Connect with us

Kaiser Health News

Move to Protect California’s Indoor Workers From Heat Upended by Cost Questions

Published

on

Samantha Young
Fri, 22 Mar 2024 02:01:38 +0000

SACRAMENTO — Gov. Gavin Newsom’s administration unexpectedly yanked its support from a sweeping proposal that would have protected millions of California’s indoor workers from dangerous heat, saying it can’t endorse it without knowing the projected costs to the state.

But the board that oversees worker safety immediately defied the administration Thursday by unanimously approving new standards intended to protect people who work in poorly ventilated warehouses, steamy restaurant kitchens, and other indoor job sites.

The showdown represents a setback to the state’s climate and labor policy goals, and throws the fate of the rules into unknown territory. They had been expected to take effect by summer.

The move by the Democratic administration angered board members, who called it a “last-minute stunt” that undermines their regulatory process. It also sparked a protest by warehouse workers, who temporarily shut down the meeting as they waved signs declaring that “Heat Kills!” and loudly chanted, “What do we want? Heat protection! When do we want it? Now!”

“We got blindsided today, and I don’t think it was fair,” said David Thomas, chair of the California Occupational Safety and Health Standards Board, who became visibly upset several times during the meeting. “They hung our ass out to dry.”

The rules to protect indoor workers had been years in the making, but Newsom’s Department of Finance informed board staffers the night before the vote that it couldn’t sign off. They told us “the potential fiscal impacts on public sector entities haven’t been fully analyzed,” Eric Berg, deputy chief of health and research and standards at California’s Division of Occupational Safety and Health, reported to the board.

Newsom spokesperson Omar Rodriguez declined to comment. But Department of Finance spokesperson H.D. Palmer disputed the characterization of the administration’s concerns as “last-minute.” He said the administration has held meetings with board staffers for weeks to discuss estimates for how much it would cost the state to implement the rules in its own buildings. They provided the most recent estimates to Palmer’s department in February.

By law, the Department of Finance is required to approve a fiscal review for any regulation that would have significant economic impacts.

For example, the indoor heat standard proposal could cost the state billions of dollars just to keep its prisons cool enough for workers and inmates, Palmer said, based on the board’s estimate.

“We need to evaluate that. Is it too high? Is it on point?” he said. “This is not a decision made in an arbitrary manner or concerning policy. We did not have the time to do due diligence.”

Palmer would not comment on how much longer it would take to analyze the cost of the rule.

The deadline to keep the proposal on track is March 30. Otherwise the years-long regulatory process may have to start from scratch. But this is unknown territory, and board members said at the March 21 meeting they are not sure how to proceed. Some suggested they could adopt emergency regulations — but even that would take time.

The state has had heat standards on the books for outdoor workers since 2005, and indoor workplaces were supposed to be next. The proposed standard would require work sites to be cooled below 87 degrees Fahrenheit when employees are present and below 82 degrees in places where workers wear protective clothing or are exposed to radiant heat, such as furnaces. Buildings could be cooled with air conditioning, fans, misters, and other methods.

For businesses that couldn’t cool their workplaces sufficiently, such as laundries or restaurant kitchens, where commercial boilers, ovens, and fryers operate, the rule would offer them the option of giving workers cooldown areas and other relief.

Some businesses have expressed fear that they won’t be able to meet the requirements if they are enacted, even with the flexibility the regulation offers. Providing a place for a kitchen worker to cool down in a small restaurant, for example, might not be feasible, according to the California Restaurant Association.

But workers and labor advocates demanded at the March 21 meeting that the board take action, saying employers must protect workers and adapt to a warming climate.

“How many workers have to end up hospitalized or, even worse, end up dying because of heat illness, because there’s no protections put in place?” Yesenia Barrera, an organizer with the Warehouse Worker Resource Center, asked board members.

Heat stress can lead to heat exhaustion, heatstroke, cardiac arrest, and kidney failure. In 2021, the Centers for Disease Control and Prevention reported 1,600 heat-related deaths, which is likely an undercount because health care providers are not required to report them. It’s not clear how many of these deaths are related to work, either indoors or outdoors.

