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  • California agrees to target the most struggling students to settle learning-loss lawsuit

    California agrees to target the most struggling students to settle learning-loss lawsuit


    Students work together during an after-school tutoring club.

    Credit: Allison Shelley for American Education

    In an agreement ending a 3-year-old lawsuit brought by families of 15 Oakland and Los Angeles students, the state will target billions of dollars of remaining learning-loss money to low-income students and others with the widest learning disparities.

    State officials have also agreed to pursue statutory changes that would commit districts and schools to measure and report on student progress using proven strategies, like frequent in-school tutoring, in ways that the state hadn’t required in other post-Covid funding. If the state reneges or the Legislature fails to follow through, the plaintiffs can revoke the deal and return to court for trial.

    The plaintiffs’ lawyer, Mark Rosenbaum, director of the Opportunity Under Law project for the nonprofit law firm Public Counsel, said he was optimistic that won’t be necessary.

    “The state stepped up in focusing on those kids who have been hardest hit,” Rosenbaum said. “The urgent vision of this historic settlement is to use strategies that not only recoup academic losses but also erase the opportunity gaps exacerbated by the pandemic.”

    Districts are receiving the state block grant based on the proportion of low-income students, foster children, and English learners enrolled, although they can currently use the funding for all students. The program lists various possible uses to “support academic learning recovery and staff and pupil social and emotional well-being,” including more instructional time, learning recovery materials, and counseling. The money can be spent through 2027-28. 

    The settlement covers what’s remaining of the $7.5 billion Learning Recovery Block Grant, which Gov. Gavin Newsom and the Legislature reduced to $6.3 billion in the current state budget. The largest Covid pot of relief money for districts — $12 billion from the federal government under the last phase of the American Rescue Act — expires on Sept. 30.

    The settlement would limit funding to the lowest performing student groups and chronically absent students, including Black and Hispanic students, and would narrow the list of permitted uses while requiring strategies backed by evidence that they are effective. Districts would create a plan for the money, which is not currently required, and track the outcome of at least one strategy over the following three years.

    Newsom kept the remainder of the block grant intact in his proposed 2024-25 budget, although he based the budget on optimistic revenue forecasts. To guard the block grant from future cuts, the settlement would guarantee a minimum of $2 billion will be protected.

    “One of the reasons that animated our settlement was, we didn’t want to go to trial and then, at the end of the trial, get a decision and then find that the cupboard was bare,” Rosenbaum said.

    In a statement on behalf of the Newsom administration, State Board of Education spokesperson Alex Traverso called the agreement’s use of one-time dollars “appropriate at this stage coming out of the pandemic.”

    “We look forward to engaging with the Legislature and stakeholders to advance this proposal and focus learning recovery dollars on serving the students with the greatest needs,” he wrote.

    Did the state fail its constitutional duty?

    Public Counsel and the San Francisco law firm Morrison Foerster filed Cayla J. v. the State of California, State Board of Education, California Department of Education, and Superintendent of Public Instruction Tony Thurmond in November 2020, eight months after Covid-19 forced a statewide shutdown of schools and a quick transition to distance learning. The state was slow to provide computers and connections, and the Legislature, anticipating a recession, initially included no extra funding for them. Billions of federal and state dollars specifically for learning loss came later.

    The rollout of distance learning and equipment was uneven among districts. The quality and extent of remote learning also varied widely among districts initially and when schools restarted in the fall.

    The lawsuit charged that “the delivery of education left many already-underserved students functionally unable to attend school.”

    “In addition,” it said, “students are being harmed by schools that fail to meet minimum instructional times, which the state has done nothing to enforce.”

    The lawsuit pointed to then 8-year-old twins Cayla J. and her sister Kai J., from a low-income family and attending third grade in Oakland Unified. They had remote classes only twice between March and the end of school in 2020. Because some of the students in the class lacked the equipment for remote learning, the teacher told their mother that classes were canceled for the other students, according to the lawsuit. 

    Oakland and Los Angeles Unified had among the fewest minutes of live daily instruction during distance learning and were among the last districts to return to in-person learning in spring 2021. Los Angeles Unified students missed 205 in-person days, and Oakland students missed 204 days.

