Health and Human Services Publications

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Fiscal Outlook: Medi-Cal

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.

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Improving Access to Dental Services for Individuals With Developmental Disabilities

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.

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

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

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

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

Handout

Health Care Workforce Augmentations

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

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Health and Human Services Overview

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

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

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

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

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Initiative Statute: Authorizes Bonds Funding Construction at Hospitals Providing Children’s Health Care.

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

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The 2018-19 Budget: Governor's May Revision Medi-Cal Budget

May 14, 2018 - In this post, we describe and provide our initial comments on adjustments to the Medi-Cal budget in the 2018-19 May Revision.

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Estimating the Cost of Expanding Full-Scope Medi-Cal Coverage to Undocumented Adults

May 10, 2018 - This post responds to several requests for our office to estimate the cost of providing full-scope Medi-Cal coverage to undocumented adults over the age of 19 who are currently eligible for restricted-scope Medi-Cal coverage (that is, primarily emergency and pregnancy-related services). Based on a number of key assumptions, we estimate the total net state cost of this coverage expansion is approximately $3 billion in 2018-19. This net cost would be fully a state cost, and represents the change between the cost of providing full-scope Medi-Cal and the costs of providing restricted-scope Medi-Cal to the undocumented adult population.

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The 2018-19 Budget: Meeting Workforce Demand for Certified Nursing Assistants in Skilled Nursing Facilities

April 27, 2018 - In this post, we provide background on new staffing requirements for certified nursing assistants working in skilled nursing facilities, describe the Governor’s proposals to address these new staffing requirements, assess those proposals, and make associated recommendations.

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The 2018-19 Budget: Analysis of the Governor's 340B Medi-Cal Proposal

March 21, 2018 - This budget brief analyzes the Governor’s 2018-19 budget proposal to eliminate the use of the 340B Drug Pricing Program in Medi-Cal. The Governor’s proposed statutory changes are intended to generate state savings and reduce the administrative complexity of complying with federal law on duplicate discounts when 340B prescriptions drugs are dispensed to Medi-Cal enrollees. We find that the Governor’s proposal merits serious consideration from the Legislature since, among other benefits, it would likely result in state savings that the Legislature could, in turn, use to fund its priorities. We note, however, that these savings would be in place of savings currently enjoyed by eligible healthcare providers. Before making a decision on the Governor’s proposal, we recommend that the Legislature ask the administration to provide the following key information on the Governor’s proposal: (1) the amount of Medi-Cal savings that would be generated, (2) the impact on healthcare providers currently participating in the 340B Program, and (3) the trade-offs of alternative policy approaches to addressing the challenges that are present due to the use of the 340B Program in Medi-Cal.

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The Potential Effects of Ending the SSI Cash-Out

March 14, 2018 - Presented to Assembly Budget Subcommittee No. 1 on Health and Human Services

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Sequestering Savings From the Closure of Developmental Centers

March 7, 2018 - Presented to Assembly Budget Subcommittee No. 1 on Health and Human Services

Health and Human Services Staff

Mark Newton
(916) 319-8323
Deputy Legislative Analyst: Health, Developmental Services, and Technology
 
Ryan Anderson
(916) 319-8308
CalWORKs/CalFresh/Developmental Services
 
Jason Constantouros
(916) 319-8322
Medi-Cal/Hospital Finance/Managed Care/Health Care Affordability and Workforce Development
 
Brian Metzker
(916) 319-8354
Privacy, Security, and Technology
 
Ryan Miller
(916) 319-8356
Medi-Cal/Behavioral Health/CalHHS Agency Issues
 
Angela Short
(916) 319-8309
Teachers' Retirement Policy/ Child Welfare/ Community Care Licensing
 
Luke Koushmaro
(916) 319-8355
Medi-Cal/Long-Term Care/Family Health/Covered California
 
Will Owens
(916) 319-8341
Public Health/Behavioral Health/State Hospitals
 
Ginni Bella Navarre
(916) 319-8342
Deputy Legislative Analyst: Human Services and Governance