Mental Health Services Act: Proposed Restructuring of the MHSA Funding Categories and Impacts on County Spending

Jul 13, 2023 - Approved by voters in 2004, the MHSA places a 1  percent tax on personal income over $1  million and dedicates the associated revenues to mental health services. The vast majority ­ of MHSA revenues —at least 95   percent —goes directly to counties, which use it to support a variety of services for individuals with or at risk of mental illness.
https://lao.ca.gov/Publications/Report/4782

Mental Health Services Act: Revenue Volatility and the Governor’s Proposal to Reduce Allowable County Reserves

Jul 13, 2023 - This approach, however, would increase the number of tax filers paying the MHSA tax. Swap MHSA Tax for Portion of SUT. Another way to fundamentally address MHSA revenue volatility would be to transfer the MHSA tax that is collected to the state General Fund and shift a dedicated portion of the General Fund tax base to fund the MHSA.
https://lao.ca.gov/Publications/Report/4780

Mental Health Services Act: Proposed Change in Mental Health Services Oversight and Accountability Commission’s Role

Jul 13, 2023 - Approved by voters in 2004, the MHSA places a 1  percent tax on personal income over $1  million and dedicates the associated revenues to mental health services. The vast majority ­ of MHSA revenues —at least 95   percent —goes directly to counties, which use it to support a variety of services for individuals with or at risk of mental illness.
https://lao.ca.gov/Publications/Report/4781

Managed Care Organization Tax: Background and Issues for Consideration on Administration’s Proposal [Publication Details]

May 30, 2023 - Managed Care Organization Tax: Background and Issues for Consideration on Administration’s Proposal [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/4774

The 2023-24 Budget: Analysis of the Medi-Cal Budget [Publication Details]

Feb 10, 2023 - The 2023-24 Budget: Analysis of the Medi-Cal Budget [Publication Details] Description: This brief provides an overview of the Governor’s proposed budget for Medi-Cal, assesses the administration’s assumptions on caseload and COVID-19-related policies, and analyzes the Governor’s managed care organization tax proposal.
https://lao.ca.gov/Publications/Detail/4675

The 2023-24 Budget: Analysis of the Medi-Cal Budget

Feb 10, 2023 - New MCO Tax Proposal. The Governor proposes implementing a new MCO tax from January 2024 through December 2026. Similar to previous versions of the tax, a portion of the resulting revenues would help offset Medi ‑Cal General Fund costs.
https://lao.ca.gov/Publications/Report/4675

The 2023-24 Budget: Overview of the Governor's Budget

Jan 13, 2023 - The Governor ’s budget includes nearly $3  billion in reductions, the largest of which is withdrawing a discretionary principal payment on state ’s unemployment insurance loan (which otherwise is paid by employers ’ payroll taxes).
https://lao.ca.gov/Publications/Report/4662

Issues That Could Impact Californians' Health Care Coverage in 2023 and Beyond

Dec 16, 2022 - As part of the federal Tax Cuts and Jobs Act of 2017, Congress effectively eliminated the federal individual mandate by setting the penalty for violating the coverage requirement to zero beginning in 2019.
https://lao.ca.gov/Publications/Report/4654

The 2023-24 Budget: Medi-Cal Fiscal Outlook [Publication Details]

Nov 16, 2022 - This brief provides our annual fiscal outlook for General Fund spending in Medi-Cal. It summarizes our projections, describes the major factors driving our projections, and highlights several uncertainties.
https://lao.ca.gov/Publications/Detail/4649

The 2023-24 Budget: Medi-Cal Fiscal Outlook

Nov 16, 2022 - The current MCO tax has been in place since January 2020 and is scheduled under current law to end in December 2022. We project the end of this tax will increase General Fund spending by $1.5 billion in 2023‑24.
https://lao.ca.gov/Publications/Report/4649