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The 2019-20 Budget: Governor's Proposals for Infants and Toddlers With Special Needs

February 28, 2019 - In this report, we evaluate three Governor's budget proposals related to early intervention services for infants and toddlers with special needs. These include: (1) $60 million ongoing (split between Proposition 56 tobacco tax revenues and federal Medicaid funding) to provide supplemental payments to physicians who screen children covered by Medi-Cal for developmental delays, (2) four new positions (at a cost of $446,000 General Fund) to increase state oversight of Regional Center early intervention services, and (3) possible forthcoming trailer bill language to improve transitions for children aging out of early intervention services and into preschool special education. We recommend rejecting the proposed supplemental payments and approving the other two proposals and further recommend the Legislature consider broader reforms to address longstanding weaknesses in the state's early intervention system.

Update (3/4/19): Figure 3 totals adjusted.

Report

The 2019-20 Budget: Transportation Proposals

February 26, 2019 - The Governor's budget provides a total of $23.5 billion from various fund sources for all transportation departments and programs in 2019-20. This is a net increase of $1.4 billion, or 6 percent, over estimated current-year expenditures. In this report, we (1) review the Governor's 2019-20 transportation proposals, including those for the Motor Vehicle Account (MVA), the implementation of REAL ID, and the high-speed rail project, and (2) identify issues for legislative consideration.

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The 2019-20 Budget: Analysis of the Department of Developmental Services Budget

February 25, 2019 - In this report, we evaluate the Governor's budget proposals for the Department of Developmental Services (DDS). The proposed 2019-20 DDS budget is projected to reach $7.8 billion ($4.8 billion General Fund), with the caseload of individuals with developmental disabilities served mostly in community-based programs projected to reach nearly 350,000. The total increase in spending is offset somewhat by declining spending on general treatment Developmental Centers, which are scheduled to close by the end of 2019. The Governor's budget proposes to reorganize DDS, based in part on these closures as well as on DDS’ evolving responsibilities as it serves individuals in community settings and adjusts to meeting related upcoming federal requirements that significantly impact the service delivery model. The budget also proposes enhancement of "safety net" and crisis services for individuals in crisis and at risk of displacement from their regular homes or needing temporary residential placements.

Correction (3/6/19): Safety net and crisis home capacity numbers have been updated in Figure 4.

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The 2019-20 Budget: Using Proposition 56 Funding in Medi-Cal to Improve Access to Quality Care

February 22, 2019 - This report analyzes the use of Proposition 56 (2016) funding in Medi‑Cal to improve access to quality care. First, we provide background on how Medi‑Cal services are financed within Medi‑Cal’s multiple delivery systems. Then, we review how access and quality are monitored, primarily within Medi‑Cal’s managed care delivery system. We summarize how Proposition 56 funding in Medi‑Cal has been used to date, and the changes proposed under the Governor’s 2019‑20 budget. Next, we assess Medi‑Cal managed care plans’ performance on selected state access and quality standards. Finally, we provide issues for consideration and recommendations on how to use Proposition 56 funding in Medi‑Cal going forward to improve access to quality care.

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The 2019-20 Budget: Higher Education Analysis

February 21, 2019 - In this report, we analyze the Governor's higher education budget proposals.

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The 2019-20 Budget: Considerations for Governor's Proposals to Address Homelessness

February 21, 2019 - In this report, we describe the Governor’s proposed $625 million appropriation for various programs aimed at addressing homelessness. Specifically, the Governor proposes (1) planning and production grants to local governments, (2) expanding the Whole Person Care pilot programs, and (3) funding the Housing and Disability Advocacy Program on an ongoing basis.

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The 2019-20 Budget: Considerations for the Governor's Housing Plan

February 20, 2019 - In this report, we describe the Governor’s proposed $1.75 billion appropriation for various programs aimed at improving the affordability of housing in the state. Specifically, the Governor proposes (1) providing planning and production grants to local governments, (2) expanding the state Low-Income Housing Tax Credit program, (3) establishing a new state housing tax credit program targeting relatively higher-income households, and (4) expanding a loan program for middle-income housing production.

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The 2019-20 Budget: What Can Be Done to Improve Local Planning for Housing?

