Community
PRESS ROOM: New Analysis Finds Leading State-Based Marketplaces Have Performed Well
NNPA NEWSWIRE — The report examines the impact that federal and state actions have had on state-based marketplaces and the federally facilitated marketplace (FFM). Cumulative premium increases in California, Massachusetts and Washington are less than half of the increases seen in FFM states, but 2019 premium increases spiked in California and Washington compared to Massachusetts, which continued its state-based penalty.
WASHINGTON D.C. — A new report highlights the benefits of state-based exchanges, particularly in the areas of controlling premium costs and attracting new enrollment. The report, which was produced by Covered California, the Massachusetts Health Connector and the Washington Health Benefit Exchange, found that premiums in these states were less than half of what consumers saw in the 39 states that relied on the federally facilitated marketplace (FFM) between 2014 and 2019.
“The lesson is striking: Consumers are the big winners when marketplaces use all the tools of the Affordable Care Act,” said Covered California Executive Director Peter V. Lee. “The policies underway in these three states are easily transferable, and if applied to the federal marketplace, taxpayers would save billions of dollars in subsidies, and middle-class Americans would benefit from much lower premiums.”
The joint report examined how state and federal actions affected premiums and new enrollment.
State-Based Marketplaces Controlled Premium Growth
The report examined the cost of coverage by comparing the average benchmark premium in three states and the FFM between 2014 and 2019. The weighted average increase in California, Massachusetts and Washington was 39 percent, compared to the 85 percent increase in FFM states.
In addition, the report also found if the FFM states had experienced the same lower premium growth seen in the three states, the federal government could have saved roughly $35 billion in lower subsidy payments between 2014 and 2018.
While the report did not quantify the increased costs paid by unsubsidized consumers in FFM states, they would have saved substantially and been less likely to have been priced out of coverage.
State-Based Marketplaces Performed Better at Enrolling New Consumers
The report also examined the impact on new enrollment of recent federal decisions on marketing and outreach and the elimination of the individual mandate penalty.
Figure 1: Average Benchmark Premium Growth by Percentage Compared to 2014
Source: Kaiser Family Foundation. Estimate of cost savings use benchmark premium data. FFM includes SBM-FP states.
During the final days of open enrollment for the 2017 plan year, the federal administration began a series of cuts to marketing and outreach on behalf of FFM states. These cuts have been deepened and maintained, resulting in a significant reduction in new enrollment in states served by the federal marketplace. The decrease in new enrollment likely means a less-healthy consumer pool, which would lead to the larger premium increases seen above.
From 2016 to 2018, the 39 FFM states saw the number of new enrollees drop from 4 million to 2.5 million, a decrease of 40 percent. By contrast, new enrollment in California, Massachusetts and Washington — states that control their own marketing and outreach — remained relatively stable (see Figure 2: New Enrollment Growth by Marketplace, Comparing 2016 to 2018).
“State-based marketplaces know that health insurance is a product that needs to be actively sold to consumers, and getting the word out is a proven way to promote enrollment,” said Pam MacEwan, chief executive officer of the Washington Health Benefit Exchange. “Enrolling more people means a healthier risk pool, which lowers premiums and saves money for everyone in the individual market.”
Figure 2: New Enrollment Growth by Marketplace, Comparing 2016 to 2018
Clear Indication of the Critical Role of the Individual Mandate Penalty in Promoting Enrollment
The open-enrollment period that just concluded for the 2019 coverage year marked the first time the marketplaces would operate without a federal individual mandate penalty, which was zeroed out through the Tax Cuts and Jobs Act of 2017 and signed into law by the president. During the most recent open-enrollment period, new enrollment in FFM states dropped an additional 16 percent — on top of the already large drop of 40 percent in the prior two years. California and Washington also experienced steep declines in the number of new enrollees signing up for coverage. However, Massachusetts — which kept a state-level mandate penalty — saw new enrollment increase by 31 percent (see Figure 3: New Enrollment Growth by Marketplace, Comparing 2018 to 2019).
