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"content": "\u003cp>The Department of Health and Human Services announced Tuesday that it would cancel nearly half a billion dollars in \u003ca href=\"https://www.kqed.org/news/11933882/beyond-vaccines-biotech-is-booming-in-the-bay-area-despite-a-cooling-economy\">mRNA vaccine\u003c/a> contracts, including with a company based in the East Bay — a move that experts said was based on unfounded safety concerns.\u003c/p>\n\u003cp>After Health and Human Services Secretary Robert F. Kennedy Jr. said the department would wind down its investments in the technology \u003ca href=\"https://www.kqed.org/news/11849045/pfizer-and-moderna-covid-19-vaccines-breathtakingly-effective-says-ucsfs-dr-robert-wachter\">first used to vaccinate against COVID-19\u003c/a>, experts called the move “frightening” and said it could hamper biomedical companies’ ability to prepare for future virus outbreaks.\u003c/p>\n\u003cp>“Have we already forgotten this quickly what these vaccines actually did for us during COVID-19? How many lives they saved — millions of lives,” asked Dr. Abraar Karan, who researches emerging vaccinations against COVID-19, bird flu and other infectious diseases at Stanford University. “Actually, that was a proof of concept that we need to be investing more, not less, in this technology.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>A total of 22 pulled investments include contracts with Emory University and funding for a trial at Emeryville-based Gritstone, which primarily focuses on cancer research and was \u003ca href=\"https://www.biospace.com/gritstone-bio-announces-update-to-comparative-phase-2b-covid-19-clinical-trial\">granted HHS funding to test a new COVID-19 vaccine\u003c/a> meant to have longer durability and protection from existing and emerging strains of the virus in 2023. The company did not respond to KQED’s request for comment about what programs the cuts will affect.\u003c/p>\n\u003cp>Vaccinations that use mRNA technology, like the Moderna and Pfizer shots that were rolled out to fight COVID-19 in 2021, protect people by generating a fragment of the virus to initiate an immune response in the body. They’re considered to be one of the best tools scientists have against fast-moving and changing illnesses — like those that cause pandemics — because they can be created and tested more quickly than older “whole-virus” inoculations, and can be altered more easily as illnesses evolve.\u003c/p>\n\u003cfigure id=\"attachment_11900064\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11900064\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/12/GettyImages-1237257297-scaled.jpg\" alt='A small glass vial on a table with a label that reads, \"Moderna OCVID-19 Vaccine.\"' width=\"2560\" height=\"1707\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/12/GettyImages-1237257297-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/12/GettyImages-1237257297-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/12/GettyImages-1237257297-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/12/GettyImages-1237257297-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/12/GettyImages-1237257297-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/12/GettyImages-1237257297-2048x1365.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/12/GettyImages-1237257297-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">A dose of the Moderna COVID-19 vaccine awaits administration at a vaccination clinic in Los Angeles on Dec. 15, 2021. \u003ccite>(Frederic J. Brown/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Despite a strong body of research showing their safety and effectiveness, Kennedy and the Trump administration have repeatedly called the vaccines dangerous.\u003c/p>\n\u003cp>In a video posted Tuesday on Instagram explaining the canceled mRNA investments, Kennedy falsely claimed that the vaccines “don’t perform well against viruses that affect the upper respiratory tract,” and said that one mutation in a virus can render them ineffective.\u003c/p>\n\u003cp>Karan said that Kennedy’s assertion, which has become prominent among a rising cohort of vaccine-skeptical Americans, is based on the idea that the shots are meant to prohibit respiratory illnesses entirely, and can retain full effectiveness long-term.\u003c/p>\n\u003cp>“That’s not really the standard we use for any vaccines,” he told KQED. “We used to give people flu shots, and we would say, ‘This can help reduce the duration of symptoms. It can make it so that you’re not sick for five days, maybe for two or three days.’[aside postID=news_12045979 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/GettyImages-1668874864-1020x646.jpg']“It’s reducing the severity of severe disease — that was sort of the standard,” he continued.\u003c/p>\n\u003cp>Kennedy also claimed in the social media video that the mRNA COVID-19 vaccines encourage the disease to mutate, and can be rendered ineffective by a single mutation.\u003c/p>\n\u003cp>Karan said that’s “fundamentally untrue.”\u003c/p>\n\u003cp>“With RNA viruses, you’ve got a lot of mutations going on constantly, so vaccines need to be updated,” he said.\u003c/p>\n\u003cp>Take flu shots, for example. The U.S. produces whole-virus vaccines for influenza, which contain dead or weakened strains of the virus, as opposed to the fragment isolated in mRNA shots, but “you still run into the same problem,” according to Karan. “We have to update flu vaccines every year as well.”\u003c/p>\n\u003cp>Catherine Flores, the executive director of the California Immunization Coalition, said she’s worried that Kennedy’s history of comments about mRNA and other vaccines, coupled with the pulled funding, could cause more people to fear vaccinations in general, even when they’ve been proven to be safe and effective.\u003c/p>\n\u003cp>This year, the U.S. has already recorded \u003ca href=\"https://apnews.com/article/measles-outbreak-texas-rfk-vaccines-8cf4641b04731c713edb524ca943490c\">its highest number of measles cases\u003c/a> in three decades due to outbreaks beginning in undervaccinated parts of West Texas.\u003c/p>\n\u003cfigure id=\"attachment_12028314\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12028314\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/FluGetty.jpg\" alt=\"\" width=\"2000\" height=\"1405\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/FluGetty.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/FluGetty-800x562.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/FluGetty-1020x717.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/FluGetty-160x112.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/FluGetty-1536x1079.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/FluGetty-1920x1349.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A CVS in Huntington Park on Aug. 28, 2024. \u003ccite>(Christina House/Los Angeles Times via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Following the Texas outbreak, Kennedy \u003ca href=\"https://www.npr.org/sections/shots-health-news/2025/04/07/nx-s1-5354900/hhs-rfk-endorses-mmr-measles-vaccine-stoking-supporters-fury\">endorsed the measles vaccine in April\u003c/a>, but he’s historically been skeptical of it and has been a central figure in a \u003ca href=\"https://www.kqed.org/science/1997008/the-marin-town-where-rfk-jr-s-message-took-root\">rising movement questioning overall vaccine safety\u003c/a> and effectiveness. The U.S.’s overall vaccination rate against the virus has \u003ca href=\"https://hub.jhu.edu/2025/06/03/united-states-measles-vaccination-rate-declines/\">fallen 2.5%\u003c/a> since 2020.\u003c/p>\n\u003cp>While the U.S. is currently considered to have eliminated measles, it will lose that status if the disease continues to spread for a year without interruption.\u003c/p>\n\u003cp>“It’s insidious,” Flores said. “Because [Kennedy] has this title and this platform … some people are going to hear it and other people are going to start thinking twice about [vaccines], whereas before maybe they didn’t have those doubts. How many people just won’t vaccinate now because of that creation of doubt that he’s planting?”\u003c/p>\n\u003cp>In addition to its potential effect on vaccination rates, which are key to the “\u003ca href=\"https://www.who.int/news-room/questions-and-answers/item/herd-immunity-lockdowns-and-covid-19\">herd immunity\u003c/a>” so often referenced during the pandemic, Flores is worried that cutting investment in new technology could leave the U.S. underprepared for future viral outbreaks.[aside postID=news_12044201 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/VaccinationsStory.jpg']The move comes just two months after HHS cancelled a more than \u003ca href=\"https://www.npr.org/2025/05/28/nx-s1-5414642/trump-vaccine-bird-flu-mrna'\">$750 million contract with Moderna\u003c/a> to develop a vaccine protecting against flu strains with pandemic potential, including bird flu. The deal was coupled with benefits such as the right to purchase shots for Americans ahead of a potential bird flu pandemic. For years, scientists have been warning that the virus that right now rarely transfers from person to person could mutate to be more infectious.\u003c/p>\n\u003cp>“The mRNA technology that we had ready to go when COVID-19 started happening was because of all the research that was going on in the past,” Flores told KQED. “It just didn’t happen. It was already under study and use and investigation, and so this can set a lot of projects, a lot of opportunities, back.”\u003c/p>\n\u003cp>Health and Human Services said in its announcement that its Biomedical Advanced Research and Development Authority division, which housed the mRNA research projects, would shift to focus on vaccines with “stronger safety records” and more “transparent” practices, including whole-virus vaccines — like those in flu shots — and new technologies.\u003c/p>\n\u003cp>It’s unclear how the divestment will affect overall mRNA research, though Flores believes it will be harder and more costly for companies. She and Karan both said that the latest mRNA booster shots tailored to emerging strains of COVID-19 should roll out as scheduled this fall, but how companies plan to research and develop future shots is unknown.\u003c/p>\n\u003cp>At a press conference in Alaska later Tuesday, Kennedy said work was underway on an alternative “universal vaccine” to protect against COVID-19 and the flu.\u003c/p>\n\u003cp>\u003cem>KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/carlysevern\">\u003cem>Carly Severn\u003c/em>\u003c/a>\u003cem> contributed to this report.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Department of Health and Human Services announced Tuesday that it would cancel nearly half a billion dollars in \u003ca href=\"https://www.kqed.org/news/11933882/beyond-vaccines-biotech-is-booming-in-the-bay-area-despite-a-cooling-economy\">mRNA vaccine\u003c/a> contracts, including with a company based in the East Bay — a move that experts said was based on unfounded safety concerns.\u003c/p>\n\u003cp>After Health and Human Services Secretary Robert F. Kennedy Jr. said the department would wind down its investments in the technology \u003ca href=\"https://www.kqed.org/news/11849045/pfizer-and-moderna-covid-19-vaccines-breathtakingly-effective-says-ucsfs-dr-robert-wachter\">first used to vaccinate against COVID-19\u003c/a>, experts called the move “frightening” and said it could hamper biomedical companies’ ability to prepare for future virus outbreaks.\u003c/p>\n\u003cp>“Have we already forgotten this quickly what these vaccines actually did for us during COVID-19? How many lives they saved — millions of lives,” asked Dr. Abraar Karan, who researches emerging vaccinations against COVID-19, bird flu and other infectious diseases at Stanford University. “Actually, that was a proof of concept that we need to be investing more, not less, in this technology.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>A total of 22 pulled investments include contracts with Emory University and funding for a trial at Emeryville-based Gritstone, which primarily focuses on cancer research and was \u003ca href=\"https://www.biospace.com/gritstone-bio-announces-update-to-comparative-phase-2b-covid-19-clinical-trial\">granted HHS funding to test a new COVID-19 vaccine\u003c/a> meant to have longer durability and protection from existing and emerging strains of the virus in 2023. The company did not respond to KQED’s request for comment about what programs the cuts will affect.\u003c/p>\n\u003cp>Vaccinations that use mRNA technology, like the Moderna and Pfizer shots that were rolled out to fight COVID-19 in 2021, protect people by generating a fragment of the virus to initiate an immune response in the body. They’re considered to be one of the best tools scientists have against fast-moving and changing illnesses — like those that cause pandemics — because they can be created and tested more quickly than older “whole-virus” inoculations, and can be altered more easily as illnesses evolve.\u003c/p>\n\u003cfigure id=\"attachment_11900064\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11900064\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/12/GettyImages-1237257297-scaled.jpg\" alt='A small glass vial on a table with a label that reads, \"Moderna OCVID-19 Vaccine.\"' width=\"2560\" height=\"1707\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/12/GettyImages-1237257297-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/12/GettyImages-1237257297-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/12/GettyImages-1237257297-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/12/GettyImages-1237257297-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/12/GettyImages-1237257297-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/12/GettyImages-1237257297-2048x1365.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/12/GettyImages-1237257297-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">A dose of the Moderna COVID-19 vaccine awaits administration at a vaccination clinic in Los Angeles on Dec. 15, 2021. \u003ccite>(Frederic J. Brown/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Despite a strong body of research showing their safety and effectiveness, Kennedy and the Trump administration have repeatedly called the vaccines dangerous.\u003c/p>\n\u003cp>In a video posted Tuesday on Instagram explaining the canceled mRNA investments, Kennedy falsely claimed that the vaccines “don’t perform well against viruses that affect the upper respiratory tract,” and said that one mutation in a virus can render them ineffective.\u003c/p>\n\u003cp>Karan said that Kennedy’s assertion, which has become prominent among a rising cohort of vaccine-skeptical Americans, is based on the idea that the shots are meant to prohibit respiratory illnesses entirely, and can retain full effectiveness long-term.\u003c/p>\n\u003cp>“That’s not really the standard we use for any vaccines,” he told KQED. “We used to give people flu shots, and we would say, ‘This can help reduce the duration of symptoms. It can make it so that you’re not sick for five days, maybe for two or three days.’\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“It’s reducing the severity of severe disease — that was sort of the standard,” he continued.\u003c/p>\n\u003cp>Kennedy also claimed in the social media video that the mRNA COVID-19 vaccines encourage the disease to mutate, and can be rendered ineffective by a single mutation.\u003c/p>\n\u003cp>Karan said that’s “fundamentally untrue.”\u003c/p>\n\u003cp>“With RNA viruses, you’ve got a lot of mutations going on constantly, so vaccines need to be updated,” he said.\u003c/p>\n\u003cp>Take flu shots, for example. The U.S. produces whole-virus vaccines for influenza, which contain dead or weakened strains of the virus, as opposed to the fragment isolated in mRNA shots, but “you still run into the same problem,” according to Karan. “We have to update flu vaccines every year as well.”\u003c/p>\n\u003cp>Catherine Flores, the executive director of the California Immunization Coalition, said she’s worried that Kennedy’s history of comments about mRNA and other vaccines, coupled with the pulled funding, could cause more people to fear vaccinations in general, even when they’ve been proven to be safe and effective.\u003c/p>\n\u003cp>This year, the U.S. has already recorded \u003ca href=\"https://apnews.com/article/measles-outbreak-texas-rfk-vaccines-8cf4641b04731c713edb524ca943490c\">its highest number of measles cases\u003c/a> in three decades due to outbreaks beginning in undervaccinated parts of West Texas.\u003c/p>\n\u003cfigure id=\"attachment_12028314\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12028314\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/FluGetty.jpg\" alt=\"\" width=\"2000\" height=\"1405\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/FluGetty.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/FluGetty-800x562.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/FluGetty-1020x717.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/FluGetty-160x112.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/FluGetty-1536x1079.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/FluGetty-1920x1349.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A CVS in Huntington Park on Aug. 28, 2024. \u003ccite>(Christina House/Los Angeles Times via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Following the Texas outbreak, Kennedy \u003ca href=\"https://www.npr.org/sections/shots-health-news/2025/04/07/nx-s1-5354900/hhs-rfk-endorses-mmr-measles-vaccine-stoking-supporters-fury\">endorsed the measles vaccine in April\u003c/a>, but he’s historically been skeptical of it and has been a central figure in a \u003ca href=\"https://www.kqed.org/science/1997008/the-marin-town-where-rfk-jr-s-message-took-root\">rising movement questioning overall vaccine safety\u003c/a> and effectiveness. The U.S.’s overall vaccination rate against the virus has \u003ca href=\"https://hub.jhu.edu/2025/06/03/united-states-measles-vaccination-rate-declines/\">fallen 2.5%\u003c/a> since 2020.\u003c/p>\n\u003cp>While the U.S. is currently considered to have eliminated measles, it will lose that status if the disease continues to spread for a year without interruption.