The Brief

There are more than 46,000 people experiencing homelessness in Los Angeles and every day volunteers hit the streets with mutual aid groups to provide them with whatever is needed — no strings attached.

Some give out bottles of water, others provide glass pipes, clean needles and antiseptic wipes to help drug users avoid infection and death. They also offer necessities like food in the shape of burritos, tents and socks to Narcan, batteries and phone charging stations.

These groups try to fill gaps in immediate-term services, while people wait for the promise of a long-term solution in the form of housing.

The philosophy behind mutual aid is the idea of community supporting community, but there’s a big question: Why is this work of providing life saving services often left to volunteers?

Of the city’s 2023-24 budget, $1.3 billion has been allocated to the homelessness crisis and getting people off the street. However, basic needs like water and overdose prevention aren’t being sufficiently met.

“Some of these services are like air, like oxygen,” said Ndindi Kitonga, founder of volunteer group Palms Unhoused Mutual Aid (PUMA), which provides harm reduction services like clean needles and Narcan to unhoused people in L.A. “Everyone should just have it. And so we very much push back and critique our local governments for not doing what they have to do.”

Mayor Karen Bass told LAist that she recognizes the homelessness crisis is multifaceted and sometimes unhoused folks aren’t accessing services they need.

"If I have learned anything this year, it’s how the ability to provide services of every type is woefully inadequate," she said. "People need water, they need the ability to have basic hygiene, they need food. They need all of that."

The Band-Aid

We know the city is taking action to help people living on the streets. Same for Los Angeles County. Same for LAHSA, the L.A. Homeless Services Authority, and same for other agencies. But it’s clear, based on LAist’s earlier reporting, that unhoused people have some very basic and immediate needs that are not being met by government services.

Volunteers are applying the Band-Aids, but the answer to that “why?” is complicated.

“Part of it gets into the philosophy of the role of government,” said LAist unhoused communities reporter Nick Gerda. “Does government have responsibility, and do taxpayers have a responsibility, to provide life-saving support for people living on the streets?”

Sade Kammen distributing water to Skid Row residents.

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When it comes to government structure, L.A. is a unique place. We have a lot of different government offices and agencies, each with different budgets.

“Unlike New York City where it's all one big entity under a giant city government, L.A. is really a total mishmash,” Gerda said.

There’s L.A. city, which includes the mayor’s office and 15 different city council districts; there’s L.A. County, which includes the Board of Supervisors and other county agencies, such as the Department of Mental Health; and there’s the L.A. Homeless Services Authority, whose outreach straddles both the city and the county.

This, said Gerda, can make it challenging to track who is responsible for what.

“There's a lot of overlap in responsibility, and the idea behind that, about a century ago, was to decentralize power,” he said. "The flip side is that you have all these different government entities, and it can get really confusing. And in the past, what we've seen is a lot of finger pointing."

Water

There is a big need for water in unhoused communities, but there isn’t one government entity that’s in charge of providing it, which is where mutual aid groups like WaterDrop LA come in.

The nonprofit was founded during the pandemic when volunteers on Skid Row realized there wasn’t a consistent supply of water available to people who live there. A recent study backs that up, finding that 30% of Skid Row residents had limited daytime access to drinking water — that number jumps to nearly 70% at night.

Every Sunday, WaterDrop brings several U-Hauls worth of bottled water to Skid Row and distributes the bottles to residents.

One of those residents is a former military veteran who goes by the name of Hawk. He operates a one-man barbershop from the sidewalk.

“With them bringing out water, it assists us in a way that you just can't explain,” Hawk said. “You need water for everything.”

Skid Row resident known as "Hawk."

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Droped off water sits outside of a tent.

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One recent, positive development in the neighborhood is something called a Refresh Spot. It’s provided by the city in Skid Row and offers water 24/7 for all sorts of uses.

“They have showers and bathrooms and a water box,” said WaterDrop volunteer Sade Kammen. “That's probably one of the best resources that the city has installed.”

But the service is not available everywhere and it’s sometimes not accessible — because of physical or mental needs — even to those who do live nearby.

