The Brief

Officials urged people in L.A. County to stay vigilant as the second of two atmospheric rivers continues to soak the region, causing floods, downed trees, debris flows and other hazards ahead of what is expected to be another full day of rain on Tuesday.

So far, Los Angeles County has been the hardest hit since the storm parked itself over the region, causing debris flows and widespread flooding.

The storm is expected to head southeast on Tuesday over Riverside and San Diego counties. L.A., meanwhile, will keep getting drenched. An additional 3 to 6 inches is possible before things start to dry out Wednesday.

Downtown L.A. saw 4.1 inches of rain, breaking the previous daily rainfall record of 2.55 inches set in 1927. Sunday was the 10th wettest day in L.A. history.

However, those rainfall totals are mild compared to what we've seen at other weather stations. More than 10 inches of precipitation has fallen on Topanga and Woodland Hills in the western San Fernando Valley.

"Stay safe and off the roads. Only leave your house if it is absolutely necessary," L.A. Mayor Karen Bass said at a news conference Monday.

As of noon Monday, the L.A. Fire Department had rescued trapped motorists, responded to 130 flooding incidents, and 49 reports involving mud and debris flows, officials said.

At around 9 p.m. Sunday, 16 residents were evacuated from nine Studio City homes after a mudslide damaged two structures on Lockridge road. And L.A. firefighters evacuated people from at least three homes affected by debris flows on West Boris Drive in Tarzana. A landslide on Beverly Crest damaged at least six homes, forcing the evacuation of 15 people.

More than 7,200 LADWP customers were without power as of midday.

Flood watches and warnings are in place from Santa Barbara to San Diego counties through Tuesday as the heavy rain is expected to continue.

These long, sustained periods of rain are characteristic of El Niño storms. Warmer than normal waters off the coast — often associated with the climate phenomenon — are juicing our recent storms by sending more heat and water into the atmosphere.

Keep scrolling to see more information on rainfalls, landslides and other critically important information about the storm.

A man walks his dog on the edge of the Los Angeles River, carrying stormwater downstream Sunday, Feb. 4, 2024.

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Damian Dovarganes

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AP

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Areas of high concern

• The southbound 405 Freeway at Moraga Drive, where a rock slide is blocking an outside lane.
• The 5 Freeway's southbound connector to the 110 Freeway is blocked by a rock slide.
• San Bernardino County officials are concerned about the potential amounts of snow falling in the mountain communities from Arrowhead to Big Bear. You'll recall that last year, massive amounts of snow paralyzed the communities, stranding people in their homes, destroying a local grocery store and making it difficult for people to get food and services. They are expecting 2 to 4 feet of snow above 7,000 feet and up to 10 inches in the 5,000 to 6,000 foot level.
• The Lost Hills Sheriff's Station says all roads going to and from Malibu are having rock and mud slides. Malibu Canyon Road is closed between Malibu Crest and Mulholland Highway.
• Sheriff's officials advise against driving on Kanan Dume Road, Topanga Canyon and other area roads.
• Caltrans has closed State Route 23, aka Westlake Boulevard south of East Potrero Road due to flooding.
• Pacific Coast Highway between Warner and Seaport in Huntington Beach is closed due to flooding.

Rainfall totals

As of 4:30 p.m. Monday:

• Topanga: 11:34 inches
• Woodland Hills: 10.97 inches
• Bel Air: 11.64 inches
• Downtown L.A.: 7.01 inches
• Santa Monica: 6.62 inches
• Pasadena: 6.07 inches
• Ventura: 3.63 inches
• Santa Barbara: 3.88 inches
• Mt. Baldy: 7.68 inches

These are particularly impressive totals, given that our average yearly rainfall in the L.A. area tends to land somewhere between 12 to 15 inches.

Don't be surprised if we see long standing rainfall records fall.

Reports of landslides

It's not uncommon for rocks and mud to flow off steep hillsides and onto roads during heavy rains, and debris flows were reported across the region overnight. Additional incidents are likely as the day progresses.

