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The Brief

The most important stories for you to know today
  • State says Kaiser has to fix care 'deficiencies'
    A group of dozens of striking mental health workers and their supporters stand at a rally in Pasadena. They mostly wear red colors and hold protest signs against Kaiser.
    Striking mental health workers and supporters rallied outside Kaiser offices in Pasadena on Wednesday.

    Topline:

    California regulators released a report this week that found Kaiser has yet to fix several “deficiencies” in behavioral health care for which it was cited years ago.

    The report comes as Kaiser mental health workers in Southern California prepare to enter the sixth month of a strike against the health care provider.

    What the report found: The report from the California Department of Managed Healthcare lists 20 deficiencies based on state regulations, ranging from failing to provide non-urgent mental health and substance-use appointments within 10 days to not ensuring members are offered urgent care appointments within 48 hours of the request. According to the report, Kaiser still had not corrected 19 of them.

    Kaiser response: In a statement included in the 88-page document, Kaiser Foundation Health Plan said it had made “substantial progress” in addressing issues brought up in the report as it “continues the transformation of its behavioral health program.”

    Ongoing strike: In October, about 2,400 therapists, psychiatric nurses, psychologists and social workers represented by the union went on strike, pushing for better pay and pensions, as well as more time to conduct patient follow up. Mark Ghaly, former California Secretary of Health and Human Services, and Darrell Steinberg, a former mayor of Sacramento, were tapped as mediators earlier this month, but negotiations have since stalled, according to the union.

    California regulators released a report this week that found Kaiser has yet to fix several “deficiencies” in behavioral health care for which it was cited years ago.

    The report from the California Department of Managed Healthcare lists 20 deficiencies it found in 2022 based on state regulations, ranging from failing to provide non-urgent mental health and substance-use appointments within 10 days to not ensuring members are offered urgent care appointments within 48 hours of the request.

    According to the report, Kaiser still had not corrected 19 of them.

    The report comes as Kaiser mental health workers in Southern California prepare to enter the sixth month of a strike against the health care provider.

    “This report shows why Kaiser Permanente mental health workers remain on strike,” Sal Rosselli, president emeritus of the National Union of Healthcare Workers, said in a statement. “Kaiser keeps saying everything is fine when its workers know that patients can’t get the care they need because Kaiser’s services are understaffed and underfunded.”

    In a response included in the 88-page document, Kaiser Foundation Health Plan said it had made “substantial progress” in addressing issues brought up in the report as it “continues the transformation of its behavioral health program.”

    “Despite the efforts of the National Union of Healthcare Workers to mislead the public, the Department of Managed Health Care has not identified new deficiencies in our mental health care,” Kaiser Permanente said in a statement to LAist, adding that the deficiencies in the report had not “gone unaddressed.”

    The plan said all deficiencies outlined in the report had been addressed and were part of its corrective action plan to get in line with state regulations. 

    What the report from state regulators found 

    The strike comes more than a year after state regulators hit Kaiser with a $50 million fine for failing to provide timely access to mental health care and other problems.

    As part of that settlement agreement, Kaiser committed to investing an additional $150 million over five years to expand and improve behavioral health care for members.

    Listen 0:44
    As the Kaiser strike drags on, state regulators say the company hasn’t corrected 'deficiencies' in mental health care

    The report out this week from the Department of Managed Healthcare outlines 20 deficiencies that were found in Kaiser’s Northern and Southern California regions during a 2022 survey of operations and the status of the deficiency following the regulator’s review of compliance efforts.

    They include:

    • Failing to offer non-urgent mental health and substance use appointments within 10 days of the initial appointment request
    • Not ensuring enrollees are offered urgent care appointments within 48 hours of the request
    • Not enough oversight of suicide risk screenings.

    “Health plans are required to provide their members with appropriate access to behavioral health care services, and the DMHC will continue to hold Kaiser Permanente accountable to these requirements in the law,” Director Mary Watanabe said in a statement.

    Watanabe said Kaiser plans to remedy the deficiencies in the report through a corrective action plan required as part of the $200 million settlement agreement.

