The Brief

Facing federal funding cuts that could strip health coverage from hundreds of thousands of Angelenos, clinic leaders, union members and patients gathered in Inglewood last Wednesday to boost a stop-gap proposal they want to put in front of voters: a county sales tax to stave off service cuts and keep more sick people from seeking primary care in emergency rooms.

A newly formed coalition, Restore Healthcare for Angelenos, is asking the Los Angeles County Board of Supervisors to place a five-year, half-cent sales tax measure on the June ballot in Los Angeles County.

“The ballot measure that we are proposing is an urgent and necessary step to stop the damage, to protect access to life-saving care,” said Louise McCarthy, president and CEO of the Community Clinic Association of Los Angeles County, one of the organizations in the coalition. “The stakes right now could not be higher.”

As the federal spending plan, H.R. 1, starts to take effect, Medi-Cal cuts and eligibility changes will affect millions of Californians. The state estimates it could lose tens of billions of dollars a year in federal funding.

According to the coalition, their proposal would raise about $1 billion annually for health care in Los Angeles County. The revenue would help create a local coverage program that would pay for primary and emergency care as well as behavioral health needs for people who fall off their Medi-Cal insurance and have no other coverage options, according to the coalition. When people are uninsured, uncompensated care at clinics and hospitals grow, threatening the availability of services for everyone, coalition leaders say.

The coalition is working with Supervisor Holly Mitchell, whose office on Wednesday presented the motion to the county — an initial step before public debate. The board is expected to vote next month; the deadline for placing a board-sponsored measure on the June ballot is March 6.

“I do not take lightly asking fellow residents to consider imposing a ½ percent retail tax,” Mitchell said in an emailed statement. “This option is on the table because what’s at stake are safety net services unraveling for millions of residents — which would come at an even greater cost for the largest county in the nation.”

She added that if the measure passed it would sunset on Oct. 1, 2031 and would be subject to public oversight and audits. “This is a last resort option for the times we’re facing and for voters to make the final call on,” Mitchell said.

If the board of supervisors does not approve the measure for a June vote, the coalition will gather signatures toward qualifying the initiative for the November ballot, said Jim Mangia, CEO of St. John’s Community Health, another coalition member.

Efforts to shore up health care access for poor Californians aren’t unique to Los Angeles. Pressure is building for state and county leaders to find new revenue streams to make up at least in part for the federal losses. In a legislative hearing Tuesday, health providers and advocates also urged state lawmakers to seek creative funding solutions.

Last November, voters in Santa Clara County approved a tax similar to the one proposed in Los Angeles County. Santa Clara’s Measure A will raise the local sales tax by five-eights of a cent for five years. The county projects that it will provide $330 million annually for local hospitals and clinics.

Both local proposals are separate from the push led by SEIU-United Healthcare Workers West for a one-time 5% tax on the wealth of the state’s approximately 200 billionaires, which would generate an estimated $100 billion to fund  medical care and other social services at the state level. Gov. Gavin Newsom opposes the initiative, arguing that such a tax would drive wealthy people — who pay a significant portion of the state’s income taxes — from the state. That measure has not yet qualified for the November ballot.

Local and state tax proposals could seemingly compete for the attention of voters, since both are responses to the issue of federal funding cuts. And in L.A., voters may have to consider a number of other tax measures this election year from a city hotel tax in June to a sales tax to support the Los Angeles Fire Department in November.

Mangia sees the tax initiatives to fund health care as complementary. He said the state tax on billionaires would help restore some of federal cuts to Medi-Cal at the state level, while the L.A County measure would help shore up the local safety net.

“We’re doing this to make sure that no matter what happens federally, statewide, residents of L.A. County will have access to health care,” Mangia said.

Among the most prominent changes and cuts made in Trump’s major budget reconciliation law are a new requirement for enrollees to log 80 hours per month of school, work or volunteering starting in 2027; a rule that requires people to renew coverage every six months rather than annually; restrictions on taxes that the state places on insurers to help pay for the Medi-Cal program; and a reduction in how much the feds will pay for the emergency care of non-citizens.

State health officials estimate 2 million Californians could lose their Medi-Cal coverage over the next several years.

Under its own growing budget pressures, the state has also rolled back coverage for certain groups. Starting earlier this month state health officials froze Medi-Cal enrollment for undocumented people — the state foots most of the cost for this group because with the exception of emergency care, federal dollars cannot be used to cover individuals who are in the country illegally. This summer the state will also cut non-emergency dental care for undocumented adults already enrolled in the program.

California Attorney General Rob Bonta provided guidance this week to childcare providers on new legal requirements to protect children and their families from immigration enforcement activities.

Under a new law that went into effect this year, childcare providers are not allowed to collect information about a child's or family member’s immigration status, unless necessary under state or federal law. Bonta’s office says there currently is no such requirement, though that could change with federal programs like Head Start.

