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The most important stories for you to know today
  • Step back in time in Anaheim on this easy walk
    A tan building that shows Spanish architectural influences, and a dramatic entrance. The signage overhead reads, Anaheim Packing House.
    The Anaheim Packing House is a terrific example of repurposing Southern California's distinct architecture.

    Topline:

    Welcome to LAist City Treks, a series of easy hikes and walks that will help you explore the parts of Los Angeles and SoCal we rarely get to see — or only see through the car window. Expect to get about 5K steps, and plenty of photos for your social media channels. Plus, we have some recommendations for grabbing a quick bite to eat once you're finished. This week, we're exploring Anaheim.

    Where are we headed? The Anaheim that everyone forgets about! Put another way, the non-Disneyland section, whose Packing District recounts the town’s prosperous past as a citrus empire that helped lure snowbound East Coasters westward. If you go, tag us on social media @LAistOfficial and #LAistTreks

    Why now? Recently, the Anaheim City Council approved a $1.9 billion plan by Disney to expand the Disneyland resort. But Anaheim is so much more than the Magic Kingdom. This stroll boasts public art and great architecture and is home to a terrific food hall — and what some say are the best tacos in SoCal.

    Quickly, what can I expect? This stroll is flat and paved, an easy 1 on a scale of 1 to 5. It's dog friendly, too, if you just stick to the walk. (Many businesses, such as the Anaheim Packing District, do not allow dogs.)

    What's next: Let's get walking!

    Welcome to LAist City Treks, a series of easy hikes and walks that will help you explore the parts of Los Angeles and SoCal that we rarely get to see — or only see through the car window. Expect to get about 5K steps, and plenty of photos for your social media channels. Keep scrolling, because you'll also find three recommendations for grabbing a quick bite to eat once you're finished.

    Where are we headed?

    The Anaheim that everyone forgets about! Put another way, the non-Disneyland section, whose Packing District recounts the town’s prosperous past as a citrus empire that helped lure snowbound East Coasters westward. If you go, tag us on social media @LAistOfficial and #LAistTreks

    Why now?

    Recently, the Anaheim City Council approved a $1.9 billion plan by Disney to expand the Disneyland resort. But Anaheim is so much more than the Magic Kingdom. This stroll is the best way to take in the area's many sights: It boasts public art and great architecture — including several monuments on the National Register of Historic Places — and is home to a terrific food hall.

    Quickly, what can I expect?

    • Route conditions: Flat and paved
    • Difficulty: An easy 1 on a scale of 1 to 5
    • Distance: 3 miles
    • Dog friendly: Yes, except in businesses like the Anaheim Packing District
    • Parking: Street parking, free
    • Bathrooms: At the Pearson Park trailhead, and at businesses along the way (so consider bringing along a few singles to tip in exchange for using the facilities)

    Map it!

    Want to take this map with you?

    Click here and then select "Send directions to your phone."

    OK, let’s get started …

    Before there were Mickey hats, there were orange trees — 12,000, to be exact, which were uprooted to make room for Walt’s theme park. This route focuses on the area east of Disneyland known as the Packing District, where oranges and lemons — plucked from Anaheim’s miles of citrus groves — were boxed up and shipped to the rest of the country.

    What better place to start than Anaheim’s first official city park at the junction of Harbor Boulevard and W. Sycamore Street?

    Why this might look familiar

    Established in 1927, Pearson Park boasts several Mission Revival buildings that will remind you of San Diego’s Balboa Park. The only honking you’ll hear in this serene place is from waterfowl. I was accompanied by a noisy pair of geese along a meandering pathway, all of us headed to the large pond on the north end.

    Exit the park at its northeast corner, home to the oldest public sculpture in Orange County.

    Tell me about this art

    A column of art work that is considered the oldest public sculpture in Anaheim. This side of the two-sided sculture features men and women and the tools of their vineyard labors, including shovels.
    This art work honors vineyard workers.
    (
    Paul Haddad
    /
    LAist
    )

    One side of this freestanding column commemorates Polish actress Helena Modjeska, who established Anaheim’s first artists’ colony in 1876; the other side depicts four vineyard workers representative of the city’s early agricultural era.

