LOS ANGELES (AP) — Growing up, Sage Sol Pitchenik wanted to hide.

“I hated my body,” the nonbinary 16-year-old said. “I hated looking at it.”

When therapy didn’t help, Pitchenik, who uses the pronoun they, started going to the Center for Transyouth Health and Development at Children’s Hospital Los Angeles, the country’s biggest public provider of gender-affirming care for children and teens. It changed their life.

But in response to the Trump administration’s threat to cut federal funds to places that offer gender-affirming care to minors, the center will be closing its doors July 22. Pitchenik has been among the scores of protesters who have demonstrated regularly outside the hospital to keep it open.

“Trans kids are done being quiet. Trans kids are done being polite, and trans kids are done begging for the bare minimum, begging for the chance to grow up, to have a future, to be loved by others when sometimes we can’t even love ourselves,” Pitchenik said, prompting cheers from dozens of protesters during a recent demonstration.

They went to the center for six years.

“There’s a lot of bigotry and just hate all around, and having somebody who is trained specifically to speak with you, because there’s not a lot of people that know what it’s like, it meant the world,” they told The Associated Press.

The center’s legacy

In operation for three decades, the facility is among the longest-running trans youth centers in the country and has served thousands of young people on public insurance.

Patients who haven’t gone through puberty yet receive counseling, which continues throughout the care process. For some patients, the next step is puberty blockers; for others, it’s also hormone replacement therapy. Surgeries are rarely offered to minors.

“I’m one of the lucky ones,” said Pitchenik, who received hormone blockers after a lengthy process. “I learned how to not only survive but how to thrive in my own body because of the lifesaving health care provided to me right here at Children’s Hospital Los Angeles.”

Many families are now scrambling to find care among a patchwork of private and public providers that are already stretched thin. It’s not just patient care, but research development that’s ending.

“It is a disappointment to see this abrupt closure disrupting the care that trans youth receive. But it’s also a stain on their legacy,” said Maria Do, community mobilization manager at the Los Angeles LGBT Center. “I think it showcases that they’re quick to abandon our most vulnerable members.”

The closure comes weeks after the Supreme Court upheld Tennessee’s ban on gender-affirming care for minors, amid other efforts by the federal government to regulate the lives of transgender people.

The hospital initially backed off its plans to close after it announced them in February, spurring demonstrations, but later doubled back.

The center said in a statement that “despite this deeply held commitment to supporting LA’s gender-diverse community, the hospital has been left with no viable path forward” to stay open.

“Center team members were heartbroken to learn of the decision from hospital leaders, who emphasized that it was not made lightly, but followed a thorough legal and financial assessment of the increasingly severe impacts of recent administrative actions and proposed policies,” the statement said.

California Attorney General Rob Bonta has warned that by closing the center, the hospital is violating state antidiscrimination laws, but his office hasn’t taken any further actions. Bonta and attorney generals from 22 other states sued the Trump administration over the executive order in February.

“The Trump administration’s relentless assault on transgender adolescents is nothing short of an all-out war to strip away LGBTQ+ rights.” Bonta told the AP in an email. “The Administration’s harmful attacks are hurting California’s transgender community by seeking to scare doctors and hospitals from providing nondiscriminatory healthcare. The bottom line is: This care remains legal in California.”

LGBTQ+ protesters and health care workers offer visibility

Still wearing scrubs, Jack Brenner, joined protesters after a long shift as a nurse in the hospital’s emergency room, addressing the crowd with a megaphone while choking back tears.

“Our visibility is so important for our youth,” Brenner said, looking out at a cluster of protesters raising signs and waving trans pride flags. “To see that there is a future, and that there is a way to grow up and to be your authentic self.”

Brenner, who uses the pronoun they, didn’t see people who looked like them growing up or understand what being trans meant until their mid-20s.

“It’s something I definitely didn’t have a language for when I was a kid, and I didn’t know what the source of my pain and suffering was, and now looking back, so many things are sliding into place,” Brenner said. “I’m realizing how much gender dysphoria was a source of my pain.”