    In subsequent court filings, as the case dragged on, the California Department of Education pointed to the massive state and federal Covid aid for districts, the minimum daily minutes of instruction that the Legislature set, and the many webcasts and guidance that the department gave on strategies for remote instruction and learning recovery. It cited districts’ authority to make decisions under local control and the transparency requirements for reporting spending through their Local Control and Accountability Plans.

    Rosenbaum told EdSource when the lawsuit was filed that the state was shirking its constitutional obligation to prevent education inequality. “The state cannot just write big checks and then say, ‘We’re not paying attention to what happens here,’” he said. “The buck stops with the state. The state’s duty is to ensure that kids get basic educational equality and that the gaps among the haves and the have-nots do not widen.” 

    Providing expert testimony for the plaintiffs, Lucrecia Santibañez, professor at UCLA’s School of Education & Information Studies, wrote, “Our decentralized school system in California, and the minimal guidance that was received from the state appears to have left many (districts) to their own devices.”

    “Data collection was minimal to non-existent, and monitoring of the learning and continuity plans was superficial at best,” she wrote.

    Dispute over test scores

    Meanwhile, chronic absences soared to set new records in 2022-23, and test scores fell sharply. In 2022-23, 34.6% of students met or exceeded standards on the Smarter Balanced math test, which is 5.2 percentage points below pre-pandemic 2018-19. Only 16.9% of Black students, 22.7% of Latino students, and 9.9% of English learners were at grade level.

    There was a similar drop in English language arts results by 2022-23: 46.7% of students overall met or exceeded standards. Only 29.9% of Black students and 36.1% of Latino students were at grade level, compared with 60.7% of white students and 74% of Asian students.

    The key issue in the case was whether the pandemic effects were disproportionate and whether the digital divide contributed to it. State officials acknowledged the impact of the pandemic but asserted that the declines were similar, within one or two percentage points, for all groups. In rebuttal, Harvard University education professor Andrew Ho, a nationally known psychometrician, charged that the state intentionally used “a biased calculation of achievement gaps” that led to the finding it sought.

    The state used the method displayed on the California School Dashboard that compares the percentages of student groups that met a single pre- and post-pandemic target — scoring at or above meeting standards from one year to the next. Ho wrote that it should have compared individual students’ losses and gains in scale points, a more refined measure that other states use.

    Using that methodology, Ho wrote, “California test scores show that racial inequality increased in almost all subjects and grades. Economic inequality also increased.” An independent analysis of state test data by EdSource corroborated that finding.  

    Advocates for a more precise system of measuring students’ growth on test scores have also called for the use of scale scores. In a move that could accelerate that adoption in California, the settlement calls for using scale scores to determine which student groups will be eligible for the block grant funding.

    Last August, in a decision that prompted negotiations to settle the case, Alameda County Superior Court Judge Brad Seligman denied the state’s motion to dismiss the case and ordered the parties to go to trial. He concluded that the state had not established that it made adequate and reasonable efforts to respond to the pandemic’s impact and that Ho’s finding on increased learning disparities was credible. Under the settlement, the state would pay $2.5 million in attorneys’ fees.

    Credit to local nonprofits

    During the summer of 2020, Cayla J. and her sister turned to a nonprofit for help the district didn’t provide. Calling The Oakland REACH “a lifeline” for the two girls, the lawsuit said it “provided a safe space for learning and community advocacy” while offering enrichment online summer courses. Its family liaisons helped keep Cayla J. and Kai J. from falling further behind, it said.

    Oakland REACH’s counterpart in Los Angeles, the Community Coalition, provided similar services. Both signed on as plaintiffs.

    Efforts by The Oakland REACH evolved into a novel early literacy and early math tutoring partnership with Oakland Unified, employing trained community members and parents. In a nod to both nonprofits’ good work, the settlement calls for amending the education code to encourage districts to contract or partner with community-based organizations “with a track record of success” for services covered by the block grant.

    Michael Jacobs, a partner with Morrison Foerster working pro bono on the case, called the provision an important and landmark element of the agreement. 

    “We saw during the pandemic that community-based organizations filled critical needs,” he said. Pointing to The Oakland REACH, he said, “Now the evidence is in that the services made a significant difference in educational achievement.”

    Lakisha Young, CEO and founder of The Oakland REACH said she has been speaking with community partners in other districts about their work “building solutions for our kids to be reading proficiently.” She called the agreement a “historic win” and praised the families involved in the lawsuit for “the courage to step forward, not knowing their voices would make a difference.”





