Connect with us

Published

on

LOS ANGELES Los Angeles County public schools are rolling out an ambitious effort to offer free mental health services to their 1.3 million K-12 students, a key test of California Gov. Gavin Newsoms sweeping, $4.7 billion program to address a youth mental health crisis.

This story also ran on Word In Black. It can be republished for free. Are you covered by Medi-Cal?

We want to hear about your experiences and, with your permission, may incorporate your story into our coverage. Please tell us what it has been like for you as you have sought and received care, including the good and the bad, the obstacles and the successes.Share Your Story

Spearheaded by the countys Medi-Cal plans which provide health insurance to low-income residents in collaboration with its Office of Education and Department of Mental Health, the LA school program relies on teletherapy services provided by Hazel Health, one of a clutch of companies that have sprung up to address a nationwide shortage of mental health services that grew much worse during the covid-19 pandemic.

The teletherapy effort is one of four LA County projects that will collectively receive up to $83 million from the states Student Behavioral Health Incentive Program, one component of the Democratic governors master plan to address gaps in youth mental health care access.

LAs Hazel Health contract is aimed at helping overburdened schools cope with a surge in demand for mental health services. It promises to be a telling case study in both the efficacy of virtual therapy for students and the ability of educators and administrators to effectively manage a sprawling and sensitive program in partnership with a for-profit company.

For some Los Angeles County educators and families, the initial results are promising.

Anjelah Salazar, 10, said her Hazel clinician has helped her feel a lot better. After the fifth grader switched to a new school this year, Stanton Elementary in Glendora, she started having panic attacks every day.

Her mom, Rosanna Chavira, said she didnt know what to do even though shes a clinical coordinator for a company that treats mental health conditions and worried she wouldnt be able to find an affordable therapist who accepted their insurance. Once Chavira learned about Hazel, she jumped at the opportunity.

This being free and having a licensed professional teaching her coping skills, it just means the world, Chavira said. You can already see changes. Anjelah Salazar with her mom, Rosanna Chavira. (Molly Castle Work/KFF Health News)

Salazar said shes met with her virtual therapist five times so far. One coping technique that she especially appreciates is a tapping exercise: Every night before bed, she taps her eyes, her cheeks, her chest, and her knees. With each tap, she recites the same affirmation: I am brave.

Christine Crone, parent of seventh grader Brady, said she has yet to see if the sessions have been effective for her son, who attends Arroyo Seco Junior High in Santa Clarita, but she knows he enjoys them.

He struggles normally with being on time and prepared, but with these sessions, he always stops what he is doing and makes sure he is logged in on time, Crone said. He says that his therapist is nice, fun, and easy to talk to.

Jennifer Moya, a mental health counselor at Martha Baldwin Elementary in Alhambra, a city east of Los Angeles, said her students like the flexibility of teletherapy, which allows them to meet with clinicians anytime between 7 a.m. and 7 p.m.

This generation of kids has grown up digital, said Moya, who is in charge of referring students to Hazel at her school. They love that this is easy.

Pablo Isais, a mental health counselor at Alhambras Granada Elementary School, said the services can also be a stopgap while a student waits for an in-person appointment, which can take six to eight weeks.

To be able to let them know that there are services available that they can access within the next week is amazing, Moya said.

Thus far, early in the rollout, only 607 Los Angeles County students have participated in Hazel sessions since they were first offered, in Compton, in December 2022, said Alicia Garoupa, chief of well-being and support services for the Office of Education. She acknowledged some bumps in the rollout but said Hazel is another tool in our toolbox. Email Sign-Up

Subscribe to KFF Health News' free Morning Briefing. Your Email Address Sign Up

State Relies on For-Profit Ventures

Teletherapy is playing an increasingly important role in schools across the nation as educators and social workers face pressure to address growing mental health issues. According to an April Chalkbeat report, 13 of the nations 20 largest school districts, including Los Angeles Unified, have added teletherapy since the pandemic began.

