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California pays meth users to get sober

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California pays meth users to get sober


Here in the rugged foothills of California’s Sierra Nevada, the streets aren’t littered with needles and dealers aren’t hustling drugs on the corner.

But meth is almost as easy to come by as a hazy IPA or locally grown weed.

Quinn Coburn knows the lifestyle well. He has used meth most of his adult life, and has done five stints in jail for dealing marijuana, methamphetamine, and heroin. Now 56, Coburn wants to get sober for good, and he says an experimental program through Medi-Cal, California’s Medicaid program, which covers low-income people, is helping.

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As part of an innovative approach called “contingency management,” Coburn pees in a cup and gets paid for it — as long as the sample is clean of stimulants.

In the coming fiscal year, the state is expected to allocate $61 million to the experiment, which targets addiction to stimulants such as meth and cocaine. It is part of a broader Medi-Cal initiative called CalAIM, which provides social and behavioral health services, including addiction treatment, to some of the state’s sickest and most vulnerable patients.

Since April 2023, 19 counties have enrolled a total of about 2,700 patients, including Coburn, according to the state Department of Health Care Services.

“It’s that little something that’s holding me accountable,” said Coburn, a former construction worker who has tried repeatedly to kick his habit. He is also motivated to stay clean to fight criminal charges for possession of drugs and firearms, which he vociferously denies.

Coburn received $10 for each clean urine test he provided the first week of the program. Participants get a little more money in successive weeks: $11.50 per test in week two, $13 in week three, up to $26.50 per test.

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They can earn as much as $599 a year. As of mid-May, Coburn had completed 20 weeks and made $521.50.

Participants receive at least six months of additional behavioral health treatment after the urine testing ends.

The state has poured significant money and effort into curbing opioid addiction and fentanyl trafficking, but the use of stimulants is also exploding in California. According to the state Department of Health Care Services, the rate of Californians dying from them doubled from 2019 to 2023.

Although the cutting-edge treatment can work for opioids and other drugs, California has prioritized stimulants. To qualify, patients must have moderate to severe stimulant use disorder, which includes symptoms such as strong cravings for the drug and prioritizing it over personal health and well-being.

Substance use experts say incentive programs that reward participants, even in a small way, can have a powerful effect with meth users in particular, and a growing body of evidence indicates they can lead to long-term abstinence.

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“The way stimulants work on the brain is different than how opiates or alcohol works on the brain,” said John Duff, lead program director at Common Goals, an outpatient drug and alcohol counseling center in Grass Valley, where Coburn receives treatment.

“The reward system in the brain is more activated with amphetamine users, so getting $10 or $20 at a time is more enticing than sitting in group therapy,” Duff said.

Duff acknowledged he was skeptical of the multimillion-dollar price tag for an experimental program. “You’re talking about a lot of money,” he said. “It was a hard sell.”

What convinced him? “People are showing up, consistently. To get off stimulants, it’s proving to be very effective.”

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California was the first state to cover this approach as a benefit in its Medicaid program, according to the Department of Health Care Services, though other states have since followed, including Montana.

Participants in Nevada County must show up twice a week to provide a urine sample, tapering to once a week for the second half of treatment. Every time the sample is free of stimulants, they get paid via a retail gift card — even if the sample is positive for other kinds of drugs, including opioids.

Though participants can collect the money after each clean test, many opt for a lump sum after completing the 24-week program, Duff said. They can choose gift cards from companies such as Walmart, Bath & Body Works, Petco, Subway, and Hotels.com.

Charlie Abernathybettis — Coburn’s substance use disorder counselor, who helps run the program for Nevada County — said not everyone consistently produces a clean urine test, and he has devised a system to stop people from rigging their results.

For example, he uses blue toilet cleaner to prevent patients from watering down their urine, and has dismantled a spigot on the bathroom faucet to keep them from using warm water for the same purpose.

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If participants fail, there are no consequences. They simply don’t get paid that day, and can show up and try again.

