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The Brief

The most important stories for you to know today
  • "Round-up" campaigns are raking in millions
    So-called point-of-sale donations have sharply increased in recent years, bringing in hundreds of millions of dollars a year. But the requests to "round up" your bill for charity have really taken off.
    So-called point-of-sale donations have sharply increased in recent years, bringing in hundreds of millions of dollars a year. But the requests to "round up" your bill for charity have really taken off.

    Topline:

    It turns out those ubiquitous "round-up" campaigns — at grocery chains, gas stations, retail stores and online merchants — are raking in millions of dollars annually for everything from scholarships to cancer research.

    Where things stand: In 2022 alone, charities raised $749 million nationwide through so-called point-of-sale donations, a 24% jump from 2020, according to Engage for Good, which tracks this type of charitable giving.

    The backstory: The round-up fundraising strategy was first introduced about 15 years ago. Data suggests that despite being bombarded by such requests, people are giving more each year at cash registers, self-checkouts and online.

    We've all been there: A store cashier asks if you'd like to donate money to the local food bank. Or the PIN pad at the checkout counter prompts you to round up your payment for charity — spare a little change for a worthy cause.

    Those "round-up" campaigns have become ubiquitous in recent years — at grocery chains, gas stations, retail stores and online merchants — and they rake in millions of dollars annually for everything from scholarships to cancer research.

    In 2022 alone, charities raised $749 million nationwide through so-called point-of-sale donations, a 24% jump from 2020, according to Engage for Good, which tracks this type of charitable giving. And that was just from campaigns that brought in $1 million or more. Although that figure was tiny compared to the nearly $500 billion in estimated charitable giving in 2022, total giving actually dropped that year.

    Change graphic NPR

    But it's the round-up fundraising strategy, which was first introduced about 15 years ago, that has really taken off in recent years, according to Michelle McCarthy, executive director of Round It Up America.

    "Especially since the pandemic, we've seen a big increase," says McCarthy, whose nonprofit provides legal and financial guidance for for-profit businesses that collect donations for charities.

    Much of that growth is fueled by customer generosity, but those who study consumer behavior point to other factors, too, including how we think about money and even our unconscious feelings of guilt.

    It makes sense (and dollars) to ask for less

    Michael Rindos says he "almost always" taps the donate button on the credit/debit card reader, or PIN pad. But lately, that's been changing. "I don't do it as much as I used to," Rindos says, as he juggles an armful of groceries outside a Giant Food supermarket in Severna Park, Md., near Washington, D.C.

    Rindos said he's noticed a sharp uptick in the number of requests popping up in places he shops, and it's become a bit tiresome. "Every place that you go to — Taco Bell, 7-Eleven. They're all doing it."

    Data suggests that despite being bombarded by such requests, Rindos and others like him are giving more each year at cash registers, self-checkouts and online. And it has resulted in a huge boost for charities on the receiving end. Consider the Taco Bell Foundation, a nonprofit that operates independently from the fast food chain. It brought in $42 million last year on round-ups collected from the company's more than 7,500 restaurants across the U.S. The average donation: just 44 cents.

    Previously, the foundation's fundraising strategy asked customers to donate $1 to a scholarship program in campaigns that lasted a few weeks or months. "For many years we did that," says Jennifer Bradbury, the foundation's executive director. "We had our scholarship program and we had our community grants program, which funds nonprofits like the Boys & Girls Clubs and Junior Achievement."

    But in 2019, the foundation decided to try a different approach. Bradbury says it realized, somewhat counterintuitively, that less is more. "The data we had at that point was that customers were three times more likely to round up than to donate a dollar," she says.

    Spare change 2 NPR

    The results after the switch were "mind-blowing" she says: The foundation roughly doubled what it had been raising, which averaged between $11 million and $14 million annually, but hit more than $20 million in 2019. The change was so successful, the foundation decided to permanently adopt the new strategy. "The number of regular customers who donate every time and round up every time — it's really inspiring," Bradbury says.

    Children's Miracle Network Hospitals, which raises money for pediatric hospitals, partners with such retail giants as Costco and Walmart, as well as Ace Hardware, Panda Express, 7-Eleven and DQ. In 2022, the network, with the help of its partners, raised $138 million through 78 point-of-sale fundraising campaigns, including round-ups, it says. These campaigns made up a third of the CMNH's total fundraising for that year. An online survey conducted by the network in 2022 polled some 4,000 customers. It showed that of the 88% of respondents who reported being asked to donate at checkout in the previous year, more than half said yes at least once.

    How you perceive "pain" may influence how much you donate

    Why have round up for charity campaigns proven so successful? Katie Kelting, an associate professor of marketing at Saint Louis University, suggests that there's some powerful psychology at work.

