funding

Jan. 8 (UPI) — Despite the Trump administration withdrawing the United States from 31 U.N. entities, the U.S. is obligated to continue providing assessed funding amounts, U.N. officials said on Thursday.

Despite the changes, U.N. Secretary-General Antonio Guterres the U.N.’s work will continue, and all member states, including the United States, are obligated to provide assessed contributions to the U.N.’s “regular and peacekeeping budgets” that have been approved by the General Assembly.

U.N. officials said they will continue to “deliver for those who depend on us” and “will continue to carry out our mandates with determination,” spokesman Stephane Dujarric said in a prepared statement.

“The secretary-general regrets the announcement by the White House regarding the United States’ decision to withdraw from a number of United Nations entities,” Dujarric continued.

“Assessed contributions to the United Nations’ regular budget and peacekeeping budget, as approved by the General Assembly, are a legal obligation under the U.N. Charter for all member states, including the United States,” he said.

“All United Nations entities will go on with the implementation of their mandates as given by member states.”

President Donald Trump announced the U.S. is withdrawing its participation in and funding for 66 international organizations, treaties and conventions and signed an executive order proclaiming such on Wednesday.

The decision affects U.S. participation in 31 U.N. entities, including its Population Fund that supports maternal and child health and combats sexual and gender-based violence.

SACRAMENTO — Gov. Gavin Newsom and other state Democratic leaders accused President Trump of unleashing a political vendetta after he announced plans to freeze roughly $10 billion in federal funding for child care and social services programs in California and four other Democrat-controlled states.

Trump justified the action in comments posted on his social media platform Truth Social, where he accused Newsom of widespread fraud. The governor’s office dismissed the accusation as “deranged.”

Trump’s announcement came amid a broader administration push to target Democratic-led states over alleged fraud in taxpayer-funded programs, following sweeping prosecutions in Minnesota. The U.S. Department of Health and Human Services confirmed the planned funding freeze, which was first reported by The New York Post.

California officials said they have received no formal notice and argued the president is using unsubstantiated claims to justify a move that could jeopardize child care and social services for low-income families.

How we got here

Trump posted on his social media site Truth Social on Tuesday that under Newsom, California is “more corrupt than Minnesota, if that’s possible???” In the post, Trump used a derogatory nickname for Newsom that has become popular with the governor’s critics, referring to him as “Newscum.”

“The Fraud Investigation of California has begun,” Trump wrote.

The president also retweeted a story by the New York Post that said his Department of Health and Human Services will freeze taxpayer funding from the Child Care Development Fund, the Temporary Assistance for Needy Families program, which is known as CalWORKS in California, and the Social Services Block Grant program. HHS said that the impacted states are California, Colorado, Illinois, Minnesota, and New York.

“For too long, Democrat-led states and Governors have been complicit in allowing massive amounts of fraud to occur under their watch,” said Andrew Nixon, a HHS spokesperson. “Under the Trump Administration, we are ensuring that federal taxpayer dollars are being used for legitimate purposes. We will ensure these states are following the law and protecting hard-earned taxpayer money.”

HHS announced last month that all 50 states will have to provide additional levels of verification and administrative data before they receive more funding from the Child Care and Development Fund following a series of fraud schemes at Minnesota day care centers run by Somali residents.

“The Trump Administration is using the moral guise of eliminating ‘fraud and abuse’ to undermine essential programs and punish families and children who depend on these services to survive, many of whom have no other options if this funding disappears,” Kristin McGuire, president of Young Invincibles, a young-adult nonprofit economic advocacy group, said in a statement. “This is yet another ideologically motivated attack on states that treats millions of families as pawns in a political game.”

California pushes back

Newsom’s office brushed off Trump’s post about fraud allegations, calling the president “a deranged, habitual liar whose relationship with reality ended years ago.” Newsom himself said he welcomes federal fraud investigations in the state, adding in an interview on MS NOW that aired Monday night: “Bring it on … if he has some unique insight and information, I look forward to partnering with him. I can’t stand fraud.”