    As you leave the park, turn right so that you are now heading south on N. Lemon Street, one of many allusions to Anaheim’s once thriving produce industry. Our trek through history continues with Anaheim’s oldest residential district. To get there, turn left on Lincoln Avenue, then right on N. Anaheim Boulevard, and then left onto E. Center Street.

    Before there was a Mouse House …

    As you walk down Center Street, you’ll pass S. Melrose Street and S. Kroeger Street, on your right. Both blocks make up the Kroger-Melrose District —part of the​ National Register of Historic Places — and are worth exploring if you want to log a few extra steps. They contain several Craftsman and California Bungalow homes that make up, according to the Craftsman Perspective, “Anaheim’s most cohesive unit of every Twentieth Century housing stock,” with some Victorian homes dating to the 1890s.

    A former train depot turned government building: There is an ornate roofline over the entrance, and that same roof is covered in terra cotta tiles. The sign over the doorway reads "Anaheim."
    This place used to be a hub of activity back in the day.
    (
    Paul Haddad
    /
    LAist
    )

    At the end of Center Street is an old Union Pacific Railway Station, where boundless crates of fruit began their journeys across the U.S. — juicy spoils that advertised the West Coast as the best coast.

    How did the produce get to this train station? By another train, of course! You'll see these old tracks up ahead: Turn right on S. Atchison Street and soon you'll walk past Citrus Park, on your left. Then, turn west onto E. Broadway, left on S. Olive Street and right on E. Santa Ana Street.

    Tracking the past

    As you walk along Santa Ana, within one block you’ll notice the sudden appearance of railroad tracks jutting into center of the street.

    First laid down by Southern Pacific in 1899, this spur was a key conveyance for the Anaheim Orange & Lemon Association to transport its bounties.

    The scene is a typical Southern California street, with palm trees off in the background: But the street is exceptionally wide, and there are old train tracks running down the middle of the road, a hint of what this place used to be.
    Trains bearing citrus fruit once roared through this part of town.
    (
    Paul Haddad
    /
    LAist
    )

    Repurposing, done right

    Follow the rail line to the northeast corner of E. Santa Ana Street and S. Anaheim Boulevard. Here, you'll find another Mission Revival beauty, the original Packing House in the Anaheim Packing District. Turn right onto S. Anaheim and enter the Packing House’s driveway, which will lead you to former loading docks that have been converted to restaurant patios.

    Inside the warehouse is a bright and airy space with food stalls, beckoning you to grab a bite or quaff a local brew. (If you're hungry by this point, consider Adya, which serves up Indian street food, or the Kroft, which specializes in sandwiches and poutine.)

    The whole complex is a textbook example of how to reimagine an old structure while preserving its integrity.

    Which you're finished exploring the food hall, reorient yourself back on S. Anaheim Boulevard and continue north (walking away from E. Santa Ana Street.) Continue north on Anaheim, then turn left on W. Center Street Promenade. You'll find two pleasant blocks of dining, shopping, and modern street art.

    The 100 block includes the Muzeo Museum and Cultural Center, which is backdropped by a 1908 Classical Revival building that once housed the Carnegie Library. Look for Carnegie Plaza rooftop sign.

    Little park, big history

    We have one last stop before we had back to our starting point. Proceed left on S. Clementine Street to its intersection with W. Elm Street. On the southeast corner is a small park. Despite its name, Little People’s Park has an outsized history in Anaheim.

    In the 1970s, the neighborhood’s large Latino population protested the tactics of Anaheim’s largely white police force, culminating in an uprising here in 1978.

    A faded mural is painted onto the side of a brick building: The mural shows several figures who stood up for their rights, including one man pointing off into the distance.
    This noted mural may be worn in some places, but is no less powerful.
    (
    Paul Haddad
    /
    LAist
    )

    To memorialize the moment, Chicano artist Emigdio Vasquez painted a 300-foot mural on the wall of the market on the north side of Elm. After decades of sun-bleaching, the mural was updated in 2023, incorporating key figures and flashpoints in Mexican American history. (The city of Santa Ana just announced it will save another one of Vasquez' murals, called Chicano Gothic, as part of a renovation project.)

