The 2020-21 Budget: Analysis of the Medi-Cal Budget

Feb 14, 2020 - In this report, we provide high‑level background on the Medi‑Cal program and an overview of the major drivers of year‑over‑year spending changes in the Governor’s budget. We also discuss the administration’s recent submittal (late January 2020) of a modified managed care organization (MCO) tax proposal.
https://lao.ca.gov/Publications/Report/4161

The 2020-21 Budget: Overview of the Governor's Budget

Jan 13, 2020 - Recently, corporation tax collections have grown faster than anticipated while personal income tax collections have grown somewhat slower. The administration assumes that this pattern will continue. This is because they attribute the pattern to partnerships, which are taxed under the personal income tax, changing to corporations in response to 2017 federal tax changes.
https://lao.ca.gov/Publications/Report/4135

The 2020-21 Budget: Medi-Cal Fiscal Outlook

Nov 20, 2019 - Assumes Expiration of Reauthorized MCO Tax Halfway Through 2022 ‑23. The reauthorized MCO tax is scheduled to expire halfway through the 2022 ‑23 fiscal year. Accordingly, our outlook assumes no revenues from an operative MCO tax after December 2022.
https://lao.ca.gov/Publications/Report/4116

The 2020-21 Budget: Medi-Cal Fiscal Outlook [Publication Details]

Nov 20, 2019 - This web post provides detail on our projections and assumptions related to General Fund spending in Medi-Cal for the years 2019-20 through 2023-24. In the near term, we project Medi-Cal spending to grow to $23.5 billion in 2020-21. Over the long term, we project General Fund spending in Medi-Cal to grow to up to $27.6 billion.
https://lao.ca.gov/Publications/Detail/4116

The 2019-20 Budget: California Spending Plan—Health and Human Services [Publication Details]

Oct 17, 2019 - Major health-related policy actions include the reauthorization of a tax on managed care organizations (which will reduce the above-noted General Fund health spending by $1 billion, pending federal approval) and over $400 million General Fund for state-funded subsidies for health insurance purchased on the individual market through Covered California.
https://lao.ca.gov/Publications/Detail/4104

The 2019-20 Budget: California Spending Plan—Health and Human Services

Oct 17, 2019 - Because the MCO tax is a health care-related tax imposed on Medicaid services, it must be approved by the federal government. Figure 8 Comparing the Tax Rates of the Previous and Reauthorized MCO Taxes Member Months a Tax Rate Per Member Month Previous Tax: 2018 ‑19 Rates Reauthorized Tax: 2019 ‑20 Rates Medi ‑Cal Enrollees
https://lao.ca.gov/Publications/Report/4104

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 2019-20 May Revision: Analysis of the Governor’s January and May Mental Health Workforce Proposals

May 16, 2019 - About half of funding for county mental health services is provided by the state through block grants that grow on an annual basis in line with state tax revenues. Federal Medicaid funding makes up most of the remaining funding.
https://lao.ca.gov/Publications/Report/4049

Governor’s May Revision Update: Health Insurance Affordability Proposals

May 15, 2019 - However, because households required to pay the penalty will not do so until early 2021 (when state income taxes are filed for 2020), the state General Fund would cover the cost of subsidies provided in 2019 ‑20, as shown in Figure 2.
https://lao.ca.gov/Publications/Report/4047

Governor’s May Revision Update: Health Insurance Affordability Proposals [Publication Details]

May 15, 2019 - With the May Revision (and prior to the May Revision with the release of proposed implementing legislation), the administration has provided additional details on its January proposal to impose a state individual mandate and use penalty revenues from the mandate to fund health insurance subsidies.
https://lao.ca.gov/Publications/Detail/4047