However, Newsom said cutting off funding hurts hard-working families who rely on the assistance.

“You want to support families? You believe in families? Then you believe in supporting child care and child care workers in the workforce,” Newsom told MS NOW.

California has not been notified of any changes to federal child care or social services funding. H.D. Palmer, a spokesperson for the Department of Finance, said the only indication from Washington that California’s childcare funding could be in jeopardy was the vague 5 a.m. post Tuesday by the president on Truth Social.

“The president tosses these social media missives in the same way Mardi Gras revelers throw beads on Bourbon Street — with zero regard for accuracy or precision,” Palmer said.

In the current state budget, Palmer said California’s childcare spending is $7.3 billion, of which $2.2 billion is federal dollars. Newsom is set to unveil his budget proposal Friday for the upcoming fiscal year that begins July 1, which will mark the governor’s final spending plan before he terms out. Newsom has acknowledged that he is considering a 2028 bid for president, but has repeatedly brushed aside reporters’ questions about it, saying his focus remains on governing California.

Palmer said while details about the potential threat to federal childcare dollars remain unclear, what is known is that federal dollars are not like “a spigot that will be turned off by the end of the week.”

“There is no immediate cutoff that will happen,” Palmer said.

Since Trump took office, California has filed dozens of legal actions to block the president’s policy changes and funding cuts, and the state has prevailed in many of them.

What happened in Minnesota

Federal prosecutors say Minnesota has been hit by some of the largest fraud schemes involving state-run, federally funded programs in the country. Federal prosecutors estimate that as much as half of roughly $18 billion paid to 14 Minnesota programs since 2018 may be fraudulent, with providers accused of billing for services never delivered and diverting money for personal use.

The scale of the fraud has drawn national attention and fueled the Trump administration’s decision to freeze child care funds while demanding additional safeguards prior to doling out money, moves that critics say risk harming families who rely on the programs. Gov. Tim Walz has ordered a third-party audit and appointed a director of program integrity. Amid the fallout, Walz announced he will not seek a third term.

Outrage over the fraud reached a fever pitch in the White House after a video posted online by an influencer purported to expose extensive fraud at Somali-run child care centers in Minnesota. On Monday, that influencer, Nick Shirley, posted on the social media site X, “I ENDED TIM WALZ,” a claim that prompted calls from conservative activists to shift scrutiny to Newsom and California next.

Right-wing podcaster Benny Johnson posted on X that his team will be traveling to California next week to show “how criminal California fraud is robbing our nation blind.”

California officials have acknowledged fraud failures in the past, most notably at the Employment Development Department during the COVID-19 pandemic, when weakened safeguards led to billions of dollars in unemployment payments later deemed potentially fraudulent.

An independent state audit released last month found administrative vulnerabilities in some of California’s social services programs but stopped short of alleging widespread fraud or corruption. The California State Auditor added the Department of Social Services to its high-risk list because of persistent errors in calculating CalFresh benefits, which provides food assistance to those in need — a measure of payment accuracy rather than criminal activity — warning that federal law changes could eventually force the state to absorb billions of dollars in additional costs if those errors are not reduced.

What’s at stake in California

The Trump administration’s plans to freeze federal child care, welfare and social services funding would impact $7.3 billion in Temporary Assistance for Needy Families funding, $2.4 billion for child care subsidies and more than $800 million for social services programs in the five states.

The move was quickly criticized as politically motivated because the targeted states were all Democrat-led.

“Trump is now illegally freezing childcare and other funding for working families, but only in blue states,” state Sen. Scott Wiener (D-San Francisco) said in a statement. “He says it’s because of ‘fraud,’ but it has nothing to do with fraud and everything to do with politics. Florida had the largest Medicaid fraud in U.S. history yet isn’t on this list.”

Added California Assembly Speaker Robert Rivas: “It is unconscionable for Trump and Republicans to rip away billions of dollars that support child care and families in need, and this has nothing to do with fraud. California taxpayers pay for these programs — period — and Trump has no right to steal from our hard-working residents. We will continue to fight back.”

