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

May 16, 2017 - The proposal does not specify whether this determination would be made based on the growth in sales tax, VLF, or a combination. Sales Tax Forgiveness. Recently, the Department of Finance and others have identified issues in the Board of Equalization ’s distribution of sales tax revenue.
https://lao.ca.gov/Publications/Report/3671

Federal COVID-19 Response Actions Affecting Older Adults and Persons with Disabilities

Apr 16, 2020 - Eligibility will be determined primarily through an individual ’s most recent tax filing (2019 for those who have already filed, 2018 otherwise). Initially, the Internal Revenue Service (IRS) released guidance stating that people who typically do not file a tax return, including low-income, older adults and individuals with disabilities, will need to file a tax return or register through an online tool to receive the one-time cash assistan ce.
https://lao.ca.gov/Publications/Report/4221

Fiscal Outlook: In-Home Supportive Services (IHSS)

Nov 15, 2017 - Under current law, the MCO tax is set to expire at the end of  2018 ‑19. Given this expected expiration of the MCO tax, our outlook projections assume that the General Fund support for the restoration of service hours will not be included beginning in  2019 ‑20.
https://lao.ca.gov/Publications/Report/3712

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 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 Budget: Overview of the Governor's Budget

Jan 14, 2019 - Based on the recent federal approval of a similar tax in Michigan, federal approval of a reauthorized California MCO tax appears likely. Despite this development, the administration did not propose an extension of the MCO tax in 2019 ‑20, forgoing over $ 1  b illion in General Fund benefit.
https://lao.ca.gov/Publications/Report/3916

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 2020-21 Budget: Analysis of the Medi-Cal Budget [Publication Details]

Feb 14, 2020 - We also discuss the administration’s recent submittal (late January 2020) of a modified managed care organization (MCO) tax proposal. We then provide analysis and recommendations on a series of key issues: (1) Recently proposed draft federal regulations referred to as the “Medicaid Fiscal Accountability Regulation;” (2) proposals related to the Medi‑Cal pharmacy services benefit;
https://lao.ca.gov/Publications/Detail/4161