The Brief

When the Children’s Hospital Los Angeles’ Center for Transyouth Health and Development closed over the summer, it sent a shockwave through an overworked system. The families of nearly 3,000 CHLA gender-affirming care patients now face a new reality of roadblocks and longer wait times while seeking highly specialized and sensitive fields of medicine.

The move by hospital officials came amid federal funding threats that led many health care providers not to advertise their services openly — or close their doors entirely.

LGBTQ community leaders as well as current and former patients have spoken out against the changes. Here’s what we know on where things stand for some of those patients.

How patients are hurting

CHLA’s Center for Transyouth Health and Development was one of the premier clinics for trans health care in the country before it closed July 22.

“ L.A. County only has a limited number of gender care providers,” said Maria Do, the Los Angeles LGBT Center’s  community mobilization manager. “So this means that [patients] are turning to already overburdened community clinics or private providers, and these wait lists are long.”

Other local medical providers, like Kaiser, also have started to limit gender-affirming surgical procedures for patients under 19 — which are only recommended by professionals in rare cases under current medical guidance. Kaiser still continues to offer puberty blockers and hormone prescriptions for trans youth.

Kathie Moehlig became familiar with CHLA’s trans health care center as she was taking her own child to the hospital from San Diego. The experience led her to found the nonprofit TransFamily Support Services, which has connected with families traveling long distances — even internationally — to get treated at the clinic.

Moehlig said she’s spoken to many people, including patient families and staff at the clinic, who are upset with how hospital leadership handled the closure.

“ None of this was done in correlation with the providers, the people who are seeing these patients on a regular basis,” Moehlig said. “So the providers also had the rug pulled out from under them.”

She said providers were left to scramble to find and refer their patients to other clinics that could keep refilling prescriptions and running tests.

“It was devastating, to say the least, to our families,” Moehlig added.

Families who’ve spoken out at rallies echoed these concerns, saying that though doctors filled out prescriptions and gave referrals, patients are dealing with longer wait times and are hurt by the hospital leadership’s decision to close.

“ When they lose a provider like the ones at CHLA, it also means losing their trust and safety and stability,” Do said. “Many folks feel abandoned.”

What’s CHLA saying?

CHLA said that federal funding threats and cuts to Medicaid risked putting them in a temporary shutoff — a situation they could not risk.

President Donald Trump's administration has mostly targeted children’s hospitals up to this point. But other health care systems in Southern California also have moved to restrict care following CHLA’s clinic closure.

“ We are all afraid of the domino effect of other clinics following suit from that,” Moehlig said. “That threat is there.”

Moehlig told LAist the list of providers she works with that offer gender-affirming care for youth changes on a monthly or even weekly basis.

Providers nationwide, such as CHLA, also are facing possible subpoenas.

In July, the Department of Justice made a rare move to announce that it was publicly looking into clinics offering gender-affirming care. According to court filings, at least one of those requests includes handing over social security numbers, billing information for hormones and other sensitive patient records.

Shannon Minter, legal director for the National Center for LGBTQ Rights, called these subpoenas an intimidation tactic. He said they’ve caused some providers around the country to step away from offering or advertising gender-affirming care for youth.

“ Believe me, when you get a subpoena from the federal government indicating that you're being investigated for potential civil or criminal prosecution, it is terrifying,” Minter said.

A full list of subpoenas issued has not been made public. It’s not clear whether CHLA or any other local health care providers have received such subpoenas.

CHLA did not respond to LAist’s inquiry about whether the hospital had been subpoenaed.

What families can do

For families, especially ones with kids who have recently come out as transgender or gender-diverse, navigating the health care system for trans youth at this moment could be scary.

Moehlig, of TransFamily Support Services, said the best way for parents to get connected with resources for their children is to join support networks with other families, such as her own nonprofit.

Support groups can help people of all ages — Moehlig said the youngest person in their support groups is 3 years old and the oldest is 88.

“ It can be very challenging as a parent of a trans person because it's sometimes hard to find anybody else within our circle that has a similar experience,” Moehlig said. “So that's why we provide this support across the whole of the family, to break through that isolation.”

What’s next

There are several active lawsuits that could determine if the federal government can continue to restrict health care for trans youth even in states that allow it.

The Supreme Court indicated earlier this year that individual states should determine whether they allow gender-affirming care for youth, though it’s not clear how they would rule on questions of federal funding for hospitals that offer such services.

Meanwhile, state lawmakers also are moving to protect medical records related to gender-affirming care.

SB 497, a bill authored by state Sen. Scott Wiener, passed the legislature this month. It would establish California as a “transgender state of refuge” and protect trans youth’s medical records from outside subpoenas.

That bill is currently on Gov. Gavin Newsom’s desk awaiting a signature.

