The Brief

It’s been more than four decades yet Rhonda Campbell’s voice still quavered as she stood before a row of television cameras recalling the day in 1981 when a repeat drunk driver killed her 12-year-old sister. She remembers her father crying as he told her what happened, still hears her mother’s scream when the coffin lid closed.

“For our family, 45 years means 45 years of missed birthdays, missed holidays and that empty chair at our table for every holiday gathering. Grief does not fade, it just becomes part of who you are,” Campbell, victim services manager for Mothers Against Drunk Driving California, said Thursday at a press conference.

Campbell joined other victim relatives, lawmakers, advocates, a police chief and a trauma surgeon on a Capitol building stage, all there to build momentum for what’s shaping up to be the biggest legislative effort to address dangerous driving in a generation.

Next to them as they spoke was a table filled with photos of people killed on California’s roads and one old pair of gym shoes belonging to Campbell’s sister.

“Behind every statistic that you will hear today, someone is loved and irreplaceable,” she said.

A bipartisan coalition of state lawmakers has so far introduced 10 bills this year as part of an unprecedented legislative package aimed at confronting California’s permissive roadway safety laws. Many of the proposals directly address issues CalMatters uncovered as part of the ongoing License to Kill series, which revealed how the state has routinely allowed dangerous drivers to stay on the road as its roadway death toll has skyrocketed.

Assemblymember Cottie Petrie-Norris, a Democrat from Irvine, called the package of bills “California’s largest and most significant anti-drunk driving and anti-DUI push in over two decades.”

“This crisis is an urgent call to action,” she said.

Her colleague on the other side of the aisle, Assemblymember Tom Lackey of Palmdale, said “it’s time.”

“We are failing, folks, and I’m so heartened by this big coalition of people. I’ve waited 12 years for this,” he said, referring to his time in the legislature after decades as a CHP officer.

Lawmakers said to expect a few more bills next week before the deadline to propose new legislation. Several Republican legislators also asked for a formal audit into DMV records and Democrats plan to propose a separate audit of how the state spends its traffic safety funds.

At Thursday’s event, lawmaker after lawmaker stepped to the podium to discuss their proposals and call on colleagues to join them in doing something about traffic deaths. They were often followed by grieving parents, there to talk about unfathomable loss.

For one father, Anatoly Varfolomeev, it was almost too much. He struggled to address the audience, at one point gripping the podium and lowering his head, overcome with emotion before gathering the strength to continue.

Varfolomeev said he’d planned to cite some of the statistics regarding motor vehicle fatalities but it was clear listening to the speakers that they were well known.

“That means that this legislative initiative is long-time overdue,” Varfolomeev said.

His daughter and her childhood friend, both 19, were killed in November 2021 by a drunk driver going more than 100 miles per hour, Varfolomeev said. The driver served just three and a half years behind bars, Varfolomeev said.

As we reported last year, vehicular manslaughter isn’t considered a violent felony in California, meaning drivers who kill can serve only a fraction of their sentence behind bars.

“So this is not a violent crime,” he said, holding up a picture of the mangled, charred remains of a car. “If this is not a violent crime what is?”

One of the bills in the package would add vehicular manslaughter to the state’s list of violent felonies.

A mom, Kellie Montalvo, was there to support the change and the rest of the bill package. Her son Benjamin Montalvo had just turned 21 and was riding his bike when a woman with prior reckless crashes ran him over and fled the scene.

The woman who killed Benjamin – “Bean Dip” as his family affectionately called him – is due to be released from prison as early as this weekend. She called on Governor Newsom to do something.

“Please come out now publicly and support these bills. You have an opportunity to lead the charge in supporting victims,” she said. “His name was ‘Bean Dip’, and he mattered.”

Together, the bills are aimed at strengthening the state’s enforcement system and keeping many reckless drivers from behind the wheel for years longer. The package would bring the state more in line with much of the country, particularly when it comes to handling drunk and drugged drivers.

