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The Brief

The most important stories for you to know today
  • Is CA's homeless housing plan going to shift?
    A small building with a blue door and framed windows. There's a ramp and small set of stairs leading up to the door. In front of the building are small pots of plants and a seating area.
    The Close to Home St. Mary's Center transitional housing in West Oakland on Jan. 12, 2023.

    Topline:

    California is under pressure to embrace more temporary homeless shelters and programs that require sobriety, at the potential expense of long-term housing.

    Why it matters: The new sober housing guidelines come at a time when the state is facing political pressure from some facets to shift its approach to homeless housing – both to embrace drug-free housing and to turn at least some of its focus from permanent housing that accepts everyone to temporary shelter that may come with strings attached.

    Why now: A group of legislators, city housing staffers and nonprofits recently took a trip to San Antonio, Texas to tour a massive homeless shelter there, and returned with ideas on how to beef up California’s shelter capacity — which some on the trip say has been neglected as a casualty of California’s strict preference for long-term housing. Meanwhile, President Donald Trump’s administration has signalled that it will shift federal money away from permanent housing and into temporary shelter, while also imposing conditions such as sobriety. California might have to get on board with that agenda, or risk losing federal funds.

    Read on... for what a potential shift could look like.

    When Gov. Gavin Newsom vetoed a bill last month that would have supported sober homeless housing, his reason left many scratching their heads.

    Newsom said Assembly Bill 255, which would have allowed cities to use up to 10% of their state funds to pay for “recovery housing,” was unnecessary. That’s because using state funds for sober housing is already allowed, the governor said. He said “recent guidance” makes that clear.

    That was a big surprise to Assemblymember Matt Haney, who had spent the past two years working on the bill Newsom was now saying had been moot all along. Haney had been under the impression that California’s “housing first” rule — which dictates that homelessness programs offer housing to people regardless of their sobriety, mental health, employment, etc. — meant sober housing wasn’t eligible for state funds.

    When CalMatters asked about the “recent guidance” that allows the state to fund sober housing, the governor’s office sent a link to a 20-page document. No one CalMatters spoke to had ever seen that document before. Neither had Haney, anyone in his office, or the other stakeholders involved in his bill, including the service providers trying to build more sober housing, he said.

    While the document was dated July, 2025, it wasn’t published online until Oct. 2 — the day after Newsom’s veto.

    “I think it’s a terrible bureaucratic failure,” Haney said of the lack of communication. Having the state and the Legislature work together, rather than on separate parallel policies, would have saved everyone time and resources, he said.

    “Why didn’t anybody say anything over the course of two years,” Haney asked, “not just to me, but to the cities, counties and providers who desperately wanted to open these beds?”

    The California Interagency Council on Homelessness, which has been working on the document since late 2024, put the blame on Haney’s office for not reaching out. A preliminary draft was publicly available earlier this year as part of a February council meeting, said Executive Officer Meghan Marshall.

    The new sober housing guidelines come at a time when the state is facing political pressure from some facets to shift its approach to homeless housing – both to embrace drug-free housing and to turn at least some of its focus from permanent housing that accepts everyone to temporary shelter that may come with strings attached.

    A group of legislators, city housing staffers and nonprofits recently took a trip to San Antonio, Texas to tour a massive homeless shelter there, and returned with ideas on how to beef up California’s shelter capacity — which some on the trip say has been neglected as a casualty of California’s strict preference for long-term housing. Meanwhile, President Donald Trump’s administration has signalled that it will shift federal money away from permanent housing and into temporary shelter, while also imposing conditions such as sobriety. California might have to get on board with that agenda, or risk losing federal funds.

    While few California Democrats are supportive of anything Trump does, the continued prevalence of encampments on the streets has convinced some that the state should change its tactics.

    “We need to break the logjam of the dogma that says that only permanent housing is acceptable,” said Sen. Catherine Blakespear, a Democrat from Encinitas. “Because what we’re de facto saying is that people are going to stay on the streets until we’ve built enough permanent housing or market-rate housing, and neither is on track to meet the need anywhere in the near term.”

