Opening the Doors of Government: Biennial Report 2003-2004

L H C ITTLE OOVER OMMISSION O D PENING OORS THE OF G OVERNMENT B R 2003-2004 IENNIAL EPORT Contents Citizen Government Members.....................................4 Resources/Staff............................6 Performance Agenda When Reform is a Must................7 Assessing Reorganization.............9 Practical and Research-based Reforms Summary of Projects..................11 Results Measuring Results.......................17 A Shared Understanding.............23 Legislation...................................35 Consulting with Experts..............37 Reports from 1962-2004.............51 Reorganization Plans..................59 The Little Hoover Commission ... provides citizen and public oversight. The Commission is bipartisan and independent of the executive and legislative branches. The members are appointed by the Governor and the legislative leadership and are unpaid. Through a public and deliberative process these citizens scrutinize government programs and policies and make recommendations for improvement. ... drives a performance agenda. The Commission consistently focuses on ways to accomplish more with the same or fewer resources. The Commission’s reviews are predicated on the potential for forceful leadership, clear and measurable goals, and the strategic pursuit of priorities to drive performance. ... develops practical and research-based reforms. The Commission over the last two years completed major reviews of the public health system, parole policies, drug and alcohol programs, and how evidence-based strategies could improve public safety grants. The Commission also examined how the State could break the political logjams that prevent fundamental reforms from being developed, refined and implemented. Each report contains methodical and practical steps that research indicates would result in improved outcomes, such as lower crime and fewer premature deaths. ... gets results. Broad agreement has been reached on refocusing public health functions and a physician public health officer has been appointed. State correctional officials have adopted the Commission’s recommendation that their agencies be held accountable for preparing inmates for release so public safety can be improved beyond the prison gate. And the California Performance Review advanced literally scores of Commission recommendations – from improving the management of state assets, to reforming personnel practices to bolstering programs for abused children. These are just a few examples of the measurable results attributable to the Commission’s efforts. Biennial Report 2003-04 MICHAEL E. ALPERT, CHAIRMAN (D-Rancho Santa Fe) Originally appointed by Assembly Speaker Willie L. Brown, Jr. in May 1994. Reappointed by the Senate Rules Committee in August 1997, February 1999 and January 2003. Retired partner in the law firm of Gibson, Dunn & Crutcher. Former chief deputy commissioner of the California Department of Corporations. Served as vice chairman of the Commission from 1995 to 2001, elected chairman in 2001. STANLEY R. ZAX, VICE CHAIRMAN (DTS-Beverly Hills) Appointed by the Senate Rules Committee in March 1994. Reappointed in January 1998 and January 2002. Chairman and president of Zenith Insurance Company. Elected vice chairman of the Commission in 2001. State of California LITTLE HOOVER COMMISSION January 26, 2005 Dear Governor and Members of the Legislature: State government is at the threshold of foundational reforms that could strengthen and restore the ability of government to serve Californians. Just as state leaders cannot step away from this challenge, they must proceed smartly with the right reforms in a meaningful way. It has taken a deep financial crisis, high-profile failures, plummeting public confidence, and a change in leadership to bring California to this moment of opportunity. The Commission be- lieves its work of the last two years, summarized in this report, identifies practical and research-based reforms. The specific recommendations are predicated on a common approach: Set clear goals, establish strategic priorities and focus on outcomes. For example, drug and alcohol addiction costs the General Fund $11 billion a year. Some of those dollars are spent on prevention, law enforcement and treatment. But most of the costs – such as health care and corrections – result from demands on public services that could be reduced by allocating resources based on evidence and managing efforts based on outcomes. Similarly, the State spends hundreds of millions of dollars on public safety grants to fund pro- grams that have not been proven to work. The State must strategically target these resources to programs that work in communities with the greatest problems. Improving the performance of these efforts will save lives and reduce the demand on public services. These are examples of how the Commission has strategically focused its efforts on two policy areas where the poor performance of some government programs increases demands on other programs. The resulting recommendations identify ways to save substantial public resources by better spending existing public resources. In the area of public safety, the Commission identified an evidence-based model that should replace the now defunct Office of Criminal Justice Planning. Similarly, if the performance of the State’s parole policies were elevated to just the national average, the State would save hundreds of millions of dollars and improve the safety of virtually every community in California. In the area of health and human services, the Commission identified ways to improve drug and alcohol treatment programs, the foster care system, acupuncture regulation, and public health programs. The Commission also proposed a fundamental redesign of the health and human service delivery system to improve the quality of services. Finally, the Commission – believing that California is “governable” – developed a critical path, based on the lessons learned from failed reform efforts that could be used to resolve intransigent problems – such as the dysfunctional state-local relationship and the complex, unreliable and obsolete revenue system. In a more focused review, the Commission examined the approach of the California Performance Review and recommended ways to refine the administration’s essen- tial initiative to transform the bureaucracy. The results of the Commission’s efforts – and projects that were previously completed – are documented in the report. These results represent a substantial and specific return on the State’s investment. But ultimately, the Commission is an investment in democracy. By empow- ering a group of citizens to evaluate government policies, the State acknowledges the imperative of disciplining government to the public interest and making it responsive to the will of the people. We faithfully and proudly execute that charge. Citizen Government DAVID J. EPSTEIN The Commission is... (DTS-Indian Wells) Appointed by Governor Gray Davis in January Volunteer 2002. In the practice of law for 35 years, specializing in helping state government to Commissioners are not paid, identify and collect abandoned financial assets. but dedicate hundreds of hours over the course of a year to understanding and improving DANIEL W. HANCOCK public programs. (D-Milpitas) Appointed by Assembly Speaker Cruz Informed Bustamante in July 1997. Reappointed by A small staff enables these Speaker Robert M. Hertzberg in January 2001. volunteers to be effective by Strategic advisor and former president of Shapell analyzing information, Industries of Northern California. organizing meetings, drafting documents and providing full- WELTON C. MANSFIELD time representation for the Commission. (R-Newport Beach) Appointed by Assembly Speaker Herb J. Wesson, Jr. in January 2003. Retired executive vice Public president and managing director of Foote, Cone Through open hearings and and Belding. advisory committee meetings, the Commission openly examines government EUGENE “MITCH” MITCHELL operations. It invites experts, consumers, advocates, and (R-Carlsbad) federal, state and local officials Appointed by Governor Arnold Schwarzenegger to assess the State’s in April 2004. Vice president of public policy performance and explore ways and communications, San Diego Regional to improve efficiency and Chamber of Commerce. effectiveness. Independent STUART G. MOLDAW The Commission, by statute, is (DTS-Atherton) not part of the executive Appointed by Governor Gray Davis in March branch or the legislative 2002. Chairman of the Gymboree Corporation. branch. Its members are appointed by the Governor and the Legislature. Empowered CHARLES S. POOCHIGIAN SENATOR The Commission has the authority to select its own (R-Fresno) topics, has access to Appointed by Assembly Speaker Curt Pringle in government records and is March 1996. Reappointed by Speaker Antonio charged with making public Villaraigosa in 1997, and reappointed by the recommendations to the Senate Rules Committee in 1999. Elected to the Governor and Legislature. 14th State Senate District in 1998. 4 LESLIE “TEDDIE” RAY The Commission is... (D-Laguna Beach) Appointed by Governor Gray Davis in Bipartisan November 2003. Former real estate agent and member of the Board of Directors of Policy debates benefit from, Planned Parenthood of Orange and San but also are limited by, partisan Bernardino Counties. perspectives. The Commission’s work balances those debates with a venue designed to forge diverse JOSPEH RODOTA opinions into an agreed upon (R-Sacramento) course of action. Appointed by Governor Arnold Schwarzenegger in April 2004. Former Focused cabinet secretary and deputy chief of staff for Governor Wilson. CEO of Forward Legislators are confronted by Observer. every public issue of the day and the perennial work of budget making. Executive L C EGISLATORS WHO SERVED ON THE OMMISSION THROUGH branch agencies are confronted 2003-04 L S THE END OF THE EGISLATIVE ESSION with the day-to-day challenges of operating bureaucracies. PATRICIA BATES The Commission informs both ASSEMBLYWOMAN through its focused and (R-Laguna Niguel) detailed examination of public programs. Appointed by Assembly Speaker Herb J. Wesson, Jr. in March 2003. Elected to the 73rd State Assembly District in 1998. Former Commissioners who served in the 2003-2004 Session Jennifer A. Openshaw (D-Playa del CHRISTINE KEHOE Rey) Served from July 2001 to April ASSEMBLYWOMAN 2004. (D-San Diego) Stanley M. Zimmerman (D-Beverly Appointed by Assembly Speaker Herb J. Hills) Served from January 2000 to Wesson, Jr. in February 2003. Elected to the April 2004. 76th State Assembly District in 1998. Served Richard R. Terzian (R-Los Angeles) one year as Assembly Speaker pro Tempore. Served from May 1986 to November 2003. JOHN VASCONCELLOS Assemblyman Juan Vargas (D-San Diego) Served from February 2001to SENATOR March 2003. (D-Santa Clara) H. Eric Schockman (D-Sherman Oaks) Appointed by the Senate Rules Committee in Served from January 2000 to January February 1997. Elected to the 13th State 2003. Senate District in 1996 after serving in the Assembly for 30 years. AS OF DECEMBER 2004, THE COMMISSION HAD THREE VACANCIES. IN JANUARY 2005, SENATOR LIZ FIGUEROA WAS APPOINTED TO THE COMMISSION BY THE SENATE RULES COMMITTEE AND ASSEMBLYMAN MIKE GORDON WAS APPOINTED TO THE COMMISSION BY ASSEMBLY SPEAKER FABIAN NUNEZ. 5 Commission Resources Commission staff... A modest investment in state funds allows the Commission to A staff of nine civil service leverage the time and talent of its members, researchers, employees arrange meetings, conduct research, draft reports, practitioners, consumers and other Californians to contribute advocate for recommendations, to Commission efforts. Commissioners serve as volunteers and and perform related as such receive no compensation for their service. administrative functions on behalf of the Commission. The Little Hoover Commission received $907,000 from the General Fund for fiscal year 2003-04. Mid-year cuts reduced James P. Mayer Executive Director that appropriation by $117,500. At the same time, the Nancy Lyons Legislature requested the Commission to conduct a study of Deputy Executive Director acupuncture regulation and earmarked $250,000 from the Toby Ewing Acupuncture Special Fund to pay for the Commission's study. Project Manager About $91,000 of that was used to pay for technical analyses Hattie Rees Hanley by university researchers and the balance covered most of the Project Manager Commission’s direct expenses. Peter McNamee Project Manager The 2004-05 Budget Act allocated $907,000 from the General Sherry Robyn Fund to the Commission and subsequently its budget was Legislative Coordinator adjusted for increased retirement and compensation costs. The Carole D’Elia $117,500 reduction from the previous year was restored because Research Analyst of the Commission’s role in reorganization plans and improving Kate Martin Research Analyst performance in general. Linda Mata Executive Secretary Throughout the budget crisis, the Commission has continuously found ways to become internally efficient and has returned unspent funds at the end of the fiscal year. A Fair and Open Process Public hearings: The Commission conducts hearings to gather testimony and discuss issues with Salary Savings General experts and interested parties. All Facilities 1% Expenses witnesses are encouraged to submit Printing 8% 1% Administrative & written testimony, which is made 1% Budget Services available to the public and is posted Travel Expenses 4% on the Web site. 1% Advisory committees: For most projects the Commission establishes an advisory committee of experts, advocates and other stakeholders. Through a series of meetings, the committee helps the Commission to understand policy issues from various perspectives and allows interested parties to Personnel communicate their concerns to the 84% Commission. The Commission puts particular emphasis on seeking out those most affected by policies. 6 Reform When is a must Recommendations requiring renewed consideration. During the past two years, the Commission has made numerous recommendations that would reduce costs, increase the efficiency of public services and improve the lives of Californians. As the State enters its fifth year with a budget shortfall, many critical recommendations deserve renewed consideration. These recommendations fall within the rubric of four essential elements that should be considered in transforming government: Forceful leadership, clear goals, strategic priorities and improving performance and productivity. The most critical Commission recommendations from the past four years are highlighted below. Leadership (cid:1) Create a public health department and appoint a California Surgeon General. The Commission found that the State’s public health leadership and organizational structure is ill-prepared to fulfill the primary obligation of reducing injury and death from threats that individuals cannot control. The Governor and the Legislature should create a public health department – separate from Medi-Cal and other insurance programs that serve the poor – to focus on emerging threats, with physician and science-based leadership and an advisory board linking California’s health assets and experts. The department should be led by a California Surgeon General reporting directly to the Governor. (cid:1) Designate a leader for California’s foster care system. California taxpayers spend billions annually to serve children in foster care. Yet despite this enormous price tag, the State continues to fail these children. At both the state and local level, there is an unwillingness to take responsibility for reforming the foster care system. The Governor and the Legislature should designate a leader with appropriate authority and guidance to reform foster care and be held accountable for improvements. Goals (cid:1) Use a critical path for reform to achieve public goals. Despite numerous attempts, the State has failed to solve fundamental problems that prevent it from achieving public goals. Despite widespread agreement that California’s revenue system is overly complex, unreliable and obsolete and the dysfunctional state-local government relationship hinders the delivery of efficient public services, policy-makers have not succeeded in meaningful reforms in these areas. The Commission, with the benefit of hindsight from those who had been a part of prior reform efforts, developed a critical path that can be used to develop technically sound and politically supported improvements. State leaders should use this critical path to resolve some of the most contentious issues. 7 Strategic Priorities (cid:1) Develop a unified strategy to cost-effectively reduce alcohol and drug abuse. Some $11 billion is spent from the state General Fund responding to the problems created by abuse or addiction. Yet the State’s efforts to reduce alcohol and drug abuse through prevention, treatment and law enforcement programs are fragmented and not focused on cost-effectively curtailing the expense and misery of abuse and addiction. State and local leaders need to come together to link alcohol and drug prevention, treatment and law enforcement efforts into a statewide strategy guiding a three-pronged attack on substance abuse. (cid:1) Develop a strategic effort to protect Californians. California is not efficiently or effectively using available resources to help communities reduce crime and violence and the abuse of drugs and alcohol. The multitude of grant programs administered by the now-defunct Office of Criminal Justice Planning should be strategically aligned to apply evidence-based strategies to respond to community priorities. A California Public Safety Council, a reconstitution of the California Council on Criminal Justice, should be established to aggressively align state efforts for crime prevention. Productivity and Performance (cid:1) Transfer responsibility for parolees to communities. California’s parole system is a billion- dollar failure. While parole policies are a challenge for all states, California is seriously out of sync with the rest of the nation. The goals for parole – public safety and successful reintegration – are undermined by the way the State supervises and assists parolees and the lack of community involvement in re-entry. To maximize public safety, communities must assume greater responsibility for reintegrating parolees, and the State should provide the leadership and funding to make those efforts successful. As a first-step, the State should transfer responsibility for non-violent female parolees to communities. (cid:1) Improve delivery of health and human services with existing resources. California annually spends nearly one-third of its General Fund expenditures on health and human services. But the demand for public health and human services far outpaces capacity. An overly complex organizational structure, perverse funding incentives and weak oversight undermine efforts to better serve more Californians with limited resources. The State should shift health and human services responsibilities to counties and clarify the authority for service delivery. The state bureaucracy should be reorganized to support local efforts and counties should be accountable for outcomes. Funding should be realigned so that communities can provide services more effectively and efficiently. (cid:1) Improve the quality of services to immigrants. California is home to some 8.6 million immigrants. The faster that newcomers are integrated into California’s communities, economy and social fabric, the sooner they prosper and the state benefits. The State invests tremendous resources helping immigrants get settled and address unmet needs. But the State has not monitored the quality of those services or their utility in moving immigrants to independence. Improving the State’s response to immigrants and their ability to achieve self-sufficiency would benefit these residents, their communities and help the State live within its means. 