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BAKERSFIELD, Calif. – Stan Ellis, a farmer, entrepreneur, and community leader with deep roots in the Central Valley, announced today that he is officially running in the special election for California Assembly District 32. With decades of experience in business, innovation, and public service, Ellis is poised to bring strong, values-driven leadership to Sacramento. “Sacramento’s Democrats and Governor Newsom have consistently failed the Central Valley. While Californians struggle with skyrocketing gas prices and the highest cost of living, they’ve prioritized radical agendas over the needs of working families. Their approach is pushing our state in the wrong direction,” said Stan Ellis. “We need strong voices in Sacramento who will fight back against these destructive policies and stand up for our values and our communities. I’m running to defend our way of life and address the real issues facing our Valley—securing our borders, protecting our water and energy resources, improving rural healthcare, and investing in our children’s future.” Ellis continued, “Vince Fong has been a steadfast advocate for the Central Valley, building on a legacy of strong leadership in this district. His service in the Assembly has left a lasting impact on our community, and I’m grateful for his dedication. I look forward to working with him in his new role in Congress to continue delivering results for our Valley.” Ellis’s candidacy has already earned significant support from community leaders, including: Congressman Vince Fong: "Stan Ellis has a proven track record of creating jobs and solving problems in our community. He knows how to get things done and will fight for policies that support small businesses, farmers, and families in the Central Valley. Stan is exactly the kind of leader we need in Sacramento." Congressman David Valadao: "The Central Valley needs a champion in Sacramento who understands our way of life. I’m proud to support Stan Ellis because I know he will work tirelessly to protect our water, reduce burdensome regulations, and lower the cost of living for farmers and families across the Valley.” Senator Shannon Grove: “Stan Ellis embodies the spirit of Central Valley values—hard work, integrity, and dedication to community. As a businessman, he’s spent his life tackling tough challenges and creating solutions that benefit others. He’s the leader we need to champion the Valley’s priorities.” Assemblywoman Alexandra Macedo: "Stan Ellis has always been committed to making the Central Valley a better place to live and work. He understands the importance of safe communities, domestically produced energy and good-paying jobs. In the Assembly, Stan will fight tirelessly to protect our way of life." Former Congresswoman Connie Conway: "Stan Ellis is a leader who understands the challenges facing the Central Valley and has the experience to deliver real solutions. He’ll fight for water, jobs, and the safety of our communities, ensuring a brighter future for all of us. Stan is the right choice for Assembly." Other Endorsements include: Kern County Sheriff Donny Youngblood Tulare County Sheriff Mike Boudreaux Kern District Attorney Cynthia Zimmer Bakersfield Mayor Karen Goh Kern County Supervisor Jeff Flores Kern County Supervisor David Couch Kern County Supervisor-elect Chris Parlier Former Kern County Supervisor Mike Maggard And many more Community Leaders. Background on Stan Ellis Stan Ellis is a longtime Kern County resident and a respected leader in the Central Valley. Born on a hog farm in South Dakota, Ellis worked his way through college, earning a degree in mathematics from the South Dakota School of Mines and Technology. After settling in Kern County in 1975, he built a career as a successful entrepreneur, starting businesses in oil, agriculture, and advanced quantum physics technologies. Ellis’s achievements include founding Qubitekk, a quantum physics lab that leads in the design and manufacturing of entangled photon sources and state measurement systems. Stan’s company, Qubitekk, stands out for its commitment as a U.S.-based company to protect critical infrastructure from the danger of hacking threats, both foreign and domestic. Qubitekk is working with the Department of Energy and the Department of Defense to advance cybersecurity in the U.S. He has also developed innovative medical technologies and played an active role in supporting educational initiatives through his involvement with Cal State University, Bakersfield. As a proud father of five and grandfather to twenty, Ellis is deeply committed to future generations. He brings a strong sense of duty, integrity, and dedication to solving the challenges facing the Central Valley.