• Studio City: Two homes damaged by mudflow, with a total of 16 residents evacuated from nine homes. Heavy equipment has been brought out to help clear the road.
• Tarzana: Three homes damaged by a mudflow and two people evacuated from a home.
• Beverly Crest: Seven homes have been damaged by debris flow and 15 people were evacuated.
• Topanga Canyon: A mudflow has closed a portion of the canyon.
• Southbound 5 Freeway to southbound 110 Freeway, and Riverside Drive on-ramp: Closed due to mudflow.
• 405 Freeway just before Sunset: Small debris flow has closed the offramp.
• Agoura Hills: Small mudslides at Cornell road and Eagleton street.
• Malibu: 10-foot boulder reported on northbound Malibu Canyon Road just north of Pacific Coast Highway.
  

The LA River

Social media has been inundated with videos of the Los Angeles River gushing with water as historic rains pummel Southern California.

But Jon Sweeten, a reservoir regulation engineer with the U.S. Army Corps of Engineers, Los Angeles District, said videos of the Los Angeles River seemingly on the verge of overflowing shouldn't necessarily be cause for alarm.

“People see a lot of water in a channel that they see that's normally dry and they go, ‘Oh my goodness, there's a lot of water,’” he said. “That's just the channel operating in the way it was designed.”

The system, Sweeten added, “is designed to hold some of the water behind the dams and release it into concrete line channels that will convey the flow very effectively to the ocean.”

Since the 51 miles of river pass through different cities, at the time it was built, they were responsible for building bridges within their respective boundaries. Locals at the time asked for a narrow river so that it would be cheaper to build the bridges while also preserving more developable land.

“In order to make the system work well, they designed it so that it flowed very fast so — the system flows much faster than a natural stream would flow,” Sweeten said. “Which is why it's dangerous for people to stand on the concrete in the L.A. River, because water up to your ankle is capable of knocking you off your feet.”

Up in the mountains

So far, snow levels have been quite high, mostly above 7,000 feet. They'll fall to about 5,500 feet by Monday night, bringing snow to popular mountain areas.

Big Bear could see 6 to 8 inches, while Wrightwood could see 12 to 18 inches.

Higher mountain peaks like San Jacinto (10,834 feet) could get around 1 to 3 feet of snow, while Mt. San Antonio (10,064 feet) could get 4 to 6 feet.

The eastern San Gabriel mountains and the San Bernardino County mountains are under a winter storm warning until 10 p.m. Tuesday for areas above 6,000 feet.

Travel is expected to be difficult, if not impossible. Higher mountains could see winds up to 70 mph, which can damage trees and knock them onto roadways. If you must head in or around these areas, pack emergency supplies in your car just in case.

The Mount Wilson observatory closed Saturday until further notice because of the weather. Mountain High Resort was also closed Monday, but is expected to reopen on Tuesday.

The Angeles National Forest is urging people to stay away from the area at least for the next few days. Very hazardous conditions are expected, including heavy rain, fast-moving landslides, snow, and flooding.

Evacuations

Los Angeles County

• An evacuation order is in effect for homes and businesses along La Tuna Canyon Road near the burn scars from the Land Fire in 2022. More info here.
• Evacuation order was issued Saturday night through 6 p.m. Tuesday, Feb. 6, for the area of Topanga Canyon along Santa Maria Road north of Topanga Canyon Boulevard in the Owen Fire burn scar. Officials said: "Immediate threat to life. This is a lawful order to leave now. The area is lawfully closed to public access."
• Evacuation order for the Agua Fire Burn Area in Soledad Canyon, east of Acton.
• Evacuation warnings are in effect Sunday morning through 6 p.m. on Tuesday, Feb. 6, for areas near the Bobcat Fire (north end) and Lake Fire burn scars.
• An evacuation warning is in effect Sunday afternoon through 10 a.m. on Tuesday, Feb. 6 for the area in the Fish Fire burn scar in the city of Duarte.
• Evacuation warnings are also in effect Monday afternoon through 11:59 p.m. on Tuesday, Feb. 6 for areas of Culver City’s Upper Crest area due to potential mud or debris flows. The city is asking people who live above, below, or adjacent to a hillside in or below the Upper Crest neighborhood to take extra precautions.
• More info here.

Orange County

• A voluntary evacuation warning was issued for Silverado Canyon, Williams Canyon and Trabuco Canyons due to heavy rains.
• Canyon residents were strongly encouraged to prepare and voluntarily evacuate on Sunday, especially those with disabilities, access and/or functional needs, and canyon residents with large animals.
• More info here

Ventura County

• Evacuation orders were issued for Matilija Canyon, North Folk, Camino Cielo in Ojai.
• Evacuation warnings have been issued for a number of communities in Ojai and Camarillo.
• More info here.

