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: Written by: Marc Albert; Published: 29 August 2022

With some states adding restrictions or prohibiting abortion, California is moving in a different direction. Nevertheless, local medical experts say they remain concerned about access, misconceptions and the future.

A statewide constitutional amendment guaranteeing a right to abortion and contraception is set to go before voters in November. But at a roundtable meeting convened by North Bay congressman Mike Thompson Friday, it was obvious concerns remain.

Cheryl Johnson, executive director of the Sonoma Valley Community Health Center, said patients seeking care are whipsawed by sudden shifts.

"This toppling of Roe v. Wade is just a real cornerstone for other rights to be taken away.," Johnson said. "And, so what we are seeing right now is people who are coming in are anxious because of the fact that they don't know what is the next right that is going to be toppled."

Johnson was joined by officials from clinics in Santa Rosa and Petaluma. They said prohibitions will mean fewer medical students being trained, causing a long term brain drain that will stymie access.

Johnson said a class divide is developing.

"People who have money, who have means they will find a way to get their contraception, their abortions, but people who do not have those opportunities will be the ones who have to take advantage of social programs, of other types of governmental support," Johnson said.

And such programs are seemingly on the perpetual chopping block. Others told Thompson the 'public charge rule' means many who qualify, avoid medical help, concerned that receiving taxpayer help will upset their immigration status.

Nevertheless, attendees, including Margaret Martinez Franks, feel there is strong support here.

"Thankfully, the governor has been incredible in allowing a huge amount of state funds to go toward abortion care and reproductive health care," Martinez Franks said. "That money is going to go a long way to assuring that not only Californians, but those coming in from out of state are able to get the health care that they need and that they deserve."

: Written by: Nadia Lopez/CalMatters; Published: 29 August 2022

New gasoline-powered cars will be banned in California beginning with 2035 models under a new groundbreaking regulation unanimously approved this month to force car owners to switch to zero-emission vehicles.

In its biggest move yet to reduce reliance on fossil fuels and fight climate change, the new rule approved by the state Air Resources Board on August 25 culminates a decades-long effort to transform the auto and power industries and change the cars people drive -- the state's leading source of air pollution.

The regulation is the first in the world to end the sale of traditional gas-powered vehicles and ramp up sales of cars powered by electricity. A small number of other states and nations have set only voluntary targets.

The proposal was first unveiled in April. In response to several board members' concerns, the staff made minor revisions Thursday to address issues related to electric car battery durability and added provisions to enhance assistance for low-income residents.

"This regulation is one of the most important efforts we have ever carried out to clean the air," said Air Resources Board Chair Liane Randolph. "Our previous regulations to make cars cleaner made improvements, but those improvements were incremental. This regulation will essentially end vehicle emissions altogether."

Automakers will have to gradually electrify their fleet of new vehicles, beginning with 35% of 2026 models sold, increasing to 68% in 2030 and 100% for 2035 models. As of this year, about 16% of all new car sales in California are zero-emission vehicles, twice the share in 2020.

The millions of existing gas-powered cars already on the roads and used car sales are unaffected by the mandate, which only sets a zero-emission standard for new models.

The switch to zero-emission vehicles marks a historic precedent that would ripple across the country, paving the way for other states, and perhaps countries, to follow.

John Bozzella, president and CEO of the Alliance for Automotive Innovation, a trade group representing automakers, said automakers support the transition to electric cars, but called the timeline "very aggressive," adding that it will be "extremely challenging" for the industry to adjust in time.

"Whether or not these requirements are realistic or achievable is directly linked to external factors like inflation, charging and fuel infrastructure, supply chains, labor, critical mineral availability and pricing and the ongoing semiconductor shortage," Bozzella said. "These are complex, intertwined and global issues well beyond the control of either the California Air Resources Board or the auto industry."

Environmental justice advocates, who had been calling for a sales goal of at least 75% zero-emission cars by 2030, expressed disappointment at Thursday's hearing. While the rule is a "step in the right direction," the board missed an opportunity to include more robust provisions in the policy to make sure low-income people can afford them, according to Roman Partida-Lopez, legal counsel at the Greenlining Institute.

"California had an opportunity to set a stronger standard," Partida-Lopez said. "The board came up short by not making this a more stringent rule or one that has environmental justice provisions that are mandatory rather than voluntary."

