The Brief

Perhaps no state has more to lose than California in the federal budget proposal House Republicans passed this week.

That spending plan sets up significant cuts to Medicaid, the health insurance program for low-income people. California has taken just about every route and opportunity to expand the Medicaid program. Today, 14.9 million Californians are enrolled in it, and federal funding cuts would almost certainly roll back services and coverage for some of them.

Looking for a way to offset the cost of extending President Donald Trump’s 2017 tax cuts, the House advanced a bill Tuesday that directs the Energy and Commerce Committee to find $880 billion in spending cuts over the next 10 years. Those cuts, budget and health policy experts say, would largely have to come from Medicaid, also known as Medi-Cal in California.

The Senate voted for its own, narrower budget bill last week. Next, both chambers have to work out their differences and agree on one budget.

At this point, it’s not clear which Medicaid services would be cut or how many people exactly would lose coverage because lawmakers can hit the spending reductions in a number of ways.

Still, enrollees, health advocates and providers in California and across the country are now grappling with what the cuts would mean for them and the people they care for. In press conferences and online meetings, they’ve called the proposed cuts a “five-alarm fire” and Republicans’ vote “the ultimate betrayal” of their constituents.

Their outcries echo the first Trump administration, when in 2017 House Republicans voted to repeal the Affordable Care Act. The law ultimately survived, but that health care vote helped stir up the “blue wave” that flipped Republican House seats in the 2018 election.

“These cuts would rip care away from children, seniors, disabled Californians, and more while raising costs for everyone, all to give tax breaks to the ultra-wealthy,” Amanda McAllister-Wallner, interim executive director of Health Access California, a health consumer advocacy group, said in a statement following the House vote. “This is just the beginning — we will be pushing our California congress members at every turn to put the health of their constituents first.”

Medicaid is the backbone of California’s social safety net. It covers half of all children and 40% of all births. It also covers long-term care services for seniors and disabled people.

Since 2014, the state has expanded the program big time — first to more adults allowed in the Medicaid expansion under the Affordable Care Act, and gradually to low-income immigrants, regardless of their legal status. Cuts to the scale that Republicans in Congress are proposing, advocates and providers say, would be harmful across the board.

Hospitals, doctors and county officials are also speaking out against the proposed cuts because Medicaid is a key payer, especially for those located in rural areas or communities with high poverty rates. If these facilities can’t keep their doors open, entire communities, not just people enrolled in Medicaid, could lose access.

House Speaker Mike Johnson, a Louisiana Republican, has said savings could be accomplished through eliminating Medicaid fraud and waste — although that would only get Republicans so far. Johnson has cited about $50 billion in alleged fraud, a small slice of the GOP’s goal total, the Washington Post reports.

Cuts would leave big budget hole for state

Medicaid accounts for a significant portion of states’ budgets. The program is jointly funded by the federal government and states, meaning federal cuts would leave major budget gaps that would force reductions in services and enrollment, and also could trigger cuts to other state programs. California’s budget includes $161 billion for Medi-Cal, of which more than half is paid for with federal funds.

Based on proposals that Republicans in Congress are considering, California could lose $10 billion to $20 billion a year, the California Budget Policy Center estimates.

Speaker of the House Mike Johnson speaks at the Conservative Political Action Conference (CPAC) at the Gaylord National Resort and Convention Center in National Harbor, Maryland on Feb. 20, 2025.

(

Jack Gruber

/

USA TODAY via Reuters

)

A big question mark is how exactly Congress will meet its savings goal — Republican lawmakers have floated a number of proposals, but it’s unclear yet what could stick.

They’ve proposed imposing work requirements, for example. The idea behind that is enrollment would drop as people who don’t meet the requirements get kicked off the program. But the spending reductions from such a policy would not get Republicans all the way to their target, said Edwin Park, a research professor at the Georgetown University McCourt School of Public Policy.

A second proposal would require restructuring the program so that instead of the federal government paying states a fixed percentage of Medicaid costs, it could set a spending cap per enrollee.

Under the Affordable Care Act, California opened up its Medi-Cal roll to low-income adults who had previously not been covered. The federal government pays California 90% of the cost for this expansion group — that’s up from the state’s 50% regular match rate. Republicans may also choose to eliminate the increased match rate for adults covered under this expansion.

“One reason that these types of cuts are popular among federal policy makers is because…it really allows the blame to be placed on governors and state legislatures,” Park said. “The federal government is cutting federal funding, making it harder for states to finance their share of the cost of Medicaid, but it’s not actually saying ‘You have to cut eligibility in this way or cut provider rates in this way.’”

