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CA State Controller responds to Legislative Analyst’s projected $68 billion budget deficit

December 19, 2023 By Publisher Leave a Comment

Says state can borrow over $91 billion

By Allen D. Payton

The California Legislative Analyst’s Office issued a report on Dec. 7, 2023, that the state faces a $68 billion budget deficit for the 2024-25 Fiscal Year. Entitled, “The 2024-25 Budget: California’s Fiscal Outlook”, the report’s Executive Summary read as follows:

“California Faces a $68 Billion Deficit.

Largely as a result of a severe revenue decline in 2022-23, the state faces a serious budget deficit. Specifically, under the state’s current law and policy, we estimate the Legislature will need to solve a budget problem of $68 billion in the upcoming budget process.

Unprecedented Prior-Year Revenue Shortfall Creates Unique Challenges.

Typically, the budget process does not involve large changes in revenue in the prior year (in this case, 2022-23). This is because prior-year taxes usually have been filed and associated revenues collected. Due to the state conforming to federal tax filing extensions, however, the Legislature is gaining a complete picture of 2022-23 tax collections after the fiscal year has already ended. Specifically, we estimate that 2022-23 revenue will be $26 billion below budget act estimates. This creates unique and difficult challenges—including limiting the Legislature’s options for addressing the budget problem.

Legislature Has Multiple Tools Available to Address Budget Problem.

While addressing a deficit of this scope will be challenging, the Legislature has a number of options available to do so. In particular, the state has nearly $24 billion in reserves to address the budget problem. In addition, there are options to reduce spending on schools and community colleges that could address nearly $17 billion of the budget problem. Further adjustments to other areas of the budget, such as reductions to one-time spending, could address at least an additional $10 billion or so. These options and some others, like cost shifts, would allow the Legislature to solve most of the deficit largely without impacting the state’s core ongoing service level.

Legislature Will Have Fewer Options to Address Multiyear Deficits in the Coming Years.

Given the state faces a serious budget problem, using general purpose reserves this year is merited. That said, we suggest the Legislature exercise some caution when deploying tools like reserves and cost shifts. The state’s reserves are unlikely to be sufficient to cover the state’s multiyear deficits—which average $30 billion per year under our estimates. These deficits likely necessitate ongoing spending reductions, revenue increases, or both. As a result, preserving a substantial portion—potentially up to half—of reserves would provide a helpful cushion in light of the anticipated shortfalls that lie ahead.”

Controller Cohen Calls for Calm

In a press release issued today, Tuesday, Dec. 19, State Controller Malia M. Cohen calls for calm in the wake of recent budget deficit announcements and issued the following statement after releasing the recent Cash Report on December 8:

“Despite reports from various sources indicating a budgetary deficit of approximately $68 billion, the state’s cash position remains strong, and, absent any unforeseen circumstances, the state has sufficient cash to pay its bills and meet its financial obligations through the end of the fiscal year.”

“As chief fiscal officer, one of my duties is to track and report on the state’s actual cash balance,” she continued. “In that regard, the state currently has more than $91.4 billion in available borrowable resources, due in large part to the Governor’s and Legislature’s foresight in building prudent rainy-day reserves in the Budget Stabilization Account. While legislators will have difficult choices to make in the new year, I am confident they will be deliberate in addressing the budget challenges before them, and I urge them to protect, to the extent possible, the health and social service programs designed to benefit those who are displaced, without shelter, or otherwise economically disadvantaged.”

About Controller Cohen

As the chief fiscal officer of California, Controller Cohen is responsible for accountability and disbursement of the state’s financial resources. The Controller has independent auditing authority over government agencies that spend state funds. She is a member of numerous financing authorities, and fiscal and financial oversight entities including the Franchise Tax Board. She also serves on the boards for the nation’s two largest public pension funds. Follow the Controller on X at @CAController and on Facebook at California State Controller’s Office.

About the Legislative Analyst’s Office

The Legislative Analyst’s Office (LAO) has provided fiscal and policy advice to the Legislature for 75 years. It is known for its fiscal and programmatic expertise and nonpartisan analyses of the state budget. The office serves as the “eyes and ears” for the Legislature to ensure that the executive branch is implementing legislative policy in a cost efficient and effective manner.