LA Countys deal with Hazel calls for the company to be paid up to $20 million through the end of 2024. In addition, Hazel can bill students insurance.

The San Francisco-based company, founded in 2015, has raised $112.5 million from investors and has contracts in 15 different states. Other companies chasing youth mental health dollars include another San Francisco startup, Daybreak Health, a graduate of the prestigious Y Combinator tech incubator, along with BeMe, Brightline, and Kooth.

California chose Brightline and Kooth for a 2024 $532 million statewide initiative on virtual youth behavioral services, another important component of Newsoms master plan. There is some overlap between the state and local programs, Brightline co-founder and CEO Naomi Allen acknowledged, but she said the Brightline offering is broader than what Hazel is doing in schools, with services including everything from coaching sessions for caregivers to meditation resources.

The state is funding free access to services for every child in the state, which is just a remarkably ambitious program, said Allen.

Still, many questions remain about the efficacy of teletherapy for students. Its also proving to be no surefire moneymaker for the companies thus far: Brightline laid off 20% of its staff last spring, the second round of layoffs in six months.

Supplement, Not Solution

Chelsy Duffer-Dunbar, who at the time worked for Los Angeles Unified as a psychiatric social worker, told KFF Health News in October that she hadnt yet worked with Hazel, but noted that the county requires that a member of staff stay within eyesight of the student during their appointments and assist if tech issues arise.

It is still taking up staff time, Duffer-Dunbar said. My day is already so stressful. I cant imagine having a threat assessment and a suicide assessment at work and then trying to scramble around to find someone to sit in on this therapy session with the kiddo and their iPad.

Duffer-Dunbar said she wants the district to prioritize in-person clinicians who are immersed in the local community, especially for younger kids who have trouble engaging with teletherapy. Anjelah Salazar logs into her weekly virtual therapy sessions with the help of her mom, Rosanna Chavira. (Molly Castle Work/KFF Health News)

Duffer-Dunbar has since left the district in response to budget cuts that forced her into a more burdensome role.

Hazel emphasized that teletherapy is not a one-size-fits-all solution.

Its an opportunity to expand access, said Andrew Post, chief of innovation at the company.

Education and Health Care Working Together

It took a complicated collaboration between school districts, county agencies, and the two Medi-Cal plans, L.A. Care Health Plan and Health Net, to set up the school therapy program. The state funding rules were designed to push the entities to work together.

This program has helped us get closer to school districts, said Michael Brodsky, senior medical director for community health at L.A. Care Health Plan. If we can catch kids while theyre at school and refer them to get treatment while theyre in school, thats good.

Hazel provides primarily short-term one-to-one therapy sessions with clnical social workers or other licensed counselors, 40% of whom are bilingual. They are best suited to provide temporary support to those with mild to moderate needs, such as students struggling with academic stress or starting at a new school, but they can also make referrals for long-term care.

The largest district enrolled in the program, Los Angeles Unified, accounts for 41% of the countys students, but not all districts are ready to take the leap. Four in 10 districts have opted to not offer Hazels services, which Garoupa attributes partially to data-sharing concerns.

The contract with Hazel ends in December 2024, but Garoupa said the Office of Education and its partners intend to maintain services through June 2025. Any extension beyond that will depend on the results.

Sonya Smith, a colleague of Garoupas, said the Office of Education will be continuously evaluating Hazels effectiveness through an annual survey, monthly impact reports, and weekly meetings.

The number of students that are using Hazel is obviously going to be a key metric, Smith said. Hazels historic utilization rate is 3% to 8%. Well be evaluating if those numbers hold up, if students are accessing care in a timely manner, and if its lightening the burden for school staff and community-based providers.

This article was produced by KFF Health News, which publishes California Healthline, an editorially independent service of the California Health Care Foundation.

