January 17, 2017 - In this report, we describe the demographics of California’s veterans and provide a high-level overview of veterans services provided in the state’s veterans homes and services provided in the community. We then review and provide our findings regarding the federally and state-funded services available to veterans related to four service areas of legislative interest: long-term care, transitional housing, mental and behavioral health, and employment assistance. Finally, we highlight issues for legislative consideration and offer options to improve service delivery within the veterans homes.
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, 1996 - Analysis of the 1996-97 Budget Bill, State Administration Chapter
February 20, 2002 - Analysis of the 2002-03 Budget Bill, Capital Outlay Chapter
January 22, 2015 - In 2012, the Legislature authorized the development and pilot implementation of a universal assessment tool (UAT) to streamline eligibility and level-of-need determinations for three home- and community-based services (HCBS) programs that provide care to seniors and people with disabilities. Our analysis finds that the benefits of a UAT likely outweigh the costs associated with its development. To ensure the UAT achieves the benefits of creating a more effective and efficient approach to HCBS assessment, we recommend: (1) legislation specifying intent to eventually use the UAT on a statewide basis, (2) development of an automated UAT customized to fit within California’s programmatic and policy environment, (3) piloting of county welfare departments and managed care plans as administrators of the UAT, and (4) a formal evaluation of the UAT pilot.
November 28, 2016 - This report presents the results of our projections to inform the Legislature and stakeholders about levels of disability and the potential need for long–term supports and services (LTSS) among California’s seniors over the next several decades. These projections provide a useful starting point in understanding how California’s changing population demographics will impact the LTSS delivery system. The results presented in this report can also be built upon with further analysis focused on utilization and financing of LTSS over the long term.
A companion video and infographic highlight key findings from the report.
February 19, 2003 - Analysis of the 2003-04 Budget Bill, General Government Chapter
March 3, 2009 - Presented to Assembly Veterans Affairs Committee