Politics
California's protections for transgender care could be tested under Trump
When Mars Wright saw that Donald Trump had been elected again as president, the 29-year-old Los Angeles artist and streetwear designer felt relieved he had already undergone surgeries for his gender transition.
Wright, a transgender man, has chronicled his medical journey online, flexing and dancing to show how his body transformed after a masculinization procedure he nicknamed “Dorito chip” for the way it altered his shape. His surgery was covered under an L.A. Care plan he obtained through Covered California, the marketplace set up under the Affordable Care Act for Californians to purchase insurance.
“I’m privileged to be here,” Wright said of living in California. “And I think about how people are going to have to come here … to be able to have medical transition.”
California leaders have sought to protect access to such procedures for transgender people. Health plans licensed by the state must provide transgender enrollees with medically necessary gender-affirming care. Doctors who provide such care in California are legally shielded from laws criminalizing it in other states.
But experts and advocates said that even in California, access to gender-affirming care could be undermined by federal action as Trump takes office for a second time, pledging to stop “left-wing gender insanity” and calling gender transition for minors a form of child abuse. State lawmakers have pledged to push back against efforts to obstruct gender-affirming care, which could tee up future battles in court.
“I’m not going to sit here and say that California can turn back every despicable federal attack on trans people,” said state Sen. Scott Wiener (D-San Francisco), who has backed protections for transgender patients and their doctors. “But we are going to do everything in our power to stick up for the community.”
President-elect Trump has vowed to press Congress to block the use of federal funds for gender-affirming care including surgery, a position also reflected in the Republican party platform. Exactly how a ban would be imposed remains to be seen, but experts said the Trump administration could model it on the Hyde Amendment, which for decades has broadly banned using federal funds for abortion.
Eliminating federal funding would have sweeping effects, because “pretty much every corner of the healthcare system has some element of federal funding in it,” said Kellan E. Baker, executive director of the Whitman-Walker Institute, which does research and advocacy on health issues for LGBTQ people. Its effects “would fall most significantly on those who are least positioned to be able to afford the healthcare they need.”
Among those affected, he said, would be transgender people who rely on public programs such as Medicaid. However, experts said that because Medicaid is jointly funded by states and the federal government, California leaders could choose to use state funds to pay for gender-affirming care.
“California has shown a predilection for funding things that are over and above what Medicaid nationally will do,” such as covering low-income Californians regardless of immigration status, said John Baackes, chief executive of L.A. Care, a health plan serving more than 2 million people across L.A. County. “The state could say, ‘OK — we’ll fund it.’”
Mars Wright sits in a small studio space in his apartment with his elderly dog Lucy.
(Gina Ferazzi/Los Angeles Times)
Trump is also expected to seek changes to Medicaid that would reduce federal spending, which could strain for California financially if it wants to continue other existing programs under Medi-Cal, the state’s Medicaid program. But advocates said because transgender people are a small share of the population — estimated at 0.6% of U.S. teens and adults in one analysis — shouldering costs for gender-affirming care wouldn’t be a major expense.
Experts said states have wide latitude over their spending, but Trump has tried to use Medicaid to pressure California over its policies before. Near the end of his first term, the Trump administration threatened to withhold some Medicaid funding from California because the state required insurers to cover abortion care.
That threat ultimately fizzled, but it could hint at how his administration might try to pressure California. A Trump representative didn’t respond to an email seeking comment on that possibility.
At clinics run by the Los Angeles LGBT Center, anxious patients are asking, “Should I get a year’s worth of hormones now? Should I do all the surgeries I’ve ever wanted to do?” said Dr. Kaiyti Duffy, its chief medical officer. She has tried to assure them that “as long as we can provide these services, we will.”
Trump could also pursue more sweeping restrictions that not only bar the use of federal dollars for gender-affirming care, but prohibit providers of such care from getting federal funding.
Some of his proposals specifically target gender-affirming care for youth, which has been a focal point for groups that contend it harms children who don’t understand the implications of such treatment. Greg Burt, vice president of the California Family Council, called it “the biggest lie that this state has ever perpetrated on our young people, to tell kids that it’s possible to be born in the wrong body.”
The American Academy of Pediatrics recommends that transgender youth have access to comprehensive gender-affirming care.
In the Central Valley, one mother said puberty blockers had been a “pause button” that relieved despair for her transgender child, who is now 14, and gave the family time to figure out what he needed. The military family, who rely on Tricare insurance for service members that is federally funded, consulted with doctors and eventually moved forward with hormonal treatment with testosterone.
“At every stage of medical care, he became more and more himself,” said the mother, who asked not to be identified to protect the privacy of her teen. “He switched from being silent and quiet to active and alive and thriving.”
If her child is blocked from getting such care in California, she said, they are making plans to leave the country.
