Traffic moves through the section of 10 Freeway Monday after repair crews worked around the clock to get the fire-damaged section of road reopen ahead of schedule.
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Jae C. Hong
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Topline:
After eight days of being closed, traffic is once again flowing in both directions of the 10 Freeway through downtown Los Angeles.
What happened: The fire started at a pallet yard just north of the 10 Freeway near the intersection of East 14th Street and South Alameda Street just after midnight on Saturday and quickly spread to a second pallet yard. It wasn't knocked down until Sunday morning.
Keep reading... to learn more about why there's no timeline yet for reopening, why this is being compared to damage to the 10 Freeway in the 1994 Northridge earthquake, and what advice authorities have now that a road that handles 300,000 cars a day is out of commission.
Need to figure out how to commute? We have that, too.
After eight days of being closed, traffic is once again flowing in both directions of the 10 Freeway through downtown Los Angeles.
The 10 Freeway from Alameda Street to the East L.A. interchange reopened Sunday evening, far ahead of schedule. Last week, officials announced that repairs could take up to five weeks.
At a news conference Sunday, Mayor Karen Bass, Gov. Gavin Newsom, Vice-President Kamala Harris and Senator Alex Padilla offered thanks for a speedy reopening of a key artery which typically handles 300,000 vehicles a day.
Some surface street and on-ramp closures were expected to linger as longer term repairs remained ongoing.
The 10 Freeway opened lanes to vehicles Sunday night ahead of a Monday morning commute.
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Yusra Farzan
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LAist
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Vice President Kamala Harris, right, walks on the 10 Freeway Sunday morning with Los Angeles Mayor Karen Bass before a news conference announcing the freeway was just hours away from opening.
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Alex Gallardo
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AP
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Local businesses that have had to deal with the closure are welcoming its reopening.
Edgar Jimenez’s Mexican food truck, Quesadillas Ja Ja Ja on 8th and Alameda streets, is close to where the fire erupted and said his otherwise regular customers were reluctant to stand in line or brave the traffic, which also affected his operations.
“Even if it's around the corner it will take half an hour to get back to where I am,” he said. “It impacted me, like, really bad.”
The Shell gas station on Alameda and 14th streets that provides a vantage point to the repair work saw an 80% drop in gasoline sales last week, said morning manager Alexander Shenouda.
“We just relied on the construction workers coming to our market,” he said.
A resource center for businesses also opened Monday on Central Avenue, where people can learn about city and county programs, including grants, that can help offset some of the financial effects of the closure.
According to the Downtown Industrial Business Improvement District, some businesses lost 40% to 50% of their revenue during the shut down.
How we got here
After initial fears that the bridge near downtown L.A. would need to be demolished and rebuilt — a process which would have taken months — structural testing instead pointed toward repairs. Still, that work was thought would take three to five weeks.
Instead, Sunday morning, authorities said the freeway would open within hours, in time for the Monday morning commute.
In all, that means the freeway was back in operation eight days after a devastating fire began last Saturday, burning through pallets, vehicles and other flammable material store under the roadway.
"The good news is there was more good news," said Gov. Gavin Newsom at an early morning news conference.
Vice President Kamala Harris joined the group making the announcement. Harris said she was "acutely aware" of how serious the shutdown of the 10 Freeway was for the city and region.
"The work that happened here was extraordinary," she said praising the union contractors who worked around the clock. "Tomorrow the commute is back on."
Where things stand
The Alameda Street off-ramp, as well as Lawrence Street between 10th Street and 14th Street, will still be closed.
Newsom said on Sunday that permanent repairs will continue, during episodic closures that will take place likely at night.
Bass said Metro ridership jumped 10% during the closure.
Authorities are seeking a person of interest in connection to the arson investigation.
Newsom said Thursday that the fire damaged 10 Freeway was “in better shape than anticipated” and will open no later than Nov. 21, far sooner than initially expected and before the busy Thanksgiving holiday.
“What a gift for Los Angeles to have right before a holiday to know that your commute will be better," said Bass, who joined Newsom at the burn site to make the announcement.
