The 2021-22 Budget: Medi-Cal Fiscal Outlook

Nov 18, 2020 - Assume Statutorily Scheduled Expiration of Managed Care Organization (MCO) Tax For a number of years, the state has imposed a tax on MCOs ’ Medi ‑Cal and commercial lines of business. The state ’s previous MCO tax expired at the end of 2018 ‑19 and, in 2019 ‑20, the Legislature reauthorized the MCO tax in similar but not identical form to the prior tax.
https://lao.ca.gov/Publications/Report/4299

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

Federal COVID-19 Response Actions Affecting Older Adults and Persons with Disabilities

Apr 16, 2020 - Eligibility will be determined primarily through an individual ’s most recent tax filing (2019 for those who have already filed, 2018 otherwise). Initially, the Internal Revenue Service (IRS) released guidance stating that people who typically do not file a tax return, including low-income, older adults and individuals with disabilities, will need to file a tax return or register through an online tool to receive the one-time cash assistan ce.
https://lao.ca.gov/Publications/Report/4221

The MCO Tax Item 4260-101-0001 [Publication Details]

Jun 3, 2019 - The MCO Tax Item 4260-101-0001 [Publication Details] Translate Our Website This Google ™ translation feature provided on the Legislative Analyst's Office (LAO) website is for informational purposes only.
https://lao.ca.gov/Publications/Detail/4066

The 2019-20 Budget: Overview of the Governor's Budget

Jan 14, 2019 - Based on the recent federal approval of a similar tax in Michigan, federal approval of a reauthorized California MCO tax appears likely. Despite this development, the administration did not propose an extension of the MCO tax in 2019 ‑20, forgoing over $ 1  b illion in General Fund benefit.
https://lao.ca.gov/Publications/Report/3916

The 2019-20 Budget: The Governor's Individual Health Insurance Market Affordability Proposals

Feb 7, 2019 - Franchise Tax Board (FTB) Would Administer State Mandate. The administration has indicated that FTB, which administers the state ’s personal income tax, would implement the proposed state individual mandate penalty.
https://lao.ca.gov/Publications/Report/3927

The 2020-21 Budget: Analysis of the Medi-Cal Budget [Publication Details]

Feb 14, 2020 - We also discuss the administration’s recent submittal (late January 2020) of a modified managed care organization (MCO) tax proposal. We then provide analysis and recommendations on a series of key issues: (1) Recently proposed draft federal regulations referred to as the “Medicaid Fiscal Accountability Regulation;” (2) proposals related to the Medi‑Cal pharmacy services benefit;
https://lao.ca.gov/Publications/Detail/4161

The 2022-23 Budget: Health Care Access and Affordability

Feb 23, 2022 - Advance Premium Tax Credit (APTC). The APTC —as structured under the ACA —offsets the cost of health insurance premiums for households with incomes between 100  percent and 400  percent of the FPL. This  tax credit effectively limits a household ’s net premium for a silver plan (after accounting for the tax credit) to between 2  percent and 10  percent of annual income.
https://lao.ca.gov/Publications/Report/4560

The 2020-21 Budget: Analysis of the Medi-Cal Budget

Feb 14, 2020 - In this report, we provide high‑level background on the Medi‑Cal program and an overview of the major drivers of year‑over‑year spending changes in the Governor’s budget. We also discuss the administration’s recent submittal (late January 2020) of a modified managed care organization (MCO) tax proposal.
https://lao.ca.gov/Publications/Report/4161

The 2019-20 Budget: California Spending Plan—Health and Human Services [Publication Details]

Oct 17, 2019 - Major health-related policy actions include the reauthorization of a tax on managed care organizations (which will reduce the above-noted General Fund health spending by $1 billion, pending federal approval) and over $400 million General Fund for state-funded subsidies for health insurance purchased on the individual market through Covered California.
https://lao.ca.gov/Publications/Detail/4104