With only two weeks remaining in the year, Congress appears poised to pass a government funding deal (the “Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025”) that includes a welcome holiday gift for health care providers and patients – an expansive health care package that would extend certain telehealth flexibilities promulgated during the COVID-19 public health emergency (“PHE”) for an additional two years. The extended telehealth flexibilities were originally set to expire on December 31, 2024. This extension would generally allow providers to continue to serve Medicare patients via telehealth consistent with the current practices. Flexibilities Extended by the Bill The Centers for Medicare & Medicaid Services (“CMS”) issued a number of telehealth waivers during the PHE, some of which were extended through December 31, 2024, by the 2023 Consolidated Appropriations Act (“CAA”).[i] The Congressional bill would extend those flexibilities through December 31, 2026. The flexibilities that would be extended by the bill are: Definition of “Originating Site” : The bill would extend the definition of “originating site” to mean any site in the U.S., including the home of an individual. An “originating site” is the location at which the telehealth eligible individual is located at the time the service is furnished via a telecommunications system. Definition of “Practitioner” : The bill would extend the definition of “practitioner” to also include a qualified occupational therapist, qualified physical therapist, a qualified speech-language pathologist, and a qualified audiologist. Prior to the PHE, a “practitioner” was limited to a physician assistant, nurse practitioner, clinical nurse specialist, certified registered nurse anesthetist, certified nurse-midwife, clinical social worker, clinical psychologist, and registered dietitian or nutrition professional. RHC and FQHC Telehealth Services : The bill would extend the authorization for Rural Health Clinics (“RHCs”) and Federally Qualified Health Centers (“FQHCs”) to provide and reimburse for telehealth services. In-Person Visit Requirement for Telehealth Mental Health Services : The bill would delay the reimbursement requirement for physicians and practitioners to conduct in-person exams within six months before an initial telehealth service for purposes of diagnosis, evaluation, or treatment of a mental health disorder until January 1, 2027. Audio-Only Telehealth : The bill would provide that telehealth services furnished using audio-only telecommunications technology will continue to be covered and reimbursable. Recertification of Eligibility for Hospice Care : The bill would extend the permissible use of telehealth for conducting face-to-face encounters prior to recertification of eligibility for hospice care. HDHP/HSA Safe Harbor for Telehealth Services : For plan years beginning between December 31, 2022 and January 1, 2027, the bill would extend the ability of health savings account-qualifying high-deductible health plans to cover telehealth services on a pre-deductible basis. Other Notable Provisions In addition to extending the flexibilities described above, the bill also includes the following provisions: Required Use of Modifiers in Certain Circumstances : The bill would direct the Secretary of the Department of Health and Human Services (“HHS”) to establish requirements for codes or modifiers by January 1, 2026, for claims for telehealth services that are furnished: (1) through a telehealth virtual platform by a physician or practitioner that contracts with an entity that owns the platform or has a payment arrangement with an entity for use of the platform or (2) incident to a physician’s or practitioner’s professional service. Acute Hospital Care at Home : The bill would extend hospital at home flexibilities until 2029. Changes Under the CY 2025 Physician Fee Schedule Final Rule CMS also recently finalized certain changes to maintain certain telehealth flexibilities within its regulatory authority in the Calendar Year 2025 Physician Fee Schedule Final Rule (“Final Rule”).[ii] The changes implemented by the Final Rule include: Extended Allowance of “Remote Direct Supervision” : Certain services, including most incident-to services and many diagnostic tests, must be furnished under specific minimum levels of supervision by a physician or other practitioner. When services require “direct supervision”, the supervising practitioner must be “immediately available” to furnish assistance and direction. “Direct supervision” will be defined to permit the presence and “immediate availability” of the supervising practitioner through real-time audio and visual interactive telecommunications through December 31, 2025. CMS also permanently defines “direct supervision” to include “immediate availability” of the supervising practitioner through audio/video real-time communications technology (excluding audio-only) only for the following incident-to services: services furnished incident to a physician or other practitioner’s service when provided by auxiliary personnel employed by the billing practitioner and working under their direct supervision, and for which the underlying HCPCS code has been assigned a professional component or technical component indicator of “5”, and services described by CPT code 99211 ( Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional ). Extended Flexibility to Use Enrolled Location as “Distant Site” Address : Telehealth practitioners are permitted to