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The most important stories for you to know today
  • Trump's executive orders getting real for some
    The risks for foreign students have heightened dramatically since President Trump's recent executive orders cracking down on those deemed to be supporting U.S.-designated terrorist groups, including Hamas and Hezbollah, and the directives already appear to be chilling political activism.

    About the orders: One order targets foreigners who "threaten our national security, espouse hateful ideology" or "support designated foreign terrorists." A second order meant to combat antisemitism specifically targets "Hamas sympathizers on college campuses." Both call for strict enforcement of existing immigration laws that bar visas for any such foreigners.

    Student visa issues: Abed Ayoub, head of the American-Arab Anti-Discrimination Committee, says the threat is getting real. He says the ADC has heard from at least a dozen students who left the U.S. for winter break and were unable to return because their visas were canceled — with no explanation given.

    State Department response: Asked for confirmation that visas were canceled, a State Department spokesperson said they could not comment because of confidentiality laws. The spokesperson said that "the State Department generally revokes visas when information comes to light indicating that an applicant may no longer be eligible for the visa under U.S. immigration laws, including when an applicant poses a threat to U.S. public safety and national security."

    What's next: Ultimately, any effort to deport a student for protest activity is all but certain to be challenged in court.

    It was billed as a "Palestine Night" gala and fundraiser, with proceeds going to families in Gaza. At the campus student center at the University of Minnesota, Twin Cities, students in traditional Palestinian red and black robes mingled with others amid tables selling jewelry and keffiyeh head coverings, a photo booth and prayer mats.

    The annual event, put on by Students for Justice in Palestine, is usually a big draw, but this year, more than a few students were nervous about showing up.

    "I was scared that I would get photographed or something, and that would cause a problem," said one foreign student in the U.S. who asked that her name not be used for fear of jeopardizing her visa. "My dad knows that I am very pro-Palestine, and he was like, be very careful, like you don't want to take any risks."

    The risks for foreign students have heightened dramatically since President Trump's recent executive orders cracking down on those deemed to be supporting U.S.-designated terrorist groups, including Hamas and Hezbollah, and the directives already appear to be chilling political activism.

    One order targets foreigners who "threaten our national security, espouse hateful ideology" or "support designated foreign terrorists." A second order meant to combat antisemitism specifically targets "Hamas sympathizers on college campuses." Both call for strict enforcement of existing immigration laws that bar visas for any such foreigners.

    "To all the resident aliens who joined in the pro-jihadist protests, we put you on notice," Trump said. "We will find you, and we will deport you."

    Abed Ayoub, head of the American-Arab Anti-Discrimination Committee, says the threat is getting real. He says the ADC has heard from at least a dozen students who left the U.S. for winter break and were unable to return because their visas were canceled — with no explanation given.

    "Two of them have no involvement at all with student activism on campus. They just happened to be from Gaza," Ayoub says. "This should be a concern of all Americans because this opens the door to really criminalizing any speech and any expression in the nation."

    Asked for confirmation that visas were canceled, a State Department spokesperson said they could not comment because of confidentiality laws. The spokesperson said that "the State Department generally revokes visas when information comes to light indicating that an applicant may no longer be eligible for the visa under U.S. immigration laws, including when an applicant poses a threat to U.S. public safety and national security."

    Some students welcome the orders, saying any student who crosses the line from pro-Palestinian advocacy to supporting terrorist groups is not acceptable on campus. And they say it's too early to say that any crackdown will prove to be an overreach. But others are fearful, lying low for the moment and skipping events and protests or showing up anyway, with trepidation, like the student at the "Palestine Night" event who asked that her name not be used.

    "I feel like college is a time when we should be able to speak freely," she said. "I've been raised with the values that I should be vocal about what I believe in, so it almost feels like I'm lying to myself when I can't say what I feel."

    Trump's order on antisemitism calls on schools to monitor their foreign students and staff — and report those who are "Hamas sympathizers" or "pro-jihadist," as Trump put it. Schools contacted by NPR declined to comment on how they will comply with the directive, or said only that they're still reviewing it.

    Meanwhile, pro-Israel groups say they're receiving a growing number of tips accusing campus activists of supporting U.S.-designated terrorist organizations.

    "One of my friends … was texting me frantically"

    It's all fueling concerns that "support" will be over-broadly interpreted and authorities will be cracking down even on peaceful protesters, the majority of whom are focused on human rights and divestment. Many students worry that Trump's orders are a thinly veiled attempt to silence any pro-Palestinian advocacy.