On Thursday, the L.A. Department of Transportation added an additional left turn lane in each direction along the Alameda corridor to improve traffic flow.
Additional white-glove traffic officers continue to be stationed throughout the closure area. And With rain expected through the end of the week, Bass directed the Department of Transportation to increase the amount of white-glove traffic officers in the downtown area so commuters can get through intersections faster.
The Department of Transportation’s Federal Highway Administration made $3 million of emergency relief funding immediately available to Caltrans on Wednesday to help repair the freeway. The “quick release” federal funding will go towards traffic control, removing hazardous waste, and temporary shoring of the damaged structure.
On Wednesday, Metro added additional buses to Line 66, which runs along Olympic Boulevard, and Line 251 along Soto Street. These lines saw the most delays Tuesday.
LAFD is now inspecting all state property under freeways for fire hazard material to make sure they’re safe and that the 10 Freeway “tragedy will not be repeated,” Bass said.
Newsom also said crew would install cameras so that the public can monitor the project's progress, on fixthe10.ca.gov (which currently appears to have photos and a highlight-reel video of repairs.)
The following reporting preceded the reopening.
Why drivers were asked to stay off surface streets
Bass and other top officials had pleaded with drivers to stay off surface streets if they’re trying to get around the 10 Freeway closure.
After taking a helicopter ride over the damaged freeway, Bass said all the surface streets around downtown look like parking lots as people try to find their own detours. Officials are still encouraging commuters to stay on the freeways, or take public transit whenever possible.
Los Angeles Fire Chief Kristin Crowley added that fire trucks and ambulances have been having trouble getting through the congestion.
“Every second counts when it comes to our emergency responders,” she said. “So please keep that in mind when you are trying to make that decision of where you're going to go.”
What we know so far
We learned Monday that the fire was likely started by arson. Newsom said CalFire — which finished its investigation 12 hours early — made a preliminary determination that there was malice intent. “That it was arson, and that it was done and set intentionally," Newsom said. "That determination of who is responsible is an investigation that is ongoing.”
While the fire remains under investigation, Mayor Bass told LAist 89.3’s AirTalk earlier this week that speculation on social media and elsewhere is not helpful.
"There's a lot of accusations against the homeless people that were in the area,” she said. “There is no reason, at this point in time, to associate the encampment with the fire that took place there.”
The company that leased the space under the freeway from CalTrans, Apex Development Inc., is facing lawsuits for subleasing the site to at least five other tenants without authorization, according to Newsom. Officials are now checking to see if the Calabasas-based company is out of compliance with the other leases it holds in the area.
"So to say the whole thing is a mess is an understatement," Bass said Tuesday, "but this company is going to have its date in court at the beginning of the year."
As for why flammable material was stored under a major freeway in the first place, Bass said: "It's not just flammable materials, it's materials, period and it's also oversight and accountability and all of that I think is going to come the question now because — just in our city alone — you were talking about miles and miles of property underneath the freeways that the state leases out.
"And so all of that needs to be scrutinized and the governor has assured us that it will be, I mean, especially pallet storage of all things, given the number of pallet fires we have in pallet yards each year in Southern California."
The backstory
An aerial view of cleanup crews working beneath the closed 10 Freeway Monday.
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The massive fire that shut down both directions of the 10 Freeway between the East L.A. connector and Alameda Street was sparked over the weekend.
Los Angeles city leaders immediately warned of major traffic congestion after "extensive damage" to the bridge near downtown. Before this shutdown, the key regional connector handled about 300,000 vehicles a day — a number that underscores the dramatic effect of the closure.
Crews have been shoring the bridge — adding in temporary supports — and determined by Tuesday that the bridge could be repaired, rather than demolished and rebuilt. That's a major relief to authorities and the commuting public, with more relief coming Thursday when the reopening timeline was greatly accelerated.
Initial timeline on reopening was 3 to 5 weeks
Authorities say work will continue 24/7 until repairs allow the reopening of the stretch of the 10 Freeway that typically handles 300,000 vehicles a day.
