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"content": "\u003cp>\u003ca href=\"https://www.kqed.org/news/tag/steve-hilton\">Steve Hilton\u003c/a>, a leading Republican candidate for \u003ca href=\"https://www.kqed.org/news/tag/california\">California\u003c/a> governor, said he would allow Louisiana to extradite a Bay Area abortion doctor to face charges if he’s elected, despite state laws prohibiting cooperation and strong public support for reproductive rights.\u003c/p>\n\u003cp>Gov. Gavin Newsom earlier this month \u003ca href=\"https://www.kqed.org/news/12069971/california-lawmakers-defend-doctor-as-states-clash-over-abortion\">rejected\u003c/a> Louisiana’s request to send Healdsburg physician Dr. Rémy Coeytaux to face charges there. Coeytaux is accused of prescribing and mailing abortion pills to a Louisiana woman in October 2023 and was \u003ca href=\"https://www.nytimes.com/2026/01/13/us/louisiana-abortion-pills-california-indictment.html\">indicted\u003c/a> by the state’s GOP attorney general earlier this month.\u003c/p>\n\u003cp>In rejecting the request, Newsom \u003ca href=\"https://www.gov.ca.gov/2026/01/14/governor-newsom-rejects-louisianas-attempt-to-extradite-california-doctor-for-providing-abortion-care/\">cited\u003c/a> an \u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2022/06/6.27.22-EO-N-12-22-Reproductive-Freedom.pdf?emrc=4e1397\">executive order\u003c/a> he signed in 2022, shortly after the U.S. Supreme Court overturned Roe v. Wade. That executive order expressly bars the state from cooperating with extradition requests from other states investigating reproductive health care.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>He also pointed to California’s telemedicine abortion \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202320240SB345\">shield law\u003c/a>, which protects anyone who provides or receives reproductive health care in the state. The law is part of a suite of protections lawmakers passed in response to the Supreme Court’s decision, though it took effect after Coeytaux allegedly mailed the abortion pills.\u003c/p>\n\u003cp>Speaking on KQED’s \u003cem>\u003ca href=\"https://www.kqed.org/podcasts/politicalbreakdown\">Political Breakdown\u003c/a>\u003c/em> podcast, Hilton said he understands that California voters have \u003ca href=\"https://www.kqed.org/news/11931183/californians-vote-to-protect-abortion-in-constitution\">enshrined the right to abortion in the state constitution\u003c/a>, but said he would still “enforce the law” — referring to Louisiana’s law.\u003c/p>\n\u003cp>“Louisiana voted one way. California voted a different way. That’s the beauty of our federalist system, and I think that’s exactly right,” Hilton said. “But you can’t have one state imposing its will on another.”\u003c/p>\n\u003cfigure id=\"attachment_12006082\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12006082 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/US-and-California-Flags-Getty.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/US-and-California-Flags-Getty.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/US-and-California-Flags-Getty-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/US-and-California-Flags-Getty-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/US-and-California-Flags-Getty-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/US-and-California-Flags-Getty-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/US-and-California-Flags-Getty-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Steve Hilton, a leading Republican candidate for California governor, said he would allow Louisiana to extradite a Bay Area abortion doctor if elected, despite California laws barring such cooperation and broad public support for reproductive rights. \u003ccite>(Studio One-One/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Hilton said he’s always supported the “decentralization of power” and believes decisions should be made as close as possible to the people. He argued that’s what the Supreme Court did when it overturned Roe v. Wade, handing decisions over abortion access to the states.\u003c/p>\n\u003cp>In this case, Hilton said by not honoring the extradition request, California is trying to impose its will on Louisiana.\u003c/p>\n\u003cp>“Louisiana is trying to uphold what its people voted for, and California is undermining it,” he said. “And I don’t think that’s right. Just as I wouldn’t want to see Louisiana coming in and undermining something that we voted for here in California.”\u003c/p>\n\u003cp>Louisiana has also tried to extradite a doctor from New York, a request that Democratic Gov. Kathy Hochul has \u003ca href=\"https://www.nytimes.com/2025/02/13/nyregion/abortion-extradition-louisiana-doctor.html\">also refused\u003c/a>.[aside postID=news_12069984 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-06-KQED.jpg']Reproductive rights advocates slammed Hilton’s position. Planned Parenthood Affiliates of California CEO and President Jodi Hicks accused Hilton of “brazenly” rejecting California’s “values and leadership as a reproductive freedom state.”\u003c/p>\n\u003cp>“Any governor or future governor’s job is to protect the values and principles here in California — and certainly ones that Californians have voted on,” Hicks said, noting that Proposition 1, which enshrined abortion access in the state constitution, passed with 67% support. “Their job is to protect those principles and anyone in California, including our California providers.”\u003c/p>\n\u003cp>Mini Timmaraju, president and CEO of the national group Reproductive Freedom for All, called Louisiana’s extradition attempts “outrageous and dangerous\u003cstrong>,” \u003c/strong>saying in a written statement that by leaving abortion to the states, President Donald Trump has given “anti-abortion extremists free rein to criminalize providers, terrorize patients, and reach beyond state lines to block care.”\u003c/p>\n\u003cp>“This is not a moment for capitulation,” she said. “The next governor of California must be an unequivocal champion for reproductive freedom, willing to push back against the extremists working to undermine our fundamental rights.”\u003c/p>\n\u003cp>UC Davis law professor Mary Ziegler, an expert on reproductive rights and laws, said California’s shield law may not technically prevent a governor from agreeing to an extradition order, but it would effectively prevent the extradition from happening.\u003c/p>\n\u003cp>That’s because the law prohibits state and local government employees and contractors from participating in an extradition relating to abortion care, meaning a judge would not legally be able to issue an arrest warrant, and police could not take someone into custody.\u003c/p>\n\u003cfigure id=\"attachment_12040027\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12040027\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/GavinNewsom2025AP2.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/GavinNewsom2025AP2.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/GavinNewsom2025AP2-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/GavinNewsom2025AP2-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/GavinNewsom2025AP2-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/GavinNewsom2025AP2-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/GavinNewsom2025AP2-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Gov. Gavin Newsom stands in front of a state flag during a press conference about President Donald Trump’s tariffs on Wednesday, April 16, 2025, at an almond farm in Ceres, California. \u003ccite>(Noah Berger/AP Photo)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“It’s true that there’s an executive order that Newsom introduced that could be rescinded,” by a future governor, Ziegler said. “But then there’s just the statute, which the governor on his own couldn’t rescind … There are a lot of limits on what other actors can do in terms of arrest and extradition.”\u003c/p>\n\u003cp>A governor, she said, “isn’t going to roll up and arrest people and extradite them.”\u003c/p>\n\u003cp>Ziegler said Newsom likely cited the executive order in Coeytaux’s case because the alleged shipment of medication to Louisiana occurred in October 2023, months before California’s shield law took effect.\u003c/p>\n\u003cp>More broadly, she said, the situation illustrates how complicated the legal landscape has become since Roe v. Wade was overturned.\u003c/p>\n\u003cp>“It’s a zero-sum game,” Ziegler said. “One state is imposing its will on the other. It’s just a question of which one.”\u003c/p>\n\u003cp>“That’s why the whole leaving it to the states thing wasn’t going to work, because the states were going to take diametrically opposed positions,” she said.\u003c/p>\n\u003cfigure id=\"attachment_12070825\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12070825\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/260122-STEVE-HILTON-ON-PB-MD-05-KQED_1.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/260122-STEVE-HILTON-ON-PB-MD-05-KQED_1.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/260122-STEVE-HILTON-ON-PB-MD-05-KQED_1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/260122-STEVE-HILTON-ON-PB-MD-05-KQED_1-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Steve Hilton speaks with Scott Shafer and Marisa Lagos on Political Breakdown at KQED in San Francisco on Jan. 22, 2026. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Hilton’s remarks come as the race to succeed Newsom remains wide open. Despite Democrats outnumbering Republicans nearly two-to-one in the state — and the fact that no Republican has won statewide office in California in 20 years — Hilton has \u003ca href=\"https://emersoncollegepolling.com/california-2026-new-poll/\">led some recent polls\u003c/a>, along with another GOP candidate, Riverside County Sheriff Chad Bianco.\u003c/p>\n\u003cp>The Democratic field is large, and support among those candidates remains fractured, leading to some consternation among Democrats that the two GOP candidates could make it into a November runoff; California’s election system allows the top two vote-getters to advance, regardless of party.\u003c/p>\n\u003cp>But surveys also show a wide swath of the electorate is still undecided.\u003c/p>\n\u003cp>Hilton has largely avoided talking about abortion on the campaign trail. But in an interview last summer with Orange County evangelical pastor Jack Hibbs, he\u003ca href=\"https://www.instagram.com/reel/DMSzxq8PCuV/\"> talked about\u003c/a> moving the state “towards life.” He called abortion an “awful, awful outcome” and said he would encourage adoption.\u003c/p>\n\u003cp>Hibbs, the founder and senior pastor at Calvary Chapel Chino Hills, \u003ca href=\"https://www.facebook.com/watch/?v=26039887812314763\">endorsed\u003c/a> Hilton last week, sharing an audio clip where Hilton also said he would end the use of taxpayer funds to promote what he called “abortion tourism” if elected governor.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://www.kqed.org/news/tag/steve-hilton\">Steve Hilton\u003c/a>, a leading Republican candidate for \u003ca href=\"https://www.kqed.org/news/tag/california\">California\u003c/a> governor, said he would allow Louisiana to extradite a Bay Area abortion doctor to face charges if he’s elected, despite state laws prohibiting cooperation and strong public support for reproductive rights.\u003c/p>\n\u003cp>Gov. Gavin Newsom earlier this month \u003ca href=\"https://www.kqed.org/news/12069971/california-lawmakers-defend-doctor-as-states-clash-over-abortion\">rejected\u003c/a> Louisiana’s request to send Healdsburg physician Dr. Rémy Coeytaux to face charges there. Coeytaux is accused of prescribing and mailing abortion pills to a Louisiana woman in October 2023 and was \u003ca href=\"https://www.nytimes.com/2026/01/13/us/louisiana-abortion-pills-california-indictment.html\">indicted\u003c/a> by the state’s GOP attorney general earlier this month.\u003c/p>\n\u003cp>In rejecting the request, Newsom \u003ca href=\"https://www.gov.ca.gov/2026/01/14/governor-newsom-rejects-louisianas-attempt-to-extradite-california-doctor-for-providing-abortion-care/\">cited\u003c/a> an \u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2022/06/6.27.22-EO-N-12-22-Reproductive-Freedom.pdf?emrc=4e1397\">executive order\u003c/a> he signed in 2022, shortly after the U.S. Supreme Court overturned Roe v. Wade. That executive order expressly bars the state from cooperating with extradition requests from other states investigating reproductive health care.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>He also pointed to California’s telemedicine abortion \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202320240SB345\">shield law\u003c/a>, which protects anyone who provides or receives reproductive health care in the state. The law is part of a suite of protections lawmakers passed in response to the Supreme Court’s decision, though it took effect after Coeytaux allegedly mailed the abortion pills.\u003c/p>\n\u003cp>Speaking on KQED’s \u003cem>\u003ca href=\"https://www.kqed.org/podcasts/politicalbreakdown\">Political Breakdown\u003c/a>\u003c/em> podcast, Hilton said he understands that California voters have \u003ca href=\"https://www.kqed.org/news/11931183/californians-vote-to-protect-abortion-in-constitution\">enshrined the right to abortion in the state constitution\u003c/a>, but said he would still “enforce the law” — referring to Louisiana’s law.\u003c/p>\n\u003cp>“Louisiana voted one way. California voted a different way. That’s the beauty of our federalist system, and I think that’s exactly right,” Hilton said. “But you can’t have one state imposing its will on another.”\u003c/p>\n\u003cfigure id=\"attachment_12006082\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12006082 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/US-and-California-Flags-Getty.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/US-and-California-Flags-Getty.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/US-and-California-Flags-Getty-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/US-and-California-Flags-Getty-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/US-and-California-Flags-Getty-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/US-and-California-Flags-Getty-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/US-and-California-Flags-Getty-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Steve Hilton, a leading Republican candidate for California governor, said he would allow Louisiana to extradite a Bay Area abortion doctor if elected, despite California laws barring such cooperation and broad public support for reproductive rights. \u003ccite>(Studio One-One/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Hilton said he’s always supported the “decentralization of power” and believes decisions should be made as close as possible to the people. He argued that’s what the Supreme Court did when it overturned Roe v. Wade, handing decisions over abortion access to the states.\u003c/p>\n\u003cp>In this case, Hilton said by not honoring the extradition request, California is trying to impose its will on Louisiana.\u003c/p>\n\u003cp>“Louisiana is trying to uphold what its people voted for, and California is undermining it,” he said. “And I don’t think that’s right. Just as I wouldn’t want to see Louisiana coming in and undermining something that we voted for here in California.”\u003c/p>\n\u003cp>Louisiana has also tried to extradite a doctor from New York, a request that Democratic Gov. Kathy Hochul has \u003ca href=\"https://www.nytimes.com/2025/02/13/nyregion/abortion-extradition-louisiana-doctor.html\">also refused\u003c/a>.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Reproductive rights advocates slammed Hilton’s position. Planned Parenthood Affiliates of California CEO and President Jodi Hicks accused Hilton of “brazenly” rejecting California’s “values and leadership as a reproductive freedom state.”\u003c/p>\n\u003cp>“Any governor or future governor’s job is to protect the values and principles here in California — and certainly ones that Californians have voted on,” Hicks said, noting that Proposition 1, which enshrined abortion access in the state constitution, passed with 67% support. “Their job is to protect those principles and anyone in California, including our California providers.”\u003c/p>\n\u003cp>Mini Timmaraju, president and CEO of the national group Reproductive Freedom for All, called Louisiana’s extradition attempts “outrageous and dangerous\u003cstrong>,” \u003c/strong>saying in a written statement that by leaving abortion to the states, President Donald Trump has given “anti-abortion extremists free rein to criminalize providers, terrorize patients, and reach beyond state lines to block care.”\u003c/p>\n\u003cp>“This is not a moment for capitulation,” she said. “The next governor of California must be an unequivocal champion for reproductive freedom, willing to push back against the extremists working to undermine our fundamental rights.”\u003c/p>\n\u003cp>UC Davis law professor Mary Ziegler, an expert on reproductive rights and laws, said California’s shield law may not technically prevent a governor from agreeing to an extradition order, but it would effectively prevent the extradition from happening.\u003c/p>\n\u003cp>That’s because the law prohibits state and local government employees and contractors from participating in an extradition relating to abortion care, meaning a judge would not legally be able to issue an arrest warrant, and police could not take someone into custody.