    "Their main target is anyone who supports Palestine in any way shape or form," says another student, an American citizen born to Palestinian parents, who asked not to be named for fear of harassment. He says his friends on student visas are terrified that even an old post or photo could come back to haunt them.

    "One of my friends actually was texting me frantically" in the middle of the night, he recalls. "His face was in one of those posts, and he was texting me, 'Can we get this post removed?' And that kind of hit me, this is serious."

    Some college newspapers are hearing the same concerns, so much so that the student newspaper at Purdue University, The Purdue Exponent, decided to give blanket anonymity to all students at all pro-Palestinian protests. The paper even scrubbed all protesters' names and photos from its archives, explaining that it "refuses to be party to such a blatant violation of the First Amendment rights."

    Other students, however, have denounced the paper's new policy, saying that'll make it tougher to hold protesters accountable and to restore safety and stability to campuses.

    "I think that's wrong," says Sabrina Soffer, a pro-Israel student at George Washington University. "It's like when [protesters] wear masks. It's just another way to put another obstacle in the way of holding students accountable."

    Of course, Soffer says, implementation of the executive orders must be thoughtful and judicious. "Being pro-Palestinian is not being pro-jihad," she says. "But at the same time, we have to be scrupulous enough to make sure that those who really are a threat and who are connected to these terrorist organizations are the ones held accountable."

    Maia Shteyman, a pro-Israel student from UMass Amherst, agrees. Students demanding humanitarian aid in Gaza, criticizing Israel or waving a Palestinian flag, for example, are not the issue, Shteyman says. But, she says, she's seen some protesters openly supporting U.S.-labeled terrorist groups on her campus, and that needs to be addressed.

    "They were wearing Hamas-like uniforms, with the headbands, and there were intifada signs everywhere [saying] 'Go Hamas,' and pro-Hamas stuff. They were just saying this stuff straight up to our face," Shteyman says.

    "I think it's much more common that you might imagine, that there are people actually coordinating with Hamas, that they are acting as the PR agents of Hamas," says attorney Mark Goldfeder, director of the National Jewish Advocacy Center. He has filed a federal lawsuit alleging direct ties between student groups and U.S.-designated terrorist organizations, and some protesters' explicit support for them.

    "They are saying, 'We are Hamas and we want to do these things,' " Goldfeder says. "It behooves us to believe them and to take precautions for our national security. It is genuinely dangerous. And you don't even have to like the Jews to worry about it because they're coming for the United States, as well."

    Deportation attempts are likely to wind up in court

    Ultimately, any effort to deport a student for protest activity is all but certain to be challenged in court.

    "The government would have a huge First Amendment hurdle to overcome if it sought to go after someone for their pure speech," says David Cole, Georgetown Law professor and former national legal director with the American Civil Liberties Union. "If it were enforced, it would be, I believe, struck down."

    Others take a different view. Ilya Shapiro, a senior fellow and director of constitutional studies at the Manhattan Institute, a conservative think tank, is also a staunch free speech proponent. But in this case, he says, "It's not about policing or prosecuting speech, it's about enforcing immigration regulations, and immigration regulations say that if you espouse support for certain groups that are inimical to the American interest, then you don't get a visa, or if you're here already then your visa gets revoked."

    Meanwhile, pro-Palestinian students are left contemplating their risk. Some, like a 27-year-old graduate student from the West Bank, who asked that his name not be used for fear of being targeted, says he will continue to speak out.

    "I mean, my people are being slaughtered there and dehumanized," he says. "I'm not going to just sit down there and just be afraid of speaking out, no matter what the consequences are."

    Still, he did reach out to a free-speech advocacy group to make sure he's got help lined up just in case, as he put it, someone wants to "get rid of" him.

    Copyright 2025 NPR

  • Those at LAX and Disneyland may be exposed
    Multiple vials of measles vaccines.
    This view shows empty vials containing doses of the measles vaccine.

    Topline:

    A second case of measles has been confirmed in Los Angeles County. The infected person also traveled to Orange County.

    Why it matters: Measles has been on the rise in other parts of the country like South Carolina, Arizona and Utah. 588 measles cases have been reported this year, the most cases reported in January since the year 2000. Two cases have been detected in LA County and two in Orange County.

    Read more on information public health officials has released regarding potential exposure.

    A second case of measles has been confirmed in Los Angeles County.

    L.A. County Department of Public Health officials announced on Saturday the virus was detected in an international traveler who arrived at the Tom Bradley International Terminal — or Terminal B — at LAX on Monday, Jan. 26, through Gate 201A on Viva Aerobus Flight 518.