    According to the report, state regulators will do a follow-up survey within 18 months to see if the issues have been corrected.

    In a statement emailed to LAist, Kaiser Permanente said it was currently exceeding state requirements for timely access to care, meeting access timeframes “99.7% of the time for urgent care [and] 95% of the time for initial nonurgent care appointments.”

    “The investments we’ve made over the last several years have resulted in significant improvements in access for our members,” the plan said. 

    The ongoing strike 

    In October, about 2,400 therapists, psychiatric nurses, psychologists and social workers represented by the union went on strike, pushing for better pay and pensions, as well as more time to conduct patient follow up.

    In a statement this week, Kaiser said 60% of union-represented employees who chose not to strike or have since returned to work are continuing to serve patients, along with an outside network of “more than 13,000 providers.”

    Last month, Gov Gavin Newsom urged the two groups to settle the strike through mediation, especially after the wildfires tore through Los Angeles County in January.

    Newsom sent a letter to Greg Adams, CEO of Kaiser Permanente, and Sophia Mendoza, president of the National Union of Healthcare Workers, noting that Southern California residents “are grappling with extreme loss and displacement” after the fires.

    Mark Ghaly, former California Secretary of Health and Human Services, and Darrell Steinberg, a former mayor of Sacramento, were tapped as mediators earlier this month, but negotiations have since stalled, according to the union.

    Wednesday’s protest

    More than 100 Kaiser employees and supporters rallied Wednesday outside the health provider's offices in Pasadena. Picketers held signs that read “Healthy workers equals health patients,” and “End the inequity.”

    Patricia Arevalo-Porcelli, a licensed clinical psychologist, said she’s been a Kaiser employee for nearly three decades, and that some of her patients have shown up to support her on the picket lines over the course of the more than five-month strike.

    Arevalo-Porcelli said she knows some mental health workers on strike are not only dealing with the financial stress of the work stoppage, but have also lost their homes in the Eaton Fire.

    “The need for us to get back and be of service to the community who is truly grieving, deeply, is now more than ever,” she said.

  • Egg cracks in Jackie and Shadow's nest
    An adult eagle perched in a nest of twigs, with two small white eggs at the bottom of the nest. One of the eggs has a large hole in the center.
    Jackie returned to the nest after one of the eggs were confirmed to have cracked on Friday.

    Topline:

    Big Bear’s famous bald eagle nest has taken a turn — both of Jackie and Shadow’s eggs have been attacked by ravens.

    What happened: Via livestream, a raven could be seen in the nest poking a large hole into, and potentially eating, one of the eagle eggs.

    Why it matters: Jackie and Shadow have a large fanbase.

    “Our hearts are with Jackie and Shadow always and we wrap our arms around them,” Jenny Voisard, the organization’s media and website manager, wrote in a Facebook update. “Our hearts are also with you eagle fam, we know how you are feeling now."

    Go deeper: Second egg seen in Big Bear’s famous bald eagle nest

    Big Bear’s famous bald eagle nest has taken a turn — both of Jackie and Shadow’s eggs have been attacked by ravens.

    In the nest overlooking Big Bear Lake, a raven could be seen poking a large hole into, and potentially eating, one of the eagle eggs. The intrusion was noticed on a popular YouTube livestream run by the nonprofit Friends of Big Bear Valley.

    Jenny Voisard, the organization’s media and website manager, confirmed the crack in Friends of Big Bear Valley’s official Facebook group, which has nearly 400,000 members, after Jackie and Shadow were away from the nest, and eggs, for several hours Friday.

    Voisard told LAist one of the eggs may still be partly intact, but both eggs are believed to be breached. Jackie returned to their nest shortly after the raven left to lay on the remaining egg, according to organization records.

    “Our hearts are with Jackie and Shadow always and we wrap our arms around them,” Voisard wrote. “Our hearts are also with you eagle fam, we know how you are feeling now."

    “Step away from the screen when needed,” she continued in the post. “Try and rest tonight.”