bill from their currently enrolled location instead of their home address when providing telehealth services from their home through December 31, 2025. Revision of “Telecommunications System” Definition to Allow Permanent Use of “Audio-Only” in Certain Circumstances : CMS permanently revises the definition of “telecommunications system” to also include “two-way, real-time audio-only communication technology for any telehealth service furnished to a beneficiary in their home if the distant site physician or practitioner is technically capable of using an interactive telecommunications system as defined as multimedia communications equipment that includes, at a minimum, audio and video equipment permitting two-way, real-time interactive communication, but the patient is not capable of, or does not consent to, the use of video technology” beginning January 1, 2025. Other notable provisions of the Final Rule include: New Additions to the List of Telehealth Services : While CMS did not permanently add any codes to the Medicare List of Telehealth Services, it added the following codes on a provisional basis: HCPS Code G0011 (PrEP for HIV) HCPS Code G0013 (PrEP for HIV) HCPS Codes GCTD1 – 3 (Caregiver Training In Direct Care Strategies and Techniques) HCPS Codes GCTB1 – 2 (Individual Behavior Management/Modification Caregiver Training) CPT Codes 97550-97552 (Caregiver Training in Strategies To Facilitate Patient Functional Performance in the Home or Community) CPT Codes 96202 – 96203 (Group Behavior Management/Modification Caregiver Training) No Recognition of New AMA Telemedicine Evaluation and Management (E/M) Services Codes : The American Medical Association (“AMA”) recently revised the CPT Codebook and valued seventeen new codes (9X075 – 9X091) to describe telemedicine Evaluation and Management (“E/M”) services. CMS declines recognizing and paying for the new codes because they mirror existing office/outpatient E/M codes but assigns a procedure status indicator of “I” to indicate that there is a more specific code that should be used for Medicare purposes. Looking Forward The extension of telehealth flexibilities under the bill and the Final Rule is a relief for many providers and their patients who rely on telehealth for medical care. Nevertheless, the piecemeal approach to telehealth waivers, and Congress’ continued reliance on only temporary extension of critical flexibilities, has created intricate compliance obligations for providers. FOOTNOTES [i] For additional information on the 2023 CAA please see the following resource: Key Healthcare Provisions of the Consolidated Appropriations Act, 2023 | Healthcare Law Blog (sheppardhealthlaw.com) . [ii] 89 FR 97710 (Dec. 9, 2024). Listen to this postAP News Summary at 6:28 p.m. EST
Enzo Maresca picks out three Chelsea youngsters for praise after 3-1 win over Astana as the Blues boss hails his young side for their performance The majority of Chelsea's first team were left at home for the European tie Youngsters impressed, however, with the bench made up of academy stars LISTEN NOW: It's All Kicking Off! Mason Mount? Marcus Rashford? Joshua Zirkzee? Who should Manchester United sell to raise funds? By LEWIS BROWNING Published: 23:05, 12 December 2024 | Updated: 00:18, 13 December 2024 e-mail 73 shares 1 View comments Enzo Maresca has heaped praise on his young Chelsea side that helped the Blues beat Astana in Kazakhstan on Thursday. Chelsea confirmed their spot in the next round of the Conference League with a 3-1 win, racing into a 3-1 lead before their opponents got one back before half time. Marc Guiu and Renato Veiga were on the scoresheet for the visitors, with an Aleksandr Marochkin own goal putting the icing on the cake to continue the Blues' perfect record in the competition. Chelsea took a fringe side to the game, with a number of key players left at home and the likes of Samuel Rak-Sakyi (19), Josh Acheampong (18) and Tyrique George (18) all afforded starts and, in some cases, 90 minutes. The substitutes' bench was made up entirely of academy products, too, with Harvey Vale, Kiano Dyer and Shumaira Mheuka among those to be afforded minutes in the second half. And after the game, Maresca spoke highly of his young team, picking out three players in particular for praise. Enzo Maresca has heaped praise on his young Chelsea team after their win over Astana Josh Acheampong was on the scoresheet and was one of three players singled out for praise Maresca also praised the efforts of Tyrique George (left) and Samuel Rak-Sakyi (right) 'I was impressed by all of them,' the Italian said. 'The ones that started, Tyrique, Sam and Josh, they all have done very good. Very happy for them. 'Also, the ones that came on in the second half. So I'm pleased for them.' Chelsea were playing in minus 15 degree conditions, with Maresca among those to wrap up in a stadium that saw the pitch at time prove difficult to play on. Blues fans who made the journey to watch Maresca's side were given a touching commerative gift to mark the mammoth journey, with the Conference League tie in Almaty is the furthest that the Blues have ever travelled for a European game , the Almaty Ortalyk stadium a staggering 3,485 miles from Stamford Bridge. Read More From London to Almaty: A Chelsea fan's 7,000-mile journey to watch their Conference League tie But the Blues remained professional to get the job done, and can now look forward to their spot in the next round of a competition they really should be winning. Up next, it's Brentford at the weekend as Maresca and Co look to continue their perhaps shock Premier League title charge. 'We knew it would be cold,' Maresca added. 'We tried to adapt. The players did fantastically with the weather conditions, long flight yesterday and also the pitch probably was not ideal. But I'm very happy for the players. 'We will land at around six o'clock (in the morning) UK time, but we are going to try to prepare the game in the best way we can as we have always done this season.' Enzo Maresca Chelsea Share or comment on this article: Enzo Maresca picks out three Chelsea youngsters for praise after 3-1 win over Astana as the Blues boss hails his young side for their performance e-mail 73 shares Add comment
