Cookies help us run our site more efficiently.

By clicking “Accept”, you agree to the storing of cookies on your device to enhance site navigation, analyze site usage, and assist in our marketing efforts. View our Privacy Policy for more information or to customize your cookie preferences.

Is Wildfire Smoke Causing Birds to Tend to Empty Nests?

News Feed
Monday, September 30, 2024

Hazy skies caused by smoke from Canadian wildfires blanketed Washington, D.C. on June 7, 2023. Win McNamee / Getty Images Early last summer, dull orange horizons replaced blue skies and hid city skylines in New York and Washington, D.C. Even the midday sun was dialed down to an ominously weak glow. People in the western half of North America have become all too familiar with the eerie scene that often accompanies a big wildfire. Thick smoke often blankets cities like Boise and Seattle. But the morning of June 7, 2023, was different. Smoke season had come east, heavier than many people there had ever seen before. But humans weren’t alone in dealing with that sudden smoke and its health effects. Wildlife across the Northeast, including millions of breeding birds, felt it, too. New research suggests the smoke may have more impact on birds than we ever realized, harming them both during their nesting season and throughout their lives. These studies are part of a new understanding of smoke, not just as a side effect of wildfire, but as a threat to wildlife and ecosystem health on its own. Just as that historic smoke was about to arrive in the White Mountains of New Hampshire last summer, two tiny songbirds were building their nest. A pair of black-throated blue warblers, striking birds with a blue back, a black mask and a bright white belly, had finished that season’s nest on June 4. The cup-like structure was constructed of bark, pine needles and other materials from around the forest. But just when the next cycle of life for these little birds was about to start, something unusual happened. The female of the pair started to sit in the nest vigilantly, as if incubating her eggs. But no eggs were there. She was incubating an empty nest, and nearby, someone was taking notes. A male black-throated blue warbler Gary Irwin via Wikipedia under CC By-SA 2.0 These warblers didn’t build their nest in just any woods, but in Hubbard Brook Experimental Forest, a 7,800-acre ecological research station that has hosted scientists and students of multiple fields for over 60 years. Hubbard Brook is well known in certain scientific circles and has produced a wealth of studies over the decades, but it is most famous as the site where acid rain was first discovered and studied in the 1960s. The only reason this nest was being monitored at all was because the male of the pair had previously been captured and marked with colored leg bands. A student named August Davidson-Onsgard noticed a nest being built in that banded bird’s territory and started watching it. Davidson-Onsgard happened to work for an ecologist and self-described naturalist with just the right experience and interest in the details of bird ecology to recognize how unusual, and potentially important, this observation could be. Ecologist Sara Kaiser is a research associate at the Smithsonian’s National Zoo and Conservation Biology Institute (NZCBI), and she directs the Cornell Lab of Ornithology’s field study program at Hubbard. When Davidson-Onsgard mentioned the empty nest incubator to Kaiser on her next visit to the site, it immediately got her attention. For a breeding bird, incubating a nest is always a gamble. Female black-throated blue warblers sit on their eggs for about 12 days straight, only leaving briefly to feed. During that time, they are more vulnerable to predators looking to make a meal of the bird, her eggs or both. Without the payoff of eggs and future offspring to keep her at the nest, the bird should not, theoretically, make the investment to stick to the nest so closely. “I said, you know, I haven’t really heard of anything like this before,” says Kaiser. She encouraged her student to follow up and search the scientific literature for examples of birds sitting on empty nests as if they had eggs. They found over 200 records of birds of 11 species, all in Europe, showing this strange behavior, and in over 80 percent of these accounts, the authors had noted environmental pollution as a possible cause. Researchers can’t say for sure if smoke is directly causing nesting birds like the warblers to fail in such a particular way, but the new observation as well as the literature review suggest a potential link. Kaiser and colleagues at Cornell and NZCBI recently published their findings in the Wilson Journal of Ornithology, with Davidson-Onsgard as the