Trans children and teens are at increased risk of death by suicide, according to a 2024 study from the Centers for Disease Control and Prevention.

Brenner described encountering young patients in the emergency room who are trans or otherwise on the gender-nonconforming spectrum and “at the peak of a mental health crisis.” Brenner wears a lanyard teeming with colorful pins emblazoned with the words “they/them” to signal their gender identity.

“I see the change in kids’ eyes, little glints of recognition, that I am a trans adult and that there is a future,” Brenner said. “I’ve seen kids light up when they recognize something of themselves in me. And that is so meaningful that I can provide that.”

Beth Hossfeld, a marriage and family therapist, and a grandmother to an 11- and 13-year-old who received care at the center, called the closure “patient abandonment.”

“It’s a political decision, not a medical one, and that’s disturbing to me,” she said.

Anna Furman, The Associated Press

Just weeks ago, President Donald Trump said he wanted to begin “phasing out” the Federal Emergency Management Agency after this hurricane season to “wean off of FEMA” and “bring it down to the state level.”

But after months of promises to overhaul or eliminate the federal agency charged with responding to disasters, Trump and his administration are touting a fast and robust federal response to the devastating Texas floods. In doing so, they are aligning more closely with a traditional model of disaster response — and less with the dramatic reform the president has proposed.

The president approved Texas Gov. Greg Abbott’s request for a major disaster declaration just one day after it was submitted, activating FEMA resources and unlocking assistance for survivors and local governments. Homeland Security Secretary Kristi Noem told Trump in a presidential Cabinet meeting Tuesday morning that FEMA was deploying funding and resources quickly. “We’re cutting through the paperwork of the old FEMA, streamlining it, much like your vision of how FEMA should operate,” Noem said.

Noem said the rapid delivery of funds to Texas resembled the “state block grants” model Trump has promoted. It’s an idea that would replace FEMA’s current system of reimbursing states for response and recovery expenses at a cost-share of at least 75%.

But ex-FEMA officials say it’s unclear how the response differs from FEMA’s typical role in disasters, which is to support states through coordination and funding. Instead, they say, the vigorous federal response underscores how difficult it would be for states to take on FEMA’s responsibilities if it were dismantled.

“This is a defining event that can help them realize that a Federal Emergency Management Agency is essential,” said Michael Coen, FEMA chief of staff in the Obama and Biden administrations. “Imagine if an event like this happened a year from now, after FEMA is eliminated. What would the president or secretary (Noem) offer to the governor of Texas if there is no FEMA?”

The Department of Homeland Security and FEMA did not immediately respond to questions about Noem’s remarks, including whether FEMA was doing something different in how it moved money to Texas, or why it resembled a block-grant system.

FEMA will have multiple roles in Texas

While Noem and Trump have emphasized that Texas is leading the response and recovery to the floods, that has always been FEMA’s role, said Justin Knighten, the agency’s director of external affairs during the Biden administration.

“The state is in the lead. FEMA is invited into the state to support,” Knighten said. He said that while Texas’ division of emergency management is one of the most experienced in the country, even the most capable states face catastrophes that overwhelm them: “When there’s capacity challenges and resource need, that’s where FEMA steps in.”

One of FEMA’s primary roles will be to coordinate resources from other federal agencies. If the state needs the Army Corps of Engineers to help with debris removal, Health and Human Services for mortuary support and crisis counseling, or EPA for water quality testing, FEMA arranges that at the state’s request and then reimburses those agencies. “FEMA becomes a one-point entry for all federal support,” Coen said.

The agency also coordinates first-responder support — like search-and-rescue teams deployed from across the country — and reimburses those costs. It administers the National Flood Insurance Program, which gives homeowners and renters access to flood coverage not typically included in general policies.

Those with insufficient insurance or none at all will rely heavily on FEMA’s Individual Assistance program, which supports survivors with needs like temporary housing and home repairs. On Wednesday, the agency is opening disaster recovery centers where households can get help applying for assistance, according to Texas Emergency Management Chief Nim Kidd. The Public Assistance program will reimburse state and local governments for most or all of the costs of infrastructure repairs.