\u003c/p>\n\u003cfigure id=\"attachment_12040027\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12040027\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/GavinNewsom2025AP2.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/GavinNewsom2025AP2.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/GavinNewsom2025AP2-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/GavinNewsom2025AP2-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/GavinNewsom2025AP2-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/GavinNewsom2025AP2-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/GavinNewsom2025AP2-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Gov. Gavin Newsom stands in front of a state flag during a press conference about President Donald Trump’s tariffs on Wednesday, April 16, 2025, at an almond farm in Ceres, California. \u003ccite>(Noah Berger/AP Photo)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“It’s true that there’s an executive order that Newsom introduced that could be rescinded,” by a future governor, Ziegler said. “But then there’s just the statute, which the governor on his own couldn’t rescind … There are a lot of limits on what other actors can do in terms of arrest and extradition.”\u003c/p>\n\u003cp>A governor, she said, “isn’t going to roll up and arrest people and extradite them.”\u003c/p>\n\u003cp>Ziegler said Newsom likely cited the executive order in Coeytaux’s case because the alleged shipment of medication to Louisiana occurred in October 2023, months before California’s shield law took effect.\u003c/p>\n\u003cp>More broadly, she said, the situation illustrates how complicated the legal landscape has become since Roe v. Wade was overturned.\u003c/p>\n\u003cp>“It’s a zero-sum game,” Ziegler said. “One state is imposing its will on the other. It’s just a question of which one.”\u003c/p>\n\u003cp>“That’s why the whole leaving it to the states thing wasn’t going to work, because the states were going to take diametrically opposed positions,” she said.\u003c/p>\n\u003cfigure id=\"attachment_12070825\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12070825\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/260122-STEVE-HILTON-ON-PB-MD-05-KQED_1.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/260122-STEVE-HILTON-ON-PB-MD-05-KQED_1.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/260122-STEVE-HILTON-ON-PB-MD-05-KQED_1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/260122-STEVE-HILTON-ON-PB-MD-05-KQED_1-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Steve Hilton speaks with Scott Shafer and Marisa Lagos on Political Breakdown at KQED in San Francisco on Jan. 22, 2026. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Hilton’s remarks come as the race to succeed Newsom remains wide open. Despite Democrats outnumbering Republicans nearly two-to-one in the state — and the fact that no Republican has won statewide office in California in 20 years — Hilton has \u003ca href=\"https://emersoncollegepolling.com/california-2026-new-poll/\">led some recent polls\u003c/a>, along with another GOP candidate, Riverside County Sheriff Chad Bianco.\u003c/p>\n\u003cp>The Democratic field is large, and support among those candidates remains fractured, leading to some consternation among Democrats that the two GOP candidates could make it into a November runoff; California’s election system allows the top two vote-getters to advance, regardless of party.\u003c/p>\n\u003cp>But surveys also show a wide swath of the electorate is still undecided.\u003c/p>\n\u003cp>Hilton has largely avoided talking about abortion on the campaign trail. But in an interview last summer with Orange County evangelical pastor Jack Hibbs, he\u003ca href=\"https://www.instagram.com/reel/DMSzxq8PCuV/\"> talked about\u003c/a> moving the state “towards life.” He called abortion an “awful, awful outcome” and said he would encourage adoption.\u003c/p>\n\u003cp>Hibbs, the founder and senior pastor at Calvary Chapel Chino Hills, \u003ca href=\"https://www.facebook.com/watch/?v=26039887812314763\">endorsed\u003c/a> Hilton last week, sharing an audio clip where Hilton also said he would end the use of taxpayer funds to promote what he called “abortion tourism” if elected governor.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Sarah Jolly has been trying to conceive with her husband for five years.\u003c/p>\n\u003cp>The couple bought a house on the Central Coast in 2021 as newlyweds and thought they were “doing everything correct, financially,” Jolly said.\u003c/p>\n\u003cp>But in reality, “we had no idea how many years infertility would strap us” when it came to their finances, she said. “It is one of the hardest things I’ve ever been through.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Testing, \u003cem>traveling \u003c/em>to get tested, seeking a diagnosis and treatments like intrauterine insemination have so far cost the couple around $15,000.\u003c/p>\n\u003cp>In vitro fertilization — when \u003ca href=\"https://crh.ucsf.edu/fertility-treatment/in-vitro-fertilization-ivf/\">eggs are paired with sperm in a lab and placed in the uterus\u003c/a> — was out of their reach, price-wise. One cycle of IVF in California could \u003ca href=\"https://www.pfcla.com/blog/ivf-costs-california\">potentially cost more than $20,000\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_12070657\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12070657\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/embryologist.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/embryologist.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/embryologist-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/embryologist-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Illia Brusianskyi, a senior embryologist in Fountain Valley, CA., prepares embryos for genetic testing on Feb. 29, 2024. \u003ccite>(Jay L. Clendenin via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“There are so many people in our situation, but also learning that infertility is not covered by insurance,” Jolly said. “It’s not really supported.”\u003c/p>\n\u003cp>It’s why Jolly is so encouraged by \u003ca href=\"https://www.kqed.org/forum/2010101912616/new-california-ivf-law-dramatically-expands-access\">a new state law\u003c/a> kicking in this month, which requires large employer-sponsored health plans to cover up to three cycles of IVF, plus other infertility services.\u003c/p>\n\u003cp>“I love that this law is being passed,” she said. “Taking the financial burden out of those choices would be life-changing for us.”[aside postID=news_12069971 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/09/GavinNewsomAP.jpg']California is now the \u003ca href=\"https://www.kqed.org/forum/2010101912616/new-california-ivf-law-dramatically-expands-access\">15th state in the country\u003c/a> to adopt insurance mandates around IVF. The Society for Assisted Reproductive Technology’s most recent numbers show that in 2023 alone, \u003ca href=\"https://www.asrm.org/news-and-events/asrm-news/press-releasesbulletins/us-ivf-usage-increases-in-2023-leads-to-over-95000-babies-born/\">95,000 babies were born through IVF usage\u003c/a> in the United States.\u003c/p>\n\u003cp>As \u003ca href=\"https://stateline.org/2025/08/25/as-republicans-spar-over-ivf-some-turn-to-obscure-maha-backed-alternative/\">conservative attacks on IVF\u003c/a> and \u003ca href=\"https://fightforfamilies.resolve.org/\">the overturning of \u003cem>Roe v. Wade\u003c/em>\u003c/a>\u003cem> — \u003c/em>which previously protected \u003ca href=\"https://www.kqed.org/news/tag/abortion\">abortion rights\u003c/a> in the U.S. — have left \u003ca href=\"https://www.americanprogress.org/article/how-the-alabama-ivf-ruling-is-connected-to-upcoming-supreme-court-cases-on-abortion/\">IVF and its providers with an uncertain legal future\u003c/a>, this new state law is another example of how California has been \u003ca href=\"https://www.kqed.org/news/tag/abortion\">strengthening its reproductive rights\u003c/a> amidst an increasingly hostile federal landscape.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/forum/2010101912616/new-california-ivf-law-dramatically-expands-access\">KQED \u003cem>Forum’s\u003c/em>\u003c/a> Mina Kim spoke to Jolly, the bill’s author, San Fernando Valley state Sen. Caroline Menjivar and Shefali Luthra, \u003ca href=\"https://19thnews.org/author/shefali-luthra/\">reporter at The 19th \u003c/a>on what Californians can expect to see from the new IVF law kicking in this January.\u003c/p>\n\u003ch2>\u003cstrong>What is the new California IVF law? \u003c/strong>\u003c/h2>\n\u003cp>The \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202320240SB729\">new law\u003c/a>, Senate Bill 729, dictates that large insurance groups (defined as \u003ca href=\"https://www.ivyfertility.com/news/california-senate-bill-729-faq\">101 or more employees\u003c/a>) must expand their services to cover infertility treatments and diagnoses.\u003c/p>\n\u003cp>In addition, according to \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202320240SB729\">the bill’s text\u003c/a>, large health insurance groups also must be able to cover “a maximum of 3 completed \u003ca href=\"https://www.pfcla.com/blog/egg-retrieval-process-what-to-expect\">oocyte retrievals\u003c/a>.”\u003c/p>\n\u003cp>An array of other \u003ca href=\"https://www.dmhc.ca.gov/Portals/0/Docs/OPL/APL25-021-ImplementationofSenateBill729(2024)(12_30_2025).pdf?ver=U9xFsGl6wZuNEyfFwRISFw%3d%3d\">fertility-related services (link to PDF)\u003c/a> may include:\u003c/p>\n\u003cul>\n\u003cli>Unlimited embryo transfers\u003c/li>\n\u003cli>Tubal evaluation and uterine evaluation\u003c/li>\n\u003cli>Sperm DNA fragmentation analysis\u003c/li>\n\u003cli>Thyroid function testing\u003c/li>\n\u003cli>Ovarian reserve testing\u003c/li>\n\u003cli>Procurement of donor semen, oocyte and embryo\u003c/li>\n\u003cli>Physician services, including consultation and referral.\u003c/li>\n\u003cli>Surgery to treat infertility\u003c/li>\n\u003cli>Medication to treat infertility\u003c/li>\n\u003cli>Infectious disease screening and testing\u003c/li>\n\u003cli>Medication to induce ovulation.\u003c/li>\n\u003c/ul>\n\u003cp>Keep in mind that some of these services are for \u003ca href=\"https://www.dmhc.ca.gov/Portals/0/Docs/OPL/APL25-021-ImplementationofSenateBill729(2024)(12_30_2025).pdf?ver=U9xFsGl6wZuNEyfFwRISFw%3d%3d\">“medically necessary”\u003c/a> cases of infertility — like \u003ca href=\"https://resolve.org/learn/financial-resources/insurance-coverage/understanding-californias-ivf-insurance-law/\">egg freezing before cancer treatment\u003c/a>. But the law is “pretty broad in some ways,” \u003ca href=\"https://19thnews.org/author/shefali-luthra/\">The 19th\u003c/a>’s Luthra said.\u003c/p>\n\u003cp>“It’s for treatment of infertility diagnosis and fertility treatment even beyond IVF,” Luthra said. “This creates a benefit structure for anyone who is navigating fertility to really get a sense of what might be causing that and how to treat that — whether it is IVF or something else that could help you become a parent.”\u003c/p>\n\u003ch2>\u003cstrong>When does this law kick in?\u003c/strong>\u003c/h2>\n\u003cp>The law kicks in for health insurance contracts \u003ca href=\"https://sd20.senate.ca.gov/news/millions-californians-now-have-health-plan-coverage-infertility-and-fertility-services\">issued or renewed\u003c/a> on or after January 2026.\u003c/p>\n\u003cp>According to the national fertility organization Resolve, if an \u003ca href=\"https://resolve.org/learn/financial-resources/insurance-coverage/understanding-californias-ivf-insurance-law/\">“employer’s plan renews later in the year, coverage under California’s IVF mandate may not begin until that renewal date.”\u003c/a>\u003c/p>\n\u003cp>The law will be \u003ca href=\"https://sd20.senate.ca.gov/news/millions-californians-now-have-health-plan-coverage-infertility-and-fertility-services\">delayed\u003c/a> for public employees who work for entities like the state government and are covered by \u003ca href=\"https://www.calpers.ca.gov/\">CalPERS\u003c/a>. For them, the law will start on July 1, 2027.\u003c/p>\n\u003ch2>\u003cstrong>Who does this law impact?\u003c/strong>\u003c/h2>\n\u003cp>Anyone interested in having children. By adjusting the definition of infertility, the state law has now \u003ca href=\"https://calmatters.org/health/2025/12/aetna-lawsuit-lgbtq-ivf-fertility/\">expanded access\u003c/a> to LGBTQ+ couples or single people who would often have to pay out of pocket for multiple treatments, Mejivar said.\u003c/p>\n\u003cp>Previously, the definition of infertility for major insurance companies like Aetna would include a person \u003ca href=\"https://calmatters.org/health/2025/12/aetna-lawsuit-lgbtq-ivf-fertility/\">attesting they’d been having heterosexual sex for a year\u003c/a>.\u003c/p>\n\u003cp>“I’m glad that we outlawed that 30-year-old description,” Mejivar said.\u003c/p>\n\u003ch2>\u003cstrong>Are there exceptions to the law? \u003c/strong>\u003c/h2>\n\u003cp>\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202320240SB729\">Religious employers\u003c/a>, small group employers and self-funded employers are \u003ca href=\"https://www.ccrmivf.com/blog/california-sb729-fertility-coverage/\">exempt\u003c/a> from this law. (But they can \u003ca href=\"https://www.blueshieldca.com/en/broker/resources/mandates\">opt to offer\u003c/a> these services, and employees of such organizations can \u003ca href=\"https://www.ccrmivf.com/blog/california-sb729-fertility-coverage/\">discuss options\u003c/a> with their human resources team.)\u003c/p>\n\u003cp>In addition to expanding to small individual health plans, Mejivar is also hoping to see the expansion reach Covered California: the state’s marketplace for plans offered under the Affordable Care Act.\u003c/p>\n\u003cfigure id=\"attachment_12052572\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12052572\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/042924_Covered-CA_AH_06.jpg\" alt='A woman wearing a black and white striped shirt walks past a building with a sign that says \"Health Insurance Covered California.\"' width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/042924_Covered-CA_AH_06.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/042924_Covered-CA_AH_06-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/042924_Covered-CA_AH_06-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A Covered California Enrollment Center in Chula Vista on April 29, 2024. \u003ccite>(Adriana Heldiz / CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We passed my bill, the governor signed it, and it’s now up to the federal government to approve it,” she said. “But we just got a letter that said that [federal officials are] putting a pause on all approvals.”\u003c/p>\n\u003cp>“It wasn’t a rejection. They’re just putting a pause,” she added. “We’re hopeful that they’re going to be coming back in approving what’s called the essential health benefits so that we can get more millions of people under other plans covered for IVF and fertility services.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Testing, \u003cem>traveling \u003c/em>to get tested, seeking a diagnosis and treatments like intrauterine insemination have so far cost the couple around $15,000.\u003c/p>\n\u003cp>In vitro fertilization — when \u003ca href=\"https://crh.ucsf.edu/fertility-treatment/in-vitro-fertilization-ivf/\">eggs are paired with sperm in a lab and placed in the uterus\u003c/a> — was out of their reach, price-wise. One cycle of IVF in California could \u003ca href=\"https://www.pfcla.com/blog/ivf-costs-california\">potentially cost more than $20,000\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_12070657\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12070657\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/embryologist.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/embryologist.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/embryologist-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/embryologist-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Illia Brusianskyi, a senior embryologist in Fountain Valley, CA., prepares embryos for genetic testing on Feb. 29, 2024. \u003ccite>(Jay L. Clendenin via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“There are so many people in our situation, but also learning that infertility is not covered by insurance,” Jolly said. “It’s not really supported.”\u003c/p>\n\u003cp>It’s why Jolly is so encouraged by \u003ca href=\"https://www.kqed.org/forum/2010101912616/new-california-ivf-law-dramatically-expands-access\">a new state law\u003c/a> kicking in this month, which requires large employer-sponsored health plans to cover up to three cycles of IVF, plus other infertility services.\u003c/p>\n\u003cp>“I love that this law is being passed,” she said. “Taking the financial burden out of those choices would be life-changing for us.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>California is now the \u003ca href=\"https://www.kqed.org/forum/2010101912616/new-california-ivf-law-dramatically-expands-access\">15th state in the country\u003c/a> to adopt insurance mandates around IVF. The Society for Assisted Reproductive Technology’s most recent numbers show that in 2023 alone, \u003ca href=\"https://www.asrm.org/news-and-events/asrm-news/press-releasesbulletins/us-ivf-usage-increases-in-2023-leads-to-over-95000-babies-born/\">95,000 babies were born through IVF usage\u003c/a> in the United States.