The Brief

Tahira Ali supports people as they navigate the joys and trials of pregnancy — from giving birth to postpartum, and everything in between.

She’s also helped pregnant patients work through domestic violence, homelessness and poverty. It's exactly the type of work she wanted to do when she trained to become a doula, a person who helps parents through childbirth.

So when California's health insurance for low income people expanded to include doula services in 2023, she enrolled. But now Ali says she's owed thousands of dollars for services she's provided to Medi-Cal patients due to unpaid reimbursement claims.

She's not alone. Two years after Medi-Cal started covering doula care, a number of those workers say it's a constant fight to get reimbursed for their services. Others say they haven't been paid for some work at all.

"Medi-Cal is the worst thing I've ever done in my life," Ali said. " I'm doing my Medi-Cal clients essentially for free, because I don't get paid. When I do get paid, it's like months and months and months and months after I've done the visit."

And the experience also raises concerns that doulas will stop taking Medi-Cal patients altogether.

Doulas demand changes to Medi-Cal program

Doulas and groups representing them sent a letter to California's Department of Health Care Services on Monday claiming they are experiencing denied and delayed repayment claims, and need more clarity and support from Medi-Cal managed care plans to navigate billing.

"These compliance issues are exacerbating distrust among the doula workforce, which severely diminishes the willingness of doulas to participate in the Medi-Cal Doula Benefit," the letter states.

Their concern isn't just for doulas — it's for the Medi-Cal program's future, especially if providers pull out. The benefit was added in part to help address racial disparities in pregnancy outcomes for Black and Brown mothers and to provide continuous support to pregnant people that would otherwise be financially impossible.

"If we don't have enough workforce, we don't have enough doulas to supply the benefit, then those families are not getting the reproductive care that they deserve, and that is their right," said Khefri Riley, the director of community organization Frontline Doulas and a director for L.A. County's Medi-Cal Doula Hub. "That's what I'm concerned about."

Frontline Doulas is one of the community groups signed onto the DHCS letter, which also says that some doulas still are waiting to be paid new, higher rates for their services after California boosted doula pay in 2024.

LAist gave DHCS three business days to respond to a request for comment; a spokesperson said they needed more time to get answers. This story will be updated with a response if it comes in.

LAist also reached out to Medi-Cal managed care plans L.A. Care, HealthNet, Molina Healthcare and Kaiser Permanente. Only Kaiser Permanente responded in time for publication.

"Kaiser Permanente is committed to providing prompt, accurate reimbursement to the doulas who support our Medi-Cal members," a spokesperson said in a statement. "We are in compliance with Targeted Rate Increase fee schedule rates for doula providers as required by DHCS."

Why are doulas facing delays with re-payment?

State guidance says that managed care plans should pay claims within 30 days, and owe interest if they don't pay within 45 business days. But some doulas told LAist they consistently had their claims denied, leading to long waits for repayment.

" I am not an expert in medical billing or insurance, so I don't know how it's supposed to work. This is what's been a little bit hard for doulas," said Michelle Brenhaug, a doula in the San Gabriel Valley who estimates she's been paid for less than 10% of the Medi-Cal services she's provided since June. " A lot of doulas are not super well off or super privileged that they can wait 3, 4, 5, 6 months to be paid."

Doula Tahira Ali is a doula serving Medi-Cal patients in South Los Angeles. She says she's living off of credit cards because she's not making enough money to pay her bills.

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Libby Rainey

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LAist

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According to the letter sent to the Department of Health Care Services, doulas have struggled to get help from Medi-Cal plans when submitting claims, and have also hit roadblocks with billing codes and other parts of the Medi-Cal bureaucracy.

Amy Chen, who leads the National Health Law Program’s Doula Medicaid Project, said that these problems are similar to other states that have implemented Medicaid coverage for doula care. Part of the challenge, she said, is integrating a new type of care into the healthcare system.

"The work is not medical, it's not clinical, and so I think that has also been something that has been challenging both for state Medicaid agencies and also for health plans and even for hospitals to kind of wrap their minds around," Chen said.

