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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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"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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"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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"slug": "dangerous-how-a-top-civil-rights-attorney-describes-attack-on-trans-health-care",
"title": "‘Dangerous’: How a Top Civil Rights Attorney Describes Attack on Trans Health Care",
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"headTitle": "‘Dangerous’: How a Top Civil Rights Attorney Describes Attack on Trans Health Care | KQED",
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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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"excerpt": "Shannon Minter, legal director for the National Center for LGBTQ Rights, criticized President Donald Trump’s criminalization of health care for trans youth and said the president’s executive orders have no legal basis. ",
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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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"title": "Newsom Says California Can Better Support Young Boys and Men",
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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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"excerpt": "Gov. Gavin Newsom’s executive order, released this week, targets the rise in loneliness and suicide among young men, as Democrats try to broaden their focus.",
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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>\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>\u003c/p>\u003c/div>",
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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>\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>\u003c/p>\u003c/div>",
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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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"slug": "kaiser-to-stop-gender-affirming-surgeries-for-minors-leaving-trans-kids-with-fewer-options",
"title": "Kaiser to Stop Gender-Affirming Surgeries for Minors, Leaving Trans Kids With Fewer Options",
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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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"content": "\u003cp>Emelia Reed has a front-row seat to the critical \u003ca href=\"https://www.kqed.org/news/12033802/how-cuts-medicaid-republican-gains-california\">safety-net needs\u003c/a> of Central Valley residents in her role as a student assistant at California State University, Bakersfield’s food pantry.\u003c/p>\n\u003cp>The pantry serves students and staff who need groceries like rice or milk — or even just a can of tuna or beans for a quick meal. It’s also an on-ramp for more reliable \u003ca href=\"https://www.kqed.org/news/12044713/food-stamps-at-risk-in-trump-budget-bill-bay-area-food-banks-warn\">food aid\u003c/a>: at checkout, patrons are asked if they would like to enroll in CalFresh, the state’s Supplemental Nutrition Assistance Program, or SNAP. The signup connects patrons with a campus basic needs coordinator who helps with their enrollment.\u003c/p>\n\u003cp>“A lot of communities in Bakersfield are multi-generational households, so you’ll have a student who is a parent and then also lives with their mother-in-law,” Reed said. “You get that three generations in one household, and that’s what will stress the food security in that home.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>A Bakersfield native, Reed said she views the commuter-heavy Cal State campus as a microcosm of the daily struggles facing Kern County residents.\u003c/p>\n\u003cp>“I see it as a reflection of my community,” she said. “And I know that the community is food insecure.”\u003c/p>\n\u003cp>Few places in California will feel the \u003ca href=\"https://www.kqed.org/news/12039102/californians-worried-about-medi-cal-congressional-republicans-consider-cuts\">squeeze\u003c/a> of recently approved federal cuts to SNAP and \u003ca href=\"https://www.kqed.org/news/tag/medicaid\">Medicaid\u003c/a> — the nation’s low-income healthcare program — more than Bakersfield and its surrounding communities. The fallout from those cuts, enacted as part of President Donald Trump’s One Big Beautiful Bill Act, \u003ca href=\"https://www.kqed.org/news/12032994/democrats-focus-their-message-on-gop-cuts-to-medicaid\">could play a key role\u003c/a> in next year’s election for the 22nd Congressional District seat held by Republican Rep. David Valadao, who voted for the legislation.\u003c/p>\n\u003cfigure id=\"attachment_12010091\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12010091\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/GettyImages-1255046550-1-scaled-e1743452454384.jpg\" alt=\"\" width=\"2000\" height=\"1334\">\u003cfigcaption class=\"wp-caption-text\">Republican Rep. David Valadao pictured in 2022. \u003ccite>(Irfan Khan/Los Angeles Times via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The bill \u003ca href=\"https://www.kqed.org/forum/2010101910533/what-the-big-beautiful-bill-means-for-california\">paired\u003c/a> an extension of personal and business income tax cuts and funding for immigration enforcement with reductions in health care and food assistance spending.\u003c/p>\n\u003cp>The 22nd District, which includes much of Bakersfield and cities to the north such as Delano, Porterville and Tulare, is \u003ca href=\"https://www.kqed.org/news/12033802/how-cuts-medicaid-republican-gains-california\">heavily reliant\u003c/a> on social safety-net programs.\u003c/p>\n\u003cp>Two-thirds of residents in the district are \u003ca href=\"https://laborcenter.berkeley.edu/medi-cal-enrollment-by-district-and-county-2024/\">enrolled in Medi-Cal\u003c/a>, the state’s Medicaid program — more than any other congressional district in the state, according to the UC Berkeley Labor Center.\u003c/p>\n\u003cp>The California Budget & Policy Center \u003ca href=\"https://calbudgetcenter.org/resources/how-republican-led-budget-cuts-could-impact-californians-in-every-congressional-district/\">found\u003c/a> that 27% of residents in the district receive nutrition assistance through CalFresh, the second-highest total of any district in the state.[aside postID=news_12033802 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-14-KQED-1-1020x680.jpg']The One Big Beautiful Bill Act will reduce federal SNAP spending by tightening exemptions for work requirements and requiring states to pick up a larger share of the program’s cost. The Center on Budget and Policy Priorities \u003ca href=\"https://www.cbpp.org/research/food-assistance/senate-agriculture-committees-revised-work-requirement-would-risk-taking\">estimated\u003c/a> that nearly 370,000 Californians are at risk of losing food stamp benefits because of the changes in work requirements.\u003c/p>\n\u003cp>Even deeper cuts are coming to Medicaid. The bill includes new requirements for recipients to prove they are working, volunteering or attending school, along with new limits on provider taxes — mechanisms that states such as California use to fund their Medicaid programs. Nonprofit health research group KFF \u003ca href=\"https://www.kff.org/medicaid/issue-brief/allocating-cbos-estimates-of-federal-medicaid-spending-reductions-across-the-states-senate-reconciliation-bill/\">estimates\u003c/a> that California will lose 19% of its federal Medicaid funding over the next decade — a total of $164 billion.