The Brief

Children’s Hospital of Orange County is now the latest Southern California medical provider to stop offering gender-affirming care to youth, blaming investigations and escalating actions from the federal government.

The hospital, as well as other hospitals in San Diego and Riverside counties under the Rady Children’s umbrella organization, has said that it will stop offering gender-affirming care to patients under 19 effective Feb. 6.

The decision has forced patients to scramble to find health care in a span of two weeks or risk complications from a forced withdrawal from hormone therapy.

The backlash from community members has been swift after dozens of protesters recently hit the streets outside CHOC’s hospital in Orange to rally against the decision.

CHOC said it’s making the decision under duress to preserve funding for all its patients amid proposed federal rules that would pull all Medicare and Medicaid reimbursements for hospitals that offer gender-affirming care to minors.

“This was a very difficult decision, made to ensure we can continue serving all children and families across the communities we serve,” a CHOC spokesperson said in a statement to LAist.

But parents of CHOC patients who attended a rally Saturday opposing the move said that they were not consulted by hospital leadership for the decision. Some said they would have advocated for CHOC to preserve its gender-affirming care for all patients if they were.

Security guards stood watch over the rally from the roof of an adjacent CHOC-owned building.

(

Kevin Tidmarsh/LAist

)

Haley Horton, a health care advocate who carpools to CHOC with trans youth patients, said the hospital's move was a “business decision.”

“ I know my son's nurse who's at this hospital doesn't want that happening,” Horton said. “I know the doctors at this hospital don't want this to happen.”

The background behind the decision

An ongoing concern for hospitals is the potential that their Medicaid and Medicare funding will be revoked if they offer gender-affirming care to minors.

The Centers for Medicare and Medicaid Services are currently in the middle of a public comment period for two proposed rule changes that would stop the use of federal dollars for gender-affirming care for youth, and restrict all Medicare and Medicaid funding for hospitals that provide the care.

Those rules have not taken effect and are expected to be challenged by LGBTQ+ legal rights organizations.

A CHOC spokesperson also confirmed to LAist that the U.S. Department of Health and Human Services’ inspector general’s office had launched an investigation into the hospital. Legal experts interviewed by LAist have referred to subpoenas and investigations launched by the federal government as “scare tactics,” and say that it’s possible they won’t hold up in court.

According to TransFamily Support Services, a San Diego-based organization that also protested the closure of Rady Children’s Hospital’s clinic in San Diego, the hospital system will continue to offer services like hormone replacement therapy to people 19 and older.

CHOC did not respond to a direct question from LAist asking the hospital what provisions were being made for families who now have two weeks to find another health care provider in an extremely precarious market. When Children’s Hospital Los Angeles closed its gender-affirming care clinic last July, administrators gave families a six-week off-ramp to find another provider, and many doctors wrote out prescriptions to tide people over for months.

What families are saying

Though Horton's son isn't trans, she said she has been in touch with the families she knows with trans teenagers who are patients at CHOC. She told LAist that those families did not attend the weekend rally in order to protect their mental health as they “scramble” to find alternate care.

The rally also drew turnout from elected officials and public figures, like Tustin School Board Trustee Allyson Muñiz Damikolas.

Damikolas said she came out on behalf of her kids, who are also patients at CHOC due to a complex medical condition, and to support trans youth nationwide.

Chris Kluwe, a former NFL player turned political advocate who’s running to represent Huntington Beach in the state assembly, said CHOC’s leaders were “cowardly bureaucrats who aren't willing to stand up and do the right thing” in the face of a “tyrannical federal government."

Chris Kluwe, who's running to represent Huntington Beach in the state assembly, showed up to rally against the CHOC clinic's closure.

(

Kevin Tidmarsh/LAist

)

OC LGBTQ+  groups denounce the move

“ I'm a transgender woman and I'm here to tell you that denying people this gender affirming care doesn't make gender dysphoria go away,” said Stephanie Wade, chair of Lavender Democrats of Orange County. “All it does is make it metastasize into suicidal depression. And I've been there. I dealt with this as a child. We can't take this away from kids.”

Wade pointed to studies that show that trans youth who are denied access to gender-affirming care are more likely to attempt suicide.

Stephanie Wade of Lavender Democrats was one of many local LGBTQ political leaders attending Saturday's rally.

Felicity Figueroa, the chair of the Orange County Equality Coalition, called on hospital leadership to consult with the families and doctors, especially given that the proposed federal rules have not yet taken effect.

