Birthworkers of Color Collective Abortion Doula Program Coordinator Christina Lares, right, provides information at the organization’s brick-and-mortar grand opening event on Sunday, December 17, 2023 in Long Beach.
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Topline:
California’s insurance program for low-income residents, known elsewhere as Medicaid, started paying for doula services in January. Nearly a year later, it’s clear that without more doulas enrolled in the program, not every family will get the care they are entitled to receive.
OK, first, what is a doula? Doulas provide expecting and new mothers or birthing people with educational, emotional, and physical support before, during and after a baby is born. We made a guide to finding one.
Numbers please: 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.
And that's for how many babies? 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.
What's the hold-up? A mix of things, but one of them is paperwork: “It's been an arduous process, a lot slower than we imagined.” said Birthworkers of Color Collective Co-Founder Stevie Merino, who’s based in Long Beach.
A Year After Medi-Cal Allowed Doula Services, Uptake Is Slow
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.
What doulas do
Doulas are not doctors or midwives. They don't deliver babies and they do not make medical decisions on a client's behalf or tell them what to do. Think of them more like coaches or advocates for pregnant people and their partners as they approach their due date, while they're giving birth, during the postpartum phase. Doulas also support people through miscarriage, stillbirth, or abortion.
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.
What is Medi-Cal?
Medi-Cal is California’s public healthcare program for low-income residents and pregnant people. In other states, this program is called Medicaid. More than 15 million people were enrolled across California as of October 2023.
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.
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.”
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.
This is what I've gone through all the red tape for. 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.
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.
ABOUT THIS STORY’S LANGUAGE
You might notice this story uses the term pregnant or birthing people. That's because our newsroom uses language in reproductive health that includes people of different genders who can give birth.
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?”
Birthworkers of Color Collective: support for birth workers and doula training. The collective recently opened a physical space in Long Beach.
Frontline Doulas: a perinatal health program providing free doula services for qualified Black families in Los Angeles County. They’ve also published a handy resource guide on the Medi-Cal doula program.
National Health Law Program: The health education, advocacy and legal aid organization’s Doula Medicaid Project convenes stakeholders around, shares information about and advocates for doula programs across the country, including California’s.
Medi-Cal members who are pregnant or were pregnant in the last year are eligible for doula services, including to support pregnancies stillbirth, miscarriage, or abortion.
The Department of Health Care Services has issued a statewide standing recommendation for doula services, so people no longer need approval from an individual licensed provider to start working with a doula.
The majority of Medi-Cal enrollees participate in a managed care plan and receive services through a single provider network. Here are the main providers in L.A. County and how to learn more about their doula benefit:
Health Net: Call member services at 800-675-6110 (TTY: 711) to find a contracted doula nearby. If a preferred doula is not contracted with Health Net, members have the option to request a single case agreement. The plan also offers two other programs geared toward expectant and new parents: Start Smart for Baby and First Year of Life.
L.A. Care Health Plan: Members can call the number on the back of their ID card to request doula services and learn more online. The plan also offers a maternal health text messaging program.
Enrollees who participate in fee-for-service would work with a doula who then bills the state directly for their services.
DHCS has the answers to more frequently asked questions regarding doula services for Medi-Cal members here.
Kavish Harjai
was in the LAist studios listening to the forum Thursday night.
Published September 3, 2026 7:50 PM
L.A. Mayor Karen Bass and Councilmember Nithya Raman separately explain their environmental positions at a mayoral forum held Thursday at L.A. Trade Tech in downtown Los Angeles.
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Los Angeles Mayor Karen Bass painted herself as a proven fighter for environmental justice issues. Her challenger, L.A. City Councilmember Nithya Raman, said progress on environmental goals has stalled in City Hall.
Key topics: The candidates each had about 45 minutes to individually answer questions from Erin Stone, an LAist senior reporter focused on climate and environment.
Here are some of the topics they covered:
Extreme heat
Emergency preparedness and recovery
Protecting communities from pollution
Water
Public transit
LAist will have more coverage and analysis of the conversations Friday morning.
Topline:
Los Angeles Mayor Karen Bass described herself as a proven fighter for environmental justice issues. Her challenger, L.A. City Councilmember Nithya Raman, said progress on environmental goals has stalled in City Hall.
Key topics: The candidates each had about 45 minutes to individually answer questions from Erin Stone, an LAist senior reporter focused on climate and environment.