\u003c/p>\n\u003cp>“It’s insidious,” Flores said. “Because [Kennedy] has this title and this platform … some people are going to hear it and other people are going to start thinking twice about [vaccines], whereas before maybe they didn’t have those doubts. How many people just won’t vaccinate now because of that creation of doubt that he’s planting?”\u003c/p>\n\u003cp>In addition to its potential effect on vaccination rates, which are key to the “\u003ca href=\"https://www.who.int/news-room/questions-and-answers/item/herd-immunity-lockdowns-and-covid-19\">herd immunity\u003c/a>” so often referenced during the pandemic, Flores is worried that cutting investment in new technology could leave the U.S. underprepared for future viral outbreaks.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The move comes just two months after HHS cancelled a more than \u003ca href=\"https://www.npr.org/2025/05/28/nx-s1-5414642/trump-vaccine-bird-flu-mrna'\">$750 million contract with Moderna\u003c/a> to develop a vaccine protecting against flu strains with pandemic potential, including bird flu. The deal was coupled with benefits such as the right to purchase shots for Americans ahead of a potential bird flu pandemic. For years, scientists have been warning that the virus that right now rarely transfers from person to person could mutate to be more infectious.\u003c/p>\n\u003cp>“The mRNA technology that we had ready to go when COVID-19 started happening was because of all the research that was going on in the past,” Flores told KQED. “It just didn’t happen. It was already under study and use and investigation, and so this can set a lot of projects, a lot of opportunities, back.”\u003c/p>\n\u003cp>Health and Human Services said in its announcement that its Biomedical Advanced Research and Development Authority division, which housed the mRNA research projects, would shift to focus on vaccines with “stronger safety records” and more “transparent” practices, including whole-virus vaccines — like those in flu shots — and new technologies.\u003c/p>\n\u003cp>It’s unclear how the divestment will affect overall mRNA research, though Flores believes it will be harder and more costly for companies. She and Karan both said that the latest mRNA booster shots tailored to emerging strains of COVID-19 should roll out as scheduled this fall, but how companies plan to research and develop future shots is unknown.\u003c/p>\n\u003cp>At a press conference in Alaska later Tuesday, Kennedy said work was underway on an alternative “universal vaccine” to protect against COVID-19 and the flu.\u003c/p>\n\u003cp>\u003cem>KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/carlysevern\">\u003cem>Carly Severn\u003c/em>\u003c/a>\u003cem> contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>In recent weeks, the Bay Area’s trans community has experienced a series of painful political setbacks, following a wave of backlash across the country.\u003c/p>\n\u003cp>On July 24, \u003ca href=\"https://www.kqed.org/news/12049555/kaiser-to-stop-gender-affirming-surgeries-for-minors-leaving-trans-kids-with-fewer-options\">Oakland-based Kaiser Permanente\u003c/a> said it would join a growing list of medical providers in the state to roll back or fully restrict gender-affirming surgical treatment for trans youth in July, \u003ca href=\"https://www.kqed.org/news/12049666/nowhere-else-to-go-sf-families-protest-kaisers-new-limits-on-gender-affirming-care\">leaving patients and families with few options\u003c/a> for care.\u003c/p>\n\u003cp>Kaiser cited a challenging “legal and regulatory environment” — a clear takeaway from the Trump administration’s January \u003ca href=\"https://www.whitehouse.gov/presidential-actions/2025/01/protecting-children-from-chemical-and-surgical-mutilation/\">executive order\u003c/a> that sought to target funding and other support for hospitals that provide such care. And last month, the \u003ca href=\"https://www.justice.gov/opa/pr/department-justice-subpoenas-doctors-and-clinics-involved-performing-transgender-medical\">Department of Justice subpoenaed\u003c/a> more than 20 doctors and clinics that perform gender-affirming procedures on minors.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>California has pushed back, with state Attorney General Rob Bonta \u003ca href=\"https://www.kqed.org/news/12050618/california-sues-trump-administration-over-efforts-to-deny-gender-affirming-health-care\">filing a lawsuit\u003c/a> against the administration on Friday on behalf of more than a dozen other states. Bonta framed the issue as a life-and-death matter, citing the higher rates of suicide and other forms of self-harm among young people whose assigned gender at birth doesn’t match their identity. To deny these youth lifesaving care, Bonta argued, is both “cruel and irresponsible.”\u003c/p>\n\u003cp>According to Shannon Minter, legal director at the National Center for LGBTQ Rights and a longtime civil rights attorney, Trump’s order represents a broader legal threat to doctor-patient confidentiality and sets a troubling precedent for federal overreach.\u003c/p>\n\u003cp>Minter, who led the fight for marriage equality in California’s landmark 2009 case, spoke with KQED from his home in East Texas about the legal implications of this order — and why everyone, not just trans people, should be paying attention.\u003c/p>\n\u003cfigure id=\"attachment_12051038\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12051038 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/ShannonMinter.jpg\" alt=\"\" width=\"800\" height=\"640\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/ShannonMinter.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/ShannonMinter-160x128.jpg 160w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Shannon Minter is the legal director at the National Center for LGBTQ Rights and a civil rights attorney. Minter criticized President Donald Trump’s criminalization of health care for trans youth and said the president’s executive orders have no legal basis. \u003ccite>(Courtesy of Shannon Minter)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>KQED:\u003c/strong> Could I get your initial reaction to the news that California is suing the Trump administration over the president’s successful efforts to deny gender-affirming care to youth across the country?\u003c/p>\n\u003cp>\u003cstrong>Minter: \u003c/strong>I’m very grateful to California for pushing back on this. I don’t think I’ve ever seen anything like this level of intimidation and bullying and harassment from the federal government going after medical providers. And it’s just absolutely essential that states stand up for patients and for the families who need this care and for medical privacy for all of us.\u003c/p>\n\u003cp>\u003cstrong>KQED:\u003c/strong> What is the legal basis for Trump’s executive orders? Is there a precedent for this kind of top-down action?\u003c/p>\n\u003cp>\u003cstrong>Minter:\u003c/strong> Unprecedented, and there is absolutely zero legal basis for these orders. The federal government has ordered the Department of Justice to threaten — with criminal and civil prosecution — hospitals who are simply providing medical care to these young people. The lawsuit points out that there is no basis for it.[aside postID=news_12050618 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/20250725_KaiserTransProtest_GC-7_qed.jpg']This is really mafia-like behavior on the part of the federal government, just pure intimidation and coercion. There is not a single federal law that in any way prohibits, much less criminalizes, providing medical care to these young people.\u003c/p>\n\u003cp>\u003cstrong>KQED:\u003c/strong> What are the chances of success for this lawsuit?\u003c/p>\n\u003cp>\u003cstrong>Minter: \u003c/strong>Very, very high. Some of the challenges are tougher than others. This one, I think, has got an extremely high likelihood of success because there’s just no legal foundation for what the federal government is doing here.\u003c/p>\n\u003cp>There’s literally no federal law that supports them coming after these hospitals and asking for medical records and threatening some kind of vague civil or criminal prosecution. That’s just not the way our legal system works.\u003c/p>\n\u003cp>The federal government, if they’re going to threaten any of us with a criminal prosecution or civil prosecution, they have to be able to point to a law that we are allegedly violating. And the problem for the federal government here, is there is no federal law that prohibits doctors or hospitals from providing this medical care.\u003c/p>\n\u003cp>There’s just nothing to back up this use of force by the Department of Justice. That’s why I say this is really kind of like mafia-like behavior. It’s just a sheer exercise of federal coercion and abuse of federal power. And I do believe the courts will shut this down very quickly.\u003c/p>\n\u003cfigure id=\"attachment_12029440\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12029440\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/TransIdentityAP.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/TransIdentityAP.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/TransIdentityAP-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/TransIdentityAP-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/TransIdentityAP-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/TransIdentityAP-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/TransIdentityAP-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A protester is silhouetted against a trans pride flag during a pro-transgender rights protest outside of Seattle Children’s Hospital, in Seattle, on Feb. 9, 2025. \u003ccite>(Lindsey Wasson/AP Photo)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>KQED: \u003c/strong>And a presidential executive order doesn’t count as legal precedent?\u003c/p>\n\u003cp>\u003cstrong>Minter: \u003c/strong>No, no, the president can’t just make something up out of thin air and threaten criminal prosecution based on an executive order.\u003c/p>\n\u003cp>\u003cstrong>KQED: \u003c/strong>What legal rights to care do young people seeking gender-affirming care in California have in California?\u003c/p>\n\u003cp>\u003cstrong>Minter:\u003c/strong> California, as well as many other states, have enacted laws that prohibit discrimination against transgender people in health care. Those laws are fully operative in California and many other states.\u003c/p>\n\u003cp>And that’s also one of the bases for the claims in this lawsuit: that the federal government is trying to interfere with and override state law in an area in which the federal government has no business.\u003c/p>\n\u003cp>Nothing in our Constitution gives the federal government any authority whatsoever to regulate medical care. That’s something that is left to the states. Traditionally, in our system of government, that’s something the states do.\u003c/p>\n\u003cp>The 10th Amendment prohibits the federal government from doing anything to interfere with areas in which states have authority. And so this lawsuit is saying, among other things, this order violates the 10th Amendment.\u003c/p>\n\u003cfigure id=\"attachment_12050962\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12050962\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/20250725_KaiserTransProtest_GC-14_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/20250725_KaiserTransProtest_GC-14_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/20250725_KaiserTransProtest_GC-14_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/20250725_KaiserTransProtest_GC-14_qed-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Union nurses and community supporters rally outside of Kaiser Permanente, honoring transgender patients affected by Kaiser’s decision to halt gender-affirming care to minors, on July 25, 2025. \u003ccite>(Gina Castro/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>KQED: \u003c/strong>Is it not ironic that the federal government is typically in favor of states’ rights when it comes to regulating issues like abortion, but then, when it comes to gender-affirming care, the federal government is now actively interfering with state laws?\u003c/p>\n\u003cp>\u003cstrong>Minter:\u003c/strong> It is ironic. I really hope people recognize the federal government is taking advantage of the fact that many people don’t know much about transgender people.\u003c/p>\n\u003cp>They may think, ‘Oh, this has nothing to do with me.’\u003c/p>\n\u003cp>Maybe people even don’t approve of the care themselves, so they’re not paying attention to it. But this sets a terrible precedent. This is the federal government literally coming in, demanding private patient medical records from hospitals, and also purporting to tell states and hospitals how to perform health care, like what types of care they can and cannot perform.\u003c/p>\n\u003cp>This is a federal takeover of our state health care system, getting us all used to the idea that the federal government can demand any of our private records anytime they want to for any reason they want to. That is so dangerous.\u003c/p>\n\u003cp>\u003cstrong>KQED: \u003c/strong>What’s at stake for the young people and families who are being affected by this?[aside postID=news_12049666 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/20250725_KaiserTransProtest_GC-31_qed.jpg']\u003cstrong>Minter:\u003c/strong> It’s terrible for these families. Nobody knows a child better than that child’s parents. These are parents who have been through a process consulting with medical experts, coming to terms with the fact that their child has a very serious medical condition — gender dysphoria — and that their child is among the very small number of young people who really need and benefit from medical treatment for that condition.\u003c/p>\n\u003cp>This care is so effective, and many kids who receive it are doing great. There was a really comprehensive study systematic review that was just \u003ca href=\"https://www.sltrib.com/news/politics/2025/05/22/utah-lawmakers-own-study-found/\">conducted by the University of Utah\u003c/a> that looked at every available study on this topic and found that the care is safe and effective, that it significantly reduces suicidality in young people. And that there are virtually no regrets — almost no one who obtains this care has any reason to wish they hadn’t.\u003c/p>\n\u003cp>Losing that care for these families is really devastating. You can only imagine — if you know your child is getting the care they need, and they’re doing great, and you know what will happen if they lose that care, that they’re going to be really severely harmed. Parents are in a panic, understandably.\u003c/p>\n\u003cp>\u003cstrong>KQED:\u003c/strong> What other legal action can the state or patients and their allies take?\u003c/p>\n\u003cp>\u003cstrong>Minter: \u003c/strong>Well, the state is doing the best thing it can do, which is ask a federal court to tell the federal government to knock it off and to leave these providers alone.\u003c/p>\n\u003cp>In terms of what families can do, a lot of families are making sure to notify these hospitals that they do not give the hospitals permission in any way, shape or form to share their private medical records. So that’s always a good thing to do.\u003c/p>\n\u003cp>All of us can reach out to these hospitals and express support and tell them, please do keep providing this care and please do not cooperate with these unlawful subpoenas. We don’t want hospitals to ever, ever violate their oath of confidentiality to patients. The more everyone can speak up and not be misled — don’t be distracted by the fact that this is about one particular group of people. This is really about protecting all of our medical freedom and the privacy of our medical information.\u003c/p>\n\u003cp>\u003cstrong>KQED: \u003c/strong>Do you think Bonta should sue providers for denying patients their legal care or are providers in between a rock and a hard place?\u003c/p>\n\u003cp>\u003cstrong>Minter: \u003c/strong>I do think that providers need to comply with state law.\u003c/p>\n\u003cp>I understand it’s frightening to be served with a subpoena by the federal government. But it’s disappointing to see providers pausing the care. I think we might have a moment of grace — maybe it was a spur-of-the-moment reaction to being served with the subpoena like that.\u003c/p>\n\u003cp>But it’s unlawful, it’s wrong, they’re betraying their patients and they need to get back to providing this care. And if they don’t, yes — I think the attorney general can and will and should sue them if necessary. I like to think it wouldn’t come to that.\u003c/p>\n\u003cp>Families can also sue them, and I’m pretty sure that will happen if these providers recover and get back to doing what they’re supposed to be doing, which is serve all their patients. Of course, you can’t just decide you’re gonna stop providing care to a particular group of people because the federal government is targeting that group. That is really a blatant violation of California law.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>In recent weeks, the Bay Area’s trans community has experienced a series of painful political setbacks, following a wave of backlash across the country.\u003c/p>\n\u003cp>On July 24, \u003ca href=\"https://www.kqed.org/news/12049555/kaiser-to-stop-gender-affirming-surgeries-for-minors-leaving-trans-kids-with-fewer-options\">Oakland-based Kaiser Permanente\u003c/a> said it would join a growing list of medical providers in the state to roll back or fully restrict gender-affirming surgical treatment for trans youth in July, \u003ca href=\"https://www.kqed.org/news/12049666/nowhere-else-to-go-sf-families-protest-kaisers-new-limits-on-gender-affirming-care\">leaving patients and families with few options\u003c/a> for care.\u003c/p>\n\u003cp>Kaiser cited a challenging “legal and regulatory environment” — a clear takeaway from the Trump administration’s January \u003ca href=\"https://www.whitehouse.gov/presidential-actions/2025/01/protecting-children-from-chemical-and-surgical-mutilation/\">executive order\u003c/a> that sought to target funding and other support for hospitals that provide such care. And last month, the \u003ca href=\"https://www.justice.gov/opa/pr/department-justice-subpoenas-doctors-and-clinics-involved-performing-transgender-medical\">Department of Justice subpoenaed\u003c/a> more than 20 doctors and clinics that perform gender-affirming procedures on minors.