Health and Human Services Publications

Recent Changes to State and County IHSS Wage and Benefit Costs

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December 14, 2018 - In this post, we (1) explain how the scheduled state minimum wage increases impact IHSS wages and state and county costs, (2) describe the recent temporary and permanent changes to the state and county cost-sharing structure for IHSS wage and benefit increases, and (3) explain how these changes could impact county wage decisions and costs for the state.

Cal Facts 2018

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December 6, 2018 - With a state as big, as populous, and as complex as California, quickly summarizing how its economy or state budget works is impossible. Instead, Cal Facts is a visual guide—using a variety of different charts—to the state's economy, revenues, and major program trends.

Disability Among California’s Seniors: A Long-Term Outlook

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November 14, 2018 - Senate Health Committee and Senate Budget and Fiscal Review Subcommittee No. 3 on Health and Human Services

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.

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.

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.

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

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

Health Care Workforce Augmentations

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

Health and Human Services Overview

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

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.

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

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

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

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

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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.

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

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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.