Arizona’s Air Pollution Health Crisis

Free In-person Morning Scoop at Alexi’s Grill (3350 North Central Avenue #120, Phoenix AZ)

REGISTER FOR IN-PERSON EVENT OR VIEW YOUTUBE PRESENTATION

In this Morning Scoop, we’ll discuss Phoenix’s ranking as one of the most polluted cities in the U.S. for ozone and particulate pollution and how it disproportionately affects communities of color. Moving to clean energy practices and policies has been seen as a vital way to reduce air pollution and improve lung health in the process.

  • Dr. Reginald Bolding, Founder of Arizona Coalition for Change & Former House Minority Leader
  • JoAnna Strother, Senior Director, American Lung Association
  • Will Humble, MPH, Executive Director, Arizona Public Health Association
  • Aaron Lieberman, Founder and CEO, Buzze

AZ Corporation Commission Considering whether to Drastically Cut Compensation for APS Rooftop Solar Customers Generators

Some members of the Arizona Corporation Commission want to change how solar owners are compensated for their extra power. Any changes would be bad news for rooftop solar.

The ACC plans to vote on whether or not to consider changes at their upcoming meeting on October 11 and 12. Solar Neighbors United is hosting an action webinar next Wednesday, October 4, to rally solar supporters to make our voices heard at the ACC.

At the webinar, the SUN team and our partners in Arizona will: Explain what’s at stake; Walk you through how to participate in the ACC’s process; and Answer questions.

Webinar: Stop the attack on solar Wednesday, October 4 6 p.m. Register for the webinar

If the ACC moves forward with reevaluating solar export rates at their upcoming meeting, the future of rooftop solar in Arizona will be at risk. The ACC could slash export rates for solar. They could roll back the protections that give homeowners the confidence they need to invest in solar. Arizona’s growing solar industry would suffer.

See AZPHA Blog: Rooftop Solar Barely Survives Drastic Cut to Energy Buyback Rates (for now)

Hobbs Does End Around the Senate

After the shenanigans a couple of weeks ago at the “Director’s Nominations” Committee it became crystal clear that Governor Hobbs nominees to lead state agencies won’t be getting a fair shake from the Committee or the Senate. We posted a blog recently arguing that the Governor should use loopholes in the statute to get her nominees onto more stable ground.

Last week the governor did just that. In fact, she basically implemented Option 3 from our playbook: Time to Play Hardball with Agency Director Nominations? Here’s a Playbook

The statutes about senate confirmation requirements are sufficiently vague and supply loopholes that could give Team Hobbs stability and governance options in the absence of Senate feasance.

The statutes about senate confirmation requirements are sufficiently vague and provide loopholes that gave Team Hobbs options to provide stability and governance options. See: 38-211 – Nominations by governor; consent of senate; appointment 

Governor Hobbs’ letter to Senate President Petersen outlined her arguments for why the move was necessary: Governor Hobbs Letter to Senate President Petersen & Governor Katie Hobbs Pulls Nominees from Partisan Political Circus Created by Extremist Jake Hoffman

Here’s what went down: Hobbs first withdrew the nominations of all the agency directors that she had previously sent to the Senate. She then appointed a guy named Ben Henderson as the Interim Director for each of the agencies. Mr. Henderson proceeded to name the person who had previously been nominated to be director to the title of Executive Deputy Director.

For example, Karen Peters – who had been the ADEQ Director – is now the “Executive Deputy Director”. From what I understand, Ben Henderson is still technically the Director, but everyone knows it’s really Karen Peters.

There’s no change for now for those agencies in which the Director’s choice had not been formally sent to the Senate. For example, Hobbs tweeted that she is naming Jennifer Cunico to be the ADHS Director, however she never actually sent her name to the Senate for confirmation. As such, her title is unchanged – and she is still the “Acting Director” according to the Org Chart: AZDHS Org Chart

Editorial Notes: The next part of this story will likely be told by the Office of Administrative Hearings & Judicial branch. One possible scenario could play out like this: Let’s say ADEQ denies an aquifer protection permit to an applicant in the near future. That applicant may grieve the decision and challenge it in the Office of Administrative Hearings.

