Lourdes Bernis, a community health worker who teaches about depression and anxiety, leads a discussion on Latino health issues during a neighborhood association meeting.
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Elisa Ferrari
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Topline:
A statewide initiative to formalize the role of community health workers and expand their ranks was meant to improve the health of underserved communities, particularly Hispanic populations, who often experience higher rates of chronic illnesses. But years in, California has abandoned a certification program and rescinded public support.
The backstory: California looked to professionalize thousands of community health workers to improve the health of immigrant populations, particularly Hispanic residents. In 2019, the state set out to standardize training and certification, integrate these workers into the health care workforce, and provide fair wages, including reimbursements through Medi-Cal compensate for work that traditionally has been done on a volunteer basis or for low pay.
Initiatives unrealized: But six years in, California has backed out of many of those initiatives. Although Medi-Cal began covering their services, participating health plans set uneven billing requirements, making it difficult for workers to get reimbursed. And the state didn’t follow through on a planned pay raise. With federal funding cuts just passed and President Donald Trump targeting immigrants for deportation — even sharing personal Medicaid data with the Department of Homeland Security — advocates fear California is abandoning its health equity initiative for immigrants, people of color, and people with low incomes when they say that effort is needed most.
Fortina Hernández is called “the one who knows it all.”
For more than two decades, the community health worker has supported hundreds of families throughout southeast Los Angeles by helping them sign up for food assistance, sharing information about affordable health coverage, and managing medications for their chronic illnesses. She’s guided by the expression “an ounce of prevention is worth a pound of cure.”
But she makes only around $20 an hour from a community health organization and must hold down a second job to make ends meet. “They pay us very little and expect too much,” she said in Spanish. "We build trust. We offer support. We’re the shoulder people rely on, but we don't get fair wages."
California looked to professionalize thousands of community health workers such as Hernández to improve the health of immigrant populations, particularly Hispanic residents, who often experience higher rates of chronic diseases, are more likely to be uninsured, and face more cultural and linguistic barriers when trying to access services. Studies show their work may reduce hospitalizations as well as emergency room and urgent care visits.
The state hewed closely to a series of expert recommendations put out in 2019 to standardize training and certification, integrate these workers into the health care workforce, and provide fair wages, including reimbursements through Medi-Cal, the state’s Medicaid health insurance program, to compensate for work that traditionally has been done on a volunteer basis or for low pay. But six years in, California has backed out of many of those initiatives.
The state has eliminated a certification program and rolled back nearly all funding to train and expand this workforce even though it set a goal of 25,000 workers by this year. Although Medi-Cal began covering their services, participating health plans set uneven billing requirements, making it difficult for workers to get reimbursed. And the state didn’t follow through on a planned pay raise.
With federal funding cuts just passed and President Donald Trump targeting immigrants for deportation — even sharing personal Medicaid data with the Department of Homeland Security — advocates fear California is abandoning its health equity initiative for immigrants, people of color, and people with low incomes when they say that effort is needed most.
“We're in a very dire situation right now,” said Cary Sanders, senior policy director for the California Pan-Ethnic Health Network, a statewide health equity advocacy group.
A spokesperson for Gov. Gavin Newsom, Elana Ross, said “the state has taken difficult but necessary steps to ensure fiscal stability” and that the administration continues to have a dialogue with community health workers. Ross added that the Democratic governor, a potential presidential candidate, remains committed to defending immigrants being targeted by the Trump administration.
‘Our office is on the street’
Lourdes Bernis (left) chats with a resident about Latino health issues. Bernis is a community health worker, or promotora, who helps people manage chronic illnesses, connects them to social services, and promotes healthy lifestyles.
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Elisa Ferrari
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There are more than 60,000 community health workers nationwide, including roughly 9,200 in California, and this workforce is projected to grow 13% over the next decade, three times as fast as for all occupations, according to 2024 data from the U.S Bureau of Labor Statistics. But experts say these numbers are an undercount given the various titles community health workers hold and that many work outside of health care and governmental institutions.
Community health worker is an umbrella term that includes peer supporters and community health representatives. These workers, often known as promotores, tend to be women who work in clinics, hospitals, public health departments, and local nonprofits, places where they are trusted and have a grasp of their community’s most pressing health needs.
Besides helping people manage chronic illnesses such as heart disease and diabetes, they promote reproductive health, children’s health, and oral hygiene, and they help seniors with dementia prevent injuries and review medications. They can make people feel safe when reporting domestic violence and other abuses. They also connect people to housing and food assistance. "The community health worker is not sitting at a desk," Hernández said. "Our office is on the street."