    But that push has some service providers worried that, in an environment where homelessness funding keeps getting cut, focusing on sober housing and temporary housing will mean less money for the permanent housing that ends people’s homelessness.

    “The current trend shifts away from solving the actual lack of a home and focuses on some people’s associated issues,” said Jennifer Loving, CEO of Destination Home.

    The debate over sober, temporary, or permanent housing doesn’t address the underlying income inequality that causes many Californians to lose housing in the first place and prevents their being able to afford housing afterward.

    The deal with sober housing

    California has required state-funded homeless housing be “housing first” since 2016, meaning it gets people into a permanent home as quickly as possible without forcing them to jump through additional hoops. The idea is that once someone is safely housed, it becomes much easier for them to get sober, find a job or take care of other issues.

    Haney argues the model prevented the state from funding sober housing, which he said could be lifesaving for people who are overcoming an addiction and don’t want to live next to neighbors using drugs.

    The new state guidance says sober housing can be housing first, if it’s done right. It must be the client’s choice to get sober and live in recovery housing, and they must have other local options that don’t require sobriety. In addition, sober housing providers can’t evict someone for relapsing. If a client decides they no longer want to live in sober housing, the provider must connect them to another housing option.

    The guidance is more permissive than Haney’s bill. While the bill would have capped state funding on sober housing at 10%, the state guidance has no limit. But Haney worries it’s too strict in other ways. If housing providers can’t evict someone for using drugs or alcohol, they can’t run effective sober housing, Haney said.

    “There are some questions as to whether anyone is actually going to step up and do this under the guidelines as written,” he said.

    The state guidelines come with no money to open new sober housing beds.

    Without extra funding, as more money goes to sober housing, that means less money for low-barrier housing, said Loving, who worries that shift will move the state backward. Sober housing and drug testing were the norm in the 1980s and 1990s, but people still overdosed in those environments, she said.

    “Drugs were always present, even in sober living environments,” Loving said. “And that did not increase our housing outcomes. What increased our housing outcomes was the availability of actual houses for people to transition into.”

    Temporary or permanent housing?

    Several dozen California legislators, city housing workers and nonprofit providers traveled to Texas last month to visit a massive homeless shelter in San Antonio. Haven for Hope fits about 1,500 people on one 22-acre campus — meaning that almost anyone in the city who wants to can sleep indoors. Most of those people are required to stay sober in order to keep their spot, and healthcare, counseling and other services are offered on site.

    That program is a sharp contrast from the “discouraging results” of California’s homelessness strategy, said Sen. Dave Cortese, a Democrat from San Jose who went on the trip. He’s frustrated with what he sees as California’s neglect of temporary shelter. New programs such as Newsom’s Homekey only fund permanent housing. So did the Measure A affordable housing bond in Santa Clara County.

    Long-term housing is the only way to resolve someone’s homelessness, which is why it has been the gold standard in the state. But it can take years to build, and voters aren’t always patient.

    “If you push all your chips to the middle of the table on permanent supportive housing, you start to lose your constituency because constituents are coming by in their cars every day and seeing more tents and more illegal encampments,” Cortese said. “And their thought process is, ‘I thought we just put a billion dollars into eradicating homelessness. What’s going on? Why is it getting worse?’”

    A poster with an illustration of people in an outdoor corridor next to buildings, string lights, and tables, sits on an easel on a green path lawn. Out of focus in the background is a food service truck parked on the lawn with five more posters displayed on easels.
    An illustration is displayed at The Salvation Army Silicon Valley groundbreaking ceremony for their HOPE Community Safe and Sober Overnight and Transitional Housing program in San Jose on Nov. 3, 2025.
    (
    Nhat V. Meyer
    /
    Bay Area News Group
    )

    Land is scarce and expensive in California, which would make it hard to replicate a shelter as large as Haven for Hope. But city staff in San Jose are looking into whether some version of it can be done there, said Housing Director Erik Soliván, who was on the Texas trip.

