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Section 1115 Waiver Renewal: Key Medi-Cal Financing Issues Remain Outstanding

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.


Upcoming Changes in Medi-Cal Create Fiscal and Policy Uncertainty

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.


Framework For Cap-And-Trade Investment Plan Needs Further Development

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.


The MCO Tax: A Flat Versus Tiered Structure

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.


Funding for Major Internet-Related Programs Since 2000

February 17, 2015 - Summarizes major state and federal funding for Internet-related programs.


Snapshot of Internet Usage in Schools

January 13, 2015 - Provides information about schools’ Internet speeds, service providers, and the number of devices per student.


An Overview of Internet in Schools

January 7, 2015 - Describes key aspects of schools’ Internet connections, including physical infrastructure, connection speeds, Internet service providers, devices used to display Internet content, and networking equipment.