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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The One Big Beautiful Bill Act, signed by President Donald Trump last year, will cut an estimated $900 billion to $1 trillion from Medicaid over the next decade. Between funding cuts and big changes to enrollment and eligibility requirements, residents who rely on Medi-Cal, California’s Medicaid program, are bracing for impact. Doctor and journalist Sejal Parekh explores how this is playing out in Contra Costa County.\u003c/p>\n\u003cp>\u003cstrong>Links:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://richmondside.org/2026/03/30/trump-medi-cal-cuts-contra-costa/\">Up to 93K Contra Costa County residents could lose health insurance under Trump cuts\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" frameborder=\"0\" height=\"200\" scrolling=\"no\" src=\"https://playlist.megaphone.fm?e=KQINC2727484835&light=true\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>\u003cspan class=\"\" title=\"\">\u003ci>Some members of the KQED podcast team are represented by The Screen Actors Guild, American Federation of Television and Radio Artists, San Francisco-Northern California Local.\u003c/i>\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>As new federal work requirements leave hundreds of thousands of Californians at \u003ca href=\"https://www.kqed.org/news/12078168/april-1-snap-food-stamps-cal-fresh-eligibility-change-2026-immigrants-refugees-asylum-seekers-recertify-where-to-find-food-bank\">risk of losing\u003c/a> Medi-Cal and food stamps, the state Legislature is considering a bill that aims to ensure eligible recipients keep their benefits.\u003c/p>\n\u003cp>Under \u003ca href=\"https://www.kqed.org/forum/2010101910533/what-the-big-beautiful-bill-means-for-california\">H.R. 1\u003c/a>, the major Republican spending bill known as the One Big Beautiful Bill Act that President Donald Trump signed last summer, working-age adults without children will be \u003ca href=\"https://www.dhcs.ca.gov/federal-impacts/Documents/DHCS-HR1-Implementation-Plan.pdf\">required\u003c/a> to put in 20 hours a week of work, school or volunteering in order to maintain their benefits. The new requirement goes into effect Jan. 1, 2027.\u003c/p>\n\u003cp>As a result of those changes, the California Legislative Analyst’s office estimates that up to 2 million people could get dropped from Medi-Cal, and around 840,000 could lose CalFresh food aid. Some of those recipients would be disqualified because they don’t meet the work requirement. Others may simply be unable to manage the new bureaucratic requirement of documenting their hours for the government twice a year.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>State Sen. Christopher Cabaldon, D-West Sacramento, drafted a solution that he hopes will prevent people from losing benefits for failing to report their hours.\u003c/p>\n\u003cp>His bill, \u003ca href=\"https://legiscan.com/CA/bill/SB1054/2025\">SB 1054\u003c/a>, would instead require employers to provide that information to the state Employment Development Department — which already collects data on employee wages to administer unemployment benefits. The bill would then authorize the EDD to share that data with the state health and social service agencies that determine eligibility for Medi-Cal and CalFresh.\u003c/p>\n\u003cp>“Congress has opened up a giant chasm for Californians to fall into and lose their Medi-Cal coverage,” Cabaldon said. “We can use our data systems to thwart that cynical ploy and make sure that Californians don’t get booted off because of a paper processing requirement.”\u003c/p>\n\u003cfigure id=\"attachment_12060772\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12060772\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/SNAPGetty.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/SNAPGetty.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/SNAPGetty-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/SNAPGetty-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">SNAP and EBT Accepted here sign. SNAP and Food Stamps provide nutrition benefits to supplement the budgets of disadvantaged families. \u003ccite>(Jet City Image/iStock Editorial via Getty Images Plus)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The bill passed out of the Senate Labor, Public Employment and Retirement Committee last month with unanimous, bipartisan support. Currently, it’s set for an April 13 hearing at the Appropriations Committee.\u003c/p>\n\u003cp>Monica Saucedo, a senior fellow at the California Budget and Policy Center, said the federal spending bill is putting extra pressure on state policymakers who are trying to ensure a social safety net for Californians, all while the state faces a budget deficit in the coming year.\u003c/p>\n\u003cp>“H.R. 1 has put state leaders in a really tough spot,” she said. “Introducing creative solutions — like ensuring that data can be shared across agencies, and the burden is removed off of the individuals — is a really good way to try to mitigate this harm.”\u003c/p>\n\u003cp>She applauded Cabaldon’s bill but said she’s concerned about a bigger problem: not just the work \u003cem>reporting\u003c/em> requirement, but the work requirement itself. According to Saucedo, it’s the first time in the history of the Medicaid program, known in California as Medi-Cal, that people have been required to work to maintain their health coverage.[aside postID=news_12078168 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251031-SFMARINFOODBANK-11-BL-KQED.jpg']Roughly 1 in 3 Californians is covered by Medi-Cal.\u003c/p>\n\u003cp>House Speaker Mike Johnson, R-Louisiana, has said the\u003ca href=\"https://x.com/atrupar/status/1910358772272202135?s=20\"> work requirement helps\u003c/a> “return the dignity of work to young men who need to be out working instead of playing video games all day.”\u003c/p>\n\u003cp>But Saucedo said most people receiving benefits are already working, and research has shown that such requirements don’t increase employment or earnings.\u003c/p>\n\u003cp>Saucedo called the work reporting requirements “a bad policy.” “It really is just another way of … pushing people off of the programs,” she said.\u003c/p>\n\u003cp>What Cabaldon’s bill does not do is change \u003cem>who \u003c/em>is eligible for health and food aid. It would not restore access to Medi-Cal and CalFresh for tens of thousands of \u003ca href=\"https://www.kqed.org/news/12078168/april-1-snap-food-stamps-cal-fresh-eligibility-change-2026-immigrants-refugees-asylum-seekers-recertify-where-to-find-food-bank\">lawfully present immigrants\u003c/a> in California — including refugees and asylees, DACA recipients and Temporary Protected Status holders. Under H.R. 1, they became ineligible for CalFresh on April 1 and \u003ca href=\"https://www.dhcs.ca.gov/federal-impacts/Documents/DHCS-HR1-Implementation-Plan.pdf\">will lose Medi-Cal\u003c/a> on Oct. 1.\u003c/p>\n\u003cp>Benyamin Chao, a policy manager with the California Immigrant Policy Center, said he wants to see state lawmakers find a solution for those immigrants as well.\u003c/p>\n\u003cp>“It’s heartbreaking to see these cuts go into effect,” he said. “Given the amount of contributions that immigrants make, tax-wise or just through our social fabric in California, now is really that test for our leaders in Sacramento, whether we will make those investments.”\u003c/p>\n\u003cfigure id=\"attachment_11963409\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11963409\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED.jpg\" alt='A large modern building with the words \"Kaiser Permanente\" across the top.' width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The Kaiser Permanente Oakland Medical Center in Oakland on Oct. 4, 2023. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Chao’s organization is working with Sen. Maria Elena Durazo, D-Los Angeles, on \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202520260SB1422\">SB 1422\u003c/a>, a different bill that aims to restore state-funded health coverage to low-income working-age Californians — regardless of immigration status or whether the federal government will pay for it.\u003c/p>\n\u003cp>Cabaldon said his bill would offer another benefit: improved data sharing between state agencies that could help California improve the college and career training programs it funds.\u003c/p>\n\u003cp>“We have the data we need in order to make much smarter decisions and evaluations about where we’re spending our workforce development training dollars, but … it’s not used for that purpose,” he said.\u003c/p>\n\u003cp>The “nerdy side” of the bill, as Cabaldon called it, would enable the state government to share necessary data “to improve the effectiveness of our workforce development and education programs, to make sure that folks get and keep high-quality, good-paying jobs and careers.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>As new federal work requirements leave hundreds of thousands of Californians at \u003ca href=\"https://www.kqed.org/news/12078168/april-1-snap-food-stamps-cal-fresh-eligibility-change-2026-immigrants-refugees-asylum-seekers-recertify-where-to-find-food-bank\">risk of losing\u003c/a> Medi-Cal and food stamps, the state Legislature is considering a bill that aims to ensure eligible recipients keep their benefits.\u003c/p>\n\u003cp>Under \u003ca href=\"https://www.kqed.org/forum/2010101910533/what-the-big-beautiful-bill-means-for-california\">H.R. 1\u003c/a>, the major Republican spending bill known as the One Big Beautiful Bill Act that President Donald Trump signed last summer, working-age adults without children will be \u003ca href=\"https://www.dhcs.ca.gov/federal-impacts/Documents/DHCS-HR1-Implementation-Plan.pdf\">required\u003c/a> to put in 20 hours a week of work, school or volunteering in order to maintain their benefits. The new requirement goes into effect Jan. 1, 2027.\u003c/p>\n\u003cp>As a result of those changes, the California Legislative Analyst’s office estimates that up to 2 million people could get dropped from Medi-Cal, and around 840,000 could lose CalFresh food aid. Some of those recipients would be disqualified because they don’t meet the work requirement. Others may simply be unable to manage the new bureaucratic requirement of documenting their hours for the government twice a year.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>State Sen. Christopher Cabaldon, D-West Sacramento, drafted a solution that he hopes will prevent people from losing benefits for failing to report their hours.\u003c/p>\n\u003cp>His bill, \u003ca href=\"https://legiscan.com/CA/bill/SB1054/2025\">SB 1054\u003c/a>, would instead require employers to provide that information to the state Employment Development Department — which already collects data on employee wages to administer unemployment benefits. The bill would then authorize the EDD to share that data with the state health and social service agencies that determine eligibility for Medi-Cal and CalFresh.\u003c/p>\n\u003cp>“Congress has opened up a giant chasm for Californians to fall into and lose their Medi-Cal coverage,” Cabaldon said. “We can use our data systems to thwart that cynical ploy and make sure that Californians don’t get booted off because of a paper processing requirement.”\u003c/p>\n\u003cfigure id=\"attachment_12060772\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12060772\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/SNAPGetty.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/SNAPGetty.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/SNAPGetty-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/SNAPGetty-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">SNAP and EBT Accepted here sign. SNAP and Food Stamps provide nutrition benefits to supplement the budgets of disadvantaged families. \u003ccite>(Jet City Image/iStock Editorial via Getty Images Plus)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The bill passed out of the Senate Labor, Public Employment and Retirement Committee last month with unanimous, bipartisan support. Currently, it’s set for an April 13 hearing at the Appropriations Committee.\u003c/p>\n\u003cp>Monica Saucedo, a senior fellow at the California Budget and Policy Center, said the federal spending bill is putting extra pressure on state policymakers who are trying to ensure a social safety net for Californians, all while the state faces a budget deficit in the coming year.\u003c/p>\n\u003cp>“H.R. 1 has put state leaders in a really tough spot,” she said. “Introducing creative solutions — like ensuring that data can be shared across agencies, and the burden is removed off of the individuals — is a really good way to try to mitigate this harm.”\u003c/p>\n\u003cp>She applauded Cabaldon’s bill but said she’s concerned about a bigger problem: not just the work \u003cem>reporting\u003c/em> requirement, but the work requirement itself. According to Saucedo, it’s the first time in the history of the Medicaid program, known in California as Medi-Cal, that people have been required to work to maintain their health coverage.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Roughly 1 in 3 Californians is covered by Medi-Cal.\u003c/p>\n\u003cp>House Speaker Mike Johnson, R-Louisiana, has said the\u003ca href=\"https://x.com/atrupar/status/1910358772272202135?s=20\"> work requirement helps\u003c/a> “return the dignity of work to young men who need to be out working instead of playing video games all day.”\u003c/p>\n\u003cp>But Saucedo said most people receiving benefits are already working, and research has shown that such requirements don’t increase employment or earnings.\u003c/p>\n\u003cp>Saucedo called the work reporting requirements “a bad policy.” “It really is just another way of … pushing people off of the programs,” she said.\u003c/p>\n\u003cp>What Cabaldon’s bill does not do is change \u003cem>who \u003c/em>is eligible for health and food aid. It would not restore access to Medi-Cal and CalFresh for tens of thousands of \u003ca href=\"https://www.kqed.org/news/12078168/april-1-snap-food-stamps-cal-fresh-eligibility-change-2026-immigrants-refugees-asylum-seekers-recertify-where-to-find-food-bank\">lawfully present immigrants\u003c/a> in California — including refugees and asylees, DACA recipients and Temporary Protected Status holders. Under H.R. 1, they became ineligible for CalFresh on April 1 and \u003ca href=\"https://www.dhcs.ca.gov/federal-impacts/Documents/DHCS-HR1-Implementation-Plan.pdf\">will lose Medi-Cal\u003c/a> on Oct. 1.\u003c/p>\n\u003cp>Benyamin Chao, a policy manager with the California Immigrant Policy Center, said he wants to see state lawmakers find a solution for those immigrants as well.\u003c/p>\n\u003cp>“It’s heartbreaking to see these cuts go into effect,” he said. “Given the amount of contributions that immigrants make, tax-wise or just through our social fabric in California, now is really that test for our leaders in Sacramento, whether we will make those investments.”\u003c/p>\n\u003cfigure id=\"attachment_11963409\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11963409\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED.jpg\" alt='A large modern building with the words \"Kaiser Permanente\" across the top.' width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The Kaiser Permanente Oakland Medical Center in Oakland on Oct. 4, 2023. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Chao’s organization is working with Sen. Maria Elena Durazo, D-Los Angeles, on \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202520260SB1422\">SB 1422\u003c/a>, a different bill that aims to restore state-funded health coverage to low-income working-age Californians — regardless of immigration status or whether the federal government will pay for it.\u003c/p>\n\u003cp>Cabaldon said his bill would offer another benefit: improved data sharing between state agencies that could help California improve the college and career training programs it funds.\u003c/p>\n\u003cp>“We have the data we need in order to make much smarter decisions and evaluations about where we’re spending our workforce development training dollars, but … it’s not used for that purpose,” he said.\u003c/p>\n\u003cp>The “nerdy side” of the bill, as Cabaldon called it, would enable the state government to share necessary data “to improve the effectiveness of our workforce development and education programs, to make sure that folks get and keep high-quality, good-paying jobs and careers.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "California Rep. David Valadao Voted for Medi-Cal Cuts. Will Voters Hold It Against Him?",
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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>California Rep. \u003ca href=\"https://www.kqed.org/news/tag/david-valadao\">David Valadao\u003c/a> has some explaining to do.\u003c/p>\n\u003cp>Nearly two-thirds of constituents in his Central Valley district — approximately 527,000 Californians — are enrolled in Medi-Cal, the state Medicaid program that provides health care coverage to low-income Americans and those with disabilities. At 64%, Valadao’s district has the \u003ca href=\"https://www.kff.org/medicaid/congressional-district-interactive-map-medicaid-enrollment-by-eligibility-group/\">highest \u003c/a>Medicaid enrollment rate of any Republican seat in the country.\u003c/p>\n\u003cp>Yet last year, the \u003ca href=\"https://www.kqed.org/news/12033802/how-cuts-medicaid-republican-gains-california\">Republican cast what would become\u003c/a> the decisive vote to pass President Donald Trump’s domestic policy megabill, a law that \u003ca href=\"https://www.kqed.org/news/12051681/local-health-providers-prepare-for-medi-cal-cuts\">slashed more than $1 trillion\u003c/a> from Medicaid and other programs that help the poorest Americans to pay for tax cuts that will mostly \u003ca href=\"https://www.nytimes.com/2025/08/11/us/politics/trump-gop-policy-bill-rich-poor.html\">benefit \u003c/a>the country’s richest. One of the most drastic changes is stricter eligibility requirements for Medicaid that California officials \u003ca href=\"https://www.youtube.com/watch?v=gT9_aI0TD5U\">estimate \u003c/a>will kick two million Californians off their health care.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Republicans across the country will face an uphill battle in the midterms as they toil to defend — and sell — the record of their party’s widely unpopular and polarizing president.\u003c/p>\n\u003cp>But Valadao in particular has the unenviable task of justifying why he consistently supported — not just on final passage, but at each procedural step along the way — a measure that bears such dire consequences for so many of the constituents whose votes he’ll need to win reelection.\u003c/p>\n\u003cfigure id=\"attachment_11977150\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/GettyImages-1255046317-scaled-e1770053296326.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11977150\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/GettyImages-1255046317-scaled-e1770053296326.jpg\" alt=\"\" width=\"2000\" height=\"1334\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Rep. David Valadao stands in his milo field on Oct. 21, 2022 in Hanford, King’s County. \u003ccite>(Irfan Khan/Los Angeles Times via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>His two Democratic opponents are already arguing that Valadao’s vote in favor of the “one big beautiful bill,” which came after he suggested he wouldn’t support cutting Medicaid, amounts to a breach of trust that should cost him his job.