Veterans John Follmer, right, and Alejandro Rocha, left, do outreach on on Hollywood Boulevard in Los Angeles. They met Chris Brown, center, and offered to connect him with veterans services.
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A massive VA campus in West Los Angeles is finally housing hundreds of vets, and may finally change the city's worst-in-the-nation status on veterans homelessness.
The backstory: A 387-acre facility on some of the country's most expensive real estate: Brentwood, in West Los Angeles, was donated as a home for Civil War veterans in 1887.
The issue: Los Angeles has the largest number of homeless veterans, nearly 4,000 according to the annual count. In this century veterans groups have sued the VA for leasing parts of the campus out for things that had nothing to do with vets, like UCLA's baseball stadium, the private Brentwood School and other deals, some of which turned out to be criminal.
The outreach: John Follmer has been doing homelessness outreach with L.A.'s Veteran Peer Access Network for three years. His goal is to help vets on the street tap into the array of economic, health and housing benefits they've earned. Follmer's seen many vets — including two more Purple Heart recipients — who have been wrongly turned away from the Department of Veterans Affairs or don't believe they're eligible.
The first time John Follmer met a Purple Heart vet living on the streets after trying — and failing — to get VA benefits, it surprised him.
Not anymore.
Follmer has been doing homelessness outreach with L.A.'s Veteran Peer Access Network for three years. His goal is to help vets on the street tap into the array of economic, health and housing benefits they've earned. Follmer's seen many vets — including two more Purple Heart recipients — who have been wrongly turned away from the Department of Veterans Affairs or don't believe they're eligible.
"It's not the lack of resources. It's the abundance of discouragement," said Follmer.
Which might explain L.A. in a nutshell. Los Angeles has the largest number of homeless veterans, nearly 4,000 according to the annual count. L.A. also has a unique asset to help them: A 387-acre facility on some of the country's most expensive real estate: Brentwood, in West Los Angeles. The sprawling campus was donated as a home for Civil War veterans in 1887. In this century veterans groups have sued the VA for leasing parts of the campus out for things that had nothing to do with vets, like UCLA's baseball stadium, the private Brentwood School and other deals, some of which turned out to be criminal.
Veterans groups pointedly asked: If the campus could host a golf course and a working oil well and a bird sanctuary, why couldn't it build housing veterans? Veterans groups sued to drive that point home, and then VA settled the lawsuit in 2015 with an agreement that plaintiffs say hasn't been enforced. Now they're suing again and the case may go to trial next year. It's left vets like Follmer skeptical.
"You can't build anything on a foundation of neglect," he said, though he's encouraged by several recently opened new buildings to house veterans on the campus.
Construction on units has begun
As the sounds of construction echo through the north half of the VA campus, it's allowing some of the long-time critics to have some optimism.
"It's more difficult to say 'you're not doing anything' when we have more than 500 units already completed or in progress," said Steve Peck, a Vietnam vet who leads US Vets, part of a consortium developing buildings for housing on the campus.
"We're getting there," he said, walking into a newly renovated 1940s Mission-revival style building on campus that now holds 59 studios and one-bedroom apartments.
Veteran Deavin Sessom stays in a small hut-shelter at the West Los Angeles Veterans Affairs Medical Center in Los Angeles, waiting for permanent housing the VA has been promising for years.
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The building is exclusively for vets over age 62, half of them with severe mental illness. Peck said it filled up in less than four months.
"It's a nice home. They're proud to call it home," he said. "A lot of the veterans who came in here after they were here for two weeks went to the social workers and said, 'How long do I get to stay here?' And she said this is your home. Stay here as long as you want."
Peck said much of the work over the past five years was unseen — literally underground, updating 100-year-old infrastructure. Now the work is becoming visible, with 233 units already housing vets and 347 under construction. The next site slated to open is for women veterans with children.
