April 7, 2022

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MEDICAL EQUIPMENT, PREFERRED INSULIN NOT ENTIRELY COVERED BY INSURANCE FOR SOME STUDENTS, TWO UC DAVIS GRADUATE STUDENTS SAY Some UC Davis students are paying high costs out of pocket or accumulating thousands of dollars worth of debt for their medications and medical equipment

approximately 135,000 members, as of fall 2021. UC SHIP is made to meet the needs of students, Trout and Atwood said. The UC SHIP Executive Oversight Board (EOB) governs the plan, and student voting members decide on the plan’s design and benefit changes. Trout and Atwood stated that students are the most important members of the EOB. “UC SHIP is created for students and run by students!” Trout said via email.

Victoria Watson-Zink, a Ph.D. candidate in the Department of Evolution and Ecology, conducting research with two coconut crabs in Zanzibar (Victoria Watson-Zink / Courtesy). BY MARGO ROSENBAUM campus@theaggie.org This is the second installation of The California Aggie’s two-part series on the struggles of students, faculty and staff in receiving coverage for some medications and medical equipment by UC health insurance plans. Victoria Watson-Zink, a Ph.D. candidate in the Department of Evolution and Ecology at UC Davis, was diagnosed with type 1 diabetes in seventh grade and has used Novolog insulin and an insulin pump almost ever since. Recently, Watson-Zink has not been able to get this brand of insulin approved through her student insurance plan. When Jonathan Eisen, a professor with appointments in the UC Davis Department of Evolution and Ecology, the Genome Center and the Department of Medical Microbiology and Immunology, tweeted about his difficulties with his UC insurance plan last month, Watson-Zink shared her experiences on the Twitter thread. “I’ve been using Novolog since middle school but all of a sudden, no matter what I do, I can’t get Novolog approved under the UCD health insurance,” Watson-Zink said in a tweet. “Had to switch to Humalog on a day when I was on my last few units of Novolog — NOT OK!” OptumRx is the pharmacy benefit manager for the UC Student Health Insurance Plan (UC SHIP) and manages their prescription drug benefits and costs. The UC SHIP plan has not been changed recently and OptumRx has been the pharmacy benefit manager for the plan since the 2015-16 academic year, according to Margaret ​​ Trout, the executive director of health and wellness for Student Health and Counseling Services (SHCS). The recent switch to Navitus Health Solutions as the pharmacy benefit manager only impacted UC retirees and employees, such as Eisen, on Anthem Blue Cross preferred provider organization (PPO) plans — and did not impact students on UC SHIP — but some students, including Watson-Zink, have also faced their own challenges with coverage of medications and medical equipment. Watson-Zink said she has always experienced “a lot of difficulty” with getting Novolog insulin covered by her graduate student insurance, and since the beginning of 2022, she cannot get it covered at all, and is not entirely sure why. Novolog is listed in the OptumRx formulary as needing a prior authorization, or more information from the prescriber for coverage, according to Trout and Todd Atwood, the administrative services manager for SHCS. They said UC SHIP has worked successfully with students to complete the prior authorization process. Watson-Zink said that her doctor was previously able to write a prior authorization for her Novolog prescription, and within a couple of days, she was usually able to fill it. Yet, since January, she said that no matter what her doctor does, she cannot get Novolog covered. Watson-Zink said she was told she must have a documented severe allergy to the generic forms of insulin for her prior authorization to be approved. “They’re not going to cover the one that I’ve been using since seventh grade, which is difficult because all insulins aren’t created equal [and] all bodies don’t react to insulin in the same way,” Watson-Zink said. UC SHIP is administered through the UC Office of the President (UCOP) with UC Health providing medical oversight. According to Trout and Atwood, the UC SHIP plan provides “comprehensive” prescription, medical, vision and dental coverage to UC students and eligible dependents. All UC campuses, except UC Berkeley, use UC SHIP with an average enrollment of

