Politics
What the Trump administration’s hepatitis B vaccine rollback means for California
For most American infants, the hepatitis B shot comes just before their first bath, in the blur of pokes, prods and pictures that attend a 21st century hospital delivery.
But as of this week, thousands of newborns across the U.S. will no longer receive the initial inoculation for hepatitis B — the first in a litany of childhood vaccinations and the top defense against one of the world’s deadliest cancers.
On Dec. 5, the Centers for Disease Control and Prevention’s powerful vaccine advisory panel voted to nix the decades-old birth-dose recommendation.
The change was pushed by Health and Human Services Secretary Robert F. Kennedy Jr. and his “Make America Healthy Again” movement, which has long sought to rewrite the CDC’s childhood vaccine schedule and unwind state immunization requirements for kindergarten.
California officials have vowed to keep the state’s current guidelines in place, but the federal changes could threaten vaccine coverage by some insurers and public benefits programs, along with broader reverberations.
“It’s a gateway,” said Jessica Malaty Rivera, an infectious disease epidemiologist in Los Angeles. “It’s not just hepatitis B — it’s chipping away at the entire schedule.”
Democratic-led states and blue-chip insurance companies have scrambled to shore up access. California joined Hawaii, Oregon and Washington in forming the West Coast Health Alliance to maintain uniform public policy on vaccines in the face of official “mis- and dis-information.”
“Universal hepatitis B vaccinations at birth save lives, and walking away from this science is reckless,” California Gov. Gavin Newsom said in a statement. “The Trump administration’s ideological politics continue to drive increasingly high costs — for parents, for newborns, and for our entire public-health system.”
The issue is also already tied up in court.
On Tuesday, the Supreme Court sent a lawsuit over New York’s vaccine rules back to the 2nd U.S. Circuit Court of Appeals for review, signaling skepticism about the stringent shots-for-school requirements pioneered in California. On Friday, public health officials in Florida appeared poised to ax their schools’ hepatitis B immunization requirement, along with shots for chickenpox, a dozen strains of bacterial pneumonia and the longtime leading cause of deadly meningitis.
Boosters of the hep B change said it replaces impersonal prescriptions with “shared clinical decision-making” about whether and how to vaccinate, while preserving the more stringent recommendation for children of infected mothers and those whose status is unknown.
Critics say families were always free to decline the vaccine, as about 20% did nationwide in 2020, according to data published by the CDC. It’s the only shot on the schedule that children on Medicaid receive at the same rate as those with private insurance.
Rather than improve informed consent, critics say the CDC committee’s decision and the splashy public fight leading up to it have depressed vaccination rates, even among children of infected mothers.
“Hepatitis B is the most vulnerable vaccine in the schedule,” said Dr. Chari Cohen, president of the Hepatitis B Foundation. “The message we’re hearing from pediatricians and gynecologists is parents are making it clear that they don’t want their baby to get the birth dose, they don’t want their baby to get the vaccine.”
Much of that vulnerability has to do with timing: The first dose is given within hours of birth, while symptoms of the disease might not show up for decades.
“The whole Day One thing really messes with people,” Rivera said. “They think, ‘This is my perfect fresh baby and I don’t want to put anything inside of them.’ ”
U.S. surgeon general nominee Casey Means called the universal birth dose recommendation “absolute insanity,” saying in a post on X last year that it should “make every American pause and question the healthcare system’s mandates.”
“The disease is transmitted through needles and sex exclusively,” she said. “There is no benefit to the baby or the wider population for a child to get this vaccine who is not at risk for sexual or IV transmission. There is only risk.”
In fact, at least half of transmission occurs from mother to child, typically at birth. A smaller percentage of babies get the disease by sharing food, nail clippers or other common household items with their fathers, grandparents or day-care teachers. Because infections are often asymptomatic, most don’t know they have the virus, and at least 15% of pregnant women in the U.S. aren’t tested for the disease, experts said.
Infants who contract hepatitis B are overwhelmingly likely to develop chronic hepatitis, leading to liver cancer or cirrhosis in midlife. The vaccine, by contrast, is far less likely than those for flu or chickenpox to cause even minor reactions, such as fever.
“We’ve given 50 billion doses of the hepatitis B vaccine and we’ve not seen signals that make us concerned,” said Dr. Su Wang, medical director of Viral Hepatitis Programs and the Center for Asian Health at the Cooperman Barnabas Medical Center in New Jersey, who lives with the disease.
Still, “sex and drugs” remains a popular talking point, not only with Kennedy allies in Washington and Atlanta, but among many prominent Los Angeles pediatricians.
