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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 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 - Anti-Drug Programs in California
February 21, 1990 - A Series of Drug-Related Pieces: Drug Use in California, Anti-Drug Programs in California, Drug Prevention Programs
January 1, 1990 - This report is submitted in response to Chapter 1579, Statutes of 1988 (Senate Bill 1913, Presley). Chapter 1579 requires the Legislative Analyst's Office to determine whether the Department of Corrections (CDC) and the Department of the Youth Authority (CYA) have adequate education, prevention, and treatment programs related to acquired immunodeficiency syndrome (AIDS), and whether the programs are being properly implemented. Additionally, the law requires the Legislative Analyst's Office to assess the quality of AIDS education and prevention programs in county and city jails.
November 1, 1988 - This report is submitted in response to Resolution Chapter 147, Statutes of 1987 (Senate Concurrent Resolution 45). This measure requires the Legislative Analyst's Office to submit a report to the Legislature responding to specific questions related to the counties' implementation of the California Supreme Court's In re Hop decision (29 Cal. 3d 82). This decision specifies that persons with developmental disabilities who are unable to provide informed consent regarding their placement in a state developmental center (SDC) are entitled to judicial hearings regarding the need for, and appropriateness of, such placement.
May 1, 1988 - This report is submitted pursuant to Chapter 941, Statutes of 1986 (AB 3959). Chapter I explores the problems that are associated with teen pregnancy and parenting. Chapter II describes the dimensions of the teen pregnancy problem in California and the factors contributing to teen pregnancy. Chapter III contains descriptions of existing state programs that serve pregnant and parenting teens, including the cost of services provided. Chapter IV reviews various studies that (1) have identified what influences teenagers in making choices regarding sexual activity and coping with unplanned pregnancy and (2) assess the effectiveness of various services and programs in dealing with the teen pregnancy and parenting problem. Finally, Chapter V summarizes our recommendations regarding state services for pregnant and parenting teens.
February 1, 1988 - The Health Services "Safety Net"
March 1, 1987 - This report is submitted in conjunction with our Analysis of the 1987-88 Budget Bill. The report is intended to provide the Legislature with background information needed to place in perspective the Governor's proposal to reduce Medi-Cal costs by $250 million ($125 million General Fund) through an as-yet-unspecified "program restructuring." The first chapter of the report provides an overview of the Medi-Cal budget proposal for 1987-88. The second chapter provides data intended to put Medi-Cal costs and trends into perspective. The third chapter identifies major options for reducing Medi-Cal costs.
February 1, 1987 - California's Long-Term Care System