In California, 20 workers died from heat between 2010 and 2017, seven of them because of indoor heat, according to the Rand Corp., which analyzed the state’s proposed indoor heat rules.

Only two other states, Minnesota and Oregon, have adopted heat rules for indoor workers, according to the U.S. Occupational Safety and Health Administration. Nationally, legislation has stalled in Congress, and even though the Biden administration has initiated the long process of establishing national heat standards for outdoor and indoor work, the rules are likely to take years to finalize.

California regulators have crafted the indoor rules to complement the state’s protections for outdoor workers. Those say that when temperatures exceed 80 degrees, employers must provide shade and observe workers for signs of heat illness. At or above 95 degrees, they must come up with ways to prevent heat illness, such as reducing work hours or providing additional breaks. Colorado, Oregon, and Washington also have rules for outdoor workers.

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

——————————
By: Samantha Young
Title: Move to Protect California’s Indoor Workers From Heat Upended by Cost Questions
Sourced From: kffhealthnews.org/news/article/california-indoor-heat-labor-regulation-newsom-withdraws-support/
Published Date: Fri, 22 Mar 2024 02:01:38 +0000

Kaiser Health News

Caseworkers Coax Homeless People out of Las Vegas’ Tunnels for Treatment

Published

on

kffhealthnews.org – Angela Hart – 2024-12-23 07:00:00

SUMMARY: In Las Vegas, case manager Bryon Johnson searches the underground tunnels for homeless individuals like Jay Flanders, who suffers from health issues and substance abuse. Escaping rising housing costs and law enforcement, around 1,200 to 1,500 people live in these tunnels, which provide shelter from extreme weather but pose significant health risks, especially during monsoon season. Outreach workers emphasize the dangers of drug addiction and untreated health conditions, urging residents to seek medical care above ground. As housing costs soar, many homeless individuals, including tourists, end up in these perilous conditions, seeking cover from societal judgment and harsh weather.

Read the full article

The post Caseworkers Coax Homeless People out of Las Vegas’ Tunnels for Treatment appeared first on kffhealthnews.org

Continue Reading

Kaiser Health News

In Settling Fraud Case, New York Medicare Advantage Insurer, CEO Will Pay up to $100M

Published

on

kffhealthnews.org – Fred Schulte, KFF Health News – 2024-12-20 16:31:00

SUMMARY: Independent Health Association of Buffalo and Betsy Gaffney, CEO of medical analytics firm DxID, have agreed to a settlement of up to $100 million to resolve Justice Department allegations of fraudulent Medicare billing for exaggerated or non-existent health conditions. Independent Health will pay up to $98 million, while Gaffney will contribute $2 million. Neither party admitted wrongdoing. The case was triggered by whistleblower Teresa Ross, highlighting issues of “upcoding” in Medicare Advantage plans. Ross, having faced repercussions for her allegations, will receive at least $8.2 million from the settlement. This case underscores the challenges of regulating billing practices in the Medicare system.

Read the full article

The post In Settling Fraud Case, New York Medicare Advantage Insurer, CEO Will Pay up to $100M appeared first on kffhealthnews.org

Continue Reading

Kaiser Health News

Employers Press Congress To Cement Health Price Transparency Before Trump’s Return

Published

on

kffhealthnews.org – Julie Appleby, KFF Health News – 2024-12-20 04:00:00

SUMMARY: Despite regulations requiring hospitals and insurers to disclose negotiated prices for healthcare services, the impact on consumer costs remains unclear nearly four years later. While the Trump administration’s initial rules and Biden’s enhancements aimed to streamline this data, compliance is inconsistent; a 2022 audit found only 63 out of 100 hospitals met requirements. Some lawmakers proposed legislation to protect these regulations amid uncertainty about Trump’s potential return to office, but efforts fell short. Experts note the complexity of the data often leaves consumers struggling to understand their actual costs, emphasizing the need for improved transparency and enforcement to facilitate informed healthcare choices.

Read the full article

The post Employers Press Congress To Cement Health Price Transparency Before Trump’s Return appeared first on kffhealthnews.org

Continue Reading

Trending