A vision of affordable housing for vets in one of the richest parts of LA
The "master plan" is to build a real community with a village feel, including a café and restaurant, maybe an art center. An L.A. metro station stop is slated to open in 2027, which would integrate the campus with the rest of the city. By then developers hope to have completed most of the target 1,200 units of housing. It's a vision of a vibrant community of affordable housing for vets living in one of the richest parts of L.A.
It's also the focus of decades worth of well-earned suspicion, said Rob Reynolds, an Iraq vet. When he hears about shiny new restaurants, or a massive park-and-ride garage for commuters at the new metro station, it sounds like history repeating itself.
Rob Reynolds, an Army veteran, poses for a portrait at the West Los Angeles Veterans Affairs Medical Center.
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"A lot of these entities that are on the land, that are unrelated to veteran housing or healthcare, have got whatever their wants are over the needs of the veterans," he said.
Reynolds helped galvanize a community of homeless vets camping out at the VA's gates in an area known as "veterans row" about three years ago. He said the VA still felt like a place that would always find a way to tell you "no."
"There was no 24-hour shelter. So you have veterans that were showing up in the afternoon being like, 'Hey, I need a place to stay.' And they would tell them, 'Oh no, come back tomorrow or the following day. But you can't stay on the property tonight.' Then they would end up out in the street," said Reynolds.
"They finally build up enough courage to ask for help and then get turned away. You just sever the trust and then it makes it that much harder to get them in the next time," he said.
The vets outside the gates with U.S. flags draped on their tents brought public pressure, and VA brought veterans row inside the campus. It's now a compound of 140 basic huts; six of them — soon to be 12 — are available 24/7 for vets who turn up.
Tiny homes sit adjacent to what was previously Veterans Row on the campus of the West Los Angeles Veterans Affairs Medical Center.
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In September, Robert Canas, an Air Force vet who had been on veterans row, moved into a studio apartment in one of the new buildings. Canas had been homeless for about five years.
"I was drinking heavily. Just to fall asleep on the streets I was drinking a lot," he said. "It wasn't till I got here that I got sobered up."
Canas got therapy at the VA and quit drinking about two years ago. His new apartment is subsidized so it only costs him $60 per month. Despite all that, he hasn't completely changed his opinion about the VA.
"What's sad is still finding all the obstacles here at the VA," he said.
Robert Canas poses for a portrait in his new apartment at the West Los Angeles Veterans Affairs Medical Center in Los Angeles, California.
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Disability miscounted as income
Sitting on the couch in his new place is one example of what Canas means: Army vet Joshua Erickson. He lost a leg to a landmine in Afghanistan and is rated 100% disabled by the VA, which means he makes too much income to get a housing voucher from Housing and Urban Development (HUD).
"On top of my service connected [disability] money, I get Social Security," Erickson said with an uncomprehending pause. "I make too much money."
He's up in Canas' new apartment to use the Wi-Fi and hang out indoors - he's living in a hut on the compound of what used to be veterans row. Erickson said he'd like to go to school and learn to make prostheses like the one he's wearing. He used to have three different prosthetic legs, but the others got lost or stolen while he was on the street.
After Erickson steps out, Canas vents.
Josh Erickson poses for a portrait at the West Los Angeles Veterans Affairs Medical Center.
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"He stepped on a landmine trying to rescue another soldier. I get this beautiful apartment ... and he can't live here," Canas said. "And he even says he feels like he's not wanted here by both the community and the VA. They want you homeless and desperate."
Canas said this while he himself lives in a VA-provided apartment and gets VA care. Officials know the VA has to fix this trust problem.
"We have people who are getting harmed now because they are afraid to get services or they're convinced that the VA is out to get them or is evil," said John Kuhn. He's the deputy medical center director for VA Greater Los Angeles and also the self-described "homelessness guy."
We have the resources, we have the team. There's no reason for any of our veterans in LA to be homeless
Kuhn is a social worker with 30 years experience on the issue, and he previously led a successful rapid rehousing program at VA.
