Amend, and re-refer to Standing Committee on Public Safety. Read second time and amended. - (03/23/2018)</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><strong><span style="font-size: 12pt; font-family: Verdana;">&nbsp;</span></strong></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Number:</span></strong><span style="font-size: 12pt;">&nbsp;</span><a href="https://track.govhawk.com/public/bills/1037792" target="_blank"><span style="font-size: 12pt; color: windowtext;">AB 2888</span></a></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Title:</span></strong><span style="font-size: 12pt;">&nbsp;Gun violence restraining orders.</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Sponsor:</span></strong><span style="font-size: 12pt;">&nbsp;Philip Y. Ting</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Introduced Date:</span></strong><span style="font-size: 12pt;">&nbsp;02/16/2018</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Last Action:</span></strong><span style="font-size: 12pt;">&nbsp;Referred to Standing Committee on Public Safety. - (03/22/2018)</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><strong><span style="font-size: 12pt; font-family: Verdana;">&nbsp;</span></strong></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Number:</span></strong><span style="font-size: 12pt;">&nbsp;</span><a href="https://track.govhawk.com/public/bills/1038008" target="_blank"><span style="font-size: 12pt; color: windowtext;">AB 3104</span></a></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Title:</span></strong><span style="font-size: 12pt;">&nbsp;Murder.</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Sponsor:</span></strong><span style="font-size: 12pt;">&nbsp;Jim Cooper</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Introduced Date:</span></strong><span style="font-size: 12pt;">&nbsp;02/16/2018</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Last Action:</span></strong><span style="font-size: 12pt;">&nbsp;Referred to Standing Committee on Public Safety. - (03/22/2018)</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><strong><span style="font-size: 12pt; font-family: Verdana;">&nbsp;</span></strong></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Number:</span></strong><span style="font-size: 12pt;">&nbsp;</span><a href="https://track.govhawk.com/public/bills/1037835" target="_blank"><span style="font-size: 12pt; color: windowtext;">AB 2930</span></a></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Title:</span></strong><span style="font-size: 12pt;">&nbsp;Unlawful detainer: nuisance: unlawful weapons and ammunition.</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Sponsor:</span></strong><span style="font-size: 12pt;">&nbsp;Miguel Santiago</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Introduced Date:</span></strong><span style="font-size: 12pt;">&nbsp;02/16/2018</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Last Action:</span></strong><span style="font-size: 12pt;">&nbsp;Referred to Standing Committee on Judiciary. - (03/22/2018)</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><strong><span style="font-size: 12pt; font-family: Verdana;">&nbsp;</span></strong></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Number:</span></strong><span style="font-size: 12pt;">&nbsp;</span><a href="https://track.govhawk.com/public/bills/1033752" target="_blank"><span style="font-size: 12pt; color: windowtext;">SB 1099</span></a></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Title:</span></strong><span style="font-size: 12pt;">&nbsp;Weapons: possession.</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Sponsor:</span></strong><span style="font-size: 12pt;">&nbsp;John M. W. Moorlach</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Introduced Date:</span></strong><span style="font-size: 12pt;">&nbsp;02/13/2018</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Last Action:</span></strong><span style="font-size: 12pt;">&nbsp;From committee with author's amendments. Read second time and amended. Re-referred to Standing Committee on Rules. - (03/22/2018)</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><strong><span style="font-size: 12pt; font-family: Verdana;">&nbsp;</span></strong></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Number:</span></strong><span style="font-size: 12pt;">&nbsp;</span><a href="https://track.govhawk.com/public/bills/1038035" target="_blank"><span style="font-size: 12pt; color: windowtext;">AB 3131</span></a></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Title:</span></strong><span style="font-size: 12pt;">&nbsp;Law enforcement agencies: military equipment: funding, acquisition, and use.</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Sponsor:</span></strong><span style="font-size: 12pt;">&nbsp;Gloria</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Introduced Date:</span></strong><span style="font-size: 12pt;">&nbsp;02/16/2018</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Last Action:</span></strong><span style="font-size: 12pt;">&nbsp;Referred to Coms. on L. GOV. and PUB. S. - (03/22/2018)</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><strong><span style="font-size: 12pt; font-family: Verdana;">&nbsp;</span></strong></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Number:</span></strong><span style="font-size: 12pt;">&nbsp;</span><a href="https://track.govhawk.com/public/bills/1037930" target="_blank"><span style="font-size: 12pt; color: windowtext;">AB 3026</span></a></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Title:</span></strong><span style="font-size: 12pt;">&nbsp;Firearms: concealed carry licenses.