    Public Health said anyone at Terminal B from 10:45 p.m. on Jan. 26 to 1 a.m. on Jan. 27 may have been exposed.

    The traveler also spent a day in Disneyland Park and California Adventure Park in Anaheim on Jan. 28 from 12:30 to 10 p.m. On Jan. 30, they visited a Dunkin’ Donuts in Woodland Hills from 3 to 4:45 p.m.

    Health officials say people who visited the above locations during those time periods may also be at risk of developing measles.

    Symptoms typically appear one to three weeks after exposure.

    Public Health recommends these individuals check if they are already protected against measles and advise getting a measles, mumps and rubella vaccine if they aren't.

    Symptoms include a fever above 101 degrees; cough; runny nose; red, watery eyes; and a rash that typically starts on the face.

    • For those exposed at LAX, the last day to monitor for symptoms is Feb. 16.
    • For those exposed at Disneyland Park and California Adventure Park, the last day to monitor for symptoms is Feb. 18.
    • For those exposed at Dunkin’ Donuts, the last day to monitor for symptoms is Feb. 20.

    Saturday's announcement comes one day after L.A. County public health officials confirmed the first case of measles in the county. More information about that case here.

    Orange County has reported two other measles cases this year, one in a young adult who recently traveled internationally and the second in an unvaccinated toddler who had no known exposure to the virus.

    Transmission, prevention and more

    Measles spreads easily through the air and can stay on surfaces for many hours. Those infected can spread the virus before showing symptoms, which can take weeks to appear.

    So far, 588 measles cases of measles have been reported in the U.S. this year, the highest number of cases in a January since the U.S. eliminated measles in 2000. Most of these cases are linked to outbreaks in South Carolina, Arizona and Utah.

    The L.A. County Department of Public Health is encouraging Angelenos to check their immunization status for the measles, mumps and rubella vaccine to determine if they’re protected against the virus.

    If symptoms develop, contact a health care provider via phone as soon as possible. L.A. Public Health advises people not to go physically into a health care facility before notifying them of measles symptoms.

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  • US may lose status as nation that eliminated it

    Topline:

    South Carolina now has confirmed 847 cases since the first case was reported in October, making the outbreak bigger than the one in Texas, which started just over a year ago.

    Why it matters: This latest outbreak, as well as the speed at which it is spreading, is another test of the United States' ability to contain measles. It comes as the Trump administration has taken multiple steps to undermine overall confidence in vaccines.

    What's next: The U.S. is already in danger of losing its status as a country that has eliminated measles. That's a technical designation. It's given to countries that have gone a year without a continuous chain of transmission. For the U.S., the clock started in January 2025 with the Texas outbreak.

    In Southern California: The first measles cases of 2026 were just reported in L.A. and Orange counties.

    The measles outbreak in South Carolina is showing little sign of slowing down. The state has confirmed 847 cases since the first case was reported in October, making the outbreak bigger than the one in Texas, which started just over a year ago.

    Dr. Linda Bell, South Carolina's state epidemiologist, points out that in Texas, measles cases grew over the course of seven months, while in South Carolina it has taken just 16 weeks to surpass the Texas case count.

    "This is a milestone that we have reached in a relatively short period of time, very unfortunately," she said at a press briefing Wednesday. "And it's just disconcerting to consider what our final trajectory will look like for measles in South Carolina."

    The state on Friday reported 58 new cases since Tuesday.

    This latest outbreak, as well as the speed at which it is spreading, is another test of the United States' ability to contain measles. It comes as the Trump administration has taken multiple steps to undermine overall confidence in vaccines.

    And it is happening as the U.S. is already in danger of losing its status as a country that has eliminated measles. That's a technical designation. It's given to countries that have gone a year without a continuous chain of transmission. For the U.S., the clock started in January 2025 with the Texas outbreak.

    Who makes the call?

    Measles elimination status is granted — and taken away — by a special verification commission set up by the Pan American Health Organization (PAHO). It reviews extensive evidence to determine whether the outbreaks in the U.S. are all part of a continuous chain of transmission that began with the outbreak in Texas in January 2025. Gathering the necessary epidemiological data, genomic analyses and surveillance reports takes time.

    But even if PAHO determines that the outbreaks are separate, the U.S. could still lose its elimination status if it fails to prove that it can interrupt the spread of measles quickly and consistently, says Dr. Demetre Daskalakis, an infectious disease specialist and former top official with the Centers for Disease Control and Prevention (CDC). And so far, he says, the U.S. is failing on this front.

