The 2018-19 Budget: Analysis of the Governor's 340B Medi-Cal Proposal

Mar 21, 2018 - Around half of these rebates are collected for drugs paid for through FFS (and a subset of county ‑operated MCPs), with the remaining half collected for prescription drugs paid for through managed care.
https://lao.ca.gov/Publications/Report/3790

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

Mar 1, 2018 - These funds were dedicated to several uses, including to trial courts for construction and operations and to counties for new voting systems. All of this proposed spending is included in the administration’s workload budget for 2018‑19.
https://lao.ca.gov/Publications/Report/3765

The 2018-19 Budget: The Administration’s Proposition 55 Estimates [Publication Details]

Mar 1, 2018 - Proposition 55 (2016) aimed to increase funding for Medi-Cal under a formula administered by the Department of Finance. In 2018-19, the first year of implementation of this calculation, the administration’s interpretations and estimates result in no additional funds to Medi-Cal. Two key choices lead to this result. First, the administration’s decision to subtract $3.
https://lao.ca.gov/Publications/Detail/3765

The 2018-19 Budget: Analysis of the Health and Human Services Budget

Feb 16, 2018 - Until 2011 ‑ 12 t he state General Fund and counties shared significant portions of the nonfederal costs of administering CWS. In 2011, the state enacted legislation known as 2011 r ealignment, which dedicated a portion of the state ’s sales tax to counties to administer CWS.
https://lao.ca.gov/Publications/Report/3757

Fiscal Outlook: Medi-Cal

Nov 15, 2017 - Expiration of Managed Care Organization (MCO) Tax Current MCO Tax. The current MCO tax is assessed on a large number of managed care plans in the state. Revenues from the MCO tax, which leverage federal funding for Medi-Cal, provide a substantial General Fund offset —an estimated $1.8  billion in 2017-18.
https://lao.ca.gov/Publications/Report/3715

Fiscal Outlook: In-Home Supportive Services (IHSS)

Nov 15, 2017 - This increase in county contributions to IHSS costs effectively decreases our projected state share of cost for the IHSS program by hundreds of millions of dollars annually. Restoration of the IHSS Service Hours Previously Reduced by 7  Percent Tied to Managed Care Organization (MCO) Tax Existence.
https://lao.ca.gov/Publications/Report/3712

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

May 16, 2017 - Figure 2 Main Features of the Proposal 2017-18 General Fund support to partially offset increased county IHSS costs $400  million Realignment revenue growth to partially offset increased county IHSS costs a All sales tax and VLF growth All sales tax and VLF growth All sales tax and VLF growth All sales
https://lao.ca.gov/Publications/Report/3671

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

May 16, 2017 - The new MOE would significantly increase costs to counties in 2017-18 relative to 2016-17. While the MOE shifts significant costs to counties, the proposal provides state General Fund support and additional realignment revenue to partially offset this increase.
https://lao.ca.gov/Publications/Detail/3671

The 2017-18 Budget: Analysis of the Medi-Cal Budget

Mar 9, 2017 - The three major sources of higher special fund spending in Medi ‑Cal in 2017 ‑18 are (1)  Proposition  56 tobacco excise tax revenues dedicated to Medi ‑Cal, (2)  managed care organization tax revenues, and (3)  hospital quality assurance fee revenues.
https://lao.ca.gov/Publications/Report/3612