</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Sponsor:</span></strong><span style="font-size: 12pt;">&nbsp;Melissa A. Melendez</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Introduced Date:</span></strong><span style="font-size: 12pt;">&nbsp;02/16/2018</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Last Action:</span></strong><span style="font-size: 12pt;">&nbsp;Referred to Standing Committee on Public Safety. - (03/22/2018)</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><strong><span style="font-size: 12pt; font-family: Verdana;">&nbsp;</span></strong></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Number:</span></strong><span style="font-size: 12pt;">&nbsp;</span><a href="https://track.govhawk.com/public/bills/1033746" target="_blank"><span style="font-size: 12pt; color: windowtext;">SB 1092</span></a></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Title:</span></strong><span style="font-size: 12pt;">&nbsp;Firearms: silencers.</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Sponsor:</span></strong><span style="font-size: 12pt;">&nbsp;Joel Anderson</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Introduced Date:</span></strong><span style="font-size: 12pt;">&nbsp;02/13/2018</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Last Action:</span></strong><span style="font-size: 12pt;">&nbsp;From committee with author's amendments. Read second time and amended. Re-referred to Standing Committee on Public Safety. - (03/22/2018)</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><strong><span style="font-size: 12pt; font-family: Verdana;">&nbsp;</span></strong></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Number:</span></strong><span style="font-size: 12pt;">&nbsp;</span><a href="https://track.govhawk.com/public/bills/1011833" target="_blank"><span style="font-size: 12pt; color: windowtext;">AB 1927</span></a></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Title:</span></strong><span style="font-size: 12pt;">&nbsp;Firearms: California Do Not Sell List.</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Sponsor:</span></strong><span style="font-size: 12pt;">&nbsp;Rob Bonta</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Introduced Date:</span></strong><span style="font-size: 12pt;">&nbsp;01/24/2018</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Last Action:</span></strong><span style="font-size: 12pt;">&nbsp;From committee: Do pass and re-refer to Standing Committee on Appropriations. (Ayes 6. Noes 0.) (March 20). Re-referred to Standing Committee on Appropriations. - (03/21/2018)</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><strong><span style="font-size: 12pt; font-family: Verdana;">&nbsp;</span></strong></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Number:</span></strong><span style="font-size: 12pt;">&nbsp;</span><a href="https://track.govhawk.com/public/bills/1029758" target="_blank"><span style="font-size: 12pt; color: windowtext;">AB 2103</span></a></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Title:</span></strong><span style="font-size: 12pt;">&nbsp;Firearms: license to carry concealed.</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Sponsor:</span></strong><span style="font-size: 12pt;">&nbsp;Gloria</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Introduced Date:</span></strong><span style="font-size: 12pt;">&nbsp;02/08/2018</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Last Action:</span></strong><span style="font-size: 12pt;">&nbsp;From committee: Do pass and re-refer to Standing Committee on Appropriations. (Ayes 6. Noes 1.) (March 20). Re-referred to Standing Committee on Appropriations. - (03/21/2018)</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><strong><span style="font-size: 12pt; font-family: Verdana;">&nbsp;</span></strong></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Number:</span></strong><span style="font-size: 12pt;">&nbsp;</span><a href="https://track.govhawk.com/public/bills/1037291" target="_blank"><span style="font-size: 12pt; color: windowtext;">SB 1346</span></a></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Title:</span></strong><span style="font-size: 12pt;">&nbsp;Firearms: multiburst trigger activators.</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Sponsor:</span></strong><span style="font-size: 12pt;">&nbsp;Hannah-Beth Jackson</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Introduced Date:</span></strong><span style="font-size: 12pt;">&nbsp;02/16/2018</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Last Action:</span></strong><span style="font-size: 12pt;">&nbsp;Set for hearing April 10. - (03/21/2018)</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><strong><span style="font-size: 12pt; font-family: Verdana;">&nbsp;</span></strong></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Number:</span></strong><span style="font-size: 12pt;">&nbsp;</span><a href="https://track.govhawk.com/public/bills/1038103" target="_blank"><span style="font-size: 12pt; color: windowtext;">AB 3199</span></a></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Title:</span></strong><span style="font-size: 12pt;">&nbsp;Charitable raffles: firearms.</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Sponsor:</span></strong><span style="font-size: 12pt;">&nbsp;Chris R. Holden</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Introduced Date:</span></strong><span style="font-size: 12pt;">&nbsp;02/16/2018</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Last Action:</span></strong><span style="font-size: 12pt;">&nbsp;Re-referred to Standing Committee on Governmental Organization. - (03/21/2018)</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><strong><span style="font-size: 12pt; font-family: Verdana;">&nbsp;</span></strong></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Number:</span></strong><span style="font-size: 12pt;">&nbsp;</span><a href="https://track.govhawk.com/public/bills/1033922" target="_blank"><span style="font-size: 12pt; color: windowtext;">AB 2176</span></a></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Title:</span></strong><span style="font-size: 12pt;">&nbsp;Firearms.