The Brief

California’s insurance program for low-income residents, known elsewhere as Medicaid, started paying for doula services in January.

The added benefit has the potential to make emotional, physical, and educational support during pregnancy, childbirth, and postpartum available to tens of thousands of families. It can also support a workforce that often chooses between their livelihood and serving low-income clients.

“I feel like this really bridges that gap of like, really like, sustainably doing the work for people who need it the most,” said Long Beach doula Andrea Howard.

Nearly a year after the benefit began, it’s clear that without more doulas enrolled in the program, not every family will get the care they are entitled to receive.

As of mid-November, 180 individual doulas and about 70 doula organizations had completed the Medi-Cal provider enrollment process, according to the Department of Health Care Services.

“It's been an arduous process, a lot slower than we imagined,” said Birthworkers of Color Collective Co-Founder Stevie Merino, who’s also based in Long Beach.

How many people with Medi-Cal have doulas now?

Only a tiny fraction of people insured through Medi-Cal have been able to access doula support so far.

As of July, 50 Medi-Cal members had received doula services, according to DHCS. The data is an incomplete picture, because claims were still being processed and the total does not include the managed care plans through which most members receive their insurance.

One potential challenge for Medi-Cal recipients is a lack of access to maternity care, let alone providers who have the knowledge and willingness to provide the required recommendation for doula services.

In November, DHCS issued a statewide recommendation affirming that Medi-Cal members would benefit from doula support that could substitute for that of an individual provider.

LAist went to two of L.A. County’s largest Medi-Cal providers— Health Net and L.A. Care Health Plan— to learn more about how they’ve implemented the benefit since January.

L.A. Care Health Plan reported 79 members have received doula services since the benefit started in January.

“Members who are pregnant, recently given birth, or experienced loss have expressed gratitude for these services,” wrote L.A. Care Health Education Program Manager Kristin Schlater, in a statement.

A Health Net spokesperson said in a statement that the health plan has partnered with doulas throughout the state, but declined to share how many members had received services.

"Having a space really helps to normalize the work that we're trying to do," said Birthworkers of Color Collective co-founder Stevie Merino. "It creates that visibility in the communities that we are really trying to make doula work more accessible to."

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The rate of people dying from pregnancy and birth complications in California has declined in recent years, but there are still stark racial disparities. Black Californians die from pregnancy complications at a rate nearly four times higher than the general population.

The continuous support doulas provide is increasingly seen as part of the solution for the high rate of U.S. mothers and babies who die each year compared with other developed countries.

In 2021, 168,000 births were covered by Medi-Cal insurance— 40% of all births in the state. Research suggests many families are interested in doula support— 55% of recent parents insured through Medi-Cal said they would definitely want or consider a doula in a statewide survey from 2018.

How do doulas become Medi-Cal Providers?

In many cases, provider enrollment is only the first step to serving clients.

Then doulas have to contract with one or more of the managed care plans that provide health care access for the majority of California’s Medi-Cal recipients. In 2024 there will be six in L.A. County.

“That's really the challenge,” said Priya Batra, an OB-GYN and medical director for the L.A. County Department of Public Health's Health Promotion Bureau. “Not only bringing doulas and the community up to speed on these new processes, but then also trying to retrofit the system a little bit to make it easier for doulas to participate and for everyone who's eligible to take advantage of the benefit.”

Initially, Riverside County led the state in doula Medi-Cal enrollment, in part because the local health plan and community organizations worked to transition doulas that had participated in a pilot program to the state’s system.

An illustration of medicinal plants used by the Chamoru people — who are indigenous to Guam and Mariana Islands where Merino's family is from — hangs next to a chart that shows the stages of cervical dilation at the Birthworkers of Color Collective's space.

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Howard gave birth to her son Cub, left, without medication. “It was the most empowering thing I've ever done in my life, essentially," Howard said. Less than a year after her son was born, she enrolled in a doula training with the Birthworkers of Color Collective.