“We aren’t going to change behavior by penalizing people for their addiction,” Abernathybettis said, noting the ultimate goal is to transition participants into long-term treatment. “Hopefully you feel comfortable here and I can convince you to sign up for outpatient treatment.”

Abernathybettis has employed a tough love approach to addiction therapy that has helped keep Coburn sober and accountable since he started in January. “It’s different this time,” Coburn said as he lit a cigarette on a sunny afternoon in April. “I have support now. I know my life is on the line.”

Growing up in the Bay Area, Coburn never quite felt like he fit in. He was adopted at an early age and dropped out of high school. His erratic home life set him on a course of hard drug use and crime, including manufacturing and selling drugs, he said.

“When I first did crank, it made me feel like I was human for the first time. All my phobias about being antisocial left me,” Coburn said, using a street name for meth.

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Coburn escaped to the solitude of the mountains, trees, and rivers that define the rural landscape in Grass Valley, but the area was also rife with drugs.

Construction accidents in 2012 left him in excruciating pain — and unable to work.

Coburn fell deeper into the drug scene, as both a user and a manufacturer. “You wouldn’t believe the market up here for it — more than you can even imagine,” he said. “It’s not an excuse, but I had no way to make a living.”

Financially strapped, he rented a cheap, converted garage from another local drug dealer, he said. Law enforcement officers raided the house in October, and authorities found a gun and large amounts of fentanyl and heroin. Coburn, who faces up to 30 years in prison, vigorously defends himself, saying the drugs and weapons were not his. “All the other ones I did. Not this one,” he said.

Coburn is also in an outpatient addiction program and is active in Alcoholics Anonymous, sometimes attending multiple meetings a day.

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Every week, the small payments from the Medi-Cal experiment feel like small wins, he said.

He is planning to take his $599 as a lump sum and give it to his foster parents, with whom he is living as he fights his criminal charges.

“It’s the least I can do for them letting me stay with them and get better,” Coburn said, choking back tears. “I’m not giving up.”

This article is part of “Faces of Medi-Cal,” a California Healthline series exploring the impact of the state’s safety-net health program on enrollees.

This article was produced by KFF Health News, which publishes California Healthline, an editorially independent service of the California Health Care Foundation. 

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This article was reprinted from khn.org, a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF – the independent source for health policy research, polling, and journalism.



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California colleges scramble to fill gaps left by federal grant cuts to Latino students

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California colleges scramble to fill gaps left by federal grant cuts to Latino students


As an undergraduate studying psychology at Chico State, Gabriel Muñoz enrolled in a program that paid him to do summer research and matched him up with mentors and gave him access to career workshops.

The experience — funded by a federal grant for Hispanic Serving Institutions — sparked a love for research and he plans to enroll in a master’s program in psychology at Chico State, earn a PhD and become a college professor.

However, Muñoz will be among the last students to benefit from the program.

Chico State is losing more than $3 million in federal funds, as part of a larger cancellation of more than $350 million in grants to minority-serving institutions or MSIs around the country. Now those colleges are working to find ways to replace or do without the money, which covered research grants, laboratory equipment, curricular materials and student support programs — benefits that extended to all students.

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In making the cuts last fall, the Trump administration decided that MSI programs were racially discriminatory because institutions had to enroll a percentage of students from a certain race or ethnicity to apply for funding. To be considered a Hispanic Serving Institution, or HSI, a college’s undergraduate enrollment must be at least 25% Latino.

As congressional leaders argued over final budget legislation amid the partial government shutdown this week, it appeared that some education funding, including money for HSI grants, would be restored to the proposed budget. But the Education Department would retain the authority to decide how, or if, that funding would be distributed.

Serving all students

Experts emphasize that these colleges serve many low-income and first-generation students, regardless of ethnicity.

“The thing about HSIs is that they’re so diverse,” said Marybeth Gasman, executive director of the Center for Minority-Serving Institutions at Rutgers University. “They have really large numbers of Latinx students, but they also have large numbers of Black students and Asian students and low-income white students, too. I have to stress how short-sighted it is for the federal government to take this money away.”