\u003c/p>\n\u003cp>As \u003ca href=\"https://stateline.org/2025/08/25/as-republicans-spar-over-ivf-some-turn-to-obscure-maha-backed-alternative/\">conservative attacks on IVF\u003c/a> and \u003ca href=\"https://fightforfamilies.resolve.org/\">the overturning of \u003cem>Roe v. Wade\u003c/em>\u003c/a>\u003cem> — \u003c/em>which previously protected \u003ca href=\"https://www.kqed.org/news/tag/abortion\">abortion rights\u003c/a> in the U.S. — have left \u003ca href=\"https://www.americanprogress.org/article/how-the-alabama-ivf-ruling-is-connected-to-upcoming-supreme-court-cases-on-abortion/\">IVF and its providers with an uncertain legal future\u003c/a>, this new state law is another example of how California has been \u003ca href=\"https://www.kqed.org/news/tag/abortion\">strengthening its reproductive rights\u003c/a> amidst an increasingly hostile federal landscape.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/forum/2010101912616/new-california-ivf-law-dramatically-expands-access\">KQED \u003cem>Forum’s\u003c/em>\u003c/a> Mina Kim spoke to Jolly, the bill’s author, San Fernando Valley state Sen. Caroline Menjivar and Shefali Luthra, \u003ca href=\"https://19thnews.org/author/shefali-luthra/\">reporter at The 19th \u003c/a>on what Californians can expect to see from the new IVF law kicking in this January.\u003c/p>\n\u003ch2>\u003cstrong>What is the new California IVF law? \u003c/strong>\u003c/h2>\n\u003cp>The \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202320240SB729\">new law\u003c/a>, Senate Bill 729, dictates that large insurance groups (defined as \u003ca href=\"https://www.ivyfertility.com/news/california-senate-bill-729-faq\">101 or more employees\u003c/a>) must expand their services to cover infertility treatments and diagnoses.\u003c/p>\n\u003cp>In addition, according to \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202320240SB729\">the bill’s text\u003c/a>, large health insurance groups also must be able to cover “a maximum of 3 completed \u003ca href=\"https://www.pfcla.com/blog/egg-retrieval-process-what-to-expect\">oocyte retrievals\u003c/a>.”\u003c/p>\n\u003cp>An array of other \u003ca href=\"https://www.dmhc.ca.gov/Portals/0/Docs/OPL/APL25-021-ImplementationofSenateBill729(2024)(12_30_2025).pdf?ver=U9xFsGl6wZuNEyfFwRISFw%3d%3d\">fertility-related services (link to PDF)\u003c/a> may include:\u003c/p>\n\u003cul>\n\u003cli>Unlimited embryo transfers\u003c/li>\n\u003cli>Tubal evaluation and uterine evaluation\u003c/li>\n\u003cli>Sperm DNA fragmentation analysis\u003c/li>\n\u003cli>Thyroid function testing\u003c/li>\n\u003cli>Ovarian reserve testing\u003c/li>\n\u003cli>Procurement of donor semen, oocyte and embryo\u003c/li>\n\u003cli>Physician services, including consultation and referral.\u003c/li>\n\u003cli>Surgery to treat infertility\u003c/li>\n\u003cli>Medication to treat infertility\u003c/li>\n\u003cli>Infectious disease screening and testing\u003c/li>\n\u003cli>Medication to induce ovulation.\u003c/li>\n\u003c/ul>\n\u003cp>Keep in mind that some of these services are for \u003ca href=\"https://www.dmhc.ca.gov/Portals/0/Docs/OPL/APL25-021-ImplementationofSenateBill729(2024)(12_30_2025).pdf?ver=U9xFsGl6wZuNEyfFwRISFw%3d%3d\">“medically necessary”\u003c/a> cases of infertility — like \u003ca href=\"https://resolve.org/learn/financial-resources/insurance-coverage/understanding-californias-ivf-insurance-law/\">egg freezing before cancer treatment\u003c/a>. But the law is “pretty broad in some ways,” \u003ca href=\"https://19thnews.org/author/shefali-luthra/\">The 19th\u003c/a>’s Luthra said.\u003c/p>\n\u003cp>“It’s for treatment of infertility diagnosis and fertility treatment even beyond IVF,” Luthra said. “This creates a benefit structure for anyone who is navigating fertility to really get a sense of what might be causing that and how to treat that — whether it is IVF or something else that could help you become a parent.”\u003c/p>\n\u003ch2>\u003cstrong>When does this law kick in?\u003c/strong>\u003c/h2>\n\u003cp>The law kicks in for health insurance contracts \u003ca href=\"https://sd20.senate.ca.gov/news/millions-californians-now-have-health-plan-coverage-infertility-and-fertility-services\">issued or renewed\u003c/a> on or after January 2026.\u003c/p>\n\u003cp>According to the national fertility organization Resolve, if an \u003ca href=\"https://resolve.org/learn/financial-resources/insurance-coverage/understanding-californias-ivf-insurance-law/\">“employer’s plan renews later in the year, coverage under California’s IVF mandate may not begin until that renewal date.”\u003c/a>\u003c/p>\n\u003cp>The law will be \u003ca href=\"https://sd20.senate.ca.gov/news/millions-californians-now-have-health-plan-coverage-infertility-and-fertility-services\">delayed\u003c/a> for public employees who work for entities like the state government and are covered by \u003ca href=\"https://www.calpers.ca.gov/\">CalPERS\u003c/a>. For them, the law will start on July 1, 2027.\u003c/p>\n\u003ch2>\u003cstrong>Who does this law impact?\u003c/strong>\u003c/h2>\n\u003cp>Anyone interested in having children. By adjusting the definition of infertility, the state law has now \u003ca href=\"https://calmatters.org/health/2025/12/aetna-lawsuit-lgbtq-ivf-fertility/\">expanded access\u003c/a> to LGBTQ+ couples or single people who would often have to pay out of pocket for multiple treatments, Mejivar said.\u003c/p>\n\u003cp>Previously, the definition of infertility for major insurance companies like Aetna would include a person \u003ca href=\"https://calmatters.org/health/2025/12/aetna-lawsuit-lgbtq-ivf-fertility/\">attesting they’d been having heterosexual sex for a year\u003c/a>.\u003c/p>\n\u003cp>“I’m glad that we outlawed that 30-year-old description,” Mejivar said.\u003c/p>\n\u003ch2>\u003cstrong>Are there exceptions to the law? \u003c/strong>\u003c/h2>\n\u003cp>\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202320240SB729\">Religious employers\u003c/a>, small group employers and self-funded employers are \u003ca href=\"https://www.ccrmivf.com/blog/california-sb729-fertility-coverage/\">exempt\u003c/a> from this law. (But they can \u003ca href=\"https://www.blueshieldca.com/en/broker/resources/mandates\">opt to offer\u003c/a> these services, and employees of such organizations can \u003ca href=\"https://www.ccrmivf.com/blog/california-sb729-fertility-coverage/\">discuss options\u003c/a> with their human resources team.)\u003c/p>\n\u003cp>In addition to expanding to small individual health plans, Mejivar is also hoping to see the expansion reach Covered California: the state’s marketplace for plans offered under the Affordable Care Act.\u003c/p>\n\u003cfigure id=\"attachment_12052572\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12052572\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/042924_Covered-CA_AH_06.jpg\" alt='A woman wearing a black and white striped shirt walks past a building with a sign that says \"Health Insurance Covered California.\"' width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/042924_Covered-CA_AH_06.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/042924_Covered-CA_AH_06-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/042924_Covered-CA_AH_06-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A Covered California Enrollment Center in Chula Vista on April 29, 2024. \u003ccite>(Adriana Heldiz / CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We passed my bill, the governor signed it, and it’s now up to the federal government to approve it,” she said. “But we just got a letter that said that [federal officials are] putting a pause on all approvals.”\u003c/p>\n\u003cp>“It wasn’t a rejection. They’re just putting a pause,” she added. “We’re hopeful that they’re going to be coming back in approving what’s called the essential health benefits so that we can get more millions of people under other plans covered for IVF and fertility services.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "id-be-left-alone-medicaid-cuts-put-disabled-patients-in-home-care-at-risk",
"title": "‘I’d Be Left Alone’: Medicaid Cuts Put Disabled Patients’ In-Home Care at Risk",
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"headTitle": "‘I’d Be Left Alone’: Medicaid Cuts Put Disabled Patients’ In-Home Care at Risk | KQED",
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"content": "\u003cp>Emma Denice Milligan can be a prankster. Her warm eyes, big smile and wheelchair can be misleading, said her caregiver, Wanda Kincy. But Emma once crashed a wedding and helped herself to the food. Another time, she put herself on a plane from \u003ca href=\"https://www.kqed.org/news/tag/oakland\">Oakland\u003c/a> to Chicago to meet her high school sweetheart without telling her caregivers.\u003c/p>\n\u003cp>Kincy points two fingers at her own eyes and then at Milligan’s. “I know you,” she said with a grin.\u003c/p>\n\u003cp>Kincy arrives at the Oakland home Milligan shares with her aunt and uncle at 8 a.m., five days a week, staying until at least 10 p.m. and overnight on Thursdays and Fridays. She helps Milligan, 57, get dressed, bathed and ready for her adult day program. Kincy books Milligan’s paratransit rides, times medication reminders and keeps track of the small details that make her independence possible.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The care Kincy provides is covered through California’s Medicaid program, also known as Medi-Cal. Federal cuts have many advocates worried about the future of such care.\u003c/p>\n\u003cp>Under federal law, most home- and community-based services are optional benefits, meaning states can choose whether to include services like personal care in their Medicaid plans and how broadly to offer them.\u003c/p>\n\u003cp>In California, Medicaid covers in-home supportive services to Californians who are elderly, blind or disabled and would otherwise be at risk of nursing home placement. The federal government reimburses California for about half of the cost of IHSS.\u003c/p>\n\u003cfigure id=\"attachment_12070295\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12070295\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/InHomeCare2.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/InHomeCare2.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/InHomeCare2-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/InHomeCare2-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">In her Oakland home on Dec. 12, 2025, Emma Denice Milligan smiles at her caregiver, Wanda Kincy, as Kincy recounts how Milligan has coped with the death of her mother, Carolyn Milligan, a human rights activist who worked on housing rights in Chicago and served Black communities in Oakland, in 2023. \u003ccite>(Courtesy of Hyeyoon Cho)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In-home services enable Milligan’s family to hire Kincy to assist with daily personal care and household tasks so Milligan can remain safely in her family home.\u003c/p>\n\u003cp>“If I lose Wanda, then I would probably have to go to a facility,” she said. “People at the facility don’t care. I would be calling them for help, and they wouldn’t come. I’d be left alone and be wet all night, because I can’t go to the bathroom.”\u003c/p>\n\u003cp>Milligan has received IHSS on and off while living in both California and Chicago. In 2011, she moved to Oakland and has relied on the program continuously since. But there is a growing concern about how long the services can last.[aside postID=news_12068383 hero='https://ww2.kqed.org/app/uploads/sites/10/2020/04/001_KQED_Oakland_HighlandHospital_041152020-1020x680.jpg']In July, Congress approved roughly $1 trillion in Medicaid cuts over the next decade, beginning in 2026. Because the federal government pays roughly 54% of California’s total home- and community-based services costs, the impending cuts immediately raised alarm.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.whitehouse.gov/articles/2025/06/myth-vs-fact-the-one-big-beautiful-bill/\">White House\u003c/a> has said the budget package would not affect Medicaid coverage for people with disabilities. Advocates warn the changes will nonetheless fall heavily on home- and community-based services, which aren’t protected like nursing home services. They say optional services are often the first to be reduced.\u003c/p>\n\u003cp>Hagar Dickman, a senior attorney at Justice in Aging, said the risk to in-home services is not theoretical. During last year’s state budget negotiations, she said, Gov. Gavin Newsom’s administration initially looked to IHSS as one of the first areas to cut when facing a projected shortfall.\u003c/p>\n\u003cp>“In the May budget revision, home- and community-based services were immediately on the table,” Dickman said.\u003c/p>\n\u003cp>The budget proposed \u003ca href=\"https://calbudgetcenter.org/resources/first-look-understanding-the-governors-2025-26-may-revision/#h-revised-budget-fails-to-invest-in-older-adults-and-californians-with-disabilities\">over $1 billion\u003c/a> in mostly ongoing cuts to in-home supportive services, including limits on provider pay and hours and the elimination of benefits for certain groups. Although this was not adopted in the final budget, a plan for freezing new Medi-Cal enrollments from undocumented adults, including IHSS eligibility, was adopted and is set to begin in 2026, while existing enrollees retain coverage. \u003c/p>\n\u003cfigure id=\"attachment_12070297\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12070297\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/InHomeCare3.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/InHomeCare3.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/InHomeCare3-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/InHomeCare3-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Emma Denice Milligan jokes with Wanda Kincy in Ability Now, an Oakland-based adult day center for people with disabilities, on Nov. 20, 2025. \u003ccite>(Courtesy of Hyeyoon Cho)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Dickman said this episode underscored how quickly optional services can be targeted.\u003c/p>\n\u003cp>“When states are under pressure, they go after HCBS [home- and community-based services] first because they’re optional under federal law,” she said.\u003c/p>\n\u003cp>Congress has agreed to restructure \u003ca href=\"https://calbudgetcenter.org/resources/how-federal-funding-cuts-threaten-the-health-of-californians/\">Medicaid\u003c/a> by reducing the federal government’s share of reimbursements, restricting how states raise Medicaid revenue and imposing new eligibility checks, work requirements and exclusions for certain immigrant groups.\u003c/p>\n\u003cp>A recent analysis by the \u003ca href=\"https://www.chcf.org/wp-content/uploads/2025/10/HowCutsMediCalHomeCommunityBasedServicesImpactCA.pdf\">California Health Care Foundation \u003c/a>suggests the consequences could be costly. If the state reduces HCBS by 10% in response to federal cuts, California could face roughly $1 billion in added Medicaid expenses as more residents are moved into institutional settings.[aside postID=news_12068555 hero='https://ww2.kqed.org/app/uploads/sites/10/2022/07/GettyImages-1197447255-1020x680.jpg']“The federal Medicaid cuts are an absolute disaster for HCBS,” said Sabrina Epstein, a policy analyst at Disability Rights California. She said the cuts will push many people off Medicaid, leaving them without access to the only program that funds round-the-clock in-home support.\u003c/p>\n\u003cp>“People will be forced into nursing homes or left to rely on unpaid family care,” Epstein said.\u003c/p>\n\u003cp>During the Great Recession, the federal government gave states more money for Medicaid. Researchers at UCSF and the Disability Rights Education and Defense Fund \u003ca href=\"https://geigergibson.publichealth.gwu.edu/sites/g/files/zaxdzs4421/files/2025-04/Kaye%20HCBS%20Cuts%202010-2012%20%282%29%20%281%29.pdf\">examined what happened\u003c/a> when Congress ended enhanced federal Medicaid funding to states between 2010 and 2012.\u003c/p>\n\u003cp>Every state responded by cutting home- and community-based services in some way — reducing benefits, the number of people covered, or both. Waiting lists for home care grew across the country.\u003c/p>\n\u003cp>California will not be able to absorb the loss if federal Medicaid cuts take effect in 2026, said Mike Pereira, executive director of Ala Costa Centers in Berkeley, which offers adult day services to people with developmental disabilities.\u003c/p>\n\u003cp>“We’re all bracing,” he said. “We’re watching the sand run out of the hourglass.”\u003c/p>\n\u003ch2>Round-the-clock care\u003c/h2>\n\u003cp>Milligan’s bedroom is crowded but intentional. A metal lift helps get her out of bed. A tray table holds adaptive cups and utensils. Framed photographs line the walls: Emma smiling at family gatherings, dressed up for celebrations, captured at different points in her life. One large portrait shows her late mother smiling for the camera.\u003c/p>\n\u003cp>Milligan’s uncle, Austin Long-Scott, is in his 80s and has Parkinson’s disease, which has increasingly limited what he can physically do. His wife, Ethel, is also in her 80s and not able to do as much as she used to do for Milligan.\u003c/p>\n\u003cp>“We used to stay with her 24/7,” Austin Long-Scott said. “We can’t do that anymore.”\u003c/p>\n\u003cfigure id=\"attachment_12070294\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12070294\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/InHomeCare1.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/InHomeCare1.