Health and Human Services Publications

To browse all LAO publications, visit our Publications page.



Child Support Enforcement: Implementing the Legislative Reforms of 1999

January 27, 2000 - In 1999, the Legislature and Governor changed the state’s child support enforcement program which significantly increased state authority over the program. We review the governing legislation and recommend steps designed to maximize collections while minimizing federal penalties and automation problems.


California Meets Federal Work Participation Rates for CalWORKs in 1998

August 31, 1999 - The federal welfare reform legislation of 1996 requires states to have specified percentages of their caseload working or engaged in some other work-related activity. For federal fiscal year (FFY) 1997--October 1996 through September 1997--California met the work participation rate for all families but did not meet the higher rate for two-parent families. This failure could result in a penalty of $7 million. (8 pp.)


State Recovering From Tuberculosis Epidemic

July 16, 1999 - Compared to the peak of the epidemic in 1992, tuberculosis cases have dropped 28 percent in California. (Cal Update)


Substance Abuse Treatment in California: Services Are Cost-Effective to Society

July 13, 1999 - We identify several problems in the state's substance abuse treatment system. These include lengthy waiting lists in a number of counties, no statewide plan for addressing the demand for treatment services, and a need in particular for treatment services aimed at adolescents.


Model for Health Coverage of Low-Income Families

June 2, 1999 - Roughly two million low-income children and their parents, primarily in working families, do not have health coverage in California. We have developed a “Family Coverage Model” which would result in an additional 0.9 million to 1.4 million persons obtaining health coverage at an annual cost of $188 million to $385 million annually when fully implemented.


The Child Support Enforcement Program From a Fiscal Perspective: How Can Performance Be Improved?

April 13, 1999 - We review the program and recommend that either (1) responsibility for administering and funding the program be transferred from the counties to the state, or (2) administrative responsibilities be retained by counties coupled with a new fiscal incentive program.


Index of Information Technology Issues in the Analysis of the 1990-00 Budget Bill

February 24, 1999 - Index of Information Technology Issues in the Analysis of the Budget Bill, 1999-00


Analysis of the 1999-00 Budget Bill, Health and Social Services Chapter

February 16, 1999 - Analysis of the 1999-00 Budget Bill, Health and Social Services Chapter


CalWORKs Community Service

February 16, 1999 - CalWORKs Community Service


Proposition 10: How Does It Work?

February 16, 1999 - Proposition 10: How Does It Work?


Evaluating Information Technology Projects

February 16, 1999 - Evaluating Information Technology Projects


CalWORKs Community Service: What Does It Mean for California?

February 4, 1999 - CalWORKs Community Service: What Does It Mean for California?


The Tobacco Settlement: What Will It Mean for California?

January 14, 1999 - The Tobacco Settlement: What Will It Mean for California?


Proposition 10: How Does It Work? What Role Should the Legislature Play in Its Implementation?

January 13, 1999 - Proposition 10, enacted by the voters of California in the November 1998 election, created the California Children and Families First Program, which will fund early childhood development programs from increased taxes on cigarettes and other tobacco products. A key challenge related to the implementation of Proposition 10 is ensuring that the funds will be spent effectively. We believe that while the Legislature has no direct control over the expenditure of Proposition 10 funds, it should take action to encourage the county commissions to spend their funds effectively.


State Should Employ "Best Practices" On Information Technology Projects

December 15, 1998 - We examine 12 specific business practices frequently used by the private sector to develop, acquire, and implement information technology. We recommend that these best practices be used on state information technology projects, unless a project has unique characteristics that warrant exceptions.

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