8 Reorganization Assessing The Little Hoover Commission plays an integral role in the reorganization of government in two vital ways -- through its independent reviews of state programs and policies and through its review of reorganization plans submitted by Governors. As of December 2004, five Governors had proposed 29 reorganization plans. The Commission reviewed 26 of those plans. Those reorganization plans are listed on pages 59-60. According to state law, the Governor has the authority to examine the organization of executive branch agencies and determine what changes may be necessary to promote more efficient and effective government services. The reorganization process can be used to consolidate, transfer or abolish programs and agencies. The process can be used to create new agencies, but the process cannot be used to create new functions. The law requires the Governor to submit any reorganization plan to the Little Hoover Commission “at least 30 days prior” to submitting the plan to the Legislature. The Commission’s role in the reorganization process is only advisory. The Commission reviews the plan, holds one or more public hearings, and reviews written public comments. The Commission assesses the plan based on its broad mandate to assist policy-makers in “promoting economy, efficiency and improved service in the transaction of the public business,” and makes recommendations to the Governor and the Legislature. The Commission’s recommendations must be made within 30 days of the plan being submitted to the Legislature. In other words, the Commission typically has 60 days to review a plan and complete its report. In January 2005, the Commission received Governor's Reorganization Plan 1, Reforming California's Boards and Commissions and Governor's Reorganization Plan 2, Reforming California's Youth and Adult Correctional Agency. Like many previous reorganization plans, some elements of these plans are based on prior Commission findings and recommendations. The 2005 reform plans were born out of the work of the Governor's California Performance Review team, which in 2004 was tasked with developing recommendations to increase the performance and functionality of state government. The Commission expects subsequent reorganization plans based on the work of the CPR team to be submitted throughout 2005. The California Performance Review published its findings and recommendations in August 2004 and drew from 29 Commission studies to inform its recommendations. Some of the key Commission recommendations revisited in the CPR report are detailed on the following page. 9 The California Performance Review relied on Commission recommendations in the following areas: Personnel. In 1979, 1995 and 1999, the Commission recommended reforms in the recruitment, classification, selection and training of state employees, as well as how personnel functions are distributed across departments. Many CPR recommended reforms parallel Commission proposals. Technology. In 2000, the Commission called for cabinet-level leadership and a coordinated infrastructure to make better use of technology to improve government performance. The CPR advanced those recommendations in calling for the creation of a technology division and the appointment of a chief technology officer for the State. Budgeting. In 1995 the Commission urged the State to use performance metrics to set goals and monitor results and the adoption of performance budgeting to address fiscal and performance deficiencies. Consistent with these recommendations, the CPR called for the use of performance- based management and budgeting in all departments. Corrections. The Independent Review Panel chaired by former Governor Deukmejian, in its review of California’s corrections system, drew upon four Commission reports and echoed its concern that correctional policies fail to protect public safety. Mirroring many of the Commission’s proposals, Governor Schwarzenegger issued Governor’s Reorganization Plan 2 to reorganize correctional functions, proposing changes in incarceration, drug treatment, inmate education, job training and parole policies to better prepare inmates for release and ensure public safety. Foster Care. The CPR specifically recommends that the State designate a leader for foster care, charged with coordinating state efforts to service children and their families and enhancing accountability, a recommendation the Commission first made in 1999 after previous efforts to improve collaboration faltered. Public Health. The Commission proposed that public health functions be consolidated, led by a physician who reports to the Governor, and charged with promoting science-based policies and practices. Citing the Commission’s work, the CPR made consistent recommendations calling for consolidated public health functions and a more empowered state public health officer. School Construction. To address the cost and shortage of classroom space, the Commission recommended integrating the school facility approval process. The CPR advanced this proposal to streamline the approval process and reduce costs. Infrastructure. The CPR cites three Commission reports on the State’s management of real property. The Commission recommended that the State develop an inventory of state owned and leased property and the creation of a public corporation to improve property management. The CPR advances the Commission’s recommendation for a public corporation and calls for improved use of technology to manage the State’s property inventory. 10 In pursuit of Economy & Efficiency A summary of Commission reports published in 2003-2004. The past two years have been tumultuous for California. Virtually every aspect of government has been overshadowed by an acute budget crisis that threatens the prosperity of the Golden State. The failure to resolve this crisis further eroded the trust that Californians should have in their government to provide quality services at an affordable cost. At this critical juncture, the Commission focused its charge to promote efficiency, economy and improved service on areas of government where its recommendations, if implemented, could have the greatest impact on the most pressing problems. Given the need for fundamental reform, the Commission explored how state leaders could go about breaking through the political gridlock: Governing the Golden State: A Critical Path to Improve Performance and Restore Trust examined why previous reform efforts failed and outlined a process that the Governor and Legislature could employ to resolve persistent problems such as the dysfunctional state-local relationship. Historic Opportunities: Transforming California State Government reviewed the potential of reforms such as those identified by the California Performance Review to improve the State’s performance. The fiscal crisis also laid bare the debilitating defects in how the State organizes, manages and funds public efforts to keep people safe, healthy and self-sufficient. In Real Lives, Real Reforms: Improving Health and Human Services, the Commission described a strategy for redesigning more than $60 billion in services to California’s most vulnerable populations. Within the rubric of human services, the Commission published four additional reports: To Protect & Prevent: Rebuilding California’s Public Health System; For Our Health & Safety: Joining Forces to Defeat Addiction; Still in Our Hands: A Review of Efforts to Reform Foster Care in California; and, Regulation of Acupuncture: A Complementary Therapy Framework. The fiscal crisis also raised the imperative for improving the performance of the State’s public safety policies, which are largely paid for from the General Fund. The Commission’s examination of the State’s billion-dollar parole system found that the State was releasing 125,000 parolees a year in ways that did not protect the public. In Back to the Community: Safe and Sound Parole Policies, the Commission outlined a strategy for realigning existing resources, incentives, responsibilities and programs in ways that have proven to reduce crime, violence and substance abuse. In a follow-up study on female parolees, Breaking the Barriers for Women on Parole, the Commission detailed how the State could begin this fundamental shift by relying on community- based corrections for the smaller and less violent population of female offenders. Finally, in its report, Improving Public Safety: Beyond the Office of Criminal Justice Planning, the Commission recommended replacing the agency that has failed to strategically support local crime-fighting efforts with a new structure that would target resources to programs proven to work and to communities with the greatest problems. These 10 studies are highlighted on the following pages. 11 Government Reform Governing the Golden State: A Critical Path to Improve Performance and Restore Trust July 2004 California faces critical challenges that policy- makers must address for the State to regain prosperity, improve the performance of government and rebuild public trust. But efforts to solve these problems over several years – from an obsolete revenue system to a dysfunctional state-local relationship – have failed to yield necessary reforms. Governing the Golden State examines those efforts to assess how California leaders could more successfully resolve these issues. With the benefit of hindsight, the report defined a continuum for sustainable prosperity that includes a robust economy, a reliable revenue system, a rigorous budget process, quality public services and public support. The report distilled a critical path that would enable the leadership of California government to achieve a permanently balanced budget while delivering the highest quality public services at an affordable cost. The Little Hoover Commission report …offers a strategic plan for how to achieve reform. The governor and legislative leaders need to keep the report handy, not on the back shelf, to remind them – nag them – that this effort cannot begin soon enough. - Los Angeles Times editorial Historic Opportunities: Transforming California State Government December 2004 The California Performance Review (CPR) was created to examine state operations and recommend reforms for a transformation of state government. The CPR – and the public debate it sparked – elevated a painful, undeniable truth: State government needs to be re-engineered to be more responsive and accountable to the public, to focus its priorities and to improve its performance. Historic Opportunities identifies essential elements that should be considered in the development of formal proposals resulting from the CPR, by the Legislature in its deliberations, and by voters when weighing the merits of reforms, particularly if asked to enact them directly. 12 Public Safety Back to the Community: Safe & Sound Parole Policies November 2003 California’s parole policies are profoundly out of sync with those in all other states. California parolees are among the least successful nationally in completing their term of supervision. The costs and consequences are significant – the State spends $1.5 billion dealing with felons who have completed their initial prison terms and the correctional system’s focus on punishment alone does not adequately protect Californians. The reforms detailed in Back to the Community would direct state and local agencies to fashion a cohesive system of state, county and community agencies, focused on making the best use of existing resources to reduce crime, violence and drug abuse. The Little Hoover Commission rightly condemns the parole system as a “billion dollar failure.” ...To improve parole success and protect communities, the state must expand drug and alcohol treatment, education and vocational training behind bars. - Sacramento Bee editorial Breaking the Barriers for Women on Parole December 2004 A follow-up study on women parolees, Breaking the Barriers, urged policy- makers to reform the way California incarcerates women offenders and supervises them on parole to improve public safety, reduce costs and break the cycle of crime. The numbers of female inmates are increasing more rapidly than their male counterparts, a trend that has highlighted the lack of policies and procedures geared toward women. The report recommends the State provide more opportunities for inmates to prepare for their imminent release, rely more on community corrections alternatives for non-violent drug offenders and transition responsibility for parolees to communities, beginning with female offenders, whose families are often extensively involved in public and charitable health and human service programs. Improving Public Safety: Beyond the Office of Criminal Justice Planning - July 2003 Over the last decade, several Commission projects involved the Office of Criminal Justice Planning, particularly those related to coordinating state efforts and assisting local agencies. The Commission was struck by widespread opinion among state and community leaders that OCJP failed to provide the leadership necessary for stakeholders, public officials, researchers and others to define a common vision and manage programs to reach shared goals. Improving Public Safety recommended the State abolish OCJP and assign its grant programs to more competent departments. It also recommended establishing a Public Safety Council to help streamline, coordinate and consolidate grant programs. 13 Health & Human Services Real Lives, Real Reforms: Improving Health & Human Services May 2004 California's health and human service system is unsustainable. Despite annual investments of some $60 billion, outcomes are poor and demographics suggest that a growing number of Californians will turn to public programs for assistance. Real Lives, Real Reforms recommends comprehensive reforms to focus public resources on building effective, efficient, community-based systems of care. The report urged the Governor and Legislature to establish clear goals and priorities for children, adults and families and support a reform process that fundamentally reshapes state operations, state-local relations, funding and accountability. To Protect & Prevent: Rebuilding California’s Public Health System April 2003 There is broad agreement among local officials, the medical community and other first responders that the public health system in California is not as robust as it must be. Poor communications and obsolete procedures hobble the ability of laboratories, medical providers and public health authorities to protect the public. Experts and technologies are not tapped. Key positions are unfilled and authorities and responsibilities are unclear. To Protect & Prevent recommended the State develop expert leadership, establish standards, increase training, improve communications and strengthen laboratory and other capacities essential to the public health infrastructure. It recommended core public health functions be consolidated into a single state department with a surgeon general providing expert and focused leadership and reporting directly to the Governor. It also recommended that the State re-establish a volunteer public health board to provide expert involvement and public accountability to the government's efforts. I commend the Commission for putting together this powerful report calling for reorganizaiton of the California public health system. As a physician who has worked for more than 20 years in local, state and national and international public health, and who has responsibility for the health and safety of thousands of employees in the U.S. and abroad, I fully support these recommendations. If implemented, I truly believe that lives can be saved. - T. Warner Hudson, M.D., FACOEM, FAAFP, Director, Health, Safety and Environement, DSTOutput Member, Disaster Subcommittee of American College of Occupational & Environmental Medicine 14 For Our Health & Safety: Joining Forces to Defeat Addiction March 2003 The abuse of alcohol and other drugs has an enormous impact on the health and well-being of Californians, and tremendous fiscal costs on government. From prisons to emergency rooms, addiction costs billions each year. In California, existing resources could be better used if prevention, treatment and enforcement efforts were better coordinated. For Our Health & Safety recommends how state and community leaders could employ sound science to better respond to one of the most costly and harmful problems facing California. Specifically, the State must develop a strategy that uses prevention, treatment and law enforcement where those tools have proven they can do the most to reduce the consequences of abuse and addiction. The state Little Hoover Commission’s recent report, like a RAND Corp. study, shows that drug treatment programs mean less spending on both incarceration and social programs down the road....Treatment rather than jail is a more cost-effective and less harmful approach. The voters agree. The governor should go along. - Orange County Register editorial Still In Our Hands: A Review of Efforts to Reform Foster Care in California February 2003 The Commission has a long-standing interest in ensuring that California's most vulnerable residents receive adequate protection, nurturing and care. In 1999, the Commission detailed the perils that face children who are neglected or abused. In 2003, the Commission analyzed what progress, if any, had been made in reforming the foster care system. It found that considerable action was taken, but almost no progress was made and that the greatest obstacle to meaningful reform was the unwillingness on the part of both state and local leaders to take responsibility. With no one in charge, the foster care system fumbles forward, and often backward, and costs children and families their happiness, their prosperity and even their lives. Still In Our Hands recommends the establishment of strong and supported leadership for the foster care system along with focused citizen oversight at both the state and county level. Regulation of Acupuncture: A Complementary Therapy Framework - September 2004 In 2002, the Governor and the Legislature asked the Commission to assess some long-standing and contentious issues regarding the State’s regulation of the acupuncture profession. Specifically, the Commission was asked to review the scope of practice and educational requirements for acupuncturists, the process for accrediting acupuncture schools and for examining licenses. Regulation of Acupuncture recommends ways to amend the scope of practice to resolve ambiguities in California law. The report concludes that educational requirements are adequate, the Accreditation Commission of Acupuncture and Oriental Medicine should validate the quality of acupuncture training schools but California should continue to rely on its own examination. The Commission also identified opportunities for the State’s consumer protection agencies to safeguard patients. 