Medi-Cal doula benefit is part of a historic effort

Doulas say the reimbursement challenges will have to improve to keep the Medi-Cal program working and expanding. Forty percent of births in the state are funded through California’s Medicaid program, but as of last year only a tiny number of Medi-Cal members had accessed doula services and more doulas were needed to meet the need.

Tahira Ali, the doula in South L.A., is still accepting Medi-Cal patients, but says it's a struggle to pay her rent and afford her life.

" This work is very much heart-centered, emotional work," Ali said. "We don't do it for the money, but we do need to be paid."

Master escape artist and world-famous entertainer Harry Houdini had been dead for decades by the time teenager Kevin Connolly sat down with his dad in their New Jersey home in the late 1960s to watch Houdini, the biopic with actor Tony Curtis in the title role.

“I'm so engrossed in the movie that I'm crying that he passed away. And my dad looks down at me and says, 'What's the matter, son?' I said, 'Houdini died,'" Connolly said.

His father then comforted him.

That experience with the movie and with his father sparked a five-decade-plus collector’s obsession in the teen that led him to amass thousands of items from Harry Houdini’s life and career.

The collection includes handcuffs owned by Houdini, a signed life-size portrait of Houdini in chains, a linen bag his wife, Bess Houdini, made him and a pocket watch she gifted him on his birthday in 1910, at the height of his career.

Signed Cabinet Card Photograph of Houdini in Chains.

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Connolly Collection courtesy Potter & Potter Auctions.

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“Engraved inside the cover is a very personal note from her to him that also contains a little hidden code in the inscription,” said Gabe Fajuri, president and principal auctioneer at Potter & Potter Auctions. The watch has the highest valuation of the items, with an estimate between $20,000 and $40,000.

The auction house has been displaying these 100 items at its Chicago offices and will transport them to the Magic Castle in Hollywood for display on Oct. 30 and the final auction the day after.

“ These are things that potentially have his DNA on them. These are things that Houdini himself owned, handled, used, treasured,” Fajuri said.

The auction marks two milestones: 100 years since Houdini's death and the winding down of 71-year-old Connolly's collecting efforts, which enriched his and his family’s life.

“It broadened our world, and it was nice to be recognized for your collecting abilities,” he said.

Connolly’s collection has turned him into a Houdini authority, attracting the attention of Houdini biographers, film documentarians, as well as museums and galleries.

Houdini was born in Hungary in 1874. He came to the U.S. as a young child and moved to New York with his father, a rabbi, at 13. He began performing as a magician four years later and shot to stardom on the vaudeville circuit with bold escape acts. There wasn’t a straitjacket, chains or ropes that he couldn’t escape.

Connolly admires how Houdini inspired a generation of immigrants with these stunning feats.

A photo of an escape stunt by Harry Houdini. It's the first Houdini item Kevin Connolly bought as a teen during his 50-plus years of collecting Houdini memorabilia.

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Courtesy Kevin Connolly

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One of those acts is captured in the very first Houdini item Connolly bought after watching that Houdini movie. It’s a photo of Houdini hanging upside down from a rope in front of a building, two stories up. His arms are bound to his body. Crowds look up from the street, staring at Houdini as he attempts to escape. “TORONTO OCT. 18/’16” is written along the bottom edge of the photo.

“That one is not in the auction,” he said. Oct. 18 is Connolly’s father’s birthday, which makes it special. Plus, “That would be probably the last one I'd let go, because that's the one that started it all.”

With Halloween approaching, a women’s walking group is helping Angelenos explore the city’s spooky and historic landmarks. Their next outing is Angelino Heights — home to century-old Victorian homes and an iconic piece of pop culture history.

Los Angelistas organizes weekly walks throughout Los Angeles. October draws some of its biggest crowds, according to the group. Earlier this month, the group visited the Spadena House in Beverly Hills for a witch-themed walk and explored Los Feliz for a murder-themed tour.

Members of Los Angelistas stand in front of the "Spadena House" in Beverly Hills in 2025.

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(Jillian Goodman/Los Angelistas)

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Exploring LA’s spooky side

On Nov. 1, the group heads to Angelino Heights, a tiny neighborhood next to Echo Park known for its Victorian homes.

“It has so much history, but also really beautiful, stunning Victorian architecture,” said Jillian Goodman, one of the group’s three co-founders. “It’s such a cool place that I don’t think many people know about.”

