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Who is Tommy Tuberville? Auburn coach turned governor candidate
From the Auburn sidelines to the U.S. Senate, Tommy Tuberville is now seeking Alabama's top office. Here's what voters should know.
Perspective on CPW’s wolf depredation decision
As state representatives from the Western Slope and Eastern Plains, we are united in standing for our agricultural communities. Colorado Parks and Wildlife’s decision to suspend its chronic wolf-depredation directive breaks faith with voters, with agriculture and with the communities that have borne the true burden of wolf reintroduction. When Proposition 114 narrowly passed in […]
Paxton campaign showing ‘desperation’ with manufactured story: Political commentator
In the final days until election, President Trump is set to hold another rally in Texas for Republican Senate candidate Ken Paxton. MS NOW National Reporter Rosa Flores shares what she is hearing from voters there. MediasTouch Journalist Adam Mockler, Democratic Strategist Basil Smikle, Bloomberg Businessweek Journalist Max Chafkin, and Rolling Stone Magazine Politics Reporter Nikki McCann Ramirez join the Group Chat with Stephanie Ruhle to share their analysis.
Houston voters welcome long lines as early voting begins
For some voters, participating in the election also meant encouraging others to do the same.
Two longtime rivals seek new audiences in Oregon governor’s race. Who will persuade voters?
Despite the effective rematch from 2022, this year’s campaign trail has pushed both candidates to reach voters in opposing ideological lanes.
How voters feel about trans rights and abortion access will soon be put to the test
How do voters feel about trans students participating in school sports teams? Or abortion access? The U.S. is about to find out.
No-party voters to decide high-stakes midterms, political expert says
A political expert says no-party voters play a major role in who wins the midterm elections.
Is this America's most normal congressional race? San Diego candidates run on classic platforms
Democrat Marni von Wilpert and Republican Jim Desmond are vying for the 48th Congressional District’s swing voters with moderate, establishment politics
This institute could get $4 billion from a ballot measure. With just three workers, is it ready?
If California voters approve it, Prop. 38 will direct $4 billion to one research institute. Only one institute currently qualifies for the money.
Tasteless Democratic ads highlight need for civility in politics
Give voters the information they need and leave the inappropriate theatrics out of it.
Tasteless Democratic ads highlight need for civility in politics
Give voters the information they need and leave the inappropriate theatrics out of it.
Can Real Estate Out-Organize Tenants in New York? This Group Will Try.
A new organization, Built for New York, plans to raise money to mobilize voters in the real estate industry, which has endured several political losses in recent years.
Does your vote matter in Ohio? Political experts weigh in ahead of the midterms
Election Day is near, and while many are already early voting, some eligible voters may feel disengaged from politics or concerned about the state of our democracy. We'll talk to experts about your election questions and why your vote matters.
Rogers argues El-Sayed is vulnerable with 2 traditionally Democratic blocs as Obama heads to Michigan
Mike Rogers argues Abdul El-Sayed may lose Black and Jewish voters in Michigan's Senate race during a Sean Hannity town hall on key demographics.
Ballots mailed out to Oregon voters: What to do if you didn’t get one
PORTLAND, Ore. (KOIN) — Election Day is just over two weeks away and ballots in Oregon and Washington were mailed out last week. But there are plenty of voters still wondering where their bal…
Toppenish School District receives $7.5 million federal grant to expand mental health services for students
The BriefThe Toppenish School District has been awarded up to $7.5 million through Project AWARE (Advancing Wellness and Resiliency in Education), a federal grant administered by the Substance Abuse and Mental Health Services Administration (SAMHSA).The grant will provide up to $1.5 million annually over five years to expand mental health services, strengthen substance use prevention and intervention, and improve access to support for students.District officials say the funding will help address identified gaps in services, particularly drug and alcohol counseling at the high school level, and will allow the district to build capacity for long-term mental health support.TOPPENISH, WASHINGTON — The Toppenish School District has been awarded up to $7.5 million through Project AWARE (Advancing Wellness and Resiliency in Education), a federal grant administered by the Substance Abuse and Mental Health Services Administration (SAMHSA), to expand mental health services and substance use prevention for students.District officials said access to mental health resources has been limited, making it difficult for some students and families to get the support they need. The federal Project AWARE grant will help address those challenges by bringing schools and local healthcare providers together to better support students.The grant will provide up to $1.5 million annually over five years to expand mental health services, strengthen substance use prevention and intervention, and improve access to support for Toppenish students. Deputy