Chico State is one of 171 California HSIs, including universities and community colleges, and 615 across the country, according to the Hispanic Assn. of Colleges and Universities. Less than a third of these institutions nationwide received HSI funding, meaning roughly 200 colleges are now grappling with how to deal with the cuts.

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Kendall Hall at California State University at Chico.

(Carol M. Highsmith / Getty Images)

Created in 1992, the HSI program was designed to help Latino students succeed in college and earn degrees by boosting support for them. Across the country, Latino students graduate at lower rates than their white counterparts — about 52% compared to 65%, according to a 2023 analysis of 2021 federal data by Excelencia in Education. And 2023 census data showed that about 21% of Latino adults had a bachelor’s degree or higher, compared to 42% of white adults.

“It is not about affirmative action. This is not about picking students and giving students a plus because they are Black, Latino or otherwise,” said Francisca Fajana, director of racial justice strategy at LatinoJustice PRLDEF, a nonprofit that advocates for Latino legal rights. “It’s really about the institutions themselves building capacity.”

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The Hispanic Assn. of Colleges and Universities and LatinoJustice PRLDEF filed a motion to intervene in a federal lawsuit brought by Students for Fair Admissions, which opposes HSI funding.

A spokesperson for the Department of Education said in an email that funding for HSIs was cut because the solicitor general found it unconstitutional, in a response to that lawsuit.

How the cuts hit one college

Chico State has roughly 13,000 students, about 38% of whom are Latino, according to federal data. Since earning the HSI designation a decade ago, the university has received roughly $26 million in grant funding, said Teresita Curiel, the university’s director of Latinx equity and success.

Among the programs being cut is Bridges to Baccalaureate, which provided undergraduate research opportunities and transfer student mentoring for Latino and low-income students in the behavioral and social sciences, and one called Destino that helped prepare STEM students for the workforce.

“If we’re going to be successful as a university, we have to intentionally think about how we’re going to support Latinx students — grant money or not,” said Leslie Cornick, Chico State’s provost, who is now working, with other campus leaders, to make up for lost funding.

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Sabrina Marquez, who manages the Bridges to Baccalaureate and Future Scholars programs, said that in the two years those grants have been active, more than 80 students have been paid to do research, lead summer orientation or serve as mentors to transfer students.

Lupe Jimenez says he tries to make Latino students feel welcome on campus and in his office.

Lupe Jimenez, who oversees the college’s Destino program, says he tries to make Latino students feel welcome on campus and in his office.

(Olivia Sanchez / The Hechinger Report)

Ysabella Marin, a senior psychology major, said her research in the Future Scholars Program has focused on the impact of social media on men’s body image.

“To me, research was always something that was kind of scary, to be honest,” Marin said. But she said she felt empowered by her experience — more confident, and more comfortable talking to professors. Now she wants to enroll in a master’s degree program to study developmental psychology.

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At other colleges, leaders have been working to keep similar programs running.

At Southwestern College in the San Diego area, college President Mark Sanchez said the school’s leaders will not sacrifice a program that helps first-year students adjust to campus life. The college serves a bi-national community of students living in the United States and Mexico; many are the first in their family to go to college. Sanchez said the program has been extended to students in their second year. Instead of being funded with HSI grant money, Sanchez said the programs will be paid for by the college’s general fund.

Cal State Channel Islands has received roughly $40 million in HSI grant funding in the last decade, said Jessica Lavariega Monforti, the university’s provost. Most of the money has gone toward programs to support the academic success of Latino and low-income students, she said.

Among those being discontinued is one called Soar at CI, which in part strengthened transfer pipelines from nearby community colleges, she said. Students offered career mentoring to younger students, hosted a podcast and invited alumni back to campus to host workshops on career preparedness. Lavariega Monforti said that leaders will try to incorporate aspects of this program into other areas.

At Chico State, Matthew Hernandez, a senior computer science major, enrolled in both a computer science boot camp, funded through Destino, and a calculus boot camp in the summer before his freshman year. He said he went from scoring 44/100 before the boot camp to a near perfect score by the end.