    While it may seem unusual for the Golden State to look to Texas in search of advice on social services, Californians have been awed by Haven for Hope for years. CalMatters wrote about the phenomenon in 2023.

    The Texas shelter has made some changes since then. About 1,600 people slept in the shelter in 2023, and the facility served 85% of the city’s homeless population.

    But even that giant facility couldn’t hold everyone. The space was overcrowded, with hundreds of people sleeping on the floor on mats inches apart. Haven for Hope had to pause enrollments and put new rules in place to limit who can come in. In the last fiscal year, the population was down to an average of 1,453 people per night. About 60% of those are in a program that regularly conducts drug and breathalyzer tests.

    California will have to do more to embrace that style of shelter if it doesn’t want to get left behind by the federal administration, said Elizabeth Funk, founder and CEO of shelter provider DignityMoves, who went on the Texas trip.

    The Trump administration appears poised to divert money away from permanent housing and into temporary housing that comes with sobriety and other requirements. But we won’t know the extent of that change until the government shutdown ends.

    “The federal government is going to come down with a bunch of money for things that don’t allow drug use,” Funk said, “and that needs to fit in our system.”

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

  • Appeals court orders more housing
    West LA VA
    Members of the clean-up crew dismantled tents located on the Veterans Row homeless encampment along San Vicente Boulevard just outside the West Los Angeles Veterans Affairs campus in November 2021.

    Topline:

    A federal appeals court has ordered the Department of Veterans Affairs to build more than 2,500 housing units on its West Los Angeles campus. The plaintiff’s attorneys say the decision could effectively end veteran homelessness in the region.

    The ruling: The U.S. Ninth Circuit Court of Appeals upheld a lower court ruling Tuesday that found the agency discriminated against disabled veterans by leasing land to commercial interests instead of providing housing. The Ninth Circuit ordered the VA to construct 750 temporary housing units within 18 months and 1,800 permanent units within six years on the 388-acre property.

    How we got here: The property was deeded to the federal government in 1888 specifically as a soldiers' home. In a 2015 settlement, the VA promised to build 1,200 housing units with more than 770 completed by 2022, but the agency fell far short of that deadline. Los Angeles County is home to more than 3,000 unhoused veterans.

    Commercial leases: The court invalidated most commercial leases on the property, including Brentwood School's 22-acre sports complex and an oil company's drilling license. However, it overturned the district court's previous invalidation of UCLA's lease for its baseball stadium. The plaintiff's lawyers said they plan to refile that portion of the case.

    Read on ... for details about the ruling.

    A federal appeals court has upheld a court order requiring the Department of Veterans Affairs to build more than 2,500 housing units on its West Los Angeles campus.

    The U.S. Ninth Circuit Court of Appeals on Tuesday ordered the VA to construct 750 temporary units for veterans within 18 months and 1,800 permanent housing units within six years.

    The ruling found the agency had “strayed from its mission” by leasing land to commercial interests like a UCLA baseball field and Brentwood School sports complex, instead of caring for veterans.

    “There are now scores of unhoused veterans trying to survive in and around the greater Los Angeles area despite the acres of land deeded to the VA for their care,” Judge Ana de Alba wrote in the opinion.

    Attorneys for the plaintiffs in the Powers v. McDonough case say the ruling could end veteran homelessness in the Los Angeles region, which is home to more than 3,000 unhoused veterans, according to official estimates.

    "It's the most important ruling in the history of this country concerning the rights of veterans," said Mark Rosenbaum, lead attorney with Public Counsel, during a press conference Wednesday. “After this case, there should be no such thing as a homeless veteran.”

    The VA did not immediately respond to LAist’s request for comment on the ruling.

    ‘Long overdue’

    The appeals court affirmed most of U.S. District Judge David O. Carter's 2024 ruling, which found the VA discriminated against disabled veterans by failing to provide adequate housing on the 388-acre property deeded as a soldiers' home back in 1888.

