coalition

L.A. County voters will be asked this June to hike the sales tax rate by a half-cent to soften the blow of federal funding cuts on the region’s public health system.

The county Board of Supervisors voted 4 to 1 Tuesday to put the sales tax on the ballot. County officials estimate it would generate $1 billion per year to replenish the shrinking budgets of local hospitals and clinics. The tax, if approved by voters this summer, would last for five years.

The supervisors say the increased tax — a half-cent of every dollar spent — would offset major funding cuts in the One Big Beautiful Bill Act, which is expected to slash more than $2 billion from the county’s budget for health services over the next three years.

“Millions of people look to us to step up even when the federal government has walked away,” said Supervisor Holly Mitchell, who introduced the ballot proposal along with Supervisor Hilda Solis.

The tax was pushed by Restore Healthcare for Angelenos, a coalition of healthcare workers and advocates, who argue it is necessary to ward off mass layoffs of healthcare workers and keep emergency rooms open.

Mitchell said she was trying to make sure supervisors learned their lesson from the closure of Martin Luther King Jr./Drew Medical Center in 2007, which ripped a gaping hole in the health system for South L.A. residents who had to travel farther to more crowded emergency rooms.

“People died as a result of that,” she said. “I don’t want to go back there.”

Supervisor Kathryn Barger cast the lone no vote, saying she believed the county should look to the state for help rather than taxpayers. She also said she was concerned the tax money was not earmarked for healthcare costs but rather would go into the general fund, giving officials more discretion over how it gets spent.

“We are not, as a whole, credible when it comes to promises made, promises broken,” she said.

Members of the audience hold up signs inside the county Hall of Administration, where supervisors discussed how to replenish more than $2 billion in federal funding cuts to the county healthcare system.

(Myung J. Chun / Los Angeles Times)

As part of the tax hike, voters would be asked to also approve the creation of an oversight group to monitor how the money is spent. The supervisors also voted on a spending plan for the money, which would have the largest chunk of funds go to care for uninsured residents.

Los Angeles County currently has a sales tax of 9.75% with cities adding their own sales tax on top. If the healthcare hike passes this summer, the sales tax would be more than 11% in some cities. Palmdale and Lancaster, some of the poorest parts of the county, would potentially have the highest sales tax of 11.75%.

County public health officials painted a grim picture of what life looks like for the poorest and sickest residents if new money doesn’t flow into the system. Emergency rooms could be shuttered, they warned. Contact tracing and the daily testing of ocean water quality could slow down. Tens of thousands of health workers could lose their jobs, they said.

“The threat is real already,” said Barbara Ferrer, the head of the county Department of Public Health.

Some on Tuesday condemned the measure as well-intentioned but ill-formulated. The California Contract Cities Assn., a coalition of cities inside Los Angeles County, argued a larger sales tax would “disproportionately burden the very residents the County seeks to protect.”

“My phone has been blowing up,” said Janice Hahn, one of two supervisors who said the Citadel Outlets, a large shopping mall in City of Commerce, called to say they were worried shoppers were going to start crossing county lines.

With the effects of the federal cuts expected to be felt across the state, other California counties have already started to look to consumers to replenish government coffers. Last November, Santa Clara County voters approved a similar sales tax measure to raise money for the public health system.

WASHINGTON — On New Year’s Eve, Lee Zeldin did something out of character for an Environmental Protection Agency leader who has been hacking away at regulations intended to protect Americans’ air and water.

He announced new restrictions on five chemicals commonly used in building materials, plastic products and adhesives, and he cheered it as a “MAHA win.”

It was one of many signs of a fragile collaboration that’s been building between a Republican administration that’s traditionally supported big business and a Make America Healthy Again movement that argues corporate environmental harms are putting people’s health in danger.

The unlikely pairing grew out of the coalition’s success influencing public health policy with the help of its biggest champion, Robert F. Kennedy Jr. As Health and Human Services secretary, he has pared back vaccine recommendations and shifted the government’s position on topics such as seed oils, fluoride and Tylenol.

Building on that momentum, the movement now sees a glimmer of hope in the EPA’s promise to release a “MAHA agenda” in the coming months.

At stake is the strength of President Trump’s coalition as November’s midterm elections threaten his party’s control of Congress. After a politically diverse group of MAHA devotees came together to help Trump return to the White House a little more than one year ago, disappointing them could mean losing the support of a vocal voting bloc.

Activists such as Courtney Swan, who focuses on nutritional issues and has spoken with EPA officials in recent months, are watching closely.

“This is becoming an issue that if the EPA does not start getting their stuff together, then they could lose the midterms over this,” she said.

Christopher Bosso, a professor at Northeastern University who researches environmental policy, said Zeldin didn’t seem to take MAHA seriously at first, “but now he has to, because they’ve been really calling for his scalp.”