    If you want to see the mural, turn left on elm and walk nearly to the end of the block. After taking in the mural, backtrack, and now stay on Elm as you walk through the intersection with S. Clementine Street. In two blocks, you'll hit Harbor Boulevard. Turn right onto Harbor Boulevard and walk back to your starting point in Pearson Park.

    With apologies to Disney, this was a real-life California adventure, yet no less magical.

    Done! Where to eat

    LAist's Associate Editor for Food and Culture Gab Chabrán recommends the following three places in the area to grab a bite:

    Adya

    Adya is a fast casual Indian food stall located in the Anaheim Packing House and is known for putting a modern twist on favorites such as chicken tikka masala and their luscious chicken kebabs, and an assortment of freshly made naans (butter, garlic, goat cheese and keema).  

    Location: Anaheim Packing House, 440 S. Anaheim Blvd., #201
    Hours: Daily, noon to 8 p.m.

    The Kroft

    The Kroft is also located in the Anaheim Packing House, and known for its sandwiches in particular and its comfort foods in general. Fried chicken, cheese steaks, an entire menu of loaded fries, and smash burgers. But if you can only try one thing on the menu, make it the porchetta sandwich.

    Location: Anaheim Packing House, 440 S. Anaheim Blvd., #109
    Hours: Monday through Thursday,m 11 a.m. to 9:30 p.m. Friday through Sunday, 11 a.m. to 10 p.m.

    Tacos los Cholos

    You'll have to drive to this one after you're back at your car, but Tacos los Cholos is worth the added mileage: They've been called the best tacos in Southern California. You'll also find burritos, quesadillas ... and keto tacos, too. Save room for the churro cheesecake.

    Location: 821 S. State College Blvd., Anaheim
    Hours: Monday through Thursday, 11a.m. to 11 p.m., Friday and Saturday, 11a.m. to 1 a.m. and Sunday, 11 a.m. to 10 p.m.

  • Those at LAX and Disneyland may be exposed
    Multiple vials of measles vaccines.
    This view shows empty vials containing doses of the measles vaccine.

    Topline:

    A second case of measles has been confirmed in Los Angeles County. The infected person also traveled to Orange County.

    Why it matters: Measles has been on the rise in other parts of the country like South Carolina, Arizona and Utah. 588 measles cases have been reported this year, the most cases reported in January since the year 2000. Two cases have been detected in LA County and two in Orange County.

    Read more on information public health officials has released regarding potential exposure.

    A second case of measles has been confirmed in Los Angeles County.

    L.A. County Department of Public Health officials announced on Saturday the virus was detected in an international traveler who arrived at the Tom Bradley International Terminal — or Terminal B — at LAX on Monday, Jan. 26, through Gate 201A on Viva Aerobus Flight 518.

    Public Health said anyone at Terminal B from 10:45 p.m. on Jan. 26 to 1 a.m. on Jan. 27 may have been exposed.

    The traveler also spent a day in Disneyland Park and California Adventure Park in Anaheim on Jan. 28 from 12:30 to 10 p.m. On Jan. 30, they visited a Dunkin’ Donuts in Woodland Hills from 3 to 4:45 p.m.

    Health officials say people who visited the above locations during those time periods may also be at risk of developing measles.

    Symptoms typically appear one to three weeks after exposure.

    Public Health recommends these individuals check if they are already protected against measles and advise getting a measles, mumps and rubella vaccine if they aren't.

    Symptoms include a fever above 101 degrees; cough; runny nose; red, watery eyes; and a rash that typically starts on the face.

    • For those exposed at LAX, the last day to monitor for symptoms is Feb. 16.
    • For those exposed at Disneyland Park and California Adventure Park, the last day to monitor for symptoms is Feb. 18.
    • For those exposed at Dunkin’ Donuts, the last day to monitor for symptoms is Feb. 20.

    Saturday's announcement comes one day after L.A. County public health officials confirmed the first case of measles in the county. More information about that case here.

    Orange County has reported two other measles cases this year, one in a young adult who recently traveled internationally and the second in an unvaccinated toddler who had no known exposure to the virus.

