L.A. fire chief blames slower response times on budget cuts

Los Angeles Fire Chief Brian Cummings turned the tables on City Council members Tuesday, blaming increased 911 response times on budget cuts approved by lawmakers.

"You gave us a budget," Cummings said during a nearly two-hour City Hall hearing. "We're giving you the most effective Fire Department that we can within that budget."

Cummings was summoned to appear before the council after he failed to produce a plan to improve service and response times, which have grown longer since budget cuts were ordered three years ago after the economic downturn.

The council asked for the blueprint in April. On Tuesday, Cummings was given an additional 60 days to submit the plan.

Cummings blamed the delay on the department's data problems, which have been the subject of multiple investigations by city auditors and outside experts. Years of response time data were found to be flawed and the LAFD has accurate data only for the last two to three months, Cummings said.

Reliable performance data from a longer period is needed before changes in the department deployment plan can be recommended, he said. Improvements will require more funding, he added.

"The simple answer is money," Cummings said. "The way we improve response times is by putting more resources in the field."

The department's performance has been under scrutiny since March when fire officials acknowledged producing inaccurate response time data that made it appear rescuers were getting to emergencies faster than they actually were.

Fire officials are dealing with other embarrassments. Federal officials are investigating whether confidential information was obtained illegally on hundreds of patients who rode in Fire Department ambulances, according to a city lawyer. The department also has been criticized by the city's top budget officials for going over its budget by millions of dollars.

On Tuesday morning, The Times reported on a YouTube video titled "Firehouse Burlesque Hula Hooping" showing a woman in high-heels and tight shorts dancing with a hoop at a Venice fire station. The video was a promotion for Hoopnotica, a fitness company. The firm's chief executive said the shoot was unplanned, lasted no more than 30 minutes and that no money changed hands.

Last year, firefighters from the same Venice firehouse and another station were investigated for allowing fire engines to be used in porn shoots. Shortly after those videos surfaced, the controversy spread to Cummings when the chief acknowledged that he once posed for racy photos with a bikini-clad woman when he was stationed in Venice as a captain.

Cummings said the department was investigating the hula hoop video. Councilman Mitchell Englander, who chairs the council's Public Safety Committee, said firehouse antics are "another part of the culture we have to change."

At the council meeting, Cummings and other fire officials reviewed the recent findings of a task force formed to examine the department's various data management troubles.

Councilman Eric Garcetti said he was happy the data problems were being addressed, but said he wanted a detailed plan for service improvements.

He also said the department needs stronger leadership. "I want somebody fighting for this department," he said. "Talk to your firefighters out there. They don't feel that is happening."

After the economic downturn, the council and Mayor Antonio Villaraigosa cut the LAFD's annual budget by $88 million — from $561 million in 2008 to $473 million in 2011.

The cuts led to service "brownouts," which took units out of service on a rotating basis, and which were eventually replaced by a new deployment plan. Cummings, an assistant chief at the time who oversaw development of the redeployment, predicted response times would match pre-recession levels following the changes. But investigations by The Times and City Controller Wendy Greuel found response times for medical emergencies have increased over the last four years.

Councilman Richard Alarcon admonished his colleagues, saying they should have known their budget cuts would lead to slower response times.

"Even Barry Bonds can't hit home runs with a plastic bat," said Alarcon, who voted against the cuts.

This spring, responding to concerns about the department's performance and the controversy over the accuracy of its data, lawmakers added back $40 million to the department budget. Cummings has requested an additional $50 million in next year's budget.

kate.linthicum@latimes.com

robert.lopez@latimes.com

ben.welsh@latimes.com

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Study: Drug coverage to vary under health law

WASHINGTON (AP) — A new study says basic prescription drug coverage could vary dramatically from state to state under President Barack Obama's health care overhaul.

That's because states get to set benefits for private health plans that will be offered starting in 2014 through new insurance exchanges.