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>California has pushed back, with state Attorney General Rob Bonta \u003ca href=\"https://www.kqed.org/news/12050618/california-sues-trump-administration-over-efforts-to-deny-gender-affirming-health-care\">filing a lawsuit\u003c/a> against the administration on Friday on behalf of more than a dozen other states. Bonta framed the issue as a life-and-death matter, citing the higher rates of suicide and other forms of self-harm among young people whose assigned gender at birth doesn’t match their identity. To deny these youth lifesaving care, Bonta argued, is both “cruel and irresponsible.”\u003c/p>\n\u003cp>According to Shannon Minter, legal director at the National Center for LGBTQ Rights and a longtime civil rights attorney, Trump’s order represents a broader legal threat to doctor-patient confidentiality and sets a troubling precedent for federal overreach.\u003c/p>\n\u003cp>Minter, who led the fight for marriage equality in California’s landmark 2009 case, spoke with KQED from his home in East Texas about the legal implications of this order — and why everyone, not just trans people, should be paying attention.\u003c/p>\n\u003cfigure id=\"attachment_12051038\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12051038 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/ShannonMinter.jpg\" alt=\"\" width=\"800\" height=\"640\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/ShannonMinter.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/ShannonMinter-160x128.jpg 160w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Shannon Minter is the legal director at the National Center for LGBTQ Rights and a civil rights attorney. Minter criticized President Donald Trump’s criminalization of health care for trans youth and said the president’s executive orders have no legal basis. \u003ccite>(Courtesy of Shannon Minter)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>KQED:\u003c/strong> Could I get your initial reaction to the news that California is suing the Trump administration over the president’s successful efforts to deny gender-affirming care to youth across the country?\u003c/p>\n\u003cp>\u003cstrong>Minter: \u003c/strong>I’m very grateful to California for pushing back on this. I don’t think I’ve ever seen anything like this level of intimidation and bullying and harassment from the federal government going after medical providers. And it’s just absolutely essential that states stand up for patients and for the families who need this care and for medical privacy for all of us.\u003c/p>\n\u003cp>\u003cstrong>KQED:\u003c/strong> What is the legal basis for Trump’s executive orders? Is there a precedent for this kind of top-down action?\u003c/p>\n\u003cp>\u003cstrong>Minter:\u003c/strong> Unprecedented, and there is absolutely zero legal basis for these orders. The federal government has ordered the Department of Justice to threaten — with criminal and civil prosecution — hospitals who are simply providing medical care to these young people. The lawsuit points out that there is no basis for it.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>This is really mafia-like behavior on the part of the federal government, just pure intimidation and coercion. There is not a single federal law that in any way prohibits, much less criminalizes, providing medical care to these young people.\u003c/p>\n\u003cp>\u003cstrong>KQED:\u003c/strong> What are the chances of success for this lawsuit?\u003c/p>\n\u003cp>\u003cstrong>Minter: \u003c/strong>Very, very high. Some of the challenges are tougher than others. This one, I think, has got an extremely high likelihood of success because there’s just no legal foundation for what the federal government is doing here.\u003c/p>\n\u003cp>There’s literally no federal law that supports them coming after these hospitals and asking for medical records and threatening some kind of vague civil or criminal prosecution. That’s just not the way our legal system works.\u003c/p>\n\u003cp>The federal government, if they’re going to threaten any of us with a criminal prosecution or civil prosecution, they have to be able to point to a law that we are allegedly violating. And the problem for the federal government here, is there is no federal law that prohibits doctors or hospitals from providing this medical care.\u003c/p>\n\u003cp>There’s just nothing to back up this use of force by the Department of Justice. That’s why I say this is really kind of like mafia-like behavior. It’s just a sheer exercise of federal coercion and abuse of federal power. And I do believe the courts will shut this down very quickly.\u003c/p>\n\u003cfigure id=\"attachment_12029440\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12029440\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/TransIdentityAP.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/TransIdentityAP.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/TransIdentityAP-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/TransIdentityAP-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/TransIdentityAP-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/TransIdentityAP-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/TransIdentityAP-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A protester is silhouetted against a trans pride flag during a pro-transgender rights protest outside of Seattle Children’s Hospital, in Seattle, on Feb. 9, 2025. \u003ccite>(Lindsey Wasson/AP Photo)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>KQED: \u003c/strong>And a presidential executive order doesn’t count as legal precedent?\u003c/p>\n\u003cp>\u003cstrong>Minter: \u003c/strong>No, no, the president can’t just make something up out of thin air and threaten criminal prosecution based on an executive order.\u003c/p>\n\u003cp>\u003cstrong>KQED: \u003c/strong>What legal rights to care do young people seeking gender-affirming care in California have in California?\u003c/p>\n\u003cp>\u003cstrong>Minter:\u003c/strong> California, as well as many other states, have enacted laws that prohibit discrimination against transgender people in health care. Those laws are fully operative in California and many other states.\u003c/p>\n\u003cp>And that’s also one of the bases for the claims in this lawsuit: that the federal government is trying to interfere with and override state law in an area in which the federal government has no business.\u003c/p>\n\u003cp>Nothing in our Constitution gives the federal government any authority whatsoever to regulate medical care. That’s something that is left to the states. Traditionally, in our system of government, that’s something the states do.\u003c/p>\n\u003cp>The 10th Amendment prohibits the federal government from doing anything to interfere with areas in which states have authority. And so this lawsuit is saying, among other things, this order violates the 10th Amendment.\u003c/p>\n\u003cfigure id=\"attachment_12050962\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12050962\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/20250725_KaiserTransProtest_GC-14_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/20250725_KaiserTransProtest_GC-14_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/20250725_KaiserTransProtest_GC-14_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/20250725_KaiserTransProtest_GC-14_qed-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Union nurses and community supporters rally outside of Kaiser Permanente, honoring transgender patients affected by Kaiser’s decision to halt gender-affirming care to minors, on July 25, 2025. \u003ccite>(Gina Castro/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>KQED: \u003c/strong>Is it not ironic that the federal government is typically in favor of states’ rights when it comes to regulating issues like abortion, but then, when it comes to gender-affirming care, the federal government is now actively interfering with state laws?\u003c/p>\n\u003cp>\u003cstrong>Minter:\u003c/strong> It is ironic. I really hope people recognize the federal government is taking advantage of the fact that many people don’t know much about transgender people.\u003c/p>\n\u003cp>They may think, ‘Oh, this has nothing to do with me.’\u003c/p>\n\u003cp>Maybe people even don’t approve of the care themselves, so they’re not paying attention to it. But this sets a terrible precedent. This is the federal government literally coming in, demanding private patient medical records from hospitals, and also purporting to tell states and hospitals how to perform health care, like what types of care they can and cannot perform.\u003c/p>\n\u003cp>This is a federal takeover of our state health care system, getting us all used to the idea that the federal government can demand any of our private records anytime they want to for any reason they want to. That is so dangerous.\u003c/p>\n\u003cp>\u003cstrong>KQED: \u003c/strong>What’s at stake for the young people and families who are being affected by this?\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cstrong>Minter:\u003c/strong> It’s terrible for these families. Nobody knows a child better than that child’s parents. These are parents who have been through a process consulting with medical experts, coming to terms with the fact that their child has a very serious medical condition — gender dysphoria — and that their child is among the very small number of young people who really need and benefit from medical treatment for that condition.\u003c/p>\n\u003cp>This care is so effective, and many kids who receive it are doing great. There was a really comprehensive study systematic review that was just \u003ca href=\"https://www.sltrib.com/news/politics/2025/05/22/utah-lawmakers-own-study-found/\">conducted by the University of Utah\u003c/a> that looked at every available study on this topic and found that the care is safe and effective, that it significantly reduces suicidality in young people. And that there are virtually no regrets — almost no one who obtains this care has any reason to wish they hadn’t.\u003c/p>\n\u003cp>Losing that care for these families is really devastating. You can only imagine — if you know your child is getting the care they need, and they’re doing great, and you know what will happen if they lose that care, that they’re going to be really severely harmed. Parents are in a panic, understandably.\u003c/p>\n\u003cp>\u003cstrong>KQED:\u003c/strong> What other legal action can the state or patients and their allies take?\u003c/p>\n\u003cp>\u003cstrong>Minter: \u003c/strong>Well, the state is doing the best thing it can do, which is ask a federal court to tell the federal government to knock it off and to leave these providers alone.\u003c/p>\n\u003cp>In terms of what families can do, a lot of families are making sure to notify these hospitals that they do not give the hospitals permission in any way, shape or form to share their private medical records. So that’s always a good thing to do.\u003c/p>\n\u003cp>All of us can reach out to these hospitals and express support and tell them, please do keep providing this care and please do not cooperate with these unlawful subpoenas. We don’t want hospitals to ever, ever violate their oath of confidentiality to patients. The more everyone can speak up and not be misled — don’t be distracted by the fact that this is about one particular group of people. This is really about protecting all of our medical freedom and the privacy of our medical information.\u003c/p>\n\u003cp>\u003cstrong>KQED: \u003c/strong>Do you think Bonta should sue providers for denying patients their legal care or are providers in between a rock and a hard place?\u003c/p>\n\u003cp>\u003cstrong>Minter: \u003c/strong>I do think that providers need to comply with state law.\u003c/p>\n\u003cp>I understand it’s frightening to be served with a subpoena by the federal government. But it’s disappointing to see providers pausing the care. I think we might have a moment of grace — maybe it was a spur-of-the-moment reaction to being served with the subpoena like that.\u003c/p>\n\u003cp>But it’s unlawful, it’s wrong, they’re betraying their patients and they need to get back to providing this care. And if they don’t, yes — I think the attorney general can and will and should sue them if necessary. I like to think it wouldn’t come to that.\u003c/p>\n\u003cp>Families can also sue them, and I’m pretty sure that will happen if these providers recover and get back to doing what they’re supposed to be doing, which is serve all their patients. Of course, you can’t just decide you’re gonna stop providing care to a particular group of people because the federal government is targeting that group. That is really a blatant violation of California law.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Some dog owners are criticizing \u003ca href=\"https://www.kqed.org/news/tag/santa-clara\">Santa Clara\u003c/a>’s response to several reports of dogs becoming sick — and one dying — after visiting a local dog park, which has been temporarily closed while officials investigate.\u003c/p>\n\u003cp>The city closed Nuevo Dog Park, located at Ryder Street and La Rambla Avenue, and started a “thorough environmental assessment” after receiving reports over the past two months, officials said Monday night. The park will remain closed while testing is completed.\u003c/p>\n\u003cp>“The health and safety of Santa Clara residents, and their four-legged companions, is a top priority,” the city said. “We are taking these concerns seriously.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Tony Wang, the owner of a Samoyed named Boba who had a seizure following a visit to the park back in July, said he felt the city missed its chance to properly investigate the illnesses.\u003c/p>\n\u003cp>“[The city] missed the perfect window of opportunity when the first dog had seizures,” Wang told KQED. “I don’t feel confident they will find anything.”\u003c/p>\n\u003cp>Yuxi Wu, Wang’s girlfriend, said in a GoFundMe raising funds for Boba’s treatment in mid-July that costs were totaling nearly $20,000 following “a severe seizure, which led to a heatstroke causing multiple damages internally.”\u003c/p>\n\u003cp>Wang said he and other dog owners first had concerns about dogs, including Boba, having bouts of diarrhea after visiting the park in May. Wang said he got in touch with animal control in the city, who reportedly did not find any “health issue,” but instead that the entrance to the park was broken.[aside postID=news_12050803 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/npr.brightspotcdn-copy.jpg']“This is not just one or two dogs having diarrhea,” Wang said. “This is almost every dog having diarrhea and symptoms starting in May.”\u003c/p>\n\u003cp>An unidentified resident also placed a note to other dog owners, warning them to stay away from the dog park “until further notice” and to report symptoms of seizures, diarrhea or vomiting in dogs to the California Department of Pesticide Regulation.\u003c/p>\n\u003cp>“We want to alert all dog owners: Multiple dogs have experienced seizures after visiting this park,” the notice placed at the park read. “Let’s keep our pets safe and support each other in getting answers.”\u003c/p>\n\u003cp>A similar notice, which only identified the park as being located at the intersection of Ryder Street and Central Expressway, was posted about a week ago at a nearby dog daycare, according to residents.\u003c/p>\n\u003cp>The California Department of Pesticide Regulation and Silicon Valley Animal Control Authority, which provides services to the city, did not immediately respond to requests for comment.\u003c/p>\n\u003cp>For its part, the city of Santa Clara said it doesn’t use harmful pesticides in dog parks.\u003c/p>\n\u003cp>“We do not use pesticides in any of our dog parks, and all are regularly cleaned with pet- and eco-friendly products. We are taking these concerns seriously,” the city said in the Monday statement.\u003c/p>\n\u003cp>Officials did not comment on requests for additional information related to the investigation.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Tony Wang, the owner of a Samoyed named Boba who had a seizure following a visit to the park back in July, said he felt the city missed its chance to properly investigate the illnesses.\u003c/p>\n\u003cp>“[The city] missed the perfect window of opportunity when the first dog had seizures,” Wang told KQED. “I don’t feel confident they will find anything.”\u003c/p>\n\u003cp>Yuxi Wu, Wang’s girlfriend, said in a GoFundMe raising funds for Boba’s treatment in mid-July that costs were totaling nearly $20,000 following “a severe seizure, which led to a heatstroke causing multiple damages internally.”\u003c/p>\n\u003cp>Wang said he and other dog owners first had concerns about dogs, including Boba, having bouts of diarrhea after visiting the park in May. Wang said he got in touch with animal control in the city, who reportedly did not find any “health issue,” but instead that the entrance to the park was broken.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“This is not just one or two dogs having diarrhea,” Wang said. “This is almost every dog having diarrhea and symptoms starting in May.”\u003c/p>\n\u003cp>An unidentified resident also placed a note to other dog owners, warning them to stay away from the dog park “until further notice” and to report symptoms of seizures, diarrhea or vomiting in dogs to the California Department of Pesticide Regulation.\u003c/p>\n\u003cp>“We want to alert all dog owners: Multiple dogs have experienced seizures after visiting this park,” the notice placed at the park read. “Let’s keep our pets safe and support each other in getting answers.”\u003c/p>\n\u003cp>A similar notice, which only identified the park as being located at the intersection of Ryder Street and Central Expressway, was posted about a week ago at a nearby dog daycare, according to residents.\u003c/p>\n\u003cp>The California Department of Pesticide Regulation and Silicon Valley Animal Control Authority, which provides services to the city, did not immediately respond to requests for comment.\u003c/p>\n\u003cp>For its part, the city of Santa Clara said it doesn’t use harmful pesticides in dog parks.\u003c/p>\n\u003cp>“We do not use pesticides in any of our dog parks, and all are regularly cleaned with pet- and eco-friendly products. We are taking these concerns seriously,” the city said in the Monday statement.