    Transmission, prevention and more

    Measles spreads easily through the air and can stay on surfaces for many hours. Those infected can spread the virus before showing symptoms, which can take weeks to appear.

    So far, 588 measles cases of measles have been reported in the U.S. this year, the highest number of cases in a January since the U.S. eliminated measles in 2000. Most of these cases are linked to outbreaks in South Carolina, Arizona and Utah.

    The L.A. County Department of Public Health is encouraging Angelenos to check their immunization status for the measles, mumps and rubella vaccine to determine if they’re protected against the virus.

    If symptoms develop, contact a health care provider via phone as soon as possible. L.A. Public Health advises people not to go physically into a health care facility before notifying them of measles symptoms.

  • Sponsored message
  • US may lose status as nation that eliminated it

    Topline:

    South Carolina now has confirmed 847 cases since the first case was reported in October, making the outbreak bigger than the one in Texas, which started just over a year ago.

    Why it matters: This latest outbreak, as well as the speed at which it is spreading, is another test of the United States' ability to contain measles. It comes as the Trump administration has taken multiple steps to undermine overall confidence in vaccines.

    What's next: The U.S. is already in danger of losing its status as a country that has eliminated measles. That's a technical designation. It's given to countries that have gone a year without a continuous chain of transmission. For the U.S., the clock started in January 2025 with the Texas outbreak.

    In Southern California: The first measles cases of 2026 were just reported in L.A. and Orange counties.

    The measles outbreak in South Carolina is showing little sign of slowing down. The state has confirmed 847 cases since the first case was reported in October, making the outbreak bigger than the one in Texas, which started just over a year ago.

    Dr. Linda Bell, South Carolina's state epidemiologist, points out that in Texas, measles cases grew over the course of seven months, while in South Carolina it has taken just 16 weeks to surpass the Texas case count.

    "This is a milestone that we have reached in a relatively short period of time, very unfortunately," she said at a press briefing Wednesday. "And it's just disconcerting to consider what our final trajectory will look like for measles in South Carolina."

    The state on Friday reported 58 new cases since Tuesday.

    This latest outbreak, as well as the speed at which it is spreading, is another test of the United States' ability to contain measles. It comes as the Trump administration has taken multiple steps to undermine overall confidence in vaccines.

    And it is happening as the U.S. is already in danger of losing its status as a country that has eliminated measles. That's a technical designation. It's given to countries that have gone a year without a continuous chain of transmission. For the U.S., the clock started in January 2025 with the Texas outbreak.

    Who makes the call?

    Measles elimination status is granted — and taken away — by a special verification commission set up by the Pan American Health Organization (PAHO). It reviews extensive evidence to determine whether the outbreaks in the U.S. are all part of a continuous chain of transmission that began with the outbreak in Texas in January 2025. Gathering the necessary epidemiological data, genomic analyses and surveillance reports takes time.

    But even if PAHO determines that the outbreaks are separate, the U.S. could still lose its elimination status if it fails to prove that it can interrupt the spread of measles quickly and consistently, says Dr. Demetre Daskalakis, an infectious disease specialist and former top official with the Centers for Disease Control and Prevention (CDC). And so far, he says, the U.S. is failing on this front.

    "We do not have the capability to actually control measles, whether or not this is demonstrated through continuous measles transmission for 12 months," Daskalakis said in a press briefing this month. "So I'm going to say that elimination is already lost."

    PAHO has said it plans to review the United States' measles elimination status this spring.

    "Health freedom"

    When asked whether the potential loss of measles elimination status was significant during a press call this month, Dr. Ralph Abraham, the principal deputy director of the CDC, said, "Not really."

    Abraham said losing elimination status would not impact how the administration tackles measles. He said the administration supports the measles vaccine, but "You know, the president, Secretary [Kennedy], we talk all the time about religious freedom, health freedom, personal freedom. And I think we have to respect those communities that choose to go a somewhat of a different route."

    But infectious disease experts and epidemiologists say the choice not to vaccinate is what's driving these outbreaks. Daskalakis says the resurgence of measles is being fueled by misinformation that undermines trust in vaccines.

