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A Dangerous Proposition

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Nancy Pelosi's Letter To Fr. John

As you may know, California’s recently adopted budget package calls for a May 19th special election.  Included on the ballot is Proposition 1E, which seeks to divert $460 million over two years from Mental Health Services Act (MHSA) revenues to the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program.

The acronyms are a mouthful, but what they stand for is important: MHSA was established through Proposition 63 in 2004 to expand and reform county mental health service systems targeting uninsured, homeless and low-income residents; EPSDT is the child health component of Medicaid that ensures a range of pediatric care for low-income children.

Both of these sound like services worthy of promoting, right?  Which is why I have trouble with the proposition: it scapegoats one underserved community (low-income adults with mental illness) for another (low-income children), and belies that fact that what we are really dealing with is another drastic cut to vital social services in California.

Groups like the California Mental Health Directors Association agree, and in a recent report detail why the proposition is bad news.


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