California saw a more than 50% spike in DUI-related deaths over the most recent 10 years for which federal estimates were available, an increase more than twice as steep as the rest of the country. As our investigation has shown, California currently has some of the weakest DUI laws in the country.

“Safer roads are not a partisan or political issue. They are the basic responsibility we owe to every family that travels upon our roadways,” said Alex Gammelgard, past president of the California Police Chiefs Association.

Yet, even as the number of deaths on our roads soared, California leaders have previously failed to confront these issues.

Many of the bills are sure to face significant challenges in the months to come. Financial concerns, for example, have helped doom previous efforts to pass expanded use of the in-car breathalyzers known as ignition interlock devices. A proposal to bring California in line with much of the rest of the nation is back on the table as part of the current package. Increasing criminal penalties could also be a tough sell in a legislature that’s been so focused in recent years on criminal justice reforms and alternatives to incarceration.

It was a challenge some on the stage alluded to.

“I want to align myself with the idea of compassion. I think California has done a lot to try to be on the compassionate side of the justice system,” said Assemblymember Dawn Addis, a Democrat from San Luis Obispo.

“But I think, in this moment,” she added, “we have tragically failed.”

Lawmakers have a little more than a week before the deadline to introduce new legislation for the session.

The bills highlighted at Thursday’s press conference would:

Make vehicular manslaughter a violent felony and increase DUI penalties

(Introduced by Senator Bob Archuleta, a Democrat from Norwalk.)

Issue: Vehicular manslaughter isn’t considered a “violent” felony under state law, our reporting showed, allowing people convicted of the crime to serve only a fraction of their time behind bars.

Proposed changes: This bill would add vehicular manslaughter with “gross negligence” to the list of violent felonies. It would also add prison time for crashes with multiple victims and drivers with a prior felony DUI within 10 years. Finally, the bill would stiffen penalties for hit-and-run collisions where the driver had a prior DUI and expand so-called “Watson advisements” that make it easier to charge repeat DUI offenders with murder if they kill someone.

Close the DMV point loophole for drivers who get diversion after a deadly crash

(Introduced by Assemblymember Lori Wilson, a Democrat from Suisun City.)

Issue: Recent criminal justice reform laws made it easier for judges to wipe misdemeanor convictions — including vehicular manslaughter — from criminal records. In practice, that means some California drivers can get points added to their license for speeding, but not for killing someone, our reporting has shown.

Proposed change: Ensure the DMV adds points to a drivers license in vehicular manslaughter cases where a driver gets off with misdemeanor diversion instead of a criminal conviction.

Ensure deadly drivers don’t get their licenses back as soon as they get out of prison

(Wilson plans to introduce.)

Issue: License suspensions or revocations often start at the time of a conviction and can actually end before someone is released from prison.

Proposed change: Require license suspensions and revocations to start when a driver is released from incarceration as opposed to at the time of a conviction, potentially keeping licenses away from dangerous drivers for years longer than the current law.

Increase DMV points for fatal crashes 

(Introduced by Assemblymembers Tom Lackey, a Republican from Palmdale, and Cottie Petrie-Norris, a Democrat from Irvine.)

Issue: California drivers currently get the same number of points added to their license for killing someone as they do for non-injury DUIs and hit-and-run collisions.

Proposed change: Increase the number of points a vehicular manslaughter conviction adds to a driver’s license from the current two points to three.

Allow prosecutors to charge DUIs as a felony on second offense 

(Introduced by Lackey)

Issue: It currently takes four DUIs within 10 years to be charged with a felony in California. Many other states allow prosecutors to charge a felony after two or three offenses.

Proposed change: This would allow prosecutors to charge a second DUI offense within 10 years as a felony.

Allow prosecutors to charge DUIs as a felony after third offense, increase repeat DUI penalties

(Introduced by Assemblymember Nick Schultz, a Democrat from Burbank)

Issue: Habitual repeat DUI offenders often face few added penalties.

