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CA must stop forcing elders & people with disabilities to pay more for health care than everyone else

$600 a month. Imagine living on that in an expensive state like California. That’s exactly what the state requires older adults and people with disabilities to do in exchange for health care through Medi-Cal. This year, the California Legislature and Governor Newsom must change that. Health care is one of the most expensive basic needs in our society — any commitment by state leaders to address inequality must include health care.

AB 1900 by Assembly member Arambula and co-author Assembly member Wood, which Western Center is co-sponsoring with Justice in Aging, Bet Tzedek Legal Services, Disability Rights California, Senior & Disability Action, and California Advocates for Nursing Home Reform, will address the problem by increasing the amount of monthly income older adults and people with disabilities can keep for basic needs.

Currently, elders and people with disabilities with incomes below $1,564 a month qualify for free Medi-Cal. But low-income older adults and people with disabilities who are just a $1 over the limit are required to pay over $900 of their monthly income as a share-of-cost.

The share-of-cost works like a health insurance deductible, but resets on a monthly basis. This Medi-Cal program establishes a monthly amount that older adults and people with disabilities are allowed to keep to meet their basic needs, called the maintenance need income level. The rest of their income must go toward health care expenses. The maintenance need income level of $600 hasn’t been changed since 1989, even though it is nearly impossible for anyone in California to live on $600 a month now.

By increasing the amount of monthly income older adults and people with disabilities can keep for their basic needs — up to 138% of the federal poverty level (the Medi-Cal income level for nearly all adults), AB 1900 ensures that older adults and people with disabilities don’t have to wait another 30+ years for an adjustment since the federal poverty level is updated every year.

Most people with low incomes receive their health care for free or pay up to 8.5% of their income on health care coverage. It is unfair that older adults and people with disabilities are the only population forced to pay over 60% of their income to obtain essential health care. The current policy forces aging adults, people with disabilities and their families to make impossible choices between health care, paying rent, and affording food. When people cannot access needed Medi-Cal services they often end up hospitalized or institutionalized, or forced to rely on already stretched family members to provide unpaid care.

Ten other states have higher maintenance need income levels than California. It’s time to ditch the deductible and lead the nation in health care affordability. State leaders must fund AB 1900 in this year’s state budget.

 

 

Splashy proposals cannot replace what’s needed to address homelessness in California

California has had it with homelessness. Whether you believe it is far past time to address the housing shortage or just want to see people off the streets, there is a growing consensus that something must change. Governor Newsom and several members of the California Legislature want to address the crisis partially by way of a proposal called CARE Court. But is it the right approach?

The appalling growth of people experiencing homelessness is matched only by the complete inability of government, policymakers, or industry to fix it. As Winston Churchill once observed, “You can always count on Americans to do the right thing — after they’ve tried everything else.” When it comes to solutions to the homelessness crisis, California has deployed many failed techniques, including poorly planned shelters and police harassment toward people on the street. One thing we know works — giving people enough money to afford rent, is repeatedly derided as “too expensive” (keep in mind, California is in its second year of much higher than anticipated budget surplus).

Solutions to homelessness are not as complex as we are often led to believe. We need to increase grants to adults who are disabled so they can afford rent, like what’s proposed in AB 1941 (Salas). We need to provide increased tax credits to families experiencing poverty, as proposed by AB 2589 (Santiago). We need to provide housing and support services to people coming out of incarceration, as proposed in AB 1816 (Bryan). And importantly, we need to provide permanent and ongoing rental assistance to low-income families and individuals so they can stay housed, as proposed by AB 2817 (Reyes). Those are the kind of policies that will make a visible difference on our streets and in people’s lives.

Governor Newsom’s new proposal is called “Care Court,” but it’s not about care, it’s about control – or at least the illusion of it. The proposal will make it easier for the state, cities, and counties to force people into treatment, and if they don’t go willingly, subject them to involuntary confinement. Here’s another way to think about it: the proposal presents a shiny new political solution that in practice blames and targets the victims of California’s economic, policy, and social failures without implementing proven solutions state resources should flow to – like permanent housing, support services, and more money for rent via programs like SSI, Guaranteed Income, and General Relief. Sure, those are expensive investments, but nowhere near the cost of the crisis playing out on California streets.