lead author. The study is the first systematic review of this particular kind of nest failure. We are in an age of megafires. Fire has always been an important part of the ecology of the West, but climate change and a century of forest mismanagement have amplified the scale and severity of wildfires beyond anything in modern history. A 2020 study showed that the average acreage burned in a wildfire almost tripled between 1950 and 2019. Through mid-September this year, over seven million acres have burned in the United States. Three times in the last decade, that number has topped seven million acres per year. In 2023, Canada’s fire season made even those numbers seem small. Forty-five million acres burned in Canada last year, an area larger than the entire state of Florida turned to smoke in one season. Wildfire smoke contains chemicals like carbon monoxide, sulfur dioxide and even lead. It also carries particles that scientists call PM2.5, meaning they are less than 2.5 microns, or 1/400th of a millimeter, in size—which makes them deadly. Because they’re so tiny, these particles can fit into the smallest crevices of the lung. A global study published in the Lancet found that four million people died as a result of PM2.5 pollution in 2019, more than twice the death toll of Covid-19 in 2020. According to Kaiser, the effects on birds could be even more severe. “It’s because of their respiratory system,” says Kaiser. “They’re moving a lot of air, much more volume of air than other animals. They have very efficient lungs, and so any air that has this particulate matter could be problematic for these birds.” In clean air, bird lungs have evolved to be incredibly efficient, but in smoky conditions, that same adaptation works against them. Nesting isn’t the only time that birds are susceptible to wildfire smoke. Until recently, smoke season rarely overlapped with the breeding season of most North American birds. But as fire seasons become longer and more severe, the chances increase of big smoke events like the one in 2023 that catch birds right as they are nesting. On the other side of the country from the woods of New Hampshire, another research team recently showed another set of effects from PM2.5 pollution and wildfire smoke on birds across the summer and fall, not just when they’re on the nest. Olivia Sanderfoot is an ecologist at the La Kretz Center for California Conservation Science at the University of California, Los Angeles. In a recent paper in Ornithology, Sanderfoot and colleagues found that birds in the San Francisco Bay Area lost body mass, a key measure of health that harms their ability to migrate, when they were exposed to wildfire smoke during the Bay Area’s July to November fire season. Scientists had theorized about that kind of effect but had not been able to establish and measure it before. “Knowing how big of a deal wildfire smoke is for people, it just made sense to me that birds would be similarly impacted,” says Sanderfoot, “because they are so highly sensitive to air pollution, and because, unlike people, they can’t take refuge indoors when the air is hazardous.” Like the New Hampshire warbler study, the San Francisco paper was led by a student, Anna Nihei, then an undergraduate majoring in computational and systems biology at the University of California, Los Angeles. Sanderfoot also helps oversee Project Phoenix, a community science effort that lets anyone in a study area in California, Oregon and Washington help monitor birds during wildfire season. She sees the warbler observations around the smoke event in 2023 as a meaningful development in understanding the effect of smoke on birds, and says the study is really important and powerful. “I think that considering smoke to be a disturbance in and of itself, outside the concept of fire, is a brand-new way of thinking about air pollution impacts on wildlife,” says Sanderfoot. Researchers are only now starting to understand some of the long-term effects of wildfire smoke on humans, and they still have a long way to go to measure its effect on birds and other wildlife as well. But evidence is mounting that smoke is another climate-related stressor, like heat and drought, that can have serious repercussions for birds, off and on the nest. As Sanderfoot explains, the warbler nesting observations around the smoke event in 2023 are a meaningful development in understanding the effect of smoke on birds. “It is not the norm that when we see these intense smoke events, the timing overlaps with the breeding season,” she says. “I have had conversations with many colleagues in which we have anticipated that should these two things align, the impact on bird populations would be big.” Get the latest Science stories in your inbox.