The office is overseen by the Joint Legislative Budget Committee (JLBC), a 16-member bipartisan committee. Currently, the office has a staff of 43 analysts and approximately 13 support staff. The analytical staff cover several budget and policy areas: Criminal Justice, State Finance, Education (including K-12 and Higher Education), Health and Human Services, Natural Resources and Environment, General Government (including Local Government), Transportation, and Capital Outlay and Infrastructure.

 

Filed Under: Finances, Government, News, State of California

Air District issues four Notices of Violation to Martinez Refining Company following Sunday flaring, grass fire

December 19, 2023 By Publisher Leave a Comment

Smoke from the grassfire caused by the flaring at the Martinez Refining Company refinery on Sunday, Dec. 17, 2023. Photo: BAAQMD

One for public nuisance, two for visible emissions, another for illegal fire on a no burn day

By Bay Area Air Quality Management District

The Bay Area Air Quality Management District (Air District) inspectors responded to five air quality complaints related to a grass fire reported by Martinez Refining Company refinery in Martinez on Sunday, Dec. 17, 2023. On Monday, the Air District issued a Notice of Violation for public nuisance for this event. The Air District’s investigation is ongoing.

Three additional Notices of Violation have been issued for this event: two for visible emissions and one for illegal fire on a no burn day. This investigation is ongoing.

The updated incident report is as follows:

December 17

At 4:26 PM Sunday, the Air District received a Contra Costa County Community Warning System (CWS) Level 1 alert filed by Martinez Refining Company (MRC) regarding a grass fire. The alert specifically stated that the smoke was from a grassfire. The alert did not mention flaring directly, but when Air District staff contacted MRC to discuss the CWS Level 1 alert, they said the grass fire was caused by “the heat of the flare.”

Air District Incident Response staff contacted MRC at 5:21 PM and were told that the grass fire had started at about 4:20 PM and was extinguished at approximately 5:10 PM. Two Air District staff were called out to the Martinez area to investigate. Five complaints alleging smoke and/or odor were filed between 4:30 PM and 5:07 PM. The adjacent photo of the grass fire was provided to the Air District by a complainant. The wind during the event was Northeast at 8-15 miles per hour. Based on the smoke plume observed, the Air District staff questioned MRC staff on a grass fire being the sole cause. At that time, an MRC representative told Air District staff that it was a grass fire.

December 18

On Monday, Air District staff, with Contra Costa County HazMat and Contra Costa County Fire personnel returned to MRC Refinery in the morning to jointly investigate the previous day’s event. The Air District investigation is ongoing and we will update this report as new information becomes available.

At this time, the Air District has issued the following Notice of Violations (NOV) to MRC for this event:

  • Regulation 1, Section 301 – Public Nuisance
  • Regulation 6, Rule 1, Section 301 – Visible emission standard exceeded
  • Regulation 40 CFR 63.670(c) – Federal visible emissions standard exceeded
  • Regulation 5, Section 301 – Illegal fire on a no burn day

For more information on the NOVs, click the link to the NOV web tool.

Martinez Refining Company Issues Statement:

On their website, MRC posted the following statement regarding the flaring and fire:

Intermittent flaring has continued at the Martinez Refining Company this weekend while we re-start equipment that was shut down during the operational incident that occurred on Friday, December 15.

At approximately 4:30 p.m. on December 17, a ground flare was in operation as part of the re-start process that caused visible black smoke and a brush fire. The brush fire was promptly contained, and subsequently extinguished at approximately 5:00 p.m.

All appropriate agencies were notified, and we thank our responders for their safe, effective response. We apologize for the concerns we caused the community and will be conducting a root cause analysis of the incident. Looking forward, we expect the potential for intermittent flaring to last through most of this week; however, we are working hard to minimize flaring and to maintain clean combustion for any flaring that may occur.

You are welcome to view real-time air monitoring measurements at our fence line air monitoring website: https://www.fenceline.org/martinez/. Additionally, you can learn more about flaring on our website: https://martinezrefiningcompany.com/about-flaring/.

As always, we have a community inquiry phone number you can call 925-313-3777 or 925-313-3601 during off work hours. Thank you.”

When asked, an MRC spokesperson said the company didn’t have a comment on the NOV’s at this time as they had just received them.

Please check back later for any updates to this report.

Allen D. Payton contributed to this report.

