The Brief

America's new top health diplomat is Bethany Kozma.

The job she took on this week — leading the Department of Health and Human Services Office of Global Affairs — does not have a high profile. And Kozma herself is not a familiar name in the world of public health.

But it is a position with power — and Kozma has a record of public statements and activism on health issues, equating abortion with "murder" and campaigning against gender-affirming care.

The office sometimes is referred to as the "diplomatic voice" of HHS. As director, Kozma will have considerable influence over how the U.S. shapes health policy in other countries in the wake of the Trump administration's foreign aid cuts and withdrawal from the World Health Organization.

Kozma declined to be interviewed for this story. She doesn't appear to have a background in global health based on publicly available information online. The HHS website offers few details about her professional profile. In response to questions about her qualifications and vision for the role, HHS responded with this statement.

"The Office of Global Affairs (OGA) advances the Trump administration's agenda and priorities by bringing common sense, transparency and gold-standard science to global partners. Under Secretary Kennedy's leadership, OGA is committed to strengthening the United States' position as the global gold-standard for public health and ensuring Americans are protected at home and abroad."

Who is Bethany Kozma?

Kozma began her career in public service during the George W. Bush administration, working at the White House Homeland Security Council. During the Obama years, she re-entered public life as an activist.

In a 2016 commentary for The Daily Signal, a conservative news website founded by the Heritage Foundation, she argued against the Obama administration's guidance that public schools should allow children to use the bathroom that comports with their identity.

"This radical agenda of subjective 'gender fluidity' and unrestricted shower and bathroom access actually endangers all," she stated, noting that "predators" could abuse the policy.

In 2017, she joined the Trump administration as senior adviser for Gender Equality and Women's Empowerment in the United States Agency for International Development, eventually being promoted to deputy chief of staff. In videos obtained and released by ProPublica, Kozma recalls calling the U.S. a "pro-life" country in a closed-door U.N. meeting about women's rights in 2018, when access to abortion still was protected nationally by Roe v. Wade.

In August 2020, Sen. Chris Coons, D-Del., and four other Democratic senators issued a letter labeling Kozma and several other political appointees at USAID as "prejudiced" and called for them to be removed from their posts. Kozma has "spoken extensively and derisively of trans people and trans issues," the senators wrote.

During the Biden administration, she also was involved in Project 2025, the Heritage Foundation's "blueprint" for a new Republican administration. She played a prominent role in Project 2025 training videos, obtained and published by ProPublica.

In one nearly 50-minute training video focused on left-wing language, she called for a Republican administration to "eradicate 'climate change' references from absolutely everywhere," and said that concerns over climate change are efforts at "population control." She also called gender-affirming care "absolutely infuriating" and said "the idea that gender is fluid is evil." Overall, she argued that changing language around these policies should be a priority for political appointees.

Kozma joined the second Trump administration as a chief adviser at the HHS Office of Global Affairs. In September, she spoke at a U.N. event commemorating the 30th anniversary of the declaration that denying women's rights is a human rights violation.

"While many may celebrate so-called successes gained for women over the last 30 years, one must ask what defines true success for women?" she began, adding that "biological reality is rooted in scientific truth and is confirmed by the universal truths that we are endowed by our creator who made us 'male and female.'"

Those views can be divisive but have garnered some support for Kozma's promotion.

"Bethany is an excellent pick for global affairs at HHS," says Roger Servino, vice president of domestic policy at The Heritage Foundation. "She was an early champion of protecting children from gender ideology back when the medical establishment was able to silence voices of reason and dissent and she is perfectly placed to help push back on global health bodies trying to impose left wing pseudoscience on the American people and the world."

What will her goals be at the Office of Global Affairs?

Kozma is taking over as director of the HHS Office of Global Affairs at a time of drastic change for global health.

In previous administrations, a main focus of the office was dealing with the World Health Organization. Typically, the director, who usually has a background in public health, is involved in negotiations on sharing data for pathogen surveillance or developing vaccine policy, for example.

