Staff
Mark Newton
(916) 319-8323
Deputy Legislative Analyst: Health, Developmental Services, and Technology
Jason Constantouros
(916) 319-8322
Medi-Cal/Managed Care/Family Health/Health Care Affordability and Workforce Development
Brian Metzker
(916) 319-8354
Privacy, Security, and Technology
Ryan Miller
(916) 319-8356
Medi-Cal/Behavioral Health/Covered California/CalHHS Agency Issues
Angela Short
(916) 319-8309
Child Welfare, Child Support, Community Services and Development, Community Care Licensing, CalSTRS
Karina Hendren
(916) 319-8352
Medi-Cal/Long-Term Care/Developmental Services
Will Owens
(916) 319-8341
Public Health/Behavioral Health/State Hospitals
Sonia Schrager Russo
(916) 319-8361
CalWORKs/CalFresh
Juwan Trotter
(916) 319-8358
In-Home Supportive Services/Aging Programs
Ginni Bella Navarre
(916) 319-8342
Deputy Legislative Analyst: Human Services and Governance


Publications

Health and Human Services

To browse all LAO publications, visit our Publications page.



Report

The 2016-17 Budget: Evaluating FI$Cal

March 10, 2016 - In this report, we describe the FI$Cal Project, provide an update on the project’s status, and describe the events that triggered the development of a sixth special project report (SPR 6). We also describe the Governor’s 2016–17 budget proposals to: (1) allow the project to implement the changes proposed in SPR 6 and (2) establish a new state department to maintain and operate the FI$Cal System. Finally, we make associated findings and recommendations.


Post

The 2016-17 Budget: Child Welfare Services--New System

February 25, 2016 - In this post, we provide a brief description of the CWS-NS information technology project; discuss recent changes to the project’s implementation approach; describe the Governor’s 2016-17 budget proposal for expenditure authority and various staff changes to assist with planning and procurement activities and to prepare for the design, development, and implementation phase of the project; and recommend approval of the Governor’s budget proposal, with our recommended updates to a reporting requirement.


Report

The 2016-17 Budget: Analysis of the Human Services Budget

February 11, 2016 - We review the Governor's 2016-17 budget proposals for (1) the Supplemental Security Income/State Supplementary Payment (SSI/SSP) program, (2) In-Home Supportive Services, (3) California Work Opportunity and Responsibility to Kids (CalWORKs), and (4) Foster Care. Further, we provide the Legislature with key issues to consider when evaluating the Governor's budget proposals.


Report

The 2015-16 Budget: Major Features of the Adopted Plan (Health and Human Services)

June 19, 2015 - We have provided information on the major provisions of the budget plan passed by the Legislature on Friday, June 19. (It does not reflect potential gubernatorial vetoes.) We will provide a more comprehensive summary of the budget plan in our annual California Spending Plan later this summer.


Handout

Human Services Agenda Page 19 Item 5180-111-0001—Provide One-Time SSP COLA

June 1, 2015 - Presented to: Budget Conference Committee


Handout

Human Services Agenda, Page 14 Item 5180-101-0001—Provide One-Time CalWORKs COLA

June 1, 2015 - Presented to: Budget Conference Committee


Handout

Health and Human Services Overview

June 1, 2015 - Presented to: Budget Conference Committee


Report

The 2015-16 Budget: Centralizing State IT Project Management

March 27, 2015 - This report provides background regarding CalTech’s IT project responsibilities, discusses common project challenges, describes how projects are currently managed in the state, comments on the administration’s plan to centralize project management, and makes recommendations on how the Legislature should proceed with implementing a centralized Project Management Office in California.


Handout

Overview of Major DDS Budget Solutions Affecting the Community Caseload—2003-04 to 2015-16

March 12, 2015 - Senate Budget and Fiscal Review Subcommittee No. 3 on Health and Human Services


Handout

Overview of SSI/SSP Cash Grants--2000-01 to 2015-16

March 11, 2015 - Presented to: Assembly Budget Subcommittee No. 1 on Health and Human Services


Handout

Overview of California’s Child Care and Development System

March 4, 2015 - Presented to: Senate Budget and Fiscal Review Committee


Report

The 2015-16 Budget: Paying for a State Mandate on Local Child Protective Agencies

February 24, 2015 - This report evaluates the Governor's budget proposal to suspend the Interagency Child Abuse and Neglect Investigation Reports(ICAN) mandate. To address certain limitations in the Governor's proposal, we recommend the Legislature (1) adopt the Governor’s proposal but consider augmenting the grant program’s funding to increase the likelihood of county participation, (2) require local law enforcement agencies to carry out ICAN activities as a condition of receiving certain state allocations, and (3) develop a long-term plan to retire post-2004 mandate backlog, including ICAN claims.


Report

The 2015-16 Budget: Analysis of the Human Services Budget

February 12, 2015 - This report analyzes the Governor's 2015-16 human services budget proposals. First, we review major trends in human services programs since 2007-08 (the last state budget developed before the major recession) and find that total spending is up by 11 percent (in inflation-adjusted terms), with major changes in how programs are funded. Our report also analyzes the budgetary impacts and issues for the Legislature to consider given the uncertain legal status of new federal labor regulations affecting In-Home Supportive Services (IHSS) and the Department of Developmental Services. The report includes an analysis of the future of the state's developmental centers (DCs) and an analysis of the Governor's budget proposal to further reform the Community Care Licensing (CCL) program that oversees the licensing of child care, children's residential, and adult and senior care facilities. Finally, the report analyzes the Governor's budget proposal to implement 2 of 19 recommendations of a working group established by the Legislature to recommend reforms to the foster care system.

Proposed SSI/SSP figures corrected 3/11/15


Report

The Universal Assessment Tool: Improving Care for Recipients of Home- and Community-Based Services

January 22, 2015 - In 2012, the Legislature authorized the development and pilot implementation of a universal assessment tool (UAT) to streamline eligibility and level-of-need determinations for three home- and community-based services (HCBS) programs that provide care to seniors and people with disabilities. Our analysis finds that the benefits of a UAT likely outweigh the costs associated with its development. To ensure the UAT achieves the benefits of creating a more effective and efficient approach to HCBS assessment, we recommend: (1) legislation specifying intent to eventually use the UAT on a statewide basis, (2) development of an automated UAT customized to fit within California’s programmatic and policy environment, (3) piloting of county welfare departments and managed care plans as administrators of the UAT, and (4) a formal evaluation of the UAT pilot.


Report

Integrating Health and Human Services Eligibility and Enrollment Processes

October 30, 2014 - The integration of eligibility and enrollment processes of health and human services (HHS) programs has long been an important issue for the state. In this report, we focus on the integration of three key HHS programs: the California Medical Assistance Program (Medi-Cal), CalFresh, and the California Work Opportunity and Responsibility to Kids (CalWORKs) program. We also raise several issues for legislative consideration, including (1) determining the appropriate balance between local control and standardized statewide processes, (2) considering whether automation systems currently under development could be leveraged to strengthen integration, and (3) considering whether additional programs should be integrated.