Times staff writer Daniel Miller contributed to this report.

When Virginia Guevara moved into a studio apartment in Orange County in 2024 after nearly a decade of homelessness, she needed far more than a roof and a bed.

Scattered visits to free clinics notwithstanding, Guevara hadn’t had a full medical checkup in years. She required dental work. She wanted to start looking for a job. And she was overwhelmed by the maze of paperwork needed simply to get her off the street, much less to make any of the other things happen.

But Guevara had help. The Jamboree Housing Corp., an affordable-housing nonprofit that renovated a former hotel in Stanton that Guevara now calls home, didn’t just move her in — it also provided her a fleet of wraparound services. Jamboree counselors helped Guevara navigate the healthcare system to see a doctor and a dentist, buy a few things for her apartment, and get training to become a caregiver.

“I was years on the street before I got the kind of help I needed so I could help myself,” said Guevara, 68.

Amid the Trump administration’s apparent opposition to using Medicaid funding for such social services, staffers at Jamboree and similar affordable-housing providers in California have feared losing federal money. The experimental waivers that provide the primary funding for the program expire at the end of 2026. But as it turns out, the state had the foresight several years ago to designate certain nonhousing social services — such as mental health care, drug counseling and job training — as a form of Medicaid spending that will continue to be reimbursed.

Catherine Howden, a spokesperson for the federal Centers for Medicare & Medicaid Services, confirmed that California’s use of the “in lieu of services” classification for these wraparound programs is allowed under federal regulations.

“It is starting to sound positive that we will, at the very least, be able to continue billing for these services after the waiver period,” said Natalie Reider, a senior vice president at Jamboree Housing.

During President Trump’s first term, states were permitted to use Medicaid money for social support services not typically covered by health insurance. But the second Trump administration is reeling that policy back in, saying that the intervening Biden administration took the supportive services process too far. Howden said in a statement that the policy “distracted the Medicaid program from its core mission: providing excellent health outcomes for vulnerable Americans.”

Through CalAIM, a five-year experimental build-out of the Medicaid system, programs such as Jamboree were able to leverage federal funding to offer the kinds of nonhousing social services that experts contend are essential to keeping people permanently housed.

However, these wraparound services are only one component of the CalAIM initiative, which is attempting to take Medicaid, known as Medi-Cal in California, in a more holistic direction across all areas of care. And when CalAIM launched, California officials gave the programs the Medicaid “in lieu of services” designation, known as ILOS, in effect putting them outside the waiver process and ensuring that even when CalAIM sunsets, money for those social initiatives will continue to flow.

“California has tried to future-proof many of the policy changes it has made in Medi-Cal by including them in mechanisms like ILOS that do not require federal waiver approval,” said Larry Levitt, executive vice president for health policy at KFF, a health information nonprofit that includes KFF Health News. “That allows these policy changes to continue, even with a politically hostile federal administration.”

The designation allows these social services to be funded through Medicaid managed-care plans under existing federal laws because they are cost-effective substitutes for a Medicaid service or reduce the likelihood of patients needing other Medicaid-covered healthcare services, said Glenn Tsang, policy advisor for homelessness and housing at the state’s Department of Health Care Services. The state could not provide an estimate of the annual funding for these wraparound services because they are not distinguished from other payments made to Medicaid managed-care plans.

“We are full steam ahead with these services,” Tsang said, “and they are authorized.”

Although California was the first state to incorporate the designation for such housing and other health-related social support, Tsang said, several other states — including Arizona, Arkansas, Florida, New York and North Carolina — are now using the mechanism in a similar fashion.

Paul San Felipe, senior program manager for Jamboree, speaks during a meeting at Clara Vista in Stanton on Dec. 29, 2025.

(Eric Thayer / Los Angeles Times)

Early results suggest such support saves on healthcare spending. When Jamboree, MidPen Housing Corp. in Northern California, RH Community Builders in the Central Valley and other permanent supportive housing providers employ a holistic approach that includes social services, they reported higher rates of formerly homeless people remaining in housing, less frequent use of costly emergency health services, and more residents landing jobs that help them pay rent and stay housed.

