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The Brief

The most important stories for you to know today
  • Deaths in California prisons are on the rise.
    A photo of Narcan nasal spray.
    In 2016, prison medical staff in California began carrying naloxone, a medication that can reverse opioid overdoses and is often sold under the Narcan brand. Seven years later, it was made centrally available in every housing unit for officers’ emergency use.

    Topline:

    Drug overdose deaths in California state prisons rebounded to near record levels last year even as corrections officials touted the state’s intervention methods as a model for prisons and jails across the United States.

    Why it matters: At least 59 prisoners died of overdoses last year, according to a KFF Health News analysis of deaths in custody data the California Department of Corrections and Rehabilitation is required to report under a new state law. That’s more than double the number who died of overdoses in each of 2020 (23) and 2021 (24).

    Why now: With a lower prison population than in previous years, California’s 2023 numbers represent a record high overdose death rate of at least 62 per 100,000 prisoners — and the numbers are likely to rise further as the cause of death is determined in some cases.

    Drug overdose deaths in California state prisons rebounded to near record levels last year even as corrections officials touted the state’s intervention methods as a model for prisons and jails across the United States.

    At least 59 prisoners died of overdoses last year, according to a KFF Health News analysis of deaths in custody data the California Department of Corrections and Rehabilitation is required to report under a new state law. That’s more than double the number who died of overdoses in each of 2020 (23) and 2021 (24).

    Listen 0:37
    California Prison Drug Overdoses Surge Again After Early Treatment Success

    Prison officials would not provide the number of overdose deaths in 2022, saying they are still being analyzed for a report to be released later this year. But attorneys representing prisoners said they believe there were substantially more fatal overdoses in 2022 than in the previous two years.

    The new numbers are a big setback for state officials, who poured resources into overdose prevention efforts after a record 64 overdose deaths in 2019 gave California prisons the highest drug overdose death rate of any state correctional system in the United States.

    With nearly 94,000 state prisoners, California is one of the nation’s largest providers of medication-assisted drug treatment. The prisoners’ attorneys still support California’s pioneering program, saying there would be even more deaths without it.

    “Fentanyl. That’s I think probably the main cause from what I hear,” said Don Specter, a lead attorney in the major class-action lawsuit over poor medical care of California prisoners, referring to the synthetic opioid at the heart of the nation’s overdose crisis. “Nothing else has really changed too much. It’s very pervasive.”

    With a lower prison population than in previous years, California’s 2023 numbers represent a record high overdose death rate of at least 62 per 100,000 prisoners — and the numbers are likely to rise further as the cause of death is determined in some cases.

    “National data has shown an alarming increase of overdose deaths across the country, largely driven by synthetic opioids (primarily fentanyl),” Ike Dodson, a spokesperson for California Correctional Health Care Services, said in an email. He added that prison officials “continue to evaluate substance use disorder treatment to improve the safety and well-being of all who live or work in a state correctional facility, including plans to broadly expand access to Narcan,” an overdose reversal device.

    Until now, California’s increasingly comprehensive drug intervention program had been an apparent success story.

    In January 2020, when the prison population was about 124,000, the state began using drugs like buprenorphine, naltrexone, and methadone to lessen drug users’ cravings and the crash of withdrawal symptoms while helping them stay away from dangerous opioids. The new program’s focus on medication-assisted treatment appeared to be working after deaths fell to 23 that year.

    The medication-assisted treatment is one of five core components of the prison system’s approach: screening every arriving prisoner for substance abuse; use of medication where needed; therapy; supportive housing in prisons; and pre-release planning and post-release assistance. Officials say all five have now begun to varying degrees, at a cost of $270 million for the fiscal year starting July 1, 2024.

    By 2021, the prisons’ reported overdose death rate fell to 25 per 100,000, less than half the rate before the program began and well below the overall national average.

    There also was a nearly one-third drop in drug-related hospitalizations and emergency room visits among California prisoners receiving the medication-assisted treatment, researchers for the program said in a progress report last year.

    In promoting the approach, corrections experts last year cited California’s “immediate and significant” progress in reducing deaths, emergency hospitalizations, and drug abuse-related infections. While the use of medications to help keep prisoners from using opioids is rapidly expanding, it remains underused nationally in other prison and jail systems, the report said.