New studies suggest smoke from western megafires may be damaging bird health and leading to strange behavior

Wildfire Smoke Over Washington
Hazy skies caused by smoke from Canadian wildfires blanketed Washington, D.C. on June 7, 2023. Win McNamee / Getty Images

Early last summer, dull orange horizons replaced blue skies and hid city skylines in New York and Washington, D.C. Even the midday sun was dialed down to an ominously weak glow. People in the western half of North America have become all too familiar with the eerie scene that often accompanies a big wildfire. Thick smoke often blankets cities like Boise and Seattle. But the morning of June 7, 2023, was different. Smoke season had come east, heavier than many people there had ever seen before.

But humans weren’t alone in dealing with that sudden smoke and its health effects. Wildlife across the Northeast, including millions of breeding birds, felt it, too. New research suggests the smoke may have more impact on birds than we ever realized, harming them both during their nesting season and throughout their lives. These studies are part of a new understanding of smoke, not just as a side effect of wildfire, but as a threat to wildlife and ecosystem health on its own.

Just as that historic smoke was about to arrive in the White Mountains of New Hampshire last summer, two tiny songbirds were building their nest. A pair of black-throated blue warblers, striking birds with a blue back, a black mask and a bright white belly, had finished that season’s nest on June 4. The cup-like structure was constructed of bark, pine needles and other materials from around the forest. But just when the next cycle of life for these little birds was about to start, something unusual happened. The female of the pair started to sit in the nest vigilantly, as if incubating her eggs. But no eggs were there. She was incubating an empty nest, and nearby, someone was taking notes.

Black-Throated Blue Warbler
A male black-throated blue warbler Gary Irwin via Wikipedia under CC By-SA 2.0

These warblers didn’t build their nest in just any woods, but in Hubbard Brook Experimental Forest, a 7,800-acre ecological research station that has hosted scientists and students of multiple fields for over 60 years. Hubbard Brook is well known in certain scientific circles and has produced a wealth of studies over the decades, but it is most famous as the site where acid rain was first discovered and studied in the 1960s. The only reason this nest was being monitored at all was because the male of the pair had previously been captured and marked with colored leg bands. A student named August Davidson-Onsgard noticed a nest being built in that banded bird’s territory and started watching it. Davidson-Onsgard happened to work for an ecologist and self-described naturalist with just the right experience and interest in the details of bird ecology to recognize how unusual, and potentially important, this observation could be.

Ecologist Sara Kaiser is a research associate at the Smithsonian’s National Zoo and Conservation Biology Institute (NZCBI), and she directs the Cornell Lab of Ornithology’s field study program at Hubbard. When Davidson-Onsgard mentioned the empty nest incubator to Kaiser on her next visit to the site, it immediately got her attention.

For a breeding bird, incubating a nest is always a gamble. Female black-throated blue warblers sit on their eggs for about 12 days straight, only leaving briefly to feed. During that time, they are more vulnerable to predators looking to make a meal of the bird, her eggs or both. Without the payoff of eggs and future offspring to keep her at the nest, the bird should not, theoretically, make the investment to stick to the nest so closely.

“I said, you know, I haven’t really heard of anything like this before,” says Kaiser. She encouraged her student to follow up and search the scientific literature for examples of birds sitting on empty nests as if they had eggs. They found over 200 records of birds of 11 species, all in Europe, showing this strange behavior, and in over 80 percent of these accounts, the authors had noted environmental pollution as a possible cause.

Researchers can’t say for sure if smoke is directly causing nesting birds like the warblers to fail in such a particular way, but the new observation as well as the literature review suggest a potential link. Kaiser and colleagues at Cornell and NZCBI recently published their findings in the Wilson Journal of Ornithology, with Davidson-Onsgard as the lead author. The study is the first systematic review of this particular kind of nest failure.


We are in an age of megafires. Fire has always been an important part of the ecology of the West, but climate change and a century of forest mismanagement have amplified the scale and severity of wildfires beyond anything in modern history. A 2020 study showed that the average acreage burned in a wildfire almost tripled between 1950 and 2019. Through mid-September this year, over seven million acres have burned in the United States. Three times in the last decade, that number has topped seven million acres per year. In 2023, Canada’s fire season made even those numbers seem small. Forty-five million acres burned in Canada last year, an area larger than the entire state of Florida turned to smoke in one season.

Wildfire smoke contains chemicals like carbon monoxide, sulfur dioxide and even lead. It also carries particles that scientists call PM2.5, meaning they are less than 2.5 microns, or 1/400th of a millimeter, in size—which makes them deadly. Because they’re so tiny, these particles can fit into the smallest crevices of the lung. A global study published in the Lancet found that four million people died as a result of PM2.5 pollution in 2019, more than twice the death toll of Covid-19 in 2020.

According to Kaiser, the effects on birds could be even more severe.

“It’s because of their respiratory system,” says Kaiser. “They’re moving a lot of air, much more volume of air than other animals. They have very efficient lungs, and so any air that has this particulate matter could be problematic for these birds.”

In clean air, bird lungs have evolved to be incredibly efficient, but in smoky conditions, that same adaptation works against them.

Nesting isn’t the only time that birds are susceptible to wildfire smoke. Until recently, smoke season rarely overlapped with the breeding season of most North American birds. But as fire seasons become longer and more severe, the chances increase of big smoke events like the one in 2023 that catch birds right as they are nesting.

On the other side of the country from the woods of New Hampshire, another research team recently showed another set of effects from PM2.5 pollution and wildfire smoke on birds across the summer and fall, not just when they’re on the nest.