Proposed change: Similar to Lackey’s bill, Schultz’s would let prosecutors charge a driver with a felony for their third DUI in 10 years. Increase the time some repeat DUI offenders need to have an ignition interlock device installed on their car and the amount of time their driving privileges are revoked.

Revoke the licenses of repeat DUI offenders for longer 

(Introduced by Lackey)

Issue: California takes away repeat DUI offenders’ driving privileges for three years, less time than many other places. Some other states revoke licenses for up to 15 years, or even issue lifetime bans.

Proposed change: Increase the amount of time the DMV can revoke the driving privileges of someone who gets a third DUI to eight years.

Bar people convicted of serious or repeat DUIs from purchasing alcohol

(Introduced by Assemblymember Rhodesia Ransom, a Democrat from Stockton.)

Issue: California’s current system allows many repeat DUI offenders to stay on the road with few safeguards.

Proposed change: Let judges essentially bar people convicted of serious or repeat DUIs from purchasing alcohol by adding a “NO ALCOHOL SALE” sticker to their driver’s licenses, similar to a law recently enacted in Utah. A “Severe DUI” would be defined as an offense with a blood-alcohol level at least twice as high as the legal limit , conviction for two DUIs within three years, or a DUI causing great bodily injury, death, or major property damage.

Mandate in-car breathalyzers for all DUI offenders

(Introduced by Petrie-Norris)

Issue: Most states already require all DUI offenders to install an in-car breathalyzer. California does not. State law currently requires the devices, which a driver must blow into for their car to start, for people convicted of two or more DUIs, or a DUI that results in injury.

Proposed change: Require the breathalyzers for all DUI offenders. (A nearly identical measure was gutted late in the legislative process last year after the DMV said it did not have the technology or funding to implement the changes.)

Expand law enforcement DUI training

(Introduced by Assemblymember Juan Alanis, a Republican from Modesto.)

Issue: Local law enforcement training varies widely in California, meaning that officers aren’t always trained in how to test for drunk and drugged driving.

Proposed change: Increase DUI training for police officers who work traffic enforcement to ensure they are proficient in areas like sobriety testing and report writing.

A hazardous materials team will begin working Monday to remove neutralized methyl methacrylate from two of three tanks at the GKN aerospace facility in Garden Grove.

Some 50,000 Orange County residents were evacuated for several days last month after one of the tanks overheated on May 21, causing fears of an explosion or a leak through the Memorial Day weekend.

The clean-up will be done in phases, until Thursday, “with multiple layers of safety protocols and oversight measures in place,” according to a press release from the Orange County Health Care Agency.

Containers that support temperature control and secure transportation will be used in the operation.

Cleanup was initially scheduled to begin June 4, but was postponed after officials said "needed resources" were unavailable.

Orange County District Attorney Todd Spitzer launched an investigation into the incident last month. The FBI and Environmental Protection Agency also seized evidence at the facility earlier this month.

Methyl methacrylate produces a fruit-like odor, Orange County Health Care Agency said residents may notice the scent during the operation. The agency said levels will remain below thresholds that could pose health risks.

Officials say environmental protection will be in place throughout the week. Air will be continuously monitored through both mobile and fixed equipment at the fence line of the facility and in the community. Air and odor monitoring based on wind conditions will also be done. Work will occur only during the daylight hours until Thursday.

The California Department of Corrections and Rehabilitation is restricting access to rehabilitative programming for incarcerated people as it clamps down on overtime spending before the end of its financial year.

Hundreds of rehabilitative programs operate throughout California prisons, including restorative justice, violence prevention, higher education, creative arts expression and entrepreneurial training.

The rollback began earlier this month and will end June 30, according to documents obtained by CalMatters. Corrections spokesperson Terri Hardy described the limitations as a “cost-saving measure.” The department did not respond to a detailed list of questions, including which prisons and programs have been affected.

The department’s overall budget has remained about flat since 2022, around $18 billion a year despite recent cuts that include five prison closures.

Lawmakers at budget hearings earlier this year pressed Corrections Secretary Jeff Macomber to tighten spending as the department asked for additional $91 million in ongoing funding to cover unbudgeted personnel costs. The department last month also proposed an additional $100 million in workers compensation.