    But last year’s preliminary overdose death toll in the state’s prisons was close to the record numbers of 2018 and 2019. Overdoses likely caused 11 deaths in October, according to attorneys representing prisoners — the most they had seen in a month.

    Drug-related hospitalizations also have seen a more recent surge, attorneys representing prisoners said, citing the state’s data in a December court filing.

    Efforts to crack down on the smuggling of drugs and other contraband into prisons have had limited effect.

    Corrections spokesperson Alia Cruz said the department favors a “multilayered approach” that couples prison security with deterring smuggling and disrupting gangs and other drug distributors.

    There were 236 smuggling arrests last calendar year, up significantly from the 2020-21 and 2021-22 fiscal years and similar to 2019-20 but about one-third fewer than in 2018-19. “Miscellaneous” seizures, which include fentanyl and other opioids, were up about 14% through the first nine months of 2023, the last data available, over the same period a year earlier.

    Prison medical staff began carrying naloxone, a medication that can reverse opioid overdoses and is often sold under the Narcan brand, in 2016. Only in late September 2023 was it made centrally available in every housing unit for officers’ emergency use.

    “That’s a good start, but all officers should carry the medication, which should be administered as quickly as possible to be most effective,” said Steven Fama, another attorney who represents prisoners and tracks prison treatment programs.

    J. Clark Kelso, the federal court-appointed receiver who controls prison medical care in California, said during a court hearing in December that he is considering using his authority to obtain more naloxone. Fama said fewer than 10% of prisoners had been offered naloxone to carry for emergency use, with prison officials citing supply shortages for the delay in broader distribution.

    The first group of state prisoners to be offered naloxone was at Richard J. Donovan Correctional Facility in San Diego County in August 2023. It had been averaging 35 overdoses a month, fatal and nonfatal, between October 2022 and March 2023, or more than one a day.

    California “is leading the nation in this area,” prison officials said in the court filing, citing in part its policy of offering naloxone to all departing prisoners. They said the state is committed to making naloxone available to all prisoners as well. Statewide, California is partnering with a private manufacturer to produce a lower-cost generic form of naloxone nasal spray and expects to have it available by the end of 2024.

    Despite the recent surge, California’s program “has and does save lives, and change lives,” Fama said. “Without this treatment the number of overdoses, we believe, would be far larger.”

    KHN (Kaiser Health News) is a national newsroom that produces in-depth journalism about health issues. Together with Policy Analysis and Polling, KHN is one of the three major operating programs at KFF (Kaiser Family Foundation). KFF is an endowed nonprofit organization providing information on health issues to the nation.

  • Warning period slated to start November
    Flowers adorn the side of a highway.
    Flowers are placed along along the Pacific Coast Highway, after a crash that killed four college students and injured two others, in Malibu, on Oct. 19, 2023.

    Topline:

    Malibu is pushing back the next phase of its speed camera program to November, originally set to start in September.

    Why it matters: During the 60-day warning period, drivers going 11 or more miles per hour over the speed limit will get a warning instead of a fine.

    Why now: The delay, the city says, is needed so adjustments can be made to camera installations.

    The backstory: Since 2010, traffic collisions on that part of PCH have killed more than 60 people, the city says.

    Malibu is pushing back the next phase of its speed camera program along a deadly stretch of PCH to November. The 60-day warning period was originally set to start in November, where drivers going 11 or more miles per hour over the speed limit will get a warning instead of a fine.

    The delay, the city says, is needed so adjustments can be made to camera installations.

    Yesterday, a Nobu worker was killed about a block from the upscale Japanese restaurant on PCH. CBS LA reports that a juvenile had crashed into the employee's parked vehicle.

    When fines start

    Malibu officials announced the delay of the program's warning phase last week after a testing period in September recorded around 100,000 speeding violations in less than 10 days.

    Enforcement at the 10 cameras along a 21-mile stretch of Pacific Coast Highway will start sometime after the end of the warning period. According to the city, violations will result in fines, but not driver’s license points or insurance penalties.

