California
Food, fluoride and funding: How a new Trump term might affect health in California
Donald Trump’s return to the White House stands to significantly shape the health of Californians — the foods they eat, the medicines they take, the costs they face and more.
Trump has said he’ll grant a prominent health role to supporter Robert F. Kennedy Jr., who has made discredited claims about vaccines and bucked the advice of pediatricians and dentists by advocating an end to water fluoridation. Policy analysts expect cuts to Medicaid.
And though Trump has publicly distanced himself from the conservative Project 2025 playbook, many of its proposals overlap with Trump’s agenda and the Republican Party platform. As such, analysts say its detailed proposals on opioid addiction, contraception, mental health treatment and more bear watching.
“I think everything is on the table,” said Gerald Kominski, a senior fellow at the UCLA Center for Health Policy Research.
Already, California Atty. Gen. Rob Bonta has vowed to take the incoming president to court if his administration tries to stymie the state’s progressive agenda.
“Every action they take will likely provoke a lawsuit,” said Larry Levitt, executive vice president for health policy at the Kaiser Family Foundation. “California was a leader in the legal opposition to the first Trump administration, and I would expect that to be the case again this time.”
But some of those moves may not have legal remedies, Levitt cautioned. For example, if Kennedy makes changes to the Food and Drug Administration that weakens its ability to ensure foods and medicines are safe, “there’s not a whole lot California will be able to do to stop that.”
Elections matter. Here are six ways this could affect the Golden State.
Reproductive rights
While Trump has publicly claimed credit for being able to “kill” Roe vs. Wade through his Supreme Court appointments, he’s been harder to pin down on his plans for abortion in a second term. He has said on social media that he wants to leave the matter up to the states, and favors exceptions for rape, incest or life-threatening pregnancies.
With a state constitution that names abortion as a fundamental right, California has some of the strongest reproductive healthcare protections in the U.S.
Yet the administration could attempt to restrict abortion in the state by limiting access to mifepristone, one of the most common drugs used in medication-induced abortions. Conservative groups have been trying to get courts to withdraw the FDA’s approval for the drug.
More than 60% of abortions in the U.S. are induced with medication, according to the Guttmacher Institute, a research group that supports abortion rights.
Project 2025 suggests limiting access to mifepristone by reviving a 19th century law called the Comstock Act that prohibits sending abortion-causing agents by mail. Though both Trump and Vice President-elect JD Vance said during the campaign that they would not enforce it, Vance was among 40 Republican lawmakers who signed a letter last year asking the Department of Justice to do just that. That could matter if Vance has another change of heart and tries to sway his boss.
“Obviously, it would be challenged in court, but we could see a huge disruption to the provision of medication abortion if they decided to try to enforce that,” said Amy Friedrich-Karnik, director of federal policy at the Guttmacher Institute.
Vaccines
Public health experts have been alarmed by Trump’s embrace of Kennedy, who dismisses overwhelming evidence that vaccines are safe. A recent study estimated that a federal program to help pay for childhood immunizations against diseases such as measles, polio and rotavirus has prevented more than 1 million deaths and 32 million hospitalizations since its inception in 1994.
This week, Kennedy said he wouldn’t take vaccines away from anyone who wanted them. “People can make individual assessments about whether that product is going to be good for them,” he told NBC News.
Trump himself said he would cut federal funding to schools with vaccine mandates. His campaign said he was talking about COVID-19 vaccines in particular, but as a candidate, he repeatedly made the pledge without clarifying that. California requires elementary and secondary school students to be immunized against a range of diseases unless they have a medical exemption; the COVID-19 shot is recommended but not mandatory.
In other areas of public health, Trump has said he “probably would” disband the White House Office of Pandemic Preparedness and Response Policy, even as the country is facing a mounting threat from bird flu.
And Kennedy triggered concerns by calling fluoride “an industrial waste” and saying he would push to have the mineral removed from drinking water. The CDC says fluoridation to prevent tooth decay is one of the 20th century’s greatest public health achievements, and more than half of Californians live in communities with fortified water.
Gender-affirming care
California law requires health plans and insurers licensed by the state to provide transgender enrollees with medically necessary gender-affirming care. It also aims to protect doctors from laws that criminalize such care in other states.
But access to gender-affirming care could still be undermined by federal action. Trump said he would press Congress to block the use of federal funds for gender-affirming care, a position also reflected in the Republican Party platform.
A prohibition could be modeled on the decades-old Hyde Amendment, which prevents federal funds from being used to pay for abortions, or tied to appropriations bills, said Julianna S. Gonen, director of federal policy for the National Center for Lesbian Rights.