\u003c/p>\n\u003cp>“Fewer people are going to have health insurance coverage, because the amount of money that’s available to finance that coverage has been cut at the federal level,” said Kristof Stremikis, director of market analysis and insight at the California Health Care Foundation. “The insurance that people have is going to be less comprehensive, and so with less money available, you just cannot cover as many services.”\u003c/p>\n\u003cp>The fate of hospitals in rural areas such as the Central Valley is a particular concern, Stremikis said. Kaweah Health Medical Center in Visalia receives more than 30% of its revenue from Medi-Cal. It’s not only the largest hospital in Tulare County — it’s also the largest employer.\u003c/p>\n\u003cfigure id=\"attachment_12045245\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12045245\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/GettyImages-2208803787-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1570\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/GettyImages-2208803787-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/GettyImages-2208803787-2000x1226.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/GettyImages-2208803787-160x98.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/GettyImages-2208803787-1536x942.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/GettyImages-2208803787-2048x1256.jpg 2048w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">Farm workers labor in the fields south of Bakersfield, in Kern County, California’s breadbasket, on April 9, 2025. \u003ccite>(Frederic J. Brown/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In addition to the limits on eligibility and provider taxes, the bill also reduces the amount that hospitals can be reimbursed for treating certain undocumented immigrants, such as single adults making up to $21,597 a year.\u003c/p>\n\u003cp>“Providers are going to get paid less,” Stremikis said. “When there’s less money in the system, there’s just less money to pay hospitals, health systems, nursing homes, physicians’ offices.”\u003c/p>\n\u003cp>In a statement, Valadao defended his vote in support of the bill, citing a new $50 billion fund for rural hospitals and promising to “engage with the Centers for Medicare and Medicaid Services [CMS] to identify specific risks to Valley hospitals and mitigate them.”[aside postID=news_12032994 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-07-KQED-1-1020x680.jpg']“Ultimately, I voted for this bill because it does preserve the Medicaid program for its intended recipients — children, pregnant women, the disabled and elderly,” Valadao said.\u003c/p>\n\u003cp>“The bill also includes dozens of other policy provisions that directly benefit CA-22, including blocking the largest tax hike on working families in American history, eliminating taxes on tips and overtime, expanding the Child Tax Credit, enhancing deductions for seniors, and keeping provisions in place that double the standard deduction for over 90% of taxpayers in my district,” he added.\u003c/p>\n\u003cp>Republicans are hoping the tax benefits of the bill will allow the party to build on the gains it made in the 22nd District in last year’s election.\u003c/p>\n\u003cp>In 2024, Trump improved his showing in the district by 19 points over 2020, the largest shift in California. With the highest share of Latino voters and the lowest share of college graduates of any seat in the state, the 22nd fits the mold of communities across the country that gravitated toward the GOP last year.\u003c/p>\n\u003cp>But Democratic consultant Jeff Gozzo said the budget bill will come back to haunt Republicans in the Central Valley next year.\u003c/p>\n\u003cp>“I can’t understate how enormous of an impact that this Big Beautiful Bill is going to have on races here in California,” Gozzo said. “You’re taking away that opportunity for that working mom in Merced to be able to see their doctor or access that care in Kern County for addiction treatment.”\u003c/p>\n\u003cp>In a sign of how motivated Democrats are to center the One Big Beautiful Bill vote in the midterms, Dr. Jasmeet Bains, a state Assemblymember, \u003ca href=\"https://www.kqed.org/news/12048676/democrats-plotting-a-path-out-of-the-political-wilderness\">launched\u003c/a> her campaign against Valadao last week, wearing a lab coat and stethoscope in a video decrying the health care cuts.\u003c/p>\n\u003cp>“Nowhere else has this much to lose,” Bains said.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Emelia Reed has a front-row seat to the critical \u003ca href=\"https://www.kqed.org/news/12033802/how-cuts-medicaid-republican-gains-california\">safety-net needs\u003c/a> of Central Valley residents in her role as a student assistant at California State University, Bakersfield’s food pantry.\u003c/p>\n\u003cp>The pantry serves students and staff who need groceries like rice or milk — or even just a can of tuna or beans for a quick meal. It’s also an on-ramp for more reliable \u003ca href=\"https://www.kqed.org/news/12044713/food-stamps-at-risk-in-trump-budget-bill-bay-area-food-banks-warn\">food aid\u003c/a>: at checkout, patrons are asked if they would like to enroll in CalFresh, the state’s Supplemental Nutrition Assistance Program, or SNAP. The signup connects patrons with a campus basic needs coordinator who helps with their enrollment.\u003c/p>\n\u003cp>“A lot of communities in Bakersfield are multi-generational households, so you’ll have a student who is a parent and then also lives with their mother-in-law,” Reed said. “You get that three generations in one household, and that’s what will stress the food security in that home.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>A Bakersfield native, Reed said she views the commuter-heavy Cal State campus as a microcosm of the daily struggles facing Kern County residents.\u003c/p>\n\u003cp>“I see it as a reflection of my community,” she said. “And I know that the community is food insecure.”\u003c/p>\n\u003cp>Few places in California will feel the \u003ca href=\"https://www.kqed.org/news/12039102/californians-worried-about-medi-cal-congressional-republicans-consider-cuts\">squeeze\u003c/a> of recently approved federal cuts to SNAP and \u003ca href=\"https://www.kqed.org/news/tag/medicaid\">Medicaid\u003c/a> — the nation’s low-income healthcare program — more than Bakersfield and its surrounding communities. The fallout from those cuts, enacted as part of President Donald Trump’s One Big Beautiful Bill Act, \u003ca href=\"https://www.kqed.org/news/12032994/democrats-focus-their-message-on-gop-cuts-to-medicaid\">could play a key role\u003c/a> in next year’s election for the 22nd Congressional District seat held by Republican Rep. David Valadao, who voted for the legislation.\u003c/p>\n\u003cfigure id=\"attachment_12010091\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12010091\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/GettyImages-1255046550-1-scaled-e1743452454384.jpg\" alt=\"\" width=\"2000\" height=\"1334\">\u003cfigcaption class=\"wp-caption-text\">Republican Rep. David Valadao pictured in 2022. \u003ccite>(Irfan Khan/Los Angeles Times via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The bill \u003ca href=\"https://www.kqed.org/forum/2010101910533/what-the-big-beautiful-bill-means-for-california\">paired\u003c/a> an extension of personal and business income tax cuts and funding for immigration enforcement with reductions in health care and food assistance spending.\u003c/p>\n\u003cp>The 22nd District, which includes much of Bakersfield and cities to the north such as Delano, Porterville and Tulare, is \u003ca href=\"https://www.kqed.org/news/12033802/how-cuts-medicaid-republican-gains-california\">heavily reliant\u003c/a> on social safety-net programs.