The Brief

Children’s Hospital Los Angeles is officially closing its gender-affirming care center today, ending a chapter for one of the oldest and largest clinics of its kind in the U.S. The hospital’s thousands of trans patients under 21 are now left to find a new provider to access therapy, hormones and surgeries.

The closure marks a turning point in the nationwide battle for transgender rights, as the Trump administration has sought to restrict access to gender-affirming care by withholding federal funding, even in deep-blue states with “shield laws” protecting such medical services.

Advocates organized by the Los Angeles LGBT Center had protested the shuttering of CHLA’s Center for Transyouth Health and Development at rallies outside the hospital.

"Gender-affirming care is protected by law,” said Maria Do, community mobilization manager at the L.A. LGBT Center, at a rally July 17. “CHLA’s compliance with political pressure and anti-trans fearmongering must be investigated and prevented from ever happening again.”

What were the federal forces behind the closure? 

In January, President Donald Trump issued an executive order seeking to restrict access to gender-affirming hormones and surgeries. The administration called the treatments “chemical and surgical” hormones.

Major medical associations — and a majority of people who receive this care, according to surveys — oppose these bans and describe healthcare for trans youth as potentially life-saving.

CHLA cited this executive order when announcing its Feb. 4 decision to pause gender-affirming surgeries, hormones and puberty blockers for new patients under 19. Following public outcry, CHLA then resumed the intake of new patients under 19 for these services about two weeks later.

Over the next months, CHLA said its leadership watched guidance from various federal departments, including the Federal Bureau of Investigation, the Department of Justice, Health and Human Services and the Centers for Medicare and Medicaid Services.

Protesters have gathered weekly outside Children's Hospital L.A. since the closure of its gender-affirming care clinic was announced last month.

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These directives were cited by hospital administrators on June 12, when they announced the closure.

The hospital said it gave families six weeks’ notice before closing its gender-affirming care center. Many current and former patients who spoke at rallies said they thought this wasn’t enough time for youth — particularly for longtime patients who had built relationships with medical staff — to find new providers.

CHLA’s financial reality

About 65% of the hospital’s funding comes indirectly or directly through federal sources, and the hospital is more dependent on these funds than the state average, according to the hospital. The latest publicly available data shows an even higher percentage: just over 70%.

That federal funding largely comes from Medicaid, according to state data — which was cut by about $1 trillion under Trump’s signature budget package. According to a letter to patients announcing the closing provided to LAist, the hospital said it could only sustain operations for about 50 days if all federal funding were withheld.

The hospital said it was left with no choice but to shutter the center despite its decades of “evidence-based” care — especially as the prospect of securing funding from California grew more and more uncertain amid a statewide budget crisis.

A large crowd of people listens to a speech at a rally outside Children's Hospital L.A.

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What are patients and advocates saying?

Weekly protests have been held outside the hospital in support of gender-affirming care for trans youth.

A protest on July 17 saw around 100 protesters packed onto a cramped sidewalk on Sunset Boulevard across from the hospital. Protesters’ signs, chants and speeches called out a variety of actors, primarily the Trump administration and CHLA administrators.

Protesters held signs shaped like CHLA's butterfly logo with messages supporting transgender, gender diverse and intersex youth written on them.

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People at the rally, including a few wearing medical scrubs, held signs in the shape of CHLA’s butterfly logo with messages of support for trans, gender non-conforming and intersex people. Vehicles driving past — including some utility trucks and ambulances — honked in support of the rally, sharply punctuating speeches from local LGBTQ+ advocates and former patients in support of keeping access to gender-affirming care.

“Instead of protecting that care, CHLA caved,” said Sydney Rogers, a program manager at the L.A. LGBT Center and vice chair of the L.A. County LGBTQ+ Commission. “Instead of defending the youth they once promised to serve, they closed the doors and turned off the lights. Now families across L.A. are scrambling for crumbs in a healthcare system built on fear.”

What now for gender-affirming care providers?

For CHLA’s thousands of patients and their families, finding new doctors could prove difficult. Other providers in the state are restricting their services in an effort to shield themselves from federal attention.

For instance, Stanford Medicine paused gender-related surgeries on patients under 19 last month.

Protesters led chants at a recent rally, including some that directly targeted CHLA's policies.

