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

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 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

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 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 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 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

The 2021-22 Budget: LAO Preliminary Comments on the May Revision Medi-Cal Budget

May 21, 2021 - CalAIM, as proposed in January, would place new requirements on counties to initiate Medi ‑Cal enrollment, care coordination, and services for county inmates prior to their release from jail. These new requirements would take effect in January 2023.
https://lao.ca.gov/Publications/Report/4436

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