\u003c/p>\n\u003cp>Two-thirds of residents in the district are \u003ca href=\"https://laborcenter.berkeley.edu/medi-cal-enrollment-by-district-and-county-2024/\">enrolled in Medi-Cal\u003c/a>, the state’s Medicaid program — more than any other congressional district in the state, according to the UC Berkeley Labor Center.\u003c/p>\n\u003cp>The California Budget & Policy Center \u003ca href=\"https://calbudgetcenter.org/resources/how-republican-led-budget-cuts-could-impact-californians-in-every-congressional-district/\">found\u003c/a> that 27% of residents in the district receive nutrition assistance through CalFresh, the second-highest total of any district in the state.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The One Big Beautiful Bill Act will reduce federal SNAP spending by tightening exemptions for work requirements and requiring states to pick up a larger share of the program’s cost. The Center on Budget and Policy Priorities \u003ca href=\"https://www.cbpp.org/research/food-assistance/senate-agriculture-committees-revised-work-requirement-would-risk-taking\">estimated\u003c/a> that nearly 370,000 Californians are at risk of losing food stamp benefits because of the changes in work requirements.\u003c/p>\n\u003cp>Even deeper cuts are coming to Medicaid. The bill includes new requirements for recipients to prove they are working, volunteering or attending school, along with new limits on provider taxes — mechanisms that states such as California use to fund their Medicaid programs. Nonprofit health research group KFF \u003ca href=\"https://www.kff.org/medicaid/issue-brief/allocating-cbos-estimates-of-federal-medicaid-spending-reductions-across-the-states-senate-reconciliation-bill/\">estimates\u003c/a> that California will lose 19% of its federal Medicaid funding over the next decade — a total of $164 billion.\u003c/p>\n\u003cp>“Fewer people are going to have health insurance coverage, because the amount of money that’s available to finance that coverage has been cut at the federal level,” said Kristof Stremikis, director of market analysis and insight at the California Health Care Foundation. “The insurance that people have is going to be less comprehensive, and so with less money available, you just cannot cover as many services.”\u003c/p>\n\u003cp>The fate of hospitals in rural areas such as the Central Valley is a particular concern, Stremikis said. Kaweah Health Medical Center in Visalia receives more than 30% of its revenue from Medi-Cal. It’s not only the largest hospital in Tulare County — it’s also the largest employer.\u003c/p>\n\u003cfigure id=\"attachment_12045245\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12045245\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/GettyImages-2208803787-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1570\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/GettyImages-2208803787-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/GettyImages-2208803787-2000x1226.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/GettyImages-2208803787-160x98.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/GettyImages-2208803787-1536x942.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/GettyImages-2208803787-2048x1256.jpg 2048w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">Farm workers labor in the fields south of Bakersfield, in Kern County, California’s breadbasket, on April 9, 2025. \u003ccite>(Frederic J. Brown/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In addition to the limits on eligibility and provider taxes, the bill also reduces the amount that hospitals can be reimbursed for treating certain undocumented immigrants, such as single adults making up to $21,597 a year.\u003c/p>\n\u003cp>“Providers are going to get paid less,” Stremikis said. “When there’s less money in the system, there’s just less money to pay hospitals, health systems, nursing homes, physicians’ offices.”\u003c/p>\n\u003cp>In a statement, Valadao defended his vote in support of the bill, citing a new $50 billion fund for rural hospitals and promising to “engage with the Centers for Medicare and Medicaid Services [CMS] to identify specific risks to Valley hospitals and mitigate them.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“Ultimately, I voted for this bill because it does preserve the Medicaid program for its intended recipients — children, pregnant women, the disabled and elderly,” Valadao said.\u003c/p>\n\u003cp>“The bill also includes dozens of other policy provisions that directly benefit CA-22, including blocking the largest tax hike on working families in American history, eliminating taxes on tips and overtime, expanding the Child Tax Credit, enhancing deductions for seniors, and keeping provisions in place that double the standard deduction for over 90% of taxpayers in my district,” he added.\u003c/p>\n\u003cp>Republicans are hoping the tax benefits of the bill will allow the party to build on the gains it made in the 22nd District in last year’s election.\u003c/p>\n\u003cp>In 2024, Trump improved his showing in the district by 19 points over 2020, the largest shift in California. With the highest share of Latino voters and the lowest share of college graduates of any seat in the state, the 22nd fits the mold of communities across the country that gravitated toward the GOP last year.\u003c/p>\n\u003cp>But Democratic consultant Jeff Gozzo said the budget bill will come back to haunt Republicans in the Central Valley next year.\u003c/p>\n\u003cp>“I can’t understate how enormous of an impact that this Big Beautiful Bill is going to have on races here in California,” Gozzo said. “You’re taking away that opportunity for that working mom in Merced to be able to see their doctor or access that care in Kern County for addiction treatment.”\u003c/p>\n\u003cp>In a sign of how motivated Democrats are to center the One Big Beautiful Bill vote in the midterms, Dr. Jasmeet Bains, a state Assemblymember, \u003ca href=\"https://www.kqed.org/news/12048676/democrats-plotting-a-path-out-of-the-political-wilderness\">launched\u003c/a> her campaign against Valadao last week, wearing a lab coat and stethoscope in a video decrying the health care cuts.\u003c/p>\n\u003cp>“Nowhere else has this much to lose,” Bains said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003cstrong>\u003cem>Updated at 3 p.m. July 18\u003c/em>\u003c/strong>\u003c/p>\n\u003cp>California Attorney General Rob Bonta \u003ca href=\"https://www.kqed.org/forum/2010101910625/california-attorney-general-rob-bonta-on-standing-up-to-the-trump-administration\">announced Thursday on KQED’s Forum\u003c/a> that the state is filing a third lawsuit this week against President Donald Trump.\u003c/p>\n\u003cp>On Monday, Bonta \u003ca href=\"https://www.kqed.org/news/12047925/california-sues-trump-administration-again-this-time-over-withheld-school-funds\">joined \u003c/a>23 other states in suing the administration over its withholding of nearly $6 billion of federal education funding. On Wednesday, he joined 18 other states in filing suit over Trump’s \u003ca href=\"https://www.npr.org/2025/04/02/nx-s1-5345777/trump-states-fema-funds\">cancellation \u003c/a>of FEMA disaster mitigation funds.\u003c/p>\n\u003cp>This time, Bonta will join New Jersey and Massachusetts to co-lead a \u003ca href=\"https://oag.ca.gov/news/press-releases/attorney-general-bonta-co-leads-lawsuit-challenging-trump-administration-rule#:~:text=OAKLAND%2520%E2%80%94%2520California%2520Attorney%2520General%2520Rob,Medicare%2520%2526%2520Medicaid%2520Services%2520(CMS)\">lawsuit\u003c/a> challenging a Trump administration rule designed to make it more difficult for Americans to access health coverage through the Affordable Care Act.\u003c/p>\n\u003cp>It marks the 33rd lawsuit that Bonta has filed against Trump since the start of the year.