15 16 Results Measuring Improving lives and making the most of existing resources. The Commission’s goal is not simply to make recommendations, but to assist in making reforms. In the past two years, working with the public, community officials, government leaders and members of the Legislature, the Commission has played a major role in turning recommendations into results. The list below identifies measureable results in the areas of public safety, alcohol and drug treatment, public health, foster care, mental health and immigrant integration. In virtually all cases, these improvements were made possible by public or community officials who saw value in the Commission’s work. These leaders deserve credit and have the Commission’s appreciation. Public Safety Protecting Public Safety. After a decade of recommendations from the Commission and other blue ribbon panels, officials with the Department of Corrections acknowledged that fundamental reforms are necessary. The Commission's finding that California's parole system was a billion- dollar failure put California's correctional policies in the national spotlight and required corrections officials to acknowledge their responsibility to prepare inmates for release. Nearly 100 newspapers, radio and television stations in California, as well as the New York Times and the NewsHour with Jim Lehrer featured the findings and recommendations from the Commission's report. Legislative hearings were held. Prompted by this and other high-profile indications of failure, the Governor established the Independent Review Panel on Corrections chaired by former Governor Deukmejian. Corrections officials have acknowledged that incarceration alone does not protect public safety and that programs that treat addiction and provide education and job skills are necessary to break the cycle of crime. The Independent Review Panel endorsed many of the Commission's recommendations. Result: The administration is implementing reforms that have the potential to bolster offender preparation prior to release by establishing a department dedicated to preparing offenders for release. Promoting national awareness of public safety challenges. The American Bar Association has recommended national reforms consistent with the Commission’s recommendations in California. U.S. Supreme Court Justice Anthony Kennedy challenged the legal community to improve the nation’s attention to prisons and corrections policies. In response, the American Bar Association formed the Kennedy Commission to respond to the challenge. The Little Hoover Commission was invited to advise the Kennedy Commission during its work. Ultimately, the Kennedy Commission cited the Commission in its final report and made parallel recommendations for graduated sanctions for parole violations and diversion opportunities for less serious offenses. Result: The Kennedy Commission endorsed recommendations of the Little Hoover Commission and increased national attention on the need to improve corrections and public safety policies. 17 Strategic alignment of crime prevention. After issuing a report finding that the Office of Criminal Justice Planning was poorly managed and often failed to provide the leadership necessary to help communities fight crime, violence and drug abuse, the agency was abolished. As recommended by the Commission, OCJP programs were reassigned to agencies with subject matter and administrative expertise. Result: An ineffective bureaucracy that for years had failed the critical task of protecting communities from crime was eliminated. Balancing prevention and law enforcement efforts. As the Legislature grappled with budget cuts during the past two “The Little Hoover Commission sessions, the Commission's analysis of youth crime and reports are extremely useful, not only to statewide policy-makers, but violence prevention was used to assess how best to judge also to local government leaders. the effectiveness of prevention and law enforcement The reports are concise, easily read strategies. and understood and contain policy recommendations that are non- Result: Throughout the budget crisis, the State partisan. maintained most of its investment in youth crime and The research is invaluable from a violence prevention programs. policy perspective and provides an opportunity for policy-makers, both Preventing youth crime and violence. Based on the at the state and local level, to use Commission's work, local leaders in Alameda County the recommendations in a very developed a strategic approach to violence prevention. In practical way to solve problems. I have used Commission reports on developing their plan, local leaders drew from the violence prevention and Commission’s work on youth crime and violence prevention immigration extensively to help to identify priorities and improve programs. The devise strategies for policy Commission provided assistance to the effort at the early direction.” stages of its developments. Anna Caballero, Mayor of Salinas Result: Alameda County has developed a Violence Prevention Blueprint to improve public safety and respond to the needs of community members. Alcohol & Drug Treatment Bringing attention to underlying drug and alcohol addiction problems. The Commission's report on alcohol and drug programs called for linking prevention, treatment and law enforcement efforts into a unified strategy to reduce the effects of drug and alcohol addiction. The Commission was asked to brief the deputy director for demand reduction of the Office of the National Drug Policy Control. In California, the Coalition of Alcohol and Drug Associations (CADA), a statewide coalition of consumers, providers, educators and advocates representing the voice for alcohol and drug abuse services called on the Governor to bring all stakeholders together to maximize California's efforts in reducing substance abuse. CADA's seven-point policy plan provided to the Governor and the Legislature encouraged the implementation of all the Commission's recommendations. Result: The Commission's recommendations are the basis of a reform agenda that has been championed by a broad statewide coalition of alcohol and drug treatment stakeholders. 18 Implementing outcome-based standards for alcohol and drug treatment. The Department of Alcohol & Drug Programs established an Outcome Monitoring Program Implementation Workgroup, as recommended by the Commission to act as an advisory board for the implementation of the California Outcomes Monitoring System (CalOMS) project. Result: Stakeholders had an improved opportunity for input on the development of the CalOMS system. Public Health Improving California’s public health protections. The Commission analysis of public health preparedness “This report is a “Code Blue” for the has increased attention on the need to bolster California Public Health system, but for emergency preparedness. The Commission’s report much more. Thanks to dedicated staff and on public health found that the State’s public health magnificent history, California still has resources were in disarray, underutilized and lack arguably the strongest health department in the ongoing support of senior officials needed to the country, despite the neglect and subordination it has suffered. Sadly, nearly prevent public health threats and respond to every other large health department in the emergencies. The Commission’s report spurred nation is suffering from similar problems of changes in how the State utilizes public health diffusion of energy and Claocnkt roof ls aunpdp oPrrte. v eYnetti,on resources. Public Health in this nation could be resuscitated with genuine political support Result: The Governor and Legislature have drawn and leadership, and the structural repairs the from the Commission’s work to craft reform report identifies. The Commission’s report proposals, including those offered by the should be required reading at every school California Performance Review, that will save of public health and of government in the nation.” lives, reduce costs and limit unnecessary harm. Richard Jackson, MD, MPH, California Public Health Officer Advancing research on public health threats. The former director, U.S. Centers for Disease California Endowment invested $500,000 to assess California’s ability to respond to the public health threats documented by the Commission. The foundation’s investment provided California with the most comprehensive assessment to date of local preparedness for public health emergencies. The Commission’s work, bolstered by the foundation-supported research, unearthed deficiencies in planning, coordination and collaboration between federal, state and local officials. Results: California is better informed about potential public health threats and where improvements are needed to shore up emergency preparedness. Enhancing scrutiny of consumer protection activities. In response to the Commission’s report on the regulation of acupuncture, the Legislature’s Joint Committee on Boards, Commissions and Consumer Protection is calling for improved standards for acupuncture practices. The Commission documented that the Acupuncture Board has not required licensed acupuncturists to adhere to national guidelines to prevent the spread of disease or cross contamination. The legislative committee has increased its scrutiny of the State Acupuncture Board and called for legislative reforms to ensure consumers are adequately protected. Result: Statewide standards to ensure the safe delivery of acupuncture will improve, preventing public health threats. 19 Foster Care Identifying new resources to support foster youth. Prompted by the Commission’s work, California’s Employment Training Panel adopted new policies allowing emancipating foster youth to participate in training programs funded by the panel. The panel funds job training for workers facing multiple barriers to employment. The action creates additional opportunities for young adults leaving foster care to develop the skills needed for self-sufficiency and independence. Result: Emancipating foster youth have improved access to training and employment opportunities. Improving the foster care system. The Commission helped guide California’s outcomes and accountability system for “I was privileged to author many the child welfare system. AB 636, authored by important bills to improve the lives Assemblymember Darrell Steinberg, required the Health of foster children in California. I was motivated to take on these and Human Services Agency to form a task force to develop issues largely because of the Little an outcomes and accountability system for the child Hoover Commission’s outstanding welfare system. The Commission participated in work and call to action. Keep doing discussions leading to the strongest effort ever to improve what you are doing Little Hoover outcomes for children in the child welfare system. Commission. The Legislature and Governor would be wise to follow Result: California developed a system for monitoring more of your recommendations.” quality and promoting improvements in the system Darrell S. Steinberg, California State that serves some 40,000 children each year. Assemblyman 1998-2004 Enhancing oversight of foster care. The Commission’s work led to new requirements for the California Mental Health Planning Council to ensure that children in foster care receive adequate mental health care. Under AB 376, authored by Assemblymember Judy Chu, the California Mental Health Planning Council was given specific duties to monitor the quality of mental health services for children in foster care, advocate to reduce stigma and improve advocacy. The requirements in AB 376 were drawn from the Commission’s work on health and human services and its call to make better use of existing resources to improve oversight and accountability. Result: The State has bolstered its oversight of California’s foster care system, ensuring that more children will receive the services they need to succeed. Making child welfare information accessible. Prompted by the Commission, the Department of Social Services has improved procedures for sharing information with the public. Prior to the change, department staff informed the public that to view licensing information they must be present in the licensing office where those materials are maintained. Family members would be required to visit multiple licensing offices around the State to view information on multiple providers. An inquiry from the Commission led to changes in regulations to make it clear that the public can request copies of public information be sent through the mail. The department also issued new training requirements for its licensing personnel to ensure public requests for information are responded to appropriately. Result: Parents and family members have improved access to public information and are better able to ensure their children and family members are well served in licensed facilities. 20 Mental Health Defining a statewide agenda for children’s mental health. The Commission’s report on children’s mental health brought together children’s advocates to explore the Commission’s findings and craft a strategic effort to implement its recommendations. Meeting in San Francisco, and with the support and leadership of Assemblymember Leland Yee, Assemblymember Helen Thomson and San Francisco Mayor Willie Brown, over 100 delegates and stakeholders used the Commission’s report to define an agenda for reform. Result: The Commission’s report broadened awareness of the challenges facing families who need mental health services for their children and guided a reform agenda. Guiding community mental health planning and programs. The Commission helped Yolo “The Little Hoover Commission was instrumental County design a strategy to build a in facilitating a complete redesign of Yolo County’s community mental health system that mental health program delivery system. Yolo maximizes available resources, tailors care County, like many California counties, has been to needs and invests in prevention. Faced stressed by the need to provide mental health services to an increasing client population with with a budget deficit, county officials greater acuity in their illnesses, while receiving the contacted the Commission to help guide same or less funding. downsizing in the county’s mental health The executive director of the Commission and one system. The Commission worked with county of the Commission’s senior analysts were leaders, community organizations, mental invaluable in their assistance to this collaborative health consumers, service providers and community/staff/provider process by providing a others to use the opportunity to redesign neutral outside perspective, informed by experience with other California counties. As we county services to boost prevention efforts, reached the end of the process, Commission staff tailor services to needs and make better use were key in bringing consensus on contentious of existing revenues. issues and tying reforms together into realistic and achievable recommendations. Result: Yolo County is better prepared to Since the issuance of the panel’s report, Yolo address continuing budget challenges and County has been able to implement most of the improve its mental health system. recommendations contained therein, and continues to benefit from the report’s many insights.” Improving access to mental health care. The John Clark Commission assisted the Board of Behavioral Deputy County Administrative Officer Sciences in streamlining its testing Yolo County procedures to be more responsive to licensing applicants. Prior to the changes, applicants faced unnecessary delays in taking a licensing exam. The board’s streamlined administrative practices allowed it to better respond to shortages of licensed personnel in mental health fields. Result: An artificial barrier to mental health care is removed, permitting more Californians to access quality services. 21 Immigrant Integration Shaping international dialogue on immigrant integration policies. The Commission’s report on immigrant integration in California is informing immigration policy discussions for the European Union. The Migration Policy Group in Brussels invited the Commission to participate in an international conference on immigration policy. The Migration Policy Group was formed to advise the European Parliament on building a unified immigration policy for the member nations of the European Union. Two of five delegates invited from the United States were identified because of their contributions to the Commission’s report. Result: Commission’s work supports international policies on immigration and immigrant integration. Supporting community efforts to bolster immigrant integration. The San Diego Association of Governments has used the Commission’s report on immigrant integration to improve local, state and federal partnerships in serving immigrants and addressing the impacts they have on the communities around San Diego. The Commission’s report – with its emphasis on the rights and responsibilities of immigrants and communities – helped members of the San Diego Association of Governments find common ground on issues that have been divisive. Result: Community leaders in the San Diego region are better equipped to address unresolved conflicts and ongoing challenges. 22 Change begins with A Shared Understanding To explain, to inspire and to guide is to initiate change. Public understanding is essential to government accountability and improved performance. The Commission dedicates a portion of its resources to public discussion of its conclusions to help the public and policy-makers understand how public programs are functioning and can be enhanced. The Commission receives requests for presentations from public officials, civic and business leaders, the academic community and others, from foreign countries, Washington, D.C., other state governments and California’s largest cities and smallest communities. In each venue, the Commission shares strategies with individuals and organizations that can improve public programs. This chronology documents these efforts. January 2003 Public Policy Institute of California Little Hoover Commission Projects and Procedures San Francisco Discussed the Commission's projects and efforts to measure its effectiveness. The discussion explored ways to increase the impact of projects and how to evaluate such efforts. California Partnership for Children, Children's Mental Health Children's Mental Health Policy Board Provided opening and closing remarks and participated in a San Francisco day-long conference organized around the findings and recommendations in the Commission's report. Participants included Assemblyman Leland Yee, Mayor Willie Brown and Assemblywoman Helen Thomson. Western Stream Migrants Forum Immigrant Integration Mesa, Arizona Detailed Commission recommendations to medical professionals from throughout the western United States at this federally sponsored conference on improving health care services to migrant workers. Enhancing Democracy By themselves, and as a precursor to actual reforms, the Commission’s projects provide these benefits: Build Awareness. The Commission’s reports are easy-to-understand analyses of state and local operations. The Commission is regularly asked to speak before university classes, foundations, non-profit organizations and other entities striving to understand how government operates. Inspire Improvement. The Commission’s charge is to encourage improvement in public services. The Commission dedicates considerable energy to encouraging state and local policy-makers and the public to demonstrate the leadership necessary to take on challenges and make improvements. Guide Reformers. The Commission is consistently called upon to provide expert testimony and consultation before legislative hearings, policy briefings and statewide meetings focused on implementing Commission recommendations or exploring other ways to make improvements. Provide Accountability. The Commission seeks to improve the performance of public agencies through accountability for how directives are fulfilled and resources are spent. Through public presentations the Commission provides public accountability for its own efforts. 