Document alleges county employee slept during fire
Erin Stone
has been covering the aftermath of the L.A. fires with a focus on the shortcomings of emergency response.
Published March 11, 2026 3:36 PM
During the first hours of the Eaton Fire, areas of Altadena west of Lake Avenue, seen here, didn't receive evacuation orders until after 3 a.m. on Jan. 8.
(
Zoe Meyers
/
AFP via Getty Images
)
Topline:
An L.A. county employee who allegedly had “a long history of sleeping on the job” was in charge of emergency workers sending evacuation alerts during critical moments of the Eaton Fire, according to a whistleblower complaint filed with the county.
About the complaint: The complaint was filed late last year by Nick Vaquero, an associate director in the county’s Office of Emergency Management (OEM) since 2023. The county’s Chief Executive Office confirmed to LAist that it received the complaint.
The response: County officials said they didn't see the person asleep during the night shift from Jan. 7 to the morning of Jan. 8, 2025, and said that he didn't have a track record of sleeping on the job. The person told LAist that he wouldn't say he never slept on the job in his 38-year career with the county but that it wasn't a regular occurrence.
Read on ... for more details about the complaint and the county's response.
An L.A. county employee who allegedly had “a long history of sleeping on the job” was in charge of emergency workers sending evacuation alerts during critical moments of the Eaton Fire, according to a whistleblower complaint filed with the county.
The complaint was filed late last year by Nick Vaquero, an associate director in the county’s Office of Emergency Management (OEM) since 2023. The county’s Chief Executive Office confirmed to LAist that it received the complaint.
Vaquero reiterated the details of his written whistleblower complaint in interviews with LAist. He said he was speaking out now because he believes OEM’s leadership decisions about staffing during the emergency were shortsighted, and he was upset that his oral complaints to his bosses and to the team working on a major after-action report released in September were ignored. He filed his written whistleblower complaint in October.
Vaquero said he saw Steve Lieberman, a nearly 40-year county employee, asleep at work more than a dozen times in two years prior to Lieberman supervising OEM’s overnight shift from the evening of Jan. 7 through the morning of Jan. 8, 2025. The whistleblower complaint alleges Lieberman was “sleeping in his office” during his overnight shift.
By the time Lieberman’s shift began, the Palisades Fire had devastated whole neighborhoods, multiple new fires had started, including the Eaton Fire, and the National Weather Service had the region under critical fire weather warnings. That night, the Eaton Fire went on to devastate Altadena, killing 19 people. The lack of any evacuation alert for West Altadena before 3:25 a.m. Jan. 8 has spurred state and local investigations.
LAist spoke with several witnesses to Lieberman’s on-the-job sleeping who corroborated Vaquero’s account about Lieberman’s history. LAist is not naming these sources, who said they fear their careers and reputations could be seriously harmed by speaking out publicly.
Lieberman told LAist in a phone interview that he was not asleep on the overnight shift from Jan. 7 to 8. He acknowledged that he may have fallen asleep at work at times over the years.
“I’m not going to say that never happened in 38 years,” Lieberman said. “I’m 63 years old. I’ve got some health issues. We worked a lot of overtime.”
He said he didn’t sleep at work “as a general rule, hell no.”
Lieberman, who retired two months after the fires, told LAist he had no specific recollections from the night he was on duty during the fires. He denied he would have been sleeping during a major disaster, calling Vaquero’s assertion “bogus” and saying it’s “amusing” that this issue is coming up more than a year later.
Kevin McGowan, OEM’s director, said in a statement: “It is unacceptable for anyone in the midst of an emergency response to fall asleep, and during the night in question, both I and my deputy only saw Steve [Lieberman] fully awake and doing his job. For LAist to imply otherwise is irresponsible and unsupported by the facts.”
A county response — sent via email from an OEM address and labeled “County Response to Media Questions” — stated McGowan and his deputy, Leslie Luke, said they “do not believe that Steve Lieberman regularly slept on the job.”
Update Thursday, March 12
County officials sent an additional statement following publication of the story, emphasizing that Lieberman “had no responsibility for receiving or issuing evacuation alerts and warnings." Read the full statement >
LAist stands by the accuracy and fairness of our reporting.
The county response also noted Lieberman had successfully served in the same role “during numerous prior disasters, including during the pandemic.”
Instead, they pointed to the McChrystal Group’s findings in an after-action report released last year that the extreme and chaotic nature of the Eaton Fire exacerbated long-running systemic challenges at the office, including a small staff and a lack of training and formalized procedures.
Vaquero, for his part, said he worries that despite recent and proposed changes at OEM, the public remains at risk. In his complaint and in interviews, he said systems and leadership in OEM aren’t ready for the next major emergency.
“There is an entrenched pattern of mismanagement within the Office of Emergency Management,” Vaquero wrote in the complaint.
“The agency’s [OEM’s] ability to perform its emergency management mission and safeguard county residents” has been “materially degraded,” he wrote.
The days leading up to the fire
In the week before the Eaton and Palisades fires sparked, Vaquero said he was acutely aware the weather forecast could present a nightmare scenario. At the time, his job included creating a staff roster spelling out OEM staffers’ roles in an emergency, he said.
He said he put together a roster in case a fire started and the Emergency Operations Center needed to activate, meaning they’d need to staff up to monitor and respond to the situation 24/7.