Superintendent Dr. Jeff Camero said the district is focused on coordinating with service providers in the area to work as a unified team."We made the awareness with the grant. But looking at all the service providers in the area and how can we all together work as a team?" Camero said.Camero said the district wants to use those resources to reach students earlier and provide more support for those struggling with their mental health. The district plans to address a range of mental health challenges, from anxiety and depression to youth suicide risk. Camero emphasized the importance of supporting students in grades eight through twelve, where suicide rates are a particular concern."Making sure from anxiety to depression, making sure that we can help support our students at those levels, but also the youth suicide risk, looking at that as a top in this area, in our grades, you know, eight, for example, eight through 12, looking at suicide rate and looking at how whether we look at the ACES or whatever program we're looking at, that's federal, how that connects and how we can better serve our students with this extra funding," Camero said.The funding will allow the district to bring in additional staff, including mental health and substance use specialists, to work directly with students and connect families with community resources. The district is already posting positions, including a director role, with additional positions expected to follow.District officials are also thinking beyond the grant's five-year timeline. Brittany Kaple, Director of Public Relations for the Toppenish School District, said the intent is to build capacity and establish connections that will sustain mental health services even after the grant funding ends."We do have the director position already posted, with some of our other positions following really close behind that. But the intent is to, you know, it's a five-year grant, so those positions would be funded for that five years. But there's also the intent to build capacity and make those connections so that at the end of the grant, when that money, you know, if that money is not renewed," Kaple said.As student mental health needs continue to evolve, access to drug and alcohol counseling has become an important priority for the district. Kaple said teachers and staff have been raising concerns about the need for more support, especially at the high school level."And that was something that was also an identified need by our high school staff when the superintendent met with them last school year. They said that that was a really great need, something that they felt was a gap in services that we were providing for our students. And so this is going to be one way to help support that need," Kaple said.The Toppenish School District says its goal is to ensure students and families have access to the support they need, both now and in the years ahead. Additional positions, including drug and alcohol counselors and family engagement specialists, are expected to be posted in the coming weeks. News Sunnyside City Council navigates 2027 budget planning Monique Garcia News "Dancing with the Stars" champion J.R. Martinez shares message of resilience during Central Washington visit Tyler Wargo News Toppenish, Mattawa educators honored at state Educator of the Year Awards Erin Wencl News Kennewick educator named 2027 Washington Teacher of the Year Erin Wencl News Voters to decide the next Yakima County Sheriff Monique Garcia COPYRIGHT 2026 BY APPLE VALLEY NEWS NOW. ALL RIGHTS RESERVED. THIS MATERIAL MAY NOT BE PUBLISHED, BROADCAST, REWRITTEN OR REDISTRIBUTED.
Melania Trump Announces White House Women’s Health Initiative
The effort comes as Republicans are struggling to win over female voters two weeks before the midterm elections.
Melania Trump Announces White House Women’s Health Initiative
The effort comes as Republicans are struggling to win over female voters two weeks before the midterm elections.
BBB warns voters about political text scams ahead of election
With the statewide general election just weeks away, political texts and phone calls are likely to ramp up -- and some could be scams.
A bitter Michigan Senate race rattles Jewish and Muslim voters already on edge over the war in Gaza
Michigan’s closely contested Senate race has become deeply personal for some voters.
DOJ Charges 28 California Residents With Voting-Related Crimes Amid Trump’s Voter Fraud Push
The effort by the Trump administration comes as it wages a broader fight with California officials over voter rolls.
A blue-collar bellwether weighs ousting longtime GOP Sen. Susan Collins in Maine
Voters in Lewiston helped propel Collins to victory in her last election. Some are ready for a change, but others are wary of losing Collins’ sway in the Senate.
GOP focuses on fraud, seeking to redirect voters’ ire over healthcare costs
Heading into the midterm elections, high healthcare costs rank among voters’ biggest concerns. But lately, there’s a twist giving the issue new momentum on campaign agendas: a focus on fraud in government health programs. The administration of President Donald Trump has used claims of widespread wrongdoing to justify investigations, suspensions of billions of dollars in […]
Giannoulias opens big lead in Chicago mayoral poll as Johnson loses support
The secretary of state leads in first- and second-choice preferences, while just a quarter of Brandon Johnson's 2023 voters say they'd support him again.