    In 2018, Kelting and her colleagues enlisted the St. Louis Zoo in a field study. Instead of asking food court patrons for the usual $1 donation for a wild animal conservation effort, the zoo temporarily tried the round-up approach. Fundraising jumped 21% during the experiment, which ran for a few weeks. Kelting calculated that over a one-year period, the zoo would have brought in about $8,000 more by simply changing the way customers were asked to donate.

    As Kelting explains, a lot of it has to do with the "pain" of parting with our hard-earned cash. "The perceived pain is less in the consumer's mind when that round-up request is presented," compared to a solicitation for a specific dollar amount, she says.

    There are likely other factors in play, says Ike Silver, an assistant professor at Northwestern University's Kellogg School of Management. Humans, for instance, appear to have a fairly strong preference for round numbers, or figures ending with a zero. A 2013 study looked at purchases at self-serve gas pumps and found that 56% of them ended on a round dollar figure — far exceeding mere chance. The same study noted that at restaurants, many people prefer to leave tips that bring the final bill to a round number.

    "It's like an effort-reduction strategy whereby people are better at and intuitively prefer to deal with round numbers," Silver says. "That manifests in how much you want to pay and how much you want to buy."

    Arguably more important is that point-of-sale charitable requests can transform an ordinary purchase into a moral quandary, he says. "It becomes an opportunity to signal to yourself and others that you care," Silver says. In the case of the round-up request, it becomes something of a moral test, he says. "It's such a low-cost ask that to say no starts to induce slight feelings of guilt."

    Kelting, citing a body of research by others, says that customers might also change their behavior and perceptions in public versus private settings. In this case, the self-checkout is analogous to a private setting where it is easier to decline, but the same decision in front of a cashier — especially one who adds a verbal prompt for the donation — is something different. "When you're in the long checkout with the cashier, with everyone around you, that's more like this public setting," she says.

    Round It Up America's McCarthy says the data supports this thinking. "Customers do appreciate being asked, so that prompt at the checkout does make a difference."

    But Cait Lamberton, a professor of marketing at the University of Pennsylvania's Wharton School, cautions that there's a potential downside to all of this. Customers, she says, may feel manipulated and could end up "feeling resentful toward the source of the manipulation" — the retailer doing the collecting.

    Shoppers want to know where their money is going

    Paula Nichols says she never taps "Yes" on the PIN pad when it prompts her to round up her bill. "Does that make me a bad person?" she laughs, as she loads groceries into the back of her SUV at the Giant Food supermarket in Maryland.

    It's not that Nichols minds giving to charity. She says she supports a local nonprofit food bank and is friends with its president. "We do a lot with them."

    But when it comes to giving in the checkout line, she's wary. "How do I know where that money is going? And the price of food? I just spent almost $200 on this," she says, nodding to the groceries in the trunk.

    In 2022, a CVS customer filed a lawsuit against the pharmaceutical chain claiming that it wrongly used money collected through point-of-sale donations to honor a pledge to the American Diabetes Association. In a statement to NPR, the pharmaceutical giant says the suit was dismissed in September 2023, which "allowed CVS to complete its in-store National Diabetes Month Campaign, which collected more than $10 million in donations for the benefit of the American Diabetes Association."

    Round It Up America says its agreements are designed to ensure that charities receive more than 90% of the money collected, and charities can spend no more than a quarter of donations on administrative costs. McCarthy says her organization receives up to 7% "to cover our legal and financial costs" and stores can take up to 2% to cover credit card transaction fees.

    "Consumers deserve — and state attorneys general require — transparency and assurance that the donations go where they are advertised and intended," McCarthy says.

    Save the Children is one organization that has made extensive use of point-of-sale campaigns, including requests to round up. "We can try to influence [the message] put on that PIN pad or what the store associate says," according to Dan Peirce, who is in charge of the nonprofit's corporate partnerships. "But ... operationally they have to make sure that it works for them. And so they do have the final say."

    The ride-share company Lyft runs a campaign that helps customers take a more considered approach to giving. Riders can select from a list of charities on the company's app. Then each time they ride, their bill is automatically rounded up to the nearest dollar to benefit their charity of choice.

    "If you go to your profile in the app, it'll say something like, 'You know, you've given X number of times' to kind of remind people that this is a good thing, even though ... it was 50 cents here, 20 cents there," says Jeremy Bird, the company's chief policy officer. "It's been a massive success for us."

    How much is too much?

    Despite the burgeoning success of point-of-sale fundraising, including round-up solicitations, there's the risk that customers could become overwhelmed with these pervasive campaigns. "I think you have to be very careful because so many people do find these annoying because they're not relevant to what they're doing at the moment," which is making a purchase, says Lamberton, the Wharton professor.

    Kelting, too, says this could be a problem worth studying. "You might have donated yesterday [but] you forgot to buy milk." So, what happens, she wonders, if you go back the next day for that carton of milk. Are you less likely to round up your bill the second time?

    Another potential downside? Quick point-of-sale donations might not do much to create any meaningful connection with charities, Lamberton says. Donating your virtual pocket change to a cause might elicit a sugar high for the ego — but one that quickly fades.