“Some of these people are like me. I don't do groups of people well, and that mental thing can hold them back from many benefits,” explained Hawk, who lives across the street from Refresh.

Once a week, WaterDrop LA brings him two gallons of bottled water.

“And I'm fortunate enough and blessed enough to have a fire hydrant,” he said, pointing to a hydrant across the street that he cracks open with a utility wrench. "I'm fortunate enough and blessed enough to have a fire hydrant. That's how I survive."

“Skid Row is a very unique situation,” said Councilmember Kevin de León. “It was intentionally zoned to be the epicenter of homelessness, to be the catch-all of unhoused folks, from all over the city, from all over the county, from the state of California, and quite frankly other parts of the nation.”

De León represents Council District 14, which includes Skid Row. His office has been pressured by advocates to do more to help ease the immediate-term needs of those experiencing homelessness.

Since our first conversation with WaterDrop, one of the co-founders, Aria Cataño, said the group has had meetings with de Leon’s office to talk about water distribution.

“I will say that any organization or any entity or any group of individuals who are willing to go down to Skid Row or anywhere else … and provide bottles of water, is something that I've always welcomed,” De Leon said. “I would say, don't stop, you know, keep doing it until we get every person off the streets.”

Skid Row

The history of Skid Row is a long and complicated one. This 4-square-mile neighborhood — just southeast of downtown — goes back to the 1800s.

In the 1970s, as De León alluded to, city officials established an unofficial "containment" zone for homelessness that would allow shelters and other services.

These days, Skid Row is viewed as the national epicenter of the homelessness crisis.

Black and brown people are disproportionately represented in the neighborhood, accounting for about 80% of the total population. And many say they have been living on these streets for a long time without adequate services.

People say they get used to feeling forgotten.

Kevin Call, a volunteer with WaterDrop LA and a former unhoused Skid Row resident, says he volunteers because he wants to help people like him. However, he wishes it weren’t necessary.

“We shouldn't have to have a truck pull up here to get them water,” Call said. “The city should already had that in place.”

Sade Kammen distributing water to Skid Row resident.

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De León added that people using fire hydrants for drinking or bathing is a reflection of a broken system that’s afflicted the city historically.

Think about that “mishmash” that Gerda referred to earlier, where many government offices are responsible for different, sometimes overlapping, pieces of the problem.

De León said he’s been public about his “deep frustration” with L.A. County and the Department of Mental Health, which has traditionally overseen services for the unhoused while cities have been responsible for housing.

“We need intervention immediately to help folks who are suffering from clinical depression to bipolar [disorder] to schizophrenia,” de León said. “When you have someone who is screaming and yelling at the top of his or her lungs, running down the street naked with feces caked onto his or her skin … we know that's not normal, but what we've done in L.A. is we've normalized it. But it is abnormal and that's one of my biggest frustrations, because it's especially acute in Skid Row.”

When we shared de León’s statement with the L.A. County Department of Mental Health, they agreed that they are responsible for mental health services for vulnerable populations, including people experiencing homelessness.

“These services include intensive outreach and engagement, street psychiatry, mobile medication dispensation, and other innovative field-based services, as well as funding supportive housing at every level throughout the County,” the department added.

The department also said they're currently working to expand staffing for “the ever-growing demand” in response to the county’s homelessness emergency declaration.

The housing solution

Since taking office last December, the primary goal for Bass as mayor has been to get people off the streets and into housing.

The Inside Safe program is at the center of this effort and, as of Oct. 27, 1,682 people have been moved into temporary housing, like hotels and motels. Of that group, 190 people have moved into permanent housing, according to LAist’s analysis of data provided by LAHSA.

But at least 153 other people have left the hotels and motels and returned to homelessness, and another 90 people left the program but are working with providers to find other options. Bass said her administration is focused on long term solutions but, she acknowledged, “housing without services, without food, without all of the things that people need is insufficient.”

But Bass said it’s also important to remember that L.A.’s homelessness crisis took decades to develop, and that it can’t be fixed overnight.