Figure 3: New Enrollment Growth by Marketplace, Comparing 2018 to 2019
“The individual mandate in Massachusetts has proven to be an effective part of our effort to provide access to affordable coverage to everyone,” said Louis Gutierrez, executive director of the Massachusetts Health Connector. “Our experience shows that a mandate that provides incentive to participate, while also delivering important protections and benefits to consumers, plays a vital role not only in people getting covered, but also staying covered.”
Other marketplaces have also instituted a penalty, such as New Jersey and the District of Columbia. While critics may point to lower new enrollment in New Jersey as proof that a penalty is not effective, Lee says that is not the case. “The penalty works, and to solely highlight New Jersey — which had a penalty in place, but also had its marketing and outreach efforts undercut — is not a reasonable comparison.”
“While Washington kept premium increases in the early years of the Affordable Care Act to low single digits, the past three years have seen big increases due to federal policy changes that continue to bring uncertainty to the market, including the zeroing of the individual mandate penalty,” said MacEwan. “In particular, 2019 saw an almost 14 percent premium increase. These premium increases are having a large negative impact on the many Washington consumers who do not benefit from a subsidy.”
The release of the report comes on the same day that leaders of the California and Massachusetts marketplaces appeared before the Health Subcommittee of the U.S.
House Committee on Energy and Commerce. View the hearing on “Strengthening Our Health Care System: Legislation to Lower Consumer Costs and Expand Access.”
Read the testimonies of representatives from California and Massachusetts at the committee hearing.
About Covered California
Covered California is the state’s health insurance marketplace, where Californians can find affordable, high-quality insurance from top insurance companies. Covered California is the only place where individuals who qualify can get financial assistance on a sliding scale to reduce premium costs. Consumers can then compare health insurance plans and choose the plan that works best for their health needs and budget. Depending on their income, some consumers may qualify for the low-cost or no-cost Medi-Cal program.
Covered California is an independent part of the state government whose job is to make the health insurance marketplace work for California’s consumers. It is overseen by a five-member board appointed by the governor and the Legislature. For more information about Covered California, please visit www.CoveredCA.com.
Covered California can be contacted at [email protected] or (916) 206-7777.
About the Massachusetts Health Connector
The Massachusetts Health Connector is the Commonwealth’s health insurance exchange, and currently provides health or dental insurance to more than 300,000 people. Individuals and small businesses can search for and purchase high-quality, commercial coverage, while reaping the health and financial benefits of being covered. Individuals and small businesses can find health insurance options at www.MAhealthconnector.com.
For information on the Massachusetts Health Connector, contact Jason Lefferts, director of Communications and Media Relations, at (617) 933-3141.
About the Washington Health Benefit Exchange
The Washington Health Benefit Exchange, or Washington Healthplanfinder, is an online marketplace for individuals and families in Washington to compare and enroll in health insurance coverage and gain access to tax credits, reduced cost-sharing and public programs such as Medicaid. The next open-enrollment period in Washington begins on Nov. 1.
The Washington Health Benefit Exchange can be reached at [email protected].
Black Press
OP-ED: How Does Your State Rank for Pre-K?
BLACKPRESSUSA NEWSWIRE — “Other states should take note: Georgia proves that state-funded preschool with well-qualified teachers, pay parity with K-12, small classes, and strong continuous improvement systems can be scaled as a universal program,” said NIEER director Steve Barnett. “With new initiatives to support quality, Georgia can expect increased enrollment, but leaders should also actively promote increased enrollment.”
Georgia’s state-funded pre-k program for 4-year-olds was recently recognized as the largest state-funded preschool program in the nation to meet all 10 quality benchmarks, and the first universal program to do so. Georgia’s recognition is the top finding in the National Institute for Early Education Research’s new 2025 State of Preschool Yearbook. The yearbook provides an annual snapshot of state-funded preschool across the country. Forty-four states and the District of Columbia fund preschool programs.
Only five additional states meet all 10 of NIEER’s research-based benchmarks for quality —Alabama, Hawaii, Michigan, Mississippi, and Rhode Island—in this year’s report. None of those programs have the reach of Georgia Pre-K. NIEER’s benchmarks measure essential preschool quality indicators, including teacher qualifications, class sizes, early learning standards, and program assessments.