“It sets up on Day One this mentality of, ‘I don’t necessarily agree with this, so what else do I not agree with?’” said Dr. Joel Warsh, a Studio City pediatrician and MAHA luminary, whose recent book “Between a Shot and a Hard Place” is aimed at vaccine-hesitant families.
Hepatitis B also disproportionately affects immigrant communities, further stigmatizing an illness that first entered the mainstream consciousness as an early proxy for HIV infection in the 1980s, before it was fully understood.
At the committee meeting last week, member Dr. Evelyn Griffin called illegal immigration the “elephant in the room” in the birth dose debate.
The move comes as post-pandemic wellness culture has supercharged vaccine hesitancy, expanding objections from a long-debunked link between the measles-mumps-rubella vaccine and autism to a more generalized, equally false belief that “healthy” children who eat whole foods and play outside are unlikely to get sick from vaccine-preventable diseases and, if they do, can be treated with “natural” remedies such as beef tallow and cod liver oil.
“It’s about your quality of life, it’s about what you put in your body, it’s about your wellness journey — we have debunked this before,” Rivera said. “This is eugenics.”
Across Southern California, pediatricians, preschool teachers and public health experts say they’ve seen a surge in families seeking to prune certain shots from the schedule and many delay others based on “individualized risk.” The trend has spawned a cottage industry of e-books, Zoom workshops by “vaccine friendly” doctors offering alternative schedules, bespoke inoculations and post-vaccine detox regimens.
CDC data show state exemptions for kindergarten vaccines have surged since the height of the COVID-19 pandemic, with about 5% of schoolchildren in Georgia, Florida and Ohio, more than 6% in Pennsylvania and nearly 7% in Michigan waved out of the requirement last year.
In Alaska and Arizona, those numbers topped 9%. In Idaho, 1 in 6 kindergartners are exempt.
California is one of four states — alongside New York, Connecticut and Maine — with no religious or personal-belief exemptions for school vaccines.
It is also among at least 20 states that have committed to keep the hepatitis B birth dose for babies on public insurance, which covers about half of American children. It is not clear whether the revised recommendation will affect government coverage of the vaccine in other states.
Experts warn that the success of the birth-dose reversal over near-universal objection from the medical establishment puts the entire pediatric vaccination schedule up for grabs, and threatens the school-based rules that enforce it.
Ongoing measles outbreaks in Texas and elsewhere that have killed three and sickened close to 2,000 show the risks of rolling back requirements, experts said.
Hepatitis is not nearly as contagious as measles, which can linger in the air for about two hours. But it’s still fairly easy to pick up, and devastating to those who contract it, experts said.
“These decisions happening today are going to have terrible residual effects later,” said Rivera, the L.A. epidemiologist. “I can’t imagine being a new mom having to navigate this.”
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Political heavyweight Dana White, whose endorsement of President Donald Trump was instrumental in his 2024 victory, is now hinting that he may jump back into presidential politics in 2028 because he has “become really close” with Secretary of State Marco Rubio.
This comes as White’s UFC announced a rare “sports diplomacy” partnership with the State Department this week. White and Rubio signed a memorandum of understanding establishing the partnership last month, according to a UFC statement. The league said that as part of the agreement, UFC athletes and coaches will serve as “sports ambassadors” for young athletes around the world through the State Department’s Sports Envoy Program.
White was explicitly asked by OutKick’s Tomi Lahren, whether there are any leaders he is looking at for 2028, to which he responded, “It’s funny, As I was, leading up to the White House fight, doing all this media, you know, a lot of the left media was saying to me, ‘So, you’re out of politics after this, right?’ And I can’t remember who it was that I said it to but … I said, ‘I’ve become really close to Rubio.’ We’ve become really close.”
“People are asking me if I’m going to get out of politics when the president leaves and I just said, ‘I’ve become very close to Rubio.’ He and I have become friends,” he emphasized.
RUBIO ANNOUNCES FRAMEWORK DEAL BETWEEN ISRAEL AND LEBANON AS EXPERTS WARN IRAN WILL FIGHT TO SABOTAGE IT
UFC President and CEO Dana White and US Secretary of State Marco Rubio shake hands as htey participate in a Memorandum of Understanding signing ceremony at the State Department in Washington, DC, on June 11, 2026. (Brendan SMIALOWSKI / AFP via Getty Images)
White said that Rubio “is a great guy, I like him,” adding, “He’s smart, I like the way he handles himself.”
He also said, “I’ve met his sons, and I like his kids and, you know, so, never say never.”