More than 2 dozen charged in California sweep targeting noncitizen voters
The arrests also reflect a further escalation in a simmering voter roll fight
Suburban women souring on Paxton could doom him in tight race
Interviews with these voters reveal a combination of apathy toward his candidacy and an active shift by some toward his Democratic opponent.
Justice Department charges more than 2 dozen in California sweep targeting noncitizen voters
Federal authorities are arresting more than two dozen foreign nationals in California who authorities said have illegally registered and voted in U.S. elections | KCBS All News 106.9FM and 740AM
Michiganders to vote on limiting political donations by utility companies, government contractors
Michigan voters will have a chance to decide whether to limit certain campaign finances through a citizen-led initiative.
A city divided: What redistricting means for Tennessee voters
By Bianca Flowers, David Hood-Nuño and Ally Levine Oct 19 (Reuters) - The city of Memphis used to sit almost entirely in one congressional district.
'You Can See Everything' just become a major player in the Oscar race
Nathan Fielder and Lance Oppenheim's experimental portrait of Elizabeth Holmes is the kind of phenomenon that even the pickiest awards voters will need to pay heed to.
What Austin voters should know about Prop I and the other local propositions on the ballot
There are eight proposals on the Nov. 3 ballot that would amend the city of Austin’s charter. Here is what you need to know.
‘We’re in a red sinkhole’: Plummeting Latino support for Republicans could swing the midterms
After helping elect Donald Trump in 2024, the nation’s 36 million Latino voters are shifting in significant numbers in Democrats’ favor. That could shift key midterm races across the country.
GOP Focuses on Fraud, Seeking To Redirect Voters’ Ire Over Healthcare Costs
The anti-fraud efforts highlight a broader political fight ahead of the midterms. Republicans say they’re protecting taxpayer dollars by going after bad actors. Democrats contend the administration is — with insufficient evidence — targeting blue states to cut programs the GOP has long sought to shrink.
Early voting starts today in Texas' 2026 midterm election
Texas voters head to the polls today to start casting ballots in a highly competitive midterm election. Here's what to know.
Voter guide: What to know about candidates for Kansas insurance commissioner
House Speaker Dan Hawkins and Senate Minority Leader Dinah Sykes are running alongside Libertarian nominee Ric Koehn.
Talarico holds slight edge over Paxton in U.S. Senate race on cusp of election, poll shows
The latest survey by the UH Hobby School of Public Affairs shows Democratic state Rep. James Talarico leading GOP Attorney General Ken Paxton by two percentage points among likely voters, just within the margin of error.
Democrats lead across polls as Trump’s approval rating dips
An RNC official says the president’s rallies this month are aimed at getting Republican voters to the polls, even as his approval sits near record lows.
Early voting expands Monday in Chicago, suburban Cook County and across the suburbs
Photo identification is not required but it can be helpful if there is a question about voter registration, address or signature.
Latino voters helped put Trump back in the White House. What's their next move?
The path to a U.S. House majority runs through heavily Latino districts in states such as Arizona, Colorado and Texas, where Democrats are counting on disaffected Trump supporters to swing back their way.
Amazon, data centers and the race for Oregon governor
Amazon is stepping up political spending and community pledges in Oregon as voters and gubernatorial candidates push for a data center moratorium.
Vance faces tough questions on Iran war, immigration and more in CBS town hall
The string of sharp queries, some from voters who said they had supported him and President Donald Trump, previewed the rocky path Vance may face trying to answer for the administration’s record if he runs for president himself in 2028.
California Politics 360 full episode | California, US government clash over voter rolls
The Trump administration sued California election officials this week. They asked a judge to block the state from counting mail-in ballots from people the federal government has identified as “likely” non-citizens until their status can be confirmed.
Voter roll fight in California ramps up weeks before election
First Assistant U.S. Attorney Bill Essayli defended the Trump administration's lawsuit against California election officials, alleging that 20,000 non-citizens who are documented immigrants are registered to vote and have received mail-in ballots, just weeks before the upcoming election.
Malia Cohen explains why she should be reelected State Controller
California State Controller Malia Cohen is seeking reelection for an office that is responsible for the state's checkbook at a time when voters across the nation are focused on waste, fraud and abuse of taxpayer money.
Tripp Skipper: What Alabama Republicans should remember about Doug Jones and Roy Moore
I regularly talk with elected officials, business leaders, farmers, and everyday voters. Many are longtime Republicans who have helped elect conservative candidates for decades. They’re frustrated.