The California Correctional Peace Officers Association, the union that represents state prison guards, did not respond to CalMatters’ requests for an interview.

Tony Tafoya, who’s been incarcerated since 2012, said he’s never seen anything like this happen before. Tafoya said the scale-back has had the biggest impact on college classes. He’s currently enrolled in Mount Tamalpais College at San Quentin but said his math class has missed out on 12 days of instruction.

“I feel like I’m falling behind,” he said. “There’s a lot of healing that comes from going to school. It provides humanity. It makes me feel like I’m actually seen as a person. I feel like that’s what’s being missed out on.”

Programs at Pleasant Valley State Prison in Coalinga have also been interrupted, including a civic education pilot program. The program, run by the organization Initiate Justice, includes just over a dozen incarcerated people who helped draft legislation to improve social emotional learning in the K-12 school system. Assembly Bill 1851, authored by Democratic Assemblymember Mike Gipson from Gardena, is sailing through the Legislature and scheduled for an upcoming education committee hearing Wednesday.

Antoinette Ratcliffe, executive director of Initiate Justice, said the group “thrives off of active and live discussion, off of meaningful exploration.” The severing of that connection disrupts the learning experience and practical application of the programming, she said.

“We have made it a goal across the Legislature to make rehabilitative programming a priority, so to continue to see disruptions like this feels counter to what we agreed upon as a state,” she said. “It feels like a let down.”

Other advocates have echoed those sentiments. Danica Rodarmel, a criminal justice reform lobbyist, said any disruption in people’s ability to access programming impacts their mental health and well being. The completion of a program or certificate, she said, is often a determining factor in people’s ability to be granted parole.

“Limiting people’s ability to engage in pro-social activities is contradictory to the goals of maintaining safe prisons both for the people who are incarcerated but also for the people who work there,” she said.

It's tick season, possibly the worst in a decade.

More and more Americans are being exposed to these parasites as climate change expands the range where they can survive. That means more people are also exposed to the bevy of health conditions they can cause, such as Rocky Mountain spotted fever, the alpha-gal-triggered red meat allergy and, most common of all, Lyme disease.

For Lyme disease, there may be some additional protection on the horizon. Pharmaceutical companies Pfizer and Valneva announced this spring that they plan to seek regulatory approval for a vaccine to protect against Lyme disease. A previous vaccine for Lyme became available in the late 1990s but was pulled only three years later due to lawsuits, public fear of side effects and a lack of interest.

It's unclear whether this latest stab at a Lyme disease vaccine will get a warmer reception if it's approved, especially in the post-COVID era of vaccine skepticism.

For a sense of how it might go over with rural populations at high risk of Lyme, KFF Health News spoke with a group of hunters.

Few people spend more time in the woods exposed to ticks. At the same time, as a collective, hunters  skew conservative, rural and male, according to a survey from the Theodore Roosevelt Conservation Partnership. And these are identities associated with increased hesitancy about or resistance to vaccines, according to Ashley Kirzinger, associate director for Public Opinion and Survey Research at KFF, a health information nonprofit that includes KFF Health News.

Targets for ticks

Left untreated, Lyme can cause a variety of symptoms, from fevers, chills and headaches to arthritis, shooting pains and inflammation of the brain and spinal cord, according to the Centers for Disease Control and Prevention.

About 476,000 people in the U.S. may be diagnosed and treated for Lyme disease each year, the CDC says. That's at least in part because the range of places where cases have been reported has "expanded significantly" since 1995.

So would hunters get the Lyme vaccine if it became available?

"Given my proclivity for the outdoors, absolutely," said Jess Manganelli, one of seven hunters (and one hiker) who spoke with KFF Health News on a recent Saturday at the Busch Shooting Range in Weldon Spring, Mo., just outside of St. Louis.

