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News

Addressing Social Drivers of Health (SDOH) to Improve Perinatal Mental Health Care

Nationally, approximately 700 women die each year from complications related to pregnancy and childbirth with perinatal depression being the most common postpartum complication (CDC). Within Los Angeles County, one in five women experience perinatal depression, and often those who are identified as having depression have difficulty finding appropriate care due to various social and economic factors, including material poverty, housing instability, and lack of social support (CDPH). Addressing social drivers (determinants) of health (SDOH) – defined as non-medical factors that affect health outcomes – can improve overall care and perinatal mental health outcomes.

A recent study in LA county, Social Determinants Among Pregnant Clients With Perinatal Depression, Anxiety, Or Serious Mental Illness (Health Affairs, April 2024), takes a close look at the linkages between SDOH and clients experiencing perinatal anxiety and depression. Co-author Dr. Bridgette Blebu, shared some of the ...

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Los Angeles Health Care Leaders, Local Businesses and Community Health Centers Urge ‘Yes’ Vote on Proposition 35

For Immediate Release July 25, 2024

CONTACT: Press@VoteYes35.com

Prop 35 will help address Los Angeles’ most urgent health care priorities

Los Angeles, CA – As Los Angeles faces a deepening health care crisis, local physicians, business leaders, hospitals, community health centers, emergency responders and hundreds of other organizations are calling on voters to support Proposition 35 on the November ballot. The initiative will address our region’s most urgent health care problems by significantly expanding access to quality care.

“As a family physician, I have dedicated my career to ensuring my patients have access to essential health care regardless of their type of coverage,” said Hector Flores, MD, a member of the Los Angeles County Medical Association. “But the reality is that many Angelenos face serious hurdles in getting the care they deserve. Proposition 35 will expand patient access to primary care doctors and to the specialty care that ...

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June Final Budget Maintains Medi-Cal Expansion Coverage for All Californians, Cuts Critical Programs and Workforce Funding

LOS ANGELES – June 28, 2024 – This week, the legislature passed and Governor Gavin Newsom is in the process of signing a series of budget bills for the 2024-25 fiscal year that reaffirm the state’s commitment to Health4All, while addressing a historic budget deficit. The budget maintains California’s leadership in expanding health care coverage but pulls back from critically needed investments to improve Medi-Cal members’ access to care.

We applaud the Governor and legislature’s decision to preserve the expansion of Medi-Cal to all income-eligible people, including In-Home Supportive Services (IHSS) for all Californians with Medi-Cal. IHSS helps ensure residents with low incomes who are elderly, blind or disabled (including children) get the support they need at home, promoting well-being and reducing the need for expensive out-of-home care. Additionally, the budget retains the optional Medi-Cal acupuncture benefit.

Yet, patients can only obtain ...

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Governor’s Budget May Revise Retains Some, but Not All Medi-Cal Expansion Coverage, Cuts Health Care Workforce Investments

LOS ANGELES – May 10, 2024 – Today, Governor Gavin Newsom unveiled his May Revision budget proposal for the 2024-25 fiscal year, which aims to address California’s significant budget deficit. After an early action budget package that included $17.3 billion of solutions, the Governor projects a remaining $27.6 billion budget problem. While the proposal protects most core services, it also includes cuts and reductions that will jeopardize access to care and services for millions of California’s lowest-income residents. The proposal protects, with some exceptions, the state’s historic Medi-Cal expansion to all income-eligible people but cuts critical workforce funding.

The Newsom Administration has repeatedly demonstrated its commitment to ensuring all Californians can access health care through expansions of Medi-Cal eligibility. For coverage to translate into meaningful access, however, the state must invest in the providers and facilities that patients depend on.

We applaud the proposal ...

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Protect Access to Healthcare Coalition Submits Voter Signatures to Qualify Initiative for the November Ballot

Initiative will expand access to healthcare services and improve care for all Californians

Sacramento, CA – The Coalition to Protect Access to Care has submitted more than 800,000 signatures to county registrars throughout California to qualify the Protect Access to Healthcare Initiative for the November 2024 ballot.

The initiative leverages existing federal funding to expand access to care for patients across California. It will protect the historic investment made by a bipartisan group of state leaders to provide stability for patients and healthcare providers.

California’s healthcare system is in crisis. In rural and urban communities alike, hospitals are closing, doctors offices are having to shut their doors, and community health centers and emergency departments are struggling to meet the needs of communities across our state. Without raising existing taxes, this measure – which has broad, bipartisan support –  will ensure our ...

