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The most important stories for you to know today
  • A story of love, sweat and repertory films.
    REVIVAL-HOUSES-GARDENA-CINEMA
    Inside the letter room of the theater, Kim searches for the letters she needs to complete the updates for the marquee.

    Topline:

    The single-screen Gardena Cinema has been owned by the Kim family since 1976, and has always figured out ways to serve its community — even through some very difficult financial times.

    Why it matters: This isn’t a story of stylish renovations, or of celebrity filmmaker intervention. This is the story of one family who fell in love with a movie theater and did (and even lost) everything to keep it up and running. Gardena Cinema is one of the last family-run movie theaters in L.A. Gardena Cinema is one of the last family-run movie theaters in L.A.

    Why now: After struggling through a pandemic and ill-fated efforts to bring people back through its doors, Gardena Cinema finally hit some recent success after it stopped dealing with first-run releases and pivoted to repertory films. Many nights at this South Bay theater, you can catch a newish — or oldish — classic, from La La Land to Invasion of the Body Snatchers.

    Listen:

    How To LA logo (graphical text) with LAist Studios logo (graphical text) with 6th street bridge in the background; with red to orange vertical gradient as background color
    Listen 22:39
    #250: As we continue our series "Revival House," How To LA producer Victoria Alejandro is taking us to the South Bay of LA. We're checking out the Gardena Cinema, which pivoted to revival screenings relatively recently. The theater has been owned by the Kim family since 1976, and is now a non-profit run by Judy Kim and a team of 40 volunteers. Kim's saved the cinema from closures a handful of times now, and has also built up an incredible community of folks dedicated to keeping the cinema running.
    Revival House: The Gardena Cinema's Fight to Stay Open
    #250: As we continue our series "Revival House," How To LA producer Victoria Alejandro is taking us to the South Bay of LA. We're checking out the Gardena Cinema, which pivoted to revival screenings relatively recently. The theater has been owned by the Kim family since 1976, and is now a non-profit run by Judy Kim and a team of 40 volunteers. Kim's saved the cinema from closures a handful of times now, and has also built up an incredible community of folks dedicated to keeping the cinema running.

    Go deeper:

    This isn’t a story of stylish renovations, or of celebrity filmmaker intervention. This is the story of one family who fell in love with a movie theater and did (and even lost) everything to keep it up and running.

    The single-screen Gardena Cinema has been owned by the Kim family since 1976, and has always figured out ways to serve its community — even through some very difficult financial times.

    After struggling through a pandemic and ill-fated efforts to bring people back through its doors, Gardena Cinema finally hit some success after it stopped dealing with first-run releases and pivoted to repertory films. Many nights at this South Bay theater, you can catch a newish — or oldish — classics like La La Land and Invasion of the Body Snatchers.

    The Kim family

    The Gardena Cinema has always been a movie theater. It opened in 1946 as the Park Theatre, and operated consistently through the years showing first and second run feature films until it went up for sale in the 1970s.

    That’s where the Kim family comes in. John and Nancy Kim immigrated from South Korea and had the goal of operating their own business. They dabbled in a few different industries when Nancy found the theater.

    “My mom fell in love with it as soon as she came and saw it,” says current Gardena Cinema owner Judy Kim.

    It's an incredible space, tucked between a gym and a Superior Grocers on Crenshaw Boulevard. It’s way bigger inside than it looks — at 800 seats, it’s easily one of the biggest theaters in the city. For comparison, The Chinese in Hollywood seats 932.

    How To LA logo (graphical text) with LAist Studios logo (graphical text) with 6th street bridge in the background; with red to orange vertical gradient as background color
    Listen 22:39
    #250: As we continue our series "Revival House," How To LA producer Victoria Alejandro is taking us to the South Bay of LA and the Gardena Cinema. The theater has been owned by the Kim family since 1976, and is now a non-profit run by Judy Kim and a team of 40 volunteers. Kim has saved the cinema from closures a handful of times now, and has recently pivoted to showing repertory films at the theater.
    Listen to the How to LA episode
    #250: As we continue our series "Revival House," How To LA producer Victoria Alejandro is taking us to the South Bay of LA and the Gardena Cinema. The theater has been owned by the Kim family since 1976, and is now a non-profit run by Judy Kim and a team of 40 volunteers. Kim has saved the cinema from closures a handful of times now, and has recently pivoted to showing repertory films at the theater.

