Health and Human Services Publications

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Estimating the CalWORKs Take-Up Rate

February 2, 2021 - This is the first in a series of several posts estimating the percentage of California Work Opportunity and Responsibility to Kids (CalWORKs)-eligible individuals who actually enroll in the program—otherwise known as the CalWORKs take-up rate. In this post, we introduce our methodology for estimating the number of families eligible for CalWORKs since 2005 and compare this to the number who actually enrolled. In future posts, we plan to examine how this take-up rate varies between different regions in the state, as well as possible reasons why it varies regionally and has changed over time.

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The 2021-22 Budget: California State Payroll System IT Project

February 2, 2021 - This post discusses 2021-22 Governor’s Budget proposals for the State Controller’s Office and the California Department of Human Resources to continue planning a replacement for the state’s current payroll system—the proposed California State Payroll System information technology project.

Report

The 2021-22 Budget: Overview of the Governor's Budget

January 10, 2021 - This report provides a brief summary and initial assessment of the proposed 2021-22 Governor’s Budget.

Correction 1/11/21: Totals for immediate and early action proposals have been corrected.

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The 2021-22 Budget: CalWORKs Fiscal Outlook

December 8, 2020 - In this post, we describe our most recent forecast for California Work Opportunity and Responsibility to Kids (CalWORKs) program costs and discuss recent caseload trends. With this post we intend to provide information but do not include any explicit recommendations to the Legislature. This post is part of our 2021-2022 Fiscal Outlook series of publications.

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The 2021-22 Budget: Medi-Cal Fiscal Outlook

November 18, 2020 - Medi‑Cal, the state’s Medicaid program, provides health care coverage to about 13 million of the state’s low‑income residents. Medi‑Cal costs generally are shared between the federal and state governments. In a typical year, the General Fund covers a little more than 20 percent of total Medi‑Cal costs, with federal funds and other state and local funds respectively covering the remaining 65 percent and 15 percent of total costs. In this web post, we describe the major factors that we expect to drive changes in General Fund spending in Medi‑Cal over the near term—in 2020‑21 and 2021‑22—and over the longer term through 2024‑25. We also describe a number of key assumptions that we made in our spending projections.

Hearing Handout

Overview of Recent Changes to Major Nutrition Access Programs

November 17, 2020 - Senate Committee on Human Services

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Update on COVID-19 Spending in California

November 5, 2020 - This post provides a high-level summary of state and federal funds provided to date to respond to the coronavirus disease 2019 (COVID-19). In this post we discuss: (1) the authorities, at both the state and federal levels, for COVID-19 spending; (2) the state, federal, and other funding sources for COVID-19 spending; and (3) the amounts of COVID-19 spending authorized so far, organized by different purposes and program areas.

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The 2020-21 Spending Plan: Human Services

October 23, 2020 - This post summarizes the state’s 2020-21 spending package for major human services programs. It is part of our Spending Plan series, which contains posts focused on each major sector of the state budget.

Hearing Handout

California Fiscal Impact of Overturning the ACA

October 21, 2020 - Senate Health Committee

Updated 11/13/2020.

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The 2020-21 Spending Plan: Health Budget and Policy

October 15, 2020 - From the General Fund, the 2020-21 spending plan provides $26.7 billion for health programs—an increase of 3 percent over estimated 2019-20 General Fund spending for these programs. The year-over-year net increase in General Fund spending is largely due to the projected COVID-19-related increase in the Medi-Cal caseload. The post describes major health-related actions (both policy actions and various budget adjustments) adopted by the Legislature as part of its 2020-21 spending plan. These actions include the offsetting of what would otherwise be General Fund costs with (1) revenues from the federally approved reauthorized tax on managed care organizations and (2) federal Medicaid funds that are being provided to the state at an enhanced level during the term of the public health emergency.

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Major Potential State Fiscal Risk Averted Following Withdrawal of Proposed Federal Medicaid Financing Regulation

September 21, 2020 - This Budget and Policy post is intended to notify the Legislature of the federal government’s recent decision to withdraw the proposed Medicaid Fiscal Accountability Regulation (MFAR), proposed in 2019. If finalized as proposed, MFAR could have resulted in the loss of billions of dollars in non-General Fund funding for Medi-Cal on annual basis. Withdrawal of the regulation means that a major, near-term state fiscal risk has been averted.

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The 2020-21 May Revision: Analysis of 2020-21 May Revision IHSS Budget

June 9, 2020 - In this post, we (1) explain the differences between the Governor’s January and May Revision budget estimates for In-Home Supportive Services (IHSS); (2) describe the administration’s IHSS caseload, hours per case, and hourly wage projections; (3) compare the May Revision monthly estimates for coronavirus disease 2019 (COVID-19) costs in IHSS to April 2020 actuals; (4) recommend a downward adjustment of at least a $20 million General Fund in 2019-20 to reflect lower-than-estimated utilization and cost of IHSS COVID-19-related response efforts in April 2020; and (5) recommend the Legislature request actual May 2020 utilization data to determine whether additional adjustments to COVID-19 cost estimates are warranted for May 2020 and possibly June 2020.

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The 2020-21 May Revision: CalWORKs Caseload-Driven Costs in the 2020-21 May Revision

June 2, 2020 - The 2020-21 May Revision projects California Work Opportunity and Responsibility to Kids (CalWORKs) caseload to reach historic highs in response to the novel coronavirus disease 2019 pandemic and subsequent public health emergency. In this post, we describe this projection, assess it in light of recent data and historical trends, and recommend an alternative set of assumptions.

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The 2020-21 May Revision: Recommend Reduction to Medi-Cal Caseload Costs

May 22, 2020 - This post provides our analysis of the Governor’s May Revision projections related to Medi-Cal caseload. The May Revision assumes significant General Fund cost increases related to projected increases in Medi-Cal caseload due to the deteriorating economic environment caused by the coronavirus disease of 2019 (COVID-19). As we describe below, we find that the administration’s assumed caseload costs in Medi-Cal are likely significantly overstated and recommend a downward reduction to the Medi-Cal budget of $750 million General Fund across 2019-20 and 2020-21.

Hearing Handout

Overview of Major Health Proposals in 2020-21 May Revision

May 19, 2020 - Assembly Budget Subcommittee No. 1 on Health and Human Services

Health and Human Services Staff

Mark Newton
(916) 319-8323
Deputy Legislative Analyst: Health, Developmental Services and IT
 
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
 
Sonja Petek
(916) 319-8340
Public Health/Developmental Services
 
Ryan Anderson
(916) 319-8308
CalWORKs/CalFresh
 
Brian Metzker
(916) 319-8354
Privacy, Security, and Technology
 
Corey Hashida
(916) 319-8315
Medi-Cal/Behavioral Health/State Hospitals/Health Planning and Development
 
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
 
Ginni Bella Navarre
(916) 319-8342
Deputy Legislative Analyst: Human Services and Governance