Santa Barbara County

• Evacuation orders are in effect for:
  
  • Properties along waterways associated with the Thomas, Cave and Alisal burn areas.
  • Properties in the vicinity of Sycamore Creek, from Stanwood Dr. down to parts of Ninos Dr., in the city of Santa Barbara.
  • All state campgrounds including Gaviota, Refugio, El Capitan and Carpinteria
  • More info here.

• San Bernardino County and Riverside County
  
  • From the Yucaipa Police Department: Evacuation warning due to potential mud and debris flow for El Dorado and Apple fire burn scars.

Schools

• Los Angeles Unified School District announced that all schools will be open on Monday with the exception of Topanga Elementary Charter and Vinedale College Preparatory Academy. Topanga students may report to Woodland Hills academy at 8001 Ledge Avenue in Sun Valley, while Vinedale students may report to Glenwood Elementary School.
• Santa Monica and Malibu Unified schools are expected to open Tuesday.
• Long Beach Unified released this statement on Sunday afternoon:
  "While there are currently no plans to close schools, in the event of any impacts or changes to scheduled plans, families from the affected schools will receive direct communication via text and email. Additionally, updates will be promptly posted on the school websites and social media platforms."
• Santa Barbara Unified and Santa Maria Joint Union High School District have both preemptively cancelled classes and activities for Monday.

Universities

• UCLA- Normal operations. Classes will occur as usual
• USC- Normal operations. Classes will occur as usual
• Cal State Fullerton is pivoting to remote classes on Monday. Staff are encouraged to work remotely. The faculty will have access to offices and facilities as the campus will remain open.
• UC Santa Barbara has instructed faculty to move to remote instruction or reschedule classes. Any staff impacted by weather (including if a child’s school closes) should be allowed to work remotely or “request time off”
• Cal State Long Beach said it expects normal operations and classes to resume on Tuesday.
• Cal Poly Pomona is moving to remote classes and remote work for non-essential employees on Monday. The university says "The campus will remain open and minimally staffed, including University Housing, the Library, Centerpointe and student health services. We will provide an update via email and on the safety and emergency web page by the end of business on Monday regarding operating plans for Tuesday, February 6, 2024."
• Cal State Northridge remains open, but on-campus in-person classes are cancelled. Course instructors will determine whether courses will shift to online instruction or alternative assignments.

The forecast for coming days, as of Sunday morning.

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Courtesy National Weather Service

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Here's what rainfall totals are forecast to be in coming days:

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Courtesy NWS San Diego

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High winds are also expected to be an issue:

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Courtesy NWS Los Angeles

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Emergency proclamations and preparation

The powerful storm moved L.A. County Supervisor Lindsey Horvath to sign an emergency proclamation Sunday night for the region. She said the move will align the county with Gov. Gavin Newsom’s emergency order and help the county act quickly to deploy resources.

“We had to proclaim a local emergency today following the governor’s statewide emergency declaration. We wouldn’t do that if this was something to ignore,” Horvath said.

San Bernardino County also declared a state of emergency Sunday night in anticipation of extreme rain and snow expected through Wednesday.

“This declaration puts the state and federal government on notice that our residents will need their help,” said San Bernadino County Supervisor Dawn Rowe.

L.A. Mayor Karen Bass said the city is prepared to weather the effects of a potentially catastrophic storm. Bass declared a local state of emergency on Monday.

“This has been a tough day for our city,” Bass said Monday evening.

A man and his dog were rescued from the Pacoima Wash near Foothill Boulevard via helicopter after he jumped into the water after his dog. LAFD Fire Chief Kristen Crowley said both the man and the dog are safe now.

Bass said more than 100 unhoused people had to be evacuated from a tiny home complex. She added that they’re being moved into a nearby shelter that wasn’t being used, but now will be “instantly” filled.

Bass also answered a call from President Joe Biden towards the end of Monday’s news conference and held the phone up to the microphone so he could speak to the people of Los Angeles.

“We’ll get any help on the way as soon as you guys request it, so just let me know,” Biden said.

Mandatory evacuations have been issued for certain areas of L.A. and Santa Barbara counties.