    "We do not have the capability to actually control measles, whether or not this is demonstrated through continuous measles transmission for 12 months," Daskalakis said in a press briefing this month. "So I'm going to say that elimination is already lost."

    PAHO has said it plans to review the United States' measles elimination status this spring.

    "Health freedom"

    When asked whether the potential loss of measles elimination status was significant during a press call this month, Dr. Ralph Abraham, the principal deputy director of the CDC, said, "Not really."

    Abraham said losing elimination status would not impact how the administration tackles measles. He said the administration supports the measles vaccine, but "You know, the president, Secretary [Kennedy], we talk all the time about religious freedom, health freedom, personal freedom. And I think we have to respect those communities that choose to go a somewhat of a different route."

    But infectious disease experts and epidemiologists say the choice not to vaccinate is what's driving these outbreaks. Daskalakis says the resurgence of measles is being fueled by misinformation that undermines trust in vaccines.

    And public health experts say losing elimination status is more than just symbolic. "I think it's really a comment on the state of the public health system," says Caitlin Rivers, an epidemiologist at the Johns Hopkins Bloomberg School of Public Health. "We maintained elimination for 25 years. And so now, to be facing its loss, it really points to the cycle of panic and neglect, where I think that we have forgotten what it's like to face widespread measles."

    And as measles cases rise, that will lead to more hospitalizations, more deaths and a greater toll on the public health system as a whole, says Dr. William Moss of the International Vaccine Access Center at the Johns Hopkins Bloomberg School of Public Health. He points to estimates suggesting that the average cost for a measles outbreak is $43,000 per case, with costs escalating to well over $1 million total for outbreaks of 50 cases or more. And fighting measles also takes resources away from other public health priorities.

    Elimination vs. eradication

    In 2000, PAHO declared measles eliminated from the U.S. because there had been no continuous domestic spread for more than 12 months. But the virus is still endemic in many parts of the world, and every year, there are U.S. cases brought in from abroad. So the virus has not been eradicated. 

    Compare that with the smallpox virus, which has not been reported anywhere in the world since the World Health Organization declared it eradicated in 1980

    Across state lines

    Similar to Texas, the vast majority of cases in South Carolina have been in children and teens who are unvaccinated, leading to quarantines in about two dozen schools. Clemson University and Anderson University also have recently reported cases. And the virus has crossed state lines. North Carolina has confirmed several cases linked to the South Carolina outbreak. Across the country in Washington state, officials in Snohomish County told NPR they've linked six measles cases in unvaccinated children there to a family visiting from South Carolina.

    Dr. Anna-Kathryn Burch, a pediatric infectious disease specialist with Prisma Health in Columbia, S.C., says it breaks her heart to see her state have such a large outbreak.

    "I'm from here, born and raised — this is my state. And I think that we are going to see those numbers continue to grow over the next several months," she says.

    Measles is dangerous. Here's how to protect yourself.

    Measles is one of the most contagious diseases on Earth — more than Ebola, smallpox or just about any other infectious disease.

    A person infected with measles can be contagious from four days before the telltale measles rash appears, until four days after. So the person could be spreading measles before they know they're infected. And when they cough, sneeze, talk or even just breathe, they emit infectious particles that can linger in the air for up to two hours, long after the infected person has left the room. On average, one infected person can go on to sicken up to 18 other unvaccinated people.

    The best way to protect yourself is vaccination. The measles, mumps and rubella vaccine is very safe, and two doses is 97% effective — which means 97% of people will develop lifelong immunity against the disease. When vaccination rates are high in a community — 95% or more is considered ideal — that helps prevent measles outbreaks because there aren't enough vulnerable people for the virus to keep spreading. In Spartanburg County, S.C., the schoolwide vaccination rate for required immunizations is 90%.

    Vaccination rates have been dropping in the United States. Nationwide, 92.5% of kindergartners had received the measles vaccine in the 2024-2025 school year, according to the CDC. In many communities across the country, those figures are much lower, creating the conditions needed for measles outbreaks to spread. Experts say all that's needed is one spark to ignite it.
    Copyright 2026 NPR

  • Trump tells Noem not to intervene unless asked

    Topline:

    President Donald Trump said today that he has instructed Homeland Security Secretary Kristi Noem not to intervene in protests occurring in cities led by Democrats unless local authorities ask for federal help amid mounting criticism of his administration's immigration crackdown.