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>The big picture: \u003c/strong>Since his January inauguration, Trump has signed 170 executive \u003ca href=\"https://www.federalregister.gov/presidential-documents/executive-orders/donald-trump/2025\">orders \u003c/a>— many of them targeted by Bonta’s legal challenges. Bonta’s first lawsuit contested Trump’s executive order \u003ca href=\"https://www.kqed.org/news/12015449/a-129-year-old-san-francisco-lawsuit-could-stop-trump-from-ending-birthright-citizenship\">ending birthright citizenship\u003c/a>. He has since sued over mass firings of federal workers, \u003ca href=\"https://www.kqed.org/news/tag/california-national-guard\">deployment of the National Guard to California\u003c/a>, and other legislative policies. Bonta estimates that his office has filed lawsuits at a pace of more than one per week.\u003c/p>\n\u003cp>\u003cstrong>The latest: \u003c/strong>Bonta appeared on \u003ca href=\"https://www.kqed.org/forum/2010101910625/california-attorney-general-rob-bonta-on-standing-up-to-the-trump-administration\">Forum\u003c/a>, where he announced the latest lawsuit.\u003c/p>\n\u003cp>“We are following our North Star, which is the law,” Bonta said.[aside postID=forum_2010101910625 hero='https://cdn.kqed.org/wp-content/uploads/sites/43/2025/07/241107-AttorneyGeneralBonta-01-BL_qed.jpg']The final rule by the U.S. Department of Health and Human Services would add new bureaucratic barriers, shorten the ACA enrollment window, impose automatic charges on some $0-premium plans, and make coverage less affordable for millions while also excluding gender-affirming care as an essential benefit in federal exchange plans. (California’s coverage would not be affected.)\u003c/p>\n\u003cp>Bonta said it would strip millions of Americans of coverage and restrict others from receiving gender affirming care.\u003c/p>\n\u003cp>\u003cstrong>By the numbers: \u003c/strong>Bonta said California has spent $5 million on lawsuits against Trump this year — legal action he said has saved roughly $170 billion for the state. He estimates that at stake in this most recent lawsuit is around 2 million Americans who could lose access to healthcare under Trump’s new legislation.\u003c/p>\n\u003cp>\u003cstrong>What we’re watching: \u003c/strong>“We’ve got a full tank of gas,” Bonta said. He said his office isn’t slowing down and will sue again anytime Trump “tramples over the Constitution.” As for the rescission vote this week that would strip $9 billion in funding for NPR and PBS, Bonta said he plans to look at the lawfulness of the rescission package and “If it’s lawful, it’s lawful. If it’s not, we’ll sue.”\u003c/p>\n\u003cp>\u003cem>\u003cstrong>Editor’s Note:\u003c/strong> This story was updated to clarify that the lawsuit filed by California Attorney General Rob Bonta challenges a rule designed to make it more difficult for Americans to access health coverage through the Affordable Care Act.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"title": "Bonta Announces 33rd Trump Lawsuit on KQED, This One Targets Health Care Cuts | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>\u003cem>Updated at 3 p.m. July 18\u003c/em>\u003c/strong>\u003c/p>\n\u003cp>California Attorney General Rob Bonta \u003ca href=\"https://www.kqed.org/forum/2010101910625/california-attorney-general-rob-bonta-on-standing-up-to-the-trump-administration\">announced Thursday on KQED’s Forum\u003c/a> that the state is filing a third lawsuit this week against President Donald Trump.\u003c/p>\n\u003cp>On Monday, Bonta \u003ca href=\"https://www.kqed.org/news/12047925/california-sues-trump-administration-again-this-time-over-withheld-school-funds\">joined \u003c/a>23 other states in suing the administration over its withholding of nearly $6 billion of federal education funding. On Wednesday, he joined 18 other states in filing suit over Trump’s \u003ca href=\"https://www.npr.org/2025/04/02/nx-s1-5345777/trump-states-fema-funds\">cancellation \u003c/a>of FEMA disaster mitigation funds.\u003c/p>\n\u003cp>This time, Bonta will join New Jersey and Massachusetts to co-lead a \u003ca href=\"https://oag.ca.gov/news/press-releases/attorney-general-bonta-co-leads-lawsuit-challenging-trump-administration-rule#:~:text=OAKLAND%2520%E2%80%94%2520California%2520Attorney%2520General%2520Rob,Medicare%2520%2526%2520Medicaid%2520Services%2520(CMS)\">lawsuit\u003c/a> challenging a Trump administration rule designed to make it more difficult for Americans to access health coverage through the Affordable Care Act.\u003c/p>\n\u003cp>It marks the 33rd lawsuit that Bonta has filed against Trump since the start of the year.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>The big picture: \u003c/strong>Since his January inauguration, Trump has signed 170 executive \u003ca href=\"https://www.federalregister.gov/presidential-documents/executive-orders/donald-trump/2025\">orders \u003c/a>— many of them targeted by Bonta’s legal challenges. Bonta’s first lawsuit contested Trump’s executive order \u003ca href=\"https://www.kqed.org/news/12015449/a-129-year-old-san-francisco-lawsuit-could-stop-trump-from-ending-birthright-citizenship\">ending birthright citizenship\u003c/a>. He has since sued over mass firings of federal workers, \u003ca href=\"https://www.kqed.org/news/tag/california-national-guard\">deployment of the National Guard to California\u003c/a>, and other legislative policies. Bonta estimates that his office has filed lawsuits at a pace of more than one per week.\u003c/p>\n\u003cp>\u003cstrong>The latest: \u003c/strong>Bonta appeared on \u003ca href=\"https://www.kqed.org/forum/2010101910625/california-attorney-general-rob-bonta-on-standing-up-to-the-trump-administration\">Forum\u003c/a>, where he announced the latest lawsuit.\u003c/p>\n\u003cp>“We are following our North Star, which is the law,” Bonta said.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The final rule by the U.S. Department of Health and Human Services would add new bureaucratic barriers, shorten the ACA enrollment window, impose automatic charges on some $0-premium plans, and make coverage less affordable for millions while also excluding gender-affirming care as an essential benefit in federal exchange plans. (California’s coverage would not be affected.)\u003c/p>\n\u003cp>Bonta said it would strip millions of Americans of coverage and restrict others from receiving gender affirming care.\u003c/p>\n\u003cp>\u003cstrong>By the numbers: \u003c/strong>Bonta said California has spent $5 million on lawsuits against Trump this year — legal action he said has saved roughly $170 billion for the state. He estimates that at stake in this most recent lawsuit is around 2 million Americans who could lose access to healthcare under Trump’s new legislation.\u003c/p>\n\u003cp>\u003cstrong>What we’re watching: \u003c/strong>“We’ve got a full tank of gas,” Bonta said. He said his office isn’t slowing down and will sue again anytime Trump “tramples over the Constitution.” As for the rescission vote this week that would strip $9 billion in funding for NPR and PBS, Bonta said he plans to look at the lawfulness of the rescission package and “If it’s lawful, it’s lawful. If it’s not, we’ll sue.”\u003c/p>\n\u003cp>\u003cem>\u003cstrong>Editor’s Note:\u003c/strong> This story was updated to clarify that the lawsuit filed by California Attorney General Rob Bonta challenges a rule designed to make it more difficult for Americans to access health coverage through the Affordable Care Act.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "On Medi-Cal? When to Expect New Rules, Higher Costs and Enrollment Freezes",
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"headTitle": "On Medi-Cal? When to Expect New Rules, Higher Costs and Enrollment Freezes | KQED",