    Why Malibu added speed cameras

    Since 2010, traffic collisions on that part of PCH have killed more than 60 people, the city says. In 2023 alone, there were 220 reported crashes there, with 93 injuries and seven deaths — including four Pepperdine University students who were standing along PCH when a driver hit and killed them. The driver, who is charged with murder, is scheduled to stand trial beginning Dec. 1.

    Following that incident, Malibu City Council declared a local emergency over dangerous conditions posed by reckless and speeding drivers.

    In 2024, Gov. Gavin Newsom signed SB 1297 into law to allow Malibu to install the speed cameras

  • Sponsored message
  • Widely available, if you know where to ask
    A garden bed features silvery sage shrubs, yellow and red wildflowers, and pink blooms along a mulched path.
    Mulching can protect flower beds and minimize weeding.
    Topline:
    Looking to say adios to your lawn by sheet mulching or to add a protective layer to your flower beds? Good news, you don’t need to pay for mulch or woodchips. You can instead get them for free in Southern California. Here are a few different ways, depending on your flexibility — and muscle power.


    Why it matters: As we convert our lawns to native plants, mulch can be a big help for minimizing weeds. Plus it looks nice.

    Why now: It may be time to get it sorted before El Nino turns everything soggy.

    Looking to say adios to your lawn by sheet mulching or to add a protective layer to your flower beds? Good news, you don’t need to pay for mulch or woodchips. You can instead get them for free in Southern California. Here are a few different ways, depending on your flexibility - and muscle power.

    Free mulch piles

    Municipalities across the region offer free mulch.

    City of L.A.: You can grab mulch anytime from one of its free mulch piles.

    O.C.: You can schedule a pickup from a greenery/landfill

    Other cities: see below (or check out your own city government’s page).


    Pro: You control the amount you get and when you get it.

    Con: Driving to the mulch pile, shoveling and loading it into your car, unloading and laying it out is a LOT of work. There is often debris in the city’s mulch.

    Free mulch delivery

    If you don’t want to go pick up the free mulch yourself, consider ChipDrop. It’s a service that connects arborists with gardeners to deliver free wood chips.

    Pro: High quality wood chips and free delivery to your home.

    Con: You cannot control the amount of woodchips delivered or the time/date of delivery. The waiting list can take up to three weeks — or it can come that afternoon. And you could get tons of mulch dumped in your driveway — check out their info for more.
    (This is how much mulch was delivered to LAist staffer Jenn Baughman’s home).
    A huge pile of brown mulch covers much of the driveway of a single family home.
    Beware: you may get a lot of mulch. Like, a lot.
    (
    Jenn Baughman
    /
    LAist
    )

    Connect with an arborist:

    If you want to try to control the amount of mulch you get - or the date of delivery - you may want to consider talking to an individual arborist. They often end up with excess woodchips they need to get rid of, or take to the dump. If you call they might be happy to offload some for your garden.

    Pro: you can try to negotiate delivery size and date.

    Con: This requires a lot of effort making calls and may not result in a free drop.
    .
  • Billionaire tax and slippery slope?
    Close up a white t-shirt being worn by a person. On the t-shirt is a blue outline of the state of California with the words "Tax the billionaires" superimposed
    A man's shirt and sticker are displayed at the Billionaire Tax Now booth at the 2026 California Democratic Party State Convention in San Francisco in 2026.
    Topline:
    Prop. 40 opponents say the billionaire tax allows lawmakers to change the measure with a two-thirds vote. Prop. 40 opponents say the billionaire tax allows lawmakers to change the measure with a two-thirds vote.

    Fact check: This is only partially true.

    Opponents of Proposition 40 have a message for voters: Don’t be fooled. The billionaire tax is a “Trojan horse” for new taxes on all Californians, ads proclaim. But is that true?

    Tucked into the initiative is language granting the Legislature authority to amend the tax by a two-thirds vote “if the statute is consistent with and furthers the purposes of the 2026 Billionaire Tax Act.” Opponents argue lawmakers and a future governor could, with the stroke of a pen, expand the wealth tax to people with far less than $1 billion.

    In a high-tax state, that argument could hold a lot of sway with voters.