If implemented, people who rely on public programs such as Medicaid or Medicare could end up with “really limited access to gender-affirming care,” said Lindsey Dawson, director for LGBTQ Health Policy for KFF.
California officials might decide to have the state pick up the tab. Gonen said it would be “very hard” for the Trump administration to block states from doing so, although the last Trump administration threatened to withhold some Medicaid funding from California over its abortion policies.
Trump has taken particular aim at gender-affirming care for transgender youth, and he has a stated goal of prohibiting it “in all 50 states.” He said hospitals that provide such treatment would be cut off from Medicaid and Medicare funding. Gonen said losing that money would be “an existential threat” for health facilities.
Medicaid
In his first term, Trump proposed changes that would reduce federal spending on Medicaid. Trump has promised to spare Medicare and Social Security, but that could make Medicaid a target if spending cuts are needed, some public health experts believe.
“Medicaid would definitely be on the chopping block,” said Edwin Park, a research professor at Georgetown University’s McCourt School of Public Policy.
Cuts in Washington could force California to either pony up more money or shrink existing programs. California has relied on its own dollars to expand its Medicaid program, known as Medi-Cal, to cover people regardless of their immigration status, said John Baackes, chief executive of L.A. Care, the largest publicly operated health plan in the country. But amid budget deficits, “there’s a limitation of what California can do.”
Park added that Trump’s Republican allies have also floated plans that would restrict or prohibit state taxes on healthcare providers, further squeezing funding for Medicaid programs.
Nutrition and food safety
After Kennedy dropped out of the race and endorsed Trump, the former president seemed eager to delegate responsibility for food policy to his new ally, telling supporters last month that “I’m gonna let him go wild on the food.”
Kennedy told NBC that he would work to remove chemical additives from foods that are banned in Europe but still allowed in the U.S. Some of those substances, including red dye No. 3, will become illegal in California in 2027 under a law signed by Gov. Gavin Newsom last year.
Kennedy said he would eliminate the FDA departments tasked with assessing the safety of food ingredients because they are not “doing their job.” It’s not clear if Trump would go along with that.
Project 2025 calls for a repeal of the nation’s dietary guidelines on the grounds that they’ve gone astray by considering the environmental impact of food production. Project 2025 also embraces genetic engineering and other crop biotechnology. It’s not clear if Trump supports those proposals, though in his first term he eased restrictions on genetically engineered foods.
The Affordable Care Act
Trump tried unsuccessfully to roll back the Affordable Care Act during his first term. This time around, Trump has said he would only replace the landmark law if a better plan were devised.
Vance raised the idea of dividing up “risk pools,” which are used to share medical costs and calculate insurance premiums. Critics cautioned that doing so could drive up rates for elderly people with chronic conditions.
Mark A. Peterson, a professor at the UCLA Luskin School of Public Affairs, said that despite continued jabs at the law, “it’s very unlikely that Republicans will want to take on the Affordable Care Act. It did not go well for them last time … and now the Affordable Care Act is more popular than ever.”
A more immediate target may be a set of enhanced subsidies for people buying health insurance through Affordable Care Act marketplaces, which are due to expire at the end of 2025. One analysis found that if that happens, more than 1.5 million Californians would see their annual costs rise by an average of $967.
The Trump campaign has criticized the subsidies, arguing they helped insurance companies more than patients.
By Dan Walters, CalMatters
This commentary was originally published by CalMatters. Sign up for their newsletters.
Two decades ago, when California got serious about reducing or even eliminating carbon dioxide and other greenhouse gases, its political leaders weighed two potential tactics about industrial emissions.
The state could impose direct facility-by-facility limits, generally favored by climate change advocates. Or it could set overall emission reduction goals that would gradually decrease and auction off emission allowances, assuming their costs would encourage reductions.
The latter, known as cap-and-trade, was favored by corporate interests as being less onerous and was adopted, finally taking effect in 2012.
Since then, the California Air Resources Board has conducted quarterly auctions of emission allowances, collecting a total of $35 billion dollars so far, which, in theory, is being spent on projects that would reduce emissions.
The revenues have varied from year to year, but they have generally increased as the emission caps have declined. Since reaching a peak of $8.1 billion in the 2023-24 fiscal year, however, auction proceeds have been declining.
Roughly half of the money has been given to utilities to minimize cap-and-trade’s impact on consumer costs. However, the program has been widely criticized as a de facto tax on gasoline and other fuels, which were already among the most expensive of any state.