Pressed on whether Rubio is his official pick to succeed Trump as president, White clarified, “I’m not saying I’m picking.” He noted that he also likes Vice President JD Vance, who, alongside Rubio, is a rumored 2028 presidential frontrunner.
“JD is a great guy too,” said White, adding, “It’s a tricky situation, and I don’t know enough about politics to even comment on that, but, yeah, I don’t know, but it’s not a bad thing to have two strong candidates.”
Rubio and Vance are the two Republicans most discussed as possible successors to Trump. While Rubio ran for president in 2016, he has expressed support for Vance, calling him a “close friend” and saying the vice president “would be a great nominee if he decides he wants to do that.”
VIRAL MARCO RUBIO CLIP ON HIS VISION FOR AMERICA SPARKS MORE 2028 SPECULATION
Vice President JD Vance speaks during a visit to ALTA Refrigeration Inc., Aug. 21, 2025, in Peachtree City, Georgia. (Brynn Anderson/The Associated Press)
Though White stopped short of issuing a full-throated endorsement of Rubio, his partnership with the State Department through UFC underscores the high regard he appears to have for the secretary.
This is the first time the UFC has entered into such a partnership with the State Department. The NFL, which entered into a similar agreement in January, is the only other major sports organization to have signed such a formal agreement with the department.
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UFC Chief Operating Officer Lawrence Epstein said the league is “thrilled” about the partnership. He said it would allow the State Department and UFC to “work together to build bridges through community engagement.”
“We’re excited to join this program, led by Secretary Rubio, as UFC is a truly global organization with athletes representing 75 countries. We can’t wait to get started later this year,” said Epstein.
VANCE TAKES LEAD SELLING TRUMP’S IRAN GAMBLE AS RUBIO, HEGSETH AND RATCLIFFE CEDE SPOTLIGHT ON FRAGILE DEAL
President Donald Trump speaks with Secretary of State Marco Rubio and UFC CEO and President Dana White during UFC 327 at Kaseya Center on April 11, 2026 in Miami, Florida. (Julia Demaree Nikhinson – Pool / Getty Images)
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In turn, Rubio spoke very highly of the UFC, saying it “has become a global phenomenon by embracing values that resonate far beyond the Octagon: excellence, discipline, opportunity, and meritocracy.”
The secretary said the State Department is “proud” to launch the sports diplomacy partnership with UFC and to “continue growing the sport of MMA.”
Politics
Commentary: On Skid Row, it’s been decades of frustration. Will the next mayor have a plan?
On my way through Skid Row to meet up with Estela Lopez, things looked pretty much as they did when I spent time there more than 20 years ago and first heard the promises that things would be better soon.
Tents lined some of the sidewalks, making them unpassable. Some people wore the damage of physical or mental disease, addiction, poverty, or all of the above. Outreach workers with ID lanyards strode through the trash-strewn landscape like lifeguards working against endless tides of fresh emergencies.
When I arrived at Lopez’s office in the 700 block of Crocker Street, where she runs a business improvement district on behalf of 600 or so beleaguered merchants, she had just completed a tour of the neighborhood with John McKinney, a candidate for city attorney.
She held a note card in her hand and shared some numbers, telling McKinney that by her latest count, 131 of the 702 streetlights in the district were out, 27 children were living on Skid Row, and 72 RVs were parked in the area.
“I came out here because I think this symbolizes the greatest failure in government,” McKinney said. “I think it’s the result of bad law and bad policy. I think it’s the result of a lack of leadership and indifference to the way people are living out here. To me, it’s completely untenable.”
But will anything ever change?
It’s a question two people in particular need to address, and I’ll get to that in a minute.
A lot of people I trust and admire work tirelessly to make a difference on Skid Row, and they’re always eager to share the success stories of those who move through and move on. (I’ve got a column on that coming up soon.)
The long-standing problem is that Skid Row is both a social service center and a mecca of drugs and other vices, with traps on every block. And so it’s a neighborhood at war with itself, with some viewing Skid Row as one of the largest recovery centers in the country while others see a snapshot of social collapse.
Estela Lopez has reached out to me several times over the years. About illegal dumping. Typhus. Calls to City Hall that don’t get answered. About the relentless plague of fires, overdoses and assaults.
“Can you imagine, in 24 years, how many people I’ve seen dead on these streets?” Lopez asked me near her office last week.
Estela Lopez runs a business improvement district on behalf of 600 or so beleaguered merchants.
(Genaro Molina / Los Angeles Times)
When the local post office closed recently in part because of security issues, Lopez told The Times’ Melissa Gomez that “we have reached a point in this city where we are unable to address criminal activity. … It’s surrender.”