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Mario Tama
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On Sunday, Bass called for patience from Los Angeles drivers — a call she made again Monday and Tuesday. The mayor invoked the Northridge earthquake in 1994 in terms of the severity and consequences of Saturday's damage.
"For those of you that remember the 1994 Northridge earthquake, Caltrans worked around the clock to complete emergency repairs to the freeways," said Bass. "And this structural damage calls for the same level of urgency and effort."
"Unfortunately, there's no reason to think that this is going to be over in a couple of days," she said.
Newsom said Tuesday that with 24/7 work on repairs, the timeline to reopening would be three to five weeks. Officials were greatly relieved that it wasn't longer — and even more pleased when word came that the major freeway would be opened before the Thanksgiving holiday.
When the 10 Freeway was damaged in the Northridge earthquake, a private construction firm — operating with generous incentives in place — was able to rebuild two bridges in just over two months — 74 days earlier than projected.
Newsom, who declared a state of emergency on Saturday to help with cleanup and repairs, had said Sunday that incentives could come into play.
“The state is mobilizing resources and taking steps to ensure any necessary repairs are completed as soon as possible to minimize the impact on those traveling in and around Los Angeles,” Newsom said.
"We are approaching this issue with absolute urgency," Bass said.
How Caltrans assessed damage
This photo provided by the California Department of Transportation shows an early morning fire along Interstate 10 near downtown Los Angeles, Saturday, Nov. 11, 2023.
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Richard Vogel
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Caltrans District 7 via AP
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Damage under the I-10 overpass after a huge fire on Saturday morning in downtown.
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An emergency contract to begin restoration of the structure has been secured by Caltrans, according to Toks Omishakin, California's secretary of transportation.
What we know about the assessment so far:
Crews took hazardous material samples for lab analysis and then removed debris from under the overpass.
At that point, structural engineers from the department were able perform a thorough assessment.
"I want to emphasize that our efforts on this are going to have to be 24/7 to get this roadway back open. But I'm not going to understate the challenge here. It is significant," Omishakin said.
About the fire
The fire started at a pallet yard just north of the 10 Freeway near the intersection of East 14th Street and South Alameda Street at around 12:22 a.m. Saturday, according to the Los Angeles Fire Department. The blaze quickly spread to a second pallet yard, affecting nearly eight acres of the area at one point.
More than 164 firefighters fought the blaze, which was largely contained within three hours. But some hotspots remained in hard-to-reach areas underneath the freeway and robotic equipment was brought in. The fire was fully knocked down later Sunday.
On Monday, officials provided more detail about the damaged infrastructure: About 450 feet of the freeway was affected by the fire, said John Yang, deputy district director for construction for Caltrans District 7. He said that includes more than 90 concrete support columns, each 3 feet in diameter and nearly 16 feet tall.
“We’re inspecting every aspect of it,” he said.
Omishakin said inspectors had been able to take concrete and rebar samples from the underside of the bridge and columns, which they then analyzed.
“Once we analyze these samples, we will get a clearer idea of our repair strategy,” he said.
There were no reported injuries to firefighters — or to others. The cause of the fire is under active investigation.
Officials at Sunday's news conference described treacherous conditions that made getting the fire under control a challenge. At one point, after electrical lines were knocked down by the fire, authorities at the scene were concerned that the water being used to knock down flames could be electrified. That forced them to pull firefighters back and turn to heavy equipment.
Newsom said that the state has begun litigation with the lessee of the pallet yard where the fire started.
"In fact, our inspectors have been out there on a consistent basis with citations," Newsom said at the press conference. "Their lease has expired, they're in arrears, we believe they've been subleasing the space, and we actually have a court date in the early part of the new calendar year."
Newsom said that he could not provide further details on any violations the lessees of the lot may have incurred, but that more updates would be forthcoming.
How to commute
Traffic backed up along a closed Interstate 10 after a fire that severely damaged the freeway in downtown Los Angeles.
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California Highway Patrol warns that traffic diverted from the 10 Freeway closure will impact the 5 Freeway, the 60, and the 101.
Drivers
The Los Angeles Department of Transportation said it is working to establish dedicated detours on surface streets.