At the nonprofit MidPen Housing, which serves 12 counties in and around the San Francisco Bay Area, roughly 40% of the units in the program’s pipeline are earmarked for “extremely low-income” people, a group that includes those who are homeless, said Danielle McCluskey, senior director of resident services.

CalAIM reimbursements help fund the part of MidPen that focuses on supportive services across a wide range of experiences, such as chronic homelessness, mental health issues and those leaving the foster care system. McCluskey described it as one leg of a three-legged stool, the others being real estate development and property management.

“If any of those legs are not getting what they need, if they’re not funded or not staffed or resourced, then that stool is kind of wobbly — off-kilter,” the director said.

A recent state evaluation found that people who used at least one of the housing support services — including navigation into new housing, healthcare assistance and a deposit to secure an apartment — saw a 13% reduction in emergency department visits and a 24% reduction in inpatient admissions in the six months that followed.

Documenting those outcomes is crucial because the department needs to show federal officials that the services lessen the need for other, often costlier Medicaid-covered care — the essence of the classification.

Advocates for the inclusion of supportive services argue that the American system ultimately saves money on those investments. As California’s homeless population has soared in recent years to more than 187,000 on a given night — nearly a quarter of the U.S. total — Jamboree has been allocating more of its resources to permanent supportive housing.

Founded in 1990 in Orange County, Jamboree builds various types of affordable housing using federal, state and private funding. Reider said about a fifth of the organization’s portfolio is dedicated to permanent supportive housing.

“They’re not going back out to the streets. They’re not going to jail. They’re not going to the hospitals,” Reider said. “Keeping people housed is the No. 1 outcome, and it is the cost-saver, right? We’re using Medicaid dollars, but we’re saving the system money in the long run.”

Guevara spent years living out of her truck before a shelter worker connected her with Jamboree. Now she also has found work as a caregiver.

(Eric Thayer / Los Angeles Times)

Guevara, who wound up on the streets after a falling-out with family in 2015, spent years living out of her truck before a shelter worker connected her with Jamboree. There, she was paired with a specialist to help her figure out how to get and see a doctor, and to keep up with scheduling the battery of medical tests she needed after years spent living in temporary shelters.

“I also got a job developer, who helped me get this job with the county so I can pay my rent,” Guevara said of her position as a part-time in-home caregiver. “Now I take care of people kind of the same way people have been taking care of me.”

KFF Health News is 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.

The American Academy of Pediatrics sued the U.S. Department of Health and Human Services on Wednesday, seeking to block nearly $12 million in cuts to the group.

Earlier this month, the federal government “abruptly terminated” grants to the group, the lawsuit says.

The funding supported numerous public health programs, including efforts to prevent sudden unexpected infant death, strengthen pediatric care in rural communities and support teens facing substance use and mental health challenges.

“AAP does not have other sources of grant funding to replace the federal awards, and without the necessary funds it must immediately terminate its work on its dozens of programs that save children’s lives every day,” says the lawsuit, filed in the U.S. District Court for the District of Columbia. “Within a few weeks, AAP will have to begin laying off employees dedicated to this critically important work.”

The suit alleges Health and Human Services made the cuts in retaliation for the doctors’ group speaking out against the Trump administration’s positions and actions.

The doctors’ group has been vocal about its support for pediatric vaccines and has publicly opposed the agency’s positions. Health Secretary Robert F. Kennedy Jr. — who helped lead the anti-vaccine movement for years — is seeking to broadly remake federal policies on vaccines. Earlier this year, the pediatrics group released its own recommendations on COVID-19 vaccines, which substantially diverged from the government’s recommendations.

The group also supports access to gender-affirming care and has publicly criticized Health and Human Services positions on the topic, saying it opposes what it calls the government’s infringements on the doctor-patient relationship.