Olivia Sanderfoot is an ecologist at the La Kretz Center for California Conservation Science at the University of California, Los Angeles. In a recent paper in Ornithology, Sanderfoot and colleagues found that birds in the San Francisco Bay Area lost body mass, a key measure of health that harms their ability to migrate, when they were exposed to wildfire smoke during the Bay Area’s July to November fire season. Scientists had theorized about that kind of effect but had not been able to establish and measure it before.

“Knowing how big of a deal wildfire smoke is for people, it just made sense to me that birds would be similarly impacted,” says Sanderfoot, “because they are so highly sensitive to air pollution, and because, unlike people, they can’t take refuge indoors when the air is hazardous.”

Like the New Hampshire warbler study, the San Francisco paper was led by a student, Anna Nihei, then an undergraduate majoring in computational and systems biology at the University of California, Los Angeles.

Sanderfoot also helps oversee Project Phoenix, a community science effort that lets anyone in a study area in California, Oregon and Washington help monitor birds during wildfire season. She sees the warbler observations around the smoke event in 2023 as a meaningful development in understanding the effect of smoke on birds, and says the study is really important and powerful.

“I think that considering smoke to be a disturbance in and of itself, outside the concept of fire, is a brand-new way of thinking about air pollution impacts on wildlife,” says Sanderfoot.

Researchers are only now starting to understand some of the long-term effects of wildfire smoke on humans, and they still have a long way to go to measure its effect on birds and other wildlife as well. But evidence is mounting that smoke is another climate-related stressor, like heat and drought, that can have serious repercussions for birds, off and on the nest.

As Sanderfoot explains, the warbler nesting observations around the smoke event in 2023 are a meaningful development in understanding the effect of smoke on birds. “It is not the norm that when we see these intense smoke events, the timing overlaps with the breeding season,” she says. “I have had conversations with many colleagues in which we have anticipated that should these two things align, the impact on bird populations would be big.”

Get the latest Science stories in your inbox.

Read the full story here.
Photos courtesy of

Nearly Half of Americans Still Live With High Levels of Air Pollution, Posing Serious Health Risks, Report Finds

The most recent State of the Air report by the American Lung Association found that more than 150 million Americans breathe air with unhealthy levels of ozone or particle pollution

Nearly Half of Americans Still Live With High Levels of Air Pollution, Posing Serious Health Risks, Report Finds The most recent State of the Air report by the American Lung Association found that more than 150 million Americans breathe air with unhealthy levels of ozone or particle pollution Lillian Ali - Staff Contributor April 25, 2025 12:50 p.m. For 25 of the 26 years the American Lung Association has reported State of the Air, Los Angeles—pictured here in smog—has been declared the city with the worst ozone pollution in the United States. David Iliff via Wikimedia Commons under CC BY-SA 3.0 Since 2000, the American Lung Association has released an annual State of the Air report analyzing air quality data across the United States. This year’s report, released on Wednesday, found the highest number of people exposed to unhealthy levels of air pollution in a decade. According to the findings, 156 million Americans—or 46 percent of the U.S. population—live with levels of particle or ozone pollution that received a failing grade. “Both these types of pollution cause people to die,” Mary Rice, a pulmonologist at Harvard University, tells NPR’s Alejandra Borunda. “They shorten life expectancy and drive increases in asthma rates.” Particle pollution, also called soot pollution, is made up of minuscule solid and liquid particles that hang in the air. They’re often emitted by fuel combustion, like diesel- and gasoline-powered cars or the burning of wood. Ozone pollution occurs when polluting gases are hit by sunlight, leading to a reaction that forms ozone smog. Breathing in ozone can irritate your lungs, causing shortness of breath, coughing or asthma attacks. The 2025 State of the Air report, which analyzed air quality data from 2021 to 2023, found 25 million more people breathing polluted air compared to the 2024 report. The authors link this rise to climate change. “There’s definitely a worsening trend that’s driven largely by climate change,” Katherine Pruitt, the lead author of the report and national senior director for policy at the American Lung Association, tells USA Today’s Ignacio Calderon. “Every year seems to be a bit hotter globally, resulting in more extreme weather events, more droughts, more extreme heat and more wildfires.” Those wildfires produce the sooty particles that contribute to particulate pollution, while extreme heat creates more favorable conditions for ozone formation, producing smog. While climate change is contributing to heavy air pollution, it used to be much worse. Smog has covered cities like Los Angeles since the early 20th century. At one point, these “hellish clouds” of smog were so thick that, in the middle of World War II, residents thought the city was under attack. The Optimist Club of Highland Park, a neighborhood in northeast Los Angleles, wore gas masks at a 1954 banquet to highlight air pollution in the city. Los Angeles Daily News via Wikimedia Commons under CC-BY 4.0 The passage of the Clean Air Act and the creation of the federal Environmental Protection Agency (EPA) in 1970 marked a turning point in air quality, empowering the government to regulate pollution and promote public health. Now, six key air pollutants have dropped by about 80 percent since the law’s passage, according to this year’s report. But some researchers see climate change as halting—or even reversing—this improvement. “Since the act passed, the air pollution has gone down overall,” Laura Kate Bender, an assistant vice president at the American Lung Association, tells CBS News’ Kiki Intarasuwan. “The challenge is that over the last few years, we’re starting to see it tick back up again, and that’s because of climate change, in part.” At the same time, federal action against climate change appears to be slowing. On March 12, EPA administrator Lee Zeldin announced significant rollbacks and re-evaluations, declaring it “the greatest day of deregulation our nation has seen.” Zeldin argued that his deregulation will drive “a dagger straight into the heart of the climate change religion.” Included in Zeldin’s push for deregulation is a re-evaluation of Biden-era air quality standards, including those for particulate pollution and greenhouse gases. The EPA provided a list of 31 regulations it plans to scale back or eliminate, including limits on air pollution, mercury emissions and vehicles. This week, the EPA sent termination notices to nearly 200 employees at the Office of Environmental Justice and External Civil Rights. “Unfortunately, we see that everything that makes our air quality better is at risk,” Kate Bender tells CBS News, citing the regulation rollbacks and cuts to staff and funding at the EPA. “If we see all those cuts become reality, it’s gonna have a real impact on people’s health by making the air they breathe dirtier.” Get the latest stories in your inbox every weekday.