    It's harder to stand outside a store, ringing a bell to ask for donations, "but what you are getting is a lot of exposure," she says. "So you're building familiarity."

    In a face-to-face solicitation, she says, "people who do engage with you are probably very positively disposed towards the charity already."

    Copyright 2024 NPR. To see more, visit npr.org.

  • The French star exuded sex appeal in '50s and '60s

    Topline:

    Brigitte Bardot, the international sex goddess of cinema in the 1950s and '60s, has died aged 91.

    What we know: Bardot's animal rights foundation announced her death in a statement to news agency Agence France-Presse on Sunday, without specifying the time or place of death.

    About her career: Stylish and seductive, Bardot exuded a kind of free sexuality, rare in the buttoned-up 1950s. She modeled, made movies, influenced fashion around the world and recorded albums. She married four times.

    Brigitte Bardot, the international sex goddess of cinema in the 1950s and '60s, has died aged 91. Bardot's animal rights foundation announced her death in a statement to news agency Agence France-Presse on Sunday, without specifying the time or place of death.

    Stylish and seductive, Bardot exuded a kind of free sexuality, rare in the buttoned-up 1950s. She modeled, made movies, influenced fashion around the world and recorded albums. She married four times. Her list of lovers famously included Warren Beatty, Nino Ferrer and singer-songwriter-producer Serge Gainsbourg, with whom she recorded the French hit Bonnie and Clyde.

    Bardot's look was copied by women around the world, says Claire Schub who teaches French literature and film at Tufts University.

    "Her fashion choices, her hair, her makeup, her pout ... She became this icon, this legend, all over the globe," says Schub.

    But her image changed in her later years. Bardot was found guilty multiple times in her native France of "inciting racial hatred," mainly for comments attacking Muslims.

    A woman in a dress that shows her cleavage is running in the surf, a pier and sailboats are visible behind her.
    Bardot runs along the beach in Cannes, France, on April 28, 1956.
    (
    George W. Hales
    /
    Fox Photos/Getty Images
    )

    As an actor, Bardot worked with some of France's leading directors including Henri-Georges Clouzot in La Vérité (The Truth), Jean-Luc Godard in Le Mépris (Contempt) and Louis Malle in Viva Maria!

    Born Catholic to an upper-middle-class couple in Paris in 1934, Bardot studied ballet and modeled before becoming an actor. As a teenager, she appeared several times on the cover of Elle magazine, attracting the attention of Roger Vadim who was six years her senior. The two married in 1952. Bardot's parents made them wait until she turned 18.

    Vadim, an aspiring director, has been credited with turning Bardot into the iconic sex symbol she became. In his 1957 film And God Created Woman, Bardot plays a provocative young woman on a quest for sexual liberation.

    A woman in military fatigues and a helmet walks passed rows of uniformed men on either side.
    Bardot arrives at a Royal Air Force base in London in April 1959.
    (
    AFP via Getty Images
    )

    Vadim wanted Bardot's appearances in his films to shake off sexual taboos. He once said that he wanted to "kill the myth, this odd rule in Christian morality, that sex must be coupled with guilt."


    The New York Times panned the film but wrote that Bardot "moves herself in a fashion that fully accentuates her charms. She is undeniably a creation of superlative craftsmanship."

    The media savvy Vadim made sure Bardot appeared often in the French press. Not that it took much convincing — Bardot's alluring images helped sell both magazines and movie tickets. "To be fair, if Vadim discovered and manufactured me," Bardot once said, "I created Vadim."

    Bardot's liberating sexuality

    While she was one of France's best known exports, she wasn't always beloved at home. She was often ridiculed by critics who derided her acting even as they gushed over her body.

    Reviewing the 1959 film Babette Goes to War, in which Bardot does not bare all, one critic wrote, "In deciding not to reveal her body, Brigitte Bardot wanted to unveil only her talent. Alas, we saw nothing."

    A woman with light-tone skin and blonde hair wears a top hat and plays guitar.
    Bardot during a rehearsal of the TV program "Bonne année Brigitte" in which Bardot performed songs to ring in the new year in 1962.
    (
    Stringer
    /
    AFP via Getty Images
    )

    Despite the misogynistic comments and constant scrutiny of her private life, Bardot's popularity coincided with changing attitudes about sex. French philosopher Simone de Beauvoir took note of France's love-hate relationship with Bardot's sexual appetite.

    "In the game of love, she is as much hunter as she is prey," de Beauvoir wrote in her 1959 essay for Esquire, "Brigitte Bardot and the Lolita Syndrome."

    Bardot was hounded by the paparazzi, suffered from depression and attempted suicide. "What I rejected the most during my life as an actress was the limelight," she wrote in her autobiography, "That intense focus...ate at me from the inside."