 “They're saying it's gonna affect the other kids who aren't LGBTQ,” Figueroa said. “But are they asking the parents of the other kids if they're willing to throw their neighbor's kids under the bus just because of a [possibility]? That's the thing. They aren't listening.”

Lasting concerns 

Brit Cervantes of OCGAPNet, an advocacy organization for gender-affirming providers in Orange County, said the closure of CHOC’s clinic would likely have ripple effects that could reverberate for years.

“ There's going to be a time where we exist beyond this administration, and we will have to work to rebuild this trust with our patients after we abandon them.  That is a very long lasting impact,” Cervantes said.

Cervantes, a medical professional, said that discontinuing hormone therapy can lead to major complications akin to what menopausal women experience.

In addition to the effects on local adolescents, the rally’s organizers also pointed to what they saw as a wider-scale erosion of rights and norms under the second Trump administration. It took place on the same day that ICU nurse Alex Pretti was shot and killed by immigration agents on the streets of Minneapolis.

Speakers at the rally outside CHOC blasted the hospital leadership for capitulating to the Trump administration.

(

Kevin Tidmarsh/LAist

)

Kanan Durham, executive director of the Huntington Beach-based nonprofit Pride at the Pier, linked the closure to “blackmail, intimidation and state violence” happening at other levels of the federal government, including the actions of immigration enforcement officers in Minneapolis.

“ Suggesting that evidenced-based health care that is supported by every major institution in the Western world is medical fraud is to set a foundation where the government can decide who is allowed to have health care and who is not,” Durham said. “They are making decisions based on their own moral judgements. And if that's where they're coming from, then any American, anybody living in this country has their health care under risk.”

The backstory

Children’s Hospital Los Angeles, which was the largest provider of pediatric gender-affirming care in the country, closed its Center for Transyouth Health and Development last July, affecting even patients over 19.

That was followed by other providers who said they’d stop or pause certain types of health care for trans youth, including Kaiser Permanente’s ongoing pause of gender-affirming surgeries and certain implants for people under 19.

Advocates say these closures are making it harder and harder for trans youth in Southern California to find the care that they need.

Pride at the Pier, OCGAPNet and TransFamily Support Services are also soliciting signatures for an open letter to CHOC and Rady’s leadership asking them to reverse their decision.

To weigh in on the CMS rule changes, visit this website.

Lawmakers on Thursday killed a controversial plan that could have allowed grizzly bears to one day return to California.

The Assembly Appropriations Committee spiked Inglewood Democratic Sen. Laura Richardson’s Senate Bill 1305. The measure would have tasked the California Department of Fish and Wildlife with creating a “roadmap that evaluates whether, and under what conditions, reintroduction of the grizzly bear is feasible and advisable.”

As is typical with the Legislature’s appropriations committees, lawmakers didn’t discuss the bill; nor did they take public testimony before the committee’s chairperson, Democratic Assemblymember Buffy Wicks of Oakland, announced the decision.

Wicks later told reporters that before intentionally reintroducing grizzly bears, the state must figure out how humans can best coexist with predatory wildlife. She pointed to the controversial return of gray wolves to California and the subsequent loss of cattle.

“The state needs to really invest in how we are actually addressing and dealing with those conflicts,” she said.

Grizzlies once lived across most of California. As many as 10,000 may have roamed before the Gold Rush. They were so prevalent that when California settlers tried to form their own nation, they called it the Bear Flag Republic. A grizzly bear is memorialized on California’s flag.

Settlers systematically exterminated the animals. They were gone by the 1920s, leaving the smaller black bear as California’s only surviving native bear species.

Two Native American tribes consponsored the bill, and several animal welfare and environmental groups supported it. They argued that bringing the second largest land predator back to America’s most populated state would right an ecological wrong and help restore California’s degraded ecosystem.

Opponents included ranchers, hunting associations and rural communities. They argued California is far too populated with people to sustain another apex predator. Rural communities are already overwhelmed with conflicts with mountain lions, black bears and wolves that attack livestock and wander into their towns, opponents said.

The measure set aside no funding for the study, but it allowed for a future Legislature or an outside group to do so.

Yue Stella Yu contributed reporting.

Irvine opened a new pedestrian bridge this week that lets you pedal, scoot, or walk over the 5 Freeway.

I threw my bike in the car and went to check it out.

I parked at Cypress Community Park in Irvine and was soon biking over the 5. The bridge is only for pedestrians, bikes, and scooters — so no cars to worry about.

A new bridge in Irvine opened this week. It stretches across the 5 Freeway and connects to other trails in the city.

