The 2023-24 Budget: Whole Child Model Expansion

May 5, 2023 - For example, 22 counties have what is known as the “County Organized Health System ” (COHS) model, whereby generally only one county-formed managed care plan participates in Medi-Cal. These counties are collectively served by six public managed care plans.
https://lao.ca.gov/Publications/Report/4767

The 2023-24 Budget: Health Workforce Budget Solutions

Feb 21, 2023 - The federal government has designated hundreds of areas in California ( for the most part, small subdivisions of counties) as having shortfalls of primary care, mental health, and dental providers. The state also has designated 38 out of 72 areas in California as having high or medium shortfalls of nurses.
https://lao.ca.gov/Publications/Report/4691

The 2023-24 Budget: Analysis of the Governor’s Major Behavioral Health Proposals

Feb 16, 2023 - County Participation Unclear. Receiving a waiver for expanded use of IMD treatment would reduce county behavioral health costs by drawing down additional federal funds. Given the requirements on counties to implement the demonstration project, however, whether there would be a net fiscal benefit is uncertain.
https://lao.ca.gov/Publications/Report/4689

The 2023-24 Budget: Analysis of the Medi-Cal Budget [Publication Details]

Feb 10, 2023 - The 2023-24 Budget: Analysis of the Medi-Cal Budget [Publication Details] Description: This brief provides an overview of the Governor’s proposed budget for Medi-Cal, assesses the administration’s assumptions on caseload and COVID-19-related policies, and analyzes the Governor’s managed care organization tax proposal.
https://lao.ca.gov/Publications/Detail/4675

The 2023-24 Budget: Analysis of the Medi-Cal Budget

Feb 10, 2023 - The one ‑time General Fund roughly covers counties ’ share of cost for the first three months of 2023 ‑24, mitigating potential disruptions to counties ’ cash ‑flow during the transition. Partial Delay of Funding for Behavioral Health Bridge Housing.
https://lao.ca.gov/Publications/Report/4675

The 2023-24 Budget: Overview of the Governor's Budget

Jan 13, 2023 - The Governor ’s budget includes nearly $3  billion in reductions, the largest of which is withdrawing a discretionary principal payment on state ’s unemployment insurance loan (which otherwise is paid by employers ’ payroll taxes).
https://lao.ca.gov/Publications/Report/4662

Issues That Could Impact Californians' Health Care Coverage in 2023 and Beyond

Dec 16, 2022 - As part of the federal Tax Cuts and Jobs Act of 2017, Congress effectively eliminated the federal individual mandate by setting the penalty for violating the coverage requirement to zero beginning in 2019.
https://lao.ca.gov/Publications/Report/4654

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 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

The 2022-23 California Spending Plan: Health

Oct 24, 2022 - Funding for County Eligibility Redeterminations. Once the PHE ends, counties will have 14 months to complete redeterminations of eligibility for all Medi-Cal enrollees. The spending plan includes $18.3  million General Fund ($36.5  million total funds) in 2021-22 and $54.8  million General Fund ($109.5  million total funds) in 2022-23 to support the associated increase in county workload.
https://lao.ca.gov/Publications/Report/4642