Trump has called to prohibit gender-affirming care for youth in every state, calling it mutilation. During the campaign, Trump said he would seek to terminate any healthcare provider that “participates in the chemical or physical mutilation of minor youth” from Medicaid and Medicare.
The Medicare and Medicaid programs are “the biggest lever that the federal government has because hospitals get so much money” from them, said Julianna S. Gonen, director of federal policy for the National Center for Lesbian Rights. The threat of losing it “is so severe that hospitals will probably comply before they run the risk of being terminated from the programs.”
Experts said the White House could also seek a federal determination that such care is dangerous or experimental, which would reverberate through federally funded programs.
Alejandra Caraballo, a clinical instructor at the Cyberlaw Clinic at Harvard Law, said for many healthcare providers, “when the risk is you losing your federal funding — which means your ability to operate — it’s easier to just drop a trans patient.”
The Trump administration could also roll back federal regulations that bar healthcare providers from denying care to transgender patients if the same kind of care is provided to others. However, California has its own rules prohibiting health plans from denying care based on gender identity.
The Trump administration could also try to clamp down on hormonal therapy through Food and Drug Administration regulations, some believe. However, Amanda McAllister-Wallner, interim executive director of the consumer advocacy group Health Access California, said trying to pinpoint who is providing “gender-affirming care” could be thorny for federal officials because such interventions are also used for other conditions.
“It’s not necessarily obvious — was this service being provided because of someone’s diagnosis of gender dysphoria or for some other reason?” McAllister-Wallner said.
One study of insured patients published in JAMA Network Open found that in a recent year, breast reductions for trans youth were far outnumbered by ones for boys who are not transgender. Researchers said surgeries for transgender teenagers were “rare and almost entirely chest-related procedures” and found no surgeries on trans youth ages 12 or under.
Before election day, Bamby Salcedo planned to push for improvements to gender-affirming care through a Medi-Cal initiative called CalAIM. The election shunted that effort to the back burner, said Salcedo, president and chief executive of the TransLatin@ Coalition, an advocacy group founded by transgender women in L.A.
In its aftermath, Salcedo was continuing to push for an L.A. County budget allocation to support the needs of trans people, saying local government needs to step up. And she was also busy planning for a fashion show celebrating 15 years of her organization, calling it a chance “for that one night to bring joy to our people.”
“In whatever way possible, we are going to get through this,” she said.
Mars Wright, poses for a photo. Wright was able to get body masculinization surgery through Covered California insurance
(Gina Ferazzi/Los Angeles Times)
Wright was among the designers being showcased at the event. Before getting his surgical procedures, he said, “I was scared to date. I was scared to wear clothes that I liked. I was scared to go to the beach.” Now, he joked, “I can’t keep my shirt on.”
“I’m at a place where I love being trans.”
Politics
Rubio sanctions Cuban groups with ties to US nonprofit network funded by communist donor Neville Roy Singham
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Secretary of State Marco Rubio put U.S. organizations on notice: they can no longer do business with a key Cuban organization that has spent over six decades – since the launch of Fidel Castro’s communist revolution in 1959 – cultivating relationships with U.S. activists and groups, many of them now funded by communist American tycoon Neville Roy Singham.
The sanctions target the Cuban Institute of Friendship with the Peoples, known by its Spanish acronym ICAP, an organization founded by Castro in 1960 to spread Marxist ideology and support for Cuba. Long ago, U.S. officials and intelligence assessments concluded ICAP is a key component of Cuba’s intelligence apparatus.
“For decades, Cuba has been the world capital for radical left-wing terrorism,” Rubio said. “The regime in Havana has recruited, trained and backed violent Marxist and third-worldist movements across our hemisphere and beyond.”
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Marco Rubio moves to put sanctions on a group that Fidel Castro established in 1960 to spread Cuba’s communist influence in the world. (Sven Creutzmann/Mambo Photography/Getty Images; Nathan Posner/Anadolu via Getty Images)
Earlier this year, ICAP worked with U.S. nonprofits, including the People’s Forum, Progressive International and CodePink, to organize a March “convoy” that included controversial Marxist streamer Hasan Piker landing in Cuba to support Cuba’s communist party.
The trip has since attracted federal scrutiny, with CodePink co-founder Medea Benjamin confirming she received questions from federal officials about the trip, investigating whether she violated sanctions.
Late last month, Fox News Digital published a three-part series, reporting that federal investigators are examining Cuba’s alleged malign foreign influence operation in the U.S., investigating a network of 145 groups with collective revenues of about $1 billion, promoting Cuba’s agenda and communist ideology.
“Today, we are targeting the network that enables and funds Cuba’s subversive and radical operations,” Rubio said.