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In Los Angeles County, the Birthworkers of Color Collective is one of several organizations spreading the word about the benefit to Medi-Cal members and helping doulas enroll with the state.

“Doulas are not billers ... they're not contract negotiators,” co-founder Merino said. “They aren't used to working with huge conglomerates like insurance companies and managed care plans and so we've really been taking on the onus of that burden.”

"Birth is unpredictable," said doula Andrea Howard. "We can't control what happens, but if you feel like you've had some decisions, like some choices, some agency — you feel like you were an active participant in your labor process... then I feel like I've done my job."

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Andrea Howard, the Long Beach doula, is part of the collective and started the enrollment process in March. She said one of the biggest challenges was securing a business license from the city of Long Beach. It took more than a month and cost $260. She also spent about nearly $100 on required trainings, including CPR, and, to meet the requirement of some managed care plans, has liability insurance that costs about $30 a month.

Howard said she’s had a full roster of Medi-Cal clients since she finished signing up in June.

“This is what I've gone through all the red tape for,” Howard said. “It’s to be able to really get out there and serve people who are so grateful, so happy to have me, [and] did not think in their wildest dreams they'd be able to afford a doula.”

However, Howard is still waiting to get paid from some health insurers while the collective continues to negotiate with managed care plans.

“I'm OK with that because I see the bigger picture,” Howard said.

How much the state pays doulas has been an ongoing point of contention. After months of negotiation, California agreed to pay doulas an estimated average of $1,095 over the course of a pregnancy, though doulas can earn more with additional postpartum visits; that rate is expected to increase next year.

The current average is about half of what Howard would charge a private client, but she said the consistency of Medi-Cal clients can make up the difference.

“You have to really think about how to do this work sustainably,” Howard said. “Because if you're going to births, but your lights are off at home, you're not going to be present enough for your client to really help them in the way that they need.”

The future of California’s Medi-Cal doula program

Los Angeles County is developing a doula resource hub that will provide new doula training, professional development for existing birth workers, and assistance with Medi-Cal billing.

“We're definitely enthusiastic about being able to have a backbone and support for the doula workforce, as well as the community,” said Ashley Skiffer-Thompson, the program coordinator for the African American Infant and Maternal Mortality Prevention Initiative (AAIMM) doula program.

Next month, the Department of Health Care Services will again convene a workgroup of doulas, health advocates, and other stakeholders to discuss the Medi-Cal benefit and how it might be improved.

Merino, who’s participated in these meetings before, said one shortfall is the absence of money for community organizations to do outreach to Medi-Cal recipients and coach doulas through the enrollment process.

“Right now we're all essentially doing this because of our commitment to our communities,” Merino said. “But how sustainable is it if we aren't receiving funding for these things?”

Resources for California doulas

What Medi-Cal enrollees need to know

Warner Bros. Discovery's blockbuster announcement Thursday that it would accept Paramount Skydance's takeover bid shouldn't be thought of simply as seeking to unify two major Hollywood players, two big streaming platforms and two leading TV news divisions under one roof.

It is certainly that. The nearly $111 billion Paramount-Warner marriage would unite their studios — and their back catalogue of shows and movies. It would add such franchises as D.C. Comics, Harry Potter and Game of Thrones to Paramount's Top Gun, Mission Impossible and Star Trek powerhouse. Paramount+ and HBO Max. CBS and CNN.

But there's more to it.

Paramount Skydance Chairman and CEO David Ellison is relying largely on the financial backing of his father, Larry Ellison — the co-founder of software giant Oracle, the lead investor in TikTok US, and one of the richest people on the planet.

The Ellisons have staged what appears to be a lightning-swift ascent through social and legacy media relying heavily on their connection to the Oval Office.

Should the Ellisons receive a green light from regulators to proceed with the deal, the minnow will have swallowed the whale. Warner currently has more than five times the market value of Paramount.