The OAH Judge’s Order would then go back to the Agency for a final decision. If still denied, the applicant may appeal the ruling to the court system, arguing that an agency director isn’t in place as required by law. The judge would then need to sort out whether that agency administrative decision was valid or not.

Sen. Jake Hoffman scolds a Hobbs’ nominee for plagiarism. No, really

Arizona Senate panel rejects Gov. Katie Hobbs’ housing director

Senate committee doesn’t ‘vet’ nominees. It sabotages them

NAU’s New Medical School Plan is Right on the Money

Several months ago, the AZ Board of Regents and the three presidents of the state universities got together and committed to put together plans to alleviate the current and future healthcare workforce shortage. The most acute need is and will continue to be the shortage of primary care practitioners.

2022 Arizona Medically Underserved Areas Report

Primary Care Needs Assessment Report

They named the initiative the AZ Heathy Tomorrow plan, and the stated aims are to increase investment by each of our state’s public universities (both through partnerships with the private sector and state & federal government) to meet the longer-term healthcare needs of Arizona.

Arizona is currently short 667 primary care providers. That’s expected to grow to 2000 in the next few years without intervention.

The UArizona announced their part of the plan a few months ago- which focuses on doubling the number of medical school graduates and expanding its partnership with Banner Health to create a fully integrated academic medical center. UArizona’s plan also plans to use telemedicine and its rural health.

A couple of months ago ASU outlined their plan, which envisions a new medical school that will “… integrate clinical medicine, biomedical science and engineering”, growing its partnership with the Mayo Clinic, and expanding the nursing workforce. That plan seemed to focus more on high-end specialty medicine rather than the more acute needs – the shortage of primary care practitioners. Sadly, ASU’s plan didn’t mention anything about increasing the number of residency positions – which is the actual key to getting more workforce in the state.

See: What’s the Solution to AZ’s Doctor Shortage? More Medical Students or More Residencies?

The bottleneck in getting more physicians practicing in the field in AZ isn’t the number of medical school students in the pipeline…  it’s mostly the number of residency slots that are available in AZ & geographic and specialty distribution of those residencies.

NAU’s Plan is Right on the Money

Thankfully, NAU hit the mark this week with exactly the right kind of plan, called NAU Health. It’s the only one of the 3 AZ Healthy Tomorrow plans that aims to improving health outcomes in rural, Indigenous, and underserved communities- and is the only one that squarely focuses on primary care. It’s also the only plan that highlights the need to build new community-based residency programs – which is the actual key to building the workforce.

NAU’s College of Medicine will also be intentionally designed to “… create accelerated pathways and affordable options for Arizona residents seeking an MD that will enable them to practice in-state while accruing minimal debt”.

NAU envisions a tuition coverage program like the Arizona Teachers Academy where graduates who stay to practice in Arizona after graduation will have educational costs fully covered. The also intend to build a curriculum that includes cultural competency and “… integrates behavioral health perspectives to improve outcomes for patients and their communities”.

That’s super important because the more debt a student leaves medical school with the more they are incentivized to go into a specialty (specialists and proceduralists get paid a lot more than primary care practitioners).

They’ll also have a “Pathways to Practice” system – an accelerated by 3-year medical education program.  The NAU College of Medicine will emphasize teaching and practice as opposed to a more highly specialized research model often employed by medical schools.

NAU launches College of Medicine to address Arizona’s critical shortage of primary care physicians

Kudos to NAU for their thoughtful plan. It’s right on the money because it:

  1. focuses on primary care;
  2. is designed to lower the debt load of graduates (so they can afford to practice family medicine);
  3. recognizes that residency and preceptor development is a key to getting graduates to practice in AZ;
  4. is teaching rather than research-based; and
  5. will include cultural competency and will integrate behavioral health perspectives into the curriculum.
Well Done Team NAU!