The legislative journey for the CARE Court proposal is about to start and it may very well pass through both houses, but in practice, it is likely to fail. Involuntary treatment does not work, especially without housing and services to follow it up. Western Center, ACLU California Action, Disability Rights California, and over 40 more organizations across California submitted an opposition letter to the legislative CARE Court proposal to highlight its fundamental flaws and to provide proven alternatives.

It’s not too late to do the right thing. California can provide large scale and ongoing rental assistance. Government can build thousands of units of affordable housing where the private market has failed. We can allow real rent control rather than the nod, nod, wink, wink version we have now. The one thing we can’t have is a system where the victims of policy incompetence are punished in such a potentially destructive way.

DICK’S WRITING TIPS: Feedback Is Good For You Only If You Digest It

Richard Rothschild (Dick) has practiced public interest law for over four decades, and he’s picked up quite a bit of knowledge along the way. Here’s a tip Dick shared with attorneys in our network, broadened out for public use. For more of Dick’s Tips, check out parts one and two of his tips for brief writing!

__________________________________________________________________

People may say they really like getting feedback on their writing. The same people may also say they really like the taste of kale.

In fact, what we all actually want to hear is that our work is brilliant, and that not a single word needs to be changed. So good feedback, like kale, can taste bitter… but like kale, it’s good for you (or so they say). At least, it can be good for you if you know how to approach it. There are three steps involved:

Step 1: Arrange the feedback.

Find somebody with a reputation as a good editor. Hopefully, that will be your immediate supervisor, but even if that is not the case you probably know someone who fits that description. Tell that person that you want to improve your writing skills and are looking for honest and detailed feedback.

Make sure that once you receive the feedback, you review and engage with the edits and comments. Alerting your editor that you would like feedback is an implied promise that you will follow up once you receive it.

Step 2: Write a genuine first draft, not a “rough draft.”

Do not slap together some random thoughts and call it a first draft. Make your best arguments as well organized and worded as possible, then spend a lot of time editing the draft yourself before handing it to the editor.

That does not mean the draft has to be great or won’t need lots of editing and comments. But it does mean that it’s the best work you are able to do at the time. Editors usually know the difference and are loathe to spend more time editing than the author has apparently spent drafting.

Even with your genuine first draft, expect a lot of edits. I’ve heard knowledgeable writing professors caution that too many edits on a first draft is psychologically counter-productive. They advise editors to make a few global suggestions, followed by successive drafts in a multi-week process. Unfortunately, in the real world, particularly in legal services offices, drafts rarely arrive more than a couple days ahead of deadline. Conscientious editors often have little choice but to make substantial revisions.

Step 3: Consciously interact with the feedback.

This is the most important step and perhaps the most difficult.

Let’s say your editor is Maria. What do you do when she sends back an edited document whose primary color appears to be red? Take a deep breath, and pick your ego up off the floor. Carefully read through the comments, which are usually self-explanatory, and the edits, which often are not. For each edit, there are three acceptable internal reactions:

  • “I understand the edit and why it’s an improvement.” Think of ways you can apply that knowledge. If, for example, Maria changed a sentence from passive to active voice, look for other sentences in the brief that need the same change.
  • “I don’t understand the edit and will ask Maria about it.”
  • “I understand the edit, but don’t agree with it and will present my case.” Perhaps knowing the substantive issues better than your editor, you might be right. As an editor, I like it when that happens, and will freely admit to the author that I was wrong. It shows that the author is thinking strategically. (Excessive smirking and end zone dances are discouraged, however).

The key is engaging with the feedback and working to improve, not just for the current piece of writing, but for future work as well. This process, and maybe some kale, will make you stronger. Your editors, and more importantly, your readers, will appreciate that.

BenefitsCal – A New Way to Get CalFresh, Medi-Cal, & Cash Benefits

There’s a new way to apply for and keep your public benefits!  BenefitsCal helps people with CalFresh, Medi-Cal, County Medical Services Program (CMSP), CalWORKs, General Assistance/Relief (GA/GR), and the Cash Assistance Program for Immigrants (CAPI).

You can use BenefitsCal to:

  • Apply and renew benefits
  • Appoint an authorized representative
  • Upload documents
  • Report changes
  • Contact your caseworker
  • And more…

Read on for important details, tips, and answers to frequently asked questions.

When are BenefitsCal changes happening?