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Donald Trump has vowed to impose 25% tariffs on imported goods from Mexico and Canada unless, he says, those neighbors stem the flow of illegal migrants and drugs into the United States. Chinese imports, he adds, will be taxed an extra 10% unless Beijing cracks down on the production of the narcotic fentanyl. Perhaps Trump is bluffing; it’s always hard to separate his bluster from his true intentions. But if he carries out his threats, the big losers will be American consumers — including a great many people who voted for him. As Canadian Prime Minister Justin Trudeau said recently, “I think people south of the border are beginning to wake up to the real reality that tariffs on everything from Canada would make life a lot more expensive.” Chinese President Xi Jinping had a similar take: “Tariff wars, trade wars, and technology wars go against historical trends and economic rules, and there will be no winners.” There is a larger question here: How will Trump approach economic decisions — indeed, all critical policy choices — during his second term? Will he pay attention to “real reality” and “historical trends”? Or will he root his judgments in falsehoods and in campaign slogans that delight his voters but defy validity? The early signs are not encouraging, since he told the Economic Club of Chicago in October: “The word ‘tariff’ is the most beautiful word in the dictionary. I think it’s more beautiful than ‘love.’ ... I love tariffs!” But “the vast majority of credentialed economists” feel differently, writes the independent fact-checking website PolitiFact. These experts “say consumers in the tariff-levying country lose in these deals, paying higher prices directly for foreign goods, and indirectly because of higher prices for foreign-sourced raw materials used in domestic goods. Also, if the other country retaliates by raising tariffs on U.S. goods, sales can decline for U.S. producers.” If Trump does follow through, for example, food prices would shoot up because Americans get more than half of their fresh fruits and vegetables from Mexico. Construction costs would rise, as well, because one-quarter of the lumber used in the U.S. comes from Canada. This is not guesswork. Trump tried tariffs, on a much lower scale, during his first term, and while he maintained on NBC’s “Meet the Press” that those duties “cost Americans nothing,” PolitiFact labels his assertion “false.” So do most economists, including Alan S. Blinder of Princeton, who wrote in the Wall Street Journal: “No matter how many times Mr. Trump denies it, tariffs are (discriminatory) sales taxes. Discriminating against imported goods is their purpose. Sales taxes, of course, raise prices for consumers, and research says American consumers have paid for almost 100% of recent tariff hikes.” The United States International Trade Commission, a bipartisan entity that analyzes trade issues, studied Trump’s record, and Bloomberg summarized its findings: “U.S. importers bore almost the entire burden of tariffs that Donald Trump placed on more than $300 billion in Chinese goods during his presidency, raising costs for American companies. ... “The conclusions back the longtime assertion of U.S. Chamber of Commerce and independent academic economists that the cost of the tariffs hurt American firms, and contradict Trump’s claim that China paid the ultimate cost of the duties,” reported Bloomberg. Republicans who actually study economic rules have tried, and failed, to dissuade Trump from his faith in tariffs. “No country has ever tariffed its way to prosperity,” wrote former Sen. Pat Toomey of Pennsylvania, a Republican, in the Wall Street Journal. “I understand the emotional appeal of trade-rules reciprocity — it satisfies an urge for revenge. But that revenge will be less satisfying for the working-class Americans facing unemployment and higher prices if Mr. Trump carries through on his import-tax promises.” Tariffs are only one example of Trump’s counter-factual approach to economic decision-making. He claimed that the massive tax cuts he engineered in 2017 would not only pay for themselves, but generate a surplus. “We’ll start paying off that debt like water,” he declared. But that assertion, like his claims on tariffs, turned out to be dead wrong. The Congressional Budget Office estimates that Trump’s tax policies will actually add $1.9 trillion to the national debt over 10 years, and if the law’s temporary reductions in estate and income taxes are made permanent, they would cost another $400 billion a year starting in 2027. “Real reality” and “economic rules” cannot be ignored. If Trump insists on doing that, if he embraces the fantasies of “alternative facts,” then all American families will pay the price.