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  • Governor must OK expanded Cal Grant access for struggling students

    Governor must OK expanded Cal Grant access for struggling students


    The University of California, Riverside sign on University Avenue.

    Credit: UC Riverside / Stan Lim

    What does a Cal Grant signify for students embarking on their college journeys? For individuals like me, it embodies an unparalleled opportunity to traverse the realms of academia and pursue aspirations that once seemed shrouded in uncertainty due to the lack of financial resources. 

    Raised in a first-generation household where the prospect of higher education was esteemed but financially not realistic, attending college initially appeared impossible for me. When my parents discussed college, they explained that despite their desire for me to focus solely on my studies, it wasn’t financially feasible. My parents immigrated when they were 16 years old from a small Zapotec town in Oaxaca, Mexico. My dad works as a fry cook and my mom cleans houses; yet even with their long hours, they struggle to cover their own bills. They could only contribute about $20 every two weeks toward my education. 

    Qualifying for a Cal Grant made college feel like a possibility.

    Unfortunately, we know my situation is not unique. In my work in the financial aid office, where I field countless calls about Cal Grant eligibility, I have heard many students with similar predicaments voice their challenges. Many callers are desperate for assistance with steep tuition fees, housing fees and basic expenses such as food. Some students, even though their parents’ income surpasses the threshold to receive financial assistance, still struggle to afford tuition and rent and must work full time, which often results in missed classes and lower grades. There were numerous occasions where, after I had outlined the annual costs for a student, they opted to withdraw from the university due to the overwhelming expenses.

    But there is a beacon of hope for countless aspiring scholars who have long grappled with financial barriers: the Cal Grant Equity Framework, California’s commitment to reforming the Cal Grant to expand access to higher education. Approved in 2022, the framework is a set of strategies to promote equal access to grants for all eligible students, regardless of background or socioeconomic status. It does so by making it easier for students and families to understand what aid they’re eligible for, reducing eligibility barriers, aiming to cover the total cost of college, and more.

    But making this happen requires a dedicated push by California’s policymakers to fulfill their promise and fund the framework, communicate to students and families about this opportunity, and monitor its long-term effects.

    On May 30, the Legislature included funding in the budget plan to phase in implementation of the Cal Grant Equity Framework — and thereby begin comprehensive Cal Grant reform. The Legislature’s proposal would restructure and streamline the Cal Grant program, aligning eligibility with federal standards; include a cost-of-living adjustment for the new Cal Grant 2 award that would go to community college students, and remove several barriers to access the new Cal Grant 2 and Cal Grant 4 (four-year college) award. The current 2.0 grade point average (GPA) requirement for community college students would still be in effect, but will be phased out over a four-year period. The current Students With Dependent Children grant would start at $3,000 for these newly eligible students, climbing up to $6,000 over the same four-year period as the GPA phase-out. All current Cal Grant and Students With Dependent Children recipients would see no reduction to their financial aid as they will all be grandfathered in during the Cal Grant reform phase-in period. Taken together, this proposal presents a low-cost option to begin the implementation of Cal Grant reform and expands crucial financial aid to students who need it. 

    By keeping Cal Grant reform in the final state budget this year, California is on a path to opening the doors of opportunity for an additional 137,000 students once fully implemented, further extending the transformative power of higher education to communities that have historically been marginalized. Among these beneficiaries, 11,000 Black students and 95,000 Latino students stand poised to embark on their academic journeys, armed with the tools and resources necessary to thrive in an ever-evolving world.

    These reforms come at a critical juncture when California students’ basic needs insecurity has reached alarming levels. While Cal Grants provide substantial assistance, it’s imperative to recognize that covering tuition alone falls short of addressing the needs of many students, who often struggle to secure housing and may lack sufficient access to food. Our universities also have a role to play by leveraging their institutional aid to cover non-tuition costs.

    Embracing the principles outlined in the framework, California is taking steps toward realizing the state’s vision of an educational system that is accessible and equitable for all. By actively addressing systemic inequities and providing robust support for underserved communities, California is paving the way for a brighter, more inclusive future in which the transformative power of education is fully harnessed.

    The Legislature has now made clear their commitment to putting a down payment on Cal Grant reform in the 2024-25 state budget and the final decision is in the hands of Gov. Gavin Newsom.