“It’s really, ‘States, you figure it out, you have to balance your budget,’’” Park added. “And you know, there’s only three choices: higher taxes, cutting the rest of the budget, which is primarily education in California, and then, most likely, really dramatically cutting Medi-Cal in the state.”

Coverage for seniors and people with disabilities

President Trump and Republicans have promised to not touch seniors’ Medicare, but millions of seniors also rely on Medicaid. In California, about 2.2 million seniors and people with disabilities are enrolled in Medi-Cal, according to data from the state’s Department of Health Care Services.

Traditional Medicare does not cover services including dental, vision and hearing benefits. Seniors typically have to buy into a Medicare Advantage plan to get that covered. Low-income seniors in California can access those services with no or at a low-cost through Medi-Cal.

Nursing home stays and in-home care are also largely covered by Medicaid. Nationally, about 6 in 10 nursing home residents are covered by Medicaid, according to an analysis by KFF, a health polling and research organization.

“Medicare has huge gaps in coverage and Medicare is really expensive,” said Amber Christ, managing director of health advocacy at Justice in Aging, which advocates on behalf of older adults. “It is Medicaid, not Medicare, that is the primary payer of long-term care in this country.”

Because of their high needs, seniors and people with disabilities are the most costly population. In California, they make up about 15% of the people enrolled in Medi-Cal, but account for roughly half of all the program’s spending.

“So if the state wants to go where the money is, that’s seniors and people with disabilities. That’s long-term care, nursing home care, community-based services,” said Park. To protect the coverage of this population, he said, the state would have to consider potentially making larger cuts for other groups of people.

A safety net for California kids

More than 5 million kids in California are insured through Medi-Cal and the accompanying Children’s Health Insurance Program. It pays for their preventive care, such as immunizations and screenings, but it also covers support services, such as counseling and therapy. For about 160,000 children in the foster care system, it also pays for an array of social services.

Getting kids insured has long been a priority for California. When the state began expanding Medi-Cal to undocumented people in 2016, children were first in line.

Perhaps less known is that Medi-Cal is also a big player in services provided at schools. It helps fund services and equipment for students with disabilities, such as hearing aids and specialty transportation. It reimburses school districts for certain providers, including psychologists and social workers, for example. Across the state, some districts also provide physical and mental health care to children and their family through school-based health centers that also draw down on Medi-Cal funding.

“The rates of depression and anxiety among youth are rising at alarming rates, and for many, Medi-Cal services are their only option for care,” said Michele Cantwell-Copher, the Fresno County Superintendent of Schools, on a media call with advocates and parents on Thursday. “Ensuring that children have access to the mental health support they need is critical to their well-being and their success in schools.”

Medi-Cal is a keystone program for many kids but also for their birthing parent — it pays for about 40% of the state’s births. California offers coverage for pregnant people at slightly higher income levels than the regular cut-off, allowing more to qualify. It provides coverage during their pregnancy and 12 months postpartum, paying for standard obstetric visits, prescriptions, laboratory services, doula services and hospital care.

“If we want kids to have a healthy start, that means making sure that their birthing parent has access to health care,” said Mike Odeh, health policy director at Children Now. “Those early years really are important for both babies and parents. There are a lot of services in that time period that really are critical, and any reduction in those services could have very bad effects.”

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.

On Friday, Southern California Edison filed lawsuits against Los Angeles County and several other agencies over their alleged roles in the Eaton Fire.

Two lawsuits were filed.

In one suit, the utility company alleges Southern California Gas delayed shutting off gas in the burn area for several days after the fire, making the blaze worse.

“SoCalGas’ design and actions caused gas leaks, gas fires, reignition of fires, gas explosions and secondary ignitions during the critical early stages of the Eaton Fire,” according to the suit.

The claim goes on to say this contributed to the spread of the fire and made firefighting and evacuation efforts more difficult.

In the second suit, the utility company alleges the Eaton Fire was made worse by the local government response, “including due to the failures of LASD, LACoFD, OEM and GENASYS in issuing timely evacuation alerts and notifications,” the claim reads.

The same filing says L.A. County was to blame for vegetation and overgrown brush in the Eaton Canyon area that fueled the blaze.

It also named the city of Pasadena and its utility system, Pasadena Water and Power, the city of Sierra Madre, Kinneloa Irrigation District, Rubio Cañon Land & Water Association, Las Flores Water Company and Lincoln Avenue Water Company as parties responsible for water systems running dry in Altadena as the fire broke out.

Edison says hydrants running dry compounded the extent of the disaster.

Those claims will be heard in the L.A. County Superior Court, which is also handling L.A. County’s lawsuit against SoCal Edison.