Molly Castle Work: mwork@kff.org, @mollycastlework Related Topics California Mental Health States Children's Health Latinos Telemedicine Contact Us Submit a Story Tip

Continue Reading

US

RFK Jr chosen as Donald Trump’s health secretary – as president-elect says he will do ‘unbelievable things’

Published

on

By

RFK Jr chosen as Donald Trump's health secretary - as president-elect says he will do 'unbelievable things'

Donald Trump has chosen vaccine sceptic Robert F Kennedy Jr as his new health secretary and said he will do “unbelievable things”.

The news was announced by Donald Trump Jr on X, before the president-elect confirmed the appointment just moments later.

Former Democrat RFK Jr, the nephew of former president John F Kennedy, had been running as an independent presidential candidate but dropped out of the race and endorsed Mr Trump in August.

Please use Chrome browser for a more accessible video player

From August: Kennedy family criticises RFK Jr after Trump endorsement

In return for Mr Kennedy’s support during the election, president-elect Trump pledged to give him a “big role” – and RFK Jr’s preference for the health position was widely reported.

Mr Trump spoke on Thursday night at a gala, hosted at his Mar-a-Lago retreat in Florida, which included tech billionaire Elon Musk and actor Sylvester Stallone.

Directly addressing RFK Jr, who was in the audience, Mr Trump said: “We want you to come up with things… and ideas… and what you’ve been talking about for a long time. I think you’re going to do some unbelievable things. Nobody’s going to be able to do it like you.”

The health and human services (HHS) department includes the Food and Drug Administration, the Centers for Disease Control and Prevention, Medicare, Medicaid and the National Institutes of Health.

RFK Jr will “restore these Agencies to the traditions of Gold Standard Scientific Research, and beacons of Transparency, to end the Chronic Disease epidemic, and to Make America Great and Healthy Again,” the president-elect wrote on X.

Donald Trump and Robert F Kennedy Jr in October during the presidential campaign. Pic: Reuters
Image:
Donald Trump and Robert F Kennedy Jr in October during the presidential campaign. Pic: Reuters

Mr Trump added: “For too long, Americans have been crushed by the industrial food complex and drug companies who have engaged in deception, misinformation, and disinformation when it comes to Public Health.

“The Safety and Health of all Americans is the most important role of any Administration.”

Mr Kennedy is a known vaccine sceptic who has repeated misinformation on multiple occasions, including the discredited theory that childhood immunisations cause autism.

Follow Sky News on WhatsApp
Follow Sky News on WhatsApp

Keep up with all the latest news from the UK and around the world by following Sky News

Tap here

The RFK Jr-led health department will “play a big role in helping ensure that everybody will be protected from harmful chemicals, pollutants, pesticides, pharmaceutical products, and food additives that have contributed to the overwhelming Health Crisis in this Country,” the president-elect added.

Earlier, his son Donald Trump Jr was the first to confirm the appointment, writing on X: “Robert F Kennedy Jr will be The Secretary of Health and Human Services! Promises Made Promises Kept.”

Read more:
Who’s in and who’s out of Trump’s top team?
Who is Robert F Kennedy Jr?

Please use Chrome browser for a more accessible video player

When Trump met Obama and Biden

RFK Jr’s position will need to be confirmed with a Senate vote – but even with the chamber under Republican control, his appointment may face opposition because of his views on health issues.

Before Mr Trump announced his choice, Mr Kennedy had already claimed the new president would push to remove fluoride from drinking water on his first day in office. The addition of the compound has been cited as helping to improve dental health.

The department RKF Jr is hoping to oversee has more than 80,000 employees across the United States.

Continue Reading

US

Donald Trump picks controversial MAGA loyalist Matt Gaetz to be his attorney general

Published

on

By

Donald Trump picks controversial MAGA loyalist Matt Gaetz to be his attorney general

Donald Trump has picked fiery Florida congressman Matt Gaetz to be his attorney general – a man who was under investigation over sex trafficking just days ago.

Democrats have described the MAGA loyalist as “a gonzo agent of chaos” and his appointment a “red alert moment for our democracy”, while some Republican senators have also raised doubts about his suitability for the role.

