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February 23, 1994 - Department of Motor Vehicles Database Redesign
February 22, 1994 - Analysis of the 1994-95 Budget Bill, Health and Social Services Chapter
December 9, 1993 - The President’s Health Care Reform Proposal: A Review of Its Implications for California
February 1, 1993 - Medi-Cal—Department Plans Major Expansion of Managed Care
February 1, 1993 - Collaborative Efforts to Coordinate Service Delivery
January 22, 1992 - The child support enforcement program could be improved by changing the existing set of incentives that affect decision making on program funding. To accomplish this, we present two options for the Legislature. Under the first option, the responsibility for administration and funding of the program would be transferred from the counties to the state. In the second option, the state would provide a state-funded incentive payment to augment program funding, based on each county's efficiency as measured by the ratio of the marginal increase in child support collections to the marginal increase in administrative costs.
May 24, 1991 - Proposition 99 (November 1988), the Tobacco Tax and Health Protection Act, established a new surtax on cigarettes and tobacco products, thereby generating about $1.5 billion in new revenues for expenditure in 1989-90 and 1990-91. Assembly Bill 75 (Ch 1331/89, Isenberg) allocated the vast majority of these funds. Our review suggests that the major departments responsible for the implementation of AB 75 have generally made reasonable progress in the past two years in implementing the health services and health education programs the act established, although some programs are still experiencing delays in payments or are underutilizing the funds that are available. Our review also indicates that there is currently little data available with which to evaluate the effectiveness of programs.
March 26, 1991 - California's mental health system is a partnership involving shared responsibilities between the state and counties. The system is governed by the Short-Doyle Act, enacted in 1957. The act requires the Department of Mental Health to provide leadership in administering, planning, financing, and overseeing mental health services, including local programs. Mental health services are funded primarily from state funds, with a required county match for certain services.
February 13, 1991 - In this analysis, we document the recent increases in caseload and welfare dependency in the AFDC-FG Program and identify the factors contributing to this trend. We then examine various options—including the administration's proposal—which are available to the Legislature to help control the program's costs and reduce welfare dependency.
January 1, 1991 - The purpose of this report is to evaluate the extent to which the Child Welfare Services Program has been able to achieve the goals established by Chapter 978. Chapter I examines the growth in the program's caseload and costs since 1982. Chapter II evaluates how successful the program has been at identifying and serving abused and neglected children since 1982. Chapter III assesses the extent to which the availability of staff and services affect the program's performance. Finally, Chapter IV summarizes options for the Legislature to improve the performance of the program.
February 21, 1990 - State Programs Serving Older Californians
February 21, 1990 - In this report, we examine health care services in rural areas within the state. Specifically, we (1) review the characteristics of rural areas and health care services in these areas, (2) discuss current state programs, (3) highlight specific problems we identified within the existing services, and (4) suggest ways the Legislature could improve the provision of health care services to rural areas.
February 21, 1990 - One of the Legislature's challenges over the next decade is to promote adequate access to nursing facility beds for the state's population. Our review suggests that it is possible that there will be a disparity between the need for nursing facility services and the growth of bed supply over the next decade. Furthermore, the current Medi-Cal reimbursement system may be (1) contributing to low supply growth, (2) causing access problems to nursing facility beds for Medi-Cal clients, and (3) providing incentives that encourage expansion of facilities that are more costly to operate.
February 21, 1990 - Proposition 99 established a new surtax on cigarettes and tobacco products, thereby generating almost $1.5 billion in new revenues available for expenditure in 1989-90 and 1990-91. Assembly Bill 75 (Ch 1331/89, Isenberg) allocated the vast majority of these funds. Our review indicates that the three major departments responsible for the implementation of AB 75 have made good progress in implementing the programs the act established in the current year.
February 21, 1990 - Drug Prevention Programs