(

Jill Replogle

/

LAist

)

The bridge, which opened on Aug. 11, is a key link in Orange County’s network of trails that can take cyclists and pedestrians all the way from the hills to the Pacific Ocean.

“It looks like they nailed it. This is great," said James Connolly, who was on a scouting trip from his home in Costa Mesa.

“ I wanna take my e-board, which can go about 30 miles, and go all the way to here and then turn around and go back, you know? It looks like that's feasible now," he continued.

The new bridge in Irvine opened this week.

(

Jill Replogle

/

LAist

)

Sadia Kahn was trying to keep up with her two young boys, who were on scooters.

“ It's our first time here. We've been watching the construction for a while, so yeah, we're excited," she said.

Khan said she has come to really appreciate Irvine's network of parks and trails.

“Prior to having kids, it would just give me like the heebie-jeebies by how like manicured it is and then you have kids and you're like, "Oh, I get the hype," she said. "We've drank the Kool-Aid is what I'm trying to say.” 

There’re plenty of skate parks in the region — skateboarding, after all, got its start in Southern California. But a skate park of another kind has risen on the banks of the L.A. River.

It’s for fingerboarding.

The L.A. River Fingerboard Skatepark is four feet tall and sits atop a bank of dirt barriers installed by the Army Corps of Engineers about a decade ago to control floods.

The view from the back end of the L.A. River Fingerboard Skatepark.

(

Dañiel Martinez

/

LAist

)

If you know, you know

There’s no exact address, finding it for yourself is part of the experience.

A group photo of fingerboarders at the the L.A. River Fingerboard Skatepark.

(

Ryan Diaz

/

Ryan Diaz

)

“ The whole purpose of it is for you to get out and to use your brain and to discover the world, it just makes things fun,” said Ryan Diaz, who manages social media accounts dedicated to the fingerboard skatepark.

No one knows who built it or when it was built, but videos of people doing tricks on miniature ramps and rails started showing up on social media in March.

Diaz instantly recognized the location and decided to check it out. At that time, it was six by six feet — that’s before he started to add to it.

Others joined in and Diaz began documenting the expansion.

The park is about 90 feet long.

“Everyone does say if it wasn't for me, none of this would be happening,” Diaz said. “I was just happy to motivate people, bring out their creativity.”

Skate therapy

Levi Hernandez and his fingerboard.

Levi Hernandez performs a trick with his fingerboard.

(

Dañiel Martinez

/

LAist

)

Levi Hernandez shows off his fingerboard.

(

Dañiel Martinez

/

LAist

)

Levi Hernandez is from El Monte. It was his fourth time visiting on a recent Wednesday in July, but he’s been fingerboarding for nearly a decade, including at local events like ShredderMania.

He said he’s learning something new at the park.

“ It actually almost feels like real skateboarding in a way," Hernandez said. "Where your fingers end up sliding and where you're popping, it's just a lot of practice.”

Jimmy Tran of Chinatown is a regular that stops by the park on his way home from work every day. He used to skateboard – the real kind – regularly but had to stop after a bad injury.

Jimmy Tran performs a trick with his fingerboard.

(

Dañiel Martinez

/

LAist

)

“ I could do the same tricks as skateboarding, but I don't have to get hurt at all, honestly. And I still have the satisfaction of landing a really clean trick,” Tran said.

Tran says it’s a place he can relax, be himself, and feel like a kid again.

Saturdays are for building

Gilbert Medrano (left) and Ryan Diaz (right) co-manages the park.

(

Ryan Diaz

/

Ryan Diaz

)

Build days to expand the park are on Saturdays.

“We have kids that come from the neighborhood, and we teach them how to pour concrete and stuff like that, kind of like a big brother role,” Diaz said.

Besides the usual skatepark obstacles like ramps and rails, the crew also add art, including a large “LA” sign in Dodger Blue and requisite graffiti like the shark Diaz painted as a tribute to Jaws on a quarter pipe ramp.

Darren Mojica performs a trick on the quarter pipe ramp.

(

Dañiel Martinez

/

LAist

)

Diaz’s dream is for the park to be recognized by the city as a local landmark.

“I want the spot to last, and for years to come for people to come and visit,” Diaz said.

Saturday build days include decorating the park with graffiti and art.

(

Dañiel Martinez

/

LAist

)

A hardware store isn't where you’d expect to find a drawing class, a matcha pop-up or plant sales. Unless you're at Anzen Hardware, an 80-year-old staple that nearly disappeared from Little Tokyo in 2023.