"If you are driving on the freeway through downtown, we ask that you do not exit the freeway onto surface streets to bypass the affected area," said Laura Rubio-Cornejo, general manager of LADOT, adding that drivers should stay on the freeway and transfer to the 5, 110, or the 101.
The city has more information on alternate routes here.
Public transportation
The LADOT announced Tuesday that commuter express buses are now free. Commuter express buses connect areas like Northeast Valley, Thousand Oaks, the South Bay and Long Beach with downtown Los Angeles. DASH buses that provide short local trips continue to be free. Riders do not need a tap card.
Metro CEO Stephanie Wiggins said public transit users can take the E line from Santa Monica through downtown Los Angeles to the San Gabriel Valley. The J line parallels a portion of the 110 Freeway completely avoiding the closure area. Another option is the A line from Long Beach all the way to downtown Los Angeles.
“There will now be 30-minute service all day, additional trips, six round trips in total that Metrolink has added starting this morning to give people more choices to ride,” she said.
Remote work
Transportation and city officials also asked anyone who works in downtown L.A. to work from home if at all possible — at least for now.
City officials are also hoping businesses in downtown L.A. will lean into work from home policies for the time being to help alleviate traffic.
“I know we've spent this time trying to encourage people to come back downtown, back into their offices,” Bass said at a news conference. “But while we are going through this crisis, we would like for employers who can have their staff work remotely to do so.”
Schools impact
All LAUSD schools were open Monday, but Superintendent Alberto Carvalho said parents and employees should expect delays. Carvalho said in a statement that families who have questions about district transportation should call (800) 522-8737 (1-800-LA-BUSES).
The district said the following schools may be “significantly impacted” by the closure:
Para Los Niños Elementary
9th Street/Para Los Niños Middle
Inner City Arts
St. Turibius Catholic
Metropolitan High
20th Street Elementary
28th Street Elementary
Carvalho said Monday that about 42 bus routes felt the impact, out of 1,300; the average delay was anywhere between 10 to 15 minutes. The delays affected 13 schools.
St. Turibius Catholic School is blocks away from the now-closed section of the 10 Freeway. Principal Audrey Blanchette said her commute from Montebello tripled from 15 to 45 minutes.
“There's just a lot of big rigs on the regular streets that we usually see on the freeway,” Blanchette said. She got off the 60 at Whittier Boulevard and crossed the 6th Street Bridge to get to Central Avenue.
Blanchette said most of the school’s nearly 100 students live nearby and walk or take public transportation. Most of her staff and students made it to school on time Monday, but she’s bracing herself and staff to expect delays for weeks to come.
How we're reporting on this
Reporter Yusra Farzan is reporting from Union Station on commuter experiences. Susanne Whatley, who hosts Morning Edition for LAist 89.3, interviewed Mayor Karen Bass Monday morning and Karina Gacad is our AM Editor. Our AirTalk show has a number of experts on Monday morning's show that will be added as that information becomes available. Over the weekend, Associate Producer Kevin Tidmarsh and Weekend Host Julia Paskin anchored coverage with contributions from Weekend Editor Fiona Ng, PM Editor Tiffany Ujiiye Reporter Makenna Sieverston and Nick Roman, who hosted special coverage Sunday afternoon. Additional reporting Monday by Mariana Dale and Frank Stoltze. Additional editing by Ross Brenneman, Redmond Carolipio, Megan Garvey, Jason Wells and Tony Marcano.
This is a developing story. We fact check everything and rely only on information from credible sources (think fire, police, government officials and reporters on the ground). Sometimes, however, we make mistakes and/or initial reports turn out to be wrong. In all cases, we strive to bring you the most accurate information in real time and will update this story as new information becomes available.
What questions we asked
What is the timeline for rebuilding?
Can the freeway segment be repaired or do we need to demolish and start over?
How does this compare to the damage and rebuilding efforts following the 1994 Northridge earthquake?
What are the environmental impacts of the smoke and debris?
Libby Rainey
has been reporting on L.A.'s preparations for World Cup games this year.