    How we got here

    Jackie laid the first egg of the season around 4:30 p.m. last Friday and the second egg around 5:10 p.m. Monday as thousands of eager fans watched online.

    It was almost exactly a year after the feathered duo welcomed the first egg of the 2025 season.

    Bald eagles generally have one clutch per season, according to Friends of Big Bear Valley. A second clutch is possible if the eggs don’t make it through the early incubation process.

    For example, Jackie laid a second clutch in February 2021 after the first round of eggs was broken or destroyed by ravens the month before.

    Jackie and Shadow may have the left the nest unattended Friday because they knew on some level "that not everything was right," Voisard wrote.

    "We are hopeful however, because bald eagles can lay replacement clutches if something happens early enough in the season," she continued. "The fact that the raven came to do its job so quickly may be just what Jackie and Shadow needed."

    A raven is perched in a large eagle's nest made of twigs, with two small white eggs in the center of the nest. The raven is standing over the eggs close by.
    A raven is believed to have breached both eggs in Big Bear's famous nest.
    (
    Friends of Big Bear Valley
    /
    YouTube
    )

    Watch the nest

    This is a developing story and will be updated.

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  • Courtrooms hear how companies may have hooked kids
    An over the shoulder shot of a child using a phone, showing them taking a photo of a game of Mahjong on a table with another child sitting across from them.
    People, school districts and states suing tech companies say their platform designs and marketing hooked kids on social media.

    Topline:

    Lawsuits in California federal and state court are unearthing documents embarrassing to tech companies — and may be a tipping point into federal regulation.

    Conversation in lawsuit: The Meta researcher’s tone was alarmed. “oh my gosh yall IG is a drug,” the user experience specialist allegedly wrote to a colleague, referring to the social media platform Instagram. “We’re basically pushers… We are causing Reward Deficit Disorder bc people are binging on IG so much they can’t feel reward anymore.”

    About the suit: Condensing complaints from hundreds of school districts and state attorneys general, including California’s, the suit alleges that social media companies knew about risks to children and teens but pushed ahead with marketing their products to them, putting profits above kids’ mental health. The suit seeks monetary damages and changes to companies’ business practices.

    Read on... for more about the lawsuits in California.

    The Meta researcher’s tone was alarmed.

    “oh my gosh yall IG is a drug,” the user experience specialist allegedly wrote to a colleague, referring to the social media platform Instagram. “We’re basically pushers... We are causing Reward Deficit Disorder bc people are binging on IG so much they can’t feel reward anymore.”

    The researcher concluded that users’ addiction was “biological and psychological” and that company management was keen to exploit the dynamic. “The top down directives drive it all towards making sure people keep coming back for more,” the researcher added.

    The conversation was included recently as part of a long-simmering lawsuit in a California-based federal court. Condensing complaints from hundreds of school districts and state attorneys general, including California’s, the suit alleges that social media companies knew about risks to children and teens but pushed ahead with marketing their products to them, putting profits above kids’ mental health. The suit seeks monetary damages and changes to companies’ business practices.

    The suit, and a similar one filed in Los Angeles Superior Court, targets Facebook, Instagram, YouTube, TikTok, and Snap. The cases are exposing embarrassing internal conversations and findings at the companies, particularly Facebook and Instagram owner Meta, further tarnishing their brands in the public eye. They are also testing a particular vector of attack against the platforms, one that targets not so much alarming content as design and marketing decisions that accelerated harms. The upshot, some believe, could be new forms of regulation, including at the federal level.

    One document discussed during a hearing this week included a 2016 email from Mark Zuckerberg about Facebook’s live videos feature. In the email, the Meta chief wrote, “we’ll need to be very good about not notifying parents / teachers” about teens’ videos.

    “If we tell teens’ parents about their live videos, that will probably ruin the product from the start,” he wrote, according to the email.

    In slides summarizing internal tech company documents, released this week as part of the litigation, an internal YouTube discussion suggested that accounts from minors in violation of YouTube policies were actively on the platform for years, producing content an average of “938 days before detection – giving them plenty of time to create content and continue putting themselves and the platform at risk.”