Nearly Half of Americans Breathe Unhealthy Air, New Report Finds

By I. Edwards HealthDay ReporterFRIDAY, April 25, 2025 (HealthDay News) —Breathing the air in nearly half of the United States could be putting...

FRIDAY, April 25, 2025 (HealthDay News) —Breathing the air in nearly half of the United States could be putting your health at risk.A new American Lung Association report shows that 156 million people live in areas with unhealthy air.The group’s annual "State of the Air" report found that smog and soot pollution are getting worse, not better. The report looked at air quality data from 2021 to 2023. It found that 25 million more people than in the group's last report were breathing "unhealthy levels of air pollution." That's more than in any other "State of the Air" report in the last decade, the association said.Since the Clean Air Act became law in 1970, air pollution has gone down overall, said Laura Kate Bender, an assistant vice president at the lung association, told CBS News."The challenge is that over the last few years, we're starting to see it tick back up again and that's because of climate change, in part," she said. "Climate change is making some of those conditions for wildfires and extreme heat that drive ozone pollution worse for a lot of the country."The city with the worst year-round and short-term particle pollution? Bakersfield, California, for the sixth year in a row.What's more, it was ranked third worst for high ozone days. In contrast, Casper, Wyoming, was listed as the cleanest city for year-round particle pollution, CBS News said.Here are the top 10 cities with the worst year-round particle pollution, according to the association:Bakersfield-Delano, Calif. Visalia, Calif. Fresno-Hanford-Corcoran, Calif. Eugene-Springfield, Ore. Los Angeles-Long Beach, Calif. Detroit-Warren-Ann Arbor, Mich. San Jose-San Francisco-Oakland, Calif. Houston-Pasadena, Texas Cleveland-Akron-Canton, Ohio Fairbanks-College, Ark. The report warned that pollution isn't just an issue in the west. Extreme heat and wildfires are spreading pollution across the country.In fact, smoke from Canada's wildfires in 2023 caused unhealthy air quality even in the eastern parts of the U.S., the report pointed out.Some of the findings came as a surprise, according to Kevin Stewart, the association’s environmental health director."I think we knew that the wildfire smoke would have an impact on air quality in the United States," he told CBS News. "I think we were surprised at the Lung Association by how strong the effect was, especially in the northeastern quadrant of the continental United States." Last month, the U.S. Environmental Protection Agency (EPA) announced it will roll back 31 environmental rules, including ones pertaining to vehicle emissions, CBS News reported.Bender said that puts decades of progress at risk."Unfortunately, we see that everything that makes our air quality better is at risk," she said. "The EPA is at risk — the agency that is protecting our health — through staff cuts, funding cuts. The regulations that have cleaned up our air over time are at risk of being cut. If we see all those cuts become reality, it's gonna have a real impact on people's health by making the air they breathe dirtier."Lee Zeldin, the EPA administrator, argued that, instead, the deregulation will drive "a dagger straight into the heart of the climate change religion to drive down cost of living for American families, unleash American energy, bring auto jobs back to the U.S. and more," according to CBS News."This air pollution is causing kids to have asthma attacks, making people who work outdoors sick and unable to work, and leading to low birth weight in babies," Kezia Ofosu Atta, the Lung Association’s advocacy director, told CBS News.The report also found that Black Americans are more likely to suffer serious health problems from air pollution.SOURCE: CBS News, April 23, 2025Copyright © 2025 HealthDay. All rights reserved.