“Childcare and preschool facilities should be safe and secure spaces so children can grow, learn and simply be children,” Bonta said in a statement.

His office says daycare centers also should not keep information about a formerly enrolled child longer than is required by state law.

The new law also requires facilities to inform the attorney general’s office and the state’s licensing agency if they get any requests for information from law enforcement related to immigration enforcement.

Facilities also must ask families to regularly update a child’s emergency contact information to make sure someone can be reached in case a parent is detained by federal immigration officials.

The Santa Ana winds are here to welcome us into the weekend, bringing warmer temperatures.

The winds will reach Point Mugu to the Santa Clarita Valley, down to Orange County and parts of the Inland Empire valleys and foothills east of the 5 Freeway.

Peak gusts are expected to reach 35 to 55 mph. The western San Gabriel Mountains, Highway 14 corridor, Santa Susana Mountains and the western Santa Monica Mountains are under a high wind warning until 6 p.m., when gusts could reach 65 mph.

As for temperatures, highs for L.A. County beaches will reach the upper 70s and up to the low 80s for inland areas.

Parts of Orange County and Coachella Valley will see temperatures in the mid- to upper 80s, with the warmest areas expected to reach 88 degrees.

Getting together with friends at a bar or pub tends to get a lot harder when children and needy pets enter the mix. One solution — Breweries! Beer gardens! Brewpubs!

Because parents (of kids and pets) want to go out, too — and not necessarily to a fast food restaurant with an indoor playground and no beer.

Thankfully, the Orange County suburbs where I live have gotten on board with my family- and pet-friendly craft brewery dreams. The key ingredients for me are spacious patios, a water bowl for the pooch, and food — either made onsite or, at the least, easy and quick to order and get delivered from somewhere else. Board and pub games are an added bonus.

Plus, of course, great beer from small, independent, local breweries. On the beer front, I was pleasantly surprised by the variety of beer I encountered on my self-arranged tour of breweries in the Costa Mesa-Huntington Beach area.

Gone are the dark, dank days of nothing but IPA (IYKYK); now, you can find everything from pickle-tinged blondes, to mild sours, to rich and creamy stouts. If you’re not a big beer fan, every place I visited also had their own craft-made hard seltzers on the menu, as well as some non-alcoholic beverages.

Here are some of my favorites:

Riip (Huntington Beach)

Riip in Huntington Beach has two spots with full kitchens specializing in pizza and a wide variety of IPAs and other beer styles.

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Jill Replogle

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LAist

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Riip has been a family favorite since the company opened its first tasting room in Sunset Beach in 2015, with board games and tables the kids could write on. They have since expanded a lot, with a pizzeria next door and another location near Fountain Valley, which also serves excellent pizza, and has a small arcade to keep the kiddos busy.

One thing they do especially well: For serious IPA drinkers, Riip is your place. They usually have at least half a dozen different IPAs on tap, along with a decent variety of other beers, lighter and darker.

This place is great for … dinner after the kids’ [insert sport] game. Also for date night.

At Flashpoint Brewing Company in Huntington Beach, you can check out the brewing vats and other machinery up close while enjoying the results.

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Jill Replogle

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LAist

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Flashpoint Brewing Co. (Huntington Beach)

I only recently discovered Flashpoint, which opened in 2020 on an industrial street near Huntington Beach Central Park. I actually love this aspect of craft brewery taprooms: they’re often located outside of trendy food and retail areas because they need to be able to actually brew beer there as well as serve it.

Flashpoint has a big patio lit with fairy lights. The tall doors of their brewing area, and an adjacent room with the taps and more tables are rolled up during opening hours, giving it a spacious, indoor-outdoor feel.

One thing they do especially well: All the beers I tried were highly drinkable. In other words, not crazy hoppy or overly heavy on flavors. The nectarine sour was especially good, refreshing with just the right amount of tartness.

This place is great for … An early evening toast, watching the clouds turn pink.

Green Cheek Beer Co. in Costa Mesa serves great beer and food, including shareable, snackable items like pad thai cauliflower.

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Jill Replogle

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LAist

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Green Cheek Beer Co. (Costa Mesa)

Green Cheek Beer Co. now has three locations in Orange County and one in Oceanside. Their Costa Mesa spot is conveniently located not far from the city’s Bark Park. So, naturally, after my pooch has fun, I deserve a cold one.

Green Cheek has a huge covered patio filled with long picnic tables. My dog, Ace, was very happy to find a bowl of water set out for their canine visitors, and lots of pets from the humans.

One thing they do especially well: Green Cheek makes great beer. But what I love most about their Costa Mesa spot is that you can soak up the alcohol with food, including smash burgers, tots, and pad thai cauliflower, from their good and reliably fast kitchen.