“The Department of Health and Human Services is using federal funding as a political weapon to punish protected speech, trying to silence one of the nation’s most trusted voices for children’s well-being by cutting off critical public health funding in retaliation for speaking the truth,” Skye Perryman, president and chief executive officer of Democracy Forward, said in a statement. Perryman’s organization is representing the doctors’ group in the case.

A spokesman for Health and Human Services could not immediately be reached for comment.

Mark Del Monte, CEO and executive vice president of the 67,000-member doctors’ group, said the organization depends on its relationship with the federal government.

“We need this partnership to advance policies that prioritize children’s health. These vital child health programs fund services like hearing screenings for newborns and safe sleep campaigns to prevent sudden unexpected infant death,” he said in a statement. “We are forced to take legal action today so that these programs can continue to make communities safer and healthier.” 

Ungar writes for the Associated Press.

In 2013, before the Affordable Care Act helped millions get health insurance, California’s Placer County provided limited healthcare to some 3,400 uninsured residents who couldn’t afford to see a doctor.

For several years, that number has been zero in the predominantly white, largely rural county stretching from Sacramento’s eastern suburbs to the shores of Lake Tahoe.

The trend could be short-lived.

County health officials there and across the country are bracing for an estimated 10 million newly uninsured patients over the next decade in the wake of Republicans’ One Big Beautiful Bill Act. The act, which President Trump signed into law this summer, is expected to reduce Medicaid spending by more than $900 billion over that period.

“This is the moment where a lot of hard decisions have to be made about who gets care and who doesn’t,” said Nadereh Pourat, director of the Health Economics and Evaluation Research Program at UCLA. “The number of people who are going to lose coverage is large, and a lot of the systems that were in place to provide care to those individuals have either gone away or diminished.”

It’s an especially thorny challenge for states such as California and New Mexico where counties are legally required to help their poorest residents through what are known as indigent care programs. Under Obamacare, both states were able to expand Medicaid to include more low-income residents, alleviating counties of patient loads and redirecting much of their funding for the patchwork of local programs that provided bare-bones services.

Placer County, which estimates that 16,000 residents could lose healthcare coverage by 2028, quit operating its own clinics nearly a decade ago.

“Most of the infrastructure that we had to meet those needs is gone,” said Rob Oldham, Placer County’s director of health and human services. “This is a much bigger problem than it was a decade ago and much more costly.”

In December, county officials asked to join a statewide association that provides care to mostly small, rural counties, citing an expected rise in the number of uninsured residents.

New Mexico’s second-most populous county, Doña Ana, added dental care for seniors and behavioral health benefits after many of its poorest residents qualified for Medicaid. Now, federal cuts could force the county to reconsider, said Jamie Michael, Doña Ana’s health and human services director.

“At some point we’re going to have to look at either allocating more money or reducing the benefits,” Michael said.

Straining state budgets

Some states, such as Idaho and Colorado, abandoned laws that required counties to be providers of last resort for their residents. In other states, uninsured patients often delay care or receive it at hospital emergency rooms or community clinics. Those clinics are often supported by a mix of federal, state and local funds, according to the National Assn. of Community Health Centers.

Even in states like Texas, which opted not to expand its Medicaid program and continued to rely on counties to care for many of its uninsured, rising healthcare costs are straining local budgets.

“As we have more growth, more people coming in, it’s harder and harder to fund things that are required by the state Legislature, and this isn’t one we can decrease,” said Windy Johnson, program manager with the Texas Indigent Health Care Assn. “It is a fiscal issue.”

California lawmakers face a nearly $18-billion budget deficit in the 2026-27 fiscal year, according to the latest estimates by the state’s nonpartisan Legislative Analyst’s Office. Gov. Gavin Newsom, who recently acknowledged he’s mulling over a White House run, has rebuffed several efforts to significantly raise taxes on the ultrawealthy. Despite blasting the bill passed by Republicans in Congress as a “complete moral failure” that guts healthcare programs, the Democrat this year rolled back state Medi-Cal benefits for seniors and for immigrants without legal status after rising costs forced the program to borrow $4.4 billion from the state’s general fund.

