“…Realignment) transferred authority for the state's major safety-net programs, including mental health, social services, and general health, from the state to the counties. California's form of decentralization is similar to that described by Rivlin (1991), in which local jurisdictions draw from a larger, shared revenue base, but have control in allocating resources among various public services. While Scheffler, Wallace, Hu, Garrett, and Bloom (2000) have looked at the impact of Realignment on mental health services, this is the first study looking at its effect on general health services for the uninsured.…”