It comes as Mr Trump won control of the House of Representatives, giving him full control of the government, and continues to fill out his top team.

Mr Gaetz, 42, has been under investigation by the House of Representatives’ ethics committee over allegations he was part of a scheme that led to the sex trafficking of a 17-year-old girl.

But after he resigned from Congress on Wednesday following being named as Mr Trump’s pick for attorney general, that probe has ended – without the publication of any findings.

Despite the cloud over his character – Mr Gaetz denies all allegations – he has repeatedly shown his loyalty to the president-elect, attending his hush money trial in Manhattan and vociferously calling out prosecutors.

The MAGA firebrand in the past has spread the conspiracy theory that the January 6 riots were actually orchestrated by the left-leaning group Antifa.

If he’s going to lead the Department of Justice, the Florida politician needs to be confirmed by a Senate vote like other cabinet positions. That’s where it could get difficult for him.

Donald Trump and Matt Gaetz at a rally
Image:
The nomination is seen by some as a reward for his loyalty to Donald Trump. Pic: AP

What have Republicans said?

“I don’t think it’s a serious nomination for the attorney general,” Republican senator Lisa Murkowski said. “This one was not on my bingo card.”

Senator Susan Collins said she was “shocked” by the pick and said there would be “an awful lot of questions being asked in this case”.

Both Ms Murkowski and Ms Collins have been vocal Trump critics (the latter vowed to write fellow Republican Nikki Haley’s name on her ballot) and will be under the spotlight next year as their party retakes control of the Senate.

“I think it’s a little bit of a test,” said Republican senator Kevin Cramer.

He said he sees Mr Gaetz as a disruptive force in the House and has concerns about the “serious allegations” against him – but stopped short of saying he would not vote for him.

“It will take a lot of political capital to get him across,” he added.

Rep. Matt Gaetz, R-Fla., speaks before Republican presidential nominee former President Donald Trump speaks at a campaign rally at Lee's Family Forum, Thursday, Oct. 31, 2024, in Henderson, Nev. (AP Photo/Evan Vucci)
Image:
Mr Gaetz will need to be confirmed by a Senate vote. Pic: AP

Read more:
Who is Marco Rubio, the next US Secretary of State?
How will Trump 2.0 be different to first presidency?

“I’ve known Matt for a very long time, we’re friends,” said Florida senator Marco Rubio, who was nominated for secretary of state on Wednesday. “I think he would do a very good job for the president.”

Some Republican senators were reluctant to publicly criticise the incoming president’s pick to lead the justice department but did not endorse him either.

Senator John Cornyn, a member of the judiciary panel, said he did not know Mr Gaetz “other than his public persona”, and said he will not “prejudge any of these” nominations.

“I’ve got nothing for you,” said senator Katie Britt when asked by reporters. “We’ll see,” said senator Ron Johnson, when asked if he is voting for Mr Gaetz.

Please use Chrome browser for a more accessible video player

Difference between Trump meeting Obama and Biden

What have Democrats said?

Unsurprisingly, Democrats in Congress have been less restrained with their reactions to Mr Gaetz’s nomination.

Veteran senator Chris Murphy declared the announcement to be “a red alert moment for our democracy”.

Representative Jim Himes meanwhile, who sits on the House Intelligence Committee, told CNN the role of attorney general requires “care, prudency, a deep respect for the rule of law… Matt Gaetz is the opposite of all of those things, he is a gonzo agent of chaos”.

Follow Sky News on WhatsApp
Follow Sky News on WhatsApp

Keep up with all the latest news from the UK and around the world by following Sky News

Tap here

Senator Richard Blumenthal, who sits on the Senate’s judiciary panel, said the nomination was the “first test of whether Republicans are willing to stand up to Donald Trump and go with conscience and conviction as opposed to just politics”.

New Mexico senator Martin Heinrich was even more blunt, posting on X: “People voted for cheaper eggs, not whatever the f@#€ this is.”

Continue Reading

US

Trump hands out top jobs: Who is in, who is out and who are the leading contenders?

