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

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

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

Upcoming Changes in Medi-Cal Create Fiscal and Policy Uncertainty

Oct 9, 2015 - For more information on the MCO tax, see the “MCO Tax Modification ” write-up in our February report, The 2015‑16 Budget: Analysis of the Health Budget , and our prior post, "The MCO Tax: A Flat Versus Tiered Structure."
https://lao.ca.gov/Publications/Report/3300

The Universal Assessment Tool: Improving Care for Recipients of Home- and Community-Based Services [Publication Details]

Jan 22, 2015 - To ensure the UAT achieves the benefits of creating a more effective and efficient approach to HCBS assessment, we recommend: (1) legislation specifying intent to eventually use the UAT on a statewide basis, (2) development of an automated UAT customized to fit within California’s programmatic and policy environment, (3) piloting of county welfare departments and managed care plans as administrators of the UAT, and (4) a formal evaluation of the UAT pilot.
https://lao.ca.gov/Publications/Detail/3165

The 2019-20 Budget: The Governor's Individual Health Insurance Market Affordability Proposals

Feb 7, 2019 - Franchise Tax Board (FTB) Would Administer State Mandate. The administration has indicated that FTB, which administers the state ’s personal income tax, would implement the proposed state individual mandate penalty.
https://lao.ca.gov/Publications/Report/3927

The MCO Tax Item 4260-101-0001 [Publication Details]

Jun 3, 2019 - The MCO Tax Item 4260-101-0001 [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/4066

The 2015-16 Budget: Major Features of the Adopted Plan (Health and Human Services)

Jun 19, 2015 - Establishes New Earned Income Tax Credit. The budget package includes $380  million General Fund for a new Earned Income Tax Credit, designed to increase the after –tax income of the state ’s workers with the lowest incomes.
https://lao.ca.gov/Publications/Report/3277

The 2019-20 Budget: Analysis of the Governor’s Mental Health Workforce Proposal

May 9, 2019 - In addition, we would expect that a shortage of mental health professionals might lead to sharply rising salaries for mental health professionals as hospitals, clinics, counties, and other organizations compete to fill needed mental health positions.
https://lao.ca.gov/Publications/Report/4031

The 2020-21 Budget: Analysis of the Department of Developmental Services Budget

Feb 7, 2020 - PDC is likely a more appropriate placement for an individual with developmental disabilities than county jails. The EBSH homes would serve individuals at PDC who are deemed a danger to themselves or others.
https://lao.ca.gov/Publications/Report/4147