    A spokesperson for Meta didn’t immediately respond to requests for comment.

    A YouTube spokesperson, José Castañeda, described the slide released this week as “a cherry-picked view of a much larger safety framework” and said the company uses more than one tool to detect underage accounts, while taking action every time it finds an underage account.

    If we tell teens’ parents about their live videos, that will probably ruin the product from the start.
    — Mark Zuckerberg, Meta CEO, in 2016 email

    In court, the companies have argued that they are making editorial decisions permitted by the First Amendment,. That trial is set for June.

    The state court litigation moved into jury selection this week, increasing the pressure on social media companies.

    While the state and federal cases differ slightly, the core argument is the same: that social media companies deliberately designed their products to hook young people, leading to disastrous but foreseeable consequences.

    “It's led to mental health issues, serious anxiety, depression, for many. For some, eating disorders, suicidality,” said Previn Warren, co-lead counsel on the case in federal court. “For the schools, it’s been lost control over the educational environment, inability of teachers to really control their classrooms and teach.”

    A federal suit

    Meta and other companies have faced backlash for years over their treatment of kids on their platforms, including Facebook and Instagram. Parents, lawmakers and privacy advocates have argued that social media contributed to a mental health crisis among young people and that tech companies failed to act when that fact became clear.

    Those allegations gained new scrutiny last month when a brief citing still-sealed documents in the federal suit became public.

    While the suit also names TikTok, Snap, and Google as defendants, the filing includes allegations against Meta that are especially detailed.

    In the more than 200-page filing, for example, the plaintiffs argue that Meta deliberately misled the public about how damaging their platforms were.

    Warren pointed to claims in the brief that Meta researchers found that 55% of Facebook users had “mild” problematic use of the platform, while 3.1 percent had “severe” problems. Zuckerberg, according to the brief, pointed out that 3% of billions would still be millions of people.

    But the brief claims the company published research noting only that "we estimate (as an upper bound) that 3.1% of Facebook users in the US experience problematic use.”

    “That’s a lie,” Warren said.

    In response to recent interest in the suits, Meta published a blog post this month arguing that the litigation “oversimplifies” the issue of youth mental health, and pointed to past instances where it has worked with parents and families with features to protect kids.

    The federal case faced a key hearing this week, as the defendants argued that a judge should summarily dismiss the case. A decision on that motion is likely coming in the next few weeks, Warren said.

    Social media companies, like other web-based services, receive protection from some legal claims under a part of federal law. Section 230 of the Communications Decency Act gives legal immunity to website operators for potentially illegal content on their platforms.

    Mary Anne Franks, a legal scholar in First Amendment issues at George Washington University who has long studied Section 230, said rather than online content in and of itself, the recent social media cases are focusing on the design of the platforms and their marketing.

    “The litigation strategy is saying it's the way that you're providing that space and you're pushing this toward individuals that are vulnerable that is really an issue here,” she said. “It's your own conduct, not somebody else's.”

    The companies are making key decisions behind the scenes, she said, and could be held responsible for them.

    “You were manipulating things,” she said the plaintiffs are arguing. “You were deliberately making choices about what comes to the top or what is directly accessible or may be tempting to vulnerable users.”

    A California state trial begins

    Meanwhile, the related state lawsuit went to jury selection this week.

    The case, which makes similar claims about personal injury caused by the social media companies, has also drawn nationwide attention, and major industry figures like Zuckerberg are expected to appear on the stand.

    The personal injury case focuses on an unnamed plaintiff who claims to have had her mental health damaged by an addiction to social media.

    In a last-minute development this week, TikTok and Snap reportedly reached undisclosed settlements in the case. Meta and Google are continuing as defendants.

    Franks said these trials could be a tipping point in regulating how tech companies design and market their products. While the companies have faced scrutiny in the past, she said, the glare of examination at trial could be especially bright.