We walked to the corner of 8th Street, where paramedics had just pulled away from a medical emergency. Cars and pedestrians stopped at tents for brief transactions, leaving little doubt as to the nature of the business being conducted.
We passed a caged dog and saw a puppy on a short leash being loaded into a vehicle. There’s a lot of talk about dogs being bred and sold, and Lopez said she’s seen evidence of animals being mistreated.
On 7th Street we passed the charred residue of a recent fire. A half block east, four men were slumped on the sidewalk, hitting pipes. Lopez gets calls from exasperated merchants dealing with vandalism and with people blocking their storefronts.
“I’ve never seen so many people overdose right here,” said Sergio Moreno, who runs a check-cashing business and said his family has been in business going back to the ‘70s. He said he’s seen paramedics use naloxone to revive opioid users, only to see the same people go down again just days later.
“How can you run a business?” asked Moreno, who chairs the board of the business improvement district Lopez runs. “This business is our life. This is how we got through school, this is how we put our kids through school.”
And yet despite paying city taxes and BID fees, Moreno said, problems persist and his customers fear for their safety.
Dr. Susan Partovi, a street medic for 22 years, has been advocating for more proactive intervention for those in obvious distress. Partovi told me she recently saw a man rise from a gutter, pull down his pants and defecate in front of her. She called to get help for him but said neither paramedics nor police determined him to be gravely disabled.
Lopez walks past residents of Skid Row last week. By her latest count, 131 of the 702 streetlights in the district were out, 27 children were living on Skid Row, and 72 RVs were parked in the area.
(Genaro Molina / Los Angeles Times)
“We have become complacent with having people lying in the gutter, having diarrhea, speaking nonsensically and putting their lives at risk,” said Partovi, whom I once accompanied as she administered long-acting anti-psychotic injections, arguing that people need clear heads to make better choices.
One sore point for Lopez is the Skid Row Care Campus in the 400 block of Crocker Street, which opened a little more than a year ago and offers all sorts of social services, meds that reduce drug cravings, and supplies that allow for safe use of drugs.
Lopez said she understands the theory of harm reduction: Engage people with a goal of getting them into treatment and back on track. But she wonders how successful such programs are, and argues that they become magnets for lawlessness.
As we talked, a young man approached and told Lopez he’d seen her airing her grievances on TV news.
“I’m wondering, what would be your solution?” he asked.
“I would hope that people could return to life in sobriety,” Lopez responded.
The man said he is “trying to elevate” himself, but that he’d been on a waiting list for housing for six months.
Lopez is tired of being on a waiting list, too.
“If something is working down here,” she told me, “you can’t prove it by me.”
Progress is undeniable, said Sieglinde von Deffner, a social worker and Skid Row coordinator for the Los Angeles County Department of Homeless Services and Housing. But given the “highly vulnerable” nature of the population, “the need is colossal,” she said.
A man stands among his belongings along 7th Street in Skid Row in downtown Los Angeles.
(Genaro Molina / Los Angeles Times)
“I have not yet met someone here who doesn’t want housing of some kind. We just don’t have enough affordable housing for everyone,” Von Deffner said, and long-term homelessness makes people harder to reach. “Now, if we could just stop the inflow.”
Dennis Culhane, a University of Pennsylvania professor who researches homelessness and served as an L.A. County consultant, said there are other ways to get people indoors than investing billions of dollars in new housing that takes years to build. Culhane said single adults who are not veterans, including the elderly and disabled, constitute a majority of the homeless population. But assistance is scarce.
“It’s like you have a famine, and you’ve only got food for 15% of the people,” Culhane said.
Rapid rehousing is critical for the newly homeless, he said. But it can take two years for them to qualify for Social Security disability, and once they do, the $1,000 a month “is completely deficient in the face of rising rents.”
Culhane recommends faster approval of SSI benefits and supplementing that income with additional sources of rental assistance. He believes there are enough vacancies at the low end of the housing market to make a sizable dent in homelessness without new construction.
Judy Mauricio, 65, who has been homeless for nine years, rests inside her tent next to her walker. She says her drug addiction has kept her on the street. She receives state disability funds and says she has cancer.
(Genaro Molina / Los Angeles Times)
As campaign season warms up, I’d like to know if Mayor Karen Bass and her challenger, Councilmember Nithya Raman, agree.
The mayor of L.A. is limited by a power split with the City Council, and the county oversees most addiction and mental health services. But Skid Row sits just a few blocks from the seat of city authority, and nobody has more power or responsibility to address the decades-long human catastrophe on Skid Row than the mayor.
