COME TALK DRUGS — Join POLITICO March 19 at the Elks Tower in Sacramento for a conversation on prescription drug affordability with CAITLIN BERRY, of pharmacy benefit management company Prime Therapeutics; ROBIN FELDMAN, UCSF law professor; ANTHONY WRIGHT, executive director of Health Access California; and state Sen. SCOTT WIENER. How might officials find savings in the drug supply chain ecosystem? Doors open at 8:30 a.m. RSVP here for “Corrective Action: How to Address Prescription Drug Cost.” PHEWWW: A splashy and expensive campaign to get voters to overhaul California’s mental health system appears to have sputtered to an anti-climactic end today. Now, they have to deliver on the lofty promises of Proposition 1. Votes are still being tallied, but Californians Against Prop 1, the underdog opponents of the measure, have conceded the measure will pass — if only by a hair, with just over 50 percent of the vote. There are still about 1.7 million votes to count but mailed ballots appear to be trending in the “yes” direction, which explains the concession by opponents. Gov. Gavin Newsom, who made passing Prop 1 the centerpiece of his political agenda, has not yet declared victory. Prop 1 was thought just months ago to be a sure thing. It had not only the backing of the governor, but most of his Democratic allies in the Legislature and even some Republican officials throughout the state. At least one poll showed 70 percent of voters were in favor of the measure, which diverts mental health care funding to pay for housing and issues a $6.4 billion bond to fund new treatment facilities. The early support was perhaps not surprising given public frustration over homelessness. The close vote suggests many voters are at least skeptical about the wisdom of spending billions more on the problem. Prop 1 is a key element in the Newsom administration’s larger effort to remake the state’s mental health system to make it more responsive to the overlapping crises of homelessness, untreated mental illness and drug addiction. Counties will have only a couple of years to channel more money from their budgets into housing, treatment and clearing encampments. There will be enormous pressure to show progress on the promised 11,000 new mental health and addiction treatment slots and in getting people off the streets. Some opponents of the measure have argued that Prop 1 takes money that the counties need for other mental health programs — the kinds of services that keep people from becoming homeless in the first place — and will ultimately force people into coercive treatment. Others said the state has already spent $20 billion on homelessness in the last five years and yet the number of people on the streets has increased. The close vote suggests the opposition arguments resonated with many voters — and that the state may not get another chance soon to take such dramatic action. IT’S TUESDAY AFTERNOON. This is California Playbook PM, a POLITICO newsletter that serves as an afternoon temperature check on California politics and a look at what our policy reporters are watching. Got tips or suggestions? Shoot an email to rbluth@politico.com or send a shout on X. DMs are open.
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