“Other states should take note: Georgia proves that state-funded preschool with well-qualified teachers, pay parity with K-12, small classes, and strong continuous improvement systems can be scaled as a universal program,” said NIEER director Steve Barnett. “With new initiatives to support quality, Georgia can expect increased enrollment, but leaders should also actively promote increased enrollment.”
Nationally, state support for preschool education hit record highs in enrollment and funding in 2024-2025. The pace of growth slowed, however, compared to the prior year, and many states continue to lag behind pre-pandemic enrollment levels. Preschool enrollment increased by 44,000 children nationally, reaching almost 1.8 million, including 37% of U.S. four-year-olds and 9% of three-year-olds. California, Colorado, Michigan, Minnesota, and Missouri contributed the most to increased enrollment, adding more than 52,000 new seats.
States spent nearly $14.4 billion on preschool in 2024-2025. Including federal and local dollars, total spending was almost $17.7 billion. Three states each spent more than $1 billion last year: California ($4.1 billion), New Jersey ($1.2 billion), and New York ($1 billion). Together, these three states account for 45% of all state preschool spending. Texas adds almost another $1 billion.
Spending increased by $434 million, or 3%, adjusted for inflation. Twenty-eight states increased preschool funding, including Michigan and New Jersey, which each added more than $100 million. “Not only does preschool access vary by which state a child happens to live in, but so does the quality of that preschool experience,” said Allison Friedman-Krauss, lead author of the report. “Only high-quality early care and education programs support children’s development enough to result in lasting academic and other gains that ultimately deliver savings for taxpayers.”
A record six states met all 10 of NIEER’s recommended quality standards, with Alabama doing so for the 20th consecutive year. Georgia joined this list this year after improving its teacher-to-child ratio from 1:11 to 1:10 and lowering maximum class sizes to 20. Several states met 9 of 10 benchmarks, including New Mexico, which is working toward universal access for both three- and four-year-olds. Once New Mexico requires all lead teachers to have a bachelor’s degree in early childhood education, it will be on par with Georgia in terms of both quality and quantity.
Not all states moved forward. Twenty states enrolled fewer preschoolers in 2024-2025 than the prior year, with enrollment dropping by more than 1,000 children in Arizona, Florida, New York, Ohio, Oklahoma, and Wisconsin. Seventeen states spent less on preschool than the prior year, adjusted for inflation, with Arizona, North Carolina, Oregon, and Texas seeing the largest percentage declines. Additional information about the State of Preschool Yearbook, including individual state profiles and maps, graphs, and state rankings, can be found at www.nieer.org.
Black Press
Port of Oakland, Army Corps Sign Historic Harbor Design Agreement
OAKLAND POST — Oakland Port Commission President Stephanie Dominguez Walton called the agreement a historic milestone that will support thousands of jobs. “Today marks a historic occasion for the Port as we sign the inaugural Design Agreement for the Turning Basin Widening Project, which will keep Oakland competitive,” said Walton.
A $642 million project designed to accommodate larger cargo ships and strengthen the Port of Oakland’s position as a major Pacific trade gateway moved a significant step closer to construction on Aug. 27.
The U.S. Army Corps of Engineers (USACE) San Francisco District and the Port of Oakland commemorated the signing of the inaugural Design Agreement for the Oakland Harbor Turning Basins Widening Projectduring a ceremony aboard the USS Potomac, the presidential yacht once used by President Franklin D. Roosevelt.
The project will widen the Port’s Inner and Outer Harbor turning basins, allowing today’s increasingly larger and longer vessels more space to safely maneuver and turn around. The current basins are narrow, creating delays and operational inefficiencies.
Oakland Port Commission President Stephanie Dominguez Walton called the agreement a historic milestone that will support thousands of jobs.
“Today marks a historic occasion for the Port as we sign the inaugural Design Agreement for the Turning Basin Widening Project, which will keep Oakland competitive,” said Walton.