</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Sponsor:</span></strong><span style="font-size: 12pt;">&nbsp;Reginald B. Jones-Sawyer, Sr.</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Introduced Date:</span></strong><span style="font-size: 12pt;">&nbsp;02/12/2018</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Last Action:</span></strong><span style="font-size: 12pt;">&nbsp;From committee: Do pass and re-refer to Standing Committee on Appropriations. (Ayes 7. Noes 0.) (March 20). Re-referred to Standing Committee on Appropriations. - (03/21/2018)</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-size: 12pt; font-family: Verdana;">&nbsp;</span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Number:</span></strong><span style="font-size: 12pt;">&nbsp;</span><a href="https://track.govhawk.com/public/bills/1037145" target="_blank"><span style="font-size: 12pt; color: windowtext;">SB 1200</span></a></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Title:</span></strong><span style="font-size: 12pt;">&nbsp;Firearms: gun violence restraining orders.</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Sponsor:</span></strong><span style="font-size: 12pt;">&nbsp;Nancy Skinner</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Introduced Date:</span></strong><span style="font-size: 12pt;">&nbsp;02/15/2018</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Last Action:</span></strong><span style="font-size: 12pt;">&nbsp;From committee with author's amendments. Read second time and amended. Re-referred to Standing Committee on Rules. - (03/21/2018)</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><strong><span style="font-size: 12pt; font-family: Verdana;">&nbsp;</span></strong></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Number:</span></strong><span style="font-size: 12pt;">&nbsp;</span><a href="https://track.govhawk.com/public/bills/1038033" target="_blank"><span style="font-size: 12pt; color: windowtext;">AB 3129</span></a></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Title:</span></strong><span style="font-size: 12pt;">&nbsp;Firearms: prohibited persons.</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Sponsor:</span></strong><span style="font-size: 12pt;">&nbsp;Rubio</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Introduced Date:</span></strong><span style="font-size: 12pt;">&nbsp;02/16/2018</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Last Action:</span></strong><span style="font-size: 12pt;">&nbsp;Re-referred to Standing Committee on Public Safety. - (03/20/2018)</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><strong><span style="font-size: 12pt; font-family: Verdana;">&nbsp;</span></strong></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Number:</span></strong><span style="font-size: 12pt;">&nbsp;</span><a href="https://track.govhawk.com/public/bills/1034243" target="_blank"><span style="font-size: 12pt; color: windowtext;">AB 2497</span></a></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Title:</span></strong><span style="font-size: 12pt;">&nbsp;Firearms: school gun violence prevention.</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Sponsor:</span></strong><span style="font-size: 12pt;">&nbsp;Jim Cooper</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Introduced Date:</span></strong><span style="font-size: 12pt;">&nbsp;02/14/2018</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Last Action:</span></strong><span style="font-size: 12pt;">&nbsp;Re-referred to Standing Committee on Revenue and Taxation. - (03/20/2018)</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><strong><span style="font-size: 12pt; font-family: Verdana;">&nbsp;</span></strong></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Number:</span></strong><span style="font-size: 12pt;">&nbsp;</span><a href="https://track.govhawk.com/public/bills/1011837" target="_blank"><span style="font-size: 12pt; color: windowtext;">AB 1931</span></a></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Title:</span></strong><span style="font-size: 12pt;">&nbsp;Firearms: licenses to carry concealed firearms.</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Sponsor:</span></strong><span style="font-size: 12pt;">&nbsp;Paul Fong</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Introduced Date:</span></strong><span style="font-size: 12pt;">&nbsp;01/24/2018</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Last Action:</span></strong><span style="font-size: 12pt;">&nbsp;In committee: Set, second hearing. Hearing canceled at the request of author. - (03/20/2018)</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><strong><span style="font-size: 12pt; font-family: Verdana;">&nbsp;</span></strong></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Number:</span></strong><span style="font-size: 12pt;">&nbsp;</span><a href="https://track.govhawk.com/public/bills/1034128" target="_blank"><span style="font-size: 12pt; color: windowtext;">AB 2382</span></a></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Title:</span></strong><span style="font-size: 12pt;">&nbsp;Firearms: frames and receivers.</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Sponsor:</span></strong><span style="font-size: 12pt;">&nbsp;Mike A. Gipson</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Introduced Date:</span></strong><span style="font-size: 12pt;">&nbsp;02/14/2018</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Last Action:</span></strong><span style="font-size: 12pt;">&nbsp;Re-referred to Standing Committee on Public Safety. - (03/20/2018)</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><strong><span style="font-size: 12pt; font-family: Verdana;">&nbsp;</span></strong></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Number:</span></strong><span style="font-size: 12pt;">&nbsp;</span><a href="https://track.govhawk.com/public/bills/1019554" target="_blank"><span style="font-size: 12pt; color: windowtext;">AB 1958</span></a></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Title:</span></strong><span style="font-size: 12pt;">&nbsp;Firearms: silencers.