\u003c/p>\n\u003cp>Officials did not comment on requests for additional information related to the investigation.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>The \u003ca href=\"https://www.kqed.org/news/tag/donald-trump\">Trump\u003c/a> administration is freezing hundreds of grants to \u003ca href=\"https://www.kqed.org/news/12050114/ucla-settles-lawsuit-alleging-it-allowed-activists-to-create-jew-exclusion-zone\">UCLA\u003c/a> for allegedly failing to promote a research environment free of antisemitism and other bias at the university — the latest escalation in tensions between the UC system and the federal government.\u003c/p>\n\u003cp>The cuts come just days after the university \u003ca href=\"https://www.kqed.org/news/12050114/ucla-settles-lawsuit-alleging-it-allowed-activists-to-create-jew-exclusion-zone\">settled a $6.4 million lawsuit that alleged it failed to prevent \u003c/a>— and at times allowed — antisemitic behavior. Separately, the U.S. Department of Justice that same day said UCLA had violated civil rights laws by “creating a hostile educational environment for Jewish and Israeli students.”\u003c/p>\n\u003cp>“This far-reaching penalty of defunding life-saving research does nothing to address any alleged discrimination,” Chancellor Julio Frenk wrote in a letter to the university community about the freeze. “Antisemitism has no place on our campus, nor does any form of discrimination. We recognize that we can improve, and I am committed to doing so.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Last month, UCLA committed $2 million to fighting antisemitism as part of the lawsuit.\u003c/p>\n\u003cp>The Faculty for Justice in Palestine at UCLA pushed back against the Trump funding cuts, but also said actions by Frenk and UCLA “enable Trump’s authoritarian overreach.” The group pointed to the recently settled lawsuit and accusations that the university “doubled down” on policing free expression on campus.\u003c/p>\n\u003cfigure id=\"attachment_12035711\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12035711\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/UCLAProtestGetty.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/UCLAProtestGetty.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/UCLAProtestGetty-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/UCLAProtestGetty-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/UCLAProtestGetty-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/UCLAProtestGetty-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/UCLAProtestGetty-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Pro-Palestine protesters attempt to block a counterprotester with an Israeli flag at UCLA on Tuesday, March 11, 2025, in Los Angeles. Attendees rallied to protest ICE’s detainment of Mahmoud Khalil, a Palestinian activist who led protests at Columbia University last year. \u003ccite>(Juliana Yamada/Los Angeles Times via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Doomed to failure, this strategy amounts not merely to surrender but to active collaboration. We demand UCLA change course,” the group said in a statement.\u003c/p>\n\u003cp>As the Trump administration \u003ca href=\"https://www.kqed.org/news/12034707/federal-antisemitism-investigations-california-higher-education-explained\">seeks to exert greater control over higher education\u003c/a>, state officials have grown concerned about \u003ca href=\"https://www.kqed.org/news/12029887/trump-doj-investigate-university-california-over-antisemitism-allegations\">the targeting of the University of California\u003c/a> — and especially its most prominent campuses in Los Angeles and Berkeley.\u003c/p>\n\u003cp>Along with UCLA, UC Berkeley is one of five UC campuses that have faced multi-pronged federal investigations this year by both the Education and Justice departments over allegations of antisemitism.[aside postID=news_12050114 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2023/05/RS19451_GettyImages-143309520-qut-1020x686.jpg']And last month, UC Berkeley Chancellor Rich Lyons\u003ca href=\"https://www.kqed.org/news/12047251/chancellor-lyons-to-testify-in-house-hearing-on-uc-berkeley-antisemitism-policies\"> testified on Capitol Hill about the university’s efforts\u003c/a> to prevent antisemitic discrimination and harassment. House Republicans leading those hearings, which have included leaders of schools such as Columbia University and the University of Pennsylvania, have threatened to revoke federal funding if schools don’t carry out requested reforms.\u003c/p>\n\u003cp>UC Berkeley officials declined to comment on Friday about the funding freeze at UCLA and what it could mean for their campus. University spokesperson Dan Mogulof previously told KQED that UC Berkeley received $419 million in research funding from the federal government for the fiscal year that ended June 30, 2024.\u003c/p>\n\u003cp>In cases where universities are willing to negotiate with the Trump administration to resolve allegations about campus conduct, more than a dozen Democratic federal lawmakers have warned against taking that path.\u003c/p>\n\u003cp>Lawmakers, including Bay Area Reps. Sam Liccardo, D-San José, and John Garamendi, D-Fairfield, cautioned Harvard University\u003ca href=\"https://www.reuters.com/world/us/trump-signals-openness-500-million-settlement-with-harvard-2025-07-30/\"> about a reported $500 million settlement\u003c/a> to resolve a dispute about the Trump administration’s canceled funding to the school because of allegations of antisemitism.\u003c/p>\n\u003cp>“These institutions play a critical role in advancing research and innovation in vital fields, ranging from medicine to agriculture, while fostering the intellectual freedom that is essential to our democracy,” Garamendi said in a statement about Harvard’s potential settlement. “I am deeply concerned that settling with an administration that seeks to bully academic institutions will produce a chilling effect across higher education, ultimately undermining the invaluable contributions these institutions make to our society.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The \u003ca href=\"https://www.kqed.org/news/tag/donald-trump\">Trump\u003c/a> administration is freezing hundreds of grants to \u003ca href=\"https://www.kqed.org/news/12050114/ucla-settles-lawsuit-alleging-it-allowed-activists-to-create-jew-exclusion-zone\">UCLA\u003c/a> for allegedly failing to promote a research environment free of antisemitism and other bias at the university — the latest escalation in tensions between the UC system and the federal government.\u003c/p>\n\u003cp>The cuts come just days after the university \u003ca href=\"https://www.kqed.org/news/12050114/ucla-settles-lawsuit-alleging-it-allowed-activists-to-create-jew-exclusion-zone\">settled a $6.4 million lawsuit that alleged it failed to prevent \u003c/a>— and at times allowed — antisemitic behavior. Separately, the U.S. Department of Justice that same day said UCLA had violated civil rights laws by “creating a hostile educational environment for Jewish and Israeli students.”\u003c/p>\n\u003cp>“This far-reaching penalty of defunding life-saving research does nothing to address any alleged discrimination,” Chancellor Julio Frenk wrote in a letter to the university community about the freeze. “Antisemitism has no place on our campus, nor does any form of discrimination. We recognize that we can improve, and I am committed to doing so.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Last month, UCLA committed $2 million to fighting antisemitism as part of the lawsuit.\u003c/p>\n\u003cp>The Faculty for Justice in Palestine at UCLA pushed back against the Trump funding cuts, but also said actions by Frenk and UCLA “enable Trump’s authoritarian overreach.” The group pointed to the recently settled lawsuit and accusations that the university “doubled down” on policing free expression on campus.\u003c/p>\n\u003cfigure id=\"attachment_12035711\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12035711\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/UCLAProtestGetty.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/UCLAProtestGetty.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/UCLAProtestGetty-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/UCLAProtestGetty-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/UCLAProtestGetty-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/UCLAProtestGetty-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/UCLAProtestGetty-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Pro-Palestine protesters attempt to block a counterprotester with an Israeli flag at UCLA on Tuesday, March 11, 2025, in Los Angeles. Attendees rallied to protest ICE’s detainment of Mahmoud Khalil, a Palestinian activist who led protests at Columbia University last year. \u003ccite>(Juliana Yamada/Los Angeles Times via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Doomed to failure, this strategy amounts not merely to surrender but to active collaboration. We demand UCLA change course,” the group said in a statement.\u003c/p>\n\u003cp>As the Trump administration \u003ca href=\"https://www.kqed.org/news/12034707/federal-antisemitism-investigations-california-higher-education-explained\">seeks to exert greater control over higher education\u003c/a>, state officials have grown concerned about \u003ca href=\"https://www.kqed.org/news/12029887/trump-doj-investigate-university-california-over-antisemitism-allegations\">the targeting of the University of California\u003c/a> — and especially its most prominent campuses in Los Angeles and Berkeley.\u003c/p>\n\u003cp>Along with UCLA, UC Berkeley is one of five UC campuses that have faced multi-pronged federal investigations this year by both the Education and Justice departments over allegations of antisemitism.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>And last month, UC Berkeley Chancellor Rich Lyons\u003ca href=\"https://www.kqed.org/news/12047251/chancellor-lyons-to-testify-in-house-hearing-on-uc-berkeley-antisemitism-policies\"> testified on Capitol Hill about the university’s efforts\u003c/a> to prevent antisemitic discrimination and harassment. House Republicans leading those hearings, which have included leaders of schools such as Columbia University and the University of Pennsylvania, have threatened to revoke federal funding if schools don’t carry out requested reforms.\u003c/p>\n\u003cp>UC Berkeley officials declined to comment on Friday about the funding freeze at UCLA and what it could mean for their campus. University spokesperson Dan Mogulof previously told KQED that UC Berkeley received $419 million in research funding from the federal government for the fiscal year that ended June 30, 2024.\u003c/p>\n\u003cp>In cases where universities are willing to negotiate with the Trump administration to resolve allegations about campus conduct, more than a dozen Democratic federal lawmakers have warned against taking that path.\u003c/p>\n\u003cp>Lawmakers, including Bay Area Reps. Sam Liccardo, D-San José, and John Garamendi, D-Fairfield, cautioned Harvard University\u003ca href=\"https://www.reuters.com/world/us/trump-signals-openness-500-million-settlement-with-harvard-2025-07-30/\"> about a reported $500 million settlement\u003c/a> to resolve a dispute about the Trump administration’s canceled funding to the school because of allegations of antisemitism.\u003c/p>\n\u003cp>“These institutions play a critical role in advancing research and innovation in vital fields, ranging from medicine to agriculture, while fostering the intellectual freedom that is essential to our democracy,” Garamendi said in a statement about Harvard’s potential settlement. “I am deeply concerned that settling with an administration that seeks to bully academic institutions will produce a chilling effect across higher education, ultimately undermining the invaluable contributions these institutions make to our society.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "california-sues-trump-administration-over-efforts-to-deny-gender-affirming-health-care",
"title": "California Sues Trump Administration Over Efforts to Deny Gender-Affirming Health Care",
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"headTitle": "California Sues Trump Administration Over Efforts to Deny Gender-Affirming Health Care | KQED",
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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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"excerpt": "California and over a dozen other states filed the lawsuit over the restrictions, which Attorney General Rob Bonta framed as a life-and-death matter for young transgender people.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Updated 12:31 p.m. Friday\u003c/em>\u003c/p>\n\u003cp>California is leading a coalition of more than a dozen states suing the Trump administration over its restrictions on \u003ca href=\"https://www.kqed.org/news/12049666/nowhere-else-to-go-sf-families-protest-kaisers-new-limits-on-gender-affirming-care\">gender-affirming health care\u003c/a>, Attorney General Rob Bonta announced Friday morning.\u003c/p>\n\u003cp>Bonta said President Trump and U.S. Attorney General Pam Bondi’s orders and directives restricting that care to people under the age of 19 infringe upon states’ laws that protect their residents’ access to gender-affirming care.\u003c/p>\n\u003cp>The lawsuit is joined by 15 other states and the District of Columbia.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Bonta framed the issue as a life-and-death matter, citing the higher rates of suicide and other forms of self-harm among young people whose assigned gender at birth doesn’t match their identity.\u003c/p>\n\u003cp>The Trump administration’s “demands that our healthcare providers discriminate against transgender individuals and deny them access to medically-necessary healthcare is cruel and irresponsible,” Bonta said in a statement. “These actions have created a chilling effect in which providers are pressured to scale back on their care for fear of prosecution, leaving countless individuals without the critical care they need and are entitled to under law.”\u003c/p>\n\u003cfigure id=\"attachment_11959336\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11959336\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230828-ROB-BONTA-AP-MJS-KQED.jpg\" alt=\"A man wearing a navy blue suit, white shirt and blue foulard tie speaks into a microphone.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230828-ROB-BONTA-AP-MJS-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230828-ROB-BONTA-AP-MJS-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230828-ROB-BONTA-AP-MJS-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230828-ROB-BONTA-AP-MJS-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230828-ROB-BONTA-AP-MJS-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230828-ROB-BONTA-AP-MJS-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">California Attorney General Rob Bonta fields questions during a press conference on Monday, Aug. 28, 2023, in Los Angeles. \u003ccite>(Marcio Jose Sanchez/AP Photo)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Oakland-based Kaiser Permanente recently announced it was following \u003ca href=\"https://www.kqed.org/science/1997491/stanford-scales-back-trans-care-for-minors-amid-federal-crackdown\">Stanford Medicine\u003c/a> and other health care providers in \u003ca href=\"https://www.kqed.org/news/12049555/kaiser-to-stop-gender-affirming-surgeries-for-minors-leaving-trans-kids-with-fewer-options\">pausing gender-affirming surgeries\u003c/a> for patients under 19 — something Bonta warned hospitals not to do.\u003c/p>\n\u003cp>Kaiser, which serves 12 million people across eight states, cited the “significant risks” created by the current legal and regulatory environment surrounding care for transgender minors.\u003c/p>\n\u003cp>The health care giant pointed to a \u003ca href=\"https://www.whitehouse.gov/presidential-actions/2025/01/protecting-children-from-chemical-and-surgical-mutilation/\">January executive order\u003c/a> from Trump threatening funding for medical centers that provide gender-affirming care to minors. The order directs agencies to “not fund, sponsor, promote, assist, or support the so‑called ‘transition’ of a child from one sex to another.”\u003c/p>\n\u003cp>Kaiser also cited changes to insurance coverage and ongoing federal investigations. Last month, for example, the \u003ca href=\"https://www.justice.gov/opa/pr/department-justice-subpoenas-doctors-and-clinics-involved-performing-transgender-medical\">Department of Justice subpoenaed\u003c/a> more than 20 doctors and clinics that perform gender-affirming procedures on minors.\u003c/p>\n\u003cp>Equality California, a statewide LGBTQ+ rights organization, said the Trump administration was bullying hospitals and doctors into curtailing gender-affirming treatments, calling the lawsuit announced Friday “a critical step toward protecting access to lifesaving healthcare for transgender youth — and pushing back against a coordinated political assault on our community.” \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“These attacks are not about fairness or safety — they are about fearmongering, erasure, and punishing transgender people for simply existing,” Equality California executive director Tony Hoang said in a statement. “The Trump administration’s actions are not just discriminatory — they are dangerous, and fly in the face of both medical standards and basic human decency.”\u003c/p>\n\u003cp>While several Republican-led states have moved to restrict surgeries and other care for transgender youth, California has doubled down on \u003ca href=\"https://www.kqed.org/news/11929233/california-becomes-first-sanctuary-state-for-transgender-youth-seeking-medical-care\">shielding such medical services\u003c/a>. State law bars hospitals from refusing to provide health care to transgender people, and Bonta has warned providers that denying or pausing care for trans youth based on political pressure could be illegal.