The 2017-18 Budget: The Coordinated Care Initiative: A Critical Juncture

Feb 27, 2017 - Over the past 25 years, the programs covered by 1991 realignment have changed substantially. Rather than simply adjusting the IHSS cost ‑sharing ratio, the Legislature may want to consider whether 1991 realignment has reached the end of its useful life.
https://lao.ca.gov/Publications/Report/3585

The 2016-17 Budget: Analysis of the Department of Developmental Services Budget

Mar 4, 2016 - About $1.3  billion, or about 25  percent, of the proposed POS budget is for spending related to CCFs. The CCFs are primarily funded through a rate methodology known as the Alternative Residential Model (ARM) rate —which has not been fully updated in many years.
https://lao.ca.gov/Publications/Report/3382

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

The 2021-22 Budget: Behavioral Health: Community Care Demonstration Project

Feb 19, 2021 - DSH Would Reassess Methodology for Ongoing Funding Amount After Three Years. Under the CCDP, DSH would reassess the methodology for determining the ongoing funding amount provided to participating counties after three years.
https://lao.ca.gov/Publications/Report/4382

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

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

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

Analysis of California’s Physician-Supervision Requirement for Certified Nurse Midwives

Mar 11, 2020 - As shown in Figure  1, to practice, a nurse midwife typically must attend six  years of post ‑secondary education and training. OB ‑GYNs, on the other hand, must attend 12  years of post ‑secondary education and training, including residency.
https://lao.ca.gov/Publications/Report/4197

The 2019-20 Budget: Proposition 56 Revenues: Reductions in Fixed Allocations

Feb 14, 2019 - Hereafter, we refer to this problematic approach as the “year-over-year method. ” Year-Over-Year Method: an Example. The left-hand side of Figure  3 below illustrates the allocation for graduate medical education under the year-over-year method.
https://lao.ca.gov/Publications/Report/3939

The 2020-21 Budget: Analysis of the Department of Developmental Services Budget [Publication Details]

Feb 7, 2020 - We first provide an overview of the budget proposal, including caseload projections and changes in year‑over‑year spending. We then consider four key new policy proposals. First, and most significantly, we consider the Governor’s proposal for a performance‑incentive program, which appears to represent a new direction for the DDS system.
https://lao.ca.gov/Publications/Detail/4147

The 2020-21 Budget: Analysis of the Medi-Cal Budget [Publication Details]

Feb 14, 2020 - The 2020-21 Budget: Analysis of the Medi-Cal Budget [Publication Details] The 2020-21 Budget: Analysis of the Medi-Cal Budget Format: HTML Description: In this report, we provide high‑level background on the Medi‑Cal program and an overview of the major drivers of year‑over‑year spending changes in the Governor’s budget.
https://lao.ca.gov/Publications/Detail/4161