The 2013-14 Budget: Examining the State and County Roles in the Medi-Cal Expansion [Publication Details]

Feb 19, 2013 - Currently counties have the fiscal and programmatic responsibility for the care of the low-income adult population that would be covered by the expansion. The Governor has proposed to adopt the optional expansion, but has outlined two distinct approaches to implementing the expansion—a state-based approach and a county-based approach—and has not indicated a preference for either approach.
https://lao.ca.gov/Publications/Detail/2689

The 2017-18 Budget: Overview of the Governor's May Revision Medi-Cal Budget Proposal

May 17, 2017 - These special funds include revenues from the managed care organization tax, the hospital quality assurance fee, and Proposition  56. A portion of these higher revenues reflect the timing of payments, rather than an increase in ongoing revenues.
https://lao.ca.gov/Publications/Report/3674

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

California Counties A Look at Program Performance [Publication Details]

May 21, 1998 - California Counties A Look at Program Performance [Publication Details] Translate Our Website This Google ™ translation feature provided on the Legislative Analyst's Office (LAO) website is for informational purposes only.
https://lao.ca.gov/Publications/Detail/68

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

The 2023-24 Budget: Health Workforce Budget Solutions

Feb 21, 2023 - The federal government has designated hundreds of areas in California ( for the most part, small subdivisions of counties) as having shortfalls of primary care, mental health, and dental providers. The state also has designated 38 out of 72 areas in California as having high or medium shortfalls of nurses.
https://lao.ca.gov/Publications/Report/4691

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

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

An Alternative Approach: Treating the Incompetent to Stand Trial [Publication Details]

Jan 3, 2012 - In response to the waitlist, which averages between 200 and 300 individuals a month, the Department of Mental Health began a pilot program in San Bernardino County to treat ISTs in county jail instead of at a state hospital.
https://lao.ca.gov/Publications/Detail/2549

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