\u003c/p>\n\u003cp>“He was the deciding vote. His one vote could have stopped that,” said Assemblymember \u003ca href=\"https://calmatters.digitaldemocracy.org/legislators/jasmeet-bains-165424\">Jasmeet Bains\u003c/a>, a Bakersfield physician who’s challenging Valadao.\u003c/p>\n\u003cp>Randy Villegas, a Visalia school board trustee and college professor who is also vying for the chance to unseat Valadao, put it more bluntly.\u003c/p>\n\u003cp>He “lied to our faces,” Villegas said, using an expletive for emphasis. “We have somebody in office who is willing to try and do or say whatever is politically convenient to save his own butt.”\u003c/p>\n\u003cp>A spokesperson for the six-term congressman declined CalMatters’ requests for an interview, saying his schedule was full.\u003c/p>\n\u003cp>“Congressman David Valadao has consistently fought for Central Valley families and real solutions to strengthen rural health care, not played politics for headlines,” wrote Christian Martinez, regional press secretary for the National Republican Congressional Committee, in a statement.\u003c/p>\n\u003cp>Shortly after his final vote on the megabill, Valadao stressed that even though he \u003ca href=\"https://valadao.house.gov/news/documentsingle.aspx?DocumentID=3103\">still had concerns\u003c/a> with the bill, he ultimately voted for it to avoid tax hikes that would result from the expiration of Trump’s 2017 tax cuts. While Valadao and other Republicans have marketed those cuts as tax relief for middle- and low-income families, economists agree that they \u003ca href=\"https://economics.ucla.edu/how-a-historic-corporate-tax-cut-reshaped-the-u-s-economy/#:~:text=The%20researchers%20identify%20a%20substantial,costs%20required%20to%20produce%20them.\">disproportionately benefit wealthy Americans and corporations\u003c/a>.\u003c/p>\n\u003ch2>\u003cstrong>Can Democrats replicate 2018?\u003c/strong>\u003c/h2>\n\u003cp>Out of seven elections, Valadao has only lost once – in 2018, as part of the decisive “blue wave” that flipped control of the House during Trump’s first midterm.\u003c/p>\n\u003cp>That year, Democrats leveraged the GOP’s multiple failed attempts to repeal the Affordable Care Act, a program that since its creation has grown broadly popular with Americans across the political spectrum. Also looming then was the White House’s controversial practice of separating immigrant children from their parents and detaining them to deter border crossings.[aside postID=news_12033802 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-14-KQED-1-1020x680.jpg']Even casual observers of politics can draw the parallels between 2018 — a Trump midterm election defined by Republican attacks on health care and aggressive immigration enforcement — and 2026. And national Democrats for months have said they plan to \u003ca href=\"https://www.nytimes.com/2025/03/01/us/politics/trump-budget-medicaid.html\">run the same playbook\u003c/a> as they push to flip the House.\u003c/p>\n\u003cp>Republican strategists agree this will be the most difficult reelection that incumbent House Republicans have faced since the last time Trump was in office, even for someone like Valadao who has consistently outperformed as a Republican in a Democratic-leaning district.\u003c/p>\n\u003cp>“I do think this is the year that Valadao is in deep trouble,” said Mike Madrid, Republican political consultant and cofounder of the anti-Trump Lincoln Project. “Nine times out of 10, I don’t say that. But this year is going to look a lot like 2018 — probably more.”\u003c/p>\n\u003cp>Since Valadao reclaimed his seat in 2020, he’s twice fended off challenges from former Democratic Assemblyman Rudy Salas, a moderate with strong backing from national Democrats. (Salas \u003ca href=\"https://docquery.fec.gov/cgi-bin/forms/C00791756/1932283/\">filed candidate paperwork\u003c/a> but \u003ca href=\"https://www.politico.com/newsletters/california-playbook/2026/01/27/republicans-navigate-alex-prettis-killing-00748773\">recently stated\u003c/a> he has not yet decided whether he’ll enter the race.)\u003c/p>\n\u003cp>He has also sought to further burnish his reputation as a moderate and an independent thinker rather than a Trump acolyte. Of the 10 Republican defectors who voted with Democrats in 2021 to impeach Trump for inciting an insurrection on Jan. 6, Valadao is the only one left in Congress.\u003c/p>\n\u003ch2>\u003cstrong>Will Medicaid vote cost Valadao his job?\u003c/strong>\u003c/h2>\n\u003cp>After Trump won reelection in 2024 and congressional Republicans started crafting the president’s first big legislative package, Valadao repeatedly signaled that he wouldn’t support a bill that threatened Medicaid.\u003c/p>\n\u003cp>In one letter to House leadership, Valadao and some Hispanic lawmakers argued that such cuts “would have serious consequences, particularly in rural and predominantly Hispanic communities where hospitals and nursing homes are already struggling to keep their doors open.”\u003c/p>\n\u003cfigure>\u003cimg decoding=\"async\" src=\"https://calmatters.org/wp-content/uploads/2026/01/092525_Redistricting-Day-2_LV_CM_12-1024x682.jpg\" alt='A red political sign is seen near a highways with cars passing through. That sign, that includes an image of a lawmaker next to an image of a child, reads \" Rep. Valadao cut our healthcare to give tax breaks to billionaires.\"'>\u003cfigcaption>A political sign against U.S. Rep. David Valadao off of Highway 198 in Lemoore on Sept. 26, 2025. Larry Valenzuela/CalMatters via CatchLight Local\u003c/figcaption>\u003c/figure>\n\u003cp>But ultimately, he voted several times to advance Trump’s domestic policy agenda, which health care advocates and constituents lambasted.\u003c/p>\n\u003cp>“I do think there was really a sense of betrayal among at least some of his voters, who thought, ‘You know, this is not what I elected him to Congress to do — I thought he was a different kind of Republican who would represent the needs of the district,’” said Amanda McAllister-Wallner, executive director of Health Access. She helped lead the coalition known as “Fight for Our Health,” which lobbied Valadao and other California House Republicans to vote against the cuts.\u003c/p>\n\u003cp>Valadao’s vote was especially significant given that the 22nd Congressional District, which he represents, is home to a higher percentage of Medicaid enrollees than any other Republican district in the U.S.\u003c/p>\n\u003cp>Valadao has defended his votes and said he ultimately supported the legislation because it preserved the Medicaid program “for its intended recipients — children, pregnant women, the disabled and elderly.”\u003c/p>\n\u003cp>Critics say the more stringent eligibility requirements will cause patients of all ages to lose coverage, since proving eligibility can be a confusing and laborious process.\u003c/p>\n\u003cp>“I know how important the program is for my constituents,” Valadao \u003ca href=\"https://valadao.house.gov/news/documentsingle.aspx?DocumentID=3103\">wrote in a statement\u003c/a> after he voted to approve the bill. He added that several of the most concerning policy changes that “would have devastated healthcare in my district,” were removed as a result of his “many months of meetings” with Republican leadership.\u003c/p>\n\u003ch2>\u003cstrong>Valadao does damage control\u003c/strong>\u003c/h2>\n\u003cp>Since the vote, Valadao has seemingly worked to insulate himself from potentially difficult questions, declining multiple interviews with CalMatters for several different stories.\u003c/p>\n\u003cp>In a nod to the issue that lost him the 2018 race, Valadao also joined Democrats and 16 other Republicans to buck House GOP leadership in a symbolic vote to extend the already-expired Affordable Care Act tax subsidies. More than 85,000 of his constituents on ACA plans saw their health premiums skyrocket by an average of $85 per month, \u003ca href=\"https://fightforourhealth.org/wp-content/uploads/FFOH-District-22-Fact-Sheet-23636-1.pdf\">according to health advocates\u003c/a>.[aside postID=news_12071841 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250312-MATT-MAHAN-ON-PB-MD-06-KQED-1020x680.jpg']When he has received questions about Medicaid funding, he has pointed repeatedly to the “Rural Health Transformation Project,” a $50 billion fund tucked into the Trump megabill designed to help some rural hospitals keep their doors open as \u003ca href=\"https://calhospital.org/federal-medicaid-cuts-will-strip-up-to-128-billion-from-ca-hospitals-cha-estimates/\">they prepare to lose billions in Medicaid revenue\u003c/a>. Critics have pointed out that California would only receive $230 million from the program in 2026, a fraction of the estimated $15 billion the state’s hospitals would have received in Medicaid dollars this year.\u003c/p>\n\u003cp>Valadao co-hosted a roundtable last month with local health care industry leaders and advocates, Rep. Vince Fong and Dr. Mehmet Oz, administrator of the Centers for Medicare and Medicaid Services under Trump. The event was closed to the press, and one attendee said there was little time to address specific questions or concerns.\u003c/p>\n\u003cp>“I would say that it felt performative,” said Virginia Hedrick, CEO of the California Rural Indian Health Board. She said she was frustrated that the conversation was largely scripted and felt more like a sales pitch for Oz and the White House’s agenda than a genuine discussion.\u003c/p>\n\u003cp>“There was a great roundtable of people who would have loved to have a more robust conversation around true impacts and what solutions exist,” Hedrick said. “And those solutions would be congressional fixes.”\u003c/p>\n\u003cfigure>\n\u003cblockquote>\u003cp>‘It felt performative.’\u003c/p>\n\u003cp>\u003ccite>Virginia Hedrick, CEO of the California Rural Indian Health Board.\u003c/cite>\u003c/p>\u003c/blockquote>\n\u003c/figure>\n\u003cp>But as much as Valadao’s opponents hope to leverage the Medicaid cuts, political strategists warn that they should not fixate too much on health care.\u003c/p>\n\u003cp>“If I were running the campaign against him, I would not pin all my hopes on that,” said Madrid. He argued that Democrats should tap into Americans’ concerns about the economy and the cost of living, which consistently poll as the top issue for voters and are “politically poisonous” for Republicans given that prices have only risen since their party took control of Washington.\u003c/p>\n\u003cp>Rob Stutzman, a veteran Republican political strategist, posited that Medicaid wouldn’t be as strong a motivator as the Affordable Care Act was to get voters out. The people most affected by those cuts, low-income families and those with disabilities, are not the typical demographic of likely midterm voters.\u003c/p>\n\u003cp>“He’s as equipped to weather a Trump midterm as a lot of Republicans in similar situations across the country,” Stutzman said of Valadao. “He’s now a long-term incumbent. He’s got a lot of muscle and strength in that district.”\u003c/p>\n\u003cp>\u003cem>This article was \u003ca href=\"https://calmatters.org/politics/2026/02/congress-valadao-medicaid-cuts/\">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": "Democrats hope to oust him again by leveraging his vote for the GOP megabill that will cut funding to Medi-Cal, which provides health coverage for nearly two-thirds of his constituents.\r\n\r\n",
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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>California Rep. \u003ca href=\"https://www.kqed.org/news/tag/david-valadao\">David Valadao\u003c/a> has some explaining to do.\u003c/p>\n\u003cp>Nearly two-thirds of constituents in his Central Valley district — approximately 527,000 Californians — are enrolled in Medi-Cal, the state Medicaid program that provides health care coverage to low-income Americans and those with disabilities. At 64%, Valadao’s district has the \u003ca href=\"https://www.kff.org/medicaid/congressional-district-interactive-map-medicaid-enrollment-by-eligibility-group/\">highest \u003c/a>Medicaid enrollment rate of any Republican seat in the country.\u003c/p>\n\u003cp>Yet last year, the \u003ca href=\"https://www.kqed.org/news/12033802/how-cuts-medicaid-republican-gains-california\">Republican cast what would become\u003c/a> the decisive vote to pass President Donald Trump’s domestic policy megabill, a law that \u003ca href=\"https://www.kqed.org/news/12051681/local-health-providers-prepare-for-medi-cal-cuts\">slashed more than $1 trillion\u003c/a> from Medicaid and other programs that help the poorest Americans to pay for tax cuts that will mostly \u003ca href=\"https://www.nytimes.com/2025/08/11/us/politics/trump-gop-policy-bill-rich-poor.html\">benefit \u003c/a>the country’s richest. One of the most drastic changes is stricter eligibility requirements for Medicaid that California officials \u003ca href=\"https://www.youtube.com/watch?v=gT9_aI0TD5U\">estimate \u003c/a>will kick two million Californians off their health care.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Republicans across the country will face an uphill battle in the midterms as they toil to defend — and sell — the record of their party’s widely unpopular and polarizing president.\u003c/p>\n\u003cp>But Valadao in particular has the unenviable task of justifying why he consistently supported — not just on final passage, but at each procedural step along the way — a measure that bears such dire consequences for so many of the constituents whose votes he’ll need to win reelection.\u003c/p>\n\u003cfigure id=\"attachment_11977150\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/GettyImages-1255046317-scaled-e1770053296326.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11977150\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/GettyImages-1255046317-scaled-e1770053296326.jpg\" alt=\"\" width=\"2000\" height=\"1334\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Rep. David Valadao stands in his milo field on Oct. 21, 2022 in Hanford, King’s County. \u003ccite>(Irfan Khan/Los Angeles Times via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>His two Democratic opponents are already arguing that Valadao’s vote in favor of the “one big beautiful bill,” which came after he suggested he wouldn’t support cutting Medicaid, amounts to a breach of trust that should cost him his job.\u003c/p>\n\u003cp>“He was the deciding vote. His one vote could have stopped that,” said Assemblymember \u003ca href=\"https://calmatters.digitaldemocracy.org/legislators/jasmeet-bains-165424\">Jasmeet Bains\u003c/a>, a Bakersfield physician who’s challenging Valadao.\u003c/p>\n\u003cp>Randy Villegas, a Visalia school board trustee and college professor who is also vying for the chance to unseat Valadao, put it more bluntly.\u003c/p>\n\u003cp>He “lied to our faces,” Villegas said, using an expletive for emphasis. “We have somebody in office who is willing to try and do or say whatever is politically convenient to save his own butt.”\u003c/p>\n\u003cp>A spokesperson for the six-term congressman declined CalMatters’ requests for an interview, saying his schedule was full.\u003c/p>\n\u003cp>“Congressman David Valadao has consistently fought for Central Valley families and real solutions to strengthen rural health care, not played politics for headlines,” wrote Christian Martinez, regional press secretary for the National Republican Congressional Committee, in a statement.\u003c/p>\n\u003cp>Shortly after his final vote on the megabill, Valadao stressed that even though he \u003ca href=\"https://valadao.house.gov/news/documentsingle.aspx?DocumentID=3103\">still had concerns\u003c/a> with the bill, he ultimately voted for it to avoid tax hikes that would result from the expiration of Trump’s 2017 tax cuts. While Valadao and other Republicans have marketed those cuts as tax relief for middle- and low-income families, economists agree that they \u003ca href=\"https://economics.ucla.edu/how-a-historic-corporate-tax-cut-reshaped-the-u-s-economy/#:~:text=The%20researchers%20identify%20a%20substantial,costs%20required%20to%20produce%20them.\">disproportionately benefit wealthy Americans and corporations\u003c/a>.\u003c/p>\n\u003ch2>\u003cstrong>Can Democrats replicate 2018?\u003c/strong>\u003c/h2>\n\u003cp>Out of seven elections, Valadao has only lost once – in 2018, as part of the decisive “blue wave” that flipped control of the House during Trump’s first midterm.\u003c/p>\n\u003cp>That year, Democrats leveraged the GOP’s multiple failed attempts to repeal the Affordable Care Act, a program that since its creation has grown broadly popular with Americans across the political spectrum. Also looming then was the White House’s controversial practice of separating immigrant children from their parents and detaining them to deter border crossings.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Even casual observers of politics can draw the parallels between 2018 — a Trump midterm election defined by Republican attacks on health care and aggressive immigration enforcement — and 2026. And national Democrats for months have said they plan to \u003ca href=\"https://www.nytimes.com/2025/03/01/us/politics/trump-budget-medicaid.html\">run the same playbook\u003c/a> as they push to flip the House.\u003c/p>\n\u003cp>Republican strategists agree this will be the most difficult reelection that incumbent House Republicans have faced since the last time Trump was in office, even for someone like Valadao who has consistently outperformed as a Republican in a Democratic-leaning district.\u003c/p>\n\u003cp>“I do think this is the year that Valadao is in deep trouble,” said Mike Madrid, Republican political consultant and cofounder of the anti-Trump Lincoln Project. “Nine times out of 10, I don’t say that. But this year is going to look a lot like 2018 — probably more.”\u003c/p>\n\u003cp>Since Valadao reclaimed his seat in 2020, he’s twice fended off challenges from former Democratic Assemblyman Rudy Salas, a moderate with strong backing from national Democrats. (Salas \u003ca href=\"https://docquery.fec.gov/cgi-bin/forms/C00791756/1932283/\">filed candidate paperwork\u003c/a> but \u003ca href=\"https://www.politico.com/newsletters/california-playbook/2026/01/27/republicans-navigate-alex-prettis-killing-00748773\">recently stated\u003c/a> he has not yet decided whether he’ll enter the race.)\u003c/p>\n\u003cp>He has also sought to further burnish his reputation as a moderate and an independent thinker rather than a Trump acolyte. Of the 10 Republican defectors who voted with Democrats in 2021 to impeach Trump for inciting an insurrection on Jan. 6, Valadao is the only one left in Congress.\u003c/p>\n\u003ch2>\u003cstrong>Will Medicaid vote cost Valadao his job?\u003c/strong>\u003c/h2>\n\u003cp>After Trump won reelection in 2024 and congressional Republicans started crafting the president’s first big legislative package, Valadao repeatedly signaled that he wouldn’t support a bill that threatened Medicaid.\u003c/p>\n\u003cp>In one letter to House leadership, Valadao and some Hispanic lawmakers argued that such cuts “would have serious consequences, particularly in rural and predominantly Hispanic communities where hospitals and nursing homes are already struggling to keep their doors open.”\u003c/p>\n\u003cfigure>\u003cimg decoding=\"async\" src=\"https://calmatters.org/wp-content/uploads/2026/01/092525_Redistricting-Day-2_LV_CM_12-1024x682.jpg\" alt='A red political sign is seen near a highways with cars passing through. That sign, that includes an image of a lawmaker next to an image of a child, reads \" Rep. Valadao cut our healthcare to give tax breaks to billionaires.\"'>\u003cfigcaption>A political sign against U.S. Rep. David Valadao off of Highway 198 in Lemoore on Sept. 26, 2025. Larry Valenzuela/CalMatters via CatchLight Local\u003c/figcaption>\u003c/figure>\n\u003cp>But ultimately, he voted several times to advance Trump’s domestic policy agenda, which health care advocates and constituents lambasted.