</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Sponsor:</span></strong><span style="font-size: 12pt;">&nbsp;Quirk-Silva</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Introduced Date:</span></strong><span style="font-size: 12pt;">&nbsp;01/30/2018</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Last Action:</span></strong><span style="font-size: 12pt;">&nbsp;In committee: Set, first hearing. Hearing canceled at the request of author. - (03/20/2018)</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><strong><span style="font-size: 12pt; font-family: Verdana;">&nbsp;</span></strong></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Number:</span></strong><span style="font-size: 12pt;">&nbsp;</span><a href="https://track.govhawk.com/public/bills/1011838" target="_blank"><span style="font-size: 12pt; color: windowtext;">AB 1932</span></a></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Title:</span></strong><span style="font-size: 12pt;">&nbsp;Firearms: licenses to carry concealed firearms.</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Sponsor:</span></strong><span style="font-size: 12pt;">&nbsp;Paul Fong</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Introduced Date:</span></strong><span style="font-size: 12pt;">&nbsp;01/24/2018</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Last Action:</span></strong><span style="font-size: 12pt;">&nbsp;In committee: Set, second hearing. Hearing canceled at the request of author. - (03/20/2018)</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><strong><span style="font-size: 12pt; font-family: Verdana;">&nbsp;</span></strong></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Number:</span></strong><span style="font-size: 12pt;">&nbsp;</span><a href="https://track.govhawk.com/public/bills/1034064" target="_blank"><span style="font-size: 12pt; color: windowtext;">AB 2318</span></a></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Title:</span></strong><span style="font-size: 12pt;">&nbsp;Gun-free school zone.</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Sponsor:</span></strong><span style="font-size: 12pt;">&nbsp;Flora</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Introduced Date:</span></strong><span style="font-size: 12pt;">&nbsp;02/13/2018</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Last Action:</span></strong><span style="font-size: 12pt;">&nbsp;Re-referred to Standing Committee on Public Safety. - (03/19/2018)</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><strong><span style="font-size: 12pt; font-family: Verdana;">&nbsp;</span></strong></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Number:</span></strong><span style="font-size: 12pt;">&nbsp;</span><a href="https://track.govhawk.com/public/bills/1033959" target="_blank"><span style="font-size: 12pt; color: windowtext;">AB 2213</span></a></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Title:</span></strong><span style="font-size: 12pt;">&nbsp;Firearms: ammunition sales.</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Sponsor:</span></strong><span style="font-size: 12pt;">&nbsp;Ken Cooley</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Introduced Date:</span></strong><span style="font-size: 12pt;">&nbsp;02/12/2018</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Last Action:</span></strong><span style="font-size: 12pt;">&nbsp;Re-referred to Standing Committee on Public Safety. - (03/19/2018)</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><strong><span style="font-size: 12pt; font-family: Verdana;">&nbsp;</span></strong></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Number:</span></strong><span style="font-size: 12pt;">&nbsp;</span><a href="https://track.govhawk.com/public/bills/1033754" target="_blank"><span style="font-size: 12pt; color: windowtext;">SB 1100</span></a></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Title:</span></strong><span style="font-size: 12pt;">&nbsp;Firearms: transfers.</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Sponsor:</span></strong><span style="font-size: 12pt;">&nbsp;Anthony Portantino</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Introduced Date:</span></strong><span style="font-size: 12pt;">&nbsp;02/13/2018</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Last Action:</span></strong><span style="font-size: 12pt;">&nbsp;From committee with author's amendments. Read second time and amended. Re-referred to Standing Committee on Rules. - (03/19/2018)</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><strong><span style="font-size: 12pt; font-family: Verdana;">&nbsp;</span></strong></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Number:</span></strong><span style="font-size: 12pt;">&nbsp;</span><a href="https://track.govhawk.com/public/bills/1000567" target="_blank"><span style="font-size: 12pt; color: windowtext;">AB 1872</span></a></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Title:</span></strong><span style="font-size: 12pt;">&nbsp;Firearms: unsafe handguns.</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Sponsor:</span></strong><span style="font-size: 12pt;">&nbsp;Voepel</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Introduced Date:</span></strong><span style="font-size: 12pt;">&nbsp;01/16/2018</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Last Action:</span></strong><span style="font-size: 12pt;">&nbsp;Read third time. Passed. Ordered to the Senate. - (03/15/2018)</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><strong><span style="font-size: 12pt; font-family: Verdana;">&nbsp;</span></strong></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Number:</span></strong><span style="font-size: 12pt;">&nbsp;</span><a href="https://track.govhawk.com/public/bills/985214" target="_blank"><span style="font-size: 12pt; color: windowtext;">AB 1747</span></a></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Title:</span></strong><span style="font-size: 12pt;">&nbsp;School safety plans.