Health and Human Services Publications

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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


Education Technology

February 17, 2000 - The Governor's budget provides a total of $433 million to increase the use of technology in education. We comment on this proposal and make several recommendations.


Linking Mentally Ill Offenders to Community Care

February 17, 2000 - The state's prisons now hold far more mentally ill offenders than its state mental hospitals. Additionally, an increasing number of inmates with severe mental disorders are being released to the community to an inadequate patchwork of supervision, treatment services, and assistance. We discuss several initiatives in the Governor's budget plan aimed at keeping the mentally ill out of the criminal justice system and suggest a more comprehensive approach for addressing these complex problems.


Aging with Dignity Initiative

February 17, 2000 - We summarize the initiative and provide our assessment of it.


Child Care for CalWORKs Families and the Working Poor

February 17, 2000 - We recommend enactment of legislation to conduct a pilot test of the Wisconsin system in up to four California counties.


CalWORKs Performance Incentives

February 17, 2000 - We recommend either repealing the county performance incentive provision or replacing it with a new system.


Analysis of the 2000-01 Budget Bill, Health and Social Services Chapter

February 17, 2000 - Analysis of the 2000-01 Budget Bill, Health and Social Services Chapter


California Tax Policy And the Internet

January 31, 2000 - The growth of the Internet raises many tax policy issues. These include: How can we ensure that the tax system is fair without interfering with the Internet's evolution? How will the Internet's growth affect government tax bases? We examine these and other Internet-related tax issues in detail, and recommend that California approach them by pursuing multistate tax agreements and consider undertaking a comprehensive review of telecommunication related levies.

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