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"content": "\u003cp>Weeks before President Donald Trump signed into law the \u003ca href=\"https://www.kqed.org/news/12047037/a-betrayal-bay-area-leaders-react-to-us-house-passing-trumps-tax-and-welfare-cuts\">massive spending and tax plan\u003c/a> known as the One Big Beautiful Bill, California officials warned about its potential impacts on \u003ca href=\"https://www.coveredca.com/health/medi-cal/\">Medi-Cal\u003c/a>, the state’s Medicaid program that covers over 15 million lower-income Californians.\u003c/p>\n\u003cp>Gov. Gavin Newsom \u003ca href=\"https://www.youtube.com/watch?v=5qqbn1FK1Ac\">called Trump’s budget plan\u003c/a> “reckless, cruel and damaging,” citing \u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2025/05/newsom-medicaid-impacts-memo.pdf\">state estimates\u003c/a> that up to 3.4 million Medi-Cal recipients could lose their coverage if the legislation moved forward. While the White House insists that the OBBB \u003ca href=\"https://www.whitehouse.gov/articles/2025/06/myth-vs-fact-the-one-big-beautiful-bill/\">will not kick people off their health care plan\u003c/a>, the back-and-forth has sown confusion among many Californians about their Medi-Cal coverage.\u003c/p>\n\u003cp>“What we’re hearing from members is: One, is my information protected? And two, have there been any changes to my benefits and when can I expect a change?” said Michael Hunn, CEO of CalOptima Health, which serves Medi-Cal patients in Orange County.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Hunn said that his team has been assuring members that their personal health information is protected and that “there have been no changes to either benefits or eligibility right now in California.”\u003c/p>\n\u003cp>“We don’t want any of our members to think that somehow their coverage or their health insurance has gone away because it has not,” he said. “Please continue to get the care you need.”\u003c/p>\n\u003cfigure id=\"attachment_12029302\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12029302\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/072820-Doctor-Pediatrician-Kid-GETTY-CM-01-copy.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/072820-Doctor-Pediatrician-Kid-GETTY-CM-01-copy.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/072820-Doctor-Pediatrician-Kid-GETTY-CM-01-copy-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/072820-Doctor-Pediatrician-Kid-GETTY-CM-01-copy-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/072820-Doctor-Pediatrician-Kid-GETTY-CM-01-copy-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/072820-Doctor-Pediatrician-Kid-GETTY-CM-01-copy-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/072820-Doctor-Pediatrician-Kid-GETTY-CM-01-copy-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A doctor examines a child at Southern Orange County Pediatric Associates in Ladera Ranch on July 28, 2020. \u003ccite>(Paul Bersebach/Orange County Register via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>While Medi-Cal remains the same for the time being, the OBBB — along with other state and federal legislation — is expected to bring \u003ca href=\"https://www.congress.gov/119/bills/hr1/BILLS-119hr1eas.pdf\">big changes to the program\u003c/a> in the coming years, impacting different groups of recipients.\u003c/p>\n\u003cp>Keep reading for a timeline of when these changes will kick in and how to prepare. We will be updating this guide as more information becomes available.\u003c/p>\n\u003ch2>\u003cstrong>Dec. 31, 2025: \u003c/strong>\u003c/h2>\n\u003cp>\u003cstrong>End of subsidies for those who bought health coverage through Covered California\u003c/strong>\u003c/p>\n\u003cp>In 2021, Congress approved additional tax credits for people who bought health insurance through an Affordable Care Act marketplace, with Covered California being one.[aside postID=news_12033802 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-14-KQED-1-1020x680.jpg']The subsidies include both Medicare and market-rate plans, making it easier for \u003ca href=\"https://www.kff.org/affordable-care-act/issue-brief/inflation-reduction-act-health-insurance-subsidies-what-is-their-impact-and-what-would-happen-if-they-expire/\">millions of Americans to buy health insurance\u003c/a>. But when the credits expire, it will be more expensive for folks to keep their current coverage.\u003c/p>\n\u003cp>According to the \u003ca href=\"https://www.kff.org/affordable-care-act/issue-brief/inflation-reduction-act-health-insurance-subsidies-what-is-their-impact-and-what-would-happen-if-they-expire/#:~:text=The%20enhanced%20subsidies%20in%20the%20Inflation%20Reduction%20Act%20reduce%20net%20premium%20costs%20by%2044%25%2C%20on%20average%2C%20for%20enrollees%20receiving%20premium%20tax%20credits%2C%20though%20the%20amount%20of%20savings%20varies%20by%20person.\">Kaiser Family Foundation\u003c/a>, a San Francisco-based public health research nonprofit, the average annual premium payment for Medicaid in 2024 decreased from $1,593 to $888 — a difference of $705.\u003c/p>\n\u003cp>Two income groups could see the biggest changes in their premiums, said Dylan Roby, professor of health, society and behavior at UC Irvine. “When people start getting their renewals this year for coverage, they will probably see their premiums skyrocket if they make under 150% of the federal poverty level or above 400% of the federal poverty level,” he said.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.coveredca.com/pdfs/FPL-chart.pdf\">CHART: See where your income falls according to the federal poverty level\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Without enhanced subsidies, people above 400% of the federal poverty level may have to pay the full monthly premium for their insurance. On the other hand, those under 150% of the federal poverty level who previously received enough subsidies to cover all their premiums would have to start paying for part of their coverage.\u003c/p>\n\u003cp>While Congress failed to renew the subsidies in the OBBB, it still has time to extend them this year before they end.\u003c/p>\n\u003ch2>\u003cstrong>Jan. 1, 2026: \u003c/strong>\u003c/h2>\n\u003cp>\u003cstrong>Medi-Cal begins to freeze new enrollment for undocumented Californians \u003c/strong>\u003c/p>\n\u003cp>California has gradually expanded Medi-Cal enrollment to lower-income undocumented immigrants, adding new age groups every few years. About 1.6 million undocumented Californians are now covered by Medi-Cal, but the expansion cost the state \u003ca href=\"https://www.kqed.org/news/12031544/providing-health-care-for-immigrants-is-costing-california-more-than-expected-is-coverage-at-risk\">$2.7 billion more than it originally projected\u003c/a>, CalMatters reported.[aside postID=forum_2010101908967 hero='https://cdn.kqed.org/wp-content/uploads/sites/43/2025/02/iStock-1156622320-1-1020x574.jpg']As the state faces a growing deficit, \u003ca href=\"https://calmatters.org/politics/2025/06/california-budget-newsom-democrats/\">Newsom and the state Legislature agreed\u003c/a> to freeze Medi-Cal enrollment for undocumented immigrants who are 19 and older at the start of 2026. Then, on July 1, Medi-Cal will stop covering dental services for both undocumented individuals and those with an immigration status the \u003ca href=\"https://www.dhcs.ca.gov/Budget/Documents/DHCS-TBL-Policy-Changes-to-Individuals-with-UIS-Fact-Sheet.pdf\">state considers\u003c/a> “unsatisfactory.”\u003c/p>\n\u003cp>These cuts put at risk the yearslong work to improve health care access among the state’s undocumented community, said Adriana Ramos-Yamamoto, senior policy analyst at the California Budget and Policy Center.\u003c/p>\n\u003cp>“All of this progress is now under threat because of our own state budget deficit,” she said, adding that lawmakers in Sacramento are now under greater pressure as the federal government cuts down on funding for state programs. “We currently do not have the funding to help backfill any loss in federal funds.