The 2013-14 Budget: Coordinated Care Initiative Update [Publication Details]

Feb 27, 2013 - The CCI will also integrate long-term services and supports (LTSS) under Medi-Cal managed care in the eight counties for dual eligibles and seniors and persons with disabilities covered only by Medi-Cal.
https://lao.ca.gov/Publications/Detail/2694

The 2021-22 Budget: Initial Comments on the Governor’s May Revision

May 17, 2021 - CAC = California Arts Council; CalVet = California Department of Veterans Affairs; CDE = California Department of Education; CDFA = California Department of Food and Agriculture; CDI = California Department of Insurance; CDT = California Department of Technology; SOC = Security Operations Center; IT = information technology; CMD = California Military Department; CPUC = California Public Utilities
https://lao.ca.gov/Publications/Report/4432/6

Governor’s May Revision Update: Health Insurance Affordability Proposals

May 15, 2019 - However, because households required to pay the penalty will not do so until early 2021 (when state income taxes are filed for 2020), the state General Fund would cover the cost of subsidies provided in 2019 ‑20, as shown in Figure 2.
https://lao.ca.gov/Publications/Report/4047

Governor’s May Revision Update: Health Insurance Affordability Proposals [Publication Details]

May 15, 2019 - With the May Revision (and prior to the May Revision with the release of proposed implementing legislation), the administration has provided additional details on its January proposal to impose a state individual mandate and use penalty revenues from the mandate to fund health insurance subsidies.
https://lao.ca.gov/Publications/Detail/4047

The 2020-21 Budget: Overview of the Governor's Budget

Jan 13, 2020 - Recently, corporation tax collections have grown faster than anticipated while personal income tax collections have grown somewhat slower. The administration assumes that this pattern will continue. This is because they attribute the pattern to partnerships, which are taxed under the personal income tax, changing to corporations in response to 2017 federal tax changes.
https://lao.ca.gov/Publications/Report/4135

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

May 14, 2019 - In combination with a package of associated tax  changes, the existing MCO tax package generates  a net General Fund benefit of around $1.5  billion. Under state law, the MCO tax package expires at the end of 2018 ‑19.
https://lao.ca.gov/Publications/Report/4046

The 2020-21 Spending Plan: Health Budget and Policy [Publication Details]

Oct 15, 2020 - 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.
https://lao.ca.gov/Publications/Detail/4281

The MCO Tax: A Flat Versus Tiered Structure

Jul 20, 2015 - Some MCOs with higher tax rates could cede some of their market share to other MCOs with lower tax rates. A flat tax woul d not have this effect. Regardless of which tax structure is in place, there are signs that the MCO industry is already moving toward greater consolidation.
https://lao.ca.gov/Publications/Report/3292

The 2021-22 Budget: Medi-Cal Fiscal Outlook

Nov 18, 2020 - Assume Statutorily Scheduled Expiration of Managed Care Organization (MCO) Tax For a number of years, the state has imposed a tax on MCOs ’ Medi ‑Cal and commercial lines of business. The state ’s previous MCO tax expired at the end of 2018 ‑19 and, in 2019 ‑20, the Legislature reauthorized the MCO tax in similar but not identical form to the prior tax.
https://lao.ca.gov/Publications/Report/4299

Enhancing Federal Financial Participation for Consumers Served by the Department of Developmental Services—An Interim Update

Apr 19, 2021 - Counties Manage Medi-Cal Enrollment. While the DDS system manages waiver enrollment and 1915(i) SPA reimbursements to access federal funding once a DDS consumer is enrolled in Medi-Cal, county governments manage Medi-Cal eligibility determinations, including for DDS consumers.
https://lao.ca.gov/Publications/Report/4415