Ahead of election, Trump admin still has big plans
By Jude Joffe-Block | NPR
Published September 3, 2026 6:43 PM
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The Trump administration is taking steps to advance a mysterious and unprecedented project to compile state-by-state lists of people it has decided are eligible citizens over the age of 18 who can vote in the upcoming midterm election.
About the timing: Trump officials will no longer meet its own deadline to publish that information on a portal on Friday, which is 60 days before Election Day.
Where things stand: Department of Justice attorneys told opposing counsel in two separate lawsuits that instead of meeting the Sept. 4 deadline, they would give 48-hours notice to plaintiffs' counsel before the state citizenship portal was launched, according to recent court filings.
Why this matters: The U.S. has never attempted to create a comprehensive list of American citizens before this administration. Maintaining voter lists is the responsibility of states, not the federal government, as the Constitution dictates that states control elections. But President Trump has repeatedly taken steps to try to exert executive control over elections.
The Trump administration is taking steps to advance a mysterious and unprecedented project to compile state-by-state lists of people it has decided are eligible citizens over the age of 18 who can vote in the upcoming midterm election. But it will no longer meet its own deadline to publish that information on a portal on Friday, which is 60 days before Election Day.
Department of Justice attorneys told opposing counsel in two separate lawsuits that instead of meeting the Sept. 4 deadline, they would give 48-hours notice to plaintiffs' counsel before the state citizenship portal was launched, according to recent court filings.
The U.S. has never attempted to create a comprehensive list of American citizens before this administration. Maintaining voter lists is the responsibility of states, not the federal government, as the Constitution dictates that states control elections. But President Trump has repeatedly taken steps to try to exert executive control over elections.
The basis for the federal government creating state citizenship lists is an executive order Trump signed on March 31. A lower court had blocked implementation of key parts of that executive order in 23 states and Washington, D.C., but the Supreme Court stayed that injunction late last month, opening the door for the plan to be implemented after all.
The March 31 executive order directs U.S. Citizenship and Immigration Services and the Social Security Administration to create "State Citizenship Lists" of individuals the agencies believe are citizens in each state, and send those lists to state officials "no fewer than 60 days before each regularly scheduled Federal election."
The next section of the executive order says the U.S. attorney general will prioritize investigating and prosecuting state and local officials who issue federal ballots to anyone not eligible to vote.
"States here have a strong incentive to actually use these lists to try to avoid federal investigation," said Jules Torti, counsel at the nonprofit Protect Democracy, in an interview with NPR. "But we know that these lists are going to be based on really inaccurate data. So the risk of disenfranchisement here is really, really palpable."
The privacy group Electronic Privacy Information Center, along with individual voters, filed a motion Thursday asking a federal judge in Maryland to block the administration from creating the citizenship lists and publishing them on a portal. Specifically, they seek to block a June 8 implementation memo authored by USCIS director Joseph Edlow that outlines the plan.
The motion, which was brought by Protect Democracy, along with another nonprofit legal group, Citizens for Responsibility and Ethics in Washington, argues the administration's plans to share Americans' personal data between agencies and then disseminate the data to states violates multiple federal laws, including the Privacy Act, the Social Security Act and the Administrative Procedures Act. Under the Privacy Act, federal agencies must give the public 30 days notice and the opportunity to comment before they collect and disseminate Americans' personal data for a new purpose.
The EPIC lawsuit also argues the government does not have access to accurate, up-to-date information on American citizens, especially those who move frequently, have changed their names, or are foreign-born. For example, Social Security's citizenship data often isn't updated when people naturalize, and the SAVE data system, operated by USCIS, frequently doesn't include records for people who became citizens as minors when their parents naturalized.
Torti said it is "deeply concerning" that the administration is still planning to go ahead with the creation of citizenship lists but is no longer going to meet the deadline, since that means the lists will be completed even closer to Election Day.
"It means additional chaos, additional confusion for the state election officials and just for voters," Torti said. "And I think that's the point. The point here is to create chaos in advance of the election."
Neither the Department of Justice, nor the Department of Homeland Security, which is tasked with compiling the citizenship lists, responded to NPR's request for comment.
The June 8 implementation memo stated that the portal for state election officials would be available around June 30 and a second portal where citizens could check their information would be available at a later date – but that deadline passed without further updates.
The federal government has secured a domain for the state citizenship lists portal. While the portal is not currently online, it was briefly live in recent days with a landing page that said "Coming Soon," according to court filings.
