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Inside this issue
  Price fixing bill moves forward  
  A high profile bill pushed by unions to lower health care prices moved passed its first committee over the substantial opposition from the health care provider community. AB 3087 by Assembly Member Ash Kalra would allow regulators to determine the cost of most medical services covered by health insurance companies. COA has joined a coalition of provider groups opposed to this bill because it will dramatically reduce payments to hospitals and potentially harm the safety net. Click here to send a letter in opposition to AB 3087.  

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  COA asks AG to take enforcement action against Opternative, Inc and 1-800-CONTACTS  
  Today, COA sent a letter to California's Attorney General asking for prompt enforcement action against Opternative, Inc and 1-800-CONTACTS for violating federal law. The FDA's October warning letter to Opternative states, among other things: "The United States Food and Drug Administration (FDA) has learned that your firm is marketing the On-Line Opternative Eye Examination Mobile Medical App device in the United States without marketing clearance or approval."  

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  Ed Hernandez for Lt. Governor  
  Don't forget to ask your patients to vote for Ed Hernandez for Lt. Governor! Vote-by-mail ballots start going out this week. In Madera, Napa, Nevada, Sacramento, San Mateo counties, all registered voters will receive a ballot in the mail, which can be returned by mail or dropped off at voter centers or at the county registrar.  

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  California Supreme Court ruling on independent contractors  
  The California Supreme Court issued a ruling on Monday that makes it more difficult for companies to label workers as independent contractors rather than employees.
 
The court abandoned the existing test for deciding a worker's employee status, which included factors like whether a person could be fired without cause and amount of supervision. Now, workers are considered employees if their job is considered to be the "usual course" of the business operations. In addition, a company must show that it does not control and direct the worker, and that the worker is truly an independent business operator, not just classified that way unilaterally.
 
Optometrists who have independent contractors working for them may want to seek legal guidance. COA members are eligible for up to ½ hour of legal services every month. For more information on this membership benefit, visit the COA website.
 

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  What we're clicking on  
  New Opternative strategy

Wired discusses the trend of startups building voice assistants to help doctors document.

Accelerating the adoption of digital health tech


Why the US is the only large rich country without universal health care
 

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