\u003c/p>\n\u003cp>“We really need state leaders to take bold action to equitably raise revenues to help mitigate the impact of these federal funding cuts to our state and Medi-Cal specifically.\u003c/p>\n\u003ch2>\u003cstrong>Dec. 31, 2026: \u003c/strong>\u003c/h2>\n\u003cp>\u003cstrong>States begin to roll out new Medicaid eligibility rules\u003c/strong>\u003c/p>\n\u003cp>When then-President Barack Obama \u003ca href=\"https://www.kqed.org/news/tag/affordable-care-act\">signed the Affordable Care Act\u003c/a> in 2010, it allowed adults ages 19–64 with incomes below 138% of the federal poverty level to qualify for Medicaid. Since then, \u003ca href=\"https://www.kff.org/medicaid/issue-brief/medicaid-expansion-is-a-red-and-blue-state-issue/\">over 21 million adults\u003c/a> have enrolled nationwide, including 5 million in Medi-Cal.\u003c/p>\n\u003cp>Under the OBBB, states must implement new eligibility requirements for this “expansion population”:\u003c/p>\n\u003cul>\n\u003cli>Individuals will now have to go through the Medicaid renewal process \u003ca href=\"https://www.kqed.org/news/11944543/on-medi\">with their county’s health and human services agency\u003c/a> every six months, instead of once a year.\u003c/li>\n\u003cli>Able-bodied adults without dependents must work, attend school classes or do community service for at least 80 hours each month. There are several exceptions, including if your state’s unemployment rate rises above 8%.\u003c/li>\n\u003c/ul>\n\u003cp>This will mean a lot more paperwork for both Medi-Cal recipients and the county offices managing these requirements, UC Irvine’s Roby said. “You could have somebody working two different jobs, but they don’t see the email coming from their eligibility office or maybe they changed addresses,” he said. “Because they don’t turn in proof that they’re working, they could lose their coverage.”\u003c/p>\n\u003cp>Individual states and counties will have two years to fully implement these changes, said Hunn from CalOptima Health, who added that his team will be working with Orange County officials to make sure that their members are aware of all the new forms they need to complete. “So they know when to look for certain envelopes,” he said, “and that they understand they have X number of days to complete that application redetermination package and turn it in.”\u003c/p>\n\u003cdiv class=\"mceTemp\">\u003c/div>\n\u003cfigure id=\"attachment_12047349\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-12047349\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/GettyImages-2216476723-2000x1363.jpg\" alt=\"\" width=\"2000\" height=\"1363\" srcset=\"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: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">US Speaker of the House Mike Johnson (R-La.) speaks to the media after the House narrowly passed a bill forwarding President Donald Trump’s agenda at the US Capitol on May 22, 2025, in Washington, DC. \u003ccite>(Kevin Dietsch/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003cstrong>Jan. 1, 2027: \u003c/strong>\u003c/h2>\n\u003cp>\u003cstrong>Higher premiums for undocumented immigrants on Medi-Cal\u003c/strong>\u003c/p>\n\u003cp>As part of this year’s state budget deal, Medi-Cal recipients ages 19–59 with an immigration status \u003ca href=\"https://www.dhcs.ca.gov/Budget/Documents/DHCS-TBL-Policy-Changes-to-Individuals-with-UIS-Fact-Sheet.pdf\">the state considers “unsatisfactory”\u003c/a> — which includes both undocumented immigrants and those with a temporary status — will have to pay a $30 monthly premium starting in 2027.\u003c/p>\n\u003cp>Pregnant people will be exempt.\u003c/p>\n\u003cp>If someone misses three consecutive premium payments, they will be dropped from their coverage — and because of the 2026 enrollment freeze, they would be unable to reenroll.\u003c/p>\n\u003cp>\u003cstrong>Oct. 1, 2028: Minimum copays begin at the national level\u003c/strong>\u003c/p>\n\u003cp>The OBBB will also require Medicaid recipients in the “expansion population” to begin paying copays for medical care or services. States will set their own copays, but the OBBB requires the amount to be between $1 and $35 per service. There is an exception to this rule: copays are not required for primary care and services for mental health or substance use disorders.\u003c/p>\n\u003cp>Another caveat: The total amount that someone pays in copays in one year cannot exceed 5% of their income. This could make things confusing for individual states, Roby said.\u003c/p>\n\u003cp>“The state would have to track how much people are spending out of pocket on their cost sharing in order to make sure they don’t hit the 5% level,” he said.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Medi-Cal faces major changes under Trump’s new health care law, including enrollment freezes, premium hikes for undocumented immigrants and stricter eligibility rules that could impact millions of lower-income Californians.",
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"title": "On Medi-Cal? When to Expect New Rules, Higher Costs and Enrollment Freezes | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Weeks before President Donald Trump signed into law the \u003ca href=\"https://www.kqed.org/news/12047037/a-betrayal-bay-area-leaders-react-to-us-house-passing-trumps-tax-and-welfare-cuts\">massive spending and tax plan\u003c/a> known as the One Big Beautiful Bill, California officials warned about its potential impacts on \u003ca href=\"https://www.coveredca.com/health/medi-cal/\">Medi-Cal\u003c/a>, the state’s Medicaid program that covers over 15 million lower-income Californians.\u003c/p>\n\u003cp>Gov. Gavin Newsom \u003ca href=\"https://www.youtube.com/watch?v=5qqbn1FK1Ac\">called Trump’s budget plan\u003c/a> “reckless, cruel and damaging,” citing \u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2025/05/newsom-medicaid-impacts-memo.pdf\">state estimates\u003c/a> that up to 3.4 million Medi-Cal recipients could lose their coverage if the legislation moved forward. While the White House insists that the OBBB \u003ca href=\"https://www.whitehouse.gov/articles/2025/06/myth-vs-fact-the-one-big-beautiful-bill/\">will not kick people off their health care plan\u003c/a>, the back-and-forth has sown confusion among many Californians about their Medi-Cal coverage.\u003c/p>\n\u003cp>“What we’re hearing from members is: One, is my information protected? And two, have there been any changes to my benefits and when can I expect a change?” said Michael Hunn, CEO of CalOptima Health, which serves Medi-Cal patients in Orange County.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Hunn said that his team has been assuring members that their personal health information is protected and that “there have been no changes to either benefits or eligibility right now in California.”\u003c/p>\n\u003cp>“We don’t want any of our members to think that somehow their coverage or their health insurance has gone away because it has not,” he said. “Please continue to get the care you need.”\u003c/p>\n\u003cfigure id=\"attachment_12029302\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12029302\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/072820-Doctor-Pediatrician-Kid-GETTY-CM-01-copy.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/072820-Doctor-Pediatrician-Kid-GETTY-CM-01-copy.