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/InHomeCare1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/InHomeCare1-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Photos of Emma Denice Milligan with friends and pastors sit in the corner of her room in Oakland on Dec. 12, 2025. \u003ccite>(Courtesy of Hyeyoon Cho)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In October, Milligan had a setback, spending weeks in the hospital as doctors struggled to manage severe chest and stomach pain. Kincy often stayed with her, helping communicate with nurses and doctors, monitoring pain levels and watching for changes.\u003c/p>\n\u003cp>Without IHSS, Long-Scott said, their options would be grim. Paying out of pocket to retain Kincy would be financially overwhelming.\u003c/p>\n\u003cp>Without a caregiver, Milligan would not be able to speak at churches and community organizations about disability justice or connect domestic violence survivors with resources, advocacy that she’s been committed to for more than a decade.[aside postID=news_12069772 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/011426_SF-VA-CUTS-_GH_013-KQED.jpg']Kincy reads the statements Milligan writes and facilitates questions from the audience. Their coordination allows Milligan to remain active in her community.\u003c/p>\n\u003cp>“The two of them just bonded,” Long-Scott said. “It was almost instant.”\u003c/p>\n\u003cp>In the afternoons, Milligan attends Ability Now Bay Area, a center for people with disabilities. There, she is developing a business idea on adaptive clothing, which grew out of her daily care needs. She wants to design garments secured with snaps, magnets or velcro — clothing that can be put on and taken off with minimal movement.\u003c/p>\n\u003cp>Fridays leave small joys for Milligan: browsing with Kincy at Macy’s Backstage in Pleasanton or getting dumplings in Alameda. Recently, at an outlet store in Berkeley, Kincy used her charms to talk a cashier into reducing the price of a new jacket for Milligan by 15%. They were thrilled about the bargain.\u003c/p>\n\u003cp>Milligan appreciates Kincy and the programs that enable her to remain vibrant in her community. “People I meet at Ability Now and the community around me understand me. They can relate,” she said. “Wanda and I always crack up when we’re there. They bring a lot of joy.”\u003c/p>\n\u003cp>\u003cem>This story is part of \u003c/em>\u003ca href=\"https://archive.is/o/DQQxE/https:/hub.journalism.berkeley.edu/thestakes/\">\u003cem>“The Stakes,”\u003c/em>\u003c/a>\u003cem> a UC Berkeley Journalism project on executive orders and actions affecting Californians and their communities.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Emma Denice Milligan can be a prankster. Her warm eyes, big smile and wheelchair can be misleading, said her caregiver, Wanda Kincy. But Emma once crashed a wedding and helped herself to the food. Another time, she put herself on a plane from \u003ca href=\"https://www.kqed.org/news/tag/oakland\">Oakland\u003c/a> to Chicago to meet her high school sweetheart without telling her caregivers.\u003c/p>\n\u003cp>Kincy points two fingers at her own eyes and then at Milligan’s. “I know you,” she said with a grin.\u003c/p>\n\u003cp>Kincy arrives at the Oakland home Milligan shares with her aunt and uncle at 8 a.m., five days a week, staying until at least 10 p.m. and overnight on Thursdays and Fridays. She helps Milligan, 57, get dressed, bathed and ready for her adult day program. Kincy books Milligan’s paratransit rides, times medication reminders and keeps track of the small details that make her independence possible.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The care Kincy provides is covered through California’s Medicaid program, also known as Medi-Cal. Federal cuts have many advocates worried about the future of such care.\u003c/p>\n\u003cp>Under federal law, most home- and community-based services are optional benefits, meaning states can choose whether to include services like personal care in their Medicaid plans and how broadly to offer them.\u003c/p>\n\u003cp>In California, Medicaid covers in-home supportive services to Californians who are elderly, blind or disabled and would otherwise be at risk of nursing home placement. The federal government reimburses California for about half of the cost of IHSS.\u003c/p>\n\u003cfigure id=\"attachment_12070295\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12070295\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/InHomeCare2.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/InHomeCare2.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/InHomeCare2-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/InHomeCare2-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">In her Oakland home on Dec. 12, 2025, Emma Denice Milligan smiles at her caregiver, Wanda Kincy, as Kincy recounts how Milligan has coped with the death of her mother, Carolyn Milligan, a human rights activist who worked on housing rights in Chicago and served Black communities in Oakland, in 2023. \u003ccite>(Courtesy of Hyeyoon Cho)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In-home services enable Milligan’s family to hire Kincy to assist with daily personal care and household tasks so Milligan can remain safely in her family home.\u003c/p>\n\u003cp>“If I lose Wanda, then I would probably have to go to a facility,” she said. “People at the facility don’t care. I would be calling them for help, and they wouldn’t come. I’d be left alone and be wet all night, because I can’t go to the bathroom.”\u003c/p>\n\u003cp>Milligan has received IHSS on and off while living in both California and Chicago. In 2011, she moved to Oakland and has relied on the program continuously since. But there is a growing concern about how long the services can last.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>In July, Congress approved roughly $1 trillion in Medicaid cuts over the next decade, beginning in 2026. Because the federal government pays roughly 54% of California’s total home- and community-based services costs, the impending cuts immediately raised alarm.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.whitehouse.gov/articles/2025/06/myth-vs-fact-the-one-big-beautiful-bill/\">White House\u003c/a> has said the budget package would not affect Medicaid coverage for people with disabilities. Advocates warn the changes will nonetheless fall heavily on home- and community-based services, which aren’t protected like nursing home services. They say optional services are often the first to be reduced.\u003c/p>\n\u003cp>Hagar Dickman, a senior attorney at Justice in Aging, said the risk to in-home services is not theoretical. During last year’s state budget negotiations, she said, Gov. Gavin Newsom’s administration initially looked to IHSS as one of the first areas to cut when facing a projected shortfall.\u003c/p>\n\u003cp>“In the May budget revision, home- and community-based services were immediately on the table,” Dickman said.\u003c/p>\n\u003cp>The budget proposed \u003ca href=\"https://calbudgetcenter.org/resources/first-look-understanding-the-governors-2025-26-may-revision/#h-revised-budget-fails-to-invest-in-older-adults-and-californians-with-disabilities\">over $1 billion\u003c/a> in mostly ongoing cuts to in-home supportive services, including limits on provider pay and hours and the elimination of benefits for certain groups. Although this was not adopted in the final budget, a plan for freezing new Medi-Cal enrollments from undocumented adults, including IHSS eligibility, was adopted and is set to begin in 2026, while existing enrollees retain coverage. \u003c/p>\n\u003cfigure id=\"attachment_12070297\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12070297\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/InHomeCare3.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/InHomeCare3.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/InHomeCare3-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/InHomeCare3-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Emma Denice Milligan jokes with Wanda Kincy in Ability Now, an Oakland-based adult day center for people with disabilities, on Nov. 20, 2025. \u003ccite>(Courtesy of Hyeyoon Cho)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Dickman said this episode underscored how quickly optional services can be targeted.\u003c/p>\n\u003cp>“When states are under pressure, they go after HCBS [home- and community-based services] first because they’re optional under federal law,” she said.\u003c/p>\n\u003cp>Congress has agreed to restructure \u003ca href=\"https://calbudgetcenter.org/resources/how-federal-funding-cuts-threaten-the-health-of-californians/\">Medicaid\u003c/a> by reducing the federal government’s share of reimbursements, restricting how states raise Medicaid revenue and imposing new eligibility checks, work requirements and exclusions for certain immigrant groups.\u003c/p>\n\u003cp>A recent analysis by the \u003ca href=\"https://www.chcf.org/wp-content/uploads/2025/10/HowCutsMediCalHomeCommunityBasedServicesImpactCA.pdf\">California Health Care Foundation \u003c/a>suggests the consequences could be costly. If the state reduces HCBS by 10% in response to federal cuts, California could face roughly $1 billion in added Medicaid expenses as more residents are moved into institutional settings.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“The federal Medicaid cuts are an absolute disaster for HCBS,” said Sabrina Epstein, a policy analyst at Disability Rights California. She said the cuts will push many people off Medicaid, leaving them without access to the only program that funds round-the-clock in-home support.\u003c/p>\n\u003cp>“People will be forced into nursing homes or left to rely on unpaid family care,” Epstein said.\u003c/p>\n\u003cp>During the Great Recession, the federal government gave states more money for Medicaid. Researchers at UCSF and the Disability Rights Education and Defense Fund \u003ca href=\"https://geigergibson.publichealth.gwu.edu/sites/g/files/zaxdzs4421/files/2025-04/Kaye%20HCBS%20Cuts%202010-2012%20%282%29%20%281%29.pdf\">examined what happened\u003c/a> when Congress ended enhanced federal Medicaid funding to states between 2010 and 2012.\u003c/p>\n\u003cp>Every state responded by cutting home- and community-based services in some way — reducing benefits, the number of people covered, or both. Waiting lists for home care grew across the country.\u003c/p>\n\u003cp>California will not be able to absorb the loss if federal Medicaid cuts take effect in 2026, said Mike Pereira, executive director of Ala Costa Centers in Berkeley, which offers adult day services to people with developmental disabilities.\u003c/p>\n\u003cp>“We’re all bracing,” he said. “We’re watching the sand run out of the hourglass.”\u003c/p>\n\u003ch2>Round-the-clock care\u003c/h2>\n\u003cp>Milligan’s bedroom is crowded but intentional. A metal lift helps get her out of bed. A tray table holds adaptive cups and utensils. Framed photographs line the walls: Emma smiling at family gatherings, dressed up for celebrations, captured at different points in her life. One large portrait shows her late mother smiling for the camera.\u003c/p>\n\u003cp>Milligan’s uncle, Austin Long-Scott, is in his 80s and has Parkinson’s disease, which has increasingly limited what he can physically do. His wife, Ethel, is also in her 80s and not able to do as much as she used to do for Milligan.\u003c/p>\n\u003cp>“We used to stay with her 24/7,” Austin Long-Scott said. “We can’t do that anymore.”\u003c/p>\n\u003cfigure id=\"attachment_12070294\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12070294\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/InHomeCare1.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/InHomeCare1.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/InHomeCare1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/InHomeCare1-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Photos of Emma Denice Milligan with friends and pastors sit in the corner of her room in Oakland on Dec. 12, 2025. \u003ccite>(Courtesy of Hyeyoon Cho)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In October, Milligan had a setback, spending weeks in the hospital as doctors struggled to manage severe chest and stomach pain. Kincy often stayed with her, helping communicate with nurses and doctors, monitoring pain levels and watching for changes.\u003c/p>\n\u003cp>Without IHSS, Long-Scott said, their options would be grim. Paying out of pocket to retain Kincy would be financially overwhelming.\u003c/p>\n\u003cp>Without a caregiver, Milligan would not be able to speak at churches and community organizations about disability justice or connect domestic violence survivors with resources, advocacy that she’s been committed to for more than a decade.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Kincy reads the statements Milligan writes and facilitates questions from the audience. Their coordination allows Milligan to remain active in her community.\u003c/p>\n\u003cp>“The two of them just bonded,” Long-Scott said. “It was almost instant.”\u003c/p>\n\u003cp>In the afternoons, Milligan attends Ability Now Bay Area, a center for people with disabilities. There, she is developing a business idea on adaptive clothing, which grew out of her daily care needs. She wants to design garments secured with snaps, magnets or velcro — clothing that can be put on and taken off with minimal movement.\u003c/p>\n\u003cp>Fridays leave small joys for Milligan: browsing with Kincy at Macy’s Backstage in Pleasanton or getting dumplings in Alameda. Recently, at an outlet store in Berkeley, Kincy used her charms to talk a cashier into reducing the price of a new jacket for Milligan by 15%. They were thrilled about the bargain.\u003c/p>\n\u003cp>Milligan appreciates Kincy and the programs that enable her to remain vibrant in her community. “People I meet at Ability Now and the community around me understand me. They can relate,” she said. “Wanda and I always crack up when we’re there. They bring a lot of joy.”\u003c/p>\n\u003cp>\u003cem>This story is part of \u003c/em>\u003ca href=\"https://archive.is/o/DQQxE/https:/hub.journalism.berkeley.edu/thestakes/\">\u003cem>“The Stakes,”\u003c/em>\u003c/a>\u003cem> a UC Berkeley Journalism project on executive orders and actions affecting Californians and their communities.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "california-lawmakers-defend-doctor-as-states-clash-over-abortion",
"title": "California Lawmakers Defend Doctor as States Clash Over Abortion",
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"content": "\u003cp>\u003ca href=\"https://www.kqed.org/news/tag/california\">California\u003c/a> political leaders are rallying behind a Sonoma County doctor at the center of an interstate abortion dispute.\u003c/p>\n\u003cp>Louisiana officials have charged physician Dr. Rémy Coeytaux, a physician in Healdsburg, with providing abortion medication to a woman in the Gulf Coast state, where the procedure is banned. Leaders there asked California to send him back to face charges — a request Gov. Gavin Newsom refused, citing California laws designed to shield abortion providers from out-of-state prosecution.\u003c/p>\n\u003cp>The case tests how far abortion bans can reach beyond state borders — and the strength of California’s telemedicine abortion shield law, passed in September 2023. It’s part of a broader clash that’s deepened since the Supreme Court overturned Roe v. Wade in 2022, leaving states to chart opposing paths on abortion.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Louisiana should be ashamed for attempting to drag this country backward by criminalizing health care and threatening doctors for doing their jobs,” East Bay Assemblymember Mia Bonta said in a statement.\u003c/p>\n\u003cp>Coeytaux has not been charged in California in connection with the Louisiana allegations. He declined an interview request. In a statement provided by his attorney, Nancy Northup — president and CEO of abortion rights group Center for Reproductive Rights — wrote: “These allegations are just that: allegations. As such, they are unproven and should not be reported as fact.”\u003c/p>\n\u003cfigure id=\"attachment_11983101\" class=\"wp-caption aligncenter\" style=\"max-width: 1760px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11983101 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/abortion-pill-661e839c21f49.jpg\" alt=\"abortion pill\" width=\"1760\" height=\"1220\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/abortion-pill-661e839c21f49.jpg 1760w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/abortion-pill-661e839c21f49-800x555.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/abortion-pill-661e839c21f49-1020x707.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/abortion-pill-661e839c21f49-160x111.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/abortion-pill-661e839c21f49-1536x1065.jpg 1536w\" sizes=\"auto, (max-width: 1760px) 100vw, 1760px\">\u003cfigcaption class=\"wp-caption-text\">A combination pack of mifepristone (L) and misoprostol tablets, two medicines used together for abortions. \u003ccite>(Elisa Wells Plan C/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Northup argued the case reflects a broader conflict between states that protect abortion access and those that ban it. Louisiana is “going after doctors for allegedly harming women” while enforcing an abortion ban that “puts women’s lives at risk every day,” she said.