The study out Tuesday from the market analysis firm Avalere Health found that some states will require coverage of virtually all FDA-approved drugs, while others will only require coverage of about half of medications.

Consumers will still have access to essential medications, but some may not have as much choice.

Connecticut, Virginia and Arizona will be among the states with the most generous coverage, while California, Minnesota and North Carolina will be among states with the most limited.

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Online:

Avalere Health: http://tinyurl.com/d3b3hfv

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Iraq’s Latest Crisis Is a Standoff With Northern Kurds

Azad Lashkari/Reuters

Officials in Baghdad, including American diplomats, are trying to mediate a dispute with the Kurdish government in the north.

BAGHDAD — It was just the sort of episode that observers have long worried could provoke a serious conflict: when federal police agents sought to arrest a Kurdish man last month in the city of Tuz Khurmato in the Kurdish north of the country, a gunfight ensued with security men loyal to the Kurdish regional government.

Azad Lashkari/Reuters

Kurdish security forces, called the Peshmerga, have been in a standoff with the Iraqi Army near Kirkuk, a northern city claimed by Arabs and Kurds.

When the bullets stopped flying, a civilian bystander was dead and at least eight others were wounded.

In response, the Iraqi prime minister, Nuri Kamal al-Maliki, rushed troop reinforcements to the area, and Masoud Barzani, the president of Iraq’s semiautonomous northern Kurdish region, dispatched his own soldiers, known as the Peshmerga, and the forces remain there in a tense standoff.

Almost a year after the departure of the United States military closed a painful chapter in the histories of both nations, Iraq finds itself in a familiar position: full-blown crisis mode, this time with two standing armies, one loyal to the central government in Baghdad and the other commanded by the Kurdish regional government in the north, staring at each other through gun sights, as officials in Baghdad, including American diplomats and an American general, try to mediate.

Like bookends, Iraq is closing the year just as it began, with a major confrontation that has exposed sectarian and ethnic rifts that hundreds of billions of American dollars and thousands of lives have not reconciled. At the outset of the year, it was the sectarian divide between Shiites and Sunnis that was on vivid display when the government of Mr. Maliki, a Shiite, issued an arrest warrant on terrorism charges against the Sunni vice president, Tariq al-Hashemi.

“The year started with the warrant against Hashemi and is ending with tanks on the edge of the Kurdish mountains,” said Sarmed al-Tai, a columnist for the newspaper Al Mada, which ran a story on Sunday on the anniversary of the American military’s departure, describing the exit as “leaving a large vacuum and a significant deterioration of the national partnership.”

As American troops left at the end of 2011, Mr. Maliki sent tanks to surround Mr. Hashemi’s home in the Green Zone of Baghdad. An arrest warrant led to Mr. Hashemi’s self-imposed exile, first in the Kurdish north and then Turkey; a trial in absentia followed, then the handing down of not one but two death sentences. Mr. Hashemi now lives in a suburban high-rise apartment in Istanbul, where he is protected by Turkish guards and remains defiant.

“Legally, I am still a vice president,” he said in a recent interview, adding, “I do have a lot of time to look after the future of my country.”

The latest crisis is an ethnic one, between Kurds and Arabs, and the consequences are potentially more serious because the Kurds, in contrast to the Sunni Arabs, enjoy a measure of autonomy in the north, control their own security forces and have longstanding ambitions for independence.

Tuz Khurmato, the city where the clash occurred, is of mixed ethnicity, where Turkmens, Arabs and Kurds compete for power. It lies in a region around the city of Kirkuk, an area of vast potential oil wealth that is at the center of a longstanding power struggle between Kurds and Arabs. As part of his brutal rule, Saddam Hussein moved tens of thousands of Arabs into the area, to dilute what was historically a Kurdish stronghold. After his fall, thousands of displaced Kurds demanded the right to return to the homes they had been driven from, creating tensions that have yet to subside.

