Tory Starr is worried about the people who get medical care at Open Door Community Health Centers along California’s North Coast.
“They’re the folks that work at restaurants. They’re the teacher’s aides,” said Starr, a registered nurse who became Open Door’s chief executive more than six years ago. Those patients, he said, are “really the heart and soul of rural America.”
He said if his remote health centers don’t get a share of the billions of dollars Congress earmarked to transform health care in rural America, patients may soon lose services. About 50% of Open Door’s 60,000 patients are on Medicaid, the joint state and federal insurance program that, together with the related Children’s Health Insurance Program, covers about 76 million people with low incomes or disabilities.
When Congress approved the One Big Beautiful Bill Act last summer, it cut nearly $1 trillion from Medicaid over the next decade. Now, Starr hopes the $50 billion Rural Health Transformation Program, which was part of the same bill, will help keep his patients covered.
Yet, small community health care providers, such as Open Door, may find they are sharing the billions with an army of corporate giants before it reaches their patients.
Moving through the California Senate are two bills, informed by KFF Health News reporting, that would strengthen protections for patients brought to health facilities by Immigration and Customs Enforcement.
State wants preliminary injunction requiring the hospitals to continue providing medications, and perhaps even surgeries, to patients younger than age 19. (Sisson, 4/27)
Ending transgender, nonbinary, and intersex youth’s access to the healthcare they require to live as their authentic selves has been a main goal of the Trump administration. (Bajko, 4/27)
In its latest expansion move, Valley Children’s Hospital says it spent $107 million from its reserves to add another 277 acres of land already approved for residential and commercial development. (Galicia, 4/28)
Dignity Health is preparing to take over operation of Comprehensive Blood & Cancer Center’s oncology services, excluding dermatology, in a move the hospital network said will enhance the region’s health-care. (Cox, 4/27)
Federal authorities have seized millions of dollars from a Pasadena clinic suspected of bilking Medicare in a skin graft overbilling scam, according to officials. (Winton, 4/28)
Hayley Park will oversee BSCA’s prescription drug programs. The insurer has worked to overhaul its pharmacy management model in a bid to lower drug costs. (Olsen, 4/21)
Sonja Bjork remains upbeat even though overseeing a health plan that administers Medi-Cal benefits to nearly 900,000 people in Northern California is getting increasingly difficult. (Reed, 4/26)
The pharmaceutical company says it could be years before it resumes efforts to redevelop 999 Third St. with buildings for offices and labs. (Rodriguez, 4/26)
A surge in early-onset colorectal cancer is prompting UCSF to tailor care for young adult patients navigating work, parenting and treatment. (Ho, 4/28)
Rampant hospice fraud in California is endangering vulnerable seniors. Learn how the state is cracking down and what families need to know. (Ibarra, 4/29)
The potential release of two men who were convicted of molesting children in the Sacramento region has California lawmakers racing to revise elderly parole rules. (Garcia, 4/22)
California for now has prevented the Trump administration from changing priorities in homelessness funding to favor temporary shelters rather than long-term housing. (Kendall, 4/21)
The Sacramento City Council approved a joint powers authority framework to bring county and nearby cities together to address homelessness. (Desai, 4/29)
The city of Los Angeles is debating ways to gain greater control over the millions of dollars it sends to the Los Angeles Homeless Services Authority to get people off the streets. (Khouri, 4/29)
The California Chamber of Commerce has collected more than 945,000 signatures — nearly twice the 546,651 required — to qualify a measure on the November statewide ballot to overhaul the California Environmental Quality Act, commonly known as CEQA. On Monday it will begin turning them in to elections officials. (Rogers, 4/27)
When Carolyn McCuan moved to San Juan Capistrano in the fall of 2024, she did it on a promise from the city’s then public works director – no chemical herbicides in town. At her previous home in Aliso Viejo, McCuan said she faced years of health problems from heavy spraying of glyphosate-based herbicides like RoundUp near her home, a special subset of pesticides designed to kill plants. (Biesiada, 4/28)
The American Lung Assn.'s 2026 State of the Air report again graded L.A. as having some of the worst air quality in the country. California as a state performed poorly. (Tanaka, 4/22)
Gov. Gavin Newsom’s CARE Court struggles to serve Californians in acute mental health crises. Two bills are moving forward to change that. (Kendall, 4/27)
The death of Khimberly Zavaleta Chuquipa, 12, has led some, including her family, to question whether L.A. Unified could have — or should have — done more to protect her from campus bullies. (Harter, 4/21)
Maria Raine told lawmakers Monday that ChatGPT mentioned suicide almost 1,300 times to her son Adam before he died by suicide in April 2025. (Wolffe, 4/21)
California now has eight ICE detention centers. Two opened since President Trump took office in 2025, with both operating in former state prisons. (Fry, 4/23)
Originally established to help victims of domestic violence, California’s Safe at Home program helps participants keep their residential addresses confidential and out of public records by providing a substitute mailing address through the California secretary of state. People who live in the same residence are also eligible. (La, 4/24)
Officials say kratom, often sold in drinks and gummies and marketed for energy and pain relief, poses growing risks of addiction and overdose. (Ho, 4/22)
A handful of people are responsible for suing thousands of local businesses under the Americans With Disabilities Act. Proponents argue the lawsuits help protect the rights of the disabled. Store owners say they are being squeezed for cash over what they claim are minor violations. (Ellis, 4/27)
Lawmakers are considering new restrictions on e-bikes, but riders and researchers say illegal e-motos and unsafe streets may be the bigger danger. (Zavala, 4/27)
A woman died this month after being bitten by a snake three times as she was taking a walk on rural property in the unincorporated Mendocino County community of Redwood Valley, officials say. The 78-year-old Northern California woman is the third person to die in California during an erratic snake season. On average, five people die nationwide from venomous snakebites annually, according to federal health officials. (Garcia, 4/21)
This Week's 'KFF Health News Minute'
The Trump administration wants to kick off a new baby boom with big changes to Title X. Plus, tips to make sure a life change doesn’t leave you without health insurance.
KFF Health Newsis a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF — the independent source for health policy research, polling, and journalism.
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