“I could have spent the first few months or the first year of my administration developing the world's best program, meeting with everybody under the sun and getting everybody's feedback and building a program,” she said. “But I thought that was inappropriate considering people die on these streets every single day.”

Much like Bass, housing is the main priority for many of L.A.’s city councilmembers.

Councilmember Nithya Raman said the limited availability of basic services like water is a “real indictment of the city,” but noted there are a lot of difficult choices a council district has to make based on its allotted budget.

“I also have a limited staff,” Raman said. “We had to choose between providing those services, and actually looking for housing for people where they could access those services … in the context of a motel or a hotel room or shelter site of some kind.”

Earlier this year, the mayor signed the L.A. City Council-approved budget for $13 billion. Of that, about $37 million has been allotted to all 15 city council members (roughly $2.5 million each), much of which is dedicated to salaries.  Raman, who represents Council District 4 and founded SELAH Homeless Coalition, said she’s also faced headwinds in the past from her colleagues on the council when it comes to getting support for services like sanitation near homeless encampments.

She said she hopes to work with other council districts and the mayor’s office to create a citywide response to provide interim services to unhoused communities as they continue to work on housing.

“We need a citywide response so that we can provide some of these interim services … to people so that they're not suffering when they are on the streets,” Raman said.

Midterms coverage: Live results | What to know | Stories around the country
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Democrats appear poised to retake control of the House on Tuesday. If they do, will their majority be built upon a blue wave or a tiny trickle? A previous NPR analysis found both parties spending deep and wide in a competitive landscape that spans 70 districts, ranging from longtime tossups to newly-competitive seats in deeply conservative areas.

Republicans came into Election Day with a narrow 218-214 seat advantage in the House and facing severe headwinds as the party in power. This midterm cycle has also seen a record number of departures from Congress, and polls show voters aren't happy about things like the economy and the ongoing war in Iran.

So what separates a good night for Democrats from a blue wave that sees dozens of House seats change hands? Here's NPR's cheat sheet to four types of House races to watch as results come in:

Early polls closing

The first results of the night with national implications will likely be from Kentucky's 6th Congressional District (KY-06) and Indiana's 5th (IN-05), two districts where polls close first (in the 6 p.m. ET hour) and whose 2024 margins for President Trump (15 and 17 points, respectively) could act as a preview for how much voters have soured on Republicans.

Democrats and Republicans alike have spent heavily in the Kentucky race, where Democrat Zach Dembo faces Republican Ralph Alvarado, so the increased investment is worth noting as a factor on the outcome. If Democrats flip one or both of these races, then it will likely be a long night for the GOP.

Florida also counts and reports its votes quickly, and is home to more than a half dozen races that are viewed as toss-ups or slightly favor one party or the other, so as these districts have projected winners there will be more insight into other races across the country.

Like the Kentucky contest, both parties have spent significant sums in races like the open seat in FL-22 with Democrat Pia Dandiya facing off against Republican Casey Askar and incumbent Democratic Rep. Jared Moskowitz versus Republican Scott Singer in the newly-redrawn FL-25 race.

Other races to watch: FL-27, NC-11, SC-01, VA-01

Last-minute big spending

In the final seven days of the midterms, a handful of House races have seen more than $10 million in ad spending, according to data from AdImpact. It's a sign of where both parties think the saying "It all comes down to turnout!" is more than a cliche. That includes districts in Michigan, such as MI-07, where progressive Democrat William Lawrence is challenging incumbent Republican Tom Barrett in a seat that Trump carried by just over one percent in 2024 and the open MI-10, where Democrat Christina Hines faces Republican Mike Bouchard.

New York Republican Rep. Mike Lawler in NY-17 could be one of the rare Republicans who holds on to his seat thanks in part to his party's ad spending advantage in the closing stretch against Democrat Cait Conley.

Three of Iowa's four House races, IA-01, IA-02 and IA-03 are on the list of most expensive, in part because of the competitive governor and U.S. Senate races that are also on the ballot and driving up turnout.