23 February 2003 University of California Researchers Teacher Workforce Santa Cruz Reviewed draft report and met with researchers examining the impact of mentoring programs on new teachers serving schools with large numbers of immigrant children. The researchers had consulted with the Commission throughout their project because of the Commission's work on teacher preparation. March 2003 County Alcohol & Drug Program Alcohol & Drug Treatment Administrators Association of Discussed Commission findings and recommendations and California identified the significance for county program administrators. Sacramento California Welfare Outcomes and Foster Care Accountability Systems Task Force Participated in a task force formed by the California Health & Sacramento Human Services Agency to develop an outcome and accountability system for the child welfare system as required by AB 636 (Steinberg). California Foster Youth Services Foster Care Training Conference Discussed Commission findings and recommendations at an Los Angeles annual training conference for staff that coordinate educational services for foster youth. Los Angeles Community Service Prevention/Foster Care/Mental Health/Drug Treatment Providers Presented the Commission's work on prevention, mental health, Los Angeles foster care and drug abuse to community service providers in the harbor area of Los Angeles. The forum was organized by the Los Angeles Unified School District to focus on how the service providers, working through the schools, could sustain or improve services despite budget cuts. Youth Development Network Youth Crime and Violence Prevention San Diego Discussed Commission recommendations aligned with the goals of the network, an outgrowth of a youth development summit sponsored by Senator Dede Alpert. April 2003 California Agricultural Leadership Affordable Housing Program At the request of Assemblyman Joe Canciamilla and Senator Sacramento Mike Machado, outlined the Commission's work, and its affordable housing study in particular to the 30 industry and government leaders participating in the program. Schwab Foundation Symposium on Alcohol and Drug Abuse Treatment Youth Addiction Discussed Commission findings and recommendations and Sacramento responded to questions from participants. Following the symposium, briefed the deputy director for Demand Reduction, Office of the National Drug Policy Control, on the Commission's work. California Department of Alcohol and Alcohol and Drug Abuse Treatment Drug Programs Meeting Discussed Commission findings and recommendations to state, Sacramento local and non-profit alcohol and drug program leaders at a meeting sponsored by the Department of Alcohol and Drug Programs (ADP). Participants discussed integration of services and disparity of standards between ADP programs and prison- based programs. 24 California Association of Alcohol and Alcohol and Drug Abuse Treatment Drug Program Executives (CAADPE) Discussed Commission findings and recommendations with the Sacramento legislative director for CAADPE, including opportunities for implementation of recommendations through the Legislature. State Assembly Alcohol and Drug Abuse Treatment Sacramento Testified before the Assembly Budget Subcommittee on Health and Human Services on the Commission's findings and recommendations. California Association of Alcohol and Alcohol and Drug Abuse Treatment Drug Program Executives (CAADPE) Presented Commission findings and recommendations at the Sacramento annual convention of CAADPE and advocated the organization's potential role in implementing the recommendations. Western Regional Child Abuse and Foster Care Neglect Conference Provided the keynote address at this 22nd annual conference Davis, California sponsored by the University of California, Davis on the Commission's efforts to improve outcomes for abused and neglected children and led a workshop outlining strategies to improve accountability and enhance outcomes. Accessing Health Services for Children Foster Care in Foster Care, Northern California Discussed the Commission's efforts to implement its Task Force recommendations and the Commission's work on human Oakland services redesign. California Mental Health Advocates for Foster Care Children and Youth Discussed the Commission's findings and recommendations and Asilomar, California challenged the audience to increase expectations of existing citizen review panels and to identify and partner with the Commission to remove barriers to health care, education and other services needed by foster youth. Sacramento Unified School District Foster Care Sacramento Discussed with school district staff strategies to improve opportunities for foster youth and former foster youth to obtain job training, mentors and other support services to enhance their opportunities to be self-sufficient. Governor's Office Public Health Sacramento Discussed Commission findings and recommendations with the Governor's staff and a chief deputy from the Department of Health Services. California Senate Public Health Sacramento Discussed Commission findings and recommendations with Senator Deborah Ortiz, chair of the Senate Health and Human Services Committee and her staff. May 2003 California Association of Local Affordable Housing Housing Finance Agencies Participated in the spring conference focusing on housing and Sacramento land use legislation under consideration, California's changing demographics and trends in affordable housing construction. State Senate Alcohol and Drug Abuse Treatment Sacramento Testified before the Senate Budget Subcommittee on Health, Human Services, Labor and Veterans Affairs on Commission findings and recommendations regarding the targeting of resources to clients posing the greatest social and financial costs to the State. 25 Nevada County Superintendent of Foster Care Schools Discussed options for establishing a citizen's review panel to Grass Valley build public support for children's programs and improve public accountability with the Nevada County superintendent of schools. U.S.-European Policy Dialogue of the Immigrant Integration Migration Policy Group Discussed Commission findings and recommendations with Brussels, Belgium representatives from each nation within the European Union to formulate a shared statement on immigration and to draft supporting policy proposals for the European Parliament. California Task Force to implement Mental Health the Eliminating Barriers Initiative Participated in a task force to implement the federal initiative Sacramento that would reduce stigma and discrimination experienced by people with mental health needs and identified opportunities to leverage the federal initiative to create a Mental Health Advocacy Commission. California Conference of Local Health Public Health Officers Discussed Commission findings and recommendations with Sacramento conference participants. State Senate and Assembly Public Health Sacramento Discussed Commission recommendations with conference Assemblymembers Patricia Bates, vice chair of Assembly Appropriations Committee; Dario Frommer, chair of Assembly Health Committee; Robert Pacheco, vice chair of Assembly Health Committee; Keith Richman, and Senator Aanestad, vice chair of Senate Health Committee. June 2003 Adolescent Substance Abuse Alcohol and Drug Abuse Treatment Treatment Assessment Invited by the Public Health Institute to participate in a panel to Sacramento discuss the design of a system of care for substance abusing adolescents that would incorporate all necessary services, sustain public support and attract necessary funding. Mendocino County Officials Children's Mental Health Ukiah Facilitated an ad hoc meeting of officials to identify and implement strategies to improve services to children with mental health needs. Sacramento City Unified School Foster Care District and the Governor's Mentoring As part of a limited on-going support effort, met with Partnership representatives from the school district and the mentoring Sacramento partnership to develop a strategy to recruit 100 additional mentors for foster youth in Sacramento schools. Children's Advocates Foster Care Sacramento Facilitated a meeting of children's advocates to discuss proposals for improving public awareness and advocacy relating to outcomes for children and families. California Department of Alcohol and Foster Care Drug Programs Discussed a research project to examine whether children Sacramento enrolled in Healthy Families are receiving adequate drug treatment and mental health services through their providers with the director and staff from the Department of Alcohol and Drug Programs. 26 Immigration Museum for New Immigrant Integration Americans Discussed Commission findings and recommendations in the San Diego keynote speech at the inaugural conference of the museum. The goal of the conference was to foster dialogue among policy- makers, foundations, business and civic leaders and representatives of immigrant organizations in the San Diego region. Mental Health Summit for Law Mental Health Enforcement Discussed Commission recommendations with national experts Sacramento meeting to discuss strategies for diverting mental health clients from the criminal justice system. Council of Mentally Ill Offenders Mental Health Sacramento Discussed opportunities before the council, created as a result of a Commission recommendation, to improve state and local programs serving offenders with mental health needs. Yolo County Officials Mental Health Woodland Advised officials and a committee of community members on strategies for restructuring mental health services to address revenue shortfalls and improve outcomes for clients and community members. Agreed to participate in weekly meetings. July 2003 Child Welfare Outcome and Foster Care Accountability Task Force Participated in a task force under the direction of the Health and Sacramento Human Services Agency to develop a proposal to present to the Legislature to create a Child Welfare Outcome and Accountability System. August 2003 Foster Youth Foster Care Tehama County Discussed challenges facing children in foster care with foster youth to identify strategies the Commission could pursue to improve outcomes for children in out-of-home placements. September 2003 Sutter Health System and Sutter Mental Health Medical Foundation Explored opportunities to improve mental health care within the Sacramento primary care field with representatives from health organizaitons. California Center for Health Public Health Improvement Discussed with the chief executive officer the potential for Sacramento private sector leadership in stemming hospital-acquired infections. State Assembly Public Health Sacramento Assisted Assembly Health Committee staff in planning an interim hearing on implementing the Commission's recommendations to create a public health department led by a surgeon general. 27 October 2003 California Partnership for Children Children's Mental Health Sacramento Advocated for implementation of the Commission's recommendations. California Grand Jurors' Association Citizen Oversight Ventura Discussed Commission’s mission and work at the annual conference of an all-volunteer, educational, not-for-profit corporation that trains new grand jurors and educates the public about the civil oversight role of grand juries. China State Law and Administrative Citizen Oversight Training Delegation Met with 25 government officials from different ministries, Sacramento bureaus and other organizations in China's central government to discuss the role of the Commission as an independent state oversight agency. Sacramento, Placer and Yolo County Mental Health Mental Health Organizations Participated in the first "Walk for Mental Health," a joint effort Sacramento sponsored by multi-county mental health organizations as a first step toward communities working to overcome the stigma of mental health needs – a recommendation from the Commission's report. California Medical Association Public Health Sacramento Discussed implementation of the Commission's recommendations with the medical association leadership. Sixth Annual California Prevention Youth Crime and Violence Prevention Summit Presented Commission’s prevention-related recommendations San Jose from various reports to representatives from organizations, agencies and volunteers working in partnership to advance primary prevention work concerning alcohol, tobacco and other drug problems in California communities. November 2003 California Youth Connection Foster Care Sacramento Participated as a panelist at a policy conference organized by current and former foster youth. The Pacific Institute for Community Immigrant Integration Organizing (PICO) Met with officials from PICO, a group organizing a series of focus Sacramento groups in the central valley and Los Angeles, regarding the Commission's recommendation to link rights and responsibilities in immigrant policies as a way to explore attitudes toward licensing undocumented immigrant drivers. State Senate Special Districts Sacramento Testified at a Senate Local Government Committee interim hearing on special districts examining governance issues addressed in the Commission's report. Monterey County Elected Officials Youth Crime & Violence Prevention Monterey Met with elected officials at a meeting convened by the League of California Cities Latino Caucus to address escalating problems of youth and gang violence. 2003 Violence Prevention Priority Area Youth Crime & Violence Prevention Convening Presented the Commission's work on youth violence prevention Costa Mesa at a conference sponsored by The California Wellness Foundation. 28 December 2003 State Assembly Public Health Sacramento Testified before the Assembly Veterans Affairs Committee Oversight Hearing on the California National Guard regarding the Commission's recommendation for improving chain of command, communication and establishing coordinated practice drills to prepare for public health emergencies. Association of California Water Special Districts Agencies Annual Conference Discuss with conference attendees how to increase the visibility San Diego and accountability of districts, including whether legislation is needed. Violence Prevention Institute Youth Crime & Violence Prevention Oakland Assisted the institute with a meeting to develop an Alameda County violence prevention plan, part of an ongoing effort spearheaded by Alameda County Supervisor Nate Miley. January 2004 State Senate Parole Reform Sacramento Testified at an informational hearing on parole convened by the Senate Select Committee on the Correctional System. State Assembly Parole Reform Sacramento Discussed legislative proposals to implement the Commission's recommendations with Assemblymembers Lori Hancock and Mark Leno. State Senate Public Health Sacramento Testified before the Senate Health and Human Services Committee hearing on the Commission's recommendations for rebuilding public health. California National Guard Public Health Sacramento Met with a colonel from the California National Guard to discuss the Commission's findings and recommendations focusing on chain of command and integration with strategic partners during public health emergencies. February 2004 State Senate and Assembly Parole Reform Sacramento Testified at a joint legislative hearing on the children of incarcerated parents. Association of California Cities Allied Parole Reform with Prisons Annual Conference Discussed the Commission's findings and recommendations at Sacramento this conference hosted by the Chamber of Commerce. State Assembly Parole Reform Sacramento Provided lead testimony for an Assembly Public Safety Committee informational hearing to explore potential educational reforms in prisons. 29 March 2004 California Performance Review Government Reorganization Sacramento Discussed the Commission's findings and recommendations with staff of the California Performance Review, with a particular emphasis on the Commission's work on human services redesign. California State Association of Parole Reform Counties (CSAC) Administration of Discussed the Commission's findings and recommendations with Justice Policy Committee California county leaders. Sacramento State Assembly Parole Reform Sacramento Testified at an Assembly Public Safety hearing on improving transitional educational services for prison inmates. County Health Executives Association Public Health of California Discussed the Commission's findings and recommendations with Sacramento ranking health officials from California counties and three large cities. April 2004 American Bar Association's Kennedy Parole Reform Commission Chairman Michael Alpert testified before the American Bar Sacramento Association's Kennedy Commission on findings and recommendations from the Commission's work on public safety issues, including the parole system, prison policies, juvenile justice, youth crime and violence prevention and alcohol and drug treatment. State Senate Parole Reform Sacramento Testified at the Senate Public Safety Committee hearing on measures authored by Senator Charles Poochigian relating to prison inmate work credits and a risk assessment process to reduce recidivism. May 2004 Business, Transportation & Housing Affordable Housing Agency Met with Sunne McPeak, agency secretary, to discuss the Sacramento Commission's work and its continuing interest in advancing policies to develop an adequate supply of housing, including affordable housing. Housing Stakeholders Affordable Housing Sacramento Participated in meeting of housing stakeholders convened by Sunne Wright McPeak, secretary, Business, Transportation and Housing Agency. Health & Human Services Agency Human Services Redesign Sacramento Discussed Commission findings and recommendations with Kim Belshé, secretary, Health & Human Services Agency. State Senate Human Services Redesign Sacramento Discussed Commission findings and recommendations with Assemblymember Lois Wolk, chair, Assembly Committee on Human Services. 30 California Performance Review Human Services Redesign Sacramento Discussed Commission findings and recommendations with Paul Miner, chief deputy cabinet secretary and other members of the California Performance Review. California State Association of Human Services Redesign Counties (CSAC) Discussed Commission findings and recommendations with Sacramento executives from the California State Association of Counties. Civic Leaders Human Services Redesign Sacramento and Yolo Counties Discussed Commission findings and recommendations and opportunities for local efforts to improve health and human services with a group of civic leaders from Yolo and Sacramento counties involved in health and human services. State Senate Parole Reform Sacramento Testified at the Senate Public Safety Committee on a Commission-supported bill to reform and expand education programs in prisons. California Correctional Officials Parole Reform Sacramento At the invitation of the California Correctional Peace Officers Association, attended a presentation by a national expert on evidence-based strategies for prisoners and parolees. Journal of History & Economic Parole Reform Thought (JEHT) Foundation Advised the president and staff of the JEHT Foundation on how Sacramento it could fund community-based efforts to implement the Commission's recommendations. Governor's Independent Review Panel Parole Reform Sacramento Met with Joe Gunn, executive director of the Governor's Independent Review Panel, which developed recommendations for restructuring the State's correctional system. State Senate Parole Reform Sacramento Provided an update to Senator Gloria Romero, chair, Select Committee on the California Correctional System, on the women and parole study. June 2004 State Assembly Alcohol and Drug Abuse Treatment Sacramento Testified at the Assembly Public Safety Committee hearing on a measure that would provide drug treatment, rather than confinement, for parolees of the California Youth Authority who have been charged with non-violent drug possession. Expert Panel to Review the California Governing the Golden State Department of Aging Structure Participated on an expert panel chaired by Assemblymember Sacramento Lynn Daucher to review and evaluate options for structural realignment for state administered programs serving older Californians. Ventura County Board of Supervisors Human Services Redesign Ventura County Discussed the Commission's findings and recommendations. The board unanimously passed a resolution supporting the recommendations and wrote letters of support to the Governor and the Commission. State Assembly Parole Reform Sacramento Testified at the Assembly Public Safety Committee on a Commission-supported bill that would require the Department of Corrections and others to determine how to best encourage inmates to complete educational, vocational and substance abuse programs. 