    What he said: On his social media site, Trump posted that "under no circumstances are we going to participate in various poorly run Democrat Cities with regard to their Protests and/or Riots unless, and until, they ask us for help."

    What's next: He provided no further details on how his order would affect operations by U.S. Immigration and Customs Enforcement and DHS personnel, or other federal agencies, but added: "We will, however, guard, and very powerfully so, any and all Federal Buildings that are being attacked by these highly paid Lunatics, Agitators, and Insurrectionists."

    ABOARD AIR FORCE ONE — President Donald Trump said Saturday that he has instructed Homeland Security Secretary Kristi Noem not to intervene in protests occurring in cities led by Democrats unless local authorities ask for federal help amid mounting criticism of his administration's immigration crackdown.

    On his social media site, Trump posted that "under no circumstances are we going to participate in various poorly run Democrat Cities with regard to their Protests and/or Riots unless, and until, they ask us for help."

    He provided no further details on how his order would affect operations by U.S. Immigration and Customs Enforcement and DHS personnel, or other federal agencies, but added: "We will, however, guard, and very powerfully so, any and all Federal Buildings that are being attacked by these highly paid Lunatics, Agitators, and Insurrectionists."

    Trump said that in addition to his instructions to Noem he had directed "ICE and/or Border Patrol to be very forceful in this protection of Federal Government Property."

    Later Saturday night, Trump said to reporters as he flew to Florida for the weekend that he felt Democratic cities are "always complaining."

    "If they want help, they have to ask for it. Because if we go in, all they do is complain," Trump said.

    He predicted that those cities would need help, but said if the leaders of those cities seek it from the federal government, "They have to say, 'Please.'"

    The Trump administration has already deployed the National Guard, or federal law enforcement officials, in a number of Democratic areas, including Washington, Los Angeles, Chicago and Portland, Oregon. But Saturday's order comes as opposition to such tactics has grown, particularly in Minnesota's Twin Cities region.

    Trump said Saturday night that protesters who "do anything bad" to immigration officers and other federal law enforcement, "will have to suffer" and "will get taken care of in at least an equal way."

    "You see it, the way they treat our people. And I said, you're allowed, if somebody does that, you can do something back. You're not going to stand there and take it if somebody spits in your face," Trump said.

    Minnesota Attorney General Keith Ellison and the mayors of Minneapolis and St. Paul have challenged a federal immigration enforcement surge in those cities, arguing that DHS is violating constitutional protections.

    A federal judge says she won't halt enforcement operations as the lawsuit proceeds. State and local officials had sought a quick order to halt the enforcement action or limit its scope. Justice Department lawyers have called the lawsuit "legally frivolous."

    The state, particularly Minneapolis, has been on edge after federal officers fatally shot two people in the city: Renee Good on Jan. 7 and Alex Pretti on Jan. 24. Thousands of people have taken to the streets to protest the federal action in Minnesota and across the country.

    Trump's border czar, Tom Homan, has suggested the administration could reduce the number of immigration enforcement officers in Minnesota — but only if state and local officials cooperate. Trump sent Homan to Minneapolis following the killings of Good and Pretti, seeming to signal a willingness to ease tensions in Minnesota.

    The president on Saturday night said he intended to speak to Homan and Noem on Sunday and he seemed to endorse the idea of immigration agents wearing body cameras or having their interactions filmed.

    Trump was asked by a reporter if he thought it was a good thing having lots of cameras capturing incidents with law enforcement.

    "I think it would help law enforcement but I'd have to talk to them," Trump said.

    He went on and added: "That works both ways. But overall, I think it's 80% in favor of law enforcement."
    Copyright 2026 NPR

  • A potential ballot measure to fund health care
    A man holds a stethoscope to a white woman's chest.
    A newly formed coalition, Restore Healthcare for Angelenos, is asking the Los Angeles County Board of Supervisors to place a five-year, half-cent sales tax measure on the June ballot in Los Angeles County.

    Topline:

    A newly formed coalition is asking the Los Angeles County Board of Supervisors to place a five-year, half-cent sales tax measure on the June ballot in Los Angeles County.

    Why now: Facing federal funding cuts that could strip health coverage from hundreds of thousands of Angelenos, clinic leaders, union members and patients gathered in Inglewood last to boost a stop-gap proposal they want to put in front of voters: a county sales tax to stave off service cuts and keep more sick people from seeking primary care in emergency rooms.


