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SCC HEALTH ADVISORY: Xylazine Presence in Illicit Drug Supply (P2)

DATE: April 3, 2023 TO: All Healthcare Providers FROM: Michelle Jorden, MD, F-ABMDI Chief Medical Examiner - Coroner Akanksha Vaidya, MD, MPH Assistant Public Health Officer HEALTH ADVISORY: XYLAZINE PRESENCE IN ILLICIT DRUG SUPPLY Xylazine, a non-opioid agent developed as a veterinary tranquilizer, has been increasingly detected in the nation’s illicit opioid supply. Xylazine has been associated with fatal overdoses and chronic wounds, with areas in the Northeast USA being heavily impacted. The U.S. Drug Enforcement Administration (DEA) Laboratory System reported that in 2022, approximately 23% of fentanyl powder and 7% of fentanyl pills seized by the DEA contained xylazine. In Santa ...

Primary Care’s Essential Role in Advancing Health Equity for California

Primary care is the most fair, efficient, and accessible way for all people to enter the health care system — regardless of race, ethnicity, or income — and obtain the services they need. A large body of research shows primary care is essential to improving health equity. Yet it is frequently absent or not explicitly referenced in health equity policy discussions. This report surveys the research linking primary care to improved health equity. With California working to strengthen primary care quality and increase systemwide investments in primary care infrastructure, the ...

Gov. Newsom proposal would add billions for mental health treatment beds

In a major legislative proposal to combat the state’s growing homelessness crisis, Gov. Gavin Newsom announced Sunday an effort to push billions of dollars toward building a vast network of treatment beds to help California’s mentally ill and drug-addicted residents find care. Through a bond measure that could reach up to $5 billion, the governor hopes to build at minimum 6,000 new mental health beds across the state. Funding would also come through the diversion of over $1 billion annually from a pool of money created by a proposition passed ...

Insulin to Cost $30 as California Secures Contract to Combat Diabetes

California will cut patients’ cost for insulin by 90% to $30, regardless of their insurance plan, Gov. Gavin Newsom announced Saturday. The state has a contract with non-profit generic-drug company Civica to obtain insulin, a hormone used for treating diabetes. When the new, cheaper drug will become available is not clear: Civica and the state Health and Human Services Agency are working to identify a manufacturing facility in California, according to the governor’s announcement. Patients who pay cash for insulin will save $2,000 and $4,000 a year, Newsom’s office said, citing “egregious ...

Big Provisions in $1.7 Trillion Omnibus: What Doctors Should Know

In enacting the 4,000-plus page, end-of-the-year spending package, Washington politicians failed to stop the entirety of scheduled Medicare pay cuts, which will come at a financially precarious time for physician practices left reeling in the COVID-19 pandemic’s third year. Because of that, physicians will face a 2% cut in Medicare payment in 2023, and 2024 will bring at least a 1.25% cut. Nevertheless, the $1.7 trillion bill signed by President Joe Biden does include a number of important AMA-supported provisions that physicians should know about. Among other things, the omnibus bill ...