    A man and a woman in costume with a large hat look at a script.
    Bardot discusses a scene with director Louis Malle during the filming of <em>Viva Maria!</em> in February 1965.
    (
    William Lovelace
    /
    Express/Getty Images
    )

    After starring in dozens of movies, Bardot retired from acting in 1973. She started an animal rights foundation.

    Convicted for 'inciting racial hatred'

    In her later years, Bardot became notorious for her racist and homophobic comments and her association with France's far right. Her fourth husband, Bernard d'Ormale, was an aide to Jean-Marie Le Pen, founder of the National Front party.

    In her 2003 book, Un Cris dans le Silence, she disparages immigrants, gays, French schools and contemporary art. She called Muslims "invaders" and railed against the killing of animals in the name of religion. She apologized in court in 2004 but also doubled down on what she called the "infiltration" of France by Islamic extremists.

    In her biography of Bardot, author and French film scholar Ginette Vincendeau writes "the high priestess of freedom resents almost everyone else's rights to exercise it."

    Bardot, the stunning, desirable beauty who once stood for sexual freedom for women, spent the latter part of her life at her home near Saint Tropez with her husband and a menagerie of pets.
    Copyright 2025 NPR

    A woman with light-tone skin is depicted in orange tones.
    A woman stands in front of Andy Warhol's "Brigitte Bardot" at Sotheby's auction house in London on May 12, 2012.
    (
    Oli Scarff
    /
    Getty Images
    )

  • Sponsored message
  • Our picks for must-visit libraries in the region
    a modern architectural scene featuring a large glass building and an eye-catching outdoor art installation.
    The “Light Gate” sculpture stands adjacent to the entrance of the Manhattan Beach Library on Highland Ave.

    Topline:

    There’s something about a library that’s inherently beautiful. We've handpicked these libraries to visit — for you to find peace and beauty.

    Why it matters: Some of the most gorgeous libraries are reflections of their respective communities. Whether it’s seeing a mosaic from a local artist, or standing in awe simply from the architecture itself, these libraries hold countless stories and we become part of them whenever we walk through their doors.

    Why now? The libraries listed here are just a small sample of SoCal’s offerings. Need a green space to unwind with your latest fiction read? Does being surrounded by art and color help ease the drudgery of a study session? Remote work with an ocean view?

    There’s something about a library that’s inherently beautiful. Maybe it’s the silence or the history of the building. Maybe it's the idea of books being shared among countless readers.

    Some of the most gorgeous libraries are reflections of their respective communities. Whether it’s seeing a mosaic from a local artist, or standing in awe simply from the architecture itself, these libraries hold countless stories and we become part of them whenever we walk through their doors.

    The libraries listed here are just a small sample of SoCal’s offerings. Need a green space to unwind with your latest fiction read? Does being surrounded by art and color help ease the drudgery of a study session? Remote work with an ocean view?

    We hope there’s something on this list for you.

    East Los Angeles Library

    • 4837 E. 3rd St., Los Angeles
    Front entrance of the Eat Los Angeles Library. The building has a mosaic mural on top.
    West entrance of the East Los Angeles Library
    (
    Audrey Ngo
    /
    LAist
    )

    From its brightly-colored cylindrical towers to the mosaics that adorn the building’s entrance, the East Los Angeles Library is a tribute to Mayan designs, with a particular reference to their astronomical observatories.

    Enter from the west — or parking lot — side, the red tower stands in for the sun. Above that entrance, visitors are greeted with a stunning mosaic mural by artist José Antonio Aguirre, carved out of limestone and comprised of Byzantine and Venetian glass. This exterior panel of the four-part mural shows an open book amid a sea of geometric shapes and images.

     a serene outdoor setting, likely a park or landscaped public area, on a bright sunny day with clear blue skies and some wispy clouds. A building is in the background, with a big blue cylinder as part of the building.
    A view of the East Los Angeles Library’s east entrance adjacent to Belvedere Park Lake.
    (
    Audrey Ngo
    /
    LAist
    )

    Enter from the east or lakeside (yes, there’s a lake just steps away), the blue tower representing the moon.

    a large, colorful mosaic mural on an interior wall. The design is vibrant and geometric, featuring intersecting shapes in bold colors such as yellow, red, blue, and white, creating a dynamic background.
    East Tower, Mosaic Cycle Mural, “Our Legacy, Forever Presente”, “Arrival” movement by José Antonio Aguirre.
    (
    Audrey Ngo
    /
    LAist
    )

    The vast scope of Aguirre’s 2,000-foot-plus work unfolds as you continue your entry, and features prominent East L.A. figures such as Dolores Huerta, Cesar Chavez, Edward James Olmos and the late former First District County Supervisor Gloria Molina, who commissioned the artwork.