Vaquero was already concerned the office was stretched thin. The office had 37 staffers. Last year’s budget was about $14.5 million. Its mandate is to comprehensively plan for, respond to and recover from “large-scale emergencies and disasters” in a county of more than 10 million residents.
The role of OEM
The L.A. County Office of Emergency Management is organized under the county CEO.
Its role in an emergency is focused on coordination between agencies and alerts to the public. In 2020, the OEM was added to the County Code Chapter 2.68 as one of three county entities that can send alerts and warnings, the other two being the county Sheriff's Department and the L.A. County Fire Department.
During the Eaton Fire, OEM was sending evacuation warnings and orders, under the direction of L.A. County Fire, because the fire started in county territory. During the Palisades Fire, in contrast, L.A. city officials were leading that role for areas within city limits; the county's OEM assisted with areas outside city limits.
OEM doesn't decide when and where to send evacuation alerts, though. In the case of the Eaton Fire, the Fire Department was primarily making decisions about which parts of Altadena to evacuate. OEM sends warnings and orders to the appropriate areas. The Sheriff's Department works to get residents out.
The McChrystal after-action report noted significantly larger departments in other metropolitan areas. New York City, with a population of about 8.5 million, has some 200 staffers in its emergency management department and a budget of about $88 million. San Diego County, with 3.3 million people, has an emergency department of 43 people with a budget over $12 million.
There were additional factors at play in L.A. County at the time of the fires. Vaquero said coming out of the holiday season meant available staff was thinner than usual.
He said his initial plan for staffing, which he shared with leadership Jan. 3 after warnings about dangerous fire weather coming, is not the one implemented. The initial plan drafted by Vaquero and documented in emails reviewed by LAist had him taking on daytime director duties at the Emergency Operations Center. That would put him in person at the building in East L.A., where OEM staff and partner agency representatives can monitor disasters, coordinate and send alerts to the public. He said he assigned McGowan, his boss, as lead on public communication.
The National Weather Service forecast on Jan. 2, 2025.
(
National Weather Service/Fire Safety Resource Institute report
)
For the night shift, the emails show Vaquero scheduled Luke, the department’s No. 2, as the center’s director. In both shifts, Vaquero said he assigned staff who he believed to be best trained on the county’s new alerts and warnings systems in the relevant roles. According to the McChrystal report, only two OEM staff were fully trained on the new systems.
One staffer fully trained on the new Genasys system was scheduled to be in Mississippi the week of Jan. 6 for a pre-approved training.
Vaquero said he suggested invoking OEM’s practice of canceling trainings in case of a potential major emergency to argue for keeping that staffer in L.A. He said he was told leadership had fought too hard for the person to go to the training to cancel.
“Everything that was lining up showed that this was going to be the most catastrophic wind storm that we'd ever had, like even worse than the 2011 windstorm,” Vaquero told LAist. “So the fact that we were kind of going back and forth about, ‘Oh, well who's available?’ No, every person should have been available.”
In its statement to LAist, the county wrote that at the time of the fires, there was no official policy to cancel all trainings in the case of significant weather forecasts and that staffing and activation decisions “scale to the incident.”
“OEM has to balance those with the tradeoffs of having a very small staff and having the staff trained and capable of performing very complex tasks,” the county statement said. They noted that one of the recommendations from the McChrystal Group after-action report “is to establish clearer staffing protocols and greater surge capacity so those decisions can be made more consistently in future events, and that work is underway.”
They added that the staffer left for the training Jan. 5 and that the following day, the National Weather Service issued its warning of a “particularly dangerous situation.”
“Had that rare forecast been issued before her departure, the training would have been canceled,” the county said.
Vaquero told LAist that after he made the initial schedule, McGowan and Luke told him to take them both off the Emergency Operations Center staffing roster altogether. Instead, he said they told him to designate them as agency administrators, meaning they could be at incident command posts with county sheriff and fire officials. The county told LAist assigning those roles to top leadership has become a common practice, especially since the COVID-19 pandemic started in 2020.
Vaquero said Luke told him to put Lieberman, another associate director, on the night shift.
Vaquero told LAist he expressed his concerns about Lieberman being on the night shift to OEM leadership. In his whistleblower complaint, Vaquero wrote: Lieberman “was a known liability that was allowed to continue leading OEM as an Associate Director despite years of documented disregard for the work. Steve [Lieberman] sleeping in meetings became a running joke in the office, with Kevin [McGowan] even acknowledging the issue, and little action had been taken against him leading up to this incident."
Nick Vaquero's 12-hour shift at the county Office of Emergency Management was ending as the Eaton Fire began on the evening of Jan. 7, 2025. He awoke to what he called "the doomsday scenario" in Altadena.
(
Carlin Stiehl
/
For LAist
)
Vaquero described one instance a few months before the fires, in which he said Lieberman fell asleep during a meeting led by McGowan. Vaquero told LAist that McGowan asked the sleeping Lieberman a question, then joked to those in the room that he’d ask again when he woke up.
In another instance in early 2024 when Vaquero said he witnessed Lieberman asleep in a meeting, Vaquero told LAist he approached McGowan afterward to express his frustration, and he said McGowan joked that Vaquero didn’t understand the context. Vaquero said McGowan told him that in the past Lieberman would sleep all day, not just a few hours.