The latest crisis began after Mr. Maliki sought to consolidate his control over security in Kirkuk, where Kurdish and Iraqi forces have shared responsibility for security, and it reached a critical stage after the gunfight.

“This is a red line for the Kurds,” said Joost R. Hiltermann, an Iraq expert at the International Crisis Group. “Maliki is essentially taking control of the police. And the Kurds will never give up the city.”

Efforts at mediation, backed by the Americans, have so far failed to reach resolution. On Monday, Mr. Maliki and Mr. Barzani sent more troops to the area, with each side accusing the other of doing so first. Mr. Maliki warned the Kurds of the “seriousness of their behavior” and warned of its “consequences.” A spokesman for the Peshmerga said, “Anything is possible.”

Tim Arango reported from Baghdad, and Duraid Adnan from Baghdad and Kirkuk, Iraq.

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Judge gives initial OK to revised Facebook privacy settlement

(Reuters) – A U.S. judge on Monday gave his preliminary approval to a second attempt by Facebook Inc to settle a class action lawsuit which charges the social networking company with violating privacy rights.

U.S. District Judge Richard Seeborg in California rejected a settlement in August over Facebook‘s ‘Sponsored Stories’ advertising feature, questioning why it did not award money to Facebook members for using their personal information.

But in a ruling handed down Monday, Seeborg said a revised settlement “falls within the range of possible approval as fair, reasonable and adequate.”

In a revised proposal, Facebook and plaintiff lawyers said users now could claim a cash payment of up to $ 10 each to be paid from a $ 20 million total settlement fund. Any money remaining would then go to charity.

The company also said it would engineer a new tool to enable users to view content that might have been displayed in Sponsored Stories and opt out if they desire, a court document said.

If it receives final approval, the proposed settlement would resolve a 2011 lawsuit originally filed by five Facebook Inc members.

The lawsuit alleged the Sponsored Stories feature violated California law by publicizing users’ “likes” of certain advertisers without paying them or giving them a way to opt out. The case involved over 100 million potential class members.

A spokesman for Facebook said the company was “pleased that the court has granted preliminary approval of the proposed settlement.” Lawyers for the plaintiffs weren’t immediately available for comment Monday evening.

Outside groups and class members will have a chance to object to the latest settlement before Seeborg decides whether to grant final approval. A hearing on the fairness of the deal has been set for June 28, 2013. The case in U.S. District Court, Northern District of California is Angel Fraley et al., individually and on behalf of all others similarly situated vs. Facebook Inc, 11-cv-1726.

(Reporting by Jessica Dye; Editing by Michael Perry)

Tech News Headlines – Yahoo! News

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PHOTO: See Molly Mesnick's Baby Belly

Noah Graham

Happy holidays! Celebrities gathered to celebrate the season Saturday, attending the Second Annual Santa’s Secret Workshop in West Hollywood, Calif. Presented by Bill Horn and Scout Masterson and held at the Andaz Hotel, the event benefitted L.A. Family Housing.

Among the revelers: Bachelor alums Jason and Molly Mesnick — whose first child together is due in March — attending their first event since announcing the happy news.

“I’m just about six months and feeling really good,” Molly tells PEOPLE.

“I’m at a perfect stage now so I’m trying to get as much done around the house as I possibly can while I have the energy.”

Also in attendance? Tori Spelling, Malin Akerman, Tiffani Thiessen, Ali Landry, David Boreanaz, Marla Sokoloff, Kaitlin Olson and Rob McElhenney, Angela Bassett, Ian Ziering, Amanda Righetti, Marshall and Jamie Anne Allman, Kimberly Van Der Beek, Spencer Grammer and more.

Guests enjoyed manicures from Mom.me, cookie decorating with Jenny Cookies, photos with Santa from HP, create-a-card with Snapfish.com, and a craft bar from Jo-Ann Fabrics and Crafts.

