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Jun 14 2024 KFF Health News

California lawmakers on Thursday passed a 2024-25 budget that rejected Gov. Gavin Newsom's proposal to cut in-home supportive services for low-income older, blind, and disabled immigrants lacking legal residency. However, the Democratic governor has not said whether he'll use his line-item veto authority to help close the state's $45 billion deficit.

The legislature, controlled by Democrats, passed a $211 billion general fund spending plan for the fiscal year starting July 1 by drawing more from the state's rainy-day fund and reducing corporate tax deductions to prevent cuts to health and social services.

“Our legislative budget plan achieves those goals with targeted, carefully calibrated investments in safety-net programs that protect our most vulnerable,” said Assembly member Jesse Gabriel, chair of the Assembly's budget committee, following voting in Sacramento.

Newsom and lawmakers are expected to continue talks.

"What was approved today represents a two-house agreement between the Senate and the Assembly – not an agreement with the governor," said state Department of Finance spokesperson H.D. Palmer. "We've made good progress, but there's still more work to do.”

Newsom had proposed eliminating the new in-home benefit for qualified immigrants to save nearly $95 million in the next fiscal year, with no plans to bring it back. Lawmakers not only rejected Newsom's cut to the in-home services program; they also refused the governor's proposal to slash $300 million a year from public health agencies. However, they accepted delaying food assistance to low-income older immigrants without legal residency.

The In-Home Supportive Services program helps low-income older, blind, and disabled individuals receive care in their homes, which helps keep them out of more costly nursing and residential facilities. The program works by paying $16 to $21 an hour to caregivers, many of them family members.

Advocates applauded lawmakers for rejecting the cut. They had urged the governor to adopt the legislature's budget, arguing the state could end up paying more in the long run as Medi-Cal recipients tap nursing services. The state has estimated the annual per-person cost of nursing homes is $124,189, compared with the roughly $28,000 average cost for people without legal residency in the in-home services program.

"These individuals would need to essentially go into costly hospital or nursing care," said Ronald Coleman Baeza, managing policy director at the California Pan-Ethnic Health Network. "It's not only cruel for undocumented immigrants, but it doesn't make sense as a fiscal decision either." Related StoriesStudy finds social and psychological factors fuel teen cravings for ultra-processed foods during screen timeBlood pressure medications associated with higher fracture risk among nursing home residentsKFF Health News' 'What the Health?': Nursing home staffing rules prompt pushback

The governor has said he's trying to maintain fiscal discipline while preserving Medi-Cal benefits for immigrants. California was the first state to expand Medicaid eligibility to all qualified immigrants regardless of legal status, phasing it in over several years: children in 2016, adults ages 19-26 in 2020, people 50 and older in 2022, and all remaining adults this year.

"It's a core of I think who we are as a state, and we should be as a nation," Newsom said in May.

As part of the Medi-Cal expansion, the state authorized nearly 3,000 older, blind, and disabled immigrants without legal residency to access paramedical services and daily care, including meal preparation, bathing, feeding, and transportation to medical appointments. Advocates estimate 17,000 immigrants qualify.

"Fixing California's deficit means making tough choices, so the Assembly came to these negotiations focused on preserving programs that matter most to Californians," said Assembly Speaker Robert Rivas, a Central Coast Democrat, in an earlier statement.

Lawmakers did agree to Newsom's proposal to delay around $165 a month in food assistance to low-income immigrants without legal residency ages 55 and older. Lawmakers had approved the benefit two years ago, but the governor proposed delaying it by two fiscal years to 2027.

This article was produced by KFF Health News, which publishes California Healthline, an editorially independent service of the California Health Care Foundation. 

This article was reprinted from khn.org, a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF – the independent source for health policy research, polling, and journalism. Source:

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Entertainment

Boy George on the price of fame – and his rocky relationship with Madonna

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Boy George on the price of fame – and his rocky relationship with Madonna

Boy George is contemplating his relationship with fame. Intoxicating, often inescapable, he says he has not always found his decades in the spotlight easy

There has been a cost, he says. Much has been well documented. But in recent years he has been able to enjoy it all much more.