Netanyahu condemns Magal's 'monkey' remark against Eisenkot, calls out opposition
Netanyahu condemned Magal's insult to Eisenkot but accused the opposition of double standards for attacking Likud voters. Ben-Gvir defended Magal.
Latino voters helped put Trump back in the White House. What's their next move?
The path to a House majority on Capitol Hill runs through heavily Latino districts in states such as Arizona, Colorado and Texas.
Latino voters helped put Trump back in the White House. What's their next move?
The path to a House majority on Capitol Hill runs through heavily Latino districts in states such as Arizona, Colorado and Texas.
Political parties ‘not doing their homework’ with young voters, IU advocates say
Young people have consistently turned out to vote less than their older counterparts.
Oklahoma voters, your family's politics don't have to be yours
Family political traditions are meaningful, but you should evaluate your own needs before casting your ballot.
Killeen voters to decide on 8 charter amendments
Killeen voters will have the opportunity to consider eight proposed amendments to the City Charter during a special election on Tuesday, Nov. 3.
'He's everywhere': Carl DeMaio's push to make the GOP relevant again
Assemblymember Carl DeMaio, a conservative from San Diego County, has become a prominent voice for state Republicans. His vehicle this election is Proposition 39, the voter ID measure.
Trump's immigration crackdown tests Republicans' hold on Texas voters
The race between Democrat James Talarico and Republican Ken Paxton is hotly contested and enormously expensive, with total ad spending topping $500 million.
Oregon's governor struggles for reelection despite blue tide
In Oregon, a progressive bastion, voter discontent has incumbent Tina Kotek on the defensive. Her struggle shows the perils of incumbency this angry election season.
In tight Texas Senate race, Trump's immigration crackdown tests Republicans' hold on voters
The race between Democrat James Talarico and Republican Ken Paxton is hotly contested and enormously expensive, with total ad spending topping $500 million.
Rural voters in Kansas want practical solutions not politics
A new survey shows rural voters prioritize practical issues like health care and cost of living over partisan debates.
In Ohio, a solidly GOP district is upended by domestic violence allegations
Several Republican voters who spoke to USA TODAY are still supporting Rep. Max Miller of Ohio despite allegations of domestic violence.
Video: Will Rural Voters Sit Out the Midterms?
Lisa Lerer, a national political correspondent, travels to a cattle auction in Calhan, Colo., to see if economic anxieties are affecting the loyalty of rural voters to the Republican Party.
Trump approval hits record low, handing Democrats a clear midterm edge
President Donald Trump’s approval rating has fallen to a new low and support for Democrats in the race for control of Congress rising, as inflationary pressures contribute to the acrid mood among voters, according to a Washington Post-ABC News-Ipsos poll.
‘These are really tough times’: House Republicans confront voter fury over Trump’s Washington in final midterm stretch
GOP operatives conducting a focus group in a traditionally red Midwestern state this month were shocked by what they heard from Republican voters.
Alberta separatists say they'll keep fighting after independence vote
EDMONTON, Alberta (AP) — One of Alberta’s leading separatists vowed Saturday to continue the independence movement even if voters reject a proposal Monday to begin the process of leaving Canada, decla...
Durand voters to decide $30.29M school bond this November
Durand Area Schools voters will decide on a $30.29 million bond proposal on the Nov. 3, 2026 ballot that would pay for safety, infrastructure and building upgrades across the district,
Trump ramps up attacks on Dems in tight races
President Trump is intensifying personal and Islamophobic attacks on Democratic candidates in several states as Republicans worry about a voter-enthusiasm gap ahead of the November 3 elections. CNN’s Alayna Treene reports from a rally in Northern Kentucky.
State of Texas: Tight races test voters, parties and a new political map
The race for U.S. Senate is the biggest story in Texas politics, and it's getting nationwide attention. Campaign spending between Ken Paxton and James Talarico is on pace to set records, and the race ...
State of Texas: Tight races test voters, parties and a new political map
The race for U.S. Senate is the biggest story in Texas politics, and it’s getting nationwide attention. Campaign spending between Ken Paxton and James Talarico is on pace to set records, and …
'No Kings' protesters rally against Trump, urge voters to turn out
‘No Kings’ demonstrators rallied across Michigan Saturday, protesting Trump administration policies and urging people to vote.