States would have trouble replacing FEMA

While Trump and Noem often say they want states to take on more responsibility in disaster response, experts say the tragedy in Texas underscores how even the most capable states need support.

“It’s true that Texas is very capable, but I think it’s something that people forget that FEMA pays for a lot of state and local emergency capacity,” said Maddie Sloan, director of the disaster recovery and fair housing project at the policy nonprofit Texas Appleseed. The Texas Division of Emergency Management’s budget of over $2 billion is mostly funded through federal grants.

“If a state like Texas asks for federal assistance within two days, the smaller states that are less capable don’t stand a chance,” said Jeremy Edwards, FEMA’s deputy director of public affairs during the Biden administration.

States would have to set up their own recovery programs and to coordinate with each federal agency if they were given block grants in lieu of FEMA involvement. “Without FEMA, a governor or a state has to be calling around and have a Rolodex of the whole federal government to call and try and figure out what support they can get,” Coen said.

There are plenty of reforms that could improve how FEMA reimburses states and helps survivors, experts said, but eliminating it risks big gaps in recovery. “We have spent a lot of time encouraging FEMA to be better, but if FEMA goes away, there is no help for individual families,” Sloan said.

Uncertain future for federal disaster response

Trump has deflected questions about what the Texas response means for FEMA’s future. A 12-member review council established by the president and charged with proposing FEMA reforms will meet for the second time Wednesday. Abbott and Kidd are both on the council.

At the first meeting, Abbott called FEMA “slow and clunky” and said reforms should “streamline the effort.” He has praised Trump’s quick disaster declaration in Texas.

While no large reforms to the agency have been enacted yet, smaller policy changes could impact Texas’ recovery.

This spring, the administration did away with FEMA’s practice of door-to-door canvassing to help households enroll for assistance, calling it “wasteful and ineffective.” Many of the impacted areas in Kerr County and beyond still lack power and accessible roads, which will make it difficult for households to apply immediately for help.

Abbott’s request for hazard mitigation funding, a common add-on to public and individual assistance that helps communities rebuild with resilience, is also still pending. Trump has not approved any hazard-mitigation assistance requests since February.

Gabriela Aoun Angueira, The Associated Press

NEW YORK (AP) — Four high-ranking former New York City police officials are accusing Mayor Eric Adams and his top deputies of doling out promotions to unqualified allies as part of a scheme that also involved alleged cash bribes paid to the ex-police commissioner.

In separate lawsuits filed Monday, the former officials — including the NYPD’s one-time chief of detectives — described a culture of rampant corruption and cronyism atop the nation’s largest police department, which was rocked by overlapping federalinvestigations late last year.

Each of the plaintiffs says that, with Adams’ tacit approval, they were either demoted or forced into retirement after raising concerns about the practices, according to their lawsuits.

A spokesperson for Adams, who is currently running for reelection, said he would review the lawsuits, adding that all of the police department’s leaders are held to the “highest standards.”

Beginning in 2023, the suits allege that Chief of Department Jeffrey Maddrey, a longtime ally of Adams, began bypassing internal hiring regulations to promote dozens of “unqualified friends” to key public safety posts. Inquiries to an attorney for Maddrey were not returned.

At the time, several veteran NYPD officials raised objections, including the department’s chief of detectives, James Essig, who noticed an “unusually high number” of inexperienced transfers to the department’s sex crimes unit, according to his lawsuit.

But when Essig complained to Edward Caban, then the first deputy to the police commissioner, he said he was reprimanded for raising the issue.

After Caban was promoted to police commissioner, he informed Essig, a veteran of the department for four decades, that he would be demoted from his position by five ranks.

According to the suit, Essig later learned Caban was “selling promotions” to hand-picked friends for up to $15,000.

An attorney for Essig, Sarena Townsend, declined to elaborate on the basis of the bribery allegation. Essig resigned in September of 2023 rather than accept the demotion.

