Health and Human Services Publications

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Fiscal Outlook: In-Home Supportive Services (IHSS)

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November 14, 2018 - In this web post we discuss our near- and long-term costs projections for the In-Home Supportive Services (IHSS) Program and significant cost drivers and savings.

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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Fiscal Outlook: Medi-Cal

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November 14, 2018 - This web post provides detail on our projections and assumptions related to General Fund spending in Medi-Cal for the years 2018-19 through 2022-23. In the near term, we project Medi-Cal spending to grow to $23.9 billion in 2019-20. Over the long term, we project General Fund spending in Medi-Cal to grow to up to around $28 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.

Hearing Handout

Overview of Mental Health Services and Funding for Foster Children

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October 23, 2018 - Assembly Committee on Human Services and Assembly Select Committee on Foster Care

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Rethinking the 1991 Realignment

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October 15, 2018 - California has shifted programmatic and funding responsibility between the state and counties for various programs over the last 40 years. Historically, these shifts—or realignments—aimed to benefit both the state and counties by providing greater local flexibility over services, allowing counties opportunities to innovate and improve program outcomes, and encouraging cost savings by requiring counties to share in program costs. To achieve these benefits, we believe there are certain principles any realignment needs to follow. This report evaluates the extent to which one of California’s more notable realignments undertaken in 1991 achieves the intended benefits and meets these principles.

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Improving Access to Dental Services for Individuals With Developmental Disabilities

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September 27, 2018 - Individuals with developmental disabilities face a number of behavioral, cognitive, and physical challenges that can adversely affect their health. Oral health is no exception. Individuals with developmental disabilities often need extra appointments or special accommodations that dentists may be unwilling or unable to provide. This report analyzes the extent to which dental services are available and sufficient for individuals with developmental disabilities. Finding that access challenges exist, we consider options and make recommendations for improving access.

Hearing Handout

Department of Developmental Services: Budget Trends and Recent Budget Actions

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August 7, 2018 - Assembly Select Committee on Intellectual and Developmental Disabilities

Hearing Handout

Initiative Statute: Requires Private-Sector Emergency Ambulance Employees to Remain on Call During Work Breaks. Changes Other Conditions of Employment.

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June 20, 2018 - Presented to: Assembly Committee on Labor and Employment Senate Committee on Labor and Industrial Relations

Hearing Handout

Annual SSP COLA

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May 31, 2018 - To be presented to: Budget Conference Committee

Hearing Handout

CalWORKs Grants and COLA

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May 31, 2018 - To be presented to: Budget Conference Committee

Hearing Handout

Use of Proposition 56 Revenues in Medi-Cal in 2018-19

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May 31, 2018 - To be presented to: Budget Conference Committee

Hearing Handout

Health Care Workforce Augmentations

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May 31, 2018 - To be present to: Budget Conference Committee

Hearing Handout

Health and Human Services Overview

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May 31, 2018 - To be present to: 2018-19 Budget Conference Committee

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The 2018-19 Budget: The Administration's Proposition 55 Estimates in the May Revision

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May 22, 2018 - This post describes the Proposition 55 calculation for Medi-Cal spending in the Governor’s May Revision.

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The 2018-19 Budget: The May Revision—Health and Human Services (HHS)‑Related Funding to Address Homelessness

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May 17, 2018 - The Governor’s 2018 19 May Revision proposes a package of actions and funding augmentations aimed at alleviating homelessness. Several of the major elements of the proposal are in the HHS area of the budget. Specifically, the proposals would: (1) create the Senior Home Safe program at the Department of Social Services (DSS), (2) augment the current California Work Opportunity and Responsibility to Kids (CalWORKs) Housing Support Program and CalWORKs Homeless Assistance Program at DSS, and (3) provide one-time funding to the Department of Health Care Services (DHCS) for county mental health services. In this post, we describe these proposals and raise issues and questions for the Legislature to consider.

Hearing Handout

Initiative Statute: Authorizes State Regulation of Kidney Dialysis Clinics and Limits Charges for Patient Care.

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May 15, 2018 - Presented to Assembly Health Committee and Senate Health Committee