Others with knowledge of the situation told LAist they also witnessed Lieberman asleep during meetings on at least three occasions, as well as in his office.
McGowan declined an interview request but said in a written statement that “no performance concerns of that nature were raised through supervisory channels.”
Lieberman was assigned to the Office of Emergency Management after county supervisors merged his previous department, the Office of Public Safety, with the county Sheriff’s Department in 2009. Lieberman retired in March 2025.
Lieberman told LAist that in the months before his retirement, he was “burning time,” using up sick days, vacation and holidays.
When asked about sleeping at work, he said he thinks it’s not uncommon for people to occasionally sleep at work.
“It’s the reality of being human,” Lieberman said in a phone call. “When you’re sitting in a chair, I might close my eyes, doesn’t mean I’m asleep. I think that’s true for a lot of people.”
The firestorm
The day before the 2025 fires sparked, the National Weather Service upgraded its warning. The upcoming fire weather conditions were “life-threatening,” forecasters said, and they warned of a “particularly dangerous situation,” or PDS — a term reserved for only the most worrisome weather.
The county’s Emergency Operations Center in East L.A. was officially activated by Tuesday, Jan. 7.
Strong winds are coming. This is a Particularly Dangerous Situation - in other words, this is about as bad as it gets in terms of fire weather. Stay aware of your surroundings. Be ready to evacuate, especially if in a high fire risk area. Be careful with fire sources. #cawxpic.twitter.com/476t5Q3uOw
Vaquero was set to be on duty from 7 a.m. to 7 p.m. Lieberman would take over for the next 12 hours.
Vaquero said he arrived early Jan. 7 — about 6 a.m. At about 10:30 a.m., the WatchDuty app — a volunteer-led disaster monitoring service that emergency managers have also come to rely on for eyes in the field — was surfacing reports of a fire near Pacific Palisades. Soon after, Vaquero said, he and his team had a call with the city of L.A. and started to prepare evacuation alerts for nearby unincorporated areas. McGowan headed to the incident command post on the Westside.
Throughout the day, Vaquero said, he managed the OEM staffers on duty — including those whose job was to ensure areas in the county’s jurisdiction got timely evacuation warnings and orders.
At 6:23 p.m., the first reports of the Eaton Fire starting began to ping in Watch Duty.
Vaquero sent an agency representative to the newly established incident command post at the Rose Bowl in Pasadena, he said. The county would be in charge of alerts for the Eaton Fire because the fire started in an unincorporated area.
Vaquero said he stayed past the end of his shift, helping with the transition to night shift staff. Vaquero said he watched as a night shift staffer gave a crash course on how to use the new alerts software to the person Vaquero had assigned, with leadership’s approval, to alerts and warnings. The first advisory alert for the Eaton Fire was sent to eastern parts of Altadena, as well as parts of Pasadena, a little before 7:30 p.m.
Vaquero told LAist that at that point he passed off his duties to Lieberman and headed home around 8 p.m. He said he was exhausted.
The next day
Vaquero woke up before dawn on Jan. 8 and immediately turned on the news.
“ I'm like, ‘Oh shit, this is the doomsday scenario,’” Vaquero told LAist in a recent interview.
He rushed to work, arriving a little before 5:30 a.m. and went to find Lieberman for a briefing.
“ And the first thing he says is, ‘I don't know why we're activated. Nothing's even happening,’” Vaquero recalled to LAist. “So I went off. ... I was just absolutely pissed.”
In the whistleblower complaint, Vaquero wrote that Lieberman “was making inflammatory comments like ‘why are we even activated!?’ for all in the room to hear.”
By his own account, Vaquero said, a colleague had to calm Vaquero down because he was visibly upset with Lieberman.
In his whistleblower complaint, Vaquero said he then talked to the other night shift staffers, who told him Lieberman “was sleeping in his office.” A person in the office early the morning of Jan. 8 also told LAist they witnessed Lieberman asleep in his office before the end of his shift.
Lieberman told LAist that as director of the Emergency Operations Center, he would not have been involved in the details of every alert and warning and denied that he would sleep during an active emergency.
“If [L.A. County Fire] sent OEM something about the alerts, that would’ve been handled immediately,” Lieberman said. “I seriously doubt that anything that was sent to the EOC wasn’t acted upon.”
In its statements to LAist, the county reiterated that the Emergency Operations Center director is not typically directly involved in sending or approving alerts and warnings.
During the night shift, evacuation warnings and orders were sent to areas of Altadena east of Lake Avenue between 7:55 and 9 p.m.
Meanwhile, around 11 p.m., radio and 911 dispatch calls indicated that the fire was moving in multiple directions, including westward, according to a timeline produced by the Fire Safety Research Institute at the California governor’s request. Multiple reports of fires west of Lake Avenue were reported just before midnight.
Notably, the McChrystal after action report’s timeline differs, citing the first reports of flames west of Lake at 2:18 a.m. on Jan. 8.
The county sent the first evacuation order to West Altadena at 3:25 a.m. An evacuation warning, alerting people to prepare to leave, was never sent.
According to the L.A. County statement to LAist, both McGowan and Luke were at the Emergency Operations Center at “various times” throughout that night, “including during the consequential period when emergency notifications for west Altadena were issued during the Eaton Fire.”
