The Brief

California under Gov. Gavin Newsom has made sweeping changes to its behavioral health system, pouring billions of dollars into new services and support programs.

But the state’s ambitious plans face a looming threat: the proposed federal spending cuts that Congress is currently considering are seen as all but certain to impact Medicaid and could bring to a halt some of the headway the state has made in responding to its behavioral health crisis.

It’s not that all of California’s behavioral health policies are explicitly tied to Medicaid, but many state and local mental health programs draw funding from it. Less Medicaid money means less money for those efforts.

“When you remove resources of this size and scope everything is at risk,” said Alex Briscoe, principal with the nonprofit Public Works Alliance and who previously led the Alameda County Health Care Services Agency. “To be fair, the behavioral health reform landscape of California was just written, and we are still very much moving from promise to practice.

“So it's an extremely difficult time to see such fundamental threats to funding Medicaid,” Briscoe said.

It is unclear what these federal spending cuts will look like, but a budget resolution that passed the House last month proposed $880 billion in reductions over the next 10 years from the committee that oversees Medicaid. Both chambers still need to agree on a joint budget resolution.

Medicaid, the joint state and federal health insurance program for low-income people, pays for the care of four in 10 Californians. It’s through this program, also known as Medi-Cal in the Golden State, that millions can access behavioral health services such as therapy, medication, psychiatric evaluations and crisis support. About two-thirds of California’s $161 billion Medicaid spending comes from the federal government.

It’s also the Medicaid program that helps California pay for some of its social support services for its most vulnerable residents. They include housing navigation and food assistance, which help stabilize people and improve their chances of completing their course of mental health or substance use treatment.

The federal threats to Medicaid funding come at a time when close to half of adults in the state have reported symptoms of anxiety or depression, and about 1.2 million of them live with a serious mental health illness, according to figures by the National Alliance of Mental Illness. When it comes to children, 1 in 6 experience a mental health disorder every year.

Meanwhile, opioid-related deaths skyrocketed between 2018 and 2023, largely because of fentanyl use, state data shows. Opioid overdose deaths peaked at more than 8,000 in 2023 and have been declining since last year.

In response to the grim landscape, Newsom set out to revamp the state’s behavioral health system. This has included growing the number of treatment beds, training new mental health workers, expanding the reach of crisis hotlines and mobile crisis services, increasing the availability of opioid overdose reversal medication, and increasing mental health access in schools, among other changes.

Tents outside the Federal Courthouse in Los Angeles on April 22, 2024.

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Ted Soqui

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CalMatters

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The state pulls from multiple buckets, such as special taxes, to fund its public behavioral health system, but federal funding through Medicaid is an essential piece of it. Across the country, Medicaid is the largest payer for mental health services.

CalMatters asked the governor’s office what Medicaid cuts could mean for the state’s behavioral health system. It released a written statement from Health Secretary Kim Johnson in which she reiterated that the administration had an “unwavering” commitment to ensure that all Californians have access to mental health and substance use disorder treatment.

“Behavioral health care is essential health care for the well-being of individuals, families, and communities across California,” she said. “Investing in behavioral health services saves lives, reduces long-term costs, and strengthens our workforce and economy.”

But mental health advocates, health plans, and county officials put it this way: Medicaid funding cuts would result in more sick people going without treatment. That would increase the likelihood of them losing employment or dropping out of school and ending up in need of more acute care, or worse, on the street.

“There are tons of people on the streets who are struggling,” said Corey Hashida, a senior research associate at the Steinberg Institute, a mental health advocacy organization. “At a time when we're trying to move forward with doing these big things to help those folks, all this uncertainty and chaos is swirling around federal cooperation … it just infuses a little fear into the safety net.”

In a recent policy brief, Hashida explained that in addition to possible funding cuts to Medicaid, key federal behavioral health grants are also at risk. And California has already started to see some of this fallout. On March 24, the California Department of Health Care Services, which oversees the state’s Medicaid program, received termination letters from the federal Substance Abuse Mental Health Services Administration, pulling back $120 million in behavioral health grants.