    The main plaintiff named in the class-action lawsuit, Jeffrey Powers, lived in a tent outside the gates of the VA Medical Center.

    At a press conference Wednesday, Powers told reporters this week’s appeals court ruling delivers “about 80%” of what he wanted.

    “We got the most important thing, which was to get veterans off the street,” Powers said. “And for that, I'm happy with the outcome.”

    The case stems from a 2015 settlement in which the VA promised to build 1,200 housing units, with more than 770 completed by 2022. The department missed that deadline, prompting the new lawsuit.

    Iraq War veteran Rob Reynolds came to the West L.A. VA for PTSD treatment in 2018, met veterans sleeping on the streets outside and began advocating for them.

    During Wednesday’s press event, he called this week’s Ninth Circuit ruling “long overdue.”

    "There should never have been a lawsuit filed in the first place,” Reynolds said. “ They were using the property for everything but what it was intended for, and that's housing.”

    The veteran plaintiffs argued that lack of on-campus housing prevented disabled veterans from accessing physical and mental health services at the facility.

    As of late 2024, the VA said there were 307 veteran housing units open on the West L.A. campus and 461 units under construction.

    West LA VA
    Robert Reynolds (right), a veteran advocate with AMVETS, walks with Los Angeles County Sheriff Alex Villanueva as they tour the Veterans Row encampment along San Vicente Boulevard in November 2021.
    (
    Al Seib
    /
    Getty Images
    )

    Commercial leases

    The appeals court ruling invalidated most commercial leases on the property, including Brentwood School's 22-acre sports complex and an oil company's drilling license.

    However, the court overturned the district court's previous invalidation of UCLA's lease for its baseball stadium. Rosenbaum said he plans to refile that portion of the case, which had been argued on different grounds.

    Reynolds criticized local leaders for what he said was inaction at the West L.A. VA Campus. He said local officials’ personal connections to Brentwood School and UCLA played a role.

    “ A lot of these special interest groups on the VA land have so much influence politically in Los Angeles,” he said. "That's why you've had a lot of our politicians remain quiet about this."

    In May, President Donald Trump signed an executive order instructing the VA secretary to declare the West L.A. VA campus a national hub for homeless veterans and develop a plan to house 6,000 people there by 2028.

    That housing goal is even more ambitious than the court order, but local advocates say they haven’t heard anything from the Trump administration since it was issued.

    “They need to speak to the people that actually live on that property,” Reynolds said. “I'm hoping now that we have this Ninth Circuit ruling in, that we'll be able to have some more discussion with the administration and with the VA leadership to try to figure out what the next steps are.”

    As a result of this week’s ruling, the case has been sent back to the District Court judge to implement the housing order and oversee construction

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  • The program shuttered after losing federal funding
    A group of middle school kids stand around a white table with books on top. Two men stand at the opposite end of the table.
    Long Beach Library shut down its youth STEM workshop program, called SEED, following federal funding loss.

    Topline:

    Long Beach Library shut down its youth STEM workshop program, called SEED, following federal funding cuts, the city announced Wednesday. As a replacement, the library is launching the LBPL Creativity Lab.

    Why did the city lose funding? The program originally was funded for four years with over $400,000 from the U.S. Department of Education, according to the city’s announcement.

    What was the SEED program? The STEM learning program was launched in 2022 for middle school youth. In that time, the program served more than 500 students, according to city officials. The program’s final day was Sept. 30.

    Why it matters: Local library programs across Los Angeles have disappeared since the federal funding cuts this fall. L.A. County Library shut down its laptop and Wi-Fi hotspot lending programs after the FCC cut off assistance to digital lending programs.

    What we know about the Creativity Lab: The lab will focus on arts, culture and technology. Its first session is set to begin next February. The city will release more information in the coming weeks, according to a release.

    Dig deeper  into Long Beach’s Digital Equity mission.