H.D. Palmer, a spokesperson for the state’s Department of Finance, said that the Newsom administration is still refining its fiscal projections and that it would be premature to discuss potential budget solutions.

Newsom will unveil his initial budget proposal in January. State officials have said California could lose $30 billion a year in federal funding for Medi-Cal under the new law, as much as 15% of the state program’s entire budget.

“Local governments don’t really have much capacity to raise revenue,” said Scott Graves, a director at the independent California Budget & Policy Center with a focus on state budgets. “State leaders, if they choose to prioritize it, need to decide where they’re going to find the funding that would be needed to help those who are going to lose healthcare as a result of these federal funding and policy cuts.”

Reviving county-based programs in the near term would require “considerable fiscal restructuring” through the state budget, the Legislative Analyst’s Office said in an October report.

No easy fixes

It’s unclear how many people are enrolled in California’s county indigent programs, because the state doesn’t track enrollment and utilization. But enrollment in county health safety net programs dropped dramatically in the first full year of Affordable Care Act implementation, going from about 858,000 people statewide in 2013 to roughly 176,000 by the end of 2014, according to a survey at the time by Health Access California.

“We’re going to need state investment,” said Michelle Gibbons, executive director of the County Health Executives Assn. of California. “After the Affordable Care Act and as folks got coverage, we didn’t imagine a moment like this where potentially that progress would be unwound and folks would be falling back into indigent care.”

In November, voters in affluent Santa Clara County approved a sales tax increase, in part to backfill the loss of federal funds. But even in the home of Silicon Valley, where the median household income is about 1.7 times the statewide average, that is expected to cover only a third of the $1 billion a year the county stands to lose.

Health advocates fear that, absent major state investments, Californians could see a return to the previous patchwork of county-run programs, with local governments choosing whom and what they cover and for how long.

In many cases, indigent programs didn’t include specialty care, behavioral health or regular access to primary care. Counties can also exclude people based on immigration status or income. Before the ACA, many uninsured people who needed care didn’t get it, which could lead to them winding up in emergency rooms with untreated health conditions or even dying, said Kiran Savage-Sangwan, executive director of the California Pan-Ethnic Health Network.

Rachel Linn Gish, interim deputy director of Health Access California, a consumer advocacy group, said that “it created a very unequal, maldistributed program throughout the state.”

“Many of us,” she said. “including counties, are reeling trying to figure out: What are those downstream impacts?”

KFF Health News is 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.

Dec. 19 (UPI) — A federal judge has stopped the Trump administration from changing the conditions for allocating $3.9 billion in federal funds to homeless support programs.

U.S. District Court of Rhode Island Judge Mary McElroy issued a preliminary injunction on Friday that stops officials with the Housing and Urban Development Department from significantly changing how the funding approved by Congress would be spent, NPR reported.

“Continuity of housing and stability for vulnerable populations is clearly in the public interest,” McElroy said while ordering HUD to abide by the prior funding requirements.

The ruling applies to HUD’s Continuum of Care program that provides funding for local non-profits and other organizations that help people who are homeless to learn about and access housing resources, according to Politico.

A group of 20 states, 11 local units and several nonprofits sued HUD after its leadership in November revoked prior funding notices and changed how the funds would be distributed.

The changes greatly reduce federal grants to permanent housing, which McElroy said likely go against the requirements set forth in the McKinney-Vento Homeless Assistance Act, which mostly applies to educational opportunities for children.

HUD officials said the new policies are intended to “restore accountability” and support “self-sufficiency” by focusing on the causes of homelessness, including “illicit drugs and mental illness.”

HUD officials also said they increased the total amount available from $3.6 billion to $3/9 billion.

Opponents to the changes argue that they put 170,000 people at risk of losing their homes and the relatively sudden change in funding requirements makes it very hard for impacted programs to file new funding applications.

Complicating the matter is the 43-day federal government shutdown that started on Oct. 1 and ended on Nov. 12.

McElroy, who was appointed to the bench by President Donald Trump in 2019, said the plaintiffs are likely to win their case when she issued the preliminary injunction.