That's on top of acquiring Paramount itself and a major stake in TikTok US — all in less than a year. And that's in addition to Oracle, which runs much of the digital backbone of the nation's commerce and government.

Oracle co-founder Larry Ellison, right, sits next to media mogul Rupert Murdoch as they listen to President Donald Trump speak in the Oval Office.

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"It's tech giants becoming media giants," argues Jon Klein, a former top executive at CNN and CBS News.

But history shows such mega-mergers often end in tears. The movie business is expensive. Cable television is highly profitable but in steep decline as viewers cut the cord. The combined company will be saddled with debt. So why would the Ellisons spend their billions this way?

David Ellison has sought to be a force in Hollywood for years. He helped to produce movies with Tom Cruise at his family's company Skydance Media. But for his father, Larry Ellison, it's about more than just making his son's very expensive dreams come true.

"Beyond any dollars that they can derive — it's the data about consumer habits, down to the specific identity," Klein says.

He says the push into artificial intelligence by Oracle creates a thirst for more insight into how people view news and entertainment and what products they buy online. The streaming channels and social media giant both offer greater and more granular information.

"That's the prism that you've got to look at this Paramount/WBD deal through," says Klein, co-founder of HANG Media, a Gen Z social video engagement platform. "Oracle... wants to be one of the major players in AI. That's what Oracle wants to get out of media."

The deal still hinges on acceptance from antitrust regulators in Washington and Europe, who can seek to block the transaction. California's attorney general made clear Thursday night he would also give the acquisition tough scrutiny.

"If a merger substantially reduces competition in any market, it's illegal. Courts sort of take that literally," says University of Chicago law professor Eric Posner, who held a senior antitrust position in the U.S. Justice Department under former President Joe Biden.

"But in practice, the Justice Department has discretion on whether to challenge these mergers," Posner tells NPR. "And the courts have discretion on whether to block them."

Friendly ties to Trump

President Donald Trump's Justice Department is a wild card. Last year, the department's then antitrust chief, Gail Slater, took an aggressive stance against Google in court. Last month, the Justice Department sued to block Hewlett Packard Enterprise's $14 billion acquisition of a wireless tech competitor. Slater resigned under duress this month, however.

The Federal Communications Commission is unlikely to intervene, as no broadcast licenses would change hands in the Paramount takeover of Warner. But its chair, Brendan Carr, may well advise the Justice Department and he has lauded David Ellison's moves at CBS.

Even before sweetening its offer this week, Paramount proclaimed its "confidence in the speed and certainty of regulatory approval for its transaction."

Publicly, it argues that such consolidation is needed to take on streaming giants, very much including Netflix but also Amazon Prime, Apple, Disney and YouTube.

Behind the scenes — and sometimes in not-so-hidden ways — the Ellisons have become cozy with President Trump. Larry Ellison is a backer and adviser.

On Tuesday night, David Ellison attended Trump's State of the Union address as a guest of the president's ally, Senator Lindsey Graham, a South Carolina Republican. Graham tweeted out a photo of the two men making Trump's signature "thumbs-up" gesture ahead of the speech.

The president cares deeply about TV news. He has publicly said he wants new owners for CNN — which he has blasted repeatedly as "fake news" — and has proven willing to interfere in corporate matters in his return to the White House.

Netflix CEO Ted Sarandos departs the White House on Wednesday. Sarandos was there to discuss Netflix's bid for Warner Bros. just hours before Warner announced its preference for Paramount.

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Netflix chief Ted Sarandos met Thursday with administration officials at the White House — though notably not with Trump, according to an aide — in a last-gasp effort to salvage his company's competing bid. By the end of the night, Netflix had given up the fight.

The shadow cast over the process by the president has inspired sharp criticism of the path that Paramount and the Ellisons took to land the Warner deal.

