November 8, 2023 - 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.
February 19, 2014 - In the report we provide an analysis of the Governor's budget proposals for state criminal justice programs, including the judicial branch, California Department of Corrections and Rehabilitation (CDCR), and various proposals related to local public safety. The report reviews the most significant proposals in these departments and offers corresponding recommendations for the Legislature's consideration. For example, we recommend that the Legislature take several actions to improve the administration’s approach to trial court funding, including the current trial court reserves policy. In addition, we review the administration’s proposals related to correctional relief staffing and overtime and make a series of recommendations to reduce spending on staffing and overtime and make CDCR's staffing process more cost-efficient.
December 6, 2017 - In this report, we (1) provide background information on the state’s in-prison rehabilitation programs (including their intended goals), (2) outline key program principles for maximizing reductions in recidivism, (3) identify key shortcomings in the state’s rehabilitation programs, and (4) make recommendations to improve how the state provides in-prison rehabilitation programs.
February 27, 2018 - The Governor’s budget proposes a total of $17.2 billion from various fund sources for judicial and criminal justice programs in 2018‑19. This is an increase of $302 million, or 2 percent, above estimated expenditures for the current year. The budget includes General Fund support for judicial and criminal justice programs of $13.9 billion in 2018‑19, which is an increase of $270 million, or 2 percent, over the current‑year level. In this report, we assess many of the Governor’s budget proposals in the judicial and criminal justice area and recommend various changes. We provide a complete listing of our recommendations at the end of the report.
May 1, 2014 - Presented to: Senate Budget and Fiscal Review Subcommittee No. 5 On Corrections, Public Safety and the Judiciary
April 19, 2012 - In 2006, after finding that California had failed to provide a constitutional level of medical care to its inmates, a federal court appointed a Receiver to take over the direct management and operation of the state's inmate medical care program from the California Department of Corrections and Rehabilitation (CDCR). Since that time, the current and prior Receiver have taken a variety of actions to revamp CDCR's medical program. In this report, we (1) provide a status report on the Receiver’s actions, (2) describe how these actions have impacted inmate medical care spending and outcomes, (3) discuss the experiences of other states that have faced problems similar to California’s in delivering inmate medical care, and (4) provide recommendations for delivering a constitutional level of inmate medical care in the most cost-effective manner as possible in the long run. These recommendations include establishing an independent oversight board, taking steps to address current operational efficiencies to bring state expenditures to a more sustainable level, and establishing a pilot project to contract for medical care services.
February 18, 2020 - The Governor’s 2020‑21 budget includes a total of $19.7 billion from all fund sources for the operation of judicial and criminal justice programs. This is a net increase of $341 million (2 percent) over the revised 2019‑20 level of spending. General Fund spending is proposed to be $16.2 billion in 2020‑21, which represents an increase of $213 million (1 percent) above the revised 2019‑20 level. In this report, we assess many of the Governor’s budget proposals in the judicial and criminal justice area and recommend various changes. Below, we summarize some of our major recommendations. We provide a complete listing of our recommendations at the end of the report.
January 17, 2013 - In recent years, the state has passed various laws altering the state's criminal justice system. Most notably, in 2011, the state shifted--or "realigned"--responsibility to house and supervise tens of thousands of adult felons from the state to local governments. Major policy changes such as the 2011 realignment, as well as others, are likely to raise numerous questions from policymakers, practitioners, and the public regarding those policies' impacts on public safety and costs. Consequently, we are releasing an updated version of our 2007 report California's Criminal Justice System: A Primer. This report includes key statistics on crime rates, adult and juvenile arrests, prosecutions in the criminal courts, and state and local corrections in California. Where possible, this information is provided through 2011, providing readers with a picture of the state's criminal justice system prior to the full implementation of the 2011 realignment, against which they can evaluate how the system changed following realignment (such as in terms of crime rates, court caseloads, and correctional populations). This report also includes in-depth discussions of some of the most important criminal justice issues likely to face policymakers in coming years.
February 20, 2008 - Analysis of the 2008-09 Budget Bill, Judiciary and Criminal Justice Chapter
March 3, 2017 - In this web post, we provide an overview of the Federal Receiver for Inmate Medical Services, who maintains direct control over inmate medical care provided in California Department of Corrections and Rehabilitation (CDCR) facilities, and the level of funding proposed for inmate medical services in the Governor’s 2017-18 budget. We also assess and make recommendations on four specific Receiver budget proposals: (1) an $8.9 million augmentation related to medication management, (2) a $3.1 million augmentation related suicide watch, (3) a $5.4 million augmentation related to health care appeals, and (4) a $2 million augmentation related to managing health care equipment.
March 1, 2017 - In this web post, we provide an overview of the California Department of Corrections and Rehabilitation (CDCR) and the level of funding proposed for the department in the Governor's 2017-18 budget. We also assess and make recommendations on various CDCR budget proposals, including a $12.6 million proposed augmentation related to changes in the adult inmate and parolee populations. In addition, we assess and provide recommendations on three proposals related to inmate mental health care: a $250 million shift of inpatient psychiatric programs from the Department of State Hospitals to CDCR, an $11.4 million proposal to convert 74 existing outpatient mental health beds into inpatient psychiatric program beds, and a $112 million proposal to construct 100 additional Mental Health Crisis Beds. Finally, we assess and provide recommendations on five other CDCR proposals: an $11.7 million proposal to install video surveillance cameras, the delayed activation of an infill facility, a proposal to reduce the department’s budget by $8.3 million to reflect housing unit conversions and the reallocation of health care access staff, a $299,000 proposal to modify a fence at a minimum support facility, and proposed budget trailer legislation related to California Prison Industry Authority employee retiree health benefits.
February 23, 2012 - In 2011, the state enacted several bills to realign to county governments the responsibility for certain felon offenders who previously had been eligible for state prison and parole. These changes will significantly reduce the inmate and parole populations managed by CDCR. This report identifies the impacts of the realignment of adult offenders on CDCR's operations and facility needs, discusses whether realignment will enable the state to meet the prison population limit required by the federal court, as well as whether the change in the makeup of CDCR's inmate population following realignment will affect its housing, mental health, and medical facility needs. The report provides recommendations on how to better match CDCR facilities and programs with the remaining inmate population following the realignment.
February 28, 2014 - In this report, we provide an analysis of the Governor's proposals to comply with the federal court order to reduce the state's prison population. Specifically, we review the administration's plans to comply with the population cap by (1) contracting for additional prison bed space, (2) utilizing funding from the Recidivism Reduction Fund to support initiatives intended to reduce the prison population (such as expanding rehabilitative services), and (3) implementing court-ordered population reduction measures. We recommend a variety of modifications to the Governor’s proposals. In particular, we recommend using a portion of the monies in the Recidivism Reduction Fund to evaluate the Department of Corrections and Rehabilitation's current rehabilitative programs and to expand an existing grant program that incentivizes counties to reduce prison admissions.