Health and Human Services Publications

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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.


Realignment Revisited: An Evaluation of the 1991 Experiment In State-County Relations

February 6, 2001 - Realignment, enacted in 1991, transferred various mental health, health, and social services programs from the state to county control. It also altered program cost-sharing ratios, and provided counties with dedicated tax revenues to pay for these changes. Although realignment has been largely successful, we recommend implementation of several changes including a simplified allocation structure for new revenues that relies on a single formula.


A More Rational Approach to Setting Medi-Cal Physician Rates

February 1, 2001 - Our analysis indicates that no rational basis exists for setting Medi-Cal physician rates, and that current rates are lower than those paid by the federal Medicare Program and others. Commencing in 2002-03, we recommend that the state adjust rates based upon a comprehensive analysis of access to physician services and the quality of care provided to beneficiaries.


Obstructed Entry: CHDP Fails as Gateway To Affordable Health Care

January 30, 2001 - The Children's Health and Disability Prevention (CHDP) program's role as a "gateway" to the Healthy Families Program has never been fully established. We recommend several changes in California designed to reduce the number of uninsured children and promote comprehensive health coverage for low-income children.


"E-Government" in California: Providing Services to Citizens Through the Internet

January 24, 2001 - It appears that there are a number of potential benefits from e-government implementation. We raise, though, a number of concerns about the direction that the state is taking in this area. We also outline specific qualities to look for before approving future e-government proposals and identify policy issues to address.


Implementing Proposition 36: Issues, Challenges, and Opportunities

December 14, 2000 - We outline the implementation issues and challenges with regard to Proposition 36, the "Substance Abuse and Crime Prevention Act of 2000." We also make several recommendations. In our view, planning must begin now in order to ensure the effective implementation of the measure.

Hearing Handout

Governor's Proposal on Education Technology AB 1942 (Reyes)

March 29, 2000 - Handout accompanying testimony given to Assembly Budget Subcommittee No. 2 on Education Finance


Major Milestones: 43 Years of Care and Treatment Of the Mentally Ill

March 8, 2000 - The past 43 years in California have seen significant changes in the care and treatment of the mentally ill. We highlights the major events that have altered the administration and funding of the programs for the mentally ill since 1957.


Index of Information Technology Issues in the Analysis of the 2000-01 Budget Bill

February 24, 2000 - Index of Information Technology Issues in the Analysis of the Budget Bill, 2000-01

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
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