\u003c/p>\n\u003cp>“I do think there was really a sense of betrayal among at least some of his voters, who thought, ‘You know, this is not what I elected him to Congress to do — I thought he was a different kind of Republican who would represent the needs of the district,’” said Amanda McAllister-Wallner, executive director of Health Access. She helped lead the coalition known as “Fight for Our Health,” which lobbied Valadao and other California House Republicans to vote against the cuts.\u003c/p>\n\u003cp>Valadao’s vote was especially significant given that the 22nd Congressional District, which he represents, is home to a higher percentage of Medicaid enrollees than any other Republican district in the U.S.\u003c/p>\n\u003cp>Valadao has defended his votes and said he ultimately supported the legislation because it preserved the Medicaid program “for its intended recipients — children, pregnant women, the disabled and elderly.”\u003c/p>\n\u003cp>Critics say the more stringent eligibility requirements will cause patients of all ages to lose coverage, since proving eligibility can be a confusing and laborious process.\u003c/p>\n\u003cp>“I know how important the program is for my constituents,” Valadao \u003ca href=\"https://valadao.house.gov/news/documentsingle.aspx?DocumentID=3103\">wrote in a statement\u003c/a> after he voted to approve the bill. He added that several of the most concerning policy changes that “would have devastated healthcare in my district,” were removed as a result of his “many months of meetings” with Republican leadership.\u003c/p>\n\u003ch2>\u003cstrong>Valadao does damage control\u003c/strong>\u003c/h2>\n\u003cp>Since the vote, Valadao has seemingly worked to insulate himself from potentially difficult questions, declining multiple interviews with CalMatters for several different stories.\u003c/p>\n\u003cp>In a nod to the issue that lost him the 2018 race, Valadao also joined Democrats and 16 other Republicans to buck House GOP leadership in a symbolic vote to extend the already-expired Affordable Care Act tax subsidies. More than 85,000 of his constituents on ACA plans saw their health premiums skyrocket by an average of $85 per month, \u003ca href=\"https://fightforourhealth.org/wp-content/uploads/FFOH-District-22-Fact-Sheet-23636-1.pdf\">according to health advocates\u003c/a>.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>When he has received questions about Medicaid funding, he has pointed repeatedly to the “Rural Health Transformation Project,” a $50 billion fund tucked into the Trump megabill designed to help some rural hospitals keep their doors open as \u003ca href=\"https://calhospital.org/federal-medicaid-cuts-will-strip-up-to-128-billion-from-ca-hospitals-cha-estimates/\">they prepare to lose billions in Medicaid revenue\u003c/a>. Critics have pointed out that California would only receive $230 million from the program in 2026, a fraction of the estimated $15 billion the state’s hospitals would have received in Medicaid dollars this year.\u003c/p>\n\u003cp>Valadao co-hosted a roundtable last month with local health care industry leaders and advocates, Rep. Vince Fong and Dr. Mehmet Oz, administrator of the Centers for Medicare and Medicaid Services under Trump. The event was closed to the press, and one attendee said there was little time to address specific questions or concerns.\u003c/p>\n\u003cp>“I would say that it felt performative,” said Virginia Hedrick, CEO of the California Rural Indian Health Board. She said she was frustrated that the conversation was largely scripted and felt more like a sales pitch for Oz and the White House’s agenda than a genuine discussion.\u003c/p>\n\u003cp>“There was a great roundtable of people who would have loved to have a more robust conversation around true impacts and what solutions exist,” Hedrick said. “And those solutions would be congressional fixes.”\u003c/p>\n\u003cfigure>\n\u003cblockquote>\u003cp>‘It felt performative.’\u003c/p>\n\u003cp>\u003ccite>Virginia Hedrick, CEO of the California Rural Indian Health Board.\u003c/cite>\u003c/p>\u003c/blockquote>\n\u003c/figure>\n\u003cp>But as much as Valadao’s opponents hope to leverage the Medicaid cuts, political strategists warn that they should not fixate too much on health care.\u003c/p>\n\u003cp>“If I were running the campaign against him, I would not pin all my hopes on that,” said Madrid. He argued that Democrats should tap into Americans’ concerns about the economy and the cost of living, which consistently poll as the top issue for voters and are “politically poisonous” for Republicans given that prices have only risen since their party took control of Washington.\u003c/p>\n\u003cp>Rob Stutzman, a veteran Republican political strategist, posited that Medicaid wouldn’t be as strong a motivator as the Affordable Care Act was to get voters out. The people most affected by those cuts, low-income families and those with disabilities, are not the typical demographic of likely midterm voters.\u003c/p>\n\u003cp>“He’s as equipped to weather a Trump midterm as a lot of Republicans in similar situations across the country,” Stutzman said of Valadao. “He’s now a long-term incumbent. He’s got a lot of muscle and strength in that district.”\u003c/p>\n\u003cp>\u003cem>This article was \u003ca href=\"https://calmatters.org/politics/2026/02/congress-valadao-medicaid-cuts/\">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>\u003cb>Here are the morning’s top stories on Tuesday, January 20, 2026\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">If you’re planning on taking a domestic flight soon, there are some things you need to know. \u003ca href=\"https://www.kqed.org/news/12069729/no-real-id-tsa-fee-fine-feb-1-how-to-pay-requirements-passport-california-sfo-oak\">Starting February 1\u003c/a>, if you don’t have a Real ID driver’s license or another federally approved document like a passport, you’ll need to pay a $45 fee at the airport to be able to get on your flight. This new fee was announced by TSA back in December.\u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Until this year, drugs like Ozempic and Wegovy had been covered under Medi-Cal, California’s Medicaid program. Now, the state says patients who only take these GLP-1 drugs for weight loss, \u003ca href=\"https://kffhealthnews.org/news/article/california-medicaid-medi-cal-glp1-weight-loss-drugs-ends-coverage-cost/\">are no longer covered.\u003c/a>\u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Siskiyou County \u003ca href=\"https://www.ijpr.org/law-and-justice/2026-01-16/siskiyou-county-must-hire-independent-monitor-in-traffic-stop-discrimination-settlement\">has reached a partial settlement\u003c/a> in a class-action lawsuit alleging discrimination against Asian residents.\u003c/span>\u003c/li>\n\u003c/ul>\n\u003ch2 class=\"routes-Site-routes-Post-Title-__Title__title\">\u003ca href=\"https://www.kqed.org/news/12069729/no-real-id-tsa-fee-fine-feb-1-how-to-pay-requirements-passport-california-sfo-oak\">\u003cstrong>No REAL ID? TSA Will Charge You $45 At The Airport Starting Feb. 1\u003c/strong>\u003c/a>\u003c/h2>\n\u003cp>Are you taking a domestic flight soon? You should know: Starting Feb. 1, if you don’t have \u003ca href=\"https://www.kqed.org/news/12027050/apply-for-real-id-deadline-may-7-can-i-fly-without\">a REAL ID driver’s license\u003c/a> — or another \u003ca href=\"https://www.kqed.org/news/11643609/what-you-need-to-know-about-california-real-id-drivers-licenses\">federally approved document like a passport \u003c/a>— you’ll need to pay a $45 fee at the airport to be able to get on your flight.\u003c/p>\n\u003cp>This new fee was \u003ca href=\"https://www.kqed.org/news/12027050/apply-for-real-id-deadline-may-7-can-i-fly-without\">announced by the Transportation Security Administration\u003c/a> back in December. Federal REAL ID requirements were originally introduced for domestic air travelers in May 2025. Until now, anyone who lacked a REAL ID license or other acceptable form of identification was still allowed to go through airport security, albeit with additional screening. But as of Feb. 1, every person 18 or older attempting to board a domestic flight without a REAL ID will face the $45 fee – or won’t be allowed through TSA screening to board their flight.\u003c/p>\n\u003cp>While \u003ca href=\"https://www.tsa.gov/news/press/releases/2025/12/01/tsa-introduces-new-45-fee-option-for-travelers-without-real-id\">TSA says that “more than 94% of passengers already use their REAL ID \u003c/a>or other acceptable forms of identification,” in 2025, the California DMV reported that only about 58% of all driver’s license and ID cardholders in the state were REAL ID-compliant.\u003c/p>\n\u003cp>TSA says even if you pay the new $45 TSA fee starting Feb. 1, \u003ca href=\"https://www.tsa.gov/tsaconfirm-id/confirmid-faqs\">“there is no guarantee” they’ll be able to successfully verify your identity \u003c/a>through TSA ConfirmID. A spokesperson for TSA confirmed to KQED by email that the $45 fee is non-refundable in this instance. But because payments are “valid for a 10-day period after their original first flight date,” travelers who miss their flight because their identity couldn’t be verified can “use the receipt once they are able to rebook their flight within that 10-day period,” the spokesperson says.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>You can pay at the airport itself, or beforehand, but either way, TSA says you have to \u003ca href=\"https://www.tsa.gov/tsaconfirm-id\">pay online at \u003c/a>\u003ca href=\"http://pay.gov/\">pay.gov\u003c/a>, the same federal website that processes payments like Department of Veterans Affairs medical bills and Social Security remittances. You won’t be able to pay TSA staff directly at the airport.\u003c/p>\n\u003ch2>\u003cstrong>California Ends Medicaid Coverage Of Weight Loss Drugs\u003c/strong>\u003c/h2>\n\u003cp>Until this year, drugs like Ozempic and Wegovy had been covered under Medi-Cal, California’s Medicaid program. Now, the state says patients who only take these GLP-1 drugs for weight loss, \u003ca href=\"https://kffhealthnews.org/news/article/california-medicaid-medi-cal-glp1-weight-loss-drugs-ends-coverage-cost/\">are no longer covered.\u003c/a>\u003c/p>\n\u003cp>The governor’s office has said limiting Medi-Cal coverage for GLP-1s could save the state nearly $800 million by 2029. The state is moving forward with this plan, even though the Trump administration has announced an agreement that is supposed to reduce the cost of these drugs for government insurance programs in the coming years.\u003c/p>\n\u003cp>Some providers are concerned about the effect this shift will have on patients taking the drugs for obesity, who will no longer have this coverage. Dr. Wayne Ho is a Los Angeles obesity specialist. He said patients could be at risk of regaining the weight. He said there’s also the physical and mental health issues that can come with that, which range from high blood pressure to depression. Now, he’s trying to adapt his approach. “I think that’s important not to forget. It’s not GLP or bust,” he said.\u003c/p>\n\u003cp>These alternatives could include everything from lifestyle changes to other medications and interventions like bariatric surgery, which is covered by Medi-Cal. Medi-Cal will continue to cover GLP-1 prescriptions for patients diagnosed with issues like Type 2 diabetes and cardiovascular disease.\u003c/p>\n\u003ch2 class=\"ArtP-headline\">\u003ca href=\"https://www.ijpr.org/law-and-justice/2026-01-16/siskiyou-county-must-hire-independent-monitor-in-traffic-stop-discrimination-settlement\">\u003cstrong>Siskiyou County Must Hire Independent Monitor In Traffic Stop Discrimination Settlement\u003c/strong>\u003c/a>\u003c/h2>\n\u003cp>Siskiyou County has reached a \u003ca class=\"Link\" href=\"https://www.aclunorcal.org/app/uploads/2026/01/190-1-Partial-Settlement-Agreement-and-Court-Order-re-Traffic-Stop-and-Liens-Ordinance-Claims.pdf\" target=\"_blank\" rel=\"noopener\">partial settlement\u003c/a> in a 2021 class-action lawsuit alleging discrimination against Asian residents. The sheriff’s office agreed to a traffic stop policy that prohibits targeting certain races or using stops as a pretext to investigate other crimes.\u003c/p>\n\u003cp>“The fact that, for example, a person is Asian American or driving in an alleged high-crime area, or the mere fact that they have out-of-state license plates, cannot be used as a basis to essentially harass that driver,” said Emi Young, an attorney with the ACLU of Northern California.\u003c/p>\n\u003cp>Deputies regularly catch drivers transporting illegal cannabis grown in the county. The board of commissioners declared a local state of emergency last year over alleged widespread use of \u003ca class=\"Link\" href=\"https://www.ijpr.org/law-and-justice/2025-07-16/siskiyou-county-pesticide-emergency\" target=\"_blank\" rel=\"noopener\">\u003cu>foreign-made pesticides\u003c/u>\u003c/a> at grow sites. According to this agreement, the sheriff department can’t pull over a suspect for a traffic violation in the hopes of searching their vehicle for cannabis. Deputies must also activate body-worn cameras during all traffic stops, tell suspects they have no legal consequences for refusing a search and offer translations if the person is not proficient in English.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The county will also hire an external auditor for at least two years, for no more than $150,000 per year, who will review stop records and a randomized sample of body camera footage.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cb>Here are the morning’s top stories on Tuesday, January 20, 2026\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">If you’re planning on taking a domestic flight soon, there are some things you need to know. \u003ca href=\"https://www.kqed.org/news/12069729/no-real-id-tsa-fee-fine-feb-1-how-to-pay-requirements-passport-california-sfo-oak\">Starting February 1\u003c/a>, if you don’t have a Real ID driver’s license or another federally approved document like a passport, you’ll need to pay a $45 fee at the airport to be able to get on your flight. This new fee was announced by TSA back in December.\u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Until this year, drugs like Ozempic and Wegovy had been covered under Medi-Cal, California’s Medicaid program. Now, the state says patients who only take these GLP-1 drugs for weight loss, \u003ca href=\"https://kffhealthnews.org/news/article/california-medicaid-medi-cal-glp1-weight-loss-drugs-ends-coverage-cost/\">are no longer covered.\u003c/a>\u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Siskiyou County \u003ca href=\"https://www.ijpr.org/law-and-justice/2026-01-16/siskiyou-county-must-hire-independent-monitor-in-traffic-stop-discrimination-settlement\">has reached a partial settlement\u003c/a> in a class-action lawsuit alleging discrimination against Asian residents.\u003c/span>\u003c/li>\n\u003c/ul>\n\u003ch2 class=\"routes-Site-routes-Post-Title-__Title__title\">\u003ca href=\"https://www.kqed.org/news/12069729/no-real-id-tsa-fee-fine-feb-1-how-to-pay-requirements-passport-california-sfo-oak\">\u003cstrong>No REAL ID? TSA Will Charge You $45 At The Airport Starting Feb. 1\u003c/strong>\u003c/a>\u003c/h2>\n\u003cp>Are you taking a domestic flight soon? You should know: Starting Feb. 1, if you don’t have \u003ca href=\"https://www.kqed.org/news/12027050/apply-for-real-id-deadline-may-7-can-i-fly-without\">a REAL ID driver’s license\u003c/a> — or another \u003ca href=\"https://www.kqed.org/news/11643609/what-you-need-to-know-about-california-real-id-drivers-licenses\">federally approved document like a passport \u003c/a>— you’ll need to pay a $45 fee at the airport to be able to get on your flight.\u003c/p>\n\u003cp>This new fee was \u003ca href=\"https://www.kqed.org/news/12027050/apply-for-real-id-deadline-may-7-can-i-fly-without\">announced by the Transportation Security Administration\u003c/a> back in December. Federal REAL ID requirements were originally introduced for domestic air travelers in May 2025. Until now, anyone who lacked a REAL ID license or other acceptable form of identification was still allowed to go through airport security, albeit with additional screening. But as of Feb. 1, every person 18 or older attempting to board a domestic flight without a REAL ID will face the $45 fee – or won’t be allowed through TSA screening to board their flight.\u003c/p>\n\u003cp>While \u003ca href=\"https://www.tsa.gov/news/press/releases/2025/12/01/tsa-introduces-new-45-fee-option-for-travelers-without-real-id\">TSA says that “more than 94% of passengers already use their REAL ID \u003c/a>or other acceptable forms of identification,” in 2025, the California DMV reported that only about 58% of all driver’s license and ID cardholders in the state were REAL ID-compliant.\u003c/p>\n\u003cp>TSA says even if you pay the new $45 TSA fee starting Feb. 1, \u003ca href=\"https://www.tsa.gov/tsaconfirm-id/confirmid-faqs\">“there is no guarantee” they’ll be able to successfully verify your identity \u003c/a>through TSA ConfirmID. A spokesperson for TSA confirmed to KQED by email that the $45 fee is non-refundable in this instance. But because payments are “valid for a 10-day period after their original first flight date,” travelers who miss their flight because their identity couldn’t be verified can “use the receipt once they are able to rebook their flight within that 10-day period,” the spokesperson says.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>You can pay at the airport itself, or beforehand, but either way, TSA says you have to \u003ca href=\"https://www.tsa.gov/tsaconfirm-id\">pay online at \u003c/a>\u003ca href=\"http://pay.gov/\">pay.gov\u003c/a>, the same federal website that processes payments like Department of Veterans Affairs medical bills and Social Security remittances. You won’t be able to pay TSA staff directly at the airport.\u003c/p>\n\u003ch2>\u003cstrong>California Ends Medicaid Coverage Of Weight Loss Drugs\u003c/strong>\u003c/h2>\n\u003cp>Until this year, drugs like Ozempic and Wegovy had been covered under Medi-Cal, California’s Medicaid program. Now, the state says patients who only take these GLP-1 drugs for weight loss, \u003ca href=\"https://kffhealthnews.org/news/article/california-medicaid-medi-cal-glp1-weight-loss-drugs-ends-coverage-cost/\">are no longer covered.\u003c/a>\u003c/p>\n\u003cp>The governor’s office has said limiting Medi-Cal coverage for GLP-1s could save the state nearly $800 million by 2029. The state is moving forward with this plan, even though the Trump administration has announced an agreement that is supposed to reduce the cost of these drugs for government insurance programs in the coming years.\u003c/p>\n\u003cp>Some providers are concerned about the effect this shift will have on patients taking the drugs for obesity, who will no longer have this coverage. Dr. Wayne Ho is a Los Angeles obesity specialist. He said patients could be at risk of regaining the weight. He said there’s also the physical and mental health issues that can come with that, which range from high blood pressure to depression. Now, he’s trying to adapt his approach. “I think that’s important not to forget. It’s not GLP or bust,” he said.\u003c/p>\n\u003cp>These alternatives could include everything from lifestyle changes to other medications and interventions like bariatric surgery, which is covered by Medi-Cal. Medi-Cal will continue to cover GLP-1 prescriptions for patients diagnosed with issues like Type 2 diabetes and cardiovascular disease.\u003c/p>\n\u003ch2 class=\"ArtP-headline\">\u003ca href=\"https://www.ijpr.org/law-and-justice/2026-01-16/siskiyou-county-must-hire-independent-monitor-in-traffic-stop-discrimination-settlement\">\u003cstrong>Siskiyou County Must Hire Independent Monitor In Traffic Stop Discrimination Settlement\u003c/strong>\u003c/a>\u003c/h2>\n\u003cp>Siskiyou County has reached a \u003ca class=\"Link\" href=\"https://www.aclunorcal.org/app/uploads/2026/01/190-1-Partial-Settlement-Agreement-and-Court-Order-re-Traffic-Stop-and-Liens-Ordinance-Claims.pdf\" target=\"_blank\" rel=\"noopener\">partial settlement\u003c/a> in a 2021 class-action lawsuit alleging discrimination against Asian residents. The sheriff’s office agreed to a traffic stop policy that prohibits targeting certain races or using stops as a pretext to investigate other crimes.\u003c/p>\n\u003cp>“The fact that, for example, a person is Asian American or driving in an alleged high-crime area, or the mere fact that they have out-of-state license plates, cannot be used as a basis to essentially harass that driver,” said Emi Young, an attorney with the ACLU of Northern California.\u003c/p>\n\u003cp>Deputies regularly catch drivers transporting illegal cannabis grown in the county. The board of commissioners declared a local state of emergency last year over alleged widespread use of \u003ca class=\"Link\" href=\"https://www.ijpr.org/law-and-justice/2025-07-16/siskiyou-county-pesticide-emergency\" target=\"_blank\" rel=\"noopener\">\u003cu>foreign-made pesticides\u003c/u>\u003c/a> at grow sites. According to this agreement, the sheriff department can’t pull over a suspect for a traffic violation in the hopes of searching their vehicle for cannabis. Deputies must also activate body-worn cameras during all traffic stops, tell suspects they have no legal consequences for refusing a search and offer translations if the person is not proficient in English.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The county will also hire an external auditor for at least two years, for no more than $150,000 per year, who will review stop records and a randomized sample of body camera footage.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "‘I’d Be Left Alone’: Medicaid Cuts Put Disabled Patients’ In-Home Care at Risk",