Back in 2019, the California Future Health Workforce Commission recommended integrating community health workers into the health care system, and in 2022, the state authorized $281 million over three years for the California Department of Health Care Access and Information, which oversees health care workforce development, to recruit, train, and certify them.
The agency sought to standardize training and certification, but some community groups feared that would create barriers to entry by not giving enough credit for lived experiences and cultural competency. But just as the agency offered more flexibility and allowed community-based training, the state slashed $250 million in funding last year due to budget constraints. This year, the certification program was officially eliminated.
Spokesperson Andrew DiLuccia said the agency is now considering a program to accredit community organizations rather than individual workers and plans to spend its remaining $12 million on technical assistance, workforce development, and salaries for those working with immigrant communities.
According to the National Academy for State Health Policy, 32 other states offer a voluntary or mandatory community health worker certification program.
Some community health advocates say California’s missing an opportunity to carve a career path for this workforce. Currently, some courses offered by nonprofits, counties, and colleges require a fee, a degree, English fluency, or prior experience. Most are concentrated in the San Francisco or Los Angeles area, leaving training deserts in much of the state.
Lourdes Bernis received training that allowed her to move into a full-time role with the Los Angeles County Department of Mental Health. She says many community health workers remain stuck in low-paying positions and can’t afford training to advance.
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Elisa Ferrari for KFF Health News
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Lourdes Bernis, a dentist from Ecuador, is a model for how community health workers could be integrated into the health care system. She began as a volunteer promotora more than a decade ago and in 2019 received free training from Los Angeles County, allowing her to move into a full-time job with benefits for the county’s Department of Mental Health to help Spanish-speaking women manage depression and anxiety as they recover from drug use.
Bernis now plans to become a peer-to-peer support specialist inside hospitals and clinics. Meanwhile, many of her colleagues with decades of experience remain stuck in low-paying roles and can’t afford training to advance. “There are promotoras who have 20 to 25 years of experience, but they are still volunteering,” Bernis said in Spanish.
Medi-Cal's role
To pay community health workers, Medi-Cal began covering their services in July 2022, but California suspended a planned pay increase for them after voters approved Proposition 35, which hiked the pay of physicians, hospitals, community clinics, and other providers instead. Since then, the state has yet to establish a uniform system for how health plans should contract with organizations that employ community health workers.
“We have to jump through hoops,” said Maria Lemus, executive director at Visión y Compromiso, a Los Angeles-based nonprofit representing community health workers. “It just causes havoc, because each plan could have different requirements.”
Lemus said it took the organization nearly six months to establish payment with one health plan.
And though Medi-Cal reimbursements are tied to individual tasks, ranging from $9.46 to $27.54 for 30 minutes of work, advocates say they aren’t fully compensated for the time they spend building trust and following up with patients. Advocates say these workers should earn at least $30 a visit, with benefits, but many earn about $21 an hour, often without benefits.
Advocates say they’re surprised by how infrequently these services are used in a program with 15 million Californians. More than 16,000 Medi-Cal enrollees used these services in the first year, rising to 68,000 last year, according to state data. “I don't think it's reached the potential that the governor talked about, and that we all imagined that it could possibly achieve,” Sanders said.
Griselda Melgoza, a spokesperson for the California Department of Health Care Services, said the agency, which administers Medi-Cal, has seen “a steady, upward trend” and believes the data underestimates utilization because the benefit is sometimes bundled with other services.
A proposal to assess whether Medi-Cal managed care plans are doing enough outreach and education to enrollees about community health services died this year.
More crucial than ever
With health funding cuts from the Trump administration and passage of the GOP’s tax and spending legislation, advocates fear there will be even less funding and support for community health worker positions, shrinking a workforce tackling health disparities. Already, Fresno County’s Department of Public Health said it has cut its community health workers by more than half, from 49 positions to 20.
Yet, outreach is more crucial than ever. As the Trump administration continues immigration raids, which appear to have targeted at least one health clinic in the state, advocates and policy researchers say community health workers could act as intermediaries for immigrant patients afraid to seek medical care in hospitals and clinics.
Without a state certification program, no raises, and dwindling training funds, the path to professionalizing community health workers is unclear, leaving workers feeling left behind.
"The community trusts me,” said Hernández, the veteran community health worker, “but at the government level, there’s still a long way to go before this work is valued and fairly compensated."
This article was produced by KFF Health News, a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF — the independent source for health policy research, polling, and journalism. KFF Health News is the publisher of California Healthline, an editorially independent service of the California Health Care Foundation.
KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF—an independent source of health policy research, polling, and journalism. Learn more about KFF.