Those grants, according to the department, were intended for initiatives at the state and local level, including work to reduce overdose deaths and expand access to medications for opioid use disorder.

California could lose billions in Medicaid funding

The feds could roll back Medicaid spending in a number of ways, such as imposing work requirements or restructuring funding formulas. They could also restrict how Medicaid funds are used by ending federal waivers that expanded how California and other states use money from the program.

Policy and budget experts say that it is difficult for states to make contingency plans when it is unclear how or if the cuts will play out.

President Donald Trump has said that he will not touch Medicare and Medicaid as he looks for spending reductions to fund extending his 2017 tax cuts. He has said he will only go after eliminating fraud in the programs. However, the Congressional Budget Office has found that if cuts to Medicare, the insurance program for seniors, are off the table, then Congress would have to make deep cuts to Medicaid to reach House Republicans’ savings goal.

By some estimates, Republican proposals to reduce spending in Medicaid could translate into an annual loss of $10 billion to $20 billion in federal funds for California.

For example, Congress may choose to reduce the matching dollars that the federal government pays states for adults who gained coverage under the Affordable Care Act’s Medicaid expansion. The federal government pays California 90% of the cost for this expansion population — that’s more than the 50% matching rate the feds pay the state for other enrollees.

This expansion allowed many childless adults to access critical mental health treatment, including many struggling with psychosis, said Michelle Doty Cabrera, executive director of the County Behavioral Health Directors Association. Psychosis is a condition that can result in hallucinations. It typically emerges in late adolescence or early adulthood, but can be treated with medication and therapy.

That expansion “was a game changer,” Doty Cabrera said. “Taking away funding for that population would be devastating.”

Counties are responsible for providing specialty mental health services to people with more serious mental health conditions and substance use disorders. Counties fund these services with their own local revenue, some state dollars and matching federal Medicaid funds.

“There's really nowhere else to go in terms of funding,” Doty Cabrera said. “We're already maximizing local spending to try to support these services, and if the federal funding were taken away, it would just put additional pressure on the state budget that obviously is already facing a tremendous number of pressures.”

Federal Medicaid dollars are a significant portion of counties’ mental health budgets. In Los Angeles County, for example, 30% of the county’s annual budget for its behavioral health services department comes from Medicaid, according to the department. In Santa Clara County, about a quarter of it does.

“So when you're talking about a quarter of the funding for a system, you're talking about the ability of the entire system to function,” said James Williams, county executive for Santa Clara County.

Will Trump extend California health waivers?

California relies on special permission, or “waivers” from the federal government to be able to use Medicaid dollars to fund non-traditional services, such as access to a care coordinator, housing navigation, rental deposit aid, and medically tailored meals. Experts say these types of support services go hand-in-hand with successful behavioral health care, and in the long run should save the state and feds’ money by helping people avoid costly emergency room care.

“Waivers are about granting some flexibility so that you can deliver more holistic services,” Williams in Santa Clara County said. “And one of the biggest challenges in behavioral health care, and this is especially true for substance use care, is having people make it through a course of treatment.” To increase people’s chances, you need things such as stable housing.

Some of these support services are just now starting to reach people. But their continuation is also in the feds’ hands. The federal government has the power to rescind the waivers or let them expire.

Two waiver programs are seen as key to California’s behavioral health transformation because they extend Medicaid funding and flexibilities for these support services. These are BH-Connect, which was just approved by the Biden-Harris administration in December, and CalAIM, for which federal approval is set to expire at the end of 2026.

The Trump administration has not indicated whether it will renew the CalAIM permissions, but given the discussion of Medicaid funding cuts, it is creating some anxiety over the future of the program.

Michael Schrader, chief executive of the Central California Alliance for Health, the local Medicaid plan for people in Merced, Santa Cruz and neighboring counties, said he has been hearing concerns about this from providers in his network.

