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ESSAY: The Hidden Toll — Federal Rollbacks Threaten Black Women’s Health in California

Nutrition assistance programs, which many Black women rely on to keep their families healthy and out of the hospital, are similarly endangered. Nearly half of Black women in California receive WIC, and 47% percent use CalFresh. Cuts or cost-shifts in those programs would worsen food insecurity, especially during pregnancy and postpartum. Malnutrition or diet instability can lead to adverse birth outcomes, weakened immunity, and worse recovery from medical interventions.

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Kellie Todd Griffin, President and CEO California Black Women's Collective Empowerment Institute. CBM photo by Ian Foxx.
Kellie Todd Griffin, President and CEO California Black Women's Collective Empowerment Institute. CBM photo by Ian Foxx.

By Kellie Todd Griffin, Special to California Black Media Partners

If recent proposals in Congress to cut funding for federal social programs succeed, the downstream effects will not be abstract or distant.

They will be immediate and blunt — and felt in every clinic, every hospital, and most homes where Black women are struggling to maintain our health, care for her children, and stay afloat. In California, where Black women already navigate a terrain of deep systemic inequities, these cuts would be catastrophic.

As a lifelong advocate for Black women in California — through my research and lived experience – I’ve seen firsthand the entrenched medical and social disparities that leave too many Black women struggling to live healthy, fulfilling lives.

Across the spectrum of care — from mental, maternal, and perinatal health to chronic diseases like diabetes, hypertension, cancer, and uterine fibroids — Black women in California continue to bear a disproportionate burden.

Implicit bias in maternity care, for example, continues to be a challenge. It is a documented contributor to the fact that, in California, Black women die from pregnancy-related causes at three to four times the rate of White women.

Now, federal proposals on the table to slash funding for the very programs Black women rely on most: Medicaid (Medi-Cal in California) SNAP/CalFresh, WIC, and federal housing and income supports. As reported in the California Budget and Policy Equity on the Line report, about one in three Black women and children in California currently depend on Medi-Cal. If federal cuts were to force reductions in eligibility, benefits, or provider reimbursements, many Black women would lose access to primary care, chronic disease management, reproductive care, mental health and substance-use treatment, cancer screenings, and prenatal/postnatal services.

In a state already grappling with stark racial health disparities, removing coverage is not just harmful — it magnifies injustice. Black women in California face higher rates of poor health overall, lower life expectancy, and worse prenatal care statistics.  When the safety net frays, they will be forced into impossible trade-offs: skip medications, delay care, or incur medical debt.

Nutrition assistance programs, which many Black women rely on to keep their families healthy and out of the hospital, are similarly endangered. Nearly half of Black women in California receive WIC, and 47% percent use CalFresh. Cuts or cost-shifts in those programs would worsen food insecurity, especially during pregnancy and postpartum. Malnutrition or diet instability can lead to adverse birth outcomes, weakened immunity, and worse recovery from medical interventions.

Compounding the harm is the assault on social determinants of health. The Equity on the Line analysis shows that housing assistance, income support, and childcare subsidies are already stretched thin. Any rollback will accelerate housing instability, homelessness risk, and family stress — all of which manifest in worse health outcomes: higher hypertension, depression, chronic illness, and reduced ability to adhere to medical regimens.

California has taken important steps to protect Black women’s health. One good example is Assembly Bill, AB 2319, authored by Assemblymember Lori D. Wilson (D-Suisun City). That law strengthens the Dignity in Pregnancy and Childbirth Act by expanding and enforcing implicit bias training for providers in perinatal settings, and requiring reporting and penalties for noncompliance.

The state is also taking legal and policy action to mitigate the impact of cuts to SNAP/CalFresh food stamp benefits – like mobilizing $80 million in state funds to support food banks. It is also taking action to shore up against federal cuts to Medi-Cal.

In our communities, organizations like California Black Women’s Health Project and Black Women for Wellness are already doing the groundwork — advocating for culturally centered care, education, and infrastructure to mitigate harm.

As Californians, we must all roll up our sleeves and amplify and bolster their efforts. These organizations serve as our voice.  They are our watchdogs, too, documenting where bias persists, where systems fail, and where state enforcement is weak.

The stakes are too high for complacency. As we strategize to keep Black women healthy, we must also document and share our stories with others — every death, every untreated illness, every delayed pregnancy.