Gov. Gavin Newsom Thursday called it "a groundbreaking, world-leading plan" that "will lead the revolution towards our zero-emission transportation future." He touted $10 billion in state investments that will make it "easier and cheaper for all Californians to purchase electric cars."

Concerns about affordability, durability

For many families, electric cars are an attractive option, but barriers keep them out of reach. New electric cars range in price from $25,000 to $180,000. Price markups at dealerships due to car shortages and high demand have also inflated the cost of some electric cars by more than $10,000, sometimes as high as $15,000.

Air board officials project that the cost of an electric car will be equal to a gas car's price as early as 2030 as supplies surge to meet the mandate.
Despite the higher upfront cost, the air board's analysis projects that drivers will end up saving much more in maintenance and operation expenses. Charging at home costs about half as much as gas for the same number of miles driven. Drivers in California already pay some of the highest gas prices in the country.

At Thursday's hearing, air board members, environmental justice advocates and members of the public echoed concerns they raised during a June hearing about the proposal -- challenges with high vehicle costs, lack of charging infrastructure and consumer reluctance.

The state's subsidy programs, designed to help low and middle-income residents who purchase electric cars, have repeatedly suffered from inconsistent and inadequate funding. Meanwhile, auto groups said the industry is already dealing with global supply chain disruptions, battery shortages, and other constraints.

Air board staff member Anna Wong, who is part of the agency's sustainable transportation and communities division, acknowledged that the plan has a "stringent but achievable path." Many of the changes they proposed in the revised policy include provisions to help manufacturers cut costs for consumers, she said.

Under the mandate, electric cars must have a range of at least 150 miles on a single charge. Batteries will need to be more durable and carry a manufacturer's warranty. At least 80% of the original range must be maintained over 10 years, starting in 2030, a year earlier than initially proposed.
To ease the strain on automakers, the staff reduced the range requirement to 75% for the first eight years that a new car is on the road, extending it by an additional three years.

Automakers will be allowed to use a credit system that allows them to meet a lower percentage of sales if they offer cheaper cars at dealerships and participate in state subsidy programs.

To ensure enforcement, state officials could penalize manufacturers that don't meet their yearly percentages with hefty fines of $20,000 for every car they fail to produce in a given year, according to air board staff. Automakers that fail to meet those requirements would need to get credits from another manufacturer that already met their targets. Air board staff also assured the public that they could amend the regulation at any point to address lingering equity and compliance issues.

Can the power grid cope?

Critics say the state needs more charging stations as electric car sales surge. California has about 80,000 stations in public places, falling short of the nearly 1.2 million public chargers needed by 2030 to meet the demand of the 7.5 million passenger electric cars anticipated to be on California roads.
Another question remains: Will there be enough electricity? Experts say California needs a more reliable power grid, sourced from climate-friendly renewables like solar and wind.

California's electricity consumption is expected to surge by as much as 68% by 2045. But the power grid -- marred by outages and increasingly extreme weather -- needs massive investments to attain the clean-energy future outlined in California's five-year climate roadmap, called a scoping plan.
Newsom in recent months has been pushing the idea of keeping the Diablo Canyon nuclear plant open, introducing draft legislation earlier this month that would continue operations past its scheduled 2025 closure date. It's part of a wider effort to maintain the reliability of the state's increasingly strained power grid and reduce its reliance on fossil fuels as California makes progress on transitioning to renewables.

But the contentious proposal, which would give owner Pacific Gas & Electric $1.4 billion, has widespread opposition. A new draft bill is being circulated within the Legislature and instead proposes using that money for renewable infrastructure.

California already has the largest zero-emission car market in the country, with more than 1.13 million plug-in vehicles registered across the state. Nationally there are about 2.64 million. That means California accounts for 43% of the nation's plug-in cars.

The board's move Thursday "is the most important action it has taken in 30 years," said board member Daniel Sperling, who also is director of the Institute of Transportation Studies at UC Davis.

California often sets tougher climate change policies that the federal government then follows. There are also at least 16 states that currently follow the state's strict auto emission standards that are expected to adopt these regulations. These states, along with California, represent about 40% of the country's new car sales, according to the board.

Healthier air

Air board staff project that the new rule will reduce passenger vehicle emissions by more than 50% by 2040. That results in 395 million fewer metric tons of greenhouse gases -- the equivalent of emissions from burning 915 million barrels of gasoline.

The rule is considered essential to reducing smog and soot pollution, which violates health standards in much of the state, and to meeting California's goal of carbon neutrality by 2045.