The agreement advances the project into its preconstruction engineering and design phase following years of planning and collaboration.
Lt. Col. Virginia Brickner, commander of the USACE San Francisco District, said the signing represented tangible progress toward construction.
“We are moving forward. We are showing progress,” Brickner said.
Major General Jason Kelly, USACE Deputy Commanding General for Civil and Emergency Operations, said dredging is critical for maritime dominance, supply chains, and economic competitiveness.
“Dredging sustains our national economic infrastructure,” he said. “The future demands more, the taxpayer deserves more, and together we’re going to deliver.”
For U.S. Representative Congresswoman Lateefah Simon (D-CA-12), the Port project will support jobs beyond its completion. “This will impact workers and businesses, and every shipping container represents multiple jobs.”
Oakland Mayor Barbara Lee described Oakland as a gateway to international markets and spoke on earlier efforts to deepen Oakland’s shipping channel to 50 feet. While serving in the California Legislature, Lee helped bring together labor, business, environmental advocates and Port officials to resolve disputes surrounding dredging and environmental protections.
“We want the Port to remain competitive economically,” Lee said, excited about both protecting the environment and generating sustainable jobs in the region. “We want to make sure that we create good-paying union jobs, and that the Port continues to not just survive, but thrive.”
Port of Oakland Executive Director Kristi McKenney said economic growth is dependent on investments in the Oakland Harbor’s infrastructure.
“This investment and staying competitive will fuel our economy for years to come,” said McKenney.
The Port of Oakland, with its partners, supports more than 98,000 regional jobs and $174 billion in annual economic activity. The Port oversees the Oakland Seaport, the Oakland San Francisco Bay Airport (OAK), and nearly 20 miles of waterfront, including Jack London Square.
Black Press
Democratic Clubs Interview Candidates for Oakland School Board
OAKLAND POST — For the first time, the interviews were jointly sponsored by the John George Democratic Club, Wellstone Democratic Renewal Club, Oakland East Bay Democratic Club, Black Women Organized for Political Action (BWOPA), Niagara Democratic Club, Block by Block Organizing Network and Oakland African American Chamber of Commerce.
Local Democratic clubs and community organizations interviewed candidates running for Oakland school board in the November elections, including incumbents Jennifer Brouhard in District 2, Mike Hutchinson in District 4 and Valarie Bachelor in District 6.
For the first time, the interviews were jointly sponsored by the John George Democratic Club, Wellstone Democratic Renewal Club, Oakland East Bay Democratic Club, Black Women Organized for Political Action (BWOPA), Niagara Democratic Club, Block by Block Organizing Network and Oakland African American Chamber of Commerce.
The Democratic clubs interviewed only registered Democrats.
John George and Wellstone endorsed Brouhard and Bachelor. Neither endorsed Hutchinson.
In District 4, Wellstone ranked Sylvia Pfeiffer Williams first and Kathryn Camp second. John George ranked Camp first and Williams second.
Hutchinson, an Oakland native and Oakland public schools graduate, highlighted his record.
“I was in board leadership and chaired the Budget and Finance Committee,” he said. “We passed balanced budgets and paid off the state loan early, which allowed us to finally leave state receivership after 22 years.”
Hutchinson said the district faces a financial crisis requiring changes in board leadership and district policies.
“We need a different majority so we can get back on track, end school closures, and manage our resources better,” he said.
Williams taught adult education in Oakland for 18 years.
Williams said her philosophy “comes from the disability justice world, to center the needs of the most vulnerable. When we center the needs of the most vulnerable, we create environments, systems, and learning experiences in which everyone can thrive.”
Williams framed potential school closures as an equity issue.
“Are we thinking about closing schools up in the hills?” she asked. “Or are we thinking about closing schools where communities are in crisis right now?”
Camp, a Bay Area native and Oakland resident of 25 years, has a son in second grade.
“Our kids are only getting one shot at a great education, and I’m running to bring pragmatic, student-centered leadership that restores trust, builds responsibility, and delivers results for every child,” she said.