\u003c/p>\n\u003cp>State Sen. Scott Wiener (D–San Francisco), who authored a 2022 law to make California a \u003ca href=\"https://sd11.senate.ca.gov/news/senator-wieners-historic-bill-provide-refuge-trans-kids-and-their-families-signed-law\">safe refuge for transgender youth\u003c/a> seeking medical care, previously told KQED that state politicians should put pressure on Bonta’s office to enforce state law on access to health care.\u003c/p>\n\u003cp>“I don’t want the state to have to fight with Kaiser or with Stanford or with any of our great health systems, but we have to enforce the law,” he said. “California should be a safe place for trans people and LGBTQ people generally, and this is not what should be happening.”\u003c/p>\n\u003cp>Groups including the \u003ca href=\"https://www.ama-assn.org/press-center/ama-press-releases/ama-states-stop-interfering-health-care-transgender-children\">American Medical Association\u003c/a> and the \u003ca href=\"https://publications.aap.org/aapnews/news/25340/AAP-reaffirms-gender-affirming-care-policy?autologincheck=redirected\">American Pediatrics Association\u003c/a> maintain that gender-affirming care, including surgeries in some cases, can be medically necessary for both children and adults. A 2022 study by researchers at Stanford University \u003ca href=\"https://med.stanford.edu/news/all-news/2022/01/mental-health-hormone-treatment-transgender-people.html\">found better mental health outcomes\u003c/a> for transgender people who started receiving hormone therapy as teens compared with those who waited until they were adults.\u003c/p>\n\u003cp>Amy Whelan, a senior staff attorney with the National Center for LGBTQ Rights, told KQED earlier that “there are very few patients under 19 who receive surgery, but for those who do, this is very essential health care.”\u003c/p>\n\u003cp>A \u003ca href=\"https://hsph.harvard.edu/news/gender-affirming-surgeries-rarely-performed-on-transgender-youth/\">recent study\u003c/a> from researchers at Harvard University’s T.H. Chan School of Public Health found that gender-affirming surgeries were rarely performed on transgender or gender-diverse (TGS) youth in the U.S. For 15- to 17-year-olds, the rate of gender-affirming surgeries associated with a TGS-related diagnosis in 2019 was just 2 in 100,000. The rate was 0.1 in 100,000 for 13- and 14-year-olds, and the study found no such surgeries on trans children under 12.\u003c/p>\n\u003cp>Still, some medical experts have \u003ca href=\"https://bmjgroup.com/gender-dysphoria-is-rising-and-so-is-professional-disagreement/\">urged greater caution\u003c/a>, calling for more scrutiny of the evidence underpinning these gender-affirming treatments. Critics have also questioned the strength of long-term data and raised concerns about the potential irreversibility of certain medical interventions — concerns echoed in a recent \u003ca href=\"https://opa.hhs.gov/gender-dysphoria-report\">report on gender dysphoria\u003c/a> commissioned by the Trump administration.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003ca href=\"https://www.kqed.org/news/tag/gavin-newsom\">Gov. Gavin Newsom \u003c/a>\u003ca href=\"https://www.gov.ca.gov/2025/07/30/governor-newsom-issues-executive-order-to-support-young-men-and-boys-address-suicide-rates/\">called \u003c/a>Wednesday for action to strengthen services for young men and boys, and to address what he calls “an alarming rise in suicides and disconnection among California’s young boys.”\u003c/p>\n\u003cp>“Too many young men and boys are suffering in silence,” Newsom said in a statement, adding that many are “disconnected from community, opportunity and even their own families.”\u003c/p>\n\u003cp>The directive, which will see state agencies fund programs for young men that focus on behavioral health support, job training and educational services, \u003ca href=\"https://www.kqed.org/news/12041884/after-2024-losses-san-francisco-democrats-want-to-focus-more-on-men-will-it-land\">follows growing recognition among Democrats\u003c/a> of a need to better connect with young men and boys ahead of the 2026 midterm election.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>More than half of young men between the ages of 18–29 voted for Donald Trump in the 2024 presidential election — making a nearly 32% leap from 2020, according to an \u003ca href=\"https://www.americansurveycenter.org/newsletter/2024-election-edition-young-men-swing-toward-trump/\">Associated Press poll\u003c/a>.\u003c/p>\n\u003cp>In May, San Francisco Democrats overwhelmingly passed a resolution\u003ca href=\"https://www.kqed.org/news/12041884/after-2024-losses-san-francisco-democrats-want-to-focus-more-on-men-will-it-land\"> calling on their fellow Democrats\u003c/a> to do more to address “societal challenges facing boys and men,” emphasizing the need for more job training opportunities, paternal leave and mental health care.\u003c/p>\n\u003cp>The statistics are bleak: young men are three times as likely to die by suicide than young women, according to a report released by Newsom’s office.\u003c/p>\n\u003cp>And labor force participation among men without a college degree is at a historic low, along with their college enrollment and completion rates, the report added.[aside postID=news_12041102 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/SocialMediaChildrenHealthGetty-1020x680.jpg']Dr. Ronald Levant, former president of the American Psychological Association, whose clinical work specializes in masculinity, said lonely young men have been tapping into “echo chambers” for direction and an outlet for frustrations.\u003c/p>\n\u003cp>People like Andrew Tate, he said, an alt-right influencer and self-described “misogynist,” capitalize on resentment toward women for their present position in the workforce and educational field.\u003c/p>\n\u003cp>“Men have lost the power and privilege of patriarchy to a large extent,” Levant said. “They, white men in particular, do not automatically get the best job and the best salary and all of these things.”\u003c/p>\n\u003cp>To sincerely tackle the causes of male loneliness, depression, and unemployment, Levant said it’s critical to target the years before college or careers.\u003c/p>\n\u003cp>“A public education campaign aimed at parents, teachers, and coaches, and anyone who interacts with children from kindergarten on up,” he said. “To allow the boy to be who he is and don’t put these masculine strictures on him.\u003c/p>\n\u003cp>Focusing on these issues “allows boys to think through all the pressures they’re getting,” Levant said. “It helps them kind of figure out what kind of guy they want to be.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"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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"title": "This Is How to Cut Hospital Visits for Kids With Eating Disorders, UCSF Study Says",
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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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"slug": "bonta-sues-trump-administration-over-planned-parenthood-cuts",
"title": "Bonta Sues Trump Administration Over Planned Parenthood Cuts",
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"headTitle": "Bonta Sues Trump Administration Over Planned Parenthood Cuts | KQED",
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"content": "\u003cp>\u003cem>This story was originally published by \u003ca href=\"https://calmatters.org/\">CalMatters\u003c/a>. \u003ca href=\"https://calmatters.org/subscribe-to-calmatters/\">Sign up\u003c/a> for their newsletters.\u003c/em>\u003c/p>\n\u003cp>The Trump administration exceeded its authority and violated constitutional protections in attempting \u003ca href=\"https://www.kqed.org/news/12049790/planned-parenthood-shutters-5-norcal-clinics-after-trump-slashes-funding\">to defund Planned Parenthood\u003c/a>, according to a \u003ca href=\"https://oag.ca.gov/news/press-releases/fighting-stop-congress%E2%80%99-and-trump-administration%E2%80%99s-illegal-crusade-against\">lawsuit filed today by \u003c/a>\u003ca href=\"https://www.kqed.org/news/tag/rob-bonta\">California Attorney General Rob Bonta\u003c/a> along with 22 other states and the District of Columbia.\u003c/p>\n\u003cp>The suit, filed in the U.S. District Court in Massachusetts against the U.S. Department of Health and Human Services, is \u003ca href=\"https://calmatters.org/politics/2025/01/california-trump-lawsuits/\">Bonta’s 36th lawsuit against the Trump administration\u003c/a>.\u003c/p>\n\u003cp>It contends that Trump’s signature tax law — the “One Big Beautiful Bill Act” — passed earlier this month is unconstitutionally vague and requires states to violate Planned Parenthood’s First Amendment rights.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The law, which went into effect July 4, prohibits Medicaid reimbursements for any health services conducted at large nonprofit health clinics that “primarily” provide abortions.\u003c/p>\n\u003cp>“We won’t sit back while Congress and this federal administration tries to roll back our progress, silence their opposition and ignore the rule of law,” Bonta said.\u003c/p>\n\u003cfigure id=\"attachment_12017252\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/RobBontaSFAP.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12017252\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/RobBontaSFAP.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/RobBontaSFAP.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/RobBontaSFAP-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/RobBontaSFAP-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/RobBontaSFAP-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/RobBontaSFAP-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/RobBontaSFAP-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">California Attorney General Rob Bonta speaks at a news conference in front of the Golden Gate Bridge in San Francisco on Thursday, Nov. 7, 2024. \u003ccite>(Terry Chea/AP Photo)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The complaint also argues the law violates federal rules requiring the government to give states “clear notice” of major Medicaid funding restrictions. It also argues the law requires states to enforce provisions that violate Planned Parenthood’s constitutionally protected freedoms of speech and assembly.\u003c/p>\n\u003cp>HHS did not immediately respond to a request for comment, nor had it filed a legal response at the time of publication.\u003c/p>\n\u003ch2>Five California clinics have closed\u003c/h2>\n\u003cp>Critics of the law have characterized it as a “backdoor abortion ban” designed to target Planned Parenthood in states where abortion is legal. Already, five Planned Parenthood clinics in California have closed, citing the loss of $100 million in Medicaid payments.\u003c/p>\n\u003cp>Federal law already prohibits the use of federal funds to pay for abortions except in extremely limited circumstances, but nearly 80% of Planned Parenthood patients in California use Medicaid, also known as Medi-Cal, the federal health insurance program for low-income people and those with disabilities.[aside postID=news_12047147 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/PPNorcal.jpg']“To be clear, this isn’t even federal funding that goes toward abortions,” Bonta said.\u003c/p>\n\u003cp>According to the complaint, Congress has never before restricted Medicaid spending based on health care provided outside of the Medicaid program.\u003c/p>\n\u003cp>Planned Parenthood Federation of America earlier filed a separate lawsuit challenging the law. U.S. District Judge Indira Talwani in Boston on Monday reversed a ruling from last week that had effectively \u003ca href=\"https://calmatters.org/health/2025/07/planned-parenthood-california-defunded/\">cut Medicaid reimbursements for all but a few Planned Parenthood operations\u003c/a> around the nation.\u003c/p>\n\u003cp>Despite the new ruling, five Planned Parenthood centers in California will remain closed, according to Andrew Adams, chief of staff for Planned Parenthood Mar Monte, which oversees 30 health centers in Northern and Central California and Nevada. Adams said the court order was a “key victory” in the fight to preserve reproductive health access, but the network needs to preserve its financial stability.\u003c/p>\n\u003cp>Monday’s order reestablishes funding for California clinics while legal action is pending. Bonta is also asking the court to prevent the implementation of the law. Bonta said that because the state’s Medicaid program is harmed by the law, it was appropriate for the state to pursue separate legal action, and that the complaints challenge different constitutional protections.\u003c/p>\n\u003ch2>‘We strongly disagree’\u003c/h2>\n\u003cp>In a statement, a spokesperson for the U.S. Department of Health and Human Services said, “We strongly disagree with the court’s decision” and reiterated an argument from last week that states should not have to reimburse organizations that have “chosen political advocacy over patient care.”\u003c/p>\n\u003cp>Medicaid is jointly administered by states and the federal government, with each generally paying for 50% of the cost of health services.\u003c/p>\n\u003cp>In its lawsuit, Planned Parenthood Federation of America argues, in part, that by withholding funding, the law violates its First Amendment rights. It also asserts that the tax law violates the Due Process Clause of the Fifth Amendment.[aside postID=news_12049605 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/240202-FixitClinic-KSM-07_qed.jpg']HHS had not filed an appeal as of Tuesday morning.\u003c/p>\n\u003cp>Adams said in an email to CalMatters that Planned Parenthood Mar Monte will continue to fight any attempt to restrict abortion and reproductive health care access.\u003c/p>\n\u003cp>“We will not back down, but we must have the resources to continue this fight while keeping as many doors open to patient care as possible,” Adams said.\u003c/p>\n\u003cp>In her order, Talwani reasoned that disruptions to patient care are likely to result in “adverse health consequences,” including an increase in unintended pregnancies, pregnancy complications and undiagnosed cancers and sexually transmitted infections.\u003c/p>\n\u003cp>“Restricting access to [Planned Parenthood] healthcare clinics will negatively affect more than just reproductive health; [Planned Parenthood clinics] often serve as a source of primary care for patients,” Talwani wrote.\u003c/p>\n\u003cp>Talwani also wrote that the order does not require the federal government to pay for abortions, and that Planned Parenthood shows a “substantial likelihood” of winning the lawsuit.\u003c/p>\n\u003cp>Abortions account for less than 10% of services provided through California Planned Parenthood, according to the organization. The majority of patient visits are for primary care, birth control, sexually transmitted infection testing and treatment, and cancer screenings.\u003c/p>\n\u003cp>The clinics that closed last week are located in South San Francisco, San Mateo, Gilroy, Santa Cruz and Madera. Together they served 22,000 patients, according to Planned Parenthood Mar Monte. The organization also ended primary care, behavioral health and prenatal care services as a result of the federal budget cuts. Those cuts total roughly $100 million for the Mar Monte clinics, according to a news release.\u003c/p>\n\u003cp>Leaders for Planned Parenthood Affiliates of California, which represents more than 100 clinics throughout the state, including the Mar Monte clinics, said Trump’s tax law will cost the system about $300 million in Medicaid reimbursements.\u003c/p>\n\u003cp>Jodi Hicks, president and chief executive of Planned Parenthood Affiliates of California, said the “economic sanctions” imposed by the Trump administration have “jeopardized access for countless Californians” to critical health care services. Still, the organization remains committed to continuing to provide patient care, Hicks said.\u003c/p>\n\u003cp>“Planned Parenthood will not go away quietly. We are fighting back with every tool that we have,” Hicks said.\u003c/p>\n\u003cp>\u003cem>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that people have access to the care they need, when they need it, at a price they can afford. Visit \u003ca href=\"http://www.chcf.org/\">www.chcf.org\u003c/a> to learn more.\u003c/em>\u003c/em>\u003c/p>\n\u003cp>\u003cem>This article was \u003ca href=\"https://calmatters.org/health/2025/07/planned-parenthood-funding-lawsuit/\">originally published on CalMatters\u003c/a> and was republished under the \u003ca href=\"https://creativecommons.org/licenses/by-nc-nd/4.0/\">Creative Commons Attribution-NonCommercial-NoDerivatives\u003c/a> license.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "California’s suit contends that Trump’s signature tax law is unconstitutionally vague and requires states to violate Planned Parenthood’s First Amendment rights.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>This story was originally published by \u003ca href=\"https://calmatters.org/\">CalMatters\u003c/a>. \u003ca href=\"https://calmatters.org/subscribe-to-calmatters/\">Sign up\u003c/a> for their newsletters.\u003c/em>\u003c/p>\n\u003cp>The Trump administration exceeded its authority and violated constitutional protections in attempting \u003ca href=\"https://www.kqed.org/news/12049790/planned-parenthood-shutters-5-norcal-clinics-after-trump-slashes-funding\">to defund Planned Parenthood\u003c/a>, according to a \u003ca href=\"https://oag.ca.gov/news/press-releases/fighting-stop-congress%E2%80%99-and-trump-administration%E2%80%99s-illegal-crusade-against\">lawsuit filed today by \u003c/a>\u003ca href=\"https://www.kqed.org/news/tag/rob-bonta\">California Attorney General Rob Bonta\u003c/a> along with 22 other states and the District of Columbia.\u003c/p>\n\u003cp>The suit, filed in the U.S. District Court in Massachusetts against the U.S. Department of Health and Human Services, is \u003ca href=\"https://calmatters.org/politics/2025/01/california-trump-lawsuits/\">Bonta’s 36th lawsuit against the Trump administration\u003c/a>.\u003c/p>\n\u003cp>It contends that Trump’s signature tax law — the “One Big Beautiful Bill Act” — passed earlier this month is unconstitutionally vague and requires states to violate Planned Parenthood’s First Amendment rights.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The law, which went into effect July 4, prohibits Medicaid reimbursements for any health services conducted at large nonprofit health clinics that “primarily” provide abortions.