"A handful of Trump-aligned billionaires are trying to seize control of what you watch and charge you whatever price they want," Democratic Sen. Elizabeth Warren of Massachusetts said in a statement. "With the cloud of corruption looming over Trump's Department of Justice, it'll be up to the American people to speak up and state attorneys general to enforce the law."

"It is not just the seemingly open corruption of this entire process that leaves me shaken," writes Jeffrey Blehar in the conservative National Review. "I am shaken by how little people will care."

Said Seth Stern, head of the Freedom of the Press Foundation, "Ellison will readily throw the First Amendment, CNN's reporters and HBO's filmmakers under the bus if they stand in the way of expanding his corporate empire and fattening his pockets."

CNN's future hangs in the balance

The Ellisons' acquisition of Paramount followed a similar path.

Last summer, the previous owners of Paramount announced the end of late night host Stephen Colbert's CBS show as they sought federal approval to sell the company to David Ellison.

While they cited economics, Colbert's was the top-rated late night show on network television — and he has been a lacerating satirist of the president. Colbert called the cancellation a "big fat bribe."

Ellison subsequently made additional pledges to the FCC's Carr to win support. Among them: he promised the cessation of diversity, equity and inclusion initiatives throughout Paramount and the addition of an ombudsman to field complaints of ideological bias. He named the former head of a conservative think tank to that role.

Carr blessed the sale. He has since praised the shifts made at CBS News.

The question of what happens to CNN hovers prominently over the Warner sale. The network has undergone rounds of cuts under a series of owners seeking to reduce debt; Paramount would be its fourth corporate parent in under a decade.

Other elements are in play as well.

CBS's new editor in chief is Bari Weiss, founder of the center-right opinion and news site The Free Press. Ellison bought the site and added it to Paramount's portfolio.

Bari Weiss, CBS News' editor in chief, interviews conservative activist Erika Kirk in a CBS town hall event in December.

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Weiss has contended CBS and much of the rest of the media has been too reflexively hostile to conservatives and the president, and she's sought to revamp the newsroom.

CNN's Anderson Cooper, who has also served as a correspondent for CBS's 60 Minutes for two decades, recently announced that he would leave the show, citing the desire to spend time with his small children. Associates, speaking on condition of anonymity because they were not authorized to disclose internal network matters, say he was concerned about the approach that Weiss has taken at CBS.

She is considered likely to have a role over CNN as well, should the deal go through.

CNN CEO Mark Thompson urged colleagues to focus on their news coverage. "Despite all the speculation you've read during this process, I'd suggest that you don't jump to conclusions about the future until we know more," he wrote in a memo Thursday.

Perceived value beyond the bottom line

The deal David Ellison struck for Warner is valued at nearly $111 billion. The new company would carry substantial debts and have Saudi and Emirate backing. The profits are currently relatively modest.

Yet Klein contends larger motives are in play. Just look at Google, he says, which owns what many consider the dominant media company, YouTube.

"They want to know what you watch, and where you come from, and what you buy when you watch, and where you go after you buy, and what you post in the comments and what you like and love and all that," Klein says.

"And if you can combine that with your streaming content and your studio decisions and your marketing for all the content product you're creating," he adds, "you're in a very very powerful position."

Copyright 2026 NPR

This story first appeared on The LA Local.

The Serving Spoon has been an Inglewood cornerstone for four decades, dishing up grilled corn bread and fried turkey chops. 

Now, though, the whole country is in on the secret. 

The breakfast and lunch spot on Centinela Avenue was announced Wednesday by the James Beard Foundation as one of six winners of the America’s Classics Award, an honor the foundation says goes to “timeless” local institutions. The foundation is also responsible for the James Beard Award, one of the nation’s top culinary honors. 

The Serving Spoon joins a pantheon of other L.A.-area eateries to win the classics award including Guelaguetza, Langer’s Deli and Philippe the Original. 