What happens when 'The Simpsons' join 'Monday Night Football'? Find out during Bengals-CowboysNEW YORK (AP) — The man charged with killing UnitedHealthcare CEO Brian Thompson was not a client of the medical insurer and may have targeted it because of its size and influence, a senior police official said Thursday. NYPD Chief of Detectives Joseph Kenny told NBC New York in an interview Thursday that investigators have uncovered evidence that Luigi Mangione had prior knowledge UnitedHealthcare was holding its annual investor conference in New York City. Mangione also mentioned the company in a note found in his possession when he was detained by police in Pennsylvania. “We have no indication that he was ever a client of United Healthcare, but he does make mention that it is the fifth largest corporation in America, which would make it the largest healthcare organization in America. So that’s possibly why he targeted that company,” said Kenny. UnitedHealthcare is in the top 20 largest U.S. companies by market capitalization but is not the fifth largest. It is the largest U.S. health insurer. Mangione remains jailed without bail in Pennsylvania, where he was arrested Monday after being spotted at a McDonald's in the city of Altoona, about 230 miles (about 370 kilometers) west of New York City. His lawyer there, Thomas Dickey, has said Mangione intends to plead not guilty. Dickey also said he has yet to see evidence decisively linking his client to the crime. Mangione's arrest came five days after the caught-on-camera killing of Thompson outside a Manhattan hotel. Police say the shooter waited outside the hotel, where the health insurer was holding its investor conference, early on the morning of Dec. 4. He approached Thompson from behind and shot him before fleeing on a bicycle through Central Park. Mangione is fighting attempts to extradite him back to New York so that he can face a murder charge in Thompson's killing. A hearing has been scheduled for Dec. 30. The 26-year-old, who police say was found with a “ ghost gun ” matching shell casings found at the site of the shooting, is charged in Pennsylvania with possession of an unlicensed firearm, forgery and providing false identification to police. Mangione is an Ivy League graduate from a prominent Maryland real estate family. In posts on social media, Mangione wrote about experiencing severe chronic back pain before undergoing a spinal fusion surgery in 2023. Afterward, he posted that the operation had been a success and that his pain had improved and mobility returned. He urged others to consider the same type of surgery. On Wednesday, police said investigators are looking at his writings about his health problems and his criticism of corporate America and the U.S. health care system . Kenny said in the NBC interview that Mangione's family reported him missing to San Francisco authorities in November. Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission. Get local news delivered to your inbox!Couple went to the same urgent care for the same illness. But their bills were very different
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The recent decision by the Walla Walla City Council to deny Cottonwood Investors’ proposed development near Cottonwood and Kendall Roads overlooks both the short-term benefits of the project and the long-term needs of the community. Despite meeting requirements and receiving city staff’s recommendation for approval, the application was rejected. The proposed development offered a practical step forward in addressing Walla Walla’s housing problems. Building 257 single-family homes over the next several years would have added much-needed housing to the market. While the project did not directly include affordable housing units, the overall increase in housing stock could have eased the shortage. By freeing up existing, less expensive homes as some residents upgraded to newer properties, the development would have indirectly benefited middle- and lower-income families. While it isn't a one-and-done solution to the housing problems plaguing Walla Walla and much of the country, it could be a step in the right direction. In addition, we can't ignore the city's financial situation. Approving the subdivision would have increased property tax revenues, and costs of additional infrastructure are necessary expenses for growth — Walla Walla can't stay stagnant forever. A growing housing market is a good way to help fund the city. Rejecting this development continues the strain on the city's resources