Other races to watch: CO-08, PA-01, WA-03, WI-03

Redistricting

This year's Supreme Court decision rolling back part of the Voting Rights Act led to many Republican-led states redrawing their House maps to eliminate districts that favor Democrats in a typical election year – but this year is not typical.

Now, the political environment has deteriorated so much that seats like AL-02, held by Democrat Shomari Figures, OH-09 held by Democrat Marcy Kaptur and NC-01 held by Democrat Don Davis are all considered toss-ups at best and favoring the Democrats at worst for Republicans.

In Texas, Latino voters seem poised to swing back to Democratic candidates and could prevent Republican Eric Flores from flipping the seat held by Rep. Vicente Gonzalez in TX-34 or Tano Tijerina from unseating Democratic incumbent Henry Cuellar in TX-28.

Other races to watch: CA-22, FL-09, FL-14, TX-35

The outer edges of the map

As results continue to be reported, one thing to watch is how far into conservative communities the increased support for Democrats can go.

One race that has received a surprising amount of ad attention is in Arkansas's 2nd district (AR-02), where incumbent Republican Rep. French Hill faces a well-known challenger in Democrat Chris Jones. By the time polls close, closer to $10 million will have been spent in the final months on the Little Rock-based seat that Trump carried by 15 points in 2024.

There are also many districts in states that redrew their maps where the Republican gerrymander could backfire, like Ohio. In both OH-10 held by Republican Mike Turner and OH-15 held by Republican Mike Carey, Trump won by closer to 10 points in 2024. They're also in a state with competitive governor and Senate races and stretch between the suburbs and exurbs of Dayton and Columbus with an electorate that could swing away from the GOP.

The margin in North Carolina's Senate race, where former Gov. Roy Cooper is expected to win against former Republican National Committee Chair Michael Whatley, could determine if races like NC-03 are in play as well too. Rep. Greg Murphy's district absorbed more Democratic-leaning voters after the latest map redraw.

Other races to watch: NC-09, NY-21, TN-09, WA-05

Copyright 2026 NPR

Election Day is here, and with it comes your last chance to vote in the 2026 general election.

So far, a lot of people have cast ballots. Early voting turnout in L.A. and Orange counties has been higher than the previous midterm cycle in 2022.

The ballot is hefty, asking you to choose among dozens of candidates and weigh in on important local and statewide measures, from a new governor to a billionaire’s tax. L.A. voters will choose who will be mayor and the city attorney, decide on Superior Court judges, school bonds and much more.

Here’s everything you need to know.

Where to vote on Election Day

All vote centers are open from 7 a.m. to 8 p.m. Tuesday for in-person voting or to drop off your vote-by-mail ballot — in L.A. County, there are more than 600 to choose from. Remember: If you’re in line to vote by 8 p.m., stay in line. You’re legally allowed to cast your ballot if you get in line by the 8 p.m. deadline.

Tip: You aren’t required to bring your vote-by-mail ballot with you — those get voided during the check-in process.

• Find an L.A. County vote center near you (with wait times)
• Find an Orange County vote center near you (with wait times)

If you haven’t registered yet or you’re worried you’ll have an issue, election workers can help you. California allows same-day registration. (Check your registration status here.) If you register at the same time that you vote, you’ll cast a provisional ballot. Officials will verify your registration information and count all ballots of voters who are eligible.

You can also drop your ballot in an official ballot drop box anywhere in the state before 8 p.m.

• Find an Orange County drop box near you
• Find an L.A. County drop box near you
  

If you prefer to mail your ballot in, just make sure it’s postmarked by Tuesday. No postage is required. (Pro tip: If you’re mailing your ballot, take it into the post office to ensure it’s postmarked on time. It'll be counted as long as it arrives within 7 days of Election Day.)

You can also designate another person to return your completed ballot, as long as they aren’t paid. Make sure they fill out the envelope as directed for another person returning your ballot.

Get a free ride to vote in LA

L.A. Metro offers free rides until 11:59 p.m. All buses, trains, Metro Micro and Metro Bike Share services are covered. The promotion on Bike Share covers a 30-minute ride with the code “110326.” LADOT Transit, which includes DASH and Commuter Express rides, is also free.