“Steve Lieberman was actively working throughout the times Director McGowan and Deputy Director Luke saw him and there aren’t observations that Steve Lieberman’s performance impacted the execution of alert and warning,” the county wrote.
People work in the L.A. County Emergency Operations Center in December 2024 during the Franklin Fire.
(
L.A. County Office of Emergency Management
/
Facebook
)
Ultimately, the decision to order evacuations, and the responsibility to communicate that need, rested with the L.A. County Fire Department that night. The county statement said that incident command notified the Emergency Operations Center to send an evacuation order to West Altadena at 3 a.m., about 25 minutes before the alert officially went out. The 25-minute turnaround time was noted in the McChrystal report as an improvement from previous emergencies. L.A. County Fire did not respond to a detailed list of questions from LAist, citing ongoing independent investigations into the response.
According to the McChrystal after action report, L.A. County firefighters recalled suggesting to incident command around midnight that an evacuation alert be sent to the foothill areas of Altadena and neighboring communities, as far west as La Cañada Flintridge, but staff at the command post did not recall this request.
The report pointed to the overall chaos of multiple fires and extreme conditions, as well as general concern at this time of the catastrophic impacts if the fire overcame the Jet Propulsion Laboratory, home to materials that could cause “toxic fumes if ignited.”
“No official form or documentation was used by LACoFD [the L.A. County Fire Department], LASD [the Sheriff’s Department] or OEM to jointly and formally record which zones should receive evacuation orders or warnings, the time the decision was made, or the time the zones were communicated to OEM staff at the EOC,” the report states.
All but one of the 19 Eaton Fire deaths occurred west of Lake Avenue.
The morning of Jan. 8, Vaquero said he angrily told McGowan about his experience with Lieberman. “I immediately requested that Kevin [McGowan] remove Steve [Lieberman] from the incident operations and this change took place,” Vaquero wrote in his whistleblower complaint.
The county’s statement to LAist attributed the change to another factor. It said Lieberman “was in the process of retiring and requested leave based on accrued leave and compensatory time, which was approved in connection with his retirement.”
The aftermath
Vaquero said he believed the details he laid out in his complaint should have been a part of the McChrystal after action report. He told LAist he shared the same details in his interviews with the McChrystal group.
He also said OEM could have acted sooner and been better prepared.
It’s not the first time OEM’s response to a disaster has come under criticism. In 2023, OEM’s own internal after action report about the response to Tropical Storm Hilary identified "opportunities for improvement.” That report, which LAist reviewed, documented confusing and inconsistent information sharing from management to staff, a lack of “established and codified processes” for activating the county’s Emergency Operations Center, lack of staff training on alert and other systems, and that leadership should have a roster of personnel with credentials “to allow for better staffing decisions.”
Since the McChrystal report was released in late September 2025, OEM has publicly acknowledged these “systemic weaknesses.”
“OEM faces challenges related to limited organizational autonomy, fragmented authority, resource constraints, and insufficient staffing and technology for a jurisdiction as large and complex as Los Angeles County, while facing catastrophic disasters,” the county’s statement to LAist said.
Since the fires, the office said it has restructured staff and is working to increase personnel, as well as expand training and joint exercises with the fire and sheriff’s department, and modernize its technology systems.
The Office of Emergency Management has been reorganized, officials said. County supervisors are also considering a proposal to add 44 positions to the office, increasing its size to about 80, as part of the first phase of a three-year expansion plan in response to the recommendations in the McChrystal Group after action report.
Nearly a third of the budget has historically come from federal grants, the Washington Post has reported, and that “pot is shrinking” under the Trump administration, said the county Chief Executive Office’s acting chief, Joe Nicchitta, at a recent budget hearing. So the county is largely looking to fulfill the McChrystal Group’s recommendations to expand the office via limited local funding.
Supervisor Kathryn Barger, who represents Altadena and some of the most disaster-prone unincorporated areas of the county, said, among other things, the county has shifted the OEM to report directly to the Chief Executive Office, instead of another branch within that office.
“Since last year’s fires, my priority has been strengthening our emergency management system so it is better equipped to respond to increasingly complex disasters,” Barger wrote in a statement. “I believe this change will help streamline decision-making, strengthen accountability, and position OEM to evolve in a way that meets the 21st century emergency management needs of Los Angeles County.”
Helen Chavez, a spokesperson for Barger, added that the supervisor “is not aware of Mr. Lieberman. Personnel performance management is a duty that falls to county department leadership and typically does not rise to the attention of the Board of Supervisors.”
Vaquero says he worries that if he doesn't speak out, nothing will change at the Office of Emergency Management.
(
Carlin Stiehl
/
For LAist
)
Why speak out now?
Vaquero was born in Lancaster and raised in Santa Clarita, he said, and today lives there with his family in a hillside neighborhood near wildfire-prone wilderness.
“ We could easily be Altadena next,” Vaquero said.
He said that speaking publicly could put his career and reputation at risk, but he’s worried nothing will change if he doesn’t sound the alarm.
“My kids, I always teach them the most important thing is to have integrity, to be kind and to do the right thing,” Vaquero told LAist. “And if I'm not going to live by that example, then I'm just a hypocrite. And I hate hypocrites.”