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Caring for Perinatal Patients with Substance Use Disorders

Los Angeles County Maternal Mental Health Access (LAMMHA) is a five-year program funded by The California Health Care Foundation (CHCF) to support Los Angeles County community health centers in the identification and treatment of common perinatal mental disorders in primary care. At least one in five childbearing persons in the U.S. will experience a mental health or substance use disorder (SUD) during pregnancy or in the first year postpartum1. To reflect on the experience of perinatal SUD treatment, we spoke with Dr. Nadejda Bespalova, a perinatal and addiction psychiatrist and Acting Assistant Professor in the Department of Psychiatry and Behavioral Sciences at the University of Washington. During our conversation, Dr. Bespalova shared her reflections on a case of a pregnant patient who had a history of substance use. “Some things went well, and some things didn’t go well – for a ...

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Down payments paid off: Medi-Cal expansion builds on Los Angeles’ legacy of safety net investment

TCC Family Health

By Zev Yaroslavsky and Louise McCarthy

Government is often criticized for its failures, but once in a while government has a profound success story. In January, California took the final step in expanding our Medi-Cal program to all income eligible residents. As a result, Los Angeles County has sunset its public uninsured program, My Health LA, as its enrollees move to Medi-Cal. Thanks to decades-long efforts to stabilize and strengthen a once-crumbling safety net system, the Medi-Cal expansion offers Angelenos more than just a coverage card. It offers access to quality health care. As we celebrate this expansion of coverage it is important to recognize the investments that laid the foundation for this to happen.

Thirty years ago, our health system was on the edge of collapse and the county was on the brink of bankruptcy. In addition to the ...

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Innovative Program Expands Support for Perinatal Mental Health Care Capacity in LA County

Six months after the launch of a collaborative to improve perinatal health, a new cohort of Los Angeles health centers will implement the innovative program. 

TCC Family Health (TCC) and St. John’s Community Health (St. John’s) joined the Los Angeles County Maternal Mental Health Access (LAMMHA) program as part of a second cohort implementing the evidence-based collaborative care model (CoCM) to treat common mental health conditions in primary care. Six months after training an initial cohort, the LAMMHA partners* chose TCC and St. John’s to join cohort 2 with two clinic sites each. During the two-year program, they will receive intensive on-going support and training to implement and sustain CoCM at their sites. Care teams from the four cohort 2 clinical sites attended an in-person training in Los Angeles on October 19, 2023 to build key perinatal CoCM skills. The session provided interactive education for behavioral health care managers, psychiatric consultants, medical ...

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Governor’s Budget Protects Medi-Cal Expansion and Transformation; More Funding Necessary to Strengthen Health Care Workforce

LOS ANGELES – January 11, 2024 – Yesterday Governor Gavin Newsom unveiled his 2024-25 state budget proposal, which aims to address California’s budget deficit. The Governor’s budget estimates a $37.9 billion budget shortfall, substantially lower than the $68 billion gap projected by the Legislative Analyst’s Office in December. The proposal protects investments in Medi-Cal and the state’s historic expansion of the program on January 1, but delays critical health care workforce funding. 

Gov. Newsom intends to close the budget shortfall by withdrawing dollars from the state’s rainy-day fund and enacting various spending reductions and delays. The Governor also proposes seeking federal approval for an amendment to generate an additional $1.5 billion from the state’s Managed Care Organization Provider Tax (MCO Tax), a tax on health insurance plans that generates federal matching funds for the state, compared to the approved MCO Tax ...

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ECHO Perinatal Case Conferences Provide Support with Maternal Mental Health

Providers need support when presented with a pregnant or postpartum patient with a complicated history, symptoms, or situation. Luckily, there is someone they can turn to who can troubleshoot with them, through the Los Angeles Maternal Mental Health Access (LAMMHA) ECHO Perinatal Case Conference Series. The monthly LAMMHA webinar, based on the successful ECHO Model, brings together doctors, nurses, behavioral health clinicians, and other staff working to support new families in Los Angeles County during their pregnancy and postpartum journeys and provides them an opportunity to learn from one another. Each webinar features a brief presentation on a unique topic related to perinatal mental health delivered by an expert in the field. Following the presentation, attendees are invited (and strongly encouraged!) to bring challenging cases that they have encountered to the group for discussion and troubleshooting. Through this interactive ...

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