    There are still fireproof window covers in the projection room, a holdover from old film screening safety practices. And there are “cry rooms” upstairs from the 1940s, balcony seating with speakers and a glass window where patrons could sit with a crying baby and not interrupt their viewing experience.

    People always comment on how nicely preserved the theater is as it was from 1946, and I tell people it's only preserved because my parents never had enough money to upgrade it.
    — Judy Kim, owner of Gardena Cinema

    Now it's got that vintage hue.

    “Now it's cool! It's really cool!,” says Kim. “Now that I have dreams of trying to raise money to make changes, people are like, don't change anything!”

    The early days

    When the Kims bought the theater, they saw an underserved audience in Gardena. There was a drive-in theater nearby in Torrance called the Roadium that played Spanish-language movies every Wednesday, and the place would be packed.

    One day, Judy Kim says, her parents decided to change the format of the theater from English speaking second-run movies from Hollywood to second-run Spanish language movies. In the 1970s and the 80s, the Kims named the theater Teatro Variedades — “variety theater” in Spanish — and focused on Spanish-language films and live events with Latino filmmakers and actors. If the Torrance drive-in was ever rained out, or if folks wanted to catch a movie in Spanish on another day of the week, they’d head to the Gardena.

    “It was meant to be like a neighborhood theater that was typical in the post-war era,” says Kim. “There was always a neighborhood movie theater that you could walk to from your home, just a few blocks away … all of those theaters are now gone.”

    The Kims held on to their theater and in 1995 renamed it the Gardena Cinema. Judy Kim and her brother helped run the theater and neighborhood kids showed up too, offering to clean or help out in other ways in exchange for a movie ticket.

    It served as a community hub.

    We were almost kind of like a Boys and Girls Club,” recalls Kim. After the movie, kids “would hang out in the lobby, and we would play video games, or talk about what was cool and what was not and, as an adult at that time, I made sure that all the kids that were here did their homework.”

    “I tutored them,” she adds. “I made sure that they were doing OK in school.”

    Kim always expected them to go to college.

    Trouble sets in

    Despite the joy found in the theater, like most teens, Judy Kim wanted to get away from her parents and spread her wings, so to speak. She left for college out east and had dreams of moving to New York and becoming a Broadway producer.

    Then the calls started coming — a lot of calls from her parents. Sometimes twice a day, begging her to return to L.A. She didn’t really understand what the urgency was all about, but she came home and found her parents — and the theater’s — finances in disarray.

    “I realized that they were under extreme financial hardship, and they were embroiled in lots of legal problems,” she says.

    Kim explains that her parents had been defrauded multiple times. The Kims lost their house, their car. To help, Judy Kim went to law school, became a lawyer and dug in to help untangle them. It took almost 15 years to get everything sorted. “We were basically surviving off of, like, 99 cent hamburgers,” she says.

    The upside in all of this — and the part of this story that might be the reason Gardena Cinema is still around — is that about five years ago, Kim negotiated the purchase of a parking lot.

    It was a big-time play. Gardena is one of very few independent theaters in L.A. with its own parking and, says Kim, “it saved our butt when the pandemic came.”

    “Nobody was open and I had this big parking lot that I could show movies outdoors where people could sit in their car, safely, away from other people and watch a movie,” she says. “All they had to do was tune into the FM station that I told them to tune into.”

    A bumpy road to recovery

    As theaters in the city started welcoming folks back inside, the Kim family then had to navigate another major loss. “That time period is when my mom was fighting cancer,” says Kim. Nancy Kim died in 2022.

    A photo of an older Asian woman with gray hair is surrounded by flowers and trinkets as part of a shrine.
    An altar of Kim's mother, Nancy Soo Myoung Kim, is placed in the lobby of the theater in remembrance of her beloved mother.
    (
    Zaydee Sanchez
    /
    LAist
    )

    John and Judy Kim closed the theater and took a few months to grieve. Judy Kim sold her condo and moved in with her father, putting that money towards the cinema.