And it’s not real. “Fame is a figment of other people’s imaginations. You’re only famous because other people believe you are.”

Boy George is touring with Culture Club again
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Boy George has created a new art collection, titled Fame

Most will know Boy George the avant garde musician, flamboyant frontman of Culture Club, one of the biggest music acts of the 1980s. Big hats, big songs, big personality. He has found new fans more recently through appearances on reality shows such as I’m A Celebrity… Get Me Out Of Here! and as a judge on The Voice.

He is also an artist, and fame is the theme of his latest collection of portraits.

Vivid, bold, punk, they are exactly as you might expect. He has painted his hero David Bowie, fellow music icons Madonna and Prince, as well as a self-portrait.

Boy George has created a new art collection, titled Fame, featuring David Bowie, Madonna and Prince, as well as a self-portrait. Pic: Dave Parry/ PA
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The collection features images of David Bowie, Madonna and Prince, as well as a self-portrait. Pic: Dave Parry/ PA/ Castle Fine Art

“I think of Boy George from the ’80s as a sort of cartoon character,” he says. “Because on the one hand, there was this public persona, which was one thing, and it was very recognisable. And then there was me behind it… I used to have a real problem with [fame] and I feel now I’m like, it’s just a job.”

The portrait of his younger self is a reminder of how his relationship with fame has changed.

“I never really took it that seriously,” he says. “There were moments when I lost my mind – we all know what they were. But I always kind of knew who I was.”

‘I was really lucky to have my family’

Culture Club on stage performing in 1982. Pic: Ron Wolfson/ Rock Negatives/ MediaPunch Boy George/ IPX/ AP
Image:
Culture Club on stage performing in 1982. Pic: Ron Wolfson/ Rock Negatives/ MediaPunch Boy George/ IPX/ AP


The star, whose real name is George O’Dowd, has spoken and written about his struggles with addiction in the past. In 2009, he was jailed for four months for false imprisonment.

In his last autobiography, he described it as a “stupid, aggressive and regrettable” incident that was over in “less than 30 seconds”. He disputes some of the details that came out in court, but called himself an “idiot who did too many drugs and made a massive mistake”.

George says his family helped him through the dark times. Despite there being more conversation than ever around mental health and the pressures on young stars today, he is not convinced the support is any better.

“I think in my case, I was really lucky to have my family… particularly my late mother. Whatever was going on, she was always there to kind of try and harness me into reality. And sometimes it took a bit of pulling and shoving, but I feel like my family have been so important to me in terms of, you know, keeping me sane. But it hasn’t always been an easy thing.”

The "Tokyo Pop" body suit with replica shoes, designed by Kansai Yamamoto from the "Aladdin Sane" tour are on display during the media preview of the "David Bowie is" exhibit at the Brooklyn Museum, Wednesday, Feb. 28, 2018, in New York. The exhibit opens to the public on March 2 and runs through July 15. (AP Photo/Mary Altaffer)
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The Bowie portrait features the star in his famous Tokyo Pop body suit from the Aladdin Sane tour, designed by Kansai Yamamoto, pictured here during an exhibit at the Brooklyn Museum in 2018. Pic: Mary Altaffer/ AP

Now in his 60s, as well as Boy George, he is plain old “George from Eltham”, southeast London; although plain is not really an adjective you would ascribe to him.

“As I’ve got older, I’ve kind of accepted I created this Boy George person, and I can either have as much fun with it as I can, or I can make it full of anxiety,” he says.

For his Fame collection, he chose Bowie because the artist “shaped my whole career, my whole childhood”. His relationship with Madonna, whom he has captured in her Madame X era from 2019 rather than one of her more famous earlier incarnations, “because artists continue to evolve”, is more complex.

They first met after he saw her in concert in New York, with fellow ’80s star Marilyn and two friends. They went backstage and he asked for a picture.

‘There’s never been warmth… on either side’

Madonna opens her first concert "Virgin Tour" at the Paramount Theater in Seattle, Washington, April 11, 1985. (AP Photo/NewsBase)
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George first met Madonna during her The Virgin tour in the mid-1980s. Pic: AP/ NewsBase

“She grabbed the boys and just sat them on her lap, which is kind of major,” he says. “She took control immediately. And I’ve got this great picture of Madonna and this guy that I kind of lost contact with.”