“Providers are wondering, ‘Do we keep making investments in CalAIM?’” Schrader said.

“I’ve got clinics saying, ‘I did what you asked me to do. I stepped up and I hired community health workers, I hired enhanced care managers, I put together structured programs, we're serving these people, and I continue to make these investments thinking this is long term, and now I don't know.’”

Supported by the California Health Care Foundation (CHCF), which works to ensure that people have access to the care they need, when they need it, at a price they can afford. Visit www.chcf.org to learn more.

This article was originally published on CalMatters and was republished under the Creative Commons Attribution-NonCommercial-NoDerivatives license.

Several Republican lawmakers are ramping up anti-Muslim comments and facing little to no response from their leadership.

"Muslims don't belong in American society," Rep. Andy Ogles posted on Monday. "Pluralism is a lie."

The Tennessee Republican, whose seat is in a safe red district, has previously expressed support for banning immigration from Muslim-majority countries and said in a speech last year that "America is and must always be a Christian nation."

The United States was not established as a Christian nation.

"He didn't start this this week," said Sabina Mohyuddin, executive director of the American Muslim Advisory Council in Tennessee. "This has been building up."

Mohyuddin estimates Ogles has tens of thousands of Muslim constituents in his district.

"We know this kind of rhetoric leads to more bullying in school, discrimination in the workplace, hate crimes and vandalism against mosques," Mohyuddin said. "But it is an election year and these politicians believe if they spew this hateful rhetoric, they are going to get more votes."

House Speaker Mike Johnson, R-La., was asked about Ogles' rhetoric during a press conference at the House GOP's annual retreat this week.

"Look, there's a lot of energy in the country and a lot of popular sentiment that the demand to impose Sharia law in America is a serious problem — that's what animates this," Johnson said Tuesday, adding, "It is not about people as Muslims."

Johnson's comments echo a growing chorus among Republican lawmakers, who've been increasingly vocal about denouncing Sharia law and raising questions about Muslims immigrating to the U.S. and those already in the country. There are now 50 Republicans in the "Sharia-Free America" caucus.

Republicans have also spent more than $10 million on political TV ads that mention "Sharia" or "Islam" in a negative way, most of it in Texas ahead of its primaries, according to the ad-tracking firm AdImpact. That's about 10 times what had been spent in each of the last four election cycles.

Sharia law — a religious framework — does not have standing over the U.S. Constitution.

"Because people don't really know or have any idea what Sharia law is, it's the boogeyman. You just throw the word out there and people get scared," Mohyuddin said. "This is how we practice our religion. And last I heard, the Constitution still protects the freedom of religion."

A handful of Congressional Republicans have denounced Ogles' comments.

"I have many Muslim constituents, neighbors and friends who have contributed greatly to our community and country. Freedom of religion is a pillar of our nation and broad brush statements like this are offensive and completely inappropriate," Rep. Nicole Malliotakis, R-N.Y., said in a statement to NPR.

But the majority of House Republicans have stayed silent, with some choosing to double down on the rhetoric.

"No more Muslims immigrating to America," posted Rep. Brandon Gill, R-Texas on Thursday.

Rep. Randy Fine, R-Fla., who recently faced criticism for saying he'd choose dogs over Muslims, wrote: "We need more Islamophobia, not less. Fear of Islam is rational."

Sen. Tommy Tuberville, R-Ala., posted a photo of the Sept. 11 terrorist attacks side-by-side with a photo of New York City Mayor Zohran Mamdani, who is Muslim. The caption read: "The enemy is inside the gates."

These statements came in the wake of several attacks in the U.S., including a shooting at a Virginia college Thursday and an attempted attack on an anti-Muslim protest in New York held outside of Mayor Mamdani's home. Authorities say the suspects in the attacks were either inspired by ISIS or had supported the group in the past.