BenefitsCal is starting in phases depending on the county you live in. Here are the important details:

System downtime:  Visit this website for the latest status on system downtime.

*Tip: You can still access CalFresh applications at GetCalFresh, Medi-Cal applications at Covered California, and all other services by calling your county (search for phone number under “Apply by Phone” here). For Medi-Cal under new “accelerated enrollment” rules that can get you covered quickly, apply at Covered California.

  • September 27, 202139 counties started to use BenefitsCal instead of the old website (C4Yourself). At the same time, county eligibility workers started using their new computer system (CalSAWS).
  • April 25, 2022 – Los Angeles County started to use BenefitsCal instead of the old website (Your Benefits Now, or YBN). County employees will continue to use CalSAWS.
  • October 2022 to October 2023 – The remaining 18 counties in six waves will start using BenefitsCal instead of the old website (MyBenefits CalWIN). County employees will also start using CalSAWS. You may need to wait for these changes in your county:
    • October 31, 2022 (Wave 1) – Placer & Yolo Counties
    • February 27, 2023 (Wave 2) – Contra Costa, Santa Clara & Tulare Counties
    • April 24, 2023 (Wave 3) – Orange, Ventura & Santa Barbara Counties
    • July 3, 2023 (Wave 4) – San Diego, San Mateo, Santa Cruz & Solano Counties
    • September 4, 2023 (Wave 5) – Alameda, Fresno & Sonoma Counties
    • October 30, 2023 (Wave 6) – Sacramento, San Francisco & San Luis Obispo Counties

How can applicants and beneficiaries access BenefitsCal?

When you first visit BenefitsCal, click on the “Log In” button at the top right. That will take you to a page that looks like this:

Then click “Create Account.” After you enter your information, BenefitsCal will gather information about your case from the old websites (C4Yourself & Your Benefits Now). Your login information from the old websites will not work in BenefitsCal.

Between October 2022 and October 2023: If you live in one of the 18 counties making changes during this time, you have to wait for your county to start using BenefitsCal in the six waves above. Once your county makes the change, you can create an account in BenefitsCal. Your login information from MyBenefits CalWIN (MBCW) will not work in BenefitsCal.

*Tip: Check out these helpful YouTube videos on how to create an account, apply for benefits, report a change, upload documents, reset your password, and more! Until BenefitsCal creates videos in languages other than English, use YouTube’s subtitles to select another language.

*Tip: These Quick Reference Guides include screenshots and step-by-step instructions (in English only) on how to apply for benefits, request an appointment, upload documents, and more! We await CalSAWS translating these guides into other languages.

Do I need to answer all of the questions in BenefitsCal?

Most BenefitsCal questions are not required. They are optional unless they include “(required)” in the question. Click the NEXT button to skip optional questions and continue with your application or request.

How can application assisters & community-based organizations (CBOs) access BenefitsCal?

BenefitsCal functionality for application assisters and CBOs will be limited at first. Assisters/CBOs can submit applications, upload documents, export & view reports (see more about this below), and check limited application status information (but not whether applications were approved or denied). More features will be added soon, possibly in September 2022. Assister/CBO accounts will allow users to handle applications in all 58 counties by October 2023.

What if I do not already have a CBO account?

If you do not have an account, you can request a new BenefitsCal login by selecting “Log In” and then “Register Your CBO Account.” Counties will approve CBO registrations. For more information, check out this YouTube video and this reference guide for CBOs.

How does a CBO account in BenefitsCal work?

CBO accounts in BenefitsCal will be set up with a “manager” role. This CBO Manager Account will be able to create assister accounts/logins for other people in their organization. They can also track and manage applications developed by the assister accounts that they create.

There is no limit to the number of CBO Manager Accounts and assister accounts, but CBOs should be strategic in how many accounts they set up. Organizations with multiple locations can choose to have combined or separate accounts. Counties are expected to have their own processes for managing and monitoring CBO Manager Account creation (to prevent duplication).

*Tip: Learn more about the CBO accounts in this Quick Guide.

What should I do if I have a problem with BenefitsCal?

Applicants should contact their county for help. Find your county’s contact information here and here. You can also report problems directly to BenefitsCal by submitting an online inquiry: visit CalSAWS.org, select the green “Ask CalSAWS” button at the top right, and submit your information.