Let us be resolute, organized, hopeful, and persistent. California can be a model of how a state defends Black women’s health amid significant challenges, presenting a full vision to America, and the world, of how we can make health justice a reality and make California healthier for all our communities.

About the Author

Kellie Todd Griffin, President and CEO of the California Black Women’s Collective Empowerment Institute.  With a deep commitment to equity and justice, she champions initiatives that amplify the voices and influence of Black women across California. Known for her strategic insight and passion for community empowerment, Kellie is a driving force in fostering systemic change and collective progress.

Activism

Agricultural Engineer Effie Gant Plans Bay Area Farmers Market Initiative

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Agricultural Engineer Effie Gant displays watermelons from her Sacramento farm at the Temescal Festival in Oakland. Photo by Carla Thomas.

In her 80s and still actively working as an agricultural engineer, Effie Gant continues to break barriers in urban farming and community leadership.

The certified USDA grower and respected urban farmer, based in South Sacramento, was recently spotted vending at the Freedom Farmers’ Market by the Temescal Street Fair on Saturday, July 11, where she proudly displayed dozens of sweet, juicy watermelons.

Festivalgoers gathered not only to purchase her produce but also to enjoy activities like the popular watermelon-eating contest. Yet beyond the festive atmosphere, Gant has a larger vision.

Gant is now setting her sights on the Bay Area, where she plans to launch a farmers’ market to increase access to fresh, locally grown food.

Known for her leadership in sustainable agriculture and food justice, she brings decades of hands-on experience and community advocacy to regions where food access remains inconsistent.

She has built a strong reputation through her work with Meadowview Urban Farm and the Yisrael Family Urban Farm, cultivating crops such as watermelons, honeydew melons, and collard greens. Her approach emphasizes sustainability, education, and empowering residents to grow their own food, even in small urban spaces. 

As a USDA-certified grower, Gant blends technical expertise with grassroots engagement to combat food insecurity.

Beyond farming, Gant serves as CEO and President of Highways to Hedges, a nonprofit focused on environmental justice and community development. She is also president of the Hampton Station Neighborhood Association and board chairman for HHCORE, where she advocates for safety, equity, and economic opportunity.

Her proposed farmers market will connect small-scale farmers with urban communities while elevating Black farmers and other underrepresented growers.

“I want to teach the next generation about farming and how lucrative it can be,” Gant said. “You don’t need hundreds of acres. You can start with one acre or even your backyard.”Gant also noted her involvement in a collective of farmers who supply produce through government-supported programs.

“We operate as a team, and we all benefit,” she said.

Through workshops, speaking engagements, and hands-on training, Gant and her organization continue to educate communities about agriculture and food justice. Her market initiative will emphasize affordability, cultural relevance, and nutrition education.

Her broader work includes creating edible forests in partnership with Soil Born Farms, planting fruit trees directly in neighborhoods to expand food access. As a mentor with the Center of Expertise on Food Justice and Health Equity, Gant remains a leading voice in building sustainable and resilient food systems.

Gant says she welcomes the community to join her in creating a new farmer’s market. 

“Farming is essential to life,” she said. “I want to train as many people as I can to use food and farming as a tool for empowerment, health, and long-term change.”



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Activism

Oakland Post: Week of July 15 – 21, 2026

The printed Weekly Edition of the Oakland Post: Week of July 15 – 21, 2026

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From Disparity Study to Solutions: Oakland Coalition and Mayor Barbara Lee Renew Commitment to Reform City Contracting

She committed to ensuring the coalition has direct access to City leadership by designating Assistant Deputy City Administrator Chuck Baker the primary liaison. Working alongside Deputy City Administrator Sofia Navarro, DWES Director Emylene Aspilla, Race and Equity Director Darlene Flynn, and other City departments, the coalition will continue advancing these priorities while maintaining regular communication with City leadership.