February 20, 2019 - As part of the 2019‑20 Governor’s Budget, the administration proposes changing state oversight of local housing decisions and proposes offering rewards to cities and counties to encourage them to plan for and approve housing. To help the Legislature in its consideration of the Governor’s proposals, this report: (1) explains the existing process through which local communities plan for housing, as well as its limitations and shortfalls; (2) describes the Governor’s proposal; (3) provides recommendations on the parts of the proposal aimed at increasing home building in the short term; and (4) offers a package of changes to improve the state’s existing long‑term planning process for housing.

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The 2019-20 Budget: Analysis of Governor's Criminal Justice Proposals

February 19, 2019 - In this report, we assess many of the Governor’s budget proposals in the judicial and criminal justice area and recommend various changes. We provide a complete listing of our recommendations at the end of the report.

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The 2019-20 Budget: Natural Resources and Environmental Protection

February 14, 2019 - In this report, we assess several of the Governor’s budget proposals in the natural resources and environmental protection areas. Based on our review, we recommend various changes, as well as additional legislative oversight. We provide a complete listing of our recommendations at the end of this report.

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The 2019-20 Budget: Department of Consumer Affairs

February 13, 2019 - In this analysis, we assess the Governor’s 2019‑20 budget proposals for the Department of Consumer Affairs (DCA). Specifically, we review and make recommendations regarding the Governor’s proposals (1) for increased funding for Consumer Affairs administration workload and (2) associated with the department’s updated business modernization plan for information technology (IT) projects at Release 3 boards and bureaus.

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The 2019-20 Budget: Department of State Hospitals

February 13, 2019 - The Governor’s budget proposes $2 billion for the Department of State Hospitals (DSH) in 2019‑20—an increase of $59 million (3 percent) from the revised 2018‑19 level. In this report, we assess four specific DSH proposals and offer recommendations for legislative consideration.

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The 2019-20 Budget: Analysis of the Medi-Cal Budget

February 13, 2019 - In this report, we describe the major changes and proposals in the Governor's proposed $100.7 billion (all funds) Medi-Cal budget. Specifically, we advise the Legislature to seriously consider renewing the managed care organization tax, despite the Governor not proposing to do so; present issues for consideration related to the Governor's proposed expansion of comprehensive Medi-Cal coverage for young adults regardless of immigration status; and provide an initial assessment of the Governor's proposals to use Proposition 56 funding in Medi-Cal to extend and expand provider payment increases. We recommend approval of the Governor's proposals to improve fiscal oversight of the Medi-Cal budget, and also recommend that the Legislature require the administration provide additional information to the Legislature in an effort to improve fiscal oversight and transparency of this very large, complex budget going forward.

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The 2019-20 Budget: Proposition 98 Analysis

February 13, 2019 - In this report, we analyze the Governor’s Proposition 98 budget package. The first four sections of the report focus on the architecture of the Proposition 98 budget, with an overview of the new Proposition 98 spending the Governor proposes, an assessment of the Governor’s estimates of the Proposition 98 minimum guarantee, a discussion of several factors that could affect the Legislature’s Proposition 98 budget planning in the coming months, and an assessment of the Governor’s proposal relating to Proposition 98 true‑ups. We dedicate the five remaining sections of the report to examining the Governor’s major proposals involving K‑12 education. Specifically, we analyze his proposals for (1) the Local Control Funding Formula, (2) special education, (3) county offices of education, (4) education mandates, and (5) school facilities.

(2/14/19 -- Adjusted when Proposition 51 funding would be exhausted given proposed pace of bond sales.)

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The 2019-20 Budget: Deferred Maintenance

February 8, 2019 - The Governor’s budget includes over $600 million from the General Fund and Proposition 68 for deferred maintenance projects at various state departments. We recommend that the Legislature require (1) departments receiving funding to report at budget hearings on the approach they will use to prioritize projects, as well as specific projects they plan to undertake; (2) the Department of Finance to report, no later than January 1, 2023, on which projects departments ultimately undertook with the funds provided; and (3) departments that continue to experience growth in deferred maintenance backlogs over the next few years to identify the reasons for the increases and the specific steps they plan to take to improve maintenance practices on an ongoing basis.