A far cry from previous political eras 

Johnson's office did not respond to a request for comment about the additional anti-Muslim posts from his members.

The lack of response from GOP leadership stands in sharp contrast to the swift and decisive condemnation from Republican House leaders in 2019 in the wake of an interview by Rep. Steve King in which the Iowa Republican questioned why the terms "white supremacist" and "white nationalist" were considered offensive.

Liz Cheney — then the No. 3 House Republican — reacted by saying King "should find another line of work."

"That language has no place in America," added then-House Minority Leader Kevin McCarthy.

House leadership stripped King of his committee assignments.

Gregg Nunziata, executive director of Society for the Rule of Law, said the shift in response to King seven years ago and to lawmakers this week highlights two different political eras.

"There's this new energy on the right that kind of delights in provoking and offending and refuses to apologize," said Nunziata, who previously served as policy counsel to the Senate Republican Policy Committee and as policy advisor to then-Sen. Marco Rubio.

He draws a contrast between the leadership of former President George W. Bush, who in the aftermath of the Sept. 11, 2001, terrorist attacks visited an Islamic Center and declared, "Islam is peace."

"Those who feel like they can intimidate our fellow citizens to take out their anger don't represent the best of America," Bush said. "They represent the worst of humankind, and they should be ashamed of that kind of behavior."

Nunziata rejected Ogles' assertion that "plurality is a lie."

"I think the failure to condemn this is morally cowardly, but it's also politically shortsighted," he said. "The MAGA movement and the coalition that elected Donald Trump itself was pluralistic. Republicans had a good election year in part because they significantly expanded their support in minority communities and communities that have traditionally not been open to Republicans."

Censure effort underway from Democrats 

Democrats have blasted the tweets and the response from GOP leaders.

"Islamophobia is a cancer that must be eradicated from both the Congress and the Country. The shocking silence from Republican leadership is deafening," said House Minority Leader Hakeem Jeffries, D-N.Y.

"We already know that Randy Fine and Tommy Tuberville are vile bigots," wrote Katherine Clarke, House Democratic whip. "But what's even worse is the silence from GOP leadership."

Rep. Shri Thanedar, D-Mich., has introduced a resolution to censure Ogles and remove him from the Homeland Security Committee. Thanedar has not yet said if he will force a vote on the measure and his office did not respond to a request for comment.

Rep. Yassamin Ansari, D-Ariz., the first Iranian American Democrat elected to Congress, posted on X that Fine's comments "should have already resulted in censure."

"I've asked before and I'm asking again: @SpeakerJohnson, will you reprimand Rep. Fine? Strip him of his committee assignments? Anything? Or does the Republican caucus condone racism?" she wrote.

The story first appeared on The LA Local.

For Los Angeles streetlight advocates, 2025 was another dark year, as calls to repair public lights remained nearly the same as the year before despite growing public and political scrutiny.

Malfunctioning streetlights are nothing new to Angelenos. For years, they have plagued neighborhoods and left residents to deal with darkened sidewalks, streets and parks — and the public safety challenges they pose.

An analysis by The LA Local of 311 calls for streetlight repairs showed that reports remained consistently high in 2025, with about 45,500 compared with 46,100 in 2024. That was an increase of roughly 10,000 calls from 2022 and 2023, when totals hovered around 35,000.

Downtown remained the neighborhood with the most streetlight calls: about 2,400 in 2025, an increase of about 200 from the year before.

While the total number remained relatively constant citywide, the locations of calls shifted. Some neighborhoods saw drops, while others saw surges – notably in some of LA’s higher-income neighborhoods.

Calls in Hollywood Hills tripled from about 300 to more than 1,000 in 2025. Silverlake calls similarly skyrocketed from 513 in 2024 to about 1,482 last year. Calls in Atwater Village and Los Feliz more than doubled.

Boyle Heights, once among the most affected neighborhoods, saw progress. The neighborhood had more than 1,900 calls for light repair in 2024 and about 1,100 in 2025.