Filed Under: Business, Central County, Fire, Government, Health, News

Applications being accepted for Contra Costa Aviation Advisory Committee opening

December 18, 2023 By Publisher Leave a Comment

By Kelly Kalfsbeek, PIO, Contra Costa County Public Works Department

Contra Costa County (County) is accepting applications for the upcoming Member at Large opening on the Aviation Advisory Committee (AAC). This position is designated for someone who works or resides in Contra Costa County to represent all County stakeholders in matters related to Buchanan Field and Byron Airports. Upon appointment by the Board of Supervisors the new appointee would serve a term expiring on Sunday, February 28, 2027.

The AAC serves as an advisory group to the Contra Costa County Board of Supervisors (Board) to provide advice and recommendations to the Board on aviation matters related to the Contra Costa County Airports.  The AAC typically meets every other month at either Buchanan Field or Byron Airport.

Application forms can be obtained from the Clerk of the Board of Supervisors by calling (925) 655-2000 or at:  https://www.contracosta.ca.gov/3418/Appointed-Bodies-Committees-Commissions.  Applications should be submitted online or returned to the Clerk of the Board of Supervisors, County Administration Building, 1025 Escobar Street, 1st Floor in Martinez, no later than 5:00 p.m. on Thursday, December 28, 2023.  Applicants should plan to be available for public interviews in person or via Zoom, tentatively scheduled for Monday, January 22, 2024, at 11:00 am at the County Administration Building, 1025 Escobar Street, Conference Room 110 A & B, Martinez, at the Airports Committee Meeting.

For more information on the Contra Costa County Airports or the AAC visit us at www.ContraCostaCountyAirports.org or by calling (844) Fly-ToUs or (844) 359-8687.

Filed Under: Government, Transportation

Board of Supervisors appoints next Contra Costa Treasurer-Tax Collector

December 15, 2023 By Publisher Leave a Comment

Dan Mierzwa. Source: Contra Costa County

Yuba County Treasurer & Tax Collector Dan Mierzwa will replace Russell Watts who is retiring Dec. 31

By Kristi Jourdan, PIO, Contra Costa County

(Martinez, CA) – On Tuesday, the Contra Costa County Board of Supervisors appointed Dan Mierzwa as the next Treasurer-Tax Collector effective Jan. 1, 2024.

Mierzwa’s appointment follows the announcement of Russell Watts’ retirement in December. He is currently Yuba County’s Treasurer & Tax Collector and must submit proof of residency and voter registration in Contra Costa County before he assumes the office.

Mierzwa holds a Bachelor of Arts in Economics with Finance and Business Administration minors from the University of Puget Sound in Tacoma, Wash. He also holds a Certified California Municipal Treasurer certification.

“I’m honored by the opportunity to help during this transition in leadership and am committed to maintaining the levels of transparency and accountability with sound financial practices that serve the best interests of the public,” Mierzwa said. “We will also continue improving our online payment and business license application services and explore ways to save and recover costs to deliver our services.”

The Treasurer-Tax Collector’s Office acts as the bank for the County, providing financial services to County departments, schools, and special districts and managing more than $4.9 billion in the County’s investment pool. The office also collects various taxes – including business taxes from those operating in the unincorporated areas, and property taxes. While the Treasurer-Tax Collector mostly provides services to the County and taxing districts, the office also invests public funds and collects business related taxes, namely business licenses and transient occupancy taxes, as well as short-term rental and cannabis taxes.

“The Treasurer-Tax Collector’s Office holds a key position of trust in the financial affairs of local government,” said Board Chair District I Supervisor John Gioia. “Dan’s experience and knowledge of both the treasury and tax collection functions will continue the County’s efforts to protect, invest, and disburse funds in a prudent and safe manner.”

The current term for the elected office expires on Jan. 4, 2027. Government Code section 25304 requires that the Board of Supervisors appoint someone to fill the vacancy for the remainder of the term. The annual salary for the position is $254,901.24.

Watts, who is leaving office to spend more time with family, has served as the elected-Treasurer-Tax Collector for 13 years.