Here’s a map of ballot drop boxes near Metro stations.

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Lyft is offering discounted rides with the code “VOTE26.” You’ll get 50% off up to $10.

What to do if you can't get to your local vote center

Not to worry — if you’re out of town, you can drop off your ballot at an official ballot drop box or polling location anywhere in California. It will be routed to the correct county. There’s no need to drive back to the vote center closest to where you live.

The same goes for voting by mail. Remember: If you have a vote-by-mail ballot, you can get it postmarked at any post office. As long as it’s postmarked by Tuesday and arrives within 7 days of Election Day, it will be counted.

What to do if you make a mistake on your ballot 

If you make an error on your vote-by-mail ballot, you can draw a line through it and make your correction.

You can also go to any vote center, request a new ballot and vote in person.

How to sign your ballot

Make sure to sign your ballot envelope with the signature that matches what your county registrar has on file, which is probably the signature on your driver’s license or state ID. Otherwise, your ballot might get flagged. If that happens, you’ll be notified by mail and will have a chance to fix it.

What to do if you come across an unfamiliar ballot item

It’s not required to vote on every item. If you haven’t had time to research, it’s OK to skip a race or ballot measure you’re unsure about — or several of them if you like. Whatever votes you do cast will still be counted, even if parts of your ballot are left blank.

You can also check out our voter guides.

What to expect after polls close

Follow LAist’s Voter Game Plan. We’ll keep you updated as results come in after 8 p.m.

When will my ballot be counted?

Keep in mind that in tight races particularly, the winner may not be determined for days or weeks after Election Day.

Election results will start posting shortly after the polls close at 8 p.m.

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In L.A. County, the first batch of results released includes vote-by-mail ballots received before Election Day (8:30 to 8:45 p.m.), followed by early votes cast at vote centers before Election Day (8:45 to 9:00 p.m.), then votes cast in-person on Election Day. This process is expected to wrap up in the early hours of Nov. 4. Then, additional results will be released following a schedule you can see on the county's site. In California, ballots postmarked on or before Nov. 3 are counted toward the results as long as they arrive within seven days of the election.

County election officials must certify election results by Dec. 3.

Track your ballot

You can track the status of your ballot here:

• Voters in L.A. County
• Voters in Orange County

If your mail-in ballot is rejected for any reason (like a missing or mismatched signature), your county registrar must contact you to give you a chance to fix it.

If you come across any other challenges, be sure to let us know. We have reporters out across L.A. County, along with staff standing by to answer your questions.

Editor's note: A version of this story was first published in 2022, and we continue to update it for subsequent elections.

Altadena artist and muralist Austin Scott is painting a portrait in a courtyard outside the Union Center for the Arts in Little Tokyo. As a steady stream of people walk in, he sketches some details of the face of a woman holding a bouquet of flowers. She wears a wide-brimmed purple hat, her eyes are closed, her face tilts upward toward sunbeams.

Her name is Evelyn McClendon. The retired Pasadena school bus driver was the first victim whose body was found in the rubble of the Eaton Fire in Altadena.

“It’s going to be a portrait of her face made up of little portraits of all the other faces of the people we lost in the fire,” Scott says.

Something like a memorial, he says, for the 19 people who perished.

Altadena muralist and artist Austin Scott paints a portrait of Evelyn McClendon, the first identified victim of the Eaton Fire.

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In front of the building entrance, as people eat tacos and chat, Emeka Chukwurah starts the music.

“Can you see it? We rising up,” he raps as his father, Onochie, and members of their band play drums, guitar and traditional African instruments. They specialize in Nigerian highlife fusion music.

Chukwurah lost his Altadena business, Rhythms of the Village, in the fire. The store sold goods sourced from countries across Africa and hosted drum, dance and Nigerian language classes.

They’re finally about to reopen in a temporary space.

“What we went through is life-changing. It was very traumatic,” Chukwurah says. “But to turn something so traumatic into triumphant moments like these and create new memories, I'm truly grateful for how far we have come.”

