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


Health and Human Services

To browse all LAO publications, visit our Publications page.


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.


HMOs and Rural California

August 8, 2002 - We discuss the reasons for the recent withdrawals of health coverage by health maintenance organizations (HMOs) from rural areas and recommend a number of steps that we believe will create a more attractive health care marketplace for HMOs. In those rural areas where these steps are not enough to attract HMOs, we identify ways communities can develop their own health care systems.


President's Welfare Reform Reauthorization Plan--Fiscal Effect on California

April 15, 2002 - President Bush's welfare reform reauthorization plan, if enacted by Congress, would increase the effective work participation rate requirement for California by a factor of almost ten. In order to have a reasonable chance of meeting this mandate, we estimate that the state would incur total additional net costs of approximately $2.8 billion over the next five federal fiscal years.


Index of Information Technology Issues in the Analysis of the 2002-03 Budget Bill

February 24, 2002 - Index of Information Technology Issues in the Analysis of the Budget Bill, 2002-03


Assessing California's Foster Care Program Performance

February 20, 2002 - Federal Foster Care performance reviews will be conducted in California beginning in the fall of 2002. Preliminary analysis indicates that California may fail to meet national standards on a number of performance measures which could result in the loss of federal funds. We review California's record compared to other large states and make recommendations for improving California's performance.


The CalWORKs Time Limit: Implementation Issues

February 20, 2002 - By June 2003 about 100,000 adult recipients (20 percent of caseload) will lose their cash aid because of the CalWORKs five-year time limit. We (1) present options for establishing guidelines for counties in providing exemptions and (2) recommend enactment of legislation providing transportation assistance to former recipients who are working at least 20 hours per week.


CalWORKs Needs Long-Term Budget Plan

February 20, 2002 - Absent legislative action, funding pressures in the CalWORKs program will continue to erode the program's welfare-to-work component. We present policy considerations for the Legislature in developing a long-term budget plan for CalWORKs.


Software Enterprise License Agreements

February 20, 2002 - Through the use of Enterprise License Agreements (ELAs), which are software contracts encompassing the entire state, could result in many benefits. We provide a number of suggestions and recommendations that can help the Legislature ensure ELAs are cost effective and beneficial to the state.


Department of Information Technology: Limited Success Justifies Limited Reauthorization

February 20, 2002 - The Department of Information Technology (DOIT) is scheduled to sunset on June 30, 2002. DOIT's overall performance of its legislative mandates is one of limited success. Therefore, we recommend a two-year reauthorization of DOIT and a Bureau of State Audits review of DOIT's progress in meeting its mandated responsibilities.


Tobacco Settlement Fund

February 20, 2002 - The administration's proposal to "securitize" the state's future revenues from settlement of litigation with tobacco companies is a feasible and reasonable step for the Legislature to consider However, we recommend that the Legislature consider this transaction only if presented a more detailed analysis demonstrating that the net financial outcome would be beneficial to the state.


Mental Health Services for Special Education Pupils

February 20, 2002 - We recommend the Legislature set aside funding for the AB 3632 program mandate--"Services to Handicapped Students"--pending development of a new program of county mental health services for special education pupils.


State Faces Potential Loss of State Children's Health Insurance Program Funds

February 20, 2002 - The state is at risk of losing $750 million in unspent federal State Children's Health Insurance Program funds over the next two years in the absence of congressional action. We suggest the Legislature work with the congressional delegation regarding the availability of these funds. We also present examples of options to minimize this potential loss of federal funds.