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"content": "\u003cp>Emma Denice Milligan can be a prankster. Her warm eyes, big smile and wheelchair can be misleading, said her caregiver, Wanda Kincy. But Emma once crashed a wedding and helped herself to the food. Another time, she put herself on a plane from \u003ca href=\"https://www.kqed.org/news/tag/oakland\">Oakland\u003c/a> to Chicago to meet her high school sweetheart without telling her caregivers.\u003c/p>\n\u003cp>Kincy points two fingers at her own eyes and then at Milligan’s. “I know you,” she said with a grin.\u003c/p>\n\u003cp>Kincy arrives at the Oakland home Milligan shares with her aunt and uncle at 8 a.m., five days a week, staying until at least 10 p.m. and overnight on Thursdays and Fridays. She helps Milligan, 57, get dressed, bathed and ready for her adult day program. Kincy books Milligan’s paratransit rides, times medication reminders and keeps track of the small details that make her independence possible.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The care Kincy provides is covered through California’s Medicaid program, also known as Medi-Cal. Federal cuts have many advocates worried about the future of such care.\u003c/p>\n\u003cp>Under federal law, most home- and community-based services are optional benefits, meaning states can choose whether to include services like personal care in their Medicaid plans and how broadly to offer them.\u003c/p>\n\u003cp>In California, Medicaid covers in-home supportive services to Californians who are elderly, blind or disabled and would otherwise be at risk of nursing home placement. The federal government reimburses California for about half of the cost of IHSS.\u003c/p>\n\u003cfigure id=\"attachment_12070295\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12070295\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/InHomeCare2.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/InHomeCare2.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/InHomeCare2-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/InHomeCare2-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">In her Oakland home on Dec. 12, 2025, Emma Denice Milligan smiles at her caregiver, Wanda Kincy, as Kincy recounts how Milligan has coped with the death of her mother, Carolyn Milligan, a human rights activist who worked on housing rights in Chicago and served Black communities in Oakland, in 2023. \u003ccite>(Courtesy of Hyeyoon Cho)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In-home services enable Milligan’s family to hire Kincy to assist with daily personal care and household tasks so Milligan can remain safely in her family home.\u003c/p>\n\u003cp>“If I lose Wanda, then I would probably have to go to a facility,” she said. “People at the facility don’t care. I would be calling them for help, and they wouldn’t come. I’d be left alone and be wet all night, because I can’t go to the bathroom.”\u003c/p>\n\u003cp>Milligan has received IHSS on and off while living in both California and Chicago. In 2011, she moved to Oakland and has relied on the program continuously since. But there is a growing concern about how long the services can last.[aside postID=news_12068383 hero='https://ww2.kqed.org/app/uploads/sites/10/2020/04/001_KQED_Oakland_HighlandHospital_041152020-1020x680.jpg']In July, Congress approved roughly $1 trillion in Medicaid cuts over the next decade, beginning in 2026. Because the federal government pays roughly 54% of California’s total home- and community-based services costs, the impending cuts immediately raised alarm.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.whitehouse.gov/articles/2025/06/myth-vs-fact-the-one-big-beautiful-bill/\">White House\u003c/a> has said the budget package would not affect Medicaid coverage for people with disabilities. Advocates warn the changes will nonetheless fall heavily on home- and community-based services, which aren’t protected like nursing home services. They say optional services are often the first to be reduced.\u003c/p>\n\u003cp>Hagar Dickman, a senior attorney at Justice in Aging, said the risk to in-home services is not theoretical. During last year’s state budget negotiations, she said, Gov. Gavin Newsom’s administration initially looked to IHSS as one of the first areas to cut when facing a projected shortfall.\u003c/p>\n\u003cp>“In the May budget revision, home- and community-based services were immediately on the table,” Dickman said.\u003c/p>\n\u003cp>The budget proposed \u003ca href=\"https://calbudgetcenter.org/resources/first-look-understanding-the-governors-2025-26-may-revision/#h-revised-budget-fails-to-invest-in-older-adults-and-californians-with-disabilities\">over $1 billion\u003c/a> in mostly ongoing cuts to in-home supportive services, including limits on provider pay and hours and the elimination of benefits for certain groups. Although this was not adopted in the final budget, a plan for freezing new Medi-Cal enrollments from undocumented adults, including IHSS eligibility, was adopted and is set to begin in 2026, while existing enrollees retain coverage. \u003c/p>\n\u003cfigure id=\"attachment_12070297\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12070297\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/InHomeCare3.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/InHomeCare3.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/InHomeCare3-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/InHomeCare3-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Emma Denice Milligan jokes with Wanda Kincy in Ability Now, an Oakland-based adult day center for people with disabilities, on Nov. 20, 2025. \u003ccite>(Courtesy of Hyeyoon Cho)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Dickman said this episode underscored how quickly optional services can be targeted.\u003c/p>\n\u003cp>“When states are under pressure, they go after HCBS [home- and community-based services] first because they’re optional under federal law,” she said.\u003c/p>\n\u003cp>Congress has agreed to restructure \u003ca href=\"https://calbudgetcenter.org/resources/how-federal-funding-cuts-threaten-the-health-of-californians/\">Medicaid\u003c/a> by reducing the federal government’s share of reimbursements, restricting how states raise Medicaid revenue and imposing new eligibility checks, work requirements and exclusions for certain immigrant groups.\u003c/p>\n\u003cp>A recent analysis by the \u003ca href=\"https://www.chcf.org/wp-content/uploads/2025/10/HowCutsMediCalHomeCommunityBasedServicesImpactCA.pdf\">California Health Care Foundation \u003c/a>suggests the consequences could be costly. If the state reduces HCBS by 10% in response to federal cuts, California could face roughly $1 billion in added Medicaid expenses as more residents are moved into institutional settings.[aside postID=news_12068555 hero='https://ww2.kqed.org/app/uploads/sites/10/2022/07/GettyImages-1197447255-1020x680.jpg']“The federal Medicaid cuts are an absolute disaster for HCBS,” said Sabrina Epstein, a policy analyst at Disability Rights California. She said the cuts will push many people off Medicaid, leaving them without access to the only program that funds round-the-clock in-home support.\u003c/p>\n\u003cp>“People will be forced into nursing homes or left to rely on unpaid family care,” Epstein said.\u003c/p>\n\u003cp>During the Great Recession, the federal government gave states more money for Medicaid. Researchers at UCSF and the Disability Rights Education and Defense Fund \u003ca href=\"https://geigergibson.publichealth.gwu.edu/sites/g/files/zaxdzs4421/files/2025-04/Kaye%20HCBS%20Cuts%202010-2012%20%282%29%20%281%29.pdf\">examined what happened\u003c/a> when Congress ended enhanced federal Medicaid funding to states between 2010 and 2012.\u003c/p>\n\u003cp>Every state responded by cutting home- and community-based services in some way — reducing benefits, the number of people covered, or both. Waiting lists for home care grew across the country.\u003c/p>\n\u003cp>California will not be able to absorb the loss if federal Medicaid cuts take effect in 2026, said Mike Pereira, executive director of Ala Costa Centers in Berkeley, which offers adult day services to people with developmental disabilities.\u003c/p>\n\u003cp>“We’re all bracing,” he said. “We’re watching the sand run out of the hourglass.”\u003c/p>\n\u003ch2>Round-the-clock care\u003c/h2>\n\u003cp>Milligan’s bedroom is crowded but intentional. A metal lift helps get her out of bed. A tray table holds adaptive cups and utensils. Framed photographs line the walls: Emma smiling at family gatherings, dressed up for celebrations, captured at different points in her life. One large portrait shows her late mother smiling for the camera.\u003c/p>\n\u003cp>Milligan’s uncle, Austin Long-Scott, is in his 80s and has Parkinson’s disease, which has increasingly limited what he can physically do. His wife, Ethel, is also in her 80s and not able to do as much as she used to do for Milligan.\u003c/p>\n\u003cp>“We used to stay with her 24/7,” Austin Long-Scott said. “We can’t do that anymore.”\u003c/p>\n\u003cfigure id=\"attachment_12070294\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12070294\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/InHomeCare1.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/InHomeCare1.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/InHomeCare1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/InHomeCare1-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Photos of Emma Denice Milligan with friends and pastors sit in the corner of her room in Oakland on Dec. 12, 2025. \u003ccite>(Courtesy of Hyeyoon Cho)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In October, Milligan had a setback, spending weeks in the hospital as doctors struggled to manage severe chest and stomach pain. Kincy often stayed with her, helping communicate with nurses and doctors, monitoring pain levels and watching for changes.\u003c/p>\n\u003cp>Without IHSS, Long-Scott said, their options would be grim. Paying out of pocket to retain Kincy would be financially overwhelming.\u003c/p>\n\u003cp>Without a caregiver, Milligan would not be able to speak at churches and community organizations about disability justice or connect domestic violence survivors with resources, advocacy that she’s been committed to for more than a decade.[aside postID=news_12069772 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/011426_SF-VA-CUTS-_GH_013-KQED.jpg']Kincy reads the statements Milligan writes and facilitates questions from the audience. Their coordination allows Milligan to remain active in her community.\u003c/p>\n\u003cp>“The two of them just bonded,” Long-Scott said. “It was almost instant.”\u003c/p>\n\u003cp>In the afternoons, Milligan attends Ability Now Bay Area, a center for people with disabilities. There, she is developing a business idea on adaptive clothing, which grew out of her daily care needs. She wants to design garments secured with snaps, magnets or velcro — clothing that can be put on and taken off with minimal movement.\u003c/p>\n\u003cp>Fridays leave small joys for Milligan: browsing with Kincy at Macy’s Backstage in Pleasanton or getting dumplings in Alameda. Recently, at an outlet store in Berkeley, Kincy used her charms to talk a cashier into reducing the price of a new jacket for Milligan by 15%. They were thrilled about the bargain.\u003c/p>\n\u003cp>Milligan appreciates Kincy and the programs that enable her to remain vibrant in her community. “People I meet at Ability Now and the community around me understand me. They can relate,” she said. “Wanda and I always crack up when we’re there. They bring a lot of joy.”\u003c/p>\n\u003cp>\u003cem>This story is part of \u003c/em>\u003ca href=\"https://archive.is/o/DQQxE/https:/hub.journalism.berkeley.edu/thestakes/\">\u003cem>“The Stakes,”\u003c/em>\u003c/a>\u003cem> a UC Berkeley Journalism project on executive orders and actions affecting Californians and their communities.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Emma Denice Milligan can be a prankster. Her warm eyes, big smile and wheelchair can be misleading, said her caregiver, Wanda Kincy. But Emma once crashed a wedding and helped herself to the food. Another time, she put herself on a plane from \u003ca href=\"https://www.kqed.org/news/tag/oakland\">Oakland\u003c/a> to Chicago to meet her high school sweetheart without telling her caregivers.\u003c/p>\n\u003cp>Kincy points two fingers at her own eyes and then at Milligan’s. “I know you,” she said with a grin.\u003c/p>\n\u003cp>Kincy arrives at the Oakland home Milligan shares with her aunt and uncle at 8 a.m., five days a week, staying until at least 10 p.m. and overnight on Thursdays and Fridays. She helps Milligan, 57, get dressed, bathed and ready for her adult day program. Kincy books Milligan’s paratransit rides, times medication reminders and keeps track of the small details that make her independence possible.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The care Kincy provides is covered through California’s Medicaid program, also known as Medi-Cal. Federal cuts have many advocates worried about the future of such care.\u003c/p>\n\u003cp>Under federal law, most home- and community-based services are optional benefits, meaning states can choose whether to include services like personal care in their Medicaid plans and how broadly to offer them.\u003c/p>\n\u003cp>In California, Medicaid covers in-home supportive services to Californians who are elderly, blind or disabled and would otherwise be at risk of nursing home placement. The federal government reimburses California for about half of the cost of IHSS.\u003c/p>\n\u003cfigure id=\"attachment_12070295\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12070295\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/InHomeCare2.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/InHomeCare2.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/InHomeCare2-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/InHomeCare2-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">In her Oakland home on Dec. 12, 2025, Emma Denice Milligan smiles at her caregiver, Wanda Kincy, as Kincy recounts how Milligan has coped with the death of her mother, Carolyn Milligan, a human rights activist who worked on housing rights in Chicago and served Black communities in Oakland, in 2023. \u003ccite>(Courtesy of Hyeyoon Cho)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In-home services enable Milligan’s family to hire Kincy to assist with daily personal care and household tasks so Milligan can remain safely in her family home.\u003c/p>\n\u003cp>“If I lose Wanda, then I would probably have to go to a facility,” she said. “People at the facility don’t care. I would be calling them for help, and they wouldn’t come. I’d be left alone and be wet all night, because I can’t go to the bathroom.”\u003c/p>\n\u003cp>Milligan has received IHSS on and off while living in both California and Chicago. In 2011, she moved to Oakland and has relied on the program continuously since. But there is a growing concern about how long the services can last.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>In July, Congress approved roughly $1 trillion in Medicaid cuts over the next decade, beginning in 2026. Because the federal government pays roughly 54% of California’s total home- and community-based services costs, the impending cuts immediately raised alarm.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.whitehouse.gov/articles/2025/06/myth-vs-fact-the-one-big-beautiful-bill/\">White House\u003c/a> has said the budget package would not affect Medicaid coverage for people with disabilities. Advocates warn the changes will nonetheless fall heavily on home- and community-based services, which aren’t protected like nursing home services. They say optional services are often the first to be reduced.\u003c/p>\n\u003cp>Hagar Dickman, a senior attorney at Justice in Aging, said the risk to in-home services is not theoretical. During last year’s state budget negotiations, she said, Gov. Gavin Newsom’s administration initially looked to IHSS as one of the first areas to cut when facing a projected shortfall.\u003c/p>\n\u003cp>“In the May budget revision, home- and community-based services were immediately on the table,” Dickman said.\u003c/p>\n\u003cp>The budget proposed \u003ca href=\"https://calbudgetcenter.org/resources/first-look-understanding-the-governors-2025-26-may-revision/#h-revised-budget-fails-to-invest-in-older-adults-and-californians-with-disabilities\">over $1 billion\u003c/a> in mostly ongoing cuts to in-home supportive services, including limits on provider pay and hours and the elimination of benefits for certain groups. Although this was not adopted in the final budget, a plan for freezing new Medi-Cal enrollments from undocumented adults, including IHSS eligibility, was adopted and is set to begin in 2026, while existing enrollees retain coverage. \u003c/p>\n\u003cfigure id=\"attachment_12070297\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12070297\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/InHomeCare3.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/InHomeCare3.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/InHomeCare3-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/InHomeCare3-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Emma Denice Milligan jokes with Wanda Kincy in Ability Now, an Oakland-based adult day center for people with disabilities, on Nov. 20, 2025. \u003ccite>(Courtesy of Hyeyoon Cho)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Dickman said this episode underscored how quickly optional services can be targeted.