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Present at the recent meeting on implementing recommendations on Oakland’s Disparity Study on city work contracts were (first row, l. to r.):  Chuck Baker, Oakland Mayor Barbara Lee and Darlene Flynn. Second row, l. to r.) Samuel Adams, Erica Astrella, Chadwick Spell, Cathy Adams, Stanley Cooper, Maria Wagner, Len Turner, Derek Barnes, Paul Cobb. Photo courtesy of Oakland Mayor’s Office.
Present at the recent meeting on implementing recommendations on Oakland’s Disparity Study on city work contracts were (first row, l. to r.):  Chuck Baker, Oakland Mayor Barbara Lee and Darlene Flynn. Second row, l. to r.) Samuel Adams, Erica Astrella, Chadwick Spell, Cathy Adams, Stanley Cooper, Maria Wagner, Len Turner, Derek Barnes, Paul Cobb. Photo courtesy of Oakland Mayor’s Office.

Special to The Post

On June 30, a coalition of minority business leaders, contractors and others met with Oakland Mayor Barbara Lee to discuss the City’s commitment to implement recommendations outlined in Oakland’s Disparity Study and eliminate barriers that have historically prevented Black and minority-owned businesses from fully participating in public contracting opportunities.

Representatives of the Oakland African American Chamber of Commerce (OAACC), National Association of Minority Contractors Northern California (NAMC NorCal), Construction Resource Center (CRC), and the East Bay Rental Housing Association (EBRHA) said the meeting represented an important milestone in a process that has been underway for several months.

On April 21, the Oakland City Council’s Life Enrichment Committee received a progress report from the Department of Workplace and Employment Standards (DWES), where Director Emylene Aspilla presented the coalition’s working document and outlined a collaborative implementation plan between the coalition and the City. That report established 30-, 60-, and 90-day objectives focused on five key priorities:

  • Reforming Local and Small Local Business Enterprise (L/SLBE) waiver practices
  • Strengthening prompt payment compliance
  • Improving procurement forecasting and transparency
  • Expanding contractor capacity building and business development
  • Increasing oversight, accountability, and public reporting

A series of working sessions was scheduled between coalition representatives, DWES, and the City Administrator’s Office to begin implementing those priorities but were temporarily delayed by the resignation of former City Administrator Jestin Johnson.

Rather than allowing that momentum to stall, OAACC President and CEO Cathy Adams requested a meeting with Lee to gain clarity on the City’s direction and reaffirm its commitment to implementing the recommendations contained within the Disparity Study.

Coalition leaders described the meeting as productive, candid, collaborative, and encouraging.

During the meeting, Lee spoke not only from her role as mayor but also from her experience as an 8(a) contractor and business owner, sharing that she understands firsthand what it takes to build and grow a successful company, employ a substantial workforce, compete for public work, and navigate the complexities of municipal contracting.

She committed to ensuring the coalition has direct access to City leadership by designating Assistant Deputy City Administrator Chuck Baker the primary liaison. Working alongside Deputy City Administrator Sofia Navarro, DWES Director Emylene Aspilla, Race and Equity Director Darlene Flynn, and other City departments, the coalition will continue advancing these priorities while maintaining regular communication with City leadership.

Mayor Lee also expressed her commitment to personally participate in future working meetings with the coalition.

“This meeting represents a renewed commitment to partnership,” said Adams. “Mayor Lee listened, engaged, and demonstrated that she wants to move beyond conversation and into implementation.”

CRC’s Len Turner said the roadmap is already in place. ““The City already has the evidence. What’s been missing is execution. …Now it’s time to deliver results.”

Mario Wagner, president of NAMC NorCal agreed that the next phase must focus on implementation, funding, and accountability.

“The coalition is ready to get to work. …The next step is ensuring these initiatives receive meaningful funding in the upcoming fiscal budget cycle. Just as important, the City must establish transparent reporting mechanisms that keep the public informed through regular progress reports, measurable benchmarks, and accountability.”

Coalition leaders also acknowledged that while City leadership has indicated it is reviewing Local and Small Local Business Enterprise waiver practices, the community continues to seek a formal response regarding existing long-term waivers, including waivers extending 10 and 25 years. The coalition believes those waivers should be comprehensively reviewed and, where appropriate, rolled back as part of the City’s broader contracting reforms.

The coalition is also calling on the City to include meaningful funding in the upcoming fiscal budget cycle to support implementation of the Disparity Study recommendations and establish better methods and mechanisms to keep the public informed through regular progress reports, measurable benchmarks, and transparent accountability.

The coalition’s immediate next step is to schedule a working meeting with Baker, Aspilla, Lee, and the appropriate City staff to review what has already been accomplished under the implementation framework.

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