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Attorney General Rob Bonta also advised the hospital earlier this year it may be violating state law by not offering gender-affirming care.

“Let me be clear: California law has not changed, and hospitals and clinics have a legal obligation to provide equal access to healthcare services,” Bonta said in a letter to CHLA.

However, in a statement provided to LAist on Monday, Bonta’s office said it would focus on “the source of this problem — and that’s the Trump administration's unlawful and harmful threats to providers.”

Trump’s One Big Beautiful Bill Act contains a provision that would remove gender-affirming care as an essential health benefit under the Affordable Care Act. Bonta filed a lawsuit Friday challenging that clause.

Held by the Los Angeles Review of Books since 2019, LITLIT, or The Little Literary Fair, started out as a way to introduce students from workshops to the publishing industry.

It has since grown into a gathering of independent West Coast publishers from Seattle to Santa Monica. This year’s iteration on June 6 and 7 is the biggest yet, with more than 50 publishers participating in the event at Sci-Arc in Downtown L.A.

People look through a small library of used books from "A Good Used Book," a Los Angeles based book pop-up, during LITLIT 2024.

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It’s ‘small’ lit

The fair aims to get the public in front of books that don’t originate from the so-called “Big Five” publishers — behemoths like Penguin Random House and HarperCollins.

“They really get to control what people get to see, and so we hope LITLIT lets people see more of what is out there and what they can support directly,” said Emily VanKoughnett, public programs and engagement director for LARB.

One of VanKoughnett’s favorite independent publishers will be there. Two Lines Press, the publishing arm of San Francisco’s Center for the Art of Translation, deals specifically in translated works.

Two Lines Press, which specializes in translated works, show off their books to attendees of LITLIT.

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They’ve published authors from across the world, translating books from more than 100 different languages into English.

“ We do our work in quiet rooms, so it's really nice to be able to meet readers and talk to them about what's interesting them. These festivals are really valuable to us in that way,” said CJ Evans, publisher and editor-in-chief of Two Lines.

Pressed locally

Local favorite Angel City Press, which operates under the auspices of L.A. Public Library, will also be there with one of their newly published titles, Los Angeles Central Library POPS, that celebrates 100 years of the Central Library.

People at LITLIT 2024 look through different small presses.

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You’ll also find LA-based Errant Press, which specializes in books that break the traditional form — like a poem printed on measuring tape or a matchbox sized poetry collection.

“It’s really cool to see the kinds of risks that people are able to take, the kinds of communities they’re able to serve and really highlight here on the West Coast,” said Irene Yoon, executive director of LARB.

Panels, printing presses, and workshops

The two-day fair also hosts various panels and workshops, including one on the art of comedic writing and another on how to tell the stories of Los Angeles through archival materials.

“This is, I think, the most panels we've ever done,” VanKoughnett said.

People sit down for a panel discussion at LITLIT 2024.

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Los Angeles Review of Books

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Workshops on how to navigate the literary world with a completed manuscript and making your own comics and zines are also on the itinerary.

And Carson’s International Printing Museum will demonstrate how to screen print your own bookmark.

“It's not until we're all in the same room with all our best books literally out on the table that you get to see kind of what a phenomenal publishing culture Los Angeles truly has,” said Terri Accomazzo, editorial director of Angel City Press.

On a recent Monday, students at Breed Street Elementary in Boyle Heights started their day like no other — with a tour of the murals hand-painted over the weekend across the playground.

It’s the latest of seven elementary schools in and around L.A. to get the treatment. Over 70 murals in the last 13 years, brought by a collective of artists to students in under-resourced neighborhoods with little access to art education.

“The kids were so excited,” said Stefanie Barbee, a math teacher at Breed. “Just pure joy.”

The students snaked through the paintings on handball courts and school walls: cartoon animals, bright orange flowers, a circle of meticulously painted lines. The works span genres and sensibilities.

Mural by artist hi-dutch.

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“It's grassroots. We're not getting money from anyone,” said Erik Caruso, the 5th-grade teacher in Paramount who's the group glue. To them, they are just an assembly of likeminded friends — and friends of friends — who spend one weekend out of the year to hang out and paint murals for school kids.