Filed Under: Government, News, People, Supervisors

DeSaulnier to host 200th town hall meeting Dec. 9th 

November 29, 2023 By Publisher Leave a Comment

At Diablo Valley College

Rep. Mark DeSaulnier

Congressman Mark DeSaulnier (CA-10) has announced he will host his 200th Town Hall since coming to Congress on Saturday, December 9th at 1 p.m. at the Bistro at Diablo Valley College’s Pleasant Hill Campus.

“I am grateful for the continued engagement of the people of California’s 10th Congressional District and look forward to celebrating this milestone together,” said DeSaulnier.

During the town hall he will provide a recap of House Democrats’ efforts this past year to support the American people and a preview of his legislative priorities heading into the new year.

Town Hall at Diablo Valley College

Saturday, December 9th
1:00 – 2:00 PM
The Bistro

321 Golf Club Road, Pleasant Hill

This event is open to the public and press and will be streamed live on Congressman DeSaulnier’s Facebook page.

To RSVP, submit a question, or request special accommodations, visit  https://desaulnier.house.gov/town-hall-rsvp or call (925) 933-2660.

 

Filed Under: Central County, Government

East Bay Regional Park District announces new Equity Officer

November 20, 2023 By Publisher 1 Comment

New EBRPD Equity Officer José G. González. Photo: EBRPD

By Dave Mason, Public Information Supervisor, Public Affairs, East Bay Regional Park District

After a nationwide search, the East Bay Regional Park District announces the appointment of José G. González as its new Equity Officer to lead diversity, equity, and inclusion efforts at the public agency. The East Bay Regional Park District’s mission is to preserve a rich heritage of natural and cultural resources and provide open space, parks, trails, safe and healthful recreation and environmental education. An environmental ethic guides the District in all of its activities. González begins in the role on December 18, 2023.

As the largest regional park district in the country, the park system spans Alameda and Contra Costa counties and serves an estimated 30 million visitors a year through park and trail access, visitor centers, and programs. Its workforce provides services that encompass 73 parks, 55 miles of shoreline, and over 1,300 miles of trails.

“We are pleased to share news of this pivotal role and welcome José González to help lead the East Bay Regional Park District to further strengthen its mission and impact and build upon successes as we continue to prioritize a strong, systemic approach to equity both in our workplace and services to the public,” said Sabrina B. Landreth, General Manager at the East Bay Regional Park District.

The new role will work to improve access to and use of the parks’ services for all community members and support inclusive programs, services, and public processes that reflect the tremendous diversity of our community. The position will also lead on programs and activities to help diversify our workforce, eliminate any systemic barriers to employment and promotion, and ensure equitable policies and best practices to make the agency an employer of choice as the District continuously seeks to build and retain a topnotch workforce.

“I am excited to join the East Bay Regional Park District as its inaugural Equity Officer. I look forward to bringing my experience from the local to the national level around equity in the conservation field and community in a way that showcases the opportunity and leadership that the Park District has been developing in this space for all of our community,” said González.

“Equity and inclusion begin from within, so I am thrilled and ready to support and lead the work that the Park District has prioritized for the agency to represent and reflect the diversity of its community,” added González.

González is a professional educator with training in the fields of education and conservation. He is the Founder of Latino Outdoors as well as a consultant at large. As a Partner at the Avarna Group and through his own consulting, his work focuses on Equity & Inclusion frameworks and practices in the environmental, outdoor, and conservation fields. He is also an illustrator and science communicator.

He received his B.A. at the University of California, Davis with teaching coursework at the Bilingual, Multicultural, Education Department at Sacramento State University. He received his M.S. at the University of Michigan School of Natural Resources & Environment. He serves as a board member at Parks CA and Resource Media, and as a Commissioner for the California Boating & Waterways Commission, among other leadership volunteer roles.

According to his profile on parkscalifornia.org, González is the Founder and Director Emeritus of Latino Outdoors. He is an experienced educator as a K-12 public education teacher, environmental education advisor, outdoor education instructor and coordinator, and university adjunct faculty. As a Partner in the Avarna Group and through his own consulting, his work focuses on Equity & Inclusion frameworks and practices in the environmental, outdoor, and conservation fields.  He is also an illustrator and science communicator.

The East Bay Regional Park District is the largest regional park system in the nation, comprising 73 parks, 55 miles of shoreline, and over 1,300 miles of trails for hiking, biking, horseback riding, and environmental education. The Park District receives more than 25 million visits annually throughout Alameda and Contra Costa counties in the San Francisco Bay Area.