"I'm asking those veterans to get up and try again. You have a home here. You have an opportunity here to reach out to get the service you are entitled to. We are here. One third of our staff are veterans," said Kuhn.
John Kuhn, Deputy Medical Center Director of the Veterans Affairs Greater Los Angeles Healthcare System, at the West Los Angeles Veterans Affairs Medical Center.
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Kuhn said it's absurd that veterans like Josh Erickson are caught in red tape, that their VA disability is counting as income. The VA has been working with the Treasury Department and HUD to change that, Kuhn says, but it may take action by Congress.
That's hard, but not impossible. Despite Washington gridlock, Congress comes together more often on veterans issues, including the approval of hundreds of millions of dollars for the West L.A. campus. With the construction finally happening all over campus, Kuhn allows himself some optimism.
"We have the resources, we have the team. There's no reason for any of our veterans in L.A. to be homeless," he said.
For years now, he said, L.A. has been housing more vets than any other VA in the country but not keeping up with the number who fall into homelessness.
If this campus can stay on track, Kuhn is hoping to finally get ahead of that curve.
As polls close on Election Day and results start rolling in, these are some of the House races that will help explain how the midterms are unfolding.
Why it matters: Democrats appear poised to retake control of the House. 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.
The backstory: 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.
Read on... for more on the four types of house races to watch.
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.
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-17could 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-02and IA-03are 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.
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-09held by Democrat Marcy Kaptur and NC-01held 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-34or Tano Tijerina from unseating Democratic incumbent Henry Cuellar in TX-28.
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, likeOhio. In both OH-10held 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-03are in play as well too. Rep. Greg Murphy's district absorbed more Democratic-leaning voters after the latest map redraw.
Vote centers are open until 8 p.m. People who are in line by 8 p.m. are legally allowed to cast their ballots.
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Topline:
All vote centers are open from 7 a.m. to 8 p.m. Tuesday to vote in person or drop off your vote-by-mail ballot. If you're in line by 8 p.m., you are legally allowed to cast your ballot.
What's next: Keep in mind that in tight races, particularly, the winner may not be determined for days or weeks after Election Day. The first batch of results (typically ballots received before Election Day) will be posted shortly after the polls close.
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.
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.
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.
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.
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.
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.
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.
What questions do you have about this election?
You ask, and we'll answer: Whether it's about who's funding the campaigns or how to track your ballot, we're here to help you understand the 2026 election.
Editor's note: A version of this story was first published in 2022, and we continue to update it for subsequent elections.
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Erin Stone
covers climate and environmental issues in Southern California.
Published November 3, 2026 5:00 AM
Gayle Nicholls-Ali thanks the crowd at the end of the show. At left, Zaire Calvin looks on.
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Topline:
Eaton Fire survivors recently took their experiences to the stage. It's part of a national tour of disaster survivors putting on similar events in their own communities.
Why it matters: In a play by and for fire survivors, longtime Altadena residents Gayle Nicholls-Ali and Rasheed Ali turn interviews with displaced neighbors into a script for a play.
Read on ... for more about what the performance meant to the people who made it happen.
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.
Aaron Schrank
has been on the ground, reporting on homelessness and other issues in L.A. for more than a decade.
Published November 2, 2026 7:00 PM
The Skid Row Care Campus is L.A. County's main homeless services hub.
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Topline:
L.A. County quietly stopped handing out syringes and pipes at its Skid Row Care Campus in August and has ended its contract with Homeless Health Care Los Angeles, the nonprofit that ran harm reduction there, effective Tuesday.
Why it matters: 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. The pause comes amid a growing cluster of HIV cases in Skid Row.
Why now: The county says the temporary pause stems “in part” from concerns raised by community stakeholders and local businesses.
What’s next: Homeless Health Care Los Angeles is laying off 134 workers. New providers have rehired many of them, the county says.
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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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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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.”
