Fiscal Outlook: In-Home Supportive Services (IHSS)

Nov 14, 2018 - For further discussion of the MCO tax, please reference the “Medi-Cal ” Fiscal Outlook online post. Administration Scheduled to Release Report of 1991 Realignment and IHSS County Costs. In 2017 ‑18, a new IHSS county maintenance ‑of ‑effort (MOE) —referred to as the 2017 IHSS MOE —was established.
https://lao.ca.gov/Publications/Report/3899

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

Feb 19, 2021 - Importantly, counties can send felony ISTs to other counties ’ competency restoration programs. Accordingly, counties with high rates of felony IST referrals that do not operate programs are typically located adjacent to counties that do.
https://lao.ca.gov/Publications/Report/4382

The 2021-22 Budget: Behavioral Health: Community Care Demonstration Project [Publication Details]

Feb 19, 2021 - This post analyzes the Governor’s proposal in the Department of State Hospitals to provide $233.2 million General Fund in 2021-22 and $136.
https://lao.ca.gov/Publications/Detail/4382

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: The Coordinated Care Initiative: A Critical Juncture

Feb 27, 2017 - We estimate that the 2018 ‑19 sales tax growth —which will be paid to counties in 2019 ‑ 20 —only will cover roughly one ‑fifth of the Social Services Subaccount cost increases borne by counties in 2017 ‑18.
https://lao.ca.gov/Publications/Report/3585

The 2020-21 Spending Plan: Health Budget and Policy

Oct 15, 2020 - Provides Funding to Backfill Declines in County Realignment Revenues, Some of Which Could Fund County Behavioral Health Services . The spending plan includes $750  million from the General Fund in 2020 ‑21 to offset counties ’ declines in realignment sales tax revenues.
https://lao.ca.gov/Publications/Report/4281

The 2024-25 Budget: The MCO Tax Package at May Revision

May 22, 2024 - Background MCO Tax State Has Renewed and Increased the MCO Tax. The 2023-24 budget renewed the MCO tax through the end of 2026. Like the recent past versions, the tax is based on MCOs ’ enrollment in Medi-Cal and private insurance.
https://lao.ca.gov/Publications/Report/4905

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 2024-25 Budget: The MCO Tax Package at May Revision [Publication Details]

May 22, 2024 - The 2024-25 Budget: The MCO Tax Package at May Revision [Publication Details] The 2024-25 Budget: The MCO Tax Package at May Revision Format: HTML Description: This post provides our initial assessment of the Governor’s proposed managed care organization (MCO) tax package in the May Revision.
https://lao.ca.gov/Publications/Detail/4905

Mental Health Services Act: LAO Update: The Governor's Revised Behavioral Health Modernization Proposal

Aug 21, 2023 - How August 15 th Amendments to SB  326 Respond to Issue Increased County Flexibility to Shift Funding Between Categories … Our analysis of the Governor ’s initial proposal found that the proposed new funding categories likely would result in the need for counties to reduce or redirect spending on some current county programs and services.
https://lao.ca.gov/Publications/Report/4792