    A vibrant and intricate mosaic mural composed of colorful geometric patterns and symbolic imagery.
    East Los Angeles Library interior featuring Mosaic Cycle Mural, “Our Legacy, Forever Presente”, “Departure” movement by José Antonio Aguirre.
    (
    Audrey Ngo
    /
    LAist
    )

    Outside, the library is surrounded by Belvedere Park — approximately 30 acres of greenspace and a recreation center. If you decide to take a stroll around the nearby lake, you’ll find ducks swimming and see artist Rude Calderón’s “Leaping Fish, Nature's Cycles” water features–two sculptures of fish, one leaping out of the water, and one diving back in.

    A scenic park setting featuring a calm lake surrounded by lush greenery.
    A view of Belvedere Park Lake outside of the East Los Angeles Library.
    (
    Audrey Ngo
    /
    LAist
    )

    Billie Jean King Main Library

    • 200 W. Broadway, Long Beach
    The photo shows the front exterior of a modern public building under bright daylight.
    Billie Jean King Main Library exterior on Broadway in Long Beach.
    (
    Audrey Ngo
    /
    LAist
    )

    The Billie Jean King Main Library in Downtown Long Beach is a study in modern architecture. From Broadway, this building looks like row after row of glass panes, white window frames and caramel-toned wood.

    The structure was designed with sustainability in mind, and is made up of renewable timber that’s been reinforced where needed with steel and concrete.

    The interior of a modern, open-concept building that appears to be an art gallery or cultural space.
    The central atrium of the Billie Jean King Main Library.
    (
    Audrey Ngo
    /
    LAist
    )

    The focal point of the building is its central atrium, a large, open space on the first floor with light pouring in from all sides. This room can be used for events, workshops or exhibits, including an exhibition showcasing work from the city’s Professional Artist Fellowship, a grant program that honors living Long Beach artists who have affected local communities.

    Two vibrant, detailed paintings displayed side by side on a white wall.
Left Painting: Dominated by deep purple and violet tones, featuring large blooming flowers with layered petals.
Right Painting: Features a bold, warm color palette with a bright pink background accented by a red circular motif with white swirling patterns, reminiscent of traditional Asian designs.
    From left to right “Ethereal Queen” and “Unbreakable Spirit” by artist Stephanie Rozzo is displayed in the atrium of the Billie Jean King Main Library.
    (
    Audrey Ngo
    /
    LAist
    )

    Grab a desk overlooking the first floor to get another perspective of the expansive, light-filled interior space. Or catch a window seat with a view of Lincoln Park on Pacific Avenue.

    A view through large glass windows looking out onto an open green space in an urban setting.
    View from the Billie Jean King Main Library overlooking Lincoln Park in Long Beach.
    (
    Audrey Ngo
    /
    LAist
    )

    Manhattan Beach Library

    • 1320 Highland Ave., Manhattan Beach
    a striking outdoor art installation in a coastal urban setting. The centerpiece is a large circular sculpture made of metal framing and translucent panels in vivid colors—primarily purple, green, and yellow. The panels create an iridescent effect, shifting hues depending on the light and angle.
    A view of 14th street through the “Light Gate” sculpture by artists Mags Harries and Lajos Héder.
    (
    Audrey Ngo
    /
    LAist
    )

    The Manhattan Beach Library is a perfect example of how wonderfully spoiled we are by the weather here in SoCal. This two-story, 21,500-square-foot building on Highland Avenue offers panoramic views of the sun and the ocean of this beach city for all who enter.

    A scenic view through a large glass window, looking out toward a coastal area.
    View from the second story of the Manhattan Beach Library.
    (
    Audrey Ngo
    /
    LAist
    )

    The theme of ocean living is evident throughout, like an eye-catching sea kelp sculpture with 10-foot tall leaves that hugs the ramp to the library’s stairwell.

    An intricate sculptural installation displayed on a polished wooden surface, likely inside a modern building. The sculpture consists of multiple elongated, organic forms arranged in a flowing, wave-like pattern across the surface.
    The sculpture consists of multiple elongated, organic forms arranged in a flowing, wave-like pattern across the surface.
    (
    “Personal Archaeology” installation by Kathy Taslitz near the stairwell of the Manhattan Beach Library
    /
    Audrey Ngo
    )

    Or the row of jellyfish floating overhead when you climb the stairs.

    A modern interior space with a striking ceiling installation beneath a skylight. The image  captures an upward view of a ceiling with a long rectangular skylight that allows natural light to flood the space.
    “Prevailing Affinities” installation by Kathy Taslitz near the stairwell of the Manhattan Beach Library.
    (
    Audrey Ngo
    /
    LAist
    )

    Cerritos Library

    • 18025 Bloomfield Ave., Cerritos
    The exterior of a modern institutional building with distinctive architectural features and an outdoor art element.
The building has a contemporary design with a curved facade clad in light-colored stone or textured panels.
    Exterior of the Cerritos Library.
    (
    Audrey Ngo
    /
    LAist
    )

    From its golden titanium exterior to the T-Rex fossil replica inside, the Cerritos Library offers its patrons an experience to remember with every visit. In fact, it was designed to be the first "Experience Library," with themed spaces like an “Old World” collegiate-style reading room, or its 15,000-gallon saltwater aquarium, which faces the entrance.

