The Brief

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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for KFF Health News

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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.

The Los Angeles region’s homelessness agency will miss a Tuesday deadline for submitting its federally required annual audit of the agency’s financial records, which could jeopardize its federal funding.

LAHSA executives blamed the delay on a “perfect storm” of leadership changes and competing priorities within LAHSA’s finance department, including an L.A. County review of LAHSA’s delayed payments to contractors.

“Our staff made a good-faith effort to meet the deadline,” interim CEO Gita O’Neill said at a LAHSA Commission meeting Tuesday. “However, over the past year, we've experienced several transitions. As a result, we could not get all the required materials to the auditors as quickly as needed.”

Each year, LAHSA, like all non-federal agencies and organizations that get substantial federal dollars, is required to hire an outside auditor to determine whether it’s properly tracking and reporting the taxpayer funds it manages.

LAHSA’s single audit report for last fiscal year was due March 31, nine months after fiscal year 2024-2025 ended. Earlier this month, LAHSA officials said they were on track to meet the March 31 deadline.

Justin Measley, lead auditor for the firm CliftonLarsonAllen, had warned that LAHSA was months behind schedule turning over records.

At a meeting Tuesday, Measley explained that because of LAHSA’s earlier delays, the firm would need at least an additional week to complete a quality-control review process.

“We’re moving at the fastest pace we possibly can,” Measley said.

On Tuesday, LAHSA officials said the single audit will be filed “at the earliest possible opportunity,” within the next few weeks.

Federal funds at risk

LAHSA manages hundreds of millions of federal dollars each year, through grants from the U.S. Office of Housing and Urban Development, or HUD.

O’Neill said the agency has been communicating with HUD officials regularly about the missed audit deadline and is “hoping for understanding.”

Janine Lim, LAHSA’s deputy chief financial officer, said she’s also been talking with HUD.

“They seem amenable to our situation and to our stated timelines,” Lim said. “So, we are hopeful that this will be a good outcome, despite having missed the deadline.”

HUD did not immediately respond to LAist’s request for comment Tuesday.

What went wrong 

Measley said LAHSA’s financial statements should have been turned over around last December, but LAHSA only submitted them this month, after blowing through multiple extended deadlines.

Measley said he contacted LAHSA’s governing commission about the overdue documents March 3.

He said he also previewed his firm’s findings, noting one “significant deficiency” in its draft report, related to LAHSA’s timeliness in detecting accounting errors.

LAHSA could contest those findings, officials said. That would add additional back-and-forth between the homelessness agency and accounting firm before the audit report is ready to file.

Justin Szlasa, a LAHSA commissioner who chairs the audit subcommittee, told LAHSA’s CEO he’s concerned that there was no time provided for LAHSA’s governing body to review the audit report.

“Next year, we will absolutely do that,” O’Neill responded. “I think this year, we were under the gun, and so we felt it was the most important thing was to get it uploaded on time.”

O’Neill said the agency hired accounting firm KPMG to help modernize LAHSA’s financial systems, with a focus on its contractor payments.

“We have an outside, trusted voice to help us create a system that works going forward because the system we have is not working at all, in finance,” O’Neill said.

Updated March 31, 2026 at 20:44 PM ET

President Trump on Tuesday escalated his efforts to reshape American elections, signing an executive order that seeks to create lists of U.S. citizens who are eligible to vote in each state, and instructing the U.S. Postal Service to send mail ballots only to verified voters.

Trump told reporters in the Oval Office that he believes the order is legally "foolproof." But election experts said the order was unconstitutional, and voting rights advocates and Democratic state officials quickly pledged to sue to block the order from going into effect.

A previous executive order on elections, signed about a year ago, has been blocked by federal judges who said the president lacked the constitutional authority to set voting policy.

The Constitution says the "Times, Places and Manner" of federal elections are determined by individual states, with Congress able to enact changes.

"This Executive Order is a disgusting overreach from the federal government and shows how little the Trump Administration understands about election administration," Adrian Fontes, the Democratic secretary of state of Arizona, said in a statement Tuesday. "We will not let this order stand without a fight and will meet the federal government in court," he added.

Arizona is among more than two dozen states Trump's Department of Justice has sued over access to sensitive voter data.

The Trump administration claims it needs the data to enforce states' voter list maintenance. Federal judges in three states have dismissed the Justice Department's lawsuits in those states.

In another case, a DOJ official admitted in court last week that the department plans to share that voter data with the Department of Homeland Security, to run it through the so-called SAVE system to search for noncitizens.

NPR has reported that some U.S. citizens have also been inaccurately flagged by SAVE.

How the executive order seeks to change voting

Trump has long railed — baselessly — about widespread illegal voting by noncitizens and fraud associated with mail ballots.

The new executive order — which was first reported by The Daily Caller — takes aim at both.

It instructs the Department of Homeland Security, working in conjunction with the Social Security Administration, to "compile and transmit to the chief election official of each State a list of individuals confirmed to be United States citizens who will be above the age of 18 at the time of an upcoming Federal election and who maintain a residence in the subject State."

The order then "requires the USPS to transmit ballots only to individuals enrolled on a State-specific Mail-in and Absentee Participation List, ensuring that only eligible absentee or mail-in voters receive absentee or mail-in ballots," according to a White House fact sheet.

Trump's executive order claims that "additional measures are necessary" to secure voting by mail, a form of voting he has used himself — including last week — but also falsely maligned for years. In the 2024 general election, nearly a third of all voters cast mail ballots.

The Postal Service should also review the design of mail ballot envelopes to protect "the integrity of Federal elections," the order says.