Published

on

By

Trump hands out top jobs: Who is in, who is out and who are the leading contenders?

As the dust settles on Donald Trump’s US election win, the president-elect has begun choosing who will be in his administration for his second stint in the White House.

During the campaign, Mr Trump avoided directly confirming any appointments but frequently dropped hints about who he would like in his top team.

Nominees must be questioned by members of the Senate before it votes on their appointment. Even with the Republicans in control some of the picks are very controversial and could be blocked.

So who is in, who is out and who are the leading contenders for jobs?

Follow latest: US election live blog

Who is in?

Susie Wiles

Susie Wiles is a veteran Republican campaign manager – having helped Ronald Reagan and Ron DeSantis get elected as well as Donald Trump in 2016 and 2024. She is the first member of his team to be announced – and becomes the first female chief-of-staff in American history.

The 67-year-old, who lives in Florida, has a political career that spans decades but has largely kept out of the limelight and rarely given interviews.

She is the daughter of late American footballer Pat Summerall and one of her first jobs in politics was as an assistant to one of his former New York Giants teammates when he became a Republican representative.

Outside politics, she has worked in the private sector as a lobbyist, for both Ballard Partners, whose clients include Amazon, Google, and the MLB (Major League Baseball), and then Mercury, which works with Elon Musk’s SpaceX and the embassy of Qatar.

This time around, Mr Trump credited her with his “best-run” presidential campaign, describing her as “incredible” at a Milwaukee rally earlier this year, and an “ice maiden” in his victory speech.

Matt Gaetz

Mr Trump has chosen Matt Gaetz, a man who once faced a federal sex trafficking probe, to be the nation’s top prosecutor.

The investigation, carried out by the Justice Department he will now lead, ended without charges.

However, it is just one of a number of reasons why his appointment as attorney general has raised concerns in Washington.

Mr Gaetz had also been under scrutiny by the House Ethics Committee over wider allegations including sexual misconduct, illicit drug use and accepting improper gifts.

The inquiry was dropped on Wednesday 13 November when Mr Gaetz left Congress – the only forum where the committee has jurisdiction.

The 42-year-old is a fierce Trump supporter who has regularly attacked both the Justice Department and the FBI, and even called for the FBI to be defunded and abolished.

He was particularly critical of the Justice Department’s investigation into the January 6 attack on the Capitol in 2021 – which resulted in charges against more than 1,500 Trump supporters and hundreds of convictions.

Veteran Democratic senator Chris Murphy declared his appointment as attorney general as “a red alert moment for our democracy”.

Another senior Democrat described Mr Gaetz as a “gonzo agent of chaos”.

Steve Bannon, Trump’s former adviser told NBC news: “President Trump is going to hit the Justice Department with a blowtorch, and Matt Gaetz is that torch.”

His nomination, which must be ratified by Congress, could be blocked unless Republicans unite around him.

Elon Musk

Tech billionaire Elon Musk became one of Mr Trump’s staunchest supporters in the months leading up to the election and spent at least $119m (£92m) canvassing for him in the seven battleground states.

Awarding his loyalty, Mr Trump announced Mr Musk will co-lead the new Department of Government Efficiency (DOGE) alongside former Republican presidential candidate Vivek Ramaswamy.

In a statement on Tuesday, the president-elect said Mr Musk and Mr Ramaswamy “will pave the way for my administration to dismantle government bureaucracy, slash excess regulations, cut wasteful expenditures, and restructure federal agencies”.

Please use Chrome browser for a more accessible video player

Musk to co-run ‘efficiency’ dept

Despite its name, the DOGE is not a government agency and is instead set to provide “advice and guidance” from the outside of government.

The statement released by Mr Trump said it will partner with the office of management and budget to “drive large-scale structural reform, and create an entrepreneurial approach to government never seen before”.

The department has been given a deadline of 4 July 2026 to conclude its work.