Lawyers representing Democratic party groups that had challenged the March 31 executive order in a separate lawsuit filed in April, accused the administration in a recent filing of failing to notify the court or the parties about its plans to move forward with the state citizenship portal. They asked the judge to require the federal government to give immediate updates about their plans to implement the executive order.
This latest legal battle over the administration's plans to compile state citizenship lists comes as the Department of Homeland Security is ramping up its efforts to analyze state voter rolls with the goal of identifying potential noncitizens who are registered to vote. Previous audits have found instances of noncitizens casting ballots to be incredibly rare.
Additionally, last week, ICE published a request for information on a federal procurement site seeking vendors who can compile public voter rolls and voter history files from all 50 states, Washington, D.C., and U.S. territories, "to support Homeland Security Investigations (HSI) fraud detection and data segmentation activities."
NPR's Hansi Lo Wang contributed reporting to this story. Copyright 2026 NPR
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A group of California lawmakers called on federal officials to halt and reject a proposed land exchange in Yosemite National Park that would allow a private developer to take control of a strip of land in the park for an access road to the park’s main attractions.
About the proposed land exchange: The proposal was first reported by news outlet NOTUS, which published a story last week alleging that members of the Trump administration were meeting with representatives of Kingsbarn Realty Capital, a private equity group that owns an 83-acre parcel next to the park. In an email to KQED, Kingsbarn’s lawyer Lanny J. Davis confirmed the group is pursuing the land exchange to build a new access road from its property to the park.
Why it matters: A bipartisan group of 61 state legislators led by Assemblymember Greg Wallis, a Republican who represents Riverside and San Bernardino counties argues that the proposed land exchange is counter to the mission of the National Park Service and the founding of Yosemite in 1864, which set aside the start of the park for public use and protection for the first time in the history of the federal government.
A group of California lawmakers called on federal officials to halt and reject a proposed land exchange in Yosemite National Park that would allow a private developer to take control of a strip of land in the park for an access road to the park’s main attractions.
The letter to Department of the Interior Secretary Doug Burgum on Wednesday was signed by a bipartisan group of 61 state legislators led by Assemblymember Greg Wallis, a Republican who represents Riverside and San Bernardino counties.
“Republicans and Democrats from both houses of the Legislature are standing together because some things are bigger than politics,” Wallis said in a statement. “Yosemite is not a subdivision. It is not a bargaining chip. And it is not for sale. Secretary Burgum and the administration should put an end to this proposal.”
Interior Secretary Doug Burgum (center) visited the Tunnel Tops in San Francisco in 2025 after he and then-Attorney General Pam Bondi toured Alcatraz ahead of their announcement to reopen the former federal prison.
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The group argued that the proposed land exchange is counter to the mission of the National Park Service and the founding of Yosemite in 1864, which set aside the start of the park for public use and protection for the first time in the history of the federal government.
“What is being proposed now runs directly against that founding principle, more than a century and a half later,” the letter states.
It continues later: “Our national parks belong equally to every American. They are not the Department’s to trade away, and they are not for sale.”
The proposal was first reported by news outlet NOTUS, which published a story last week alleging that members of the Trump administration were meeting with representatives of Kingsbarn Realty Capital, a private equity group that owns an 83-acre parcel next to the park. In an email to KQED, Kingsbarn’s lawyer Lanny J. Davis confirmed the group is pursuing the land exchange to build a new access road from its property to the park.
Previous owners have pushed for the same deal since the early 2000s and failed in court.
State Assemblymember Marc Berman (D-Menlo Park), who signed on to the letter, called the proposal “indefensible,” and said he’s looking at state laws to ensure a similar proposal could never slip through.
“If the Trump administration can’t defend this publicly in broad daylight, then they shouldn’t be doing it,” he said.
Rep. Jared Huffman (D-Marin) told KQED’s Forum on Wednesday that he’s worried there isn’t enough opposition among his Republican colleagues in Congress to stop the Trump administration’s efforts.
“I have not seen a single Republican colleague willing to stand up to Donald Trump when he decides that he’s just going to do something,” Huffman said. “So that is my concern, that he just plows ahead with this — even if it has dubious legal authority, or even if it’s an open violation of the law. He’s doing stuff like that anyway. And in this Congress, there’s no one here to stop him.”
In a statement to KQED, state Sen. Marie Alvarado-Gil (R-Modesto), whose district includes parts of Yosemite, said she will “keep pressing the Department [of the Interior] for a clear answer that this exchange will not proceed.”
