The Brief

The director of California’s mental health commission traveled to London this summer courtesy of a state vendor while he was helping to prevent a $360 million budget cut that would have defunded the company’s contract.

Emails and calendars reviewed by California Healthline show Toby Ewing, executive director of the Mental Health Services Oversight and Accountability Commission, made efforts to protect funding for Kooth, a London-based digital mental health company the state hired to develop a virtual tool to help tackle its youth mental health crisis. Ewing pressed key legislative staffers to maintain its contract, even as Democratic Gov. Gavin Newsom and lawmakers proposed cuts in the face of California’s $45 billion deficit.

When Ewing and three commissioners — Mara Madrigal-Weiss, the commission chair; Bill Brown; and Steve Carnevale — left for London in June, Ewing wasn’t sure whether he had saved Kooth’s funding. On the second day of their trip, staff informed him that lawmakers had restored the money.

A few days later, he emailed Kooth Chief Operating Officer Kate Newhouse suggestions he had shared with Assembly and Senate staff to improve Kooth’s youth teletherapy app. “We expect you to be involved in whatever we dream up,” Ewing wrote to Newhouse in another email.

It’s unclear why Kooth picked up a $15,000 tab for state officials to travel to London. It’s also unclear why Ewing pushed to protect its app from a spending cut. The commission is a 16-member independent body appointed by various elected officials to help ensure funds from a millionaires tax are used appropriately and effectively by counties for mental health services. Kooth’s contract is with the Department of Health Care Services, which is separate from the commission.

Kooth last year signed a four-year $271 million contract to create Soluna, a free mental health app for California users ages 13 to 25. The app, along with another, by the company Brightline, for younger users, launched in January to fill a need for young Californians and their families to access professional telehealth free of charge. It’s one component of Newsom’s $4.7 billion youth mental health plan.

Ewing, who reports to the commission, started in 2015 and earned $175,026 in 2023, according to The Sacramento Bee. He was placed on paid administrative leave in September pending an investigation. Commission chief counsel Sandra Gallardo said the commission does not comment on personnel matters. Ewing did not respond to requests for comment.

Three commission employees filed whistleblower complaints against Ewing in September with the California State Auditor. They spoke with California Healthline on the condition that their names not be used due to fears of workplace retaliation. They say Ewing’s conduct advancing a private company’s agenda as a public official crossed a line.

The agenda for Thursday’s commission meeting listed a personnel matter to be discussed in closed session. The whistleblowers said Ewing is the subject of the discussion.

Madrigal-Weiss said she couldn’t comment on Ewing’s actions. However, she said the commission supports virtual mental health resources for youth.

“These resources are less expensive and have proven valuable for youth, especially those who struggle to access services in typical brick-and-mortar spaces,” said Madrigal-Weiss, who is also executive director of student wellness and school culture for the San Diego County Office of Education.

Brown and Carnevale didn’t respond to requests for comment.

Kooth is committed to advancing youth access to behavioral health services, said Caroline Curran, of Metis Communications, a public relations firm representing Kooth.

“As a leader in youth behavioral health services with over 20 years of experience in the United Kingdom and the United States, we regularly convene sector-leading organizations to facilitate learning through sharing expertise and diverse perspectives on youth behavioral health,” Curran said.

As California Healthline reported in April, the Kooth and Brightline app rollouts have been slow, with few children using them. In May, Newsom proposed a $140 million budget cut. DHCS Director Michelle Baass said in a hearing that it was due to low use, but the state expects more users to come on board over time.

She told lawmakers on May 16 that roughly 20,000 of the state’s more than 12.6 million children and young adults had registered on the apps, and they had been used for only about 2,800 coaching sessions.

State Sen. Caroline Menjivar (D-Van Nuys) asked Baass at the hearing whether “there’s room to get out” of the contract altogether. Senators later voted unanimously to cut the entire platform budget to save the state $360 million.

Ewing texted a colleague on June 3: “Kooth is freaking out. Is the cut coming from the Admin or the Leg.? Do we know if it’s a done deal?”