Vivek Ramaswamy

Vivek Ramaswamy speaks to reporters in the spin room before the  presidential debate.
Pic: AP
Image:
Vivek Ramaswamy. Pic: AP

Former Republican presidential candidate Vivek Ramaswamy will join Elon Musk in leading DOGE.

Mr Ramaswamy, the founder of a pharmaceutical company, suspended his campaign in January to support Mr Trump.

In his 2021 bestseller book Woke, Inc, Mr Ramaswamy criticised the decisions of some big companies to base business strategy around social justice and climate change concerns.

Pete Hegseth

Fox News commentator and National Guard veteran Pete Hegseth has been picked as Mr Trump’s defence secretary.

In a statement, the president-elect described the 44-year-old as “tough, smart and a true believer in America First”.

He said: “With Pete at the helm, America’s enemies are on notice – our military will be great again, and America will never back down.”

If confirmed by the Senate, Mr Hegseth could make good on Mr Trump’s campaign promises to rid the US military of
generals who he accuses of pursuing progressive policies on diversity in the ranks that conservatives have rallied against.

In the past Mr Hegseth has expressed disdain for the so-called “woke” policies of Pentagon leaders including its top military officer.

He has also railed against NATO allies for being weak and claimed China is on the verge of dominating its neighbours.

Mr Hegseth has pushed for making the US military more lethal and argued allowing women to serve in combat hurts that effort.

“Everything about men and women serving together makes the situation more complicated, and complication in combat, that means casualties are worse,” he said in an interview on The Shawn Ryan Show podcast.

Though he said diversity in the military is a strength, he said that was because minority and white men “can perform similarly” but the same is not true for women.

Critics have pointed to Mr Hegseth’s lack of experience with some suggesting he could be defence secretary in name only as the Trump White House runs the department.

“There is reason for concern that this is not a person who is a serious enough policymaker, serious enough policy implementer, to do a successful job,” said Adam Smith, the ranking Democrat on the House Armed Services Committee.

Robert F Kennedy Jr

Independent presidential candidate Robert F. Kennedy Jr. speaks as he endorses Republican presidential nominee former President Donald Trump at a campaign rally at the Desert Diamond Arena, Friday, Aug. 23, 2024, in Glendale, Ariz. (AP Photo/Evan Vucci)
Image:
Robert F Kennedy Jr. Pic: AP

Mr Trump has confirmed vaccine sceptic Robert F Kennedy Jr as his pick for health secretary – meaning he’ll oversee a huge department that includes the Food and Drug Administration, the Centers for Disease Control and Prevention, and Medicare.

The president-elect wrote on X that RFK Jr will “restore these Agencies to the traditions of Gold Standard Scientific Research, and beacons of Transparency, to end the Chronic Disease epidemic, and to Make America Great and Healthy Again”.

RFK Jr abandoned his independent presidential campaign to back Mr Trump in August.

It was a move that saw RFK Jr condemned by many members of his family, but as with Musk, his public support has been rewarded.

Please use Chrome browser for a more accessible video player

From August: Kennedy family criticises RFK Jr

Mr Kennedy – the son of politician Robert F Kennedy and the nephew of assassinated president John F Kennedymade a name for himself as a vaccine sceptic during the COVID-19 pandemic and has frequently repeated debunked claims, including linking vaccines to autism in children.

He has claimed Mr Trump will push to remove fluoride from drinking water on his first day in office. The addition of the compound has been cited as helping to improve dental health.

RFK Jr’s controversial views could see him struggle to land enough votes to have his role confirmed, even in a Republican-controlled Senate.

Marco Rubio

Donald Trump has named Marco Rubio as his secretary of state, making him the first Latino member of the president-elect’s top team.

Mr Rubio, a Florida senator, unsuccessfully ran against Mr Trump to be the Republican presidential candidate in 2016.

In the past, the 53-year-old has advocated for muscular foreign policy with respect to the US’s geopolitical rivals, including China, Iran and Cuba.

However, over the last several years he has softened some of his stances to align more closely with Mr Trump’s views.

