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"slug": "ice-activity-in-california-hospitals-leaves-health-care-workers-on-edge",
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"content": "\u003cp>\u003c!-- Creative Commons Attribution-NonCommercial-NoDerivatives https://creativecommons.org/licenses/by-nc-nd/4.0/ -->\u003c/p>\n\u003cp>\u003cem>This story was originally published by \u003ca href=\"https://calmatters.org/\">CalMatters\u003c/a>. \u003ca href=\"https://calmatters.org/subscribe-to-calmatters/\">Sign up\u003c/a> for their newsletters.\u003c/em>\u003c/p>\n\u003cp>Federal immigration agents are more routinely showing up at California medical facilities as the Trump administration ramps up deportations.\u003c/p>\n\u003cp>They may come to the emergency room, bringing in someone who’s suffering a medical crisis while being detained. They may wait in the lobby, as agents did for two weeks\u003ca href=\"https://lapublicpress.org/2025/07/ice-agents-glendale-hospital-waiting-to-arrest-a-patient/\"> at an L.A.-area hospital \u003c/a>waiting for a woman to be discharged. Or they may even chase people inside, as federal agents did at a Southern California surgical center.\u003c/p>\n\u003cp>The sight of these agents — often armed and with covered faces — makes many wary and may keep people from seeking care.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Existing hospital policies guide operations when law enforcement brings in a person under arrest, hospital officials say.\u003c/p>\n\u003cp>“This is nothing new to hospitals,” said Lois Richardson, vice president and counsel at the California Hospital Association. “We get inmates, detainees, arrestees all the time, whether it’s police, sheriff, highway patrol, ICE, whatever it is.” The job for hospital workers remains to provide care, she added, and not to get involved in disputes over why a person is in custody.\u003c/p>\n\u003cfigure id=\"attachment_12031986\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12031986\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/082420_healthcareworkers_AW_sized_04-copy.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/082420_healthcareworkers_AW_sized_04-copy.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/082420_healthcareworkers_AW_sized_04-copy-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/082420_healthcareworkers_AW_sized_04-copy-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/082420_healthcareworkers_AW_sized_04-copy-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/082420_healthcareworkers_AW_sized_04-copy-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/082420_healthcareworkers_AW_sized_04-copy-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A hospital employee enters Alta Bates Summit Medical Center in Oakland on Aug. 24, 2020. \u003ccite>(Anne Wernikoff for CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Yet immigration attorneys, advocates and health workers have expressed concerns over the handling of some of these cases, both by immigration officers and by some administrators at medical facilities.\u003c/p>\n\u003cp>Specifically, they’re worried about the application of protocols like visitation rules, about threats to patients’ legal and privacy rights, and about risks to hospital workers themselves.\u003c/p>\n\u003cp>“We have a level of privacy that we owe to patients and their families, and that has just been completely demolished with all of the involvement of ICE coming into hospitals,” said Kate Mobeen, an ICU nurse at John Muir Medical Center in Concord. “It creates just a huge sense of fear, not only in our patient population, but in our employee population and our nurses.”\u003c/p>\n\u003ch2>\u003cstrong>Patients’ rights, policies face new tests\u003c/strong>\u003c/h2>\n\u003cp>Sometimes, when ICE has shown up at medical facilities with a detained patient, the result has been conflicting messaging about the rules.\u003c/p>\n\u003cp>On July 29, ICE agents took a man to John Muir Medical Center in Concord because he suffered an unspecified medical emergency while being detained outside the Concord immigration court, according to Ali Saidi, an attorney and the director of Stand Together Contra Costa, a local rapid response and legal services organization.\u003c/p>\n\u003cfigure id=\"attachment_12043496\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12043496\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/250609-SF-IMMIGRATION-PROTESTS-MD-12-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/250609-SF-IMMIGRATION-PROTESTS-MD-12-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/250609-SF-IMMIGRATION-PROTESTS-MD-12-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/250609-SF-IMMIGRATION-PROTESTS-MD-12-KQED-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Protestors rally in the Mission District in San Francisco in opposition to the Trump Administration’s immigration policy and enforcement on June 9, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>When Saidi arrived at the hospital as part of the response network, he said hospital staff told him that he was not allowed to see the detained patient, but that the man’s family would be allowed. Then, when the man’s wife arrived, “The rules had somehow changed, and they said no family visit,” Saidi said.\u003c/p>\n\u003cp>In a statement shared by the Contra Costa Immigrants Rights Alliance, the detained man’s wife, who asked to be identified only by her middle name, Maria, said that when she later talked to her husband, he told her that he was so terrified that he passed out.\u003c/p>\n\u003cp>“My family and I went to the emergency room and we asked to see him and talk to him to make sure he was OK,” Maria said in the statement. “The hospital staff would not let us see him, and they would not give us any information about what was happening to him. They wouldn’t even answer my questions.”[aside postID=news_12053380 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/75ACE4D9-068E-4167-9BD3-CFF3A0BE597B-2000x1335.jpg']John Muir officials would not comment on the incident, citing privacy laws. But in an email, Ben Drew, a spokesperson for the hospital, said general policy is that “If a law enforcement agency indicates that visitation presents a safety or security concern, [the hospital] may limit or deny visitation to protect our patients, staff, and visitors.”\u003c/p>\n\u003cp>Saidi said that when the wife insisted on getting information about the man’s condition, hospital security called the police.\u003c/p>\n\u003cp>“We understand that emotions are high whenever a family member or friend is in the emergency department or hospital,” said Drew. “The hospital only involves local police in circumstances when a patient or visitor’s behavior becomes abusive, disruptive, or threatening, and cannot be resolved through our own security team.”\u003c/p>\n\u003cp>Saidi denied that the family was being disruptive, saying that conversations with hospital staff and administration were respectful and no voices were raised.\u003c/p>\n\u003cp>“The atmosphere in that emergency bay was something like I’ve never seen before in my career,” Saidi said. “There was a chilling effect. Everyone was averting their eyes. You could tell the staff felt bad.”\u003c/p>\n\u003cp>Multiple emergency department nurses told Mobeen, a local California Nurses Association leader at John Muir, that ICE officers were “very aggressive with staff” and staff were afterwards “emotionally and physically upset” by what happened, she said.\u003c/p>\n\u003cp>“It’s horrifying to not be able to tell patients’ family members how they are, what their status is,” Mobeen said.\u003c/p>\n\u003cp>Part of the issue, Mobeen added, is training. Staff were not given adequate training on how to respond to any kind of immigration enforcement action that may occur at the hospital, she said.\u003c/p>\n\u003cp>Drew, the spokesman for John Muir, countered that the hospital has given guidance on its longstanding law enforcement policy and answered multiple questions since January about what to do if ICE agents show up at their facilities.\u003c/p>\n\u003ch2>\u003cstrong>Limits for ICE access, sometimes murky\u003c/strong>\u003c/h2>\n\u003cp>Last month, immigration agents occupied the lobby of Dignity Health’s Glendale Memorial Hospital, even standing behind reception desks, \u003ca href=\"https://lapublicpress.org/2025/07/ice-agents-glendale-hospital-waiting-to-arrest-a-patient/\">as photos that circulated online showed.\u003c/a> Protestors gathered outside the hospital, hosting rallies and press conferences.\u003c/p>\n\u003cp>They were all there because agents had previously brought in \u003ca href=\"https://abc7.com/post/immigrant-rights-activists-rally-presence-ice-contractors-glendale-hospital/17038487/\">Milagro Solis-Portillo\u003c/a>, an immigrant from El Salvador, for medical care following her detention. They spent 15 days in the hospital waiting for Solis-Portillo’s discharge before transferring her to another hospital and then taking her into custody, \u003ca href=\"https://lapublicpress.org/2025/07/woman-ice-stalked-at-two-socal-hospitals-is-now-in-federal-custody/\">according to local news reports\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_12053903\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12053903\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/HealthCareICECalMatters2.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/HealthCareICECalMatters2.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/HealthCareICECalMatters2-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/HealthCareICECalMatters2-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">People stand on the stairs at an entrance of Dignity Health-Glendale Memorial Hospital in Glendale, on July 17, 2025. Activists have condemned the ongoing presence of ICE agents or contractors in the hospital lobby where a woman was recovering from a medical emergency while detained. \u003ccite>(Robyn Beck/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In a \u003ca href=\"https://www.dignityhealth.org/socal/locations/glendalememorial/about-us/press-center/statement-from-glendale-memorial-hospital-regarding-ice-july-7-2025\">statement\u003c/a>, officials from Dignity Memorial Hospital said they could not legally prohibit law enforcement from being in public areas.\u003c/p>\n\u003cp>That’s true, say legal experts: Waiting rooms and lobbies are considered public spaces in hospitals. But agents cannot move through hospitals without limits. Law enforcement officials are not allowed to search for people in exam rooms or other private spaces without a federal court warrant.\u003c/p>\n\u003cp>When agents bring in someone who is in their custody and needs medical care, the application of the law can be more murky.\u003c/p>\n\u003cp>According to Richardson at the hospital association, how far an agent can go into treatment areas with a detained patient may be decided on a case-by-case basis. In cases where a detained patient is struggling or resisting, that patient may need guarding, she explained.\u003c/p>\n\u003cp>And if law enforcement officers do go inside exam rooms, they may hear medical information while on guard. But that isn’t necessarily a privacy violation, according to federal rules. The HIPAA Privacy Rule, the law that sets privacy standards for medical information, \u003ca href=\"https://www.hhs.gov/hipaa/for-professionals/privacy/guidance/incidental-uses-and-disclosures/index.html\">has a provision\u003c/a> that allows for “incidental disclosures” of information as long as “reasonable safeguards” are applied.\u003c/p>\n\u003cp>“The hospital will, and the doctor will make reasonable attempts to protect the patient’s privacy.” “What is reasonable is going to depend, again, on what’s wrong with the patient, how the patient is behaving, the nature of the circumstances,” Richardson said.\u003c/p>\n\u003cp>HIPAA protects the disclosure of medical records, which include names, addresses and social security numbers along with health conditions. State law also requires health facilities to protect this information. According to \u003ca href=\"https://oag.ca.gov/sites/all/files/agweb/pdfs/immigration/healthcare-guidance.pdf\">guidance from the attorney general’s office\u003c/a>, health facilities should consider a patient’s immigration status confidential.\u003c/p>\n\u003cp>At the same time, some disclosures are required if law enforcement can prove lawful custody or show an appropriate warrant. A federal court warrant signed by a judge grants law enforcement immediate access to information or to search a particular area, while an ICE administrative warrant does not require immediate compliance.\u003c/p>\n\u003ch2>Health workers in ‘precarious’ \u003cstrong>situations \u003c/strong>\u003c/h2>\n\u003cp>Health facilities generally direct frontline workers not to engage with immigration agents, but rather to immediately contact security or management.\u003c/p>\n\u003cp>One particular incident at a Southern California surgery center stands out, in conversation with health workers.\u003c/p>\n\u003cp>On July 8, federal agents targeted three landscapers who had parked outside of the Ontario Advanced Surgical Center. They chased one of the men inside on foot, according to a felony criminal complaint filed against two health care workers in the U.S. District Court for the Central District of California.\u003c/p>\n\u003cp>In videos of the incident posted online, a \u003ca href=\"https://www.youtube.com/watch?v=9PW6Bysinn0\">masked agent wearing a vest labeled “POLICE ICE” \u003c/a>on the back holds a weeping man by the shoulder inside the center while several workers in scrubs stand by. At multiple points in the video workers ask the officer for identification; one worker says, “this is a private business.”\u003c/p>\n\u003cp>Two workers, Danielle Davila and Jose Ortega, tell the officer to leave. Davila moves between the officer and the man, saying “Get your hands off of him. You don’t even have a warrant.”[aside postID=news_12052815 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/gettyimages-91547950_slide-4d6100270cc91128d1beb27eca778a6dcd952acd-1020x680.jpg']Ortega puts an arm between Davila and the officer and says “You have no proper identification.”\u003c/p>\n\u003cp>The officer says to both workers “You touched a federal agent.” Then Davila responds, “I’m not touching you.”\u003c/p>\n\u003cp>Davila and Ortega were later charged with two felony counts of assaulting a federal officer and conspiring to prevent a federal officer from performing their duties.\u003c/p>\n\u003cp>Last week the felony charges were dismissed and both Davila and Ortega pleaded not guilty to a subsequent misdemeanor assault charge. A spokesperson for the U.S. attorney’s office declined to comment on the charges.\u003c/p>\n\u003cp>Davila’s defense attorney Oliver Cleary said his client believed she was doing the right thing by asking for credentials and a warrant.\u003c/p>\n\u003cp>“You can’t just come in where people are getting medical care and whisk them away,” Cleary said. “She didn’t know who these people were. They didn’t tell her who they were, and as far as she knew this was a patient of the clinic.”\u003c/p>\n\u003cp>Carlos Juárez, Ortega’s defense attorney, said arresting and charging health workers with crimes for asking to see a warrant and identification puts them in a “precarious” and “dangerous situation.”\u003c/p>\n\u003cp>“They did what they needed to do and what they had a right to do,” Juárez said. “What I hope is it doesn’t have a chilling effect on other health care workers.”\u003c/p>\n\u003ch2>\u003cstrong>Workers say additional training can help\u003c/strong>\u003c/h2>\n\u003cp>Around the state, health workers say they’d like to see management provide additional guidance on how to respond to such scenarios if they were to play out in their workplace. Some workers are providing training themselves.\u003c/p>\n\u003cp>Adriana Rugeles-Ortiz, a licensed vocational nurse at Kaiser Permanente Modesto Medical Center, has been leading “Know Your Rights” sessions at her hospital and in her community as part of her union, SEIU-United Healthcare Workers West. She said some of her coworkers have expressed anxiety over some of the situations they’ve seen play out in other hospitals.\u003c/p>\n\u003cp>“Because of my involvement with all the training that we have done to the workers and to the community, personally, I do feel prepared. I am not that confident that we have been able to reach the entire workforce within Kaiser to get them to the level of confidence to deal with it,” Rugeles-Ortiz said.\u003c/p>\n\u003cp>Dr. Douglas Yoshida, an emergency room physician at Stanford Health Tri-Valley in Alameda County, said additional guidance and training for workers at medical facilities could be of great value.\u003c/p>\n\u003cp>“I think as health care providers, we need to deliver good health care to these patients, just like any other patient, and we need to protect their rights,” Yoshida said. “I mean, personally, if someone comes in in ICE custody, within the limits of the law, I want to do everything I can to help [patients.]”\u003c/p>\n\u003cp>The hospital in Pleasanton that Yoshida works in is located near the county’s Santa Rita Jail; staff, he said, have been used to a law enforcement presence. But the recent incident at John Muir Medical Center, about 30 miles north, as well as the criminal charges filed against the southern California surgery center workers have set people on edge, Yoshida said.\u003c/p>\n\u003cp>“Normally, health care workers have no reason to fear law enforcement,” he added, “but we’re in uncharted territory.”\u003c/p>\n\u003cp>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that people have access to the care they need, when they need it, at a price they can afford. Visit \u003ca href=\"https://www.chcf.org/\">www.chcf.org\u003c/a> to learn more.\u003c/em>\u003c/p>\n\u003cp>\u003cem>This article was \u003ca href=\"https://calmatters.org/health/2025/08/immigration-hospitals-workers-fear/\">originally published on CalMatters\u003c/a> and was republished under the \u003ca href=\"https://creativecommons.org/licenses/by-nc-nd/4.0/\">Creative Commons Attribution-NonCommercial-NoDerivatives\u003c/a> license.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "As federal immigration agents appear more frequently at California medical facilities, workers are increasingly concerned about patients’ rights and their own.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003c!-- Creative Commons Attribution-NonCommercial-NoDerivatives https://creativecommons.org/licenses/by-nc-nd/4.0/ -->\u003c/p>\n\u003cp>\u003cem>This story was originally published by \u003ca href=\"https://calmatters.org/\">CalMatters\u003c/a>. \u003ca href=\"https://calmatters.org/subscribe-to-calmatters/\">Sign up\u003c/a> for their newsletters.\u003c/em>\u003c/p>\n\u003cp>Federal immigration agents are more routinely showing up at California medical facilities as the Trump administration ramps up deportations.\u003c/p>\n\u003cp>They may come to the emergency room, bringing in someone who’s suffering a medical crisis while being detained. They may wait in the lobby, as agents did for two weeks\u003ca href=\"https://lapublicpress.org/2025/07/ice-agents-glendale-hospital-waiting-to-arrest-a-patient/\"> at an L.A.-area hospital \u003c/a>waiting for a woman to be discharged. Or they may even chase people inside, as federal agents did at a Southern California surgical center.\u003c/p>\n\u003cp>The sight of these agents — often armed and with covered faces — makes many wary and may keep people from seeking care.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Existing hospital policies guide operations when law enforcement brings in a person under arrest, hospital officials say.\u003c/p>\n\u003cp>“This is nothing new to hospitals,” said Lois Richardson, vice president and counsel at the California Hospital Association. “We get inmates, detainees, arrestees all the time, whether it’s police, sheriff, highway patrol, ICE, whatever it is.” The job for hospital workers remains to provide care, she added, and not to get involved in disputes over why a person is in custody.\u003c/p>\n\u003cfigure id=\"attachment_12031986\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12031986\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/082420_healthcareworkers_AW_sized_04-copy.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/082420_healthcareworkers_AW_sized_04-copy.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/082420_healthcareworkers_AW_sized_04-copy-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/082420_healthcareworkers_AW_sized_04-copy-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/082420_healthcareworkers_AW_sized_04-copy-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/082420_healthcareworkers_AW_sized_04-copy-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/082420_healthcareworkers_AW_sized_04-copy-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A hospital employee enters Alta Bates Summit Medical Center in Oakland on Aug. 24, 2020. \u003ccite>(Anne Wernikoff for CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Yet immigration attorneys, advocates and health workers have expressed concerns over the handling of some of these cases, both by immigration officers and by some administrators at medical facilities.\u003c/p>\n\u003cp>Specifically, they’re worried about the application of protocols like visitation rules, about threats to patients’ legal and privacy rights, and about risks to hospital workers themselves.\u003c/p>\n\u003cp>“We have a level of privacy that we owe to patients and their families, and that has just been completely demolished with all of the involvement of ICE coming into hospitals,” said Kate Mobeen, an ICU nurse at John Muir Medical Center in Concord. “It creates just a huge sense of fear, not only in our patient population, but in our employee population and our nurses.”\u003c/p>\n\u003ch2>\u003cstrong>Patients’ rights, policies face new tests\u003c/strong>\u003c/h2>\n\u003cp>Sometimes, when ICE has shown up at medical facilities with a detained patient, the result has been conflicting messaging about the rules.\u003c/p>\n\u003cp>On July 29, ICE agents took a man to John Muir Medical Center in Concord because he suffered an unspecified medical emergency while being detained outside the Concord immigration court, according to Ali Saidi, an attorney and the director of Stand Together Contra Costa, a local rapid response and legal services organization.\u003c/p>\n\u003cfigure id=\"attachment_12043496\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12043496\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/250609-SF-IMMIGRATION-PROTESTS-MD-12-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/250609-SF-IMMIGRATION-PROTESTS-MD-12-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/250609-SF-IMMIGRATION-PROTESTS-MD-12-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/250609-SF-IMMIGRATION-PROTESTS-MD-12-KQED-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Protestors rally in the Mission District in San Francisco in opposition to the Trump Administration’s immigration policy and enforcement on June 9, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>When Saidi arrived at the hospital as part of the response network, he said hospital staff told him that he was not allowed to see the detained patient, but that the man’s family would be allowed. Then, when the man’s wife arrived, “The rules had somehow changed, and they said no family visit,” Saidi said.\u003c/p>\n\u003cp>In a statement shared by the Contra Costa Immigrants Rights Alliance, the detained man’s wife, who asked to be identified only by her middle name, Maria, said that when she later talked to her husband, he told her that he was so terrified that he passed out.\u003c/p>\n\u003cp>“My family and I went to the emergency room and we asked to see him and talk to him to make sure he was OK,” Maria said in the statement. “The hospital staff would not let us see him, and they would not give us any information about what was happening to him. They wouldn’t even answer my questions.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>John Muir officials would not comment on the incident, citing privacy laws. But in an email, Ben Drew, a spokesperson for the hospital, said general policy is that “If a law enforcement agency indicates that visitation presents a safety or security concern, [the hospital] may limit or deny visitation to protect our patients, staff, and visitors.”\u003c/p>\n\u003cp>Saidi said that when the wife insisted on getting information about the man’s condition, hospital security called the police.