Proposition 34: Prescription Drug Spending (But Also ... Rent Control?)
Oct 2, 2024
auto_awesome
Aaron Schrank, a reporter from KCRW in Los Angeles, delves into the complexities of Proposition 34, which influences how federal drug pricing revenues are allocated. He highlights its unexpected ties to the rent control debate, showcasing how landlord groups are heavily financing this initiative. The conversation also covers the implications for the AIDS Healthcare Foundation and the Medi-Cal RX program, raising concerns about the interplay of healthcare funding and housing politics. Schrank reveals the contrasting motivations between health advocates and real estate interests.
Proposition 34 mandates that 98% of revenues from the federal 340B Drug Pricing Program be allocated to direct patient care services.
The initiative represents a complex intersection of healthcare reform and housing policy, particularly highlighting conflicts around rent control in California.
Deep dives
Overview of Proposition 34
Proposition 34 aims to impose restrictions on how certain healthcare providers utilize revenues earned from the federal 340B Drug Pricing Program. This proposition emphasizes that 98% of said revenues must be spent on direct patient care, focusing on services like medical and dental care. The measure appears directed at limiting the political spending of the AIDS Healthcare Foundation (AHF), which has been a prominent entity in the broader conversation around rent control in California. The proposition also seeks to legally establish parameters around the discretion healthcare providers currently have regarding these funds.
The Role of 340B Drug Pricing Program
The 340B Drug Pricing Program was created to allow healthcare providers serving low-income patients to purchase drugs at significantly reduced prices, thereby generating revenue that can support additional patient care services. However, there are no explicit legal guidelines on how these funds should be spent, leading to concerns about potential misuse. Supporters of Proposition 34 argue that establishing requirements for the use of these revenues will bring much-needed transparency and accountability. This initiative is framed as an effort to connect healthcare spending more directly to patient care rather than political activities or unrelated expenditures.
The Political Landscape Surrounding Prop 34
The support and opposition for Proposition 34 reflect a conflict in California's housing and healthcare politics, with the California Apartment Association backing the measure against the AHF. Funded by significant investments from major rental property owners, the Yes on 34 campaign frames itself as a pro-patient initiative, emphasizing the need for reform in how healthcare dollars are spent. Conversely, the AHF argues the proposition is a targeted attack intended to undermine its support for tenant rights and rent control measures. The intertwined nature of healthcare funding and housing policy makes this proposition a pivotal decision for voters, who must consider its implications beyond immediate healthcare concerns.
Today, we take a closer look at Prop 34, which takes aim at how revenues earned through a federal drug pricing program are spent by a very specific number of providers. On the surface it seems like a healthcare prop, but underneath it all is a proxy war over rent control. Reporter Aaron Schrank, who has been covering Prop 34 for NPR member station KCRW in Los Angeles, helps us understand what’s at stake.
This story was reported by Aaron Schrank. Bay Curious is made by Olivia Allen-Price, Amanda Font, Christopher Beale, and Ana De Almeida Amaral. The Bay is made by Alan Montecillo, Ericka Cruz Guevarra and Jessica Kariisa. Additional support from Jen Chien, Katie Sprenger, Maha Sanad, Holly Kernan, and the whole KQED family.
Get the Snipd podcast app
Unlock the knowledge in podcasts with the podcast player of the future.
AI-powered podcast player
Listen to all your favourite podcasts with AI-powered features
Discover highlights
Listen to the best highlights from the podcasts you love and dive into the full episode
Save any moment
Hear something you like? Tap your headphones to save it with AI-generated key takeaways
Share & Export
Send highlights to Twitter, WhatsApp or export them to Notion, Readwise & more
AI-powered podcast player
Listen to all your favourite podcasts with AI-powered features
Discover highlights
Listen to the best highlights from the podcasts you love and dive into the full episode