In an emailed statement, attorneys for Caban called the bribery allegation “unsupported and reckless,” adding that there was “no merit to the allegations raised in these complaints.”

Caban resigned from his position in September following a raid on his home by the FBI. Maddrey, whose home was also searched by federal agents, stepped down after being accused of demanding sex from a subordinate. Neither has been criminally charged.

A spokesperson for the NYPD did not respond to a request for comment.

The lawsuits also accuse current police officials, including Chief of Department John Chell, of working to squash internal oversight of the mayor’s allies and policing priorities.

In one instance, the NYPD’s former chief of professional standards, Matthew Pontillo, said that an audit of the department’s Community Response Team turned up “troubling patterns” of unconstitutional stops by officers who delayed turning on their body cameras.

After Pontillo raised the finding in a meeting with then-Commissioner Keechant Sewell, Chell pulled him aside and said, “Why’d you have to tell her?” according to the suit.

Sewell met with Adams later that day, according to the suit. She resigned hours later and was later replaced by Caban.

Jake Offenhartz, The Associated Press

WASHINGTON (AP) — Turns out Donald Trump gauges his esteem for presidential predecessors by how well their portraits fit into his White House redecorating scheme. Or sometimes how well the frames around those portraits do.

“I’m a frame person,” Trump said Tuesday during a meeting with his Cabinet. “Sometimes I like frames more than I like the pictures.”

Trump wrapped up a 90-plus-minute session by explaining how he personally worked to redecorate the White House’s Cabinet Room, seeming to take real joy in choosing which portraits were hung. The president also said he helped choose the room’s drapes and polled those present about whether he should repaint the room in gold leaf. (Cabinet members think he should.)

“I actually spent time in the vaults. The vaults are where we have a lot of great pictures and artwork. And I picked it all myself,” Trump said. “I’m very proud of it.”

The president said that meant “a lot of time, effort” and “very little money.” And he even recounted having gone to the State Department and told its head, Marco Rubio, to have a grandfather clock there moved to the White House. That’s despite there not being any record of Trump having paid a public visit to the State Department during Rubio’s tenure.

Trump also pointed out each portrait and shared what he thought of each past president depicted. He started by indicating “the great Andrew Jackson ” and went from there — renewing his frequent praise for William McKinley and getting in a dig about how Bill Clinton once offered donors overnight stays in the Lincoln bedroom in exchange for campaign contributions.

Here’s what Trump said about some of his other presidential predecessors:

James K. Polk (1845-49):

“That’s a gentleman named — and we call him — President Polk. He was sort of a real-estate guy. He was — people don’t realize — he was a one-termer. But he was a very good president. But, and I’m not sure I should be doing this, he actually gave us the state of California.”

Then Trump revealed that his choice of Polk’s picture might have had more do with the portrait’s frame being almost the same size as the frame surrounding Jackson’s portrait, which he suggested was especially aesthetically pleasing: “Polk is actually a very good president who’s got the same frame that I needed, OK.”

Dwight D. Eisenhower (1953-61):

“A very underrated president. Built the Interstate (Highway) System. And he was the toughest president, I guess, until we came along. But I don’t mind giving up that crown, because, I don’t want to be too tough on it. But we want to be humane. But he was the toughest president on immigration. He was very strong at the borders. Very, very strong. And, sometimes you can be too strong. He was strong at the borders and, during a certain period of time, there was so strong that almost every farmer in California went bankrupt. And we have to remember that. We have to work together. We have to remember that. But he was a very good president, and a very good general and a very good president and I thought he deserved a position somewhere on this floor.”

Franklin D. Roosevelt (1933-45):

“He was not a Republican, to put it mildly. But he was, you know, a four-termer. He was Franklin Delano Roosevelt. And, if you notice, we have a lot of ramps outside. You have a ramp. People say, ‘It’s an unusual place for a ramp.’ It was because of him. He was wheelchair bound. But he was an amazing man.”