\u003c/p>\n\u003cp>“We understand that emotions are high whenever a family member or friend is in the emergency department or hospital,” said Drew. “The hospital only involves local police in circumstances when a patient or visitor’s behavior becomes abusive, disruptive, or threatening, and cannot be resolved through our own security team.”\u003c/p>\n\u003cp>Saidi denied that the family was being disruptive, saying that conversations with hospital staff and administration were respectful and no voices were raised.\u003c/p>\n\u003cp>“The atmosphere in that emergency bay was something like I’ve never seen before in my career,” Saidi said. “There was a chilling effect. Everyone was averting their eyes. You could tell the staff felt bad.”\u003c/p>\n\u003cp>Multiple emergency department nurses told Mobeen, a local California Nurses Association leader at John Muir, that ICE officers were “very aggressive with staff” and staff were afterwards “emotionally and physically upset” by what happened, she said.\u003c/p>\n\u003cp>“It’s horrifying to not be able to tell patients’ family members how they are, what their status is,” Mobeen said.\u003c/p>\n\u003cp>Part of the issue, Mobeen added, is training. Staff were not given adequate training on how to respond to any kind of immigration enforcement action that may occur at the hospital, she said.\u003c/p>\n\u003cp>Drew, the spokesman for John Muir, countered that the hospital has given guidance on its longstanding law enforcement policy and answered multiple questions since January about what to do if ICE agents show up at their facilities.\u003c/p>\n\u003ch2>\u003cstrong>Limits for ICE access, sometimes murky\u003c/strong>\u003c/h2>\n\u003cp>Last month, immigration agents occupied the lobby of Dignity Health’s Glendale Memorial Hospital, even standing behind reception desks, \u003ca href=\"https://lapublicpress.org/2025/07/ice-agents-glendale-hospital-waiting-to-arrest-a-patient/\">as photos that circulated online showed.\u003c/a> Protestors gathered outside the hospital, hosting rallies and press conferences.\u003c/p>\n\u003cp>They were all there because agents had previously brought in \u003ca href=\"https://abc7.com/post/immigrant-rights-activists-rally-presence-ice-contractors-glendale-hospital/17038487/\">Milagro Solis-Portillo\u003c/a>, an immigrant from El Salvador, for medical care following her detention. They spent 15 days in the hospital waiting for Solis-Portillo’s discharge before transferring her to another hospital and then taking her into custody, \u003ca href=\"https://lapublicpress.org/2025/07/woman-ice-stalked-at-two-socal-hospitals-is-now-in-federal-custody/\">according to local news reports\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_12053903\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12053903\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/HealthCareICECalMatters2.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/HealthCareICECalMatters2.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/HealthCareICECalMatters2-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/HealthCareICECalMatters2-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">People stand on the stairs at an entrance of Dignity Health-Glendale Memorial Hospital in Glendale, on July 17, 2025. Activists have condemned the ongoing presence of ICE agents or contractors in the hospital lobby where a woman was recovering from a medical emergency while detained. \u003ccite>(Robyn Beck/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In a \u003ca href=\"https://www.dignityhealth.org/socal/locations/glendalememorial/about-us/press-center/statement-from-glendale-memorial-hospital-regarding-ice-july-7-2025\">statement\u003c/a>, officials from Dignity Memorial Hospital said they could not legally prohibit law enforcement from being in public areas.\u003c/p>\n\u003cp>That’s true, say legal experts: Waiting rooms and lobbies are considered public spaces in hospitals. But agents cannot move through hospitals without limits. Law enforcement officials are not allowed to search for people in exam rooms or other private spaces without a federal court warrant.\u003c/p>\n\u003cp>When agents bring in someone who is in their custody and needs medical care, the application of the law can be more murky.\u003c/p>\n\u003cp>According to Richardson at the hospital association, how far an agent can go into treatment areas with a detained patient may be decided on a case-by-case basis. In cases where a detained patient is struggling or resisting, that patient may need guarding, she explained.\u003c/p>\n\u003cp>And if law enforcement officers do go inside exam rooms, they may hear medical information while on guard. But that isn’t necessarily a privacy violation, according to federal rules. The HIPAA Privacy Rule, the law that sets privacy standards for medical information, \u003ca href=\"https://www.hhs.gov/hipaa/for-professionals/privacy/guidance/incidental-uses-and-disclosures/index.html\">has a provision\u003c/a> that allows for “incidental disclosures” of information as long as “reasonable safeguards” are applied.\u003c/p>\n\u003cp>“The hospital will, and the doctor will make reasonable attempts to protect the patient’s privacy.” “What is reasonable is going to depend, again, on what’s wrong with the patient, how the patient is behaving, the nature of the circumstances,” Richardson said.\u003c/p>\n\u003cp>HIPAA protects the disclosure of medical records, which include names, addresses and social security numbers along with health conditions. State law also requires health facilities to protect this information. According to \u003ca href=\"https://oag.ca.gov/sites/all/files/agweb/pdfs/immigration/healthcare-guidance.pdf\">guidance from the attorney general’s office\u003c/a>, health facilities should consider a patient’s immigration status confidential.\u003c/p>\n\u003cp>At the same time, some disclosures are required if law enforcement can prove lawful custody or show an appropriate warrant. A federal court warrant signed by a judge grants law enforcement immediate access to information or to search a particular area, while an ICE administrative warrant does not require immediate compliance.\u003c/p>\n\u003ch2>Health workers in ‘precarious’ \u003cstrong>situations \u003c/strong>\u003c/h2>\n\u003cp>Health facilities generally direct frontline workers not to engage with immigration agents, but rather to immediately contact security or management.\u003c/p>\n\u003cp>One particular incident at a Southern California surgery center stands out, in conversation with health workers.\u003c/p>\n\u003cp>On July 8, federal agents targeted three landscapers who had parked outside of the Ontario Advanced Surgical Center. They chased one of the men inside on foot, according to a felony criminal complaint filed against two health care workers in the U.S. District Court for the Central District of California.\u003c/p>\n\u003cp>In videos of the incident posted online, a \u003ca href=\"https://www.youtube.com/watch?v=9PW6Bysinn0\">masked agent wearing a vest labeled “POLICE ICE” \u003c/a>on the back holds a weeping man by the shoulder inside the center while several workers in scrubs stand by. At multiple points in the video workers ask the officer for identification; one worker says, “this is a private business.”\u003c/p>\n\u003cp>Two workers, Danielle Davila and Jose Ortega, tell the officer to leave. Davila moves between the officer and the man, saying “Get your hands off of him. You don’t even have a warrant.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Ortega puts an arm between Davila and the officer and says “You have no proper identification.”\u003c/p>\n\u003cp>The officer says to both workers “You touched a federal agent.” Then Davila responds, “I’m not touching you.”\u003c/p>\n\u003cp>Davila and Ortega were later charged with two felony counts of assaulting a federal officer and conspiring to prevent a federal officer from performing their duties.\u003c/p>\n\u003cp>Last week the felony charges were dismissed and both Davila and Ortega pleaded not guilty to a subsequent misdemeanor assault charge. A spokesperson for the U.S. attorney’s office declined to comment on the charges.\u003c/p>\n\u003cp>Davila’s defense attorney Oliver Cleary said his client believed she was doing the right thing by asking for credentials and a warrant.\u003c/p>\n\u003cp>“You can’t just come in where people are getting medical care and whisk them away,” Cleary said. “She didn’t know who these people were. They didn’t tell her who they were, and as far as she knew this was a patient of the clinic.”\u003c/p>\n\u003cp>Carlos Juárez, Ortega’s defense attorney, said arresting and charging health workers with crimes for asking to see a warrant and identification puts them in a “precarious” and “dangerous situation.”\u003c/p>\n\u003cp>“They did what they needed to do and what they had a right to do,” Juárez said. “What I hope is it doesn’t have a chilling effect on other health care workers.”\u003c/p>\n\u003ch2>\u003cstrong>Workers say additional training can help\u003c/strong>\u003c/h2>\n\u003cp>Around the state, health workers say they’d like to see management provide additional guidance on how to respond to such scenarios if they were to play out in their workplace. Some workers are providing training themselves.\u003c/p>\n\u003cp>Adriana Rugeles-Ortiz, a licensed vocational nurse at Kaiser Permanente Modesto Medical Center, has been leading “Know Your Rights” sessions at her hospital and in her community as part of her union, SEIU-United Healthcare Workers West. She said some of her coworkers have expressed anxiety over some of the situations they’ve seen play out in other hospitals.\u003c/p>\n\u003cp>“Because of my involvement with all the training that we have done to the workers and to the community, personally, I do feel prepared. I am not that confident that we have been able to reach the entire workforce within Kaiser to get them to the level of confidence to deal with it,” Rugeles-Ortiz said.\u003c/p>\n\u003cp>Dr. Douglas Yoshida, an emergency room physician at Stanford Health Tri-Valley in Alameda County, said additional guidance and training for workers at medical facilities could be of great value.\u003c/p>\n\u003cp>“I think as health care providers, we need to deliver good health care to these patients, just like any other patient, and we need to protect their rights,” Yoshida said. “I mean, personally, if someone comes in in ICE custody, within the limits of the law, I want to do everything I can to help [patients.]”\u003c/p>\n\u003cp>The hospital in Pleasanton that Yoshida works in is located near the county’s Santa Rita Jail; staff, he said, have been used to a law enforcement presence. But the recent incident at John Muir Medical Center, about 30 miles north, as well as the criminal charges filed against the southern California surgery center workers have set people on edge, Yoshida said.\u003c/p>\n\u003cp>“Normally, health care workers have no reason to fear law enforcement,” he added, “but we’re in uncharted territory.”\u003c/p>\n\u003cp>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that people have access to the care they need, when they need it, at a price they can afford. Visit \u003ca href=\"https://www.chcf.org/\">www.chcf.org\u003c/a> to learn more.\u003c/em>\u003c/p>\n\u003cp>\u003cem>This article was \u003ca href=\"https://calmatters.org/health/2025/08/immigration-hospitals-workers-fear/\">originally published on CalMatters\u003c/a> and was republished under the \u003ca href=\"https://creativecommons.org/licenses/by-nc-nd/4.0/\">Creative Commons Attribution-NonCommercial-NoDerivatives\u003c/a> license.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>The Trump Administration last week canceled funding for a \u003ca href=\"https://www.kqed.org/news/tag/california\">California\u003c/a> sexual health education program serving homeless, foster care and incarcerated youth, alleging it is an “attempt to indoctrinate children with gender ideology.”\u003c/p>\n\u003cp>At issue is California’s curricula, which teach that gender identity can differ from biological sex and that trans and nonbinary people exist.\u003c/p>\n\u003cp>“We know that trans people exist and we know that there are trans kids in our schools,” said Perryn Reis, a longtime sex and puberty educator. “They need to feel included and seen in the curriculum and ultimately to try to decrease bullying, to try to increase comfort for them in their school communities.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>California law requires public and charter schools to teach comprehensive, inclusive and medically accurate sex and relationship education, including information about gender, gender expression and gender identity, a California Department of Public Health spokesperson said in a statement.\u003c/p>\n\u003cp>The California Personal Responsibility Education Program, known as CA PREP, provides grants to 20 schools and local nonprofits to offer classes, reaching about 13,000 youth annually across the state.\u003c/p>\n\u003cp>“California’s students deserve access to educational information and materials that help them make healthy decisions about sexual activity, including the decision to delay sexual activity, while honoring and respecting their dignity, including gender identity,” CDPH said in a statement. “California maintains its position that the curriculum is medically accurate, comprehensive, and age-appropriate.”\u003c/p>\n\u003cfigure id=\"attachment_12023046\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12023046 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250118_Peoples-March_DMB_00192.jpg\" alt='A woman wearing a white hat holds a white sign with the word \"Obsessed\" in large letters.' width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250118_Peoples-March_DMB_00192.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250118_Peoples-March_DMB_00192-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250118_Peoples-March_DMB_00192-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250118_Peoples-March_DMB_00192-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250118_Peoples-March_DMB_00192-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250118_Peoples-March_DMB_00192-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A demonstrator holds a sign for women’s rights while marching with hundreds who came out to protest along 24th Street for the People’s March in San Francisco’s Mission District, on Jan. 18, 2025. The protesters represent several causes, including the war in Gaza, women’s rights, targeting of undocumented people, minorities and more, part of a nationwide day of action protesting President-elect Donald Trump’s second term. \u003ccite>(David M. Barreda/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In the Bay Area, Health Initiatives for Youth was awarded $274,398 for services in Alameda County.\u003c/p>\n\u003cp>The curricula used by CA PREP were previously reviewed and approved by the federal Administration for Children and Families, but the Trump administration is now revoking that approval. California is now about $5.8 million in federal funding for local organizations and schools.\u003c/p>\n\u003cp>That loss will likely fall on the grantees who serve high-needs children, who are already struggling financially, Reis said.[aside postID=news_12050618 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/20250725_KaiserTransProtest_GC-7_qed.jpg']“I don’t know who’s going to make up the funding,” Reis said. “I think there’s just going to be a lack of services for our young people, and I think the burden will fall more on our state government to make up the funding or on schools … to make up the difference to either train teachers or hire outside folks to come in and teach a sex ed curriculum, or then they wouldn’t be in compliance with the Ed code.”\u003c/p>\n\u003cp>Of the California grantees losing funding, three are Planned Parenthood affiliates.\u003c/p>\n\u003cp>Shelby McMichael with the Planned Parenthood Affiliates of California called the cuts an attack not only on reproductive health care, but also “a clear attack on California and its values.”\u003c/p>\n\u003cp>“Make no mistake, these cuts will cause harm: unplanned teen pregnancies will go up, the STI crisis will worsen, and countless youth across the state will be deprived of the knowledge they need to make the decisions that are best for their health, relationships, and lives,” McMichael said.\u003c/p>\n\u003cp>California has 30 days to appeal, but CDPH has not confirmed whether or not it will do so.\u003c/p>\n\u003cp>In a letter to the federal Administration for Children and Families before the funding cutoff, Matthew Green with the Center for Family Health at CDPH said the department would not change its curricula.\u003c/p>\n\u003cfigure id=\"attachment_11913111\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11913111\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/05/Image-from-iOS-4-scaled-e1651632298608.jpg\" alt='A large crowed assembles in downtown San Francisco. Many are chanting and holding up signs. One sign reads, \"My body, my choice.\"' width=\"1920\" height=\"1278\">\u003cfigcaption class=\"wp-caption-text\">Hundreds gathered outside the Phillip Burton Federal Building in San Francisco on May 3, 2022, in support of abortion rights after the Supreme Court’s draft opinion of Dobbs v. Jackson Women’s Health Organization was leaked. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“The materials are medically accurate and directly relevant to the purposes of personal responsibility education programs set out in the authorizing statute,” Green wrote. “In short, CDPH will continue to comply with federal and California law regarding personal responsibility and sexual health education of youth and pupils in the state.”\u003c/p>\n\u003cp>California is one of just five states that require comprehensive sex education in schools by law.\u003c/p>\n\u003cp>Reis said she hopes California stands strong and continues to offer trans-inclusive sex education.\u003c/p>\n\u003cp>“None of the curricula out there are trying to change people’s mind or they’re trying to get kids to go through operations or things like that,” she said. “It’s just about recognizing the diversity in the world and that our world is really diverse … and our bodies are really diverse.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Trump Administration last week canceled funding for a \u003ca href=\"https://www.kqed.org/news/tag/california\">California\u003c/a> sexual health education program serving homeless, foster care and incarcerated youth, alleging it is an “attempt to indoctrinate children with gender ideology.”\u003c/p>\n\u003cp>At issue is California’s curricula, which teach that gender identity can differ from biological sex and that trans and nonbinary people exist.\u003c/p>\n\u003cp>“We know that trans people exist and we know that there are trans kids in our schools,” said Perryn Reis, a longtime sex and puberty educator. “They need to feel included and seen in the curriculum and ultimately to try to decrease bullying, to try to increase comfort for them in their school communities.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>California law requires public and charter schools to teach comprehensive, inclusive and medically accurate sex and relationship education, including information about gender, gender expression and gender identity, a California Department of Public Health spokesperson said in a statement.\u003c/p>\n\u003cp>The California Personal Responsibility Education Program, known as CA PREP, provides grants to 20 schools and local nonprofits to offer classes, reaching about 13,000 youth annually across the state.\u003c/p>\n\u003cp>“California’s students deserve access to educational information and materials that help them make healthy decisions about sexual activity, including the decision to delay sexual activity, while honoring and respecting their dignity, including gender identity,” CDPH said in a statement. “California maintains its position that the curriculum is medically accurate, comprehensive, and age-appropriate.”\u003c/p>\n\u003cfigure id=\"attachment_12023046\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12023046 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250118_Peoples-March_DMB_00192.jpg\" alt='A woman wearing a white hat holds a white sign with the word \"Obsessed\" in large letters.' width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250118_Peoples-March_DMB_00192.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250118_Peoples-March_DMB_00192-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250118_Peoples-March_DMB_00192-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250118_Peoples-March_DMB_00192-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250118_Peoples-March_DMB_00192-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250118_Peoples-March_DMB_00192-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A demonstrator holds a sign for women’s rights while marching with hundreds who came out to protest along 24th Street for the People’s March in San Francisco’s Mission District, on Jan. 18, 2025. The protesters represent several causes, including the war in Gaza, women’s rights, targeting of undocumented people, minorities and more, part of a nationwide day of action protesting President-elect Donald Trump’s second term. \u003ccite>(David M. Barreda/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In the Bay Area, Health Initiatives for Youth was awarded $274,398 for services in Alameda County.\u003c/p>\n\u003cp>The curricula used by CA PREP were previously reviewed and approved by the federal Administration for Children and Families, but the Trump administration is now revoking that approval. California is now about $5.8 million in federal funding for local organizations and schools.\u003c/p>\n\u003cp>That loss will likely fall on the grantees who serve high-needs children, who are already struggling financially, Reis said.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“I don’t know who’s going to make up the funding,” Reis said. “I think there’s just going to be a lack of services for our young people, and I think the burden will fall more on our state government to make up the funding or on schools … to make up the difference to either train teachers or hire outside folks to come in and teach a sex ed curriculum, or then they wouldn’t be in compliance with the Ed code.”\u003c/p>\n\u003cp>Of the California grantees losing funding, three are Planned Parenthood affiliates.\u003c/p>\n\u003cp>Shelby McMichael with the Planned Parenthood Affiliates of California called the cuts an attack not only on reproductive health care, but also “a clear attack on California and its values.”\u003c/p>\n\u003cp>“Make no mistake, these cuts will cause harm: unplanned teen pregnancies will go up, the STI crisis will worsen, and countless youth across the state will be deprived of the knowledge they need to make the decisions that are best for their health, relationships, and lives,” McMichael said.\u003c/p>\n\u003cp>California has 30 days to appeal, but CDPH has not confirmed whether or not it will do so.\u003c/p>\n\u003cp>In a letter to the federal Administration for Children and Families before the funding cutoff, Matthew Green with the Center for Family Health at CDPH said the department would not change its curricula.\u003c/p>\n\u003cfigure id=\"attachment_11913111\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11913111\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/05/Image-from-iOS-4-scaled-e1651632298608.jpg\" alt='A large crowed assembles in downtown San Francisco. Many are chanting and holding up signs. One sign reads, \"My body, my choice.\"' width=\"1920\" height=\"1278\">\u003cfigcaption class=\"wp-caption-text\">Hundreds gathered outside the Phillip Burton Federal Building in San Francisco on May 3, 2022, in support of abortion rights after the Supreme Court’s draft opinion of Dobbs v. Jackson Women’s Health Organization was leaked. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“The materials are medically accurate and directly relevant to the purposes of personal responsibility education programs set out in the authorizing statute,” Green wrote. “In short, CDPH will continue to comply with federal and California law regarding personal responsibility and sexual health education of youth and pupils in the state.”\u003c/p>\n\u003cp>California is one of just five states that require comprehensive sex education in schools by law.\u003c/p>\n\u003cp>Reis said she hopes California stands strong and continues to offer trans-inclusive sex education.\u003c/p>\n\u003cp>“None of the curricula out there are trying to change people’s mind or they’re trying to get kids to go through operations or things like that,” she said. “It’s just about recognizing the diversity in the world and that our world is really diverse … and our bodies are really diverse.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "Kaiser to Lay Off Dozens of Outpatient Nurses in San Rafael",