    “There's always been talk of it and the members of Congress have kind of said, ‘maybe we'll regulate you,’” she said. “I think now the platforms are really getting nervous about what this is going to mean if they look really bad on the stand.”

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

  • The city has two new all-terrain wheelchairs
    A man with light skin and black baseball caps faces away from the camera towards a view from the top of a mountain trail overlooking the city. He sits in an all-terrain wheelchair. It's sunny and the sky is blue.
    Burbank recreation services manager Noah Altman tests out the city's new all-terrain wheelchairs on Stough Canyon Fire Trail.

    Topline:

    Burbank is officially launching a new hiking-trail-accessibility program for people with disabilities. Two new all-terrain wheelchairs will be available to rent, starting Saturday, at Stough Canyon Nature Center.

    The background: The program is the first of its kind in Southern California. Several jurisdictions in the region have beach accessibility programs, but this is the first for mountain trails.

    Read on ... for more on the program and how to reserve a chair.

    On Saturday, Burbank is officially launching a new hiking trail accessibility program for people with disabilities. Two new all-terrain wheelchairs will be available to rent at Stough Canyon Nature Center for use on the fire trail.

    The program is the first of its kind in Southern California. Several jurisdictions in the region have beach accessibility programs, but this is the first for mountain trails.

    The background

    In recent years, Burbank has become a leader in the movement to make sports and the outdoors more accessible to people with disabilities.

    Since 2021, the city has launched several adaptive sports programs, including offering wheelchair rugby and fencing, Piper’s Pals youth baseball and basketball, powerchair soccer, boccia and the Burbank Adaptive Sports Expo, which is coming up for its third year running on Feb. 21.

    Attend the program's launch event!

    Where: Stough Canyon Nature Center, 2300 Walnut Avenue, Burbank

    When: Saturday, Jan. 31 at 10 am

    What: Attendees will be able to try out the new all-terrain wheelchairs for themselves, ask questions and learn more about adaptive sports efforts from Burbank Parks and Recreation staff.

    (Side note: There’s some debate among the people of Burbank as to how to pronounce “Stough Canyon.” LAist did some digging and found this transcript from the Burbank Public Library. The canyon was named after prominent 19th-century real estate developer Oliver J. Stough, a descendent of German immigrant Gottfried (or Godfrey) Stauff, whose spelling of his surname was changed to Stough after migrating to the U.S in 1752. The verdict? Stough rhymes with “wow.”)

    The new equipment

    The new all-terrain wheelchairs are the latest in that effort, said Diego Cevallos,  assistant director of the city’s parks and recreation department.

    “We are building an ecosystem here in Burbank of robust programming and activities that cater to folks with disabilities,” he said. “Really what we want to do is inspire the community and also our other civic leaders to engage in this movement of making outdoor equity more accessible through programs just like this.”

    Two all-terrain wheelchairs sit on a dirt path with a backdrop of chaparral, mountains and blue skies.
    Burbank is launching its accessibility program with two new all-terrain wheelchairs.
    (
    Courtesy Burbank Parks and Recreation
    )

    The city purchased the all-terrain Action Trackchair AXIS 40 wheelchairs — each about $20,000 — exclusively with funds raised by Leadership Burbank. The community-based organization raised about $90,000 for the trail accessibility program. The remaining funds went to the city’s parafencing program and all staff time associated with maintaining these programs comes out of the city’s general fund, Cevallos said.

    How the program works

    The program is open to anyone with mobility issues in the region, not only Burbank residents.

    You can reserve one of the two wheelchairs by going to BurbankParks.com. The process is a bit clunky, but city staff are working to simplify it.

    How to reserve a chair

    Go to BurbankParks.com, then click on the “Facility Rentals” tab, scroll down to “Stough Canyon Nature Center” and click on “Adaptive Hiking Rentals.”

    Available times will be in highlighted green in the calendar.

    You’ll have to create a profile and log in to reserve the chairs. Before getting on the trail, you’ll have to watch a safety tutorial video, sign a waiver and do a test drive.