\u003c/p>\n\u003cp>“When states are under pressure, they go after HCBS [home- and community-based services] first because they’re optional under federal law,” she said.\u003c/p>\n\u003cp>Congress has agreed to restructure \u003ca href=\"https://calbudgetcenter.org/resources/how-federal-funding-cuts-threaten-the-health-of-californians/\">Medicaid\u003c/a> by reducing the federal government’s share of reimbursements, restricting how states raise Medicaid revenue and imposing new eligibility checks, work requirements and exclusions for certain immigrant groups.\u003c/p>\n\u003cp>A recent analysis by the \u003ca href=\"https://www.chcf.org/wp-content/uploads/2025/10/HowCutsMediCalHomeCommunityBasedServicesImpactCA.pdf\">California Health Care Foundation \u003c/a>suggests the consequences could be costly. If the state reduces HCBS by 10% in response to federal cuts, California could face roughly $1 billion in added Medicaid expenses as more residents are moved into institutional settings.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“The federal Medicaid cuts are an absolute disaster for HCBS,” said Sabrina Epstein, a policy analyst at Disability Rights California. She said the cuts will push many people off Medicaid, leaving them without access to the only program that funds round-the-clock in-home support.\u003c/p>\n\u003cp>“People will be forced into nursing homes or left to rely on unpaid family care,” Epstein said.\u003c/p>\n\u003cp>During the Great Recession, the federal government gave states more money for Medicaid. Researchers at UCSF and the Disability Rights Education and Defense Fund \u003ca href=\"https://geigergibson.publichealth.gwu.edu/sites/g/files/zaxdzs4421/files/2025-04/Kaye%20HCBS%20Cuts%202010-2012%20%282%29%20%281%29.pdf\">examined what happened\u003c/a> when Congress ended enhanced federal Medicaid funding to states between 2010 and 2012.\u003c/p>\n\u003cp>Every state responded by cutting home- and community-based services in some way — reducing benefits, the number of people covered, or both. Waiting lists for home care grew across the country.\u003c/p>\n\u003cp>California will not be able to absorb the loss if federal Medicaid cuts take effect in 2026, said Mike Pereira, executive director of Ala Costa Centers in Berkeley, which offers adult day services to people with developmental disabilities.\u003c/p>\n\u003cp>“We’re all bracing,” he said. “We’re watching the sand run out of the hourglass.”\u003c/p>\n\u003ch2>Round-the-clock care\u003c/h2>\n\u003cp>Milligan’s bedroom is crowded but intentional. A metal lift helps get her out of bed. A tray table holds adaptive cups and utensils. Framed photographs line the walls: Emma smiling at family gatherings, dressed up for celebrations, captured at different points in her life. One large portrait shows her late mother smiling for the camera.\u003c/p>\n\u003cp>Milligan’s uncle, Austin Long-Scott, is in his 80s and has Parkinson’s disease, which has increasingly limited what he can physically do. His wife, Ethel, is also in her 80s and not able to do as much as she used to do for Milligan.\u003c/p>\n\u003cp>“We used to stay with her 24/7,” Austin Long-Scott said. “We can’t do that anymore.”\u003c/p>\n\u003cfigure id=\"attachment_12070294\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12070294\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/InHomeCare1.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/InHomeCare1.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/InHomeCare1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/InHomeCare1-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Photos of Emma Denice Milligan with friends and pastors sit in the corner of her room in Oakland on Dec. 12, 2025. \u003ccite>(Courtesy of Hyeyoon Cho)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In October, Milligan had a setback, spending weeks in the hospital as doctors struggled to manage severe chest and stomach pain. Kincy often stayed with her, helping communicate with nurses and doctors, monitoring pain levels and watching for changes.\u003c/p>\n\u003cp>Without IHSS, Long-Scott said, their options would be grim. Paying out of pocket to retain Kincy would be financially overwhelming.\u003c/p>\n\u003cp>Without a caregiver, Milligan would not be able to speak at churches and community organizations about disability justice or connect domestic violence survivors with resources, advocacy that she’s been committed to for more than a decade.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Kincy reads the statements Milligan writes and facilitates questions from the audience. Their coordination allows Milligan to remain active in her community.\u003c/p>\n\u003cp>“The two of them just bonded,” Long-Scott said. “It was almost instant.”\u003c/p>\n\u003cp>In the afternoons, Milligan attends Ability Now Bay Area, a center for people with disabilities. There, she is developing a business idea on adaptive clothing, which grew out of her daily care needs. She wants to design garments secured with snaps, magnets or velcro — clothing that can be put on and taken off with minimal movement.\u003c/p>\n\u003cp>Fridays leave small joys for Milligan: browsing with Kincy at Macy’s Backstage in Pleasanton or getting dumplings in Alameda. Recently, at an outlet store in Berkeley, Kincy used her charms to talk a cashier into reducing the price of a new jacket for Milligan by 15%. They were thrilled about the bargain.\u003c/p>\n\u003cp>Milligan appreciates Kincy and the programs that enable her to remain vibrant in her community. “People I meet at Ability Now and the community around me understand me. They can relate,” she said. “Wanda and I always crack up when we’re there. They bring a lot of joy.”\u003c/p>\n\u003cp>\u003cem>This story is part of \u003c/em>\u003ca href=\"https://archive.is/o/DQQxE/https:/hub.journalism.berkeley.edu/thestakes/\">\u003cem>“The Stakes,”\u003c/em>\u003c/a>\u003cem> a UC Berkeley Journalism project on executive orders and actions affecting Californians and their communities.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "friends-honor-alice-wong-as-disabled-advocates-brace-for-deep-medicaid-cuts",
"title": "After Alice Wong’s Death, Her Friends Vow to Keep Fighting for Disability Justice",
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"content": "\u003cp>With a smile, Brittanie Hernandez-Wilson, 38, closes her eyes when she says her friend’s name. She pauses. A tear rolls down her cheek.\u003c/p>\n\u003cp>“There’s a real level of rage that I feel around Alice’s death,” she said.\u003c/p>\n\u003cp>It’s been \u003ca href=\"https://www.kqed.org/arts/13983848/alice-wong-disability-rights-activist-obituary\"> a month\u003c/a> since disability activist and author \u003ca href=\"https://www.kqed.org/forum/2010101912041/remembering-disability-activist-alice-wong\">Alice Wong\u003c/a> died in San Francisco. Since her passing, KQED has spoken with many of Wong’s friends and collaborators in the Bay Area to better understand what motivated her decades of organizing.\u003c/p>\n\u003cp>In her writings and public appearances, Wong spoke of the need for disabled people to advocate loudly for their health needs. This mission brought together a bold and effective network of advocates living with different disabilities. But now, folks are preparing for the biggest challenge yet: more than a trillion dollars in cuts to Medicaid and other social services in the coming decade, \u003ca href=\"https://www.kqed.org/news/12058930/medicaid-cuts-could-put-services-for-disabled-californians-at-risk\">slashing a lifeline\u003c/a> for disabled people nationwide.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Alice fought like hell to exist in her body and mind every day,” said Hernandez-Wilson, who works for a nonprofit that advocates for domestic workers and caretakers. “There is a larger system at play that dictates if we are worthy enough of getting care.”\u003c/p>\n\u003cp>Raised in rural Minnesota, Hernandez-Wilson was the only student with a disability in her class and one of the few students of color in her entire school. “I was afraid that if I was labeled as a certain type of disabled person, I would be locked away in a classroom … that deep internalized ableism can really mess with your mind,” she said.\u003c/p>\n\u003cp>As an adult, she picked up \u003ca href=\"https://www.penguinrandomhouse.com/books/617802/disability-visibility-by-alice-wong/\">\u003cem>Disability Visibility: First-Person Stories from the Twenty-First Century\u003c/em>\u003c/a>, an anthology edited by Wong.\u003c/p>\n\u003cfigure id=\"attachment_12065500\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12065500\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251124-DISABILITYJUSTICELEADERS00424_TV-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251124-DISABILITYJUSTICELEADERS00424_TV-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251124-DISABILITYJUSTICELEADERS00424_TV-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251124-DISABILITYJUSTICELEADERS00424_TV-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Sandy Ho, left, and Brittanie Hernandez-Wilson, right, hold hands at Lake Merritt in Oakland on Nov. 24, 2025. Hernandez-Wilson and Ho, who both worked closely with disability justice leader Alice Wong, are mourning their loss, yet continuing their fight for disability justice. \u003ccite>(Tâm Vũ/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“It was the first time in my entire life that I really saw disabled people who looked like me embody self-love, embracing their body and mind,” she said. “It was like a hug from the universe.”\u003c/p>\n\u003cp>After Hernandez-Wilson moved to the Bay Area last year, Wong became her mentor and friend. They shared jokes, stories of old crushes and how each managed their health. Born with spinal muscular atrophy, Wong dealt with chronic health issues throughout her life. After a series of medical emergencies in 2022, she began communicating \u003ca href=\"https://www.kqed.org/perspectives/201601143471/alice-wong-i-still-have-a-voice-2\">through text-to-speech technology\u003c/a> and her family confirmed that her death was due to an infection.\u003c/p>\n\u003cp>“If the systems weren’t the way they are, many of our people would still be here,” said Hernandez-Wilson. But even after Wong’s passing, she said, a generation of activists mentored by her is ready to push forward a bolder vision of liberation for all disabled people.\u003c/p>\n\u003ch2>Centering the most marginalized\u003c/h2>\n\u003cp>Gifted with radiant charm and a disarming sense of humor, Wong, who was 51, built coalitions between different disabled communities. Cross-disability solidarity is \u003ca href=\"https://sinsinvalid.org/10-principles-of-disability-justice/\">a core principle of disability justice\u003c/a>, a framework developed over the last decade by queer and trans disabled activists of color in California.\u003c/p>\n\u003cp>In the 20th century, the primary objective for many disabled activists was securing equal employment, political participation and economic self-sufficiency — as outlined in the Americans with Disabilities Act of 1980.\u003c/p>\n\u003cfigure id=\"attachment_12065194\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12065194\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/250813-DisabilityCulturalCenter-10_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/250813-DisabilityCulturalCenter-10_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/250813-DisabilityCulturalCenter-10_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/250813-DisabilityCulturalCenter-10_qed-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Alice Wong, a disability rights activist and founder of the Disability Visibility Project, sits in the courtyard at the Disability Cultural Center on Aug. 13, 2025. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>This organizing was rooted in the Bay Area: the independent living movement \u003ca href=\"https://www.kalw.org/news/2017-04-05/berkeley-disability-activists-took-cues-from-the-civil-rights-era-and-sparked-a-national-movement\">took off here in the 1970s\u003c/a>; activists in Berkeley created the state’s \u003ca href=\"https://www.pbs.org/wgbh/americanexperience/features/they-took-sledgehammers-sidewalks-heres-why-curb-cut-effect/\">first sidewalk curb cuts\u003c/a>; and in 1977, \u003ca href=\"https://www.kqed.org/arts/13966861/judith-heumann-disability-rights-uc-berkeley-center-independent-living\">more than 100 disabled protesters\u003c/a> occupied the San Francisco Federal Building to demand implementation of the rule that prohibited discrimination based on disability in federally funded programs.\u003c/p>\n\u003cp>Proponents of disability justice maintain that ableism affects everyone — particularly those living with disabilities — and call for a future free of all systems that oppress disabled people. This fight, Wong said in \u003ca href=\"https://www.buzzsprout.com/2003809/episodes/10799918-making-the-world-brighter-sassier-and-more-colorful-alice-wong-on-disability-justice\">a 2022 podcast\u003c/a>, “must center on the most marginalized.” Nowhere is this more necessary, she added, than in a post-COVID world.\u003c/p>\n\u003cp>While cities and states rushed to loosen pandemic restrictions, Wong pushed back and demanded hospitals — including her own care provider, UCSF — continue \u003ca href=\"https://disabilityvisibilityproject.com/2024/01/25/n95s4ucsf-call-to-action/\">requiring face masks\u003c/a> and expand \u003ca href=\"https://nursing.ucsf.edu/news/disability-and-health-care-conversation-activist-alice-wong\">research into treatments\u003c/a> for those living with long COVID.[aside postID=news_11984990 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/Featured-photo-horizontal-Alice-Wong-1020x574.png']That’s how she met Charlie McCone.\u003c/p>\n\u003cp>Before contracting COVID in 2020, McCone, 35, said he had never experienced a serious health problem before.\u003c/p>\n\u003cp>“When you go from biking 10 miles a day to work to being housebound indefinitely, losing your job and not having any answers from the medical system, it is absolutely devastating,” he said.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/tag/long-covid\">Long COVID\u003c/a> — a chronic condition that follows many coronavirus infections and still confounds researchers — permanently altered McCone’s life.\u003c/p>\n\u003cp>Searching for answers to his condition, he joined Twitter (now known as X). From his San Francisco home, he shared his experiences online, hoping more people would take long COVID seriously. But after two years, “I came to the realization that otherwise good and reasonable people are still completely unfazed by the fact that their next COVID infection could cause extreme harm to them or their family,” he said.\u003c/p>\n\u003cp>He started to feel rage at the injustices he saw.\u003c/p>\n\u003cp>“People disabled by this virus and those already disabled prior to the pandemic are being completely disregarded and considered disposable by the general public,” he said.\u003c/p>\n\u003ch2>Preparing for cuts\u003c/h2>\n\u003cp>While others recommended he temper his emotions online, Wong encouraged McCone to lean into them. They met in person for the first time in 2023 over tea and soon got to work: over the next year, their online network launched \u003ca href=\"https://disabilityvisibilityproject.com/2024/01/02/disabled-outrage-and-podsavejon/\">a massive social media campaign\u003c/a> to pressure federal lawmakers to address the needs of those with long COVID.\u003c/p>\n\u003cp>Their efforts would bear fruit in January 2024 when Sen. Bernie Sanders (I-Vermont) held the \u003ca href=\"https://www.npr.org/2024/01/20/1225862790/advocates-push-for-greater-investment-in-long-covid-research-at-senate-hearing\">first Congressional hearing\u003c/a> on long COVID. Patients and doctors testified and called for long-term investments in research. Democrats \u003ca href=\"https://www.kqed.org/news/12006894/bay-areas-long-covid-community-celebrates-moonshot-bill-for-10-billion-in-funding\">later proposed $10 billion\u003c/a> in funding for research, treatment and education.\u003c/p>\n\u003cfigure id=\"attachment_12052187\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12052187\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250813-DISABILITYCULTURALCENTER-05-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250813-DISABILITYCULTURALCENTER-05-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250813-DISABILITYCULTURALCENTER-05-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250813-DISABILITYCULTURALCENTER-05-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">(From left) Eli Gelardin, Director of the Mayor’s Office on Disability, speaks with Alice Wong, a disability rights activist, and Debbie Kaplan, Deputy Director of Programmatic Access, at the Disability Cultural Center on Aug. 13, 2025. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Alice could make incredibly meaningful change through media,” McCone said, adding that folks living with long COVID need to keep sharing their stories — now more than ever.\u003c/p>\n\u003cp>Legislation to fund long COVID research has stalled since Republicans took control of Congress, but the Trump administration is moving quickly to implement \u003ca href=\"https://www.kqed.org/science/1997707/how-will-trumps-mega-bill-impact-health-care-in-california\">major health care reforms\u003c/a> outlined in the sweeping legislation known as the One Big Beautiful Bill.\u003c/p>\n\u003cp>The bill establishes \u003ca href=\"https://www.kqed.org/news/12047647/trumps-health-law-spurs-big-medi-cal-changes-what-californians-need-to-know\">new eligibility rules for Medi-Cal\u003c/a>, the state’s Medicaid program that covers over 15 million low-income Californians. State health officials predict that up to 3.4 million Medi-Cal recipients could lose their coverage in the coming years under new rules that include more frequent eligibility screenings and work requirements for certain groups. While the White House \u003ca href=\"https://www.whitehouse.gov/articles/2025/06/myth-vs-fact-the-one-big-beautiful-bill/\">insists\u003c/a> that the bill will not take coverage away from Americans with disabilities, \u003ca href=\"https://www.kqed.org/news/12058930/medicaid-cuts-could-put-services-for-disabled-californians-at-risk\">independent policy experts note\u003c/a> that California will lose matching federal funds as residents lose their Medi-Cal coverage.\u003c/p>\n\u003cp>State lawmakers could respond by \u003ca href=\"https://www.healthaffairs.org/content/forefront/history-repeats-faced-medicaid-cuts-states-reduced-support-older-adults-and-disabled\">cutting home and community-based services\u003c/a>, which allow people with disabilities to receive treatment, care and job training in their own communities rather than in institutions like nursing homes.\u003c/p>\n\u003cp>“If you really want people with disabilities to get jobs, then you don’t cut the health care that allows people to stay well enough to work,” said Silvia Yee, public policy director at the Berkeley-based Disability Rights Education and Defense Fund. “You don’t cut the services that help people with disabilities navigate hiring and settling into a job.”\u003c/p>\n\u003cp>Besides Medicaid changes, Yee noted that the One Big Beautiful Bill also failed to extend subsidies for people who bought health insurance through Affordable Care Act marketplaces like Covered California. Many people with a disability or chronic illness have an ACA insurance plan and will have to pay more to receive necessary care.