    “And then I said to my dad, we’re running out of money.”

    The Gardena Cinema reopened with Black Panther: Wakanda Forever, expecting it to be a huge hit. But only 10 people showed up to the first screening. Reopening the cinema with first-run movies meant that Kim was actually losing money.

    New releases are “loss leaders” for movie theaters. Most of the ticket price is going straight back to the film’s distributor, and contracts mean that new films have to be shown for a certain number of weeks. If a theater isn’t bringing in enough audience members to turn a profit on concessions, theater owners are spending more than they’re making by running a first run film.

    “So 2023, I’m running out of money,” says Kim. She says her father was ready to retire and use his “senior citizen card for all the national parks.” Why not sell the theater? Neither Kim nor her brother have children, so “there’s nobody to leave the theater to,” she says.

    The theater hit the market, but didn’t sell.

    Judy Kim made another last ditch pivot and came up with another plan: “I’m going to set up a nonprofit organization.”

    With her father’s blessing, Kim began the process in April of 2023. The theater got official recognition as a nonprofit in July. Between that and the success of summer films like The Super Mario Bros. Movie and Barbie, the Gardena Cinema had a future.

    Volunteer 'grandchildren'

    Judy Kim was now running a theater and a nonprofit entirely on her own. But, as she learned years earlier, you can’t underestimate the number of people willing to trade work for a free movie. It took months, but Kim now has a team of 40 volunteers who help her run the theater.

    “I’ve got a really good core group of people that are very supportive.”

    It’s those volunteers who convinced Kim to move away from first-run movies and start programming repertory screenings. Without the strict scheduling and tiny profit margins of a first-run movie, Kim suddenly had a lot more flexibility. If she needed to step away and take care of her father, or just close the theater on a slow night, those options were now on the table.

    A collage of vintage movie posters cover a wall that is set against an unlit background.
    Movie posters adorn the lobby walls of the Gardena Cinema.
    (
    Zaydee Sanchez
    /
    LAist
    )

    The Gardena Cinema volunteers are invaluable to the space. They run concessions, clean the theater, sell tickets, run the projector — and this past November, Kim left the theater in their hands entirely to take a trip with her father. “They did a fantastic job … it’s still standing,” she says.

    If you care about something, you gotta go the extra mile.
    — Conor Holt, a volunteer at the Gardena Theater

    Cifen, a local filmmaker, helps organize events in the theater. He put together a singles’ night and a screening of his independent film, Age of Embellished Relic, this past February. He calls the theater a “safe haven.”

    Conor Holt makes the drive to Gardena from East Hollywood. A former ArcLight Cinemas employee, he says he cares about making sure cinemas stay open. “If you care about something, you gotta go the extra mile.”

    Adela Tobon used to manage a single-screen movie theater in Northern California. A friend told her about the Gardena Cinema and she says, “I just lost it. I’m like, this is exactly where I belong.”

    And Bill DeFrance has taken over a lot of John Kim’s duties in the cinema — cutting trailers, ripping tickets at the box office, building the show in the projector.

    It’s a family affair for DeFrance too. On Valentine’s Day, he programmed Wild at Heart — his and his wife’s favorite movie. “I programmed it for Valentine’s Day so I could be at the theater and on a date at the same time.”

    A sign his daughter made hangs on the side of the ticket booth, and boldly states in red crayon: “NO PRANK CALLS!”

    “For a long time, my dad was like, well, we don’t need to leave a legacy. There’s no grandkids,” says Kim. But the volunteers pipe up with a chorus: “We can be your grandchildren!”

    An Asian woman with her hair pulled back and wearing a black t-shirt sits alone in a theater auditorium with hundreds of empty seats. She leans forward with a slight smile and rests her arm on the seat in front of her.
    Gardena Cinema owner Judy Kim.
    (
    Zaydee Sanchez
    /
    LAist
    )

    Judy Kim is now planning on leaving an endowment for the theater, so it can continue after she and her family have moved on. And intentional or not, the Gardena Cinema now has a legacy of community building and a fighting spirit.