Some of the homes have been backdrops for films and TV shows, including Michael Jackson’s 1983 “Thriller” video — which will be a stop on the tour.

Los Angelistas visit the "Charmed" house while on a walk through Angelino Heights in 2024.

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(Jillian Goodman/Los Angelistas)

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Building friendship beyond the walks

Los Angelistas began in April 2023, when Goodman and a few women who met through another social club decided to continue spending time together through walks.

The group has since grown to more than 7,000 members, Goodman said. Its organizers live across L.A., allowing them to host events in neighborhoods like Brentwood, Mid-City and Glendale.

Goodman said the walks encourage women to discover parts of L.A. they might pass by without stopping.

“Everyone thinks of L.A. as a driving city. No one ever really stops and takes a breath,” Goodman said.

For Goodman, watching members build friendships that extend beyond the walks has been one of the most rewarding parts of the group’s growth.

“They go to each other’s weddings. They go to concerts. Seeing people connect, not just in the group, but then having that extend outside has been amazing to watch,” she said.

The group has also helped members support one another during devastating times. Amid last year’s Eaton and Palisades wildfires, some members helped others find places to stay, despite having only met on walks.

“I thought that was so beautiful and wonderful that without us they wouldn’t have known each other,” Goodman said.

A slew of Medicare Advantage plans are disappearing for next year, leaving seniors in many areas with fewer options. In 193 counties across the country, no plans are offered at all.

Medicare's annual open enrollment period kicked off October 15 and runs until December 7, and seniors enrolled in those privatized Medicare plans that are closing in certain markets should carefully review their options.

Medicare Advantage means private insurers run Medicare for older Americans who choose it over traditional Medicare, where the federal government itself administers the program. More than half of the 70 million Americans in Medicare choose Medicare Advantage. It's popular because it covers services like vision and dental, often with lower premiums than traditional Medicare. It also often folds in the "Part D" drug benefit, simplifying that decision.

But a downside of Medicare Advantage is that companies can pick and choose where they offer plans. If a certain community is not profitable, a company can leave that market. And that has been happening on an increasingly large scale the last three years, according to research published in JAMA.

Who is affected

Big swaths of rural America are losing Medicare Advantage choices and so are some major metro areas.

Last year, 2.9 million seniors were in Medicare Advantage plans that closed up shop, according to JAMA. This year, an analysis of insurance company announcements by An Arm and A Leg podcast, shows at least 2 million people will be affected. Other preliminary estimates range from 3.2 million to 5 million seniors. About 35 million people are enrolled in Medicare Advantage.

According to an analysis of federal data by the health policy research organization KFF, the 193 counties that will have zero Medicare Advantage plans are mostly rural. Last year that number was about 120 counties without a plan offered.

KFF's numbers also show that there will be far fewer plans offered in some metro areas. Dallas, Minneapolis, Seattle, Houston and Portland all have between a quarter and a third fewer Medicare Advantage plans for seniors.

What happens next

If your plan is ending, and you don't choose another, the insurance company will assign you to another Medicare Advantage plan or the government will enroll you in traditional Medicare — but without a supplemental or drug plan.

If you want to switch from Medicare Advantage to traditional Medicare and your plan is ending, you can enroll in a Medicare supplemental plan — also known as Medigap — without the same restrictions that you would normally have. If you have a pre-existing condition that has prevented you from enrolling in Medigap before, that could be good news.

Another wrinkle this year is that insurance companies can cap enrollments on some of the Medicare Advantage plans that they do offer.

Which means: If you wait to sign up, a plan you want might already be full.

The companies are supposed to enroll people on a first-come, first-serve basis — and not cherry-pick customers based on health conditions, age, or demographics.

Another reason not to delay is that with so many people on the hunt for new plans, it may take longer than usual to get help.

How and where to find help

Here are some tips for navigating Medicare open enrollment this year:

• Find out if your plan is still offered: First, check your mail. Medicare Advantage plans that are closing should have sent letters the first week in October. You can also log in to your account on Medicare.gov to check your plan's status for next year.
  