    And public health experts say losing elimination status is more than just symbolic. "I think it's really a comment on the state of the public health system," says Caitlin Rivers, an epidemiologist at the Johns Hopkins Bloomberg School of Public Health. "We maintained elimination for 25 years. And so now, to be facing its loss, it really points to the cycle of panic and neglect, where I think that we have forgotten what it's like to face widespread measles."

    And as measles cases rise, that will lead to more hospitalizations, more deaths and a greater toll on the public health system as a whole, says Dr. William Moss of the International Vaccine Access Center at the Johns Hopkins Bloomberg School of Public Health. He points to estimates suggesting that the average cost for a measles outbreak is $43,000 per case, with costs escalating to well over $1 million total for outbreaks of 50 cases or more. And fighting measles also takes resources away from other public health priorities.

    Elimination vs. eradication

    In 2000, PAHO declared measles eliminated from the U.S. because there had been no continuous domestic spread for more than 12 months. But the virus is still endemic in many parts of the world, and every year, there are U.S. cases brought in from abroad. So the virus has not been eradicated. 

    Compare that with the smallpox virus, which has not been reported anywhere in the world since the World Health Organization declared it eradicated in 1980

    Across state lines

    Similar to Texas, the vast majority of cases in South Carolina have been in children and teens who are unvaccinated, leading to quarantines in about two dozen schools. Clemson University and Anderson University also have recently reported cases. And the virus has crossed state lines. North Carolina has confirmed several cases linked to the South Carolina outbreak. Across the country in Washington state, officials in Snohomish County told NPR they've linked six measles cases in unvaccinated children there to a family visiting from South Carolina.

    Dr. Anna-Kathryn Burch, a pediatric infectious disease specialist with Prisma Health in Columbia, S.C., says it breaks her heart to see her state have such a large outbreak.

    "I'm from here, born and raised — this is my state. And I think that we are going to see those numbers continue to grow over the next several months," she says.

    Measles is dangerous. Here's how to protect yourself.

    Measles is one of the most contagious diseases on Earth — more than Ebola, smallpox or just about any other infectious disease.

    A person infected with measles can be contagious from four days before the telltale measles rash appears, until four days after. So the person could be spreading measles before they know they're infected. And when they cough, sneeze, talk or even just breathe, they emit infectious particles that can linger in the air for up to two hours, long after the infected person has left the room. On average, one infected person can go on to sicken up to 18 other unvaccinated people.

    The best way to protect yourself is vaccination. The measles, mumps and rubella vaccine is very safe, and two doses is 97% effective — which means 97% of people will develop lifelong immunity against the disease. When vaccination rates are high in a community — 95% or more is considered ideal — that helps prevent measles outbreaks because there aren't enough vulnerable people for the virus to keep spreading. In Spartanburg County, S.C., the schoolwide vaccination rate for required immunizations is 90%.

    Vaccination rates have been dropping in the United States. Nationwide, 92.5% of kindergartners had received the measles vaccine in the 2024-2025 school year, according to the CDC. In many communities across the country, those figures are much lower, creating the conditions needed for measles outbreaks to spread. Experts say all that's needed is one spark to ignite it.
    Copyright 2026 NPR

  • Trump tells Noem not to intervene unless asked

    Topline:

    President Donald Trump said today that he has instructed Homeland Security Secretary Kristi Noem not to intervene in protests occurring in cities led by Democrats unless local authorities ask for federal help amid mounting criticism of his administration's immigration crackdown.

    What he said: On his social media site, Trump posted that "under no circumstances are we going to participate in various poorly run Democrat Cities with regard to their Protests and/or Riots unless, and until, they ask us for help."

    What's next: He provided no further details on how his order would affect operations by U.S. Immigration and Customs Enforcement and DHS personnel, or other federal agencies, but added: "We will, however, guard, and very powerfully so, any and all Federal Buildings that are being attacked by these highly paid Lunatics, Agitators, and Insurrectionists."

    ABOARD AIR FORCE ONE — President Donald Trump said Saturday that he has instructed Homeland Security Secretary Kristi Noem not to intervene in protests occurring in cities led by Democrats unless local authorities ask for federal help amid mounting criticism of his administration's immigration crackdown.