The remaining revenues have been deposited into a Greenhouse Gas Reduction Fund that governors and legislators have tapped for various purposes, not all of them connected to emission reductions. In a sense, it’s been a slush fund.
Last year Gov. Gavin Newsom and the Legislature overhauled the program in two bills, Senate Bill 840 and Assembly Bill 1207. The program was extended, it was renamed as cap-and-invest and new priorities for spending auction proceeds were set.
Notably, the state’s cash-strapped and long-stalled bullet train project would get a flat $1 billion a year, rather than the 25% share it had been getting. Project managers hope that lenders will advance enough money to complete its first leg in the San Joacim Valley; the plan is to repay the loans from the $1 billion annual cap-and-invest allocation.
Early this year, the Air Resources Board released new regulations to implement the legislative changes but faced criticism that they would increase consumer costs. That led to a revision in April that softens the rules’ impact — most obviously on refiners who have been threatening to leave California — but environmental groups are very critical.
The April version would also sharply reduce net revenues from emission auctions, according to the Legislative Analyst’s Office, providing barely enough for the $1 billion allocation to the bullet train and another $1 billion for the governor and Legislature to spend. Other programs that have been receiving cap-and-invest support, such as wildfire protection and housing, would probably get nothing.
The program has been tapped in recent years to backfill programs that a deficit-ridden state budget could not cover, so the projected revenue drop would exacerbate efforts by Newsom and legislators to close the state budget’s yawning gap.
“The (Greenhouse Gas Reduction Fund) is a relatively small portion of the overall state budget, but it has been a noteworthy source of funding for environmental and other programs in recent years,” the state Assembly’s budget advisor, Jason Sisney, says in an email. “Collapse of its revenues would change the state budget process noticeably. The state’s cost-pressured general fund seemingly would be unable to make up much, if any, of a significant (Greenhouse Gas Reduction Fund) revenue decline at this time.”
When Newsom presents his revised budget this week, he may reveal how he intends to cover the cap-and-invest program’s shortfall, particularly whether he will maintain the $1 billion bullet train commitment that project leaders say is vital to continuing construction of its Merced-to-Bakersfield segment.
It could boil down to bullet train vs. wildfire protection.
This article was originally published on CalMatters and was republished under the Creative Commons Attribution-NonCommercial-NoDerivatives license.
Vance says Trump cares about Americans finances amid Iran debate
Vance pushes back on claims about Trump and says Americans finances matter as the administration weighs Iran and nuclear diplomacy.
Vice President JD Vance announced on Wednesday, May 13 that the Trump administration will be deferring $1.3 billion in Medicaid reimbursements from the state of California, as part of a new initiative to root out fraud in federal health programs.
The topic of California’s hospice care fraud has been a major focus of scrutiny by state leadership, members of President Donald Trump’s administration, and Gov. Gavin Newsom’s critics. In his announcement, Vance claimed that the administration was set on deferring these funds “because the state of California has not taken fraud very seriously.”
“There are California taxpayers and American taxpayers who are being defrauded because California isn’t taking its program seriously,” Vance said during a press conference.
Notably, this decision was part of Vance’s Anti-Fraud Task Force’s plan to implement a six-month nationwide, data-driven moratorium on new Medicare enrollment for hospices and home health agencies.
The Centers for Medicare and Medicaid Services, which is led by Dr. Mehmet Oz, is set to use this six-month moratorium to conduct investigations and review data on Medicare programs, with the hopes of removing hospice and home health agencies that are suspected of committing fraud.
“Today we’re shutting the door on fraud — preventing new bad actors from entering Medicare while we aggressively identify, investigate, and remove those already exploiting them,” Oz said. “This is about protecting patients, restoring integrity, and safeguarding taxpayer dollars.”
California Attorney General Rob Bonta called the administration’s action “unlawful” and noted that his office would be “carefully reviewing all available information” and may challenge the administration’s decision to threaten “Californians’ rights or access to critical services.”
“Once again, California appears to be targeted solely for political reasons,” Bonta said on X.
“The Trump Administration is planning to defer over $1 billion in Medicaid funding for vital programs that help seniors and people with disabilities remain safely in their homes.”
Bonta and his office have attempted to counteract criticism that the state does not take action against hospice fraud.
In April, Bonta announced that the California Department of Justice had arrested five people in connection with a major health care scheme in Southern California that defrauded taxpayers of nearly a quarter of a billion dollars.
“For years, California has led the charge to protect public programs from fraud and abuse,” Newsom said in the press release on April 10. “We hold accountable to the fullest extent of the law anyone who tries to rip off taxpayers and take advantage of public programs, particularly those as sensitive as hospice care.”