Allen D. Payton contributed to this report.

 

Filed Under: East Bay, Government, News, Parks, People, Recreation

Join the annual Counties Care Holiday Food Fight Challenge

November 20, 2023 By Publisher Leave a Comment

Help Contra Costa beat Solano County to win the Big Apple trophy

By Contra Costa County District 3 Supervisor Diane Burgis

I would like to take a moment to wish you and your family a Happy Thanksgiving and invite you to participate in the annual Counties Care Holiday Food Fight to raise money for the Food Bank of Contra Costa and Solano.

Once again, in 2023 Contra Costa and Solano counties will compete to raise funds for the Food Bank. This friendly competition, spearheaded by individual county departments, has raised nearly $2.7 million since 2003. The county that raises the most funds per employee will win the Big Apple trophy. The trophy and bragging rights pass back and forth annually, but the real winners are the recipients of the funds you raise: those that go hungry in our communities. (See results from past years’ Food Fights)

Please help raise funds for the Food Bank of Contra Costa and Solano with a donation today. Every dollar donated provides enough food to make two meals. Of every dollar donated, 97 cents go toward food programs.

Counties Care Holiday Food Fight Challenge!

WHO: Contra Costa and Solano County Residents

WHAT: Counties Care Holiday Food Fight 2023

WHEN: Now through December 31, 2023

The Food Bank of Contra Costa and Solano serves one in four residents and provides more than 3,400,000 meals monthly. While the Food Bank feeds our neighbors seven days a week, the need is felt even more around Thanksgiving, when a nourishing meal is the centerpiece of the day.

As you plan your Thanksgiving menu, I hope you’ll consider our neighbors and donate to make the 2023 Holiday Food Fight a success.

To donate, click the link below or mail a check to our office.

https://give.foodbankccs.org/team/326115

Please make checks payable to: Food Bank of Contra Costa and Solano

Mail to: Office of Supervisor Diane Burgis,

Contra Costa County

3361 Walnut Blvd. Ste 140, Brentwood, CA 94513

Allen D. Payton contributed to this report.

Filed Under: Food, Government, Holiday, Supervisors

State Attorney General joins FTC lawsuit challenging John Muir Health’s acquisition of San Ramon Regional Medical Center

November 17, 2023 By Publisher Leave a Comment

Calls it “anti-competitive”

OAKLAND – California Attorney General Rob Bonta today, alongside the Federal Trade Commission (FTC), filed an antitrust lawsuit in the U.S. District Court for the Northern District of California, challenging John Muir Health’s (John Muir) acquisition of Tenet Healthcare Corporation’s (Tenet) controlling interest in the for-profit San Ramon Regional Medical Center located in San Ramon in Contra Costa County. The complaint for a temporary restraining order and preliminary injunction filed today argues that the acquisition is inherently anticompetitive, and illegal under the Clayton Act. It seeks to block John Muir and Tenet from completing the proposed acquisition, under which John Muir would become the sole owner of San Ramon Regional Medical Center. In the lawsuit, Attorney General Bonta and the FTC argue the proposed acquisition illegally threatens to eliminate substantial competition between the San Ramon Regional Medical Center and John Muir’s nearby hospitals, significantly increasing consolidation in an already highly concentrated market, and leading to increased prices for patients, employers, and insurers.

“We’re in court today challenging John Muir Health’s anticompetitive acquisition of San Ramon Regional Medical Center, because when healthcare markets illegally consolidate, patients pay the price,” said Bonta. “At the California Department of Justice, ensuring that every Californian can access quality, affordable care is a top priority. Competitive markets help keep prices lower. We will continue to fight to ensure that Bay Area residents – and all Californians – can access the affordable healthcare they need to live healthy and happy lives.”