He was a contender to be his 2024 running mate before JD Vance landed the role.

Elise Stefanik

According to US network CNN, Mr Trump has offered fierce ally Elise Stefanik the job as US ambassador to the UN.

Citing two anonymous sources, CNN confirms rumours the Republican – who represents New York in the House – was lined up for the role.

Ms Stefanik has built up a national profile as an unwavering ally of the president-elect, shedding her early reputation as a moderate – having worked on Mitt Romney’s 2012 campaign – to become the highest-ranking woman in the House Republican leadership.

Sky News’ US partner network NBC News reported in January this year she was being considered as Mr Trump’s pick for vice president.

Mr Trump reportedly described her as a “killer”.

Tom Homan

Mr Trump said late on Sunday that Tom Homan will return to government to be in charge of US borders and the deportation of illegal immigrants.

Announcing the news on Truth Social, the president-elect said “there is nobody better at policing and controlling our Borders” than his new “border czar”.

Mr Homan served as former acting director of Immigration and Customs Enforcement (ICE) during Mr Trump’s first term, and was an early backer of the president’s “zero tolerance” policy – which NBC News reported led to at least 5,500 families being separated at the southern border in 2018.

Earlier this year, he told a conservative conference he would “run the biggest deportation force this country has ever seen,” per NBC.

Mr Homan was also a contributor to Project 2025’s Mandate for Leadership book.

Mike Waltz

Trump loyalist Mike Waltz is the president-elect’s national security adviser – a powerful role which does not require confirmation from the Senate.

The 50-year-old, who served in the National Guard, will be responsible for briefing Mr Trump on key national security issues and coordinating with different agencies.

Having praised Mr Trump’s foreign policy views, Mr Waltz is a leading critic of China, and has spoken out about the country’s activity in the Asia-Pacific, claiming the US needs to be ready for a potential conflict in the region.

Kristi Noem

Republican presidential nominee former U.S. President Donald Trump gestures next to South Dakota Governor Kristi Noem during a town hall campaign event in Oaks, Pennsylvania, U.S., October 14, 2024. REUTERS/David Muse
Image:
Kristi Noem with Mr Trump in Pennsylvania. Pic: Reuters

South Dakota governor Kristi Noem has been picked to serve as the next homeland security secretary.

Once seen as a possible running mate for the president-elect, Ms Noem is currently serving her second four-year term as South Dakota’s governor, having risen to prominence after refusing to impose a statewide mask order during the COVID-19 pandemic.

As head of homeland security, she will be responsible for everything from border protection and immigration to disaster response and the US Secret Service.

In a statement on Tuesday, Mr Trump said: “Kristi has been very strong on border security. She was the first governor to send National Guard soldiers to help Texas fight the Biden border crisis, and they were sent a total of eight times.”

He said Ms Noem would work closely with his “border czar,” Mr Homan.

Stephen Miller

Mr Trump has named Stephen Miller, an immigration hardliner, to be his deputy chief of staff for policy and homeland security adviser.

Mr Miller was a vocal spokesperson during the presidential campaign for Mr Trump’s priority of mass deportations.

The 39-year-old previously served as a senior adviser during Mr Trump’s first administration.

Mr Miller has been a central figure in some of Mr Trump’s policy decisions, notably his move to separate thousands of immigrant families.

John Ratcliffe

Former director of national intelligence John Ratcliffe has been picked by Mr Trump to serve as director of the
Central Intelligence Agency (CIA).

A former congressman and prosecutor, Mr Ratcliffe is seen as a Trump loyalist who is likely to win Senate confirmation.

Tulsi Gabbard

Tulsi Gabbard, a former Democratic member of Congress and presidential candidate, has been chosen to serve as director of national intelligence.

“As a former Candidate for the Democrat Presidential Nomination, she has broad support in both Parties – She is now a proud Republican!” Mr Trump said.

“I know Tulsi will bring the fearless spirit that has defined her illustrious career to our Intelligence Community, championing our Constitutional Rights, and securing Peace through Strength. Tulsi will make us all proud!”