Advocates like Do also are worried that the restrictions on health care for trans kids will be followed by even more rollbacks for transgender rights nationally.

“This is just the beginning,” Do said. “This is the canary in the coal mine. If they're coming for the lowest-hanging fruit, what's next?”

Moehlig, for her part, said she’s looking forward to the day when the Trump administration leaves office and the federal government stops attempting to restrict health care for trans youth.

“ We will move to a place where we're going to be able to go further,” she said, noting that the federal government came a long way from how it handled the early part of the AIDS crisis.

Moehlig pointed to how the federal government swung toward progress by funding care and research to “where we actually could see the elimination of HIV.”

She said that sense of history is what helps her stay optimistic that one day, gender-affirming care for trans youth will be much easier to access.

“We know that there's going to be progress,” Moehlig said. “It's just, what costs are we paying in the time that it takes us to get to that?”

This story first appeared on The LA Local.

Just inches away from where workers warm up handmade tortillas at Guisados in Pasadena, Pablomanuel Maldonado puts the finishing touches on different drinks before calling out to his customers.

“Provecho,” Maldonado, owner of coffee pop-up the Caffeinated Cart, says to each customer before quickly redirecting his attention to the next, treating each one like he’s known them for years.

Local taco chain Guisados partnered with the Caffeinated Cart to bring its coffee to the people of Pasadena in a space where Maldonado can chat up his customers and serve his Latino-inspired signature coffees. 

Nearly all of his drinks have names in Spanish, a nod to his Mexican roots. By far his best seller is the “Cereal Killer,” a cinnamon brown sugar latte with a cereal garnish, where customers can choose between Cocoa Puffs or Cap’N Crunch Crunch Berries. 

Pablomanuel Maldonado, owner of the Caffeinated Cart, prepares a Cereal Killer at Guisados in Pasadena, Calif. on Mar. 4, 2026.

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Isaac Ceja

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The LA Local

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Though he’s only been operating at this location for the past three weeks, small touches — like Virgen de Guadalupe candles, a new coffee blend from local roaster Picaresca and a shiny new drink menu on the wall — make his corner of the restaurant feel welcoming.

“For the first time, I don’t feel tired. I feel mentally at peace, and it’s like, ‘Damn, this is what I love doing,’ you know?” Maldonado told The LA Local. “I get excited to come here. I get excited to get out of bed.” 

Maldonado recently transitioned from working full-time at Bristol Farms during the week and doing coffee pop-ups on weekends to serving coffee full-time at Guisados.

The Caffeinated Cart began in 2020 when Maldonado started selling bottled lattes in his hometown of Compton before eventually popping up at local markets like Angel City Market and the Beach Flea. 

Only a couple of years after he started, Maldonado was selling out at the pop-ups.  Today, he has over 23,000 followers on Instagram.

Maldonado’s partnership with Guisados began in 2025 via an Instagram story when owner Armando De La Torre Jr. put out a call for coffee pop-ups at his Guisados location in Long Beach. 

A photo illustration of the Caffeinated Cart’s most popular drink the Cereal Killer, a cinnamon brown sugar latte with a cereal garnish, at Guisados in Pasadena, Calif. on Mar. 4, 2026.

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Isaac Ceja

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The LA Local

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After connecting with De La Torre, Maldonado began popping up outside the Long Beach location for six months. But Maldonado said permitting issues with the city’s Health Department forced him to stop. 

Nearly a year after their initial collaboration, De La Torre invited Maldonado to Pasadena to show off the space he had in mind for him, but the Caffeinated Cart owner had mixed emotions. 

Maldonado was concerned about going to Pasadena and leaving behind the community and regular customers he had in Long Beach, but he was excited by the idea of finally having a physical space, even if it wasn’t completely his own.

Pablomanuel Maldonado, owner of the Caffeinated Cart, hugs his former boss who visited him at his new coffee residency at Guisados in Pasadena, Calif. on Mar. 4, 2026.

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Isaac Ceja

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The LA Local

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“We’re in a world where… everybody gatekeeps and then everybody stops each other from growing, and coffee’s been so welcoming, man,” Maldonado said. “The community I’ve built around me has just been so welcoming, and a lot of people just truly do trust us.”

Leo Abularach, co-owner of Picaresca in Boyle Heights, has been a longtime supporter of the Caffeinated Cart. He told The LA Local that he loaned Maldonado over $3,000 worth of equipment to help him get started. Abularach even let him use his business delivery service, so Maldonado would no longer have to run to the store for things like extra milk.

“He has always been there for Picaresca. He is part of our family,” Abularach said of Maldonado. “He is one of the kindest people I’ve ever met, and I think his personality is one of the reasons why people love the Caffeinated Cart.”

Pablomanuel Maldonado, owner of the Caffeinated Cart, pours coffee beans into a grinder at Guisados in Pasadena, Calif. on Mar. 4, 2026.