San Ramon Regional Medical Center is a 123-bed general acute care hospital located in the community of San Ramon, California along the I-680 corridor in Contra Costa County. San Ramon Regional Medical Center is currently owned by Tenet and John Muir through a joint venture. Currently, Tenet, a for-profit healthcare company is 51% majority owner of San Ramon Regional Medical Center. Its profitable strategy for San Ramon Regional Medical Center has been to charge lower prices, while offering high quality care. John Muir is a hospital system headquartered in Walnut Creek, California, which owns two general acute care hospitals north of San Ramon along the I-680 corridor: the 540-bed Walnut Creek Medical Center and the 244-bed Concord Medical Center. Both of these hospitals are located in the same geographic market as, and are direct competitors to, San Ramon Regional Medical Center. As such, John Muir’s purchase of the remaining interest in San Ramon raises significant competition concerns. A 2020 RAND study on hospital price transparency found John Muir’s Walnut Creek Medical Center was the costliest hospital in the nation from 2016 through 2018 and reporting by the New York Times stated: “John Muir Health . . . [is] the most costly system in the nation. Private insurers pay its hospitals four times what Medicare reimburses for care.”

In the lawsuit, Attorney General Bonta and the FTC argue that if John Muir were permitted to acquire San Ramon Regional Medical Center, insurers and their enrollees would have fewer alternatives for inpatient services in the I-680 corridor. As a result, John Muir would be able to demand higher rates from insurers. In turn, higher rates would likely lead to higher insurance premiums, co-pays, deductibles, and other out-of-pocket costs or reduced benefits for commercial health insurance enrollees. Furthermore, San Ramon Regional Medical Center also competes with John Muir for patients by investing to improve its quality, service offerings, and facilities. These investments, and the competition that prompts them, provide meaningful benefits to San Ramon’s patients. If allowed to move forward, the proposed acquisition would immediately eliminate this competition, reducing healthcare investment and improvement along the I-680 corridor for California residents.

A copy of the complaint is available here.

 

Filed Under: Attorney General, Government, Health, News, State of California

FTC sues to block John Muir Health’s takeover of San Ramon Regional Medical Center

November 17, 2023 By Publisher 1 Comment

Claims proposed deal would threaten competition in I-680 corridor, leading to higher prices and reduced incentive to improve quality of care for patients; John Muir Health assessing options, issues response

The Federal Trade Commission today, Friday, Nov. 17, 2023, sued to block John Muir Health’s proposed $142.5 million deal to acquire sole ownership of San Ramon Regional Medical Center, LLC from current majority owner Tenet Healthcare Corporation, saying the deal will drive up health care costs. (See related article)

The Commission issued an administrative complaint and authorized a lawsuit in federal court alleging the proposed acquisition will eliminate head-to-head competition between John Muir Health (John Muir) and nearby San Ramon Regional Medical Center (San Ramon Medical). John Muir and San Ramon Medical operate in California’s I-680 corridor, which spans Contra Costa and Alameda Counties in the San Francisco Bay Area.

The deal would allow John Muir to demand higher rates at its two hospitals as well as San Ramon Medical for inpatient general acute care services (GAC), which are a broad range of essential medical, surgical, and diagnostic services that require an overnight hospital stay. The elimination of competition between John Muir and San Ramon Medical would also reduce incentives for these hospitals to invest in quality improvements.

“San Ramon Regional Medical Center has played an important role in ensuring Californians in the I-680 corridor have access to quality, affordable care for critical health care services, such as cardiac surgery and childbirth,” said Henry Liu, Director of the FTC’s Bureau of Competition. “John Muir’s acquisition of San Ramon Medical would increase already high health care costs in the area and threaten to stall quality improvements that help advance care for all patients.”

The FTC and the California Attorney General’s office closely cooperated throughout the investigation and will jointly file a complaint in federal district court.

John Muir Health, a non-profit corporation headquartered in Walnut Creek, California, operates two hospitals that provide inpatient GAC services along the I-680 corridor. Dallas-based Tenet operates 61 general acute care hospitals and hundreds of outpatient facilities nationally, including numerous facilities in California.

Currently, Tenet operates San Ramon Medical and holds a 51% interest in the medical center, while John Muir owns a 49% non-operating interest in San Ramon Medical. Under the terms of the proposed deal, John Muir would acquire Tenet’s remaining interest in San Ramon Medical and would become its sole owner and operator.

The complaint alleges that the proposed deal would allow John Muir to control more than 50% of the market for inpatient GAC services sold to commercial insurers and their enrollees in the I-680 corridor, eliminating competition between John Muir and San Ramon Medical to provide better services, high-quality care, and access that benefits patients in this region. Currently, San Ramon Medical is a lower-priced competitor seeking to offer inpatient GAC services in the I-680 corridor to enrollees. John Muir’s hospitals are close competitors to San Ramon Medical in terms of both patient preference and geographic location, according to the complaint. The proposed acquisition would lead to higher insurance premiums, co-pays, deductibles, and other out-of-pocket costs, or reduced benefits for commercial health insurance enrollees, the complaint alleges.