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"content": "\u003cp>Nurses at \u003ca href=\"https://www.kqed.org/news/tag/kaiser-permanente\">Kaiser Permanente\u003c/a>’s outpatient clinics in San Rafael are raising concerns about potential delays to patient care as the company plans to lay off dozens of nurses working there.\u003c/p>\n\u003cp>The 41 registered nurses and nurse practitioners who would be laid off work in 14 departments, including prenatal care, dermatology and medical procedures, according to the California Nurses Association.\u003c/p>\n\u003cp>“They are targeting the outpatient nurses,” said Pam Cronin, a pediatric nurse at Kaiser in San Rafael. “These nurses work in specialty clinics. Many of them keep patients out of the hospital — they’re the ones that triage and catch the problems before they become life-threatening.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>CNA, which represents about 500 registered nurses at Kaiser facilities in San Rafael, said patients in the health system are already experiencing long wait times. Layoffs would risk further delaying care, the union argued, causing “potentially deadly consequences.”\u003c/p>\n\u003cp>“These are pregnant women with concerns about their unborn children,” Cronin said. “They want access to a nurse that can reassure them.”\u003c/p>\n\u003cfigure id=\"attachment_12053049\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12053049\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250820-KAISER-SAN-RAFAEL-MD-03-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250820-KAISER-SAN-RAFAEL-MD-03-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250820-KAISER-SAN-RAFAEL-MD-03-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250820-KAISER-SAN-RAFAEL-MD-03-KQED-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The Kaiser Permanente hospital in San Rafael on Aug. 20, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Nurses with CNA said patients have shared stories of \u003ca href=\"https://www.kqed.org/science/1991871/systemic-neglect-how-staffing-shortages-in-nursing-homes-leave-patients-trapped-in-hospitals\">delays in care\u003c/a>, long hold times and struggles for older patients using more recent internet-based appointment systems. When told of the planned cuts, Cronin said, patients are shocked.\u003c/p>\n\u003cp>“Most people recognize that Kaiser is a very large health care provider,” she said.\u003c/p>\n\u003cp>Kaiser pushed back on the assertion that patient care would be affected, saying in a statement that “none of these changes will impact the quality of Kaiser Permanente’s patient care and services.”\u003c/p>\n\u003cp>The nonprofit healthcare giant said the staff reductions were made as the volume of care had dropped at its outpatient facilities in San Rafael post-pandemic.[aside postID=news_12051862 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250418-SFUSD-04-BL_qed.jpg']“To match staffing and care needs, we are rebalancing resources,” the company said.\u003c/p>\n\u003cp>Nurses pointed to Kaiser’s \u003ca href=\"https://about.kaiserpermanente.org/news/press-release-archive/kaiser-foundation-health-plan-hospitals-risant-health-report-2024-financial-results\">net income in 2024\u003c/a>, arguing the company’s justification for the cuts doesn’t hold up.\u003c/p>\n\u003cp>“It’s absolutely unacceptable that Kaiser made $13 billion last year, yet is cutting staff,” Colleen Gibbons, a medical-surgical nurse at Kaiser San Rafael and the chief nurse representative, said in a statement.\u003c/p>\n\u003cp>CNA received notice of the proposed layoffs at the end of June, and they are set to take effect Oct. 14.\u003c/p>\n\u003cp>For the nurses left after the layoffs take effect, the workload will only grow, Cronin said.\u003c/p>\n\u003cp>“The work doesn’t go away just because the nurses go away,” Cronin said. “There’s still these patients that paid for access to quality medical care … and the nurses will continue to try to provide it despite how Kaiser continues to tie our hands.”\u003c/p>\n\u003cp>Forty-two workers in San Rafael were initially slated for layoffs, but negotiations with CNA spared a position, reducing the total to 41.\u003c/p>\n\u003cp>Kaiser said the number of total affected positions may change as bargaining with the union continues.\u003c/p>\n\u003cp>The company pointed to 400 open nursing positions across Kaiser locations in Northern California, saying it wants to “help transition impacted employees to available inpatient positions that are closest to where they live.”\u003c/p>\n\u003cp>Nurses plan to picket the layoffs on Thursday outside Kaiser’s downtown San Rafael clinic.\u003c/p>\n\u003cp>\u003cem>Clarification, Sept. 24: A previous version of this story said nearly a quarter of nurses at Kaiser’s outpatient clinics in San Rafael would be laid off. Kaiser and the California Nurses Association dispute the impact of the proposed layoffs, with Kaiser saying the cuts would affect 18% of outpatient nurses in San Rafael and the union estimating closer to 23%.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Nurses at \u003ca href=\"https://www.kqed.org/news/tag/kaiser-permanente\">Kaiser Permanente\u003c/a>’s outpatient clinics in San Rafael are raising concerns about potential delays to patient care as the company plans to lay off dozens of nurses working there.\u003c/p>\n\u003cp>The 41 registered nurses and nurse practitioners who would be laid off work in 14 departments, including prenatal care, dermatology and medical procedures, according to the California Nurses Association.\u003c/p>\n\u003cp>“They are targeting the outpatient nurses,” said Pam Cronin, a pediatric nurse at Kaiser in San Rafael. “These nurses work in specialty clinics. Many of them keep patients out of the hospital — they’re the ones that triage and catch the problems before they become life-threatening.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>CNA, which represents about 500 registered nurses at Kaiser facilities in San Rafael, said patients in the health system are already experiencing long wait times. Layoffs would risk further delaying care, the union argued, causing “potentially deadly consequences.”\u003c/p>\n\u003cp>“These are pregnant women with concerns about their unborn children,” Cronin said. “They want access to a nurse that can reassure them.”\u003c/p>\n\u003cfigure id=\"attachment_12053049\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12053049\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250820-KAISER-SAN-RAFAEL-MD-03-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250820-KAISER-SAN-RAFAEL-MD-03-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250820-KAISER-SAN-RAFAEL-MD-03-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250820-KAISER-SAN-RAFAEL-MD-03-KQED-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The Kaiser Permanente hospital in San Rafael on Aug. 20, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Nurses with CNA said patients have shared stories of \u003ca href=\"https://www.kqed.org/science/1991871/systemic-neglect-how-staffing-shortages-in-nursing-homes-leave-patients-trapped-in-hospitals\">delays in care\u003c/a>, long hold times and struggles for older patients using more recent internet-based appointment systems. When told of the planned cuts, Cronin said, patients are shocked.\u003c/p>\n\u003cp>“Most people recognize that Kaiser is a very large health care provider,” she said.\u003c/p>\n\u003cp>Kaiser pushed back on the assertion that patient care would be affected, saying in a statement that “none of these changes will impact the quality of Kaiser Permanente’s patient care and services.”\u003c/p>\n\u003cp>The nonprofit healthcare giant said the staff reductions were made as the volume of care had dropped at its outpatient facilities in San Rafael post-pandemic.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“To match staffing and care needs, we are rebalancing resources,” the company said.\u003c/p>\n\u003cp>Nurses pointed to Kaiser’s \u003ca href=\"https://about.kaiserpermanente.org/news/press-release-archive/kaiser-foundation-health-plan-hospitals-risant-health-report-2024-financial-results\">net income in 2024\u003c/a>, arguing the company’s justification for the cuts doesn’t hold up.\u003c/p>\n\u003cp>“It’s absolutely unacceptable that Kaiser made $13 billion last year, yet is cutting staff,” Colleen Gibbons, a medical-surgical nurse at Kaiser San Rafael and the chief nurse representative, said in a statement.\u003c/p>\n\u003cp>CNA received notice of the proposed layoffs at the end of June, and they are set to take effect Oct. 14.\u003c/p>\n\u003cp>For the nurses left after the layoffs take effect, the workload will only grow, Cronin said.\u003c/p>\n\u003cp>“The work doesn’t go away just because the nurses go away,” Cronin said. “There’s still these patients that paid for access to quality medical care … and the nurses will continue to try to provide it despite how Kaiser continues to tie our hands.”\u003c/p>\n\u003cp>Forty-two workers in San Rafael were initially slated for layoffs, but negotiations with CNA spared a position, reducing the total to 41.\u003c/p>\n\u003cp>Kaiser said the number of total affected positions may change as bargaining with the union continues.\u003c/p>\n\u003cp>The company pointed to 400 open nursing positions across Kaiser locations in Northern California, saying it wants to “help transition impacted employees to available inpatient positions that are closest to where they live.”\u003c/p>\n\u003cp>Nurses plan to picket the layoffs on Thursday outside Kaiser’s downtown San Rafael clinic.\u003c/p>\n\u003cp>\u003cem>Clarification, Sept. 24: A previous version of this story said nearly a quarter of nurses at Kaiser’s outpatient clinics in San Rafael would be laid off. Kaiser and the California Nurses Association dispute the impact of the proposed layoffs, with Kaiser saying the cuts would affect 18% of outpatient nurses in San Rafael and the union estimating closer to 23%.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "pelosi-says-california-democrats-will-not-unilaterally-disarm-in-redistricting-war",
"title": "Pelosi Says California Democrats ‘Will Not Unilaterally Disarm’ in Redistricting War",
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"content": "\u003cp>Ahead of a gathering of \u003ca href=\"https://www.kqed.org/news/tag/california-democrats\">California Democrats\u003c/a> in favor of redistricting on Friday, U.S. House Speaker Emerita \u003ca href=\"https://www.kqed.org/news/12024816/pelosi-warns-more-budget-cuts-despite-temporary-stay-trumps-funding-order\">Nancy Pelosi, \u003c/a>D-San Francisco, said she supports California Gov. Gavin Newsom’s plan to redraw state congressional maps in response to similar efforts in Texas.\u003c/p>\n\u003cp>“The Republicans in the White House know that they’re going to lose, they know that. And so they have drawn the lines for Texas,” Pelosi said during a visit to San Francisco’s Veterans Affairs Medical Center on Thursday. “We cannot unilaterally disarm. If that’s what they want to do, then we have to counter.”\u003c/p>\n\u003cp>States usually redraw their maps once per decade to reflect updated data from the U.S. census, but Texas legislators are working to pass redrawn maps this year. Democrats have said this plan is meant to help Republicans keep their slim majority in the House after the 2026 midterm elections.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>As then-Speaker, Pelosi \u003ca href=\"https://pelosi.house.gov/news/press-releases/floor-speech-on-the-for-the-people-act\">pushed \u003c/a>for good government reforms, including ending partisan gerrymandering. While Pelosi said that she is still not a big fan of mid-decade redistricting, she told reporters on Thursday that her party currently has too much at stake.\u003c/p>\n\u003cp>“This redistricting is about Medicaid, it’s about Medicare, it’s about SNAP, it’s about housing,” Pelosi said. “It’s so many things that the Republicans are not about that they voted against time and time and again. So this is not politics, it’s about meeting the needs of the people.”\u003c/p>\n\u003cfigure id=\"attachment_12051293\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12051293\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250807-PELOSIVISIT-02-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250807-PELOSIVISIT-02-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250807-PELOSIVISIT-02-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250807-PELOSIVISIT-02-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The San Francisco VA Medical Center in San Francisco on Aug. 7, 2025. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>President Donald Trump has supported the plan by Texas Republicans, telling CNBC on Tuesday, “We have an opportunity in Texas to pick up five seats.”\u003c/p>\n\u003cp>“I won Texas,” Trump said, referring to the 2024 election. “I got the highest vote in the history of Texas, as you probably know, and we are entitled to five more seats.”\u003c/p>\n\u003cp>Texas Democrats fled the state last weekend to deny state Republicans the number of legislators required to pass the redrawn map.\u003c/p>\n\u003cp>In response, Republicans in Texas have issued civil arrest warrants against the absent legislators. Gov. Greg Abbott has also asked the Texas Supreme Court to declare vacant the seat of state Rep. Gene Wu, the chair of the Texas House Democratic Caucus.[aside postID=news_12050983 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/GavinNewsomSacramentoAug2025AP.jpg']Pelosi said Thursday that the House Democratic Caucus had selected Bay Area Rep. Zoe Lofgren, D-San José, and Pete Aguilar, D-San Bernardino, to lead the planning for California’s map redrawing.\u003c/p>\n\u003cp>“I’m proud of Congresswoman Lofgren, I’m also very proud of Chairman Pete Aguilar for the planning that they have done to take us forward,” Pelosi said.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/12050983/californias-political-maps-are-drawn-independently-will-newsom-change-that\">An independent redistricting commission draws \u003c/a>California’s maps, but Newsom told reporters last week that he’s working with fellow Democrats on a plan to circumvent the commission and present voters with alternate maps during a special election later this year.\u003c/p>\n\u003cp>“It’s going to be given to the voters for their consideration in a very transparent way so they know exactly what they’re doing and they can go back in 2030 to original form with our independent redistricting intact,” Newsom said Sunday.\u003c/p>\n\u003cp>Newsom, Pelosi, Lofgren and other California Democrats plan to meet with the Texas Democrats who broke quorum in Sacramento on Friday afternoon.\u003c/p>\n\u003cp>In a statement ahead of the meeting, Newsom’s office accused Trump and Texas Republicans of pushing “rigged congressional maps to seize power before a single vote is cast in the 2026 election.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Ahead of a gathering of \u003ca href=\"https://www.kqed.org/news/tag/california-democrats\">California Democrats\u003c/a> in favor of redistricting on Friday, U.S. House Speaker Emerita \u003ca href=\"https://www.kqed.org/news/12024816/pelosi-warns-more-budget-cuts-despite-temporary-stay-trumps-funding-order\">Nancy Pelosi, \u003c/a>D-San Francisco, said she supports California Gov. Gavin Newsom’s plan to redraw state congressional maps in response to similar efforts in Texas.\u003c/p>\n\u003cp>“The Republicans in the White House know that they’re going to lose, they know that. And so they have drawn the lines for Texas,” Pelosi said during a visit to San Francisco’s Veterans Affairs Medical Center on Thursday. “We cannot unilaterally disarm. If that’s what they want to do, then we have to counter.”\u003c/p>\n\u003cp>States usually redraw their maps once per decade to reflect updated data from the U.S. census, but Texas legislators are working to pass redrawn maps this year. Democrats have said this plan is meant to help Republicans keep their slim majority in the House after the 2026 midterm elections.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>As then-Speaker, Pelosi \u003ca href=\"https://pelosi.house.gov/news/press-releases/floor-speech-on-the-for-the-people-act\">pushed \u003c/a>for good government reforms, including ending partisan gerrymandering. While Pelosi said that she is still not a big fan of mid-decade redistricting, she told reporters on Thursday that her party currently has too much at stake.\u003c/p>\n\u003cp>“This redistricting is about Medicaid, it’s about Medicare, it’s about SNAP, it’s about housing,” Pelosi said. “It’s so many things that the Republicans are not about that they voted against time and time and again. So this is not politics, it’s about meeting the needs of the people.”\u003c/p>\n\u003cfigure id=\"attachment_12051293\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12051293\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250807-PELOSIVISIT-02-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250807-PELOSIVISIT-02-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250807-PELOSIVISIT-02-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250807-PELOSIVISIT-02-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The San Francisco VA Medical Center in San Francisco on Aug. 7, 2025. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>President Donald Trump has supported the plan by Texas Republicans, telling CNBC on Tuesday, “We have an opportunity in Texas to pick up five seats.”\u003c/p>\n\u003cp>“I won Texas,” Trump said, referring to the 2024 election. “I got the highest vote in the history of Texas, as you probably know, and we are entitled to five more seats.”\u003c/p>\n\u003cp>Texas Democrats fled the state last weekend to deny state Republicans the number of legislators required to pass the redrawn map.\u003c/p>\n\u003cp>In response, Republicans in Texas have issued civil arrest warrants against the absent legislators. Gov. Greg Abbott has also asked the Texas Supreme Court to declare vacant the seat of state Rep. Gene Wu, the chair of the Texas House Democratic Caucus.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Pelosi said Thursday that the House Democratic Caucus had selected Bay Area Rep. Zoe Lofgren, D-San José, and Pete Aguilar, D-San Bernardino, to lead the planning for California’s map redrawing.\u003c/p>\n\u003cp>“I’m proud of Congresswoman Lofgren, I’m also very proud of Chairman Pete Aguilar for the planning that they have done to take us forward,” Pelosi said.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/12050983/californias-political-maps-are-drawn-independently-will-newsom-change-that\">An independent redistricting commission draws \u003c/a>California’s maps, but Newsom told reporters last week that he’s working with fellow Democrats on a plan to circumvent the commission and present voters with alternate maps during a special election later this year.\u003c/p>\n\u003cp>“It’s going to be given to the voters for their consideration in a very transparent way so they know exactly what they’re doing and they can go back in 2030 to original form with our independent redistricting intact,” Newsom said Sunday.\u003c/p>\n\u003cp>Newsom, Pelosi, Lofgren and other California Democrats plan to meet with the Texas Democrats who broke quorum in Sacramento on Friday afternoon.\u003c/p>\n\u003cp>In a statement ahead of the meeting, Newsom’s office accused Trump and Texas Republicans of pushing “rigged congressional maps to seize power before a single vote is cast in the 2026 election.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "santa-clara-county-voters-could-pay-more-sales-tax-due-to-trump-cuts",
"title": "Santa Clara County Voters Could Pay More Sales Tax Due to Trump Cuts",
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"content": "\u003cp>\u003ca href=\"https://www.kqed.org/news/tag/santa-clara-county\">Santa Clara County\u003c/a> leaders voted Thursday to rush a sales tax measure onto a November special election ballot to help fill major funding holes created by devastating federal cuts.\u003c/p>\n\u003cp>The Board of Supervisors Thursday unanimously decided to ask voters to approve a sales tax increase of five-eighths of a cent for five years, which officials expect would raise about $330 million annually to shore up the county’s general fund budget.\u003c/p>\n\u003cp>In November, Santa Clara County voters will already have a special election to select a new county assessor to fill out the \u003ca href=\"https://www.kqed.org/news/12046338/larry-stone-rolls-on-santa-clara-countys-assessor-retires-after-30-years\">remainder of Larry Stone’s term\u003c/a>, who retired last month. The supervisors’ vote on Thursday means the sales tax measure will be placed on that same special election ballot.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>If approved by voters, the measure would add 0.625% to sales tax everywhere in the county beginning in April 2026\u003cstrong>. \u003c/strong>The tax rate is currently 9.125% in the county overall, but is higher in cities within the county where other tax measures have been approved locally. For example, San José’s current tax rate is 9.375%.\u003c/p>\n\u003cp>Officials say the county, which has already been dealing with budget deficits of hundreds of millions of dollars, is expecting to lose more than $1 billion in state and federal funding over the next few years due to the passage of H.R. 1 — known as the “Big Beautiful Bill” — President Donald Trump’s wide-ranging legislation that provides tax cuts for wealthy and slashes safety net programs supporting health care and food assistance.\u003c/p>\n\u003cp>Otto Lee, the president of the board of supervisors, told KQED ahead of the vote that the magnitude of the federal cuts leaves the county with no other option but to ask voters to tax themselves to help raise revenue.\u003c/p>\n\u003cfigure id=\"attachment_12047349\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12047349\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/GettyImages-2216476723-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1745\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/GettyImages-2216476723-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/GettyImages-2216476723-2000x1363.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/GettyImages-2216476723-160x109.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/GettyImages-2216476723-1536x1047.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/GettyImages-2216476723-2048x1396.jpg 2048w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">U.S. Speaker of the House Mike Johnson, R-Louisiana, speaks to the media after the House narrowly passed a bill forwarding President Donald Trump’s agenda at the U.S. Capitol on May 22, 2025, in Washington, D.C. The tax and spending legislation, called the “One, Big, Beautiful Bill” Act, redirects money to the military and border security and includes cuts to Medicaid, education and other domestic programs. Johnson was flanked by House Committee chairs who helped craft the legislation. \u003ccite>(Kevin Dietsch/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“The proverbial words are, ‘Hey, let’s cut the fat first,’ right? Well, we’ve been doing that for a couple of years now. At this point, we are already cutting the meat,” Lee said.\u003c/p>\n\u003cp>“What we are facing in front of us with H.R.1, that some call the\u003ca href=\"https://www.kqed.org/news/12046831/cruel-ugly-nasty-immoral-democrats-slam-mega-bill-ahead-of-house-vote\"> big ugly bill from Congress\u003c/a>, is something that in many ways is really self-inflicted cruelty and chaos.”\u003c/p>\n\u003cp>County leaders say the additional sales tax revenue is badly needed to help support the county’s health care system, Santa Clara Valley Healthcare, which includes four hospitals and 15 clinics that collectively serve about one of every four county residents.\u003c/p>\n\u003cp>The system is the main provider of healthcare services for lower-income people enrolled in Medi-Cal, the state’s version of the federal Medicaid insurance program, and also the largest provider of hospital services to patients with Medicare, the federal insurance program for people age 65 and older.