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Data from the university show that students involved in such STEM support programs were more likely to stay enrolled after their first year — 92% compared to 86% of their peers in similar majors who did not receive support. They were also more likely to graduate — 63% within six years, compared to 58% of their peers without assistance.

Muñoz said he is not abandoning graduate school aspirations, despite limited funding opportunities due to the cuts. He said he plans to pay what he can out of pocket and apply for student loans to cover the rest.

Sanchez writes for the the Hechinger Report, which produced this story and is a nonprofit, independent news organization focused on inequality and innovation in education.



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CA Teamsters call for suspension of Waymo’s operating license after child hit in Santa Monica

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CA Teamsters call for suspension of Waymo’s operating license after child hit in Santa Monica


The Teamsters Union of California is asking the state to suspend Waymo’s operating license in the state indefinitely.

One of the company’s self-driving cars hit a child in Santa Monica last month. The child suffered minor injuries.

The National Highway Traffic Safety Administration (NHTSA) has opened an investigation into the incident.

Waymo says the car braked faster than a human driver would have been able to brake.

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PREVIOUS REPORT: Child struck by Waymo near elementary school in Santa Monica

A child was hit and injured by a Waymo car near an elementary school in Santa Monica, an incident that has triggered an investigation.

The Teamsters say policymakers have repeatedly ignored a growing list of red flags concerning robotaxis. They want the California Public Utilities Commission (CPUC) to indefinitely suspend Waymo’s license to operate in the state.

Co-Chairs of Teamsters California, Peter Finn and Victor Mineros, issued the following statement:

“The revelation that the National Highway Traffic Safety Administration (NHTSA) opened an investigation into Waymo after one of its robotaxis struck a small child should be a horrifying wake up call for California policymakers who have repeatedly ignored the growing list of red flags concerning robotaxis.

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This incident is emblematic of the broader goal Big Tech companies have to replace skilled human labor with AI. They want to force millions of people into destitution by destroying their livelihoods, seize money that belongs to workers, and force our communities to reckon with the fallout of automation’s shortcomings. Robotaxis threaten workers’ jobs and are now terrorizing our kids.

Waymo vehicles have continued to illegally ignore school bus stop signs despite a company-wide software recall and another, separate NHTSA investigation. Parents, teachers, school workers, and community members have been demanding that these vehicles be kept away from school zones. Waymo and its parent company, Google, choose to ignore those warnings.

In the interest of protecting our communities and working-class prosperity, the Teamsters are calling on the California Public Utilities Commission (CPUC) to indefinitely suspend Waymo’s license to operate in the state. Being a parent is hard enough – nobody should have to worry about a driverless car putting their child in danger. The CPUC must do its job and intervene now, because the next incident could be much worse.”

Copyright © 2026 KABC Television, LLC. All rights reserved.



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Wolf activity recorded in Truckee area, California tracking data shows

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Wolf activity recorded in Truckee area, California tracking data shows



Public officials in Truckee are warning residents and visitors that wolf activity has been recorded in the area.

The California Department of Fish and Wildlife’s wolf tracking map recently updated to show some activity both above and below the Interstate 80 corridor through the Truckee area.

Truckee authorities released a statement over the weekend prompted by the map, encouraging residents to be alert.

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In particular, authorities say pet and livestock owners in the area should be paying closer attention to their animals – especially around the early morning and evening hours.

Truckee police noted that there have been no confirmed wolf encounters within city limits.

Wolf activity has been increasing in California as the wild animals make a comeback in the state. Most of the recorded wolf activity has been in the counties further north, closer to the Oregon border.

With the increasing activity has also come increasing clashes between wolves and livestock. Ranchers have voiced their frustration over mounting kills attributed to wolves, with livestock owners having little recourse due to the wolf being a protected animal.

California Fish and Wildlife debuted a wolf-tracking map in 2025 to help ranchers monitor activity.

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Exact numbers in California vary, but wildlife officials have said the state’s population has surged to between 50 to 70 wolves in a decade. 



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