Addendum: Updated statement from the county
County officials sent LAist the following statement late Wednesday, March 11:
“Steve Lieberman had no responsibility for receiving or issuing evacuation alerts and warnings. Emergency alerts and warnings are issued based on decisions made by Unified Command in the field and relayed directly to the Office of Emergency Management Alert and Warning unit. It is unacceptable for any OEM employee in the midst of an emergency response to fall asleep. However, to be absolutely clear, Mr. Lieberman had no impact on the timing of alerts and warnings to Altadena. To take these allegations and suggest that this led to the tragic deaths of 19 Altadena residents is patently false and seems intended to recklessly escalate residents’ concerns. Nonetheless, as per County policy, we have forwarded all of Nick Vaquero’s claims for investigation. As these claims were submitted as part of a confidential personnel matter, we are unable to comment further.”
Governor's bid comes amid health insurance decline
By Christine Mai-Duc | KFF Health News
Published August 23, 2026 8:33 AM
(
Justin Sullivan
/
Getty Images
)
Topline:
When Democrat Xavier Becerra left Washington, D.C., more Americans than ever had health insurance, owing partly to his work over the years to pass, defend, and expand the Affordable Care Act.
Why it matters: It's an achievement the former congressman and U.S. Secretary of Health and Human Services often touts as he campaigns for California governor against Republican Steve Hilton, a former Fox News commentator.
Why now: But should Becerra cruise to victory in November, as polling suggests, he will face what may be the steepest decline in health insurance coverage in a generation, one that will land especially hard in his home state.
By the time Democrat Xavier Becerra left Washington, D.C., more Americans than ever had health insurance, owing partly to his work over the years to pass, defend and expand the Affordable Care Act.
It's an achievement the former congressman and U.S. Secretary of Health and Human Services often touts as he campaigns for California governor against Republican Steve Hilton, a former Fox News commentator.
But should Becerra cruise to victory in November, as polling suggests, he will face what may be the steepest decline in health insurance coverage in a generation, one that will land especially hard in his home state.
Federal cuts mean more people uninsured
By 2030, the number of uninsured Californians under 65 is expected to nearly double from 2.4 million to 4.6 million as recently enacted state and federal cuts to Medicaid and ACA marketplaces begin to roll back historic gains in health coverage, according to a May analysis by the University of California, Berkeley Labor Center. The anticipated rise in the uninsured population could have broad implications for hospital systems, insurers and the economy.
In February, Miranda Dietz, the labor center's healthcare program director, told legislators the changes could end up costing California about 200,000 jobs, mostly in the healthcare industry.
Hospital executives have begun reporting more unpaid medical bills, and experts warn health plans will raise premiums further as they're left with enrollees who are, on average, sicker and more expensive to cover.
"It's triage," said Jessica Altman, executive director of Covered California, the nation's largest state-run health insurance marketplace. "That's what the next governor is walking into."
California achieved one of the most dramatic drops in its uninsured population in the nation, largely credited to the state's robust adoption of the ACA. If tapped to lead the wealthy, progressive state, Becerra would wrestle with how uninsured Californians get care and who pays as the Trump administration shrinks a federal safety net he once oversaw.
Becerra has some experience pushing back against Washington, D.C. As California attorney general, he successfully defended many provisions of the Affordable Care Act, including access to birth control.
Becerra said he would issue an executive order to keep those affected by federal cuts insured. But he has not detailed how the state would backfill as much as $30 billion in federal funding California stands to lose annually.
At a policy forum hosted by Politico this month, Becerra promised Californians would not lose health coverage despite federal cutbacks, saying he would push the industry to eliminate waste from "attorneys, accountants, pencil pushers" that cost consumers billions.
"I'm going to ask them to help me extract some of that waste and put it into healthcare, which helps us cover the cost of keeping Californians insured," he said.
Steve Hilton, the Republican candidate for governor of California, campaigns at a Sheraton hotel on July 27 in Pomona.
(
Mario Tama
/
Getty Images
)
"We all understand that the healthcare system is a mess and needs major reform," Hilton said in an interview. "The quickest thing we can do on healthcare costs is actually to tax people less."
Left behind?
In 2010, Becerra was part of U.S. House Speaker Nancy Pelosi's leadership team and helped whip up votes to pass the law. He also had a hand in crafting it, though his attempt to include a government-backed coverage option failed.
A decade later, when lawmakers considered him for the nation's top healthcare job, Becerra said his primary mission would be to carry out President Biden's vision to expand access and cut costs under the Affordable Care Act.
Before the ACA, some 50 million Americans — roughly 1 in 6 — were uninsured. Within a few years of the law's passage in 2010, its expansion of Medicaid eligibility and financial aid to lower-income marketplace enrollees helped slash the U.S. uninsured rate by nearly half.
As Biden's health secretary, Becerra launched aggressive public awareness campaigns, loosened enrollment rules and distributed hundreds of millions in grants to pay consumer assistants, also known as healthcare navigators, to help enrollees wade through paperwork.
"One of the common things we would hear from him as a leader was, 'Who's being left behind?'" said Benjamin Sommers, a Harvard health policy professor who was a deputy assistant secretary under Becerra.
Under Biden and Becerra, the percentage of people with health insurance reached a historic high of 92%, or 310 million Americans having health coverage in 2024.
Republican response
But conservatives said those policies inflated enrollment by attracting fraudulent and wasteful coverage. In response, the second Trump administration has tightened enrollment windows and toughened income reporting.
