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

Jul 13, 2023 - Yet, the MHSA tax is perhaps the most volatile source of revenue in the state tax system. Absent other changes, lowering prudent reserve caps as the Governor proposes will only exacerbate county budge ting challenges and place excessive fiscal risk on counties.
https://lao.ca.gov/Publications/Report/4780

The 2023-24 California Spending Plan: Health

Oct 23, 2023 - If the federal government does not initially approve the MCO tax, the trailer bill legislation grants the administration authority to adjust the structure of the tax as needed to meet federal rules and to resubmit the tax for federal approval.
https://lao.ca.gov/Publications/Report/4810

The 2024-25 Budget: Department of Health Care Access and Information

Feb 27, 2024 - In particular, the fund ’s revenues in 2022 ‑23, which primarily come from a tax on incomes over $1  million, are 21  percent lower than what was assumed in last year ’s budget. This lower level of revenues results in less funding available to the state and counties over the budget window and fewer resources in the fund ’s reserve.
https://lao.ca.gov/Publications/Report/4860

The 2024-25 Budget: The MCO Tax Package at May Revision

May 22, 2024 - Background MCO Tax State Has Renewed and Increased the MCO Tax. The 2023-24 budget renewed the MCO tax through the end of 2026. Like the recent past versions, the tax is based on MCOs ’ enrollment in Medi-Cal and private insurance.
https://lao.ca.gov/Publications/Report/4905

The 2024-25 Budget: The MCO Tax Package at May Revision [Publication Details]

May 22, 2024 - The 2024-25 Budget: The MCO Tax Package at May Revision [Publication Details] The 2024-25 Budget: The MCO Tax Package at May Revision Format: HTML Description: This post provides our initial assessment of the Governor’s proposed managed care organization (MCO) tax package in the May Revision.
https://lao.ca.gov/Publications/Detail/4905

The 2024-25 Budget: Medi-Cal Analysis

Feb 14, 2024 - The administration also proposes to adopt a prospective payment system for inpatient services at UC and county hospitals, similar to the approach Medi ‑Cal currently uses for private and district hospitals.
https://lao.ca.gov/Publications/Report/4838

The 2024-25 Budget: Future of Public Health Budget Solution

May 21, 2024 - The majority of CDPH ’s budget goes to LHJs —mostly county health departments that carry out many of the state ’s public health programs. In addition to receiving support from the CDPH budget, LHJs also receive funding from 1991 health realignment.
https://lao.ca.gov/Publications/Report/4904

The 2024-25 Budget: Medi-Cal Fiscal Outlook

Dec 7, 2023 - This change restarted monthly county eligibility redeterminations beginning April 1, 2023, with the first enrollment terminations beginning July 1, 2023. These redeterminations are expected to decrease Medi-Cal caseload and General Fund spending during 2023-24.
https://lao.ca.gov/Publications/Report/4820

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

Jul 13, 2023 - Background Current Responsibilities of the Commission Focus on Independent Oversight The MHSA Provides Funding Mostly to Counties. Approved by voters in 2004, the MHSA places a 1  percent tax on personal income over $1  million and dedicates the associated revenues to mental health services.
https://lao.ca.gov/Publications/Report/4781

Mental Health Services Act: Impact of Governor's Proposal on Funding for Children and Youth

Aug 10, 2023 - Approved by voters in 2004, the MHSA places a 1  percent tax on personal income over $1  million and dedicates the associated revenues to mental health services. The vast majority ­ of MHSA revenues —at least 95   percent —goes directly to counties, ­ ­ ­ ­which use it to support a variety of services for individuals with or at risk of mental illness.
https://lao.ca.gov/Publications/Report/4786