But the collective is anything but typical. It includes artists like the late Rich Jacobs, who died from leukemia this year, and Tim Kerr, pro-skater Ray Barbee, and Japanese artists Yusuke Hanai and hi-dutch. The vibe's always low key, and somehow they've managed to stay under the radar.

Mural by artist Yusuke Hanai.

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Mural by artist Yusuke Hanai.

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“The kids have no idea that they show in huge galleries or have pieces hanging in museums,” said writer Martin Wong, co-founder of the pioneering Asian pop culture magazine Giant Robot. "Or they're famous in the skateboarding scene or surf or music."

Their reward is the Monday morning after, seeing the happiness on the kids’ faces.

“The artists are waiting all weekend – it’s that moment,” Caruso said.

Mural by artists Sandy Yang and James Hamblin.

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James Hamblin was at Breed for the meet-and-greet earlier this month. He painted a mural designed by his partner Sandy Yang on one of the handball walls.

“Sandy's design is pretty abstract, so it was interesting because the kids were [asking], you know, ‘ What is it?’” Hamblin said. “It was great because I could tell them I had no idea and like, ‘What do you guys think it is?’"

Bring the art museum to the school

Erik Caruso.

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The idea came to Caruso in 2011, after he took about two dozen students from his Paramount school to MOCA and discovered that only four had ever been to an art museum.

“I wonder if there's a way we can bring the art museum to the school,” he said.

Caruso, a 24-year veteran, was no stranger to bringing art — and artists — directly to his students. In 2009, he launched a monthly art project for fifth graders that culminated in a year-end show where they meet and share work with living contemporary artists.

Caruso's 5th grade art project, featuring works by artist Tim Kerr.

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The murals were next.

They painted their first ones at his school in 2012. Soon, the project expanded to the rest of Los Angeles.

Crew at work

Mural by artist Chris Johanson.

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Mural by artist Chris Johanson.

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The painting takes place between Friday and Sunday, but planning takes months.

At Breed, the connection was made through math teacher Barbee — wife of Ray — who is on a two-year stint at the Boyle Heights school to help students catch up on the subject.

“I had sort of planted that seed that at some point I would love for a school I was working at to be the recipient of the beautiful work,” she said.

Breed Street Elementary in Boyle Heights.

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She brought Caruso out for a site visit last September.

“He has a really amazing kind of vision about where to place the artists … based on just their artwork and where it is in relation to the street view,” Barbee said.

Next came an introduction to the principal and the approval process.

“One of the biggest challenges with what we are doing is, you know, they want flipping dolphins and stuff like that,” Caruso said. “But we want to cross over into fine art pieces.”

Mural by artists Lookout & Wonderland

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Mural by artists Lookout & Wonderland

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Paying it forward

Caruso estimated that as many as 40 artists and musicians have joined the effort.

The core group now, he said, is about 11 people and friends and families often tag along to help out, given they have just 16 hours over three days to finish the job.

Mural by artist Oitama.

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Mural by artist Lori Damiano.

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Among the regulars: Wong and his wife Wendy Lau, who once organized DIY punk shows to fund music education at their daughter's Chinatown school. In Caruso, they saw a kindred spirit.

Caruso later brought the collective to paint at that school and eventually invited their daughter, Linda Lindas bassist Eloise Wong, to join his 5th grade art and music project.

“All of these kids on the blacktop were all just screaming their hearts out,” Eloise said. “It's cool how Erik — Mr. Caruso to them — shows them, like, raw ways to express themselves through cool art.”

Running a small business is tough under normal circumstances. Running one in a wildfire burn scar can feel nearly impossible.

That's the reality many Altadena business owners are still navigating nearly a year and a half after the Eaton Fire destroyed the community and the local economy. Businesses are grappling with how do you stay open when so many of your customers are gone?

At Wet Paws, a pet grooming business along Lake Avenue, that question recently came to a head.

The shop reopened in January but business remained slow. Wet Paws co-owner Stephanie Trujillo estimates the fire had displaced up to 90% of their customers.

Marley, a Cane Corso from Pasadena, went for her first grooming session at Wet Paws in more than a year.

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Then came a conversation with their landlord several months ago that forced a decision.

"He reached out and said, 'Are you going to re-sign your lease?'" Trujillo recalled.

The answer wasn't obvious.