Published May 12, 2026 5:00 AM
The Los Angeles will host eight FIFA World Cup matches at SoFi Stadium in Inglewood this summer.
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Luke Hales
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Getty Images
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Topline:
Advocates had pushed L.A.’s World Cup host committee, an arm of the Los Angeles Sports & Entertainment Commission, to produce its human rights plan. But now that it's out, they're not satisfied.
What's in the plan? It includes a list of online resources including where to file complaints with various local and state level agencies and a summary of local, state and federal laws protecting human and civil rights. The committee is also touting a partnership with L.A. County in which people can call 211 to report a concern during the tournament.
How are activists responding? "Los Angeles is weeks away from hosting one of the largest sporting events in the world, and yet what has been posted is not a plan,” Stephanie Richard, director of the Sunita Jain Anti‑ at Loyola Law School, said in a statement. “It is a list of laws and hotline numbers."
Read on…for concerns about ICE and other issues dropped in the human rights guidance.
The Los Angeles World Cup host committee has quietly posted its guidance on human rights after months of speculation over where the plan was and when it would be published.
Advocates had pushed the committee, an arm of the Los Angeles Sports & Entertainment Commission, to produce its plan. But now that it's out, they're not satisfied with what they're seeing.
The human rights guidance is required by FIFA and outlined on the host committee's website. It includes a list of online resources including where to file complaints with various local and state level agencies and a summary of local, state and federal laws protecting human and civil rights. The committee is also touting a partnership with L.A. County in which people can call 211 to report a concern during the tournament.
"Los Angeles is weeks away from hosting one of the largest sporting events in the world, and yet what has been posted is not a plan,” Stephanie Richard, director of the Sunita Jain Anti‑Trafficking Initiative at Loyola Law School, said in a statement. “It is a list of laws and hotline numbers."
The human rights document also skirts fears around ICE and its potential presence at the tournament and surrounding celebrations. Todd Lyons, the agency's head, said earlier this year that ICE's investigatory branch will play a key role in security for the tournament.
But ICE and immigration enforcement aren't mentioned on the host committee's web page on human rights or in its outline of its approach to human rights. "Immigration status" only gets a mention in the list of existing anti-discrimination laws.
"It certainly could have been much stronger," Angelica Salas, executive director of the Coalition for Humane Immigrant Rights in Los Angeles, said of the plan. She added that her organization participated in a roundtable on the plan, and she was disappointed ICE and recent immigration sweeps weren't mentioned in the resulting document.
"In order for all of this to happen, immigrant workers are part of it," she said of the World Cup. "Your hotel workers, your service workers, stadium workers, drivers."
What other host committees are saying about ICE
There have been some recent signs that other host committees aren't concerned that ICE will disrupt the tournament.
The head of the Miami host committee recently told The Athletic that Secretary of State Marco Rubio personally assured him that ICE would not be at World Cup stadiums.
The head of security for Houston's host committee told Axios that plans with the federal government had never included immigration enforcement.
LAist reached out to spokespeople for the host committee for comment via email, phone and text, but did not hear back in time for publication. FIFA's press team also did not respond to an email from LAist.
According to the host committee's website, the human rights plan is the result of coordination with the city and county of Los Angeles, the city of Inglewood, and 14 roundtable discussions held in the fall of 2025.
"As a non-profit organization, the Host Committee’s role is primarily and necessarily focused on aligning and collaborating with governmental and non-governmental organizations," the document sums up the committee's approach.
The plan also promises more actions, including "Know Your Rights" training for L.A. residents and visitors and "Know Your Responsibilities" training for businesses and vendors. The committee also says it will develop a "rapid response" strategy to respond to potential problems at the tournament.
Available details on those plans were scant. And with the tournament just 30 days away, labor unions and community groups are continuing to voice concerns about potential ICE presence at SoFi Stadium and other potential consequences of the tournament coming to town.
Dana Littlefield
is a senior editor who oversees coverage of politics, health, housing and homelessness.
Published May 11, 2026 5:24 PM
The City of Arcadia posted notice Monday on its website that Mayor Eileen Wang had resigned.
