Mental Health Services Act: Proposed Restructuring of the MHSA Funding Categories and Impacts on County Spending

Jul 13, 2023 - Approved by voters in 2004, the MHSA places a 1  percent tax on personal income over $1  million and dedicates the associated revenues to mental health services. The vast majority ­ of MHSA revenues —at least 95   percent —goes directly to counties, which use it to support a variety of services for individuals with or at risk of mental illness.
https://lao.ca.gov/Publications/Report/4782

The 2022-23 Budget: Overview of the Governor's Budget

Jan 13, 2022 - Taxes Business Tax Reductions Lifts Temporary Limits on Business Tax Provisions. The Governor ’s budget proposes to end, one year early, temporary limits on the ability of businesses to use NOL deductions and tax credits to reduce their tax payments.
https://lao.ca.gov/Publications/Report/4492

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 2020-21 Budget: Medi-Cal Fiscal Outlook

Nov 20, 2019 - Assumes Expiration of Reauthorized MCO Tax Halfway Through 2022 ‑23. The reauthorized MCO tax is scheduled to expire halfway through the 2022 ‑23 fiscal year. Accordingly, our outlook assumes no revenues from an operative MCO tax after December 2022.
https://lao.ca.gov/Publications/Report/4116

The 2020-21 Budget: Medi-Cal Fiscal Outlook [Publication Details]

Nov 20, 2019 - This web post provides detail on our projections and assumptions related to General Fund spending in Medi-Cal for the years 2019-20 through 2023-24. In the near term, we project Medi-Cal spending to grow to $23.5 billion in 2020-21. Over the long term, we project General Fund spending in Medi-Cal to grow to up to $27.6 billion.
https://lao.ca.gov/Publications/Detail/4116

Major Potential State Fiscal Risk Averted Following Withdrawal of Proposed Federal Medicaid Financing Regulation

Sep 21, 2020 - For example, MFAR effectively would have prohibited health care-related taxes that place different tax rates on taxpayers based on their levels of Medicaid (versus non-Medicaid) activity. In their current forms, both the hospital quality assurance fee and the MCO tax likely would have run afoul of these rule changes.
https://lao.ca.gov/Publications/Report/4269

The 2019-20 Budget: Analysis of the Medi-Cal Budget [Publication Details]

Feb 13, 2019 - Specifically, we advise the Legislature to seriously consider renewing the managed care organization tax, despite the Governor not proposing to do so; present issues for consideration related to the Governor's proposed expansion of comprehensive Medi-Cal coverage for young adults regardless of immigration status; and provide an initial assessment of the Governor's proposals to use Proposition 56 funding in Medi-Cal to extend and expand provider payment increases.
https://lao.ca.gov/Publications/Detail/3935

The 2019-20 Budget: Analysis of the Medi-Cal Budget

Feb 13, 2019 - In this report, we describe the major changes and proposals in the Governor's proposed $100.7 billion (all funds) Medi-Cal budget.
https://lao.ca.gov/Publications/Report/3935

The 2022-23 Budget: Analysis of the Medi-Cal Budget [Publication Details]

Feb 9, 2022 - This brief analyzes the Governor’s budget proposal for Medi-Cal.
https://lao.ca.gov/Publications/Detail/4522