BenefitsCal and CalSAWS have set up a “Command Center” to support county employees. Counties can contact office-level support staff, Change Network Champions, Technical Points of Contact, and other resources to get answers to functional questions and report challenges.

You can also contact an advocacy organization to help you navigate an issue and get a resolution. Here is a list of organizations and contacts that may be able to help you:

What are some limitations with BenefitsCal?

BenefitsCal will get better with time. Some features are still unavailable. Advocates are pressing BenefitsCal to fix them soon. Here are some things to watch out for:

  1. BenefitsCal sometimes asks questions that are not needed. Especially for questions about immigration status and people not applying for benefits, some questions are irrelevant. You can click the “NEXT” button to skip optional and irrelevant questions.
  2.  Applicants should contact their counties for language assistance. (County contact information here and here).
  3. While the questions will be available in multiple languages, BenefitsCal only allows consumers and assisters to enter English-language letters and characters into the system. BenefitsCal will not accept other letters and characters (ñ, é, ó, Հայերեն, 한국어, русский, 中文, Tiếng Việt, ລາວ, etc.). In BenefitsCal, you will need to use English-language letters.
  4. The “Do I Qualify” and “See If You Qualify” chatbot screener may ask unnecessary questions. Remember you can always submit an application – even if the chatbot screener says you may not qualify.
  5. At different parts of the application, BenefitsCal will ask you for personal information, like your race/ethnicity, sexual orientation, and gender identity. These questions are optional. Your answers do not impact your eligibility for benefits. Counties will only use the answers for civil rights statistics.
  6. If you are only applying for Medi-Cal, you do not need to confirm that your shots (vaccines) are up to date. This is only required for CalWORKs applicants under age 6. BenefitsCal will remove the question for Medi-Cal applicants soon.
  7. If you are only applying for Medi-Cal, you do not need to answer the question “Is anyone on strike?” This question should not be in the application.
  8. BenefitsCal may ask you to upload documents that are not required, including for people that are not applying for benefits. If you are nervous about submitting documents, you can ask county workers to confirm which documents are required to process your application.
  9. BenefitsCal did not develop an integrated Release of Information (ROI) for assister/CBO accounts to access case information. This is a pending request that will be resolved later in 2022. Since there is no way to grant permissions within BenefitsCal, only limited information is available on the website for assisters/CBOs. You can still have applicants sign an ROI and send it to the county to get information directly from a county eligibility worker.

If there are other suggestions you have for improving the BenefitsCal website, you can submit them through the BenefitsCal website at https://benefitscal.com/public/HPAOS.

Where can advocates learn more about BenefitsCal and CalSAWS?

Consumer advocates have been working for years to make BenefitsCal work. And we still have a lot of work to do! If you want to join our effort, check out this advocate toolkit and recorded training. For more information, please contact David Kane at dkane[at]wclp.org or the CalSAWS Advocate Co-Leads:

Jennifer Tracy: jennifer[at]jenntracy.com

 

 

 

 

 

 

 

Media owners own too much of our culture. We need change.

In 2019, alongside our partners at Dove, the National Urban League, and Color of Change, Western Center became a founding member of the CROWN coalition to stop discrimination based on hair – specifically, to protect Black people’s right to wear their hair naturally. Since the CROWN Act passed in California, similar measures have passed across the country, and conversations about discrimination and representation have spread like wildfire. Every day people share examples of overcoming discrimination and taking pride in representation – embracing their true, whole selves. Putting an end to race-based discrimination is one step in the fight for equity in workplaces, schools, and on our screens, and representation is another. There is also a deeper well to look to as we cleanse the groundwater of this country’s white supremacy – looking at who owns what.

Diversity in media is about more than representation on screen – it’s also about who has the power to decide what content is put in front of audiences and who gets to influence culture.  Media is culture, and culture shows our values. While we’ve seen a push for more diversity and representation on screen, not enough has been done to diversify media ownership.

Like other highly monopolized industries, mergers and acquisitions between media companies are frequent. As it stands, there are six major media companies and five major tech companies dominating the media landscape, meaning a relatively small number of people control film production, television, news, and other media. Through consolidations, large companies continue to set the tone for media discourse, ethics, and actions over smaller entities that try to compete or are eventually absorbed. That is why in 2022 so many people still are not adequately seen, heard, or represented in our content.