\u003c/p>\n\u003cp>Doctors stress that abortion pills are widely used and safe, including when provided via telehealth. Many patients seek medication by mail because abortion is banned where they live.[aside postID=news_12069825 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/GettyImages-2244069197_qed.jpg']Legal experts say the case could have sweeping implications. Since the U.S. Supreme Court overturned Roe v. Wade in 2022, states have taken sharply divergent approaches to abortion.\u003c/p>\n\u003cp>California has passed a series of laws aimed at protecting providers and patients from out-of-state civil and criminal actions tied to abortion care. Louisiana, meanwhile, has one of the nation’s strictest abortion bans.\u003c/p>\n\u003cp>“Louisiana is a state that denies women the right to control their own bodies,” said Assemblymember Chris Rogers, who represents Sonoma County. “We will not accept their attempt to control when and how our medical professionals choose to render care as well.”\u003c/p>\n\u003cp>Rogers said the state went further by publicly posting the doctor’s personal information, a move he described as punitive and potentially dangerous.\u003c/p>\n\u003cp>Whether states can enforce their abortion laws beyond their borders is likely to face further court challenges. For now, California officials say they will not assist other states in prosecuting doctors for care that is legal here.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://www.kqed.org/news/tag/california\">California\u003c/a> political leaders are rallying behind a Sonoma County doctor at the center of an interstate abortion dispute.\u003c/p>\n\u003cp>Louisiana officials have charged physician Dr. Rémy Coeytaux, a physician in Healdsburg, with providing abortion medication to a woman in the Gulf Coast state, where the procedure is banned. Leaders there asked California to send him back to face charges — a request Gov. Gavin Newsom refused, citing California laws designed to shield abortion providers from out-of-state prosecution.\u003c/p>\n\u003cp>The case tests how far abortion bans can reach beyond state borders — and the strength of California’s telemedicine abortion shield law, passed in September 2023. It’s part of a broader clash that’s deepened since the Supreme Court overturned Roe v. Wade in 2022, leaving states to chart opposing paths on abortion.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Louisiana should be ashamed for attempting to drag this country backward by criminalizing health care and threatening doctors for doing their jobs,” East Bay Assemblymember Mia Bonta said in a statement.\u003c/p>\n\u003cp>Coeytaux has not been charged in California in connection with the Louisiana allegations. He declined an interview request. In a statement provided by his attorney, Nancy Northup — president and CEO of abortion rights group Center for Reproductive Rights — wrote: “These allegations are just that: allegations. As such, they are unproven and should not be reported as fact.”\u003c/p>\n\u003cfigure id=\"attachment_11983101\" class=\"wp-caption aligncenter\" style=\"max-width: 1760px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11983101 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/abortion-pill-661e839c21f49.jpg\" alt=\"abortion pill\" width=\"1760\" height=\"1220\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/abortion-pill-661e839c21f49.jpg 1760w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/abortion-pill-661e839c21f49-800x555.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/abortion-pill-661e839c21f49-1020x707.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/abortion-pill-661e839c21f49-160x111.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/abortion-pill-661e839c21f49-1536x1065.jpg 1536w\" sizes=\"auto, (max-width: 1760px) 100vw, 1760px\">\u003cfigcaption class=\"wp-caption-text\">A combination pack of mifepristone (L) and misoprostol tablets, two medicines used together for abortions. \u003ccite>(Elisa Wells Plan C/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Northup argued the case reflects a broader conflict between states that protect abortion access and those that ban it. Louisiana is “going after doctors for allegedly harming women” while enforcing an abortion ban that “puts women’s lives at risk every day,” she said.\u003c/p>\n\u003cp>Doctors stress that abortion pills are widely used and safe, including when provided via telehealth. Many patients seek medication by mail because abortion is banned where they live.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Legal experts say the case could have sweeping implications. Since the U.S. Supreme Court overturned Roe v. Wade in 2022, states have taken sharply divergent approaches to abortion.\u003c/p>\n\u003cp>California has passed a series of laws aimed at protecting providers and patients from out-of-state civil and criminal actions tied to abortion care. Louisiana, meanwhile, has one of the nation’s strictest abortion bans.\u003c/p>\n\u003cp>“Louisiana is a state that denies women the right to control their own bodies,” said Assemblymember Chris Rogers, who represents Sonoma County. “We will not accept their attempt to control when and how our medical professionals choose to render care as well.”\u003c/p>\n\u003cp>Rogers said the state went further by publicly posting the doctor’s personal information, a move he described as punitive and potentially dangerous.\u003c/p>\n\u003cp>Whether states can enforce their abortion laws beyond their borders is likely to face further court challenges. For now, California officials say they will not assist other states in prosecuting doctors for care that is legal here.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>The \u003ca href=\"https://www.kqed.org/news/tag/donald-trump\">Trump\u003c/a> administration has cut over 157 open roles at the \u003ca href=\"https://www.kqed.org/news/tag/san-francisco\">San Francisco\u003c/a> Veterans Affairs Medical Center and outpatient clinics across the Bay Area.\u003c/p>\n\u003cp>That’s according to the Federal Unionists Network, an association of federal workers, who say these jobs are critical. The SFVAMC employs physicians, nurses, social workers, psychologists and other healthcare professionals.\u003c/p>\n\u003cp>Frontline VA workers, veterans and union representatives from the National Federation of Federal Employees held a rally outside the Medical Center at 4150 Clement St. in San Francisco on Wednesday afternoon to protest the cuts.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>They warned that cuts will weaken the VA health care system by translating into higher strain on the medical center in the form of “longer wait times, heavier patient loads, reduced services and increased safety risks for the veterans who rely on the VA for care”.\u003c/p>\n\u003cp>Mark Smith, an occupational therapist and the NFFE Local 1 Union president, said the positions lost include peer support specialists — veterans hired to support fellow veterans’ access to mental health treatment — as well as psychologists, therapists and nurses.\u003c/p>\n\u003cfigure id=\"attachment_12069822\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12069822\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/011426_SF-VA-CUTS-_GH_003-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/011426_SF-VA-CUTS-_GH_003-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/011426_SF-VA-CUTS-_GH_003-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/011426_SF-VA-CUTS-_GH_003-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Suzanne Gordon, an award-winning journalist and co-founder of the Veterans Healthcare Policy Institute, speaks during a rally opposing proposed staffing cuts at the San Francisco VA Medical Center on Jan. 14, 2026, in San Francisco. \u003ccite>(Gustavo Hernandez/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>That includes the SFVAMC’s singular emergency room social worker position.\u003c/p>\n\u003cp>“I think that one is just ludicrous frankly … They help ensure veterans get the resources that they need when they’re in a crisis. This is absolutely going to have an impact on Bay Area veterans.”\u003c/p>\n\u003cp>This month, the U.S. Department of Veterans Affairs has begun the process of cutting up to 37,000 vacant positions nationwide in what government officials have called a \u003ca href=\"https://news.va.gov/press-room/va-launches-veterans-health-administration-reorganization/\">“reorganization”\u003c/a> of the VA health care system.\u003c/p>\n\u003cp>“Since March, we’ve been conducting a holistic review of the department centered on reducing bureaucracy and improving services to Veterans,” VA Secretary Doug Collins said in a \u003ca href=\"https://news.va.gov/press-room/va-to-reduce-staff-by-nearly-30k-by-end-of-fy2025/\">statement\u003c/a> in July. “As a result of our efforts, VA is headed in the right direction — both in terms of staff levels and customer service. A department-wide [Reduction in Force] is off the table, but that doesn’t mean we’re done improving VA. Our review has resulted in a host of new ideas for better serving Veterans that we will continue to pursue.”[aside postID=news_12068953 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/230913-ChildCareCenterEviction-007-BL_qed.jpg']Collins is expected to \u003ca href=\"https://www.veterans.senate.gov/2026/1/chairman-moran-announces-committee-hearing-with-secretary-collins-on-reorganization-of-va-healthcare-system\">testify\u003c/a> before the Senate Committee on Veterans Affairs on the details surrounding proposed changes on Jan. 28.\u003c/p>\n\u003cp>The nationwide cuts were announced in December, targeting positions that have been vacant for at least a year. The VA has argued that the dissolution of these positions will not negatively affect care.\u003c/p>\n\u003cp>“No VA employees are being removed, and this will have zero impact on veteran care,” VA Press Secretary Pete Kasperowicz said. He called the positions “mostly COVID-era roles that are no longer necessary.”\u003c/p>\n\u003cp>“That’s sort of like saying that, you know, you could throw out your fire extinguisher because your house hasn’t caught fire lately, and you have a sink and a bucket,” Smith said.\u003c/p>\n\u003cp>The sunny afternoon rally in San Francisco’s Land End drew honks and cheers from passing cars. Suzanne Gordon, co-founder of the Veterans Healthcare Policy Institute, told the crowd that the administration’s decision will strangle the system and kill patients.\u003c/p>\n\u003cp>“It’ll end up depriving them of healthcare because of staff cuts and capping cuts … Every healthcare system has vacant positions, but a healthy healthcare system fills them quickly.”\u003c/p>\n\u003cp>The San Francisco rally followed one in New York City \u003ca href=\"https://www.nationalnursesunited.org/press/nurses-and-veterans-to-rally-against-trump-plan-to-eliminate-hundreds-of-va-jobs-in-nyc\">last week\u003c/a>. Nurses and Veterans rallied in the Bronx against the Trump administration’s cuts, after the VA eliminated at least 383 veterans-related health care positions across the five boroughs.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The \u003ca href=\"https://www.kqed.org/news/tag/donald-trump\">Trump\u003c/a> administration has cut over 157 open roles at the \u003ca href=\"https://www.kqed.org/news/tag/san-francisco\">San Francisco\u003c/a> Veterans Affairs Medical Center and outpatient clinics across the Bay Area.\u003c/p>\n\u003cp>That’s according to the Federal Unionists Network, an association of federal workers, who say these jobs are critical. The SFVAMC employs physicians, nurses, social workers, psychologists and other healthcare professionals.\u003c/p>\n\u003cp>Frontline VA workers, veterans and union representatives from the National Federation of Federal Employees held a rally outside the Medical Center at 4150 Clement St. in San Francisco on Wednesday afternoon to protest the cuts.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>They warned that cuts will weaken the VA health care system by translating into higher strain on the medical center in the form of “longer wait times, heavier patient loads, reduced services and increased safety risks for the veterans who rely on the VA for care”.\u003c/p>\n\u003cp>Mark Smith, an occupational therapist and the NFFE Local 1 Union president, said the positions lost include peer support specialists — veterans hired to support fellow veterans’ access to mental health treatment — as well as psychologists, therapists and nurses.\u003c/p>\n\u003cfigure id=\"attachment_12069822\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12069822\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/011426_SF-VA-CUTS-_GH_003-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/011426_SF-VA-CUTS-_GH_003-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/011426_SF-VA-CUTS-_GH_003-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/011426_SF-VA-CUTS-_GH_003-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Suzanne Gordon, an award-winning journalist and co-founder of the Veterans Healthcare Policy Institute, speaks during a rally opposing proposed staffing cuts at the San Francisco VA Medical Center on Jan. 14, 2026, in San Francisco. \u003ccite>(Gustavo Hernandez/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>That includes the SFVAMC’s singular emergency room social worker position.\u003c/p>\n\u003cp>“I think that one is just ludicrous frankly … They help ensure veterans get the resources that they need when they’re in a crisis. This is absolutely going to have an impact on Bay Area veterans.”\u003c/p>\n\u003cp>This month, the U.S. Department of Veterans Affairs has begun the process of cutting up to 37,000 vacant positions nationwide in what government officials have called a \u003ca href=\"https://news.va.gov/press-room/va-launches-veterans-health-administration-reorganization/\">“reorganization”\u003c/a> of the VA health care system.\u003c/p>\n\u003cp>“Since March, we’ve been conducting a holistic review of the department centered on reducing bureaucracy and improving services to Veterans,” VA Secretary Doug Collins said in a \u003ca href=\"https://news.va.gov/press-room/va-to-reduce-staff-by-nearly-30k-by-end-of-fy2025/\">statement\u003c/a> in July. “As a result of our efforts, VA is headed in the right direction — both in terms of staff levels and customer service. A department-wide [Reduction in Force] is off the table, but that doesn’t mean we’re done improving VA. Our review has resulted in a host of new ideas for better serving Veterans that we will continue to pursue.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Collins is expected to \u003ca href=\"https://www.veterans.senate.gov/2026/1/chairman-moran-announces-committee-hearing-with-secretary-collins-on-reorganization-of-va-healthcare-system\">testify\u003c/a> before the Senate Committee on Veterans Affairs on the details surrounding proposed changes on Jan. 28.\u003c/p>\n\u003cp>The nationwide cuts were announced in December, targeting positions that have been vacant for at least a year. The VA has argued that the dissolution of these positions will not negatively affect care.\u003c/p>\n\u003cp>“No VA employees are being removed, and this will have zero impact on veteran care,” VA Press Secretary Pete Kasperowicz said. He called the positions “mostly COVID-era roles that are no longer necessary.”\u003c/p>\n\u003cp>“That’s sort of like saying that, you know, you could throw out your fire extinguisher because your house hasn’t caught fire lately, and you have a sink and a bucket,” Smith said.\u003c/p>\n\u003cp>The sunny afternoon rally in San Francisco’s Land End drew honks and cheers from passing cars. Suzanne Gordon, co-founder of the Veterans Healthcare Policy Institute, told the crowd that the administration’s decision will strangle the system and kill patients.\u003c/p>\n\u003cp>“It’ll end up depriving them of healthcare because of staff cuts and capping cuts … Every healthcare system has vacant positions, but a healthy healthcare system fills them quickly.”\u003c/p>\n\u003cp>The San Francisco rally followed one in New York City \u003ca href=\"https://www.nationalnursesunited.org/press/nurses-and-veterans-to-rally-against-trump-plan-to-eliminate-hundreds-of-va-jobs-in-nyc\">last week\u003c/a>. Nurses and Veterans rallied in the Bronx against the Trump administration’s cuts, after the VA eliminated at least 383 veterans-related health care positions across the five boroughs.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>San Francisco Mayor \u003ca href=\"https://www.kqed.org/news/tag/daniel-lurie\">Daniel Lurie\u003c/a> is backing a proposed state law that would allow courts to authorize involuntary medication for people struggling with behavioral health issues.\u003c/p>\n\u003cp>Under current law, judges can order people to participate in assisted outpatient treatment, but they cannot require medication that officials said is “often essential” to stabilizing severe mental illness. This bill would allow courts to implement involuntary medication into an individual’s treatment plan “when clinically necessary,” and assign a psychiatrist to oversee case specifics like dosages and effectiveness over time.\u003c/p>\n\u003cp>Lurie, San Francisco Assemblymember Catherine Stefani — the bill’s author — and Supervisor Rafael Mandelman gathered with other local and state officials on the steps of City Hall on Monday to emphasize the need for additional care options for the city’s most vulnerable residents.