State lobbying records show Kooth has paid around $100,000 this year to the firm Capital Advocacy. At the same time, Ewing’s emails and calendars show that he pushed for Kooth’s funding to be retained. For instance, his June 4 calendar shows he was scheduled to meet with Laura Tully, an executive from Kooth USA, at a coffee shop near the Capitol.

The next day, a whistleblower said, Ewing met with key Senate staff members: Scott Ogus, deputy staff director of the Senate Budget and Fiscal Review Committee, and Marjorie Swartz, a consultant for Senate President Pro Tempore Mike McGuire. They said Ewing also discussed Kooth’s contract that week with Rosielyn Pulmano, a health policy consultant for Assembly Speaker Robert Rivas.

“Toby kept saying that ‘California has to have a digital strategy,’” recalled the whistleblower, who attended both meetings. “He kept pushing Marjorie and Scott, saying that he would give them ideas to make the platform better.”

Ewing emailed ideas to the legislative aides on June 10 and 12.

About two weeks later, he and the commissioners left for the seven-day trip to the U.K. According to documents filed with the state Fair Political Practices Commission, receipts, and emails reviewed by California Healthline, Kooth covered the costs of four-star hotels, meals, train tickets, and international flights.

Public disclosure forms show Kooth paid expenses for Ewing, Madrigal-Weiss, and Brown. The forms do not show the company paid for Carnevale’s travel.

Under California law, state officials generally must report travel payments to the FPPC, which Ewing and his fellow commissioners did.

Kooth postponed a mental health investment conference in London in June, emails and documents show, but then organized new events for the California commissioners to attend instead.

On May 23, Newhouse informed Carnevale and Ewing in an email that Kooth needed to postpone the planned June event. Carnevale, a venture capitalist, described the news as “disappointing for all,” especially “because we have already booked trips, including family members of Commissioners who were planning to turn this into a holiday.”

Acknowledging the disruption, Newhouse told Carnevale that she “would like to think creatively as to whether we could try to arrange a meeting where you can talk about the CYBHI,” referring to Newsom’s Children and Youth Behavioral Health Initiative.

“I know though from our conversation that we need to cover the ‘purpose’ of your trip and not sure what is possible or not,” she wrote.

Curran, the Kooth spokesperson, said the company “adapted by holding a knowledge exchange between representatives from international policy institutes, research foundations, and non-profit organizations.”

Madrigal-Weiss defended the trip, which she said included meetings with “members of the government, service providers, education, and finance” who shared ideas on how “to enhance funds for public mental health needs” through private and philanthropic partnerships.

One of the whistleblowers said many of the commissioners back in California were not aware of the trip until their colleagues were halfway across the world. Sami Gallegos, a spokesperson for the California Health and Human Services Agency, said the Department of Health Care Services did not participate in the travel.

Ewing was put on leave before Kooth’s rescheduled conference this month in London.

Although it’s not unusual for state officials to travel overseas — often on the dime of private entities — it doesn’t look good, said Sean McMorris, a government ethics expert with California Common Cause, a nonprofit government watchdog group.

“It looks like undue influence,” McMorris said. “I think a lot of people would view something like this as a way to curry favor. You can connect the dots.”

Kooth has similarly gifted travel to state officials in Pennsylvania, where it had a $3 million contract with 30 school districts. In each case, Kooth invited the officials to speak to highlight their work. Pennsylvania has informed Kooth it intends to terminate the contract.

Local election officials across California are confused and frustrated after receiving letters from President Donald Trump’s Justice Department demanding that county registrars sequester ballots that the federal government believes were sent to noncitizen voters ahead of the midterm elections.

The letters, which were sent on Friday, ask for sensitive information, including Social Security numbers, on roughly 20,000 voters. It is illegal for noncitizens to register to vote or cast a ballot. The administration has insisted that immigrants voting is a major problem nationwide, when in fact it is quite rare, as even its own investigations have shown.

“All of this is simply meant to raise huge doubts about the integrity of this election,” said John Tuteur, the registrar of voters for Napa County in California’s wine country.

Tuteur and other election officials who spoke to The Associated Press on Saturday said they have already started to count ballots that have trickled in from the state’s 23 million registered voters.