\u003c/p>\n\u003cp>“We won’t sit back while Congress and this federal administration tries to roll back our progress, silence their opposition and ignore the rule of law,” Bonta said.\u003c/p>\n\u003cfigure id=\"attachment_12017252\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/RobBontaSFAP.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12017252\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/RobBontaSFAP.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/RobBontaSFAP.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/RobBontaSFAP-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/RobBontaSFAP-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/RobBontaSFAP-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/RobBontaSFAP-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/RobBontaSFAP-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">California Attorney General Rob Bonta speaks at a news conference in front of the Golden Gate Bridge in San Francisco on Thursday, Nov. 7, 2024. \u003ccite>(Terry Chea/AP Photo)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The complaint also argues the law violates federal rules requiring the government to give states “clear notice” of major Medicaid funding restrictions. It also argues the law requires states to enforce provisions that violate Planned Parenthood’s constitutionally protected freedoms of speech and assembly.\u003c/p>\n\u003cp>HHS did not immediately respond to a request for comment, nor had it filed a legal response at the time of publication.\u003c/p>\n\u003ch2>Five California clinics have closed\u003c/h2>\n\u003cp>Critics of the law have characterized it as a “backdoor abortion ban” designed to target Planned Parenthood in states where abortion is legal. Already, five Planned Parenthood clinics in California have closed, citing the loss of $100 million in Medicaid payments.\u003c/p>\n\u003cp>Federal law already prohibits the use of federal funds to pay for abortions except in extremely limited circumstances, but nearly 80% of Planned Parenthood patients in California use Medicaid, also known as Medi-Cal, the federal health insurance program for low-income people and those with disabilities.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“To be clear, this isn’t even federal funding that goes toward abortions,” Bonta said.\u003c/p>\n\u003cp>According to the complaint, Congress has never before restricted Medicaid spending based on health care provided outside of the Medicaid program.\u003c/p>\n\u003cp>Planned Parenthood Federation of America earlier filed a separate lawsuit challenging the law. U.S. District Judge Indira Talwani in Boston on Monday reversed a ruling from last week that had effectively \u003ca href=\"https://calmatters.org/health/2025/07/planned-parenthood-california-defunded/\">cut Medicaid reimbursements for all but a few Planned Parenthood operations\u003c/a> around the nation.\u003c/p>\n\u003cp>Despite the new ruling, five Planned Parenthood centers in California will remain closed, according to Andrew Adams, chief of staff for Planned Parenthood Mar Monte, which oversees 30 health centers in Northern and Central California and Nevada. Adams said the court order was a “key victory” in the fight to preserve reproductive health access, but the network needs to preserve its financial stability.\u003c/p>\n\u003cp>Monday’s order reestablishes funding for California clinics while legal action is pending. Bonta is also asking the court to prevent the implementation of the law. Bonta said that because the state’s Medicaid program is harmed by the law, it was appropriate for the state to pursue separate legal action, and that the complaints challenge different constitutional protections.\u003c/p>\n\u003ch2>‘We strongly disagree’\u003c/h2>\n\u003cp>In a statement, a spokesperson for the U.S. Department of Health and Human Services said, “We strongly disagree with the court’s decision” and reiterated an argument from last week that states should not have to reimburse organizations that have “chosen political advocacy over patient care.”\u003c/p>\n\u003cp>Medicaid is jointly administered by states and the federal government, with each generally paying for 50% of the cost of health services.\u003c/p>\n\u003cp>In its lawsuit, Planned Parenthood Federation of America argues, in part, that by withholding funding, the law violates its First Amendment rights. It also asserts that the tax law violates the Due Process Clause of the Fifth Amendment.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>HHS had not filed an appeal as of Tuesday morning.\u003c/p>\n\u003cp>Adams said in an email to CalMatters that Planned Parenthood Mar Monte will continue to fight any attempt to restrict abortion and reproductive health care access.\u003c/p>\n\u003cp>“We will not back down, but we must have the resources to continue this fight while keeping as many doors open to patient care as possible,” Adams said.\u003c/p>\n\u003cp>In her order, Talwani reasoned that disruptions to patient care are likely to result in “adverse health consequences,” including an increase in unintended pregnancies, pregnancy complications and undiagnosed cancers and sexually transmitted infections.\u003c/p>\n\u003cp>“Restricting access to [Planned Parenthood] healthcare clinics will negatively affect more than just reproductive health; [Planned Parenthood clinics] often serve as a source of primary care for patients,” Talwani wrote.\u003c/p>\n\u003cp>Talwani also wrote that the order does not require the federal government to pay for abortions, and that Planned Parenthood shows a “substantial likelihood” of winning the lawsuit.\u003c/p>\n\u003cp>Abortions account for less than 10% of services provided through California Planned Parenthood, according to the organization. The majority of patient visits are for primary care, birth control, sexually transmitted infection testing and treatment, and cancer screenings.\u003c/p>\n\u003cp>The clinics that closed last week are located in South San Francisco, San Mateo, Gilroy, Santa Cruz and Madera. Together they served 22,000 patients, according to Planned Parenthood Mar Monte. The organization also ended primary care, behavioral health and prenatal care services as a result of the federal budget cuts. Those cuts total roughly $100 million for the Mar Monte clinics, according to a news release.\u003c/p>\n\u003cp>Leaders for Planned Parenthood Affiliates of California, which represents more than 100 clinics throughout the state, including the Mar Monte clinics, said Trump’s tax law will cost the system about $300 million in Medicaid reimbursements.\u003c/p>\n\u003cp>Jodi Hicks, president and chief executive of Planned Parenthood Affiliates of California, said the “economic sanctions” imposed by the Trump administration have “jeopardized access for countless Californians” to critical health care services. Still, the organization remains committed to continuing to provide patient care, Hicks said.\u003c/p>\n\u003cp>“Planned Parenthood will not go away quietly. We are fighting back with every tool that we have,” Hicks said.\u003c/p>\n\u003cp>\u003cem>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that people have access to the care they need, when they need it, at a price they can afford. Visit \u003ca href=\"http://www.chcf.org/\">www.chcf.org\u003c/a> to learn more.\u003c/em>\u003c/em>\u003c/p>\n\u003cp>\u003cem>This article was \u003ca href=\"https://calmatters.org/health/2025/07/planned-parenthood-funding-lawsuit/\">originally published on CalMatters\u003c/a> and was republished under the \u003ca href=\"https://creativecommons.org/licenses/by-nc-nd/4.0/\">Creative Commons Attribution-NonCommercial-NoDerivatives\u003c/a> license.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>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": "california-sues-after-trump-demands-access-to-sensitive-data-about-food-stamp-recipients",
"title": "California Sues After Trump Demands Access to Sensitive Data About Food Stamp Recipients",
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"headTitle": "California Sues After Trump Demands Access to Sensitive Data About Food Stamp Recipients | KQED",
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"content": "\u003cp>\u003c!-- Creative Commons Attribution-NonCommercial-NoDerivatives https://creativecommons.org/licenses/by-nc-nd/4.0/ -->\u003c/p>\n\u003cp>\u003cem>This story was originally published by \u003ca href=\"https://calmatters.org/\">CalMatters\u003c/a>. \u003ca href=\"https://calmatters.org/subscribe-to-calmatters/\">Sign up\u003c/a> for their newsletters.\u003c/em>\u003c/p>\n\u003cp>California, 18 other Democrat-led states and Washington, D.C., are \u003ca href=\"https://www.kqed.org/news/12048504/bonta-announces-33rd-trump-lawsuit-on-kqed-this-one-targets-health-care-cuts\">suing the Trump administration\u003c/a> to halt the U.S. Department of Agriculture from collecting sensitive information about people who receive federal food vouchers, known as SNAP.\u003c/p>\n\u003cp>The Trump administration told states to provide the data by July 30 or risk losing federal funding to administer the program. California receives $1.3 billion annually to distribute about $12 billion a year to 5 million residents who rely on the food vouchers, called CalFresh in California. About \u003ca href=\"https://www.ers.usda.gov/data-products/chart-gallery/chart-detail?chartId=55416\">13% of the state’s population receives the aid\u003c/a>.\u003c/p>\n\u003cp>“The purpose of what the Trump administration is doing here is to target immigrant communities,” said Michigan’s Attorney General Dana Nessel, during a press conference today. She said Trump’s actions “send a chilling effect to American citizens, and to tell them that if they apply for programs that they are perfectly entitled to under law, their most personal and sensitive data is going to be shared with all kinds of people, and it’s going to have the impact, and I think it already is, of scaring people away from seeking these increased incredibly important programs.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Residents without lawful legal status in the U.S. are not eligible for \u003ca href=\"https://www.kqed.org/news/11951830/california-braces-for-food-stamp-restrictions-under-debt-ceiling-deal\">SNAP benefits\u003c/a>. However, during Trump’s first term, he proposed eliminating benefits even for “mixed-status” families where at least one person in a household lacks legal status.\u003c/p>\n\u003cp>In another example of policies that put California at odds with the Trump administration’s effort to crack down on immigrants living in the U.S., the state has tried to expand \u003ca href=\"https://www.kqed.org/news/12044713/food-stamps-at-risk-in-trump-budget-bill-bay-area-food-banks-warn\">food benefits\u003c/a> to some immigrants without legal status.\u003c/p>\n\u003cfigure id=\"attachment_11792620\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11792620\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/ap_17271692702067-ea1b97e98e157d598fa245d9c752f917e6c25c57-e1576950264238.jpg\" alt=\"\" width=\"1920\" height=\"1440\">\u003cfigcaption class=\"wp-caption-text\">The new Trump administration rule makes it harder for states to waive the requirement that adults work at least 20 hours a week in order to receive their Supplemental Nutrition Assistance Program — or SNAP — benefits. Some low-income college students could be affected. \u003ccite>(Danny Moloshok/AP)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In 2022, California became the first state in the nation to offer about $165 a month in \u003ca href=\"https://nourishca.org/wp-content/uploads/2025/03/3.3-2025-Budget-Sign-on-Food4All.pdf\">food benefits to about 35,000 immigrants, mostly to recent green card holders\u003c/a>. That expansion was part of the California Food Assistance Program, or CFAP, a state-funded version of food stamps.\u003c/p>\n\u003cp>Advocates for that effort argued that many farmworkers toil in fields for decades at low wages, providing food to the rest of the nation, and then are unable to buy enough to eat, especially when they become senior citizens.\u003c/p>\n\u003ch2>Why states are suing\u003c/h2>\n\u003cp>Attorneys general who are filing the suit argue that the Trump administration’s policy is “arbitrary and capricious,” violates the 10th Amendment that protects states’ rights as well as various privacy laws.\u003c/p>\n\u003cp>“We’re seeing a number of different cases recently where there’s this Spending Clause violation, where new conditions that Congress never put on the funding are being added by the executive branch after the fact,” said California Attorney General Rob Bonta. “They can’t do that.”\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>The suit will be filed today in the federal Northern District of California. It is the 35th time in 27 weeks that California has sued the Trump administration.\u003c/p>\n\u003cp>“SNAP applicants provide their private information on the understanding, backed by long-standing state and federal laws, that their information will not be used for unrelated purposes,” Bonta said.\u003c/p>\n\u003cp>The Trump administration has tried to tap several state databases to \u003ca href=\"https://www.migrationpolicy.org/article/trump-ice-data-surveillance\">quickly amass troves of sensitive personal information\u003c/a> about hundreds of millions of people. Using that information is part of Trump’s effort to fulfill his campaign promise of carrying out the largest mass deportation effort in U.S. history.\u003c/p>\n\u003cp>His administration says collecting the data is aimed at preventing waste and fraud. Trump issued an executive order \u003ca href=\"https://www.fns.usda.gov/snap/data-sharing-guidance\">in March\u003c/a> that ordered his administration to have “unfettered access to comprehensive data from all state programs that receive federal funding.” In May, \u003ca href=\"https://www.npr.org/2025/05/09/nx-s1-5389952/usda-snap-doge-data-immigration\">NPR reported\u003c/a> that the administration sought Social Security numbers, addresses and, for one state, citizenship data, for SNAP recipients. The orders came from the U.S. Department of Agriculture and DOGE, the previously Elon Musk-led White House office that sought to slash government spending and was met with numerous lawsuits.[aside postID=news_12049973 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/GavinNewsomAPJuly2025.jpg']Bonta said the Department of Agriculture “has never once asked states to turn over private and sensitive data on such a massive scale.” Now, it seeks five years of data about recipients, according to the attorneys general.\u003c/p>\n\u003cp>California \u003ca href=\"https://oag.ca.gov/news/press-releases/attorney-general-bonta-sues-trump-administration-illegally-sharing-californians%E2%80%99\">has already sued\u003c/a> Trump for his administration’s efforts to collect personal data from people who rely on government services. The Department of Homeland Security, which oversees immigration enforcement, obtained access to people’s data held by the Internal Revenue Service and the U.S. Health and Human Services Agency, including private medical information and other personal details about Medicaid recipients.\u003c/p>\n\u003cp>Nessel added that California and New York, the states leading the suit, contribute more in taxes to the federal government than they receive in federal services.\u003c/p>\n\u003cp>“That’s our money,” Nessel said. “We paid tax dollars to the federal government, then the federal government, you know, routes that money back to us in the form of these essential programs.”\u003c/p>\n\u003cp>She added: “And so when you cut off programming like SNAP, it just goes into the pockets of Trump’s friends and billionaires, but we already paid for this stuff.”\u003c/p>\n\u003cp>\u003cem>This article was \u003ca href=\"https://calmatters.org/economy/2025/07/food-program-california/\">originally published on CalMatters\u003c/a> and was republished under the \u003ca href=\"https://creativecommons.org/licenses/by-nc-nd/4.0/\">Creative Commons Attribution-NonCommercial-NoDerivatives\u003c/a> license.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "The Trump administration told states to provide the data by July 30 or risk losing federal funding to administer the program. This is California’s 35th suit against the Trump administration.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003c!-- Creative Commons Attribution-NonCommercial-NoDerivatives https://creativecommons.org/licenses/by-nc-nd/4.0/ -->\u003c/p>\n\u003cp>\u003cem>This story was originally published by \u003ca href=\"https://calmatters.org/\">CalMatters\u003c/a>. \u003ca href=\"https://calmatters.org/subscribe-to-calmatters/\">Sign up\u003c/a> for their newsletters.\u003c/em>\u003c/p>\n\u003cp>California, 18 other Democrat-led states and Washington, D.C., are \u003ca href=\"https://www.kqed.org/news/12048504/bonta-announces-33rd-trump-lawsuit-on-kqed-this-one-targets-health-care-cuts\">suing the Trump administration\u003c/a> to halt the U.S. Department of Agriculture from collecting sensitive information about people who receive federal food vouchers, known as SNAP.\u003c/p>\n\u003cp>The Trump administration told states to provide the data by July 30 or risk losing federal funding to administer the program. California receives $1.3 billion annually to distribute about $12 billion a year to 5 million residents who rely on the food vouchers, called CalFresh in California. About \u003ca href=\"https://www.ers.usda.gov/data-products/chart-gallery/chart-detail?chartId=55416\">13% of the state’s population receives the aid\u003c/a>.\u003c/p>\n\u003cp>“The purpose of what the Trump administration is doing here is to target immigrant communities,” said Michigan’s Attorney General Dana Nessel, during a press conference today. She said Trump’s actions “send a chilling effect to American citizens, and to tell them that if they apply for programs that they are perfectly entitled to under law, their most personal and sensitive data is going to be shared with all kinds of people, and it’s going to have the impact, and I think it already is, of scaring people away from seeking these increased incredibly important programs.