Why LAUSD plans to be open Monday

L.A. Unified Superintendent Alberto Carvalho said based on Monday's forecast, schools will remain open tomorrow morning, unless weather conditions change. District officials said they issue an update at 6 a.m. Monday.

Carvalho said in a news conference Sunday that the schools will remain open because "they are the places where many of our kids receive their nutrition."

However, Vinedale Elementary School, which is in an area in Sun Valley that is under mandatory evacuation, will be shut down. Students will report to Glenwood Elementary School about a mile away.

Heavy rains are expected to continue through Monday morning, with some of the most intense downpours expected between 2 a.m. and 3 a.m.. The National Weather Service is warning of "life threatening flooding, damaging winds and heavy mountain snow," and has revised the expected rain totals to up to 8 inches across the greater L.A., and up to 14 inches in the mountains and foothills, through Tuesday.

"Los Angeles County now seems to be the area of most concern where the heaviest rain will last the longest," said Ryan Kittell at the National Weather Service.

Flooding and other dangers are expected for across the state. California officials warned that the Southern California coastline — including Los Angeles and San Diego metro areas — would likely see the most severe damage.

"These next storms are going to be impactful and dangerous, and most of the damaging impacts most likely to our coastal and southern regions," said Nancy Ward, director of the California Governor's Office of Emergency Services. "They're the most dangerous natural disasters that we have, killing more people from storm damages and flooding than wildfires every year."

More ahead

Residents in mountain, canyon and coastal areas should prepare for the risk of debris flows and flooding to remain at least through Tuesday.

Those in landslide prone areas like the Palos Verdes Peninsula should be on the lookout for indications of land movement, including the formation of new cracks, the fracturing of underground utilities, doors and windows falling out of plumb and sounds of creaks and groans coming from the ground.

Sandbags are available at all Los Angeles Fire Department locations. Sand is also available at select other locations, and updates on availability can be checked here.

Los Angeles County Fire Department locations also have sandbags and sand.

Sand and sandbags are available at these locations in Orange County.

Understanding National Weather Service warnings

Here’s an excerpt from our guide to understanding flood warnings, if any are issued:

• Flood advisories are how the NWS begins to raise the alarm. The goal is to give people enough time to take action.
• Flood watches are your indicators to get prepared to move.
• A flood warning is issued when a hazardous weather event is imminent or already happening. When one is issued for your area, you need to get to higher ground immediately.
• A flash flood warning is issued when a flash flood is coming or in progress. Flash floods are sudden and violent floods that can start within minutes.

Read more: Flash Flood Warnings? Watches? Here’s What You Need To Know

Tips for driving in the rain

Advice on driving in the rain:

• Check weather and road conditions all along your planned route
• Slow down
• Keep a wider-than-usual distance between your vehicle and the one in front
• Don't drive through standing water — as little as 12 inches of rushing water can carry away most cars, and two feet can carry away SUVs and trucks.
• Make sure tires are fully inflated
• Check windshield wiper blades and replace if necessary

Read more: What You Should Do If You End Up Driving In A Flooded Area

Downed tree, power line or flooded road?

Dial 911 if it's an emergency.

However, if you need to report a flooded road or a downed tree, you can call the following non-emergency numbers:

• L.A. City: Dial 311 for a flooded road or downed tree. Call (800) DIAL-DWP if you see a downed power line.
• L.A. County: (800) 675-HELP
• Ventura County: (805) 384-1500
• Orange County: (714) 955-0200 or visit here.

If you're in L.A. County and need sand bags you can find some at local fire houses.

Staying safe when the winds are high

• Watch for traffic signals that may be out. Approach those intersections as four-way stops.
• Make sure you have a battery-operated radio and flashlights. Check the batteries to make sure they are fresh. Use flashlights for lighting during a power outage; do not use candles because they may pose a significant fire hazard.
• If you’re in a vehicle with a fallen power line on it, stay in the vehicle and remain calm until help arrives. It is OK to use your cellphone to call 911. If you must leave the vehicle, remember to exit away from downed power lines and exit by jumping from the vehicle and landing with both feet together. You must not touch the vehicle and the ground at the same time. Then proceed away from the vehicle by shuffling and not picking up your feet until you are several yards away. 
• Water and electricity don’t mix. Water is an excellent conductor of electricity. Do not step in or enter any water that a downed power line may be touching.
• Do not use any equipment inside that is designed for outdoor heating or cooking. Such equipment can emit carbon monoxide and other toxic gases.
• If you use a generator, place it outdoors and plug individual appliances directly into it, using a heavy-duty extension cord. Connecting generators directly to household circuits creates “backfeed,” which is dangerous to repair crews.
• Leave the doors of your refrigerator and freezer closed to keep food as fresh as possible. Place blocks of ice inside to help keep food cold. Check food carefully for signs of spoilage. 
• Check on your neighbors to make sure everyone is safe.