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/072820-Doctor-Pediatrician-Kid-GETTY-CM-01-copy-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/072820-Doctor-Pediatrician-Kid-GETTY-CM-01-copy-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/072820-Doctor-Pediatrician-Kid-GETTY-CM-01-copy-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/072820-Doctor-Pediatrician-Kid-GETTY-CM-01-copy-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/072820-Doctor-Pediatrician-Kid-GETTY-CM-01-copy-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A doctor examines a child at Southern Orange County Pediatric Associates in Ladera Ranch on July 28, 2020. \u003ccite>(Paul Bersebach/Orange County Register via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>While Medi-Cal remains the same for the time being, the OBBB — along with other state and federal legislation — is expected to bring \u003ca href=\"https://www.congress.gov/119/bills/hr1/BILLS-119hr1eas.pdf\">big changes to the program\u003c/a> in the coming years, impacting different groups of recipients.\u003c/p>\n\u003cp>Keep reading for a timeline of when these changes will kick in and how to prepare. We will be updating this guide as more information becomes available.\u003c/p>\n\u003ch2>\u003cstrong>Dec. 31, 2025: \u003c/strong>\u003c/h2>\n\u003cp>\u003cstrong>End of subsidies for those who bought health coverage through Covered California\u003c/strong>\u003c/p>\n\u003cp>In 2021, Congress approved additional tax credits for people who bought health insurance through an Affordable Care Act marketplace, with Covered California being one.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The subsidies include both Medicare and market-rate plans, making it easier for \u003ca href=\"https://www.kff.org/affordable-care-act/issue-brief/inflation-reduction-act-health-insurance-subsidies-what-is-their-impact-and-what-would-happen-if-they-expire/\">millions of Americans to buy health insurance\u003c/a>. But when the credits expire, it will be more expensive for folks to keep their current coverage.\u003c/p>\n\u003cp>According to the \u003ca href=\"https://www.kff.org/affordable-care-act/issue-brief/inflation-reduction-act-health-insurance-subsidies-what-is-their-impact-and-what-would-happen-if-they-expire/#:~:text=The%20enhanced%20subsidies%20in%20the%20Inflation%20Reduction%20Act%20reduce%20net%20premium%20costs%20by%2044%25%2C%20on%20average%2C%20for%20enrollees%20receiving%20premium%20tax%20credits%2C%20though%20the%20amount%20of%20savings%20varies%20by%20person.\">Kaiser Family Foundation\u003c/a>, a San Francisco-based public health research nonprofit, the average annual premium payment for Medicaid in 2024 decreased from $1,593 to $888 — a difference of $705.\u003c/p>\n\u003cp>Two income groups could see the biggest changes in their premiums, said Dylan Roby, professor of health, society and behavior at UC Irvine. “When people start getting their renewals this year for coverage, they will probably see their premiums skyrocket if they make under 150% of the federal poverty level or above 400% of the federal poverty level,” he said.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.coveredca.com/pdfs/FPL-chart.pdf\">CHART: See where your income falls according to the federal poverty level\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Without enhanced subsidies, people above 400% of the federal poverty level may have to pay the full monthly premium for their insurance. On the other hand, those under 150% of the federal poverty level who previously received enough subsidies to cover all their premiums would have to start paying for part of their coverage.\u003c/p>\n\u003cp>While Congress failed to renew the subsidies in the OBBB, it still has time to extend them this year before they end.\u003c/p>\n\u003ch2>\u003cstrong>Jan. 1, 2026: \u003c/strong>\u003c/h2>\n\u003cp>\u003cstrong>Medi-Cal begins to freeze new enrollment for undocumented Californians \u003c/strong>\u003c/p>\n\u003cp>California has gradually expanded Medi-Cal enrollment to lower-income undocumented immigrants, adding new age groups every few years. About 1.6 million undocumented Californians are now covered by Medi-Cal, but the expansion cost the state \u003ca href=\"https://www.kqed.org/news/12031544/providing-health-care-for-immigrants-is-costing-california-more-than-expected-is-coverage-at-risk\">$2.7 billion more than it originally projected\u003c/a>, CalMatters reported.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>As the state faces a growing deficit, \u003ca href=\"https://calmatters.org/politics/2025/06/california-budget-newsom-democrats/\">Newsom and the state Legislature agreed\u003c/a> to freeze Medi-Cal enrollment for undocumented immigrants who are 19 and older at the start of 2026. Then, on July 1, Medi-Cal will stop covering dental services for both undocumented individuals and those with an immigration status the \u003ca href=\"https://www.dhcs.ca.gov/Budget/Documents/DHCS-TBL-Policy-Changes-to-Individuals-with-UIS-Fact-Sheet.pdf\">state considers\u003c/a> “unsatisfactory.”\u003c/p>\n\u003cp>These cuts put at risk the yearslong work to improve health care access among the state’s undocumented community, said Adriana Ramos-Yamamoto, senior policy analyst at the California Budget and Policy Center.\u003c/p>\n\u003cp>“All of this progress is now under threat because of our own state budget deficit,” she said, adding that lawmakers in Sacramento are now under greater pressure as the federal government cuts down on funding for state programs. “We currently do not have the funding to help backfill any loss in federal funds.\u003c/p>\n\u003cp>“We really need state leaders to take bold action to equitably raise revenues to help mitigate the impact of these federal funding cuts to our state and Medi-Cal specifically.\u003c/p>\n\u003ch2>\u003cstrong>Dec. 31, 2026: \u003c/strong>\u003c/h2>\n\u003cp>\u003cstrong>States begin to roll out new Medicaid eligibility rules\u003c/strong>\u003c/p>\n\u003cp>When then-President Barack Obama \u003ca href=\"https://www.kqed.org/news/tag/affordable-care-act\">signed the Affordable Care Act\u003c/a> in 2010, it allowed adults ages 19–64 with incomes below 138% of the federal poverty level to qualify for Medicaid. Since then, \u003ca href=\"https://www.kff.org/medicaid/issue-brief/medicaid-expansion-is-a-red-and-blue-state-issue/\">over 21 million adults\u003c/a> have enrolled nationwide, including 5 million in Medi-Cal.\u003c/p>\n\u003cp>Under the OBBB, states must implement new eligibility requirements for this “expansion population”:\u003c/p>\n\u003cul>\n\u003cli>Individuals will now have to go through the Medicaid renewal process \u003ca href=\"https://www.kqed.org/news/11944543/on-medi\">with their county’s health and human services agency\u003c/a> every six months, instead of once a year.\u003c/li>\n\u003cli>Able-bodied adults without dependents must work, attend school classes or do community service for at least 80 hours each month. There are several exceptions, including if your state’s unemployment rate rises above 8%.\u003c/li>\n\u003c/ul>\n\u003cp>This will mean a lot more paperwork for both Medi-Cal recipients and the county offices managing these requirements, UC Irvine’s Roby said. “You could have somebody working two different jobs, but they don’t see the email coming from their eligibility office or maybe they changed addresses,” he said. “Because they don’t turn in proof that they’re working, they could lose their coverage.”\u003c/p>\n\u003cp>Individual states and counties will have two years to fully implement these changes, said Hunn from CalOptima Health, who added that his team will be working with Orange County officials to make sure that their members are aware of all the new forms they need to complete. “So they know when to look for certain envelopes,” he said, “and that they understand they have X number of days to complete that application redetermination package and turn it in.”