Everyone has a story, but when the same kind of stories with the same kind of characters continue to be uplifted over others, it’s a signal to the culture about who is important and relatable. But it is a faulty signal – the small, homogenous group of media owners who make decisions about “what audiences want to see” have too limited a perspective to really know. Even when project (Black Panther) after project (anything created by Shonda Rhimes) after project (Insecure) proves old business models wrong, the same people continue to hold the power to greenlight or cancel projects, and storytelling is stifled.

Ten years ago, writer and producer Issa Rae was told she needed a white character for her projects to be successful and for audiences to care. That sentiment, which still exists, is a product of the explicitly racist history of American media, founded by the same white supremacy as the rest of the country. But ever the trailblazer, Issa expanded the network of creators in Hollywood through her show, and continues to do so – an example of Toni Morrison’s wisdom: “If you have some power, then your job is to empower somebody else.”

Issa stands on the shoulders of trailblazing creator/ owners like Oprah Winfrey, Ava Duvernay, Reese Witherspoon, and Tyler Perry, all of whom create countless opportunities for talented people from diverse backgrounds. But for every new model for content production and distribution, there is a legacy media brand holding back bourgeoning creators. And while companies like Netflix offer a welcome disruption for media production and distribution, when we look at ownership, it is clear there’s a long way to go.

It’s not just the media industry that needs a shift in ownership, in fact, the idea of ownership anywhere in the U.S. is complicated by its history of slavery. The racial dynamics of ownership are particularly stark in sports, where discussions about the need for change happen, but ownership largely stays the same. Of course, sports connect right back to media, and a small group of people unwilling to give up profitable reins to change racist systems.

There is a silver lining – the beautiful thing about culture is that it can be shaped into anything we want, and in that way, creators have the freedom to construct whatever narratives they want. However, as things stand, most don’t have the backing to reach a mass audience, so they’re stuck hoping someone with power will “take a chance” and see the value in their stories.

The media industry is notoriously hard to break into and extremely susceptible to “It’s not what you know, but who you know.” But media consumers should be able to find relatable content providing a true reflection of what modern society looks like. With that goal in mind, the evolution of the media landscape must include more open doors for diversity in media ownership so more diverse voices are supported, greenlit, and shared.

World Day of Social Justice Requires Reflection from California

February 20th is World Day of Social Justice — observed by the United Nations and people around the world. Since 2009, the UN has encouraged World Day of Social Justice as an opportunity to focus on social justice, draw attention to injustice, and inspire cooperative movements for change.

On this worldwide day of reflection and action, I wonder — how can California, a state with so much wealth, also have so many people experiencing poverty?

For many, California represents endless good weather, boundless natural beauty, and limitless opportunity unmatched by other places on Earth. But peek behind the golden curtain, and you’ll find poverty, homelessness, and other injustices that belie the golden image of the golden state. In a state with so much, it is unconscionable that there are so many Californians unable to share in that wealth.

For me, How?, Why?, and What The @!#$? come to mind.

I am proud that I joined Western Center last summer to be a part of the team that asks not only the questions above, but also works every day to answer them. Since Western Center’s founding in 1967, we’ve worked to ensure access for all Californians to justice, housing, healthcare, and financial and community stability. Our multi-pronged approach to systems change allows us to positively impact the lives of individuals while also creating change that ripples across the state.

Western Center’s litigation team trains and supports legal aid communities to help enforce laws where bad actors would ignore or take advantage. Our advocacy team advances legislation in Sacramento to build a better future for all Californians and stymie efforts that further entrench injustice and exploitation. We don’t do this work alone — we know that robust community partnership and coalitions of support are required to make the change we seek.

I invite you to join us.

You might think the most obvious thing I’m going to ask you for is a donation. And while yes, your financial support of our work is greatly appreciated and provides funding to power our mission, there are other ways I’d love for you to consider joining us as well.

Use your voice. It isn’t just lawyers or policy advocates’ voices that matter – yours does too! I encourage you to contact your elected officials in Sacramento, your county, and your local town to let them know what issues are important to you and what change you’d like to see. Make sure you’re registered to vote and vote every chance you get. Your voice matters.

If you’re not sure who your elected representatives are or how to contact them, you can find that information here. If you are not yet registered to vote, you can do that here.