The groups working closely with ICAP include the People’s Forum, CodePink, BreakThrough News and Tricontinental, funded by Singham, a Marxist tech tycoon living in Shanghai. As reported, Singham has pumped $285 million into nonprofits since 2017 that have built very close relationships with ICAP and the communist government of Cuba.
Singham is married to CodePink co-founder Jodie Evans.
INSIDE CUBA’S FOREIGN INFLUENCE CAMPAIGN: FROM THE VENCEREMOS BRIGADE OF THE 1960S TO SATURDAY IN A UNION HALL
ICAP is today led by Fernando González Llort, one of five former Cuban intelligence officers, known as the “Cuban Five,” convicted in the U.S. years ago on espionage-related charges and released after spending time in jail.
Critics say ICAP acts as a gateway for revolutionaries from around the world to get embedded in the propaganda, organizing tactics and strategic goals of the Communist Party of Cuba. ICAP has denied wrongdoing and says it’s a civil society organization.
ICAP was one of five entities that Rubio designated as off-limits under sanctions authorities established by President Donald Trump’s Cuba executive order. The sanctions also target Cuba’s Ministry of the Revolutionary Armed Forces (MINFAR), the Committees for the Defense of the Revolution (CDR), Minera La Victoria S.A. and the state-run tourism company Amistur Cuba S.A., which has arranged trips to Cuba with U.S. nonprofits in the Singham network.
Experts said the move signals that the Trump administration is focused not only on the Cuban government but also on U.S. institutions that U.S. officials believe help project Cuban influence internationally.
A declassified CIA report from the Cold War era, “Cuba: Castro’s Propaganda Apparatus and Foreign Policy,” described Cuba’s international propaganda and influence activities as a central component of Castro’s foreign policy strategy. The report named ICAP among organizations that act as important instruments for cultivating sympathetic political movements abroad and extending Cuban influence beyond the island.
DOJ, TREASURY INVESTIGATE NONPROFITS AND LEADERS ALLEGEDLY COORDINATING WITH CUBA IN INFLUENCE CAMPAIGN
One of the most notable examples was the Venceremos Brigade, a Cuba solidarity program established in 1969 that brought generations of American activists to the island through exchanges organized with Cuban authorities and institutions including ICAP.
The program became one of the most visible pipelines connecting American activists to the Cuban revolutionary government.
Today, the Venceremos Brigade operates as a fiscally-sponsored project of the People’s Forum.
Lawmakers and federal authorities are examining whether organizations funded by Singham have acted on behalf of foreign interests without properly registering and have helped amplify messaging favorable to the Chinese Communist Party and the Communist Party of Cuba.
Cuba’s President Miguel Diaz-Canel (C) listens to Progressive International’s general coordinator, David Adler, during an event at the Cuban Institute for Friendship with the Peoples (ICAP) in Havana, on March 21, 2026. (Ernesto Mastrascusa/AFP via Getty Images)
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During the recent convoy in March, Progressive International co-founder David Adler appeared alongside Cuban President Miguel Díaz-Canel and ICAP President González at an official event hosted by ICAP.
Years ago, Los Angeles Mayor Karen Bass participated in Venceremos Brigade trips, a connection that her mayoral candidate Spencer Pratt resurfaced during her campaign. Bass has denied any wrongdoing.
Supporters of such exchanges describe them as educational and humanitarian programs intended to foster international understanding. Critics argue they function as political influence operations designed to build support for the Cuban regime and its ideological objectives.
The Cuban government condemned Rubio’s sanctions shortly after the announcement.
President Miguel Díaz-Canel accused the United States of escalating economic pressure against Cuba and attempting to intensify tensions between the two countries.
Hasan Piker, a Democratic Socialists of America member, and CodePink co-founder Jodie Evans meet in Havana, Cuba, as part of a “United Front” supporting the communist regime. (CodePink via Storyful)
“The Treasury Department has added new names of Cuban leaders, organizations and companies to an illegitimate sanctions list,” Díaz-Canel wrote on social media. “They are aimed at reinforcing the blockade measures and the scenario of conflict between Cuba and the United States.”
Rubio’s warning extended beyond the sanctioned entities.
The action signals that the administration is increasingly focused on the networks, partnerships and influence channels that U.S. officials believe have helped advance Cuban interests abroad long after the Cold War officially ended.
“Anyone providing services to these sanctioned actors is at risk of sanctions themselves,” he said. “Foreign banks and other companies that provide services to these entities should freeze those activities.”
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Fox News Digital’s Reagan Schroeder contributed to this report.
Politics
Commentary: No, Mr. Hilton, our elections are not ‘a joke.’ It’s time for you to stand up to Trump
Well, that didn’t take long.
A day after California’s primary election, President Trump took to social media with baseless claims of election fraud — predictable, but also dangerous.
“Look what’s happening in California, the Dumocrats, right before our very eyes, are stealing the Vote,” Trump wrote in one post.