</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Sponsor:</span></strong><span style="font-size: 12pt;">&nbsp;Freddie Rodriguez</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Introduced Date:</span></strong><span style="font-size: 12pt;">&nbsp;01/03/2018</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Last Action:</span></strong><span style="font-size: 12pt;">&nbsp;Re-referred to Standing Committee on Education. - (03/14/2018)</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><strong><span style="font-size: 12pt; font-family: Verdana;">&nbsp;</span></strong></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Number:</span></strong><span style="font-size: 12pt;">&nbsp;</span><a href="https://track.govhawk.com/public/bills/1038021" target="_blank"><span style="font-size: 12pt; color: windowtext;">AB 3117</span></a></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Title:</span></strong><span style="font-size: 12pt;">&nbsp;Hunting: nonlead ammunition: temporary suspension: criteria.</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Sponsor:</span></strong><span style="font-size: 12pt;">&nbsp;Brian Dahle</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Introduced Date:</span></strong><span style="font-size: 12pt;">&nbsp;02/16/2018</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Last Action:</span></strong><span style="font-size: 12pt;">&nbsp;Referred to Standing Committee on Water, Parks and Wildlife. - (03/12/2018)</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><strong><span style="font-size: 12pt; font-family: Verdana;">&nbsp;</span></strong></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Number:</span></strong><span style="font-size: 12pt;">&nbsp;</span><a href="https://track.govhawk.com/public/bills/1037968" target="_blank"><span style="font-size: 12pt; color: windowtext;">AB 3064</span></a></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Title:</span></strong><span style="font-size: 12pt;">&nbsp;Firearms: felons in possession.</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Sponsor:</span></strong><span style="font-size: 12pt;">&nbsp;Catharine B. Baker</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Introduced Date:</span></strong><span style="font-size: 12pt;">&nbsp;02/16/2018</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Last Action:</span></strong><span style="font-size: 12pt;">&nbsp;Referred to Standing Committee on Public Safety. - (03/12/2018)</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><strong><span style="font-size: 12pt; font-family: Verdana;">&nbsp;</span></strong></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Number:</span></strong><span style="font-size: 12pt;">&nbsp;</span><a href="https://track.govhawk.com/public/bills/1037764" target="_blank"><span style="font-size: 12pt; color: windowtext;">AB 2860</span></a></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Title:</span></strong><span style="font-size: 12pt;">&nbsp;Firearms: unsafe handguns.</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Sponsor:</span></strong><span style="font-size: 12pt;">&nbsp;Travis Allen</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Introduced Date:</span></strong><span style="font-size: 12pt;">&nbsp;02/16/2018</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Last Action:</span></strong><span style="font-size: 12pt;">&nbsp;Referred to Standing Committee on Public Safety. - (03/08/2018)</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><strong><span style="font-size: 12pt; font-family: Verdana;">&nbsp;</span></strong></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Number:</span></strong><span style="font-size: 12pt;">&nbsp;</span><a href="https://track.govhawk.com/public/bills/1037327" target="_blank"><span style="font-size: 12pt; color: windowtext;">SB 1382</span></a></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Title:</span></strong><span style="font-size: 12pt;">&nbsp;Firearms: vehicle storage.</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Sponsor:</span></strong><span style="font-size: 12pt;">&nbsp;Andy Vidak</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Introduced Date:</span></strong><span style="font-size: 12pt;">&nbsp;02/16/2018</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Last Action:</span></strong><span style="font-size: 12pt;">&nbsp;Referred to Standing Committee on Public Safety. - (03/08/2018)</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><strong><span style="font-size: 12pt; font-family: Verdana;">&nbsp;</span></strong></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Number:</span></strong><span style="font-size: 12pt;">&nbsp;</span><a href="https://track.govhawk.com/public/bills/1040673" target="_blank"><span style="font-size: 12pt; color: windowtext;">SB 1494</span></a></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Title:</span></strong><span style="font-size: 12pt;">&nbsp;Public Safety Omnibus.</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Sponsor:</span></strong><span style="font-size: 12pt;">&nbsp;Committee on Public Safety</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Introduced Date:</span></strong><span style="font-size: 12pt;">&nbsp;02/22/2018</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Last Action:</span></strong><span style="font-size: 12pt;">&nbsp;Referred to Standing Committee on Public Safety. - (03/08/2018)</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><strong><span style="font-size: 12pt; font-family: Verdana;">&nbsp;</span></strong></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Number:</span></strong><span style="font-size: 12pt;">&nbsp;</span><a href="https://track.govhawk.com/public/bills/1037637" target="_blank"><span style="font-size: 12pt; color: windowtext;">AB 2733</span></a></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Title:</span></strong><span style="font-size: 12pt;">&nbsp;Firearms: unsafe handguns: imprinting.