    Keep an eye on the Gardena Cinema’s calendar. You can catch anything from a karaoke party screening of La La Land to Dawn of the Dead in 3D to film festivals featuring shorts from local filmmakers.

  • Heavy rain now predicted for Christmas week
    The view through a car window of a rainy LA; there are water drops on the glass, four windblown palm trees are silhouetted against a grey sky, and the Chase sign on a bank building glows white and blue in the eerie light.
    Heavy rain in Marina Del Rey a few years back.

    Topline:

    The National Weather Service is now forecasting major rainfall for the week of Christmas in L.A. and Ventura counties.

    Storm duration: The heaviest rain is expected to arrive late Tuesday night into Wednesday day. Less intense rain is expected to stick around through Christmas until Saturday, according to the weather service.

    A map with different areas denoted in orange and red, indicating rain fall levels.
    Rainfall total from the storm arriving Christmas week, according to the National Weather Service on Saturday.
    (
    Courtesy National Weather Service
    )

    How much rain? In all, about  4 to 6 inches of rain is expected for the coast and valleys in L.A. and Ventura counties from the storm, and between 6 to 12 inches for the foothills and mountains.

    Impact: "We could see significant and damaging mudslides and rock slides. We could see flooded freeways and closures," said David Gomberg, lead forecaster at NOAA in a weather briefing on Saturday.

    Winds: Damaging winds are also in the forecast, particularly between Tuesday night and Wednesday  in the mountains and foothills, Gomberg said, potentially resulting in  downed trees and power outages.

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  • Judge blocks homelessness changes, rebukes agency
    A large concrete building behind some green trees with a sign on the front that says "Department of Housing and Urban Development"
    The U.S. Department of Housing and Urban Development faces legal challenges over proposed major changes to homelessness funding.

    Topline:

    The U.S. Department of Housing and Urban Development cannot impose dramatically different conditions for homelessness programs for now, according to an oral ruling Friday by U.S. District Judge Mary McElroy in Rhode Island.

    Why it matters: McElroy granted a preliminary injunction to a group of states, cities and nonprofits who said a last minute overhaul of how to spend $4 billion on homelessness programs was unlawful. She also agreed with their argument that it likely would push many people back onto the streets in the middle of winter, causing irreparable harm.

    The backstory: HUD has sought to dramatically slash funding for permanent housing and encourage more transitional housing that mandates work and treatment for addiction or mental illness. The overhaul – announced last month — also would allow the agency to deny money to local groups that don't comply with the Trump administration's agenda on things like DEI, the restriction of transgender rights and immigration enforcement.

    Read on ... for more on the legal battle over HUD changes.

    The U.S. Department of Housing and Urban Development cannot impose dramatically different conditions for homelessness programs for now, according to an oral ruling Friday by U.S. District Judge Mary McElroy in Rhode Island.

    McElroy granted a preliminary injunction to a group of states, cities and nonprofits who said a last minute overhaul of how to spend $4 billion on homelessness programs was unlawful. She also agreed with their argument that it likely would push many people back onto the streets in the middle of winter, causing irreparable harm.

    "Continuity of housing and stability for vulnerable populations is clearly in the public interest," said McElroy, ordering HUD to maintain its previous funding formula.

    The National Alliance to End Homelessness, one of the plaintiffs, said in a statement the order "means that more than 170,000 people – families, seniors, veterans, and people with disabilities — have respite from the government's assault."

    HUD has sought to dramatically slash funding for permanent housing and encourage more transitional housing that mandates work and treatment for addiction or mental illness. The overhaul — announced last month — also would allow the agency to deny money to local groups that don't comply with the Trump administration's agenda on things like DEI, the restriction of transgender rights and immigration enforcement.

    "HUD will continue working to provide homelessness assistance funding to grantees nationwide," said HUD spokeswoman Kasey Lovett in a statement to NPR. "The Department remains committed to program reforms intended to assist our nation's most vulnerable citizens and will continue to do so in accordance with the law."

