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Health and Human Services Publications

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Handout

AB 3632 Program Funding

June 14, 2010 - Presented to The Conference Committee on the Budget

Report

Fiscal and Policy Options for the Every Woman Counts Program

June 14, 2010 - Recently, there has been significant legislative and public interest in the state’s Every Woman Counts (EWC) program for breast cancer early detection. We provide background on the EWC program and other state breast cancer programs and describe the recent history of the program, including caseload and funding trends and recent program changes. We also recommend the Legislature adopt a modified version of the Governor’s May Revision cost containment proposals, consider redirecting existing funding for research to direct clinical services, and improve transparency and oversight by requiring the administration to prepare a formal budget estimate for the EWC program.

Handout

DMH Legal Services Workload

June 8, 2010 - Presented to The Conference Committee on the Budget

Handout

Conference Compromise Trailer Bill: Monitoring of Medi-Cal Claims Processing Systems and Replacement of CA-MMIS

June 3, 2010 - Conference Compromise for Item 4260-001-0001 of the 2010 Budget Conference Committee (page 3).

Report

The Patient Protection and Affordable Care Act: An Overview of Its Potential Impact on State Health Programs

May 13, 2010 - The Patient Protection and Affordable Care Act (PPACA), often referred to as federal health care reform, is far-reaching legislation that will change how millions of Californians access health care coverage. We provide an overview of the new law and describe its implications for state health programs in the near term and the long term. We also recommend the Legislature think broadly about implementing PPACA and identify key issues to address including: (1) future costs for health programs, (2) whether structural changes to health programs are warranted, (3) whether PPACA should prompt a reevaluation of the state-local relationship, (4) new strategies that could bolster health care quality and outcomes, and (5) how future workforce and health infrastructure needs should be addressed.

Report

Moving Forward With Eligibility and Enrollment System Improvements

May 3, 2010 - Through Chapter 7, Statutes of 2009, the Legislature has directed the Department of Health Care Services and the Department of Social Services to implement a statewide eligibility and enrollment determination process for the California Work Opportunity and Responsibility to Kids (CalWORKs), Food Stamp, and Medi-Cal programs. The new statewide process is intended to achieve two primary outcomes: (1) providing better service to people applying for these programs and (2) lowering administrative costs through better use of technology. We identify possible improvements and cost-savings in the eligibility and enrollment process. We also recommend a general approach that the Legislature may wish to consider when making difficult decisions about how to proceed with Chapter 7.

Handout

Potential Federal Funding Opportunities in Federal Health Reform (Preliminary)

April 27, 2010 - Presented to Assembly Budget Subcommittee No. 1 on Health and Human Services

Report

The 2010-11 Budget: Health and Social Services--A Restricted Environment

March 26, 2010 - Health and social services (H&SS) expenditures account for about 29 percent of General Fund spending in California. As part of his plan to bring revenues and expenditures into balance, the Governor’s budget proposes major reductions and program eliminations in the area of H&SS. In this report we describe spending and program requirements as well as key considerations for evaluating budget solutions. We also identify strategies for achieving savings in a restricted environment.

This report and the companion piece The 2010-11 Budget: Health and Social Services Budget Primer provide a framework for policymakers as they make very difficult budget decisions in health and social services.

Report

The 2010-11 Budget: Health

March 26, 2010 - Addresses the 2010-11 Budget through a Special Session brief, a summary of Health findings and recommendations, and the companion reports Health and Social Services Budget Primer and Health and Social Services—A Restricted Environment.

Report

The 2010-11 Budget: Health and Social Services Budget Primer

March 26, 2010 - In 2009-10, expenditures for health and social services programs in California are estimated to be about $25 billion or 29 percent of statewide General Fund spending. Spending on health and social services programs accounts for 36 percent of total spending when special funds, federal funds, and the General Fund are included. This primer provides an understanding of the overall health and social services expenditures, the workings of major health and social services programs, spending trends in major programs, and the major funding sources for health and social services programs.

This primer and the companion piece The 2010-11 Budget: Health and Social Services—A Restricted Environment provide a framework for policymakers as they make very difficult budget decisions in health and social services.

Handout

Health and Social Services: Potential Impact of Budget Reductions on Beneficiaries

March 24, 2010 - Presented to: Assembly Budget Subcommittee No. 1 On Health and Human Services Hon. Dave Jones, Chair

Other

Webcast: Maximizing Federal Funds for HIV/AIDS: Improving Surveillance and Reporting

February 22, 2010 - In this short video, analyst Lisa Murawski discusses the LAO Report "Maximizing Federal Funds for HIV/AIDS: Improving Surveillance and Reporting."

Report

Maximizing Federal Funds for HIV/AIDS: Improving Surveillance and Reporting

February 22, 2010 - In this report, we identify significant problems in the state’s ability to accurately track AIDS–related cases. These gaps in the surveillance database weaken the state’s ability to use it as an effective tool to track and respond to trends in the disease. These problems also affect the state’s ability to collect additional federal funding that could otherwise be available to offset the cost of state AIDS programs. We recommend two actions that the state could take: First, have the state Office of AIDS (OA) take steps to ensure that persons receiving services through state–supported programs are reflected in the HIV surveillance database. Second, require electronic reporting by laboratories that must provide HIV data to local health departments. These changes, our analysis indicates, would make the state’s surveillance database more complete, improve the state’s knowledge of disease trends, and make the state more competitive for federal AIDS funding.

Handout

Proposition 99 Overview

February 8, 2010 - Presented to Assembly Budget Committee, Hearing on the Every Women Counts Program

Report

The 2010-11 Budget: How the Special Session Actions Would Affect Health Programs

January 22, 2010 - The Governor’s various proposed actions to obtain savings in the current and budget years through actions in the special session have significant implications for the state’s health services programs. In this report, we (1) discuss some of the key overriding issues relating to the Governor’s plan, (2) summarize the Governor’s health budget proposals, and (3) provide our initial comments on a number of the major proposals in each specific program area. We note that we are still receiving information about these proposals from the administration that may prompt us to modify our recommendations. (Revised: 1/24/2010)

Health and Human Services Staff

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
CalWORKs/CalFresh
 
Juwan Trotter
(916) 319-8358
In-Home Supportive Services/Aging Programs
 
Ginni Bella Navarre
(916) 319-8342
Deputy Legislative Analyst: Human Services and Governance