  • How they began in Scandinavia centuries ago
    A black and white sketch of a family sitting around a dining table.
    A family at their Victorian-era Christmas dinner, circa 1840.

    Topline:

    Centuries ago, before crooners sang about carols being sung by a fire, Yule meant something different: a pagan mid-winter festival around the solstice, dating back to pre-Christian Germanic people.

    Origins of yule festivals: It was particularly important to Scandinavian communities during that time of year, beset by late sunrises and early sunsets, according to Maren Johnson, a professor of Nordic studies at Luther College. Scholars of these early pagan festivals say feasting and drinking were abundant. Animals were slaughtered as part of the sacrifices to gods and spirits typical of these early festivals.

    Yule gets co-opted into Christmas: Christianization of this part of Europe, however, changed how people celebrated Yule. The church began to align its own holidays with pagan celebrations, Gunnell said. Easter replaced the festival at the beginning of summer, for example, and St. John's Day replaced midsummer. "And then we hear in Icelandic source material that [Yule] was replaced with Christmas," he said.

    On a chilly December night in Sandy Spring, Md., dozens of people crammed into the Woodlawn Manor for a Victorian-era Yuletide dance lesson, the wood floors creaking under the uncertain steps of 21st-century people learning 19th-century English country dances.

    "Every good party has dancing," said Angela Yau, a historical interpreter for the parks department who was teaching the dances — and the Victorians loved a good Yuletide shindig.

    A woman wearing a brown bonnet and frilly floral gown stands while singing into a microphone
    Angela Yau, a site manager for the Montgomery County parks department who also works in cultural and natural history interpretation, wears an 1840s-style dress while teaching Victorian dances to the room.
    (
    Natalie Escobar/NPR
    )

    The merriment was emblematic of how many think of Yule; today, it's synonymous with Christmas. But centuries ago, before crooners sang about carols being sung by a fire, Yule meant something different: a pagan mid-winter festival around the solstice, dating back to pre-Christian Germanic people.

    It was particularly important to Scandinavian communities during that time of year, beset by late sunrises and early sunsets, according to Maren Johnson, a professor of Nordic studies at Luther College.

    "All these kinds of winter traditions are tied very intricately into small communities," she said. "You develop between yourselves a folklore about this winter time and this period of darkness."

    In this week's installment of "Word of the Week," we travel back in time to the origins of Yule festivals, and trace those earliest traditions to modern-day Christmas celebrations.

    Feasting, drinking and animal sacrifices

    Scholars of these early pagan festivals don't have much concrete evidence of what actually went on at them, according to Old Norse translator Jackson Crawford, because much of the written record comes much later from Christians. But what is clear, he said, was that feasting and drinking were abundant.

    Terry Gunnell, a professor of folkloristics at the University of Iceland, agrees. Drinking copious amounts of ale was not only encouraged but required, he said, and animals were slaughtered as part of the sacrifices to gods and spirits typical of these early festivals.

    "The snow is coming down the mountains and in a sense, the nature spirits are moving closer," he said — and people wanted to appease them.

    And then, there was the oath-swearing. Crawford said this was one of the major hallmarks of early Yule celebrations as recorded in myths like The Saga of Hervör and Heidrek from the 13th century. In it, a man swears to the king of Sweden that he'll marry his daughter with no real prospects of doing so.

    "But your oaths during Yule are kind of sacred, extra binding," he said. "So he has to try to fulfill it," even though he eventually gets killed.

    Crawford thinks that this oath-swearing could be where the word "Yule" actually comes from. The earliest roots could come from Indo-European words for "speaking," he said, and then Germanic peoples came to use it for more judicial purposes like admitting, confessing or swearing.

    There's other theories out there, though, the dominant one being that the word could come from the Old Norse word hjól, meaning "wheel" — as in the "wheel of the year" that keeps turning with the seasons, Gunnell said.