\u003c/p>\n\u003cp>“These all seem like different cuts, but they affect the same pool of people,” Yee said. “All of this together makes it incredibly hard for people with disabilities to participate and live as part of the community.”\u003c/p>\n\u003ch2>‘The weight of carrying out disability justice’\u003c/h2>\n\u003cp>The future can quite often feel precarious when you’re disabled, said Sandy Ho, one of Wong’s closest friends and executive director of the Disability and Philanthropy Forum. Ho, originally from Boston, met Wong 15 years ago online. They didn’t meet in person until Ho moved to Oakland, but the bond of their friendship endured.\u003c/p>\n\u003cp>“There are always forces trying to take away our health care, and Alice understood that on a level that emboldened her to just say, ‘F— it all, either you’re with me, or you’re not,’” said Ho, who Wong tasked with carrying forward some of her unfinished projects, including her next book.\u003c/p>\n\u003cfigure id=\"attachment_12065498\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12065498\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251124-DISABILITYJUSTICELEADERS00080_TV-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251124-DISABILITYJUSTICELEADERS00080_TV-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251124-DISABILITYJUSTICELEADERS00080_TV-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251124-DISABILITYJUSTICELEADERS00080_TV-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Sandy Ho, a disability justice activist, poses for a portrait at Lake Merritt in Oakland on Nov. 24, 2025. Ho worked closely with Alice Wong, a disability justice leader who died in November. \u003ccite>(Tâm Vũ/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“So many of us got to witness her life and be a part of it on so many different levels,” she said, adding that Wong loved organizing dinner parties for her friends, bringing together artists, organizers, researchers and health care workers. “She is our future — the future looks like getting fed really well because disabled people deserve delicious things. Disabled people deserve joy, to have fun and create.”\u003c/p>\n\u003cp>This year also saw the death of another leader in the disabled community: Patty Berne — co-founder of the Bay Area-based performance group \u003ca href=\"https://sinsinvalid.org/about-sins/\">Sins Invalid\u003c/a> and one of the minds behind the disability justice framework — \u003ca href=\"https://19thnews.org/2025/08/patty-berne-obituary-disability-justice-movement/\">died last May in Berkeley\u003c/a>.\u003c/p>\n\u003cp>“One of the things that I have unfortunately experienced a lot in the disability community is grief,” said Rosemary McDonnell-Horita, a Berkeley-based writer who was a friend to Wong and Berne. “The depths of love also come with the depths of grief.”\u003c/p>\n\u003cp>Campaigns both online and in Sacramento \u003ca href=\"https://dredf.org/oppose-cuts-to-medi-cal/\">are already underway\u003c/a> to protect Medi-Cal funding that serves disabled Californians. Other friends of Wong are \u003ca href=\"https://llps.substack.com/p/alice-wong-was-crips-for-esims-for\">continuing her call\u003c/a> to help provide disabled Palestinians in Gaza with cellular data. And McDonnell-Horita plans to keep working on a project that Wong loudly cheered: a cookbook for disabled people by disabled people.\u003c/p>\n\u003cp>“We all now bear the weight of carrying out disability justice to the best of our ability,” she said.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Friends, activists and policy experts reflect on Alice Wong’s legacy as looming Medicaid cuts threaten critical services for disabled people in California and nationwide.",
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"title": "After Alice Wong’s Death, Her Friends Vow to Keep Fighting for Disability Justice | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>With a smile, Brittanie Hernandez-Wilson, 38, closes her eyes when she says her friend’s name. She pauses. A tear rolls down her cheek.\u003c/p>\n\u003cp>“There’s a real level of rage that I feel around Alice’s death,” she said.\u003c/p>\n\u003cp>It’s been \u003ca href=\"https://www.kqed.org/arts/13983848/alice-wong-disability-rights-activist-obituary\"> a month\u003c/a> since disability activist and author \u003ca href=\"https://www.kqed.org/forum/2010101912041/remembering-disability-activist-alice-wong\">Alice Wong\u003c/a> died in San Francisco. Since her passing, KQED has spoken with many of Wong’s friends and collaborators in the Bay Area to better understand what motivated her decades of organizing.\u003c/p>\n\u003cp>In her writings and public appearances, Wong spoke of the need for disabled people to advocate loudly for their health needs. This mission brought together a bold and effective network of advocates living with different disabilities. But now, folks are preparing for the biggest challenge yet: more than a trillion dollars in cuts to Medicaid and other social services in the coming decade, \u003ca href=\"https://www.kqed.org/news/12058930/medicaid-cuts-could-put-services-for-disabled-californians-at-risk\">slashing a lifeline\u003c/a> for disabled people nationwide.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Alice fought like hell to exist in her body and mind every day,” said Hernandez-Wilson, who works for a nonprofit that advocates for domestic workers and caretakers. “There is a larger system at play that dictates if we are worthy enough of getting care.”\u003c/p>\n\u003cp>Raised in rural Minnesota, Hernandez-Wilson was the only student with a disability in her class and one of the few students of color in her entire school. “I was afraid that if I was labeled as a certain type of disabled person, I would be locked away in a classroom … that deep internalized ableism can really mess with your mind,” she said.\u003c/p>\n\u003cp>As an adult, she picked up \u003ca href=\"https://www.penguinrandomhouse.com/books/617802/disability-visibility-by-alice-wong/\">\u003cem>Disability Visibility: First-Person Stories from the Twenty-First Century\u003c/em>\u003c/a>, an anthology edited by Wong.\u003c/p>\n\u003cfigure id=\"attachment_12065500\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12065500\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251124-DISABILITYJUSTICELEADERS00424_TV-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251124-DISABILITYJUSTICELEADERS00424_TV-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251124-DISABILITYJUSTICELEADERS00424_TV-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251124-DISABILITYJUSTICELEADERS00424_TV-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Sandy Ho, left, and Brittanie Hernandez-Wilson, right, hold hands at Lake Merritt in Oakland on Nov. 24, 2025. Hernandez-Wilson and Ho, who both worked closely with disability justice leader Alice Wong, are mourning their loss, yet continuing their fight for disability justice. \u003ccite>(Tâm Vũ/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“It was the first time in my entire life that I really saw disabled people who looked like me embody self-love, embracing their body and mind,” she said. “It was like a hug from the universe.”\u003c/p>\n\u003cp>After Hernandez-Wilson moved to the Bay Area last year, Wong became her mentor and friend. They shared jokes, stories of old crushes and how each managed their health. Born with spinal muscular atrophy, Wong dealt with chronic health issues throughout her life. After a series of medical emergencies in 2022, she began communicating \u003ca href=\"https://www.kqed.org/perspectives/201601143471/alice-wong-i-still-have-a-voice-2\">through text-to-speech technology\u003c/a> and her family confirmed that her death was due to an infection.\u003c/p>\n\u003cp>“If the systems weren’t the way they are, many of our people would still be here,” said Hernandez-Wilson. But even after Wong’s passing, she said, a generation of activists mentored by her is ready to push forward a bolder vision of liberation for all disabled people.\u003c/p>\n\u003ch2>Centering the most marginalized\u003c/h2>\n\u003cp>Gifted with radiant charm and a disarming sense of humor, Wong, who was 51, built coalitions between different disabled communities. Cross-disability solidarity is \u003ca href=\"https://sinsinvalid.org/10-principles-of-disability-justice/\">a core principle of disability justice\u003c/a>, a framework developed over the last decade by queer and trans disabled activists of color in California.\u003c/p>\n\u003cp>In the 20th century, the primary objective for many disabled activists was securing equal employment, political participation and economic self-sufficiency — as outlined in the Americans with Disabilities Act of 1980.\u003c/p>\n\u003cfigure id=\"attachment_12065194\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12065194\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/250813-DisabilityCulturalCenter-10_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/250813-DisabilityCulturalCenter-10_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/250813-DisabilityCulturalCenter-10_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/250813-DisabilityCulturalCenter-10_qed-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Alice Wong, a disability rights activist and founder of the Disability Visibility Project, sits in the courtyard at the Disability Cultural Center on Aug. 13, 2025. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>This organizing was rooted in the Bay Area: the independent living movement \u003ca href=\"https://www.kalw.org/news/2017-04-05/berkeley-disability-activists-took-cues-from-the-civil-rights-era-and-sparked-a-national-movement\">took off here in the 1970s\u003c/a>; activists in Berkeley created the state’s \u003ca href=\"https://www.pbs.org/wgbh/americanexperience/features/they-took-sledgehammers-sidewalks-heres-why-curb-cut-effect/\">first sidewalk curb cuts\u003c/a>; and in 1977, \u003ca href=\"https://www.kqed.org/arts/13966861/judith-heumann-disability-rights-uc-berkeley-center-independent-living\">more than 100 disabled protesters\u003c/a> occupied the San Francisco Federal Building to demand implementation of the rule that prohibited discrimination based on disability in federally funded programs.\u003c/p>\n\u003cp>Proponents of disability justice maintain that ableism affects everyone — particularly those living with disabilities — and call for a future free of all systems that oppress disabled people. This fight, Wong said in \u003ca href=\"https://www.buzzsprout.com/2003809/episodes/10799918-making-the-world-brighter-sassier-and-more-colorful-alice-wong-on-disability-justice\">a 2022 podcast\u003c/a>, “must center on the most marginalized.” Nowhere is this more necessary, she added, than in a post-COVID world.\u003c/p>\n\u003cp>While cities and states rushed to loosen pandemic restrictions, Wong pushed back and demanded hospitals — including her own care provider, UCSF — continue \u003ca href=\"https://disabilityvisibilityproject.com/2024/01/25/n95s4ucsf-call-to-action/\">requiring face masks\u003c/a> and expand \u003ca href=\"https://nursing.ucsf.edu/news/disability-and-health-care-conversation-activist-alice-wong\">research into treatments\u003c/a> for those living with long COVID.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>That’s how she met Charlie McCone.\u003c/p>\n\u003cp>Before contracting COVID in 2020, McCone, 35, said he had never experienced a serious health problem before.\u003c/p>\n\u003cp>“When you go from biking 10 miles a day to work to being housebound indefinitely, losing your job and not having any answers from the medical system, it is absolutely devastating,” he said.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/tag/long-covid\">Long COVID\u003c/a> — a chronic condition that follows many coronavirus infections and still confounds researchers — permanently altered McCone’s life.\u003c/p>\n\u003cp>Searching for answers to his condition, he joined Twitter (now known as X). From his San Francisco home, he shared his experiences online, hoping more people would take long COVID seriously. But after two years, “I came to the realization that otherwise good and reasonable people are still completely unfazed by the fact that their next COVID infection could cause extreme harm to them or their family,” he said.\u003c/p>\n\u003cp>He started to feel rage at the injustices he saw.\u003c/p>\n\u003cp>“People disabled by this virus and those already disabled prior to the pandemic are being completely disregarded and considered disposable by the general public,” he said.\u003c/p>\n\u003ch2>Preparing for cuts\u003c/h2>\n\u003cp>While others recommended he temper his emotions online, Wong encouraged McCone to lean into them. They met in person for the first time in 2023 over tea and soon got to work: over the next year, their online network launched \u003ca href=\"https://disabilityvisibilityproject.com/2024/01/02/disabled-outrage-and-podsavejon/\">a massive social media campaign\u003c/a> to pressure federal lawmakers to address the needs of those with long COVID.\u003c/p>\n\u003cp>Their efforts would bear fruit in January 2024 when Sen. Bernie Sanders (I-Vermont) held the \u003ca href=\"https://www.npr.org/2024/01/20/1225862790/advocates-push-for-greater-investment-in-long-covid-research-at-senate-hearing\">first Congressional hearing\u003c/a> on long COVID. Patients and doctors testified and called for long-term investments in research. Democrats \u003ca href=\"https://www.kqed.org/news/12006894/bay-areas-long-covid-community-celebrates-moonshot-bill-for-10-billion-in-funding\">later proposed $10 billion\u003c/a> in funding for research, treatment and education.\u003c/p>\n\u003cfigure id=\"attachment_12052187\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12052187\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250813-DISABILITYCULTURALCENTER-05-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250813-DISABILITYCULTURALCENTER-05-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250813-DISABILITYCULTURALCENTER-05-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250813-DISABILITYCULTURALCENTER-05-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">(From left) Eli Gelardin, Director of the Mayor’s Office on Disability, speaks with Alice Wong, a disability rights activist, and Debbie Kaplan, Deputy Director of Programmatic Access, at the Disability Cultural Center on Aug. 13, 2025. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Alice could make incredibly meaningful change through media,” McCone said, adding that folks living with long COVID need to keep sharing their stories — now more than ever.\u003c/p>\n\u003cp>Legislation to fund long COVID research has stalled since Republicans took control of Congress, but the Trump administration is moving quickly to implement \u003ca href=\"https://www.kqed.org/science/1997707/how-will-trumps-mega-bill-impact-health-care-in-california\">major health care reforms\u003c/a> outlined in the sweeping legislation known as the One Big Beautiful Bill.\u003c/p>\n\u003cp>The bill establishes \u003ca href=\"https://www.kqed.org/news/12047647/trumps-health-law-spurs-big-medi-cal-changes-what-californians-need-to-know\">new eligibility rules for Medi-Cal\u003c/a>, the state’s Medicaid program that covers over 15 million low-income Californians. State health officials predict that up to 3.4 million Medi-Cal recipients could lose their coverage in the coming years under new rules that include more frequent eligibility screenings and work requirements for certain groups. While the White House \u003ca href=\"https://www.whitehouse.gov/articles/2025/06/myth-vs-fact-the-one-big-beautiful-bill/\">insists\u003c/a> that the bill will not take coverage away from Americans with disabilities, \u003ca href=\"https://www.kqed.org/news/12058930/medicaid-cuts-could-put-services-for-disabled-californians-at-risk\">independent policy experts note\u003c/a> that California will lose matching federal funds as residents lose their Medi-Cal coverage.\u003c/p>\n\u003cp>State lawmakers could respond by \u003ca href=\"https://www.healthaffairs.org/content/forefront/history-repeats-faced-medicaid-cuts-states-reduced-support-older-adults-and-disabled\">cutting home and community-based services\u003c/a>, which allow people with disabilities to receive treatment, care and job training in their own communities rather than in institutions like nursing homes.\u003c/p>\n\u003cp>“If you really want people with disabilities to get jobs, then you don’t cut the health care that allows people to stay well enough to work,” said Silvia Yee, public policy director at the Berkeley-based Disability Rights Education and Defense Fund. “You don’t cut the services that help people with disabilities navigate hiring and settling into a job.”\u003c/p>\n\u003cp>Besides Medicaid changes, Yee noted that the One Big Beautiful Bill also failed to extend subsidies for people who bought health insurance through Affordable Care Act marketplaces like Covered California. Many people with a disability or chronic illness have an ACA insurance plan and will have to pay more to receive necessary care.\u003c/p>\n\u003cp>“These all seem like different cuts, but they affect the same pool of people,” Yee said. “All of this together makes it incredibly hard for people with disabilities to participate and live as part of the community.”\u003c/p>\n\u003ch2>‘The weight of carrying out disability justice’\u003c/h2>\n\u003cp>The future can quite often feel precarious when you’re disabled, said Sandy Ho, one of Wong’s closest friends and executive director of the Disability and Philanthropy Forum. Ho, originally from Boston, met Wong 15 years ago online. They didn’t meet in person until Ho moved to Oakland, but the bond of their friendship endured.\u003c/p>\n\u003cp>“There are always forces trying to take away our health care, and Alice understood that on a level that emboldened her to just say, ‘F— it all, either you’re with me, or you’re not,’” said Ho, who Wong tasked with carrying forward some of her unfinished projects, including her next book.\u003c/p>\n\u003cfigure id=\"attachment_12065498\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12065498\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251124-DISABILITYJUSTICELEADERS00080_TV-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251124-DISABILITYJUSTICELEADERS00080_TV-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251124-DISABILITYJUSTICELEADERS00080_TV-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251124-DISABILITYJUSTICELEADERS00080_TV-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Sandy Ho, a disability justice activist, poses for a portrait at Lake Merritt in Oakland on Nov. 24, 2025. Ho worked closely with Alice Wong, a disability justice leader who died in November. \u003ccite>(Tâm Vũ/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“So many of us got to witness her life and be a part of it on so many different levels,” she said, adding that Wong loved organizing dinner parties for her friends, bringing together artists, organizers, researchers and health care workers. “She is our future — the future looks like getting fed really well because disabled people deserve delicious things. Disabled people deserve joy, to have fun and create.”\u003c/p>\n\u003cp>This year also saw the death of another leader in the disabled community: Patty Berne — co-founder of the Bay Area-based performance group \u003ca href=\"https://sinsinvalid.org/about-sins/\">Sins Invalid\u003c/a> and one of the minds behind the disability justice framework — \u003ca href=\"https://19thnews.org/2025/08/patty-berne-obituary-disability-justice-movement/\">died last May in Berkeley\u003c/a>.\u003c/p>\n\u003cp>“One of the things that I have unfortunately experienced a lot in the disability community is grief,” said Rosemary McDonnell-Horita, a Berkeley-based writer who was a friend to Wong and Berne. “The depths of love also come with the depths of grief.”\u003c/p>\n\u003cp>Campaigns both online and in Sacramento \u003ca href=\"https://dredf.org/oppose-cuts-to-medi-cal/\">are already underway\u003c/a> to protect Medi-Cal funding that serves disabled Californians. Other friends of Wong are \u003ca href=\"https://llps.substack.com/p/alice-wong-was-crips-for-esims-for\">continuing her call\u003c/a> to help provide disabled Palestinians in Gaza with cellular data. And McDonnell-Horita plans to keep working on a project that Wong loudly cheered: a cookbook for disabled people by disabled people.\u003c/p>\n\u003cp>“We all now bear the weight of carrying out disability justice to the best of our ability,” she said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Trump’s Big Beautiful Bill to Cost San Francisco $400 Million, End Care for Thousands",