“There’s BIG cheating by the Dumocrats in California,” he wrote in another, apparently enamored of his latest juvenile slur.
Never mind that his candidate, Steve Hilton, is in the lead — for now anyway.
California has once again become the main dish on Trump’s buffet of bull-hockey as he continues to undermine democracy and consolidate authoritarian power, using this disingenuous and patently untrue narrative that American elections are rigged by shadowy Democratic forces working in collusion with illegal immigrants.
That last part is called the Great Replacement Theory, the idea that “elites” are replacing white people — and white voters — with Black and brown immigrants in a bid to destroy white culture. It’s at the heart of Trump’s voter fraud allegations.
The twist this time is that Hilton, the man who wants to represent all Californians, seems to be jumping on the election fraud conspiracy train with the president. I get it, there’s the MAGA base to feed, and it’s a base that feasts on outrage and fakery. Serving up resentment glazed with lies and propaganda has been the MAGA playbook for years under Trump, a strategy that no one can deny has been heartbreakingly effective.
But Hilton is a smart man and must certainly know that voter fraud is rare, to the point of being inconsequential to election outcomes. Hilton by his own admission understands voting patterns, and that in this cycle, Republicans have voted early and often by mail, despite Trump’s claims that all vote-by-mail should be suspect. So Hilton understands that early votes have skewed his way, and that later vote tallies will likely favor Democrats.
And Hilton is definitely intelligent enough to expect that in a state where Democrats outnumber Republicans nearly three to one, he will not keep the top spot in this primary, and a slim chance remains that he will not make it into the top two. That’s just simple math.
So if Hilton truly seeks to represent this state as its top elected executive, now is the time to renounce election fraud myths and stand up to Trump’s lies. If Hilton can’t say that he believes our recent election was free and fair, then he has no business being our governor.
Unfortunately, that doesn’t seem to be the path he’s taking, even as it seems increasingly likely that he will advance to the general election.
This week, speaking with far-right podcaster and former Turning Point USA creative director Benny Johnson (who was allegedly duped into working for a Russian influence operation), Hilton said that while “so far we’re not seeing any signs” of cheating, “we’re going to be all over it. We’re not going to let them do that.”
Hilton was responding to a question from Johnson on whether Hilton will sue over “cheating.”
On a post-election appearance with Laura Ingraham, the conservative Fox News host who has repeatedly promoted the Great Replacement Theory, Hilton delved into more conspiracy.
“Just to really underline the point that you made about the corruption,” he told Ingraham an anecdote about supposed fraud in a previous election cycle when a “whistleblower” at the post office told him that they were instructed that a handwritten postmark was acceptable when sorting ballots to deliver to the county registrar.
“It’s just unbelievable, and of course, that’s why so many people don’t believe the results, but it just undermines confidence,” he told Ingraham, certainly knowing that the post office forwarding a ballot on to a county registrar in no way means it will be certified or counted. Would we really want the USPS deciding which ballots to deliver? Disingenuous on Hilton’s part at best.
“The whole thing is a joke,” Hilton went on to say of California elections, which of course, is absurd.
Thursday, when I asked Hilton’s team to speak with him about his views on voter fraud, they sent back a response that focused on the slowness of the California vote count; voter rolls Hilton has described as “wildly inaccurate,” which is a wildly inaccurate claim; and two instances of actual fraud with voter registration — not examples of votes that were counted.
To be sure, all those items are important. Any malfeasance should be punished, and the system should always strive to improve.
But how hard is it to simply be against fraud, while accurately acknowledging that it is rare and our current system provides accurate results?
I am against voter registration fraud. I am against vote fraud. I am absolutely pro-democracy, including policies such as mail-in voting that increase participation.
I do not believe that there is widespread fraud in the California primary, or in American elections in general, because the evidence does not support that conspiracy. I do not believe that Democrats are running a decades-long, nationwide conspiracy to replace white voters with votes from Black and brown undocumented immigrants, because that is both false and racist.
Pretty basic stuff, and statements in line with the values and common sense of the majority of Californians Hilton says he will represent.
If Hilton can’t come out and clearly say that Trump is wrong — about fraud and about the Great Replacement Theory — can he really be trusted to represent the values of the Golden State?
Politics
Video: Jan. 6 Rioter Hired by Pentagon
new video loaded: Jan. 6 Rioter Hired by Pentagon
transcript
transcript
Jan. 6 Rioter Hired by Pentagon
Elias Irizarry, who pleaded guilty to climbing through a broken window at the Capitol on Jan. 6, 2021, now works for an office responsible for uncovering and defending against terrorism plots at the Pentagon.
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“Full pardon or commutation?” “Full pardon.”
By Alisa Shodiyev Kaff
June 4, 2026
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