"It's simple and easy to say, well, the numbers are up so the program must be working," said Edmund Haislmaier, a senior research fellow at the Heritage Foundation, a conservative think tank. "My argument would be that's the wrong metric."
"We are now witnessing almost a wholesale reversal of pretty much all those policies" that helped cover millions more Americans, said Sabrina Corlette, co-director of the Center on Health Insurance Reforms at Georgetown University.
For Eric Maciel, the $800 cost of a Covered California plan is too much. To avoid injury, the 28-year-old stays home more and rarely plays pickup soccer at the park — the other players, he added, can get pretty rough.
"That's another car note," Maciel said. "I'd be left with nothing."
Health economists say Maciel is the type of customer insurers need to stabilize their risk pools: young, healthy and less costly.
Hilton criticized state leaders for passing a revised provider tax he asserts will send premiums soaring and said he wants to inject more competition into California's health insurance market — but he offered no specific ideas.
Xavier Becerra served in the House of Representatives when the Affordable Care Act passed and as health secretary under President Biden. He's the frontrunner in California's governor's race.
(
Genaro Molina
/
The LA Times via Getty Images
)
Gov. Gavin Newsom has frozen enrollment for immigrants without legal status, enacted monthly premiums for some, and plans to only temporarily backfill federal assistance for legal immigrants and refugees.
Newsom and Democratic lawmakers agreed to delay some cuts until July 2027, leaving the next governor to weigh further rollbacks against increased taxes. Becerra, a California native born to Mexican immigrants, opposes what's known as the billionaire tax, on November's ballot. This month, he said he supported legislative efforts to penalize large corporations whose workers rely on Medi-Cal, arguing that taxpayers are subsidizing employers' low wages and paltry benefits.
County governments, which are legally required to provide healthcare to uninsured residents too poor to afford care, are lobbying lawmakers for funding to treat what they describe as a fresh deluge of patients who need free care.
"It's a pretty big cliff if all this stuff goes into effect," said Dietz, the labor center's healthcare program director. And there's a choice whether to make it less bad and maintain coverage for folks."
KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF — the independent source for health policy research, polling, and journalism.
A battle over a first-of-its-kind tax on billionaires is heating up in California.
Why now: Voters in November will be asked whether to pass the ballot measure, known as Proposition 40, which imposes a one-time 5% tax on the assets of the nearly 250 billionaires in the state.
Why it matters: A major rift between proponents and opponents is whether the tax would drive billionaires out of California.
What's next: If passed, the measure would direct 90% of the tax revenue to fund healthcare services and the other 10% to food assistance and public education across California.
A battle over a first-of-its-kind tax on billionaires is heating up in California, with tech moguls pumping millions of dollars into a campaign to defeat it and union leaders who support the measure insisting the state's very wealthiest residents should pay their fair share.
Voters in November will be asked whether to pass the ballot measure, known as Proposition 40, which imposes a one-time 5% tax on the assets of the nearly 250 billionaires in the state. Backers say the new revenue would mostly fund healthcare services.
The tax was envisioned by union leader Dave Regan, who said millions of the state's neediest patients could lose health insurance in the coming years, driven largely by President Trump's 2025 tax and spending bill. Dubbed by the White House the "One Big Beautiful Bill," the law slashes federal funding to California and other states.
"Proposition 40 was developed specifically to backfill those cuts from the One Big Bill that are scheduled to take effect in the next five years. It is a five-year solution to that plan," said Regan, who is the president of the SEIU United Healthcare Workers West.
If passed, the measure would direct 90% of the tax revenue to fund healthcare services and the other 10% to food assistance and public education across California.
"We're not even talking about the top 1%, we're talking about the top 0.0001%, the billionaires: 250 individuals in California, $2.4 trillion worth of wealth, and that's an amount of money equivalent to the annual income of all Californians who are not billionaires, including extraordinarily wealthy people," Regan said.
But the populist fervor fueling supporters of the measure is being met with a growing coalition of resisters, from tech billionaires to other unions and some state Democrats. That includes Democratic Gov. Gavin Newsom, who has said the tax would hurt the state's economy, which is powered by profitable tech companies in Silicon Valley that have spawned many of the billionaires who would be taxed under the measure.
Opponents of the tax argue it offers a short-term fix to a long-term problem and could ultimately backfire.
"I'm not against taxes. But this is not the right tool. What we need to develop is something that is stable and consistent," said René Bravo, president of the California Medical Association, in an interview with NPR. "Human beings need and deserve health care that is financed in such a way that you're not increasing the insecurity."
Bravo argues Proposition 40, if passed, would make patients more unstable by providing them with bridge coverage now, but no longer-term solution — making it difficult to plan out medical coverage over many years. Bravo also said he does not trust state lawmakers to spend most of the new revenue on healthcare, speculating that they could direct the money to other pet projects.
"Not accurate, not true," responded union leader Regan. He said voters face a choice between more immediate healthcare funding for Californians or none at all, and that a third way being proposed by some critics is not on the ballot.
Will billionaires leave California if wealth tax passes?
Another major rift between both sides of the fight is whether the first-of-its-kind state wealth tax would drive billionaires out of California.
It's a crucial issue, since California's Chamber of Commerce estimates 1% of the state's residents pay nearly 50% of all personal income taxes.