After President Trump withdrew the U.S. from WHO, the administration has started a new strategy: striking deals with individual countries to give health aid in exchange for their meeting certain policy prescriptions. Kozma has been involved in some of those negotiations, but the details aren't quite finalized.

Some reproductive rights advocates believe Kozma will use her new position to insert anti-abortion and anti-LGBTQ policies into these agreements.

"[Kozma] is vehemently anti-trans, anti-LGBTQI+, anti-abortion," says Keifer Buckingham, managing director at the Council on Global Equality, a coalition of advocacy organizations that focuses on LGBTQ issues. "For those of us who want to ensure that the provision of U.S. foreign assistance and health doesn't discriminate against people based on who they are, [Kozma's appointment] raises a lot of red flags."

One particular worry is about the Helms Amendment, a U.S. policy that prohibits foreign aid being used to fund abortion services.

"There's been speculation that there's an intention by the U.S. government to expand the Helms Amendment beyond abortion to include LGBTQ's as well," says Musoba Kitui, director of Ipas Africa Alliance, a non-profit that works to provide access to abortion and contraception. He's concerned that health groups that serve those populations could lose funding. That speculation is backed up by reporting from The Daily Signal that the administration is planning to prohibit U.S. aid funding for "gender ideology and diversity, equity and inclusion initiatives."

Given LGBTQ people are often at higher risk for diseases like HIV, such policies could make these communities even more vulnerable, says Kitui.

"We could see more marginalization, inequality, spikes of infection," he says. While many African governments signing these deals understand those dynamics, Kitui says they may still agree to more restrictive conditions as aid cuts have "starved health systems to a point of desperation."

Have information you want to share about ongoing changes at federal health and development agencies? Reach out to Jonathan Lambert via encrypted communications on Signal: @jonlambert.12

The Los Angeles County Board of Supervisors voted unanimously Tuesday to approve an $843 million homelessness spending plan that includes nearly $200 million in reductions to programs and services in the next budget year.

Among those programs is Pathway Home, which helps move people from encampments into temporary housing. The county reduced funding for that program by $92 million, which will shrink it from 20 project sites to seven, officials said.

Supervisors also approved $105 million in reductions to other programs, including large cuts to street outreach teams, homelessness prevention programs and other supportive services.

County officials said they had to reduce spending in order to cover the rising costs of operating shelter beds and the loss of tens of millions in temporary state and federal funding, including some COVID-19 relief dollars.

“With federal neglect and state cuts, we have to do more with less,” Supervisor Lindsey Horvath told LAist. “And we will.”

The county’s new Department of Homeless Services and Housing has been warning about the looming shortfall since July. County officials solicited input on how to fill an initial $303 million gap.

Since then, the department adjusted the county’s homelessness spending plan, after finding some one-time state grants and cost-saving measures.

The budget year starts July 1.

Some funding restored

Last month, local homeless service providers urged county officials to restore all of the more than $200 million in proposed reductions to programs and services. Some supervisors raised concerns about specific cuts.

Since then, new revenue projections show the county stands to bring in $21 million more through Measure A than originally anticipated.

Measure A is a sales tax ordinance, approved by L.A. County voters in 2024, that funds homeless services and affordable housing initiatives. It is expected to generate about $1 billion annually, but exact revenues fluctuate with consumer spending.

The county’s slightly rosier revenue projections allowed the homeless department to roll back a fraction of the proposed reductions.

“It’s not a windfall and it doesn’t solve every challenge, but it does give us the ability to restore important programs that were on the chopping block,” Supervisor Janice Hahn said.

The board voted to use much of that $21 million to restore funding for two dozen full-time outreach workers and about 100 shelter beds that were previously on the chopping block.

The plan approved Tuesday also calls for $5 million in Measure A revenue to partially restore funding for interim housing in Long Beach, Pasadena and Glendale. It restored more than $1 million to operate family solution centers — hubs to connect unhoused families with services — and about $500,000 for a program that helps military veterans access government benefits.