World Day of Social Justice is a great opportunity to raise a hand and join the community of people and organizations fighting for change. As a donor, as a volunteer, as a social media follower – no matter how you engage, there is a space for you.

Today is a great day to reflect on how social justice resonates with you and to seek out organizations and actions that most speak to you. In addition to Western Center, I have a few suggestions for outstanding organizations you might also engage with:

If you’re reading this blog post, it likely means you are a supporter of Western Center and the work that we do. Thank you, today and every day, for fighting alongside us for social justice.

U.S. infrastructure bill marks the beginning of a journey, not the end of a debate

Western Center’s Executive Director Crystal D. Crawford, JD, and Manal J. Aboelata, MPH, Deputy Executive Director at Prevention Institute and author of a new book, Healing Neighborhoods, reflect on the Infrastructure Investment and Jobs Act and what this once-in-a-generation public investment could mean for ensuring all Americans the human right to live in a healthy neighborhood.

As we reflect on the historic $1.2 trillion infrastructure spending bill President Biden signed into law at the end of last year, we’re acutely aware of the promise and peril this massive public investment holds for people in the United States. As residents and professionals who live and work in LA County, we witness firsthand the challenges and opportunities that arise when large sums of taxpayer dollars become available to improve neighborhood conditions.

In 2016, LA County voters got behind a series of ballot measures to fund high quality transportation, safe and well-maintained parks and open space, quality housing and supportive services, and storm water management systems—to the tune of $1.5 billion per year.

Our experience in LA has many lessons to offer. Just like now, the promise is a tremendous opportunity to direct public funds to where they are most needed and make a positive difference in people’s daily lives. The peril, like now, is a failure to reckon with the legacy of segregation and its far-reaching intergenerational effects on community health, safety, and well-being.

It takes years, if not decades, to see the impacts of infrastructure spending. Past measures show us that investing in the status quo can reinforce and exacerbate “winners” and “losers.” Public investments must proactively prioritize funding in the highest need communities and inclusive engagement processes.

We know that our most disenfranchised communities could immediately put government resources toward essential health-promoting infrastructure. And yet, there are few guarantees that public dollars will flow toward the communities that need them most without strategic advocacy, grassroots organizing, and sometimes litigation.

As hard as it was to secure 228 congressional votes from lawmakers on both sides of the aisle, it’s no wonder President Biden, Vice President Harris, and House Speaker Pelosi hail the infrastructure bill as a major victory. But our experiences in LA demonstrate that the passage of the law is a beginning, not an end. The long road to equitable implementation lies ahead. Delivering on the full promise of this much-needed law requires a fair, just, and equitable distribution of these public resources.

From 2018-2020, as a Stanton Fellow of the Durfee Foundation, Manal embarked on a journey to better understand what it would take to proactively invest public resources in LA’s marginalized neighborhoods to improve conditions for health, safety, and well-being in Black and Brown communities. She documented her observations in Healing Neighborhoods, a groundbreaking new book that provides a framework and insights that resonate with the moment in which we find ourselves.

The “6 Levers for Tackling Inequities in Public Finance Measures” outlined in Healing Neighborhoods increase the likelihood that dollars will get to where they are needed most:

  1. Ensure clear funding guidelines, set asides, and earmarks to prioritize historically disinvested low-income communities and communities of color;
  2. Design and implement high quality technical assistance programs to proactively support and engage under-resourced Black and brown communities;
  3. Create funding programs that remove barriers to community-based organizations and low-wealth jurisdictions so that they can compete for public dollars;
  4. Include racially, ethnically and economically diverse community residents in the process using popular, multicultural and multi-lingual engagement strategies;
  5. Bake accountability and transparency measures into the system to ensure that taxpayers and lawmakers can see how money is spent, and make course corrections if gaps are not closing;
  6. Make data on all aspects of implementation available in timely and easy to understand formats.

As with the American Recovery and Reinvestment Act of 2008, there will be tremendous pressure to get shovels in the ground for shovel-ready projects. The risk of over focusing dollars on shovel-ready projects to show near-term results, however, is that ideas and places that already have less infrastructure capacity will continue to be left behind and public dollars will default to existing programs and traditional resource flows.

COVID-19 and the nation’s racial reckoning have made it clear that to thrive, our nation needs healthier, safer, and more equitable conditions and outcomes. To get there, we’ll have to spend in new ways, proactively driving dollars to the neighborhoods that need them most.