    On his social media site, Trump posted that "under no circumstances are we going to participate in various poorly run Democrat Cities with regard to their Protests and/or Riots unless, and until, they ask us for help."

    He provided no further details on how his order would affect operations by U.S. Immigration and Customs Enforcement and DHS personnel, or other federal agencies, but added: "We will, however, guard, and very powerfully so, any and all Federal Buildings that are being attacked by these highly paid Lunatics, Agitators, and Insurrectionists."

    Trump said that in addition to his instructions to Noem he had directed "ICE and/or Border Patrol to be very forceful in this protection of Federal Government Property."

    Later Saturday night, Trump said to reporters as he flew to Florida for the weekend that he felt Democratic cities are "always complaining."

    "If they want help, they have to ask for it. Because if we go in, all they do is complain," Trump said.

    He predicted that those cities would need help, but said if the leaders of those cities seek it from the federal government, "They have to say, 'Please.'"

    The Trump administration has already deployed the National Guard, or federal law enforcement officials, in a number of Democratic areas, including Washington, Los Angeles, Chicago and Portland, Oregon. But Saturday's order comes as opposition to such tactics has grown, particularly in Minnesota's Twin Cities region.

    Trump said Saturday night that protesters who "do anything bad" to immigration officers and other federal law enforcement, "will have to suffer" and "will get taken care of in at least an equal way."

    "You see it, the way they treat our people. And I said, you're allowed, if somebody does that, you can do something back. You're not going to stand there and take it if somebody spits in your face," Trump said.

    Minnesota Attorney General Keith Ellison and the mayors of Minneapolis and St. Paul have challenged a federal immigration enforcement surge in those cities, arguing that DHS is violating constitutional protections.

    A federal judge says she won't halt enforcement operations as the lawsuit proceeds. State and local officials had sought a quick order to halt the enforcement action or limit its scope. Justice Department lawyers have called the lawsuit "legally frivolous."

    The state, particularly Minneapolis, has been on edge after federal officers fatally shot two people in the city: Renee Good on Jan. 7 and Alex Pretti on Jan. 24. Thousands of people have taken to the streets to protest the federal action in Minnesota and across the country.

    Trump's border czar, Tom Homan, has suggested the administration could reduce the number of immigration enforcement officers in Minnesota — but only if state and local officials cooperate. Trump sent Homan to Minneapolis following the killings of Good and Pretti, seeming to signal a willingness to ease tensions in Minnesota.

    The president on Saturday night said he intended to speak to Homan and Noem on Sunday and he seemed to endorse the idea of immigration agents wearing body cameras or having their interactions filmed.

    Trump was asked by a reporter if he thought it was a good thing having lots of cameras capturing incidents with law enforcement.

    "I think it would help law enforcement but I'd have to talk to them," Trump said.

    He went on and added: "That works both ways. But overall, I think it's 80% in favor of law enforcement."
    Copyright 2026 NPR

  • A potential ballot measure to fund health care
    A man holds a stethoscope to a white woman's chest.
    A newly formed coalition, Restore Healthcare for Angelenos, is asking the Los Angeles County Board of Supervisors to place a five-year, half-cent sales tax measure on the June ballot in Los Angeles County.

    Topline:

    A newly formed coalition is asking the Los Angeles County Board of Supervisors to place a five-year, half-cent sales tax measure on the June ballot in Los Angeles County.

    Why now: Facing federal funding cuts that could strip health coverage from hundreds of thousands of Angelenos, clinic leaders, union members and patients gathered in Inglewood last to boost a stop-gap proposal they want to put in front of voters: a county sales tax to stave off service cuts and keep more sick people from seeking primary care in emergency rooms.


    Facing federal funding cuts that could strip health coverage from hundreds of thousands of Angelenos, clinic leaders, union members and patients gathered in Inglewood last Wednesday to boost a stop-gap proposal they want to put in front of voters: a county sales tax to stave off service cuts and keep more sick people from seeking primary care in emergency rooms.

    A newly formed coalition, Restore Healthcare for Angelenos, is asking the Los Angeles County Board of Supervisors to place a five-year, half-cent sales tax measure on the June ballot in Los Angeles County.