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"content": "\u003cp>President \u003ca href=\"https://www.kqed.org/news/tag/donald-trump\">Donald Trump\u003c/a>’s One Big Beautiful Bill Act is expected to cut hundreds of millions of dollars annually from \u003ca href=\"https://www.kqed.org/news/tag/san-francisco\">San Francisco\u003c/a>’s budget, with up to 50,000 people potentially losing access to public benefits.\u003c/p>\n\u003cp>That’s according to a new report from the San Francisco Department of Public Health and Human Services, which estimates the federal budget could cost the city up to $400 million annually once fully implemented in 2038.\u003c/p>\n\u003cp>“Our economy is recovering, and we made real progress eliminating hundreds of millions of dollars every year from our structural deficit,” Mayor Daniel Lurie said in a statement. “But these changes at the state and federal level represent a real threat to San Francisco, to our residents and to our budget.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Signed into law on July 4, the Big Beautiful Bill, as it’s officially known, strips federal funding for a variety of public healthcare programs and the Supplemental Nutrition Assistance Program, while cutting taxes for the wealthiest Americans by tens of thousands of dollars.\u003c/p>\n\u003cp>The Department of Public Health stands to lose $315 million in 2027–28 alone, and the city’s Department of Human Services, which administers CalFresh, the state’s food stamp program, estimates it will lose $81 million annually. Around 21,000 San Franciscans could lose food benefits by 2027 if they do not have an income, largely due to newly imposed work requirements.\u003c/p>\n\u003cp>About 112,000 San Franciscans receive food assistance through CalFresh, according to the report.[aside postID=news_12064551 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/GettyImages-1352132356-2000x1333.jpg']“The strict work and paperwork requirements are really about layering on a whole lot of red tape,” said Tanis Crosby, executive director of the San Francisco-Marin Food Bank, adding that CalFresh and other SNAP programs already have income limits and work requirements. “This will all make a big administrative entanglement and create more burden and disinventive for people who need and deserve benefits to even apply.”\u003c/p>\n\u003cp>Between 25,000 and 50,000 San Franciscans are also projected to lose access to Medi-Cal, the report shows. Undocumented residents are particularly vulnerable to the cuts, and starting in January, Medi-Cal recipients will have more hurdles to jump through for benefits, including verifying their eligibility every six months rather than once per year.\u003c/p>\n\u003cp>The city is already charting out mitigation strategies, including keeping residents enrolled in benefits programs. It is also looking to expand programs like Healthy San Francisco, a city program that provides health coverage for residents who are not eligible for Medi-Cal and Medicare.\u003c/p>\n\u003cp>“Despite these actions, the City and County will face difficult financial decisions, and we will need to prioritize programs, services and staffing,” the report reads.\u003c/p>\n\u003cp>The dramatic projections come after the city earlier this year cut millions from its own budget in order to balance an $800 million shortfall.\u003c/p>\n\u003cp>“We are really concerned about what this means for people who are just struggling to make ends meet,” Crosby said. “We have among the highest rates of food insecurity … There is a lot of opportunity for bold change that we can make within our state.”\u003c/p>\n\u003cp>Lurie’s budget, passed earlier this year, anticipated federal cuts and included $400 million in reserves to help combat future shortfalls. The city is now preparing to start developing its next annual budget.\u003c/p>\n\u003cp>“Over the next several months, I will work with the Board of Supervisors, community leaders, and residents across the city to ensure we take care of San Franciscans and deliver another responsible budget that supports our residents and strengthens our recovery,” Lurie said.\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "President Donald Trump’s major budget bill is slated to cut $400 million annually in federal funding for San Francisco by 2038, according to a city report. ",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>President \u003ca href=\"https://www.kqed.org/news/tag/donald-trump\">Donald Trump\u003c/a>’s One Big Beautiful Bill Act is expected to cut hundreds of millions of dollars annually from \u003ca href=\"https://www.kqed.org/news/tag/san-francisco\">San Francisco\u003c/a>’s budget, with up to 50,000 people potentially losing access to public benefits.\u003c/p>\n\u003cp>That’s according to a new report from the San Francisco Department of Public Health and Human Services, which estimates the federal budget could cost the city up to $400 million annually once fully implemented in 2038.\u003c/p>\n\u003cp>“Our economy is recovering, and we made real progress eliminating hundreds of millions of dollars every year from our structural deficit,” Mayor Daniel Lurie said in a statement. “But these changes at the state and federal level represent a real threat to San Francisco, to our residents and to our budget.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Signed into law on July 4, the Big Beautiful Bill, as it’s officially known, strips federal funding for a variety of public healthcare programs and the Supplemental Nutrition Assistance Program, while cutting taxes for the wealthiest Americans by tens of thousands of dollars.\u003c/p>\n\u003cp>The Department of Public Health stands to lose $315 million in 2027–28 alone, and the city’s Department of Human Services, which administers CalFresh, the state’s food stamp program, estimates it will lose $81 million annually. Around 21,000 San Franciscans could lose food benefits by 2027 if they do not have an income, largely due to newly imposed work requirements.\u003c/p>\n\u003cp>About 112,000 San Franciscans receive food assistance through CalFresh, according to the report.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“The strict work and paperwork requirements are really about layering on a whole lot of red tape,” said Tanis Crosby, executive director of the San Francisco-Marin Food Bank, adding that CalFresh and other SNAP programs already have income limits and work requirements. “This will all make a big administrative entanglement and create more burden and disinventive for people who need and deserve benefits to even apply.”\u003c/p>\n\u003cp>Between 25,000 and 50,000 San Franciscans are also projected to lose access to Medi-Cal, the report shows. Undocumented residents are particularly vulnerable to the cuts, and starting in January, Medi-Cal recipients will have more hurdles to jump through for benefits, including verifying their eligibility every six months rather than once per year.\u003c/p>\n\u003cp>The city is already charting out mitigation strategies, including keeping residents enrolled in benefits programs. It is also looking to expand programs like Healthy San Francisco, a city program that provides health coverage for residents who are not eligible for Medi-Cal and Medicare.\u003c/p>\n\u003cp>“Despite these actions, the City and County will face difficult financial decisions, and we will need to prioritize programs, services and staffing,” the report reads.\u003c/p>\n\u003cp>The dramatic projections come after the city earlier this year cut millions from its own budget in order to balance an $800 million shortfall.\u003c/p>\n\u003cp>“We are really concerned about what this means for people who are just struggling to make ends meet,” Crosby said. “We have among the highest rates of food insecurity … There is a lot of opportunity for bold change that we can make within our state.”\u003c/p>\n\u003cp>Lurie’s budget, passed earlier this year, anticipated federal cuts and included $400 million in reserves to help combat future shortfalls. The city is now preparing to start developing its next annual budget.\u003c/p>\n\u003cp>“Over the next several months, I will work with the Board of Supervisors, community leaders, and residents across the city to ensure we take care of San Franciscans and deliver another responsible budget that supports our residents and strengthens our recovery,” Lurie said.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "santa-clara-county-sales-tax-measure-appears-poised-to-pass-amid-federal-cuts",
"title": "Santa Clara County Sales Tax Measure Appears Poised to Pass Amid Federal Cuts",
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"content": "\u003cp>A sales tax increase in Santa Clara County appeared headed for victory on Tuesday, signaling a willingness among South Bay voters to help backfill federal cuts to food and health care safety net programs.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/measure-a\">Measure A\u003c/a> was leading 57% to 43% in early returns on Tuesday.\u003c/p>\n\u003cp>“We’re calling it!” Supervisors Betty Duong and Susan Ellenberg said after results flashed across a flatscreen TV at a Yes on Measure A party in San José’s Willow Glen neighborhood.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The measure would increase the county sales tax by five-eighths of a cent for every one dollar spent, raising roughly $330 million annually. County leaders \u003ca href=\"https://www.kqed.org/news/12051250/santa-clara-county-voters-could-pay-more-sales-tax-due-to-trump-cuts\">placed it on the ballot\u003c/a> after President Donald Trump approved cuts to Medicaid and SNAP that will reduce county revenues by $1 billion a year by the end of the decade.\u003c/p>\n\u003cp>Home to four public hospitals, Santa Clara County \u003ca href=\"https://www.kqed.org/news/12059539/with-measure-a-santa-clara-county-hopes-to-keep-hospitals-afloat\">was uniquely vulnerable\u003c/a> to the historic cuts to Medicaid, the nation’s health care program for low-income residents and people with disabilities. Supporters of Measure A billed the measure as an opportunity for residents of the liberal county to push back against Republicans in Washington. The campaign closely aligned its messaging with the successful measure to redraw the state’s congressional lines to help Democrats win control of the U.S. House of Representatives.\u003c/p>\n\u003cp>“This is affirmation that the people of Santa Clara County are going to determine their own future, and they’ve decided that we will not allow for our health care system to go down,” Duong told KQED. “Had we not had the results we had tonight, had Measure A gone the other way, we would be looking at which hospital to close right now.”\u003c/p>\n\u003cp>Backers of Measure A acknowledged the new revenue would not fully make up for the loss of federal funding. The One Big Beautiful Bill Act that Trump signed this summer is expected to \u003ca href=\"https://www.kqed.org/science/1997707/how-will-trumps-mega-bill-impact-health-care-in-california\">reduce the number of people\u003c/a> eligible for Medicaid, known as Medi-Cal in California. As a result, the county will receive fewer direct payments and reimbursements for services, and county leaders said cuts to county health services are likely.\u003c/p>\n\u003cp>“The road ahead of us is daunting,” said Santa Clara County Executive James Williams. “We are facing hundreds of millions in cuts even with the passage of Measure A, but this gives us the fight.”\u003c/p>\n\u003cfigure id=\"attachment_12016848\" class=\"wp-caption aligncenter\" style=\"max-width: 1024px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12016848\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/GettyImages-1230183080.jpg\" alt=\"A large hospital building that says 'Santa Clara Valley Medical Center' in front.\" width=\"1024\" height=\"682\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/GettyImages-1230183080.jpg 1024w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/GettyImages-1230183080-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/GettyImages-1230183080-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/GettyImages-1230183080-160x107.jpg 160w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\">\u003cfigcaption class=\"wp-caption-text\">Santa Clara Valley Medical Center stands on 751 South Bascom Avenue in San José on Sept. 29, 2025. \u003ccite>(Neal Waters/Anadolu Agency via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Still, Measure A supporters argued the sales tax would allow the county to keep all four of its public hospitals open. In recent years, the county expanded its health system beyond Valley Medical Center to acquire struggling hospitals in the region: O’Connor Hospital and Regional Medical Center in San José and St. Louise Regional Hospital in Gilroy.\u003c/p>\n\u003cp>Politicians from across the South Bay’s political spectrum endorsed Measure A, including Assemblymember Patrick Ahrens, Rep. Ro Khanna, San José Mayor Matt Mahan and the entire Santa Clara County Board of Supervisors.[aside label=\"2025 California Special Election\" link1='https://www.kqed.org/measure-a,Learn about Measure A in Santa Clara County' hero=https://cdn.kqed.org/wp-content/uploads/2025/09/Aside-2025-Special-Election-Voter-Guide-Santa-Clara-County-Measure-A-1200x675-1.png]Opponents of Measure A included Cupertino Mayor Liang-Fang Chao and a handful of former mayors and city council members, including Rishi Kumar of Saratoga and Lydia Kou of Palo Alto.\u003c/p>\n\u003cp>They noted that because Measure A is a general tax, the revenue can technically be spent on any county service. They also argued a sales tax would fall disproportionately on lower-income residents.\u003c/p>\n\u003cp>Opponents also questioned the long-term viability of the county’s health system after the Medicaid cuts. The three hospital acquisitions have ballooned county health care spending, they said, and the sales tax increase was a Band-Aid solution that sidestepped a more serious reevaluation of county health spending.\u003c/p>\n\u003cp>Those messages were largely drowned out by a well-funded campaign in support of Measure A. The main campaign committee raised over $2.6 million through Oct. 31, including $525,000 from the Valley Health Foundation, a nonprofit supporting the county health system.\u003c/p>\n\u003cp>The campaign against Measure A reported virtually no fundraising beyond a $357 loan.\u003c/p>\n\u003cp>In the closing weeks of the campaign, opponents accused county leaders of improperly advocating for the sales tax hike.\u003c/p>\n\u003cp>Kumar \u003ca href=\"https://www.kqed.org/news/12060326/measure-a-opponents-criticize-county-mailer-ahead-of-election\">criticized a taxpayer-funded mailer\u003c/a> from the county that warned residents of looming health cuts in language closely mirroring the pro-Measure A arguments. The No on Measure A also filed a complaint last week with campaign finance regulators, accusing Sheriff Bob Jonsen of improperly campaigning for the measure while wearing his uniform.\u003c/p>\n\u003cp>“The people have spoken and I hope the county will spend the money judiciously,” Kumar said in a statement after Tuesday’s results.\u003c/p>\n\u003cp>The Yes on Measure A campaign sought to project unity with the popular redistricting measure, \u003ca href=\"https://www.kqed.org/news/12062781/proposition-50-passes-in-california-boosting-democrats-in-fight-for-us-house-control\">Proposition 50\u003c/a>.\u003c/p>\n\u003cp>A mailer in the final days of the campaign showed a shield inscribed with Measure A and Proposition 50 fending off an arrow labeled “Trump’s Agenda.”\u003c/p>\n\u003cp>“One Election, Two Ballot Measures to Protect California,” the mailer read.\u003c/p>\n\u003cp>\u003cem>KQED’s \u003ca href=\"https://www.kqed.org/author/jgeha\">Joseph Geha\u003c/a> contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The measure would increase the county sales tax by five-eighths of a cent for every one dollar spent, raising roughly $330 million annually. County leaders \u003ca href=\"https://www.kqed.org/news/12051250/santa-clara-county-voters-could-pay-more-sales-tax-due-to-trump-cuts\">placed it on the ballot\u003c/a> after President Donald Trump approved cuts to Medicaid and SNAP that will reduce county revenues by $1 billion a year by the end of the decade.\u003c/p>\n\u003cp>Home to four public hospitals, Santa Clara County \u003ca href=\"https://www.kqed.org/news/12059539/with-measure-a-santa-clara-county-hopes-to-keep-hospitals-afloat\">was uniquely vulnerable\u003c/a> to the historic cuts to Medicaid, the nation’s health care program for low-income residents and people with disabilities. Supporters of Measure A billed the measure as an opportunity for residents of the liberal county to push back against Republicans in Washington. The campaign closely aligned its messaging with the successful measure to redraw the state’s congressional lines to help Democrats win control of the U.S. House of Representatives.\u003c/p>\n\u003cp>“This is affirmation that the people of Santa Clara County are going to determine their own future, and they’ve decided that we will not allow for our health care system to go down,” Duong told KQED. “Had we not had the results we had tonight, had Measure A gone the other way, we would be looking at which hospital to close right now.”\u003c/p>\n\u003cp>Backers of Measure A acknowledged the new revenue would not fully make up for the loss of federal funding. The One Big Beautiful Bill Act that Trump signed this summer is expected to \u003ca href=\"https://www.kqed.org/science/1997707/how-will-trumps-mega-bill-impact-health-care-in-california\">reduce the number of people\u003c/a> eligible for Medicaid, known as Medi-Cal in California. As a result, the county will receive fewer direct payments and reimbursements for services, and county leaders said cuts to county health services are likely.\u003c/p>\n\u003cp>“The road ahead of us is daunting,” said Santa Clara County Executive James Williams. “We are facing hundreds of millions in cuts even with the passage of Measure A, but this gives us the fight.”\u003c/p>\n\u003cfigure id=\"attachment_12016848\" class=\"wp-caption aligncenter\" style=\"max-width: 1024px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12016848\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/GettyImages-1230183080.jpg\" alt=\"A large hospital building that says 'Santa Clara Valley Medical Center' in front.