Newsom has yet to publicly respond to the administration’s decision to defer California’s Medicaid reimbursement.
However, shortly after Vance made the announcement, Newsom’s press office blasted the decision on X.
“We hate fraud. But that’s NOT what this is,” Newsom’s press office posted on X. “Vance and Oz are attacking programs that keep seniors and people with disabilities OUT of nursing homes. Pretty sick.”
Noe Padilla is a Northern California Reporter for USA Today. Contact him at npadilla@usatodayco.com, follow him on X @1NoePadilla or on Bluesky @noepadilla.bsky.social. Sign up for the TODAY Californian newsletter or follow us on Facebook at TODAY Californian.
California
California girls’ track and field stars speak out as Gavin Newsom’s Title IX crisis grows
Reese Hogan would have a very different set of medals if the rules were different in California.
It’s her third straight year competing against a trans athlete in the California girls’ track and field state tournament. She would have taken first place in the high jump all to herself in the sectional preliminaries last Saturday, if only biological females were allowed to compete.
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Now she’ll compete against a trans athlete in the sectional finals this weekend, representing her Christian high school, Crean Lutheran. It will mark one year since she went viral on social media for stepping up from the second-place spot on a medal podium up to first place, after a trans athlete who took first place stepped off.
“This is my third year competing against a transgender athlete, and last year I was stripped away of a CIF Title, and I basically worked my whole career to get to that point,” Hogan said on “Fox News at Night” on Tuesday. “It’s just really dissapointing to go into a competition knowing you already lost.”
CALIFORNIA TRACK ATHLETE BRIEFLY POSES ON 1ST-PLACE PODIUM AFTER LOSING TO TRANS ATHLETE, RECEIVES PRAISE
Her Crean Lutheran teammate, Olivia Viola, has been right there with Hogan throughout the three years of competition against trans athletes.
“I haven’t heard nearly enough adults come out and say anything. A lot of them like to say that they agree with you, that they’re proud of you for speaking up now, but they won’t do it themselves,” Viola said. “Just because it doesn’t affect every adult out there doesn’t mean it’s not worth standing up for.”
California has legally allowed biological males to compete in girls’ sports since a state law was enacted in 2013. The state’s education agencies are engaged in a federal Title IX lawsuit with President Donald Trump’s administration for commitment to upholding that state law.
A source at Governor Gavin Newsom’s office previously provided a statement to Fox News Digital in response to news that a “Save Girls Sports” rally, which the two girls attended, would be held at last Saturday’s meet.
“The Governor has said discussions on this issue should be guided by fairness, dignity, and respect. He rejects the right wing’s cynical attempt to weaponize this debate as an excuse to vilify individual kids. The Governor’s position is simple: stand with all kids and stand up to bullies,” the statement read.
“California is one of 22 states that have laws requiring students be permitted to participate in sex-segregated school sports consistent with their gender identity. California passed this law in 2013 (AB 1266) and it was signed into law by Governor Jerry Brown.”
At the rally, Hogan spoke and fired back at Newsom’s office for the statement.
“The recent statements coming from Governor Gavin Newsom’s office have made it clear that there is no intention of creating a safe, fair, and equitable environment for female high school athletes. Him and his office have gone as far as calling young girls bullies for speaking up for what we believe in,” Hogan said.
“The governor himself has admitted that males competing in women’s sports is unfair, yet nothing is being done to protect girls who train every day to compete on a level playing field.”
CALIFORNIA ATHLETE SAYS SHE CHANGES CLOTHES IN HER CAR TO AVOID SHARING A LOCKER ROOM WITH TRANS ATHLETE
California high school girls wear “Protect Girls Sports” shirts at a postseason track meet at Yorba Linda High School on May 10, 2025. (Reese Hogan/Courtesy of Reese Hogan)
Viola also rejected the “bully” assertion in Tuesday’s interview.
“I think his statement is manipulative, and it’s just completely untrue,” Viola said. “He’s saying stand up for all kids, yet he’s essentially trying to silence us… these girls are not bullies. They make a point, we all make an point to say we are not against any individual athlete, we are against California’s policies,” Viola said.
“We believe athletes deserve dignity and respect, and that’s why we believe women deserve the dignity of having their own category.”
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Crean Lutheran High School senior track and field star Reese Hogan speaks at a ‘Save Girls Sports’ rally. (Courtesy of Alyssa Cruz)
Both Viola and Hogan will compete at the California Interscholastic Federation (CIF) Southern Section Final on Saturday in Moorpark, California.
And just like last year, there will be a podium ceremony after the competitions.
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