Few disagree that a mass flight of the ultra-rich would throw California's budget into a tailspin, but the measure has sparked a fierce debate about whether billionaires will actually pack up and leave the state.
French economist Thomas Piketty, who has written extensively about disparities in international wealth, has argued that what's known as "capital flight" is often overstated in debates about wealth taxes. "If one builds a fortune while relying on the country's infrastructure, education, and health systems, there is no reason that one should so readily escape the collective obligations that fund these systems," Piketty wrote last year about a proposed wealth tax in France aimed at the ultra-rich.
Adam Michel, who studies tax policy at the libertarian Cato Institute, believes taxing high income earners will be destructive for the state.
"A wealth tax of this magnitude will be bad for California and for California taxpayers. We should expect not just targeted billionaires to leave, but anyone that expects to be a billionaire or expects to be the target of aggressive taxes like this in the future to leave," he said.
Google co-founder Sergey Brin, one of the richest people in the world, agrees.
He has poured $102 million into a group known as Building a Better California, which he co-founded with former Google chief executive Eric Schmidt. The group has also received millions of dollars in funding from venture capitalist John Doerr, crypto executive Chris Larsen and others. Building a Better California's mission is to defeat the effort, in part by supporting a separate ballot measure that would invalidate the wealth tax. Other tech billionaires, including Palantir founder Peter Thiel, who no longer lives in California, have funneled millions of dollars into other groups hoping to topple the measure.
A spokesperson for Building a Better California did not return a request for comment, but Brin told The New York Times: "I fled socialism with my family in 1979 and know the devastating, oppressive society it created in the Soviet Union. I don't want California to end up in the same place."
Brin recently moved to the Nevada side of Lake Tahoe. Critics of the tax say there will only be more billionaires leaving California if voters pass the measure.
Union leader Regan calls Brin's move political theater. He pointed out that the wealth tax applies to California residents who lived in the state in January of this year, so moving out of state would not allow anyone to dodge the tax, nor would relocating after November, if the ballot measure prevails. Bloomberg estimated the tax could personally cost Brin around $13 billion.
Regan said Brin owes his success in part to government-backed research that helped create Google and insisted that a one-time 5% tax would not be overly burdensome for the tech mogul.
"You are now one of the five wealthiest people in the world in the state that made you rich, enormously rich," said Regan as if speaking directly to Brin, noting that California "needs to stabilize its healthcare system."
Some polls show that Californians are nearly evenly split on the tax.
Copyright 2026 NPR
Keep up with LAist.
If you're enjoying this article, you'll love our daily newsletter, The LA Report. Each weekday, catch up on the 5 most pressing stories to start your morning in 3 minutes or less.
Adolfo Guzman-Lopez
is an arts and general assignment reporter on LAist's Explore LA team.
Published August 23, 2026 5:00 AM
YA author Aida Salazar has written 10 books for people 14 and under. Her most recent, Stream, was published in 2026.
(
Courtesy Aida Salazar
)
Topline:
In Aida Salazar’s new YA novel, Stream, two teens in Oakland become dependent on their screens. As an antidote, their parents send them to rural Mexico to discover ancestral connections IRL.
Why it matters: The author’s goal is to create empathy among teen readers through characters who struggle to balance digital and in-person relationships as well as connection and disconnection to nature and their families.
Why now: Nurturing the stream of connections to nature and family ancestors, the author said, will go a long way towards helping teens rise above the various social and environmental challenges they will face in their adult lives.
The backstory: Stream is based on Salazar's real life experiences raising teens in California. She wrote part of it in her mother’s hometown in Zacatecas, Mexico.
Read on… to learn more about Salazar’s Southern California background.
Writer Aida Salazar did not spend endless hours on devices as a teen. She grew up in the 1980s, way before TikTok and Instagram. But she has raised teens, a boy and a girl. She felt she lost them to their screens during the pandemic.
“To the point where they were harming themselves on different levels,” she said.
The antidote to the overconsumption of screens, she and her husband realized, was found when they spent time outdoors near their home in Oakland.
“We went to the redwoods, or we went to the ocean, or we went somewhere else where they were my kids again,” she said.
Salazar, who has received numerous awards for some of her 10 YA books, has drawn on that experience for her latest work, Stream.
It’s written in first person rhyme in the voices of the two main characters, a teen boy named Elio and Celi, a girl. (Both appear in Salazar's previous YA novels).
In this book they’re both eighth graders who live separately in Oakland. After their parents realize the extent of their tech dependency, they take the drastic action to send them to rural Mexico for an IRL shock.
“To detox digitally in a rancho, or a place that has no running water, no electricity, and of course, no internet,” said Salazar.
Out of their digital element
Salazar was born in the Mexican state of Zacatecas and grew up in Maywood, in Southeast L.A. County, before earning a master’s degree in writing from CalArts.
The rural Mexican setting of Stream is partly based on her mother’s hometown in Zacatecas, where she wrote some of the book. The title is inspired by a vibrant stream there that once sustained the community but is now in the shadow of crumbling adobe homes.
The cover for the YA book Stream, writren by Aida Salazar.
The book begins with Elio’s narration that brims with excitement about his last day of school.
The first page of the YA novel, Stream.
(
Digital book screenshot
)
Celi’s narration of that last day is more dream-like.
A page from the YA novel, Stream.
