More publications like . . .
The 2019-20 Budget: Assessing the Governor’s Primary Care Physician Residency Proposals
[PDF] Governor’s Health Care Workforce Budget Proposals
March 25, 2019 - Assembly Budget Subcommittee No. 1 on Health and Human Services and Assembly Budget Subcommittee No. 2 on Education Finance
[PDF] Health Care in Rural California
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.
[PDF] Analysis of California’s Physician-Supervision Requirement for Certified Nurse Midwives
March 11, 2020 - In an effort to ensure safety and quality, California state law places occupational licensing restrictions on who may provide childbirth and reproductive-related health care services to women. These restrictions include a requirement that nurse midwives may only practice under the supervision of a licensed physician. At the request of a member of the Legislature, this report analyzes whether this requirement is meeting its intended safety and quality objectives, without significantly increasing cost or decreasing access to health care services. Drawing on national research—that compares health care outcomes in states with and without a similar physician-supervision requirement for nurse midwives—we find that California's requirement is unlikely to improve safety and quality for low-risk pregnancies and births. Moreover, we find that the requirement could limit access to nurse-midwife services, and potentially health care services for women overall, while also raising the cost of care. We recommend that the Legislature consider removing the state’s physician-supervision requirement, while adding other safeguards to ensure safety and quality. Such safeguards could include, for example, requiring nurse midwives to maintain appropriate referral and consultative relationships with physicians and requiring that they maintain medical malpractice insurance.
[PDF] Health Care Workforce Augmentations
May 31, 2018 - To be present to: Budget Conference Committee
[PDF] Item 4140-101-0001—OSHPD—Funding for Health Care Workforce Development Item 6440-001-0001—UC—Graduate Medical Education and Base Allocation
June 2, 2017 - Presented to Budget Conference Committee
The 2021-22 Spending Plan: Health
October 22, 2021 - The spending plan provides $33.7 billion General Fund for health programs. This is an increase of $6.7 billion, or 25 percent, compared to the revised 2020‑21 spending level. This year-over-year increase primarily is due to significant growth in projected General Fund spending in Medi-Cal. About two-thirds of the increase in General Fund Medi-Cal spending reflects technical budget adjustments (for example, adjustments due to projected caseload increases), while the remaining one-third reflects a large number of discretionary policy augmentations.
Hospitals Face Financial Headaches
February 20, 2002 - California hospitals face significant financial pressures in the next several years, particularly from recent federal regulations limiting the amount the state can pay public hospitals participating in Medi-Cal. We recommend steps the Legislature could take even in difficult fiscal times to deal with problems faced by hospitals.
The 2021-22 Budget: UC Programs in Medical Education
February 26, 2021 - This post analyzes the Governor's proposal to provide a General Fund augmentation to the University of California's Programs in Medical Education. These programs provide medical education focused on health equity and clinical experiences focused on underserved communities.
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.
[PDF] Managed Care Organization Tax: Background and Issues for Consideration on Administration’s Proposal
May 30, 2023 - Presented to: Assembly Committee on Health Assembly Budget Subcommittee No. 1 on Health and Human Services
The 2022-23 Budget: Analysis of the Care Economy Workforce Development Package
March 10, 2022 - This post analyzes the Governor’s proposed Care Economy Workforce Development Package. We provide an assessment and recommendations for both the package as a whole and for two specific components of the package.