The 2023-24 Budget: Medi-Cal Fiscal Outlook

Nov 16, 2022 - The current MCO tax has been in place since January 2020 and is scheduled under current law to end in December 2022. We project the end of this tax will increase General Fund spending by $1.5 billion in 2023‑24.
https://lao.ca.gov/Publications/Report/4649

Climate Change Impacts Across California - Crosscutting Issues

Apr 5, 2022 - These trends will be even more severe in some inland counties. For example, in Fresno County, the historical trends of five days of extreme heat per year are projected to increase to 29 days annually between 2035 and 2064 and 43 days annually between 2070 and 2099.
https://lao.ca.gov/Publications/Report/4575

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

Feb 16, 2018 - Until 2011 ‑ 12 t he state General Fund and counties shared significant portions of the nonfederal costs of administering CWS. 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.
https://lao.ca.gov/Publications/Report/3757

The 2021-22 Budget: Analysis of the Medi-Cal Budget

Feb 16, 2021 - To expand county behavioral health treatment capacity, the Governor proposes $ 750  m illion one ‑time available for three years to provide grant funds to counties to acquire and renovate behavioral health facilities.
https://lao.ca.gov/Publications/Report/4373

The 2023-24 Budget: Medi-Cal Fiscal Outlook [Publication Details]

Nov 16, 2022 - This brief provides our annual fiscal outlook for General Fund spending in Medi-Cal. It summarizes our projections, describes the major factors driving our projections, and highlights several uncertainties.
https://lao.ca.gov/Publications/Detail/4649

The 2022-23 Budget: Medi-Cal Fiscal Outlook

Nov 17, 2021 - Assumed Expiration of the MCO Tax Reauthorization of the MCO Tax Would Generate Billions of Dollars in General Fund Savings Beginning in 2023 ‑24. The MCO tax generates annual General Fund savings in Medi ‑Cal of $1.5 billion or more for each year it is in effect.
https://lao.ca.gov/Publications/Report/4474

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

May 16, 2017 - The new MOE would significantly increase costs to counties in 2017-18 relative to 2016-17. While the MOE shifts significant costs to counties, the proposal provides state General Fund support and additional realignment revenue to partially offset this increase.
https://lao.ca.gov/Publications/Detail/3671

COVID-19: Federal Health-Related Response

Mar 23, 2020 - To relieve state budgetary pressure caused by COVID-19 ’s likely impacts on state Medicaid expenditures and tax revenues, Congress approved a temporary 6.2  percentage point increase in the federal government ’s share of cost for state Medicaid programs.
https://lao.ca.gov/Publications/Report/4209

The 2021-22 Budget: CalAIM: New Directions for Services for Seniors and Persons With Disabilities

Mar 15, 2021 - Currently, nursing home care is a managed care benefit in more than half of counties, but a fee ‑for ‑service benefit in the remaining counties. Longer ‑Term Vision for MLTSS. The administration proposes to transition from CCI to standardized mandatory enrollment of dual eligibles into managed care by January 2023.
https://lao.ca.gov/Publications/Report/4404