Of the eight, Manganelli, who had been hunting turkeys the weekend before, was the most positive about the vaccine. Six others said they would consider it but would want more information about its safety and effectiveness, as well as their risk for contracting the disease.

But Manganelli was the only one who believed she may have previously contracted Lyme disease, although she was never formally diagnosed with it. Two years ago, she experienced muscle weakness, tiredness, fatigue, swelling and headaches after a tick bite, but when she went to urgent care, she was told they didn't test for Lyme.

Nearly all the hunters knew someone who had had Lyme disease — an old roommate, a family member, friends, a former student. Lyme can be difficult to diagnose and to treat and is often misdiagnosed at first. Many of the hunters witnessed their acquaintances navigating those challenges and struggling with sometimes debilitating symptoms.

An illness with lingering effects

That familiarity among the hunters in Missouri was unsurprising to author and conservationist Steven Rinella, host of the hunting show MeatEater.

"I'm a turkey hunter. In talking about turkey hunting, you talk about ticks as much as you talk about turkeys," Rinella said. "Just the nature of turkey hunting puts you into exposure. You're sitting for long periods of time, trying to use vegetation for concealment."

In fact, both Rinella and his older son contracted Lyme disease 13 years ago during a bluegill fishing trip in the Hudson Valley in New York. His son developed Bell's palsy, a sudden paralysis on one side of the face, but recovered quickly after a course of oral antibiotics. Steven Rinella's symptoms, on the other hand, lingered for months, leaving him unable to walk down stairs without a handrail or to ride a bike. He ended up receiving intravenous antibiotic treatments for a month.

"I thought my life had changed," Rinella said, "but I recovered, as far as I know."

That experience is one reason Rinella said he would absolutely consider getting a Lyme vaccine if it proved safe and provided considerable protection against the disease. Unlike with some other diseases, prior infection does not provide permanent immunity, so a person who has had Lyme could still benefit from a vaccine.

Knowledge of similar challenges influenced the thinking of the hunters in Missouri as well.

Jeremy Hollingshead said he may be less inclined to take a vaccine owing to his former roommate's experience with Lyme disease, which is not to say the experience was pleasant. In fact, Hollingshead said he thinks his old pal is still dealing with lingering effects of it 10 years later. But Hollingshead has spent his whole life in the woods, and of hundreds of people he knows who have done the same, he knows of only one of them contracting Lyme.

"I know it was a bad outcome for him," Hollingshead said, but he thinks the odds of getting Lyme himself seem pretty slim.

Meanwhile, Julian Barnes said seeing a relative struggle with Lyme makes him more open to a potential vaccine. It took a long time for doctors to come to that diagnosis, and finding a good treatment has been equally difficult.

"I would say I am vaccine-hesitant, generally speaking," Barnes said. "But Lyme, I've seen the way it affects people in my life. ... I would definitely have to really understand the vaccine, how it works."

An unclear path for a new vaccine

The new, four-dose vaccine candidate technically missed one of the bars set out in trials because not enough participants contracted Lyme. Still, the companies say it's about 75% effective in reducing cases, and they plan to submit it to regulators for approval. A Pfizer spokesperson said there were no updates on their regulatory efforts when contacted by KFF Health News in June.

Health and Human Services Secretary Robert F. Kennedy Jr. was a noted anti-vaccine activist before taking over as head the agency that oversees vaccine approvals, and he's remade it in ways that have prompted some vaccine makers to pull back on development.

But he's also been an advocate on Lyme disease. In May, he announced an initiative to combat Lyme disease. And during his Senate confirmation hearings, he said his family had been deeply affected by Lyme disease and that nobody would work harder than he would to find a vaccine or treatment.

If the vaccine is ultimately approved by the FDA, an endorsement from Kennedy would go a long way, according to KFF's Kirzinger, particularly among supporters of his Make America Healthy Again movement, who tend to be more vaccine-skeptical.

"They trust him as much as they trust their own doctors to tell them what to do with their health and for health information," Kirzinger said. "If he comes out as a strong proponent of this vaccine and says, 'Look what my administration did, and we made this available,' I would imagine there would be less vaccine resistance among that group."