Edison itself is the subject of hundreds of lawsuits from survivors of the Eaton Fire, which could cost the company billions of dollars in settlements.

Edison has said its equipment likely sparked the Eaton Fire and filed these suits, in part, because it believes these various entities should share some of the blame for the disaster, which resulted in the destruction of thousands of buildings and the deaths of 19 people.

A compensation program Edison established for fire survivors who forgo suing the company has made settlement offers to more than 80 of those who applied.

A new organization is taking over production of the MLK Day Parade, almost 40 years after the first parade was held in South L.A. to commemorate the civil rights leader.

Bakewell Media, publisher of the Los Angeles Sentinel newspaper (a partner of The LA Local), was granted the permit in September to organize the parade for the first time by the Los Angeles Board of Police Commissioners. Formerly called the Kingdom Day Parade, the parade has been rebranded as the Los Angeles Official Martin Luther King Day Parade. The parade was previously produced and organized by Adrian Dove and the L.A. chapter of the Congress of Racial Equality California (CORE-CA).

With less than a week before the parade kicks off, LA Local reporter LaMonica Peters sat down with Danny Bakewell Jr., president and executive editor of the LA Sentinel, to discuss the details and what attendees should expect.

This Jan. 12 interview has been edited for brevity and clarity.

Why did you decide to produce the MLK Day Parade this year?

Bakewell: It all started because Adrian Dove, who was the previous promoter, had announced that he was retiring. When he announced he was retiring, LAPD, city council offices and other people said, “Hey, we still want to do the MLK Day parade. Would you guys be interested? You have the infrastructure to put it together.” And we said yes.

What’s different about this year’s production?

We’re going to start the parade with a singer performing “Lift Every Voice.” We’re going to play the message from Bernice King at the start of the show. Obviously, we have Cedric the Entertainer as our grand marshal to add the entertainment value, but the community has always been and will continue to be a major part of this parade.

Is ABC 7 covering the parade this year? 

It’s still going to be televised by ABC. We’re working diligently on how the show is going to be, but ABC has been a great partner.

What was the preparation for this parade?

Thanks to our corporate sponsors, we have a number of bands. The truth is, particularly in LAUSD at this time, and other school districts, they don’t have the funding to just get a bus and get here. I can’t say enough about Airbnb to Bank of America, all of our corporate sponsors, who are supporting all of the youth organizations.

Were there any unexpected challenges while preparing for this parade? 

This [The LA Sentinel office on Crenshaw Blvd.] is usually our command center during The Taste of Soul. It dawned on me last week that we’re going to be a mile away [from the parade route]. So, we made the decision to bring in a trailer to be our office at the corner of King and Crenshaw boulevards.

Any special guests this year besides the grand marshal?

I’m working on a surprise guest to be the singer for the national anthem. No matter what, we will give tribute to the Black national anthem “Lift Every Voice” as loud as we can next Monday.

What’s the long-term vision for this parade, if Bakewell Media continues to produce it?

We see the MLK Day Parade, and we want the world to see and expect to see this parade, the same way they see the Macy’s Parade, the Hollywood Parade or the Rose Parade. BET has come in this year as a partner. So there’s an opportunity to possibly do a national broadcast on BET. Not that we would lose our local television, but we see this as a major parade in this community and in the national African American community, celebrating the great work of Dr. Martin Luther King Jr. So, we are very excited.

Bits of conversation drift out of Aladdin Used Books as people lined up at the register with stacks of books.

The bustle of activity is bittersweet as the Koreatown bookstore will close its doors at the end of January after 13 years in the neighborhood.

Jina Lee, store manager, said declining sales at the Koreatown branch led to the decision to close the store. In recent years, staffing at the 5,000-square-foot store on the third floor of Madang Mall dropped from six to two, Lee said.

“This was a happy place for everyone,” she said, “but we were struggling.”

On a recent January afternoon, the shop looked lively as customers took advantage of the clearance sale on Korean and English books, CDs, DVDs and other media.

Koreatown resident Jin Lee wishes he visited the bookstore more often.

“It would have been great if it had been this crowded all the time,” Lee said. “But nowadays, people don’t read paper books and prefer devices, so it’s hard for all bookstores.”

Some customers traveled from as far as Orange County and the Inland Empire to visit one last time.

Minjung Kim, who moved from Koreatown to Fullerton five years ago, still made trips to the bookstore after she moved away.

“It’s the only place that sells this many new and used Korean books,” she said.

Each visit to the bookstore was important to David Artiga of Pomona, because it gave him a chance to connect with friends over literature.

“I feel like this is really negative for the community,” he said. “The importance of having a well-versed society, keeping in touch with literature and art is so important. And now this place is just going to be gone.”