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“We have a situation where courts can mandate so-called treatment, but can’t actually mandate treatment like necessary medication that provides the relief that is desperately needed,” Stefani said. “The result is predictable: people fall off their care plans, they deteriorate, they cycle again through our emergency rooms, psychiatric holds, jails and back out onto the street. This is not compassion, it’s failure.”\u003c/p>\n\u003cp>The program marks the latest in the city’s recent efforts to curb a visible behavioral health crisis. Lurie last week announced the launch of the Rapid Enforcement, Support, Evaluation, and Triage Center — which offers an alternative to jail or hospitalization for individuals arrested for public intoxication. Last year, the mayor’s office consolidated the city’s 10 street outreach teams and opened a drop-in \u003ca href=\"https://www.kqed.org/news/12038376/tenderloin-welcomes-mental-health-clinic-demands-broader-city-action-on-homelessness\">mental health stabilization center\u003c/a> at 822 Geary Street in the Tenderloin as part of the city’s 2025 \u003ca href=\"https://www.kqed.org/news/12031581/first-look-sf-mayor-luries-yearlong-plan-homelessness-response\">Breaking the Cycle plan.\u003c/a>[aside postID=news_12068599 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251230-SFSocialWorker-19-BL.jpg']“Too many people in San Francisco are falling into crisis when intervention could — and should — come sooner. At the center of this effort is a simple reality: Stability is the gateway to recovery,” Lurie said. “For many people with severe mental illness, medication is what allows treatment to work at all. Without it, housing placements fail, care plans break down, and crises repeat themselves — often with greater harm each time.”\u003c/p>\n\u003cp>Involuntary commitments and forced treatment of mental health in California \u003ca href=\"https://www.kqed.org/news/11944448/a-war-of-compassion-debate-over-forced-treatment-of-mental-illness-splits-california-liberals\">have long been controversial.\u003c/a> And past attempts by the city to place those struggling with mental health issues into involuntary medical treatment have been called “\u003ca href=\"https://www.sfchronicle.com/sf/article/modest-gains-effort-force-mentally-ill-treatment-20394450.php\">disappointing\u003c/a>” by city leaders — in part due to a shortage of facilities that can specifically address the combination of mental illness and addiction.\u003c/p>\n\u003cp>Officials are hopeful that this addition of medication authorization will provide care to individuals who may not need a full conservatorship.\u003c/p>\n\u003cp>“We certainly do not have the beds or the staffing capacity to provide full-blown conservatorships for all of those people,” Mandelman said. “So, this is a less-intrusive intervention to get medical care through assisted outpatient treatment to people who could benefit [from] it.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "\"For many people with severe mental illness, medication is what allows treatment to work at all,\" San Francisco Mayor Daniel Lurie said. ",
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"title": "Lurie Backs Proposed California Law to Allow Court-Ordered Psychiatric Drugs | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Francisco Mayor \u003ca href=\"https://www.kqed.org/news/tag/daniel-lurie\">Daniel Lurie\u003c/a> is backing a proposed state law that would allow courts to authorize involuntary medication for people struggling with behavioral health issues.\u003c/p>\n\u003cp>Under current law, judges can order people to participate in assisted outpatient treatment, but they cannot require medication that officials said is “often essential” to stabilizing severe mental illness. This bill would allow courts to implement involuntary medication into an individual’s treatment plan “when clinically necessary,” and assign a psychiatrist to oversee case specifics like dosages and effectiveness over time.\u003c/p>\n\u003cp>Lurie, San Francisco Assemblymember Catherine Stefani — the bill’s author — and Supervisor Rafael Mandelman gathered with other local and state officials on the steps of City Hall on Monday to emphasize the need for additional care options for the city’s most vulnerable residents.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We have a situation where courts can mandate so-called treatment, but can’t actually mandate treatment like necessary medication that provides the relief that is desperately needed,” Stefani said. “The result is predictable: people fall off their care plans, they deteriorate, they cycle again through our emergency rooms, psychiatric holds, jails and back out onto the street. This is not compassion, it’s failure.”\u003c/p>\n\u003cp>The program marks the latest in the city’s recent efforts to curb a visible behavioral health crisis. Lurie last week announced the launch of the Rapid Enforcement, Support, Evaluation, and Triage Center — which offers an alternative to jail or hospitalization for individuals arrested for public intoxication. Last year, the mayor’s office consolidated the city’s 10 street outreach teams and opened a drop-in \u003ca href=\"https://www.kqed.org/news/12038376/tenderloin-welcomes-mental-health-clinic-demands-broader-city-action-on-homelessness\">mental health stabilization center\u003c/a> at 822 Geary Street in the Tenderloin as part of the city’s 2025 \u003ca href=\"https://www.kqed.org/news/12031581/first-look-sf-mayor-luries-yearlong-plan-homelessness-response\">Breaking the Cycle plan.\u003c/a>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“Too many people in San Francisco are falling into crisis when intervention could — and should — come sooner. At the center of this effort is a simple reality: Stability is the gateway to recovery,” Lurie said. “For many people with severe mental illness, medication is what allows treatment to work at all. Without it, housing placements fail, care plans break down, and crises repeat themselves — often with greater harm each time.”\u003c/p>\n\u003cp>Involuntary commitments and forced treatment of mental health in California \u003ca href=\"https://www.kqed.org/news/11944448/a-war-of-compassion-debate-over-forced-treatment-of-mental-illness-splits-california-liberals\">have long been controversial.\u003c/a> And past attempts by the city to place those struggling with mental health issues into involuntary medical treatment have been called “\u003ca href=\"https://www.sfchronicle.com/sf/article/modest-gains-effort-force-mentally-ill-treatment-20394450.php\">disappointing\u003c/a>” by city leaders — in part due to a shortage of facilities that can specifically address the combination of mental illness and addiction.\u003c/p>\n\u003cp>Officials are hopeful that this addition of medication authorization will provide care to individuals who may not need a full conservatorship.\u003c/p>\n\u003cp>“We certainly do not have the beds or the staffing capacity to provide full-blown conservatorships for all of those people,” Mandelman said. “So, this is a less-intrusive intervention to get medical care through assisted outpatient treatment to people who could benefit [from] it.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "salt-to-a-wound-social-workers-still-reeling-in-aftermath-of-ward-86-stabbing",
"title": "‘Salt to a Wound’: Social Workers Still Reeling in Aftermath of Ward 86 Stabbing",
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"content": "\u003cp>Alex Alvarez said the whole event felt like a blur. On Dec. 4, the social worker was doing his typical rounds at Zuckerberg \u003ca href=\"https://www.kqed.org/news/tag/san-francisco\">San Francisco\u003c/a> General Hospital when he heard a commotion and saw the back of a man who appeared to be \u003ca href=\"https://www.kqed.org/news/12066248/stabbing-at-san-francisco-general-hospital-leaves-social-worker-in-critical-condition\">attacking his friend\u003c/a>.\u003c/p>\n\u003cp>Alvarez, who also goes by Alejandro, didn’t yet know the hooded attacker was a patient, the same one his colleagues had voiced safety concerns about multiple times after facing threats of violence. He didn’t yet know that the patient, who suffered from severe mental illness, was armed with a knife. He just knew he had to act quickly.\u003c/p>\n\u003cp>“I just bolt out, and I pull the guy off of him because I noticed no one is doing anything. But that’s likely because everyone saw what was already unfolding, and I didn’t from my vantage point, holding him from the back of his shirt,” Alvarez recalled recently. “And there I am in the hallway, he’s holding him and then he drops him. Nothing was catching up to me when I saw what was actually happening. I just kind of was in shock. And it was at that moment that I realized, oh shoot, he wasn’t punching him, he was actually stabbing him.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Alvarez had pulled 34-year-old Wilfredo Tortolero-Arriechi off Alberto Rangel, a 51-year-old beloved social worker at Ward 86, the historic HIV/AIDS clinic located in San Francisco General. In the moments that followed, medical staff hurried to provide life-saving care. But Rangel died of his injuries within two days, setting off a fierce debate over the hospital’s safety protocols.\u003c/p>\n\u003cp>The aftermath of the tragedy has been a whirlwind for the close-knit staff of Ward 86. The fatal stabbing has reignited frustration and fears among workers who told KQED that reports were made to the Department of Public Health, which oversees the hospital, about Tortolero-Arriechi’s concerning behavior and threats of violence leading up to the event.\u003c/p>\n\u003cfigure id=\"attachment_12066546\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12066546\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251209-SFGENERALMEMORIAL-06-BL-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251209-SFGENERALMEMORIAL-06-BL-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251209-SFGENERALMEMORIAL-06-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251209-SFGENERALMEMORIAL-06-BL-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A memorial for social worker Alberto Rangel, who was fatally stabbed on Dec. 4 at Zuckerberg San Francisco General Hospital, outside the hospital on Dec. 9, 2025. Rangel, 51, died two days after the attack, sparking renewed calls for improved safety at the facility. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Now, workers say they’ve been doubly traumatized by public reports they say unfairly portray what happened that afternoon in Ward 86, alongside demands from hospital leadership for them to stay silent and return to work as usual amid an ongoing investigation about the incident and events that led up to it.\u003c/p>\n\u003cp>“Hospital leadership and security were notified at least two weeks in advance that the patient had exhibited escalating instability, threats to stab healthcare workers, and increasingly violent threats documented by multiple providers. Providers expressed explicit fears for their safety,” reads \u003ca href=\"https://upte.org/statement\" target=\"_blank\" rel=\"noopener\">a new collective statement\u003c/a> aimed at hospital leadership and law enforcement from a group of several dozen Ward 86 staff members that was shared with KQED. “Despite these warnings, no clinic-wide safety plan was communicated to Ward 86.”\u003c/p>\n\u003cp>Officials at UC San Francisco, which runs the hospital with the Department of Public Health, did not respond to multiple requests for a response to the allegations.[aside postID=news_12066248 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/RS46625_009_SanFrancisco_Hospital_01142021-qut-1020x680.jpg']In a statement after the stabbing, the Sheriff’s Office said an on-site deputy “intervened immediately, restraining the suspect and securing the scene.”\u003c/p>\n\u003cp>The union representing sheriff’s deputies went a step further, placing a sponsored post in all-capital letters on Instagram saying that a “deputy sheriff saved Ward 86 from a rapid mass casualty stabbing.”\u003c/p>\n\u003cp>“This is exactly what deputy sheriffs are supposed to do on high-risk units: be close enough to stop an attack in progress and protect frontline healthcare workers,” Ken Lomba, president of the San Francisco Sheriff’s Association, said in a press release.\u003c/p>\n\u003cp>The Sheriff’s Office declined to comment for this story.\u003c/p>\n\u003cp>Alvarez, 32, said he sees the department’s sponsored post regularly, making it hard even to take a break from reality with a social media scroll. Both the post and the city’s official description feel like a blow on top of the trauma he’s still processing from that moment he jumped in to try to save Rangel, whom he looked up to as a fellow queer Latino on the ward.\u003c/p>\n\u003cp>Multiple Ward 86 social workers told KQED, some on the condition of anonymity, that Alvarez was the first person to intervene in the attack, and eyewitnesses said the suspect dropped the 5-inch knife after being pulled off Rangel, with a deputy intervening shortly afterward.\u003c/p>\n\u003cfigure id=\"attachment_12068514\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12068514\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251230-SFSocialWorker-22-BL_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251230-SFSocialWorker-22-BL_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251230-SFSocialWorker-22-BL_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251230-SFSocialWorker-22-BL_qed-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Alex Alvarez, a clinical social worker, stands on a parking garage at UCSF Parnassus campus in San Francisco on Dec. 30, 2025. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Officials at UCSF directed Ward 86 staff not to discuss any aspects of the incident unless university legal counsel is present, according to an email reviewed by KQED.\u003c/p>\n\u003cp>“The sheriff’s deputy did not intervene immediately during the attack. Ward 86 staff — not law enforcement — physically intervened to stop the assault,” reads the collective statement from staff. “The attacker remained unrestrained for several minutes after the assault ended.\u003c/p>\n\u003cp>Staff had to repeatedly direct the deputy to remove the attacker from the scene.”\u003c/p>\n\u003cp>Tortolero-Arriechi allegedly stabbed Rangel in the shoulder and neck. He has been charged with murder in connection with the fatal stabbing, according to the District Attorney’s office, and he is scheduled to enter a plea on Wednesday. After his arrest, he was hospitalized at San Francisco General and was recently discharged from the psychiatric ward and transferred to county jail.\u003c/p>\n\u003cp>“A life was lost, and that is never something we take lightly. I give my condolences to Mr. Rangel’s family, friends, and colleagues,” his attorney, Deputy Public Defender Sylvia Nguyen, said in an email. “Being a social worker — working behind the scenes in all aspects of medical care, serving residents who are most in need of resources and support — is often a thankless job that people do out of the goodness of their hearts. It’s clear he made an impact on so many lives.”\u003c/p>\n\u003cfigure id=\"attachment_12066544\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12066544 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251209-SFGENERALMEMORIAL-01-BL-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251209-SFGENERALMEMORIAL-01-BL-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251209-SFGENERALMEMORIAL-01-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251209-SFGENERALMEMORIAL-01-BL-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A memorial for social worker Alberto Rangel, who was fatally stabbed on Dec. 4 at Zuckerberg San Francisco General Hospital, outside the hospital on Dec. 9, 2025. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The hospital has increased security and law enforcement presence in the ward, which did not have metal detectors prior to the incident, by tightening control over access points and adding weapon-detection technology.\u003c/p>\n\u003cp>“We are implementing immediate security enhancements to protect staff and patients, while also advancing long-term structural changes to prevent future incidents,” a spokesperson for the Department of Public Health said in an email. “In addition, the city is engaging an independent security firm to objectively review the Ward 86 incident and our safety practices systemwide. These assessments will inform both immediate corrective actions and long-term investments.”\u003c/p>\n\u003cp>The city reported the incident to the California Department of Public Health, Cal/OSHA and the Joint Commission, which evaluates and accredits healthcare organizations.\u003c/p>\n\u003cp>One social worker said the hospital made some crisis counselors available and told workers they can visit San Francisco General’s trauma and recovery center for group processing sessions, but accessing those services has not been straightforward.\u003c/p>\n\u003cp>In the meantime, staff have been told to report back to work, with a welcome breakfast scheduled for this morning. Several said they still don’t feel safe enough to return yet.