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

Reforming The Adoptions Assistance Program

February 18, 2004 - In order to improve the program's cost effectiveness, we recommend enactment of legislation that (1) sets grant levels at an amount that recognizes the adoptive parents' financial responsibility for their adoptive children, (2) better ties benefit levels to the needs of adoptive children, and (3) narrows the definition of "special needs" so as to focus the program's financial assistance on those children who are likely to benefit the most from such aid. These changes will save approximately $2 million General Fund in 2004-05, growing to approximately $12 million in 2005-06.


Report

Federal Welfare Reform Reauthorization: An Update

February 18, 2004 - As of February 2004, Congress had not completed action on federal welfare reauthorization. We describe the major features of the currently pending House and Senate versions of welfare reform and update our fiscal estimates of these measures.


Report

Governor’s CalWORKs Reforms: An Assessment

February 18, 2004 - The Governor's budget proposes a number of changes to the CalWORKs program, including stricter work requirements and greater sanctions. These program reforms would result in $167 million in grant savings, partially offset by $134 million in child care costs and $2.5 million in automation costs in 2004-05. We discuss welfare reform in California, summarize the Governor's reform proposals, present a framework for considering the proposals, and offer comments and recommendations.


Report

Health and Social Services Block Grant Not A Good Fit for Counties

February 18, 2004 - the Governor proposes to consolidate into a single block grant, funding for state-only programs which serve immigrants, and transfer these programs to the counties effective October 1, 2004. The proposal assumes that counties will achieve administrative efficiencies, so proposed block grant funding has been reduced by 5 percent. We recommend that the Legislature reject the proposal because the programs proposed for transfer to the counties are not well-suited for local control.


Report

Health and Social Services Caseload Enrollment Cap Flawed

February 18, 2004 - The Governor's budget plan proposes to establish limits on enrollments ("caps") for certain specified health and social services programs. We recommend that the Legislature consider the Governor's enrollment cap proposal on a case-by-case basis, weighing the potential fiscal benefits of capping each identified health and social services program against the complexities and issues relating to the creation of caseload caps. Based upon such an analysis, we recommend that nine be rejected, propose one be approved with some modifications, and make no recommendation regarding one cap proposal.


Report

Governor’s Child Care Reform Proposal: An Assessment

February 18, 2004 - The Governor's budget proposes a number of significant reforms to California's subsidized child care system. These proposals effectively prioritize limited child care resources. However, the Governor's proposals lack important policy, implementation, and administrative details that would help the Legislature weigh state savings against reducing child care services for a significant number of lower-income families. We evaluate the proposals' effect on children, families, and the state budget, and present some alternative approaches.


Report

Analysis of the 2004-05 Budget Bill, Health and Social Services Chapter

February 18, 2004 - Analysis of the 2004-05 Budget Bill, Health and Social Services Chapter


Handout

Information Technology Governance

July 22, 2003 - Presented to the Assembly Select Committee on Information Technology and the High-Tech Workforce


Handout

2003 Realignment

March 7, 2003 - Hearing handout presented to The Foundation Consortium for California's Children and Youth


Handout

Overview of Proposed Budget Reductions for Human Services

February 26, 2003 - Overview of Proposed Budget Reductions for Human Services. Presented To: Senate Health and Human Services Committee and Budget Fiscal Review Subcommittee #3


Other

Index of Information Technology Issues in the Analysis of the 2003-04 Budget Bill

February 24, 2003 - Index of Information Technology Issues in the Analysis of the Budget Bill, 2003-04


Report

State Data Centers: Options for Savings

February 19, 2003 - In reviewing the state's two major data centers, we found two options that could reduce department expenditures: (1) consolidation of data centers, and (2) consolidation of servers from various state departments to state data centers.


Report

Information Technology Governance

February 19, 2003 - The administration proposes a model for a new state information technology governance structure consisting of three components: a State Chief Information Officer, an oversight board, and state control agencies. Our review found that the proposal lacks details and leaves many questions unanswered. We recommend the Legislature evaluate the proposal based on the key objectives of leadership, accountability, and oversight.


Report

Consolidate Aging Programs

February 19, 2003 - In order to improve the operation of programs serving California's senior citizens, we recommend eliminating the Department of Aging and shifting its functions to the Department of Social Services. Consolidation should improve service delivery and result in administrative savings of $3.4 million.


Report

Analysis of the 2003-04 Budget Bill, Health and Social Services Chapter

February 19, 2003 - Analysis of the 2003-04 Budget Bill, Health and Social Services Chapter