\u003c/p>\n\u003cdiv class=\"mceTemp\">\u003c/div>\n\u003cfigure id=\"attachment_12047349\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-12047349\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/GettyImages-2216476723-2000x1363.jpg\" alt=\"\" width=\"2000\" height=\"1363\" srcset=\"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: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">US Speaker of the House Mike Johnson (R-La.) speaks to the media after the House narrowly passed a bill forwarding President Donald Trump’s agenda at the US Capitol on May 22, 2025, in Washington, DC. \u003ccite>(Kevin Dietsch/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003cstrong>Jan. 1, 2027: \u003c/strong>\u003c/h2>\n\u003cp>\u003cstrong>Higher premiums for undocumented immigrants on Medi-Cal\u003c/strong>\u003c/p>\n\u003cp>As part of this year’s state budget deal, Medi-Cal recipients ages 19–59 with an immigration status \u003ca href=\"https://www.dhcs.ca.gov/Budget/Documents/DHCS-TBL-Policy-Changes-to-Individuals-with-UIS-Fact-Sheet.pdf\">the state considers “unsatisfactory”\u003c/a> — which includes both undocumented immigrants and those with a temporary status — will have to pay a $30 monthly premium starting in 2027.\u003c/p>\n\u003cp>Pregnant people will be exempt.\u003c/p>\n\u003cp>If someone misses three consecutive premium payments, they will be dropped from their coverage — and because of the 2026 enrollment freeze, they would be unable to reenroll.\u003c/p>\n\u003cp>\u003cstrong>Oct. 1, 2028: Minimum copays begin at the national level\u003c/strong>\u003c/p>\n\u003cp>The OBBB will also require Medicaid recipients in the “expansion population” to begin paying copays for medical care or services. States will set their own copays, but the OBBB requires the amount to be between $1 and $35 per service. There is an exception to this rule: copays are not required for primary care and services for mental health or substance use disorders.\u003c/p>\n\u003cp>Another caveat: The total amount that someone pays in copays in one year cannot exceed 5% of their income. This could make things confusing for individual states, Roby said.\u003c/p>\n\u003cp>“The state would have to track how much people are spending out of pocket on their cost sharing in order to make sure they don’t hit the 5% level,” he said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"id": "american-suburb-podcast",
"title": "American Suburb: The Podcast",
"tagline": "The flip side of gentrification, told through one town",
"info": "Gentrification is changing cities across America, forcing people from neighborhoods they have long called home. Call them the displaced. Now those priced out of the Bay Area are looking for a better life in an unlikely place. American Suburb follows this migration to one California town along the Delta, 45 miles from San Francisco. But is this once sleepy suburb ready for them?",
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"order": 19
},
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}
},
"baycurious": {
"id": "baycurious",
"title": "Bay Curious",
"tagline": "Exploring the Bay Area, one question at a time",
"info": "KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.",
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},
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},
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"info": "The day's top stories from BBC News compiled twice daily in the week, once at weekends.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg",
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},
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},
"californiareport": {
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"tagline": "California, day by day",
"info": "KQED’s statewide radio news program providing daily coverage of issues, trends and public policy decisions.",
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"officialWebsiteLink": "/californiareport",
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"order": 8
},
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},
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"title": "The California Report Magazine",
"tagline": "Your state, your stories",
"info": "Every week, The California Report Magazine takes you on a road trip for the ears: to visit the places and meet the people who make California unique. The in-depth storytelling podcast from the California Report.",
"airtime": "FRI 4:30pm-5pm, 6:30pm-7pm, 11pm-11:30pm",
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"order": 10
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM3NjkwNjk1OTAz",
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},
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"info": "A one-hour radio program to hear celebrated writers, artists and thinkers address contemporary ideas and values, often discussing the creative process. Please note: tapes or transcripts are not available",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/05/cityartsandlecture-300x300.jpg",
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"airtime": "SUN 1pm-2pm, TUE 10pm, WED 1am",
"meta": {
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"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
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"order": 1
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"title": "Code Switch / Life Kit",
"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
"airtime": "THU 10pm, FRI 1am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
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"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
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}
},
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"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
"airtime": "MON-FRI 9am-11am, 10pm-11pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
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"source": "kqed",
"order": 9
},
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"id": "freakonomics-radio",
"title": "Freakonomics Radio",
"info": "Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. It is produced in partnership with WNYC.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/freakonomicsRadio.png",
"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
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"id": "fresh-air",
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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"hidden-brain": {
"id": "hidden-brain",
"title": "Hidden Brain",
"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"officialWebsiteLink": "https://www.npr.org/series/423302056/hidden-brain",
"airtime": "SUN 7pm-8pm",
"meta": {
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"source": "NPR"
},
"link": "/radio/program/hidden-brain",
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"how-i-built-this": {
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"title": "How I Built This with Guy Raz",
"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
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"airtime": "SUN 7:30pm-8pm",
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"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
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"order": 18
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},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
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"source": "npr"
},
"link": "/radio/program/latino-usa",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
"site": "news",
"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
}
},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Masters-of-Scale-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
"site": "radio",
"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
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"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
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