Emeka Chukwurah lost his business, Rhythms of the Village, in the Eaton Fire. He's close to reopening in a temporary space.

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Putting real experiences on stage

The idea for tonight’s play was born after the Eaton Fire, when photographer Gayle Nicholls-Ali and her husband, Rasheed, returned to Altadena after a trip to the Bahamas. Their home and community of 30 years were gone.

So they sought out their displaced neighbors. Gayle photographed them. The two collected more than 20 hours of interviews. After the fire, during mutual aid efforts, they happened to meet Sunder Ganglani, the artistic director for Cornerstone Theater Company. With Ganglani’s help, they turned the interview transcripts into the play’s script.

Union Center for the Arts is the theater home of East West Players, considered the nation's first Asian Pacific American theater company.

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“And so the four speakers on stage, all of whom are fire survivors, end up speaking around 20 different people, you know, from every walk of life,” Ganglani says.

Eventually, the nonprofit Extreme Weather Survivors, which connects disaster survivors with each other, got in touch as well. The play became a part of a national tour of similar events hosted by disaster survivors across the country ahead of the midterms.

On this October evening, the crowd settles into the seats of the David Henry Hwang Theater. Gayle Nicholls-Ali takes the stage to applause.

“Tonight is a chance to see one another more fully, to feel something together, to remember that we still belong to Altadena even if we're not living there right at the moment,” she says.

The show begins

The lights go down. Four actors walk onto the stage, one by one.

“My name is Rasheed. My name is Francesca. Shakira. My name is Sam. Darina. My name is Sunny.”

As they speak the stories, Nicholls-Ali rotates pictures of the people she interviewed, projected onto sheets hung behind the actors.

The performers onstage during "From Ashes We Gather."

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The building that houses this theater — the Union Center for the Arts — has been privy to some of the biggest events in Los Angeles history. It was a church for Japanese Americans before their mass incarceration during World War II, then a community center for Black Americans during the Great Migration. It was witness to racial attacks known as the Zoot Suit Riots, and was damaged by the Northridge earthquake.

Today, the art space and theater continues to be a place to process pain, to find refuge.

Like the actors in the play. All of them are fire survivors.

Their voices become a chorus with phrases repeated by survivors.

“Driving back to Altadena for the first time was really chimney after chimney after chimney…”

“They killed 19 of our neighbors.”

“This is our generational wealth. We don't want to lose that.”

The questions they were constantly asked: “How are you? Where are you? What's going on? Were you affected?”

Rasheed Ali performs the piece he composed for the play.

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At the close, the actors exit one by one. Rasheed Ali is alone on stage. The musician and composer sits at the keyboard and plays a piano piece telling the story of Altadena before, during and after the fire.

At the end of the night, some special guests take the stage, including Zaire Calvin, the brother of Evelyn McClendon, whose portrait was being painted earlier. He performs a rap he wrote with his cousin. The show ends with Medusa, who grew up in Altadena and is a hip-hop legend who has collaborated with icons like Tupac Shakur, Erykah Badu and Common.

A healing moment

Gayle Nicholls-Ali thanks the crowd at the end of the show. At left, Zaire Calvin looks on.

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After the show, as everyone packs up, Rasheed Ali is reflective.

“For me, it was a breakthrough,” he says. “The fire has a paralyzing effect on your creativity.”

Gayle Nicholls-Ali feels the same.

“I have not been able to feel creative because this fire is like a big knot in your stomach that you can't get rid of,” she says. “And so this helps to unknot the knot.”

Not just for her and Rasheed, she hopes, but for their community too.

Los Angeles County quietly stopped handing out syringes and pipes at the county’s flagship services hub in Skid Row in August, and has now terminated the contract of the nonprofit that ran harm reduction programs there, the Department of Health Services told LAist.

The pause — which county officials said is temporary — began in August, “in part due to concerns that community stakeholders and local businesses raised to County leadership,” according to a statement provided to LAist by Thomas Lynch, a spokesperson for the county’s Department of Health Services.