    Service Employees International Union-United Healthcare Workers West put Prop. 40 on the ballot; the initiative would levy a one-time, 5% tax on billionaire’s assets. The union rejects the premise of the ad. It says the tax is limited to billionaires and any legislative amendment would have to hew closely to that purpose. Dave Regan, president of SEIU-UHW, said opponents’ ads are pure scare tactics.

    “The billionaire tax is a tax on billionaires. Period. If you’re not a billionaire, you don’t pay the tax,” Regan said in a statement to CalMatters.

    Rob Lapsley, president of the California Business Roundtable, the group that paid for the ad, said the message was meant to highlight the policy implications of a wealth tax and the power Prop. 40 gives lawmakers.

    “Californians deserve to understand those issues and what they could mean for taxpayers and the state’s economy,” Lapsley said in a statement.

    A separate, billionaire-backed group opposed to Prop. 40 has also said the initiative “gives politicians the power to expand the tax to anyone.”

    The truth lies somewhere in between.

    California courts have given lawmakers real authority to amend laws created by ballot initiatives if the original text of the initiative permits it. However, that power is not unlimited and the measure includes language restricting future legislative changes, said Michael Colantuono, an attorney with expertise in state election law.

    Opponents’ ads also don’t mention that Prop. 40 writes the tax into the state Constitution, not just state law, so expanding it would likely require another trip to the ballot.

    Legislative authority

    Legal experts agree that if Prop. 40 passes, lawmakers would be able to make certain amendments without taking it back to voters.

    The state Constitution allows the Legislature to amend a ballot initiative without another vote if the initiative permits it. That’s a relatively common clause in ballot measures, and Prop. 40 includes it.

    Megan Jones, a tax attorney at Holland & Knight, said proponents’ claims that the tax could never be changed are disingenuous.

    “If it’s going to further the purposes, then they could,” Jones said.

    For example, voters passed the Political Reform Act, which governs campaign finance and lobbying rules, in 1974 and lawmakers have amended it almost continually since.

    Similarly, lawmakers have amended the Mental Health Services Act, a voter-approved 1% income tax on millionaires, 10 times since its passage in 2004. None of those amendments adjusted the tax rate. Most recently, lawmakers voted to substantially alter how the state spends mental health money and raise additional bond funds. Those changes went back to voters in 2024 as Proposition 1.

    But there isn’t always a clear line for when voters need to approve changes, experts say.

    “It is common for the Legislature to make amendments,” Colantuono said. “It is (also) common for there to be disputes about those amendments.”

    ‘Furthers the purposes of’

    “Ultimately, it ends up in court,” said Chris Parker, a principal tax attorney at the firm Baker Tilly.

    The California Supreme Court ruled in a 1995 case that the Legislature may amend voter-approved laws if the changes can be interpreted as furthering voters’ original goals “by any reasonable construction” — giving lawmakers broad latitude.

    In 2021, the state Supreme Court held that the Legislature appropriately amended Proposition 57, a criminal justice reform measure, by barring the transferring of minors under 16 to adult court. Justices cited the 1995 case, noting that “a strong presumption of constitutionality supports the Legislature’s acts.”

    Still, the language of the proposition matters.

    A few years earlier, in 2019, the Third District Court of Appeal held that a legislative attempt to allow public funding of political campaigns “directly conflicts with a primary purpose” of the Political Reform Act. Lawmakers responded by passing a new bill asking voters to weigh in directly — it appears on this year’s ballot as Proposition 4.

    Judges look at two things, Coluantuono said: what reasonable voters thought they were approving, and whether later legislative changes helped that goal, or got in the way.

    Certain provisions of Prop. 40 would make it difficult for lawmakers to expand the tax beyond billionaires. The 1995 case established that courts may weigh the language of a ballot measure, arguments printed in the voter guide, and historical context when deciding whether change is consistent with voter intent.

    Prop. 40’s purpose and intent section says the measure is meant to support healthcare and education “by raising revenue from a one-time tax on billionaire wealth” — referencing billionaire wealth three times. The voter guide arguments similarly target “approximately 200 California billionaires.”

    “They could probably adjust the structure of the tax in marginal ways, but what they couldn’t do is make it a more than a one-time tax, and they probably couldn’t lower the threshold on wealth,” Coluantuono said.