\u003c/p>\n\u003cp>Under H.R. 1, Medicaid will see a cut of roughly $1 trillion over a decade, in large part due to eligibility changes that could force many who receive such benefits off their coverage.[aside postID=news_12051129 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/GettyImages-1244095544-1020x619.jpg']Santa Clara County CEO James Williams made his case for the sales tax measure during Thursday’s board meeting, saying the federal cuts represent an “extraordinary loss of revenue” for the county’s work in providing care to thousands of people.\u003c/p>\n\u003cp>“This strategy will help give us a little breathing room,” he said.\u003c/p>\n\u003cp>“It’s also a tangible and concrete way for us to say we will not just sit idly by as the federal government pulls the rug out from critical access to core services, but that we will together, and in a multifaceted effort, bring the pieces of our community in alignment to ensure that the things that make Santa Clara County special continue,” he added.\u003c/p>\n\u003cp>The county has already cut many vacant positions and implemented a hiring freeze to reduce its deficits, in part caused by the slow growth of its property tax funds. But Lee said without help from an additional sales tax measure, the federal cuts put the county in a “dire” situation.\u003c/p>\n\u003cp>“What we’re talking about is not just cutting to the bone or bone marrow. If you continue with this type of cut, people will be harmed seriously,” Lee said. “I would say it’s like cutting off the limb is what we’ll be having to do, like closing clinics, closing hospitals.”\u003c/p>\n\u003cp>Estimates from a county staff report say the tax measure would fill about a third of the estimated funding gap from the federal cuts, and would stave off the “harshest impacts of that law on county services.”\u003c/p>\n\u003cp>However, even with the additional funds, the county will still need to seek help from the state to help cover cuts to programs like CalFresh, the state’s food stamps program, and will need to continue to make budget cuts to county programs, including potentially laying off staff.\u003c/p>\n\u003cfigure id=\"attachment_12044068\" class=\"wp-caption aligncenter\" style=\"max-width: 1999px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12044068\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/250612-SCCVERMONT-JG-6_qed.jpg\" alt=\"\" width=\"1999\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/250612-SCCVERMONT-JG-6_qed.jpg 1999w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/250612-SCCVERMONT-JG-6_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/250612-SCCVERMONT-JG-6_qed-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1999px) 100vw, 1999px\">\u003cfigcaption class=\"wp-caption-text\">Santa Clara County Board of Supervisors President Otto Lee speaks during an event celebrating the opening of Vermont House, a new residential treatment facility in San José for people leaving jail with mental health needs. \u003ccite>(Joseph Geha/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The cuts from the Trump administration and Congress pose a “major risk to all county services, from public safety to homeless services, since programs directly funded by Medi-Cal will be unable to absorb this level of cuts on their own,” the county report said.\u003c/p>\n\u003cp>“The reality is that every resident in our community will feel the consequences of these devastating federal funding cuts,” Supervisor Susan Ellenberg said during the meeting.\u003c/p>\n\u003cp>“We cannot afford to sit back and tell ourselves that it won’t be that bad, because believe me, it will be for all of us,” she said. “And while no one is excited about new taxes, particularly in this volatile time, my view is that this is a direct and necessary response to the enormous threats to a vast array of county services, both direct and indirect.”\u003c/p>\n\u003cp>Sales tax measures are generally debated and discussed in multiple public meetings over weeks or months, before elected leaders vote on whether to put one on a ballot. In the case of the current proposal, supervisors did it all in one hastily called meeting.\u003c/p>\n\u003cp>Lee said many people in the county may be wary with a potential recession looming, along with impacts from inflation and federal tariffs. But with the federal budget cuts “punching this hole in our public safety net,” he hopes voters will support the sales tax measure on their ballot.\u003c/p>\n\u003cp>“I want people to understand how big this is,” he said. “This affects everybody.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Santa Clara County leaders voted to rush a sales tax measure onto November’s ballot, saying its large hospital and clinic network is at risk of collapsing due to major federal cuts. ",
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"title": "Santa Clara County Voters Could Pay More Sales Tax Due to Trump Cuts | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://www.kqed.org/news/tag/santa-clara-county\">Santa Clara County\u003c/a> leaders voted Thursday to rush a sales tax measure onto a November special election ballot to help fill major funding holes created by devastating federal cuts.\u003c/p>\n\u003cp>The Board of Supervisors Thursday unanimously decided to ask voters to approve a sales tax increase of five-eighths of a cent for five years, which officials expect would raise about $330 million annually to shore up the county’s general fund budget.\u003c/p>\n\u003cp>In November, Santa Clara County voters will already have a special election to select a new county assessor to fill out the \u003ca href=\"https://www.kqed.org/news/12046338/larry-stone-rolls-on-santa-clara-countys-assessor-retires-after-30-years\">remainder of Larry Stone’s term\u003c/a>, who retired last month. The supervisors’ vote on Thursday means the sales tax measure will be placed on that same special election ballot.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>If approved by voters, the measure would add 0.625% to sales tax everywhere in the county beginning in April 2026\u003cstrong>. \u003c/strong>The tax rate is currently 9.125% in the county overall, but is higher in cities within the county where other tax measures have been approved locally. For example, San José’s current tax rate is 9.375%.\u003c/p>\n\u003cp>Officials say the county, which has already been dealing with budget deficits of hundreds of millions of dollars, is expecting to lose more than $1 billion in state and federal funding over the next few years due to the passage of H.R. 1 — known as the “Big Beautiful Bill” — President Donald Trump’s wide-ranging legislation that provides tax cuts for wealthy and slashes safety net programs supporting health care and food assistance.\u003c/p>\n\u003cp>Otto Lee, the president of the board of supervisors, told KQED ahead of the vote that the magnitude of the federal cuts leaves the county with no other option but to ask voters to tax themselves to help raise revenue.\u003c/p>\n\u003cfigure id=\"attachment_12047349\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12047349\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/GettyImages-2216476723-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1745\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/GettyImages-2216476723-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/GettyImages-2216476723-2000x1363.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/GettyImages-2216476723-160x109.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/GettyImages-2216476723-1536x1047.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/GettyImages-2216476723-2048x1396.jpg 2048w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">U.S. Speaker of the House Mike Johnson, R-Louisiana, speaks to the media after the House narrowly passed a bill forwarding President Donald Trump’s agenda at the U.S. Capitol on May 22, 2025, in Washington, D.C. The tax and spending legislation, called the “One, Big, Beautiful Bill” Act, redirects money to the military and border security and includes cuts to Medicaid, education and other domestic programs. Johnson was flanked by House Committee chairs who helped craft the legislation. \u003ccite>(Kevin Dietsch/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“The proverbial words are, ‘Hey, let’s cut the fat first,’ right? Well, we’ve been doing that for a couple of years now. At this point, we are already cutting the meat,” Lee said.\u003c/p>\n\u003cp>“What we are facing in front of us with H.R.1, that some call the\u003ca href=\"https://www.kqed.org/news/12046831/cruel-ugly-nasty-immoral-democrats-slam-mega-bill-ahead-of-house-vote\"> big ugly bill from Congress\u003c/a>, is something that in many ways is really self-inflicted cruelty and chaos.”\u003c/p>\n\u003cp>County leaders say the additional sales tax revenue is badly needed to help support the county’s health care system, Santa Clara Valley Healthcare, which includes four hospitals and 15 clinics that collectively serve about one of every four county residents.\u003c/p>\n\u003cp>The system is the main provider of healthcare services for lower-income people enrolled in Medi-Cal, the state’s version of the federal Medicaid insurance program, and also the largest provider of hospital services to patients with Medicare, the federal insurance program for people age 65 and older.\u003c/p>\n\u003cp>Under H.R. 1, Medicaid will see a cut of roughly $1 trillion over a decade, in large part due to eligibility changes that could force many who receive such benefits off their coverage.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Santa Clara County CEO James Williams made his case for the sales tax measure during Thursday’s board meeting, saying the federal cuts represent an “extraordinary loss of revenue” for the county’s work in providing care to thousands of people.\u003c/p>\n\u003cp>“This strategy will help give us a little breathing room,” he said.\u003c/p>\n\u003cp>“It’s also a tangible and concrete way for us to say we will not just sit idly by as the federal government pulls the rug out from critical access to core services, but that we will together, and in a multifaceted effort, bring the pieces of our community in alignment to ensure that the things that make Santa Clara County special continue,” he added.\u003c/p>\n\u003cp>The county has already cut many vacant positions and implemented a hiring freeze to reduce its deficits, in part caused by the slow growth of its property tax funds. But Lee said without help from an additional sales tax measure, the federal cuts put the county in a “dire” situation.\u003c/p>\n\u003cp>“What we’re talking about is not just cutting to the bone or bone marrow. If you continue with this type of cut, people will be harmed seriously,” Lee said. “I would say it’s like cutting off the limb is what we’ll be having to do, like closing clinics, closing hospitals.”\u003c/p>\n\u003cp>Estimates from a county staff report say the tax measure would fill about a third of the estimated funding gap from the federal cuts, and would stave off the “harshest impacts of that law on county services.”\u003c/p>\n\u003cp>However, even with the additional funds, the county will still need to seek help from the state to help cover cuts to programs like CalFresh, the state’s food stamps program, and will need to continue to make budget cuts to county programs, including potentially laying off staff.\u003c/p>\n\u003cfigure id=\"attachment_12044068\" class=\"wp-caption aligncenter\" style=\"max-width: 1999px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12044068\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/250612-SCCVERMONT-JG-6_qed.jpg\" alt=\"\" width=\"1999\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/250612-SCCVERMONT-JG-6_qed.jpg 1999w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/250612-SCCVERMONT-JG-6_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/250612-SCCVERMONT-JG-6_qed-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1999px) 100vw, 1999px\">\u003cfigcaption class=\"wp-caption-text\">Santa Clara County Board of Supervisors President Otto Lee speaks during an event celebrating the opening of Vermont House, a new residential treatment facility in San José for people leaving jail with mental health needs. \u003ccite>(Joseph Geha/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The cuts from the Trump administration and Congress pose a “major risk to all county services, from public safety to homeless services, since programs directly funded by Medi-Cal will be unable to absorb this level of cuts on their own,” the county report said.\u003c/p>\n\u003cp>“The reality is that every resident in our community will feel the consequences of these devastating federal funding cuts,” Supervisor Susan Ellenberg said during the meeting.\u003c/p>\n\u003cp>“We cannot afford to sit back and tell ourselves that it won’t be that bad, because believe me, it will be for all of us,” she said. “And while no one is excited about new taxes, particularly in this volatile time, my view is that this is a direct and necessary response to the enormous threats to a vast array of county services, both direct and indirect.”\u003c/p>\n\u003cp>Sales tax measures are generally debated and discussed in multiple public meetings over weeks or months, before elected leaders vote on whether to put one on a ballot. In the case of the current proposal, supervisors did it all in one hastily called meeting.\u003c/p>\n\u003cp>Lee said many people in the county may be wary with a potential recession looming, along with impacts from inflation and federal tariffs. But with the federal budget cuts “punching this hole in our public safety net,” he hopes voters will support the sales tax measure on their ballot.\u003c/p>\n\u003cp>“I want people to understand how big this is,” he said. “This affects everybody.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "covered-california-is-dropping-daca-recipients-whats-available-now",
"title": "Covered California Is Dropping DACA Recipients. What's Available Now?",
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"headTitle": "Covered California Is Dropping DACA Recipients. What’s Available Now? | KQED",
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"content": "\u003cp>\u003ca href=\"https://www.kqed.org/news/12052590/fin-de-covered-california-para-beneficiarios-de-daca\">\u003cem>Leer en español\u003c/em>\u003c/a>\u003c/p>\n\u003cp>On Aug. 31, Covered California, the state’s health insurance marketplace, will stop offering coverage to residents who are part of the \u003ca href=\"https://www.kqed.org/news/tag/daca\">Deferred Action for Childhood Arrivals\u003c/a> program.\u003c/p>\n\u003cp>This means DACA recipients who currently have health insurance through Covered California, approximately 2,300 people statewide, will lose their existing coverage by the end of the month.\u003c/p>\n\u003cp>State officials \u003ca href=\"https://www.coveredca.com/newsroom/news-releases/2025/07/31/covered-california-offers-information-and-resources-for-daca-recipients-no-longer-eligible-for-affordable-care-act-coverage/\">are complying with new rules\u003c/a> from President Donald Trump’s administration, which \u003ca href=\"https://www.cms.gov/newsroom/fact-sheets/2025-marketplace-integrity-and-affordability-final-rule\">block DACA recipients\u003c/a> from seeking insurance in state marketplaces created by the Affordable Care Act and also disqualify them from federal funds to help pay for their health plans.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“We were at the start of a journey to expand coverage to our DACA recipients and were incredibly excited to do that,” said Jessica Altman, executive director of Covered California. “Unfortunately, we’re gonna have to move backwards.”\u003c/p>\n\u003cp>If you’re on DACA or you know someone who is, keep reading for what to know about these upcoming changes to Covered California.\u003c/p>\n\u003ch2>Which DACA recipients are affected by these new rules?\u003c/h2>\n\u003cp>More than 164,000 DACA recipients \u003ca href=\"https://www.uscis.gov/sites/default/files/document/data/Active_DACA_Recipients_March_FY23_qtr2.pdf\">live in California\u003c/a>. Many of them have health insurance through their jobs, their family or through Medi-Cal (the state’s Medicaid program).\u003c/p>\n\u003cp>If this is your situation, these changes at the federal level will \u003cem>not \u003c/em>impact your coverage.\u003c/p>\n\u003cfigure id=\"attachment_12040806\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12040806\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/250506-SACRAMENTOFILE-04-BL-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/250506-SACRAMENTOFILE-04-BL-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/250506-SACRAMENTOFILE-04-BL-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/250506-SACRAMENTOFILE-04-BL-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/250506-SACRAMENTOFILE-04-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/250506-SACRAMENTOFILE-04-BL-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/250506-SACRAMENTOFILE-04-BL-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The California State Capitol in Sacramento on May 6, 2025. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>If you bought your plan by visiting the Covered California website or calling the agency’s number or signed up with the help of a community organization, you’ll receive a letter, email or call in the coming days from a Covered California representative about your coverage ending.\u003c/p>\n\u003cp>If you have health insurance but don’t remember how you found your plan, you can double-check by logging into \u003ca href=\"https://www.coveredca.com/\">Covered California’s website\u003c/a> or calling directly at 800-300-1506.\u003c/p>\n\u003cp>“The vast majority of DACA recipients in California are not going to see changes in their coverage,” Altman said. “You can always call Covered California and double-check if you want to be sure.”\u003c/p>\n\u003ch2>If I’m about to lose my Covered California health care because I’m on DACA, what can I do?\u003c/h2>\n\u003cp>The best thing you can do right now is educate yourself on how your access to health care will change, Altman said. After Aug. 31, DACA recipients who lose their Covered California plans can still get health care through other methods:\u003c/p>\n\u003cp>\u003cstrong>An employer\u003c/strong>\u003c/p>\n\u003cp>If you currently work for an employer that offers health care benefits or you know you will in the future, ask your boss or human resources department about what you need to join a plan.\u003c/p>\n\u003cp>\u003cstrong>A family member\u003c/strong>\u003c/p>\n\u003cp>If their job covers your spouse or parents, check in with them about possibly joining their plan as a dependent. Some companies even allow domestic partners to be added, but this varies by employer.[aside postID=news_12050993 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/250718-RIDEALONGRAPIDRESPONSE-10-BL-KQED.jpg']\u003c/p>\n\u003cp>\u003cstrong>Medi-Cal (aka Medicaid in California)\u003c/strong>\u003c/p>\n\u003cp>More than 1.6 million low-income undocumented Californians are currently covered by an extension of Medi-Cal that is solely funded by the state, not the federal government. After Aug. 31, DACA recipients will have to contact \u003ca href=\"https://www.dhcs.ca.gov/services/medi-cal/Pages/CountyOffices.aspx\">their county’s Medi-Cal office\u003c/a> directly to apply for coverage. (\u003ca href=\"https://www.dhcs.ca.gov/services/medi-cal/Pages/DoYouQualifyForMedi-Cal.aspx\">Check the income-based eligibility limits for Medi-Cal\u003c/a>.)\u003c/p>\n\u003cp>Keep in mind, however, that time is running out for this option: state officials plan to \u003ca href=\"https://www.kqed.org/news/12047647/trumps-health-law-spurs-big-medi-cal-changes-what-californians-need-to-know\">freeze new Medi-Cal enrollment\u003c/a> for undocumented immigrants who are 19 and older at the start of 2026.\u003c/p>\n\u003cp>\u003cstrong>Your county\u003c/strong>\u003c/p>\n\u003cp>A few Bay Area counties have programs that help cover the costs of specific health services for uninsured people, which don’t exclude DACA recipients, including:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://healthysanfrancisco.org/visitors/are-you-eligible/\">Healthy San Francisco\u003c/a>, which covers primary and specialty care for city residents who don’t qualify for Medi-Cal or Covered California, regardless of immigration status\u003c/li>\n\u003cli>Contra Costa County’s \u003ca href=\"https://www.cchealth.org/health-insurance/get-insured/basic-health-care\">Basic Health Care\u003c/a> program for people making less than 300% of the federal poverty level who can’t join Medi-Cal\u003c/li>\n\u003c/ul>\n\u003cp>Other counties, like Santa Clara, \u003ca href=\"https://health.santaclaracounty.gov/get-help-finding-healthcare-coverage\">have their own health systems\u003c/a> and offer financial aid for certain treatments, depending on your income.\u003c/p>\n\u003cp>\u003cstrong>Individual health plans\u003c/strong>\u003c/p>\n\u003cp>While DACA recipients can no longer look for new health care plans on the Covered California website after Aug. 25, you can still go to the websites of individual insurance companies and buy a plan. But without the subsidies from Covered California, you would have to pay for the full cost of premiums and deductibles.\u003c/p>\n\u003cp>\u003cstrong>Community clinics\u003c/strong>\u003c/p>\n\u003cp>If you end up uninsured for some time after Aug. 31, remember that there are multiple community clinics in California that offer basic care for free or at a sliding scale. The services provided by these clinics, however, are limited and cannot match the range covered by an HMO or PPO plan.\u003c/p>\n\u003cp>In the Bay Area, some community clinics serving uninsured residents are:\u003c/p>\n\u003cfigure id=\"attachment_12051124\" class=\"wp-caption aligncenter\" style=\"max-width: 1999px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12051124\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/479421059_qed-1.jpg\" alt=\"\" width=\"1999\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/479421059_qed-1.jpg 1999w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/479421059_qed-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/479421059_qed-1-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1999px) 100vw, 1999px\">\u003cfigcaption class=\"wp-caption-text\">The Covered California website is displayed during a health care enrollment fair at the office of SEIU-United Healthcare Workers West on March 18, 2014, in San Francisco, California. \u003ccite>(Justin Sullivan/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>San Francisco Free Clinic:\u003c/strong> Offers primary care to uninsured people. To make an appointment, call 415-750-9894 from 10 a.m. to 4:30 p.m., Monday through Friday. \u003cem>Located at 4900 California St., in San Francisco.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>RotaCare Bay Area Clinics:\u003c/strong> A network of volunteers travel around the Bay Area staffing clinics that serve uninsured residents a few times each month. \u003cem>Locations served include Daly City, Half Moon Bay, Pittsburg, San José, San Pablo and San Rafael.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Ashland Free Medical Clinic:\u003c/strong> Offers remote and in-person primary care, optometry and mental health services on Saturdays. Call 510-407-2362 ahead of time to check eligibility. \u003cem>Located at 6539 Ashland Ave., in San Lorenzo.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Jewish Community Free Clinic:\u003c/strong> Offers primary care, testing, acupuncture and therapy services. Fill out \u003ca href=\"https://www.jewishfreeclinic.org/contact-us-and-directions\">an online form to request an appointment\u003c/a>, which can also happen virtually. \u003cem>Located at 50 Montgomery Drive, in Santa Rosa.\u003c/em>\u003c/p>\n\u003ch2>Keep communicating with your doctors\u003c/h2>\n\u003cp>As you decide what you’ll do after Aug. 31, keep your primary care doctor, along with any specialists you see, in the loop about your situation. If you end up changing your healthcare provider, let your doctor know ahead of time so they can advise you on how you can access your medical information once you make the switch.\u003c/p>\n\u003cp>If you are receiving treatment for a chronic health condition, make a plan with your physician on how to continue receiving the care you need after Aug. 31.\u003c/p>\n\u003cp>If you go to therapy with your old health plan and will be uninsured after Aug. 31, you can ask your therapist to refer you to sliding-scale therapy services or check out \u003ca href=\"https://www.kqed.org/arts/13881725/where-to-find-affordable-culturally-competent-therapy-in-bay-area-and-beyond\">KQED’s guide on how to find affordable therapy in the Bay Area\u003c/a>.