31 State Assembly Public Health Sacramento Testified before the Assembly Health Committee on a measure based upon the Commission's recommendation to create a Department of Public Health within the Health and Human Services Agency to be headed by a State Health Officer. PolicyLink School Facilities Sacramento Participated in a round table discussion sponsored by the non- profit organization PolicyLink that explored ways to improve school construction. Commission recommendations were cited and endorsed. July 2004 Next Ten Project Governing the Golden State Monterey Presented Commission findings and recommendations to senior advisors of the Next Ten Project at the Panetta Institute. The Next Ten Project is conducting regional meetings with community leaders to build understanding and support for structural solutions to the State's budget and revenue problems. California Council for Environmental Governing the Golden State and Economic Balance Presented Commission findings and recommendations and Lake Tahoe discussed the Commission's role in a government reorganization process. Corrections Leadership Summit Parole Reform Sacramento Attended portions of a week-long summit convened by Rod Hickman, secretary, Youth and Adult Correctional Agency to discuss with staff and management the recommendation of the Independent Review Panel (IRP). Several key recommendations of the IRP were based on Commission recommendations. August 2004 State Council on Developmental Government Reorganization Disabilities Discussed the Commission's role in reviewing government Sacramento reorganization plans. San Diego Association of Governments Immigrant Integration (SANDAG) Presented Commission findings and recommendations to the San Diego SANDAG Borders Committee in a special session held to explore the impact of undocumented immigrants on the San Diego region. September 2004 James Irvine Foundation Governing the Golden State San Francisco Discussed the Commission's recommendations with representatives from the James Irvine Foundation, which is funding projects that build community support for persistent public problems. Foundation Consortium Human Services Redesign San Francisco Presented the Commission's recommendations on improving state and county government relationships to the board of directors of the Foundation Consortium, an alliance of corporate, private, community and family foundations that share a common vision. 32 State Senate Parole Reform Sacramento Testified at the first of a series of hearings held by the Senate Prison Oversight Committee to explore recommendations by the Independent Review Panel and the Commission regarding the structure of the Youth and Adult Correctional Agency. October 2004 Housing Users Statistics Group Affordable Housing Berkeley Presented Commission findings and recommendations regarding structural barriers to the development of an adequate supply of housing at the second annual meeting of the Housing Users Statistics Group convened by the Berkeley Program on Housing and Urban Policy. Children's Roundtable Foster Care Foster Care Task Force Discussed Commission's work on reforms in child welfare Sacramento services with task force members at a seminar sponsored by the Children's Advocacy Institute. December 2004 State Senate and Assembly Acupuncture Regulation Sacramento Testified before the Joint Committee on Boards, Commissions and Consumer Protection on the Commission's conclusions regarding acupuncture at a hearing that is part of the sunset review process for the Acupuncture Board. Executive Fellows Government Reorganization Sacramento Discussed Commission's work on government reorganization with recent university graduates selected to work as executive fellows in the offices of department directors. Department of Consumer Protection Government Reorganization Sacramento Met with the director and staff to discuss the Commission's work on government reorganization. State Senate Government Reorganization Sacramento Met with the staff of the newly formed Senate Committee on Government Modernization, Efficiency and Accountability to discuss the Commission's work on government reorganization. CEO Roundtable Meeting of the San Government Reorganization Diego Chamber of Commerce Discussed the Commission's work on government reorganization San Diego with business leaders in the San Diego region. Public Safety Grant Program Manager Office of Criminal Justice Planning Sacramento Met with the official who is managing the grant programs once administered by the Office of Criminal Justice Planning to discuss the Commission's recommendations for reforming how those grants are managed. 33 34 Legislation 2003-04 For the purpose of assisting the Governor and Legislature. The Commission supported 17 bills during the 2003-04 Legislative Session that would implement its recommendations. The measures were in the areas of affordable housing, children’s services, drug and alcohol abuse treatment, parole, prisons and public health. Of those 17 bills, two were signed into law, six were vetoed, one failed passage in policy committee, seven failed passage in fiscal committee, and one was amended into language unrelated to Commission recommendations. Affordable Housing Children’s Services AB 389 (Montañez) – Requires a database AB 380 (Steinberg) – Enables counties in the and inventory be maintained to capture Children's System of Care program to information on brownfields. Combines systematically collect and maintain data that provisions of SB 493 (Cedillo) enacting the demonstrates specific outcomes of CSOC. Calif. Land Reuse & Revitalization Act of Substantially amended to become 2004. Signed by Governor, Chapter 705. Assemblymember Chan's bill regarding the California Children & Families Commission. AB 1426 (Steinberg) – Dedicates housing Failed to pass in Senate. bond funds for designated communities that meet the voluntary affordable SB 693 (Murray) – Establishes an housing production standards. Vetoed. undersecretary of foster care coordination within the Health and Human Services SB 493 (Cedillo) – Reestablishes funding to Agency. Failed to pass in Assembly the Cleanup Loans and Environmental Appropriations. Assistance to Neighborhoods Account (CLEAN) to make loans available for SB 1343 (Escutia) – Requires Superintendent encouraging the cleanup and of Public Instruction to establish a task force redevelopment of brownfields. Failed to to develop recommendations for an Infant pass in Assembly Appropriations. and Toddler Care Master Plan. Vetoed. Drug & Alcohol Abuse Treatment SB 744 (Dunn) – Requires Department of Housing and Community Development to AB 2483 (Chan) – Increases the coordination hear appeals on applications for the and availability of substance abuse construction of affordable housing treatment for adolescents by establishing developments. Failed to pass in Assembly. pilot programs in four counties. Failed to pass in Assembly Appropriations. SB 519 (Vasconcellos) – Provides drug treatment, rather than confinement, for parolees of the California Youth Authority who have been charged with non-violent drug possession. Vetoed. 35 Parole Prisons AB 854 (Koretz) – Expands purpose of AB 1219 (Montañez) – Creates an educational imprisonment to include education and job board within the Department of Corrections, training strategies proven to increase public which will appoint a superintendent of safety and reduce recidivism. Signed by correctional education and establish Governor, Chapter 747. standards for inmate education. Vetoed. AB 2815 (Hancock) – Establishes pilot AB 1914 (Montañez) – Enacts the Prison programs to provide pre-release planning Education Act; requires a newly constituted information to local agencies so they may committee to develop and implement a plan target resources and enhance the work of for providing transitional educational services PACT in reintegrating inmates back into the for inmates, including, but not limited to, community. Failed to pass in Assembly counseling and placement services. Vetoed. Appropriations. Public Health SB 1660 (Poochigian) – Requires Department of Corrections and others to determine how to SB 858 (Ortiz) – Creates the Department of best encourage inmates to complete Public Health within the Health and Human educational, vocational, and substance abuse Services Agency; transfers specified programs programs. Failed to pass in Assembly and responsibilities from the Dept. of Health Appropriations. Services to DPH; establishes a 13-member Public Health Board to provide involvement of SB 1715 (Poochigian) – Requires Department the programs administered by DPH. Failed to of Corrections to begin the recidivism risk pass in Assembly Appropriations. assessment process at the time of incarceration, rather than waiting until the SB 1487 (Speier) – Requires hospitals to time of an inmate's parole. Failed to pass in collect and provide data concerning hospital- Senate Appropriations. acquired infections to the Office of Statewide Health Planning & Development and the Department of Health Services. Vetoed. 36 Consulting Experts with Over 500 experts and consumers have advised the Commission. The following people testified at the Commission’s public hearings, served on advisory committees, expert panels or focus groups, or advised the Commission with their expertise. The list reflects their titles and positions at the time they participated in the Commission study process. Under the Little Hoover Commission’s process, hearing witnesses and advisory committee members provide advice and information but do not vote or comment on the final product. Witnesses for Hearings on Foster Care Gwen Bartholomew, Co-Founder Charlene Chase, Director Joyce R. Lewis, Vice President Grandma’s Angels Santa Barbara County Department National Foster Parent Association of Social Services Berisha Black, Emancipation Linda Lewis, Executive Director Ombudsman Patricia Curry, Commissioner Western Child Welfare Law Center Los Angeles County Department of Los Angeles County Commission for Children and Family Services Children and Families Stephen Mayberg, Ph.D., Director CA Department of Mental Health Anita M. Bock, Former Director Jaci Davis, Member Los Angeles County Department of California Youth Connection Dennis McFall, Director Children and Family Services Behavioral Health Services Sweet Alice Harris Siskiyou County Yvonne Brathwaite Burke Founder and Executive Director Supervisor, Second District Parents of Watts Stuart Oppenheim Los Angeles County Board of Northern Regional Director Supervisors Grantland Johnson, Secretary Human Services Agency, San Mateo Health and Human Services Agency County Alice Bussiere, Staff Attorney Youth Law Center Marjorie Kelly, Interim Director Sylvia Pizzini, Deputy Director Los Angeles County Department of Children and Family Services Child and Family Services Division, CA Department of Social Services Witnesses for Hearings on Alcohol & Drug Treatment Richard Browne George J. Doane, Deputy Director James P. Gray, Judge Director of Program Development & Division of Law Enforcement Orange County Superior Court Technical Assistance, Los Angeles California Department of Justice County Department of Health Melody Heaps, President Services Michael Falasco, Legislative Liaison Treatment Alternatives for Safe Wine Institute Communities Victor Capoccia, Ph.D., Program Officer Suzanne Gelber, Ph.D., President Substance Abuse Policy Research SGR Health, Ltd. and The Avisa Dellena Hoyer-Johnson Program Group The Effort Robert Wood Johnson Foundation Alice Gleghorn, Ph.D., Director of C. Kathryn Icenhower, Ph.D. Timothy P. Condon, Ph.D. Research, Epidemiology and Grants Executive Director Associate Director Community Substance Abuse SHIELDS for Families Project, Inc. National Institute on Drug Abuse Services San Francisco Department of Public Martin Iguchi, Ph.D., Director National Institutes of Health Health Drug Policy Research Center, RAND Karen S. Dalton, DrPH, CJM Amalia Gonzalez del Valle Gary Jaeger, M.D., President Director, Correctional Services Project Director California Society of Addiction Division Contra Costa Substance Abuse Medicine Los Angeles County Sheriff’s Services Division Department 37 Kathryn Jett, Director Andrew McGuire, Executive Director Tina Nunes Ober CA Department of Alcohol & Drug Trauma Foundation Deputy District Attorney Programs Santa Clara County District A. Thomas McLellan, Ph.D., Director Attorney’s Office Bill Kelly, Commander Treatment Research Institute Sacramento County Sheriff’s University of Pennsylvania Rosalie Pacula, Ph.D., Economist Department Narcotics Unit Drug Policy Research Center, RAND Joseph D. McNamara, Ph.D., John D. Larson, Deputy Director Research Fellow Michael Prendergast, Ph.D. Department of Alcohol & Drug Hoover Institution, Stanford UCLA Integrated Substance Abuse Programs University Programs Santa Clara County Criminal Justice Research Group Toni J. Moore Douglas Longshore, Ph.D. Director, Alcohol and Drug Richard A. Rawson, Ph.D. Research Sociologist Programs Associate Director Integrated Substance Abuse Sacramento County Department of UCLA Integrated Substance Abuse Programs Health & Human Services Programs UCLA Department of Psychiatry and Biobehavioral Sciences David W. Rinaldo, Ph.D., Partner James Mosher, J.D. SGR Health, Ltd. and The Avisa Senior Program Director Patrick N. Lunney, Director Group Division of Legal Policy Analysis Division of Law Enforcement Pacific Institute for Research and CA Department of Justice Gary Sanchez Evaluation Deputy Probation Officer Stephen V. Manley, Judge Santa Clara County Probation Verdia Nix Superior Court Department County of Santa Clara Allen Sawyer, Interim Executive Director, Governor’s Office of Criminal Justice Planning Little Hoover Commission Alcohol & Drug Treatment Advisory Committee Daniel N. Abrahamson Ed Carlson Carmen Delgado Director of Legal Affairs Substance Abuse Program Officer Assistant Deputy Director Drug Policy Alliance Charles and Helen Schwab Program Operations Division Foundation CA Department of Alcohol and Drug Sarah Angel, Assembly Fellow Programs with the office of Jennifer Cassulo Assembly Member Jenny Oropeza Executive Assistant Steve De Ross CAADPE Assistant Chief Probation Officer Gayl M. Anglin, Ph.D. Sacramento County UCLA Integrated Substance Abuse Alexandra Cox Programs Drug Policy Alliance Chuck Deutschman, Director Contra Costa County Substance Judy Appel Michael Cunningham Abuse Services Division Deputy Director of Legal Affairs Department of Alcohol and Drug Drug Policy Alliance Programs Gary Dunlap, CADC Executive Director Tom Aswad, Member Sherry Daley, Public Policy CAADAC Contra Costa Alcohol and Other Coordinator Drugs Advisory Board California Association of Alcoholism David Farabee, Ph.D. and Drug Abuse Counselors UCLA Integrated Substance Abuse Susan Blacksher, Executive Director Programs California Association of Addiction Karen S. Dalton, DrPH, CJM, Recovery Resources Director David Feinberg, Manager Correctional Services Division Residential & Outpatient Programs Verda Bradley, Ph.D, LCSW Los Angeles County Sheriff’s Compliance Branch Dual Diagnosis Services Department Department of Alcohol and Drug Department of Mental Health Programs Los Angeles County Warren Daniels, CADC Chairman CCBADC Beth Finnerty, MPH Michael K. Brady, Consultant to UCLA Integrated Substance Abuse Senator John Burton David Deitch, Ph.D. Programs Clinical Professor of Psychiatry/ Director, Addiction Training Center University of California, San Diego 38 Thomas Freese, Ph.D., Co-Director Christopher Lewis, Licensing & Henry Richards, Ph.D. Pacific Southwest Addiction Certification Division PBSI/The Washington Institute for Technology Transfer Center CA Department of Alcohol & Drug Mental Illness Research and Integrated Substance Abuse Programs Training Programs, UCLA Rebecca Lira, Deputy Director of David W. Rinaldo, Ph.D., Partner Venus L. Garth, Chief Licensing & Certification SGR Health, Ltd. and The Avisa Work Services Branch, Welfare to CA Department of Alcohol and Drug Group Work Division Programs CA Department of Social Services Terry Robinson, Program Director Daniel Macallair, Vice President Children & Family Futures Suzanne Gelber, Ph.D., President Center for Juvenile & Criminal SGR Health, Ltd. and The Avisa Justice Al Rodriguez, Manager, Alcohol, Group Drug & Mental Health Services, Al Medina, Administrator Santa Barbara County Brian Greenberg, Ph.D. Alcohol and Drug Programs Vice President & Director of San Diego County Louis Romero, Supervising Assistant Development Public Defender, Sacramento Walden House Helyne Meshar, Executive Director County Public Defender’s Office CAADPE Christine Grella, Ph.D. Jim Rowland, Chief Probation Associate Research Psychologist Charles Moore, M.D., Medical Officer, Napa County UCLA Drug Abuse Research Center Director, Chemical Dependency Recovery Program, Kaiser Suzanne Salazar, Deputy District Frederick Heacock, Deputy Director Permanente Medical Group Inc. Attorney, Sacramento County Alcohol, Drug & Mental Health District Attorney’s Office Services, Yolo County Toni J. Moore, Director Alcohol and Drug Programs Prentice E. Sanders, Chief of Police Sue Heavens Sacramento County Department of San Francisco Police Department Youth Treatment Analyst, OPSA Health & Human Services CA Department of Alcohol & Drug Del Sayles-Owen Programs Maria Morfin CA Department of Alcohol and Drug Program Manager Programs Sharon Jackson, Deputy Director Sacramento County Alcohol & Drug Parole and Community Services Services Division David Smith, Founder Division Haight Ashbury Free Clinics Department of Corrections Rod Mullen, President & CEO Amity Foundation Trisha Stanionis, Executive Director Gary Jaeger, M.D., President The Effort California Society of Addiction Marcus Nieto Medicine Research Program Specialist Elizabeth Stanley-Salazar, MPH California Research Bureau Vice President Ross Jamison, Research Consultant Director of Public Policy Center on Juvenile and Criminal Sue North, Chief of Staff Phoenix Houses of California, Inc. Justice Senator John Vasconcellos Antonia Taylor Les Johnson Patrick Ogawa, Director Work Support Services CA Department of Alcohol and Drug Los Angeles County Alcohol and Department of Social Services Programs Drug Program Administration Department of Health Services Sushma Taylor, Ph.D., Co-Chair Guy Howard Klopp California Perinatal Treatment Policy, Planning, Evaluation Joseph Ossmann Network, Center Point, Inc. Training Manager Manager, Proposition 36 Unit Sacramento County Alcohol & Drug Board of Prison Terms Craig Toni, Parole Agent III Services Division Parole and Community Services Martin Prisco Division Victor Kogler, Consultant Department of Alcohol & Drug Department of Corrections Former Director, Alcohol and Drug Programs Programs Don Troutman Santa Barbara County Ruth Range CSTL, Inc. League of Women Voters Jim L’Etoile, Assistant Director Children’s Lobby Joan Ellen Zweben, Ph.D., Office of Substance Abuse Executive Director Department of Corrections Gary E. Ransom, Judge The 14th Street Clinic & EBCRP Sacramento County Superior Court Department of Psychiatry, UCSF Richard A. Rawson, Ph.D. Associate Director, UCLA Integrated Substance Abuse Programs 39 Witnesses for Hearing on Public Health Raymond J. Baxter, Ph.D. Steve Hon, President Carmen R. Nevarez, M.D., M.P.H. Senior Vice President, Community County Health Executives Association President, California Conference of Benefit, Kaiser Permanente of California Medical Directors and Vice President of External Relations Lester Breslow, M.D., M.P.H. Loren