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February 21, 1990 - In this report, we examine health care services in rural areas within the state. Specifically, we (1) review the characteristics of rural areas and health care services in these areas, (2) discuss current state programs, (3) highlight specific problems we identified within the existing services, and (4) suggest ways the Legislature could improve the provision of health care services to rural areas.
February 21, 1990 - One of the Legislature's challenges over the next decade is to promote adequate access to nursing facility beds for the state's population. Our review suggests that it is possible that there will be a disparity between the need for nursing facility services and the growth of bed supply over the next decade. Furthermore, the current Medi-Cal reimbursement system may be (1) contributing to low supply growth, (2) causing access problems to nursing facility beds for Medi-Cal clients, and (3) providing incentives that encourage expansion of facilities that are more costly to operate.
February 21, 1990 - In this analysis, we review the history of major offshore oil spills near California and the efforts to ensure a reasonable level of safety and environmental protection in this area. We then contrast this with the current system to handle smaller, mostly onshore oil spills in the state. Finally, we present some alternatives to consider in attempting to improve this system.
February 21, 1990 - Early Intervention for School Success
February 21, 1990 - Desegregation
February 21, 1990 - In this analysis, we assess for each segment of postsecondary education: (1) long-range enrollment plans, (2) the potential need for new campuses, and (3) how each segment's five-year capital outlay plan addresses needs associated with enrollment growth.
February 21, 1990 - On November 8, 1988, California voters approved Proposition 103, which called for 20 percent rate rollbacks and ongoing regulation of the insurance industry. Our review of the past year's activities by the department suggests that considerable time will pass before the regulatory process has been fully developed and implemented. The department has proceeded slowly; thus, there are many elements of the regulatory approach that have not yet been developed and numerous issues remain to be resolved. In effect, while much activity has occurred over the past year, we are in essentially the same place as when the initiative passed.
February 21, 1990 - Proposition 99 established a new surtax on cigarettes and tobacco products, thereby generating almost $1.5 billion in new revenues available for expenditure in 1989-90 and 1990-91. Assembly Bill 75 (Ch 1331/89, Isenberg) allocated the vast majority of these funds. Our review indicates that the three major departments responsible for the implementation of AB 75 have made good progress in implementing the programs the act established in the current year.
February 1, 1990 - (360 pages, 16MB) The 1990-91 Governor's Budget reflects two main constraints: first, the state's economy is expected to grow at a moderate pace, limiting the resources available to fund state spending requirements, and second, past state policy dictates the allocation of available resources. The administration’s budget offers as a starting point a set of policy choices that only partially accepts these dual constraints. While the budget recognizes the need to restrain state expenditure growth to the level of available resources, it proposes changes in existing policies as to how those resources are 'allocated. In part, this reflects the administration's preferences as to how the state's money should be spent. Over the next four months, the Legislature and the administration will attempt to reconcile their preferences in developing a state budget for 1990-91. However, changes in the economy and in the state's past policy choices also may influence the budget that is ultimately signed into law. Here we review the state's fiscal condition, the major areas where de-mand for state services is outstripping its ability to provide them, and the extent to which the state's existing revenue base is capable of supporting the delivery of existing and additional state services. Finally, we provide a brief examination of the strategies proposed in the Governor's Budget for resolving the state's fiscal dilemma.
February 1, 1990 - The state is faced with a large and growing need to revitalize and expand its infrastructure. Although the state does not have a comprehensive plan to identify its specific capital outlay requirements and associated costs, it is clear that the state's infrastructure needs are in the tens of billions of dollars. To better identify these requirements, establish priorities and develop an appropriate financing plan for this infrastructure, the state needs a comprehensive multi-year capital outlay plan. Until such a plan is available, however, we suggest the Legislative establish criteria to assess specific capital outlay proposals. We also believe the Legislature should establish standards for maintenance of state facilities and set as a high priority goal the elimination of deferred maintenance.