South Korea-based Aladdin Used Books opened its first U.S. brick-and-mortar store in Los Angeles in 2013. The store carries around 50,000 new and used books, with a majority in Korean.

Customers will still be able to order books through Aladdin’s website after the store closes.

Ken Derick, a Koreatown resident, walked around the store aisles with a stack of books.

“It’s like we’re kind of moving towards a new technology, like everything’s virtual and online,” he said.

Longtime customer Anthony Kim said he’s enjoyed looking for gems in the English-language shelves.

“My Korean ability is rather limited but I’ve always enjoyed browsing their English language sections,” he said. “And now that I have a niece and nephew, their children’s book section has always been a great place to pick up new books for them.”

Valerie Laguna perused the shop’s CD section, a bygone experience in the era of streaming.

“I really like their CD collection and their literature collection they have in English,” she said.

“I was so sad about it, I immediately texted my friend,” she said. “I’ve gotten so many of my favorite books and my favorite CDs from this place. I feel like losing a place like this is just so sad and makes a huge dent in the community and culture.”

Less than a mile away on Western Avenue, Happy Bookstore owner Jung Jae-seung said it has been difficult for bookstores for some time now. His Korean-language bookstore is also struggling in an era when so many people have abandoned print media.

“It’s really about how long printed books can survive,” Jung said. “From that point of view, it’s hard to be optimistic.”

South L.A. or South Central? More than 20 years ago, that question came with high emotions for some residents who were sick of the stereotypes they saw in media coverage of their neighborhoods.

So in 2003, the Los Angeles City Council renamed the collection of communities south of the 10 freeway in an attempt to cut ties with the connotations of poverty and crime that some believe came to represent South Central after the turbulence of the 1980s and ‘90s. Today, you see South L.A. on official documents, maps and even historical and cultural districts.

Even though city officials moved to wipe away the old name, some locals never stopped calling the area South Central — a name that for them represents history, resilience and Black and Latino culture.

“I think it will always be South Central for its residents and for the people that were born and raised here,” said Evelyn Alfaro-Macias, a social worker who was raised in Historic South Central and whose office is on Hoover Street. “It means home. It means culture. People should respect the name South Central.”

What and where is South LA, anyway?

By the early 2000s, television news and pop culture had given South Central a reputation for violence and chaos that some were eager to shake.

Helen Johnson, a resident of Vermont Square, helped lead the campaign to change the name.

“I think the media can make you or either break you,” 72-year-old Johnson told reporters in 2003 after the city council approved the name change, according to the L.A. Times. “This is what you’ve done to us. You’ve broke us.”

Supporters of the change included then-Councilmember Janice Hahn, who is now a county supervisor and said at the time that the South Central name had become “mostly derogatory.”

L.A. Mayor Karen Bass, who was working then as executive director of the nonprofit Community Coalition, said the area’s image problem wasn’t just about its name.

“If the media paid a little more attention to covering positive things in the community, that will also help,” Bass said, according to an L.A. Times report.

The LA Local has reached out Bass and Hahn’s offices, as well as L.A. City Council President Marqueece Harris-Dawson.

The exact borders of South Los Angeles, or the area formerly known as South Central, are fuzzy.

The South Central name originally only applied to the neighborhood around Central Avenue south of downtown Los Angeles, but it spread west as populations grew.

City planning documents today designate a strip of neighborhoods between Interstate 110 and Arlington Avenue as South Los Angeles and tag the Central Avenue neighborhood as Historic South Central. Others, including academics and the city tourism board, use a map of South Los Angeles that stretches to the border of Culver City.

This is what the community told us

Some businesses in the area adopted the South L.A. name, notably South LA Cafe, the coffee shop that has grown to five locations and become a local institution.

More recently, some groups have made a concerted effort to embrace South Central, like the South Central Run Club or South Central Clips, an Instagram-based group that sells skatewear-inspired “South Central” apparel. (Even South LA Cafe today sells some merch with the South Central name.)

Several locals told The LA Local the official designation never changed anything for them.

“It’s South Central for me. That’s where my roots are,” April Brown said. “When you go anywhere across the country, across the world and you say South Central, they know exactly what you’re talking about.”

To Emily Amador, the name change erases the history of South Central, including “the Black migration that occurred, redlining that created what we know today to be South Central and the demographics, which are here today, which is Black and brown and undocumented.”

Ulysses Alfaro, who was born and raised in the Historic South Central neighborhood, said he uses South L.A. with people from out of town but South Central with locals.

South L.A. is a geographic designator, he said, but he considers South Central to be an identity: “That’s where the grinders are, the hard-working people that work their butts off, their asses off. The ones that keep the city running.”