See NAU’s Plan: NAU Health | Office of the President

NAU plans to build new medical school | 12news.com

Northern Arizona University announces plans to create medical school

White House Establishes Office of Gun Violence Prevention

White House Establishes Office of Gun Violence Prevention

President Biden also established a new Office of Gun Violence Prevention to be run out of the White House. The new office will focus on implementing executive and legislative action, including the Bipartisan Safer Communities Act.

Stefanie Feldman, a longtime policy advisor to President Biden on gun violence prevention, will serve as Director of the Office of Gun Violence Prevention, alongside leading gun violence prevention advocates Greg Jackson and Rob Wilcox, who will join the Administration as Deputy Directors of the Office of Gun Violence Prevention.

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AZ Capitol Times Morning Scoop: Arizona’s Air Pollution Health Crisis 10/5/23

Thursday Oct 5, 2023                   7:30 – 8:30 AM AZ Time
Two convenient ways to participate:

In-person Event at Alexi’s Grill (3350 North Central Avenue #120, Phoenix AZ)

OR

Live stream the YouTube presentation from the comfort of your home or office.

REGISTER FOR IN-PERSON EVENT OR VIEW YOUTUBE PRESENTATION
In this Morning Scoop, we’ll discuss Phoenix’s ranking as one of the most polluted cities in the U.S. for ozone and particulate pollution and how it disproportionately affects communities of color. Moving to clean energy practices and policies has been seen as a vital way to reduce air pollution and improve lung health in the process.
Panelists
Dr. Reginald Bolding, Founder of Arizona Coalition for Change & Former House Minority Leader
JoAnna Strother, Senior Director, American Lung Association
Will Humble, MPH, Executive Director, Arizona Public Health Association
Aaron Lieberman, Founder and CEO, Buzze

Vitalyst Grant Opportunities Open

Vitalyst has two core types of grants available. Their two-tiered Systems Change and Spark Grants are designed to catalyze collaborative work that transforms systems through changes to policies and practices that improve the health for our communities.

Systems Change Grants invest in efforts that positively address complex community health challenges and reduce structural and/or systemic gaps in health outcomes or opportunities.

Award Amount

  • Three-year award
  • Up to $175,000 total
  • Up to 4 awards in FY23-24

Grant Process

  • October 6th: Letter of Intent (LOI) due
  • December 11th: Invitations to submit a full proposal
  • January 19th: Full proposal due
  • February 5th-9th: Proposal Presentations
  • March 25th: Award notifications

Drafting Your LOI

Online Application Process – How to Guide: http://vitalysthealth.org/wp-content/uploads/2022/09/How-to-Submit-a-LOI-Guide-092022.pdf

AHCCCS Connect Launched to Help Members Apply for and Renew Medicaid Coverage

AHCCCS recently launched AHCCCS Connect which sends personalized program reminders and updates to Medicaid members (and applicants) to help from initial application through annual renewal.

AHCCCS Connect sends SMS texts, automated voice calls, and/or emails to members who provide valid phone numbers and/or email addresses.

To receive these communications, AHCCCS members need to provide a phone number capable of receiving text messages, and/or an email address in their Health-e-Arizona Plus (HEAplus) account at www.healthearizonaplus.gov.

New applicants will be automatically added to AHCCCS Connect when they provide an email address and/or cell phone number. SMS texts and voice calls come from 888.831.7578. 

White House Launches American Climate Corps

Last week the Biden Administration launched the American Climate Corps, a workforce training and service initiative that will ensure more young people have access to the skills-based training necessary for good-paying careers in the clean energy and climate resilience economy.

American Climate Corps Website

The American Climate Corps will offer paying jobs to 20,000 young people putting them to work conserving and restoring our lands and waters, bolstering community resilience, deploying clean energy, implementing energy efficient technologies, and advancing environmental justice.

One of the goals is to provide career paythwas and skills in the  clean energy and climate sectors after they complete their paid training program.

Sign up to learn about how you can join the American Climate Corp here: American Climate Corps | The White House

White House Launches American Climate Corps