“The secretive backroom land-exchange scheme has gotten everyone’s attention,” said Neal Desai, senior Pacific regional director of the National Parks Conservation Association. “I can’t recall another issue — and I’ve been working in the conservation space for over a couple of decades — where the response has been this sharp and so one-sided that this is a terrible idea that should not happen.”
The backlash comes at a turbulent time for National Park Service employees, who have faced layoffs,staffing cuts and fear of retaliation for speaking up against Trump administration policies since the start of the second Trump administration.
Some former employees have also raised concerns about a potential reorganization of the National Park Service, according to a separate letter sent to Burgum’s office Wednesday. According to an email seen by KQED, park superintendents have been asked to attend in-person regional meetings in September — with no clear agenda beyond discussing “agency priorities, our FY 2026 outlook, and other matters important to the work ahead.”
The letter to Burgam, signed by 20 retired parks superintendents warns: “An ill-advised and hastily planned reorganization could dismantle that structure, putting our parks — and those who visit them — at great risk.”
Emily Thompson, executive director of the Coalition to Protect America’s National Parks, which organized the letter, said the email about regional meetings “raises some alarm bells.”
“The Park Service is already operating from a difficult place, from a place of crisis,” she said. “And any additional cuts, any movements or actions that would further jeopardize the capacity of the folks that are left, that’s concerning. It’s worrying, and it’ll have a devastating impact on the Park Service.”
Among the letter’s signatories is Don Neubacher, retired Yosemite superintendent, who has been a vocal advocate for parks amid the Trump administration’s changes.
Thompson said she’s worried parks leaders will be stretched even further than they already are, and local decision-making over parks could be in jeopardy.
“Morale is low,” Thompson said. “It’s a hard time to be a federal employee. Anything that … contributes to this culture of fear, it’s just not acceptable.”
A file photo of an East Village restaurant that was vandalized on Thursday, June 6, 2024.
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Long Beach is offering up to $1,500 for local business owners and landlords to equip their storefronts with safety measures like cameras, floodlights, alarms and point-of-sale systems.
More details: Businesses with storefronts of 1,500 square feet or less may receive grants of up to $750, while businesses between 1,500 and 5,000 square feet are eligible for up to $1,500.
How it works: The funds will be provided as a reimbursement after eligible security improvements are installed. Grants will be given out until funds are exhausted.
Read on... for more on how to qualify for these grants in Long Beach.
Long Beach is offering up to $1,500 for local business owners and landlords to equip their storefronts with safety measures like cameras, floodlights, alarms and point-of-sale systems.
The grant program is accepting online applications now. You can apply here.
Businesses with storefronts of 1,500 square feet or less may receive grants of up to $750, while businesses between 1,500 and 5,000 square feet are eligible for up to $1,500.
Nonprofit organizations are eligible as well, and landlords can apply on behalf of commercial storefronts that are vacant or occupied. Franchises can also receive the grant.
To qualify, a business must:
Have an active business license for a storefront within the city
Be independently owned and operated (franchises are eligible)
Be currently open and active for business
Earn no more than $5 million in annual gross revenue
Hold “active” status with the California Secretary of State for corporations, limited liability companies and limited partnerships
The funds will be provided as a reimbursement after eligible security improvements are installed. Grants will be given out until funds are exhausted.
It’s a great idea, according to Edwin Jara, who manages a pet store in Belmont Heights and was on the receiving end of a break-in earlier this year.
His store had security measures already in place — two cameras and an alarm system — but even that wasn’t enough to deter a masked burglar who grabbed $1,000 cash and a handful of dog treats.
Despite having footage of the burglar, Jara said police haven’t been able to catch the person and that a detective never responded after he filed a police report.
The grant program is being paid for with $350,000 from the city’s Redvelopment Agency along with $50,000 from Los Angeles County Supervisor Janice Hahn’s office.
“Our local small businesses are part of the fabric of our neighborhoods, and when business owners feel unsafe, the whole community feels it,” Hahn said in a statement.
In a statement, Mayor Rex Richardson said the program is a “direct investment in the hardworking business owners who make our commercial corridors vibrant and welcoming.”
Jara said he would consider applying for a grant if the city could send someone to help him and the store’s owner fill out the application.
He was offered a separate grant to replace a glass door the burglar smashed, but the store’s owner opted not to fill out the application.
“There was a lot of stuff that we needed to do, and I don’t have a lot of that information,” Jara said.
