Millionares and Mental Health: Proposition 63 in California
Authors
Richard Scheffler, PhDNeal Adams, MD, MPH
Abstract
In November 2004, California voters passed Proposition 63, a landmark piece of mental health and fiscal legislation. This initiative places a 1% tax on the adjusted gross income over $1 million, affecting about 30,000 taxpayers and is intended to raise $1.8 billion (a 31% increase) in new revenues over the first three years to support county-operated mental health systems.
The paper suggests that Proposition 63 passed with strong support from Democrats, urban areas, social workers, and in counties with high rates of homelessness. Proposition 63 faces challenges in implementation, and provides unprecedented opportunities for transformation and change.
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