Collectively, the provisions would be a significant change to how mail ballot programs are currently administered in American elections, which are largely carried out by state and local officials.

"Our government's citizenship lists are incomplete and inaccurate. The United States Postal Service is overburdened and inadequate. This combines a car crash with a train wreck," the Brennan Center for Justice, which advocates for expanded voting access and sued to block Trump's 2025 election executive order, said in a statement.

Rick Hasen, an election law expert at UCLA, wrote on his blog that the order is likely unconstitutional. And regardless, he added, "the timing here makes this virtually impossible to implement in time for November's elections. … It seems highly unlikely any of this could be implemented for 2026, even if it were not blocked by courts."

The order comes as Trump pressures Republicans in Congress to pass the SAVE America Act, a sweeping election overhaul that would impose new voter identification and documentation requirements.

That bill is stalled in the Senate due to Democratic opposition and the legislative filibuster.

The Supreme Court is also expected to rule this year on whether Mississippi should be allowed to count mail ballots that are postmarked by Election Day but received by election officials after Election Day.

The legal challenge, which could have sweeping implications for mail voting nationwide, was filed by the Republican National Committee and Trump's 2024 presidential campaign.

Copyright 2026 NPR

Federal immigration officials arrested more than 14,000 people in the greater Los Angeles area in 2025 — the majority of whom had no criminal record, according to an LAist analysis of new data from the Deportation Data Project.

The data project, an initiative between UCLA and UC Berkeley, publishes federal data obtained under the Freedom of Information Act.

In 2025, federal officials arrested 14,394 people, up from 4,681 the year prior. Forty-six percent of people arrested had criminal convictions, 15% had pending charges, and 39% had no criminal charges or convictions.

In a December news release, the Department of Homeland Security said it had arrested more than 10,000 people in the L.A. area since immigration raids began in June of last year, including "murderers, kidnappers, sexual predators and armed carjackers,” but did not publish details of the number of people who had criminal records.

The data from the Deportation Data Project shows that arrests in L.A. spiked in June, and about two-thirds of people arrested that month had no criminal convictions.

More than 313,000 people were arrested by ICE nationwide in 2025, according to an LAist analysis.

In a statement, a DHS spokesperson said the agency has not “verified the accuracy, methodology or analysis of the project and its results” and said “this only reveals how data is manipulated to peddle the false narrative that DHS is not targeting the worst of the worst.” The spokesperson said 61% of people ICE arrested across the country either had criminal convictions or pending charges.

The agency has regularly published press releases identifying people they have arrested and who they have called “the worst of the worst,” including from the raids in L.A. in June. But an LAist investigation and reporting from other outlets has found that some of the people on those lists already has been in custody and were serving lengthy sentences.

Small businesses struggling financially have another program they could qualify for to help pay the bills.

The program is for businesses in Council District 1, which includes the neighborhoods of Koreatown, Pico Union, Westlake, MacArthur Park and Highland Park.

Individual brick-and-mortar businesses can qualify for grants ranging from $5,000 to $10,000, while street vendors can receive about $3,000, according to city officials. A total of $400,000 is available through the program, and applications are now open. 

Councilmember Eunisses Hernandez announced the program’s goal, describing it as a way to support locally owned businesses navigating rising operating costs, shifting customer patterns, and the impacts of recent wide-scale events, like the ongoing immigration raids, along with wildfires, and broader economic uncertainty.

Small businesses struggling financially have another program they could qualify for to help pay the bills.

Who is eligible?

The program is open to independently owned businesses and street vendors located within District 1.

To qualify, businesses must have a valid Los Angeles business license and have been operating in Council District 1 since December 2020, with some flexibility for street vendors. They also need to show they’ve been financially impacted by any largescale events, like the COVID pandemic, immigration enforcement, or the broader economy. Businesses that changed owners can also apply if they’re essentially running the same operation.

How can the money be used?

Grants can be used for daily operational expenses, including rent, payroll, utilities, overhead and other business costs. Roochnik said the funding could also help businesses cover missed rent payments.

Who is running the program?

The grants will be distributed in partnership with the PACE Business Development Center and New Economics for Women. The two organizations provide support to small and immigrant-owned businesses across Los Angeles.

How will recipients be selected?

Funding will be distributed on a first-come, first-served basis, with applications remaining open until funds run out, Roochnik said. 

What’s the goal?

Hernandez said the program is meant to help stabilize neighborhoods that have been affected by immigration enforcement and economic hardships.

“These small businesses are the backbone of our neighborhoods,” she said, adding the funding is meant to help them “stay open, keep workers employed, and continue serving our communities.”

Naomi Villagomez Roochnik, CD1 communications director, said the announcement was made during a press conference at Delicias Bakery and Some, a longtime Latina-owned business in Highland Park. The neighborhood has experienced significant rising rents due to gentrification and the location was meant to highlight the kinds of businesses the program is meant to support.

How to apply:

To apply, small businesses and vendors can complete the application at bit.ly/cd1smallbizsupport.

Is this a one-time program or part of a larger effort?

The grant is part of a pilot program, with the possibility of it expanding depending on demand and outcomes. The council office has launched similar aid efforts in the past, Roochnik said, such as food distribution and rental assistance. 

Businesses that may not qualify for this specific grant can be connected to other resources, according to Roochnik, including the city’s legacy business program, which is for businesses operating for at least 20 years. 

The post Small businesses, vendors struggling against ICE raids, economic uncertainty eligible for up to $10,000 in grants appeared first on LA Local.