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For the First Time, California Is Enforcing Water Restrictions

Mother Jones

Today, California Governor Jerry Brown announced mandatory water restrictions for the first time in the state’s history. The announcement follows a drought of more than three years, which has officials worrying that Californians may have only one year of drinking water left.

The regulations require California cities to decrease water use by 25 percent, though, crucially, only requires agricultural users to report their water use and submit drought management plans. Agriculture accounts for about 80 percent of California’s water usage. (For more drought background, check out our past coverage on agricultural water use—almonds are the biggest suck—and municipal water use.)

From the press release:

The following is a summary of the executive order issued by the Governor today.

Save Water

For the first time in state history, the Governor has directed the State Water Resources Control Board to implement mandatory water reductions in cities and towns across California to reduce water usage by 25 percent. This savings amounts to approximately 1.5 million acre-feet of water over the next nine months, or nearly as much as is currently in Lake Oroville.

To save more water now, the order will also:

Replace 50 million square feet of lawns throughout the state with drought tolerant landscaping in partnership with local governments;
Direct the creation of a temporary, statewide consumer rebate program to replace old appliances with more water and energy efficient models; Require campuses, golf courses, cemeteries and other large landscapes to make significant cuts in water use; and
Prohibit new homes and developments from irrigating with potable water unless water-efficient drip irrigation systems are used, and ban watering of ornamental grass on public street medians.

Increase Enforcement

The Governor’s order calls on local water agencies to adjust their rate structures to implement conservation pricing, recognized as an effective way to realize water reductions and discourage water waste.

Agricultural water users – which have borne much of the brunt of the drought to date, with hundreds of thousands of fallowed acres, significantly reduced water allocations and thousands of farmworkers laid off – will be required to report more water use information to state regulators, increasing the state’s ability to enforce against illegal diversions and waste and unreasonable use of water under today’s order. Additionally, the Governor’s action strengthens standards for Agricultural Water Management Plans submitted by large agriculture water districts and requires small agriculture water districts to develop similar plans. These plans will help ensure that agricultural communities are prepared in case the drought extends into 2016.

Additional actions required by the order include:

Taking action against water agencies in depleted groundwater basins that have not shared data on their groundwater supplies with the state;
Updating standards for toilets and faucets and outdoor landscaping in residential communities and taking action against communities that ignore these standards; and
Making permanent monthly reporting of water usage, conservation and enforcement actions by local water suppliers.

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For the First Time, California Is Enforcing Water Restrictions

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Here’s a Great Argument for Easing Up on Professional Licensing Restrictions

Mother Jones

Adrianna McIntyre has a fascinating little tidbit up today about how Medicaid expansion affects access to health care. Here’s the question: By increasing demand for doctors, is it likely to result in longer wait times for everyone?

A trio of researchers took a look at dental care to get an idea. Some states cover it for adults, some don’t. So what happens in states where adult Medicaid is expanded to cover dental care? The first-order answer is surprising: more dentists participate; their incomes go up; and wait times barely budge. But how is that possible? The second-order answer is even more interesting:

Dentists accomplish this mainly by making greater use of hygienists: following the expansion of public coverage, dentists employ a greater number of hygienists and hygienists provide about 5 additional visits per week. As a result, dentists’ income increases following the adoption of Medicaid adult dental benefits by approximately 7 percent. These effects are largest among dentists who practice in poor areas where Medicaid coverage is most prevalent.

We also find that these coverage expansions cause wait times to increase modestly less than a day, on average. However, this effect varies significantly across states with different policies towards the provision of dental services by hygienists. The increased wait times are concentrated in states with relatively restrictive scope of practice laws. We find no significant increase in wait times in states that allow hygienists greater autonomy.

Licensing and “scope of authority” restrictions are sort of a hot topic these days, and this is a pretty good example of why. I haven’t yet dived into the whole thing enough to have a settled opinion, but it’s becoming fairly common to believe that licensing restrictions are far too strict in some professions, acting more as a way of propping up salaries than as genuine public safety measures. Nurses and hygienists could be given more autonomy, for example, but this is often resisted by doctors and dentists who don’t want to give up a lucrative monopoly on the services they provide.

The arguments are sometimes arcane, but this example brings it down to earth. Ease up on the restrictions placed on hygienists, and dental practices can provide more and better service to the poor—and, in the end, do it without sacrificing income. That’s worth knowing.

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Here’s a Great Argument for Easing Up on Professional Licensing Restrictions

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