\" width=\"1024\" height=\"682\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/GettyImages-1230183080.jpg 1024w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/GettyImages-1230183080-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/GettyImages-1230183080-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/GettyImages-1230183080-160x107.jpg 160w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\">\u003cfigcaption class=\"wp-caption-text\">Santa Clara Valley Medical Center stands on 751 South Bascom Avenue in San José on Sept. 29, 2025. \u003ccite>(Neal Waters/Anadolu Agency via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Still, Measure A supporters argued the sales tax would allow the county to keep all four of its public hospitals open. In recent years, the county expanded its health system beyond Valley Medical Center to acquire struggling hospitals in the region: O’Connor Hospital and Regional Medical Center in San José and St. Louise Regional Hospital in Gilroy.\u003c/p>\n\u003cp>Politicians from across the South Bay’s political spectrum endorsed Measure A, including Assemblymember Patrick Ahrens, Rep. Ro Khanna, San José Mayor Matt Mahan and the entire Santa Clara County Board of Supervisors.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Opponents of Measure A included Cupertino Mayor Liang-Fang Chao and a handful of former mayors and city council members, including Rishi Kumar of Saratoga and Lydia Kou of Palo Alto.\u003c/p>\n\u003cp>They noted that because Measure A is a general tax, the revenue can technically be spent on any county service. They also argued a sales tax would fall disproportionately on lower-income residents.\u003c/p>\n\u003cp>Opponents also questioned the long-term viability of the county’s health system after the Medicaid cuts. The three hospital acquisitions have ballooned county health care spending, they said, and the sales tax increase was a Band-Aid solution that sidestepped a more serious reevaluation of county health spending.\u003c/p>\n\u003cp>Those messages were largely drowned out by a well-funded campaign in support of Measure A. The main campaign committee raised over $2.6 million through Oct. 31, including $525,000 from the Valley Health Foundation, a nonprofit supporting the county health system.\u003c/p>\n\u003cp>The campaign against Measure A reported virtually no fundraising beyond a $357 loan.\u003c/p>\n\u003cp>In the closing weeks of the campaign, opponents accused county leaders of improperly advocating for the sales tax hike.\u003c/p>\n\u003cp>Kumar \u003ca href=\"https://www.kqed.org/news/12060326/measure-a-opponents-criticize-county-mailer-ahead-of-election\">criticized a taxpayer-funded mailer\u003c/a> from the county that warned residents of looming health cuts in language closely mirroring the pro-Measure A arguments. The No on Measure A also filed a complaint last week with campaign finance regulators, accusing Sheriff Bob Jonsen of improperly campaigning for the measure while wearing his uniform.\u003c/p>\n\u003cp>“The people have spoken and I hope the county will spend the money judiciously,” Kumar said in a statement after Tuesday’s results.\u003c/p>\n\u003cp>The Yes on Measure A campaign sought to project unity with the popular redistricting measure, \u003ca href=\"https://www.kqed.org/news/12062781/proposition-50-passes-in-california-boosting-democrats-in-fight-for-us-house-control\">Proposition 50\u003c/a>.\u003c/p>\n\u003cp>A mailer in the final days of the campaign showed a shield inscribed with Measure A and Proposition 50 fending off an arrow labeled “Trump’s Agenda.”\u003c/p>\n\u003cp>“One Election, Two Ballot Measures to Protect California,” the mailer read.\u003c/p>\n\u003cp>\u003cem>KQED’s \u003ca href=\"https://www.kqed.org/author/jgeha\">Joseph Geha\u003c/a> contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "Should Billionaires Pay More? California Unions Want Voters to Decide",
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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>For years, Gov. Gavin Newsom has staunchly opposed increasing taxes on wealthy Californians even when the issue repeatedly reared its head during recent tough budget years. But faced with deep federal cuts to social services programs, labor and health care groups are asking voters to circumvent the governor — to tax a very small number of people.\u003c/p>\n\u003cp>Service Employees International Union-United Healthcare Workers West and St. John’s Community Health in Los Angeles want voters statewide to approve a \u003ca href=\"https://oag.ca.gov/system/files/initiatives/pdfs/25-0024%20%28Billionaire%20Tax%20%29.pdf\">“billionaires tax”\u003c/a> to help prop up the state’s health care and education systems.\u003c/p>\n\u003cp>The proposed ballot initiative would levy a one-time, 5% tax on the approximately 200 billionaires in the state, generating roughly $100 billion in revenue, according to proponents.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Going to the ballot is a common move for advocacy groups frustrated with Sacramento politics, which, while dominated by Democrats, can still be factious. Dave Regan, president of SEIU-UHW, said at a news conference the ballot initiative is the “only solution anyone can see.”\u003c/p>\n\u003cp>“We are facing literally a collapse of our health care system here in California and elsewhere,” Regan said. “This will help us keep health care facilities open. It will stabilize premiums and coverage for all Californians, protect health care jobs, and also improve public education.”\u003c/p>\n\u003cp>The proposed initiative would tax the 2025 net worth of billionaires residing in California, allowing them to pay off the obligation over five years. The revenue would go into a special fund with 90% reserved for health care spending and 10% reserved for K-12 education spending.\u003c/p>\n\u003cp>It needs 874,641 signatures to be placed before voters on the 2026 ballot, a number that the groups are confident they can reach. Getting voters to ultimately approve the tax, however, could be a hard sell.\u003c/p>\n\u003cp>[aside postID=forum_2010101911547 hero='https://cdn.kqed.org/wp-content/uploads/sites/43/2025/10/GettyImages-2231380415-2000x1333.jpg']\u003c/p>\n\u003cp>While California has \u003ca href=\"https://calmatters.org/health/mental-health/2023/07/california-mental-health-newsom-proposal/\">taxed the income of millionaires\u003c/a>, lawmakers have never successfully \u003ca href=\"https://calmatters.org/economy/2023/01/wealth-tax-migration/\">passed a wealth tax\u003c/a>. Instead of targeting earnings, the state would levy such a tax on the net worth of an individual, everything from investments to property value and even other assets, like jewelry and paintings.\u003c/p>\n\u003cp>The governor is a big reason why. Newsom has never supported a wealth tax, at times \u003ca href=\"https://www.politico.com/news/2024/01/10/newsom-wsj-wealth-tax-editorial-shameful-00134850\">angrily rejecting\u003c/a> conservative efforts to link him with one as “shameful.” He quashed the most recent legislative effort last year.\u003c/p>\n\u003cp>Democratic lawmakers this year had considered raising revenue to help support the state’s social services programs, which receive billions in federal funds annually, but pivoted to focus on \u003ca href=\"https://calmatters.org/tag/prop-50/\">Newsom’s Proposition 50 redistricting fight\u003c/a>.\u003c/p>\n\u003cp>Regan said there are no plans to cut a deal with state lawmakers and pull the initiative from the ballot.\u003c/p>\n\u003cp>President Donald Trump’s sweeping tax reform and budget bill — the One Big Beautiful Bill Act — is projected to \u003ca href=\"https://www.kff.org/medicaid/allocating-cbos-estimates-of-federal-medicaid-spending-reductions-across-the-states-enacted-reconciliation-package/\">cut nearly $1 trillion from Medicaid over a decade\u003c/a>. \u003ca href=\"https://calmatters.org/health/2025/07/federal-budget-health-care-medicaid-medi-cal/\">California is estimated to lose roughly $30 billion in federal Medicaid funds\u003c/a> annually as a result. The state’s Medicaid agency estimates 3.4 million people will lose coverage as a result of federal eligibility changes.\u003c/p>\n\u003cp>The bulk of cuts won’t take effect until 2027. But states, including California, are already taking steps to shrink their health insurance programs for lower-income and disabled individuals.\u003c/p>\n\u003cp>California lawmakers facing a $12 billion deficit earlier this year made \u003ca href=\"https://calmatters.org/health/2025/06/medi-cal-health-california-budget-legislature/\">cuts to the state’s insurance program for immigrants without legal status\u003c/a>, including a partial enrollment freeze that starts Jan. 1. They also \u003ca href=\"https://calmatters.org/health/2025/05/medi-cal-assets-newsom-health-insurance/\">reinstituted the Medi-Cal asset test\u003c/a>, which limits how much enrollees can have in property value and savings.\u003c/p>\n\u003cp>Susan Shelley, vice president of communications with the Howard Jarvis Taxpayers Association, said most Californians will probably assume that the tax will not affect them, but establishing a wealth tax in the state could create a troubling precedent.\u003c/p>\n\u003cp>“We tax income at a very high level, but we don’t tax wealth and assets,” Shelley said. Nearly half of the state’s personal income tax revenue \u003ca href=\"https://www.latimes.com/california/story/2024-04-22/column-californias-budget-relies-on-the-richest-taxpayers-and-were-paying-the-price\">comes from\u003c/a> just 1% of the state’s earners. Over time, she added, a wealth tax “could come all the way down to the middle class and they say you have too much equity in your house and we’re taking it.”\u003c/p>\n\u003cp>Shelley also said the proposed initiative would incentivize billionaires to leave the state, creating a “huge hole in the state budget” that would hurt the economy in the long term.\u003c/p>\n\u003cp>Proponents of the measure disagreed with that characterization of the proposal. They said that it would not levy taxes on the middle class nor would it affect businesses because it targets the net worth of ultra-wealthy individuals.\u003c/p>\n\u003cp>Emmanuel Saez, an economics professor at UC Berkeley and supporter of the proposal, said the tax is structured to prevent billionaires from avoiding the bill simply by leaving the state.\u003c/p>\n\u003cp>It would tax their wealth established in 2025, and any billionaires who moved to the state in 2026 would not be subject to the levy.\u003c/p>\n\u003cp>“California billionaires are not going to be able to avoid the tax by moving their assets outside of California,” Saez said.\u003c/p>\n\u003cp>\u003c/p>\n",
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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>For years, Gov. Gavin Newsom has staunchly opposed increasing taxes on wealthy Californians even when the issue repeatedly reared its head during recent tough budget years. But faced with deep federal cuts to social services programs, labor and health care groups are asking voters to circumvent the governor — to tax a very small number of people.\u003c/p>\n\u003cp>Service Employees International Union-United Healthcare Workers West and St. John’s Community Health in Los Angeles want voters statewide to approve a \u003ca href=\"https://oag.ca.gov/system/files/initiatives/pdfs/25-0024%20%28Billionaire%20Tax%20%29.pdf\">“billionaires tax”\u003c/a> to help prop up the state’s health care and education systems.\u003c/p>\n\u003cp>The proposed ballot initiative would levy a one-time, 5% tax on the approximately 200 billionaires in the state, generating roughly $100 billion in revenue, according to proponents.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Going to the ballot is a common move for advocacy groups frustrated with Sacramento politics, which, while dominated by Democrats, can still be factious. Dave Regan, president of SEIU-UHW, said at a news conference the ballot initiative is the “only solution anyone can see.”\u003c/p>\n\u003cp>“We are facing literally a collapse of our health care system here in California and elsewhere,” Regan said. “This will help us keep health care facilities open. It will stabilize premiums and coverage for all Californians, protect health care jobs, and also improve public education.”\u003c/p>\n\u003cp>The proposed initiative would tax the 2025 net worth of billionaires residing in California, allowing them to pay off the obligation over five years. The revenue would go into a special fund with 90% reserved for health care spending and 10% reserved for K-12 education spending.\u003c/p>\n\u003cp>It needs 874,641 signatures to be placed before voters on the 2026 ballot, a number that the groups are confident they can reach. Getting voters to ultimately approve the tax, however, could be a hard sell.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>While California has \u003ca href=\"https://calmatters.org/health/mental-health/2023/07/california-mental-health-newsom-proposal/\">taxed the income of millionaires\u003c/a>, lawmakers have never successfully \u003ca href=\"https://calmatters.org/economy/2023/01/wealth-tax-migration/\">passed a wealth tax\u003c/a>. Instead of targeting earnings, the state would levy such a tax on the net worth of an individual, everything from investments to property value and even other assets, like jewelry and paintings.\u003c/p>\n\u003cp>The governor is a big reason why. Newsom has never supported a wealth tax, at times \u003ca href=\"https://www.politico.com/news/2024/01/10/newsom-wsj-wealth-tax-editorial-shameful-00134850\">angrily rejecting\u003c/a> conservative efforts to link him with one as “shameful.” He quashed the most recent legislative effort last year.\u003c/p>\n\u003cp>Democratic lawmakers this year had considered raising revenue to help support the state’s social services programs, which receive billions in federal funds annually, but pivoted to focus on \u003ca href=\"https://calmatters.org/tag/prop-50/\">Newsom’s Proposition 50 redistricting fight\u003c/a>.\u003c/p>\n\u003cp>Regan said there are no plans to cut a deal with state lawmakers and pull the initiative from the ballot.\u003c/p>\n\u003cp>President Donald Trump’s sweeping tax reform and budget bill — the One Big Beautiful Bill Act — is projected to \u003ca href=\"https://www.kff.org/medicaid/allocating-cbos-estimates-of-federal-medicaid-spending-reductions-across-the-states-enacted-reconciliation-package/\">cut nearly $1 trillion from Medicaid over a decade\u003c/a>. \u003ca href=\"https://calmatters.org/health/2025/07/federal-budget-health-care-medicaid-medi-cal/\">California is estimated to lose roughly $30 billion in federal Medicaid funds\u003c/a> annually as a result. The state’s Medicaid agency estimates 3.4 million people will lose coverage as a result of federal eligibility changes.\u003c/p>\n\u003cp>The bulk of cuts won’t take effect until 2027. But states, including California, are already taking steps to shrink their health insurance programs for lower-income and disabled individuals.\u003c/p>\n\u003cp>California lawmakers facing a $12 billion deficit earlier this year made \u003ca href=\"https://calmatters.org/health/2025/06/medi-cal-health-california-budget-legislature/\">cuts to the state’s insurance program for immigrants without legal status\u003c/a>, including a partial enrollment freeze that starts Jan. 1. They also \u003ca href=\"https://calmatters.org/health/2025/05/medi-cal-assets-newsom-health-insurance/\">reinstituted the Medi-Cal asset test\u003c/a>, which limits how much enrollees can have in property value and savings.\u003c/p>\n\u003cp>Susan Shelley, vice president of communications with the Howard Jarvis Taxpayers Association, said most Californians will probably assume that the tax will not affect them, but establishing a wealth tax in the state could create a troubling precedent.\u003c/p>\n\u003cp>“We tax income at a very high level, but we don’t tax wealth and assets,” Shelley said. Nearly half of the state’s personal income tax revenue \u003ca href=\"https://www.latimes.com/california/story/2024-04-22/column-californias-budget-relies-on-the-richest-taxpayers-and-were-paying-the-price\">comes from\u003c/a> just 1% of the state’s earners. Over time, she added, a wealth tax “could come all the way down to the middle class and they say you have too much equity in your house and we’re taking it.”\u003c/p>\n\u003cp>Shelley also said the proposed initiative would incentivize billionaires to leave the state, creating a “huge hole in the state budget” that would hurt the economy in the long term.\u003c/p>\n\u003cp>Proponents of the measure disagreed with that characterization of the proposal. They said that it would not levy taxes on the middle class nor would it affect businesses because it targets the net worth of ultra-wealthy individuals.\u003c/p>\n\u003cp>Emmanuel Saez, an economics professor at UC Berkeley and supporter of the proposal, said the tax is structured to prevent billionaires from avoiding the bill simply by leaving the state.\u003c/p>\n\u003cp>It would tax their wealth established in 2025, and any billionaires who moved to the state in 2026 would not be subject to the levy.\u003c/p>\n\u003cp>“California billionaires are not going to be able to avoid the tax by moving their assets outside of California,” Saez said.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"tagline": "The flip side of gentrification, told through one town",
"info": "Gentrification is changing cities across America, forcing people from neighborhoods they have long called home. Call them the displaced. Now those priced out of the Bay Area are looking for a better life in an unlikely place. American Suburb follows this migration to one California town along the Delta, 45 miles from San Francisco. But is this once sleepy suburb ready for them?",
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"tagline": "Exploring the Bay Area, one question at a time",
"info": "KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.",
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"info": "KQED’s statewide radio news program providing daily coverage of issues, trends and public policy decisions.",
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"order": 8
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},
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"order": 1
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"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
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"source": "Commonwealth Club of California"
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"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
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"order": 9
},
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},
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"hidden-brain": {
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"airtime": "SUN 7pm-8pm",
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"source": "NPR"
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"airtime": "SUN 7:30pm-8pm",
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"hyphenacion": {
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"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"jerrybrown": {
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"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
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"order": 18
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},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
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},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
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"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
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"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
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"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
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