Styled by Sybarite Designs, the event featured companies such as  SodaStream, Corolle, Stokke, Orbit Baby, Ergo Baby, Teddy Needs a Bath, Funktion, Numi Numi Design, Ju-Ju-Be, Innobaby and Joovy showcasing their latest products — be sure to enter this week’s giveaway for a chance to win them all!

Noah Graham

It was a family affair for Tori Spelling, who brought the whole gang for their first public event since 3-month-old Finn‘s birth in August.

Joining the actress, husband Dean McDermott and their newborn are Hattie, 13 months, Stella, 4, and Liam, 5½.

“I’m not going to lie. It’s a little crazy. It’s hard work,” Spelling tells PEOPLE.

“I think three was safe. Four tips you over the edge a little bit. Maybe it’s because they’re 10 months apart — but we’re so blessed. It keeps you on your toes.”

Noah Graham

With her first child on the way in April, Malin Akerman was all smiles at the event, posing with her growing belly.

“I’m feeling great,” the actress tells PEOPLE. “I’m closing in on five months now so it’s getting more and more exciting as time goes by.”

Noah Graham

White Collar star Tiffani Thiessen gave 2-year-old daughter Harper Renn a leg up at the event.

On the Landry-Monteverde family’s list? Meeting Santa! PEOPLE.com blogger Ali Landry held 13-month-old son Marcelo Alejandro while husband Alejandro Monteverde snuggled in behind 5-year-old daughter Estela Ines.

Noah Graham

Tiffany Rose/WireImage

Ravishing redhead Amanda Righetti showed off her growing belly at the event — The Mentalist star is due this winter with her first child.

Noah Graham

No Bones about it – David Boreanaz‘s children look like him! The actor and wife Jaime Bergman brought kids Jaden, 10, and Bella, 3, to meet Santa.

Always Sunny in Philadelphia stars Kaitlin Olson and Rob McElhenney brought their elder son Axel, 2, to the event, but little Leo, 7 months, sat this one out.

Tiffany Rose/WireImage

Noah Graham

Meeting Santa was twice as nice for Angela Bassett and Courtney B. Vance, who brought along their 6-year-old twins Bronwyn Golden and Slater Josiah (peace out, dude).

Tiffany Rose/WireImage

Who cares about photos — it’s time for a snack! PEOPLE.com blogger Kimberly Van Der Beek gives 2-year-old daughter Olivia (plus her doll!) a lift.

Picture perfect! Ian Ziering gets daughter Mia, 19 months, in the frame while enjoying the craft table. The actor and wife Erin expect their second child in May.

Meagan Reidinger

Meagan Reidinger

With a baby doll in tow, PEOPLE.com blogger Marla Sokoloff and her little lady, 9-month-old Elliotte, check out the event.

Spencer Grammer arrived with her main men — husband James Hesketh and their son, 13-month-old Emmett.

Tiffany Rose/WireImage

Tiffany Rose/WireImage

The event was a baby bump debut for Marshall and Jamie Anne Allman as well — the True Blood and Killing stars just announced that they’re expanding their family — by two. Twins are on the way this spring!

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Chino Hills seeks to close home used by pregnant Chinese women

A Chino Hills residence allegedly housing women from China who want to give birth to U.S.-citizen children is on the verge of being shut down by the city after complaints about traffic and a sewage spill.

The home is on a hilltop at the end of a long driveway on Woodglen Drive, an area zoned for single family houses. City officials have issued a cease and desist order, alleging that the site is being used as a hotel in a rural residential zone. They plan to take the property owner to court.

"Who the customer base is, is not our concern," said city spokeswoman Denise Cattern. "Our concern is that it's a hotel."

A website that city officials believe is associated with the business describes a full range of services, from shopping trips for pregnant women to assistance obtaining American passports for newborns.

A 30-day stay at the Chino Hills facility, along with a month of prenatal care, costs $10,500 to $11,500, according to the Chinese-language website, www.asiamchild.com.