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Residents without lawful legal status in the U.S. are not eligible for \u003ca href=\"https://www.kqed.org/news/11951830/california-braces-for-food-stamp-restrictions-under-debt-ceiling-deal\">SNAP benefits\u003c/a>. However, during Trump’s first term, he proposed eliminating benefits even for “mixed-status” families where at least one person in a household lacks legal status.\u003c/p>\n\u003cp>In another example of policies that put California at odds with the Trump administration’s effort to crack down on immigrants living in the U.S., the state has tried to expand \u003ca href=\"https://www.kqed.org/news/12044713/food-stamps-at-risk-in-trump-budget-bill-bay-area-food-banks-warn\">food benefits\u003c/a> to some immigrants without legal status.\u003c/p>\n\u003cfigure id=\"attachment_11792620\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11792620\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/ap_17271692702067-ea1b97e98e157d598fa245d9c752f917e6c25c57-e1576950264238.jpg\" alt=\"\" width=\"1920\" height=\"1440\">\u003cfigcaption class=\"wp-caption-text\">The new Trump administration rule makes it harder for states to waive the requirement that adults work at least 20 hours a week in order to receive their Supplemental Nutrition Assistance Program — or SNAP — benefits. Some low-income college students could be affected. \u003ccite>(Danny Moloshok/AP)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In 2022, California became the first state in the nation to offer about $165 a month in \u003ca href=\"https://nourishca.org/wp-content/uploads/2025/03/3.3-2025-Budget-Sign-on-Food4All.pdf\">food benefits to about 35,000 immigrants, mostly to recent green card holders\u003c/a>. That expansion was part of the California Food Assistance Program, or CFAP, a state-funded version of food stamps.\u003c/p>\n\u003cp>Advocates for that effort argued that many farmworkers toil in fields for decades at low wages, providing food to the rest of the nation, and then are unable to buy enough to eat, especially when they become senior citizens.\u003c/p>\n\u003ch2>Why states are suing\u003c/h2>\n\u003cp>Attorneys general who are filing the suit argue that the Trump administration’s policy is “arbitrary and capricious,” violates the 10th Amendment that protects states’ rights as well as various privacy laws.\u003c/p>\n\u003cp>“We’re seeing a number of different cases recently where there’s this Spending Clause violation, where new conditions that Congress never put on the funding are being added by the executive branch after the fact,” said California Attorney General Rob Bonta. “They can’t do that.”\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>The suit will be filed today in the federal Northern District of California. It is the 35th time in 27 weeks that California has sued the Trump administration.\u003c/p>\n\u003cp>“SNAP applicants provide their private information on the understanding, backed by long-standing state and federal laws, that their information will not be used for unrelated purposes,” Bonta said.\u003c/p>\n\u003cp>The Trump administration has tried to tap several state databases to \u003ca href=\"https://www.migrationpolicy.org/article/trump-ice-data-surveillance\">quickly amass troves of sensitive personal information\u003c/a> about hundreds of millions of people. Using that information is part of Trump’s effort to fulfill his campaign promise of carrying out the largest mass deportation effort in U.S. history.\u003c/p>\n\u003cp>His administration says collecting the data is aimed at preventing waste and fraud. Trump issued an executive order \u003ca href=\"https://www.fns.usda.gov/snap/data-sharing-guidance\">in March\u003c/a> that ordered his administration to have “unfettered access to comprehensive data from all state programs that receive federal funding.” In May, \u003ca href=\"https://www.npr.org/2025/05/09/nx-s1-5389952/usda-snap-doge-data-immigration\">NPR reported\u003c/a> that the administration sought Social Security numbers, addresses and, for one state, citizenship data, for SNAP recipients. The orders came from the U.S. Department of Agriculture and DOGE, the previously Elon Musk-led White House office that sought to slash government spending and was met with numerous lawsuits.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Bonta said the Department of Agriculture “has never once asked states to turn over private and sensitive data on such a massive scale.” Now, it seeks five years of data about recipients, according to the attorneys general.\u003c/p>\n\u003cp>California \u003ca href=\"https://oag.ca.gov/news/press-releases/attorney-general-bonta-sues-trump-administration-illegally-sharing-californians%E2%80%99\">has already sued\u003c/a> Trump for his administration’s efforts to collect personal data from people who rely on government services. The Department of Homeland Security, which oversees immigration enforcement, obtained access to people’s data held by the Internal Revenue Service and the U.S. Health and Human Services Agency, including private medical information and other personal details about Medicaid recipients.\u003c/p>\n\u003cp>Nessel added that California and New York, the states leading the suit, contribute more in taxes to the federal government than they receive in federal services.\u003c/p>\n\u003cp>“That’s our money,” Nessel said. “We paid tax dollars to the federal government, then the federal government, you know, routes that money back to us in the form of these essential programs.”\u003c/p>\n\u003cp>She added: “And so when you cut off programming like SNAP, it just goes into the pockets of Trump’s friends and billionaires, but we already paid for this stuff.”\u003c/p>\n\u003cp>\u003cem>This article was \u003ca href=\"https://calmatters.org/economy/2025/07/food-program-california/\">originally published on CalMatters\u003c/a> and was republished under the \u003ca href=\"https://creativecommons.org/licenses/by-nc-nd/4.0/\">Creative Commons Attribution-NonCommercial-NoDerivatives\u003c/a> license.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "Planned Parenthood Shutters 5 NorCal Clinics After Trump Slashes Funding",
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"content": "\u003cp>\u003cem>Updated 4:45 p.m. Friday\u003c/em>\u003c/p>\n\u003cp>Just weeks after President Donald Trump signed \u003ca href=\"https://www.kqed.org/news/12047037/a-betrayal-bay-area-leaders-react-to-us-house-passing-trumps-tax-and-welfare-cuts\">a spending bill that effectively defunded Planned Parenthood\u003c/a>, the nonprofit’s largest affiliate is shutting down five clinics, including in South San Francisco and San Mateo.\u003c/p>\n\u003cp>Planned Parenthood Mar Monte, which serves Northern California, the Central Coast and Nevada, will also shutter its Santa Cruz, Gilroy and Madera centers, citing a drastic loss in funding since Trump signed the so-called “One Big Beautiful Bill” on July 4.\u003c/p>\n\u003cp>“This law is clearly a back-door ban on abortion in reproductive freedom states, and the drastic loss of funding has forced Planned Parenthood Mar Monte … to close five of its 35 health centers,” the organization wrote in a \u003ca href=\"https://www.instagram.com/p/DMgSedds0pq/?hl=en&img_index=1\">statement on social media\u003c/a> Thursday.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Trump’s new tax bill contains wide cuts to federally subsidized \u003ca href=\"https://www.kqed.org/science/1997707/how-will-trumps-mega-bill-impact-health-care-in-california\">health care\u003c/a> and \u003ca href=\"https://www.kqed.org/news/12048636/snap-and-medicaid-cuts-put-bakersfield-in-political-economic-crosshairs\">food assistance programs\u003c/a> and prohibits organizations that perform abortions and receive more than $800,000 in Medicaid reimbursements annually from recouping that money. In a statement, Mar Monte said the bill is “prohibiting Medicaid reimbursements to healthcare organizations that exactly match the description of Planned Parenthood.”\u003c/p>\n\u003cp>Medical clinics already can’t use federal dollars to fund abortion care, due to a \u003ca href=\"https://uscode.house.gov/statutes/pl/103/112.pdf\" target=\"_blank\" rel=\"noopener\">prohibition\u003c/a> dating back to 1977, but they can seek reimbursements for other services performed on patients who have Medicaid, like STI testing and routine health checks. Planned Parenthood Mar Monte said about 80% of patients across its 35 clinics rely on Medicaid, and it \u003ca href=\"https://www.kqed.org/news/12049727/riverside-county-hosts-midnight-adoption-event-to-help-clear-overcrowded-shelters\">gets about $100 million\u003c/a>, half of its annual revenue, through the federal reimbursements.\u003c/p>\n\u003cfigure id=\"attachment_12049852\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12049852\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/250725-Planned-Parenthood-Closures-MD-01-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/250725-Planned-Parenthood-Closures-MD-01-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/250725-Planned-Parenthood-Closures-MD-01-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/250725-Planned-Parenthood-Closures-MD-01-KQED-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Planned Parenthood Mar Monte will also sunset 3 programs, including prenatal care and behavioral health, at its 30 remaining centers. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The five shuttered centers served more than 22,000 patients over the last year, the organization said, many of whom have low income and rely on them for affordable health care.\u003c/p>\n\u003cp>“We’re witnessing the real-world ramifications of the shameful extremism embodied by the Republican House majority,” said Rep. Kevin Mullin (D-San Mateo), whose district includes two of the shuttered clinics. In a statement, he said the medical centers “have long served as a lifeline for thousands of patients in our community, many of whom are low-income, uninsured, or unable to access quality health care elsewhere.”\u003c/p>\n\u003cp>According to Mullin, people in his district, which spans much of the Bay Area’s Peninsula, have relied on Planned Parenthood for years for cancer screenings, contraception and general health services.[aside postID=news_12047147 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/PPNorcal.jpg']“Women will go without Pap smears, mammograms and prenatal care. Young people will lose access to birth control. Families will be denied basic preventative services,” added Assemblymember Dianne Papan (D-San Mateo) in a statement.\u003c/p>\n\u003cp>According to Mar Monte Spokesperson Andrew Adams, the organization chose to close health centers strategically where there are other nonprofit health options available and other Mar Monte clinics nearby.\u003c/p>\n\u003cp>He said he expects the vast majority of patients who have been seen at the shuttered clinics will get care at another of the organization’s facilities.\u003c/p>\n\u003cp>“When we closed yesterday at those five places, our staff got on the phone and for patients that had appointments today or next week, we let them know that they can continue to be seen and we’re happy to reschedule for nearby health centers,” he said.\u003c/p>\n\u003cp>Mar Monte will also sunset three programs, including prenatal care and behavioral health, at its 30 remaining centers.\u003c/p>\n\u003cp>“We are not backing down, but we must have the resources to continue this fight and to continue to provide care to the hundreds of thousands who rely on [Planned Parenthood Mar Monte],” the branch said in its statement.\u003c/p>\n\u003cp>Adams said Mar Monte has lost $1.7 million in reimbursements in one week as its clinics continued to administer care. By the end of July, he predicts the organization will lose nearly $5 million.\u003c/p>\n\u003cp>“We knew that that business model is not sustainable. We can’t keep doing that, unfortunately,” Adams told KQED Friday. “We knew that we had to close some health centers in order to remain sustainable.”\u003c/p>\n\u003cp>The organization will need to build up other funding streams to protect against deeper cuts, Adams said. Mar Monte is working with the state to see if they can still utilize state-level Medicaid funding — known as Medi-Cal — as well as considering new services that attract patients and can be paid for with cash and leaning more heavily on donors.\u003c/p>\n\u003cp>“We’re really relying on the state to help fill the gap and we’re asking our donors to help bridge this time period while we come up with a more sustainable business model,” Adams told KQED.\u003c/p>\n\u003cp>Planned Parenthood Federation of America has already sued the Trump administration over the budget bill, but a \u003ca href=\"https://litigationtracker.law.georgetown.edu/wp-content/uploads/2025/07/Planned-Parenthood-Federation-of-America_2025.07.21_MEMORANDUM-ORDER.pdf\">temporary order\u003c/a> issued by a district judge in Massachusetts this week will allow the federal government to withhold reimbursements to most clinics, including all in California, while the court case plays out.\u003c/p>\n\u003cp>Mar Monte said the legal challenge faces a tough road ahead, as it could likely advance to the Supreme Court, which it described as “adversarial” to Planned Parenthood and other abortion providers.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Updated 4:45 p.m. Friday\u003c/em>\u003c/p>\n\u003cp>Just weeks after President Donald Trump signed \u003ca href=\"https://www.kqed.org/news/12047037/a-betrayal-bay-area-leaders-react-to-us-house-passing-trumps-tax-and-welfare-cuts\">a spending bill that effectively defunded Planned Parenthood\u003c/a>, the nonprofit’s largest affiliate is shutting down five clinics, including in South San Francisco and San Mateo.\u003c/p>\n\u003cp>Planned Parenthood Mar Monte, which serves Northern California, the Central Coast and Nevada, will also shutter its Santa Cruz, Gilroy and Madera centers, citing a drastic loss in funding since Trump signed the so-called “One Big Beautiful Bill” on July 4.\u003c/p>\n\u003cp>“This law is clearly a back-door ban on abortion in reproductive freedom states, and the drastic loss of funding has forced Planned Parenthood Mar Monte … to close five of its 35 health centers,” the organization wrote in a \u003ca href=\"https://www.instagram.com/p/DMgSedds0pq/?hl=en&img_index=1\">statement on social media\u003c/a> Thursday.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Trump’s new tax bill contains wide cuts to federally subsidized \u003ca href=\"https://www.kqed.org/science/1997707/how-will-trumps-mega-bill-impact-health-care-in-california\">health care\u003c/a> and \u003ca href=\"https://www.kqed.org/news/12048636/snap-and-medicaid-cuts-put-bakersfield-in-political-economic-crosshairs\">food assistance programs\u003c/a> and prohibits organizations that perform abortions and receive more than $800,000 in Medicaid reimbursements annually from recouping that money. In a statement, Mar Monte said the bill is “prohibiting Medicaid reimbursements to healthcare organizations that exactly match the description of Planned Parenthood.”\u003c/p>\n\u003cp>Medical clinics already can’t use federal dollars to fund abortion care, due to a \u003ca href=\"https://uscode.house.gov/statutes/pl/103/112.pdf\" target=\"_blank\" rel=\"noopener\">prohibition\u003c/a> dating back to 1977, but they can seek reimbursements for other services performed on patients who have Medicaid, like STI testing and routine health checks. Planned Parenthood Mar Monte said about 80% of patients across its 35 clinics rely on Medicaid, and it \u003ca href=\"https://www.kqed.org/news/12049727/riverside-county-hosts-midnight-adoption-event-to-help-clear-overcrowded-shelters\">gets about $100 million\u003c/a>, half of its annual revenue, through the federal reimbursements.\u003c/p>\n\u003cfigure id=\"attachment_12049852\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12049852\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/250725-Planned-Parenthood-Closures-MD-01-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/250725-Planned-Parenthood-Closures-MD-01-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/250725-Planned-Parenthood-Closures-MD-01-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/250725-Planned-Parenthood-Closures-MD-01-KQED-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Planned Parenthood Mar Monte will also sunset 3 programs, including prenatal care and behavioral health, at its 30 remaining centers. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The five shuttered centers served more than 22,000 patients over the last year, the organization said, many of whom have low income and rely on them for affordable health care.\u003c/p>\n\u003cp>“We’re witnessing the real-world ramifications of the shameful extremism embodied by the Republican House majority,” said Rep. Kevin Mullin (D-San Mateo), whose district includes two of the shuttered clinics. In a statement, he said the medical centers “have long served as a lifeline for thousands of patients in our community, many of whom are low-income, uninsured, or unable to access quality health care elsewhere.”\u003c/p>\n\u003cp>According to Mullin, people in his district, which spans much of the Bay Area’s Peninsula, have relied on Planned Parenthood for years for cancer screenings, contraception and general health services.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“Women will go without Pap smears, mammograms and prenatal care. Young people will lose access to birth control. Families will be denied basic preventative services,” added Assemblymember Dianne Papan (D-San Mateo) in a statement.\u003c/p>\n\u003cp>According to Mar Monte Spokesperson Andrew Adams, the organization chose to close health centers strategically where there are other nonprofit health options available and other Mar Monte clinics nearby.\u003c/p>\n\u003cp>He said he expects the vast majority of patients who have been seen at the shuttered clinics will get care at another of the organization’s facilities.\u003c/p>\n\u003cp>“When we closed yesterday at those five places, our staff got on the phone and for patients that had appointments today or next week, we let them know that they can continue to be seen and we’re happy to reschedule for nearby health centers,” he said.