    Opponents contend lawmakers could interpret the purpose of the act far more broadly, and a court would agree. They point to the first listed purpose of the initiative that says the tax is meant to “protect access to high quality, equitable health care, and to support funding for kindergarten through grade fourteen public education and food assistance programs.” Opponents also say the proposal gives the Legislature the authority to change all parts of the initiative, including the constitutional provisions.

    “Prop 40’s findings and statement of purpose and intent were carefully crafted to ensure that

    extending the tax to non-billionaires would be consistent with the measure,” said Kurt Oneto, a lawyer for the No on 40 campaign, in a statement.

    Experts said the question would likely come down to how a court read the act’s purposes.

    A separate concern: how do you prove wealth? 

    Should Prop. 40 pass, it would create an entirely new tax structure in California — one that assigns a value to very wealthy people’s investments, public and private businesses, as well as personal property such as art or car collections.

    Valuing something like a tech startup that hasn’t produced a product or gone public could prove especially difficult, Parker said.

    “The excise tax that’s being proposed here is on potential,” he said. “The question then is, if we open the door to taxing potential, when does that stop?”

    Lawmakers have periodically tried to pass wealth taxes, but the bills quickly stalled. This marks the first time voters will directly decide on one, making Prop. 40 a crucial test of how much appetite Californians have for his kind of tax structure. Jones said the bigger worry isn’t the tax itself, but other taxes that could follow.

    “It’s a slippery slope,” she said.

    Coluantuono said it would still be politically risky for lawmakers to try to implement a wealth tax on everyday Californians, but history shows temporary taxes have more than once become permanent.

    “When we get a revenue stream in the government and we start spending it on services that people value… there’s tremendous political pressure to prevent the sunset,” he said.

    Supported by the California Health Care Foundation (CHCF), which works to ensure that people have access to the care they need, when they need it, at a price they can afford. Visit www.chcf.org to learn more.

  • Bass, Raman discuss cops, housing and homelessness
    Side-by-side photos show two people seated and gesturing with their hands while speaking at separate events.
    L.A. City Councilmember Nithya Raman (left) and L.A. Mayor Karen Bass both appeared separately at a mayoral forum Sept. 29.

    Topline:

    Los Angeles Mayor Karen Bass and her challenger, City Councilmember Nithya Raman, appeared at a South L.A. forum Saturday, where they agreed on some aspects of the city’s approach to homelessness, but offered different ideas on addressing housing costs.

    On police: Raman criticized LAPD for its crowd control tactics during protests around ICE facilities and said Bass has allowed the department to not enforce a state law banning federal agents from wearing masks. Bass defended LAPD’s actions during ICE operations and said she would order the police chief to enforce the state mask ban if a judicial order blocking it is lifted.

    On homelessness: Bass called the current approach “completely disfunctional” and called for a new system under the control of the city. Raman has said she also supports leaving the region’s troubled lead homelessness agency and investing in a new city homelessness bureau.

    On housing: Raman criticized the mayor’s opposition to building more densely in residential neighborhoods near transit centers. She said the result has been more building in the city’s poorer council districts, including the South L.A. district that hosted Saturday’s forum. Bass has said density doesn’t belong in some neighborhoods. She opposed a state law, SB 79, that will force cities to allow apartment buildings up to nine stories tall near rail transit stations.

    Read on… to learn how the candidates are promising to help South L.A.

    Los Angeles Mayor Karen Bass and her challenger, City Councilmember Nithya Raman, appeared at a South L.A. forum Saturday, where they agreed on some aspects of the city’s approach to reducing homelessness, but offered different ideas on addressing housing costs.

    The two appeared separately in conversations with Brenda Verano of CALO News at A Place Called Home, a youth services community organization.

    Bass went first, saying she grew up just 20 blocks south of the venue.

    “South L.A. has been a big part of my life and what I have done,” said Bass, who in 1991 helped start Community Coalition, which fights for racial and economic justice in that part of the city.

    Each candidate was asked how they would build trust in City Hall among Black and Latino residents in South L.A.

    “Black and brown poor folks the most have been central in my administration and will continue to be so,” Bass said. “But to me, representation is not just about faces in a room. It's about collaborating on everything you're doing.”

