Description: California’s prison medical system has been under direct management of a Receiver appointed by a federal court since 2006 because the state was found to be providing unconstitutional levels of care. In this brief, we provide an overview of the establishment of the Receivership, changes to prison medical care made by the Receiver, and the steps that the state needs to complete in order to exit the Receivership. We also raise some issues for legislative consideration related to the Receivership.