On her website, Camp pledged accountability and transparency. “As a proud OUSD parent, I know our schools need more than promises – they need fiscal responsibility, equity, and meaningful action guided by long-term strategy,” she said.
“That means protecting classrooms, supporting teachers, using resources wisely, and making decisions that reflect clear priorities and real accountability,” said Camp. “It also means bringing people together and providing the kind of steady leadership that can navigate complex systems, ask hard questions, and stay grounded in what matters most: student outcomes, thriving schools, and a district that works for the communities it serves.”
Wellstone’s Education Committee said it opposed Hutchinson because he frequently challenged the board majority and superintendent.
“He also claims that the teachers’ contract is illegal that a grand jury should be called. He is not endorsed by the teachers’ union; he has been disruptive and non-collaborative at meetings,” and he has been absent 26% of the time, the committee said.
“He claims that the teachers’ contract is illegal and that a grand jury should be called,” the committee said. “He takes individual credit for accomplishments, including paying the state loan, when in fact these changes came from the work of the entire board, or were the result of following through on policy.”
Next week: District 6 school board candidates.
Black History
Nuna Phillips-McKee Celebrates 100 Years: ‘A Century of Faith, Family and God’s Amazing Grace!’
OAKLAND POST — Nuna’s life has been one of Christian service. A longtime member of Wings of Love Maranatha Ministries, now Incredible Church, she serves as director of Community Services and is actively involved in the church’s Food Ministries.
Nuna Phillips-McKee will reach an extraordinary milestone on Sept. 24 —her 100th
birthday, marking a century filled with faith, family, service, laughter and the amazing grace of God.
Born Sept. 14, 1926, in Oakland, Nuna has witnessed a world of change during her lifetime, yet the values that have guided her remain constant: a deep faith in God, devotion to family, a strong work ethic and a heart for serving others.
She enjoyed a distinguished career as a civil servant for more than 40 years, demonstrating the dedication, dependability and strength that have characterized so much of her life.
Nuna’s life has been one of Christian service. A longtime member of Wings of Love Maranatha Ministries, now Incredible Church, she serves as director of Community Services and is actively involved in the church’s Food Ministries.
Through the years, she has continued to help meet the needs of others—not merely with food, but with kindness, compassion and a genuine desire to serve. Her ministry reflects a simple principle by which she lives: when God blesses you, you bless others.
Nuna is the proud mother of one son, whose memory she carries in her heart, and the beloved grandmother of three grandchildren, as well as six great-grandchildren and one great-great-grandchild.
At 100, she has the rare blessing of seeing several generations of her family carrying forward a legacy that began long ago.
She remains the loving, intelligent, witty, and, when the occasion calls for it, delightfully sassy Nuna that her family and friends know so well. Her contagious laugh, quick wit and youthful spirit have endeared her to generations of relatives, church members and friends.
Nuna was born into the large and loving Phillips family of seven sisters and one brother, with bonds that formed in childhood and have remained precious throughout the decades. Their shared love, faith, and family traditions have continued to be a source of joy, strength and countless treasured memories.
As family and friends gather for this special occasion, they will celebrate far more than a number. They will celebrate 100 years of prayers prayed and answered; 100 years of lessons learned and wisdom shared; 100 years of family, faith, laughter and love; 100 years of serving God and serving others.
Most of all, they will celebrate a life that stands as a testimony to God’s faithfulness through every season.
Nuna’s century-long journey can be summed up in the words chosen to commemorate this remarkable occasion: “100 years of God’s amazing grace.”
Black Press
D.A. Ursula Jones Dickson: Terminix to Pay $3.15 Million Over Illegal Disposal of Pesticides, Customer Records
OAKLAND POST — District attorney investigators examining Terminix facilities throughout California between 2021 and 2024 found hundreds of pesticides and other hazardous-waste items that had allegedly been disposed of unlawfully, according to Jones Dickson’s office.
Alameda County District Attorney Ursula Jones Dickson announced a $3.15 million settlement with Terminix International Inc. and Rentokil North America Inc. over allegations that the pest control companies illegally disposed of pesticides and hazardous waste and mishandled confidential customer records.
