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

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

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

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

The 2017-18 Budget: Analysis of the Medi-Cal Budget

Mar 9, 2017 - The three major sources of higher special fund spending in Medi ‑Cal in 2017 ‑18 are (1)  Proposition  56 tobacco excise tax revenues dedicated to Medi ‑Cal, (2)  managed care organization tax revenues, and (3)  hospital quality assurance fee revenues.
https://lao.ca.gov/Publications/Report/3612

The 2017-18 Budget: The Coordinated Care Initiative: A Critical Juncture

Feb 27, 2017 - Other 1991 Realignment Programs Will Not Receive Sales Tax Growth. Due to the increased costs in IHSS, likely no sales tax growth will be available for programs downstream of the Social Services and Caseload Subaccounts for many years.
https://lao.ca.gov/Publications/Report/3585

The 2017-18 Budget: Analysis of the Department of Developmental Services Budget

Feb 24, 2017 - It is currently difficult to know exactly how many people with developmental disabilities in California have paid work —and at what pay level —because an individual ’s work may not be part of an employment program or because an individual may not earn enough to pay income taxes.
https://lao.ca.gov/Publications/Report/3581

The 2017-18 Budget: An Overview of the Governor's Proposition 56 Proposals

Feb 22, 2017 - The 2017-18 Budget: An Overview of the Governor's Proposition 56 Proposals $1,799 a Amounts reflect five quarters of revenue. b Replaces lost revenue to existing tobacco tax funds as well as state and local sales and use taxes.
https://lao.ca.gov/Publications/Report/3573

The 2017-18 Budget: An Overview of the Governor's Proposition 56 Proposals [Publication Details]

Feb 22, 2017 - The 2017-18 Budget: An Overview of the Governor's Proposition 56 Proposals [Publication Details] The 2017-18 Budget: An Overview of the Governor's Proposition 56 Proposals Format: HTML Description: Proposition 56 was approved by voters in November 2016 to increase taxes on cigarettes and other tobacco products.
https://lao.ca.gov/Publications/Detail/3573

The Uncertain Affordable Care Act Landscape: What It Means for California

Feb 17, 2017 - To encourage the use of HSAs, some Republican replacement proposals offer tax credits to individuals for contributions into an HSA. (The tax credit could either be some portion of the alternative health care tax credit discussed above or a separate tax credit.)
https://lao.ca.gov/Publications/Report/3569