</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Sponsor:</span></strong><span style="font-size: 12pt;">&nbsp;Matthew Harper</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Introduced Date:</span></strong><span style="font-size: 12pt;">&nbsp;02/15/2018</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Last Action:</span></strong><span style="font-size: 12pt;">&nbsp;Referred to Standing Committee on Public Safety. - (03/08/2018)</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><strong><span style="font-size: 12pt; font-family: Verdana;">&nbsp;</span></strong></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Number:</span></strong><span style="font-size: 12pt;">&nbsp;</span><a href="https://track.govhawk.com/public/bills/823879" target="_blank"><span style="font-size: 12pt; color: windowtext;">AB 3</span></a></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Title:</span></strong><span style="font-size: 12pt;">&nbsp;Firearms: age restrictions.</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Sponsor:</span></strong><span style="font-size: 12pt;">&nbsp;Rob Bonta</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Introduced Date:</span></strong><span style="font-size: 12pt;">&nbsp;12/05/2016</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Last Action:</span></strong><span style="font-size: 12pt;">&nbsp;From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Standing Committee on Public Safety. - (03/07/2018)</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><strong><span style="font-size: 12pt; font-family: Verdana;">&nbsp;</span></strong></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Number:</span></strong><span style="font-size: 12pt;">&nbsp;</span><a href="https://track.govhawk.com/public/bills/1009101" target="_blank"><span style="font-size: 12pt; color: windowtext;">AB 1903</span></a></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Title:</span></strong><span style="font-size: 12pt;">&nbsp;Firearms: buyback programs: gift cards.</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Sponsor:</span></strong><span style="font-size: 12pt;">&nbsp;Gonzalez Fletcher</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Introduced Date:</span></strong><span style="font-size: 12pt;">&nbsp;01/22/2018</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Last Action:</span></strong><span style="font-size: 12pt;">&nbsp;From committee: Do pass and re-refer to Standing Committee on Appropriations. (Ayes 5. Noes 1.) (March 6). Re-referred to Standing Committee on Appropriations. - (03/06/2018)</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><strong><span style="font-size: 12pt; font-family: Verdana;">&nbsp;</span></strong></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Number:</span></strong><span style="font-size: 12pt;">&nbsp;</span><a href="https://track.govhawk.com/public/bills/900828" target="_blank"><span style="font-size: 12pt; color: windowtext;">SB 464</span></a></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Title:</span></strong><span style="font-size: 12pt;">&nbsp;Firearms dealers: storage and security.</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Sponsor:</span></strong><span style="font-size: 12pt;">&nbsp;Jerry Hill</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Introduced Date:</span></strong><span style="font-size: 12pt;">&nbsp;02/16/2017</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Last Action:</span></strong><span style="font-size: 12pt;">&nbsp;Last day to consider Governor&rsquo;s veto pursuant to Joint Rule 58.5. - (03/03/2018)</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><strong><span style="font-size: 12pt; font-family: Verdana;">&nbsp;</span></strong></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Number:</span></strong><span style="font-size: 12pt;">&nbsp;</span><a href="https://track.govhawk.com/public/bills/1021489" target="_blank"><span style="font-size: 12pt; color: windowtext;">AB 1968</span></a></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Title:</span></strong><span style="font-size: 12pt;">&nbsp;Mental health: firearms.</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Sponsor:</span></strong><span style="font-size: 12pt;">&nbsp;Evan Low</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Introduced Date:</span></strong><span style="font-size: 12pt;">&nbsp;01/31/2018</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Last Action:</span></strong><span style="font-size: 12pt;">&nbsp;Re-referred to Standing Committee on Public Safety. - (03/01/2018)</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><strong><span style="font-size: 12pt; font-family: Verdana;">&nbsp;</span></strong></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Number:</span></strong><span style="font-size: 12pt;">&nbsp;</span><a href="https://track.govhawk.com/public/bills/1023468" target="_blank"><span style="font-size: 12pt; color: windowtext;">AB 1993</span></a></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Title:</span></strong><span style="font-size: 12pt;">&nbsp;Secondhand goods: tangible personal property: dealers.</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Sponsor:</span></strong><span style="font-size: 12pt;">&nbsp;Mike A. Gipson</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Introduced Date:</span></strong><span style="font-size: 12pt;">&nbsp;02/01/2018</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Last Action:</span></strong><span style="font-size: 12pt;">&nbsp;Referred to Standing Committee on Business, Professions and Consumer Protection. - (02/12/2018)</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><strong><span style="font-size: 12pt; font-family: Verdana;">&nbsp;</span></strong></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Number:</span></strong><span style="font-size: 12pt;">&nbsp;</span><a href="https://track.govhawk.com/public/bills/1021504" target="_blank"><span style="font-size: 12pt; color: windowtext;">AB 1982</span></a></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Title:</span></strong><span style="font-size: 12pt;">&nbsp;Outdoor advertising displays: exemptions: City of Artesia.