Jessica Bane, part of the third generation to run the family-owned restaurant, said the honor is still sinking in, but that it validates decades of work. “It’s being done out of love,” Bane said.

The Serving Spoon has been an Inglewood cornerstone for four decades, dishing up grilled corn bread and fried turkey chops.

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The award announcement hailed The Serving Spoon as an “anchor” of L.A.’s Black community, run by staff who genuinely care for their customers.“The restaurant is cherished for its joyful hospitality and as a place where all can gather and feel at home,” the announcement read. 

The Serving Spoon didn’t exactly need Beard recognition — the diner is often packed and already has  pedigree as Snoop Dogg and Raphael Saadiq’s breakfast spot of choice in the 2000 Lucy Pearl song “You” — but Bane said the award takes the diner’s reputation national.“The recognition is beyond appreciated,” Bane said. 

The Serving Spoon was founded in 1983 by Bane’s grandfather, Harold E. Sparks. He passed the restaurant down to Bane and her brother, Justin Johnson, through their parents. 

The menu looks much the same as it did four decades ago, Bane said, though some of the dishes have been renamed for regulars. 

During the Thursday lunch rush a day after the announcement, The Serving Spoon’s vinyl booths were packed, as usual. Bane oversaw the dining room while Johnson marshaled plates of fried catfish through the kitchen. 

Tina and Kevin Jenkins waited for a table outside. The L.A. natives each have been coming to The Serving Spoon since childhood. They live in Lancaster now, but make sure to come back to the diner whenever they’re in town. 

“It’s the atmosphere, our people, our music,” Tina Jenkins said.

Despite taxes on imports at levels not seen in a century, Long Beach’s seaport had a good year in 2025. And a decent January.

Port officials said Wednesday they started the new year by leading the nation in trade, responsible for moving more than 847,000 shipping containers in January — 51% of the total cargo at the San Pedro Bay Complex, which it shares with neighboring Port of Los Angeles.

In a call with reporters, Port CEO Noel Hacegaba said that despite a “fair share of doom and gloom” at the time, the seaport finished 2025 as its busiest year on record.

This comes days after President Donald Trump signed new, across-the-board tariffs on U.S. trading partners, and later added he would raise the tariffs to 15%. It’s a direct response to a recent Supreme Court decision that found his tariffs announced last April were unconstitutional.

The new tariffs would operate under a law that restricts them to 150 days, unless approved by Congress.

Asked to measure how much this will affect the seaport, traders, logistics companies and consumers, Hacegaba reiterated a word he has evoked heavily in the past 10 months: uncertainty.

“Our strong cargo volumes do not suggest we are not being affected by tariffs,” Hacegaba said, adding the Port saw a 13% decline in imports driven by major reductions in iron, steel, synthetic fibers, salt, sulfur and cement.

Economists are somewhat more confident, saying it would take nothing short of a national economic crisis to reverse the seaport’s fortunes. “Even if the market is affected, our standing at the Port of Long Beach, even compared to other ports, is strong,” said Laura Gonzalez, an economics professor at Cal State Long Beach.

But experts caution that the ruling will heap the most damage on businesses, especially smaller enterprises, as well as the average consumer who already bore the tariff’s costs last year.

Noel Hacegaba, CEO of the Port of Long Beach, held his first State of the Port in Long Beach on Thursday, Jan. 15, 2026.

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Tariffs added $1,700 in costs to the average U.S. household, as importers raised prices to offset higher import taxes — especially on clothes, shoes and electronics from China and other Southeast Asian nations.

Consumers, Gonzalez said, should budget over the next six months “for essentials.”

Priyaranjan Jha, an economics professor at UC Irvine, said historically trade policies since 2018 have shown that for every dollar of duty imposed, consumer prices rose by about 90 cents.

Even if tariffs are reduced or reversed, and pressure is relieved on importers, consumers shouldn’t expect lower sticker prices right away, he said. “Firms do not always reduce prices as quickly as they raise them, especially if contracts or inventories are involved.”