Arthur Johnson, M.D. Public Health Institute Member, Los Angeles County Public Immediate Past President Health Commission California Chapter of the American Roger C. On, M.D. Former Dean, UCLA School of Public College of Emergency Physicians Practicing Cardiologist and Health (CAL/ACEP) Assistant Clinical Professor of Medicine, UCLA School of Medicine Richard J. Burton, M.D., M.P.H. Philip R. Lee Former Associate Director Former Assistant Secretary, The Honorable Keith S. Richman, CA Department of Health Services U.S. Health & Human Services M.D., M.P.H., Member of the Agency, Consulting Professor, California State Assembly David M. Carlisle, M.D., Ph.D. Stanford University Director, Office of Statewide Health Robert Ross, M.D., President and Planning and Development Jack C. Lewin, M.D. CEO, California Endowment Chief Executive Officer C. Duane Dauner, President California Medical Association Jeffrey L. Rubin, Chief California Healthcare Association Disaster Medical Services Division Poki Stewart Namkung, M.D., M.P.H. Emergency Medical Services Jonathan E. Fielding, M.D., M.P.H. President, California Conference of Authority Director of Public Health and Health Local Health Officers Officer, Los Angeles County Director of Public Health and Health James B. Simpson, J.D., General Department of Health Services Officer, City of Berkeley Counsel, Public Health Institute George R. Flores, M.D., M.P.H. Consultant, California Endowment Little Hoover Commission Public Health Advisory Committee Steve Andriese, President Sheriff Michael S. Carona Jonathan E. Fielding, M.D., M.P.H. Emergency Medical Services Orange County Sheriff’s Office Director of Public Health and Health Administrator Association of Officer, Los Angeles County California Colonel Charlie Cross Department of Health Services California National Guard Vicki Bermudez, R.N. George R. Flores, M.D., M.P.H. Regulatory Policy Specialist Mark DiCamillo, Director Consultant, California Endowment California Nurses Association The Field Institute Greg Franklin, M.H.A., Deputy Mike Boyd, Associate Director Catherine Dower, J.D. Director, Health Information and U.C. Davis Medical Center Center for Health Professions Strategic Planning, California U.C. San Francisco Department of Health Services Lester Breslow, M.D., M.P.H. Member, Los Angeles County Public Eileen Eastman, M.A. Calvin Freeman, President Health Commission Executive Secretary California Public Health Association, Former Dean, UCLA School of California Conference of Local North Public Health Health Officers, California Department of Health Services Kimberly Gates, M.P.P., Assistant Kelly Brooks Secretary, California Health & Legislative Analyst, Health & Bob Eisenman, Ph.D. Human Services Agency Human Services, California State Director, Strategy and External Association of Counties Relations Derrick A. Green National Facility Services Department of Veterans Affairs Doug Buchanan Kaiser Permanente Mountain Valley EMS Agency Joseph M. Hafey, M.P.A. President and CEO Richard J. Burton, M.D., M.P.H. Public Health Institute Former Associate Director CA Department of Health Services 40 Peter Hansel, Chief Consultant John Miller, Staff Director Don Sloma, M.P.H. Senate Health & Human Services Senate Committee on Health & Executive Director, Washington Former Principal Consultant Human Services State Board of Health Senate Office of Research Carol Mordhorst, Public Health Daniel R. Smiley Sydney Harvey, Ph.D. Director, Department of Public Chief Deputy Director President, California Association of Health, Mendocino County California Emergency Medical Public Health Laboratory Directors Services Authority Director, Los Angeles County Public Poki Stewart Namkung, M.D., Health Lab M.P.H., President, California Gerald Solomon, J.D. Conference of Local Health Officers Public Health Foundation Steve Hon, President Director of Public Health and Health Enterprises County Health Executives Officer, City of Berkeley Association of California Marion Standish Bruce Pomer, Executive Director Senior Program Officer T. Warner Hudson, M.D., FACOEM, Health Officers Association California Endowment FAAFP, Director, Health, Safety and Public Health Advocacy and Environment, DST Output Consulting, Pomer & Associates James W. Stratton, M.D., M.P.H. Medical Epidemiologist Richard J. Jackson, M.D., M.P.H., Judith Reigel, Executive Officer Office of Environmental Health Director, National Center for County Health Executives Hazard Assessment Environmental Health Association of California U.S. Centers for Disease Control & Kenneth Takata Prevention Kevin Reilly, D.V.M., D.P.V.M. Public Health Lab Director Deputy Director, Prevention Services Department of Health and Human Fred Johnson, President California Department of Health Services, Sacramento County California State Rural Health Services Association Verdie L. Thompson, R.N., M.S.N. Arthur L. Reingold, M.D. Public Health Nursing Chair, Loren Arthur Johnson, M.D. Professor and Head of Epidemiology California Public Health Association, Immediate Past President U.C. Berkeley, School of Public North California Chapter of the American Health College of Emergency Physicians Terri Thorfinnson, Director of Policy (CAL/ACEP) Roger Richter California Primary Care Association Senior Vice President of Professional Dallas Jones, Director Services, California Healthcare Stephen Waterman, M.D. Governor’s Office of Emergency Association Senior Medical Epidemiologist Services U.S. – Mexico Border Infectious Rebecca Stark Rivas Disease Coordinator, CDC Neal D. Kohatsu, M.D., M.P.H. The PICO California Project Medical Director Medical Board of California Debby Rogers, Health Consultant Major Daniel Weber Senate Republican Caucus California National Guard Philip R. Lee, M.D., Former Assistant Secretary for Health, U.S. Roger Rosenberg Brigadier General Stephen Wyman, Health and Human Services HOAC Administrator, Health M.D., California National Guard Consulting Professor, Stanford Officers Association of California University Alan Zelicoff, M.D., Senior Scientist, Kenneth I. Shine, M.D., Director Center for Arms Jack C. Lewin, M.D. RAND Center for Domestic and Control and National Security Chief Executive Officer International Health Security Sandia National Laboratories California Medical Association Immediate Past President, Institute of Medicine 41 Witnesses for the Hearing on the Office of Criminal Justice Planning Alan R. Brown, Ph. D. Patti Giggans, Executive Director The Honorable Bill Lockyer Arizona Prevention Resource Center Los Angeles Commission on California Attorney General Assaults Against Women Suzie Cohen, Consultant Wayne K. Strumpfer Suzie Cohen & Associates Denise C. Herz, Ph.D., Associate Interim Executive Director Professor, Department of Criminal Office of Criminal Justice Planning Cabell C. Cropper, Executive Justice and Criminalistics Director, National Criminal Justice California State University, Arturo Venegas, Jr., Chief of Police, Association Los Angeles (Retired), Sacramento Police Department and member, California Elaine M. Howle Council on Criminal Justice California State Auditor Witnesses for Hearings on Parole Reform Rulette Armstead, Assistant Chief Andy Hsia-Coron, Chair Shirley Poe, East Bay District San Diego Police Department Professional Educators and Administrator, California Librarians Department of Corrections Nina Salarno Ashford, Consultant California State Employees Parole and Community Services Crime Victims United of California Association Division Ernest Austin, Founder Michael P. Jacobson, Ph.D., The Honorable Larry Reid Ex-Offender Action Network Professor Council Member, City of Oakland Department of Law and Police The Honorable Jerry Brown Science Richard Rimmer, Deputy Director Mayor, City of Oakland John Jay College of Criminal Justice Department of Corrections Parole & Community Services Lance Corcoran Peter Jensen, Undersecretary Division Executive Vice President Youth and Adult Correctional California Correctional Peace Agency Harriet Salarno, Chair/President Officers Association Crime Victims United of California Ron Owens, Community Liaison Susan Fisher, Executive Director Mayor’s Office, City of Oakland Marvin Speed, Executive Officer Doris Tate Crime Victims Bureau Board of Prison Terms The Honorable Don Perata Frances Hesselbein Member of the California State Jeremy Travis, Senior Fellow Chair, Board of Governors Senate Urban Institute Leader to Leader Institute Justice Policy Center (formerly the Peter F. Drucker Foundation) Richard L. Word, Chief of Police City of Oakland Participants in a Meeting with Local Law Enforcement on Parole Reform Richard J. Barrantes, Commander Bob Blankenship, Chief of Police Richard L. Word, Chief of Police Los Angeles County Sheriff’s (Retired) City of Oakland Department City of Redding Lou Blanas, Sheriff Albert Nájera, Chief of Police Sacramento County City of Sacramento 42 Little Hoover Commission Parole Reform Advisory Committee Ernest Austin, Founder Stephen Goya, Regional Ron Owens, Community Liaison Ex-Offender Action Network Administrator, Department of Mayor’s Office, City of Oakland Corrections Parole and Community James Austin, Ph.D., Director Services Division Greg Pagan, Assembly Committee on George Washington University Public Safety Institute on Crime, Justice and Simon Haines, Chief Counsel Corrections Senate Public Safety Committee David Panush Assistant Fiscal Policy Advisor Bob Blankenship Ross D. Hutchings, Executive Senator John L. Burton's Office Representing the League of Director, California Probation, President Pro Tempore California Cities and the California Parole & Correctional Association Police Chiefs Association Mark Peterson, Sergeant Sharon Jackson Sacramento County Sheriff’s Tim Brown, Executive Director Assistant Deputy Director Department Loaves & Fishes Department of Corrections, Parole & Community Services Division Ruben Ramos, EDD Representative Ken Cater, Chief Deputy Department of Corrections Commissioner Edward Jagels Parole & Community Services Board of Prison Terms Kern County District Attorney Divison Bubpha Chen Jim L’Etoile, Assistant Director Richard Rimmer, Deputy Director Research Program Specialist III Department of Corrections Department of Corrections Department of Corrections Research Office of Substance Abuse Parole & Community Services Branch Division Jim Lindburg, Legislative Advocate Arthur Chung, Chief Friends Committee on Legislation Sharon Rocco, Parole Agent III Department of Corrections Department of Corrections Offender Information Services Tim Lockwood, Acting Chair Parole & Community Services Department of Corrections Research Division Karen Dalton PH, CJM, Director Branch Los Angeles County Sheriff Eluid Romero, Attorney Department Dan Macallair, Executive Director Sacramento County Public Correctional Services Division Center on Juvenile & Criminal Defender’s Office Justice Connie Erlich Paul Seave, Director Administrative Representative Rick Mandella Department of Justice, Office of Youthful Offender Parole Board Board of Prison Terms Attorney General Council on Mentally III Offenders Crime & Violence Prevention Center Ben Fairow, Lieutenant Oakland Police Department Jerome Marsh Don Specter, Director Assistant Regional Parole Prison Law Office Susan Fisher, Executive Director Administrator Doris Tate Crime Victims Bureau Department of Corrections Norma Suzuki, Executive Director Parole and Community Services Chief Probation Officers of CA Raul Galindo, Chair Division Youthful Offender Parole Board Susan Turner, Ph.D., Associate Keith Matsuo, Regional Parole Director Mike Gallegos, Deputy Director Administrator, Department of RAND Public Safety & Justice California Youth Authority Corrections, Parole and Community Parole Services & Community Services Division Max Vanzi, Principal Consultant Corrections Senate Office of Research Marcus Nieto Millicent Gomes, Mental Health Research Program Specialist Steve Weinrich, Sergeant Administrator, Department of California Research Bureau City of Sacramento Police Corrections, Parole and Community Department Services Division Mary Wiberg, Executive Director Commission on Status of Women 43 Witnesses for Hearings on Human Services Redesign Dion Aroner Jerry Doyle, President Pat Leary, Legislative Representative Legislator-in-Residence Chief Executive Officer California State Association of Institute of Industrial Relations EMQ Children and Family Services Counties University of California, Berkeley Alisa Drakodaidis Raymond J. Merz, Director Todd Bland, Director Acting Assistant Administrative Department of Health and Human Legislative Analyst’s Office Officer Services Social Services Section Chief Administrative Office Placer County Service Integration Branch Catherine Camp, Former Director Los Angeles County Terri Parker, Executive Director California Mental Health Directors California Housing Finance Agency Association Margaret Dunkle, Senior Fellow Health Insurance Reform Project Elliott Robinson, Director Charlene Chase, Director George Washington University Department of Social Services Department of Social Services Monterey County Santa Barbara County B. Timothy Gage, Former Director California Department of Finance Jean M. Ross, Executive Director California Budget Project Participants in a Roundtable Discussion on Human Services Redesign Lewis Butler Emery “Soap” Dowell John Kamensky Chairman of the Board Director, Access Dental Plan (HMO) Associate Partner and Senior Fellow Ploughshares Fund Former Director, Sutter Medical IBM Center for the Business of Founder, California Tomorrow Foundation and Blue Cross of Government California Susan Sherry, Executive Director Robert Hertzberg Center for Collaborative Policy Former Speaker of the California State Assembly Little Hoover Commission Human Services Redesign Advisory Committee Bonnie Armstrong, Senior Fellow Alisa Drakodaidis Frank Mecca, Executive Director Foundation Consortium for Acting Assistant Administrative County Welfare Directors California’s Children & Youth Officer, Chief Administrative Office Association Service Integration Branch Bud Bautista, Director Los Angeles County Edward P. Melia, M.D. Health and Human Services Agency Children’s System of Care Margaret Dunkle, Senior Fellow Elliot Robinson, Director Placer County Health Insurance Reform Project Department of Social Services George Washington University Monterey County Charlene Chase, Director Department of Social Services Yolie Flores Aguilar, Executive Pat Ryan, Executive Director Santa Barbara County Director, Children’s Planning California Mental Health Council, Los Angeles Directors Association Judy Chynoweth, Executive Director Foundation Consortium Megan Hafenstein, Legislative Aide Rusty Selix, Executive Director Assemblymember Cindy Montañez Mental Health Association in Richard Dana California and Mutual Assistance Network of Jim L’Etoile, Chief California Council of Community Del Paso Heights California Department of Mental Health Agencies Corrections Carmen Delgado Office of Substance Abuse Programs Steve Trippe, Executive Director Assistant Deputy Director New Ways to Work Program Operations Division Pat Leary, Legislative Representative California Department of Alcohol California State Association of Stewart Wakeling, Executive and Drug Programs Counties Director Juvenile Justice Coordinator Jerry Doyle, President Raymond C. Mastalish Community Partnership for Families Chief Executive Officer Executive Director of San Joaquin County EMQ Children and Family Services California Commission on Aging Nancy Westergaard, Consultant Sara McCarthy, Consultant Office of Assemblyman Leland Yee Senate Office of Research 44 Witnesses for Hearings on Governing the Golden State Donna Arduin, Director Russell Hancock Joe Peters, Secretary/Treasurer State of California President & Chief Executive Officer California Farm Bureau Federation Department of Finance Joint Venture: Silicon Valley Network The Honorable Scott Peters Mark Baldassare, Ph.D. Council Member, City of San Diego Director of Research Bill Hauck, Director Public Policy Institute of California California Business Roundtable The Honorable Keith S. Richman, M.D., M.P.H. John Bohn Elizabeth Hill Member of the California State Chairman and Chief Executive Legislative Analyst Assembly Officer GlobalNet Venture Partners, LLC Peter Hutchinson William J. Rosendahl President Chairman The Honorable Joseph Canciamilla Public Strategies Group, Inc. California Commission on Tax Policy Member of the California State in the New Economy Assembly Perry Kenny, Past President California State Employees Tom Stallard, Executive Director Michael Coleman Assocation Valley Vision Principal CaliforniaCityFinance.com Lucy Killea, Ph.D. Steven C. Szalay Former Legislator, California State Executive Director Carl Demaio, Executive Director Senate California State Association of The Performance Institute Counties J. J. McClatchy, CEO B. Timothy Gage, Former Director McClatchy Management The Honorable John Upton, State of California Council Member, City of South Lake Department of Finance Chris McKenzie Tahoe and Former President, Executive Director California State Association of League of California Cities Counties Little Hoover Commission Governing the Golden State Advisory Committee Paul Arevelo, City Manager Lucy Killea, Ph.D. Joe Peters, Secretary/Treasurer City of West Hollywood Former Legislator, California State California Farm Bureau Federation Senate Kent Briggs, Executive Director Jean Ross, Executive Director Council of State Governments - Kenneth Larson, Director of Public California Budget Project West Policy, CA Association of Nonprofits Fred Silva Matthew A. Cahn, Ph.D., Professor Steve Levy, Director Senior Advisor on Governmental Calfiornia State University at Center for Continuing Study of Relations Northridge California Economy Public Policy Institute of California Ralph Carmona, Director, Public J. J. McClatchy, CEO Dwight Stenbakken Relations McClatchy Management Director of Legislation, Policy Sacramento Metropolitan Utility Development, Grassroots District Chris McKenzie, Executive Director League of California Cities League of California Cities John Decker, Staff Director Steven C. Szalay, Executive Director Senate Office of Research Peter Mehas, Ed.D, Superintendent California State Association of Fresno County Office of Education Counties John Ellwood, Ph.D. Professor of Public Policy Roger Noll, Ph.D., Director John Upton, Member, South Lake University of California at Berkeley Center for Research on Economic Tahoe City Council and Former Development & Policy Reform President, California State Timothy Hodson, Ph.D. Stanford Univeristy Association of Counties Director, Center for California Studies George M. Passantino Roger Valine, President California State University - Public Affairs Director, Reason Vision Service Plan Sacramento Foundation 45 Little Hoover Commission Governing the Golden State Focus Group Participants Nick Bollman, President & Chief Bill Hauck, President Jennifer Swenson, Consultant Executive Officer, Center for California Business Roundtable Senate Committee on Local Regional Leadership Government Steve Keil, Legislative Coordinator Bruce E. Cain, Ph.D., Director California State Association of Steven Szalay, Executive Director Center for Governmental Studies Counties California State Association of University of California at Berkeley Counties Chris McKenzie, Executive Director Michael Coleman, Principal League of California Cities Caprice Young, Chief Executive CaliforniaCityFinance.com Officer Marianne O'Malley Charter Schools Association Marney Cox, Chief Economist Principal Fiscal & Policy Analyst San Diego Association of Legislative Analyst's Office Bud Wendell, Principal Governments Management Communications and Jean Ross, Executive Director Strategic Communications Lenny Goldberg, Member California Budget Project Consultant, California Commission on Tax Policy Joint Venture: Silicon