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Isaac Ceja

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The LA Local

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Customers Adriana Acevedo and Eilene Gonzalez saw the Caffeinated Cart on TikTok. When they realized it was around the corner from their workplace, they decided to give it a try.

“It’s amazing. It tastes really good. Like, no notes. Amazing,” Acevedo said after finally trying the coffee in real life on a recent Wednesday morning. 

“Yeah, for first timers, now I think we’re going to be returners,” Gonzalez added with a laugh. 

Pablomanuel Maldonado, right, talks with customers Adriana Acevedo, left, and Eilene Gonzalez, centert, at the Caffeinated Cart inside of Guisados in Pasadena, Calif. on Mar. 4, 2026.

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Isaac Ceja

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The LA Local

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The two praised the welcoming service offered by Maldonado, and after Acevedo mentioned she loves caffeine, Maldonado even gave her an additional shot.

“I’m all about making it affordable. I don’t charge extra for alternative milks. You want extra shots? Bro, get extra shots. I’m not going to charge you extra,” Maldonado said. 

“We’re all for the people,” he said. “We want to make sure people can still come back and not have to feel like ‘Was the $7 coffee worth it?’”

Though it was only a Wednesday, customers kept trickling in, keeping him busy throughout his shift, and even Maldonado’s old boss from Bristol Farms, Dina Urquilla, came to support. 

Maldonado said he’s still saving to open up his own shop in the future, but for now, he says he looks forward to making coffee every day in his corner of Pasadena.

A view of some of the trinkets at the Caffeinated Cart inside of Guisados in Pasadena, Calif. on Mar. 4, 2026.

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Isaac Ceja

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The LA Local

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Warm temperatures are on tap again today as we head into a toasty weekend with temps set to reach the triple digits in desert communities.

L.A. County beaches will see daytime highs from 67 to 72 degrees. It'll be between 69 and 76 degrees along the Orange County coast. More inland areas like downtown L.A., Hollywood and Anaheim will see temperatures from 75 to 81 degrees.

Meanwhile, the valleys will see varying temperatures. Areas closer to the coast will see highs from 78 to 83 degrees, and further inland, temps will stay in the upper 80s, up to 89 degrees.

Meanwhile in Coachella Valley, temperatures will rise to 101 to 106 degrees.

Looking ahead to the weekend, the valleys will reach the 90s for Mother's Day, up to 100 degrees in the Antelope Valley too. Come Sunday, an Extreme Heat Warning kicks in for the Coachella Valley, where temperatures will stay in the low 100s, with up to 109 degrees possible. Make sure to stay hydrated!

Jessica Wang has experienced delay after delay for nearly two years as she tried to open Gu Grocery in Chinatown. Her father, a contractor, had told her it would take nine months.

Instead, she says, there have been issues with city permits, inspectors, inaccurate information, illness and wayward appliance installers which have pushed things back.

The community didn't take nearly as long. In two weeks, 134 donors contributed nearly $12,000 to keep Wang afloat. But money can't solve her problem — she still needs the city's approval to open the doors.

Wang signed the lease at the end of 2023, envisioning a Chinese-Taiwanese grocery store and community hub where seniors could use EBT to buy fresh tofu, where kids from nearby elementary schools could stop by after class, and where her mother, Peggy, could teach neighbors how to make their grandmother's pickles.

Now, more than two years into a five-year lease, and nearly out of money after paying for permits, buildout, and rent on a space she can't operate, Wang launched a GoFundMe campaign a few weeks ago. The response showed the community believes in Gu Grocery and wants to see it succeed. But she's still waiting for at least seven final inspections by the city before she can open.

The story of Gu

The name "Gu" carries layered meaning: the character 菇 means "mushroom" in Chinese, a traditional symbol of prosperity, while the sound "gu" also means "auntie" in Mandarin — honoring intergenerational caretakers. Wang's mission for the space is to provide a place to purchase Chinese-Taiwanese pantry staples and prepared foods, and to host community workshops.

The communal aspect is central to Wang's vision of social entrepreneurship, not solely focused on profit. In addition to workshops, Gu Grocery plans to accept EBT and offer senior discounts for those on fixed incomes.

"I wanted a space where I could share knowledge and share culture and also just learn from the community," Wang said.

Ultimately, she hopes to convert the store into a worker-owned co-op.

Wang grew up in the San Gabriel Valley and worked as a pastry chef at San Francisco's State Bird Provisions before a pre-diabetic diagnosis at age 29 prompted her return to L.A. She began volunteering with API Forward Movement, a local nonprofit focused on health equity and food access in AAPI communities, and saw firsthand the need during COVID food distributions at L.A. State Historic Park.

