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 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 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

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

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 2019-20 Budget: Using Proposition 56 Funding in Medi-Cal to Improve Access to Quality Care

Feb 22, 2019 - These concerns led to Proposition   56 —which raises state taxes on tobacco products and dedicates the majority of associated revenues to Medi ‑Cal on an ongoing basis —being put on the statewide ballot in November 2016.
https://lao.ca.gov/Publications/Report/3949

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