But he and the Queen of Pop never became friends. “Over the years we sort of met each other, but there’s never been any kind of warmth necessarily on either side,” he says. “But I am a fan… with me, if I like the music, I don’t necessarily have to be best friends with the person… I can like things without being petty.”

It was perhaps part and parcel of fame in the 1980s, he says.

“When you’re young, everything’s a competition. As you get older, you get a bit more confident about who you are and more secure and therefore you’re able to enjoy things without feeling threatened. So I think in the ’80s, all of us were in competition with each other… nowadays I’m kind of able to enjoy a lot of bands that I hissed at in the past, you know.”

Boy George is touring with Culture Club again
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Culture Club are touring later in the year, along with Tony Hadley and Heaven 17

Earlier this year, George made his Broadway debut, performing in Moulin Rouge. Now, he is getting ready for gigs with Culture Club again, alongside Tony Hadley and Heaven 17.

They will play their first two albums, Kissing To Be Clever and Colour By Numbers, in full. “[It’s] one of the reasons I agreed to this tour,” he says. “I knew we wouldn’t argue about what we were playing.”

There is also a biopic in the works. George has long said he would like Game Of Thrones star Sophie Turner to play him and the campaign continues, he says. “In this day and age, why can’t have a woman playing a man? Why not break the rules? It’s kind of what I was doing 30, 40 years ago.”

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And he is still releasing solo music. His latest track, Let The Flowers Grow, is a collaboration with Bauhaus’ Peter Murphy.

“A lot of stuff I release, no one really hears of it unless they’re like a mad hardcore fan,” he says. “I’ve released 54 tracks in the last year, probably more than any other artist. And I will continue to keep putting stuff out and being creative because it feels like breathing, you know, it feels really enjoyable and I feel lucky that I get to do the thing I love.”

He takes a beat. “I mean that. I really enjoy it now in a way that I just didn’t know how to 10 years ago, 20 years ago, because I was so busy worrying about what other people thought about this, that and the other.

“Now I’m like, I want to tell people how I feel more. I mean, I’ve always done that, but I feel like, when you start to understand yourself more and realise what makes you actually happy, then you are able to express yourself in a better way.”

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Politics

Sir Keir Starmer vows to defend budget decisions ‘all day long’ as farmers slam ‘disrespectful’ PM

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Sir Keir Starmer vows to defend budget decisions 'all day long' as farmers slam 'disrespectful' PM

Sir Keir Starmer has said he will defend the decisions made in the budget “all day long” amid anger from farmers over inheritance tax changes.

Chancellor Rachel Reeves announced last month in her key speech that from April 2026, farms worth more than £1m will face an inheritance tax rate of 20%, rather than the standard 40% applied to other land and property.

The announcement has sparked anger among farmers who argue this will mean higher food prices, lower food production and having to sell off land to pay for the tax.

Sir Keir Starmer

Sir Keir defended the budget as he gave his first speech as prime minister at the Welsh Labour conference in Llandudno, North Wales, where farmers have been holding a tractor protest outside.

Sir Keir admitted: “We’ve taken some extremely tough decisions on tax.”

He said: “I will defend facing up to the harsh light of fiscal reality. I will defend the tough decisions that were necessary to stabilise our economy.

“And I will defend protecting the payslips of working people, fixing the foundations of our economy, and investing in the future of Britain and the future of Wales. Finally, turning the page on austerity once and for all.”

He also said the budget allocation for Wales was a “record figure” – some £21bn for next year – an extra £1.7bn through the Barnett Formula, as he hailed a “path of change” with Labour governments in Wales and Westminster.

And he confirmed a £160m investment zone in Wrexham and Flintshire will be going live in 2025.

‘PM should have addressed the protesters’

Among the hundreds of farmers demonstrating was Gareth Wyn Jones, who told Sky News it was “disrespectful” that the prime minister did not mention farmers in his speech.

He said “so many people have come here to air their frustrations. He (Starmer) had an opportunity to address the crowd. Even if he was booed he should have been man enough to come out and talk to the people”.