Dec. 18 (UPI) — European leaders have agreed to continue funding Ukraine in its fight against Russia with a two-year, $105 billion loan to provide the embattled nation with munitions and other material in the ongoing war, the latest battle of which has dragged on since 2022.

European leaders failed to agree on the first choice to arm Ukraine, using frozen Russian state assets as backing for the loan.

The plan to use frozen Russian assets to back the loan fell apart in the final moments, a schism that risked making the EU appear indecisive at a critical moment in negotiations.

European leaders announced Thursday that they will instead use money from the EU budget to fund Ukraine’s defense effort. As a result, the backup plan could be more costly and difficult to mobilize than the original plan to leverage the stash of Russian money currently frozen in Europe.

European leaders said since the end result is the same, getting funds to Kyiv, they celebrated it as a victory.

“This will address the urgent financial needs of Ukraine,” Antonio Costa, the president of the European Council, said at a media briefing in Brussels.

Partly because of a cut in funding from the United States, Ukraine is facing a $160 billion shortfall over the next two years, according to forecasts by the International Monetary Fund. The EU sought to fill about $105 billion of that gap.

Costa added that the EU will reserve its right to use frozen Russian assets for continued funding in the future.

SACRAMENTO — Gov. Gavin Newsom on Monday announced a new California-led public health initiative, tapping former U.S. Centers for Disease Control and Prevention officials who publicly clashed with the Trump administration, including the former agency chief who warned that the nation’s public health system was headed to “a very dangerous place.”

Newsom said the initiative will be led by Dr. Susan Monarez, the former CDC director, and Dr. Debra Houry, the CDC’s former chief medical officer. The pair will lead the Public Health Network Innovation Exchange, or PHNIX, which the governor’s office said will “modernize public health infrastructure and maintain trust in science-driven decision-making.”

The initiative was created to improve the systems that detect and investigate public health trends and build a modern public-health backbone that connects data, technology and funding across states.

“The Public Health Network Innovation Exchange is expected to bring together the best science, the best tools, and the best minds to advance public health,” Newsom said in a statement Monday. “By bringing on expert scientific leaders to partner in this launch, we’re strengthening collaboration and laying the groundwork for a modern public health infrastructure that will offer trust and stability in scientific data not just across California, but nationally and globally.”

Monarez will serve as strategic health technology and funding advisor for the initiative, helping advance private sector partnerships to better integrate healthcare data systems and enable faster disease surveillance.

“I am deeply excited to bring my experience in health technology and innovation to support PHNIX,” Monarez said in a statement shared by Newsom’s office. “California has an extraordinary concentration of talent, technology, and investment, and this effort is about putting those strengths to work for the public good — modernizing how public health operates, accelerating innovation, and building a healthier, more resilient future for all Californians.”

Houry was named senior regional and global public health medical advisor for PHNIX. Newsom’s office also announced it will work with Dr. Katelyn Jetelina, founder and chief executive of Your Local Epidemiologist. Jetelina will advise the California Department of Public Health on building trust in public health.

Monarez and Houry both described extraordinary turmoil inside the nation’s health agencies during congressional hearings, telling senators in September that Health and Human Services Secretary Robert F. Kennedy Jr. and political advisors rebuffed data supporting the safety and efficacy of vaccines. Monarez was fired after just 29 days on the job. She said Kennedy told her to resign if she did not sign off on new unsupported vaccine recommendations. Kennedy has described Monarez as admitting to him that she is “untrustworthy,” a claim Monarez has denied through her attorney.

“Dramatic and unfounded changes in federal policy, funding, and scientific practice have created uncertainty and instability in public health and health care,” Dr. Erica Pan, CDPH director and state public health officer, said in a statement. “I am thrilled to work with these advisors to catalyze our efforts to lead a sustainable future for public health. California is stepping up to coordinate and build the scaffolding we need to navigate this moment.”

The salaries of the new positions were not immediately known.

Newsom’s office said the California initiative would build on previously announced public health partnerships, such as the West Coast Health Alliance.