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.



Handout

Proposition 99 Overview

February 8, 2010 - Presented to Assembly Budget Committee, Hearing on the Every Women Counts Program


Handout

Unemployment Insurance Automation Projects

February 3, 2010 - Presented to: Assembly Committee on Insurance Hon. Jose Solorio, Chair


Handout

SSI/SSP Maximum Monthly Grants

February 2, 2010 - Presented to: Senate Budget and Fiscal Review Committee Hon. Denise Moreno Ducheny, Chair


Handout

CalWORKs Maximum Monthly Grant and Food Stamps

February 2, 2010 - Presented to: Senate Budget and Fiscal Review Committee Hon. Denise Moreno Ducheny, Chair


Report

The 2010-11 Budget: How the Special Session Actions Would Affect Social Services

January 29, 2010 - For the special session, the Governor proposes solutions for social services programs totaling $121 million in 2009‑10 and $2.6 billion in 2010‑11. The state Department of Social Services (DSS) oversees most of these programs. There are two main types of proposed solutions: expenditure reductions and fund shifts (federal, county, and special funds). In addition to the General Fund savings, adoption of this package would result in the loss of about $3 billion in federal funds, assuming that the American Recovery and Reinvestment Act (ARRA) is extended through June 30, 2010. In this piece we provide our analysis of the Governor’s proposals, in some cases offer alternative approaches, and recommend the actions that we believe the Legislature should take on them at this time.


Report

The 2010-11 Budget: How the Special Session Actions Would Affect Health Programs

January 22, 2010 - The Governor’s various proposed actions to obtain savings in the current and budget years through actions in the special session have significant implications for the state’s health services programs. In this report, we (1) discuss some of the key overriding issues relating to the Governor’s plan, (2) summarize the Governor’s health budget proposals, and (3) provide our initial comments on a number of the major proposals in each specific program area. We note that we are still receiving information about these proposals from the administration that may prompt us to modify our recommendations. (Revised: 1/24/2010)


Other

Webcast: Considering the State Costs and Benefits--In-Home Supportive Services Program

January 21, 2010 - In this seven minute video, analyst Ginni Bella Navarre summarizes the findings from our report, Considering the State Costs and Benefits: In-Home Supportive Services Program.


Report

Considering the State Costs and Benefits: In-Home Supportive Services Program

January 21, 2010 - The In-Home Supportive Services (IHSS) program is the fastest–growing major social services program, providing care for over 430,000 recipients, at an annual total cost of about $5.5 billion. The program, which is available to low-income elderly and disabled persons, provides various services to recipients in their own homes and can enhance the quality of life for recipients by making it easier to live at home. For many recipients, the program allows individuals to live at home rather than in an institutional setting (typically, a nursing home). By preventing—or at least delaying—the move to a nursing home, the program can save money for the state. In this report we look at the net fiscal impact of the IHSS program on the public sector and conclude that the state maximizes its net fiscal impact by targeting IHSS services to those recipients who are most likely to enter a nursing home in the absence of the program. Given the state’s continuing fiscal problems, we offer additional options for the Legislature to consider that can achieve state savings through increased targeting.

(Short video introducing this report)


Handout

Fiscal Implications for the 1115 Waiver Renewal

November 18, 2009 - Presented to Senate Health Committee


Other

Webcast: Expanding Multi–Stage Procurements for Large IT Systems

November 11, 2009 - In this four-minute video, analyst Erika Li summarizes the LAO report Expanding Multi–Stage Procurements for Large IT Systems.


Report

Try Before You Buy: Expanding Multi–Stage Procurements for Large IT Systems

November 11, 2009 - The state's traditional approach for IT procurement, called the firm fixed price (FFP) procurement, creates a prescriptive process that gives equal footing to all vendors to help ensure open competition and reduce the state’s exposure to protests and potential lawsuits due to perceived vendor bias. As an alternative the state is beginning to look to so-called multi–stage procurement because it creates a collaborative environment for state and vendor staff. Our analysis indicates that an earlier evaluation of procurement strategy can reduce the risks of cost overruns and schedule delays, so we recommend that the Legislature require state entities to include procurement strategies in project documents when they submit them for approval.

(Short video summary)


Handout

Overview of Recent Changes in the In-Home Supportive Services Program

October 28, 2009 - Presented to: Assembly Budget Committee and Senate Budget Subcommittee No. 3 on Health and Human Services


Handout

SSI/SSP Maximum Monthly Grants Under Current Law and May Revision

June 9, 2009 - Presented to Budget Conference Committee


Handout

IHSS—Comparison of Governor’s and LAO May Revision Reductions

June 9, 2009 - Presented to Budget Conference Committee


Handout

Department of Aging—Comparison of Governor’s May Revision and LAO Alternative

June 9, 2009 - Presented to Budget Conference Committee