Asiam Child is based in Shanghai, with branches in Anhui province and Nanjing, the website says.

The property owner, Hai Yong Wu, did not return a call seeking comment. A man who left the hotel in a black BMW on Monday afternoon would not speak to reporters.

So-called birth tourism appears to be an active but largely under-the-radar industry in Southern California. One local Chinese phone book has five pages of listings for birthing centers, where women from China and Taiwan stay for a month or so before going home with their U.S.-citizen babies. When the children get older, they may return here to study, perhaps paving the way for the rest of the family to immigrate more easily.

In San Gabriel last year, code enforcement officials shut down a facility where about 10 mothers and seven newborns were staying.

Federal immigration officials say there is no law prohibiting pregnant women from entering the U.S. But obtaining a visa through fraud would be a crime, said Virginia Kice, a spokeswoman for U.S. Immigration and Customs Enforcement.

Chino Hills officials have notified federal authorities about the residence. Kice said she could not confirm whether ICE is investigating.

Neighbors report seeing groups of pregnant women walking along the quiet cul de sac. Cars from the residence sometimes drive down the street at unsafe speeds, they said.

In addition to the single-family zoning violation, the city has cited the owner for allegedly constructing additional rooms without a permit. A sewage spill estimated at 2,000 gallons also prompted a cease and desist order.

"It would be nice to have my neighborhood back. It was a quiet little street," said neighbor Sonya Valez.

On Saturday, a group called Not in Chino Hills staged a street-corner protest against the site.

"They go back," said Rossana Mitchell, a co-founder of the group. "They don't pay taxes, they don't assimilate."

cindy.chang@latimes.com

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Letter From Washington: The Counties That Cost Romney the Election

WASHINGTON — When it comes to presidential politics in Pennsylvania, Republicans are like the comic strip character Charlie Brown, who prepares to kick a football, only to have it pulled back every time by his pal Lucy.

This time, it was Mitt Romney who was tempted to go for the prize, and his camp poured $10 million into Pennsylvania in the closing weeks of the U.S. presidential campaign. He lost by more than five points in that state, suffering the same fate as every one of his party’s nominees in the previous five presidential elections.

To understand why, look at two suburban counties near Philadelphia: Delaware, a middle-class enclave, and Montgomery, a more affluent area. Republicans win many of the local offices in Montgomery and Delaware, and until a few decades ago, so did the party’s presidential nominees. This November, President Barack Obama carried both counties by about 60,000 votes.

Montgomery is Pennsylvania’s third most populous county and Delaware its fifth; both are growing and becoming more diverse. The residents are not Mr. Romney’s 47 percent — those he called takers who rely on government largess — they just do not like the current brand of national Republicanism.

Pennsylvania will remain relatively blue in presidential politics until Republicans can compete in these counties.

This state of affairs is replicated in places that really were swing states, Virginia and Colorado for example.

In Virginia, Prince William and Loudoun counties are Washington exurbs that Mr. Obama carried in 2008, that went for George W. Bush in 2004 and were won decisively by the Republican governor, Bob McDonnell, three years ago. Four days before the election this year, Mr. McDonnell predicted that Mr. Romney would win the counties.

Instead, Mr. Obama carried Prince William, the third most populous county in the state, by 16 percent, or more than 28,000 votes. He won a narrower, but clear, victory in Loudoun, which before 2008 had not voted for a Democratic president since 1964 and where, 20 years earlier, George H.W. Bush won by a margin of more than two to one.

These two counties, although different, share important political characteristics. They are fast-growing — Prince William’s population has quadrupled over the past 40 years and Loudoun’s has grown tenfold — affluent and diversifying with a mix of Latinos, blacks and Asians. In local races, they favor Republicans; the national patterns are going the other way.

The picture is similar in Colorado, particularly in Arapahoe County, to the east of Denver, the state’s third most populous, and to the west, Jefferson County, which casts more votes than any other. Like their Virginia counterparts, these counties are fast-growing and comparatively well off. They shape close elections.