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Courtesy City of Arcadia
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Topline:
The mayor of Arcadia has agreed to plead guilty to a charge she acted as an agent for China, federal prosecutors announced Monday. She has resigned from her position with the city.
The charges:Eileen Wang, 58, faces one count of acting as an illegal agent of a foreign government, according to the U.S. Attorney’s Office. The charge carries a potential sentence of up to 10 years in federal prison. According to the U.S. Attorney’s Office, Wang and Yaoning “Mike” Sun of Chino Hills, worked at the direction of the Chinese government and with individuals based in the U.S. to promote pro-People’s Republic of China propaganda in the United States. Those actions occurred between 2020 and 2022, prosecutors said.
What's next: Wang, who was elected to the City Council in November 2022, was expected to make her first appearance in U.S. District Court Monday afternoon. Citing a plea agreement, prosecutors said she's expected to enter the guilty plea within the next few weeks.
Read on... for more on the charges and allegations.
The mayor of Arcadia has agreed to plead guilty to a charge she acted as an agent for China, federal prosecutors announced Monday. She has resigned from her position with the city.
Eileen Wang, 58, faces one count of acting as an illegal agent of a foreign government, according to the U.S. Attorney’s Office. The charge carries a potential sentence of up to 10 years in federal prison.
What we know about the criminal case
According to the U.S. Attorney’s Office, Wang and Yaoning “Mike” Sun of Chino Hills worked at the direction of the Chinese government and with individuals based in the U.S. to promote pro-People’s Republic of China propaganda in the United States. Those actions occurred between 2020 and 2022, prosecutors said.
According to federal prosecutors, Wang and Sun operated a website — known as U.S. News Center — billed as a news source for the local Chinese American community in Los Angeles County. They posted content on the site, described as "pre-written articles," based on directives from Chinese government officials.
Sun, 65, pleaded guilty in October 2025 in federal court to acting as an illegal agent of a foreign government. He is serving a four-year federal prison sentence.
Prosecutors also said Wang communicated with John Chen, whom they described as “a high-level member of the [Chinese government] intelligence apparatus,” in November 2021, and asked him to post an article from her website.
In a group chat, Wang referenced the article and wrote: “This is what the Ministry of Foreign Affairs wants to send,” according to the U.S. Attorney’s Office.
Chen pleaded guilty in New York to acting as an illegal agent of the People’s Republic of China and conspiracy to bribe a public official. In 2024, he was sentenced to 20 months in federal prison.
What's next
Wang, who was elected to the City Council in November 2022, was expected to make her first appearance in U.S. District Court Monday afternoon.
Citing a plea agreement, prosecutors said she's expected to enter the guilty plea within the next few weeks.
Arcadia's mayor is selected from the elected council members. A post on the city's website announced that Wang had resigned her position as of Monday and that a new mayor would be picked from the remaining council members at the next meeting.
Next Arcadia City Council meeting
Date: Tuesday, May 19, 2026 Location: Council Chambers, 240 West Huntington Drive, Arcadia Time: 7 p.m. Watch: Live stream or via live broadcast on lon the Arcadia Community Television Channel (AT&T channel 99, Spectrum digital channel 3). Daily replays at 10 a.m. and 7 p.m.
Keep up with LAist.
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Elly Yu
reports on early childhood. From housing to health, she covers issues facing the youngest Angelenos and their families.
Published May 11, 2026 3:36 PM
The state is partnering with Baby2Baby to send 400 free diapers home with families when they’re discharged from the hospital.
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Didier Pallages
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AFP via Getty Images
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Topline:
Starting next month, families in California will get hundreds of free diapers for their newborns in a new state initiative.
What’s new: The state is partnering with Baby2Baby, a Los Angeles-based nonprofit, to send 400 free diapers home with families when they’re discharged from the hospital. Any baby born in a participating hospital would be eligible, regardless of income.
Which hospitals? State officials say the program will be first prioritized in hospitals that serve a large number of Medi-Cal patients, but said there isn’t a current list of participating hospitals. A spokesperson for the state’s Department of Health Care Access and Information said once hospitals begin to opt-in, a list will be available on Baby2Baby’s website.