In addition to filing an administrative complaint, FTC staff will also ask a federal court to issue a temporary restraining order and preliminary injunction to prevent John Muir from taking control of San Ramon Medical pending the agency’s administrative proceeding.

The Commission vote to issue the administrative complaint and authorize staff to seek a temporary restraining order and preliminary injunction was 3-0. The federal court complaint and request for preliminary relief will be filed jointly with the California Attorney General in the U.S. District Court for the Northern District of California to halt the transaction pending an administrative proceeding. A public version of the complaint will be available and linked to this news release as soon as possible.

John Muir Health Assessing Options Following FTC Challenge of Acquisition

In response John Muir Health spokesman Ben Drew issued the following statement:

Today, John Muir Health (JMH) and Tenet Healthcare learned that the Federal Trade Commission (FTC) has decided to challenge JMH’s agreement with Tenet to acquire sole ownership of San Ramon Regional Medical Center (SRRMC). JMH has owned a 49% interest in SRRMC since 2013 and, under the proposed agreement, would acquire the remaining 51% interest from Tenet.

 

“We are disappointed by the FTC’s decision, and are discussing our options and next steps, including challenging the decision in court,” said Mike Thomas, president and CEO of John Muir Health. “We believe the proposed acquisition would benefit our community, caregivers and patients, as well as John Muir Health, San Ramon Regional Medical Center, and Pleasanton Diagnostic Imaging.”

For now, SRRMC will continue to operate under the current joint venture structure between JMH and Tenet with Tenet managing the operations of the hospital. Pleasanton Diagnostic Imaging (PDI), which is also part of the proposed agreement, will remain operated by United Surgical Partners International (USPI).

After announcing the agreement in January, JMH and Tenet learned in late March that the FTC intended to conduct a more in-depth review of the transaction. As part of the FTC’s review process, JMH and Tenet submitted a large volume of documents and data, as well as expert testimony on the Bay Area health care market and letters of support from local community leaders and government officials.

By acquiring SRRMC and PDI, JMH would be able to further enhance care for the community by:

  • Integrating SRRMC and PDI onto JMH’s version of Epic, the electronic health record used in the health system’s inpatient and outpatient facilities and by nearly 1,000 physicians and healthcare providers throughout the community.
  • Extending JMH’s quality enhancement and population health programs to SRRMC and the surrounding community.
  • Making investments in facilities and enhanced services at SRRMC to reduce the number of patients leaving the community for their care.

Acquiring SRRMC is consistent with JMH’s history and would further the health system’s mission to improve the health of the communities it serves with quality and compassion. In 1997, John Muir Medical Center and Mt. Diablo Medical Center came together along with the John Muir Physician Network to create John Muir Health to better serve the community.

“We appreciate the patience of John Muir Health, San Ramon Regional Medical Center and Pleasanton Diagnostic Imaging-affiliated employees and physicians throughout this process,” continued Thomas. “Once we determine our course of action, we will communicate with all impacted audiences.”

NOTE: The Commission issues an administrative complaint when it has “reason to believe” that the law has been or is being violated, and it appears to the Commission that a proceeding is in the public interest. The issuance of the administrative complaint marks the beginning of a proceeding in which the allegations will be tried in a formal hearing before an administrative law judge.

The Federal Trade Commission works to promote competition, and protect and educate consumers. You can learn more about how competition benefits consumers or file an antitrust complaint.

Allen D. Payton contributed to this report.

 

Filed Under: Government, Health, Legal, News

State Public Utilities Commission approves 12.8% PG&E rate increase

November 17, 2023 By Publisher Leave a Comment

Claims typical residential customer will pay $32.62 more for combined monthly electric and natural gas bill beginning January 1, 2024.

By CPUC

The California Public Utilities Commission (CPUC) on Thursday, Nov. 16, 2023, resolved Pacific Gas and Electric Company’s (PG&E) General Rate Case (GRC), which covers its operational and infrastructure revenue requirement for 2023-2026. The decision marks a crucial step in fortifying the future of California’s electric grid while prioritizing customer affordability.