</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Sponsor:</span></strong><span style="font-size: 12pt;">&nbsp;Cristina Garcia</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Introduced Date:</span></strong><span style="font-size: 12pt;">&nbsp;01/31/2018</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Last Action:</span></strong><span style="font-size: 12pt;">&nbsp;Referred to Standing Committee on Governmental Organization. - (02/08/2018)</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><strong><span style="font-size: 12pt; font-family: Verdana;">&nbsp;</span></strong></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Number:</span></strong><span style="font-size: 12pt;">&nbsp;</span><a href="https://track.govhawk.com/public/bills/902397" target="_blank"><span style="font-size: 12pt; color: windowtext;">SB 710</span></a></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Bill Title:</span></strong><span style="font-size: 12pt;">&nbsp;Silencers.</span></span></p> <p class="" style="background: white; margin-bottom: 0.0001pt;"><span style="font-family: Verdana;"><strong><span style="font-size: 12pt;">Sponsor:</span></strong><span style="font-size: 12pt;">&nbsp;Joel Anderson</span></span></p> <p class=""><span style="font-size: 12pt; font-family: Verdana;">&nbsp;</span></p> Fri, 06 Apr 2018 20:25:12 Z 2018-04-06 20:25 +00:00 2018-04-06 13:25 -07:00 4205 http://www.sfmms.org/news-publications/sfmms-blog/marin-health-and-human-services-public-health-advisory-pertussis-outbreak.aspx?PostId=4205&tabid=2622 Marin,Public Health Marin Health and Human Services Public Health Advisory - Pertussis Outbreak <h3><strong><img src="http://www.sfmms.org/Portals/27/assets/images/Blog/marin-health-human-services-logo.jpg?ver=2018-04-06-105933-080" class="img-border-right" align="right" width="200" height="105"> </strong></h3> <h2><span style="color: rgb(0, 112, 192);"><strong>Marin Health and Human Services Public Health Advisory - Pertussis Outbreak</strong></span></h2> <strong> </strong> <p>This update provides information about recent pertussis activity in Marin County,&nbsp;disease recognition, testing, reporting procedures, and additional resources for&nbsp;clinicians. Marin County Health and Human Services&rsquo; Communicable Disease&nbsp;Prevention and Control (CDPC) unit is closely monitoring the situation.<span style="font-size: 0.74em;"></span></p> <strong> <h3><span style="color: rgb(192, 0, 0);"><strong>Current Situation</strong></span></h3> </strong> <p>Pertussis is cyclic in nature, with peaks in disease every 3 to 5 years. The last&nbsp;pertussis epidemic in California occurred in 2014. In February 2018 there was an&nbsp;increase in pertussis cases reported to CDPC. As of March 26, 2018, CDPC has&nbsp;investigated 65 cases of pertussis, primarily among adolescents, in Marin County.&nbsp;Marin had a total of 44 cases in 2017, and 30 cases in 2016. Most pertussis deaths&nbsp;occur in infants less than 3 months old; therefore, vaccinating pregnant women,&nbsp;cocooning newborn infants, and early identification and treatment of individuals who&nbsp;may expose infants and pregnant women are CDPC&rsquo;s infection control priorities.</p> <p><span style="font-size: 0.74em;"></span></p> <h3><span style="color: rgb(192, 0, 0);"><strong>Actions Requested of Providers</strong></span></h3> <ul> <li>Stock Tdap (or DTaP for pediatric patients) vaccine in your office.</li> <li>Recommend Tdap to all pregnant women with each pregnancy, preferably as&nbsp;early as possible between 27 and 36 weeks of gestation.</li> <li>Vaccinate infants, children, adolescents, and adults according to the <a href="https://www.cdc.gov/vaccines/hcp/acip-recs/vacc-specific/tdap-td.html" target="_blank"><strong>ACIP&nbsp;schedule</strong></a> and implement <a href="https://www.aap.org/en-us/Documents/immunization_protect_infants_against_pertussis.pdf" target="_blank"><strong>cocooning</strong> </a>around infants.</li> <li>Think pertussis. Enquire if other household members are or have been&nbsp;recently sick with a respiratory illness, particularly characterized by&nbsp;paroxysmal coughing and post-tussive emesis.</li> <li><a href="https://www.cdc.gov/pertussis/clinical/diagnostic-testing/index.html" target="_blank"><strong>Test for pertussis</strong></a>. People who have been vaccinated for pertussis often&nbsp;present with mild symptoms. Have a high index of suspicion and a low&nbsp;threshold for testing and evaluating individuals for pertussis.</li> <li><a href="https://www.cdc.gov/pertussis/clinical/treatment.html"><strong>Treat pertussis</strong></a> cases with a course of appropriate antimicrobial therapy. The&nbsp;recommended antimicrobial agents for treatment or chemoprophylaxis of&nbsp;pertussis are azithromycin, clarithromycin, and erythromycin.</li> </ul> <p><span style="font-size: 0.74em;"></span></p> <h3><span style="color: rgb(192, 0, 0);"><strong>Background Information</strong></span></h3> <p>Pertussis, also known as whooping cough, is an acute bacterial infection of the&nbsp;respiratory tract caused by Bordetella pertussis. The initial catarrhal stage (1 &ndash; 2&nbsp;weeks) presents with nonspecific symptoms of fatigue, runny nose, sneezing, and&nbsp;mild cough. Fever is usually absent or minimal. During the paroxysmal stage, in&nbsp;children severe fits of coughing often lead to the classic high-pitched whooping&nbsp;sound upon inspiration. Adolescents and adults typically do not produce this sound.