Why now: Gov. Gavin Newsom’s office said the program is aimed at easing the financial strain of raising a family. Newborns can need up to 12 diapers a day — and families spend about $1,000 on diapers in the first year of a baby’s life, according to the American Academy of Pediatrics.
The Supreme Court on Monday gave itself more time to consider a national ban on telemedicine access to the abortion pill mifepristone. Rules for prescribing mifepristone online or through the mail remain in effect through Thursday at a minimum.
The backstory: The tumult over the future of telemedicine access to mifipristone started on May 1 with a ruling from the U.S. 5th Circuit Court of Appeals. That ruling re-instituted prescribing rules from before the pandemic that required patients to receive mifepristone in person in a doctor's office or clinic. The Food and Drug Administration determined that the rule was medically unnecessary in 2021. The state of Louisiana sued last fall, arguing that telemedicine access undermines the state's abortion ban.
What is telemedicine abortion: The telemedicine abortion process starts with a patient connecting with a healthcare provider on the phone or online. If the patient is eligible, that provider can prescribe two medications — mifepristone and another pill called misoprostol. Patients can pick up the medicine at a local pharmacy, or providers can mail the drugs to a patient's home. Now, most abortions in the U.S. use this combination of medications, and one quarter happen via telemedicine. After the 5th Circuit ruling, some providers said they would continue offering telemedicine access to abortion medication using a different protocol that involves higher doses of misoprostol and no mifepristone.
Read on... for more on what's at stake.
The Supreme Court on Monday gave itself more time to consider a national ban on telemedicine access to the abortion pill mifepristone.
Justice Samuel Alito extended an earlier order he issued by three more days, so rules for prescribing mifepristone online or through the mail remain in effect through Thursday at a minimum.
The case at issue
The tumult over the future of telemedicine access to mifipristone started on May 1 with a ruling from the U.S. 5th Circuit Court of Appeals. That ruling re-instituted prescribing rules from before the pandemic that required patients to receive mifepristone in person in a doctor's office or clinic.
The Food and Drug Administration determined that the rule was medically unnecessary in 2021. The state of Louisiana sued last fall, arguing that telemedicine access undermines the state's abortion ban.
What is telemedicine abortion?
The telemedicine abortion process starts with a patient connecting with a healthcare provider on the phone or online. If the patient is eligible, that provider can prescribe two medications — mifepristone and another pill called misoprostol. Patients can pick up the medicine at a local pharmacy, or providers can mail the drugs to a patient's home.
That access is a big part of the reason why the number of abortions nationally has actually increased since the Supreme Court overturned the constitutional right to abortion in 2022. Now, most abortions in the U.S. use this combination of medications, and one quarter happen via telemedicine.
After the 5th Circuit ruling, some providers said they would continue offering telemedicine access to abortion medication using a different protocol that involves higher doses of misoprostol and no mifepristone.
Researchers say that method is just as safe and effective, but tends to cause more pain for patients and more side effects, like nausea and diarrhea. Misoprostol has other medical uses, such as treating gastric ulcers and hemorrhage, and has been on the market longer than mifepristone. It is likely to remain fully accessible, even if mifepristone is restricted.
Since the FDA's prescribing rules for medications apply to the whole country, a change to the rules about how mifepristone can be accessed has national impact. That means it affects states with constitutionally-protected access to abortion, states with criminal bans, like Louisiana, and all states in between.
States' rights
Nearly two dozen Democratic-led states submitted an amicus brief in this case, writing that the appeals court decision put the policy choices of states with bans above the choices of states "that have made the different but equally sovereign determinations to promote access to abortion care."
There are also stakes related to the power of FDA and other expert agencies to set rules. While the Trump administration's FDA did not respond to the Supreme Court's request for briefs, a group of former leaders of the agency, who served under mainly Democratic and some Republican presidents, wrote about this in an amicus brief.
They defended the FDA's process in approving the medication and modifying the rules for prescribing it, and say the appeals court decision "would upend FDA's gold-standard, science-based drug approval system."