Tips on staying warm

• State law requires residential units to have heating systems that can keep indoor temperatures at a minimum of 70 degrees. That means every dwelling unit and guest room offered for rent or lease should offer heating equipment, usually central air conditioning (A/C) or a wall heater. — Caitlin Hernández
• Use heat smartly to save money: Cranking things like the A/C and wall heaters can be expensive. If money is tight, be judicious about how and when you use your utilities. For example, only use heaters at night or only set the thermostat to around 70 degrees.
• Open and close those vents: If you have central A/C, look at where the vents are around your home. Are any open in places where you don’t stay long? Practice opening and closing those so warm air only goes where you need it (most vents should have a small toggle lever). Humidifiers can also help you warm things up — and it’s useful to add moisture into our dry air.
• Adjust your wall heaters: If you have a wall heater, you can change the output by adjusting the knob (usually at the bottom). Since wall heaters can only warm the areas where they’re placed, it’s essential to close doors to rooms you won’t be in so hot air doesn’t get wasted.
• Turn on your ceiling fan (really): If you have a ceiling fan, try turning it on. This sounds counterintuitive, but there’s science behind it. The direction a fan turns can push air in different directions, and since hot air floats up, you’ll want to move that around. Your fan should spin clockwise to create an updraft to circulate. Not all fans will have this option, though.
  

Sign up for emergency alerts

• L.A. City: Notify L.A.
• L.A. County: Ready L.A. County
• Ventura County: Ready Ventura County
• Orange County: AlertOC
• Riverside County: AlertRivCo

How we're reporting on this

George Kiriyama, a senior editor, is tracking the storm and adding updates along with Kevin Tidmarsh, a producer, and Fiona Ng, LAist's weekend editor. Other LAist staff members will be keeping a close eye on how the storm is affecting various parts of the region.

This is a developing story. We fact check everything and rely only on information from credible sources (think fire, police, government officials and reporters on the ground). Sometimes, however, we make mistakes and/or initial reports turn out to be wrong. In all cases, we strive to bring you the most accurate information in real time and will update this story as new information becomes available.

Your questions or ideas

The U.S. Department of Housing and Urban Development cannot impose dramatically different conditions for homelessness programs for now, according to an oral ruling Friday by U.S. District Judge Mary McElroy in Rhode Island.

McElroy granted a preliminary injunction to a group of states, cities and nonprofits who said a last minute overhaul of how to spend $4 billion on homelessness programs was unlawful. She also agreed with their argument that it likely would push many people back onto the streets in the middle of winter, causing irreparable harm.

"Continuity of housing and stability for vulnerable populations is clearly in the public interest," said McElroy, ordering HUD to maintain its previous funding formula.

The National Alliance to End Homelessness, one of the plaintiffs, said in a statement the order "means that more than 170,000 people – families, seniors, veterans, and people with disabilities — have respite from the government's assault."

HUD has sought to dramatically slash funding for permanent housing and encourage more transitional housing that mandates work and treatment for addiction or mental illness. The overhaul — announced last month — also would allow the agency to deny money to local groups that don't comply with the Trump administration's agenda on things like DEI, the restriction of transgender rights and immigration enforcement.

"HUD will continue working to provide homelessness assistance funding to grantees nationwide," said HUD spokeswoman Kasey Lovett in a statement to NPR. "The Department remains committed to program reforms intended to assist our nation's most vulnerable citizens and will continue to do so in accordance with the law."

'Chaos seems to be the point'

McElroy expressed frustration with a series of HUD actions in recent weeks. Just hours before a Dec. 8 hearing, the agency withdrew its new funding notice, saying it would make changes to address critics' concerns. But on Friday, HUD's attorney said the new version would not be ready until the end of the day.