Students and professor say they are unsatisfied with UC SHIP Yet, not all students are content with the care they receive from UC SHIP. Some students have to pay high costs for their medications and medical equipment or do not have access to all of the medications and care they need, according to Elisabeth Forrestel, an assistant professor in the Department of Viticulture and Enology at UC Davis, who was diagnosed with type 1 diabetes when she was a 1-year-old. “Students have not had access to all the medications they need,” Forrestel said. With a son who was also diagnosed with type 1 diabetes, Forrestel understands firsthand the high cost of insulin, which has tripled in the past decade in the U.S. “Insulin is the poster child for a medication that you need to live,” Forrestel said. Watson-Zink uses an insulin pump and said she recently received a bill for $800 for a three months supply of sensors for the pump. She said she was sent another bill for $250 for the sets that deliver the insulin, which is “a lot of money on a grad student stipend.” Per month, she spends on average about $1,080 on medications, equipment and care for her mental and physical health needs. “I’m still paying out significant out-of-pocket expenses for my supplies and the surgeries I’ve had and mental health insurance,” Watson-Zink said in an interview with The Aggie. “It’s just been really expensive and it’s not ideal.” As a result of her difficulties in receiving coverage for Novolog, Watson-Zink had to switch to Humalog insulin in January. “There’s actually a reason why I was on Novolog, and why I’ve been on Novolog, and just switching it because this insurance doesn’t want to cover it, for reasons that are beyond my understanding, is outrageous,” Watson-Zink said. Watson-Zink said her glycemic control has “taken a bit of a dip” since her body is not used to the new brand of insulin. While she does not have a documented severe allergy to Humalog, she said it takes longer to work and is not as effective, so she has to take more of it. “Yeah [my glycemic control] has definitely taken a dive since switching but they said they won’t cover Novolog again unless I have a ‘documented severe allergy’… but suboptimal glycemic control is fine with them,” she said in a tweet on Eisen’s thread. Watson-Zink said she has several pre-existing conditions in addition to type 1 diabetes, including congenital hydrocephalus, a neurological condition that affects the structure of her brain and has led to three brain surgeries in the past two years. As a result, Watson-Zink said she requires “a lot of support in terms of health care.” “I think my time at UC Davis has been difficult just because I haven’t always felt like I’ve gotten the kind of insurance support that I’d need to survive with these conditions on my own, because I don’t have familial support for dealing with these conditions and so just doing it on the graduate student stipend has been very difficult,” she said. Watson-Zink said that managing her expenses to maintain her physical and mental health on a graduate student stipend has been a challenge. After her grandmother passed away from COVID-19 last September, she required “significant mental health support” to get back on track and ready to finish her Ph.D. “It’s been very difficult for me to try to coordinate care for my physical health and my mental health just based on the graduate student stipend and the insurance, because the insurance doesn’t cover enough, and I think it’s just ridiculous that we have to pay so much out of pocket to have these supplies covered when it’s essential to my survival,” she said. Jennifer Statham, the director of communications at OptumRx, said she understands the financial difficulties people face with chronic medical conditions, like type 1 diabetes. She said pharmacy benefit managers like OptumRx work to provide access to affordable medication. OptumRx negotiates lower costs of prescriptions and helps to determine a medication’s placement on the formulary. OptumRx, which is the pharmacy benefit manager for UC SHIP, is unable to provide any insight or look into insulin medication without a signed Health Insurance Portability and Accountability Act (HIPAA) form for OptumRx members in reference, Statham said. HEALTHINSURANCE2 on 9

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VOLUME 140, ISSUE 22 | THURSDAY, APRIL 7, 2022

MARCH 31 SENATE MEETING INCLUDED SENATOR ADOPTIONS, LEGISLATION ISSUES, ADDRESSING VACANCIES DUE TO RESIGNATION SR #26 and SB #67 passed unanimously, SR #23 was tabled and SB #68 and SB #69 were postponed