    Governor, we are counting on you to approve the Legislature’s path forward for Cal Grant reform and the futures of thousands of students.

    •••

    Carmen Abigail Juan Reyes is a 3rd-year Political Science, Law and Society major at the University of California, Riverside and the UC Student Association’s Fund the UC Vice Chair for the 2023-2024 academic year.

    The opinions expressed in this commentary represent those of the author. EdSource welcomes commentaries representing diverse points of view. If you would like to submit a commentary, please review our guidelines and contact us.





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  • LAUSD families still struggling to access disability supports

    LAUSD families still struggling to access disability supports


    Special education has been inconsistent in California schools since the coronavirus pandemic.

    Alison Yin/EdSource

    When the Covid-19 pandemic led to school shutdowns in 2020, and students began plugging into their classes online, Naomi Burn saw her 17-year-old son’s grades soar. 

    Her son seemed more engaged, completed his assignments and was in better spirits. The virtual classes seemed to serve him better. So, when face-to-face instruction returned, Burn decided to enroll him in one of the district’s virtual academies, where he would also be able to receive the counseling outlined in his individualized education program (IEP). 

    But in October 2023, Burn received an unexpected message from her son’s psychiatric social worker, who had previously provided him with the support he needed. 

    “He was removed from my caseload at the start of the year, and due to staffing issues, none of the virtual students are receiving their IEP services,” the email read. “I hope they are able to find a solution soon, so that he may begin to access this support.” 

    Several months later, Burn received an email from the district offering a solution: a chance to make up for lost services whenever the district has adequate staffing.  Karla V. Estrada, LAUSD’s deputy superintendent of instruction, told EdSource in January that any problems with unfulfilled IEPs at Burn’s son’s school had been fixed. 

    On Jan. 9, the next day after Estrada’s statement, Burn said nothing had changed. No one had reached out to her. Her son’s educational plan and needs were still not addressed, and the family was still waiting. 

    “I understand it’s a societal issue,” Burn said. “But, at the same time, today’s counseling minutes don’t help the child with yesterday’s emotional social barriers.” 

    Burn is one of many parents in the Los Angeles Unified School District who say they have struggled to get their children adequate disability accommodations and support this past academic year. They say the district has been largely unresponsive and are concerned about possible repercussions for their children. 

    Experts warn that not providing accommodations in a timely manner could worsen students’ disability symptoms, while adding additional hurdles, including social and emotional challenges. 

    Meanwhile, the number of district students with disabilities continues to grow, and teachers have sounded alarms that as their workloads skyrocket, more student needs could go unaddressed. 

    “There’s no time like the present. Right, time only moves in one direction,” said Rebecca Gotlieb, a human developmental psychologist and educational neuroscientist at the University of California Los Angeles. “And I want every student to have all the supports they need.” 

    An old tale 

    Students with disabilities have long struggled to get the support they need in Los Angeles Unified. In April 2022, a federal investigation found that the district had provided hardly any special assistance to students with disabilities during the height of the Covid-19 pandemic. 

    When students were attending school online, LAUSD allegedly decreased services provided to students with disabilities and failed to properly track them, according to the U.S. Department of Education investigation

    The agency also found the district informed its staff that LAUSD was not responsible for school closures and was therefore “not responsible for providing compensatory education to students with disabilities,” according to the report. 

    Meanwhile, the investigation determined that the district “failed to develop and implement a plan adequate to remedy the instances” when students with disabilities were not provided access to a fair public education during remote learning.  

    Soon after the investigations, the district  entered an agreement with the agency, promising to address the Department of Education’s concerns. 

    “Today’s resolution will ensure that the more than 66,000 Los Angeles Unified students with disabilities will receive the equal access to education to which federal civil rights law entitles them,” Assistant Secretary for Civil Rights Catherine E. Lhamon said in a 2022 media release. 

    “I am deeply grateful for the district’s commitment now to meet the needs of its students with disabilities.”

    Estrada told EdSource that the district conducts a report at the beginning of each academic year to find out how many students aren’t receiving the services they are entitled to and need. The process also helps the district come up with solutions, including providing services retroactively once they are available, she said. 

    “There are certain students that aren’t receiving special education services or as outlined in their IEPs,” Estrada said. “Sometimes, it’s not that they’re not receiving services, but not to what has been prescribed in the IEP.” 