\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/12052590/fin-de-covered-california-para-beneficiarios-de-daca\">\u003cem>Leer en español\u003c/em>\u003c/a>\u003c/p>\n\u003cp>On Aug. 31, Covered California, the state’s health insurance marketplace, will stop offering coverage to residents who are part of the \u003ca href=\"https://www.kqed.org/news/tag/daca\">Deferred Action for Childhood Arrivals\u003c/a> program.\u003c/p>\n\u003cp>This means DACA recipients who currently have health insurance through Covered California, approximately 2,300 people statewide, will lose their existing coverage by the end of the month.\u003c/p>\n\u003cp>State officials \u003ca href=\"https://www.coveredca.com/newsroom/news-releases/2025/07/31/covered-california-offers-information-and-resources-for-daca-recipients-no-longer-eligible-for-affordable-care-act-coverage/\">are complying with new rules\u003c/a> from President Donald Trump’s administration, which \u003ca href=\"https://www.cms.gov/newsroom/fact-sheets/2025-marketplace-integrity-and-affordability-final-rule\">block DACA recipients\u003c/a> from seeking insurance in state marketplaces created by the Affordable Care Act and also disqualify them from federal funds to help pay for their health plans.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We were at the start of a journey to expand coverage to our DACA recipients and were incredibly excited to do that,” said Jessica Altman, executive director of Covered California. “Unfortunately, we’re gonna have to move backwards.”\u003c/p>\n\u003cp>If you’re on DACA or you know someone who is, keep reading for what to know about these upcoming changes to Covered California.\u003c/p>\n\u003ch2>Which DACA recipients are affected by these new rules?\u003c/h2>\n\u003cp>More than 164,000 DACA recipients \u003ca href=\"https://www.uscis.gov/sites/default/files/document/data/Active_DACA_Recipients_March_FY23_qtr2.pdf\">live in California\u003c/a>. Many of them have health insurance through their jobs, their family or through Medi-Cal (the state’s Medicaid program).\u003c/p>\n\u003cp>If this is your situation, these changes at the federal level will \u003cem>not \u003c/em>impact your coverage.\u003c/p>\n\u003cfigure id=\"attachment_12040806\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12040806\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/250506-SACRAMENTOFILE-04-BL-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/250506-SACRAMENTOFILE-04-BL-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/250506-SACRAMENTOFILE-04-BL-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/250506-SACRAMENTOFILE-04-BL-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/250506-SACRAMENTOFILE-04-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/250506-SACRAMENTOFILE-04-BL-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/250506-SACRAMENTOFILE-04-BL-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The California State Capitol in Sacramento on May 6, 2025. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>If you bought your plan by visiting the Covered California website or calling the agency’s number or signed up with the help of a community organization, you’ll receive a letter, email or call in the coming days from a Covered California representative about your coverage ending.\u003c/p>\n\u003cp>If you have health insurance but don’t remember how you found your plan, you can double-check by logging into \u003ca href=\"https://www.coveredca.com/\">Covered California’s website\u003c/a> or calling directly at 800-300-1506.\u003c/p>\n\u003cp>“The vast majority of DACA recipients in California are not going to see changes in their coverage,” Altman said. “You can always call Covered California and double-check if you want to be sure.”\u003c/p>\n\u003ch2>If I’m about to lose my Covered California health care because I’m on DACA, what can I do?\u003c/h2>\n\u003cp>The best thing you can do right now is educate yourself on how your access to health care will change, Altman said. After Aug. 31, DACA recipients who lose their Covered California plans can still get health care through other methods:\u003c/p>\n\u003cp>\u003cstrong>An employer\u003c/strong>\u003c/p>\n\u003cp>If you currently work for an employer that offers health care benefits or you know you will in the future, ask your boss or human resources department about what you need to join a plan.\u003c/p>\n\u003cp>\u003cstrong>A family member\u003c/strong>\u003c/p>\n\u003cp>If their job covers your spouse or parents, check in with them about possibly joining their plan as a dependent. Some companies even allow domestic partners to be added, but this varies by employer.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Medi-Cal (aka Medicaid in California)\u003c/strong>\u003c/p>\n\u003cp>More than 1.6 million low-income undocumented Californians are currently covered by an extension of Medi-Cal that is solely funded by the state, not the federal government. After Aug. 31, DACA recipients will have to contact \u003ca href=\"https://www.dhcs.ca.gov/services/medi-cal/Pages/CountyOffices.aspx\">their county’s Medi-Cal office\u003c/a> directly to apply for coverage. (\u003ca href=\"https://www.dhcs.ca.gov/services/medi-cal/Pages/DoYouQualifyForMedi-Cal.aspx\">Check the income-based eligibility limits for Medi-Cal\u003c/a>.)\u003c/p>\n\u003cp>Keep in mind, however, that time is running out for this option: state officials plan to \u003ca href=\"https://www.kqed.org/news/12047647/trumps-health-law-spurs-big-medi-cal-changes-what-californians-need-to-know\">freeze new Medi-Cal enrollment\u003c/a> for undocumented immigrants who are 19 and older at the start of 2026.\u003c/p>\n\u003cp>\u003cstrong>Your county\u003c/strong>\u003c/p>\n\u003cp>A few Bay Area counties have programs that help cover the costs of specific health services for uninsured people, which don’t exclude DACA recipients, including:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://healthysanfrancisco.org/visitors/are-you-eligible/\">Healthy San Francisco\u003c/a>, which covers primary and specialty care for city residents who don’t qualify for Medi-Cal or Covered California, regardless of immigration status\u003c/li>\n\u003cli>Contra Costa County’s \u003ca href=\"https://www.cchealth.org/health-insurance/get-insured/basic-health-care\">Basic Health Care\u003c/a> program for people making less than 300% of the federal poverty level who can’t join Medi-Cal\u003c/li>\n\u003c/ul>\n\u003cp>Other counties, like Santa Clara, \u003ca href=\"https://health.santaclaracounty.gov/get-help-finding-healthcare-coverage\">have their own health systems\u003c/a> and offer financial aid for certain treatments, depending on your income.\u003c/p>\n\u003cp>\u003cstrong>Individual health plans\u003c/strong>\u003c/p>\n\u003cp>While DACA recipients can no longer look for new health care plans on the Covered California website after Aug. 25, you can still go to the websites of individual insurance companies and buy a plan. But without the subsidies from Covered California, you would have to pay for the full cost of premiums and deductibles.\u003c/p>\n\u003cp>\u003cstrong>Community clinics\u003c/strong>\u003c/p>\n\u003cp>If you end up uninsured for some time after Aug. 31, remember that there are multiple community clinics in California that offer basic care for free or at a sliding scale. The services provided by these clinics, however, are limited and cannot match the range covered by an HMO or PPO plan.\u003c/p>\n\u003cp>In the Bay Area, some community clinics serving uninsured residents are:\u003c/p>\n\u003cfigure id=\"attachment_12051124\" class=\"wp-caption aligncenter\" style=\"max-width: 1999px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12051124\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/479421059_qed-1.jpg\" alt=\"\" width=\"1999\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/479421059_qed-1.jpg 1999w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/479421059_qed-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/479421059_qed-1-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1999px) 100vw, 1999px\">\u003cfigcaption class=\"wp-caption-text\">The Covered California website is displayed during a health care enrollment fair at the office of SEIU-United Healthcare Workers West on March 18, 2014, in San Francisco, California. \u003ccite>(Justin Sullivan/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>San Francisco Free Clinic:\u003c/strong> Offers primary care to uninsured people. To make an appointment, call 415-750-9894 from 10 a.m. to 4:30 p.m., Monday through Friday. \u003cem>Located at 4900 California St., in San Francisco.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>RotaCare Bay Area Clinics:\u003c/strong> A network of volunteers travel around the Bay Area staffing clinics that serve uninsured residents a few times each month. \u003cem>Locations served include Daly City, Half Moon Bay, Pittsburg, San José, San Pablo and San Rafael.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Ashland Free Medical Clinic:\u003c/strong> Offers remote and in-person primary care, optometry and mental health services on Saturdays. Call 510-407-2362 ahead of time to check eligibility. \u003cem>Located at 6539 Ashland Ave., in San Lorenzo.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Jewish Community Free Clinic:\u003c/strong> Offers primary care, testing, acupuncture and therapy services. Fill out \u003ca href=\"https://www.jewishfreeclinic.org/contact-us-and-directions\">an online form to request an appointment\u003c/a>, which can also happen virtually. \u003cem>Located at 50 Montgomery Drive, in Santa Rosa.\u003c/em>\u003c/p>\n\u003ch2>Keep communicating with your doctors\u003c/h2>\n\u003cp>As you decide what you’ll do after Aug. 31, keep your primary care doctor, along with any specialists you see, in the loop about your situation. If you end up changing your healthcare provider, let your doctor know ahead of time so they can advise you on how you can access your medical information once you make the switch.\u003c/p>\n\u003cp>If you are receiving treatment for a chronic health condition, make a plan with your physician on how to continue receiving the care you need after Aug. 31.\u003c/p>\n\u003cp>If you go to therapy with your old health plan and will be uninsured after Aug. 31, you can ask your therapist to refer you to sliding-scale therapy services or check out \u003ca href=\"https://www.kqed.org/arts/13881725/where-to-find-affordable-culturally-competent-therapy-in-bay-area-and-beyond\">KQED’s guide on how to find affordable therapy in the Bay Area\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>In recent weeks, the Bay Area’s trans community has experienced a series of painful political setbacks, following a wave of backlash across the country.\u003c/p>\n\u003cp>On July 24, \u003ca href=\"https://www.kqed.org/news/12049555/kaiser-to-stop-gender-affirming-surgeries-for-minors-leaving-trans-kids-with-fewer-options\">Oakland-based Kaiser Permanente\u003c/a> said it would join a growing list of medical providers in the state to roll back or fully restrict gender-affirming surgical treatment for trans youth in July, \u003ca href=\"https://www.kqed.org/news/12049666/nowhere-else-to-go-sf-families-protest-kaisers-new-limits-on-gender-affirming-care\">leaving patients and families with few options\u003c/a> for care.\u003c/p>\n\u003cp>Kaiser cited a challenging “legal and regulatory environment” — a clear takeaway from the Trump administration’s January \u003ca href=\"https://www.whitehouse.gov/presidential-actions/2025/01/protecting-children-from-chemical-and-surgical-mutilation/\">executive order\u003c/a> that sought to target funding and other support for hospitals that provide such care. And last month, the \u003ca href=\"https://www.justice.gov/opa/pr/department-justice-subpoenas-doctors-and-clinics-involved-performing-transgender-medical\">Department of Justice subpoenaed\u003c/a> more than 20 doctors and clinics that perform gender-affirming procedures on minors.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>California has pushed back, with state Attorney General Rob Bonta \u003ca href=\"https://www.kqed.org/news/12050618/california-sues-trump-administration-over-efforts-to-deny-gender-affirming-health-care\">filing a lawsuit\u003c/a> against the administration on Friday on behalf of more than a dozen other states. Bonta framed the issue as a life-and-death matter, citing the higher rates of suicide and other forms of self-harm among young people whose assigned gender at birth doesn’t match their identity. To deny these youth lifesaving care, Bonta argued, is both “cruel and irresponsible.”\u003c/p>\n\u003cp>According to Shannon Minter, legal director at the National Center for LGBTQ Rights and a longtime civil rights attorney, Trump’s order represents a broader legal threat to doctor-patient confidentiality and sets a troubling precedent for federal overreach.\u003c/p>\n\u003cp>Minter, who led the fight for marriage equality in California’s landmark 2009 case, spoke with KQED from his home in East Texas about the legal implications of this order — and why everyone, not just trans people, should be paying attention.\u003c/p>\n\u003cfigure id=\"attachment_12051038\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12051038 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/ShannonMinter.jpg\" alt=\"\" width=\"800\" height=\"640\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/ShannonMinter.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/ShannonMinter-160x128.jpg 160w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Shannon Minter is the legal director at the National Center for LGBTQ Rights and a civil rights attorney. Minter criticized President Donald Trump’s criminalization of health care for trans youth and said the president’s executive orders have no legal basis. \u003ccite>(Courtesy of Shannon Minter)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>KQED:\u003c/strong> Could I get your initial reaction to the news that California is suing the Trump administration over the president’s successful efforts to deny gender-affirming care to youth across the country?\u003c/p>\n\u003cp>\u003cstrong>Minter: \u003c/strong>I’m very grateful to California for pushing back on this. I don’t think I’ve ever seen anything like this level of intimidation and bullying and harassment from the federal government going after medical providers. And it’s just absolutely essential that states stand up for patients and for the families who need this care and for medical privacy for all of us.\u003c/p>\n\u003cp>\u003cstrong>KQED:\u003c/strong> What is the legal basis for Trump’s executive orders? Is there a precedent for this kind of top-down action?\u003c/p>\n\u003cp>\u003cstrong>Minter:\u003c/strong> Unprecedented, and there is absolutely zero legal basis for these orders. The federal government has ordered the Department of Justice to threaten — with criminal and civil prosecution — hospitals who are simply providing medical care to these young people. The lawsuit points out that there is no basis for it.[aside postID=news_12050618 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/20250725_KaiserTransProtest_GC-7_qed.jpg']This is really mafia-like behavior on the part of the federal government, just pure intimidation and coercion. There is not a single federal law that in any way prohibits, much less criminalizes, providing medical care to these young people.\u003c/p>\n\u003cp>\u003cstrong>KQED:\u003c/strong> What are the chances of success for this lawsuit?\u003c/p>\n\u003cp>\u003cstrong>Minter: \u003c/strong>Very, very high. Some of the challenges are tougher than others. This one, I think, has got an extremely high likelihood of success because there’s just no legal foundation for what the federal government is doing here.\u003c/p>\n\u003cp>There’s literally no federal law that supports them coming after these hospitals and asking for medical records and threatening some kind of vague civil or criminal prosecution. That’s just not the way our legal system works.\u003c/p>\n\u003cp>The federal government, if they’re going to threaten any of us with a criminal prosecution or civil prosecution, they have to be able to point to a law that we are allegedly violating. And the problem for the federal government here, is there is no federal law that prohibits doctors or hospitals from providing this medical care.\u003c/p>\n\u003cp>There’s just nothing to back up this use of force by the Department of Justice. That’s why I say this is really kind of like mafia-like behavior. It’s just a sheer exercise of federal coercion and abuse of federal power. And I do believe the courts will shut this down very quickly.\u003c/p>\n\u003cfigure id=\"attachment_12029440\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12029440\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/TransIdentityAP.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/TransIdentityAP.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/TransIdentityAP-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/TransIdentityAP-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/TransIdentityAP-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/TransIdentityAP-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/TransIdentityAP-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A protester is silhouetted against a trans pride flag during a pro-transgender rights protest outside of Seattle Children’s Hospital, in Seattle, on Feb. 9, 2025. \u003ccite>(Lindsey Wasson/AP Photo)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>KQED: \u003c/strong>And a presidential executive order doesn’t count as legal precedent?\u003c/p>\n\u003cp>\u003cstrong>Minter: \u003c/strong>No, no, the president can’t just make something up out of thin air and threaten criminal prosecution based on an executive order.\u003c/p>\n\u003cp>\u003cstrong>KQED: \u003c/strong>What legal rights to care do young people seeking gender-affirming care in California have in California?\u003c/p>\n\u003cp>\u003cstrong>Minter:\u003c/strong> California, as well as many other states, have enacted laws that prohibit discrimination against transgender people in health care. Those laws are fully operative in California and many other states.\u003c/p>\n\u003cp>And that’s also one of the bases for the claims in this lawsuit: that the federal government is trying to interfere with and override state law in an area in which the federal government has no business.\u003c/p>\n\u003cp>Nothing in our Constitution gives the federal government any authority whatsoever to regulate medical care. That’s something that is left to the states. Traditionally, in our system of government, that’s something the states do.\u003c/p>\n\u003cp>The 10th Amendment prohibits the federal government from doing anything to interfere with areas in which states have authority. And so this lawsuit is saying, among other things, this order violates the 10th Amendment.\u003c/p>\n\u003cfigure id=\"attachment_12050962\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12050962\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/20250725_KaiserTransProtest_GC-14_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/20250725_KaiserTransProtest_GC-14_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/20250725_KaiserTransProtest_GC-14_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/20250725_KaiserTransProtest_GC-14_qed-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Union nurses and community supporters rally outside of Kaiser Permanente, honoring transgender patients affected by Kaiser’s decision to halt gender-affirming care to minors, on July 25, 2025. \u003ccite>(Gina Castro/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>KQED: \u003c/strong>Is it not ironic that the federal government is typically in favor of states’ rights when it comes to regulating issues like abortion, but then, when it comes to gender-affirming care, the federal government is now actively interfering with state laws?\u003c/p>\n\u003cp>\u003cstrong>Minter:\u003c/strong> It is ironic. I really hope people recognize the federal government is taking advantage of the fact that many people don’t know much about transgender people.\u003c/p>\n\u003cp>They may think, ‘Oh, this has nothing to do with me.’\u003c/p>\n\u003cp>Maybe people even don’t approve of the care themselves, so they’re not paying attention to it. But this sets a terrible precedent. This is the federal government literally coming in, demanding private patient medical records from hospitals, and also purporting to tell states and hospitals how to perform health care, like what types of care they can and cannot perform.\u003c/p>\n\u003cp>This is a federal takeover of our state health care system, getting us all used to the idea that the federal government can demand any of our private records anytime they want to for any reason they want to. That is so dangerous.\u003c/p>\n\u003cp>\u003cstrong>KQED: \u003c/strong>What’s at stake for the young people and families who are being affected by this?[aside postID=news_12049666 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/20250725_KaiserTransProtest_GC-31_qed.jpg']\u003cstrong>Minter:\u003c/strong> It’s terrible for these families. Nobody knows a child better than that child’s parents. These are parents who have been through a process consulting with medical experts, coming to terms with the fact that their child has a very serious medical condition — gender dysphoria — and that their child is among the very small number of young people who really need and benefit from medical treatment for that condition.\u003c/p>\n\u003cp>This care is so effective, and many kids who receive it are doing great. There was a really comprehensive study systematic review that was just \u003ca href=\"https://www.sltrib.com/news/politics/2025/05/22/utah-lawmakers-own-study-found/\">conducted by the University of Utah\u003c/a> that looked at every available study on this topic and found that the care is safe and effective, that it significantly reduces suicidality in young people. And that there are virtually no regrets — almost no one who obtains this care has any reason to wish they hadn’t.\u003c/p>\n\u003cp>Losing that care for these families is really devastating. You can only imagine — if you know your child is getting the care they need, and they’re doing great, and you know what will happen if they lose that care, that they’re going to be really severely harmed. Parents are in a panic, understandably.\u003c/p>\n\u003cp>\u003cstrong>KQED:\u003c/strong> What other legal action can the state or patients and their allies take?\u003c/p>\n\u003cp>\u003cstrong>Minter: \u003c/strong>Well, the state is doing the best thing it can do, which is ask a federal court to tell the federal government to knock it off and to leave these providers alone.\u003c/p>\n\u003cp>In terms of what families can do, a lot of families are making sure to notify these hospitals that they do not give the hospitals permission in any way, shape or form to share their private medical records. So that’s always a good thing to do.\u003c/p>\n\u003cp>All of us can reach out to these hospitals and express support and tell them, please do keep providing this care and please do not cooperate with these unlawful subpoenas. We don’t want hospitals to ever, ever violate their oath of confidentiality to patients. The more everyone can speak up and not be misled — don’t be distracted by the fact that this is about one particular group of people. This is really about protecting all of our medical freedom and the privacy of our medical information.\u003c/p>\n\u003cp>\u003cstrong>KQED: \u003c/strong>Do you think Bonta should sue providers for denying patients their legal care or are providers in between a rock and a hard place?\u003c/p>\n\u003cp>\u003cstrong>Minter: \u003c/strong>I do think that providers need to comply with state law.\u003c/p>\n\u003cp>I understand it’s frightening to be served with a subpoena by the federal government. But it’s disappointing to see providers pausing the care. I think we might have a moment of grace — maybe it was a spur-of-the-moment reaction to being served with the subpoena like that.\u003c/p>\n\u003cp>But it’s unlawful, it’s wrong, they’re betraying their patients and they need to get back to providing this care. And if they don’t, yes — I think the attorney general can and will and should sue them if necessary. I like to think it wouldn’t come to that.