The Republican governor candidates walking back some of their abortion stances
The candidates’ retreat suggests that, even as reproductive rights fade from the national spotlight and polls show voters are far more likely to prioritize cost-of-living concerns, the political ramifications of pushing for new abortion restrictions remain substantial.
Trump touts his power at Kentucky rally to energize voters ahead of midterm elections
President Donald Trump is emphasizing his influence during his second term at a rally in Kentucky.
Trump touts his power at Kentucky rally to energize voters ahead of midterm elections
President Donald Trump is emphasizing his influence during his second term at a rally in Kentucky.
Trump touts his power at Kentucky rally to energize voters
President Donald Trump is emphasizing his influence during his second term at a rally in Kentucky.
No Kings rallies across U.S. urge voters to cast ballots ear...
No Kings rallies across the country on Oct. 17 urged Americans to vote early ahead of the Nov. 3 midterm elections. Demonstrators emphasized the power of the ba...
'No Kings' rallies across U.S. urge voters to cast ballots early
The hundreds of planned events were being billed as nonpartisan
'No Kings' rallies across U.S. urge voters to cast ballots early
The hundreds of planned events were being billed as nonpartisan
Byron Donalds launches 50-stop bus tour to 'meet voters where they are'
The GOP ticket is hitting the road.
A bitter Michigan Senate race rattles Jewish and Muslim voters already on edge over the war in Gaza
Michigan’s closely contested Senate race has become deeply personal for some voters | WWJ Newsradio 950
A bitter Michigan Senate race rattles Jewish and Muslim voters already on edge over the war in Gaza
Michigan’s closely contested Senate race has become deeply personal for some voters.
Big dollars and strange twists in Northeast Seattle statehouse race
An unusual legislative race in the 46th District pits a seasoned lawmaker against a political novice and is testing voters' much-discussed hunger for change.
Campaigns already know a lot about voters. AI could change what they do with it.
Artificial intelligence is reshaping familiar campaign practices in Minnesota and beyond. Whether it can sway more votes is less certain.
Montana’s House battleground: Can 2 political newcomers overcome party politics?
The fight for Montana’s 1st District tests whether candidates can use their backgrounds to connect with voters and avoid being shaped by national politics
Can left or right extremes solve Europe’s housing crisis?
Housing costs have brought about a political crisis in Spain and are fueling political change across Europe. Voters are turning to the far left and far right for radical change in the way living space is regulated.
Healthcare costs top survey of Americans’ biggest economic concerns, followed by gasoline, food, utilities
The cost of healthcare is the top economic issue for voters, according to a recent national survey, as politicians in Arkansas and across the U.S. prepare to make their final pitches ahead of the November midterm elections.
Michigan Proposal 2 aims to limit corporate money in politics
Michigan voters will decide in November whether to overhaul the state’s campaign finance laws through a citizen-led ballot initiative that would ban utility companies and certain government contractors from donating to state candidates.
Political violence: How justifications influence voter approval
What happens when political violence is presented as a justified response to threat or injustice coming from an out-group? A study by Ursula Daxecker, director at the Max Planck Institute for Politics ...
Tony Lo Sasso on healthcare costs as a top issue for voters
Tony Lo Sasso on how the issue of healthcare is shaped by mergers and rising premiums.
Alberta early-voter surge suggests edge for Canadian side
CALGARY, Canada — More than 1 million people have already cast their ballots in Alberta’s referendum on separation from Canada, signaling strong voter turnout that pollsters say may favor the
Maine voters are unhappy over political climate as they cast early ballots in midterm elections
DOJ says California officials who process ballots from suspected noncitizens risk prosecution
The Trump administration is escalating its fight with California ahead of next month's midterm election, warning that local officials who process and tabulate ballots submitted by suspected noncitizen voters are putting themselves at risk of criminal investigation and potential prosecution.
Staff Turnover and Missing Funds: A Tumultuous Week at Trump’s White House
With just over two weeks remaining before the midterm elections, things inside the White House are turbulent. Even though President Donald Trump isn’t on the ballot, he is top of mind for many as they head to the polls. Republicans across the country are already working to persuade voters not to ...
Obama's star power gets a reality check from Black voters in crucial Senate race: 'It's a turn-off'
Barack Obama's endorsement of Abdul El-Sayed drew mixed reactions from Detroit Black voters, with undecided residents saying it didn't move the needle.
Gov. Ferguson may not get a pay raise next year
Voters established the salary commission in 1987 to end the practice of politicians deciding their own pay.