    A huge indoor fish tank with coral reefs, fish and other sea creatures.
    A view of the Cerritos Library’s 15,000 gallon aquarium, shot from the library’s children’s area.
    (
    Audrey Ngo
    /
    LAist
    )

    Like the rest of the libraries on this list, Cerritos regularly displays work from local artists. Its latest exhibition features Patrice Monteiro, who uses a technique called paper quilling, where strips of paper are placed together to create each piece. The exhibit will be on display until Dec. 30.

    A vibrant, textured artwork displayed inside a glass case, likely in a gallery or public space. The artwork features a richly colored and highly detailed design on a square canvas with a purple background that appears to be created using a combination of techniques, including quilling or layered paper art, giving it a three-dimensional effect.
    “Joy is a Revolution” by Patrice Monteiro, inspired by Nettie Beatrice’s digital art, on display in the Cerritos Library through December 2025.
    (
    Audrey Ngo
    /
    LAist
    )

    Perhaps the biggest draw to this library is its children’s area. Step through the passage of giant story books and you’re in an enchanted world that includes a rainforest tree, a space shuttle, a lighthouse and the aforementioned 40-foot long Tyrannosaurus Rex skeleton replica named Stan.

    The interior of a creatively designed library or educational space with a strong thematic and immersive atmosphere. The ceiling features a large oval-shaped recessed section illuminated with a soft purple glow, depicting a textured cloud-like pattern that gives the impression of a sky scene. A row of computer stations is visible at the bottom of the image, housed in a structure resembling natural rock formations, adding to the thematic design.
    The Cerritos Library’s children’s area features a lighthouse, rainforest tree and 40-foot long Tyrannosaurus Rex fossil replicas.
    (
    Audrey Ngo
    /
    LAist
    )

  • Federal cuts, reversals upend state system
    This photo illustration shows graphs superimposed over a pile of money.

    Topline:

    After a decade of expanding health coverage and safety net programs, the Golden State took a sharp detour in 2025. As federal funding reductions and policy changes rippled through the health care system, California confronted service cuts, coverage losses and growing uncertainty.

    Medicaid coverage: During the summer, a congressionally-approved spending plan slashed nearly a trillion dollars from the Medicaid program over the next decade. Funding cuts and new rules — such as work requirements — are expected to push 3.4 million Californians off their Medicaid coverage as changes take effect.

    Federal marketplace: In Washington, a dispute over whether to renew enhanced premium subsidies that help keep Affordable Care Act marketplace insurance plans affordable prompted the longest shutdown in history. Absent federal action, hundreds of thousands of people could be priced out of Covered California insurance in 2026. More than 2,300 Dreamers in California have already lost access to the state marketplace: The Trump administration overturned a rule that had allowed undocumented people brought to the country as children to buy subsidized health insurance.

    ICE enforcement: Federal immigration raids prompted undocumented people to skip care, and families reported worsening mental health, and federal anti-trans policies pushed providers to scale back on gender-affirming care.

    Read on... for more on the effects of federal changes and actions.

    After a decade of expanding health coverage and safety net programs, the Golden State took a sharp detour in 2025. As federal funding reductions and policy changes rippled through the health care system, California confronted service cuts, coverage losses and growing uncertainty.

    During the summer, a congressionally approved spending plan slashed nearly a trillion dollars from the Medicaid program over the next decade. Funding cuts and new rules — such as work requirements — are expected to push 3.4 million Californians off their Medicaid coverage as changes take effect.

    In Washington, a dispute over whether to renew enhanced premium subsidies that help keep Affordable Care Act marketplace insurance plans affordable prompted the longest shutdown in history. Absent federal action, hundreds of thousands of people could be priced out of Covered California insurance in 2026. More than 2,300 Dreamers in California have already lost access to the state marketplace: The Trump administration overturned a rule that had allowed undocumented people brought to the country as children to buy subsidized health insurance.

    Federal immigration raids prompted undocumented people to skip care, and families reported worsening mental health, and federal anti-trans policies pushed providers to scale back on gender-affirming care.

    Shifting federal policy forced the state the state to inject millions into Planned Parenthood to try to keep clinics afloat. Anticipating more restrictive federal immunization rules under U.S. Health Secretary Robert F. Kennedy, California advanced its own vaccine guidelines.

    Federal changes weren’t the only reversal. State budget constraints and overspending in the Medi-Cal program led California to freeze new enrollment for undocumented people and cut some costly benefits, such as weight loss drugs.

    On affordability, Gov. Newsom delivered on his promise to cut down the cost of insulin. In 2026, diabetics will be able to purchase long-acting insulin pens at pharmacies for $11 a pen. After CalMatters shed a light on disappearing birth centers, state lawmakers approved a new law improving access in underserved areas, streamlining licensure requirements so that birth centers can more easily contract with Medicaid.