    'Chaos seems to be the point'

    McElroy expressed frustration with a series of HUD actions in recent weeks. Just hours before a Dec. 8 hearing, the agency withdrew its new funding notice, saying it would make changes to address critics' concerns. But on Friday, HUD's attorney said the new version would not be ready until the end of the day.

    "The timing seems to be strategic," McElroy said, asserting there was no reason the document could not have been ready before the hearing. "The constant churn and chaos seems to be the point."

    In defending the agency, attorney John Bailey said HUD was simply trying to change its policies to reflect President Donald Trump's executive orders, which he called "legal directives." The judge interjected repeatedly to explain that he was conflating things, noting Congress — not the president — makes laws.

    'It's kind of shocking'

    HUD's changes were announced in November with little notice and only weeks before local homeless service providers must apply for new funding.

    "Our agencies are just scrambling right now to try to respond," said Pam Johnson with Minnesota Community Action Partnership, whose members provide housing and other services for homeless people. "It also just reverses 40 years of bipartisan work on proven solutions to homelessness. So it's really, it's kind of shocking."

    For decades, U.S. policy favored permanent housing with optional treatment for addiction or mental illness Years of research has found the strategy is effective at keeping people off the streets.

    But many conservatives argue it's failed to stop record rates of homelessness.

    "What is the root cause of homelessness? Mental illness, drug addiction, drug abuse," HUD Secretary Scottt Turner said recently on Fox Business Network. "During the Biden administration, it was just warehousing. It was a homeless industrial complex."

    Turner and others who support the changes say the goal is to push people towards self-sufficiency.

    But local advocates say mental health and substance abuse are not the main factors driving homelessness.

    "It's poverty. Poverty, low income and significant lack of affordable housing," says Julie Embree, who heads the Toledo Lucas County Homelessness Board in Ohio.

    Many in permanent housing have disabilities that make it hard to work full time, she said. Embree agrees with Trump administration goals like efficiency and saving money, but says pushing people back into homelessness, where they're more likely to land in jail, the courts or a hospital, is not cost-effective.

    "One emergency room visit is just as expensive as a month of sustaining this [permanent housing] program," she said.

    In Los Angeles, Stephanie Klasky-Gamer with LA Family Housing said there is a need for more transitional housing, but not at the expense of long-term housing. And the idea that programs could simply switch from one to the other is not only unrealistic, it's illegal.

    "You cannot take a building that has a 75-year deed restriction and just — ding! — call it interim housing," she said.

    Those challenging HUD say providers who own such properties – or states who've invested millions of dollars in permanent housing projects — face "significant financial jeopardy" if their funding is not renewed.

    In addition to the legal challenges, members of Congress from both parties have questioned HUD's sudden shift on homelessness. Advocates have lobbied lawmakers to step in and, at the least, push for more time to prepare for such a massive overhaul.

  • Trump reaches agreements with drugmakers
    an older man in a dark blue suit with a red tie stands at a microphone and talks while two men and a woman in suits stand behind him and watch
    President Donald Trump unveiled deals with nine pharmaceutical companies on drug prices in a White House event Friday.

    Topline:

    President Donald Trump said the administration has reached agreements with nine more drugmakers to bring their U.S. drug prices more in line with what other wealthy countries pay.

    Why it matters: Fourteen companies in total have now reached what the administration calls most-favored-nation pricing deals. They agreed to charge the U.S. government no more for new drugs than the prices paid by other well-off countries. The agreements will allow state Medicaid programs to access lower prices from the nine new companies.

    Read on ... for more on the administration's work to bring down prescription drug prices.

    President Donald Trump said the administration has reached agreements with nine more drugmakers to bring their U.S. drug prices more in line with what other wealthy countries pay.

    Fourteen companies in total have now reached what the administration calls most-favored-nation pricing deals. The companies that took part in Friday's announcement were: Amgen, Boehringer Ingelheim, Bristol Myers Squibb, Genentech, Gilead Sciences, GSK, Merck, Novartis and Sanofi.