Adolfo Guzman-Lopez
is an arts and general assignment reporter on LAist's Explore LA team.
Published May 19, 2026 5:53 PM
A man casts his ballot during early voting
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Jeff Kowalsky
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Getty Images
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Topline:
Write-in candidates in Southern California are no joke. Election officials require them to qualify. While many are already in, Tuesday is the deadline to be considered. The full list will be released to the public Friday.
The rules: The city of L.A. requires write-in candidates to file a form and pay $300 or submit 500 valid signatures, while other cities may not require anything except paperwork. Qualified candidate names are sent to county election officials and will post the information Friday for voters.
Some write-in candidates: As of 3 p.m. Tuesday, the L.A. County Registrar of Voters listed 20 write-in candidates who filed in California for a wide range of races, from state Assembly and state Senate to governor. Of the 20, 11 filed as write-ins for the governor’s race.
Why it matters: Most write-in campaigns are a long shot but some have won: Lisa Murkowski won an Alaska U.S. Senate seat in 2010; Washington, D.C., Mayor Anthony Williams was reelected in 2002.
Who gets counted: Only votes for qualified write-in candidates are counted and certified. Sorry, Mickey Mouse and George Washington.
What's next:Here’s the current list of qualified write-in candidates in L.A. County. Checking the box that says Show only Write In Records will show you write-in candidates. Orange County election officials say they have no write-in candidates.
Matthew Ballinger
is the senior editor for climate and environment coverage at LAist.
Updated May 19, 2026 5:56 PM
Published May 19, 2026 4:02 PM
A fire on Santa Rosa Island has been burning since May 15, 2015. The island is seen here in 1997.
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Carlos Chavez
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Los Angeles Times via Getty Images
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Topline:
Several fires are burning across Southern California, with some destroying structures, threatening homes and charring pristine landscapes.
Where are the fires? A large fire is burning on Santa Rosa Island in Channel Islands National Park. A fire in Simi Valley has destroyed one home and led to multiple evacuation alerts. Two fires are in Riverside County, and a small fire is in the San Gabriel Mountains.
The forecast: Warm weather and Santa Ana wind conditions have hampered firefighting efforts and are expected to continue through Wednesday this week.
Read on ... for details about the Sandy Fire, Santa Rosa Island Fire and others.
Several fires are burning across Southern California, with some destroying structures, threatening homes and charring pristine landscapes.
Warm weather and Santa Ana wind conditions have hampered firefighting efforts and are expected to continue through Wednesday this week. The National Weather Service forecasts cooler weather and "May gray" through the weekend.
Here's a roundup of some of the fires burning now.
(All dates refer to today, Tuesday, May 19, unless otherwise noted)
The fire is burning in Channel Island National Park territory. Firefighters traveled by boat with their equipment to get to the island, according to news reports. The island is home to rare and endangered plants and animals.
CalFire reported about 2:40 p.m. Tuesday that lessening winds allowed "firefighters to take full advantage of improved weather to strengthen containment lines and continue aggressive suppression efforts. Crews remain actively engaged both on the ground and in the air to gain additional containment and keep the fire within its current perimeter."
The fire started Monday in the southern part of Simi Valley. It eventually spread eastward toward L.A. County communities in the San Fernando Valley, but overnight conditions were favorable to firefighters, CalFire said. Several communities were under evacuation orders and warnings, and schools in the area were closed.
The fire was first reported around noon Tuesday, according to CalFire, near Jurupa Valley (east of the 15 Freeway and south of the 60). CBS News Los Angeles reported that four people have been injured.
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Frank Stoltze
is a veteran reporter who covers local politics and examines how democracy is and, at times, is not working.
Published May 19, 2026 3:42 PM
Supervisor Lindsey Horvath sponsored the motion to create an L.A. County Ethics Commission.
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Screenshot via YouTube broadcast of L.A. County Board of Supervisors meeting.
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Topline:
Citing a desire to prevent corruption within county government, the Board of Supervisors on Tuesday established Los Angeles County’s first ethics commission.
The backstory: In 2024, voters approved Measure G, which called for the creation of an Ethics Commission and Office of Ethics Compliance. The measure came amid a series of corruption cases at L.A. City Hall but calls for reform spilled over into the county government.
The details: The motion by Supervisor Lindsey Horvath and approved by the board Tuesday directs county departments to begin establishing the operational, staffing and legal infrastructure necessary to launch the commission in this year. It also directs staff to prepare a charter amendment for voter consideration on the November ballot to enshrine the commission in the charter.