Battling California's severe air pollution for longer than half a century, the air board has long believed in the promise of an electric vehicle future, initially implementing a zero-emission mandate in 1990, requiring that 2% of new car sales between 1998 and 2000 be emissions-free, increasing to 5% in 2001 and 2002. The board reversed its decision six years later after automakers expressed concerns that the technology and battery lifespan were not advanced enough to comply.

"The mandate has led a very tortured life and it was basically weakened for almost 20 years and then in 2012, we started strengthening it again," board member Sperling said. "So this represents an embrace of the original vision. It's important for California, it's important for the U.S. and it's important for the world."

State officials said Newsom's $10 billion investment in vehicle incentives, charging infrastructure and public outreach over the next six years will be a critical tool to ramping up sales and improving access and affordability.

The proposal comes just a couple of weeks after Congress passed a sweeping climate bill, which pours billions into clean energy projects and renewables. The new law includes electric vehicle tax incentives that offer up to $7,500 in rebates for Americans who want to purchase a new zero-emission car or $4,000 for a used one. That rebate, in addition to the state's multiple subsidy programs, are expected to help provide some financial relief for car buyers.

: Written by: Noah Abrams; Published: 26 August 2022

Dental visits in a Winnebago? Petaluma Health Center’s newest clinic is made to be mobile.

It might look like an RV on the outside - an RV that’s stamped with the portrait of a smiling nurse that is. At noon Friday, the Petaluma Health Center cut the ribbon on its newest mobile clinic.

Congressman Mike Thompson was on hand for the official unveiling of the dual dental and medical mobile clinic. He acknowledged the strain Covid has placed on providers.

"It just exacerbated the many problems that we have in healthcare." Thompson said. "And then you add to that some of the other issues that are already difficult in, in healthcare, it's created some real high hurdles. So I want to thank all of you who are providers."

Pedro Toledo, Petaluma Health Center’s CEO, said the mobile clinic helps to bring justice to the healthcare system.

"We've known for year[s], that your neighborhood, where you live, influences how long you live and proximity to healthcare should not determine access to healthcare." Toledo said. "So this mobile health clinic is a way of lowering barriers and expanding access to high quality healthcare. In some of the neediest schools and neighborhoods in our community."

Doctor Ramona English, Petaluma Health Center’s Chief Dental Officer led the push for, and designed the 40 foot mobile clinic herself. Custom built on a truck chassis but resembling a Winnebago, the clinic includes two dentistry stations, a private medical station, and equipment to provide vaccinations.

English, like Toledo, said the emphasis of the clinic is healthcare equity.

"This is definitely not a money maker." English said, letting out a laugh. "In a way it's subsidized by some of our other programs that we have. And it's more about doing the right thing at the right time for everyone and reaching out to the patients that needed the most."

English said for now, staff on the mobile program will be shared from existing clinics, but hopes that increased demand for mobile services will allow for more permanent staffing in the future.

: Written by: Noah Abrams; Published: 25 August 2022

Several seats on city councils around the county are up for election in November. But one city is cancelling its next council election.

Cotati mayor Mark Landman and council member John Moore both announced their retirements earlier this year.

Those two retirements opened the seats for full, four-year terms on the Cotati city council, and triggered an extended nomination process for prospective candidates.

Cotati city manager Damien O’Bid described where things stand following the close of the nomination period on August 17th.

"At the end of the nomination period we had for two seats, we had two qualified candidates, Kathleen Rivers and Sylvia Lemus." O'Bid said. "This then brought up the question about whether we need to have an election or not."

With only two nominated candidates - for two vacant seats - Cotati had the option to run two uncontested elections, or simply appoint the seats.

John Bakker, attorney for the city, said the appointments could potentially cause issues in the future if there is an unexpected vacancy on the council

"If those two council members were considered to be appointed, you are precluded from appointing somebody." Bakker said. "If it would cause a majority of the council to be appointed. So you would be forced to either leave it vacant or call a special election."

Another concern raised is the cost of holding a special election if needed. O'Bid, though, said the price difference would be minor.

"The bottom line is the, the maximum delta that we got is about $10,000 between a regular and a special election." O'Bid said. "So in other words, the regular election that is in the packet, the range is $11,000 to $34,000. Special election range would be 22 to 37."

Ultimately, the Cotati city council voted to cancel their city council election this November and appoint Rivers and Lemus to the city council for four year terms beginning in December.