    Less than a year after the investigation, parents and advocates sounded alarms that the district was not following through on their promises and that children were still going without necessary supports. 

    Lourdes Lopez is one of many LAUSD parents who have had to work tirelessly to get the necessary support for their children. She has two children with disabilities who rely on speech and occupational therapy. 

    “As a parent, we’re begging for the services the child needs,” Lopez said in Spanish. “But always, they say she doesn’t need it.” 

    Her son, Dylan, was eventually able to get an IEP at his elementary school. But Lopez said she’s worried that the services Dylan is receiving are not enough to tackle the challenges his disability poses. 

    “They give him 10 minutes, and he’s in a group. They ask questions to one; they ask questions to another. It’s really sad how very little they are giving him,” Lopez said in Spanish. “Then, they return him to the classroom.”

    A growing need 

    Lopez said that LAUSD students with disabilities are only able to graduate and stay confident into adulthood if “they’ve really had everything, all the services, all the support.”

    Going Deeper

    From language barriers to jargon-filled legal language in the IEP application process, families often struggle to get accommodations for their child in the first place, according to Paul Morgan, a social and health equity endowed professor at the University at Albany, SUNY.

    Sometimes, Morgan said, schools are not proactive about informing parents about services because they can be costly to offer. And there can be instances where students don’t get an IEP because the findings of a school evaluation don’t match the conclusions of outside providers. 

    To increase the odds of getting an IEP, Morgan stressed the importance of having objective measurements that can answer these questions: 

    • What kinds of challenges is your child having?
    • Have these challenges been going on for a period of time? 
    • How are they performing in relationship to their peers?

    “I know families that are coming from two parent, two income households [where]both parents are highly educated … and they have great difficulty getting the services,” Morgan said. “I’ve had parents say they have to fight like hell to receive those services from schools.”

    Adrian Tamayo, a special education teacher at Lorena Street Elementary School, is one of the LAUSD educators who work day in and day out to support students with special needs. 

    Tamayo arrives at school at 7:30 a.m. to begin a day packed with regular teaching duties like working with students and planning lessons — as well as unique responsibilities that come with a job in special education, including district and statewide assessments that track students’ progress. 

    As a special education teacher, he also helps students secure IEPs; he administers standardized tests and carries out observations that are central to that process. This past year alone, he has conducted about 34 IEP assessments, with each taking three to four hours. 

    “It’s amazing how much time out of our own time we put in outside of the typical school day for the average educator,” Tamayo said. 

    Tamayo says he and his colleagues feel overworked and understaffed partly because the number of special education hires across the district has fallen — alongside retention, which dropped from 90% to 77% among credentialed teachers in the past three years, according to a district committee presentation.  

    Meanwhile, special educators who remain are having to support an increasing population of students with disabilities — which has  grown from 13.4% to 15.9%, despite LAUSD’s overall enrollment dropping by about 20% in the past decade.

    Estrada, the district’s deputy superintendent of instruction, added that since the pandemic, providing speech and language services has been especially difficult due to staffing constraints — but that the district has been able to contract with an outside provider to help fill the void. 

    “You have so many service providers, and IEPs are happening constantly,” Estrada said. “So, (a) new IEP requires potentially new services, and so we’re constantly adapting and making changes to caseloads.” 

    Soaring caseloads

    This year, Tamayo’s caseload began at 19 students — and increased to 27 by the end of the year. A load higher than 28, he said, would violate California’s education code. 

    He said having the support of a paraprofessional in the classroom is invaluable — as it allows him to break his class into smaller groups based on grade level. But paraprofessionals aren’t always available. 

    “I have got to mentally prepare for any unforeseen (circumstances),” Tamayo said, adding that he is “always adjusting as we go.” 

    Tamayo said he is one of the lucky ones at Lorena Street Elementary; some of the programs have far surpassed their cap of 12 students, with a single professional working with up to 20 students. 

    He also said the number of psychiatric social workers at his school — supporting students with needs, like Burn’s son — has dropped. A year ago, there was one on campus every school day, he said. 

    This year, one was available to students three days a week, he said. Next year, he anticipates, they will be available only one day each week. 

    “That doesn’t mean that children that need that support also decrease,” he said. “You’re basically being asked to do the same job with one day of service.”





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  • Too many California students are struggling to afford community college

    Too many California students are struggling to afford community college


    Los Angeles City College, one of the state’s 116 community colleges.