The settlement was reached by Jones Dickson, 28 other California district attorneys and the Los Angeles city attorney. The companies are collectively identified as Terminix in the settlement.
District attorney investigators examining Terminix facilities throughout California between 2021 and 2024 found hundreds of pesticides and other hazardous-waste items that had allegedly been disposed of unlawfully, according to Jones Dickson’s office.
The investigation also found instances in which Terminix allegedly failed to properly manage and dispose of private customer records, violating California laws intended to protect confidential consumer information.
Terminix cooperated with prosecutors after being notified of the alleged violations, the district attorney’s office said. As part of the settlement, the company agreed to strengthen its policies and procedures governing the handling and disposal of pesticides, hazardous materials and customer records.
The new requirements are intended to prevent prohibited waste from being placed in ordinary trash receptacles or sent to facilities not authorized to receive it. Terminix must also improve safeguards for confidential customer information before records are discarded.
Terminix operates five Alameda County locations under the Terminix and Western Exterminator Company names. The facilities are located in Hayward, Pleasanton and Union City.
Alameda County will receive $160,000 from the statewide settlement for civil penalties and reimbursement of investigative costs.
The agreement resolves the prosecutors’ claims against the companies and requires Terminix to maintain stronger waste-management and privacy protections at its California operations.
Jones Dickson announced the settlement Sept. 4.
Black Press
REPORT: Community Level Policy Is Impacting Homelessness and Drug Abuse in California
OAKLAND POST — The report compiled by the Public Policy Institute of California found that counties that added more permanent housing beds per capita saw larger decreases in homelessness, while areas with larger declines in incarceration following Proposition 47 saw greater increases in homelessness.
Local housing capacity, behavioral health services and criminal justice policies are playing a role in California’s homelessness and drug crises, according to a new report examining how policy decisions have affected outcomes across the state.
The report compiled by the Public Policy Institute of California found that counties that added more permanent housing beds per capita saw larger decreases in homelessness, while areas with larger declines in incarceration following Proposition 47 saw greater increases in homelessness.
“Places that saw larger increases in permanent housing beds per capita saw larger decreases in the homelessness rate,” researchers Magnus Lofstrom, Shannon McConville, and Sean Cremin stated in the report.
California’s homelessness rate has increased more than 60% since 2014, with unsheltered homelessness driving most of the growth. The state had the sixth-highest overall homelessness rate and the second-highest unsheltered homelessness rate among states in 2025.
Researchers found that counties with higher rents tended to have higher homelessness rates. But they did not find a statistically significant relationship between changes in homelessness and changes in local housing markets, poverty or unemployment.
The report also examined Proposition 47, the 2014 ballot measure that reclassified some drug and property offenses from felonies to misdemeanors. Researchers estimate that the law contributed to a roughly 10% increase in California’s unsheltered homelessness rate, equivalent to about 7,000 additional people experiencing unsheltered homelessness between 2015 and 2019.
The researchers also estimated that Prop. 47 was associated with a 7% to 8% increase in serious drug use, measured through overdose deaths, hospitalizations and emergency department visits. Drug treatment admissions fell by roughly 20%, largely because of fewer referrals from courts and criminal justice agencies.
“Our findings suggest that Prop 47 likely did contribute to rising rates of homelessness and drug overdoses, as well as declines in drug treatment,” the researchers stated.
The report cautions that the relationship between homelessness, drug use and criminal justice policy is complex. Researchers found no consistent evidence that California’s 2011 public safety realignment or pandemic-era reductions in incarceration affected homelessness or drug use.
They also emphasized the role of the criminal justice system in connecting vulnerable people with services.
“Jails and prisons serve as sources of shelter for people experiencing or at risk of homelessness,” the researchers stated in the report. They added that courts and criminal justice agencies can help connect people with the drug treatment they need.
California has made major investments in housing and behavioral health services in recent years. The researchers said state and local agencies should continue evaluating whether those investments are reaching people most at risk and whether newer policies, including Proposition 36, are effectively connecting people with treatment.
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