\u003c/p>\n\u003cp>Families can also sue them, and I’m pretty sure that will happen if these providers recover and get back to doing what they’re supposed to be doing, which is serve all their patients. Of course, you can’t just decide you’re gonna stop providing care to a particular group of people because the federal government is targeting that group. That is really a blatant violation of California law.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>In recent weeks, the Bay Area’s trans community has experienced a series of painful political setbacks, following a wave of backlash across the country.\u003c/p>\n\u003cp>On July 24, \u003ca href=\"https://www.kqed.org/news/12049555/kaiser-to-stop-gender-affirming-surgeries-for-minors-leaving-trans-kids-with-fewer-options\">Oakland-based Kaiser Permanente\u003c/a> said it would join a growing list of medical providers in the state to roll back or fully restrict gender-affirming surgical treatment for trans youth in July, \u003ca href=\"https://www.kqed.org/news/12049666/nowhere-else-to-go-sf-families-protest-kaisers-new-limits-on-gender-affirming-care\">leaving patients and families with few options\u003c/a> for care.\u003c/p>\n\u003cp>Kaiser cited a challenging “legal and regulatory environment” — a clear takeaway from the Trump administration’s January \u003ca href=\"https://www.whitehouse.gov/presidential-actions/2025/01/protecting-children-from-chemical-and-surgical-mutilation/\">executive order\u003c/a> that sought to target funding and other support for hospitals that provide such care. And last month, the \u003ca href=\"https://www.justice.gov/opa/pr/department-justice-subpoenas-doctors-and-clinics-involved-performing-transgender-medical\">Department of Justice subpoenaed\u003c/a> more than 20 doctors and clinics that perform gender-affirming procedures on minors.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>California has pushed back, with state Attorney General Rob Bonta \u003ca href=\"https://www.kqed.org/news/12050618/california-sues-trump-administration-over-efforts-to-deny-gender-affirming-health-care\">filing a lawsuit\u003c/a> against the administration on Friday on behalf of more than a dozen other states. Bonta framed the issue as a life-and-death matter, citing the higher rates of suicide and other forms of self-harm among young people whose assigned gender at birth doesn’t match their identity. To deny these youth lifesaving care, Bonta argued, is both “cruel and irresponsible.”\u003c/p>\n\u003cp>According to Shannon Minter, legal director at the National Center for LGBTQ Rights and a longtime civil rights attorney, Trump’s order represents a broader legal threat to doctor-patient confidentiality and sets a troubling precedent for federal overreach.\u003c/p>\n\u003cp>Minter, who led the fight for marriage equality in California’s landmark 2009 case, spoke with KQED from his home in East Texas about the legal implications of this order — and why everyone, not just trans people, should be paying attention.\u003c/p>\n\u003cfigure id=\"attachment_12051038\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12051038 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/ShannonMinter.jpg\" alt=\"\" width=\"800\" height=\"640\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/ShannonMinter.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/ShannonMinter-160x128.jpg 160w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Shannon Minter is the legal director at the National Center for LGBTQ Rights and a civil rights attorney. Minter criticized President Donald Trump’s criminalization of health care for trans youth and said the president’s executive orders have no legal basis. \u003ccite>(Courtesy of Shannon Minter)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>KQED:\u003c/strong> Could I get your initial reaction to the news that California is suing the Trump administration over the president’s successful efforts to deny gender-affirming care to youth across the country?\u003c/p>\n\u003cp>\u003cstrong>Minter: \u003c/strong>I’m very grateful to California for pushing back on this. I don’t think I’ve ever seen anything like this level of intimidation and bullying and harassment from the federal government going after medical providers. And it’s just absolutely essential that states stand up for patients and for the families who need this care and for medical privacy for all of us.\u003c/p>\n\u003cp>\u003cstrong>KQED:\u003c/strong> What is the legal basis for Trump’s executive orders? Is there a precedent for this kind of top-down action?\u003c/p>\n\u003cp>\u003cstrong>Minter:\u003c/strong> Unprecedented, and there is absolutely zero legal basis for these orders. The federal government has ordered the Department of Justice to threaten — with criminal and civil prosecution — hospitals who are simply providing medical care to these young people. The lawsuit points out that there is no basis for it.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>This is really mafia-like behavior on the part of the federal government, just pure intimidation and coercion. There is not a single federal law that in any way prohibits, much less criminalizes, providing medical care to these young people.\u003c/p>\n\u003cp>\u003cstrong>KQED:\u003c/strong> What are the chances of success for this lawsuit?\u003c/p>\n\u003cp>\u003cstrong>Minter: \u003c/strong>Very, very high. Some of the challenges are tougher than others. This one, I think, has got an extremely high likelihood of success because there’s just no legal foundation for what the federal government is doing here.\u003c/p>\n\u003cp>There’s literally no federal law that supports them coming after these hospitals and asking for medical records and threatening some kind of vague civil or criminal prosecution. That’s just not the way our legal system works.\u003c/p>\n\u003cp>The federal government, if they’re going to threaten any of us with a criminal prosecution or civil prosecution, they have to be able to point to a law that we are allegedly violating. And the problem for the federal government here, is there is no federal law that prohibits doctors or hospitals from providing this medical care.\u003c/p>\n\u003cp>There’s just nothing to back up this use of force by the Department of Justice. That’s why I say this is really kind of like mafia-like behavior. It’s just a sheer exercise of federal coercion and abuse of federal power. And I do believe the courts will shut this down very quickly.\u003c/p>\n\u003cfigure id=\"attachment_12029440\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12029440\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/TransIdentityAP.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/TransIdentityAP.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/TransIdentityAP-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/TransIdentityAP-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/TransIdentityAP-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/TransIdentityAP-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/TransIdentityAP-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A protester is silhouetted against a trans pride flag during a pro-transgender rights protest outside of Seattle Children’s Hospital, in Seattle, on Feb. 9, 2025. \u003ccite>(Lindsey Wasson/AP Photo)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>KQED: \u003c/strong>And a presidential executive order doesn’t count as legal precedent?\u003c/p>\n\u003cp>\u003cstrong>Minter: \u003c/strong>No, no, the president can’t just make something up out of thin air and threaten criminal prosecution based on an executive order.\u003c/p>\n\u003cp>\u003cstrong>KQED: \u003c/strong>What legal rights to care do young people seeking gender-affirming care in California have in California?\u003c/p>\n\u003cp>\u003cstrong>Minter:\u003c/strong> California, as well as many other states, have enacted laws that prohibit discrimination against transgender people in health care. Those laws are fully operative in California and many other states.\u003c/p>\n\u003cp>And that’s also one of the bases for the claims in this lawsuit: that the federal government is trying to interfere with and override state law in an area in which the federal government has no business.\u003c/p>\n\u003cp>Nothing in our Constitution gives the federal government any authority whatsoever to regulate medical care. That’s something that is left to the states. Traditionally, in our system of government, that’s something the states do.\u003c/p>\n\u003cp>The 10th Amendment prohibits the federal government from doing anything to interfere with areas in which states have authority. And so this lawsuit is saying, among other things, this order violates the 10th Amendment.\u003c/p>\n\u003cfigure id=\"attachment_12050962\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12050962\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/20250725_KaiserTransProtest_GC-14_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/20250725_KaiserTransProtest_GC-14_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/20250725_KaiserTransProtest_GC-14_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/20250725_KaiserTransProtest_GC-14_qed-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Union nurses and community supporters rally outside of Kaiser Permanente, honoring transgender patients affected by Kaiser’s decision to halt gender-affirming care to minors, on July 25, 2025. \u003ccite>(Gina Castro/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>KQED: \u003c/strong>Is it not ironic that the federal government is typically in favor of states’ rights when it comes to regulating issues like abortion, but then, when it comes to gender-affirming care, the federal government is now actively interfering with state laws?\u003c/p>\n\u003cp>\u003cstrong>Minter:\u003c/strong> It is ironic. I really hope people recognize the federal government is taking advantage of the fact that many people don’t know much about transgender people.\u003c/p>\n\u003cp>They may think, ‘Oh, this has nothing to do with me.’\u003c/p>\n\u003cp>Maybe people even don’t approve of the care themselves, so they’re not paying attention to it. But this sets a terrible precedent. This is the federal government literally coming in, demanding private patient medical records from hospitals, and also purporting to tell states and hospitals how to perform health care, like what types of care they can and cannot perform.\u003c/p>\n\u003cp>This is a federal takeover of our state health care system, getting us all used to the idea that the federal government can demand any of our private records anytime they want to for any reason they want to. That is so dangerous.\u003c/p>\n\u003cp>\u003cstrong>KQED: \u003c/strong>What’s at stake for the young people and families who are being affected by this?\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cstrong>Minter:\u003c/strong> It’s terrible for these families. Nobody knows a child better than that child’s parents. These are parents who have been through a process consulting with medical experts, coming to terms with the fact that their child has a very serious medical condition — gender dysphoria — and that their child is among the very small number of young people who really need and benefit from medical treatment for that condition.\u003c/p>\n\u003cp>This care is so effective, and many kids who receive it are doing great. There was a really comprehensive study systematic review that was just \u003ca href=\"https://www.sltrib.com/news/politics/2025/05/22/utah-lawmakers-own-study-found/\">conducted by the University of Utah\u003c/a> that looked at every available study on this topic and found that the care is safe and effective, that it significantly reduces suicidality in young people. And that there are virtually no regrets — almost no one who obtains this care has any reason to wish they hadn’t.\u003c/p>\n\u003cp>Losing that care for these families is really devastating. You can only imagine — if you know your child is getting the care they need, and they’re doing great, and you know what will happen if they lose that care, that they’re going to be really severely harmed. Parents are in a panic, understandably.\u003c/p>\n\u003cp>\u003cstrong>KQED:\u003c/strong> What other legal action can the state or patients and their allies take?\u003c/p>\n\u003cp>\u003cstrong>Minter: \u003c/strong>Well, the state is doing the best thing it can do, which is ask a federal court to tell the federal government to knock it off and to leave these providers alone.\u003c/p>\n\u003cp>In terms of what families can do, a lot of families are making sure to notify these hospitals that they do not give the hospitals permission in any way, shape or form to share their private medical records. So that’s always a good thing to do.\u003c/p>\n\u003cp>All of us can reach out to these hospitals and express support and tell them, please do keep providing this care and please do not cooperate with these unlawful subpoenas. We don’t want hospitals to ever, ever violate their oath of confidentiality to patients. The more everyone can speak up and not be misled — don’t be distracted by the fact that this is about one particular group of people. This is really about protecting all of our medical freedom and the privacy of our medical information.\u003c/p>\n\u003cp>\u003cstrong>KQED: \u003c/strong>Do you think Bonta should sue providers for denying patients their legal care or are providers in between a rock and a hard place?\u003c/p>\n\u003cp>\u003cstrong>Minter: \u003c/strong>I do think that providers need to comply with state law.\u003c/p>\n\u003cp>I understand it’s frightening to be served with a subpoena by the federal government. But it’s disappointing to see providers pausing the care. I think we might have a moment of grace — maybe it was a spur-of-the-moment reaction to being served with the subpoena like that.\u003c/p>\n\u003cp>But it’s unlawful, it’s wrong, they’re betraying their patients and they need to get back to providing this care. And if they don’t, yes — I think the attorney general can and will and should sue them if necessary. I like to think it wouldn’t come to that.\u003c/p>\n\u003cp>Families can also sue them, and I’m pretty sure that will happen if these providers recover and get back to doing what they’re supposed to be doing, which is serve all their patients. Of course, you can’t just decide you’re gonna stop providing care to a particular group of people because the federal government is targeting that group. That is really a blatant violation of California law.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003cem>Updated 12:31 p.m. Friday\u003c/em>\u003c/p>\n\u003cp>California is leading a coalition of more than a dozen states suing the Trump administration over its restrictions on \u003ca href=\"https://www.kqed.org/news/12049666/nowhere-else-to-go-sf-families-protest-kaisers-new-limits-on-gender-affirming-care\">gender-affirming health care\u003c/a>, Attorney General Rob Bonta announced Friday morning.\u003c/p>\n\u003cp>Bonta said President Trump and U.S. Attorney General Pam Bondi’s orders and directives restricting that care to people under the age of 19 infringe upon states’ laws that protect their residents’ access to gender-affirming care.\u003c/p>\n\u003cp>The lawsuit is joined by 15 other states and the District of Columbia.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Bonta framed the issue as a life-and-death matter, citing the higher rates of suicide and other forms of self-harm among young people whose assigned gender at birth doesn’t match their identity.\u003c/p>\n\u003cp>The Trump administration’s “demands that our healthcare providers discriminate against transgender individuals and deny them access to medically-necessary healthcare is cruel and irresponsible,” Bonta said in a statement. “These actions have created a chilling effect in which providers are pressured to scale back on their care for fear of prosecution, leaving countless individuals without the critical care they need and are entitled to under law.”\u003c/p>\n\u003cfigure id=\"attachment_11959336\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11959336\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230828-ROB-BONTA-AP-MJS-KQED.jpg\" alt=\"A man wearing a navy blue suit, white shirt and blue foulard tie speaks into a microphone.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230828-ROB-BONTA-AP-MJS-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230828-ROB-BONTA-AP-MJS-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230828-ROB-BONTA-AP-MJS-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230828-ROB-BONTA-AP-MJS-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230828-ROB-BONTA-AP-MJS-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230828-ROB-BONTA-AP-MJS-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">California Attorney General Rob Bonta fields questions during a press conference on Monday, Aug. 28, 2023, in Los Angeles. \u003ccite>(Marcio Jose Sanchez/AP Photo)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Oakland-based Kaiser Permanente recently announced it was following \u003ca href=\"https://www.kqed.org/science/1997491/stanford-scales-back-trans-care-for-minors-amid-federal-crackdown\">Stanford Medicine\u003c/a> and other health care providers in \u003ca href=\"https://www.kqed.org/news/12049555/kaiser-to-stop-gender-affirming-surgeries-for-minors-leaving-trans-kids-with-fewer-options\">pausing gender-affirming surgeries\u003c/a> for patients under 19 — something Bonta warned hospitals not to do.\u003c/p>\n\u003cp>Kaiser, which serves 12 million people across eight states, cited the “significant risks” created by the current legal and regulatory environment surrounding care for transgender minors.\u003c/p>\n\u003cp>The health care giant pointed to a \u003ca href=\"https://www.whitehouse.gov/presidential-actions/2025/01/protecting-children-from-chemical-and-surgical-mutilation/\">January executive order\u003c/a> from Trump threatening funding for medical centers that provide gender-affirming care to minors. The order directs agencies to “not fund, sponsor, promote, assist, or support the so‑called ‘transition’ of a child from one sex to another.”\u003c/p>\n\u003cp>Kaiser also cited changes to insurance coverage and ongoing federal investigations. Last month, for example, the \u003ca href=\"https://www.justice.gov/opa/pr/department-justice-subpoenas-doctors-and-clinics-involved-performing-transgender-medical\">Department of Justice subpoenaed\u003c/a> more than 20 doctors and clinics that perform gender-affirming procedures on minors.\u003c/p>\n\u003cp>Equality California, a statewide LGBTQ+ rights organization, said the Trump administration was bullying hospitals and doctors into curtailing gender-affirming treatments, calling the lawsuit announced Friday “a critical step toward protecting access to lifesaving healthcare for transgender youth — and pushing back against a coordinated political assault on our community.” [aside postID=news_12049666 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/20250725_KaiserTransProtest_GC-31_qed.jpg']“These attacks are not about fairness or safety — they are about fearmongering, erasure, and punishing transgender people for simply existing,” Equality California executive director Tony Hoang said in a statement. “The Trump administration’s actions are not just discriminatory — they are dangerous, and fly in the face of both medical standards and basic human decency.”\u003c/p>\n\u003cp>While several Republican-led states have moved to restrict surgeries and other care for transgender youth, California has doubled down on \u003ca href=\"https://www.kqed.org/news/11929233/california-becomes-first-sanctuary-state-for-transgender-youth-seeking-medical-care\">shielding such medical services\u003c/a>. State law bars hospitals from refusing to provide health care to transgender people, and Bonta has warned providers that denying or pausing care for trans youth based on political pressure could be illegal.\u003c/p>\n\u003cp>State Sen. Scott Wiener (D–San Francisco), who authored a 2022 law to make California a \u003ca href=\"https://sd11.senate.ca.gov/news/senator-wieners-historic-bill-provide-refuge-trans-kids-and-their-families-signed-law\">safe refuge for transgender youth\u003c/a> seeking medical care, previously told KQED that state politicians should put pressure on Bonta’s office to enforce state law on access to health care.\u003c/p>\n\u003cp>“I don’t want the state to have to fight with Kaiser or with Stanford or with any of our great health systems, but we have to enforce the law,” he said. “California should be a safe place for trans people and LGBTQ people generally, and this is not what should be happening.”\u003c/p>\n\u003cp>Groups including the \u003ca href=\"https://www.ama-assn.org/press-center/ama-press-releases/ama-states-stop-interfering-health-care-transgender-children\">American Medical Association\u003c/a> and the \u003ca href=\"https://publications.aap.org/aapnews/news/25340/AAP-reaffirms-gender-affirming-care-policy?autologincheck=redirected\">American Pediatrics Association\u003c/a> maintain that gender-affirming care, including surgeries in some cases, can be medically necessary for both children and adults. A 2022 study by researchers at Stanford University \u003ca href=\"https://med.stanford.edu/news/all-news/2022/01/mental-health-hormone-treatment-transgender-people.html\">found better mental health outcomes\u003c/a> for transgender people who started receiving hormone therapy as teens compared with those who waited until they were adults.\u003c/p>\n\u003cp>Amy Whelan, a senior staff attorney with the National Center for LGBTQ Rights, told KQED earlier that “there are very few patients under 19 who receive surgery, but for those who do, this is very essential health care.”\u003c/p>\n\u003cp>A \u003ca href=\"https://hsph.harvard.edu/news/gender-affirming-surgeries-rarely-performed-on-transgender-youth/\">recent study\u003c/a> from researchers at Harvard University’s T.H. Chan School of Public Health found that gender-affirming surgeries were rarely performed on transgender or gender-diverse (TGS) youth in the U.S. For 15- to 17-year-olds, the rate of gender-affirming surgeries associated with a TGS-related diagnosis in 2019 was just 2 in 100,000. The rate was 0.1 in 100,000 for 13- and 14-year-olds, and the study found no such surgeries on trans children under 12.\u003c/p>\n\u003cp>Still, some medical experts have \u003ca href=\"https://bmjgroup.com/gender-dysphoria-is-rising-and-so-is-professional-disagreement/\">urged greater caution\u003c/a>, calling for more scrutiny of the evidence underpinning these gender-affirming treatments. Critics have also questioned the strength of long-term data and raised concerns about the potential irreversibility of certain medical interventions — concerns echoed in a recent \u003ca href=\"https://opa.hhs.gov/gender-dysphoria-report\">report on gender dysphoria\u003c/a> commissioned by the Trump administration.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Updated 12:31 p.m. Friday\u003c/em>\u003c/p>\n\u003cp>California is leading a coalition of more than a dozen states suing the Trump administration over its restrictions on \u003ca href=\"https://www.kqed.org/news/12049666/nowhere-else-to-go-sf-families-protest-kaisers-new-limits-on-gender-affirming-care\">gender-affirming health care\u003c/a>, Attorney General Rob Bonta announced Friday morning.\u003c/p>\n\u003cp>Bonta said President Trump and U.S. Attorney General Pam Bondi’s orders and directives restricting that care to people under the age of 19 infringe upon states’ laws that protect their residents’ access to gender-affirming care.\u003c/p>\n\u003cp>The lawsuit is joined by 15 other states and the District of Columbia.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Bonta framed the issue as a life-and-death matter, citing the higher rates of suicide and other forms of self-harm among young people whose assigned gender at birth doesn’t match their identity.\u003c/p>\n\u003cp>The Trump administration’s “demands that our healthcare providers discriminate against transgender individuals and deny them access to medically-necessary healthcare is cruel and irresponsible,” Bonta said in a statement. “These actions have created a chilling effect in which providers are pressured to scale back on their care for fear of prosecution, leaving countless individuals without the critical care they need and are entitled to under law.”\u003c/p>\n\u003cfigure id=\"attachment_11959336\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11959336\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230828-ROB-BONTA-AP-MJS-KQED.jpg\" alt=\"A man wearing a navy blue suit, white shirt and blue foulard tie speaks into a microphone.