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


Publications

Health and Human Services

To browse all LAO publications, visit our Publications page.



Report

Reject Freeze for County Administration of Health and Human Services Programs

February 23, 2006 - The Governor proposes to freeze future state participation in county administrative costs for health and social services programs at the 2005-06 level, adjusted for caseload, but not inflation. We recommend rejecting the Governor’s proposal because it would restrict legislative flexibility to adjust funding and services levels.


Report

Increased Inspections Alone Will Not Ensure Safety In Residential and Child Care Facilities

February 23, 2006 - We review the Governor's licensing and certification initiative and conclude that the proposal does not address significant gaps in the enforcement process.


Report

California Failing To Meet Child Welfare Performance Goals

February 23, 2006 - As of January 2006, California is failing all seven outcome federal required child welfare outcome measures. Unless California improves its performance by the fall of 2006, the state faces $59 million in federal penalties. We review the Governor's child welfare proposals and recommend redirecting $15 million into flexible grants for counties to implement their existing improvement plans.


Report

Strategies to Meet Federal Work Participation Rates

February 23, 2006 - The federal Deficit Reduction Act of 2005 significantly raises the required work participation rates for California’s low-income families in the CalWORKs program. Failure to meet these higher participation rates would result in annual federal penalties which begin in 2008-09 at $173 million We present a range of strategies for meeting this challenge including: increasing participation among existing recipients, bringing former recipients who are employed back into the participation calculation, and establishing separate programs for those who may face substantial barriers to work.


Report

Reform of Licensing and Certification of Health and Social Services Providers

February 23, 2006 - The administration is proposing changes to the way the state conducts licensing and certification of providers of certain health and social services. We concur in some proposals, recommend others be reduced to correct overbudgeted staffing and funding, and propose further changes to improve the way these functions are carried out.


Report

Long-Term Care Caseload and Cost Trends

February 23, 2006 - An increasing portion of long-term care spending is for community-based services rather than institutional care. We examine the “cost-drivers” behind the growth in these costs and recommend that administration budget requests for long-term care projects be modified.


Report

Analysis of the 2006-07 Budget Bill, General Government Chapter

February 23, 2006 - Analysis of the 2006-07 Budget Bill, General Government Chapter


Report

Analysis of the 2006-07 Budget Bill, Health and Social Services Chapter

February 23, 2006 - Analysis of the 2006-07 Budget Bill, Health and Social Services Chapter


Handout

Children's Services and Foster Care Overview

November 22, 2005 - Assembly Select Committee on Foster Care


Handout

LAO Child Care Recommendations

April 28, 2005 - Presented to: Senate Budget Committee No. 3 on Health and Human Services


Handout

Department of Technology Services

April 28, 2005 - Presented to the Little Hoover Commission on April 28, 2005.


Handout

Children's Services Overview

March 16, 2005 - Presented to Assembly Budget Subcommittee No. 1 On Health and Human Services


Handout

CalWORKs Program Overview Hearing

March 9, 2005 - Presented to Assembly Budget Subcommittee No. 1


Other

Index of Information Technology Issues in the Analysis of the 2005-06 Budget Bill

February 24, 2005 - Index of Information Technology Issues in the Analysis of the Budget Bill, 2005-06


Report

Child Care Reforms Merit Serious Consideration

February 24, 2005 - The Governor proposes a number of significant reforms to California’s subsidized child care system including eligibility restrictions, a new waiting list system, and tiered reimbursement rates. With certain qualifications, we support proposed eligibility and waiting list changes. Although tying reimbursement rates to quality makes sense, the Legislature may wish to consider alternative approaches which increase reimbursement rates for higher quality care rather than simply reducing reimbursement rates (as the Governor proposes) for lower quality care.