She has been accused of amplifying Russian propaganda and would come to the job having never worked in the intelligence world or served on a congressional intelligence committee.

Two years ago it was claimed she echoed Russian propaganda by posting a video saying there were bio labs across Ukraine funded by the US.

Who is out?

Nikki Haley

Former Republican presidential contender Nikki Haley takes the stage on Day 2 of the Republican National Convention (RNC), at the Fiserv Forum in Milwaukee, Wisconsin, U.S., July 16, 2024. REUTERS/Mike Segar
Image:
Nikki Haley. Pic: Reuters

Nikki Haley was once Mr Trump’s main rival during his run for the Republican presidential nomination.

Despite losing the contest, she proved her popularity with parts of the GOP and previously served in his first presidential cabinet as the US ambassador to the United Nations.

The 51-year-old also served as governor of South Carolina but news of her not being involved this time around was broken by the president-elect on his own social media platform, Truth Social.

In a short statement, Mr Trump said he would not be inviting either her or former secretary of state Mike Pompeo back but thanked them for their service.

@realDonaldTrump/Truth Social
Image:
@realDonaldTrump/Truth Social

In response, Ms Haley, who eventually endorsed Mr Trump despite harshly criticising him in the party primaries, said: “I was proud to work with President Trump defending America at the United Nations.

“I wish him, and all who serve, great success in moving us forward to a stronger, safer America over the next four years.”

Mike Pompeo

Mike Pompeo also served as the director of the CIA under Mr Trump and had been mentioned in some reports as a possible defence secretary or in relation to another role linked to national security, intelligence or diplomacy.

Former Sec. of State Mike Pompeo speaks during the Republican National Convention on Thursday, July 18, 2024, in Milwaukee. (AP Photo/J. Scott Applewhite)
Image:
Former secretary of state Mike Pompeo. Pic: AP

Follow Sky News on WhatsApp
Follow Sky News on WhatsApp

Keep up with all the latest news from the UK and around the world by following Sky News

Tap here

Mr Trump confirmed Mr Pompeo would not be returning to his cabinet in the same post that he ruled out Ms Haley.

Previously among Mr Trump’s closest allies, Mr Pompeo is one of the fiercest US defenders of Ukraine.

Who is yet to be decided?

Don Jr, Eric and Lara Trump

Donald Trump Jr. speaks to the news media, as Lara and Eric Trump stand nearby, across the street from former President Donald Trump's criminal trial in New York, Tuesday, May 28, 2024. Pic: AP
Image:
Don Jr, flanked by Eric and Lara, defending his father outside his hush money trial in May. Pic: AP

Mr Trump’s daughter and son-in-law, Ivanka Trump and Jared Kushner, were among his senior advisers during his first term. But will the businessman once again keep any family members close when he is in the Oval Office?

In June 2023, Mr Trump said he did not want his children to serve in a second administration, saying it was “too painful for the family”.

More from Sky News:
Trump still faces criminal charges – here’s what happens next
US talk show host on verge of tears after Trump win
Why Harris lost a key state

Nevertheless, while Ms Trump and Mr Kushner have stayed away from politics since, two of Mr Trump’s other sons – Don Jr and Eric – have played prominent roles on the campaign trail.

Eric’s wife, Lara Trump, already has a significant role in US politics, as she serves as co-chair of the Republican Party.

Larry Kudlow

White House chief economic adviser Larry Kudlow speaks before a television interview at the White House, Friday, Oct. 23, 2020, in Washington. Pic: AP
Image:
Larry Kudlow hosts shows on Fox News and Fox Business. Pic: AP

Fox News personality Larry Kudlow served as director of the National Economic Council for much of Mr Trump’s first term and is said to have an outside shot at becoming his treasury secretary this time.

Other names being linked to the post include John Paulson – a billionaire hedge fund manager and donor, who hosted a fundraiser that raked in more than $50m (£38m) for the former president.

Continue Reading

Trending