Composition: Supervisors voted for a plan that calls for a seven-member commission. Initially, the chair of the Board of Supervisors, the county assessor and the Governance Reform Task Force would each appoint a commissioner, filling three spots. Those appointees would then select the remaining four members from a pool of applicants.
Opposition: Supervisor Janice Hahn supported the overall motion but opposed the composition of the commission, saying too many members were to be appointed by elected officials — the same people the panel would be charged with watchdogging.
History: The county has had its own campaign, lobbying and ethics laws on the books for years, but they were enforced by ethics officers in various departments. The latest proposal calls for a 54-member ethics office to enforce those laws and for the commission to impose fines if they are violated.
Students walk past a sign for a campus financial aid office Dec. 8, 2017.
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Lea Suzuki
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Getty Images
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Topline:
After a spike in fraudulent applications to California’s community colleges, school officials say they are getting better at detecting and preventing fraud, though it still happens.
Why it matters: Between January and March 2025, scammers stole nearly $5.6 million in federal student aid and over $900,000 in state aid. By comparison, this spring colleges have reported losing just under $1.5 million in federal student aid and about $330,000 in state aid to fraudsters. Last spring was “really the peak,” Hadsell said. He said he anticipates the end-of-year total in 2026 to be “significantly lower” than last year.
The backstory: Last spring, CalMatters reported that colleges were seeing unprecedented reports of fraud, with scammers stealing millions more dollars of student aid than in any previous period, according to reports submitted by colleges to California’s Community Colleges Chancellor’s Office.
Read on... for more on how community colleges in the state are cracking down on financial aid fraud.
This story was originally published by CalMatters. Sign up for their newsletters.
California’s community colleges have been battling fraudulent students for years, trying to prevent scammers from stealing financial aid money.
Recent data shows the colleges’ efforts finally may be working.
Last spring, CalMatters reported that colleges were seeing unprecedented reports of fraud, with scammers stealing millions more dollars of student aid than in any previous period, according to reports submitted by colleges to California’s Community Colleges Chancellor’s Office.
Now fewer scammers are bypassing colleges’ vetting systems, according to monthly reports, and school administrators say they’re better, though still not perfect, at detecting and preventing fraud.
After CalMatters reported on the rise in fraud last year, Republican U.S. Congress members called for a federal investigation, a Democratic state legislator launched a state audit and later, California’s Community Colleges Chancellor’s Office approved a new ID verification policy for students. Colleges now are more vigilant about policing fraud, said Jory Hadsell, an executive in technology initiatives for the chancellor’s office, who pointed to better filtering practices and new software to detect fraud.
Between January and March 2025, scammers stole nearly $5.6 million in federal student aid and over $900,000 in state aid. By comparison, this spring colleges have reported losing just under $1.5 million in federal student aid and about $330,000 in state aid to fraudsters.
Last spring was “really the peak,” Hadsell said. He said he anticipates the end-of-year total in 2026 to be “significantly lower” than last year.
Even in the worst months, such as last spring, the money distributed to scammers is less than 1% of the total financial aid distributed to community college students in California. Students use the money to help pay for tuition, books and the cost of daily living expenses, such as rent, transportation and food.
But any fraud, however small, is unacceptable, said Chris Ferguson, executive vice chancellor of finance and strategic initiatives. “The ultimate goal for our system is zero.”
Some anti-fraud policies have been slow to take effect. The California Community Colleges Board of Governors voted nearly a year ago to require ID verification for all students, but only about 50% of college students are doing it as of this month. Hadsell said the delays arose in part because of complications verifying information of students under 18 years old, who represent a growing demographic for the community colleges. He said ID verification, which is currently optional, will become mandatory on July 1.
The board also voted to “explore” the option of charging students an application fee of no more than $10, but with the rates of fraud declining and other solutions that seem to work, the chancellor’s office is no longer pursuing that option, Ferguson said.
After blaming California officials, the U.S. Department of Education, which shares responsibility for administering federal aid and detecting fraud, said it would implement a “screening process” for applicants. It was supposed to take effect last fall but didn’t launch until last month, according to press releases from the department and statements from the California Student Aid Commission. CalMatters reached out to the U.S. Education Department five times over the last 12 months, seeking clarification, but the department has refused to respond to questions about delays with the screening process.
When more than a third of college applicants are fake
After classes suddenly moved online during the COVID-19 pandemic, the California Community Colleges Chancellor’s Office saw an increase in financial aid fraud on their application portal, CCCApply, which is used by nearly every student as the first step in applying to community college.
In 2021, the chancellor’s office suspected roughly 20% of applicants were fraudulent.
