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The 2017-18 Budget: Federal Receiver for Inmate Medical Services


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The 2017-18 Budget: California Department of Corrections and Rehabilitation

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.

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The 2013-14 Budget: Governor's Criminal Justice Proposals

February 15, 2013 - The Governor’s 2013-14 budget for criminal justice programs is relatively flat. It contains few major proposals for the judiciary or corrections compared with recent years when the state budget included significant budget cuts to programs, as well as major policy changes. In total, the Governor's budget provides $13.2 billion for criminal justice programs in 2013-14. This is an increase of about 2 percent over estimated current-year expenditures. In this report, we review the Governor’s 2013-14 budget proposals for criminal justice programs, including the judicial branch, California Department of Corrections and Rehabilitation, Board of State and Community Corrections, and the Department of Justice. We identify concerns with several of the proposals and make recommendations for legislative consideration. In some cases, we identify proposals that we think should be rejected or modified, resulting in several million dollars of General Fund savings. We also identify several issues that we think would benefit from additional legislative oversight. These include (1) how trial courts will implement budget reductions in coming years, particularly in the absence of reserves beginning in 2014-15, (2) the new staffing methodology being implemented by the federal court-appointed Receiver currently managing the state’s inmate medical system, and (3) efforts by the Board of State and Community Corrections to meet its statutory mission to assist local agencies improve criminal justice outcomes through technical assistance and data collection.

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[PDF] The 2014-15 Budget: Governor's Criminal Justice Proposals

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.

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The 2020-21 Budget: Criminal Justice Proposals

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.

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[PDF] Analysis of the 2005-06 Budget Bill, Judiciary and Criminal Justice Chapter

February 24, 2005 - Analysis of the 2005-06 Budget Bill, Judiciary and Criminal Justice Chapter

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The 2022-23 Budget: Governor's Proposals for CDCR Operations

February 8, 2022 - This publication provides our assessment and recommendations on the Governor’s 2022-23 budget proposals related to California Department of Corrections and Rehabilitation operations.

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The 2010-11 Budget: Prison Receivership Proposals Pose Significant Financial Risks

March 16, 2010 - In February 2006, the federal court in the Plata v. Schwarzenegger case pertaining to inmate medical care appointed a Receiver to take over the direct management and operation of the state’s prison medical health care delivery system from the California Department of Corrections and Rehabilitation (CDCR). In this brief, we (1) provide a status report on the Receiver’s actions, (2) present an overview of state spending on inmate medical care, (3) analyze the various requests contained in the Governor’s budget for the Receiver, and (4) identify issues and recommendations for legislative consideration. Specifically, we recommend that the Legislature: require the administration to present at budget hearings a detailed plan on how its proposed $811 million in savings will be achieved; withhold action on staffing requests pending the submission and our review of the above plan; and, fund only the most critical IT projects in the budget year and delay funding for the less critical projects.

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Providing Constitutional and Cost-Effective Inmate Medical Care

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.

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The 2018-19 Budget: Criminal Justice Proposals

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.

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[PDF] The 2019-20 Budget: Department of State Hospitals

February 13, 2019 - The Governor’s budget proposes $2 billion for the Department of State Hospitals (DSH) in 2019‑20—an increase of $59 million (3 percent) from the revised 2018‑19 level. In this report, we assess four specific DSH proposals and offer recommendations for legislative consideration.