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Health and Human Services Publications

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Handout

Evaluating the Governor's Realignment Language for Health and Human Services Programs

May 2, 2012 - Presented to: Assembly Budget Subcommittee No. 1 on Health and Human Services Hon. Holly J. Mitchell, Chair

Report

The 2012-13 Budget: Evaluating FI$Cal

April 30, 2012 - The FI$Cal project recently completed a procurement and selected the vendor who will build FI$Cal, the state's single, fully integrated financial information system. Project staff has submitted several documents to the Legislature, including a special project report that updates the project plans, a report to the legislature that includes information on the procurement, and a budget request for $89 million ($54 million General Fund) and 86 new positions in order to begin the first year of system development. This report (24 pages): (1) provides an extensive background on the project; (2) describes the innovative procurement process that state staff conducted to secure vendor services to build the FI$Cal system, including information on the procurement results; (3) reviews the FI$Cal project plans as explained in project documents; and (4) analyzes features of the project’s proposed plans and offers recommendations to the Legislature as it considers the budget request and the future of the system. Based upon our analysis of the proposed plans and review of project status, we believe that the benefits of proceeding with FI$Cal development at this time outweigh the costs of the project. In addition to the inherent benefits derived from having a modern, fully integrated financial information system for the state, proceeding with FI$Cal would also avoid substantial costs associated with replacing various individual financial management systems over the next several years. However, we recognize the tight budget times requiring the Legislature to make difficult decisions regarding programmatic reductions. Therefore, should the Legislature wish to proceed with the project, we offer alternative funding options that reduce the state’s reliance on General Fund monies to pay for the project in the short term. These options include the state's GS $Mart loan program, vendor financing, and advanced payments from the special funds for the first few years of system development. Additionally, we point out ways the project’s change management and staffing plans to implement FI$Cal statewide could be improved to reduce risk and maximize project benefits.

Handout

In-Home Supportive Services: Background and Policy Considerations of Proposed Integration Into Medi-Cal Managed Care

March 27, 2012 - Presented to Senate Human Services Committee, Hon. Carol Liu, Chair

Report

The 2012-13 Budget: In-Home Supportive Services Budget Update

March 19, 2012 - The In-Home Supportive Services (IHSS) program—administered at the state level by the Department of Social Services (DSS)—provides in-home care for persons who cannot safely remain in their own homes without such assistance. Since 2009-10, the IHSS program has experienced significant budget-related changes intended to achieve General Fund savings. As part of the 2012-13 budget, the Governor proposes significant changes to the IHSS program. First, the Governor proposes to transition IHSS from a fee-for-service benefit to a managed care benefit. In addition, the Governor proposes to eliminate domestic and related care services for most IHSS recipients who live with another person. We find that this reduction presents significant legal and implementation challenges, and we therefore offer the Legislature two savings alternatives for its consideration. The first alternative is to consider extending a 3.6 percent across-the-board reduction in service hours that is set to expire at the end of the current year. The second alternative is to consider reenacting a reduction in state participation in provider wages to a level, determined by a study, that does not impact recipient access to services.

Handout

Evaluating FI$Cal-The Financial Information System for California

March 8, 2012 - Presented to: Senate Budget and Fiscal Review Subcommittee No. 4 on State Administration and General Government, Hon. Gloria Negrete McLeod, Chair

Report

The 2012-13 Budget: The Governor's CalWORKs and Child Care Proposals

February 22, 2012 - The Governor proposes to reduce funding for the CalWORKs program and state-subsidized child care programs. Under his budget plan, these programs would be reduced a total of $1.4 billion or about 20 percent in 2012-13 compared to what current law otherwise would require. These savings would be achieved by imposing stricter limits on which families are eligible to receive which types of services, as well as lowering state payments for CalWORKs recipients and child care providers. Additionally, the Governor’s proposal would make major changes to the way the state administers both welfare-to-work and child care services. In this report, we describe and analyze the Governor’s proposals related to the CalWORKs program and then turn to a similar discussion of the proposed changes to child care programs. We conclude by providing the Legislature with illustrative packages of ways to achieve savings in these two areas using different approaches than the Governor's.

Report

Consolidating California’s Statewide Automated Welfare Systems

February 13, 2012 - Currently, three automation systems make up California’s Statewide Automated Welfare System (SAWS). These systems support some of the state’s major health and human services programs by providing eligibility determination, case maintenance, and reporting functions at the county level. Chapter 13, Statutes of 2011 (ABX1 16, Blumenfield) directs the administration to reduce this number to two by migrating, or moving, counties on an existing system to Los Angeles County’s new system. In this report, we identify several issues for the Legislature to consider as the administration pursues legislative goals for SAWS consolidation. We offer alternative procurement approaches for the migration that would encourage greater vendor competition. Finally, we make several recommendations to enhance legislative oversight and clarify legislative priorities for SAWS consolidation.

Handout

Overview on Foster Care Group Homes

June 28, 2011 - Assembly Committee on Human Services and Assembly Select Committee on Foster Care Hon. Jim Beall, Chair

Handout

Overview on Poverty

May 10, 2011 - Presented to: Senate Committee on Human Services Hon. Carol Liu, Chair

Handout

Employment Development Department's Automation Projects

February 2, 2011 - Senate Budget and Fiscal Review Subcommittee No. 5 On Corrections, Public Safety and the Judiciary Hon. Loni Hancock, Chair

Handout

Approach to the 2011-12 CalWORKs Budget

February 2, 2011 - The Governor proposes $1.5 billion in budget solutions for CalWORKs. In this handout we summarize the Governor’s proposals, assess their impacts, and present alternative approaches to achieving General Fund savings in CalWORKs. Presented to: Assembly Budget Subcommittee No. 1 On Health and Human Services Hon. Holly Mitchell, Chair

Handout

Mental Health Realignment

January 26, 2011 - Presented to Assembly Budget Subcommittee No. 1 on Health and Human Services

Handout

Approach to the 2011-12 In-Home Supportive Services Budget

January 25, 2011 - This handout reviews the In-Home Supportive Services proposals and provides comments and alternatives.

Handout

Child Welfare Realignment

January 25, 2011 - The Governor’s budget proposal would realign the child welfare system to counties in 2011-12 and shift $1.6 billion in tax revenues to counties in lieu of General Fund. This handout provides information on that proposal.

Report

The 2011-12 Budget: Child Care and Development

January 24, 2011 - The Governor’s budget plan provides $2.2 billion for child care and development (CCD) in 2011-12—a reduction of $535 million, or 19 percent, compared to the current year. To achieve these savings he proposes several significant changes to current policies. In assessing the Governor’s CCD proposals and building its own CCD package, we recommend the Legislature: (1) balance access to and quality of care, (2) prioritize services for those who most need them, and (3) prioritize direct service over administrative activities. Consistent with these principles, we recommend the Legislature reject the Governor’s proposal to cut state subsidies by 35 percent, reconsider the Governor’s proposal to restore CalWORKs Stage 3 child care, and approve—perhaps in modified form—his proposals to change eligibility criteria and reduce administrative and support activities. We also offer the Legislature a menu of additional CCD savings options and build three illustrative CCD packages.

Health and Human Services 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