The business reopened in November, and it’s been trying to find its groove in a neighborhood where legacy businesses are moving out — such as Suehiro Cafe and Rafu Shimpo — while navigating a different world from when it first opened.

“We're noticing the need for hardware tools is declining,” said Philip Hirose.

Jo Ann Maehara Hirose, along with her son Philip Hirose, are the new owners of Anzen Hardware. They are also the daughter and grandson of the founder.

(

Fiona Ng

/

LAist

)

Philip Hirose is bringing new programming, from matcha pop-ups to drawing classes, to the reopened Anzen.

(

Fiona Ng

/

LAist

)

Hirose and his mom, Jo Ann Maehara Hirose, are the new owners — the grandson and daughter of the founder. With the help of trusted family friend Rockett Ito Wong, Anzen is carrying on its legacy as it becomes something new.

"None of the three of us have that much experience with running retail stores," said Wong, a college student. "It's been quite a bit of trial and error."

Eight decades on First Street

Tsutomu Maehara opened Anzen Hotel Supply, a precursor to Anzen Hardware, after being incarcerated at Tule Lake during World War II.

(

Fiona Ng

/

LAist

)

Tsutomu Maehara — Jo Ann Maehara Hirose’s father — settled in Los Angeles after being incarcerated at Tule Lake during World War II.

In 1946, he founded Anzen Hotel Supply on First Street to sell provisions to nearby single-room hotels.

Anzen Hardware from its early days in Little Tokyo.

(

Fiona Ng

/

LAist

)

"As soon as I could hold a broom, we were sweeping the streets or the sidewalks outside," Maehara Hirose said.

Anzen eventually pivoted to selling American hardware and imported Japanese tools and goods — including bamboo garden rakes and handcrafted knives from a company that once made samurai swords.

Twenty-year-old Rockett Ito Wong is a longtime family friend and runs the floor.

(

Fiona Ng

/

LAist

)

“It's always a discovery,” said Mike Okamura, president of the Little Tokyo Historical Society and a patron since Maehara was behind the cash register.

Maehara Hirose remembered Anzen imported one of the first rice cookers from Japan. “A National. That one-button one,” she said. “They were flying off the shelves.”

These days, tariffs are making it harder to keep and find suppliers. Still, Wong has just brought in a shipment of knives and chisels.

“I don't even think it's been a question that we would source any of this stuff not from Japan,” he said.

The shop still sharpens knives. In fact, Wong is the guy responsible for the job.

A reluctant homecoming

In 2023, then-owner Nori Takatani, a distant relative of Maehara who had worked at Anzen since he was a teen, put the store up for sale. He was in ill health and asked Maehara Hirose and her husband to take over.

She was hesitant, having opened the restaurant Azay several years earlier. She worried about taking on a second business. Besides, there were two prospective buyers, both invested in preserving Anzen's legacy.

But one day, Takatani told her the deals fell through because the landlord was jacking up rent.

Wong was able to find a new supplier from Japan for an order of new wood chisels.

(

Fiona Ng

/

LAist

)

“You gotta buy it,” he told her.

Anzen Hardware returned two years later at one of its previous locations, 200 E. First Street.

“It was great news and great joy,” Okamura said when the community found out who the new owners were.

More than a hardware store 

On a July evening, about a dozen people, pencils and paper in hand, were at Anzen to learn how to draw.

Their subjects were Patty and Carrie — friends in their 70s — who ended up regaling the participants, some decades younger, with stories of their lives and community advocacy work.

The “Memory Capsule Drawing” class was taught by Kris Chau, an artist and loyal patron. She still brings in the knife she bought a decade ago for sharpening.

In July, Philip and artist Kris Chau organized a drawing class at Anzen Hardware. The models were two 70-something community activists.

(

Kris Chau

/

Courtesy Kris Chau

)

She said she was inspired to start the drawing class after Hirose said he was noticing that some elders were losing confidence and purpose.

"Even though you could see the light within Carrie and Patty, they were like, 'Why would anybody wanna draw us?'" Chau said. "The young students were just, like, in tears at the end of class."

That, along with the store’s matcha pop-ups, plant sales and artist collaborations, may just be what a legacy neighborhood business needs to survive.

“Philip [Hirose] is taking it forward, but keeping in mind the history and paying tribute to it,” said Okamura, who has been helping out at both Anzen and Azay since he retired as a banker.

“I see the old Anzen — the same counters and some of the hardware too,” he continued. “But then I see other things — the programming inside the store, which has never been done before.”