AGGIE FILE BY ANGELINA ANGELO campus@theaggie.org Vice President Juliana Martinez Hernandez called the meeting to order at 6:13 p.m. on Thursday, March 31. Following roll call, she recited the UC Davis Land Acknowledgement. Next, Martinez asked for nominations for senate president pro tempore. Senator Radhika Gawde was nominated by Senator Owen Krauss, and she accepted the nomination. There were no objections, and Gawde is now senate president pro tempore. Different units on campus, such as the Bike Barn, the Aggie Reuse store and the Pantry, heard from different senators and adopted a senator for the spring quarter. Following unit adoptions were the committees; the Student Health and Wellness Committee, DREAM Committee and Aggie Housing Advocacy also adopted senators. Each committee heard from multiple senators before making their decisions. The Disability Rights Advocacy Committee (DRAC) held confirmations for one new committee member. “Nicole Cimmarusti has been advocating for others for a few years now,” said Unit Director of DRAC Sarah Theubet. “She would like to expand her advocacy into the disabled community here at Davis, and we are happy to have her.” With no objections, Cimmarusti was confirmed as a DRAC committee member. Public Comments occurred next, and Martinez Hernandez stated that this time is designated for the public to ask questions, raise concerns and initiate conversation. She encouraged the public to come to Senate meetings and voice their concerns. No members of the public shared any comments, but senators brought forth issues such as removing graffiti from the Hutchison parking structure, Ramadan announcements and the upcoming ASUCD newsletter. Then, each elected officer and ex-officio provided weekly reports. All previous legislation was approved and signed. There was no introduction of new legislation. SR #25, legislation addressing DRAC’s concerns on refusal for disability accommodations, was tabled. External Affairs Commision (EAC) Chair Maahum Shahab said that this was tabled because there are parts that need to be edited, but the EAC wholeheartedly supports all the issues addressed in the legislation regarding the providing of accommodations to students. SB #67 was introduced. This bill allocates $2,375 to the ASUCD Volunteer Award Committee. After a brief discussion, this bill passed unanimously. SR #26 was introduced to address the fact that ASUCD did not agree to the administration’s guide to creating a student fee initiative. UC Davis student Calvin Wong shared that multiple senators have reached out to the administration regarding this document and have not heard a response. The document also includes direct violations of the ASUCD constitution, according to Wong. SR #26 affirms that ASUCD did not agree with this guide, and therefore the guide is null. SR #26 passed unanimously. SB #68 and SB #69 were assigned to the Internal Affairs Commission (IAC) and postponed to week two of spring quarter. Both of these pieces of legislation need to be reviewed by the IAC before being brought to the Senate table because they discuss ballot measures. Meeting minutes from both March 3 and March 10 were approved unanimously. Next, Martinez Hernandez opened the floor to members of the public. SENATE on 9

CURRENT STUDENTS SHARE ADVICE FOR PROSPECTIVE CLASS OF 2026 UC Davis students share their favorite parts of the university and tips for high school seniors making college decisions BY JALAN TEHRANIFAR features@theaggie.org Months after the application submission deadline, UC Davis released admissions decisions to students of the upcoming Class of 2026 on March 11. Newly admitted students have until May 1 to submit their commitment to attend the university next fall. Current students — whether they’ve attended UC Davis for just a few months or multiple years — have gathered college insight and advice for newly admitted students to help them choose their university and thrive upon arrival. UC Davis’ campus is known for its agriculture and campus animals, according to Vaidehi Gupta, a third-year cell biology major. She recommended that new students check out the entirety of the campus when touring or arriving next fall. “Explore UC Davis because the campus has so much to offer,” Gupta said. “It’s a really unique, cool, beautiful campus.” Gupta also said that Davis has a lot of resources for new students and students who are struggling to adjust to campus, which she recommended.

KATHERINE FRANKS / AGGIE Curtis Dong, a second-year environmental policy analysis and planning major, emphasized the importance of community at Davis. Dong also said that, when he was choosing his university, he found that Davis had the perfect mix of focused classes and fun. “I think that Davis is the perfect place to focus on your education while still having those

‘college experiences’ because I think the town really encourages it,” Dong said. “There’s stuff to do, but not so much that you’re overwhelmed, where you can’t focus on school.” Jessica Chan, a second-year design major, said that she’s found Davis to be pretty small but encouraged students to take advantage of the areas surrounding Davis during their time here.

“[Davis] is a small town, but you can branch out and take the bus to Sacramento or San Francisco,” she said. For students who have decided on attending Davis next fall, Elisha Aguirre, a second-year neurobiology, physiology and behavior major, said that her biggest piece of advice for new students is to branch out of their comfort zones. “Really try new things,” Aguirre said. “Try to be outgoing and open-minded, [and] try to introduce yourself to new people. [That’s a good way to] maybe make some really great connections and friends.” Nik Childers, a third-year political science major, said to be wary of reading too much about professors and courses online before arriving on campus. “Don’t trust what you read on Rate My Professors,” he said. “A lot of the professors I have taken have got ‘meh’ reviews, but I haven’t had a single bad professor here.” Grace Heller, a third-year design and economics double major, said that her biggest advice for incoming students is to be open to new experiences and friends as a first year. WELCOME2026 on 9


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