"I said, unfortunately, we're not even making it. We're paying out of our own pocket," she said. "So he said, 'I'll give you until June 1.'"

The deadline meant Trujillo and her mother, Linda Alashti, who have owned the business together since 2023, had only a few months to figure out whether Wet Paws had a future in Altadena.

Wet Paws is hardly alone. As businesses struggle, Los Angeles County recently launched a program offering free marketing assistance and storefront improvements to fire-affected businesses. The deadline to apply is June 8.

A flag banner and sandwich board on the sidewalk outside Wet Paws advertises its services.

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The county also operates a gift card program to encourage residents to spend money at fire-impacted businesses.

But relief has not arrived quickly enough for many businesses.

One particularly slow April Sunday at Wet Paws drove home how dire the situation had become, when they had only one customer.

As she drove home to Fontana, Trujillo began composing a social media post.

"So this isn't easy for us to share," the post began, "but I wanted to reach out with an open heart and hope."

In the message, Trujillo asked the community to book appointments and spread the word to help their business survive.

Before posting it, Trujillo showed it to her mother.

Wet Paws groomer Elizabeth Ranes takes care of a basset hound client.

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"We're very prideful, and it's very hard to ask people for help," she said. "I felt embarrassed that we had to ask the community for help."

Her mother's advice was simple. "Just post it," she told her. "The worst that's going to happen is nobody sees it or nobody cares."

Instead, the opposite happened. By the next day, the post had been viewed and shared hundreds of times across Instagram and Facebook.

The phone started ringing, said Wet Paws groomer Elizabeth Ranes.

"I got well over 50 calls," Ranes said. "We booked out for the last three weeks of the month when we made that post.”

Customers told Alashti that they “didn't know you were back, because they don't come this way anymore.”

Decor inside Wet Paws embraces a playful canine motif.

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Among those who returned was Penny Dahlstrom, a Pasadena resident whose 113-pound Cane Corso Marley had been a Wet Paws regular before the fire.

Dahlstrom had tried taking Marley to a large pet store chain while Wet Paws was closed.

"My husband went in to pick her up, and he hears crying, and it was her," Dahlstrom said. "That's not just her nature."

The social media appeal didn't just bring back former customers. It also introduced the business to new ones, Trujillo said.

But recovery remains uneven.

Some days are still slow. And the shop continues to deal with lingering fire-related electrical damage in the back of the building.

Wet Paws is operating on a temporary electrical system, limiting how much power it can use at any given time.

"If we run our AC, and the neighbors run their AC, we lose power," Trujillo said.

As the June 1 lease deadline approached, Trujillo and her mother weighed their options. They could walk away and cut their losses. Or they could commit to rebuilding alongside a community they had come to love.

Ultimately, they thought about the response to their post and the customers who had shown up when the business needed them most. And they had faith that Altadena would rebuild to its full strength.

They chose to renew the lease for another three years.

"I can't imagine what the community is going through, losing their homes and losing everything that they had," Trujillo said. "Yet they're still coming back."

And as long as they do, she said Wet Paws will be there for them and their fur babies.

A new free record shop for survivors of last year’s Eaton and Palisades fires is celebrating with a grand opening party Saturday night.

After losing his home in the Eaton Fire, Brandon Jay founded Altadena Musicians to get instruments back into the hands of musicians who lost their gear in fires.

Now he’s doing that with vinyl records, too.

“We want to be here to help replace those items and support music in people’s lives that can’t necessarily afford it right now because they’re saving all their pennies just to live and also just to rebuild their homes,” Jay told LAist.

Jay says they’ve seen roughly 3,000 records donated so far. Now they have a dedicated space on Lincoln Avenue where fire survivors can sign up for time slots and shop for up to 10 records a month.

“It’s a really lovely distraction but it kind of keeps me going as well just to know that we’re trying to build something great for the community and keep us all moving forward,” Jay said.

The store will carry copies of the benefit album, Gimme Shelter: Songs for LA Fire Relief. The compilation features cover art by Shepard Fairey and L.A. specific tracks from artists like Elliott Smith ("Angeles" of course), Norah Jones, The Flaming Lips, as well as a cover of "Burning Down the House" by Talking Heads performed by Jay and about 50 other fire-impacted musicians.