Health and Human Services Publications

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Medi-Cal Managed Care: Where Do We Go From Here?

February 20, 2002 - We review options for reform of the medical system that now provides care for a majority of Medi-Cal beneficiaries. We suggest the Legislature consider changing the way managed care rates are set, increasing competition among health plans, and enrolling the elderly and disabled in managed care.


Regional Center Mission and Funding are Misaligned

February 20, 2002 - Funding for Regional Centers for the developmentally disabled has more than doubled since 1995-96, yet they are still experiencing financial problems. We propose some initial steps the Legislature could take to achieve significant savings that could either be used to reduce state spending or to reinvest in the Regional Center system.


Assessing the Governor's Proposed Medi-Cal Reductions

February 20, 2002 - We recommend against adopting administration proposals to reduce provider rates for certain services and charge copayments to Medi-Cal beneficiaries. We propose a different copayment approach. We recommend approval of a proposal to reduce the cost of Medi-Cal drug purchases and offer some additional approaches that could save the state money on purchases of drugs.


Hospitals Face Financial Headaches

February 20, 2002 - California hospitals face significant financial pressures in the next several years, particularly from recent federal regulations limiting the amount the state can pay public hospitals participating in Medi-Cal. We recommend steps the Legislature could take even in difficult fiscal times to deal with problems faced by hospitals.


Welfare-to-Work Participation in the CalWORKs Program

February 20, 2002 - Only 26 percent of single-parent cases in federal fiscal year 2000 were participating in CalWORKs in accordance with state law. We believe that increasing participation is an important long-term focus for the Legislature.


Analysis of the 2002-03 Budget Bill, Health and Social Services Chapter

February 20, 2002 - Analysis of the 2002-03 Budget Bill, Health and Social Services Chapter


Review of the Department of Managed Health Care (DMHC)

December 5, 2001 - A member requested comprehensive review of the Department of Managed Health Care’s (DMHC) $30 million budget and its daily operations. We offer a series of options for further reform of the managed care industry, including licensing and certification of medical groups and expanded state review of HMO contracts for medical services


Insurance Coverage for Substance Abuse Treatment

July 20, 2001 - A review of existing data and research on health insurance coverage for substance abuse treatment (both alcohol and drug use).


Health Insurance Portability and Accountability Act (HIPAA)

March 27, 2001 - Compliance with the federal Health Insurance Portability and Accountability Act (HIPAA) will require the health care industry to change processes and systems that will result in significant costs. We recommend that the Legislature approve the funding to support HIPAA compliance activities but recommend the enactment of state legislation providing an appropriate policy framework to govern HIPAA compliance activities.


Index of Information Technology Issues in the Analysis of the 2001-02 Budget Bill

February 24, 2001 - Index of Information Technology Issues in the Analysis of the Budget Bill, 2001-02


Foster Care

February 21, 2001 - Longer stays in foster care adversely impact children by reducing the time they spend in a permanent living situation. We recommend enactment of legislation to conduct a three-year pilot project whereby the treatment rates of foster family agency homes would incrementally decrease over time.


State Data Centers

February 21, 2001 - We recommend that the Legislature direct the Department of Information Technology to report at budget hearings on the resources and time frames needed to conduct a study which (1) examines data centers' rates for nonmainframe activities, (2) identifies potential opportunities for specialization between the state's primary data centers, and (3) identifies data center functions that can be provided more efficiently by private industry.


New Tobacco Settlement Fund

February 21, 2001 - The Governor's budget proposes to establish a new fund--the Tobacco Settlement Fund--to be used for specific health programs. In the following pages, we summarize the initiative and discuss our findings and related recommendations.


Analysis of the 2001-02 Budget Bill, Health and Social Services Chapter

February 21, 2001 - Analysis of the 2001-02 Budget Bill, Health and Social Services Chapter


Improving CalWORKs Program Effectiveness: Changing the Employment Services Budget Process

February 14, 2001 - The new system for budgeting CalWORKs welfare-to-work services is flawed. Welfare-to-work services are potentially underfunded by as much as $120 million during 2000-01, and 10 counties do not have sufficient funds to provide necessary services for all families needing to become self-sufficient. We recommend enactment of legislation aimed at addressing these deficiencies.

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