Budget and Policy Post
May 17, 2021

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The 2021-22 Budget

Initial Comments on the Governor’s
May Revision—Appendix Table


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Health: Discretionary Spending Proposals in the 2021‑22 May Revision

General Fund (In Millions)

Program or Department

Proposal

2020‑21

2021‑22

One‑Time or Temporary

Ongoing

CDPH

Alzheimer’s and dementia research and training (Age‑Friendly State package)

$25

CDPH

Resources for COVID‑19 pandemic response external challenges

6

CDPH

Books for low‑income children

5

CDPH

Pandemic response review

3

CHHS, Secretary

Language access resources—development and implementation of services

20

CHHS, Secretary

Equity dashboard

3

CHHS, Secretary

Diversify HHS workforce (GARE training support)

3

CHHS, Secretary

Health information exchange leadership

3

CHHS, Secretary

Post‑COVID‑19 equity analysis

2

EMSA

Statewide emergency medical services data solution

10

EMSA

Increased emergency preparedness and response capability

2

$6

EMSA

Human resources workload support

1

Medi‑Cal

Reintroduce CalAIM reforms

591

81

Medi‑Cal

Provide incentives for student behavioral health

200

Medi‑Cal

Temporarily extend program integrity data analytics contract

1

Medi‑Cal

Staff for managed care re‑procurement

1

Medi‑Cal

Add dyadic services benefit (Children and Youth Behavioral Health Initiative)

100

Medi‑Cal

Expand full‑scope Medi‑Cal for undocumented adults ages 60 and over

50

Medi‑Cal

Extend postpartum Medi‑Cal eligibility to 12 months

45

Medi‑Cal

Expand and make permanent certain telehealth flexibilities

33

Medi‑Cal

Eliminate rate freeze for developmentally disabled and pediatric facilities

11

Medi‑Cal

Increase reimbursement rates for ICF‑DDs and pediatric subacute facilities

11

Medi‑Cal

Provide mental health services to out‑of‑state foster youth returning to California

$2

9

Medi‑Cal

Implement accelerated enrollment for adults

7

Medi‑Cal

Add community health worker services benefit

6

Medi‑Cal

Fund medication therapy management at specialty pharmacies

4

Medi‑Cal

Add continuous glucose monitoring benefit

2

Medi‑Cal

Hold funding in reserve in Drug Rebate Fund

222

Medi‑Cal

End dental managed care in Los Angeles and Sacramento counties

1

OSHPD

Additional funding for Song‑Brown Program

50

OSHPD

Increase geriatric workforce

8

State Hospitals

Deferred maintenance

100

State Hospitals

Extend and expand IST diversion pilot program

46

State Hospitals

Construction projects

31

State Hospitals

Re‑evaluate individuals declared IST

13

State Hospitals

Activate new jail‑based treatment beds for IST patients

7

6

State Hospitals

Statewide integrated health care provider network

6

State Hospitals

Expand community‑based treatment options for IST patients

5

3

30

State Hospitals

Implement new staffing levels for treatment team and primary care

23

State Hospitals

Backfill for lost reimbursement from counties for treating LPS patients

17

State Hospitals

Establish mobile treatment options for forensic patients in the community

10

State Hospitals

Implement new staffing levels for protective services

7

State Hospitals

Activate new beds in step‑down facilities for forensic patients

1

5

Totals

$230

$1,137

$465

Note: This reflects our best understanding as of May 15, 2021; however, we are still receiving information from the administration about these proposals. We only plan to update this figure for very significant changes (that is, those greater than $500 million).

CDPH = California Department of Public Health; COVID‑19 = coronavirus disease 2019; CHHS = California Health and Human Services Agency; HHS = Health and Human Services; GARE = Government Alliance on Race and Equity; EMSA = Emergency Medical Services Authority; CalAIM = California Advancing and Innovating Medi‑Cal; ICF‑DDs = Intermediate Care Facilities for the Developmentally Disabled; OSHPD = Office of Statewide Health Planning and Development; IST = incompetent to stand trial; and LPS = Lanterman‑Petris‑Short.