Umbilical Cord Could Contain Clues For Child's Future Health

By Dennis Thompson HealthDay ReporterFRIDAY, April 25, 2025 (HealthDay News) -- Doctors might be able to predict a newborn's long-term health...

By Dennis Thompson HealthDay ReporterFRIDAY, April 25, 2025 (HealthDay News) -- Doctors might be able to predict a newborn's long-term health outlook, by analyzing their umbilical cord blood, a new study says.Genetic clues found in cord blood can offer early insight into which infants are at higher risk for health problems like diabetes, stroke and liver disease later in life, researchers will report at the upcoming Digestive Disease Week meeting in San Diego.“We’re seeing kids develop metabolic problems earlier and earlier, which puts them at higher risk for serious complications as adults,” lead researcher Dr. Ashley Jowell, a resident physician in internal medicine at Duke University Health System in Durham, N.C., said in a news release. “If we can identify that risk at birth, we may be able to prevent it.”For the study, researchers performed genetic analysis on the umbilical cord blood of 38 children enrolled in a long-term study based in North Carolina.The analysis looked for chemical patterns in infants’ DNA that switch genes on or off. When these switches occur in critical parts of DNA, their health effects can persist through fetal development and into later life.The research team compared these DNA changes to the kids’ health at ages 7 to 12, and identified multiple areas where genes in cord blood predicted health problems in childhood.For example, changes in a gene called TNS3 were linked to fatty liver, liver inflammation or damage, and excess belly fat as measured by waist-to-hip ratio, results show.Changes in other genes were connected to blood pressure, waist-to-hip ratio, and liver inflammation or damage, researchers said.“These epigenetic signals are laid down during embryonic development, potentially influenced by environmental factors such as nutrition or maternal health during pregnancy,” co-researcher Dr. Cynthia Moylan, an associate professor in the division of gastroenterology at Duke University Health System, said in a news release.Researchers noted that the sample size was small, but the links so powerful that these findings warrant further investigation. A larger follow-up study funded by the National Institutes of Health is underway.“If validated in larger studies, this could open the door to new screening tools and early interventions for at-risk children,” Moylan added.Jowell said disease may be preventable even with these markers."Just because you're born with these markers doesn't mean disease is inevitable," she said. "But knowing your risk earlier in life could help families and clinicians take proactive steps to support a child’s long-term health."Researchers are scheduled to present their findings May 4. Findings presented at medical meetings are considered preliminary until published in a peer-reviewed journal.SOURCE: American Gastroenterological Association, news release, April 25, 2025Copyright © 2025 HealthDay. All rights reserved.

Biden let California get creative with Medicaid spending. Trump is signaling that may end

California uses Medicaid to pay for a range of nontraditional health care services, including housing. The Trump administration wants to scale back those programs.

