The 2023-24 California Spending Plan: Health

Oct 23, 2023 - If the federal government does not initially approve the MCO tax, the trailer bill legislation grants the administration authority to adjust the structure of the tax as needed to meet federal rules and to resubmit the tax for federal approval.
https://lao.ca.gov/Publications/Report/4810

The 2021-22 Budget: Behavioral Health: Medi-Cal Student Services Funding Proposal

Feb 17, 2021 - In California, counties provide this comprehensive set of services through SMHS. Children ’s Eligibility for SMHS Determined by Both Counties and Managed Care Plans. As discussed earlier, county behavioral health is responsible for providing SMHS and managed care plans are responsible for providing non ‑SMHS.
https://lao.ca.gov/Publications/Report/4377

The 2021-22 Budget: Behavioral Health: Medi-Cal Student Services Funding Proposal [Publication Details]

Feb 17, 2021 - This post analyzes the Governor’s proposal in the Department of Health Care Services to provide $200 million General Fund ($400 million total funds) one time to provide incentive payments to Medi-Cal managed care plans to increase the number of students receiving behavioral health services.
https://lao.ca.gov/Publications/Detail/4377

The 2021-22 Budget: Behavioral Health: Continuum Infrastructure Funding Proposal

Feb 17, 2021 - These sources include ( 1)  d edicated vehicle license fee and sales tax revenue streams known as “realignment ” funds, ( 2)  r evenues from the Mental Health Services Fund (MHSF) —funded through a 1  p ercent tax on incomes over $ 1  m illion, and ( 3)  f ederal funding accessed through Medi ‑Cal (California ’s state Medicaid program).
https://lao.ca.gov/Publications/Report/4379

The 2021-22 Budget: Assessment of CalHEERS Dashboard [Publication Details]

Mar 25, 2021 - Supplemental report language adopted by the Legislature in 2020-21 directed our office to provide an assessment of a new dashboard developed by the administration for Medi-Cal eligibility functionality issues in the California Healthcare Eligibility, Enrollment, and Retention System—an information technology system.
https://lao.ca.gov/Publications/Detail/4408

The 2021-22 Budget: Assessment of CalHEERS Dashboard

Mar 25, 2021 - CalHEERS refers individuals determined by the system to be likely eligible for Medi ‑Cal to county eligibility workers for final eligibility determination. County staff then use both CalHEERS and the Statewide Automated Welfare System (SAWS) to determine final program eligibility.
https://lao.ca.gov/Publications/Report/4408

The 2025-26 Budget: Overview of the Governor's Budget

Jan 13, 2025 - Significant Changes to Solutions From June 2024 Budget Package Managed Care Organization (MCO) Tax Package. Some of the largest budget solutions in the June budget package involved the MCO tax, a tax on health plans that supports the Medi ‑Cal program.
https://lao.ca.gov/Publications/Report/4951

The 2024-25 California Spending Plan: Health

Sep 17, 2024 - Freezes Statutory Increases in County Administration Funding. State law provides for increases in Medi-Cal county administration funding based on projected growth in the California Consumer Price Index.
https://lao.ca.gov/Publications/Report/4930

The 2024-25 Budget: Department of Health Care Access and Information

Feb 27, 2024 - In particular, the fund ’s revenues in 2022 ‑23, which primarily come from a tax on incomes over $1  million, are 21  percent lower than what was assumed in last year ’s budget. This lower level of revenues results in less funding available to the state and counties over the budget window and fewer resources in the fund ’s reserve.
https://lao.ca.gov/Publications/Report/4860

The 2024-25 Budget: Medi-Cal Analysis

Feb 14, 2024 - The administration also proposes to adopt a prospective payment system for inpatient services at UC and county hospitals, similar to the approach Medi ‑Cal currently uses for private and district hospitals.
https://lao.ca.gov/Publications/Report/4838