&nbsp;Post-tussive vomiting is common in all ages. The paroxysmal stage is followed by&nbsp;the convalescent stage and resolution of symptoms. Illness may be milder in&nbsp;previously vaccinated people. Left untreated, pertussis can last 6-10 weeks in&nbsp;duration, but cough may last longer in some people. Complications vary by age, with&nbsp;infants more likely to experience severe complications such as apnea, pneumonia,&nbsp;seizures, or death.&nbsp;</p> <p>Pertussis is highly contagious. Transmission typically occurs when a susceptible&nbsp;person inhales droplets aerosolized from the respiratory tract of an infected person.&nbsp;Persons one year of age and older are considered infectious from the onset of coldlike&nbsp;symptoms until completion of three days of treatment, or until 21 days after&nbsp;cough onset if no or partial treatment is given. Infants less than one year are&nbsp;considered infectious for six weeks without treatment. The incubation period is&nbsp;typically 7 &ndash; 10 days.&nbsp;</p> <strong> <h3><span style="color: rgb(192, 0, 0);"><strong>Clinical Presentation</strong></span></h3> </strong>Consider the diagnosis of pertussis in the following situations, even if the patient has&nbsp;been immunized: <ul> <li>Persistent or worsening cough, with no fever or a low-grade fever, in an infant&nbsp;&le;3 months, or in an older infant without other explanation.&nbsp;</li> <li>Persistent or paroxysmal cough with no or low-grade fever accompanied by&nbsp;gagging, post-tussive emesis, or inspiratory whoop in patients of any age.</li> <li>Cough illness &gt;2 weeks duration and no alternative diagnosis.</li> </ul> <p> </p> <p> </p> <div> <p><strong style="font-size: 1em;"></strong></p> <h3 style="display: inline !important;"><span style="color: rgb(192, 0, 0);"><strong>Diagnosis and Treatment</strong></span></h3> &nbsp;</div> <p>Testing is appropriate until at least three weeks after the onset of paroxysmal&nbsp;coughing. After three weeks of coughing, infectiousness and test accuracy decrease&nbsp;significantly. If multiple members of a household present at the same time with&nbsp;symptoms, it is sufficient to test one person, preferably the person with the most&nbsp;recent onset of symptoms. Whenever possible, clinicians should obtain a&nbsp;nasopharyngeal (NP) swab or aspirate. Culture is the gold standard, but after two weeks&nbsp;of cough, PCR is the preferred diagnostic test.&nbsp;</p> <p>Testing is most critical for symptomatic persons who are either high risk or may&nbsp;expose someone who is high risk. Persons considered at &ldquo;high risk&rdquo; of pertussis&nbsp;include:</p> <ol> </ol> <p> <ul> <li>Infants (&lt; 1 year old)&nbsp;</li> <li>Pregnant women (especially in the third trimester)&nbsp;</li> <li>Anyone who may expose infants or pregnant women</li> </ul> <p><span>If you strongly suspect pertussis:</span></p> <ul> <li>Treat the patient. Do not wait for test results. Negative test results do not rule&nbsp;out pertussis.&nbsp;</li> <li>Isolate known or suspected pertussis cases and symptomatic close contacts&nbsp;until three full days of antibiotics have been completed and until the cough is<br> manageable.&nbsp;</li> <li>Give preventive antibiotics to the entire household and to any high-risk close&nbsp;contacts (see high-risk definition above).</li> </ul> </p> <h3><span style="color: rgb(192, 0, 0);"><strong>Infection Prevention and Control</strong></span></h3> <p> <strong> </strong>Vaccination is the best tool we have for preventing pertussis. The most effective&nbsp;strategy to protect infants who are most at risk for severe pertussis disease is to&nbsp;vaccinate all pregnant women during each pregnancy, preferably between 27 and 36&nbsp;weeks of gestation. It is also important to vaccinate all children with the DTaP series&nbsp;on time and give a Tdap dose to adolescents and adults. Although most children&nbsp;have been vaccinated for pertussis, protection from the vaccine wanes over time, so&nbsp;some who are fully vaccinated may still become infected. During pertussis outbreaks&nbsp;infants may begin the pertussis vaccination series at 6 weeks old.&nbsp;In addition to vaccination, rapid identification of pertussis cases, appropriate&nbsp;treatment, isolation, and educating patients about good respiratory etiquette helps&nbsp;prevent ongoing transmission. Children may return to school after completing three&nbsp;days of antibiotic treatment.</p> <strong style=""> <h3><span style="color: rgb(192, 0, 0);"><strong>Reporting</strong></span></h3> </strong> To report pertussis cases, please contact Marin County Communicable Disease&nbsp;Prevention and Control: <p style="margin-left: 40px;">Monday through Friday 8:30 a.m. through 5:00 p.m.<br> P 415 473 4163<br> F 415 473 6002<br> <a href="mailto:MarinCD@marincounty.org" class="ApplyClass">MarinCD@marincounty.org</a></p> <p>CDPC contacts cases to determine if there are high risk individuals who need&nbsp;chemoprophylaxis. High risk household contacts will be referred to their usual source&nbsp;of care for chemoprophylaxis.</p> <h3><span style="color: rgb(192, 0, 0);"><strong>Additional Information</strong></span></h3> Centers for Disease Control and Prevention (CDC). <a href="https://www.cdc.gov/pertussis/index.html" target="_blank"><strong>Pertussis (Whooping Cough)</strong></a> <div>California Department of Public Health (CDPH). <a href="https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Immunization/pertussis.aspx" target="_blank"><strong>Pertussis (Whooping Cough)</strong></a> <p><span style="font-size: 0.74em;"></span></p> <div style=""><br> </div> <div style="">Sincerely,</div> <div style="">Lisa M. Santora, MD, MPH</div> <div style="">Deputy Public Health Officer</div> <p><a href="mailto:Lsantora@marincounty.org" class="ApplyClass">Lsantora@marincounty.org</a></p> <p>&nbsp;</p> <p><a href="http://www.sfmms.org/Portals/27/assets/docs/Blog/ADVISORY_Pertussis_2018APR2FINAL.pdf?ver=2018-04-06-112154-023" target="_blank"><strong>Read the alert from Marin HHS</strong></a>.</p> </div> Fri, 06 Apr 2018 18:28:38 Z 2018-04-06 18:28 +00:00 2018-04-06 11:28 -07:00