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230828-ROB-BONTA-AP-MJS-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230828-ROB-BONTA-AP-MJS-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230828-ROB-BONTA-AP-MJS-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230828-ROB-BONTA-AP-MJS-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230828-ROB-BONTA-AP-MJS-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230828-ROB-BONTA-AP-MJS-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">California Attorney General Rob Bonta fields questions during a press conference on Monday, Aug. 28, 2023, in Los Angeles. \u003ccite>(Marcio Jose Sanchez/AP Photo)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Oakland-based Kaiser Permanente recently announced it was following \u003ca href=\"https://www.kqed.org/science/1997491/stanford-scales-back-trans-care-for-minors-amid-federal-crackdown\">Stanford Medicine\u003c/a> and other health care providers in \u003ca href=\"https://www.kqed.org/news/12049555/kaiser-to-stop-gender-affirming-surgeries-for-minors-leaving-trans-kids-with-fewer-options\">pausing gender-affirming surgeries\u003c/a> for patients under 19 — something Bonta warned hospitals not to do.\u003c/p>\n\u003cp>Kaiser, which serves 12 million people across eight states, cited the “significant risks” created by the current legal and regulatory environment surrounding care for transgender minors.\u003c/p>\n\u003cp>The health care giant pointed to a \u003ca href=\"https://www.whitehouse.gov/presidential-actions/2025/01/protecting-children-from-chemical-and-surgical-mutilation/\">January executive order\u003c/a> from Trump threatening funding for medical centers that provide gender-affirming care to minors. The order directs agencies to “not fund, sponsor, promote, assist, or support the so‑called ‘transition’ of a child from one sex to another.”\u003c/p>\n\u003cp>Kaiser also cited changes to insurance coverage and ongoing federal investigations. Last month, for example, the \u003ca href=\"https://www.justice.gov/opa/pr/department-justice-subpoenas-doctors-and-clinics-involved-performing-transgender-medical\">Department of Justice subpoenaed\u003c/a> more than 20 doctors and clinics that perform gender-affirming procedures on minors.\u003c/p>\n\u003cp>Equality California, a statewide LGBTQ+ rights organization, said the Trump administration was bullying hospitals and doctors into curtailing gender-affirming treatments, calling the lawsuit announced Friday “a critical step toward protecting access to lifesaving healthcare for transgender youth — and pushing back against a coordinated political assault on our community.” \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“These attacks are not about fairness or safety — they are about fearmongering, erasure, and punishing transgender people for simply existing,” Equality California executive director Tony Hoang said in a statement. “The Trump administration’s actions are not just discriminatory — they are dangerous, and fly in the face of both medical standards and basic human decency.”\u003c/p>\n\u003cp>While several Republican-led states have moved to restrict surgeries and other care for transgender youth, California has doubled down on \u003ca href=\"https://www.kqed.org/news/11929233/california-becomes-first-sanctuary-state-for-transgender-youth-seeking-medical-care\">shielding such medical services\u003c/a>. State law bars hospitals from refusing to provide health care to transgender people, and Bonta has warned providers that denying or pausing care for trans youth based on political pressure could be illegal.\u003c/p>\n\u003cp>State Sen. Scott Wiener (D–San Francisco), who authored a 2022 law to make California a \u003ca href=\"https://sd11.senate.ca.gov/news/senator-wieners-historic-bill-provide-refuge-trans-kids-and-their-families-signed-law\">safe refuge for transgender youth\u003c/a> seeking medical care, previously told KQED that state politicians should put pressure on Bonta’s office to enforce state law on access to health care.\u003c/p>\n\u003cp>“I don’t want the state to have to fight with Kaiser or with Stanford or with any of our great health systems, but we have to enforce the law,” he said. “California should be a safe place for trans people and LGBTQ people generally, and this is not what should be happening.”\u003c/p>\n\u003cp>Groups including the \u003ca href=\"https://www.ama-assn.org/press-center/ama-press-releases/ama-states-stop-interfering-health-care-transgender-children\">American Medical Association\u003c/a> and the \u003ca href=\"https://publications.aap.org/aapnews/news/25340/AAP-reaffirms-gender-affirming-care-policy?autologincheck=redirected\">American Pediatrics Association\u003c/a> maintain that gender-affirming care, including surgeries in some cases, can be medically necessary for both children and adults. A 2022 study by researchers at Stanford University \u003ca href=\"https://med.stanford.edu/news/all-news/2022/01/mental-health-hormone-treatment-transgender-people.html\">found better mental health outcomes\u003c/a> for transgender people who started receiving hormone therapy as teens compared with those who waited until they were adults.\u003c/p>\n\u003cp>Amy Whelan, a senior staff attorney with the National Center for LGBTQ Rights, told KQED earlier that “there are very few patients under 19 who receive surgery, but for those who do, this is very essential health care.”\u003c/p>\n\u003cp>A \u003ca href=\"https://hsph.harvard.edu/news/gender-affirming-surgeries-rarely-performed-on-transgender-youth/\">recent study\u003c/a> from researchers at Harvard University’s T.H. Chan School of Public Health found that gender-affirming surgeries were rarely performed on transgender or gender-diverse (TGS) youth in the U.S. For 15- to 17-year-olds, the rate of gender-affirming surgeries associated with a TGS-related diagnosis in 2019 was just 2 in 100,000. The rate was 0.1 in 100,000 for 13- and 14-year-olds, and the study found no such surgeries on trans children under 12.\u003c/p>\n\u003cp>Still, some medical experts have \u003ca href=\"https://bmjgroup.com/gender-dysphoria-is-rising-and-so-is-professional-disagreement/\">urged greater caution\u003c/a>, calling for more scrutiny of the evidence underpinning these gender-affirming treatments. Critics have also questioned the strength of long-term data and raised concerns about the potential irreversibility of certain medical interventions — concerns echoed in a recent \u003ca href=\"https://opa.hhs.gov/gender-dysphoria-report\">report on gender dysphoria\u003c/a> commissioned by the Trump administration.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003ca href=\"https://www.kqed.org/news/tag/gavin-newsom\">Gov. Gavin Newsom \u003c/a>\u003ca href=\"https://www.gov.ca.gov/2025/07/30/governor-newsom-issues-executive-order-to-support-young-men-and-boys-address-suicide-rates/\">called \u003c/a>Wednesday for action to strengthen services for young men and boys, and to address what he calls “an alarming rise in suicides and disconnection among California’s young boys.”\u003c/p>\n\u003cp>“Too many young men and boys are suffering in silence,” Newsom said in a statement, adding that many are “disconnected from community, opportunity and even their own families.”\u003c/p>\n\u003cp>The directive, which will see state agencies fund programs for young men that focus on behavioral health support, job training and educational services, \u003ca href=\"https://www.kqed.org/news/12041884/after-2024-losses-san-francisco-democrats-want-to-focus-more-on-men-will-it-land\">follows growing recognition among Democrats\u003c/a> of a need to better connect with young men and boys ahead of the 2026 midterm election.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>More than half of young men between the ages of 18–29 voted for Donald Trump in the 2024 presidential election — making a nearly 32% leap from 2020, according to an \u003ca href=\"https://www.americansurveycenter.org/newsletter/2024-election-edition-young-men-swing-toward-trump/\">Associated Press poll\u003c/a>.\u003c/p>\n\u003cp>In May, San Francisco Democrats overwhelmingly passed a resolution\u003ca href=\"https://www.kqed.org/news/12041884/after-2024-losses-san-francisco-democrats-want-to-focus-more-on-men-will-it-land\"> calling on their fellow Democrats\u003c/a> to do more to address “societal challenges facing boys and men,” emphasizing the need for more job training opportunities, paternal leave and mental health care.\u003c/p>\n\u003cp>The statistics are bleak: young men are three times as likely to die by suicide than young women, according to a report released by Newsom’s office.\u003c/p>\n\u003cp>And labor force participation among men without a college degree is at a historic low, along with their college enrollment and completion rates, the report added.[aside postID=news_12041102 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/SocialMediaChildrenHealthGetty-1020x680.jpg']Dr. Ronald Levant, former president of the American Psychological Association, whose clinical work specializes in masculinity, said lonely young men have been tapping into “echo chambers” for direction and an outlet for frustrations.\u003c/p>\n\u003cp>People like Andrew Tate, he said, an alt-right influencer and self-described “misogynist,” capitalize on resentment toward women for their present position in the workforce and educational field.\u003c/p>\n\u003cp>“Men have lost the power and privilege of patriarchy to a large extent,” Levant said. “They, white men in particular, do not automatically get the best job and the best salary and all of these things.”\u003c/p>\n\u003cp>To sincerely tackle the causes of male loneliness, depression, and unemployment, Levant said it’s critical to target the years before college or careers.\u003c/p>\n\u003cp>“A public education campaign aimed at parents, teachers, and coaches, and anyone who interacts with children from kindergarten on up,” he said. “To allow the boy to be who he is and don’t put these masculine strictures on him.\u003c/p>\n\u003cp>Focusing on these issues “allows boys to think through all the pressures they’re getting,” Levant said. “It helps them kind of figure out what kind of guy they want to be.”\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/gavin-newsom\">Gov. Gavin Newsom \u003c/a>\u003ca href=\"https://www.gov.ca.gov/2025/07/30/governor-newsom-issues-executive-order-to-support-young-men-and-boys-address-suicide-rates/\">called \u003c/a>Wednesday for action to strengthen services for young men and boys, and to address what he calls “an alarming rise in suicides and disconnection among California’s young boys.”\u003c/p>\n\u003cp>“Too many young men and boys are suffering in silence,” Newsom said in a statement, adding that many are “disconnected from community, opportunity and even their own families.”\u003c/p>\n\u003cp>The directive, which will see state agencies fund programs for young men that focus on behavioral health support, job training and educational services, \u003ca href=\"https://www.kqed.org/news/12041884/after-2024-losses-san-francisco-democrats-want-to-focus-more-on-men-will-it-land\">follows growing recognition among Democrats\u003c/a> of a need to better connect with young men and boys ahead of the 2026 midterm election.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>More than half of young men between the ages of 18–29 voted for Donald Trump in the 2024 presidential election — making a nearly 32% leap from 2020, according to an \u003ca href=\"https://www.americansurveycenter.org/newsletter/2024-election-edition-young-men-swing-toward-trump/\">Associated Press poll\u003c/a>.\u003c/p>\n\u003cp>In May, San Francisco Democrats overwhelmingly passed a resolution\u003ca href=\"https://www.kqed.org/news/12041884/after-2024-losses-san-francisco-democrats-want-to-focus-more-on-men-will-it-land\"> calling on their fellow Democrats\u003c/a> to do more to address “societal challenges facing boys and men,” emphasizing the need for more job training opportunities, paternal leave and mental health care.\u003c/p>\n\u003cp>The statistics are bleak: young men are three times as likely to die by suicide than young women, according to a report released by Newsom’s office.\u003c/p>\n\u003cp>And labor force participation among men without a college degree is at a historic low, along with their college enrollment and completion rates, the report added.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Dr. Ronald Levant, former president of the American Psychological Association, whose clinical work specializes in masculinity, said lonely young men have been tapping into “echo chambers” for direction and an outlet for frustrations.\u003c/p>\n\u003cp>People like Andrew Tate, he said, an alt-right influencer and self-described “misogynist,” capitalize on resentment toward women for their present position in the workforce and educational field.\u003c/p>\n\u003cp>“Men have lost the power and privilege of patriarchy to a large extent,” Levant said. “They, white men in particular, do not automatically get the best job and the best salary and all of these things.”\u003c/p>\n\u003cp>To sincerely tackle the causes of male loneliness, depression, and unemployment, Levant said it’s critical to target the years before college or careers.\u003c/p>\n\u003cp>“A public education campaign aimed at parents, teachers, and coaches, and anyone who interacts with children from kindergarten on up,” he said. “To allow the boy to be who he is and don’t put these masculine strictures on him.\u003c/p>\n\u003cp>Focusing on these issues “allows boys to think through all the pressures they’re getting,” Levant said. “It helps them kind of figure out what kind of guy they want to be.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Amid \u003ca href=\"https://www.kqed.org/mindshift/64715/youth-mental-health-is-declining-school-based-supports-can-help\">a mental health crisis\u003c/a> impacting the country’s young people, researchers at the University of California, San Francisco may have found a way to break the cycle of hospitalizations for eating disorders in youth — more therapy.\u003c/p>\n\u003cp>A new study led by researchers at UCSF shows that youths who receive more than eight therapy sessions after being hospitalized for an eating disorder are 25 times less likely to be rehospitalized than their peers who receive fewer than four sessions.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>And providers who conduct the therapy don’t have to have any specialty or expertise in eating disorder treatment to see the impact of the sessions, the study found.\u003c/p>\n\u003cp>“A modest amount of outpatient therapy from any type of provider can help break the cycle of repeat hospitalizations,” said Erin Accurso, clinical director at UCSF’s Eating Disorder Program and one of the study’s authors.\u003c/p>\n\u003cfigure id=\"attachment_12010740\" class=\"wp-caption aligncenter\" style=\"max-width: 2120px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12010740\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/GettyImages-1292740035.jpg\" alt=\"A young white girl rests on her stomach on a bed, looking at a tablet.\" width=\"2120\" height=\"1414\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/GettyImages-1292740035.jpg 2120w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/GettyImages-1292740035-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/GettyImages-1292740035-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/GettyImages-1292740035-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/GettyImages-1292740035-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/GettyImages-1292740035-2048x1366.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/GettyImages-1292740035-1920x1281.jpg 1920w\" sizes=\"auto, (max-width: 2120px) 100vw, 2120px\">\u003cfigcaption class=\"wp-caption-text\">Studies have found that as young children get online at earlier ages, preteens spend over half of their waking days on screens and social media algorithms push harmful, addictive content to teen users, the threat of a dangerous interaction is often one unsolicited or derogatory message away. \u003ccite>(Finn Hafemann via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>More treatment could also save more than $7 million per year for the Medi-Cal program because of the reductions in rehospitalizations, the study said.\u003c/p>\n\u003cp>Eating disorders have one of the highest mortality rates of any mental illness, and the prevalence of the disease in youth has risen over the last decade, according to a study from \u003ca href=\"https://med.stanford.edu/news/insights/2024/01/kids-hospitalized-eating-disorders-why.html\">Stanford Medicine\u003c/a>.\u003c/p>\n\u003cp>After the COVID-19 pandemic, hospitalizations related to eating disorders increased — with more than 5% of youth now affected, according to UCSF.[aside postID=news_12041102 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/SocialMediaChildrenHealthGetty-1020x680.jpg']UCSF researchers used data from 920 youths hospitalized for an eating disorder between the ages of 7 and 18 enrolled in Medi-Cal in the study.\u003c/p>\n\u003cp>Youths who are enrolled in Medi-Cal typically have a harder time accessing care compared to their peers on private insurance because of fewer financial resources and schedules that are not always flexible enough, according to Megan Mikhail, one of the study’s authors.\u003c/p>\n\u003cp>With \u003ca href=\"https://www.kqed.org/news/12047342/how-healthcare-cuts-in-trumps-megabill-will-hurt-californians\">President Donald Trump’s cuts to Medicaid\u003c/a>, Accurso said she worries about what that means for treatments that serve those with conditions like eating disorders.\u003c/p>\n\u003cp>“It’s already such a challenge,” Accurso said. “Lack of access to care, that lack of access is really costly.”\u003c/p>\n\u003cp>The cuts, recently signed by Trump as part of the federal budget, are set to cut Medicaid spending by more than $910 billion over the next 10 years, according to \u003ca href=\"https://www.kff.org/medicaid/issue-brief/allocating-cbos-estimates-of-federal-medicaid-spending-reductions-across-the-states-enacted-reconciliation-package/\">an analysis by KFF\u003c/a>.\u003c/p>\n\u003cp>According to an estimate from state health officials and Gov. Gavin Newsom, that could mean more than 3.4 million residents in California would lose health coverage.\u003c/p>\n\u003cp>\u003cem>Aug. 1: A previous version of this story said youths who receive more than eight therapy sessions after being hospitalized for an eating disorder are 25% less likely to be rehospitalized than their peers who receive fewer than four sessions. The actual comparison is 25 times less likely.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>And providers who conduct the therapy don’t have to have any specialty or expertise in eating disorder treatment to see the impact of the sessions, the study found.\u003c/p>\n\u003cp>“A modest amount of outpatient therapy from any type of provider can help break the cycle of repeat hospitalizations,” said Erin Accurso, clinical director at UCSF’s Eating Disorder Program and one of the study’s authors.\u003c/p>\n\u003cfigure id=\"attachment_12010740\" class=\"wp-caption aligncenter\" style=\"max-width: 2120px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12010740\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/GettyImages-1292740035.jpg\" alt=\"A young white girl rests on her stomach on a bed, looking at a tablet.\" width=\"2120\" height=\"1414\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/GettyImages-1292740035.jpg 2120w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/GettyImages-1292740035-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/GettyImages-1292740035-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/GettyImages-1292740035-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/GettyImages-1292740035-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/GettyImages-1292740035-2048x1366.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/GettyImages-1292740035-1920x1281.jpg 1920w\" sizes=\"auto, (max-width: 2120px) 100vw, 2120px\">\u003cfigcaption class=\"wp-caption-text\">Studies have found that as young children get online at earlier ages, preteens spend over half of their waking days on screens and social media algorithms push harmful, addictive content to teen users, the threat of a dangerous interaction is often one unsolicited or derogatory message away. \u003ccite>(Finn Hafemann via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>More treatment could also save more than $7 million per year for the Medi-Cal program because of the reductions in rehospitalizations, the study said.\u003c/p>\n\u003cp>Eating disorders have one of the highest mortality rates of any mental illness, and the prevalence of the disease in youth has risen over the last decade, according to a study from \u003ca href=\"https://med.stanford.edu/news/insights/2024/01/kids-hospitalized-eating-disorders-why.html\">Stanford Medicine\u003c/a>.\u003c/p>\n\u003cp>After the COVID-19 pandemic, hospitalizations related to eating disorders increased — with more than 5% of youth now affected, according to UCSF.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>UCSF researchers used data from 920 youths hospitalized for an eating disorder between the ages of 7 and 18 enrolled in Medi-Cal in the study.\u003c/p>\n\u003cp>Youths who are enrolled in Medi-Cal typically have a harder time accessing care compared to their peers on private insurance because of fewer financial resources and schedules that are not always flexible enough, according to Megan Mikhail, one of the study’s authors.\u003c/p>\n\u003cp>With \u003ca href=\"https://www.kqed.org/news/12047342/how-healthcare-cuts-in-trumps-megabill-will-hurt-californians\">President Donald Trump’s cuts to Medicaid\u003c/a>, Accurso said she worries about what that means for treatments that serve those with conditions like eating disorders.\u003c/p>\n\u003cp>“It’s already such a challenge,” Accurso said. “Lack of access to care, that lack of access is really costly.”\u003c/p>\n\u003cp>The cuts, recently signed by Trump as part of the federal budget, are set to cut Medicaid spending by more than $910 billion over the next 10 years, according to \u003ca href=\"https://www.kff.org/medicaid/issue-brief/allocating-cbos-estimates-of-federal-medicaid-spending-reductions-across-the-states-enacted-reconciliation-package/\">an analysis by KFF\u003c/a>.\u003c/p>\n\u003cp>According to an estimate from state health officials and Gov. Gavin Newsom, that could mean more than 3.4 million residents in California would lose health coverage.\u003c/p>\n\u003cp>\u003cem>Aug. 1: A previous version of this story said youths who receive more than eight therapy sessions after being hospitalized for an eating disorder are 25% less likely to be rehospitalized than their peers who receive fewer than four sessions. The actual comparison is 25 times less likely.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Frustrated by delays in securing their first union contract nearly two years after organizing, workers at one of the \u003ca href=\"https://www.kqed.org/news/tag/bay-area\">Bay Area\u003c/a>’s oldest hospice care organizations went on a one-day strike on Tuesday.\u003c/p>\n\u003cp>Before dawn, some of the nonprofit’s 80 represented employees began picketing outside the Pleasant Hill headquarters of the nearly 50-year-old Hospice East Bay, demanding progress toward enshrining what they describe as modest workplace standards. The push for a contract comes amid the organization’s looming affiliation with a larger hospice chain based in Florida.\u003c/p>\n\u003cp>“We’ve asked for pretty simple things,” said Jill Tobin, who’s helped dying patients through their final moments for more than four years as a Registered Nurse Case Manager at Hospice East Bay.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“For example, we proposed to keep our benefits the same as they are now. We just wanted them protected under a contract,” Tobin said. “[Hospice East Bay] said no, they want the right to make them worse. And so, that’s been really shocking and disappointing.”\u003c/p>\n\u003cp>Historically, patient care at the hospice has been “top notch,” Tobin said, but she’s noted a slow erosion since 2023, when nurses, bereavement counselors, pharmacists and others voted to join the National Union of Healthcare Workers. Since then, she said her caseload has jumped from 10 to 15 people, which she called painful for practitioners and patients both.