clinic

Los Angeles County’s half-cent sales tax to fund healthcare services was trailing Tuesday, with early returns showing a majority of voters rejecting the measure.

The tax — a half-penny of every dollar spent in the county — is meant to prop up local hospitals and clinics that are hemorrhaging funding after recent federal cuts.

The sales tax, which needs a simple majority to pass, would take effect Oct. 1 and last five years. Officials say it would pull in $1 billion annually to help plug the budget holes hitting local hospitals and clinics.

L.A. County health officials anticipate the One Big Beautiful Bill Act, signed into law by President Trump last summer, will slash more than $2 billion from the county’s health services budget within the next three years. Due to eligibility changes, the county will no longer be able to get reimbursements for many Californians who have lost Medi-Cal.

The measure was championed by a coalition of healthcare advocates called Restore Healthcare for Angelenos who warned that mass layoffs and emergency room closures could be imminent if new funding didn’t come fast. The Department of Public Health recently closed seven clinics — a grim sign, supporters said, of service cuts to come.

Voters haven’t rejected a sales tax hike since 2012, when a transportation measure fell just short with 66.1% support. It needed 66.7% to pass.

A majority of county supervisors had supported the new tax proposal, voting 4 to 1 this February to put it on the ballot. But the measure faced significant opposition from local cities, with opponents arguing the sales tax hike would unfairly burden the poorest county residents and encourage people to spend their dollars across the county line.

Supervisor Kathryn Barger, the board’s lone opponent of the tax, said she was concerned it was a “general” tax, meaning the money wouldn’t be earmarked for healthcare costs. Instead, she argued, politicians would have final say over how the money gets spent.

The supervisors have created a plan for spending the tax money, with the largest chunk of the money meant to cover the costs for patients without insurance. The measure also asked voters to sign off on a nine-member oversight committee.

The county currently has a base sales tax rate of 9.75%, and cities impose local taxes on top of that.

May 15 (UPI) — Texas Children’s Hospital plans to create the first “detransition clinic” in the United States as part of a settlement with the state for provided transgender care, officials announced Friday.

Texas Attorney General Ken Paxton announced the settlement, which will also require the hospital to fire and revoke the medical privileges of doctors, as well as pay a $10 million fine.

The hospital will make care at the clinic free of charge for its first five years and offer services for children to detransition to their gender assigned at birth.

Paxton investigated the Houston-based hospital in 2023 for the transgender care services it offered at the same time the state legislature was outlawing gender-affirming care for children.

“I applaud Texas Children’s Hospital for changing course and committing to being part of the solution by agreeing to form a first-of-its kind Detransition Clinic that will provide free care to those who have been victimized by twisted, morally bankrupt transgender ideology,” Paxton said in a statement.

The settlement, he said, is meant to reverse damage caused by “ideologically motivated physicians who harmed patients with their transition care, which the attorney general’s office alleged included the use of false diagnosis codes.

The hospital, in its own statement, said that it had spent the past three years cooperating with the investigation, “navigating an unconscionable campaign of mistrusts and mischaracterizations of gender affirming care.”

It said that multiple internal and external investigations support that the hospital has been compliant with all laws — before and after the state ban on transition care.

“Today, we made the difficult decision to settle with the Texas attorney general and the Department of Justice, closing a chapter that has been wrought with falsehoods and distractions,” the hospital said.

“To be clear — we are settling to protect our resources from endless and costly litigation,” it said. “This settlement will allow us to redirect those precious resources to focus on life-saving care and groundbreaking discoveries of our exceptional clinicians and scientists.”