Westlake saw a similar decrease, from 1,864 calls in 2024 to 1,042 in 2025. Calls in Pico Union and West Adams were cut in half.

According to the Los Angeles City Controller’s office, the LA Bureau of Street Lighting reported that copper wire theft has been trending down since last summer. Reported maintenance calls, however, doubled from about 2,000 in July 2025 to about 4,400 in January 2026.

The LA Bureau of Street Lighting, responsible for repairs and maintenance of the city’s 220,000 streetlights, saw a 5% budget cut in 2025. Its budget had long been among the smallest of public works departments.

Miguel Sangalang, the bureau’s director, told the City Council on March 4 that the department had a backlog of about 32,000 open service requests and that the average time to repair a light has grown to about a year. About a quarter of all installed lights were at the end stage of life, he said, and needed to be replaced.

“Theft and vandalism is our most glaring issue,” he told the city council. “This is the issue that takes out whole blocks and neighborhoods.”

The LA Local reported that the Los Angeles Police Department had disbanded a specialized unit — The Heavy Metal Task Force — investigating copper wire theft last July.

Sangalang said during the presentation that the department began fortifying streetlights, installing cages or shields to make the copper wiring more difficult to access. Installing battery- and solar-powered streetlights has helped, he added, because they use far less wire.

He noted that lights in areas that previously needed replacing multiple times per year had been replaced with solar-powered models and had remained intact for three years.

The bureau is expected to seek a tax increase to subsidize its budget, reduce the time it takes to repair lights and get back on track with its maintenance schedule.

Voyager Technologies unveiled a 140,000-square-foot facility Tuesday in Long Beach that will be used for designing and producing parts for missiles and commercial spacecraft.

The company wrote in a news release that the facility, which will employ 150 to 200 people, will be used to advance a number of the company’s ventures into aerospace and defense for the U.S. military and other clients.

“We are standing up capacity at Space Beach for one purpose: to deliver for our customers,” Matt Magaña, president of Space, Defense and National Security at Voyager, wrote — using a nickname for Long Beach’s burgeoning space industry.

The Denver-based company, which launched in 2019, has nearly a dozen locations across Ohio, California, Colorado and Texas. This announcement comes two months after it opened a 150,000-square-foot facility in Pueblo, Colo., also focused on missiles, defence and weaponry.

Through a network of former companies it has purchased, Voyager has researched and designed a variety of parts for spacecraft or rockets, from long-range radios and GPS guidance systems to commercial airlocks and propulsion systems.

It’s known for its Starlab project, a venture propelled by a $217 million NASA contract to replace the International Space Station, which is slated to retire in 2030.

But a majority of the company’s business is in defense. The net sales last year for its defense and national security program jumped 59%, making up $123 million of the $166 million it made. In the last quarter of 2025, the category made up nearly two-thirds of its sales.

By contrast, the company’s sales for “Space Solutions,” which designs spacecraft for commercial and research purposes, declined by 36% in 2025.

The company is working with Lockheed Martin to develop a new missile interceptor system — coined the “Next Generation Interceptor” — and has contracts to build parts for hypersonic missiles and military-grade payloads. Top officials at Voyager say they have a strong interest in competing for contracts on Golden Dome, a 10-year, $151 billion missile defense program.

It’s unclear whether the Long Beach facility will focus on a particular program or take on work as it is needed. In a release, company officials wrote it will help design A.I. software and other parts for “next-generation propulsion and defense systems and integrated sensing, communications and autonomy technologies.”

The company said it is working with neighbors Anduril Industries and True Anomaly, who recently set up facilities in Long Beach, to meet some contracts, but did not specify the venture.

It’s the latest in a wave of space tech companies to join “Space Beach” by moving to the 430-odd acres of industrial and warehouse space once used to build cargo planes outside Long Beach Airport.