Only one of the hunters who spoke with KFF Health News said they definitely would not be interested in a Lyme vaccine if it became available.

"I kind of hand it off to God and the body he gave me. I'm pretty durable," JP Cummings said. But even though he's not interested in it for himself, he's curious to see what his fellow hunters do as more information comes out.

"Hunters care about the wildlife; hunters care about health," Cummings said. "They love the wildlife, they love their deer, and they love their fellow hunters."

KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF.

Far more people than previously known have dropped Affordable Care Act health insurance for 2026, according to data released Friday.

Five million fewer people are currently enrolled in ACA marketplace plans compared to the record high reached last year. More than 1 million fewer people picked a plan for 2026, and then 4 million more either disenrolled or failed to pay their premiums and, therefore, dropped coverage.

Prices in the market skyrocketed after President Donald Trump and Republicans in Congress failed to extend extra financial help for enrollees last year. The Department of Health and Human Services published a report about the data on its website Friday.

The report says 19.2 million people are currently enrolled in ACA insurance now.

At its high, 24.2 million people were in the ACA marketplace in 2025, according to government figures.

The steep drop in enrollment reflects what insurers, administrators and other health policy experts expected earlier this year. After initial sign ups were lower than last year, they predicted the picture would get worse as time went on and people found they could not afford to pay their premiums.

"The main takeaway is that enrollment is down 13% from last year," explains Cynthia Cox, director of KFF's Program on the ACA. "While the Trump administration attributes this drop in enrollment to their attempts to address fraud, this coverage loss happened at the same time millions of people faced double- or even triple-digit increases in their premium payments with the expiration of enhanced tax credits."

The idea that the growth in enrollment was due to massive fraud is a theory advanced by the Paragon Health Institute, a conservative think tank influential in the Trump administration.

Many health policy experts are skeptical. They say the increase in enrollment during the pandemic is not suspicious. It was a predictable consequence of Congress's investment of billions of federal dollars in making premiums more affordable — the enhanced premium tax credits.

"The marketplace doubled in size during the period when there were enhanced subsidies because the coverage was much more affordable and much more appealing to people," Cox says.

This year's drop in enrollment is also predictable, given that premium costs doubled, on average, from 2025 to 2026. The costs went up after Republican lawmakers let the enhanced premium tax credits expire; Democrats shut down the government in October 2025 trying to negotiate an extension of the credits that would have kept prices low.

"When their costs went up, many of them dropped their coverage," Cox says.

She adds that while fraud is a real problem in the ACA marketplaces, as it is in all insurance markets, she thinks it does not account for all of the drop in enrollment.

Stacey Pogue, senior research fellow at the Georgetown Center on Health Insurance Reforms, agrees.

"I don't see data that point to that conclusion that a 5 million-person drop can be explained by allegations of fraud," she says. "There's lots of evidence pointing to people making decisions based on what they can pay each month."

The higher health insurance costs are tough for consumers in an economy still plagued by overall inflation. As congress let the prices go up, people made tough decisions about family budgets, where to work, whom to marry and more.

It's also a problem for insurance companies, several of which have announced they will not be participating in ACA markets next year, including Cigna.

"If there are fewer customers, then that makes the market less appealing to insurance companies," Cox says.

That's especially true because the people dropping their coverage tend to be healthier people. If too many healthy people drop out of the markets, there's a danger that the markets could enter a "death spiral."

Cox says she's not worried about a death spiral at this point.

"I think there are still enough people buying ACA marketplace coverage and that's going to keep these markets working," she says. "At this point, we don't see any parts of the country that are at risk of having no insurance company. If that were to happen, that would be what a death spiral might look like."

Even so, the premiums for these plans are on track to keep rising, which could continue to pummel consumers navigating high health care costs. Enrollment in the marketplaces may continue to shrink too. According to a recent analysis from Pogue at Georgetown, early insurance rate filings for 2027 show that rates will be going up again next year.