Supervisor Holly Mitchell said she wishes Pathway Home funding could be maintained. She said it’s been crucial for helping people living in RV encampments in her district, which spans from Koreatown to much of the South Bay.

"These restorations don't expand encampment resolution operations,” Mitchell said Tuesday. “The services with the greatest impact in the Second District remain reduced, and the current plan does not replace what was cut."

County homelessness officials told supervisors the 100 shelter beds they saved will be prioritized for people living in encampments and will help make up for cuts to Pathway Home.

"The reduction to Pathway Home is not a reduced commitment to encampment resolution,” L.A. County Department of Homeless Services and Housing director Sarah Mahin said Tuesday. “It’s a recognition that it was built on one-time funding and we need to expand strategies to include more cost-effective resolution solutions."

New oversight push

The supervisors also voted 5-0 Tuesday to approve a new motion focused on accountability in homeless service contracting. The motion by Horvath and Kathryn Barger directs the homelessness department to work with the county auditor-controller to create strict oversight procedures for contracts, including random site visits, performance monitoring and provisions for termination.

They said the goal is to prevent the mismanagement that has plagued the Los Angeles Homeless Services Authority, and the fraud that has resulted in recent arrests. Last month, federal authorities arrested Alex Soofer, director of a nonprofit called Abundant Blessings, on suspicion of embezzling tens of millions in dollars meant to serve unhoused Angelenos. Soofer pleaded not guilty to the charges this week.

"Public dollars intended to address homelessness have gone unaccounted for under LAHSA," Horvath said. “That is unacceptable and it ends now with the county.”

Last year, the board voted to divert more than $300 million in county homelessness dollars away from LAHSA and administer the funds itself with a new homelessness department.

“As the department launches, every contract, every dollar, and every outcome must withstand scrutiny,” Horvath told LAist in a statement. “We don’t have resources to waste or time to lose in addressing the homelessness crisis.”

Barger described instances of fraud within the homeless services sector as “moral failures” that cannot be tolerated.

“They represent theft from the most vulnerable people in our community,” she said.

She also argued that ethical service providers “should not have their reputations destroyed by the criminal actions of a few bad actors.”

Barger told fellow supervisors at Tuesday’s meeting it’s their responsibility to monitor how county homelessness dollars are being spent — and to defund programs that aren’t generating results.

“Setting the budget is the easy part,” Barger said. “We have to see results. And if we don’t, we have to have a debate at this board: is that the best use of these resources?”

The department must report back to the board in 60 days with their full plan for monitoring contractors and preventing fraud and misuse of public funds.

Auditor-Controller Oscar Valdez told supervisors his office would submit a plan to county homelessness officials Tuesday.

A crew of four moon-bound astronauts will remain on the ground for at least a month after NASA delayed the launch of the Artemis II mission. During critical pre-launch testing Monday, mission managers uncovered a number of issues that prevented the completion of the test.

NASA is now planning a March launch date for the four astronauts — three from the U.S. and one from Canada — on a ten-day mission to circle the moon and return to Earth, traveling farther than any humans have ventured into deep space.

Issues leading to that delay began about an hour into Monday's test, known as the wet dress rehearsal. As the team began fueling the rocket at the Kennedy Space Center in Florida, sensors picked up a hydrogen leak. Super-chilled hydrogen is used as the fuel for the massive Space Launch System (SLS) rocket.

Hydrogen is an efficient propellant for rockets — but its molecules are so tiny and light they can escape even the tightest of seals. Launch director Charlie Blackwell-Thompson said they had troubleshooted the initial leak, but when they began to pressurize the tank, another leak surfaced.

"And so as we began that pressurization, we did see that the leak within the cavity came up pretty quick," said Blackwell-Thompson.

(L/R) NASA Associate Administrator Amit Kshatriya, NASA Associate Administrator Lori Glaze, launch director Charlie Blackwell-Thompson, and manager of NASA's Space Launch System Program, John Honeycutt, hold a news conference on the Artemis II mission at Kennedy Space Center in Cape Canaveral, Fla., on Tuesday.