\u003c/p>\n\u003cfigure id=\"attachment_12068508\" class=\"wp-caption aligncenter\" style=\"max-width: 1999px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12068508\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251230-SFSocialWorker-07-BL_qed.jpg\" alt=\"\" width=\"1999\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251230-SFSocialWorker-07-BL_qed.jpg 1999w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251230-SFSocialWorker-07-BL_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251230-SFSocialWorker-07-BL_qed-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1999px) 100vw, 1999px\">\u003cfigcaption class=\"wp-caption-text\">Lindsay Felten sits in her apartment on Dec. 20, 2025. Her colleague Alberto Rangel was fatally stabbed at Zuckerberg San Francisco General Hospital on Dec. 4, 2025. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“My colleagues and myself experienced a really traumatic incident that should have been prevented,” said Lindsay Felten, a clinical social worker at Ward 86. She said that the lack of support from management has felt like “adding salt to a wound.”\u003c/p>\n\u003cp>Felten and other Ward 86 staff are calling for protected time off, as many are now navigating both the trauma of the event and paperwork for additional therapy needs and workers’ compensation. Others are dipping into their sick leave and vacation bank to give themselves more time to heal.\u003c/p>\n\u003cp>“We’re being told they did everything they could, that the sheriff saved the day, when the way we see it is like we showed up for ourselves,” Felten said. “We kept our other patients and colleagues safe.”\u003c/p>\n\u003cp>Alvarez is seeking workers’ compensation and has yet to return to the ward. “I’ve been too nervous to go back,” he said. “I will avoid the area. I don’t even drive by it.”\u003c/p>\n\u003cp>Threats and risky situations were not uncommon at San Francisco General before the incident last month. The hospital is known as a “safety net” for many of the city’s most vulnerable, and that often means taking in patients who are turned away from other places due to behavior, needs or because they are on Medi-Cal.\u003c/p>\n\u003cfigure id=\"attachment_12068507\" class=\"wp-caption aligncenter\" style=\"max-width: 1999px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12068507\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251230-SFSocialWorker-02-BL_qed.jpg\" alt=\"\" width=\"1999\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251230-SFSocialWorker-02-BL_qed.jpg 1999w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251230-SFSocialWorker-02-BL_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251230-SFSocialWorker-02-BL_qed-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1999px) 100vw, 1999px\">\u003cfigcaption class=\"wp-caption-text\">An altar honoring Alberto Rangel sits in Lindsay Felten’s apartment on Dec. 20, 2025. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Ward 86 started as the first-ever dedicated HIV/AIDS outpatient clinic in 1983, at a time when the government and many medical institutions turned a blind eye to the epidemic.\u003c/p>\n\u003cp>The clinic still performs essential HIV care, and over the years, the population it serves has grown increasingly complex. Many patients are extremely low-income and come in with dual diagnoses, including substance use disorder and other mental health challenges.\u003c/p>\n\u003cp>The fatal stabbing has intensified debate over hospital security for both workers and patients.\u003c/p>\n\u003cp>Alvarez, who was in the midst of finals for pre-med classes he’s taking at City College at the time of the attack, wishes there was more he could do in Rangel’s final moments. He’s hoping to one day become a physician’s assistant or doctor.\u003c/p>\n\u003cp>“It cemented,” he said, “why I want to do this.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Ward 86 staff feel doubly traumatized by demands to stay silent and return to work amid an ongoing investigation into the recent stabbing at Zuckerberg San Francisco General Hospital and the events that led up to it.",
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"title": "‘Salt to a Wound’: Social Workers Still Reeling in Aftermath of Ward 86 Stabbing | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Alex Alvarez said the whole event felt like a blur. On Dec. 4, the social worker was doing his typical rounds at Zuckerberg \u003ca href=\"https://www.kqed.org/news/tag/san-francisco\">San Francisco\u003c/a> General Hospital when he heard a commotion and saw the back of a man who appeared to be \u003ca href=\"https://www.kqed.org/news/12066248/stabbing-at-san-francisco-general-hospital-leaves-social-worker-in-critical-condition\">attacking his friend\u003c/a>.\u003c/p>\n\u003cp>Alvarez, who also goes by Alejandro, didn’t yet know the hooded attacker was a patient, the same one his colleagues had voiced safety concerns about multiple times after facing threats of violence. He didn’t yet know that the patient, who suffered from severe mental illness, was armed with a knife. He just knew he had to act quickly.\u003c/p>\n\u003cp>“I just bolt out, and I pull the guy off of him because I noticed no one is doing anything. But that’s likely because everyone saw what was already unfolding, and I didn’t from my vantage point, holding him from the back of his shirt,” Alvarez recalled recently. “And there I am in the hallway, he’s holding him and then he drops him. Nothing was catching up to me when I saw what was actually happening. I just kind of was in shock. And it was at that moment that I realized, oh shoot, he wasn’t punching him, he was actually stabbing him.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Alvarez had pulled 34-year-old Wilfredo Tortolero-Arriechi off Alberto Rangel, a 51-year-old beloved social worker at Ward 86, the historic HIV/AIDS clinic located in San Francisco General. In the moments that followed, medical staff hurried to provide life-saving care. But Rangel died of his injuries within two days, setting off a fierce debate over the hospital’s safety protocols.\u003c/p>\n\u003cp>The aftermath of the tragedy has been a whirlwind for the close-knit staff of Ward 86. The fatal stabbing has reignited frustration and fears among workers who told KQED that reports were made to the Department of Public Health, which oversees the hospital, about Tortolero-Arriechi’s concerning behavior and threats of violence leading up to the event.\u003c/p>\n\u003cfigure id=\"attachment_12066546\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12066546\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251209-SFGENERALMEMORIAL-06-BL-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251209-SFGENERALMEMORIAL-06-BL-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251209-SFGENERALMEMORIAL-06-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251209-SFGENERALMEMORIAL-06-BL-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A memorial for social worker Alberto Rangel, who was fatally stabbed on Dec. 4 at Zuckerberg San Francisco General Hospital, outside the hospital on Dec. 9, 2025. Rangel, 51, died two days after the attack, sparking renewed calls for improved safety at the facility. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Now, workers say they’ve been doubly traumatized by public reports they say unfairly portray what happened that afternoon in Ward 86, alongside demands from hospital leadership for them to stay silent and return to work as usual amid an ongoing investigation about the incident and events that led up to it.\u003c/p>\n\u003cp>“Hospital leadership and security were notified at least two weeks in advance that the patient had exhibited escalating instability, threats to stab healthcare workers, and increasingly violent threats documented by multiple providers. Providers expressed explicit fears for their safety,” reads \u003ca href=\"https://upte.org/statement\" target=\"_blank\" rel=\"noopener\">a new collective statement\u003c/a> aimed at hospital leadership and law enforcement from a group of several dozen Ward 86 staff members that was shared with KQED. “Despite these warnings, no clinic-wide safety plan was communicated to Ward 86.”\u003c/p>\n\u003cp>Officials at UC San Francisco, which runs the hospital with the Department of Public Health, did not respond to multiple requests for a response to the allegations.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>In a statement after the stabbing, the Sheriff’s Office said an on-site deputy “intervened immediately, restraining the suspect and securing the scene.”\u003c/p>\n\u003cp>The union representing sheriff’s deputies went a step further, placing a sponsored post in all-capital letters on Instagram saying that a “deputy sheriff saved Ward 86 from a rapid mass casualty stabbing.”\u003c/p>\n\u003cp>“This is exactly what deputy sheriffs are supposed to do on high-risk units: be close enough to stop an attack in progress and protect frontline healthcare workers,” Ken Lomba, president of the San Francisco Sheriff’s Association, said in a press release.\u003c/p>\n\u003cp>The Sheriff’s Office declined to comment for this story.\u003c/p>\n\u003cp>Alvarez, 32, said he sees the department’s sponsored post regularly, making it hard even to take a break from reality with a social media scroll. Both the post and the city’s official description feel like a blow on top of the trauma he’s still processing from that moment he jumped in to try to save Rangel, whom he looked up to as a fellow queer Latino on the ward.\u003c/p>\n\u003cp>Multiple Ward 86 social workers told KQED, some on the condition of anonymity, that Alvarez was the first person to intervene in the attack, and eyewitnesses said the suspect dropped the 5-inch knife after being pulled off Rangel, with a deputy intervening shortly afterward.\u003c/p>\n\u003cfigure id=\"attachment_12068514\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12068514\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251230-SFSocialWorker-22-BL_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251230-SFSocialWorker-22-BL_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251230-SFSocialWorker-22-BL_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251230-SFSocialWorker-22-BL_qed-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Alex Alvarez, a clinical social worker, stands on a parking garage at UCSF Parnassus campus in San Francisco on Dec. 30, 2025. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Officials at UCSF directed Ward 86 staff not to discuss any aspects of the incident unless university legal counsel is present, according to an email reviewed by KQED.\u003c/p>\n\u003cp>“The sheriff’s deputy did not intervene immediately during the attack. Ward 86 staff — not law enforcement — physically intervened to stop the assault,” reads the collective statement from staff. “The attacker remained unrestrained for several minutes after the assault ended.\u003c/p>\n\u003cp>Staff had to repeatedly direct the deputy to remove the attacker from the scene.”\u003c/p>\n\u003cp>Tortolero-Arriechi allegedly stabbed Rangel in the shoulder and neck. He has been charged with murder in connection with the fatal stabbing, according to the District Attorney’s office, and he is scheduled to enter a plea on Wednesday. After his arrest, he was hospitalized at San Francisco General and was recently discharged from the psychiatric ward and transferred to county jail.\u003c/p>\n\u003cp>“A life was lost, and that is never something we take lightly. I give my condolences to Mr. Rangel’s family, friends, and colleagues,” his attorney, Deputy Public Defender Sylvia Nguyen, said in an email. “Being a social worker — working behind the scenes in all aspects of medical care, serving residents who are most in need of resources and support — is often a thankless job that people do out of the goodness of their hearts. It’s clear he made an impact on so many lives.”\u003c/p>\n\u003cfigure id=\"attachment_12066544\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12066544 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251209-SFGENERALMEMORIAL-01-BL-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251209-SFGENERALMEMORIAL-01-BL-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251209-SFGENERALMEMORIAL-01-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251209-SFGENERALMEMORIAL-01-BL-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A memorial for social worker Alberto Rangel, who was fatally stabbed on Dec. 4 at Zuckerberg San Francisco General Hospital, outside the hospital on Dec. 9, 2025. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The hospital has increased security and law enforcement presence in the ward, which did not have metal detectors prior to the incident, by tightening control over access points and adding weapon-detection technology.\u003c/p>\n\u003cp>“We are implementing immediate security enhancements to protect staff and patients, while also advancing long-term structural changes to prevent future incidents,” a spokesperson for the Department of Public Health said in an email. “In addition, the city is engaging an independent security firm to objectively review the Ward 86 incident and our safety practices systemwide. These assessments will inform both immediate corrective actions and long-term investments.”\u003c/p>\n\u003cp>The city reported the incident to the California Department of Public Health, Cal/OSHA and the Joint Commission, which evaluates and accredits healthcare organizations.\u003c/p>\n\u003cp>One social worker said the hospital made some crisis counselors available and told workers they can visit San Francisco General’s trauma and recovery center for group processing sessions, but accessing those services has not been straightforward.\u003c/p>\n\u003cp>In the meantime, staff have been told to report back to work, with a welcome breakfast scheduled for this morning. Several said they still don’t feel safe enough to return yet.\u003c/p>\n\u003cfigure id=\"attachment_12068508\" class=\"wp-caption aligncenter\" style=\"max-width: 1999px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12068508\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251230-SFSocialWorker-07-BL_qed.jpg\" alt=\"\" width=\"1999\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251230-SFSocialWorker-07-BL_qed.jpg 1999w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251230-SFSocialWorker-07-BL_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251230-SFSocialWorker-07-BL_qed-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1999px) 100vw, 1999px\">\u003cfigcaption class=\"wp-caption-text\">Lindsay Felten sits in her apartment on Dec. 20, 2025. Her colleague Alberto Rangel was fatally stabbed at Zuckerberg San Francisco General Hospital on Dec. 4, 2025. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“My colleagues and myself experienced a really traumatic incident that should have been prevented,” said Lindsay Felten, a clinical social worker at Ward 86. She said that the lack of support from management has felt like “adding salt to a wound.”\u003c/p>\n\u003cp>Felten and other Ward 86 staff are calling for protected time off, as many are now navigating both the trauma of the event and paperwork for additional therapy needs and workers’ compensation. Others are dipping into their sick leave and vacation bank to give themselves more time to heal.\u003c/p>\n\u003cp>“We’re being told they did everything they could, that the sheriff saved the day, when the way we see it is like we showed up for ourselves,” Felten said. “We kept our other patients and colleagues safe.”\u003c/p>\n\u003cp>Alvarez is seeking workers’ compensation and has yet to return to the ward. “I’ve been too nervous to go back,” he said. “I will avoid the area. I don’t even drive by it.”\u003c/p>\n\u003cp>Threats and risky situations were not uncommon at San Francisco General before the incident last month. The hospital is known as a “safety net” for many of the city’s most vulnerable, and that often means taking in patients who are turned away from other places due to behavior, needs or because they are on Medi-Cal.\u003c/p>\n\u003cfigure id=\"attachment_12068507\" class=\"wp-caption aligncenter\" style=\"max-width: 1999px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12068507\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251230-SFSocialWorker-02-BL_qed.jpg\" alt=\"\" width=\"1999\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251230-SFSocialWorker-02-BL_qed.jpg 1999w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251230-SFSocialWorker-02-BL_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251230-SFSocialWorker-02-BL_qed-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1999px) 100vw, 1999px\">\u003cfigcaption class=\"wp-caption-text\">An altar honoring Alberto Rangel sits in Lindsay Felten’s apartment on Dec. 20, 2025. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Ward 86 started as the first-ever dedicated HIV/AIDS outpatient clinic in 1983, at a time when the government and many medical institutions turned a blind eye to the epidemic.\u003c/p>\n\u003cp>The clinic still performs essential HIV care, and over the years, the population it serves has grown increasingly complex. Many patients are extremely low-income and come in with dual diagnoses, including substance use disorder and other mental health challenges.\u003c/p>\n\u003cp>The fatal stabbing has intensified debate over hospital security for both workers and patients.\u003c/p>\n\u003cp>Alvarez, who was in the midst of finals for pre-med classes he’s taking at City College at the time of the attack, wishes there was more he could do in Rangel’s final moments. He’s hoping to one day become a physician’s assistant or doctor.\u003c/p>\n\u003cp>“It cemented,” he said, “why I want to do this.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "south-bay-lawmaker-slams-trump-admins-1-6-million-hepatitis-b-study-in-west-africa",
