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March 11, 2020 - In an effort to ensure safety and quality, California state law places occupational licensing restrictions on who may provide childbirth and reproductive-related health care services to women. These restrictions include a requirement that nurse midwives may only practice under the supervision of a licensed physician. At the request of a member of the Legislature, this report analyzes whether this requirement is meeting its intended safety and quality objectives, without significantly increasing cost or decreasing access to health care services. Drawing on national research—that compares health care outcomes in states with and without a similar physician-supervision requirement for nurse midwives—we find that California's requirement is unlikely to improve safety and quality for low-risk pregnancies and births. Moreover, we find that the requirement could limit access to nurse-midwife services, and potentially health care services for women overall, while also raising the cost of care. We recommend that the Legislature consider removing the state’s physician-supervision requirement, while adding other safeguards to ensure safety and quality. Such safeguards could include, for example, requiring nurse midwives to maintain appropriate referral and consultative relationships with physicians and requiring that they maintain medical malpractice insurance.
March 10, 2020 - In this post, we analyze the Governor’s proposals to increase the capacity of school districts to teach computer science. We first provide background on computer science in California schools, then describe the Governor’s proposals, assess the proposals, and offer associated recommendations.
March 10, 2020 - Over the next decade, the state will be required to allocate an additional $12 billion to $21 billion to accelerate the pay down of state retirement liabilities under the provisions of Proposition 2 (2014). This represents a key and unique opportunity for the state. The Governor offers one strategy to prioritize these funds over the next few years. Notably, the Governor focuses on the state’s share of the unfunded liability for teachers’ pensions. While we agree this focus makes sense, the amounts the Governor proposes dedicating to this purpose are not connected to the specific actuarial needs of the teachers’ pension system. In this report, we present a method the Legislature could use to tie these payments to the system’s actual needs, which would better target the funding.
March 6, 2020 - This report focuses on a state law enacted in the 1990s that shifts some of the property tax revenue in certain counties from schools and community colleges to other local agencies. For historical reasons, the shifted revenue is known as “excess ERAF.” (The acronym refers to the local accounts—known as Educational Revenue Augmentation Funds—that facilitate the shift.) We recently found that some counties are calculating excess ERAF in ways that seem contrary to state law and shift too much property tax revenue from schools to other agencies. We have three specific concerns related to the calculation of excess ERAF that together affect about $350 million in annual property tax revenue. Earlier this year, the Newsom administration began to address one of these concerns. In this report, we recommend the Legislature direct the administration to enforce state law on our other two concerns. We also recommend improving oversight to prevent similar issues from arising in the future.
March 5, 2020 - Senate Budget and Fiscal Review Subcommittee No. 1 on Education Finance
March 5, 2020 - Senate Budget and Fiscal Review Subcommittee No. 1 On Education Finance
March 4, 2020 - State law directs our office to report on the annual state costs for new state-reimbursable mandates and make recommendations to the Legislature as to whether the new mandates should be repealed, funded, suspended, or modified. This analysis fulfills that requirement for the U-Visa I-918 Form, Victims of Crime: Nonimmigrant Status mandate, which is one of two newly identified state mandates in the 2020-21 budget.
March 4, 2020 - Assembly Budget Subcommittee No. 2 on Education Finance
March 4, 2020 - State law directs our office to report on the annual state costs for new state-reimbursable mandates and make recommendations to the Legislature as to whether the new mandates should be repealed, funded, suspended, or modified. This analysis fulfills that requirement for the Local Agency Employee Organizations, Impasse Procedures II mandate, which is one of two newly identified state mandates in the 2020-21 budget.
March 4, 2020 - Presented to: Senate Environmental Quality Committee Hon. Benjamin Allen, Chair and Senate Transportation Committee Hon. Jim Beall, Chair
March 2, 2020 - Presented to Assembly Budget Subcommittee No. 5 On Public Safety Hon. Shirley N. Weber, Chair
February 28, 2020 - In this analysis we assess the Governor’s 2020‑21 budget proposals for the California Department of Food and Agriculture (CDFA). Specifically, we make recommendations regarding the Governor’s proposals to (1) fund a comprehensive assessment to identify solutions to the California Exposition and State Fair’s (Cal Expo) declining revenues and make available funding to offset near‑term deficiencies, and (2) establish a Fresno‑Merced innovation corridor to boost the region’s economy.
February 28, 2020 - Given the magnitude of the state’s prison infrastructure needs, combined with the possibility of closing a prison in the near future, it will be important for the state to think strategically about managing its prison infrastructure—both in the near term and long term. In this report, we (1) provide an overview of the state’s prison infrastructure, (2) discuss the major drivers of prison infrastructure needs and spending, and (3) provide a road map to guide the Legislature in the development of a plan to strategically manage the state’s prison infrastructure.
February 28, 2020 - In this report, we provide an overview and assessment of the Governor's California Advancing and Innovating Medi-Cal (CalAIM) proposal, also known as Medi-Cal Healthier California for All. CalAIM would make far-reaching reforms to Medi-Cal that would increase the program’s focus on its high-cost and high-needs enrollee populations, transform and streamline Medi-Cal managed care, extend components of a current federal waiver, and rethink how behavioral health services are financed and delivered.
February 27, 2020 - The Governor’s budget proposes $1.7 billion for the California Public Utilities Commission. In this post, we provide our recommendations on the proposed budget for the California LifeLine Program.