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The 2019-20 Budget: Proposition 56 Revenues: Reductions in Fixed Allocations [Publication Details]

Feb 14, 2019 - In this post, we review the administration’s reductions to certain allocations of Proposition 56 tobacco tax revenue. In our view, the administration’s approach for 2019-20 is reasonable. However, the administration has not yet decided how these adjustments will be determined in 2020-21 and beyond.
https://lao.ca.gov/Publications/Detail/3939

The 2022-23 Budget: Analysis of the Governor’s Major Behavioral Health Proposals

Mar 3, 2022 - We  also find that the proposed cap on the number of county felony IST referrals (above which a county would pay a share of cost for felony IST treatment) raises state reimbursable mandate questions.
https://lao.ca.gov/Publications/Report/4569

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

May 16, 2019 - In 2018 ‑19, counties are receiving $9.3  billion in funding for community mental health services. 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.
https://lao.ca.gov/Publications/Report/4049

Mental Health Services Act: Impact of Governor's Proposal on Funding for Children and Youth [Publication Details]

Aug 10, 2023 - In this post, we evaluate the impact of the Governor’s Behavioral Health Modernization proposal on Mental Health Services Act spending by counties on children and youth mental health services.
https://lao.ca.gov/Publications/Detail/4786

The 2021-22 Budget: Analysis of CalAIM Financing Issues

Feb 16, 2021 - Whether the state would be required to fund the additional costs counties may bear for these reforms is unclear. County Inmate Eligibility Processes Could Increase Medi ‑Cal Caseload and Represent a Reimbursable County Mandate.
https://lao.ca.gov/Publications/Report/4374

The 2018-19 Budget: The Administration’s Proposition 55 Estimates [Publication Details]

Mar 1, 2018 - Proposition 55 (2016) aimed to increase funding for Medi-Cal under a formula administered by the Department of Finance. In 2018-19, the first year of implementation of this calculation, the administration’s interpretations and estimates result in no additional funds to Medi-Cal. Two key choices lead to this result. First, the administration’s decision to subtract $3.
https://lao.ca.gov/Publications/Detail/3765

Enhancing Federal Financial Participation for Consumers Served by the Department of Developmental Services

Nov 9, 2021 - While DDS and RCs use the phrase “institutional deeming, ” the county and Medi ‑Cal Eligibility Procedures Manual typically use “DDS waiver ” or “DD waiver. ” Communication Between Counties and RCs. Although the referral form that RCs send to counties indicate that the county should send a notification back to the RC when the
https://lao.ca.gov/Publications/Report/4471

The 2022-23 Budget: Analysis of the Medi-Cal Budget

Feb 9, 2022 - While many details of this proposal remain under development, the funding is intended to go to counties. We plan to analyze this proposal in a separate behavioral health ‑focused budget post. Expansion of Medi ‑Cal to All Income ‑Eligible Californians.
https://lao.ca.gov/Publications/Report/4522

The 2020-21 Budget: Analysis of the Department of State Hospitals Budget

Feb 11, 2020 - These programs could be administered by local entities other than county mental health departments includi ng, but not limited to, county departments of public health, county public guardians, or county public defenders.
https://lao.ca.gov/Publications/Report/4154

The 2019-20 May Revision: Update to Governor's 1991 Realignment Proposals

May 29, 2019 - Continue practice of treating Yolo County as non ‑CMSP county for purposes of the redirection and increase redirection to 75 percent. Yolo County proposed to be treated as CMSP county for purposes of the redirection.
https://lao.ca.gov/Publications/Report/4077