Abraham Lincoln (1861-65):

“Over there is ‘Honest’ Abe Lincoln. And that picture was in his, ugh, in his bedroom. And we thought this would be a very important place because this is where wars are ended. I’m not going to say wars are declared. I’m going to say wars are ended. OK? We’ll be positive. And, that’s the picture of Abe Lincoln from his bedroom, sat in the bedroom for many, many years. That was his favorite picture of himself. And the Lincoln Bedroom’s very famous. You remember when Bill Clinton had it and he rented it out to people. We don’t do that.”

John Adams (1797-1801):

“They were the first occupants of the White House. 1800. And John Quincy Adams, Mrs. Adams, they were the first occupants. So we have them looking at each other and, in between their stares is Abraham Lincoln trying to make peace.”

(Trump is correct that John Adams, the nation’s second president, and his wife Abigail, were the first first couple to move into the White House in 1800. But he was mistaken about John Quincy Adams, who was John and Abigail’s son and the sixth president. He served from 1825 to 1829).

William McKinley (1897-1901):

“McKinley was a great president who never got credit. In fact, they changed the name of Mount McKinley and I changed it back because he should have been — the people of Ohio, he was the governor of Ohio — the people of Ohio were very happy when I did that. I heard they were very insulted. They took the name of Mount McKinley off. That was done by Obama a little while ago and I had to change it back. I changed it back. He actually was a great president. He was a president. He was the tariff, the most, I guess since me — I think I’m gonna outdo him — but he was a tariff president. He believed that other countries should pay for the privilege of coming into our country and taking our jobs and taking our treasure. That’s the way he explained it. They took our jobs and they took our treasure. And for that he should pay. And he made them pay. And he built a tremendous fortune.”

___

Will Weissert covers the White House for The Associated Press.

Will Weissert, The Associated Press

LOS ANGELES (AP) — Hector Velasquez was playing cards with friends at MacArthur Park in Los Angeles early Monday when a young man with a megaphone walked through announcing federal agents were on their way. Another man drove past in a car, shouting out the window, “Immigration is coming!”

The people in Velasquez’s group who did not have legal status scattered. Others with U.S. citizenship — like Velasquez — lingered to see what would happen.

Two hours later, federal authorities and National Guard troops arrived, with guns and horses. By then, the park that is normally bustling with vendors was mostly empty. Activists had also spread word about the raid on social media.

After sweeping through the park, the convoy that included armored vehicles left as suddenly as it had arrived, Velasquez said.

He described the scene Tuesday as he once again sat in the park playing cards — this time only with those who were citizens.

“I thought this was like a war,” said Velasquez, who was reminded of his home country of El Salvador. “Only in war do you see the tanks.”

The Department of Homeland Security wouldn’t say what the purpose of the operation was, why it ended abruptly, or whether anyone had been arrested. The agency said in an email that it would not comment on “ongoing enforcement operations.”

But local officials said it seemed designed to sow fear. Mayor Karen Bass planned a Tuesday afternoon news conference to outline how Los Angeles will challenge what she says are unlawful immigration raids.

Park is a center of immigrant life

Immigrants across the Los Angeles area have been on edge for weeks since the Trump administration stepped up arrests at car washes, Home Depot parking lots, immigration courts and a range of businesses. Rumors of an upcoming raid at MacArthur Park had been swirling. The park is in an area home to many Mexican, Central American and other immigrant populations that has been dubbed by local officials as the “Ellis Island of the West Coast.”

Just two miles west of downtown, MacArthur Park has a lake ringed by palm trees, an amphitheater that hosts summer concerts and sports fields where immigrant families line up to play soccer in the evenings and on weekends. A thoroughfare on the east side is often crammed with food stands selling tacos and other delicacies, along with vendors speaking multiple languages and hawking T-shirts, toys, knickknacks and household items.

Fernando Rodriguez closed down his variety store near the park on Monday after seeing flyers in the Westlake neighborhood warning of immigration enforcement happening that day.

“You look Latino, they take you. Even if you show papers, they say they’re fake,” he said. “What they’re doing is evil.”

