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October 13, 2015 - Earlier this year, California submitted a proposal to renew its Section 1115 waiver, which is due to expire at the end of October. The state is currently negotiating with the federal government over the terms and conditions of this waiver renewal. In this post, we examine key issues and concerns related to the availability of federal funding for California’s proposal. The post provides a primer on how Section 1115 waivers are generally financed, an overview of California’s proposal, and a discussion of the challenges the proposal faces within that financing structure.
October 9, 2015 - This is the first in a series of policy posts on upcoming changes in Medi-Cal and the fiscal and policy uncertainty the changes create. In this post, we briefly highlight four upcoming major changes: (1) the renewal of the state’s Section 1115 waiver, (2) proposed modifications to the federal government’s regulations for Medicaid managed care plans, (3) the phase-in of state’s share of cost for the Affordable Care Act’s optional expansion population, and (4) the need to restructure the managed care organization tax to meet federal requirements. In the coming weeks and months, we will provide more detail and updates on these changes and their potential implications for the Medi-Cal program and the state’s budget in future policy posts similar to this one and in budget analyses.
September 22, 2015 - We discuss (1) the purpose of the administration's triennial cap-and-trade Investment Plan, (2) limitations of the administration's recently released Investment Plan concept paper, and (3) several key questions we believe the administration should consider as it further develops the Investment Plan that could result in better information about the potential benefits, tradeoffs, and risks associated with different funding choices.
September 9, 2015 - We reviewed the proposed memorandum of understanding (MOU) for Bargaining Unit 10 (Scientists). Bargaining Unit 10 is represented by the California Association of Professional Scientists (CAPS). This review is pursuant to Section 19829.5 of the Government Code.
September 4, 2015 - We reviewed the proposed memorandum of understanding (MOU) for Bargaining Unit 9 (Professional Engineers). Bargaining Unit 9 is represented by Professional Engineers in California Government. This review is pursuant to Section 19829.5 of the Government Code.
August 18, 2015 - Presented to: Senate Committee on Public Health and Developmental Services.
August 18, 2015 - Presented to Senate Select Committee on the Sacramento-San Joaquin Delta
August 17, 2015 - Presented to Assembly Committee on Utilities and Commerce
July 20, 2015 - We compare two approaches to a restructured managed care organization (MCO) tax—the Governor’s tiered proposal versus a purely flat enrollment-based tax—in terms of their stability as a revenue source and overall financial burden placed on MCOs.
July 17, 2015 - Statements of legislative intent and requests for studies adopted during deliberations on the 2015-16 budget package.
July 9, 2015 - Presented to Assembly Committee on Public Health and Developmental Services Second Extra ordinary Session
July 9, 2015 - Presented to Assembly Committee on Public Health and Developmental Services Second Extraordinary Session
July 9, 2015 - Presented to Assembly Committee on Public Health and Developmental Services Second Extraordinary Session
July 8, 2015 - Presented to: Assembly Public Employees, Retirement and Social Security Committee and Senate Public Employment and Retirement Committee
July 6, 2015 - Presented to: Assembly Transportation and Infrastructure Development Committee