"title": "South Bay Lawmaker Slams Trump Admin’s $1.6 Million Hepatitis B Study in West Africa",
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"headTitle": "South Bay Lawmaker Slams Trump Admin’s $1.6 Million Hepatitis B Study in West Africa | KQED",
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"content": "\u003cp>A \u003ca href=\"https://www.kqed.org/news/tag/zoe-lofgren\">Bay Area lawmaker\u003c/a> slammed a Trump administration plan to conduct research on the Hepatitis B vaccine on infants in Guinea-Bissau, where nearly one in five adults lives with the virus.\u003c/p>\n\u003cp> The grant, awarded to a group of Danish scientists with ties to the anti-vaccine movement, will fund a five-year randomized control trial in the West African nation. According to the House Science, Space, and Technology Committee, 14,000 newborns will either receive the vaccine at birth or after a six-week delay to compare health outcomes.\u003c/p>\n\u003cp>South Bay Rep. Zoe Lofgren (D-San José) called the decision to approve the $1.6 million dollar study — which followed the Centers for Disease Control and Prevention rollback of newborn Hepatitis B vaccine recommendations last week — “deplorable” and a “new low.” \u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In a statement released Friday, Lofgren alleged the study is being used to promote U.S. Health Secretary Robert F. Kennedy Jr.’s “anti-vaccine agenda.”\u003c/p>\n\u003cp>“To withhold a lifesaving vaccine from babies across the globe to promote your anti-vaccine agenda at home is deplorable,” Lofgren said. “How has it come to this? RFK Jr. must be stopped.”\u003c/p>\n\u003cp>Since 1991, the CDC recommended newborns receive the Hepatitis B vaccine within 24 hours of birth. \u003c/p>\n\u003cfigure id=\"attachment_11901022\" class=\"wp-caption aligncenter\" style=\"max-width: 1024px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/GettyImages-1341705981.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/GettyImages-1341705981.jpg\" alt=\"\" width=\"1024\" height=\"683\" class=\"size-full wp-image-11901022\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/GettyImages-1341705981.jpg 1024w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/GettyImages-1341705981-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/GettyImages-1341705981-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/GettyImages-1341705981-160x107.jpg 160w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Rep. Zoe Lofgren (D-CA) speaks at a news conference at the U.S. Capitol on Sept. 21, 2021 in Washington, DC. \u003ccite>(Kevin Dietsch/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In an email, U.S. Department of Health and Human Services spokesperson Emily G. Hilliard defended the award as an independent study designed to fill “evidence gaps” regarding the “broader health effects” of the vaccine. Hilliard noted that because Guinea-Bissau does not plan to officially introduce the birth dose until 2027, the infants not receiving the shot are still receiving the “current standard of care.”\u003c/p>\n\u003cp>Local medical experts, however, say the science behind the birth dose is already settled. Dr. Jake Scott, an infectious disease specialist at Stanford University, said waiting six weeks to vaccinate newborns in a region where Hepatitis B is common will lead to “preventable infections.”\u003c/p>\n\u003cp>According to Scott, infants infected at birth have about a 90% chance of developing chronic hepatitis, which can lead to liver failure and cancer. He said the administration is attempting to “manufacture doubt” to justify the recent rollbacks.[aside postID=news_12068383 hero='https://ww2.kqed.org/app/uploads/sites/10/2020/04/001_KQED_Oakland_HighlandHospital_041152020-1020x680.jpg']“They’re doing that to generate evidence for a policy they have already implemented,” Scott said. “It’s clearly going to cause far more harm than any benefits.”\u003c/p>\n\u003cp>Scott estimated that if the birth dose is successfully rolled back on a larger scale, it could lead to 1,400 additional chronic pediatric infections and nearly 500 preventable deaths annually.\u003c/p>\n\u003cp>According to background information from the House Science Committee staff, the research group did not apply for an award through a standard competitive process; instead, staff said Kennedy specifically sought out the researchers.\u003c/p>\n\u003cp>“The typical way of going about it is to put out a request for proposal … and fund the most rigorous study,” Arthur Reingold, a former professor of epidemiology at UC Berkeley and a former Chief of the Respiratory Diseases Branch at the CDC, said. “Obviously, that was not done in this case.”\u003c/p>\n\u003cp>Reingold added that without a detailed study protocol, it is impossible to know if the trial can actually measure the “broader health effects” HHS claims to be looking for. He warned that if a study lacks the statistical power to answer important questions, it is a “waste of money.”\u003c/p>\n\u003cp>The House Science Committee stated it is considering all oversight options, though staff noted their authority is currently limited by their status in the Minority.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A \u003ca href=\"https://www.kqed.org/news/tag/zoe-lofgren\">Bay Area lawmaker\u003c/a> slammed a Trump administration plan to conduct research on the Hepatitis B vaccine on infants in Guinea-Bissau, where nearly one in five adults lives with the virus.\u003c/p>\n\u003cp> The grant, awarded to a group of Danish scientists with ties to the anti-vaccine movement, will fund a five-year randomized control trial in the West African nation. According to the House Science, Space, and Technology Committee, 14,000 newborns will either receive the vaccine at birth or after a six-week delay to compare health outcomes.\u003c/p>\n\u003cp>South Bay Rep. Zoe Lofgren (D-San José) called the decision to approve the $1.6 million dollar study — which followed the Centers for Disease Control and Prevention rollback of newborn Hepatitis B vaccine recommendations last week — “deplorable” and a “new low.” \u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In a statement released Friday, Lofgren alleged the study is being used to promote U.S. Health Secretary Robert F. Kennedy Jr.’s “anti-vaccine agenda.”\u003c/p>\n\u003cp>“To withhold a lifesaving vaccine from babies across the globe to promote your anti-vaccine agenda at home is deplorable,” Lofgren said. “How has it come to this? RFK Jr. must be stopped.”\u003c/p>\n\u003cp>Since 1991, the CDC recommended newborns receive the Hepatitis B vaccine within 24 hours of birth. \u003c/p>\n\u003cfigure id=\"attachment_11901022\" class=\"wp-caption aligncenter\" style=\"max-width: 1024px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/GettyImages-1341705981.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/GettyImages-1341705981.jpg\" alt=\"\" width=\"1024\" height=\"683\" class=\"size-full wp-image-11901022\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/GettyImages-1341705981.jpg 1024w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/GettyImages-1341705981-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/GettyImages-1341705981-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/GettyImages-1341705981-160x107.jpg 160w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Rep. Zoe Lofgren (D-CA) speaks at a news conference at the U.S. Capitol on Sept. 21, 2021 in Washington, DC. \u003ccite>(Kevin Dietsch/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In an email, U.S. Department of Health and Human Services spokesperson Emily G. Hilliard defended the award as an independent study designed to fill “evidence gaps” regarding the “broader health effects” of the vaccine. Hilliard noted that because Guinea-Bissau does not plan to officially introduce the birth dose until 2027, the infants not receiving the shot are still receiving the “current standard of care.”\u003c/p>\n\u003cp>Local medical experts, however, say the science behind the birth dose is already settled. Dr. Jake Scott, an infectious disease specialist at Stanford University, said waiting six weeks to vaccinate newborns in a region where Hepatitis B is common will lead to “preventable infections.”\u003c/p>\n\u003cp>According to Scott, infants infected at birth have about a 90% chance of developing chronic hepatitis, which can lead to liver failure and cancer. He said the administration is attempting to “manufacture doubt” to justify the recent rollbacks.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“They’re doing that to generate evidence for a policy they have already implemented,” Scott said. “It’s clearly going to cause far more harm than any benefits.”\u003c/p>\n\u003cp>Scott estimated that if the birth dose is successfully rolled back on a larger scale, it could lead to 1,400 additional chronic pediatric infections and nearly 500 preventable deaths annually.\u003c/p>\n\u003cp>According to background information from the House Science Committee staff, the research group did not apply for an award through a standard competitive process; instead, staff said Kennedy specifically sought out the researchers.\u003c/p>\n\u003cp>“The typical way of going about it is to put out a request for proposal … and fund the most rigorous study,” Arthur Reingold, a former professor of epidemiology at UC Berkeley and a former Chief of the Respiratory Diseases Branch at the CDC, said. “Obviously, that was not done in this case.”\u003c/p>\n\u003cp>Reingold added that without a detailed study protocol, it is impossible to know if the trial can actually measure the “broader health effects” HHS claims to be looking for. He warned that if a study lacks the statistical power to answer important questions, it is a “waste of money.”\u003c/p>\n\u003cp>The House Science Committee stated it is considering all oversight options, though staff noted their authority is currently limited by their status in the Minority.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>In anticipation of the Trump administration’s \u003ca href=\"https://www.kqed.org/news/12047647/trumps-health-law-spurs-big-medi-cal-changes-what-californians-need-to-know\">major cuts to Medicaid\u003c/a>, \u003ca href=\"https://www.kqed.org/healthnews\">the Alameda Health System\u003c/a>, which runs public hospitals and clinics throughout the East Bay, is planning to lay off nearly 300 people in January.\u003c/p>\n\u003cp>It’s one of many healthcare systems around the state and nation threatened as a result of significant expected losses in revenue from Medicaid, the nation’s insurance system for lower-income people, known as Medi-Cal in California. \u003c/p>\n\u003cp>However, some union employees of the health system have said layoff notices, which are expected on Jan. 6, are premature, as the financial impacts of the cuts have yet to be felt. \u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“I think they’re bowing to pressures before those pressures have actually come into play,” Reilly Gardine, a clinical dietitian at Wilma Chan Highland Hospital Campus in Oakland, told KQED on Monday. “And I think they’re not being creative enough in figuring out alternative ways for funding.”\u003c/p>\n\u003cp>The health system, in an emailed statement to KQED, said it expects to lose “more than $100 million annually by 2030,” due to H.R. 1, the tax and spending bill President Donald Trump refers to as “Big” and “Beautiful.”\u003c/p>\n\u003cfigure id=\"attachment_11891411\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/10/RS51824_066_Oakland_HighlandHospitalBridgeProgram_10062021-qut-1.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/10/RS51824_066_Oakland_HighlandHospitalBridgeProgram_10062021-qut-1.jpg\" alt=\"\" width=\"1920\" height=\"1280\" class=\"size-full wp-image-11891411\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/10/RS51824_066_Oakland_HighlandHospitalBridgeProgram_10062021-qut-1.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/10/RS51824_066_Oakland_HighlandHospitalBridgeProgram_10062021-qut-1-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/10/RS51824_066_Oakland_HighlandHospitalBridgeProgram_10062021-qut-1-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/10/RS51824_066_Oakland_HighlandHospitalBridgeProgram_10062021-qut-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/10/RS51824_066_Oakland_HighlandHospitalBridgeProgram_10062021-qut-1-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Dr. Monish Ullal speaks with patient Jay Flohr at Highland Hospital in Oakland on Oct. 6, 2021. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The total annual budget for AHS is roughly $1.4 billion, according to its budget documents. The system could face an additional potential $60 million in cuts annually in the coming years due to cuts to federal funding that allows states to pay hospitals who treat a large share of Medi-Cal patients, officials said. \u003c/p>\n\u003cp>“AHS projects that cash will run out by approximately August of 2026 without immediate action,” the statement said. “In order to be proactive and ensure that AHS can continue to provide a range of emergency and comprehensive care, AHS has made the painful decision to reduce some services, reduce its workforce, and eliminate certain programs.”\u003c/p>\n\u003cp>Veronica Palacios, an eligibility specialist, and a chapter leader with labor union SEIU 1021, said workers have not been given a clear reason why the cuts need to be made now. \u003c/p>\n\u003cp>“Because if it’s being done right now and it’s not necessarily needed at this point, it sounds like you’re purposely cutting services to the community. Why do that?” Palacios said.[aside postID=news_12067733 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/GettyImages-1262848052-1020x680.jpg']The cuts were initially planned to go out on Dec. 24, which Gardine called “insulting,” and which Palacios said sows chaos among workers when they should be spending time with family during the holidays. \u003c/p>\n\u003cp>In what appeared to be a response to pressure from union members, the health system said late Monday it would delay the notices until Jan. 6. \u003c/p>\n\u003cp>Palacios said the layoff notices will send workers into “damage-control” mode. \u003c/p>\n\u003cp>“How am I going to support my family, how am I going to survive? Can I get another job if this is happening with our health care system? Is this happening throughout the state of California?” she said, reflecting her colleagues’ concerns. “They’re stressed out, they’re worried, they’re afraid of what the what ifs.” \u003c/p>\n\u003cp>The health system said the 296 people it needs to lay off will be from “departments and disciplines across the system including management, support and administrative services, and clinical care,” and that those that are affected will have access to job search assistance and resume writing guidance. Some will receive severance packages. \u003c/p>\n\u003cp>“AHS leadership continues to pursue multiple strategies to restore funding and strengthen sustainability,” the agency’s statement said. “We are working in partnership with federal, state and county leaders to hopefully mitigate these adverse conditions.”\u003c/p>\n\u003cp>Gardine said before resorting to layoffs, executives at AHS should take pay cuts, and explore other options, such as ending leases at pricey office buildings in downtown and the Jack London areas of Oakland. The system should also consider hiring more permanent staff instead of relying on traveling contractors. \u003c/p>\n\u003cp>“The resources are there, the state of California is an incredibly wealthy state. So, the fact that we are cutting essential services for our most vulnerable communities is completely outrageous,” Gardine said. “I think we have a huge fight ahead and that I think there’s a lot of us who are ready to start fighting.” \u003c/p>\n\u003cp>\u003c/p>\n",
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"order": 8
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},
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
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"order": 9
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"hidden-brain": {
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"source": "NPR"
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"how-i-built-this": {
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"airtime": "SUN 7:30pm-8pm",
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"hyphenacion": {
"id": "hyphenacion",
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"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
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"order": 18
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},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
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"link": "/radio/program/latino-usa",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
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},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
"site": "news",
"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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},
"masters-of-scale": {
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"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
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"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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