In summary California uses Medicaid to pay for a range of nontraditional health care services, including housing. The Trump administration wants to scale back those programs. In 2022, California made sweeping changes to its Medi-Cal program that reimagined what health care could look like for some of the state’s poorest and sickest residents by covering services from housing to healthy food. But the future of that program, known as CalAIM, could be at risk under the Trump administration.  In recent weeks, federal officials have signaled that support for creative uses of Medi-Cal funding is waning, particularly uses that California has invested in such as rent assistance and medically tailored meals. Medi-Cal is California’s name for Medicaid. The moves align with a narrower vision of Medicaid espoused by newly confirmed Centers for Medicare and Medicaid Services head Dr. Mehmet Oz, who said during his swearing-in ceremony that Medicaid spending was crowding out spending on education and other services in states with the federal government “paying most of the bill.” “This one really bothers me. There are states who are using Medicaid — Medicaid dollars for people who are vulnerable — for services that are not medical,” Oz said. It also fits with broader GOP calls to slim down the federal government. Medicaid is under scrutiny as part of a GOP-led budget process in the House of Representatives that calls for $880 billion in cuts over 10 years to programs including Medicaid. “The messaging that we want to go back to the basics of Medicaid puts all of these waiver programs in jeopardy,” said John Baackes, former chief executive of L.A. Care, the state’s largest Medi-Cal health insurer. CalAIM is authorized under a federal waiver that allows states to experiment with their Medicaid programs to try to save money and improve health outcomes. Under the waiver, California added extra benefits for high-cost users to help with food insecurity, housing instability,  substance use and behavioral health challenges. Roughly half of all Medi-Cal spending can be attributed to 5% of high-cost users, according to state documents. But in March, the federal government rescinded guidelines supporting Medi-Cal spending for social services. It also sent states a letter in April indicating that the Centers for Medicare and Medicaid Services would no longer approve a funding mechanism that helps support CalAIM, although that money will continue until 2026. Together, these moves should worry states that operate programs like CalAIM, said Kathy Hempstead, senior policy officer at the Robert Wood Johnson Foundation. “Under the Biden administration states were encouraged to experiment with things like that: To prescribe people prescriptions to get healthy food, to refer people to community-based services,” Hempstead said. “This administration is not receptive at all to … that vision of the Medicaid program.” In a press release, CMS said it is putting an end to spending that isn’t “directly tied to health care services.” “Mounting expenditures, such as covering housekeeping for individuals who are not eligible for Medicaid or high-speed internet for rural healthcare providers, distracts from the core mission of Medicaid, and in some instances, serves as an overly-creative financing mechanism to skirt state budget responsibilities,” the press release states. These signals from the federal government apply to future applications for Medicaid changes, and do not change California’s current programs or funding. The state’s CalAIM waiver expires at the end of 2026, and another similar waiver that supports California’s efforts to improve behavioral health care expires in 2029. According to a statement from the Department of Health Care Services, the agency that oversees Medi-Cal, all programs “remain federally approved and operational.” “We appreciate our Medi-Cal providers and community partners, and together we will push full steam ahead to transform our health system and improve health outcomes,” the department said. Physician assistant Brett Feldman checks his patient, Carla Bolen’s, blood pressure while in her encampment at the Figueroa St. Viaduct above Highway 110 in Elysian Valley Park in Los Angeles on Nov. 18, 2022. Photo by Larry Valenzuela, CalMatters/CatchLight Local Paul Shafer, co-director of the Boston University Medicaid Policy Lab, said decades of public health research show that people have worse health outcomes that require more expensive treatment when their social needs aren’t met. “We’ve spent the last few decades in public health and health policy, arguing that so much of health and medical costs is driven by environmental factors — people’s living conditions, income, etc.” Shafer said. But, Shafer said, programs like CalAIM are relatively recent and the research hasn’t had enough time to show whether paying for non-traditional services saves money. For example, California’s street medicine doctors who take care of people who are homeless say that their patients often cycle in and out of the emergency room — the most expensive point of service in the health care system. They have no place to recover from medical procedures, no address to deliver medications, and the constant exposure to the elements takes years off of their lives, doctors say.  CalAIM gives them options to help their clients find housing.  The federal government’s decision not to fund programs like this in the future is a “step backward,” Shafer said.  “I think we can all read the tea leaves and say that that means they’re sort of unlikely to be renewed,” he said. Supported by the California Health Care Foundation (CHCF), which works to ensure that people have access to the care they need, when they need it, at a price they can afford. Visit www.chcf.org to learn more. more on california health care They live in California’s Republican districts. They feel betrayed by looming health care cuts March 11, 2025March 12, 2025 California has big plans for improving mental health. Medicaid cuts could upend them April 7, 2025April 7, 2025

Chattanooga Just Became North America's First National Park City. Here's What That Means

The designation was awarded by a London-based charity that aims to make cities more like national parks: "greener, healthier and wilder"