Arapahoe is more diverse, with more minorities, and tilts more Democratic. Mr. Obama carried it on Nov. 6 by almost 10 points, more than a tilt.

Jefferson is typical of large, growing suburbs with a range of voters from upper income to working class. “It mirrors in every election, Colorado,” said Craig Hughes, an influential Democratic consultant there. “If you want to carry the state, you carry Jefferson.” Mr. Obama won it by almost five points.

It is also instructive, in a slightly different way, to look at a few big counties in Florida and Ohio, the mothers of all battleground states.

In Florida, it is Hillsborough County, consisting of Tampa and its environs. It is the fourth most populous county in the state and the best bellwether: It has voted the same as the rest of the state in every presidential contest since John F. Kennedy won in 1960.

Before 2008, Hillsborough had gone Republican in six of the seven preceding presidential elections. It went for Mr. Obama by about seven points four years ago and by a similar margin this year.

“The Democrats’ grass-roots organization bringing minorities and young college students to vote was the difference,” said Susan MacManus, a political science professor at the University of South Florida.

In Ohio, it was Hamilton County, which includes Cincinnati and suburbs. Ohio is a diverse state, and Hamilton County is a microcosm of that diversity: old-line Republicans, who used to dominate, plus young professionals and racial minorities. It was carried by George W. Bush in 2004 and Mr. Obama in 2008 and 2012.

In no place was the ground game or infrastructure battle joined more forcefully, on both sides. Mr. Obama almost matched his 2008 margin, carrying the county by about 20,000 votes. In such a pitched battle, there are lots of explanations.

Alex Triantafilou, the energetic Republican chairman for Hamilton County, worries that among the “independent swing voter, the 35- to 45-year-old female whose dad was a Republican,” and among young professionals, “we just didn’t do as well as we should have.”

In 2012, Mr. Obama was a stronger candidate with a superior organization. Republicans are in dangerous disfavor with minorities and young voters. The party’s problems run deeper, as these eight bellwether counties across the United States illustrate.

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Specs surface for alleged low-end $99 Nexus 7

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Kellan Lutz, Hugh Jackman Take Bites and Swipes & More Casting News

By Julia Haskins

12/02/2012 at 07:00 PM EST

Kellan Lutz (left) and Hugh Jackman

Christopher Polk/Getty, Han Myung-Gu/WireImage

It's comeback time. Whether seeking revenge or reprising beloved roles, a fresh crop of movies shows that the best characters always come back for more.

Twilight's Kellan Lutz feasts on others as a vampire, but this time, he's utilizing his own body for powers, Zimbio reports.

The actor will star in Tatua as a tattooed assassin whose weapons are extracted from the ink on his body. The process is a strain on the hit man, but he must put that aside when his son is kidnapped by a dangerous foe.

Hugh Jackman is set to reprise his role as Wolverine in
X-Men: Days of Future Past, the Hollywood Reporter. Ian McKellen (Magneto) and Patrick Stewart (Professor Xavier), will also be joining Jennifer Lawrence, James McAvoy, Michael Fassbender and Nicholas Hoult.

Charlize Theron will star in an adaptation of the final installment of a South Korean revenge trilogy, the Hollywood Reporter also says. The original movie revolves around a woman wrongfully imprisoned for 13 years who then sets out to seek her long-awaited revenge. Writer William Monahan says the English-language remake will be "very American – and very unexpected."

The made-for-TV Disney channel movie Life-Size is getting a sequel, Variety reports. Tyra Banks will reprise her role as Eve, the doll who comes to life, and also executive produce the movie. No word yet on whether Lindsay Lohan, who played Eve's owner, will be making a return.

Also coming soon:

Beyoncé won't be slowing down after her Super Bowl performance in February. Just a couple weeks later, she'll introduce her still untitled, feature-length documentary on HBO, Deadline reports. The documentary airs Feb. 16.