What we’ve learned in LA is that it is incumbent on all of us—residents, advocates, public health practitioners, racial justice leaders and social justice lawyers–to stay focused and vigilant in the days, months, and years ahead. Public money and public trust hang in the balance. We hope that when future generations look back on this historic bill signing, they recognize it as a turning point toward health equity, racial justice, financial security, and community stability in this country.

For more information about Healing Neighborhoods, or to print your own copy, go to: Healing Neighborhoods.

 

 

 

 

The City Center is Organizing

At City Center Motel in Long Beach, the untimely death of a long-term tenant spurs others to action

Last year, one day after Veterans Day, at the City Center Motel in room 205, Timothy Star died. He was a Vietnam Veteran who was proud of his Navajo roots. He was a medicine man who provided healing for close friends in need.

Tragically, police discovered Timothy’s body days after he passed. His neighbor, Joseph, says Timothy died from shock. Timothy was served an eviction notice in September, and the prospect of becoming unhoused loomed over him. Ultimately, it was too much.

Photo of City Center Motel captured by Abraham Zavala

Timothy was one of nine remaining long-term tenants at City Center Motel in Long Beach facing displacement. Joseph is a tenant I met while organizing in the housing justice movement. Community work often creates a lasting connection, where people continue to reach out looking for support well after you may have left the community based organization (CBO). Sometimes folks reach out when they are in a tough situation. When Joseph called, I called right back. We made plans to meet up and talk to tenants at City Center Motel.

The motel once housed dozens of tenants. Now, the remaining handful of tenants are organizing. Joseph and a few other tenants are connecting with local housing justice organizations for support. They intend to band together and ask the owner of the property for relocation fees. They fear they will end up on the streets if they don’t make such demands. 

The motel sits close to Ocean Boulevard surrounded by numerous high-end, high-rise apartments. There is an increase in construction of new housing in the area – most of it out of reach for tenants who have lived there for decades. Joseph says it’s mostly elderly tenants or folks with disabilities at the motel. They cannot afford the current market price of rent in the neighborhood. 

Tenants say the last time they had any contact with management was the day they were issued eviction notices. Multiple residents’ names were misspelled on their notices, and some listed completely different names. Other tenants never received notice at all. 

Every remaining tenant is legally a renter since everyone paid rent for at least a year at the motel. But in the absence of management, communication, and resources, they are forced to live with extreme uncertainty, barely habitable housing, and no clear alternatives. 

The most difficult part was when motel management stopped the amenities. Tenants lost the kitchen, laundry room, control room and the office — it was all locked up soon after the management and staff left. 

In response, tenants assigned each other responsibilities that staff once carried out. Joseph and Freddie, fellow tenants, do security since people frequently break into rooms. There was a break in recently and the tenants closed up that room with wooden planks. On Thanksgiving, three men tried to break in, but a tenant talked them down and they left. Break-ins are the biggest safety concern they share. 

To make safety matters worse, tenants are often unable to open their rooms since the key door devices no longer work. They have to break into their own room to get home. An older woman, Margaret, has to leave the door slightly open when she leaves since she is disabled and can’t go through the window.

Additionally, there is a lot of water damage in the rooms – ceilings discolored at the edges and black mold. One room boasts a large hole in the ceiling. 

All together, tenants are worried about what happens next. However, they will not remain idle.

On November 16, 2021, Joseph and other tenants took their message to council chambers while the city’s Housing Element plan was adopted. They called on the city council to make housing a priority and closed their public comment by asserting that housing is a human right! 

Despite ongoing activism, they are now looking to find ways to fund relocation. They continue to face pressure to leave. The property manager tried to put a fence around the site over the holidays. When tenants informed the landlord that this was a form of illegal eviction, they were given access to the fence’s lock. 

Now, they organize, hope, and wait for justice to come – perhaps in the form of a fair relocation settlement – so they can start again.

 

More Patient Protections for Hospital Billing in 2022

Many Californians, whether insured, underinsured, or uninsured, are carrying the burdens of medical debt in their lives. This year, Western Center co-sponsored AB 1020 (Friedman) to address this problem. AB 1020 strengthens the existing Hospital Fair Pricing Act, which requires California hospitals to provide free or discounted care to uninsured and underinsured patients who are low income; and the Rosenthal Fair Debt Collection Practices Act and Fair Debt Buying Practices Act, which require debt collectors and debt buyers to follow fair debt collection procedures.

