Health and Human Services Publications

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Hearing 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

Hearing 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

Hearing Handout

CalWORKs Welfare-to-Work: Recent Program Changes and Trends

March 10, 2015 - Presented to Senate Human Services Committee and Senate Budget and Fiscal Review Subcommittee No. 3 on Health and Human Services

Hearing Handout

Overview of California’s Child Care and Development System

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

Hearing Handout

Major Issues Facing the Unemployment Insurance Program

March 4, 2015 - Presented to Senate Labor and Industrial Relations Committee

Hearing Handout

Access to Care in Medi-Cal: Focusing Oversight on Managed Care

March 4, 2015 - Presented to Assembly Committee on Health and Senate Committee on Health

Hearing Handout

Options for a State Earned Income Tax Credit

February 25, 2015 - Presented to Assembly Budget Subcommittee No. 1 on Health and Human Services


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.


The 2015-16 Budget: Analysis of the Health Budget

February 12, 2015 - This report analyzes the Governor's 2015-16 state health program budget proposals. In the report, we review trends in the major health programs since 2007-08 (the last budget developed before the most recent recession), analyze the Governor's proposed restructuring of the managed care organization (MCO) tax, and describe the uncertainty regarding continued federal funding for the Children's Health Insurance Program (CHIP). The report also includes an analysis of the Department of State Hospitals budget and an analysis of the Governor's proposals to improve quality and increase staffing for the Licensing and Certification (L&C) Program administered by the Department of Public Health.


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


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.


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.

Hearing Handout

Overview of Major DDS Budget Solutions Affecting the Community Caseload—2003-04 to 2014-15

October 9, 2014 - Presented to: Senate Committee on Human Services

Hearing Handout

Proposition 46: Drug and Alcohol Testing of Doctors. Medical Negligence Lawsuits.

September 29, 2014 - Presented to: Assembly Health Committee; Assembly Judiciary Committee; Assembly Business, Professions and Consumer Protection Committee; Senate Health Committee Senate Judiciary Committee; Senate Business, Professions and Economic Development Committee

Hearing Handout

Retention and Recruitments at State Hospitals (Agenda Page 21)

June 2, 2014 - Presented to: Budget Conference Committee

Health and Human Services Staff

Mark Newton
(916) 319-8323
Deputy Legislative Analyst: Health, Developmental Services and IT
Ryan Anderson
(916) 319-8308
Jackie Barocio
(916) 319-8333
In-Home Supportive Services/Aging Programs/Child Support/Veterans Affairs
Ben Johnson
(916) 319-8336
Medi-Cal/Hospital Finance/Managed Care
Brian Metzker
(916) 319-8354
Privacy, Security, and Technology
Sonja Petek
(916) 319-8340
Public Health/Developmental Services
Luke Koushmaro
(916) 319-8355
Medi-Cal/Long-Term Care/Family Health/Covered California
Angela Short
(916) 319-8309
Teachers' Retirement Policy/ Child Welfare/ Community Care Licensing
Corey Hashida
(916) 319-8315
Medi-Cal/Behavioral Health/State Hospitals/Health Planning and Development
Ginni Bella Navarre
(916) 319-8342
Deputy Legislative Analyst: Human Services and Governance