• Try calling your SHIP: There's a State Health Insurance Assistance Program — known as a "SHIP" — in every state to help seniors with Medicare. The name's not easy to remember or particularly descriptive, but it's free, mandated by the federal government, and the staff and volunteers are required to give you unbiased information on all available options. Find your state in the directory at shiphelp.org. Your county may have a specific number that you can find on your state's SHIP website.
  
• Look for local Medicare counseling services: Friends, family, leaders at your place of worship, and the constituent services of your local elected officials may have the scoop on where you can get one-on-one help. The nonprofit Medicare Rights Center also has a national helpline, and a well-organized library of online guides.
  
• Brokers can be helpful, but be savvy: You want a broker who's going to talk with you about all your options — including switching to traditional Medicare and a supplemental plan. Ask if they sell plans from all available insurance carriers. And ask if they answer questions about your plan year-round, because insurance never stops being confusing.
  
• Double check what you see on Medicare.gov: Medicare's Plan Finder allows you to search plans online. But lists of doctors and drugs that are covered can sometimes be wrong. To be safe, double check with your doctor's office or a SHIP counselor, broker, or other Medicare assistor.
  
• Don't share your personal information with services you find online: Be careful where you share your personal information like your phone number. Some online agencies will sell your information, leading to spam calls and potentially even scam artists.
  
• Be mindful of the deadlines: Open enrollment for Medicare runs October 15, 2026 through December 7, 2026. The coverage starts January 1, 2027. If your plan is ending, you qualify for a "special enrollment period" to give you a little more time — until February 28, 2027. (For coverage that starts January 1, 2027, enroll by December 31.)

Emily Pisacreta is the senior producer for An Arm and a Leg, a podcast about the cost of healthcare produced in partnership with KFF Health News and distributed by KUOW, Seattle's NPR member station. 

Copyright 2026 NPR

Federal prosecutors sent letters to county registrars across California on Friday demanding that local officials set aside and verify ballots that the Department of Justice said may belong to noncitizens, according to the Los Angeles County registrar and a letter obtained by The Associated Press.

The letters are the latest escalation in a legal battle between California and President Donald Trump’s Department of Justice, which has recently focused on the state in its efforts to root out noncitizen voting ahead of the midterm elections. Data shows illegal voting by people who aren’t U.S. citizens is incredibly rare, difficult to prove and has not been shown to change the outcome of races.

Earlier this month, the federal government targeted Los Angeles County and the California Secretary of State’s office in a lawsuit that aimed to block them from counting the votes of roughly 20,000 people who are “likely” noncitizen voters. A hearing on the case is scheduled for Tuesday.

The Trump administration asked the 9th Circuit court of appeals to rule on the lawsuit barring a decision from the district judge assigned to the case. They set a deadline for Saturday.

Now, according to the LA County registrar’s office, at least 18 counties across the state have received similar letters. They have been given a 48 hour deadline to provide identifying information corresponding with ballots that the federal government believes were sent to noncitizens illegally registered to vote. The letter requests that county officials also sequester any ballots where citizenship cannot be verified.

“Any election official who knowingly processes the ballot of a noncitizen is opening themselves to legal jeopardy,” said First Assistant U.S. Attorney Bill Essayli.

The Justice Department is asking counties to send information about the voters it suspects are noncitizens including social security numbers, ID information, a copy of their registration and more.

That information can help the government and state quickly assess each person suspected of illegally registering to vote, said the letter sent to San Bernardino County voting officials. The letter says the government’s list of suspected noncitizen voters includes 1,133 people from the inland Southern California county.

California’s secretary of state and the Los Angeles County registrar have opposed the federal government’s demands. In legal filings, lawyers for California say the request threatens to delay the certification of the vote and undermine the legitimacy of the November midterms. They have also argued that the federal government’s data is unreliable and that their demands risk disenfranchisement of citizens.

Voting is underway in California, with the state’s more than 23 million registered voters receiving ballots in the mail earlier this month. The state said in legal filings that over 330,000 mail-in ballots have already been counted.

The letters on Friday came on the heels of statewide sweep by federal authorities earlier in the week, where 28 people from the list of 20,000 were charged with illegally registering to vote. Some were also charged with illegally voting and lying on naturalization paperwork. Those charges could lead to years in prison.