The amendments aim to inform more people of the availability of financial assistance when receiving hospital services and hold hospitals, debt collectors, and debt buyers accountable to this assistance. Since the Hospital Fair Pricing Act was passed 15 years ago, legal services advocates have navigated an opaque application process with their clients who should have qualified for charity care but never received notice or an application. Patients were left in murky negotiating situations when they had to deal with accounts that had been assigned or sold to debt collectors and debt buyers. Patients needed a clearer application process. AB 1020 does the following:

  • Requires hospitals to provide patients with notices about their charity care and discounted payment policies and actual applications at specific points in the billing and collections cycle;
  • Requires hospital contracts with debt buyers to include patient protection provisions;
  • Imposes additional requirements for collection of medical debt;
  • Authorizes the Department of Health Care Access and Information to penalize hospitals for non-compliance (coming in 2024); and
  • To keep up with the higher cost of living, increases the income eligibility threshold to 400% of the federal poverty level.

Our Health Care Practice Tip this month details these changes and more. One common unlawful provision found in many hospitals’ fair pricing policies is a specific time period to apply, often set at 150 days. These deadlines violate the Hospital Fair Pricing Act, which allows patients to apply for charity care or discounted payments at any time, without time limit.  Meanwhile, hospitals may still commence collection activity after the statutory time period has passed. The Health Care Practice Tip explains this issue.

Even in the pandemic, the accumulation and collection of medical debt have not stopped. Our state’s charity care and collections laws still require rigorous enforcement by advocates.

Here is the full report: Health Care Practice Tip – December 2021

Want Equity? Start when kids learn how to read.

I am a parent in the process of looking for the best education path for my son. As an attorney at Western Center who often works on issues pertaining to child welfare, I am also interested in advocacy around access to and quality of education – especially for kids of color like mine. A lot of what happens in education is a direct reflection of our nation’s “commitment” to racial equity issues (which is to say, we’re not that committed), and to science. For those committed to racial equity and ending the school to prison pipeline, there is no other option but to be interested in and committed to this issue.

To make a long story short — there is well-researched scientific evidence about how people learn to read, usually distilled into what is called the “Science of Reading,” which has been around for 20 years. There are plenty of news reports, research papers, podcasts, social media groups, and conferences devoted to discussing the “Science of Reading” and best practices in reading instruction. Bafflingly, most school districts do not use curriculum that aligns with the science of reading. This partially contributes to 83% of Black kids and 60% of white kids not being proficient readers by the 4th grade. Unfortunately, the most recently released National Assessment of Education Progress “NAEP” scores show startling declines in math and reading proficiency among our nation’s youth, and widening gaps for Black and Latinx youth.

Change is on the horizon, however, in part because of books like “The Knowledge Gap” and other forms of advocacy, but it’s surprising that it has taken so long to catch on. As a nation, we have a lot of problems when it comes to listening to science. We blame Black and brown children for failing to meet reading proficiency standards despite evidence that we are not teaching them based on scientifically sound methods. We are wasting public funds, resources, and most importantly, human potential.

San Francisco Unified School District adopted a curriculum that is not at all aligned with the science of reading, which was actually banned in Berkeley as a result of a lawsuit because it does such a poor job of teaching kids to read. Meanwhile, in places like Milwaukee, parents have successfully advocated for more science-based approaches to learning. Colorado, Arkansas, Mississippi, and other states already have laws on the books requiring science of reading based approaches, which have achieved positive results.

From my view as an advocate and parent, the science provides a clear call to action for helping our kids reach their potential: (1) reading instruction should be part of general education through 5th grade and likely through middle school; (2) schools should be required to use curriculum aligned with the science of reading; (3) teachers should be trained in college on the science of reading, which would require new legislation in several states including California; (4) early childhood education students should be trained on early science of reading methods and how to spot early signs of reading difficulties.

Reading proficiency is fundamental in this society – especially when we talk about lifting families out of poverty. It’s a relatively easy intervention, we just need a commitment to following proven methods for teaching kids how to read. Sticking our heads in the sand when the evidence is clear is a disservice to children, families, and their communities – our systems of education must adjust to meet the needs of our kids.