    They agreed to charge the U.S. government no more for new drugs than the prices paid by other well-off countries. The agreements will allow state Medicaid programs to access lower prices from the nine companies. In a statement, the White House said the change will result "in billions of dollars in savings."

    The drugmakers also agreed to invest at least $150 billion in manufacturing operations in the U.S. The president is seeking to increase domestic production of pharmaceuticals.

    In addition, the companies agreed to make some of their most popular drugs available at lower prices to consumers who pay out of pocket through a government website called TrumpRx.com. The TrumpRx website is expected to launch in early 2026, and would take consumers to pharmaceutical companies' direct-to-consumer websites to fulfill orders.

    For example, Merck will reduce the price of Januvia, a medication for Type 2 diabetes, from $330 to $100 for patients purchasing directly through TrumpRx, the White House said. Amgen will reduce the price of Repatha, a cholesterol-lowering drug, from $573 to $239 when purchased through TrumpRx.

    In exchange for these concessions, the companies will be exempt from possible administration tariffs for three years.

    The extent of savings for consumers under the agreements is unclear. Medicaid and its beneficiaries already pay some of the lowest prices for drugs. And people with health insurance could spend less on copays for their medicines than paying cash for them through the drugmakers.

    Separately, Trump said during the press event that he would like to get health insurers to lower their prices, too.

    "I'm going to call a meeting of the insurance companies," he said. "I'm going to see if they [will] get their price down, to put it very bluntly."

  • New leader has strong gender, abortion opinions
    a red-headed woman in a black suit jacket stands and speaks at a microphone
    Bethany Kozma speaks to a U.N. meeting in September 2025. She has just been named to lead the Department of Health and Human Services Office of Global Affairs — a job known as the "diplomatic voice" of HHS.
    Topline:
    America's new top health diplomat is Bethany Kozma. The job she took on this week — leading the Department of Health and Human Services Office of Global Affairs — does not have a high profile. And Kozma herself is not a familiar name in the world of public health.

    Why it matters: But it is a position with power — and Kozma has a record of public statements and activism on health issues, equating abortion with "murder" and campaigning against gender-affirming care.

    What is the job? The office is sometimes referred to as the "diplomatic voice" of HHS. As director, Kozma will have considerable influence over how the U.S. shapes health policy in other countries in the wake of the Trump administration's foreign aid cuts and withdrawal from the World Health Organization.

    Read on ... for more on Kozma's position on a number of controversial issues.

    America's new top health diplomat is Bethany Kozma.

    The job she took on this week — leading the Department of Health and Human Services Office of Global Affairs — does not have a high profile. And Kozma herself is not a familiar name in the world of public health.

    But it is a position with power — and Kozma has a record of public statements and activism on health issues, equating abortion with "murder" and campaigning against gender-affirming care.

    The office sometimes is referred to as the "diplomatic voice" of HHS. As director, Kozma will have considerable influence over how the U.S. shapes health policy in other countries in the wake of the Trump administration's foreign aid cuts and withdrawal from the World Health Organization.

    Kozma declined to be interviewed for this story. She doesn't appear to have a background in global health based on publicly available information online. The HHS website offers few details about her professional profile. In response to questions about her qualifications and vision for the role, HHS responded with this statement.

    "The Office of Global Affairs (OGA) advances the Trump administration's agenda and priorities by bringing common sense, transparency and gold-standard science to global partners. Under Secretary Kennedy's leadership, OGA is committed to strengthening the United States' position as the global gold-standard for public health and ensuring Americans are protected at home and abroad."

    Who is Bethany Kozma?

    Kozma began her career in public service during the George W. Bush administration, working at the White House Homeland Security Council. During the Obama years, she re-entered public life as an activist.

    In a 2016 commentary for The Daily Signal, a conservative news website founded by the Heritage Foundation, she argued against the Obama administration's guidance that public schools should allow children to use the bathroom that comports with their identity.

    "This radical agenda of subjective 'gender fluidity' and unrestricted shower and bathroom access actually endangers all," she stated, noting that "predators" could abuse the policy.