This place is great for … reading a book, or making a new friend! Their long picnic tables make it easy to opt in or out of the surrounding social scene.

Bootlegger's Brewery outside the LAB Anti-Mall in Costa Mesa has a quiet patio for day drinking, and a lively trivia night scene.

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Jill Replogle

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LAist

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Bootlegger’s Brewery (Costa Mesa)

Within walking distance of Green Cheek is Bootlegger’s Brewery. Bootlegger’s started in Fullerton, and now also has tasting rooms in Costa Mesa and Redlands.

Their Costa Mesa spot is on the outskirts of the LAB Anti-Mall, a collection of small businesses and restaurants, at least one of which will deliver food to your table. A section of the parking lot has been turned into a nice outdoor patio with sun shades for daytime and heat lamps for chillier evening hours.

One thing they do especially well: Their Kosher Crusher pickle blonde ale. They debuted it last fall and it is seriously good — light, refreshing, and just a little bit zesty.

This place is great for … “working” on a Friday afternoon (I was not the only one there typing one-handed on my laptop with a beer in the other), and then inviting friends to join you for happy hour.

There's an ambiance for everyone at Salty Bear Brewing Co. in Costa Mesa.

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Jill Replogle

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LAist

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Salty Bear Brewing Company

Salty Bear is part of The Camp, an uber-cool retail and restaurant complex also within walking distance of Green Cheek and Bootlegger’s (you can do a tasting tour!).

Salty Bear is worth a visit for the aesthetics alone. It has a great bar with midcentury tiling and dimpled red leather. The sprawling, leafy outdoor patio provides plenty of room for the kids to wander.

One thing they do especially well: Their Coastline Strawberry Blonde made me nostalgic for the fruity beers that got me hooked on craft beer in my 20s — but so much better.

This place is great for … Kickin’ it on the patio with friends, either listening to live music, or letting your kids practice performing on the teepee-themed outdoor stage.

Other options in OC south of the 405:

Steady Kitchen and Taps, 18055 Magnolia St, Fountain Valley

Synth Beer Company, 2960 Randolph Av, Costa Mesa

Brewing Reserve of California, 2930 College Ave D, Costa Mesa

Some government funding streams for L.A. County’s public health system are drying up, and officials are turning to private philanthropy to fill the gap.

A new privately funded foundation launched Thursday to strengthen public health services after $50 million in federal, state and local funding cuts to the county’s Department of Public Health since early last year.

“It is really a hard day for our community when we have to ask for private donations to fund a public good, but unfortunately, we've lost too much money to not take this important step,” said Public Health Director Barbara Ferrer.

In February, the county’s Public Health Department closed seven clinics, with six remaining open. About half of the patients seen in those clinics are uninsured, according to county officials. The department also cut hundreds of staff positions.

Ferrer is on the board of the new foundation, The Fund for Advancing Public Health LA, which held its first meeting Thursday.

She said the fund will help the county maintain its basic public health infrastructure, including disease prevention, health promotion, environmental health, and emergency response efforts.

Other board members include several health insurance executives, as well as actors Sean Penn and Danny Trejo. Board member Saree Kayne of the R&S Kayne Foundation pledged $150,000 to the fund Thursday. Kayne said she hopes the donation encourages others to give.

The foundation aims to raise $2 million this year.

More cuts expected

L.A. County Supervisor Holly Mitchell said it’s crucial to have an alternative funding stream to protect services for the county's most vulnerable residents.

“We are saving public health,” Mitchell said. “This fund represents a new approach, one that brings together government philanthropy in the private sector to invest in community-based solutions, protect vulnerable populations, and strengthen our public health infrastructure.”

Officials say more public health cuts are coming, through the federal budget law known as the "Big Beautiful Bill," which slashes funding for Medi-Cal.

The county Department of Public Health anticipates losing up to $300 million in revenue over the next three years because of the federal budget bill and other potential funding freezes. Federal funding accounts for almost 50% of the public health budget, according to county officials.

Mitchell also led an effort to put a half-percent county sales tax increase to fund public health on the June ballot.

If approved by voters, that proposal, known as Measure ER, is expected to raise about $1 billion a year for county safety net health services, including about $100 million for the public health department.

Board members

The Fund for Advancing Public Health LA announced its founding board of directors, which includes:

• Dr. Barbara Ferrer, LA County Department of Public Health director
• Debbie I. Chang, Blue Shield of California Foundation CEO
• Sean Penn, actor and co-founder of Community Organized Relief Effort (CORE)
• Martha Santana-Chin, LA Care Health Plan CEO
• Saree Kayne, R&S Kayne Foundation CEO
• Danny Trejo, actor and restaurateur
• Jarrett Barrios, an executive at the American Red Cross
• Dr. Deborah Prothrow-Stith, Charles R. Drew University College of Medicine Dean
• Kristin McCowan, an executive at the Los Angeles Dodgers