Belief in change matters more than political anger when it comes to voting intentions, study suggests
With the 2026 midterm elections around the corner, voters may be feeling everything from excitement to fear. But how might anger motivate political activism and, ultimately, influence who turns out to ...
Russia Appears to Step Up Efforts to Influence U.S. Voters
One campaign has created social media posts focusing on U.S. support for Israel to sow discord ahead of the midterm elections.
Judicial retention | Judges on the ballot in 2026
This November, voters statewide will decide whether to retain 123 judges for terms ranging from four to 10 years. Unlike other races on the ballot where multiple candidates are seeking a single position, judicial retention requires voters to select either “yes” or “no.” Here are answers to some common questions about retention elections. Q: How […]
Cook Political Report moves 11 more House races toward Democrats
The election prognosticator says more races are becoming competitive in traditional GOP strongholds because of voter frustration with the economy.
Trump wants the midterms to be all about him. Based on Democrats' ads, they are happy to oblige
Many of the Democrats' ads accuse Republican opponents of siding with the president over voters, particularly on issues like tariffs and the Iran war, which they blame for jacking up costs.
Can AI solve our mental health access problem?
Last week I asked you what worries you most about AI in health. It was close, but your top answer was “AI giving bad health advice.” Last week’s poll results: You’re in good company. This concern was top of mind at a conference I joined at Stanford last week, where researchers, clinicians, and people who build AI systems spent a day debating trust and safety in health AI. Stepping back, I’m also hearing your emerging concerns about AI’s impact on our well-being generally. I see this as a matter of public health, and we’ll take it in pieces as we learn together. Today we’ll focus on AI chatbots used for therapy for mental health. Early this month, Governor Newsom vetoed Senate Bill 903, California’s most ambitious attempt to regulate AI use for mental health. It’s at the center of active debate, and raises the questions patients, family members, citizens, and voters will face as AI moves deeper into health care. Let’s work through it. What is “AI-based therapy”? It’s really two things: purpose-built mental health apps designed to deliver structured support, and general chatbots like ChatGPT, Claude, and Gemini that people increasingly use for emotional support—even if they weren’t built for it. Spoiler alert: I don’t know whether the shift toward AI therapy is good or bad. The evidence isn’t there yet. But I do know it’s already happening, and I have some ideas about how we can roll it out with safety in mind. The therapy dilemma, in a nutshell Mental health challenges are common, and strain health and well-being across populations. Therapy (interactive dialogue with a trained, empathetic practitioner) helps many people heal. The demand for licensed therapists far exceeds the supply in California, and AI-based therapy can narrow that gap. AI-based therapy remains novel, unproven, and not well tested. Right off the bat, we can see we’re dealing with trade-offs here. Since the main driver of demand for therapy from a robot is lack of access to therapy from a human, we’ll start there. It’s too hard to find and afford a human therapist California is short roughly 55,000 licensed, non-prescribing therapists and counselors, about 40% of what we need. Psychiatrists, who rely on talk therapy as a complement to prescribed medications, are even more scarce. Eight counties have none, and density ranges from 1.7 per 100,000 residents in San Benito County, to 68.1 in Marin County. My wife is a psychiatrist in Marin, and even here access is tight. If it’s hard in the best-supplied county, imagine rural Sierra County, or the San Joaquin Valley. In 2024, more than half of Californians who tried to make a mental health appointment struggled to find a provider who took their insurance, compared with 14% for physical health care. When Senate staff posed as “secret shopper” patients and called 120 mental health providers in Medicare Advantage networks, they landed an appointment less than once for every five tries. Insurers pay behavioral health clinicians about 22% less than medical and surgical clinicians for comparable office visits. On top of that, billing denials and prior authorizations hit hardest at the solo and small practices common in mental health. Psychiatrists opt out of Medicare at the highest rate of any specialty. In many places, a cash practice for therapy fills quickly with patients paying $250 or more an hour, with no insurance paperwork at all. Families who can pay cash find providers more easily. Those who rely on insurance, including Medi-Cal enrollees, older adults, rural residents, and non-English speakers, compete for what’s left. So we can’t pretend the human system works, and we can’t blame people for turning to AI for support when they’re in distress. AI is filling the gap It’s estimated that roughly a quarter of AI users use it for mental health support. If you have internet, it’s available 24/7, it’s cheap, and it speaks your language. Uninsured adults are about twice as likely as insured adults to do it (30% vs. 14%). It feels anonymous in ways