Chinatown had lost its last two full-service grocery stores in 2019. Last fall, the neighborhood lost another: Yue Wa Market, a small produce shop that had served residents for 18 years before rising rent and pandemic losses forced it to shut its doors. The closures hit especially hard in a neighborhood where, according to American Community Survey data, half of the residents are low-income and one in five are seniors 65 and older — many of whom rely on walking to shop.

Jessica Wang (center, in black) and her mother Peggy (left, in white and red) smile while serving customers at a farmer's market pop-up for Gu Grocery.

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Daniel Nguyen

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Courtesy Gu Grocery

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Permitting woes

Much of bringing Gu Grocery to reality has been made possible by support from Wang's friends and family. Her father, Willie Wang, serves as her general contractor. When plans were submitted to the city in March 2024, he told her the buildout would take nine months if everything went smoothly.

Instead, she’s experienced delays from all directions, from slow bureaucracy, to issues with contractors. A hood installation contractor rescheduled multiple times, she said, then doubled his price the day before a rescheduled appointment. Drywall contractors said their workers had been detained by ICE and never returned.

The process hasn't just taken time — it's been expensive. One inspector approved a makeup air unit for the kitchen hood system, she said, only to have a senior inspector overturn the decision and order a complete replacement at nearly $6,000. Her father paid out of pocket — even as he was recovering from March surgery to remove a cancerous lung growth.

"Who would have thought that something an inspector asked us to do would be completely overturned by another inspector?" Wang said. "That's just so wild."

LAist has reached out to the city's Department of Building Services for comment but has not heard back.

The financial toll

Wang estimates she's spent more than $200,000 so far — more than $100,000 on buildout and permits alone, plus a full year of rent on a space she can't operate, equipment, insurance and taxes.

She draws no income from Gu Grocery. To cover personal expenses, she teaches fermentation workshops through her other business, Picklepickle, though that work has been inconsistent lately. Her health insurance doubled this year. The GoFundMe money, she said, is a "rainy day fund" in case she needs it to pay future bills.

The financial strain has touched her entire family. Her mother, who received a small inheritance when Wang's grandparents died, got scammed late last year trying to grow that money to help with the store. Targeted through online ads, she was convinced by an "investment tutor" based in Taiwan to hand over cash to a stranger in a parking lot.

"I didn't realize this would become part of what it's like to have aging parents in the age of technology," Wang said. "But it's scary how they get targeted."

Black sesame noodles from Gu Grocery's popup menu. Wang uses black sesame for higher nutritional value and plans to offer the dish as one of the prepared foods when the store opens.

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Aunty J

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Courtesy Gu Grocery

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Rice balls with house pickles from a Gu Grocery pop-up. Wang has been teaching fermentation and pickling workshops for 15 years and plans to serve pickles alongside all meals when the store opens.

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Aunty J.

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Courtesy Gu Grocery

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Addressing Chinatown's needs

Once Gu Grocery opens, it won't operate as a full-service market — there won't be a meat counter. Instead, it will function like a corner store with a focus on healthy prepared foods: butter mochi, sesame noodles and daily congee.

"Something that Chinatown has never had was prepared food that is EBT eligible," Wang said.

In 2020, Wang surveyed seniors through API Forward Movement's Tai Chi fitness program to understand their shopping habits following the closure of local grocery stores. Many told her they now ride the bus to Super King on San Fernando Road in Glendale, nearly 5 miles away, for produce deals, or rely on family members to drive them to 99 Ranch in Alhambra. Some grow their own food in gardening plots, Wang said, "but they can't produce everything they need."

Willie Wang (left), Jessica Wang (center), and Peggy Wang (right) pose inside Gu Grocery. The signs display the store's values in both English and Chinese — Willie's reads "body health" and Peggy's reads "mushroom auntie," playing on the dual meaning of "gu."

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Daniel Nguyen

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Courtesy Gu Grocery

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The community response

When she launched her Go FundMe in mid-April, she was overwhelmed by the response. "I have a hard time asking for help," said Wang. "So actually receiving help, it's very moving."

The donors range from former pop-up customers and friends to a range of assorted well-wishers — a musician who had her food once at an event, fellow food business owners, farmer's market regulars and even her insurance agent.

"The generosity is beyond my expectations," Wang said. "Some of these people only had my food once. People are showing their support truly in a personal way and really believing in the vision."

The GoFundMe money helps Wang stay "afloat for now," but she's had to rethink her opening strategy. She won't be able to afford full inventory when she opens. Instead, she plans a phased opening: prepared foods only, served through a takeout window, then using revenue to slowly stock shelves with the retail items she originally envisioned.

The community raised more than $14,000 in three weeks. After nearly two years of delays, Wang is still waiting for permits. She hopes to open by Father's Day — her general contractor dad's birthday. But she's learned to expect the unexpected.

Many donors sent her direct messages saying simply: "We got this, Jess, we got you."