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The 2023-24 California Spending Plan: Health


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The 2024-25 Budget: Department of Health Care Access and Information

February 27, 2024 - This post provides an overview of the Governor’s proposed budget for the Department of Health Care Access and Information, analyzes proposals around health care workforce programs, and provides an implementation update to two recently enacted hospital relief programs.

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The 2024-25 California Spending Plan: Health

September 17, 2024 - This post summarizes spending on health programs in the 2024-25 budget package.

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[PDF] The 2023-24 Budget: Analysis of the Medi-Cal Budget

February 10, 2023 - This brief provides an overview of the Governor’s proposed budget for Medi-Cal, assesses the administration’s assumptions on caseload and COVID-19-related policies, and analyzes the Governor’s managed care organization tax proposal.

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The 2022-23 Budget: Analysis of the Medi-Cal Budget

February 9, 2022 - This brief analyzes the Governor’s budget proposal for Medi-Cal. We include an analysis of the administration’s caseload projections, provide options for renewing the managed care organization tax (that the Governor proposes to let expire), and provide our assessment of the discretionary budget proposals to provide equity and practice transformation payments and eliminate certain existing provider payment reductions.

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The 2024-25 Budget: Medi-Cal Fiscal Outlook

December 7, 2023 - This post provides our annual fiscal outlook for General Fund spending in Medi-Cal. It summarizes our projections, describes the major factors driving our projections, and highlights key uncertainties.

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The 2023-24 Budget: Analysis of the Governor’s Major Behavioral Health Proposals

February 16, 2023 - This brief analyzes the Governor’s three major behavioral health spending proposals and two proposed behavioral health budget solutions involving delays in planned spending.

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The 2024-25 Budget: Medi-Cal Analysis

February 14, 2024 - This brief provides an overview of the Governor’s proposed budget for Medi-Cal; describes key trends in Medi-Cal caseload; and analyzes proposals around the managed care organization tax, provider payment increases, and other budget solutions.

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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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[PDF] Overview of Major Recent Behavioral Health Initiatives

February 28, 2023 - Presented to: Assembly Committee on Health Assembly Budget Subcommittee No. 1 on Health and Human Services

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[PDF] Overview of the Public Behavioral Health System in California

April 22, 2024 - Presented to: Assembly Budget Subcommittee No. 1 on Health

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The 2022-23 California Spending Plan: Health

October 24, 2022 - This post summarizes overall spending in the 2022-23 budget package for health programs. It is part of our Spending Plan series, which contains posts focused on each major sector of the state budget.

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The 2024-25 Budget: The MCO Tax Package at May Revision

May 22, 2024 - This post provides our initial assessment of the Governor’s proposed managed care organization (MCO) tax package in the May Revision. It first provides background on the MCO tax and the package that was in place at Governor’s budget. (The Governor’s budget included a plan to implement a multiyear spending framework that was adopted in last year’s budget.) Next, it summarizes the proposed changes at May Revision. It then provides our initial assessment and recommendations.

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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: Analysis of CalAIM Financing Issues

February 16, 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 second in a series assessing different aspects of the Governor’s proposal—analyzes CalAIM financing issues, including both the Governor’s funding plan for CalAIM as well as CalAIM’s policy changes related to Medi-Cal financing.