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Mental Health Services Act: Proposed Change in Mental Health Services Oversight and Accountability Commission’s Role


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Mental Health Services Act: LAO Update: The Governor's Revised Behavioral Health Modernization Proposal

August 21, 2023 - In this post, we update key issues raised in our prior analyses based on the August 15th amendments to the Governor’s Behavioral Health Modernization proposal.

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Mental Health Services Act: Impact of Governor's Proposal on Funding for Children and Youth

August 10, 2023 - In this post, we evaluate the impact of the Governor’s Behavioral Health Modernization proposal on Mental Health Services Act spending by counties on children and youth mental health services.

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[PDF] The Governor’s Behavioral Health Modernization Proposal

August 22, 2023 - Presented to: Assembly Committee on Health and Assembly Committee on Housing and Community Development

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[PDF] The Governor’s Behavioral Health Modernization Proposal

August 16, 2023 - Presented to: Senate Committee on Health

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Mental Health Services Act: Proposed Restructuring of the MHSA Funding Categories and Impacts on County Spending

July 13, 2023 - In this post, we analyze how county spending may change under the Governor’s proposed changes to the Mental Health Services Act’s funding categories.

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Mental Health Services Act: Revenue Volatility and the Governor’s Proposal to Reduce Allowable County Reserves

July 13, 2023 - In this post, we analyze the revenue volatility of MHSA funding as well as the impact of the Governor’s proposed reduction in allowable county reserves.

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[PDF] Overview of Public Community Mental Health Services Funding and the Mental Health Services Act

August 21, 2019 - Assembly Committee on Accountability and Administrative Review and Assembly Committee on Health

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Mental Health Services Act: Proposed Bond to Fund Behavioral Health Facilities and Veterans Housing

August 17, 2023 - In this post, we assess the Governor’s proposed bond for behavioral health facilities and housing for veterans.

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The 2013-14 Budget: California Spending Plan

November 4, 2013 - The LAO’s annual California Spending Plan publication details the 2013-14 budget package, including legislative and gubernatorial actions through October 2013. (Our office released a preliminary electronic version of the report on July 30, 2013 that summarized legislative and gubernatorial actions through that date.) Major features of the 2013-14 budget plan include $2.1 billion for a new formula to distribute funding amongst schools, a state-based plan to expand Medi-Cal to cover more than one million additional low-income adults, and selected program augmentations.

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The 2020-21 Spending Plan: Health Budget and Policy

October 15, 2020 - From the General Fund, the 2020-21 spending plan provides $26.7 billion for health programs—an increase of 3 percent over estimated 2019-20 General Fund spending for these programs. The year-over-year net increase in General Fund spending is largely due to the projected COVID-19-related increase in the Medi-Cal caseload. The post describes major health-related actions (both policy actions and various budget adjustments) adopted by the Legislature as part of its 2020-21 spending plan. These actions include the offsetting of what would otherwise be General Fund costs with (1) revenues from the federally approved reauthorized tax on managed care organizations and (2) federal Medicaid funds that are being provided to the state at an enhanced level during the term of the public health emergency.

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The 2020-21 Budget: Re-Envisioning Medi-Cal—The CalAIM Proposal

February 28, 2020 - In this report, we provide an overview and assessment of the Governor's California Advancing and Innovating Medi-Cal (CalAIM) proposal, also known as Medi-Cal Healthier California for All. CalAIM would make far-reaching reforms to Medi-Cal that would increase the program’s focus on its high-cost and high-needs enrollee populations, transform and streamline Medi-Cal managed care, extend components of a current federal waiver, and rethink how behavioral health services are financed and delivered.

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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.

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The 2020-21 Budget: The Governor’s Homelessness Plan

February 11, 2020 - In this report we provide the Legislature context for the state’s homelessness crisis, provide an update on major recent state efforts to address homelessness, assess the Governor’s 2020‑21 homelessness plan, propose a framework to help the Legislature develop its own plan and funding allocations, and offer an alternative to the Governor’s 2020‑21 budget proposal.

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[PDF] The 2022-23 Budget: Analysis of the Governor’s Major Behavioral Health Proposals

March 3, 2022 - This brief analyzes the Governor’s three major behavioral health budget proposals. We include analyses of the Governor’s proposals to (1) provide funding for behavioral health bridge housing, (2) provide funding to implement certain solutions developed by the felony incompetent to stand trial solutions workgroup, and (3) add mobile crisis intervention services as a new Medi-Cal benefit.

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The 2021-22 Budget: CalAIM: The Overarching Issues

February 9, 2021 - The California Advancing and Innovating Medi-Cal (CalAIM) proposal is a set of reforms to expand, transform, and streamline Medi-Cal service delivery and financing. This post—the first in a series assessing different aspects of the Governor’s proposal—provides a brief overview of CalAIM, summarizes key changes from last year’s withdrawn proposal, and analyzes overarching issues related to CalAIM.

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[PDF] Governor's Proposed Community Mental Health Program Shift

February 21, 2012 - Presented to: Joint Oversight Hearing of the Assembly and Senate Health Committees and Assembly and Senate Budget Subcommittees on Health and Human Services

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The 2019-20 Budget: Reorganization of the Division of Juvenile Justice

April 10, 2019 - This report provides an overview of California’s juvenile justice system including DJJ and highlights several key questions raised by the Governor’s proposal for the Legislature to consider as the administration provides more detailed information on the proposal in the coming months.

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[PDF] Proposed Bond to Fund Behavioral Health Facilities and Veterans Housing

August 22, 2023 - Presented to: Assembly Committee on Health and Assembly Committee on Housing and Community Development