Richer San, a former banker and business owner in Long Beach, said he’s in regular talks with shops across the city’s historic Cambodia Town that have been crushed by the increased prices of imported ingredients.

“Most of these are family-owned businesses operating on very small profit margins,” he said, adding there is little to no margin to “absorb higher costs.”

Many companies managed to avoid price increases last year in part by stockpiling inventory in the first half of the year to be sold through Christmas and the start of the year. As stock dwindles, many businesses might be less willing to eat the cost of a new set of tariffs.

Marc Sullivan, president of Long Beach-based Global Trade and Customs, said his logistics company saw a brief boom last year in ordered goods, mostly medical equipment and pharmaceuticals.

But by June, orders dropped 35%, a trend that continues today. It’s forced him to freeze any new hiring in the past year and at least through the next six months as he waits for federal officials to settle on tariffs that will determine the cost of shipped goods.

“For the companies that I work with that are importing into the state here, it’s just ‘hold on and let’s see what happens,’” he said.

“I’d like to hire a salesperson to go out and chase new business, … but it’s just a bleak outlook,” he added.

In the interim, he’s received a steady flow of calls (that started “within minutes” of the ruling) from importers looking to claim refunds or recoup their tariff expenses. The U.S. Treasury had collected more than $140 billion from tariffs enacted under emergency powers, and the Supreme Court left the decision of how to appropriate the refund proceedings to lower courts.

His response: They might be stuck waiting for a while. “Customs doesn’t pay anything back quickly,” he said. “It could be a year before you ever see anything back to you.”

Sullivan said he knows of companies that spent upwards of $20,000 per shipment for months.

“They’re going to want that money to be able to reinvest it,” Sullivan said.

But some experts say that consumers, as well as small businesses, deserve a share of refunds.

“The importer may receive a refund even though consumers bore much of the cost,” Jha said. “Courts generally refund the statutory payer, not downstream buyers, but that opens the possibility of follow-on litigation. Small businesses that directly imported goods and paid tariffs should qualify for refunds.”

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A long turtle lineage: Dubbed “Porkchop” by aquarium staff due to her hefty appetite, the young female green sea turtle represents one of seven sea turtle species worldwide (six of which occur in U.S. waters). These animals have called our oceans home since at least the time of the dinosaurs — about 110 million years ago, according to NOAA. All species of sea turtles found in the U.S. are listed as either endangered or threatened and are protected by the Endangered Species Act.

Porkchop’s healing journey: Aquarium vets had to amputate Porkchop’s right front flipper after tangled fishing lines severely cut off her blood flow. She also had a fishing hook removed from her throat. First rescued after being spotted in the San Gabriel River by volunteers with the aquarium’s sea turtle monitoring program last March, her healing journey took nearly a year. She now swims and eats as well as her four-flippered kin and after a final physical exam, blood sample and X-ray, vets determined she was ready to return to her wild roots. She also now has a microchip, so if she ends up stranded again, scientists will know it’s her.

An ambassador for conservation: Porkchop became the aquarium’s first public-facing ambassador for its expanded green sea turtle rescue efforts. A new holding tank, viewable by the public, doubles the aquarium’s capacity to rescue green sea turtles and provides firsthand education about their conservation efforts. The aquarium is currently caring for another larger and older female green sea turtle — she weighs more than 200 pounds — rescued from the San Gabriel River in January. She’ll be in the public viewing tank in the coming months when she’s recovered a bit more.

How to help local green sea turtles: Green sea turtle populations are actually doing quite well in the San Gabriel River, but trash, debris and pollution remains a big threat. If you fish the San Gabriel River, never litter fishing lines or hooks. If you see a stranded sea turtle in the San Gabriel River or elsewhere, call the West Coast Marine Mammal and Sea Turtle Stranding Network’s hotline at (562) 506-4315. You can also donate to the aquarium’s rescue program.