    Larry Gordon/EdSource Today

    Thousands of current and prospective California Community College (CCC) students are being crushed by unmanageable college and living expenses and hefty student loans. 

    That’s the finding of a new report from The Institute for College Access & Success (TICAS) and Student Senate for California Community Colleges (SSCCC). Our researchers analyzed data from state and federal officials to shine a light on the complex financial challenges plaguing community college students, particularly students of color. 

    The conclusion is clear: We must make community college more affordable and accessible. 

    Before diving into the findings, it’s important to understand the unique challenges of community college students. Many come from low-income backgrounds and experience food and housing insecurity while pursuing their postsecondary dreams. Many also financially support a child or other family members. 

    Unfortunately, the report found that community college can quickly become too expensive for these students to manage, and could even be more costly than public universities. Our researchers analyzed the price of various community colleges — including tuition, food, housing, textbooks and materials, and transportation — for a student whose family made less than $30,000 annually. We found that, including potential grant aid, Butte College still had an annual net price of $14,600. Cuesta College cost $18,900, and Long Beach City College came in at $20,200. 

    Furthermore, community college students often struggle to access grant aid. Prospective students may be unaware of their aid eligibility or lack the support to navigate the full application process. In 2019-20, only 51% of community college students in California applied for federal financial aid, compared with 75% of students attending public four-year universities. 

    All in all, 54% of students attending the state’s community colleges did not receive a single drop of grant aid in 2019-20. 

    Public university students, meanwhile, often fare better with financial aid because they are eligible for more generous and robust financial support from the state and their institutions. For example, unlike California community college students, they are eligible for funds from the Middle Class Scholarship for individuals pursuing a teaching credential.

    As a result, thousands of community college students, particularly students of color, take out student loans. Alarmingly, while Black students made up just 5% of the California community college enrollment in 2021-22, they accounted for 20% of student borrowers. 

    Community college students also try to make ends meet by working while taking classes. More than 3 in 4 community college students surveyed in the 2021-22 Student Expenses and Resources Survey (SEARS) reported working at least 21 hours a week, compared with just half of their peers at California State University, University of California, and private, nonprofit institutions. And almost half of community college respondents worked at least 36 hours — nearly a full-time job.

    Unfortunately, research shows that excessive work hours can negatively impact students’ academic success by slashing the time they have to learn and study. 

    California must do better.

    It is critical to expand access to aid opportunities for community college students. First and foremost, policymakers can follow through on their commitment to reform the Cal Grant program. After years of advocacy, legislators agreed in the 2022-23 California state budget to expand eligibility to more low-income students, ensure student awards kept pace with inflation, and more. But they still haven’t provided the funding needed to complete these reforms — and the 2024-25 state budget doesn’t include it. We simply can’t keep putting this on the back burner. 

    In the meantime, state leaders should pursue other routes to increase aid opportunities. California just submitted a proposal to the U.S. Department of Education to enable students without a high school diploma — or the equivalent — to access federal assistance for higher education, known as Title IV financial aid. This could be a big step forward in supporting community college students if allowed. 

    Policymakers and community colleges should also explore innovative ways to ensure that incoming students complete the Free Application For Federal Student Aid (FAFSA) or California Dream Act Application (CADAA). While high school students are required to submit a FAFSA or CADAA, many prospective community college students take years off between high school and postsecondary education. Increasing completion rates can maximize access to aid for those students. 

    Additionally, we urge policymakers to make the Student Success Completion Grant — which helps community college students cover their education and living expenses — more equitable. The grant is currently only available to those who attend full-time — generally, students with fewer external work and family responsibilities. And the amount of aid varies significantly. Students taking 12 -14.999 credits can only receive $1,298 per semester. However, once they hit 15 credits, that amount jumps to $4,000 per semester. 

    California Community Colleges are designed to serve all communities and uplift students from every walk of life. With intentional reforms that support the whole student, we ensure that all Californians have equitable and affordable access to a quality education at their local community college.

    Manny Rodriguez is California director of policy and advocacy at The Institute for College Access and Success (TICAS).

    Ivan Hernandez is a student at Diablo Valley College and the president of the Student Senate for California Community Colleges (SSCCC).

    The opinions in this commentary are those of the authors. If you would like to submit a commentary, please review our guidelines and contact us.





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