Fiscal Outlook: In-Home Supportive Services (IHSS)

Nov 14, 2018 - This, in part, may be due to IHSS service hours being temporarily reduced in some years and restored in others, resulting in IHSS service hours fluctuating by a greater amount year to year relative to average growth trends.
https://lao.ca.gov/Publications/Report/3899

The 2021-22 Budget: CalAIM: Equity Considerations

Mar 12, 2021 - All that said, the evaluations only cover the expiring pilot program ’s earliest years of implementation. Positive impacts directly related to program implementation could take longer to arise. The forthcoming evaluations should cover the impacts of the latter years of implementation and, therefore, fundamentally could change our understanding of the impacts of these programs.
https://lao.ca.gov/Publications/Report/4402

Federal Approval of a Reauthorized Managed Care Organization Tax Now Appears More Likely

Dec 21, 2018 - Fiscal Year. The tax rates generally increase each fiscal year. MCO Structure. The MCO tax applies a unique tax rate to non-Medi-Cal enrollment in any MCO that qualifies as an “Alternate Health Care Service Plan, ” defined as a nonprofit health plan that has high statewide enrollment, that owns or operates pharmacies, and that exclusively contract with a single medical group in all of its geographic areas of operation.
https://lao.ca.gov/Publications/Report/3915

The 2019-20 May Revision: Governor's May Revision Medi-Cal Budget

May 14, 2019 - Significant Changes to the Governor ’s Proposition  56 Multiyear Spending Plan The May Revision proposes a variety of changes related to the use of Proposition  56 funding in Medi-Cal over the next several years.
https://lao.ca.gov/Publications/Report/4046

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

Feb 28, 2020 - (Because of the complexity of the rate ‑setting process, it typically takes two to three years for year ‑over ‑year changes in plan costs to be reflected in their capitated rates.) Since the state pays Medi ‑Cal managed care plans largely on the basis of their costs, any growth in managed care plans ’ ILOS costs would ultimately be borne by the state.
https://lao.ca.gov/Publications/Report/4185

Impact of COVID-19 on Health Care Access

May 7, 2021 - While the number of hospital inpatient bed days was roughly unchanged between 2020 and 2019 (on net), physician and nonphysician encounters were down by around 10  percent year over year. As Figure  5 shows, physician and nonphysician encounters have gradually, but not fully, returned to 2019 levels by the last quarter of 2020.
https://lao.ca.gov/Publications/Report/4426

The 2018-19 Budget: The Administration’s Proposition 55 Estimates

Mar 1, 2018 - Calculation This Year Will Set Precedent for Future Years. The administration of the Medi ‑Cal funding formula under Proposition   55 t his year will have implications for how the calculation is interpreted and administered in future years.
https://lao.ca.gov/Publications/Report/3765

The Substance Abuse and Crime Prevention Act: Proposition 36 Under Policy Change [Publication Details]

Feb 21, 2007 - We review the proposal for a net reduction of $25 million for Proposition 36 programs, discuss why this reduction might eventually result in increased prison costs, and recommend redirecting funds in order to support Proposition 36 programs at their current level.
https://lao.ca.gov/Publications/Detail/1606

Fiscal Outlook: Medi-Cal

Nov 14, 2018 - As a result, growth in year-over-year spending is projected to be slower in the final years of our outlook than the elevated growth in the earlier years. MCO Tax. We project that the expiration of the MCO tax will increase General Fund spending in Medi-Cal to almost $1.9  billion annually by 2020-21.
https://lao.ca.gov/Publications/Report/3898

The 2017-18 Budget: The Governor's May Revision In-Home Supportive Services Cost-Sharing Proposal

May 16, 2017 - That is, year-over-year increases in realignment revenue pay for prior-year increases in county costs for realignment programs. As a result, counties effectively receive “reimbursement ” for the costs they incur.
https://lao.ca.gov/Publications/Report/3671