(
Digital book screenshot
)
In Mexico, out of their digital element, some connection blooms which, Salazar said, may be love.
Adults can read the book, she said, but it’s meant for teens to read in order to see how Elio and Celi struggle to balance digital and in-person relationships as well as connection and disconnection to nature and their families.
I don't want our young people especially, to lose their understanding of their source, of who we are as natural beings connected to land, to ancestors, to legacy.
— Aida Salazar, author of the book, Stream
“I don't want our young people especially, to lose their understanding of their source, of who we are as natural beings connected to land, to ancestors, to legacy,” she said.
She believes nurturing the stream of connections to those things will go a long way towards helping teens rise above the various social and environmental challenges they will face in their adult lives.
LAPD conducts a DUI checkpoint in the 2500 block of Sunset Boulevard as a cyclist passes on August 6, 2026 in Los Angeles, CA.
(
Gina Ferazzi
/
Los Angeles Times/Getty Images
)
Topline:
A California Senate committee just gutted one of the state’s most substantial DUI reform bills in years, despite widespread support from other lawmakers and families of drunk driving victims.
Why it matters: The bill would have required in-car breathalyzers for anyone convicted of a DUI, bringing California in line with most states. State law currently only requires the devices, called ignition interlock devices, after repeat offenses or injury crashes.
A California Senate committee just gutted one of the state’s most substantial DUI reform bills in years, despite widespread support from other lawmakers and families of drunk driving victims.
The bill would have required in-car breathalyzers for anyone convicted of a DUI, bringing California in line with most states. State law currently only requires the devices, called ignition interlock devices, after repeat offenses or injury crashes.
Sabrina Cervantes, a Democrat from the Inland Empire and chair of the Senate Appropriations Committee, provided a hint of changes last week when she said there were amendments to the bill that had been approved unanimously by the committee. This week, an updated version of the legislation emerged, and it effectively killed a key provision to start requiring the devices for thousands of first-time offenders. Such changes are commonly referred to as “hostile amendments” because they are made without the involvement or support of the bill’s author.
Cervantes was arrested for a DUI in a high-profile incident in Sacramento in May 2025. The District Attorney’s Office did not prosecute her after a blood test showed no drugs or alcohol in her system. Cervantes then sued the city of Sacramento and several of its police officers, alleging that that police fabricated evidence and falsely arrested her. Cervantes’s sister, state Assembly candidate Clarissa Cervantes, has herself been convicted of two DUIs in Southern California, according to media reports.
Sabrina Cervantes did not respond to our request for comment for this story. We will update it if she does.
As news of the bill’s gutting spread this week, Kellie Montalvo was left wondering if there’d been some sort of horrible mistake. Montalvo, whose 21-year-old son Benjamin was killed by an impaired driver in Cervantes’s district in 2020, said she was just in Sacramento two weeks ago lobbying lawmakers – including Cervantes – on a slate of dangerous driving bills. Many of those bills have already failed.
“It’s heartbreaking, and I try to tell myself not to lose hope,” Montalvo said. “I mean, California has got to do something. Our numbers are horrific.”
Alcohol-related roadway deaths in California spiked more than 50% in a decade — an increase more than twice as steep as the rest of the country, federal data shows. More than 1,300 people die each year statewide in drunken collisions.
Over the last two years, a CalMatters investigation has shown how state officials have allowed dangerous drivers to stay on the road and kill, and how elected leaders have looked away even as the death toll skyrocketed.
For years, lawmakers have tried and failed to require in-car breathalyzers for all DUI offenders. Progressive justice reform groups and the DMV have opposed similar bills in the past, citing fears about unfairly penalizing poor DUI offenders, high costs and the DMV’s aging technology.
Montalvo and other advocates thought this year might be different. The DMV has actively participated in state hearings and, she and others said, provided technical advice to make sure the bill was realistic. Gov. Gavin Newsom also instructed lawmakers last year to continue to work on the state’s breathalyzer laws and develop “a lasting program that strengthens public safety.”
It’s unclear why this year’s bill was gutted at the 11th hour. Public records show that Senate Appropriations committee staff recently expressed concern about costs.
The amendment process is opaque even to Sacramento insiders.
“Honestly it’s sometimes a bit of a black box even for us as legislators,” said the bill’s author, Assemblymember Cottie Petrie-Norris, an Orange County Democrat. “I am still trying myself to get to the bottom of it.”
Petrie-Norris, who has spent the past three years trying to pass a version of this bill, said she does not believe Cervantes’ personal experience played a role in the decision to amend the bill. She added that she is still working to re-amend the measure after “unintended consequences” that she says would make the policy unworkable for the DMV and hurt California’s eligibility for federal funding.
Asked for an interview to explain the changes to the bill, Senate President Pro Tem Monique Límon’s office referred questions to Cervantes. Diana Crofts-Pelayo, Newsom’s chief deputy director of communications, also declined to answer questions about the breathalyzer bill, saying the office does not typically comment on pending legislation.
While the bill heads into the final days of negotiations, Montalvo and other victims’ families are grappling with deja vu. It was just about a year ago that they were standing in the Capitol with photos of their loved ones and told the bill was doomed.
She stays busy checking in with the parole officer for the Riverside County driver who killed her son. Last she heard, the driver was trying to get her license back after being released early from prison.