"The timing seems to be strategic," McElroy said, asserting there was no reason the document could not have been ready before the hearing. "The constant churn and chaos seems to be the point."

In defending the agency, attorney John Bailey said HUD was simply trying to change its policies to reflect President Donald Trump's executive orders, which he called "legal directives." The judge interjected repeatedly to explain that he was conflating things, noting Congress — not the president — makes laws.

'It's kind of shocking'

HUD's changes were announced in November with little notice and only weeks before local homeless service providers must apply for new funding.

"Our agencies are just scrambling right now to try to respond," said Pam Johnson with Minnesota Community Action Partnership, whose members provide housing and other services for homeless people. "It also just reverses 40 years of bipartisan work on proven solutions to homelessness. So it's really, it's kind of shocking."

For decades, U.S. policy favored permanent housing with optional treatment for addiction or mental illness Years of research has found the strategy is effective at keeping people off the streets.

But many conservatives argue it's failed to stop record rates of homelessness.

"What is the root cause of homelessness? Mental illness, drug addiction, drug abuse," HUD Secretary Scottt Turner said recently on Fox Business Network. "During the Biden administration, it was just warehousing. It was a homeless industrial complex."

Turner and others who support the changes say the goal is to push people towards self-sufficiency.

But local advocates say mental health and substance abuse are not the main factors driving homelessness.

"It's poverty. Poverty, low income and significant lack of affordable housing," says Julie Embree, who heads the Toledo Lucas County Homelessness Board in Ohio.

Many in permanent housing have disabilities that make it hard to work full time, she said. Embree agrees with Trump administration goals like efficiency and saving money, but says pushing people back into homelessness, where they're more likely to land in jail, the courts or a hospital, is not cost-effective.

"One emergency room visit is just as expensive as a month of sustaining this [permanent housing] program," she said.

In Los Angeles, Stephanie Klasky-Gamer with LA Family Housing said there is a need for more transitional housing, but not at the expense of long-term housing. And the idea that programs could simply switch from one to the other is not only unrealistic, it's illegal.

"You cannot take a building that has a 75-year deed restriction and just — ding! — call it interim housing," she said.

Those challenging HUD say providers who own such properties – or states who've invested millions of dollars in permanent housing projects — face "significant financial jeopardy" if their funding is not renewed.

In addition to the legal challenges, members of Congress from both parties have questioned HUD's sudden shift on homelessness. Advocates have lobbied lawmakers to step in and, at the least, push for more time to prepare for such a massive overhaul.

President Donald Trump said the administration has reached agreements with nine more drugmakers to bring their U.S. drug prices more in line with what other wealthy countries pay.

Fourteen companies in total have now reached what the administration calls most-favored-nation pricing deals. The companies that took part in Friday's announcement were: Amgen, Boehringer Ingelheim, Bristol Myers Squibb, Genentech, Gilead Sciences, GSK, Merck, Novartis and Sanofi.

They agreed to charge the U.S. government no more for new drugs than the prices paid by other well-off countries. The agreements will allow state Medicaid programs to access lower prices from the nine companies. In a statement, the White House said the change will result "in billions of dollars in savings."

The drugmakers also agreed to invest at least $150 billion in manufacturing operations in the U.S. The president is seeking to increase domestic production of pharmaceuticals.

In addition, the companies agreed to make some of their most popular drugs available at lower prices to consumers who pay out of pocket through a government website called TrumpRx.com. The TrumpRx website is expected to launch in early 2026, and would take consumers to pharmaceutical companies' direct-to-consumer websites to fulfill orders.

For example, Merck will reduce the price of Januvia, a medication for Type 2 diabetes, from $330 to $100 for patients purchasing directly through TrumpRx, the White House said. Amgen will reduce the price of Repatha, a cholesterol-lowering drug, from $573 to $239 when purchased through TrumpRx.

In exchange for these concessions, the companies will be exempt from possible administration tariffs for three years.

The extent of savings for consumers under the agreements is unclear. Medicaid and its beneficiaries already pay some of the lowest prices for drugs. And people with health insurance could spend less on copays for their medicines than paying cash for them through the drugmakers.

Separately, Trump said during the press event that he would like to get health insurers to lower their prices, too.

"I'm going to call a meeting of the insurance companies," he said. "I'm going to see if they [will] get their price down, to put it very bluntly."

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