The changes come amid a growing cluster of HIV cases in Skid Row and mounting pressure from the Trump administration and neighboring businesses on L.A. programs that distribute drug paraphernalia. Critics argue the programs enable drug addiction and contribute to crime in the area.

The goal of these programs is to keep people who use drugs alive and free of infections like HIV and hepatitis, while working to connect them with services including treatment.

In late August, the county Department of Public Health identified a cluster of HIV cases among people who live in and around Skid Row. As of Sunday, 15 people had been linked to it, 11 of them women, according to Becky Schlikerman, a spokesperson for that department.

In a statement, Schlikerman said both substance use and sexual transmission are being investigated as possible factors, and that the department is working with street medicine teams and harm reduction groups to expand HIV testing and prevention in the area.

“There is an active HIV outbreak in Skid Row, so reducing safe injection supplies to people who use drugs in this moment seems particularly dangerous,” said Ricky Bluthenthal, distinguished professor of population and public health sciences at USC’s Keck School of Medicine.

The Skid Row Care Campus still distributes naloxone — the opioid overdose reversal drug — wound care supplies and safe sex supplies, Lynch said, but “distribution of syringes and pipes is currently on pause.”

He also said they have not set a date for syringe services to resume, that the pause applies only at the campus, and that staff are referring people to syringe programs elsewhere.

The state lists 24 authorized syringe services programs in L.A. County, according to the California Department of Public Health. Two are based in or next to Skid Row.

Harm reduction services are provided across much of L.A. County, according to the L.A. County Department of Public Health.

Darren Willett, director of the Center for Harm Reduction in Skid Row, in September of 2021.

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Provider layoffs 

The county has also terminated its contract with Homeless Health Care Los Angeles effective Tuesday, county officials said. The county announced the change in an Aug. 28 statement, the same month the syringe and pipe pause began.

Homeless Health Care Los Angeles, one of L.A.’s best-known harm reduction providers, notified the state in September that it would permanently lay off 134 workers — including 117 employees at the Skid Row Care Campus — effective Tuesday, Nov. 3, according to state Employment Development Department records.

“Right now, HHCLA is being forced to say goodbye to some deeply valued staff and reduce services that some of LA’s most marginalized rely on every day,” the nonprofit wrote in an Instagram post in late September.

In the same post, Homeless Health Care Los Angeles said its jobs program for people in Skid Row “no longer exists.” The nonprofit said the program offered “real income, real pathways forward for people too often shut out of opportunity.”

The county is bringing in nonprofits St. Joseph Center and LA Community Health Project instead, officials said. Meanwhile, Social Model Recovery Systems will expand its existing services and Wesley Health Centers will continue providing healthcare on site.

In statements provided to LAist, L.A. County's health services and homelessness departments described the shake-up as “contractor changes” made as part of an effort to “strengthen operations.” Officials are updating campus protocols, “strengthening on-site safety” and expanding substance use treatment and healthcare, according to those statements.

County officials said they are committed to a transition that avoids disruption for people using the campus.

“Providers are hiring from within the Skid Row community and have worked hard to retain staff who were working for Homeless Health Care Los Angeles,” Lynch told LAist.

Those providers have hired more than 80 people so far, and nearly 90% previously worked for Homeless Health Care Los Angeles, according to the department.

Representatives for Homeless Health Care Los Angeles did not respond to repeated requests for interview or comment.

The nonprofit has worked in Skid Row since the 1980s and ran the campus’s harm reduction and overdose response programs. It celebrated its 40th anniversary this year.

A group of Skid Row community members and laid-off campus workers calling itself the Skid Row Coalition for Community Safety has launched a campaign saying L.A. County is “playing politics with people’s lives.”

“Supervisor Hilda Solis and LA County chose to cowardly abandon the recommendations of public health experts and the Skid Row community,” the group said in a statement on its website.

County Supervisor Hilda Solis, who represents the area and authored the 2022 motion that created the Skid Row Action Plan, told LAist in a statement that the decision to end Homeless Health Care Los Angeles’ contract was made jointly by the county’s health services and homelessness departments.

“Some services have been paused to allow the incoming provider to onboard staff and establish operations,” Solis said. “This is a necessary part of coordinating the transition.”