    “The ballot measure that we are proposing is an urgent and necessary step to stop the damage, to protect access to life-saving care,” said Louise McCarthy, president and CEO of the Community Clinic Association of Los Angeles County, one of the organizations in the coalition. “The stakes right now could not be higher.”

    As the federal spending plan, H.R. 1, starts to take effect, Medi-Cal cuts and eligibility changes will affect millions of Californians. The state estimates it could lose tens of billions of dollars a year in federal funding.

    According to the coalition, their proposal would raise about $1 billion annually for health care in Los Angeles County. The revenue would help create a local coverage program that would pay for primary and emergency care as well as behavioral health needs for people who fall off their Medi-Cal insurance and have no other coverage options, according to the coalition. When people are uninsured, uncompensated care at clinics and hospitals grow, threatening the availability of services for everyone, coalition leaders say.

    The coalition is working with Supervisor Holly Mitchell, whose office on Wednesday presented the motion to the county — an initial step before public debate. The board is expected to vote next month; the deadline for placing a board-sponsored measure on the June ballot is March 6.

    “I do not take lightly asking fellow residents to consider imposing a ½ percent retail tax,” Mitchell said in an emailed statement. “This option is on the table because what’s at stake are safety net services unraveling for millions of residents — which would come at an even greater cost for the largest county in the nation.”

    She added that if the measure passed it would sunset on Oct. 1, 2031 and would be subject to public oversight and audits. “This is a last resort option for the times we’re facing and for voters to make the final call on,” Mitchell said.

    If the board of supervisors does not approve the measure for a June vote, the coalition will gather signatures toward qualifying the initiative for the November ballot, said Jim Mangia, CEO of St. John’s Community Health, another coalition member.

    Efforts to shore up health care access for poor Californians aren’t unique to Los Angeles. Pressure is building for state and county leaders to find new revenue streams to make up at least in part for the federal losses. In a legislative hearing Tuesday, health providers and advocates also urged state lawmakers to seek creative funding solutions.

    Last November, voters in Santa Clara County approved a tax similar to the one proposed in Los Angeles County. Santa Clara’s Measure A will raise the local sales tax by five-eights of a cent for five years. The county projects that it will provide $330 million annually for local hospitals and clinics.

    Both local proposals are separate from the push led by SEIU-United Healthcare Workers West for a one-time 5% tax on the wealth of the state’s approximately 200 billionaires, which would generate an estimated $100 billion to fund  medical care and other social services at the state level. Gov. Gavin Newsom opposes the initiative, arguing that such a tax would drive wealthy people — who pay a significant portion of the state’s income taxes — from the state. That measure has not yet qualified for the November ballot.

    Local and state tax proposals could seemingly compete for the attention of voters, since both are responses to the issue of federal funding cuts. And in L.A., voters may have to consider a number of other tax measures this election year from a city hotel tax in June to a sales tax to support the Los Angeles Fire Department in November.

    Mangia sees the tax initiatives to fund health care as complementary. He said the state tax on billionaires would help restore some of federal cuts to Medi-Cal at the state level, while the L.A County measure would help shore up the local safety net.

    “We’re doing this to make sure that no matter what happens federally, statewide, residents of L.A. County will have access to health care,” Mangia said.

    Among the most prominent changes and cuts made in Trump’s major budget reconciliation law are a new requirement for enrollees to log 80 hours per month of school, work or volunteering starting in 2027; a rule that requires people to renew coverage every six months rather than annually; restrictions on taxes that the state places on insurers to help pay for the Medi-Cal program; and a reduction in how much the feds will pay for the emergency care of non-citizens.

    State health officials estimate 2 million Californians could lose their Medi-Cal coverage over the next several years.

    Under its own growing budget pressures, the state has also rolled back coverage for certain groups. Starting earlier this month state health officials froze Medi-Cal enrollment for undocumented people — the state foots most of the cost for this group because with the exception of emergency care, federal dollars cannot be used to cover individuals who are in the country illegally. This summer the state will also cut non-emergency dental care for undocumented adults already enrolled in the program.