Fiscal Outlook: In-Home Supportive Services (IHSS)

Nov 14, 2018 - Since 2016 ‑17, the General Fund has supported the restoration of IHSS service hours, which were previously reduced by 7  percent, so long as the MCO tax is in place. Under current law, the MCO tax is set to expire at the end of 2018 ‑19.
https://lao.ca.gov/Publications/Report/3899

The 2018-19 Budget: The Administration's Proposition 55 Estimates in the May Revision

May 22, 2018 - Proposition  55 (2016) extended tax rate increases on high ‑income earners from 2018 until 2030 (which voters originally passed on a temporary basis in 2012 as part of Proposition  30). Revenues raised by the measure benefit the General Fund.
https://lao.ca.gov/Publications/Report/3844

The 2018-19 Budget: Governor's May Revision Medi-Cal Budget

May 14, 2018 - General Fund savings from the MCO tax are offset by increases in plans ’ capitation payments owing to the tax. The May Revision estimates that net General Fund savings associated with the MCO tax are lower by $428  million over 2017 ‑18 and 2018 ‑19 as compared to the Governor ’s January budget.
https://lao.ca.gov/Publications/Report/3839

The 2018-19 Budget: Meeting Workforce Demand for Certified Nursing Assistants in Skilled Nursing Facilities

Apr 27, 2018 - Reimbursements are funded by the Employment Training Tax, which is a special tax paid by California employers. Members of ETP decide which businesses to award these training funds. To receive reimbursement for training costs, a business must pay trainees an ETP-determined minimum wage after the training is completed and must retain employees for at least three months after the training.
https://lao.ca.gov/Publications/Report/3815

The 2018-19 Budget: The Administration’s Proposition 55 Estimates

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/Report/3765

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

The 2018-19 Budget: Analysis of the Health and Human Services Budget

Feb 16, 2018 - In 2011, the state enacted legislation known as 2011 r ealignment, which dedicated a portion of the state ’s sales tax to counties to administer CWS. The 2018 ‑ 19 b udget projects that nearly $2. 5  b illion will be available from realignment revenues to fund CWS programs in 2018 ‑19.
https://lao.ca.gov/Publications/Report/3757

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

The 2017-18 Budget: Overview of the Governor's May Revision Medi-Cal Budget Proposal

May 17, 2017 - These special funds include revenues from the managed care organization tax, the hospital quality assurance fee, and Proposition  56. A portion of these higher revenues reflect the timing of payments, rather than an increase in ongoing revenues.
https://lao.ca.gov/Publications/Report/3674