and certainly doesn't help with future economic development. The council's decision also undermines city staff, who recommended approval. While concerns about traffic, stormwater management and infrastructure are valid, these challenges are not insurmountable. Cottonwood Investors showed a willingness to comply with city requirements and address concerns. Rejecting the proposal outright, rather than working collaboratively to refine it, seems inflexible. Walla Walla has a choice: embrace sustainable development and opportunities or risk stagnation. Approving the Cottonwood subdivision would have been a step toward meeting housing demands and increasing the city's tax base. The council’s decision represents a missed opportunity in the short-term and a potential roadblock to the growing community Walla Walla could be. It is important that city leaders consider such opportunities with a focus on the benefits for all residents.Second Lieutenant Madison Marsh was crowned Miss America in 2024. (USAF via SWNS) By Dean Murray Miss America Madison Marsh - also a U.S. Air Force 2nd lieutenant - has reflected on her year in the role. A potential Top Gun-style aviator, with a coveted place to train as a fighter pilot, the 23-year-old has had a busy 12 months since winning the title in January. The Arkansas native has spent months traveling the country inspiring women and advocating for military careers while pursuing her Master’s degree in public policy at Harvard University . However, in an interview this month, Madison has reaffirmed her heart is in the Air Force. Speaking about her early dream to be an astronaut, it was the positive influence of the Air Force that eventually enamored her to the military branch. (Miriam Thurber/USAF via SWNS) Madison said: "The thing that started it all was actually space camp. And I got to see the stars for the very first time, like without any light pollution and started talking to these people about space camp ended up going. "When I met these astronauts, I had heard so much about the military and how almost all of them were retired military fighter pilots, test pilots and I knew that was something that I wanted to do. "You know, my goals have kind of changed over the past couple of years because my entire path in entering the military started because I wanted to be an astronaut, and now I no longer want to be an astronaut. "So it always left me with the question of why am I staying? Because if that dream has changed, what am I here for? And ultimately, it was because of the people that I've gotten to have. "People are the most important thing in my entire life. And the fact that the Air Force, wherever I've gone, I have found family and friends and people that are going to take care of me. 2nd Lt. Madison Marsh, crowned Miss America 2024, poses at the Daytona International Speedway in Daytona Beach, Florida. (Miriam Thurber/USAF via SWNS) "And to be honest, I don't really feel like that in any other job or role that I've gotten to have. The Air Force and the people in it are always going to have my back. And I think that's such a beautiful thing. "When looking at a mission that is so much bigger than yourself and also having that family component of people that are always going to have your back." From a young age, Madison had a love of science and a dream to be a pilot and astronaut. Her parents encouraged her dreams, sending her to Space Camp when she was 13 years old where she met astronauts and fighter pilots. Around that time, she learned about the United States Air Force Academy. At 15 years old, she started flying lessons earning her pilot’s license two years later and then began to work towards her goal of becoming a cadet. (Miriam Thurber/USAF via SWNS) Madison was crowned Miss Colorado in May 2023, just before graduating from the United States Air Force Academy (USAFA) and commissioning as an Air Force Officer. Currently, she is in a master’s degree program at the Harvard Kennedy School through the Air Force Institute of Technology’s Civilian Institution Programs. However, Miss America still has the option to attend undergraduate pilot training once she completes her studies. Madison also honors her mother Whitney, who died from pancreatic cancer in 2018, when Madison was just 17 years old. She dedicates her time in the spotlight to raising awareness about pancreatic cancer, both through the founding of the Whitney Marsh Foundation and through supporting the PanCAN charity's initiatives.
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