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Miguel J. Rodriguez Carrillo

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AFP via Getty Images

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Hydrogen leaks plagued testing of NASA's Artemis I mission in 2022. Blackwell-Thompson said lessons learned from that uncrewed flight were utilized for Artemis II, but there's more investigation is needed.

The wet dress rehearsal uncovered other issues — including a problem with the Orion capsule, which will carry the crew to the moon. While no one was on board Monday, teams practiced preparing the spacecraft for its passengers. A valve that pressurizes the vehicle required additional attention and took more time to close the hatch than anticipated.

Teams also uncovered issues with cameras due to cold weather and audio dropouts across communication channels. "As always, safety remains our top priority, for our astronauts, our workforce, our systems and the public," said NASA administrator Jared Isaacman in a post on X, and that NASA will only launch when the agency is ready.

Work now begins to fix the issues. NASA will require another wet dress rehearsal before giving the "GO" to put astronauts on board. "All in all, a very successful day for us on many fronts," said Blackwell-Thompson. "Then, on many others, we got some work we've got to go do."

The earliest launch window for another attempt is March 6. NASA has additional launch opportunities on March 7, 8, 9 and 11.

The crew of NASA astronauts Reid Wiseman, Victor Glover, Christina Koch, and Canadian Space Agency astronaut Jeremy Hansen were released from quarantine and will remain in Houston, Texas. They'll re-enter quarantine about 14 days ahead of the next launch attempt and make the trip to the Kennedy Space Center six days before liftoff.

Artemis II is testing key systems of the Orion spacecraft, like its maneuverability and life support systems, ahead of the planned Artemis III mission that will take humans to the lunar surface. The Artemis II will mark the first time humans have returned to the moon since the final Apollo lunar mission in 1972.
Copyright 2026 NPR

A trial got underway Tuesday in a case alleging that Huntington Beach illegally dilutes the power of Latino voters with its at-large election system.

Cities across Orange County and elsewhere in California have faced similar challenges over the past decade. Most have settled out of court by adopting by-district elections, where voters only vote on a city council representative from their area, rather than requiring candidates to run citywide. A notable exception is Santa Monica — the city has been fighting a challenge to its at-large election system in court for nearly 10 years.

Now, Huntington Beach is following suit.

The case was brought by the nonprofit group Southwest Voter Registration Education Project and Victor Valladares, a Huntington Beach resident and Democratic Party activist. It’s being heard by Orange County Superior Court Judge Craig L. Griffin.

The argument against at-large city elections

The plaintiffs allege Latino voters can’t elect a candidate of their choice under the current system, in violation of the California Voting Rights Act. This alleged dilution of Latino voting power, they say, leads to poor representation and negative consequences for the city’s majority-Latino Oak View neighborhood.

“Their needs get ignored,” Kevin Shenkman, the plaintiffs’ lawyer, said during his opening statement Tuesday. “It is a natural result of the at-large election system.”

Latinos make up about 20% of the population in Huntington Beach. Under a draft map of electoral districts drawn up by demographer David Ely, a witness for the plaintiffs, the district that includes the Oak View neighborhood would be 40% Latino. Plaintiffs argued this would give residents more power to elect a city councilmember who represents their interests.

The city’s defense of at-large elections

In their opening argument, lawyers representing Huntington Beach argued that Latinos in Huntington Beach are spread across the city and politically diverse.

The city’s lawyers also argued that recent elections of Latino city council members, including MMA star Tito Ortiz in 2020 and Gracey Van Der Mark in 2022, prove the city’s current at-large election system doesn’t impede Latino residents’ ability to participate in the local political process.

“The system works, it’s not broken, and the evidence will show that at trial,” said Anthony Taylor, one of the attorneys representing Huntington Beach.

The trial is expected to last into next week.

Go deeper

• Why were AI-equipped police cameras installed in this majority Latino Huntington Beach neighborhood?
• Huntington Beach's controversial voter ID law is illegal
• Voting by district gives Latino candidates a boost in Orange County
• District elections mean big governing changes for many California cities