Based on the evidence presented, the CPUC today unanimously approved the Alternate Proposed Decision of Commissioner John Reynolds. This decision approves investments in the safety and reliability of PG&E’s energy services. Inflation and a significant investment in undergrounding electric lines ranked among the top drivers in PG&E’s request. Over the past year and a half, numerous parties reviewed PG&E’s GRC request and provided input on each cost category and related proposed expenditures.

“I am proud of today’s decision because it represents the CPUC’s commitment to finding a reasonable balance in the face of incredibly challenging circumstances and competing objectives,” said Commissioner John Reynolds, who is assigned to the proceeding. “This decision ultimately represents both an historic investment in PG&E’s electric and natural gas systems as well as an expectation that PG&E must continue to be safer and more efficient. I am grateful to the many parties, and the scores of CPUC staffers, for their help as we grappled with this decision.”

Today’s decision propels PG&E’s energy infrastructure and operations into the future, addressing critical objectives such as mitigating wildfire risk, enhancing safety and reliability, and anticipating evolving electric grid demands. This comprehensive approach not only ensures PG&E’s capacity to maintain a safe and reliable energy system with a dedicated workforce, but also positions California for a more resilient energy future in the face of climate change. Moreover, the decision reflects rigorous oversight over hundreds of programs, and reduces PG&E’s request to more accurately reflect forecasts for prudent use of ratepayer funds.

Among the key initiatives covered in the decision:

  • Wildfire System Enhancement and Undergrounding
    • Approves 1,230 miles of electric line undergrounding, as well as 778 miles of covered conductor, totaling 2,008 hardened miles. This represents an historic opportunity for PG&E to invest in safer, reliable improvements for its customers while also achieving economies of scale to drive down costs; the revised undergrounding total also provides PG&E with a bridge to a future phase of undergrounding planning, through the Senate Bill 884 program.
  • Vegetation Management
    • Approves PG&E investing approximately $1.3 billion in vegetation management to reduce wildfire ignition risk and improve reliability on PG&E’s electrical system.
  • Capacity Upgrades
    • Approves PG&E investing more than $2.5 billion in upgrading the electric distribution system from 2023-2026, which will help prepare the grid to support initiatives for enhanced building electrification and new interconnections for electric vehicle charging stations and new housing and businesses.

“Today’s decision balances a myriad of competing interests—affordability, feasibility, safety, and reliability,” said CPUC President Alice Reynolds. “And in the face of increasingly turbulent climate-driven weather events, it gives PG&E the opportunity to prove it can underground electric lines at scale.  This will allow PG&E to achieve economies of scale, drive down costs, and reduce wildfire risk.”

Setting the pathway for critical investments in PG&E’s system

For PG&E customers, this approval by the CPUC translates to a continued commitment to safe, reliable, and affordable energy services. The GRC ensures that every dollar invested contributes to more resilient energy infrastructure, offering customers lasting benefits. Moreover, stringent accountability measures are embedded within the decision, assuring customers that their investment yields tangible and accountable improvements in PG&E’s operations and services.

PG&E requested $15.4 billion for 2023; Thursday’s decision cut that amount substantially, by $1.8 billion. Today’s decision sets the 2023 revenue requirement at $13.5 billion, reflecting an 11 percent increase from the authorized 2022 revenue requirement. For the typical residential customer, their combined monthly electric and natural gas bill will increase by $32.62 or 12.8 percent, compared to PG&E’s request of $38.73 or 17.9 percent increase.

PG&E’s 2022 Authorized Revenue Requirement Proposed 2023
Revenue Requirement
Percent Increase Dollar Increase
$12.2 billion PG&E Request $15.4 billion 26% $3.2 billion
Decision $13.5 billion 11% $1.3 billion

Customers can expect any changes to their bill to go into effect on January 1, 2024.

For further information on the proceeding, including today’s decision and a fact sheet, please visit the CPUC’s website.

About the California Public Utilities Commission

The CPUC regulates services and utilities, protects consumers, safeguards the environment, and assures Californians access to safe and reliable utility infrastructure and services. Visit www.cpuc.ca.gov for more information.

 

 

 

 

Filed Under: Energy, Finances, Government, News, State of California

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