\u003c/p>\n\u003cp>Mar Monte will also sunset three programs, including prenatal care and behavioral health, at its 30 remaining centers.\u003c/p>\n\u003cp>“We are not backing down, but we must have the resources to continue this fight and to continue to provide care to the hundreds of thousands who rely on [Planned Parenthood Mar Monte],” the branch said in its statement.\u003c/p>\n\u003cp>Adams said Mar Monte has lost $1.7 million in reimbursements in one week as its clinics continued to administer care. By the end of July, he predicts the organization will lose nearly $5 million.\u003c/p>\n\u003cp>“We knew that that business model is not sustainable. We can’t keep doing that, unfortunately,” Adams told KQED Friday. “We knew that we had to close some health centers in order to remain sustainable.”\u003c/p>\n\u003cp>The organization will need to build up other funding streams to protect against deeper cuts, Adams said. Mar Monte is working with the state to see if they can still utilize state-level Medicaid funding — known as Medi-Cal — as well as considering new services that attract patients and can be paid for with cash and leaning more heavily on donors.\u003c/p>\n\u003cp>“We’re really relying on the state to help fill the gap and we’re asking our donors to help bridge this time period while we come up with a more sustainable business model,” Adams told KQED.\u003c/p>\n\u003cp>Planned Parenthood Federation of America has already sued the Trump administration over the budget bill, but a \u003ca href=\"https://litigationtracker.law.georgetown.edu/wp-content/uploads/2025/07/Planned-Parenthood-Federation-of-America_2025.07.21_MEMORANDUM-ORDER.pdf\">temporary order\u003c/a> issued by a district judge in Massachusetts this week will allow the federal government to withhold reimbursements to most clinics, including all in California, while the court case plays out.\u003c/p>\n\u003cp>Mar Monte said the legal challenge faces a tough road ahead, as it could likely advance to the Supreme Court, which it described as “adversarial” to Planned Parenthood and other abortion providers.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Calder Storm doesn’t know where to turn for gender-affirming care for his 16-year-old daughter.\u003c/p>\n\u003cp>After Palo Alto-based Stanford Medicine \u003ca href=\"https://www.kqed.org/science/1997491/stanford-scales-back-trans-care-for-minors-amid-federal-crackdown\">stopped offering gender-related surgical procedures\u003c/a> for minors last month, he planned to enroll her as a\u003ca href=\"https://www.kqed.org/news/tag/kaiser-permanente\"> patient at Kaiser Permanente \u003c/a>— widely regarded as a bastion of trans health care.\u003c/p>\n\u003cp>But on Wednesday, the health care giant announced that it would follow suit, pausing gender-affirming surgeries for patients under 19.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Kaiser was supposed to be our safe haven,” Storm told KQED on Wednesday. “Everyone in the trans community thought we had the best chance possible within the Kaiser system. And furthermore, we thought we had the best chance in the Northern California Kaiser system.”\u003c/p>\n\u003cp>Oakland-based Kaiser Permanente, which serves more than 12 million people across eight states, said Wednesday it would stop offering surgical gender-affirming treatments for trans minors next month, citing “significant risks” created by the current legal and regulatory environment surrounding care for transgender children.\u003c/p>\n\u003cp>“Since January, there has been significant focus by the federal government on gender-affirming care, specifically for patients under the age of 19,” the health care provider said in a statement, citing a \u003ca href=\"https://www.whitehouse.gov/presidential-actions/2025/01/protecting-children-from-chemical-and-surgical-mutilation/\">January executive order\u003c/a> from President Donald Trump threatening funding for medical centers that provide such care, changes to insurance coverage and ongoing federal investigations.\u003c/p>\n\u003cfigure id=\"attachment_12023855\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12023855\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/0M6A0870_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/0M6A0870_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/0M6A0870_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/0M6A0870_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/0M6A0870_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/0M6A0870_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/0M6A0870_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A demonstrator proudly waves a transgender pride flag during Pride Month in San Francisco, California, on June 28, 2019. \u003ccite>(Sruti Mamidanna/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Earlier this month, the\u003ca href=\"https://www.justice.gov/opa/pr/department-justice-subpoenas-doctors-and-clinics-involved-performing-transgender-medical\"> Department of Justice subpoenaed\u003c/a> more than 20 doctors and clinics that perform gender-affirming procedures on minors.\u003c/p>\n\u003cp>“We recognize that this is an extremely challenging and stressful time for our patients seeking care, as well as for our clinicians whose mission is to care for them,” the statement continued.\u003c/p>\n\u003cp>Kaiser joins a growing list of health care providers moving to limit care for trans youth under building pressure from the Trump administration. In June, Stanford’s \u003ca href=\"https://www.kqed.org/science/1997491/stanford-scales-back-trans-care-for-minors-amid-federal-crackdown\">pause of gender-affirming surgeries\u003c/a> included prescribing puberty blockers to youth, Storm said. And just this week, Los Angeles Children’s Hospital closed its \u003ca href=\"https://www.kqed.org/news/12049310/childrens-hospital-los-angeles-ends-transgender-care\">Center for Transyouth Health and Development\u003c/a>, which has been a leader in gender-affirming care for the last 30 years.\u003c/p>\n\u003cp>Storm thought Kaiser would be different, since the closed health care system doesn’t rely on federal research funding like Stanford, L.A. Children’s and many others do. And just months ago, California Attorney General Rob Bonta \u003ca href=\"https://oag.ca.gov/news/press-releases/attorney-general-bonta-reminds-hospitals-and-clinics-anti-discrimination-laws\">preemptively warned the state’s health care providers\u003c/a> that capitulating to political pressure and pausing gender-affirming care would violate state law.[aside postID=news_12049310 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/trans-health-6880e51cc03ba.jpg']But Lady Rainsard, a registered nurse in plastic surgery at Kaiser’s San Francisco campus, said that’s exactly what the health care system is doing.\u003c/p>\n\u003cp>“Medical providers, not politicians, know what’s best for our patients,” she said in a statement from California Nurses Association, a union representing 25,000 Kaiser nurses. “Right now, we deem it a much greater risk to cave to this kind of government overreach than it is to provide this care to our patients, no matter their age.”\u003c/p>\n\u003cp>Kaiser medical centers will continue to offer non-surgical care for minors and all gender-affirming care for trans adults.\u003c/p>\n\u003cp>According to State Sen. Scott Wiener, D-San Francisco, refusing to offer these procedures for young people is a step towards Trump’s goal to eliminate all trans health care.\u003c/p>\n\u003cp>“It’s important for us not to just cave in to Donald Trump’s bullying,” he told KQED on Wednesday. “It’s hard and it’s scary, but this is how fascists succeed — when institutions start backing down.”\u003c/p>\n\u003cp>Wiener said the next step for the state’s politicians will be to put pressure on Bonta’s office to enforce California law, which bars hospitals from refusing to provide health care to trans people.\u003c/p>\n\u003cfigure id=\"attachment_12043149\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12043149\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/HarveyMilkFolo2.jpg\" alt=\"\" width=\"2000\" height=\"1500\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/HarveyMilkFolo2.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/HarveyMilkFolo2-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/HarveyMilkFolo2-1536x1152.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Sen. Scott Wiener speaks at a press conference at Jane Warner Plaza in San Francisco on June 6, 2025. \u003ccite>(Samantha Kennedy/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“I don’t want the state to have to fight with Kaiser or with Stanford or with any of our great health systems, but we have to enforce the law,” he said. “California should be a safe place for trans people and LGBTQ people generally, and this is not what should be happening.”\u003c/p>\n\u003cp>Amy Whelan, a senior staff attorney with the National Center for LGBTQ Rights, said the organization is in close contact with families of patients affected by the Stanford and Los Angeles Children’s Hospital policy changes and working on the issue.\u003c/p>\n\u003cp>“There are very few patients under 19 who receive surgery, but for those who do, this is very essential health care,” she said.\u003c/p>\n\u003cp>A \u003ca href=\"https://hsph.harvard.edu/news/gender-affirming-surgeries-rarely-performed-on-transgender-youth/\">recent study\u003c/a> from researchers at Harvard’s T.H. Chan School of Public Health found little to no utilization of gender-affirming surgeries by transgender and gender diverse minors in the U.S., with a rate of two in 100,000 15- to 17-year-olds undergoing gender-affirming breast reduction surgeries in 2019. The study found that 0.1 in 100,000 13- and 14-year-olds received the procedure, and no trans children under 12 did.\u003c/p>\n\u003cp>Cisgender minors, on the other hand, received surgical gender-affirming care at “substantially” higher rates.\u003c/p>\n\u003cp>Advocates plan to rally outside Kaiser’s Medical Center at 2425 Geary Blvd. on Friday at 4 p.m.\u003c/p>\n\u003cp>\u003cem>KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/nnavarro\">\u003cem>Natalia Navarro\u003c/em>\u003c/a>\u003cem> contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Calder Storm doesn’t know where to turn for gender-affirming care for his 16-year-old daughter.\u003c/p>\n\u003cp>After Palo Alto-based Stanford Medicine \u003ca href=\"https://www.kqed.org/science/1997491/stanford-scales-back-trans-care-for-minors-amid-federal-crackdown\">stopped offering gender-related surgical procedures\u003c/a> for minors last month, he planned to enroll her as a\u003ca href=\"https://www.kqed.org/news/tag/kaiser-permanente\"> patient at Kaiser Permanente \u003c/a>— widely regarded as a bastion of trans health care.\u003c/p>\n\u003cp>But on Wednesday, the health care giant announced that it would follow suit, pausing gender-affirming surgeries for patients under 19.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Kaiser was supposed to be our safe haven,” Storm told KQED on Wednesday. “Everyone in the trans community thought we had the best chance possible within the Kaiser system. And furthermore, we thought we had the best chance in the Northern California Kaiser system.”\u003c/p>\n\u003cp>Oakland-based Kaiser Permanente, which serves more than 12 million people across eight states, said Wednesday it would stop offering surgical gender-affirming treatments for trans minors next month, citing “significant risks” created by the current legal and regulatory environment surrounding care for transgender children.\u003c/p>\n\u003cp>“Since January, there has been significant focus by the federal government on gender-affirming care, specifically for patients under the age of 19,” the health care provider said in a statement, citing a \u003ca href=\"https://www.whitehouse.gov/presidential-actions/2025/01/protecting-children-from-chemical-and-surgical-mutilation/\">January executive order\u003c/a> from President Donald Trump threatening funding for medical centers that provide such care, changes to insurance coverage and ongoing federal investigations.\u003c/p>\n\u003cfigure id=\"attachment_12023855\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12023855\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/0M6A0870_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/0M6A0870_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/0M6A0870_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/0M6A0870_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/0M6A0870_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/0M6A0870_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/0M6A0870_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A demonstrator proudly waves a transgender pride flag during Pride Month in San Francisco, California, on June 28, 2019. \u003ccite>(Sruti Mamidanna/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Earlier this month, the\u003ca href=\"https://www.justice.gov/opa/pr/department-justice-subpoenas-doctors-and-clinics-involved-performing-transgender-medical\"> Department of Justice subpoenaed\u003c/a> more than 20 doctors and clinics that perform gender-affirming procedures on minors.\u003c/p>\n\u003cp>“We recognize that this is an extremely challenging and stressful time for our patients seeking care, as well as for our clinicians whose mission is to care for them,” the statement continued.\u003c/p>\n\u003cp>Kaiser joins a growing list of health care providers moving to limit care for trans youth under building pressure from the Trump administration. In June, Stanford’s \u003ca href=\"https://www.kqed.org/science/1997491/stanford-scales-back-trans-care-for-minors-amid-federal-crackdown\">pause of gender-affirming surgeries\u003c/a> included prescribing puberty blockers to youth, Storm said. And just this week, Los Angeles Children’s Hospital closed its \u003ca href=\"https://www.kqed.org/news/12049310/childrens-hospital-los-angeles-ends-transgender-care\">Center for Transyouth Health and Development\u003c/a>, which has been a leader in gender-affirming care for the last 30 years.\u003c/p>\n\u003cp>Storm thought Kaiser would be different, since the closed health care system doesn’t rely on federal research funding like Stanford, L.A. Children’s and many others do. And just months ago, California Attorney General Rob Bonta \u003ca href=\"https://oag.ca.gov/news/press-releases/attorney-general-bonta-reminds-hospitals-and-clinics-anti-discrimination-laws\">preemptively warned the state’s health care providers\u003c/a> that capitulating to political pressure and pausing gender-affirming care would violate state law.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>But Lady Rainsard, a registered nurse in plastic surgery at Kaiser’s San Francisco campus, said that’s exactly what the health care system is doing.\u003c/p>\n\u003cp>“Medical providers, not politicians, know what’s best for our patients,” she said in a statement from California Nurses Association, a union representing 25,000 Kaiser nurses. “Right now, we deem it a much greater risk to cave to this kind of government overreach than it is to provide this care to our patients, no matter their age.”\u003c/p>\n\u003cp>Kaiser medical centers will continue to offer non-surgical care for minors and all gender-affirming care for trans adults.\u003c/p>\n\u003cp>According to State Sen. Scott Wiener, D-San Francisco, refusing to offer these procedures for young people is a step towards Trump’s goal to eliminate all trans health care.\u003c/p>\n\u003cp>“It’s important for us not to just cave in to Donald Trump’s bullying,” he told KQED on Wednesday. “It’s hard and it’s scary, but this is how fascists succeed — when institutions start backing down.”\u003c/p>\n\u003cp>Wiener said the next step for the state’s politicians will be to put pressure on Bonta’s office to enforce California law, which bars hospitals from refusing to provide health care to trans people.\u003c/p>\n\u003cfigure id=\"attachment_12043149\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12043149\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/HarveyMilkFolo2.jpg\" alt=\"\" width=\"2000\" height=\"1500\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/HarveyMilkFolo2.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/HarveyMilkFolo2-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/HarveyMilkFolo2-1536x1152.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Sen. Scott Wiener speaks at a press conference at Jane Warner Plaza in San Francisco on June 6, 2025. \u003ccite>(Samantha Kennedy/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“I don’t want the state to have to fight with Kaiser or with Stanford or with any of our great health systems, but we have to enforce the law,” he said. “California should be a safe place for trans people and LGBTQ people generally, and this is not what should be happening.”\u003c/p>\n\u003cp>Amy Whelan, a senior staff attorney with the National Center for LGBTQ Rights, said the organization is in close contact with families of patients affected by the Stanford and Los Angeles Children’s Hospital policy changes and working on the issue.\u003c/p>\n\u003cp>“There are very few patients under 19 who receive surgery, but for those who do, this is very essential health care,” she said.\u003c/p>\n\u003cp>A \u003ca href=\"https://hsph.harvard.edu/news/gender-affirming-surgeries-rarely-performed-on-transgender-youth/\">recent study\u003c/a> from researchers at Harvard’s T.H. Chan School of Public Health found little to no utilization of gender-affirming surgeries by transgender and gender diverse minors in the U.S., with a rate of two in 100,000 15- to 17-year-olds undergoing gender-affirming breast reduction surgeries in 2019. The study found that 0.1 in 100,000 13- and 14-year-olds received the procedure, and no trans children under 12 did.\u003c/p>\n\u003cp>Cisgender minors, on the other hand, received surgical gender-affirming care at “substantially” higher rates.\u003c/p>\n\u003cp>Advocates plan to rally outside Kaiser’s Medical Center at 2425 Geary Blvd. on Friday at 4 p.m.\u003c/p>\n\u003cp>\u003cem>KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/nnavarro\">\u003cem>Natalia Navarro\u003c/em>\u003c/a>\u003cem> contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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