Chattanooga Just Became North America’s First National Park City. Here’s What That Means The designation was awarded by a London-based charity that aims to make cities more like national parks: “greener, healthier and wilder” Sarah Kuta - Daily Correspondent April 23, 2025 4:20 p.m. Chattanooga was once one of the most polluted cities in the country. Now, it's North America's first National Park City. larrybraunphotography.com via Getty Images Chattanooga has been named North America’s first National Park City, a designation that acknowledges the city’s abundant green spaces and commitment to environmental stewardship. The city in southeast Tennessee, home to roughly 190,000 residents, is now the third National Park City in the world, following behind London and Adelaide, Australia. The title comes from the National Park City Foundation, a London-based charity that envisions a better future by thinking of cities more like national parks. The movement is not connected to the National Park Service, the federal agency that manages America’s national parks, monuments, historic sites and other protected lands. “[National parks] are special places where we have a better relationship with nature, culture and heritage and can enjoy and develop ourselves,” according to the foundation. “Combining the long-term and large-scale vision of national parks with cities has the potential to shift our collective understanding of what and who a city is for.” In Chattanooga, city leaders have used the initiative to encourage residents to “think about Chattanooga as a city in a park, rather than a city with some parks in it,” says Tim Kelly, the mayor of Chattanooga, in a video announcing the designation. “The outdoors is our competitive advantage,” he adds. “It’s at the heart of our story of revitalization, and it’s at the core of our identity as Chattanoogans. We’ve always known how special Chattanooga’s connection to the outdoors is, and now it’s going to be recognized around the world.” Chattanooga has been working toward the designation for nearly two years, per a statement from the city. In late 2023, officials collected more than 5,600 signatures of support and created a National Park City charter. Then, they filed an application describing how Chattanooga met the nonprofit’s criteria—such as being “a place, vision and community that aims to be greener, healthier and wilder.” Last month, delegates from the foundation visited Chattanooga to experience it first-hand. They toured an urban farm, explored several parks and met with various community leaders, per NOOGAtoday’s Haley Bartlett. The foundation’s experts were impressed by Chattanooga’s “culture of outdoor activity,” its “unrivaled access to nature,” its commitment to “inclusive and sustainable development” and its food and agriculture scene, among other factors. “We saw first-hand the extraordinary breadth and depth of engagement with the Chattanooga National Park City vision informed by outstanding experts in design, ecology, culture and arts,” says Alison Barnes, a trustee of the foundation, in a statement. “National Park City status introduces a new chapter for a city with a long history of revitalization and renewal through connecting its unique landscape and the history of its people.” Chattanooga has come a long way since 1969, when the federal government declared it the worst city in the nation for particulate air pollution. Hazy skies were the norm back then, as factories and railroads spewed unregulated emissions into the air, according to the Chattanooga/Hamilton County Air Pollution Control Bureau. Air pollution was so bad that residents sometimes had to drive with their headlights on in the middle of the day. But the pollution was more than just an eyesore. It was also causing the city’s residents to become sick—and sometimes die—from diseases like tuberculosis. Eventually, voters approved aggressive new rules to reduce emissions. By 1989, Chattanooga’s air quality had improved so much that it met all federal health standards. Today, it’s a vibrant, outdoorsy city with more than 100 parks and more than 35 miles of trails—plus many more within a short drive. The once-neglected riverfront downtown has been revitalized, and Chattanooga has experienced steady population growth in recent years. What does the National Park City designation mean for the city’s future? That remains to be seen. But officials hope it will help guide policy decisions and “help city government and community partners prioritize connecting more people to the outdoors that have long defined our identity,” according to a statement from the Chattanooga Area Chamber. It will also encourage citizens and leaders to embrace “all aspects of outdoor life,” from forests and lakes to native plants, according to the chamber. Mark McKnight, who serves as the president and CEO of Chattanooga’s Reflection Riding Arboretum and Nature Center, hopes that the new status will “yield some really cool stuff that we can’t even imagine today.” “Hopefully, we’re having this conversation in ten years, and it’s like, ‘Oh, wow, we never knew we would get to there,’” he tells the Chattanooga Times Free Press’ Sam Still. Get the latest stories in your inbox every weekday.

Suggested Viewing

Join us to forge
a sustainable future

Our team is always growing.
Become a partner, volunteer, sponsor, or intern today.
Let us know how you would like to get involved!

CONTACT US

sign up for our mailing list to stay informed on the latest films and environmental headlines.

Subscribers receive a free day pass for streaming Cinema Verde.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.