“We’re not changing anything we’re doing. We’re proceeding with the election,” he said.

The federal government set a 48-hour deadline to provide information, and it warned that legal action could be taken against any official who knowingly counted a noncitizen’s vote.

However, the California attorney general’s office said the letters contained errors. For example, Mendocino County officials received a list of people who were not residents there, according to the state’s court filing.

The letters are the latest escalation in a legal battle between Democratic-dominated California and Trump’s Department of Justice ahead of the midterms. The federal government sued on Oct. 15, roughly three weeks before elections, asking a judge to bar the state from counting mail-in ballots from people the federal government has identified as likely noncitizens. A panel of 9th Circuit appeals court judges will hear arguments on Sunday about whether California can be compelled to comply with the federal government’s demands.

Some clerks say they will proceed with counting ballots

Tuteur said that two uniformed Department of Homeland Security officers delivered a letter to his office late on Friday afternoon. The letter included the names of 42 people who the federal government accused of being noncitizens illegally registered to vote. There are roughly 86,000 people registered to vote across the county of over 130,000 people, Tuteur said. Approximately 11,000 people had already cast a mail-in ballot as of Friday. In larger counties like Los Angeles, that number has already reached over 331,000 counted mail-in votes.

He said his employees and his relatives were worried about what could come next.

“My family’s upset, worried about what’s going to happen to me,” he said.

The letter sent to Clerk-Recorder Kim Grady’s office in rural Amador County listed four people allegedly illegally registered to vote in the county. Grady was waiting on more guidance from the state about what she should do, and she wasn’t sure if she would get any clarity before the deadline.

DOJ threatens to prosecute

Department of Justice spokeswoman Kiersten Pels emphasized in a statement on Saturday that the department is explicitly “not requesting a purge, cancellation of registrations, or any programmatic action.”

Instead, Pels wrote, federal officials are asking for collaboration to “ensure the most secure election in California history.”

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

Bill Essayli, the top federal prosecutor in Los Angeles, said that the clerks who didn’t comply with the government’s demands could face prosecution as well.

“The letters speak for themselves. Any election official who knowingly processes the ballot of a noncitizen is opening themselves to legal jeopardy,” Essayli said in a statement.

Noncitizen voting is very rare. For example, earlier this month Attorney General Todd Blanche announced federal charges against 10 people in Minnesota alleged to have voted illegally over the last three elections, a period in which more than 8 million ballots were cast in the state.

But Essayli said on Monday that even a small number of illegal voters could “dilute” the vote and undermine confidence in elections.

Concerns about the accuracy of federal data

Some election officials who spoke to The Associated Press on Saturday have questioned the accuracy of the federal government’s list of 20,000 voters.

“I expect this accusation to fall apart like we saw recently in Nevada,” Kristin B. Connelly, the Contra Costa County clerk-recorder and registrar of voters said, referring to remarks Trump made in July, when he claimed the neighboring state had 1,500 noncitizen voters on its rolls. After his administration was asked to identify them, the number of actual registered noncitizens turned out to be zero.

Officials in Los Angeles County, who are named as defendants in the federal lawsuit, have echoed Connelly’s concerns about the federal government’s data. A preliminary analysis of 200 names from the statewide list of 20,000 found that over 40% had canceled registrations, according to a court filing from county officials on Wednesday. More than 70% of that sample had no voting history whatsoever, and nearly 4 in 10 were born in the United States.

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

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

His father then comforted him.

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

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

Signed Cabinet Card Photograph of Houdini in Chains.

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Connolly Collection courtesy Potter & Potter Auctions.

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

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

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

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

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

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

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

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

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

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Courtesy Kevin Connolly

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

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

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

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

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

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(Jillian Goodman/Los Angelistas)

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Exploring LA’s spooky side

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

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

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

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

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(Jillian Goodman/Los Angelistas)

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Building friendship beyond the walks

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

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

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

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

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

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

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

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

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

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

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

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

Who is affected

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

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

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

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

What happens next

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

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

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

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

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

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

How and where to find help

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

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

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

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