    Facing federal funding cuts that could strip health coverage from hundreds of thousands of Angelenos, clinic leaders, union members and patients gathered in Inglewood last Wednesday to boost a stop-gap proposal they want to put in front of voters: a county sales tax to stave off service cuts and keep more sick people from seeking primary care in emergency rooms.

    A newly formed coalition, Restore Healthcare for Angelenos, is asking the Los Angeles County Board of Supervisors to place a five-year, half-cent sales tax measure on the June ballot in Los Angeles County.

    “The ballot measure that we are proposing is an urgent and necessary step to stop the damage, to protect access to life-saving care,” said Louise McCarthy, president and CEO of the Community Clinic Association of Los Angeles County, one of the organizations in the coalition. “The stakes right now could not be higher.”

    As the federal spending plan, H.R. 1, starts to take effect, Medi-Cal cuts and eligibility changes will affect millions of Californians. The state estimates it could lose tens of billions of dollars a year in federal funding.

    According to the coalition, their proposal would raise about $1 billion annually for health care in Los Angeles County. The revenue would help create a local coverage program that would pay for primary and emergency care as well as behavioral health needs for people who fall off their Medi-Cal insurance and have no other coverage options, according to the coalition. When people are uninsured, uncompensated care at clinics and hospitals grow, threatening the availability of services for everyone, coalition leaders say.

    The coalition is working with Supervisor Holly Mitchell, whose office on Wednesday presented the motion to the county — an initial step before public debate. The board is expected to vote next month; the deadline for placing a board-sponsored measure on the June ballot is March 6.

    “I do not take lightly asking fellow residents to consider imposing a ½ percent retail tax,” Mitchell said in an emailed statement. “This option is on the table because what’s at stake are safety net services unraveling for millions of residents — which would come at an even greater cost for the largest county in the nation.”

    She added that if the measure passed it would sunset on Oct. 1, 2031 and would be subject to public oversight and audits. “This is a last resort option for the times we’re facing and for voters to make the final call on,” Mitchell said.

    If the board of supervisors does not approve the measure for a June vote, the coalition will gather signatures toward qualifying the initiative for the November ballot, said Jim Mangia, CEO of St. John’s Community Health, another coalition member.

    Efforts to shore up health care access for poor Californians aren’t unique to Los Angeles. Pressure is building for state and county leaders to find new revenue streams to make up at least in part for the federal losses. In a legislative hearing Tuesday, health providers and advocates also urged state lawmakers to seek creative funding solutions.

    Last November, voters in Santa Clara County approved a tax similar to the one proposed in Los Angeles County. Santa Clara’s Measure A will raise the local sales tax by five-eights of a cent for five years. The county projects that it will provide $330 million annually for local hospitals and clinics.

    Both local proposals are separate from the push led by SEIU-United Healthcare Workers West for a one-time 5% tax on the wealth of the state’s approximately 200 billionaires, which would generate an estimated $100 billion to fund  medical care and other social services at the state level. Gov. Gavin Newsom opposes the initiative, arguing that such a tax would drive wealthy people — who pay a significant portion of the state’s income taxes — from the state. That measure has not yet qualified for the November ballot.

    Local and state tax proposals could seemingly compete for the attention of voters, since both are responses to the issue of federal funding cuts. And in L.A., voters may have to consider a number of other tax measures this election year from a city hotel tax in June to a sales tax to support the Los Angeles Fire Department in November.

    Mangia sees the tax initiatives to fund health care as complementary. He said the state tax on billionaires would help restore some of federal cuts to Medi-Cal at the state level, while the L.A County measure would help shore up the local safety net.

    “We’re doing this to make sure that no matter what happens federally, statewide, residents of L.A. County will have access to health care,” Mangia said.

    Among the most prominent changes and cuts made in Trump’s major budget reconciliation law are a new requirement for enrollees to log 80 hours per month of school, work or volunteering starting in 2027; a rule that requires people to renew coverage every six months rather than annually; restrictions on taxes that the state places on insurers to help pay for the Medi-Cal program; and a reduction in how much the feds will pay for the emergency care of non-citizens.

    State health officials estimate 2 million Californians could lose their Medi-Cal coverage over the next several years.

    Under its own growing budget pressures, the state has also rolled back coverage for certain groups. Starting earlier this month state health officials froze Medi-Cal enrollment for undocumented people — the state foots most of the cost for this group because with the exception of emergency care, federal dollars cannot be used to cover individuals who are in the country illegally. This summer the state will also cut non-emergency dental care for undocumented adults already enrolled in the program.