Health and Human Services Publications

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Report

FI$Cal IT Project Update—Special Project Report 8

January 8, 2020 - This report analyzes how the most recent project plan for the Financial Information System for California (FI$Cal) information technology (IT) project—that has been under development since 2005—changes the project's cost, scope, and schedule. We also discuss what work is anticipated to remain even after the project is deemed by the administration to be "complete." Lastly, we make associated findings and recommendations.

Hearing Handout

The Mental Health Services Act: Issues for Legislative Consideration

December 9, 2019 - Presented to: Assembly Budget Subcommittee No. 1 on Health and Human Services

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The 2020-21 Budget: Medi-Cal Fiscal Outlook

November 20, 2019 - This web post provides detail on our projections and assumptions related to General Fund spending in Medi-Cal for the years 2019-20 through 2023-24. In the near term, we project Medi-Cal spending to grow to $23.5 billion in 2020-21. Over the long term, we project General Fund spending in Medi-Cal to grow to up to $27.6 billion.

In addition to this report, you can find the main California's Fiscal Outlook report along with a collection of other fiscal outlook material on our fiscal outlook budget page.

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The 2019-20 Budget: California Spending Plan—Health and Human Services

October 17, 2019 - From the General Fund, the 2019-20 spending plan provides $26.4 billion for health programs and $15.5 billion for human services programs—an increase of 18 percent and 12.6 percent, respectively, over estimated 2018-19 General Fund spending in these two policy areas. Major health-related policy actions include the reauthorization of a tax on managed care organizations (which will reduce the above-noted General Fund health spending by $1 billion, pending federal approval) and over $400 million General Fund for state-funded subsidies for health insurance purchased on the individual market through Covered California. Major human services-related policy actions include General Fund support to increase CalWORKS cash grants and most developmental services provider rates, and to restore previously reduced service hours in the In-Home Supportive Services program. The spending plan also reflects the deposit of $700 million into a safety net reserve (bringing its balance to $900 million) that can be used for future CalWORKs and/or Medi-Cal expenditures.

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The 2019-20 Budget: California Spending Plan—Other Provisions

October 17, 2019 - The 2019-20 budget included significant augmentations and statutory changes in various other programs, including to support emergency services, the regulation of cannabis and alcoholic beverages, and construction and maintenance of state infrastructure.

Hearing Handout

Overview of Public Community Mental Health Services Funding and the Mental Health Services Act

August 21, 2019 - Assembly Committee on Accountability and Administrative Review and Assembly Committee on Health

Hearing Handout

The Financial Information System for California (FI$Cal)

June 27, 2019 - Assembly Accountability and Administrative Review and Assembly Budget Subcommittee No. 6 on Budget Process, Oversight and Program Evaluation

Hearing Handout

Item 7100-001-0588—Employment Development Department Paid Family Leave (PFL)

June 4, 2019 - Presented to: Budget Conference Committee

Hearing Handout

Item 4260-101-3305 Proposition 56 Medi-Cal Spending

June 3, 2019 - Presented to: Budget Conference Committee

Hearing Handout

The MCO Tax Item 4260-101-0001

June 3, 2019 - Presented to: Budget Conference Committee

Hearing Handout

Stabilizing Services for Consumers in the DDS System Item 4300-101-0001

June 3, 2019 - Presented to: Budget Conference Committee

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The 2019-20 May Revision: Update to Governor's 1991 Realignment Proposals

May 29, 2019 - In this web post, we describe the update to the Governor’s 1991 realignment proposal introduced in January. Additionally, we assess whether the changes included in the Governor’s May Revision align with our realignment principles and address the issues we raised for Legislative consideration in January.

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The 2019-20 May Revision: Analysis of the Governor’s January and May Mental Health Workforce Proposals

May 16, 2019 - In January, the Governor proposed a $50 million one-time General Fund augmentation for existing mental health workforce programs that are administered by OSHPD. In the May Revision, the Governor proposes an additional $100 million in MHSA funding for mental health workforce. This post (1) provides background on the state’s mental health workforce, (2) gives an overview of existing programs and funding aimed at improving the state’s mental health workforce, (3) summarizes and assesses the Governor’s proposals, and (4) provides options for legislative consideration.

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Governor’s May Revision Update: Health Insurance Affordability Proposals

May 15, 2019 - With the May Revision (and prior to the May Revision with the release of proposed implementing legislation), the administration has provided additional details on its January proposal to impose a state individual mandate and use penalty revenues from the mandate to fund health insurance subsidies. In this post, we summarize key updates to the Governor’s proposals and raise some issues for the Legislature’s consideration.

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The 2019-20 May Revision: Governor's May Revision Medi-Cal Budget

May 14, 2019 - The Governor’s May Revision includes Medi-Cal spending of $19.7 billion from the General Fund ($93.4 billion total funds) in 2018-19 and $23 billion from the General Fund ($102.2 billion total funds) in 2019-20. As will be described in this post, about half of the reduction in estimated spending in 2018-19 reflects a shift of costs in Medi-Cal to a different budget item, rather than a true reduction in estimated program costs. After accounting for this shift, the May Revision is about $350 million below January estimates across 2018-19 and 2019-20.

Health and Human Services Staff

Mark Newton
(916) 319-8323
Deputy Legislative Analyst: Health, Developmental Services and IT
 
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
 
Sonja Petek
(916) 319-8340
Public Health/Developmental Services
 
Ryan Anderson
(916) 319-8308
CalWORKs/CalFresh
 
Brian Metzker
(916) 319-8354
Privacy, Security, and Technology
 
Corey Hashida
(916) 319-8315
Medi-Cal/Behavioral Health/State Hospitals/Health Planning and Development
 
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
 
Ginni Bella Navarre
(916) 319-8342
Deputy Legislative Analyst: Human Services and Governance