In January, Anduril, an artificial-intelligence-backed weapons manufacturer, announced that it was building a $1 billion campus nearby to make drones and other A.I.-enabled weapons.

It’s an industry where successful businesses often curry favor with the federal government and military, and local representatives are eager to attract defense tech firms to create high-paying jobs.

Mayor Rex Richardson, left, and Matt Magaña, president of Space, Defense and National Security at Voyager. Photo Courtesy Voyager Technologies “We’re proud to welcome Voyager to our growing Space Beach ecosystem with a 140,000-square-foot facility advancing aerospace innovation, domestic manufacturing, and national security capabilities,” said Mayor Rex Richardson. “This investment brings high-skilled jobs, strengthens our local economy, and further establishes Long Beach as a national hub for the industries shaping our future.”

These companies are in tight competition to take advantage of a growing national defense budget — $895 million in 2025 from $816 in 2023 — while taking advantage of the large pools of talent near existing research and military facilities like JPL in Pasadena, Mojave Air and Space port in Kern County and Vandenberg Space Force Base.

While the budget was shrunk to $838.7 billion in 2026, U.S. Defense Secretary Pete Hegseth has placed an increased priority on spending on U.S.-made drones and autonomous weapon systems. Buoyed by global conflicts, defense companies in Long Beach and across the region are anxious to accelerate their designs and production of weapons and defense systems.

The story first appeared on Boyle Heights Beat.

A free community food pantry that had been set up outside a market in East Los Angeles now has a new home in Boyle Heights, thanks to community members who rallied to keep it going.

Created by East L.A. native Rebecca Gonzales, the pantry had been stationed outside of Ramirez Meat Market on the corner of Folsom Street and Rowan Avenue since November, offering produce, snacks and shelf-stable items.

Gonzales created the resource after seeing how ongoing Immigration and Customs Enforcement raids and SNAP delays were affecting the most vulnerable in her community. 

A few days after Boyle Heights Beat published an article about the pantry, the market’s owner asked Gonzales to move it.

Rosa Ramirez, who has owned Ramirez Meat Market for 26 years, said she hadn’t expected the pantry to be permanent and noticed that fewer people were coming into her store when the pantry was stocked. Ramirez appreciated Gonzales’ intentions, but said the piles of donated clothes and shoes next to the pantry were difficult to manage.

Soon after learning the pantry would have to move, Gonzales posted the news on Instagram. Within an hour, she received about a dozen messages from friends and community members reaching out to help. 

“I was worried that I was gonna have to just bring it home and it’s gonna be a lapse of services,” Gonzales said. 

That same day, Yvonne I. Monje Perez, owner of SuperNova Thrift — a shop near Mariachi Plaza that sells second-hand clothing — reached out. Though she had never met Gonzales, Perez didn’t think twice about offering help. 

The East LA free food pantry now sits outside of SuperNova Thrift on 1st Street in Boyle Heights.

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Laura Anaya-Morga

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Boyle Heights Beat

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“We could benefit from something like that here in this neighborhood,” Perez recalled thinking after seeing the post. 

With coordination from Gonzales and guidance from the Boyle Heights Chamber of Commerce, Perez and her husband picked up the pantry last Friday and it was open for the community the following day. 

“It makes me so happy seeing people come to it and look at it, and just take from it,” said Perez. “It’s been received very well, a lot of people are very happy about it.”

Now, Perez and Gonzales have a schedule for opening and closing the pantry, and donations have continued to roll in. 

While Gonzales does not keep track of how many donations come in every day, she noticed items usually remain at the end of the day, a change from when the pantry would go empty in East L.A.  

Looking ahead, Gonzales hopes to inspire others to start free food pantries in their own communities.

“People want to help,” she said. “People want to do good things. People want to see other people not just survive, but thrive.”

The East LA free food pantry was recently moved in front of SuperNova Thrift on 1st Street in Boyle Heights.

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Laura Anaya-Morga

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Boyle Heights Beat

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