    2026 outlook

    The Legislative Analyst’s Office projects that Medi-Cal spending will continue to grow. Paired with the uncertainty of federal funding cuts, lawmakers may again seek ways to control costs and weigh priorities.

    As federal spending cuts phase in, they’ll have implications for hospitals and other providers, such as an uptick in uncompensated care.

    California has been distributing $6.4 billion from a voter-approved mental health bond. Starting July 1, the Behavioral Health Services Act will also require counties to spend revenue received from a 1% tax on incomes over $1 million on services and housing for people who are homeless.

  • Things to consider when looking at cheaper options
    A stethescope and two $100 bills are placed around a form that reads "Health Insurance."

    Topline:

    The deadline for choosing a health plan is quickly approaching. The official end of open enrollment in California is set for Jan. 15 for coverage starting Feb. 1. Here are five considerations in the decision-making process.

    Short-term plans: They are often less expensive than ACA plans. But they cover less. Some ACA shoppers might find themselves considering short-term insurance plans sold outside the government-run marketplaces — or steered toward the plans by insurance brokers. Be wary. They can look a lot like traditional coverage, with deductibles, copayments, and participating networks of hospitals and doctors. Still, they are not ACA-compliant plans and are not available on the official ACA marketplaces.

    Plan options with high deductibles: For those wanting to stay with ACA plans, the lowest premiums are generally in the categories labeled “catastrophic” or “bronze.” They have lower premiums but high annual deductibles — the amount a customer must spend before most coverage kicks in. Deductibles for bronze plans average nearly $7,500 nationally, according to KFF. Another option, new for 2026, is expanded eligibility for catastrophic plans, which used to be limited to people younger than age 30. As the name suggests, they’re intended for people who want health insurance just in case they suffer a catastrophic health condition, such as cancer or injuries from a car accident. The plans can have deductibles as high as $10,600 for an individual or $21,200 for a family

    Read on . . . for more things to consider when purchasing health insurance.

    For the millions of Americans who buy Affordable Care Act insurance, there’s still time left to enroll for 2026. But premium increases and the expiration of enhanced tax subsidies have led to larger-than-expected costs.

    Concerned shoppers, wondering if there’s anything they can do, are consulting insurance brokers or talking to representatives at ACA marketplace call centers.

    “We’re hearing from people with complex medical conditions who don’t think they can survive if they don’t have access to medical care,” said Audrey Morse Gasteier, executive director of the Massachusetts Health Connector, that state’s insurance marketplace.

    And some are considering going outside the ACA to find more affordable options. But that requires caution.

    Congress looks increasingly unlikely to extend the enhanced subsidies before the year’s end. Late Wednesday, the House passed a package of measures favored by conservatives that does not address the subsidies and is largely viewed as dead on arrival in the Senate. Earlier Wednesday, however, four GOP moderates joined with Democrats to sign a discharge petition to force a vote — likely in January — on a three-year extension. The Senate and President Donald Trump would also have to approve the measure, but if extended the subsidies could be applied retroactively.

    Meanwhile, the deadline for choosing a health plan is quickly approaching. The official end of open enrollment is set for Jan. 15 for coverage starting Feb. 1. In most states, it’s already too late to enroll for coverage starting Jan. 1.

    Here are five considerations in the decision-making process:

    1. Short-Term Plans: ‘You Have To Be Healthy’

    Some ACA shoppers might find themselves considering short-term insurance plans sold outside the government-run marketplaces — or steered toward the plans by insurance brokers. Be wary.

    Short-term plans are just that: insurance originally designed as temporary coverage for situations like changing jobs or attending school. They can look a lot like traditional coverage, with deductibles, copayments, and participating networks of hospitals and doctors. Still, they are not ACA-compliant plans and are not available on the official ACA marketplaces.

    They are often less expensive than ACA plans. But they cover less. For example, unlike ACA plans, they can impose annual and lifetime caps on benefits. The vast majority do not cover maternity care. Some might not cover prescription drugs.

    Short-term plans require applicants to complete a medical questionnaire, and insurers can exclude coverage or cancel a policy retroactively for those with preexisting medical conditions. Also, depending on the terms of the particular plan, a person who develops a medical condition during the coverage period might not be accepted for renewal.

    In addition, short-term plans are not required to cover care on the ACA’s checklist of essential benefits, such as preventive care, hospitalization, or emergency services.

    The shortcomings of the plans, which critics say are sometimes marketed in misleading ways, have led Democrats to label them “junk insurance.” The Trump administration argues they’re suitable for some people and has sought to make them more widely available.

    “We recommend it when it makes sense,” said Joshua Brooker, a Pennsylvania insurance broker. “But if you’re going to enroll in short-term coverage, you need to know which boxes are unchecked.”

