Health and Human Services Publications

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2003 Realignment of Health

March 6, 2003 - Hearing handout presented to the Senate Health and Human Services Committee and Budget and Fiscal Review Subcommittee No. 3


Overview of Proposed Budget Reductions for Human Services

February 26, 2003 - Overview of Proposed Budget Reductions for Human Services. Presented To: Senate Health and Human Services Committee and Budget Fiscal Review Subcommittee #3


Index of Information Technology Issues in the Analysis of the 2003-04 Budget Bill

February 24, 2003 - Index of Information Technology Issues in the Analysis of the Budget Bill, 2003-04


State Data Centers: Options for Savings

February 19, 2003 - In reviewing the state's two major data centers, we found two options that could reduce department expenditures: (1) consolidation of data centers, and (2) consolidation of servers from various state departments to state data centers.


Information Technology Governance

February 19, 2003 - The administration proposes a model for a new state information technology governance structure consisting of three components: a State Chief Information Officer, an oversight board, and state control agencies. Our review found that the proposal lacks details and leaves many questions unanswered. We recommend the Legislature evaluate the proposal based on the key objectives of leadership, accountability, and oversight.


Developmental Center Restructure

February 19, 2003 - Developmental centers (DC) population has declined significantly over the last forty years. We examine the DC system's population trends and cost-effectiveness, and provide the Legislature with options and recommendations related to future DC operations.


Disease Management

February 19, 2003 - Poor management of treatment for persons with chronic diseases, such as asthma, diabetes, and heart disease, is driving up the state's costs for Medi-Cal. The implementation of a disease management program could eventually reduce state expenditures by as much as hundreds of millions of dollars annually.


Consolidate Aging Programs

February 19, 2003 - In order to improve the operation of programs serving California's senior citizens, we recommend eliminating the Department of Aging and shifting its functions to the Department of Social Services. Consolidation should improve service delivery and result in administrative savings of $3.4 million.


California Children's Services

February 19, 2003 - The state's programs to provide services for some of its most medically fragile children is missing opportunities to control increasing costs and preserve General Fund resources that could help address the state's fiscal problems. Potential General Fund savings would be at least $43 million.


Analysis of the 2003-04 Budget Bill, Health and Social Services Chapter

February 19, 2003 - Analysis of the 2003-04 Budget Bill, Health and Social Services Chapter


CalWORKs Stage 3 Child Care

February 11, 2003 - Summary of CalWORKs Stage 3 Child Care.


Get $mart: Reforming the State’s Equipment Financing Program

January 28, 2003 - The Department of General Services' (DGS) GS $Mart Program has been used to finance $521 million in state equipment purchases over the past seven years. We find that DGS has demonstrated initiative in developing this innovative program but that the program has significant deficiencies, including a lack of statutory authority.


Providing Health Insurance for State Employees and Retirees: The $2 Billion Question

November 6, 2002 - The Public Employees Retirement System (PERS) is taking a number of steps to help control the sharply rising cost of the state health insurance program for employees and retirees. We recommend that the legislature provide ongoing oversight of this program and highlight two Legislative options for limiting costs: developing lower-cost HMO options and changing the way state contributions are determined.


Early Care and Education Public Policy Forum 2002

October 23, 2002 - Presentation by Elizabeth Hill for Early Care and Education Public Policy Forum 2002


Fiscal Effect on California: Congressional Welfare Reform Reauthorization Proposals

August 29, 2002 - Congress is considering different approaches to the reauthorization of the Temporary Assistance for Needy Families program. We estimate that over the next five federal fiscal years net state costs would be about $2.2 billion for the House bill (H.R. 4737) and $140 million for the version passed by the Senate Finance Committee.

Health and Human Services 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
Juwan Trotter
(916) 319-8358
In-Home Supportive Services/Aging Programs
Ginni Bella Navarre
(916) 319-8342
Deputy Legislative Analyst: Human Services and Governance