Overview

• Health and Social Services
• Expenditure Proposal and Trends
• Caseload Trends
• Spending by Major Program
• Major Budget Changes

Crosscutting Issues

• Aging with Dignity Initiative
• Governor's Initiative Includes A Wide Range of Proposals
• Community Programs
• Improving Quality of Care and Enforcement
• LAO Findings and Recommendations
• Long-Term Care Tax Credit Unlikely To Be An Efficient or Effective Incentive
• Expanding Medi-Cal Coverage for Seniors and the Disabled
• More Information Needed On Department of Aging Proposals
• More Information Needed on Caregiver Training, Retention, and Recruitment Proposal
• Rate Increase for "Distinct Part" Nursing Facilities Not Justified
• More Developed Proposal for Quality Awards Needed
• Nursing Home Enforcement Staff Requests Overbudgeted
• Increase In Bed Licensing Fee Would Reduce General Fund Costs
• Child Care
• Child Care for CalWORKs Families and the Working Poor
• Background
• Current Law Treats Similar Families Differently
• Options for Modifying the California Child Care System

Departmental Issues

• Emergency Medical Services Authority (4120)
• Fund Condition in Jeopardy
• Department of Aging (4170)
• Aging With Dignity Initiative
• Department of Alcohol and Drug Programs (4200)
• Excess Special Fund Revenues Should Be Used to Reduce Fees
• Excess Special Fund RevenuesShould Be Transferred to General Fund
• Department Should Report on Medicaid Rehabilitation Option
• Statewide Strategic Plan Needed to Address Gap in Substance Abuse Treatment
• California Children and Families Commission (4250)
• Matching Grant Program Would EncourageCost-Effective Use of Proposition�10 Funds
• Department of Health Services State Operations (4260)
• Vacant Positions Should Be Filled Before Adding New Positions
• Salary Savings Estimate Should Be Realistic
• Employer Retirement Contribution Overbudgeted
• Medi-Cal Fraud and Fiscal Integrity Initiative--More Information Needed
• California MedicalAssistance Program (Medi-Cal)
• Medi-Cal Benefits and Eligibility
• What Benefits Does Medi-Cal Provide?
• How Medi-Cal Works
• Who Is Eligible for Medi-Cal?
• Most Medi-Cal Spending Is For the Elderly or Disabled
• Medi-Cal Expenditures
• Rapid Spending Growth in the Current Year
• $569�Million General Fund Deficiency in 1999-00
• Budget Year
• Medi-Cal Cost and Caseload Trends
• Budget Forecasts Return to Growing Caseloads and Costs
• Medi-Cal Caseload and Eligibility
• Majority of Medi-Cal Families and Children Are Not On Welfare
• Caseload Estimate Probably Too High But Clouded by Uncertainty
• Medi-Cal Deficiency
• Legislative Notification Not Provided for Medi-Cal Deficiency
• Departments Should Identify Funding Needed for Potential Managed Care Rate Increases
• Other Issues
• Antifraud Efforts Starting to Pay Off
• Reduce DSH Takeout Or Increase Rates?
• Federal Government Will Pay for Hepatitis A Vaccine
• "Panorama View" Is Nice, But It's Not Enough
• Public Health
• Statewide Immunization Information System
• Why Does the State Need to Improve The Childhood Immunization Rate?
• What Is an Immunization Registry And Why Is It Beneficial?
• What Is the State's Current Approach to Registry Development?
• Need to Change the Department's Procurement Strategy
• Encouraging Coordination of Regional Registry Development
• Ensuring Statewide Compatibility of All Local Registries
• Assuring Provider Participation in a Statewide Immunization Registry
• Provide a State Match for Registries' Ongoing Costs
• Funding Sources for a Statewide Immunization Registry
• Other Public Health Programs
• Proposition�99 Revenues Declining Slightly
• Budget Proposes to Permanently Eliminate General Fund Support for County Medical Services Program
• Budget Does Not Maximize Federal Grant for Drinking Water Loan Fund
• Budget Proposes to Extend the Community Challenge Grant Program and Use Federal Funds
• Some Local California Children's Services Programs Not Complying With Statutory Requirement
• Managed Risk Medical Insurance Board (4280)
• Healthy Families Program
• Budget Underestimates Enrollment in Current Year
• No Policy Rationale for Excluding Some Legal Immigrants
• Technical Error Overbudgets $3�Million from the General Fund
• Access for Infants and Mothers Program
• Caseload Overestimated for Current Year
• Program Underbudgeted for Current Year Due to Unpaid Claims
• Department of Developmental Services (4300)
• Community Services Program
• Statutorily Required Rate-Setting Methodologies Still Not Established
• Developmental Centers Program
• Costs Of Southern California Facility Uncertain
• Department of Mental Health (4440)
• Funding for Americans with Disabilities Act Projects Should Be Requested as Capital Outlay Proposal
• Equipment Request Is Premature
• Decision on Mentally Ill Homeless Pilot Projects Should Await Evaluation Review
• Employment Development Department (5100)
• Proposed Disability Insurance Tax Rate Does Not Meet Statutory Requirement
• Caregiver Training, Retention, and Recruitment
• Update on Workforce Investment Act Implementation
• Department of Rehabilitation (5160)
• Funding for Statutory Rate Increase Will Be Proposed in May
• Caseload May Be Underbudgeted, Based on Recent Trends
• High Vacancy Rates Reduce Accountability
• Department of Child Support Services (5175)
• Legislative Reforms of 1999
• The Budget Proposal for The Department of Child Support Services
• Administration Division Is Overbudgeted
• How Should Local Assistance Be Funded in 2000-01?
• Department of Social Services CalWORKs Program (5180)
• Impact of Maintenance-of-Effort Requirement
• Caseload Projection is Overstated
• Budget Overestimates Cost of Providing Statutory Cost-of-Living Adjustment
• Budget Underestimates Savings From Imposition of Sanctions
• Count Spending on Health Care Programs for Recent Legal Immigrants Toward MOE Requirement
• Budget Should Reflect Award of High Performance Bonus Funds
• Withhold Recommendation on Budget for Employment Services
• Budget Proposes to Prohibit Counties from Earning Additional Performance Incentives
• The CalWORKs Community Service Law Needs Clarification
• The CalWORKs Child Care Program
• County Probation Departments Should Report Juvenile Justice Data to Department of Justice
• The TANF Regulations Increase State Flexibility to Serve the Working Poor
• Kin-GAP Program
• Budget Overestimates Kin-GAP Caseload in 2000-01
• Foster Care
• Budget Overestimates Cost-of-Living Adjustment for Foster Family Agencies
• Budget Does Not Provide COLA for All Foster Care Providers
• Food Stamps Program
• California Food Assistance Program
• Supplemental Security Income/State Supplementary Program
• Budget Overestimates Cost of Providing Statutory COLA
• Supplemental Security Income/State Supplementary Program Grant Levels
• Child Welfare Services
• Child Welfare Services Case Management System
• Community Care Licensing
• Need More Information on Child Care Safety Initiative
• Positions Exceed Estimated Need