    Raman said the establishment “has taken the people of Los Angeles for granted.”

    “I’m running for mayor because I don’t want to ignore any part of this city,” she said. “I want to make sure we are people who know these communities not just in the mayor's office but across the many commissions, across the many departments that are designed to oversee these neighborhoods.”

    How the candidates would work with LAPD 

    Both vowed to expand pilot programs where unarmed social workers respond to certain non-emergency 911 calls instead of the police department.

    “Law enforcement should not be dealing with homelessness and substance abuse and mental health,” Bass said. “Those are public health issues.”

    But Bass said it's doubtful the police department’s budget will be cut before the 2028 Olympics. The mayor in the past has expressed support for growing the number of police officers.

    Raman has said the department is about the right size. She expressed concern about the police department’s cooperation with ICE during recent federal immigration raids.

    Raman also criticized the department for its crowd control tactics during protests around ICE facilities. Police used tear gas and rubber bullets against some protestors.

    “This mayor did not speak out against those actions by LAPD, appointed a chief who has not met this moment, who said he would not enforce laws put in by the state to protect us,” Raman said.

    Chief Jim McDonnell has previously said his department would not enforce California's state law banning federal immigration and law enforcement agents from wearing masks on duty. A federal appeals court in February blocked enforcement of the law.

    Bass said if the judicial ban is lifted, she would order McDonnell to enforce the state law. The mayor also defended the department’s use of police officers for crowd control during ICE operations.

    “If there is a crowd around an arrest, then LAPD is involved because we don’t want to have the federal government doing that,” she said.

    Both say city should exit troubled homelessness agency

    On the city’s response to homelessness, Bass called the current system “completely disfunctional” and called for a new system under the control of the city.

    Currently, the Los Angeles Homeless Services Authority oversees the city’s delivery of homeless services. Numerous audits have found poor accounting of taxpayer money at the agency — which spent nearly $830 million in public funds last fiscal year.

    The county has already pulled its funding from the agency in favor of standing up a new county-run Department of Homeless Services and Housing.

    Bass said unhoused people are not getting enough care once they leave the streets.

    “It is insufficient. They are not taken care of in terms of their health, education, etc. A new system would enable us to do that,” Bass said.

    Raman has said she also supports leaving LAHSA and investing in a new homelessness bureau. She noted that street homelessness fell in her council district while numbers across the city went up, according to this year’s homeless count.

    “In the past few years, this mayor has refused to audit our homelessness response,” Raman said. “I am very committed to doing that, and I'll request that audit on day one.”

    Sharp divides on housing development, renter protections

    On housing, Raman criticized the mayor’s opposition to building more densely in residential neighborhoods near transit centers. She said the result has been more building in the city’s poorer council districts, including the South L.A. district that hosted Saturday’s forum.

    “Wealthier neighborhoods, less diverse neighborhoods, whiter neighborhoods have actually pushed back on affordable housing, on greater density,” Raman said.

    More of the city, said Raman, should bear the burden of greater density.

    “We need to build more housing in Los Angeles, but we need to build it across every single neighborhood,” Raman added.

    Bass has said density doesn’t belong in some neighborhoods. She opposed a state law, SB 79, that will force cities to allow apartment buildings up to nine stories tall near rail transit stations.

    Bass said her administration has fast-tracked new income-restricted housing. But she argued that certain development restrictions are necessary to prevent gentrification.

    “We need housing, but we cannot displace Black and Brown people,” Bass said. “If you have housing that is just built anywhere and everywhere, they're coming for us.”

    Raman also criticized Bass’ move to temporarily lift restrictions on short-term rentals in preparation for an influx of visitors during the 2028 Olympics.

    “I want to make sure that this mayor’s push for deregulating short-term rental during this time, in ways that are harmful to renters, don’t go through,” Raman said. She said tenants could be displaced as landlords turn long-term rentals into short-term accommodations.

    Airbnb and business groups back the proposal, saying it will fill a visitor lodging gap for the Olympics and that it would generate significant municipal revenue. Airbnb has put more than $4 million toward backing Bass and three other city candidates, according to the latest campaign finance reports.