that may enable people to ask things they’re unsure or embarrassed about. The largely hidden, personal use makes it hard to study whether it’s actually helping people with their mental health issues, but researchers are trying. Does AI therapy work? A 2026 analysis of nearly 40 randomized trials found chatbots showed a real but small reduction in depression symptoms. But most of these trials were compared to an alternative of no therapy, not a human therapist. So the benefit of AI therapy is probably real, but modest, and mostly untested against the alternative of human contact. We need more studies. Serious concerns OpenAI’s own estimate is that more than a million ChatGPT users each week show signs of suicidal planning or intent. These are high stakes encounters, and AI doesn’t always get it right. That’s partly because a chatbot can sound like a therapist, but it has no license, no duty of care, and it’s not clear who to hold accountable when it gets things wrong. AI is also designed to help users in whatever task they’re seeking to accomplish. People may feel like they’re getting therapy, but they’re mainly getting a convincing conversation. It’s easy for an AI companion to wander into gray areas, like playing along with “creative writing” that may be about the user’s own suicidal intent. Courts are driving safety conversations A wave of lawsuits have been filed on behalf of families claiming that chatbots pushed people they loved toward self-harm, including teens who died by suicide. The first settlements came this year. OpenAI is headquartered in San Francisco, and dozens of cases alleging that ChatGPT drove users to suicide or self-harm are now before a San Francisco judge. Character.ai has filed for bankruptcy after several states brought lawsuits accusing the chatbot of pushing dangerous content to kids. But the technology seems to be improving. Last month, an independent evaluation found that newer AI models “almost never endorse suicide.” That’s progress, but our societal appetite for even one preventable death is very low. So how do we move forward? Finding a middle ground Earlier this month the governor vetoed Senate Bill 903, a bill designed to place guardrails on the use of AI for therapy. The bill would have prohibited any AI-based platform from being advertised as psychotherapy, and would have required a licensed professional to review and approve each encounter where AI was used to support therapeutic decisions. Newsom called it overly broad, since even routine screening questions would have needed clinician sign-off. Knowing we’re already short on mental health providers, requiring human review of AI encounters may not relieve our access problems. Still, the answer isn’t no oversight. Here’s one feasible short term solution. Rather than reviewing each encounter, a licensed clinician can design the guardrails: what counts as a crisis, what triggers an immediate handoff to a human, and what gets sampled for audit each month. The AI runs inside that structure. Conversations get checked, failures get reported, and a real clinician owns the framework. Medicine already has models to learn from. The FDA process for rolling out newly approved medications is an example. After a product reaches patients, we keep watching for adverse events. Patient-facing AI needs the same “digital pharmacovigilance”: systematic tracking of harms, near misses, and the types of groups that get hurt and why. It’s also critical that users know that they can reach a human if they’re in crisis. Most chatbots now include messages like these: Bottom line The rush to use unproven AI tools for mental health support is mostly a workaround, a sign of a health system people can’t get into. We need better access to proven care from licensed clinicians. That takes reimbursement that makes accepting insurance viable, and a bigger workforce. But, built and tested well, AI could be part of the answer. It could be the 2 a.m. check-in when no one else is awake, or a way for patients to practice skills their therapist taught them. It could be the first step to get someone the right level of care, and take paperwork off clinicians’ plates so they spend more time with patients. None of this is simple. The SB 903 veto doesn’t end the debate, and the legislature will be back. In the meantime, those of us using these tools need to stay informed, ask hard questions, and hold the companies building them accountable. I’ll try to do my part, and we’ll keep learning together. Love,Matt P.S. If you or someone you know is struggling with mental health challenges, emotional distress, substance use problems, or just needs to talk, call or text 988- you’ll reach a real person— or chat at 988lifeline.org 24/7. Dr. Matt Willis is the author of Your Local Epidemiologist in California. A California native, he’s served as a primary care physician, CDC epidemiologist, and public health officer for Marin County, where he guided the pandemic response. He lives in Marin with his family and their dogs, Teddy and Ramona. Thank you Cynthia He, MD, PhD, and Parnika Saxena, MD, for their guidance in preparing this article. Cynthia works in an outpatient mental health clinic, treating patients who have Medi-Cal or, sometimes, no insurance. Parnika works in an inpatient psychiatric unit, treating patients with public or private insurance or self-pay ability. All opinions are their own and do not represent their employers.