Bridesmaids' Rose Byrne will be going through the motions as a newlywed in I Give it a Year, Zimbio reports. As if being newly married wasn't tough enough, the "too perfect" ex Anna Faris will be shaking up an already teetering balance.

Cate Blanchett will be stirring up her wicked ways as the evil stepmother in a live-action adaptation of Disney's Cinderella, also according to Zimbio.

And George Clooney is sticking to his winning formula by joining forces with his Argo team to produce an untitled crime drama, Variety reports.

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Healthcare law will have new California Legislature scrambling

SACRAMENTO — When state lawmakers are sworn in Monday for the new legislative session, they will have little time to enjoy the pomp and circumstance.

Facing a federal deadline, the Legislature must move quickly to pass measures to implement President Obama's healthcare law and revamp the state's insurance market. New legislation will help extend coverage to millions of uninsured Californians and solidify the state's reputation as a key laboratory for the federal law.

Legislative leaders have said they also want to overhaul environmental regulations, curb soaring tuition at public colleges, and tweak the state's tax structure and ballot-initiative system.

But healthcare remains one of the largest and most immediate challenges.

The federal Affordable Care Act takes effect in January 2014, when most Americans face the requirement to buy health insurance or pay a penalty. State lawmakers must pass a series of rules to clear the way for enrollment in a new state-run insurance market next fall, including a requirement for insurers to cover consumers who have preexisting medical conditions and limits on how much they can charge based on age.

Gov. Jerry Brown is expected to call a special session of the Legislature next month — concurrent with the regular session — so healthcare bills that he signs can take effect within 90 days rather than the next year.

"It's a very, very big undertaking to make the promise of the Affordable Care Act a reality," said state Health and Human Services Secretary Diana Dooley. "We are working as hard and as fast as we can in a very complex area with a lot of conflicting information."

As an early adopter of the Affordable Care Act, California has already laid much of the groundwork.

It was the first state to establish an insurance exchange after Congress passed the legislation in 2010. More than 30 other states have since sought federal help in enacting their own. Millions of Californians will be able to purchase coverage, with federal subsidies earmarked for families earning about $92,000 or less annually.

One of the most significant proposals will be an expansion of Medi-Cal, the state's health insurance program for the poor. About 2 million low-income Californians would be newly eligible under the expansion, with the federal government subsidizing costs for the first three years. The state would then shoulder a portion of the bill.

According to a Kaiser Family Foundation study, the expansion could cost the state $6.3 billion over a decade, meaning a 1.7% increase in the amount California spends on Medi-Cal.

California got a head start on the effort by signing up more than 550,000 low-income people in a temporary program. They are expected to automatically move into Medi-Cal in 2014.

Lawmakers will also consider legislation that would create a health plan for people who cannot afford insurance on the open market but make too much money to qualify for Medi-Cal. The option, known as the Basic Health Plan, would provide coverage for individuals with incomes between 133% and 200% of the federal poverty level, or between $15,000 and $21,800 a year.

State Sen. Ed Hernandez (D-West Covina), chairman of the Senate Health Committee and author of the proposal, said the plan was needed to help California's working poor. "I don't think they should be choosing between putting food on the table and buying health insurance," he said.

Insurers urged lawmakers to resist requirements that could make policies offered through the exchange unaffordable.

"We think the Affordable Care Act does much to get millions of people coverage, but new insurance taxes, costly benefit requirements and age pricing restrictions all have the potential of driving up costs," said Nicole Evans, a spokeswoman for the California Assn. of Health Plans.

Healthcare advocates said it was critical for the Legislature to promote policies that would ensure a mix of healthy and sick policyholders to keep premiums affordable.

"It should be a goal of the state to have millions of people enrolled on Day 1," said Anthony Wright, executive director of the consumer group Health Access California, "to bring in those federal dollars and make healthcare cheaper for everybody."

michael.mishak@latimes.com

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