He was open again Tuesday but said nearby businesses including Peruvian and Thai restaurants have been quiet in the weeks since the federal crackdown began.

“There’s no people anymore,” he said, gesturing to the street he said would usually packed with pedestrians on a sunny morning.

Group warned of enforcement action

Jorge-Mario Cabrera, a spokesperson for the Coalition of Humane Immigrant Rights in Los Angeles, said there had been rumors that there could be an enforcement action around MacArthur Park, and the LA Rapid Response Network had volunteers monitor the area starting at 6 a.m. Monday.

The network sends out observers who communicate via the messaging app Signal. Cabrera said the group does not post content to the public at large or run its own website.

He said Tuesday that the streets surrounding the park have been unusually empty in recent weeks as many vendors have not been out. He wasn’t sure if they left the area because of concerns about stepped-up immigration raids.

“This was a reality show to intimidate Los Angeles,” Cabrera said. “This was an attempt to show the administration’s military might, cause as much chaos as possible, remind Angelenos that the president is in charge and that he can cause terror at any moment’s notice.”

More than 4,000 California National Guard and hundreds of U.S. Marines have been deployed in Los Angeles since June — against the wishes of California Gov. Gavin Newsom. Last week, the military announced about 200 of those troops would be returned to their units to fight wildfires.

Trump has pledged to deport millions of immigrants in the United States illegally and shown a willingness to use the nation’s military might in ways other U.S. presidents have typically avoided.

Melisa Doag, an undocumented immigrant from Guatemala who sells jewelry from a stand near the park, said she doesn’t plan to stay in the U.S. for much longer given the political climate. She would rather leave on her own terms than be deported, she said.

“I’ve only been here two years, and they already want to send me back,” Doag said. “I don’t want to be treated as a criminal.”

___

Associated Press journalists Damian Dovarganes in Los Angeles and Amy Taxin in Orange County, California, contributed to this report.

Jaimie Ding And Christopher Weber, The Associated Press

MINNEAPOLIS (AP) — The second of two defendants from Nevada who were charged in Minnesota with conspiracy to commit voter registration fraud pleaded guilty Tuesday, federal prosecutors announced.

Ronnie Williams, 58, entered his plea before U.S. District Judge Laura Provinzino in St. Paul. Court records don’t say whether there was a formal plea agreement.

“Free and fair elections are the cornerstone of our democracy,” Acting U.S. Attorney Joseph Thompson said in a statement. “Any attempt to undermine that process through fraud will be investigated and prosecuted. This case sends a clear message — election fraud will not be tolerated in Minnesota.”

Williams’ co-defendant, Lorraine Lee Combs, 57, pleaded guilty June 24. Under her plea agreement, the prosecution and defense agreed that the nonbinding federal sentencing guidelines recommend a sentence of zero to six months in prison, with one to three years of supervised release and a fine of up to $20,000.

The actual sentences will be determined by the judge. The charges carry statutory maximums of five years in prison. Sentencing dates have not been set. Both defendants will remain free in the meantime.

Williams and Combs allegedly generated fictitious names and other data they used to fill out Minnesota voter registration forms in 2021 and 2022. The charging documents filed last month say Williams provided the completed forms to an entity that sought to register voters in Minnesota that is identified only as “Foundation 1,” which paid him, and that he then split the proceeds with Combs.

Combs and Williams were longtime romantic partners, according to the documents, which don’t say how much they were paid. The documents also indicate that others were involved in the alleged conspiracy, but charges against them have not been announced.

While voter fraud does happen occasionally, the country’s processes provide many safeguards that generally keep it detectable and rare. When it happens, it tends to get caught and prosecuted.

“The extensive checks in Minnesota’s voter registration process ensured that the fraudulent applications were immediately flagged, and no ineligible votes were cast,” Secretary of State Steve Simon said in a statement when the charges were announced.

The announcements from prosecutors said the two are Nevada residents who formerly lived in Minnesota. The federal court documents don’t specify which cities, but Minnesota court records show they were evicted from a West St. Paul apartment building in 2023.

Steve Karnowski, The Associated Press