Valley in the New Economy and Executive Peter Schaafsma, Staff Director Network Director, California Tax Reform Assembly Republican Fiscal Association Committee Witnesses for Hearings on Acupuncture Shari Asplund, Vice Chair Norman R. Hertz, Ph.D., Former Steven Rosenblatt, M.D., Ph.D., California Acupuncture Board Chief, Office of Examination L.Ac., Co-Founder and Former Resources, California Department of Clinical Director, UCLA Sandra Bressler, J.D., Vice Consumer Affairs Acupuncture Clinic; Former President, Center for Medical and Director, Complementary Medicine Regulatory Policy, California Medical Lixin Huang, President Program, Cedars-Sinai Medical Association American College of Traditional Center Chinese Medicine, and President of Brian C. Fennen, L.Ac., Executive the Council of Colleges of Alan Trachtenberg, M.D., M.P.H. Director, Council of Acupuncture Acupuncture and Oriental Medicine Former Planning Chair, NIH and Oriental Medicine Associations Consensus Conference on Gary Klapman, M.D., L.Ac. Acupuncture, Medical Director, Richard G. Fong, D.C., L.Ac. Office of Pharmacologic and Michelle Lau, L.Ac., President Alternative Therapies, U.S. Public Harley Goldberg, D.O. Council of Acupuncture and Health Service, Center for Director of Complementary and Oriental Medicine Associations Substance Abuse Treatment Alternative Medicine, The Permanente Medical Group, Kaiser Marilyn Nielsen, Executive Officer Penelope Ward California Acupuncture Board Director of Professional Services Christina Herlihy, Ph.D. Accreditation Commission for Chief Executive Officer Acupuncture and Oriental Medicine National Certification Commission (ACAOM) for Acupuncture and Oriental Medicine Pei Li Zhong-Fong, L.Ac., Chair California Acupuncture Board Little Hoover Commission Acupuncture Advisory Committee Marilyn Allen Sandra Bressler, J.D., Vice DaRen Chen, L.Ac., QME, OMD American Acupuncture Council President President, Academy of Chinese Center for Medical and Regulatory Medicine Shari Asplund, Vice Chair Policy California Acupuncture Board California Medical Association John Chen, PharmD, Ph.D., OMD, L.Ac. Matthew Bauer, L.Ac. Jackson Chau, L.Ac., President La Verne Acupuncture California Certified Acupuncturists Andrew S. Cho, J.D., M.P.H. Association Vice President, South Baylo University 46 Benjamin Dierauf, L.Ac. Yong Sup Lee, L.Ac. Betsy Smith, Director of State CA State Oriental Medical Executive Vice President Relations, National Certification Association/Acupuncture & Association of Korean Oriental Commission for Acupuncture & Integrative Medicine College – Medicine and Acupuncture of Oriental Medicine Berkeley California (AKOMAC) Angela Tu, L.Ac., OMD Alex Feng, L.Ac., Ph.D. Fred Lerner, DC, Ph.D., Chairman Diablo Acupuncture & Pain Control National Board of Acupuncture Clinic Brian Fennen, L.Ac., Executive Orthopedics Director, Council of Acupuncture & Jeanne Tumanjan, L.Ac., Former Oriental Medicine Associations Brian Chee Loh, L.Ac., OMD, Member, California Acupuncture President Board Andrew Fitzcharles, MS, L.Ac. United California Practitioners of Los Gatos Oriental Medicine Chinese Medicine Michael Turk, L.Ac. East/West Health Center Zhi Dao Guan Neal S. Miller, L.Ac., CCAA, CCOMD Clinic for Traditional Chinese Studio City Oriental Medical Center Raymond Victorio, L.Ac., DOM (FL) Medicine President, Acupuncture & Howard Moffet, MPH, L.Ac. Integrative Medicine College, Thomas R. Haines, Ph.D. Research Project Manager Berkeley Director, Academic Affairs Kaiser Permanente – Division of Pacific College of Oriental Medicine Research and Former Member, Penelope Ward California Acupuncture Board Director of Professional Services Christina S. Herlihy, MA, Ph.D. Accreditation Commission for Chief Executive Officer Will Morris, OMD, L.Ac., Academic Acupuncture & Oriental Medicine National Certification Commission Dean (ACAOM) for Acupuncture & Oriental Emperor’s College of Traditional OM Medicine David Wells, DC, L.Ac. Marilyn Nielsen, Executive Officer Former President, Council of Lixin Huang, President, Council of California Acupuncture Board Acupuncture & Oriental Medical Colleges of Acupuncture and Associations Oriental Medicine, American College Robin Martin Okada, Study of Traditional Chinese Medicine Coordinator Kristy Wiese, Deputy Director Department of Psychiatry and Legislative and Regulatory Review Linda S. Jordan, OMD, L.Ac., RN Behavioral Sciences, Stanford Unit, CA Department of Consumer University, School of Medicine Affairs Deke Kendall, OMD, Ph.D., L.Ac. Director for Education and Research David Pacheco, Principal Consultant Bill Wong, Chief of Staff, Office of National Guild for Acupuncture and Assembly Business & Professions Assemblymember Judy Chu Oriental Medicine Committee Wen Shuo Wu, L.Ac., Dean of John Jung Min Kim, L.Ac., OMD, Rebecca Patchin, M.D. Acupuncture Oriental Medicine, Ph.D. Chair, Council on Legislation Southern California University of California Medical Association Health Sciences (SCUHS) Gary Klapman, M.D., L.Ac. Former Member, California Ted Priebe, OMD, QME, L.Ac., Benjamin Chi-Kuo Yang, C.A., OMD, Acupuncture Board and Chair of the President L.Ac. Acupuncture Board Task Force National Oriental Medicine Member of National Advisory Accrediting Agency Council for Complimentary & John Kolenda, L.Ac. Alternative Medicine NIH Former Board Exam Liaison, Steven Rosenblatt, M.D., Ph.D., Member of Industrial Medical California Acupuncture Board and L.Ac., Co-Founder and Former Council Drug and Alcohol Detoxification Clinical Director, UCLA State of California Subject Matter Expert Acupuncture Clinic; Former Director, Complementary Medicine Ron Zaidman, MBA, Co-Founder Howard Kong, L.Ac., President Program, Cedars-Sinai Medical and President, Five Branches California State Oriental Medical Center Institute Association Elad Schiff, M.D., Fellow Pei Li Zhong-Fong, L.Ac., Chair Marete Kunze, L.Ac., OMD Program in Integrative Medicine California Acupuncture Board Long Life Medical Clinic College of Medicine, University of Arizona and Former Chair, Israel's Laura Zuniga, Senior Consultant Michelle Lau, L.Ac., President Complementary Medicine Task Assembly Republican Caucus Council of Acupuncture and Force Oriental Medicine Associations 47 Witnesses for Hearings on Women & Parole Cindy Marie Absey John Dovey John Surbeck, Judge Victim/Witness Director Warden Allen County Superior Court San Luis Obispo County California Institution for Women Fort Wayne, IN District Attorney's Office Phyllis Gonzalez Robin Taylor Elizabeth Belzer Mentee Attorney Mentor Women's Programs Coordinator Volunteers in Parole, Inc. Volunteers in Parole, Inc. Alameda County Sheriff's Office Jo Ann Gordon Casondra Tshimanga Barbara E. Bloom, Ph.D. Warden MOMS Program Alumna Associate Professor, Department of California Rehabilitation Center Criminal Justice Administration Curtis L. Watson, Undersheriff California State University, Sonoma Stephen V. Manley, Judge Alameda County Sheriff's Office and, Project Director, National Santa Clara County Superior Court Institute of Corrections, Gender- Jeanne S. Woodford, Director Responsive Principles Project Richard Rimmer Department of Corrections Acting Chief Deputy Director Susan Burton, Executive Director Department of Corrections Mike Zimmerman A New Way of Life Re-entry Project Field Operations Division Executive Director Volunteers in Parole Participants on Expert Panels on Housing, Employment and Substance Abuse Treatment for the Women & Parole Study Kenneth Allen, Program Manager Victoria Eberle Karen Johnson HALT/RSAT Program California Department of California Department of Rio Cosumnes Correctional Center Corrections Corrections Office of Substance Abuse Programs Office of Substance Abuse Programs Judy Appel Deputy Director of Legal Affairs Linda Evans, Organizer Tim Jones Drug Policy Alliance All of Us or None Oakland Housing Authority Legal Services for Prisoners with Elizabeth Belzer Children Marilyn Kalvelage Women's Programs Specialist Assistant Deputy Director Alameda County Sheriff's Office Millicent Gomes, Mental Health California Department of Administrator, California Corrections Marguerite Buchanan, Program Department of Corrections Parole & Community Services Director Parole and Community Services Division Catherine Center, Burlingame Division Delores Lyles Bill Burke Arlene Wilson Grant Program Manager Employment Development Sacramento Region Community Dr. J. Alfred Smith, Sr. Training Department Foundation Academy Workforce Development Branch Allen Temple Baptist Church Jodi Green Susan Burton, Executive Director Sacramento Sheriff’s Department Peggy Merical, Program Director A New Way of Life Re-entry Project Quinn Cottages Judy Harris, Deputy Parole Yvonne Cooks, Community Liaison Administrator, California Charr Lee Metsker, Chief Legal Services for Prisoners with Department of Corrections, Parole & Employment & Eligibility Branch Children Community Services Division California Department of Social Services Reneca Corbin Fred Haywood, California A New Way of Life Re-entry Project Department of Corrections, Parole & Toni J. Moore, Director Community Services Division Alcohol & Drug Programs Sharon DeCray, Family Services Sacramento County Department of Manager Cynthia Hunt Health & Human Services Alameda County Housing Authority Quinn Cottages Rod Mullen, President & CEO Matthew Doherty, Program Officer David Husid Amity Foundation Corporation for Supportive Housing 48 Joe Ossmann, Parole Agent III Del Sayles-Owen, Deputy Director Renee Smith, LCSW California Department of Office of Criminal Justice Director of Criminal Justice Corrections Collaboration Programs Parole & Community Services CA Department of Alcohol and Drug Walden House, Treasure Island Division Programs Cecelia Lakatos Sullivan Gloria Ramirez, Resident Ken Shoenlau Quinn Cottages Southern California Sober Living Robert Tobin, Executive Director Coalition Cottage Housing Denise Sassoon, Program Manager Providence Place Karen Shouldis Dyana Wheeler, Resident Mental Health Systems, Inc. Quinn Cottages Witnesses for Hearings on Government Reorganization John M. Basler Tim Hodson, Executive Director Lenny Mendonca, Chairman former Vice President Center for California Studies Bay Area Economic Forum Support Services, Pacific Bell California State University, Sacramento Leon C. Panetta, Director Joseph E. Bodovitz Leon & Sylvia Panetta Institute for former Executive Director Elizabeth M. Imholz, Director Public Policy California Coastal Commission West Coast Office, Consumers California State University, former Executive Director, California Union Monterey Public Utilities Commission Jacqueline Jacobberger, President Carolyn Purcell, CEO Bruce Cain, Director League of Women Voters Purcell Ventures, LLC Institute of Government Studies former Chief Information Officer, University of California, Berkeley J. J. Jelincic, President State of Texas California State Employees Carole D. Chesbrough Association Susan Robison, Consultant Chief Deputy Commissioner National Conference of State Department of Financial Institutions John M. Kamensky Legislatures Associate Partner and Senior Fellow John W. Ellwood, Professor IBM Center for the Business of Lester M. Salamon Goldman School of Public Policy Government founding Director and Principal University of California, Berkeley Research Scientist Joanne Corday Kozberg, Co-Chair Center for Civil Society Studies Robert C. Fellmeth California Performance Review Johns Hopkins Institute for Policy Executive Director Commission Studies Center for Public Interest Law Regent, University of California University of San Diego former Secretary, State and Anne Sheehan, Executive Director Consumer Services Agency California Performance Review Judith Frank, Member Commission California Health Facilities Robin MacGillivray, President Chief Deputy Director for Policy, Financing Authority Business Communications Services California Department of Finance former Member and Chair, SBC West California State Parks and Thomas H. Stanton, Fellow Recreation Commisison Margarita Maldonado, Bargaining Center for the Study of American Chair, Unit 1, SEIU Local 1000 Government Steven B. Frates, President California State Employees Johns Hopkins University Center for Government Analysis Association Senior Fellow, Rose Institute for Robert M. Stern, President State and Local Government, Stuart McKee, National Technology Center for Governmental Studies Claremont McKenna College Officer former General Counsel, Fair U.S. Public Sector, Microsoft Political Practices Commission Edward K. Hamilton, Chairman Corporation Hamilton, Rabinovitz & Alschuler, former Chief Information Officer, Paul H. Turner, Senior Program Inc. State of Washington Manager Greenlining Institute Bill Hauck, Co-Chair Maurice P. McTigue, Director California Performance Review Government Accountability Project Commission Mercatus Center, George Mason President, California Business University Roundtable 49 Additional Experts Consulted for the Government Reorganization Review Eugene Bardach, Professor of Public Stephen Goldsmith, former Mayor Richard Paul, Policy Staff Policy, Richard & Rhoda Goldman City of Indianapolis Senate Committee on Governmental School of Public Policy Professor of Public Administration, Organization, State Senate University of California, Berkeley Ash Institute on Innovation and Democratic Governance, Kennedy Jeffrey Pfeffer Robert D. Behn, Lecturer in Public School of Government, Harvard Thomas D. Dee II Professor of Policy, Kennedy School of University Organizational Behavior Government, Harvard University Graduate School of Business Sean Hecht, Executive Director Stanford University Robert Boerner, Consultant Environmental Law Center National Conference of State School of Law Lisa Rawlins, Senior Vice President Legislatures University of California, Los Angeles Warner Bros. Entertainment first Executive Director, California David Brady, Deputy Director and Ruth Holton, former Director Film Commission Senior Fellow, Hoover Institution California Common Cause Stanford University Clifford Rechtschaffen Edward Howard, Chief Consultant Professor of Law and Director Lester Breslow, Dean Emeritus Joint Committee on Boards, Environmental Law, Golden Gate School of Public Health Commissions and Consumer University University of California, Los Angeles Protection, State Senate former Chair, California Public Jan Sharpless, former Member and Health Board Steve Kolodney, Vice President Chair, Air Resources Board Strategic Business Development Member, Western Electricity Jonathan D. Breul, Senior Fellow CGI-AMS Coordinating Council IBM Center for the Business of former Chief Information Officer, Government State of Washington Fred Silva, Senior Advisor former Director, Washington State Governmental Relations John Carver, President Department of Information Services Public Policy Institute of California Carver Governance Design, Inc. Rich Koppes, Counsel Larry Singer, Senior Vice President Effie Poy Yew Chow, former Member Jones Day and Strategic Insight Officer, Sun White House Commission on former Chief Counsel, CalPERS Microsystems, Inc. Complementary and Alternative former Chief Information Officer, Medicine Policy Peter V. Lee, President and Chief State of Georgia Executive Officer Executive Director, Georgia David Davenport Pacific Business Group on Health Technology Authority Distinguished Professor of Public former Member, Managed Health Policy and Pepperdine University Care Improvement Task Force Hannah Sistare, Executive Director Research Fellow, Hoover Institution, National Commission on the Public Stanford University Kenneth Levine, Assistant Director Service, Brookings Institution Sunset Commission, State of Texas Fellow, National Academy of Public Soap Dowell, former Chair Administration Managed Risk Medical Insurance Paul C. Light, Senior Fellow Board Governance Studies, Brookings Peter L. Szanton, President Institution Szanton Associates Christine Essel, Chair Director, Center for Public Service Fellow and Chair of Board of California Film Commission Brookings Institution Trustees, National Academy of Senior Vice President, Paramount Public Administration Pictures Ronald C. Moe, Fellow Center for the Study of American Paul Volcker, former Chairman Richard Figueroa, Member Government, Johns Hopkins Board of Directors, Federal Reserve Managed Risk Medical Insurance University System Board Chairman, National Commission on Jill Kaiser Newcom, Executive the Public Service Mark A. Forman, Executive Vice Director, League of Women Voters President, Worldwide Services, and former Member, Sacramento Richard D. Young Cassatt Corporation and former Arts Commission Director of Governmental Research Chief Information Officer, U.S. Office Institute for Public Service and of Management and Budget David Osborne, Senior Partner Policy Research Public Strategies Group University of South Carolina Nick Franklin, Senior Vice President Public Affairs Jacquelyn Paige, Executive Director PacifiCare Health Systems, Inc. California Health Policy and Data Advisory Commission 50 Over 40 years of Independent Oversight The Commission has published 177 reports recommending improvements within virtually every agency in California government. The Commission's work is chronicled below by subject area. The Commission also routinely publishes biennial reports documenting its work as well as the Legislative responses. Additionally, five Governors have proposed 29 reorganization plans. The Commission reviewed 26 of these plans. A list of these plans follows the list of reports. All Commission reports are available to the public. Those marked with an asterisk (*) can be downloaded from the Commission's Web site at www.lhc.ca.gov. Government Organization and Reform Historic Opportunities: Transforming California State Government (Report 176 - 2004)* Governing the Golden State: A Critical Path to Improve Performance and Restore Trust (Report 174 - 2004)* We The People: Helping Newcomers Become Californians (Report 166 - 2002)* Special Districts: Relics of the Past or Resources for the Future? (Report 155 - 2000)* Boards and Commissions: California’s Hidden Government (Report 97 - 1989) Findings & Recommendations Concerning Reorganization of the Executive Branch of California State Government (Report 1 - 1962) Consumer Protection Regulation of Acupuncture: A Complementary Therapy Framework (Report 175 - 2004)* Consumer Protection: A Quality of Life Investment (Report 146 - 1998)* Comments and Recommendations Regarding Professional and Business Licensing (Report 35 - 1979) An Examination of the Department of Professional and Vocational Standards (Report 12 - 1967) Economic Development & Business Workers' Compensation: Containing the Costs (Report 120 - 1993) A Review of the Current Problems in California’s Workers’ Compensation System (Report 87 - 1988) A Review of the Organization and Administration of California’s Overseas Trade and Investment Offices (Report 83 - 1987) A Report on the Liability Insurance Crisis in the State of California (Report 74 - 1986) A Study of the Department of Industrial Relations (Report 14 - 1969) 51 Education Teach Our Children Well (Report 160 - 2001)* Open Doors and Open Minds: Improving Access and Quality in California’s Community Colleges (Report 154 - 2000)* The Charter Movement: Education Reform School by School (Report 138 - 1996)* A Chance to Succeed: Providing English Learners with Supportive Education (Report 122 - 1993)* K -12 Education in California: A Look At Some Policy Issues (Report 100 - 1990) A Report on Crime and Violence in California’s Public School System (Report 91 - 1988) A Review of Crime on University of California Campuses (Report 82 - 1987) Report on the Role of the State Department of Education in California's K -12 Public Education System (Report 48 - 1982) School Facilities To Build a Better School (Report 153 - 2000)* Recommendations for Improving the School Facility Program in Los