“I am proud of the Skid Row Action Plan and its commitment to expanding low-barrier services, health care, and pathways to housing,” Solis’ statement continued. “That commitment remains unchanged.”

Solis completes her final term next month and is on Tuesday’s ballot running for California’s 38th Congressional District, which covers parts of eastern Los Angeles and Orange counties but not Skid Row.

Los Angeles County Supervisor Hilda Solis. Solis represents Skid Row and authored a 2022 motion that created the Skid Row Action Plan.

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Samanta Helou Hernandez

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LAist

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Criticism of the campus 

The Skid Row Care Campus opened in spring 2025. County officials call it the first community-designed homeless services hub in the nation.

The campus logs more than 2,700 visits a day, a count that includes repeat visitors, according to the county. It costs about $26 million a year to operate. Funding is secured through June 2027. The budget for the following fiscal year has not been finalized.

The campus in the heart of Skid Row drew scrutiny this year. In May, Fox 11 aired a segment featuring Estela Lopez, executive director of the Downtown Industrial Business Improvement District, who called the campus a “meth mansion.” L.A. Mayor Karen Bass told the TV station she was concerned about problems at the campus.

LAPD responded 693 times to the two blocks around it between January and late May, and recorded four homicides there in the first four months of 2026, according to LAPD figures first reported by Fox 11.

On Oct. 8, federal agents and LAPD officers carried out a drug sweep dubbed “Operation Save Skid Row,” centered about a block from the campus. Federal prosecutors charged 28 people and arrested 23, according to the Drug Enforcement Administration.

In July 2025, President Donald Trump signed an executive order directing agencies to stop funding “so-called ‘harm reduction’” efforts. In April, federal health officials barred grantees from using federal money for pipes and drug test strips, on top of a longstanding ban on federal funds for syringes.

L.A. County officials have not said whether federal policy played a role in the pause. The campus is funded through opioid settlement money, Medi-Cal managed care plans, the state and the county — not federal grants, according to officials.

County officials and employees have credited harm reduction programs with helping drive down overdose deaths, which fell 6% in 2025 — the third straight annual decline — according to the county Department of Public Health.

A person walks past an encampment of unhoused people in the Skid Row community. Skid Row is home to thousands of people who are either experiencing homelessness on the streets or living in shelters.

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Mario Tama/Getty Images

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Getty Images North America

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Harm reduction’s track record

Harm reduction programs including needle and syringe exchanges started in L.A. more than three decades ago in response to the HIV/AIDS epidemic. L.A. County declared a local public health emergency in 2000 to authorize syringe exchange under a new state law, according to a Kaiser Family Foundation report.

People who use fentanyl in L.A. have increasingly shifted from injecting it to smoking it, according to a 2025 study co-authored by Bluthenthal, with USC’s Keck School of Medicine.

Bluthenthal called the recent syringe and pipe distribution pause at the Skid Row Care Campus “obviously a setback.”

“Harm reduction programs, through providing social and material support, have been one of the most consistent pathways to treatment for people who are currently using illicitly purchased drugs,” he said.

In a statement on the pause, officials at L.A. County’s Department of Health Services said people who receive syringe services are three times more likely to reduce or stop using drugs and five times more likely to enter substance use treatment.

John Raphling, an organizer with the Los Angeles Community Action Network based in Skid Row, said his group is “extremely concerned that the county is cutting these services” and that Skid Row residents “were not at all consulted.”

“Harm reduction services, like those provided by Homeless Health Care, help save lives, prevent the spread of disease, and allow people to survive and work through their recovery,” Raphling said.

Some Skid Row residents see it differently — including Don Garza, who has lived in the neighborhood for 27 years and resides in a single-room-occupancy building there.

“It’s not helping anyone,” Garza told LAist. “It exponentially accelerates the overdose deaths.”

“The part of harm reduction that we still need is the overdose prevention, but without the pipes and the needles,” Garza said. “We still need the Narcan because Skid Row is not going anywhere, and people are still gonna OD, and they're gonna die.”