    Once reserved, the user will have to bring a non-disabled companion to assist them and a staff member or volunteer with the Nature Center will accompany them on the trail. That docent will provide nature education during the hike and make sure everything is going smoothly and safely.

    Right now, the chairs can only be reserved for up to two hours, said recreation services manager Noah Altman, but he said staff welcomes feedback from the public and will consider updating the requirements for the program as needed.

    And an important note: Residents with all types of disabilities can use the chairs — it’s not necessary to have mobility in one’s hands. The family member or friend accompanying the user can remotely control the wheelchairs if needed.

    Why all-terrain wheelchairs matter

    Mobility challenges are the most common type of disability in L.A. County — around half a million Angelenos have some type of ambulatory disability, according to the county’s Aging and Disabilities Department.

    But all-terrain wheelchairs cost around $20,000 and weigh around 400 pounds, making them out of reach and impractical for most individuals to own themselves, said Austin Nicassio, a San Dimas resident and founder of Accessible Off-Road, a nonprofit that advocates and is raising funds for more off-road mobility devices.

    Nicassio provided consultation early on in the Burbank accessible trail project effort, and is currently working with L.A. County and California State Parks to bring all-terrain wheelchairs to more areas. The nonprofit is raising money to purchase all-terrain wheelchairs for use in those jurisdictions.

    “ It's a huge milestone,” Nicassio said of the Burbank program. “It's going to be absolutely life changing for everyone in Southern California.”

    For Nicassio, these efforts are deeply personal. Growing up in the eastern San Gabriel Valley, he used to be an avid hiker and mountain biker.

    “Five years ago I was completely able-bodied working as an aerospace engineer, mountain biking, hiking, surfing,” Nicassio said. “My body did whatever I wanted it to do, and I always took it for granted.”

    A man with light skin, a tan T-shirt and a baseball cap wears sunglasses sits in an all-terrain wheelchair. He's on a dirt path at golden hour. A body of water, trees and hills are behind him.
    Austin Nicassio uses his all-terrain wheelchair at Frank G. Bonelli Regional Park near his home in San Dimas.
    (
    Courtesy Austin Nicassio
    )

    But in 2022, after a mild case of COVID-19, he started experiencing strange symptoms — muscle weakness, severe brain fog. He was later diagnosed with a condition that affects his blood flow and makes it difficult to stand for long periods of time and impossible to do anything too strenuous. He was also diagnosed with chronic fatigue syndrome.

    “I went from being very active to being a wheelchair user,” Nicassio said.

    His mental health plummeted — he realized he used to cope with strong emotions by getting out on the trails or in the ocean. When he finally saved up enough to purchase his own off-road wheelchair, it was “life changing.”

    “And not just for me, but for my father, for my wife, for my friends, my whole community,” Nicassio said.

    He says he wants to see a world where access to such offroad wheelchairs is the norm.

    “ No one has told me that their favorite hike or trail's been paved unless you're disabled, and it has to be,” said Nicassio. “Being out on these trails, a couple miles from the noise, from the trash, from the people, it's life changing.”

  • Tenants can soon apply to L.A. County program
    A "for rent" sign hangs outside an apartment building in the city of Los Angeles.
    A "for rent" sign hangs outside an apartment building in the city of Los Angeles.

    Topline:

    Los Angeles County tenants who’ve fallen behind on their rent because of last year’s fires or federal immigration raids can soon apply for a rent relief program that had previously catered only to landlords and homeowners .

    The details: The $23 million program closed its first application window last Friday. Now, county officials say applications will reopen Feb. 9. Tenants will be allowed to directly apply this time, and landlords and homeowners will get another shot too.

    The help available: The program offers to cover up to six months of missed rent or mortgage payments, with a cap of $15,000 per housing unit. Utilities and other household expenses can be covered as well.

    Applications so far: County officials said they received 4,644 applications during the first round. In the next phase, tenants can apply on their own, but they will eventually need their landlords to complete their own paperwork in order to receive funding.

    For more information … go to the county’s rent relief website at lacountyrentrelief.com.