    “They’re not for everyone. You have to be healthy,” said Ronnell Nolan, the president and CEO of Health Agents of America, a trade group.

    And they’re available in only 36 states, according to KFF, a health information nonprofit that includes KFF Health News. Some states, such as California, prohibit them. Others set tight restrictions.

    2. Beware of Coverage That’s Not Comprehensive

    There are other types of health coverage offered by sales brokers or other organizations.

    One kind, called an indemnity plan, is meant to supplement a traditional health insurance plan by paying toward deductibles or copayments.

    Those plans do not have to follow ACA coverage rules, either. Generally, they pay a fixed dollar amount — say a few hundred dollars a day — toward a hospital stay or a smaller amount for a doctor’s office visit. Typically those payments fall short of the full costs and the policyholder pays the rest. They generally also require consumers to fill out medical forms stating any preexisting conditions.

    Another type, a faith-based sharing plan, pools money from members to cover their medical bills. The plans are not required to keep any specific amount of financial reserves and members are not guaranteed that the plans will pay their health expenses, according to the Commonwealth Fund, a foundation that supports health care research and improvements to the health system.

    Sharing plans expanded beyond faith communities after the ACA was adopted. Like short-term plans, they cost less than ACA plans but also don’t have to follow ACA rules.

    They are not considered insurance, and some have been accused of fraud by state regulators.

    “Yes, it is cheaper, and yes, it does work for some people,” Nolan said. “But you need to understand what that plan does. It would be my last resort.”

    3. Consider a ‘Bronze’ or ‘Catastrophic’ Plan, But Be Aware of Deductibles

    For those wanting to stay with ACA plans, the lowest premiums are generally in the categories labeled “catastrophic” or “bronze.”

    Jessica Altman, executive director of California’s ACA exchange, said her state has noticed an uptick in enrollments in bronze-level plans. They have lower premiums but high annual deductibles — the amount a customer must spend before most coverage kicks in. Deductibles for bronze plans average nearly $7,500 nationally, according to KFF.

    Another option, new for 2026, is expanded eligibility for catastrophic plans, which used to be limited to people younger than age 30. As the name suggests, they’re intended for people who want health insurance just in case they suffer a catastrophic health condition, such as cancer or injuries from a car accident, and the plans can have deductibles as high as the ACA’s annual limit on out-of-pocket spending — $10,600 for an individual or $21,200 for a family.

    But now people losing subsidies because of the expiration of the enhanced tax credits can also qualify for the plans. However, they may not be available in every region.

    Lauren Jenkins, a broker in Oklahoma, said some of her clients earning less than $25,000 this year had qualified for very low-cost or free plans with the enhanced subsidies. Next year, though, their costs may rise to $100 or more per month for a “silver”-level plan, a step up from bronze.

    So she is showing them bronze plans to bring down the monthly cost. “But they might have a $6,000, $7,000, or $10,000 deductible they now have to pay,” Jenkins said. “For people only making $25,000 a year, that would be detrimental.”

    Both bronze and catastrophic plans are eligible to be linked with health savings accounts, which can be used to save money tax-free for medical expenses. They are more popular with higher-income households.

    4. Another Plan May Have Lower Premiums

    It can pay to shop around. Some people may be able to find a lower premium by shifting to a different plan, even one offered by the same insurer. There are also different levels of coverage, from bronze to “platinum,” where premiums also vary. Brooker said that in some locations “gold”-level plans are less expensive than silver, even though that seems counterintuitive.

    Also, some people who run their own businesses but have only one employee might qualify for a group plan rather than an individual policy. Sometimes those can be less expensive.

    Not every state allows this, Nolan said. But, for example, Nolan said, she has a client whose only employee is his wife, so she’s going to see whether they can get a group plan at lower rates.

    “That might work out for them,” she said.

    ACA rates for small group plans (fewer than 50 employees) vary regionally and are not always less expensive than individual coverage, Brooker said.

    “It’s pretty all over the board as to where the rates are better,” he said.

    5. Other Rules of the Road

    Insurance experts encourage people not to wait until the last minute to at least take preliminary steps. Shoppers can go onto the official federal or state marketplace website and fill out or update an application with required income and other information necessary to determine what the 2026 plan year holds for them.

    For instance, even without congressional intervention, subsidies will not go away entirely. They will be smaller, though, and there is an upper income limit — a cutoff for households earning more than four times the poverty level, which comes to $62,600 for an individual and $84,600 for a couple for 2026.

    When shopping, consumers should make sure they land on an official ACA website, because there are look-alikes that may not offer ACA-compliant plans. Healthcare.gov is the official federal site. From there, people can find websites serving the 20 states, along with the District of Columbia, that run their own ACA exchanges.

    The government sites can also direct consumers to licensed brokers and other counselors who can help with an application.

    And a reminder: Consumers also need to pay their first month’s premium for coverage to take effect.

    KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF—an independent source of health policy research, polling, and journalism. Learn more about KFF.