\u003c/p>\n\u003cp>“You’re coming into their home, you’re taking off your shoes, right? Your whole kind of goal is to build rapport and be present with them first and foremost. Like that’s really the medicine of hospice work,” Tobin said.\u003c/p>\n\u003cfigure id=\"attachment_12050147\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12050147\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/HospiceStrike1.jpg\" alt=\"\" width=\"2000\" height=\"1500\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/HospiceStrike1.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/HospiceStrike1-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/HospiceStrike1-1536x1152.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Caregivers went on strike at one of the Bay Area’s oldest hospice facilities, Hospice East Bay in Pleasant Hill, on Tuesday, July 29, 2025. They say they are dealing with severe understaffing. \u003ccite>(Nibras Suliman/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The workers’ initial proposal included safe staffing ratios and a 5% wage increase every year for the next three years. But workers said they’ve been met with resistance, and have accused management of several unfair labor practices — including improperly freezing employees’ existing annual raises and laying off a cohort of represented musical therapists.\u003c/p>\n\u003cp>Claire Eustace, a spiritual care counselor, said she’s worried about clients losing access to her specialty’s services, as well.\u003c/p>\n\u003cp>“I’m afraid that we have this big nonprofit that is taking over … probably starting some time in August. I’m afraid that the priority on spiritual care is gonna go away,” Eustace said.\u003c/p>\n\u003cp>UC Berkeley Labor Center Deputy Executive Director Laurel Lucia said nonprofit providers like Hospice East Bay, which serves Alameda, Contra Costa and parts of Solano counties, have a special duty to the community in a field that is increasingly facing corporatization by for-profit owners.[aside postID=news_12048636 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/npr.brightspotcdn-1020x680.jpg']Better conditions for workers, Lucia added, do affect patient experience.\u003c/p>\n\u003cp>“There is research from other health care sectors that’s shown that adequate wages are an important component of retaining health care workers,” Lucia said. “And kind of relatedly, there is research showing the importance of adequate and consistent staffing to patients having good quality of care.”\u003c/p>\n\u003cp>Hospice East Bay spokesperson Rico Marcelli said he couldn’t speak to the bargaining process, other than to say that management remains committed to being at the table with workers.\u003c/p>\n\u003cp>As for the decision to lay off the musical therapists, Marcelli said Hospice East Bay decided as part of its effort to contend with serious financial challenges — including a more than $4 million increase in operating losses in 2024 over the prior year.\u003c/p>\n\u003cp>“Nonprofit hospice care is under threat right now,” Marcelli said, “and part of that is lowered [Medicare] reimbursement rates.”\u003c/p>\n\u003cp>Medicare and Medicaid reimbursement for hospice, which provides 92% of Hospice East Bay’s hospice revenue, Marcelli said, has not kept pace with increases in labor and other patient care expenses. For the current fiscal year, reimbursement for hospice care in Contra Costa County was cut by 1.4%.\u003c/p>\n\u003cp>Marcelli said hospice services will not be affected by the one-day strike and that he’s hopeful the two parties will come to an agreement soon.\u003c/p>\n\u003cp>“I’m sure we’re going to be able to get over these differences because we have to. If we don’t come together, we’re not going to be able to fulfill our mission.”\u003c/p>\n\u003cp>\u003cem>KQED’s Nibras Suliman contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“For example, we proposed to keep our benefits the same as they are now. We just wanted them protected under a contract,” Tobin said. “[Hospice East Bay] said no, they want the right to make them worse. And so, that’s been really shocking and disappointing.”\u003c/p>\n\u003cp>Historically, patient care at the hospice has been “top notch,” Tobin said, but she’s noted a slow erosion since 2023, when nurses, bereavement counselors, pharmacists and others voted to join the National Union of Healthcare Workers. Since then, she said her caseload has jumped from 10 to 15 people, which she called painful for practitioners and patients both.\u003c/p>\n\u003cp>“You’re coming into their home, you’re taking off your shoes, right? Your whole kind of goal is to build rapport and be present with them first and foremost. Like that’s really the medicine of hospice work,” Tobin said.\u003c/p>\n\u003cfigure id=\"attachment_12050147\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12050147\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/HospiceStrike1.jpg\" alt=\"\" width=\"2000\" height=\"1500\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/HospiceStrike1.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/HospiceStrike1-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/HospiceStrike1-1536x1152.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Caregivers went on strike at one of the Bay Area’s oldest hospice facilities, Hospice East Bay in Pleasant Hill, on Tuesday, July 29, 2025. They say they are dealing with severe understaffing. \u003ccite>(Nibras Suliman/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The workers’ initial proposal included safe staffing ratios and a 5% wage increase every year for the next three years. But workers said they’ve been met with resistance, and have accused management of several unfair labor practices — including improperly freezing employees’ existing annual raises and laying off a cohort of represented musical therapists.\u003c/p>\n\u003cp>Claire Eustace, a spiritual care counselor, said she’s worried about clients losing access to her specialty’s services, as well.\u003c/p>\n\u003cp>“I’m afraid that we have this big nonprofit that is taking over … probably starting some time in August. I’m afraid that the priority on spiritual care is gonna go away,” Eustace said.\u003c/p>\n\u003cp>UC Berkeley Labor Center Deputy Executive Director Laurel Lucia said nonprofit providers like Hospice East Bay, which serves Alameda, Contra Costa and parts of Solano counties, have a special duty to the community in a field that is increasingly facing corporatization by for-profit owners.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Better conditions for workers, Lucia added, do affect patient experience.\u003c/p>\n\u003cp>“There is research from other health care sectors that’s shown that adequate wages are an important component of retaining health care workers,” Lucia said. “And kind of relatedly, there is research showing the importance of adequate and consistent staffing to patients having good quality of care.”\u003c/p>\n\u003cp>Hospice East Bay spokesperson Rico Marcelli said he couldn’t speak to the bargaining process, other than to say that management remains committed to being at the table with workers.\u003c/p>\n\u003cp>As for the decision to lay off the musical therapists, Marcelli said Hospice East Bay decided as part of its effort to contend with serious financial challenges — including a more than $4 million increase in operating losses in 2024 over the prior year.\u003c/p>\n\u003cp>“Nonprofit hospice care is under threat right now,” Marcelli said, “and part of that is lowered [Medicare] reimbursement rates.”\u003c/p>\n\u003cp>Medicare and Medicaid reimbursement for hospice, which provides 92% of Hospice East Bay’s hospice revenue, Marcelli said, has not kept pace with increases in labor and other patient care expenses. For the current fiscal year, reimbursement for hospice care in Contra Costa County was cut by 1.4%.\u003c/p>\n\u003cp>Marcelli said hospice services will not be affected by the one-day strike and that he’s hopeful the two parties will come to an agreement soon.\u003c/p>\n\u003cp>“I’m sure we’re going to be able to get over these differences because we have to. If we don’t come together, we’re not going to be able to fulfill our mission.”\u003c/p>\n\u003cp>\u003cem>KQED’s Nibras Suliman contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Calder Storm doesn’t know where to turn for gender-affirming care for his 16-year-old daughter.\u003c/p>\n\u003cp>After Palo Alto-based Stanford Medicine \u003ca href=\"https://www.kqed.org/science/1997491/stanford-scales-back-trans-care-for-minors-amid-federal-crackdown\">stopped offering gender-related surgical procedures\u003c/a> for minors last month, he planned to enroll her as a\u003ca href=\"https://www.kqed.org/news/tag/kaiser-permanente\"> patient at Kaiser Permanente \u003c/a>— widely regarded as a bastion of trans health care.\u003c/p>\n\u003cp>But on Wednesday, the health care giant announced that it would follow suit, pausing gender-affirming surgeries for patients under 19.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Kaiser was supposed to be our safe haven,” Storm told KQED on Wednesday. “Everyone in the trans community thought we had the best chance possible within the Kaiser system. And furthermore, we thought we had the best chance in the Northern California Kaiser system.”\u003c/p>\n\u003cp>Oakland-based Kaiser Permanente, which serves more than 12 million people across eight states, said Wednesday it would stop offering surgical gender-affirming treatments for trans minors next month, citing “significant risks” created by the current legal and regulatory environment surrounding care for transgender children.\u003c/p>\n\u003cp>“Since January, there has been significant focus by the federal government on gender-affirming care, specifically for patients under the age of 19,” the health care provider said in a statement, citing a \u003ca href=\"https://www.whitehouse.gov/presidential-actions/2025/01/protecting-children-from-chemical-and-surgical-mutilation/\">January executive order\u003c/a> from President Donald Trump threatening funding for medical centers that provide such care, changes to insurance coverage and ongoing federal investigations.\u003c/p>\n\u003cfigure id=\"attachment_12023855\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12023855\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/0M6A0870_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/0M6A0870_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/0M6A0870_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/0M6A0870_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/0M6A0870_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/0M6A0870_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/0M6A0870_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A demonstrator proudly waves a transgender pride flag during Pride Month in San Francisco, California, on June 28, 2019. \u003ccite>(Sruti Mamidanna/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Earlier this month, the\u003ca href=\"https://www.justice.gov/opa/pr/department-justice-subpoenas-doctors-and-clinics-involved-performing-transgender-medical\"> Department of Justice subpoenaed\u003c/a> more than 20 doctors and clinics that perform gender-affirming procedures on minors.\u003c/p>\n\u003cp>“We recognize that this is an extremely challenging and stressful time for our patients seeking care, as well as for our clinicians whose mission is to care for them,” the statement continued.\u003c/p>\n\u003cp>Kaiser joins a growing list of health care providers moving to limit care for trans youth under building pressure from the Trump administration. In June, Stanford’s \u003ca href=\"https://www.kqed.org/science/1997491/stanford-scales-back-trans-care-for-minors-amid-federal-crackdown\">pause of gender-affirming surgeries\u003c/a> included prescribing puberty blockers to youth, Storm said. And just this week, Los Angeles Children’s Hospital closed its \u003ca href=\"https://www.kqed.org/news/12049310/childrens-hospital-los-angeles-ends-transgender-care\">Center for Transyouth Health and Development\u003c/a>, which has been a leader in gender-affirming care for the last 30 years.\u003c/p>\n\u003cp>Storm thought Kaiser would be different, since the closed health care system doesn’t rely on federal research funding like Stanford, L.A. Children’s and many others do. And just months ago, California Attorney General Rob Bonta \u003ca href=\"https://oag.ca.gov/news/press-releases/attorney-general-bonta-reminds-hospitals-and-clinics-anti-discrimination-laws\">preemptively warned the state’s health care providers\u003c/a> that capitulating to political pressure and pausing gender-affirming care would violate state law.[aside postID=news_12049310 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/trans-health-6880e51cc03ba.jpg']But Lady Rainsard, a registered nurse in plastic surgery at Kaiser’s San Francisco campus, said that’s exactly what the health care system is doing.\u003c/p>\n\u003cp>“Medical providers, not politicians, know what’s best for our patients,” she said in a statement from California Nurses Association, a union representing 25,000 Kaiser nurses. “Right now, we deem it a much greater risk to cave to this kind of government overreach than it is to provide this care to our patients, no matter their age.”\u003c/p>\n\u003cp>Kaiser medical centers will continue to offer non-surgical care for minors and all gender-affirming care for trans adults.\u003c/p>\n\u003cp>According to State Sen. Scott Wiener, D-San Francisco, refusing to offer these procedures for young people is a step towards Trump’s goal to eliminate all trans health care.\u003c/p>\n\u003cp>“It’s important for us not to just cave in to Donald Trump’s bullying,” he told KQED on Wednesday. “It’s hard and it’s scary, but this is how fascists succeed — when institutions start backing down.”\u003c/p>\n\u003cp>Wiener said the next step for the state’s politicians will be to put pressure on Bonta’s office to enforce California law, which bars hospitals from refusing to provide health care to trans people.\u003c/p>\n\u003cfigure id=\"attachment_12043149\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12043149\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/HarveyMilkFolo2.jpg\" alt=\"\" width=\"2000\" height=\"1500\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/HarveyMilkFolo2.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/HarveyMilkFolo2-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/HarveyMilkFolo2-1536x1152.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Sen. Scott Wiener speaks at a press conference at Jane Warner Plaza in San Francisco on June 6, 2025. \u003ccite>(Samantha Kennedy/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“I don’t want the state to have to fight with Kaiser or with Stanford or with any of our great health systems, but we have to enforce the law,” he said. “California should be a safe place for trans people and LGBTQ people generally, and this is not what should be happening.”\u003c/p>\n\u003cp>Amy Whelan, a senior staff attorney with the National Center for LGBTQ Rights, said the organization is in close contact with families of patients affected by the Stanford and Los Angeles Children’s Hospital policy changes and working on the issue.\u003c/p>\n\u003cp>“There are very few patients under 19 who receive surgery, but for those who do, this is very essential health care,” she said.\u003c/p>\n\u003cp>A \u003ca href=\"https://hsph.harvard.edu/news/gender-affirming-surgeries-rarely-performed-on-transgender-youth/\">recent study\u003c/a> from researchers at Harvard’s T.H. Chan School of Public Health found little to no utilization of gender-affirming surgeries by transgender and gender diverse minors in the U.S., with a rate of two in 100,000 15- to 17-year-olds undergoing gender-affirming breast reduction surgeries in 2019. The study found that 0.1 in 100,000 13- and 14-year-olds received the procedure, and no trans children under 12 did.\u003c/p>\n\u003cp>Cisgender minors, on the other hand, received surgical gender-affirming care at “substantially” higher rates.\u003c/p>\n\u003cp>Advocates plan to rally outside Kaiser’s Medical Center at 2425 Geary Blvd. on Friday at 4 p.m.\u003c/p>\n\u003cp>\u003cem>KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/nnavarro\">\u003cem>Natalia Navarro\u003c/em>\u003c/a>\u003cem> contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Calder Storm doesn’t know where to turn for gender-affirming care for his 16-year-old daughter.\u003c/p>\n\u003cp>After Palo Alto-based Stanford Medicine \u003ca href=\"https://www.kqed.org/science/1997491/stanford-scales-back-trans-care-for-minors-amid-federal-crackdown\">stopped offering gender-related surgical procedures\u003c/a> for minors last month, he planned to enroll her as a\u003ca href=\"https://www.kqed.org/news/tag/kaiser-permanente\"> patient at Kaiser Permanente \u003c/a>— widely regarded as a bastion of trans health care.\u003c/p>\n\u003cp>But on Wednesday, the health care giant announced that it would follow suit, pausing gender-affirming surgeries for patients under 19.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Kaiser was supposed to be our safe haven,” Storm told KQED on Wednesday. “Everyone in the trans community thought we had the best chance possible within the Kaiser system. And furthermore, we thought we had the best chance in the Northern California Kaiser system.”\u003c/p>\n\u003cp>Oakland-based Kaiser Permanente, which serves more than 12 million people across eight states, said Wednesday it would stop offering surgical gender-affirming treatments for trans minors next month, citing “significant risks” created by the current legal and regulatory environment surrounding care for transgender children.\u003c/p>\n\u003cp>“Since January, there has been significant focus by the federal government on gender-affirming care, specifically for patients under the age of 19,” the health care provider said in a statement, citing a \u003ca href=\"https://www.whitehouse.gov/presidential-actions/2025/01/protecting-children-from-chemical-and-surgical-mutilation/\">January executive order\u003c/a> from President Donald Trump threatening funding for medical centers that provide such care, changes to insurance coverage and ongoing federal investigations.\u003c/p>\n\u003cfigure id=\"attachment_12023855\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12023855\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/0M6A0870_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/0M6A0870_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/0M6A0870_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/0M6A0870_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/0M6A0870_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/0M6A0870_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/0M6A0870_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A demonstrator proudly waves a transgender pride flag during Pride Month in San Francisco, California, on June 28, 2019. \u003ccite>(Sruti Mamidanna/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Earlier this month, the\u003ca href=\"https://www.justice.gov/opa/pr/department-justice-subpoenas-doctors-and-clinics-involved-performing-transgender-medical\"> Department of Justice subpoenaed\u003c/a> more than 20 doctors and clinics that perform gender-affirming procedures on minors.\u003c/p>\n\u003cp>“We recognize that this is an extremely challenging and stressful time for our patients seeking care, as well as for our clinicians whose mission is to care for them,” the statement continued.\u003c/p>\n\u003cp>Kaiser joins a growing list of health care providers moving to limit care for trans youth under building pressure from the Trump administration. In June, Stanford’s \u003ca href=\"https://www.kqed.org/science/1997491/stanford-scales-back-trans-care-for-minors-amid-federal-crackdown\">pause of gender-affirming surgeries\u003c/a> included prescribing puberty blockers to youth, Storm said. And just this week, Los Angeles Children’s Hospital closed its \u003ca href=\"https://www.kqed.org/news/12049310/childrens-hospital-los-angeles-ends-transgender-care\">Center for Transyouth Health and Development\u003c/a>, which has been a leader in gender-affirming care for the last 30 years.\u003c/p>\n\u003cp>Storm thought Kaiser would be different, since the closed health care system doesn’t rely on federal research funding like Stanford, L.A. Children’s and many others do. And just months ago, California Attorney General Rob Bonta \u003ca href=\"https://oag.ca.gov/news/press-releases/attorney-general-bonta-reminds-hospitals-and-clinics-anti-discrimination-laws\">preemptively warned the state’s health care providers\u003c/a> that capitulating to political pressure and pausing gender-affirming care would violate state law.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>But Lady Rainsard, a registered nurse in plastic surgery at Kaiser’s San Francisco campus, said that’s exactly what the health care system is doing.\u003c/p>\n\u003cp>“Medical providers, not politicians, know what’s best for our patients,” she said in a statement from California Nurses Association, a union representing 25,000 Kaiser nurses. “Right now, we deem it a much greater risk to cave to this kind of government overreach than it is to provide this care to our patients, no matter their age.”\u003c/p>\n\u003cp>Kaiser medical centers will continue to offer non-surgical care for minors and all gender-affirming care for trans adults.\u003c/p>\n\u003cp>According to State Sen. Scott Wiener, D-San Francisco, refusing to offer these procedures for young people is a step towards Trump’s goal to eliminate all trans health care.\u003c/p>\n\u003cp>“It’s important for us not to just cave in to Donald Trump’s bullying,” he told KQED on Wednesday. “It’s hard and it’s scary, but this is how fascists succeed — when institutions start backing down.”\u003c/p>\n\u003cp>Wiener said the next step for the state’s politicians will be to put pressure on Bonta’s office to enforce California law, which bars hospitals from refusing to provide health care to trans people.\u003c/p>\n\u003cfigure id=\"attachment_12043149\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12043149\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/HarveyMilkFolo2.jpg\" alt=\"\" width=\"2000\" height=\"1500\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/HarveyMilkFolo2.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/HarveyMilkFolo2-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/HarveyMilkFolo2-1536x1152.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Sen. Scott Wiener speaks at a press conference at Jane Warner Plaza in San Francisco on June 6, 2025. \u003ccite>(Samantha Kennedy/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“I don’t want the state to have to fight with Kaiser or with Stanford or with any of our great health systems, but we have to enforce the law,” he said. “California should be a safe place for trans people and LGBTQ people generally, and this is not what should be happening.”\u003c/p>\n\u003cp>Amy Whelan, a senior staff attorney with the National Center for LGBTQ Rights, said the organization is in close contact with families of patients affected by the Stanford and Los Angeles Children’s Hospital policy changes and working on the issue.\u003c/p>\n\u003cp>“There are very few patients under 19 who receive surgery, but for those who do, this is very essential health care,” she said.\u003c/p>\n\u003cp>A \u003ca href=\"https://hsph.harvard.edu/news/gender-affirming-surgeries-rarely-performed-on-transgender-youth/\">recent study\u003c/a> from researchers at Harvard’s T.H. Chan School of Public Health found little to no utilization of gender-affirming surgeries by transgender and gender diverse minors in the U.S., with a rate of two in 100,000 15- to 17-year-olds undergoing gender-affirming breast reduction surgeries in 2019. The study found that 0.1 in 100,000 13- and 14-year-olds received the procedure, and no trans children under 12 did.\u003c/p>\n\u003cp>Cisgender minors, on the other hand, received surgical gender-affirming care at “substantially” higher rates.\u003c/p>\n\u003cp>Advocates plan to rally outside Kaiser’s Medical Center at 2425 Geary Blvd. on Friday at 4 p.m.\u003c/p>\n\u003cp>\u003cem>KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/nnavarro\">\u003cem>Natalia Navarro\u003c/em>\u003c/a>\u003cem> contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
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"soldout": {
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"title": "SOLD OUT: Rethinking Housing in America",
"tagline": "A new future for housing",
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"info": "",
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