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California Clinics Say Measures to Address Primary Care Shortage Are Not Enough



Governor Jerry Brown has already signed a couple of bills, others are awaiting action.

The California Medical Association says they are meant to put more doctors where they’re needed.  

Dr. Paul Phinney of the California Medical Association says the bills aim to keep "intact team-based, physician led care. Which basically helps to expand capacity while maintaining quality and safety.”

Governor Brown already signed a physician-supported bill to speed up the licensing of doctors wanting to practice in underserved areas.

Another directs UC Riverside Medical School to assist students in applying to programs that encourage them to serve there.

But Carmela Castellano-Garcia of the California Primary Care Association says these measures will have no significant impact.

“We are going to need much more significant efforts if we are really going to make a dent in the workforce crisis,” she says.

Castellano-Garcia says the clinics she represents serve 5 million patients, and they are already hard-pressed to find providers.

Lawmakers had made efforts to expand the roles of mid-level providers like nurse practitioners, so that more patients could get primary care in shortage areas.

But those measures stalled this year.

“If we continue to have vacancies and challenges filling physicians, it will effect our ability to see patients if we do not have the clinicians on board,” says Castellano-Garcia.

One bill on the way to the Governor’s desk would allow pharmacists to order some tests and manage medications, but only under a physician’s supervision.


Pauline Bartolone


Pauline Bartolone has been a journalist for more than 15 years, during which she was Capital Public Radio’s healthcare reporter from 2011-2015. Her work has aired frequently on National Public Radio.  Read Full Bio 

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