    In 2017, she joined the Trump administration as senior adviser for Gender Equality and Women's Empowerment in the United States Agency for International Development, eventually being promoted to deputy chief of staff. In videos obtained and released by ProPublica, Kozma recalls calling the U.S. a "pro-life" country in a closed-door U.N. meeting about women's rights in 2018, when access to abortion still was protected nationally by Roe v. Wade.

    In August 2020, Sen. Chris Coons, D-Del., and four other Democratic senators issued a letter labeling Kozma and several other political appointees at USAID as "prejudiced" and called for them to be removed from their posts. Kozma has "spoken extensively and derisively of trans people and trans issues," the senators wrote.

    During the Biden administration, she also was involved in Project 2025, the Heritage Foundation's "blueprint" for a new Republican administration. She played a prominent role in Project 2025 training videos, obtained and published by ProPublica.

    In one nearly 50-minute training video focused on left-wing language, she called for a Republican administration to "eradicate 'climate change' references from absolutely everywhere," and said that concerns over climate change are efforts at "population control." She also called gender-affirming care "absolutely infuriating" and said "the idea that gender is fluid is evil." Overall, she argued that changing language around these policies should be a priority for political appointees.

    Kozma joined the second Trump administration as a chief adviser at the HHS Office of Global Affairs. In September, she spoke at a U.N. event commemorating the 30th anniversary of the declaration that denying women's rights is a human rights violation.

    "While many may celebrate so-called successes gained for women over the last 30 years, one must ask what defines true success for women?" she began, adding that "biological reality is rooted in scientific truth and is confirmed by the universal truths that we are endowed by our creator who made us 'male and female.'"

    Those views can be divisive but have garnered some support for Kozma's promotion.

    "Bethany is an excellent pick for global affairs at HHS," says Roger Servino, vice president of domestic policy at The Heritage Foundation. "She was an early champion of protecting children from gender ideology back when the medical establishment was able to silence voices of reason and dissent and she is perfectly placed to help push back on global health bodies trying to impose left wing pseudoscience on the American people and the world."

    What will her goals be at the Office of Global Affairs?

    Kozma is taking over as director of the HHS Office of Global Affairs at a time of drastic change for global health.

    In previous administrations, a main focus of the office was dealing with the World Health Organization. Typically, the director, who usually has a background in public health, is involved in negotiations on sharing data for pathogen surveillance or developing vaccine policy, for example.

    After President Trump withdrew the U.S. from WHO, the administration has started a new strategy: striking deals with individual countries to give health aid in exchange for their meeting certain policy prescriptions. Kozma has been involved in some of those negotiations, but the details aren't quite finalized.

    Some reproductive rights advocates believe Kozma will use her new position to insert anti-abortion and anti-LGBTQ policies into these agreements.

    "[Kozma] is vehemently anti-trans, anti-LGBTQI+, anti-abortion," says Keifer Buckingham, managing director at the Council on Global Equality, a coalition of advocacy organizations that focuses on LGBTQ issues. "For those of us who want to ensure that the provision of U.S. foreign assistance and health doesn't discriminate against people based on who they are, [Kozma's appointment] raises a lot of red flags."

    One particular worry is about the Helms Amendment, a U.S. policy that prohibits foreign aid being used to fund abortion services.

    "There's been speculation that there's an intention by the U.S. government to expand the Helms Amendment beyond abortion to include LGBTQ's as well," says Musoba Kitui, director of Ipas Africa Alliance, a non-profit that works to provide access to abortion and contraception. He's concerned that health groups that serve those populations could lose funding. That speculation is backed up by reporting from The Daily Signal that the administration is planning to prohibit U.S. aid funding for "gender ideology and diversity, equity and inclusion initiatives."

    Given LGBTQ people are often at higher risk for diseases like HIV, such policies could make these communities even more vulnerable, says Kitui.

    "We could see more marginalization, inequality, spikes of infection," he says. While many African governments signing these deals understand those dynamics, Kitui says they may still agree to more restrictive conditions as aid cuts have "starved health systems to a point of desperation."

    Have information you want to share about ongoing changes at federal health and development agencies? Reach out to Jonathan Lambert via encrypted communications on Signal: @jonlambert.12