The 2021-22 Budget: Analysis of CalAIM Financing Issues

Feb 16, 2021 - Currently, capitated rates generally are set on a plan ‑by ‑plan and county ‑by ‑county basis. Because capitated rates differ by enrollee population, plan, and county, DHCS and its contracted actuary annually have to develop thousands of distinct capitated rates.
https://lao.ca.gov/Publications/Report/4374

The 2021-22 Budget: Initial Comments on the Governor’s May Revision

May 17, 2021 - The majority of these one-time proposals ($15  billion) meet the definition of capital outlay for the purposes of the SAL and are excludable. Governor Proposes $15  Billion in Spending on Capital Outlay.
https://lao.ca.gov/Publications/Report/4432

Mental Health Services Act: Revenue Volatility and the Governor’s Proposal to Reduce Allowable County Reserves

Jul 13, 2023 - By contrast, Proposition  63 filers derive a far greater share of their income from relatively volatile sources, including capital gains; partnership income; and dividends, interest, and rent. In particular, capital gains depend heavily on movements in financial markets.
https://lao.ca.gov/Publications/Report/4780

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

Jul 13, 2023 - In addition, about 20  percent of CSS funding can be used for capital facilities, technological needs, workforce, education and training, and deposits for counties ’ prudent reserves. While not required by MHSA, state regulations currently require counties to use 50  percent of CSS funding for FSPs.
https://lao.ca.gov/Publications/Report/4782

The 2021-22 Budget: Analysis of the Governor’s Medi-Cal Telehealth Proposal

May 13, 2021 - The above coverage requirements applied to both fee ‑for ‑service health care provider reimbursement and reimbursement to health care providers through capitation. Outside of the fee ‑for ‑service and capitated reimbursement models, under this Medi ‑Cal telehealth policy there were specific exceptions for certain health care provider types.
https://lao.ca.gov/Publications/Report/4430

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

Jan 13, 2023 - As the figure shows, most of the discretionary increases are to finance some capital outlay projects with cash instead of lease revenue bonds. This increases the size of the budget  problem. $800   Million in Other Differences.
https://lao.ca.gov/Publications/Report/4662

Mental Health Services Act: LAO Update: The Governor's Revised Behavioral Health Modernization Proposal

Aug 21, 2023 - County spending flexibility was reduced in two ways: (1) by creating only one category, Behavioral Health Services and Supports (BHSS), with just 30 percent of MHSA funding that could accommodate flexible program expenditures and (2) by including a wide variety of programs that counties would need to spend funds on in the BHSS category (early intervention, capital facilities,
https://lao.ca.gov/Publications/Report/4792

Building California’s Behavioral Health Infrastructure: Progress Update and Opportunities for the Proposition 1 Bond

Feb 5, 2025 - In ad dition, DHCS indicated it would need to contract for expertise in implementing real estate acquisition and capital improvement and to provide applicants with technical assistance. As  of December 2024, DHCS estimates the state will provide the TPA $72 million (including $61 million from the General Fund and $12 million from federal funds) for administration of the program.
https://lao.ca.gov/Publications/Report/4954

Mental Health Services Act: Proposed Change in Mental Health Services Oversight and Accountability Commission’s Role

Jul 13, 2023 - Both PEI and Innovation program activities largely would be shifted into a new third category —Behavioral Health Services and Supports (BHSS) —a broadly defined funding category that includes early intervention programs (a majority of the funding); services and supports for adults, older adults, and children that are not provided under FSPs; innovative behavioral health pilots and projects;
https://lao.ca.gov/Publications/Report/4781

Mental Health Services Act: Proposed Bond to Fund Behavioral Health Facilities and Veterans Housing

Aug 17, 2023 - Up to 20  percent of the amount counties receive from the MHSF for direct services can be used on capital (including facility acquisition and renovation), technology, workforce development, or to build reserve funding.
https://lao.ca.gov/Publications/Report/4790