Estela Lopez and the merchants deserve better. The people on the street deserve better. Thousands of housed residents deserve better.
Does Bass have a plan other than what’s currently in place? Does Raman have a better one?
If so, I’d like to hear the details, and I’m available.
steve.lopez@latimes.com
Politics
EXCLUSIVE: FBI adds alleged COVID fraudster accused of taking $5M from kids’ meal program to Most Wanted list
FBI makes first arrest from its ‘most wanted fraudsters’ list
FBI Director Kash Patel announces the first arrest on the “Most Wanted Fraudsters” list. Said Ereg, a Minneapolis man, is accused of stealing over $4.2 million from a federal child nutrition program during the COVID-19 pandemic. Minnesota Senate candidate Michele Tafoya emphasizes the need for accountability for fraudulent activities.
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EXCLUSIVE: The FBI is adding Fahad Mohamed Nur to its Most Wanted Fraudsters List, accusing the Minnesota businessman of allegedly stealing more than $5 million that was intended to feed children during the COVID-19 pandemic.
Nur has been on the run since 2022 and is wanted for his alleged role in a fraud scheme that exploited Minnesota’s Federal Child Nutrition Program during the COVID-19 pandemic, according to the FBI. The bureau alleges he owned a vendor and purported food supplier that received more than $5 million in fraudulent program funds by submitting fake invoices before laundering the proceeds.
The Bureau believes Nur has ties to Somalia and may currently be living there.
The FBI is offering a reward of up to $150,000 for information leading to Nur’s arrest and conviction.
OWNER OF DAYCARE IN VIRAL NICK SHIRLEY VIDEO CHARGED IN $4.6M DAYCARE FRAUD SCHEME, PROSECUTORS SAY
Fahad Mohamed Nur has been on the run since 2022 and may be in Somalia, according to the FBI. (Federal Bureau of Investigation)
Nur is the latest addition to the FBI’s Most Wanted Fraudsters List, which officials say has already resulted in the arrests of two fugitives within weeks of its launch.
“Under President Trump’s and Vice President Vance’s leadership with the White House Task Force to Eliminate Fraud, the FBI’s historic ‘Most Wanted Fraudsters list’ has already seen tremendous success – with two subjects brought to justice in a matter of weeks, apprehended out of Somalia and the Philippines,” FBI Director Kash Patel said in a statement to Fox News Digital.
Patel said the early arrests demonstrate that the FBI is aggressively pursuing fugitives accused of stealing from American taxpayers.
FBI ADDS 2 FUGITIVES TO ‘MOST WANTED FRAUDSTERS’ LIST AMID HISTORIC $6.5B HEALTHCARE TAKEDOWN: PATEL
FBI Director Kash Patel conducts a news conference at the Department of Justice on Thursday, December 4, 2025. (Tom Williams/CQ-Roll Call, Inc via Getty Images)
“Our newest subject – Fahad Mohamed Nur – has been on the run since 2022 for allegedly stealing over $5 million from a child nutrition program in Minnesota.”
Patel added: “Collectively, the Task Force has already uncovered more than $13 billion in fraud, and the rapid success of the Most Wanted Fraudsters List should show all Americans that this FBI will [be] at the forefront pursuing the worst of the worst who stole from hardworking American taxpayers.”
DR OZ WARNS MEDICARE SCAMMERS ARE STEALING BILLIONS — AND YOUR PERSONAL INFORMATION COULD BE NEXT
Federal agents enter an office building as a search warrant is executed at Ultimate Home Health Services over potential Medicaid fraud, on December 18, 2025 in Bloomington, Minnesota, United States. (Christopher Juhn/Anadolu via Getty Images)
Federal officials say the investigation is part of a broader government effort targeting pandemic-era fraud.
“The Department’s robust partnership with the FBI and the White House Task Force to Eliminate Fraud has already delivered historic results. That partnership grows even stronger today with the addition of this latest subject to the Most Wanted Fraudsters list,” said Acting Attorney General Todd Blanche. “President Trump has made it clear: Fraudsters no longer have a safe haven in America. Law enforcement will continue to use every tool at its disposal to bring those who steal from American taxpayers to justice.”
The White House Task Force to Eliminate Fraud, led by Vice President JD Vance, has already uncovered more than $13 billion in fraud, according to the FBI.
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Anyone with information about Nur’s whereabouts is urged to contact the FBI at 1-800-CALL-FBI, their local FBI office, the nearest U.S. Embassy or Consulate, or submit a tip online at tips.fbi.gov.
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