MAHA wins a seat at the table

Last year, prominent activist Kelly Ryerson was so frustrated with the EPA over its weakening of protections against harmful chemicals that she and other MAHA supporters drew up a petition to get Zeldin fired.

The final straw, Ryerson said, was the EPA’s approval of two new pesticides for use on food. Ryerson, whose social media account “Glyphosate Girl” focuses on nontoxic food systems, said the pesticides contained “forever chemicals,” which resist breakdown, making them hazardous to people. The EPA has disputed that characterization.

But Ryerson’s relationship with the EPA changed at a MAHA Christmas party in Washington in December. She talked to Zeldin there and felt that he listened to her perspective. Then he invited her and a handful of other activists to sit down with him at the EPA headquarters. That meeting lasted an hour, and it led to more conversations with Zeldin’s deputies.

“The level of engagement with people concerned with their health is absolutely revolutionary,” Ryerson said in an interview. She said the agency’s upcoming plan “will say whether or not they take it seriously,” but she praised MAHA’s access as “unprecedented.”

Rashmi Joglekar, associate director of science, policy and engagement at UC San Francisco’s Program on Reproductive Health and the Environment, said it’s not typical for an activist group to meet with the EPA administrator. She said MAHA’s ability to make inroads so quickly shows how “powerful” the coalition has become.

The movement’s influence is not just at the EPA. MAHA has steered federal and state lawmakers away from enacting liability shields that protect pesticide manufacturers from expensive lawsuits. In Congress, after MAHA activists lobbied against such protections in a funding bill, they were removed. A similar measure stalled in Tennessee’s Legislature.

Zeldin joined a call in December with the advocacy group MAHA Action, during which he invited activists to participate in developing the EPA’s MAHA agenda. Since then, EPA staffers have regularly appeared on the weekly calls and promoted what they say are open-door policies.

Last month, Ryerson’s petition to get Zeldin fired was updated to note that several signers had met with him and are in a “collaborative effort to advance the MAHA agenda.”

Zeldin’s office declined to make him available for an interview on his work with MAHA activists, but EPA Press Secretary Brigit Hirsch said the forthcoming agenda will “directly respond to priorities we’ve heard from MAHA advocates and communities.”

The American Chemistry Council said “smart, pro-growth policies can protect both the environment and human health as well as grow the U.S. economy.”

EPA’s alliance with industry raises questions

Despite the ongoing conversations, the Republican emphasis on deregulation still puts MAHA and the EPA on a potential collision course.

Lori Ann Burd, the environmental health program director at the Center for Biological Diversity, said the administration has a particularly strong alliance with industry interests.

As an example, she pointed to the EPA’s proposal to allow the broad use of the weed killer dicamba on soybeans and cotton. A month before the announcement, the EPA hired a lobbyist for the soybean association, Kyle Kunkler, to serve in a senior position overseeing pesticides.

Hirsch denied that Kunkler had anything to do with the decision and said the EPA’s pesticide decisions are “driven by statutory standards and scientific evidence.”

Environmentalists said the hiring of ex-industry leaders is a theme of this administration. Nancy Beck and Lynn Dekleva, for example, are former higher-ups at the American Chemistry Council, an industry association. They now work in leadership in the Office of Chemical Safety and Pollution Prevention, which oversees pesticide and toxic chemical regulation.

Hirsch said the agency consults with ethics officials to prevent conflicts of interest and ensures that appointees are qualified and focused on the science, “unlike previous administrations that too often deferred to activist groups instead of objective evidence.”

Alexandra Muñoz, a molecular toxicologist who works with MAHA activists on some issues and was in the hourlong meeting with Zeldin, said she could sense industry influence in the room.

“They were very polite in the meeting. In terms of the tone, there was a lot of receptivity,” she said. “However, in terms of what was said, it felt like we were interacting with a lot of industry talking points.”

Activists await the EPA’s MAHA agenda

Hirsch said the MAHA agenda will address issues such as lead pipes, forever chemicals, plastic pollution, food quality and Superfund cleanups.

Ryerson said she wants to get the chemical atrazine out of drinking water and stop the pre-harvest desiccation of food, in which farmers apply pesticides to crops immediately before they are harvested.

She also wants to see cancer warnings on the ingredient glyphosate, which some studies associate with cancer even as the EPA said it is unlikely to be carcinogenic to humans when used as directed.

Although she’s optimistic that the political payoffs will be big enough for Zeldin to act, she said some of the moves he’s already promoting as “MAHA wins” are no such thing.

For example, in his New Year’s Eve announcement on a group of chemicals called phthalates, he said the agency intends to regulate some of them for environmental and workplace risks, but didn’t address the thousands of consumer products that contain the ingredients.

Swan said time will tell if the agency is being performative.

“The EPA is giving very mixed signals right now,” she said.

Govindarao, Swenson and Phillis write for the Associated Press. Govindarao reported from Phoenix.