    Yule gets co-opted into Christmas

    Christianization of this part of Europe, however, changed how people celebrated Yule. The church began to align its own holidays with pagan celebrations, Gunnell said. Easter replaced the festival at the beginning of summer, for example, and St. John's Day replaced midsummer. "And then we hear in Icelandic source material that [Yule] was replaced with Christmas," he said.

    "So what the church is really doing is to allow people to go on doing what they had done before, but now under a Christian name," he added.

    Around the 900s, Crawford said, Scandinavians started saying "Yule" and "Christmas" interchangeably.

    "I think it suggests that, fundamentally, both of them are basically parties," he said.

    That's not to say that Christmas was the exact same as the Yule celebrations of old. There was a new emphasis, Gunnell said, not so much on winter spirits but "a period of joy with the birth of Christ." But much of the feasting and drinking spirit of Yule stuck around — and became Christmas traditions throughout much of Europe.

    Fast forward to the Victorian era, where the spirit of merriment became embedded in English culture, thanks to two important cultural influencers: Prince Albert, who imported traditional Yuletide customs popular in his native Germany, and Queen Victoria.

    The queen fell in love with the traditions, Yau of the parks department said. And since she was a fashion icon, "These Christmas traditions really spread from the royal couple out through England and out through the colonies and everywhere else." And, as cultural customs are wont to do, the traditions morphed — creating, among other things, Santa Claus.

    Still making sacrifices — just sweeter

    Although slaughtering animals to please winter spirits is perhaps less typical of modern Yuletide celebrations, the spirit of sacrifice still remains, according to Gunnell.

    That's particularly true in Scandinavian Christmas folklore. People leave out porridge for nisse and tomte, small trickster spirits who live in local forests, around the winter solstice in hopes of placating them or receiving gifts. (Though these days, Johnson said, many Scandinavians also celebrate the Julenisse, more of a Santa Claus figure.)

    In Iceland, there's not really a Santa Claus figure at all, Gunnell said. Instead, there's the "Christmas Men," also known as the Yule lads. As the stories have told it, the mystic men – with names like "Window Peeper," "Sausage Swiper," "Bowl Licker" and "Meat Hook" — come one by one down from the mountains by your community, play pranks and steal things from homes. (To be fair to them, they'll also leave presents in windows for children.) On top of that, they have an ogress mother, Grýla, who eats misbehaving children "like sushi for Christmas," Gunnell said.

    And although he doesn't swipe sausages or eat children, Santa Claus is not a completely dissimilar figure.

    "The idea of sacrifices remains in leaving out a little bit of sherry or whiskey for Santa Claus and some food for the reindeer," Gunnell said.

    It's something to consider the next time you leave out cookies and milk.
    Copyright 2025 NPR

  • What to do when porch pirates steal your meds

    Topline:

    The Postal Service report estimated that at least 58 million packages were stolen in 2024. What are the odds that one of those packages has medication in it? Here's what to do if your medication gets stolen.

    Lower your theft risk: Schedule deliveries for when you're home and having a delivery spot that's hidden are good ideas. Even a locker for your porch that doesn't lock is a good deterrent. If your medication is stolen, report the theft to your prescribing doctor and local law enforcement.

    Check your pharmacy's policies: CVS Caremark, another company that ships prescriptions by mail, said it offers customers package tracking to prevent theft, but didn't answer NPR's question about how common medication theft is. Pharmacies, including Walgreens, say they offer order tracking and use discreet packaging to help prevent theft. Customers can also opt to require a signature when their medicines are delivered.

    Carmen Peterson's son Ethan is a big fan of Elmo and Mickey Mouse Clubhouse. And although Ethan is nonverbal, he loves to sing along in his own way.

    "He's a really fun-loving 8-year-old. He doesn't speak, but he gets his point across," Peterson says.

    Ethan has a rare genetic disorder — Syngap1 — which, among other things, causes a kind of seizure that can make him drop to the ground without warning.

    "Everything just kind of shorts out for a moment," Peterson says. "And the danger of that — and I've seen this — is him falling on hardwood floors, concrete, off of stairs, like all of these things."

