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California is in the midst of overhauling its Medicaid program to better serve the 12 million low-income residents who rely on it for health care. This report explores the state’s capacity to provide one key aspect of the plan: medically supportive food and nutrition interventions such as food pharmacies, produce prescriptions, healthy groceries and medically tailored meals designed to prevent, reverse and treat chronic health conditions.

The Bay Area is projected to add 2 million jobs and as many as 6.8 million people in the next 50 years. But can we add more jobs and build more housing without using more water? New research from ���ϴ�����and the Pacific Institute says yes. We can use the same amount of water — or even less — if we invest in efficiency measures, pursue compact land use and commit to better mechanisms to share water regionally.

As downtown San José expands to the west, Guadalupe River Park is poised to become the center of downtown, and its health will become fundamental to the city’s success. Renewed support, enhanced stewardship and a sustainable funding stream will be needed to realize the park’s potential, so that this vital public space can become safer, cleaner and better used by all members of the community.

Today San Francisco’s regional transit connections focus primarily on bringing commuters from the rest of the Bay Area into downtown. Many neighborhoods have poor access to regional transit service — and to each other. The fourth report in our Bigger Picture series proposes coordinated investments in San Francisco transportation that, together, could dramatically improve transportation access and connections to the region.

Guadalupe River Park is San José’s largest urban green space and the physical spine of downtown, but underinvestment and misuse have caused the park’s safety and natural habitat to deteriorate. While discussions about how to reimagine the park have accelerated over the last two years, there has been little talk about the river itself. This report identifies strategies for protecting the Guadalupe River and transforming it into a place that supports natural ecology, improves the human experience and public health of residents, and improves the overall environmental performance of downtown San José.

California is in the midst of an enduring housing affordability crisis that is rooted in a lack of housing supply and perpetuated by the high costs of development. This brief focuses on one obstacle in the development process that can contribute to these steep costs and hamper overall housing production: the lack of transparency around development fees and requirements at the local level.

Many Bay Area freeways and rail lines were designed without regard for their impact on local communities. ���ϴ�����and AECOM look at how key regional transportation infrastructure currently intersects in Oakland — and how it might do so differently in the future. The next generation of transportation investments and policy could rectify past planning injustices to facilitate a healthy, climate resilient and equitable Oakland.

When cities emerge from the COVID-19 emergency and start to organize around economic recovery, California and the Bay Area should look to significantly expand employment in the solar industry. While there’s little money in state and local budgets to support this job expansion, state and local governments can provide a no-cost solar stimulus by streamlining the stack of codes and requirements that delay solar installations and drive up costs.