He said farmers planned to deliver Sir Keir a letter which begins with “‘don’t bite the hand that feeds you”.

Farmers' tractor protest outside the Welsh Labour conference in Llandudno, North Wales
Image:
Farmers’ tractor protest outside the Welsh Labour conference in Llandudno, North Wales

Mr Wyn Jones told Sky News the government was “destroying” an industry that was already struggling.

“They’re destroying an industry that’s already on its knees and struggling, absolutely struggling, mentally, emotionally and physically. We need government support not more hindrance so we can produce food to feed the nation.”

He said inheritance tax changes will result in farmers increasing the price of food: “The poorer people in society aren’t going to be able to afford good, healthy, nutritious British food, so we have to push this to government for them to understand that enough is enough, the farmers can’t take any more of what they’re throwing at us.”

Mr Wyn Jones disputed the government’s estimation that only 500 farming estates in the UK will be affected by the inheritance tax changes.

“Look, a lot of farmers in this country are in their 70s and 80s, they haven’t handed their farms down because that’s the way it’s always been, they’ve always known there was never going to be inheritance tax.”

On Friday, Sir Keir addressed farmers’ concerns, saying: “I know some farmers are anxious about the inheritance tax rules that we brought in two weeks ago.

“What I would say about that is, once you add the £1m for the farmland to the £1m that is exempt for your spouse, for most couples with a farm wanting to hand on to their children, it’s £3m before anybody pays a penny in inheritance tax.”

Read more:
Ex-Labour adviser suggests doing to farms ‘what Thatcher did to coal mines’
Farmers ‘could block ports and disrupt food supply’

Welsh farmer Gareth Wyn Jones
Image:
Welsh farmer Gareth Wyn Jones

Ministers said the move will not affect small farms and is aimed at targeting wealthy landowners who buy up farmland to avoid paying inheritance tax.

But analysis this week said a typical family farm would have to put 159% of annual profits into paying the new inheritance tax every year for a decade and could have to sell 20% of their land.

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The Country and Land Business Association (CLA), which represents owners of rural land, property and businesses in England and Wales, found a typical 200-acre farm owned by one person with an expected profit of £27,300 would face a £435,000 inheritance tax bill.

The plan says families can spread the inheritance tax payments over 10 years, but the CLA found this would require an average farm to allocate 159% of its profits each year for a decade.

To pay that, successors could be forced to sell 20% of their land, the analysis found.

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Environment

China’s 3GW Gobi Desert solar farm can power 2 million households

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China's 3GW Gobi Desert solar farm can power 2 million households

China just connected its largest single-capacity solar farm built on a former coal mining area, which is in the Gobi Desert, to the grid.

The Mengxi Blue Ocean Photovoltaic Power Station, located in Otog Front Banner, Ordos, Inner Mongolia, came online on November 5. With a massive installed capacity of 3 gigawatts (GW) and over 5.9 million solar panels, the plant will generate around 5.7 billion kilowatt-hours of electricity annually – enough to power 2 million households.

This huge project will save about 1.71 million tons of standard coal each year and cut carbon dioxide emissions by roughly 4.7 million tons, which is equivalent to planting 62,700 hectares (around 155,000 acres) of trees.

Built on coal mining subsidence land, Mengxi Blue Ocean is part of China’s national West-East Electricity Transfer Project, which brings investment and development to western China west while supplying the growing need for electricity in the eastern provinces.

The solar farm includes the country’s first large-scale outdoor solar testing base in the Gobi Desert climate, demonstrating the potential for large solar installations in challenging environments.

The power station makes use of new rare earth alloy grounding materials, cutting costs by 40%. It also replaces traditional concrete foundations with steel to minimize impact on the local grassland ecosystem.

Chuang Xihong, deputy director of the Engineering Construction Department of Guodian Power Group, CHN Energy’s parent company, explained that Mengxi Blue Ocean is an agrivoltaic project as well [via PV Tech]:

Fine forage and sand-fixing plants are planted under the PV modules, providing grazing for Australian White Sheep and chickens. A composite ecological development model will be established where PV power generation and breeding will go hand in hand.

Read more: China powers up the world’s largest open-sea offshore solar farm


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