    She says he's gotten hurt and she's had to rush him to the emergency room.

    Ethan takes a medicine called Epidiolex that prevents these seizures. But last holiday season, a thief stole it off the family's front porch in Charlotte, N.C.

    Peterson remembers finding the empty box and then checking her Ring doorbell camera footage. "I see this guy walking off … and I am just livid," she says.

    Then, she had to figure out how to get this medicine — worth $1,800 — replaced so her son didn't miss a dose. It turned out to be a challenge.

    How many stolen packages?

    December is a busy time for package deliveries and for porch pirates who steal them. Sometimes the thieves run off with mail-order medication instead of getting an iPad or a Labubu.

    E-commerce took off during the pandemic, and December remains the busiest time of the year for package deliveries, according to the U.S. Postal Service.

    Still, it can be tricky to get the whole picture when it comes to package theft.

    As easy as it is to buy stuff online, getting it to customers is actually really complicated. That's because so many people and companies interact with a package before it's delivered, according to Ben Stickle, a professor of criminal justice administration at Middle Tennessee University.

    "So it's really hard to get, you know, what happens from the point that you click a button to when it gets delivered, all put back together with enough detail to find out when and where these thefts are occurring and then actually do something about it," he says.

    Stickle worked on a study with the Postal Service published earlier this year, and says that victims of theft wind up reporting it to different places that don't share information with each other or even necessarily record the missing package as "theft." And sometimes victims don't report it at all.

    "There's a lot of packages stolen," he says, explaining that according to security research company SafeWise, it's about 250,000 packages every day. Stickle has worked with SafeWise.

    The Postal Service report estimated that at least 58 million packages were stolen in 2024. "So what are the odds that one of those, unbeknownst to the thief, has some type of medication in it?" Nobody really knows for sure, he says.

    Ways to lower theft risk

    So what can you do? Stickle says scheduling deliveries for when you're home and having a delivery spot that's hidden are good ideas. Even a locker for your porch that doesn't lock is a good deterrent.

    "If a thief can see that there's a package, even if it's an envelope on your porch from the roadway, it seems to be far more likely that it's going to be stolen," he says.

    According to Express Scripts and Optum Rx, which are two companies that offer mail-order pharmacy services, medication theft is pretty rare.

    CVS Caremark, another company that ships prescriptions by mail, said it offers customers package tracking to prevent theft, but didn't answer NPR's question about how common medication theft is.

    Pharmacies, including Walgreens, say they offer order tracking and use discreet packaging to help prevent theft. Customers can also opt to require a signature when their medicines are delivered.

    Making sure patients don't miss a dose is a top priority, says Stryker Awtry, the director of Loss Prevention and Transformation for Optum Pharmacy, part of Optum Rx.

    "Especially during the holiday seasons when deliveries surge, we want to make sure we build in peace of mind for our customers," he says. "So if a theft were to happen, No. 1, contact the pharmacy right away."

    He says to also report the theft to your prescribing doctor and local law enforcement.

    A lost prescription replaced  

    As for Carmen Peterson in North Carolina, when she called her insurer's pharmacy to get Ethan's medicine replaced, the answer was no. But Ethan missing a dose and having a seizure that put him in the emergency room again? Not an option for her.

    "It's just like it's one of those things that you just don't have a choice," she says.

    If forced to, she would have found the money to buy the medicine herself.

    "It was just unfortunate that the … company was so ready and kind of willing to just wash their hands of it because they felt like they had done what they were contracted to do, which is deliver the medication."

    That company, Liviniti Pharmacy, said it couldn't comment on the Peterson family's experience because of patient privacy laws.

    Unwilling to give up, Peterson reported the theft everywhere and made noise about it — including on her local news stations. That worked. Jazz Pharmaceuticals, the company that makes the drug Ethan needs, saw the stories and replaced it for her within a week.

    Now, she recommends getting important medicines delivered to a P.O. box, a workplace or just going to the pharmacy to pick it up yourself.

    Copyright 2025 NPR