The estimate was higher in January 2024, around 25%. Last spring, it was 34%, though some schools saw much higher rates.
After they apply through CCCApply, students get filtered locally at their college of choice. In the Los Rios Community College District, which represents Sacramento, college officials suspected 64% of local applications from January to March 2025 were fraudulent. And that was after the state already vetted them through its portal, said Gabe Ross, a spokesperson for the district. The San Diego and Los Angeles community college districts also reported spikes in the number of fraudulent applications around the same time.
CalMatters reached out to the five largest community college districts for an interview. The Rancho Santiago Community College District, which includes parts of Orange County, did not provide sufficient data to draw conclusions about trends in fraud. The State Center Community College District, which represents schools in Fresno and Madera counties, did not respond to CalMatters’ questions.
Monthly data reports to the chancellor’s office show that once detected, most scammers who applied to community colleges were then caught and kicked out before they could apply for financial aid, but some succeeded.
This year, both Sacramento and San Diego community colleges say they’re seeing fewer attempts at fraud and are getting better at stopping those who try. The San Diego Community College District is now manually screening for fraudulent applications twice a week and is finalizing a contract with a company to help improve its detection software.
CCCApply has improved its filtering process, which helped reduce fraud attempts at Sacramento area colleges, said Ross. “When we talked about such a complex dynamic challenge, it's always hard to identify what's the one thing that sort of moved the needle. The truth is that we needed support from the feds, we needed support from the (chancellor’s) office, and we needed to invest in tools locally.”
This spring, he said the district flagged about 12% of college applications as suspect.
Using AI to detect AI
Measuring fraud is, by definition, imprecise. If a scammer is truly successful, colleges have no way to identify that fraud.
For a long time, administrators assumed bots enrolling in online classes were responsible for most fraudulent attempts. Yet teachers, students and financial aid administrators say some of the scams are more sophisticated now and are coming from real people impersonating students. Many fraudulent applications to Los Angeles’ community colleges have real names, dates of birth, and addresses that are likely “leaked or stolen,” said Nicole Albo-Lopez, the deputy chancellor of the Los Angeles Community College District.
In San Diego, Victor DeVore, dean of student services, said the college district only requires ID verification for students flagged as fraudulent. At that point they must prove their identity, either in person or through Zoom. Once, a potentially fraudulent student appeared on Zoom and presented a valid-looking ID that matched their face, but DeVore’s team noticed that the student’s IP address was odd. “One minute they’re logging in from Nairobi, the next minute they'll be logging in from Virginia,” he said, adding that the use of AI, virtual private networks (VPNs) or other technology has made fraud harder to detect.
Students’ personal data is supposed to be private, but school districts and education technology companies are frequently hacked. Last week, Canvas — one of the go-to learning platforms for California’s community colleges, University of California and California State University campuses — went offline temporarily due to a major hack. Its parent company, Instructure, said last week that it reached an agreement with the hackers to relinquish students’ data.
The state has turned to AI to fight fraud. Last summer, the state chancellor’s office negotiated a multimillion dollar contract with N2N Services Inc., enabling any college in the state to access the company’s software at a discounted rate. The software uses AI to detect potentially fraudulent applicants. Colleges are not required to use it, and so far, only about two-thirds do. Some districts, such as the Los Angeles Community College District, use a different fraud detection software, known as Socure.
Colleges and the state chancellor’s office continue to face political pressure and scrutiny of their approach to fraud. Last month, the U.S. Education Department said it had prevented more than $171 million in fraud in California after implementing a new policy regarding ID verification. Hadsell, with the state chancellor’s office, said the federal policy had no impact on California’s colleges. “They issued some interim guidance last year that basically said you should at least have a Zoom call with students and have them show an ID when you're approving their aid. And those were things that were already happening. It was not, you know, some new thing at least for most of our colleges.”
Kiran Kodithala, the CEO of N2N, which collects its own data on fraud at community colleges, said the education department’s claim makes no sense.
“I don’t see how $171 million in fraud in California can occur,” he said. “There’s no basis for those numbers. We’re not seeing anything remotely close.” Kodithala estimates that N2N has prevented over $34 million in fraud since last summer, though his platform is not yet in use by all of California's 116 community colleges.
Collecting more precise data may take months or years. U.S. Representative Young Kim, who represents parts of Orange, Riverside and San Bernardino counties, launched the effort for a federal investigation last spring, but her office could not provide any updates or confirm that an investigation was in fact underway. At the state level, the Legislature last year approved conducting an audit of how California’s community colleges handled fraud but the findings won’t be released until this summer.
