LA County turns to private foundation to backfill public health funding cuts

Some government funding streams for L.A. County’s public health system are drying up, and officials are turning to private philanthropy to fill the gap.

A new privately funded foundation launched Thursday to strengthen public health services after $50 million in federal, state and local funding cuts to the county’s Department of Public Health since early last year.

“It is really a hard day for our community when we have to ask for private donations to fund a public good, but unfortunately, we've lost too much money to not take this important step,” said Public Health Director Barbara Ferrer.

In February, the county’s Public Health Department closed seven clinics, with six remaining open. About half of the patients seen in those clinics are uninsured, according to county officials. The department also cut hundreds of staff positions.

Ferrer is on the board of the new foundation, The Fund for Advancing Public Health LA, which held its first meeting Thursday.

She said the fund will help the county maintain its basic public health infrastructure, including disease prevention, health promotion, environmental health, and emergency response efforts.

Other board members include several health insurance executives, as well as actors Sean Penn and Danny Trejo. Board member Saree Kayne of the R&S Kayne Foundation pledged $150,000 to the fund Thursday. Kayne said she hopes the donation encourages others to give.

The foundation aims to raise $2 million this year.

More cuts expected

L.A. County Supervisor Holly Mitchell said it’s crucial to have an alternative funding stream to protect services for the county's most vulnerable residents.

“We are saving public health,” Mitchell said. “This fund represents a new approach, one that brings together government philanthropy in the private sector to invest in community-based solutions, protect vulnerable populations, and strengthen our public health infrastructure.”

Officials say more public health cuts are coming, through the federal budget law known as the "Big Beautiful Bill," which slashes funding for Medi-Cal.

The county Department of Public Health anticipates losing up to $300 million in revenue over the next three years because of the federal budget bill and other potential funding freezes. Federal funding accounts for almost 50% of the public health budget, according to county officials.

Mitchell also led an effort to put a half-percent county sales tax increase to fund public health on the June ballot.

If approved by voters, that proposal, known as Measure ER, is expected to raise about $1 billion a year for county safety net health services, including about $100 million for the public health department.

Board members

The Fund for Advancing Public Health LA announced its founding board of directors, which includes:

• Dr. Barbara Ferrer, LA County Department of Public Health director
• Debbie I. Chang, Blue Shield of California Foundation CEO
• Sean Penn, actor and co-founder of Community Organized Relief Effort (CORE)
• Martha Santana-Chin, LA Care Health Plan CEO
• Saree Kayne, R&S Kayne Foundation CEO
• Danny Trejo, actor and restaurateur
• Jarrett Barrios, an executive at the American Red Cross
• Dr. Deborah Prothrow-Stith, Charles R. Drew University College of Medicine Dean
• Kristin McCowan, an executive at the Los Angeles Dodgers