Angeles Unified School District (Report 153a - 1999)* No Room for Johnny: A New Approach to the School Facilities Crisis (Report 117 - 1992) Costs and Casualties of K -12 Education in California (Report 111 - 1991) A Review of Impact Fees Used to Finance School Facilities (Report 67 - 1985) A Report on the Los Angeles Unified School District (Report 45 - 1981) Additional Funding for the Los Angeles Unified School District (Report 44 - 1980) Study of the Utilization of Public School Facilities (K through 12) (Report 33 - 1978) A Study of the School Building Aid Program (Report 20 - 1973) School Finance Dollars and Sense: A Simple Approach to School Finance (Report 143 - 1997)* Coping with Education Budget Cuts (Issue Paper) (Report 118 - 1992) A Report on the Financial Management and Accountability in the State’s K-12 Public School System (Report 85 - 1987) A Report on the Lack of Financial Accountability and Responsibility in the State's K-12 Public School System (Report 75 - 1986) A Review of Use of Lottery Funds in the State's K -12 Public School System (Report 73 - 1986) Inadequate Financial Accountability in California's Community College System (Report 69 - 1986) California's K -12 Education Funding Report (Report 54 - 1983) Report on the San Juan Unified School District (Report 47 - 1982) 52 Environmental Protection & Natural Resources Timber Harvest Plans: A Flawed Effort to Balance Economic and Environmental Needs (Report 126 - 1994)* Beyond Bottles and Cans: Reorganizing California's Recycling Efforts (Report 125 - 1994)* CAL-EPA: An Umbrella for the Environment (Report 110 - 1991) Report on Solid Waste Management: The Trashing of California (Report 96 - 1989) Control of Pesticide Residues in Food Products - A Review of the California Program of Pesticide Regulation (Report 64 - 1985) A Review of the Organization and Management of the State "Superfund" Program for Cleaning Up Hazardous Waste Sites (Report 61 - 1984) A Review of California's Vehicle Emission Control Program (Report 24 - 1975) Gaming Card Clubs in California: A Review of Ownership Limitations (Report 163 - 2002)* Follow-up Review of the Organization, Operation and Performance of the California State Lottery (Report 98 - 1989) A Review of the Organization, Operation and Performance of the California State Lottery (Report 94 - 1989) A Review of the Organization, Operation and Performance of the California State Lottery (Report 77 - 1987) Horse Racing in California: Revenue and Regulation (Report 49 - 1982) Health & Human Services Real Lives, Real Reforms: Improving Health and Human Services (Report 173 - 2004)* To Protect & Prevent: Rebuilding California’s Public Health System (Report 170 - 2003)* Being There: Making a Commitment to Mental Health (Report 157 - 2000)* Positioning California for Health Care Reform (Report 123 - 1993) California's Coordination of AIDS Services (Report 104 - 1990) Office of Special Health Care Negotiations (Report 51 - 1983) Health Care Delivery System Reform (Report 43 - 1980) Administration of the Mental Health & Developmental Disabilities Programs (Report 39 - 1979) The Status of Health Planning in California - A Supplementary Report (Report 36 - 1979) Supplemental Report on Developmental Disabilities Program, Department of Health (Report 32 - 1977) Supplemental Report on State Hospitals, Department of Health (Report 27 - 1977) Supplemental Report on Licensing & Certification, Department of Health (Report 26 - 1977) A Study of the Administration of State Health Programs (Report 25 - 1976) 53 Health & Human Services, continued Alcohol & Drug Programs For Our Health & Safety: Joining Forces to Defeat Addiction (Report 169 - 2003)* Coordinating the Spending on Drug Prevention Programs (Report 112 - 1991)* A Report on the Coordination of Funding for Drug Programs in the State of California (Report 89 - 1988) Accessibility of the Disabled Population of Substance Abuse Treatment (Report 79 - 1987) Children Still in Our Hands: A Review of Efforts to Reform Foster Care in California (Report 168 - 2003)* Young Hearts & Minds: Making a Commitment to Children’s Mental Health (Report 161 - 2001)* Now in Our Hands: Caring For California’s Abused & Neglected Children (Report 152 - 1999)* Caring For Our Children: Our Most Precious Investment (Report 148 - 1998)* Enforcing Child Support: Parental Duty - Public Priority (Report 142 - 1997)* Mending Our Broken Children: Restructuring Foster Care in California (Report 115 - 1992)* Runaway/Homeless Youths: California's Efforts to Recycle Society's Throwaways (Report 101 - 1990) Children’s Services Delivery System in California – Final Report (Report 84 - 1987) Children’s Services Delivery System in California Preliminary Report – Phase I (Report 78 - 1987) Medi-Cal A Prescription for Medi-Cal (Report 106 - November 1990) Review of the State’s Medi-Cal Program and the Effects of the Reforms (Report 81 - 1987) Medi-Cal Reform (Report 41 - 1979) Administration of the Medi-Cal Program – Second Supplementary Report (Report 37 - 1979) An Analysis of Community Hospital Medi-Cal Audits (Report 34 - 1978) Supplemental Report on Medi-Cal Program, Department of Health (Report 31 – 1977) Senior Citizens Long-Term Care: Providing Compassion Without Confusion (Report 140 - 1996)* Unsafe in Their Own Homes: State Programs Fail to Protect Elderly from Indignity, Abuse and Neglect (Report 113 - 1991)* Skilled Nursing Homes: Care Without Dignity (Report 109 - 1991)* The Snail's Pace of Reforming Residential Care Facilities for the Elderly (Report 108 - 1991)* The Medical Care of California’s Nursing Home Residents: Inadequate Care, Inadequate Oversight (Report 93 - 1989) A Report on Community Residential Care for the Elderly (Report 92 - 1989) 54 New and Continuing Impediments to Improving the Quality of Life and the Quality of Care in California’s Nursing Homes (Report 80 - 1987) Follow-Up Report on Conditions in Community Residential Care Facilities in California (Report 63 - 1985) Community Residential Care in California – Community Care as a Long Term Care Service (Report 57 - 1983) The Bureaucracy of Care – Continuing Policy Issues for Nursing Home Services and Regulation (Report 55 - 1983) Infrastructure Housing & Land Use Rebuilding the Dream: Solving California’s Affordable Housing Crisis (Report 165 - 2002)* Making Land Use Work: Rules to Reach Our Goals (Report 136 - 1995)* Meeting the Needs of California's Homeless: It Takes More Than a Roof (Report 95 - 1989) Administration of the HUD-701 Comprehensive Planning Assistance Grant Program by the State of California (Report 22 - 1974) Technology Better.Gov: Engineering Technology-Enhanced Government (Report 156 - 2000)* Review of State’s Efforts to Meet Year 2000 Computer Change (Report 145 - 1998)* A Review of the Organization and Management of State Telecommunications (Report 65 - 1985) Transportation Transportation: Keeping California Moving (Report 114 - 1992) A Report on the Planning, Operation and Funding of California’s Highway System (Report 88 - 1988) Review of the Department of Transportation's Highway Planning and Development Process (Report 53 - 1983) Century Freeway Report (Report 50 - 1982) Century Freeway Report (Report 46 - 1981) Study of the California Department of Transportation (Report 29 - 1977) Preliminary Findings of Subcommittee on California Division of Highways Excess Right of Way (Report 19 - 1972) Study of the California Department of Motor Vehicles (Report 30 - 1977) The California State Highway Commission and its Relationship to the State Transportation Agency, the Department of Public Works and Division of Highways (Report 11 - 1966) Engineering Costs in the Division of Highways (Report 7 - 1965) 55 Personnel Issues Of the People, By the People: Principles for Cooperative Civil Service Reform (Report 150 - 1999)* Too Many Agencies, Too Many Rules: Reforming California's Civil Service (Report 133 - 1995)* The Public Employment Relations Board (PERB) Costly, Slow and Unsure (Report 103 - 1990) State Employee Air Travel Report (Report 58 - 1984) Personnel Management in the State Service (Report 40 - 1979) Should Social Security Coverage Be Continued for California State Employees (Report 28 - 1977) Study of Salaries of Executive and Administrative Positions in California Government (Report 18 - 1972) A Pilot Study of California State Employee Workmen’s Compensation and Other Work -Related Disability Benefits (Report 16 - 1970) Report on California Statutory Salaries of Executive Branch of Government (Report 13 - 1968) Management Manpower Requirements (Report 6 - 1965) Findings and Recommendations Concerning Organization for Central Staff Services (Report 2 - 1963) Procurement California's $4 Billion Bottom Line: Getting Best Value Out of the Procurement Process (Report 121 - 1993)* A Review of Government Competition with Private Enterprise (Report 68 - 1986) Los Angeles County Contracting Out Report (Report 56 - 1983) Property and Asset Management Cada: An Opportunity to Advance and Protect the State’s Investment (Report 149 - 1999)* California’s Real Property Management: A Cornerstone for Structural Reform (Report 137 - 1995)* Squeezing Revenues Out of Existing State Assets (Report 116 - 1992)* Real Property Management in California: Moving Beyond The Role of Caretaker (Report 105 - 1990) A Review of the State Controller's Office Move to the Capitol Bank of Commerce Building (Report 76 - 1986) California State Government's Management of Real Property (Report 70 - 1986) A Review of State-Owned Land Parcel in Contra Costa County (Report 62 - 1984) Report on Local California Fairs Receiving State Financial Support (Report 17 - 1971) Study of the Need for a Materials Management System (Report 15 - 1970) Findings and Recommendations Concerning Automotive Fleet Management (Report 3 - 1963) 56 Public Safety Breaking The Barriers for Women on Parole (Report 177 - 2004)* Back to the Community: Safe & Sound Parole Policies (Report 172 - 2003)* Improving Public Safety: Beyond the Office of Criminal Justice Planning (Report 171 - 2003)* Be Prepared: Getting Ready for New and Uncertain Dangers (Report 162 - 2002)* Never Too Early, Never Too Late…To Prevent Youth Crime & Violence (Report 159 - 2001)* Beyond Bars: Correctional Reforms to Lower Prison Costs and Reduce Crime (Report 144 - 1998)* Boot Camps: An Evolving Alternative to Traditional Prisons (Report 128 - 1995)* The Juvenile Crime Challenge: Making Prevention a Priority (Report 127 - 1994)* Putting Violence Behind Bars: Redefining the Role of California's Prisons (Report 124 - 1994)* A Review of the Operation and Performance of the Office of the State Public Defender (Report 90 - 1988) Review of Cost Savings Associated with Conversion of Guadalupe College into a Women's Prison (Report 52 - 1983) Resources and Energy When Consumers Have Choices: The State’s Role in Competitive Utility Markets (Report 139 - 1996)* Report on California's Fish and Game Commission and Department of Fish and Game (Report 99 - 1990) A Study of the Organization and Coordination of Electric Energy Planning and Electric Utility Regulation in California (Report 59 - 1984) A Study of the California State Public Utilities Commission (Report 23 - 1974) The Use of Boards and Commissions in the Resources Agency (Report 8 - 1965) Revenue, Taxation and Budgeting Budget Reform: Putting Performance First (Report 135 - 1995)* State Fiscal Condition (Report 132 - 1995)* Review of the Organization and Operation of the State of California’s Major Revenue and Tax Collection Functions and Cash Management Activities (Report 71 - 1986) A Review of Selected Taxing and Enforcing Agencies' Programs to Control the Underground Economy (Report 66 - 1985) The Tax Appeals System in California (Report 38 - 1979) The Internal Auditing Program in the Executive Branch of California State Government (Report 21 - 1974) Statement of the Commission's 1967 Legislative Interests, (placing top priority on unification of tax collection activities, procedural changes that will result in direct economies in the operation of the State Government, etc.) (Report 10 - 1966) Program Budgeting (Report 9 - 1966) Need for Revenue Unification (Report 5 - 1964) 57 58 Reorganization Plans Year Governor Reorganization Plan Objective Commission Legislative Recommendation Outcome 2002 Davis Create a Labor and Workforce Development Agency to include Allow plan to take Plan went into EDD, Department of Industrial Relations, the Workforce Investment effect but establish and effect Board and Agricultural Labor Relations Board (Report 164)* measure goals 1998 Wilson Create a Department of Managed Care, abolish the Department of Reject Rejected Corporations and expand the role and rename the Department of Financial Institutions (Report 147)* 1995 Wilson Merge the Office of State Fire Marshal with the Department of Allow plan to take Plan went into Forestry and Fire Protection (Report 134)* effect effect Merge the State Police with the California Highway Patrol (Report Allow plan to take Plan went into 130)* effect effect Reorganize the California Energy Commission and related Implement the plan with Rejected governmental functions (Report 131)* two modifications 1991 Wilson Create an Environmental Protection Agency and transfer several Implement and then Plan went into departments and functions into the new agency modify the plan effect 1985 Deukmejian Create a cabinet-level Department of Waste Management Plan not submitted to Rejected the Commission Create a Department of Waste Management, a State Waste Implement the plan Rejected Commission and three Regional Waste Boards subject to seven amendments 1984 Deukmejian Transfer civil service position classification function from the State Allow plan to take Plan went into Personnel Board to the Department of Personnel Administration effect effect 1981 Brown Create a Department of Personnel Administration Allow plan to take Plan went into effect effect 1980 Brown Transfer licensing and regulation of mobile home industry from Allow plan to take Plan went into DMV to the Department of Housing and Community Development effect effect 1979 Brown Create the Youth and Adult Correctional Agency and consolidate Allow plan to take Plan went into correctional programs into the new agency effect effect Create a central agency for personnel administration Allow plan to take Rejected effect Transfer and rename the Fair Employment Practices Commission Allow plan to take Plan went into and transfer, rename and elevate the Division of Fair Employment effect effect Practices from the Department of Industrial Relations to the State and Consumer Services Agency 1978 Brown Abolish the Division of Industrial Safety and the Occupational Allow plan to take Plan went into Health Branch in the Department of Health and consolidate functions effect effect in a new Division of Occupational Safety and Health Administration in the Department of Industrial Relations 1977 Brown Abolish the Office of Narcotics and Drug Abuse and transfer Allow plan to take Plan went into functions to the Health Department's Division of Substance Abuse effect effect and create an Advisory Council on Narcotics and Drug Abuse 59 Year Governor Reorganization Plan Objective Commission Legislative Recommendation Outcome 1976 Brown Merge the Office of Alcoholism with the Department of Alcoholic Concurred with the plan Rejected Beverage Control (ABC) and move the ABC into the Health and but urged extending Welfare Agency effective date Brown Create a new Environmental Quality Agency and consolidate all air, Not officially submitted Was not water quality and solid waste programs into the new agency submitted 1975 Brown Consolidate the Divisions of Labor Law Enforcement and Industrial Allow plan to take Plan went into Welfare into a Division of Labor Standards Enforcement effect effect Brown Create a new Environmental Quality Agency and consolidate all air, Withdrawn Was not water quality and solid waste programs into the new agency submitted 1971 Reagan Rename the Resources Agency to Environment and Resources Not submitted** Rejected Agency and create a Department of Environmental Protection within the agency Abolish the State Board of Dry Cleaners Not submitted** Rejected Rename water quality control boards Not submitted** Rejected 1970 Reagan Rename the Department of Professional and Vocational Standards to Allow plan to take Plan went into Department of Consumer Affairs effect effect Establish a single state Department of Health within the Human Allow plan to take Plan went into Relations Agency to administer Medi-Cal and consolidate functions effect effect from numerous health-related departments 1969 Reagan Change staff titles and organization names in the Department of Allow plan to take Plan went into Professional and Vocational Standards effect effect Rename the Department of Harbors & Waterways to Department of Allow plan to take Plan went into Navigation & Ocean Development and rename the Harbors and effect effect Watercraft Commission to Navigation and Ocean Development Commission Eliminate 32 boards, commissions, committees and advisory Allow plan to take Plan went into councils, transferring some functions to other departments and effect effect reconfigure the membership of several other government entities 1968 Reagan Establish four agencies in the executive branch: Business & No recommendation Plan went into Transportation, Resources, Human Relations, Agriculture and effect Services *Reports on these reorganization plans can be downloaded from the Commission's Web site at www.lhc.ca.gov. All other reorganization plan reviews are available by contacting the Commission. **In 1970, legislation was passed eliminating the Commission's review of reorganization plans. Three plans were submitted directly to the Legislature in 1971 by Governor Reagan. All three plans were rejected by the Legislature. In 1972, the Legislature restored the Commission's role in reviewing reorganization plans. 60 Commission Information Contact Us Commission was modeled Bureau of State Audits 925 L Street, Suite 805 after a panel created by the In 1993, when Proposition Sacramento, CA 95814 U.S. Congress in 1947 to 140 required the Legislature to Phone: (916) 445-2125 review the organization of reduce its budget, the state Fax: (916) 322-7709 federal agencies that was Auditor General was chaired by, and informally eliminated. That same year E-Mail named after, former President the Bureau of State Audits was little.hoover@lhc.ca.gov Herbert Hoover. Almost from created - headed by the State its inception, the California Auditor and under the Web Site counterpart was known as the direction of the Little Hoover “Little Hoover Commission.” Commission. www.lhc.ca.gov/lhc.html How Topics are Selected The Commission provides Where Our Name One aspect of the some oversight of the bureau. Came From Commission’s independence is The organizational alignment The Commission is formally its ability to select its own reflects the independence of the Milton Marks “Little topics for review. The the Bureau of State Audits and Hoover” Commission on Commission encourages the Little Hoover Commission, California State Government policy-makers and the public which is necessary for both Organization and Economy. to suggest topics for entities to effectively pursue As a member of the Assembly, Commission study. Over the their statutory missions. state Senator Marks authored course of a year, the the legislation to create the Commission selects three to Commission. The five issues to explore. “Democracy itself is a process of change, and satisfaction and complacency are enemies of good government.” Governor Edmund G. “Pat” Brown, addressing the inaugural meeting of the Little Hoover Commission, April 24, 1962, Sacramento, California Cover image of the exterior doors of the second floor of the State Capitol provided courtesy of California State Capitol Museum, California Legislature. David Dodd, Photographer.