Impact of COVID-19 on Health Care Access

May 7, 2021 - Figure  2 shows three years of data on health plan enrollment broken down by type of coverage. The figure shows that job-based coverage declined swiftly over the first six months of the pandemic between March  2020 and September 2020.
https://lao.ca.gov/Publications/Report/4426

The 2022-23 Budget: Health Care Access and Affordability

Feb 23, 2022 - To  achieve the goal of controlling health care cost growth, these regulatory bodies or independent entities could perform several functions, such as (1)  collecting detailed financial information from a comprehensive set of health care payers and providers, (2)  providing incentives to encourage health care payment models based
https://lao.ca.gov/Publications/Report/4560

The 2025-26 Budget: Health Care Access and Information

Feb 20, 2025 - As Figure  5 shows, however, as measured by the consumer price index, prescription drug cost inflation has slowed over the past 50 years. While drug inflation has tended to exceed overall inflation, this trend reversed in the last few years.
https://lao.ca.gov/Publications/Report/4979

The 2021-22 Budget: CalAIM: The Overarching Issues

Feb 9, 2021 - CalAIM also presents an opportunity for the state to draw down additional federal funding through Medi ‑Cal for ( 1)  s ervices provided in settings previously ineligible for federal reimbursement through the SMI/SED demonstration opportunity, and ( 2)  s ervices provided to beneficiaries without a covered diagnosis.
https://lao.ca.gov/Publications/Report/4357

The 2025-26 Budget: MCO Tax and Proposition 35

Feb 26, 2025 - For example, in recent years, the General Fund has backfilled parts of Proposition  56 (2016) —another ballot measure that funds Medi-Cal provider rate increases (see nearby box for more detail). With so many fiscal uncertainties at play, it will be important for DHCS to structure MCO tax-funded augmentations in ways that preserve fiscal flexibility.
https://lao.ca.gov/Publications/Report/4992

The Uncertain Affordable Care Act Landscape: What It Means for California

Feb 17, 2017 - The ACA currently allows catastrophic coverage in a limited set of circumstances —individuals must be under age 30 and qualify for a hardship exemption. Catastrophic coverage under the ACA, however, is required to provide the same EHB but sets a higher annual deductible.
https://lao.ca.gov/Publications/Report/3569

The 2025-26 Budget: CalAIM Enhanced Care Management and Community Supports Implementation Update

Mar 6, 2025 - Nursing facility transition to a home Services provided to assist beneficiaries transitioning from nursing facility care to home settings in which they are responsible for living expenses. Personal care and homemaker services Services provided to assist beneficiaries with daily living activities, such as bathing, dressing, housecleaning, and grocery shopping.
https://lao.ca.gov/Publications/Report/5003

The 2017-18 Budget: The Governor's May Revision In-Home Supportive Services Cost-Sharing Proposal

May 16, 2017 - For instance, during recessions, the state may take steps to reduce program costs. In those years, nonfederal IHSS costs may not increase at all. Due to the MOE, however, counties would not see a reduction in their costs —all savings would accrue to the state.
https://lao.ca.gov/Publications/Report/3671

The 2021-22 Budget: CalAIM: Equity Considerations

Mar 12, 2021 - Evaluations have been carried out of Whole Person Care, Health Homes, and Full ‑Service Partnerships. These evaluations show significant progress has been made under these programs in establishing the infrastructure needed to identify and serve high ‑risk, high ‑need beneficiaries.
https://lao.ca.gov/Publications/Report/4402

Federal COVID-19 Response Actions Affecting Older Adults and Persons with Disabilities

Apr 16, 2020 - The CARES Act allows Medicaid HCBS —such as case management services —that are historically required to be provided in a home setting to be provided in acute care hospitals in instances where the services (1)  meet needs not met through hospital services, (2)  are not a substitute for services the hospital is obligated to provide, and (3)  are
https://lao.ca.gov/Publications/Report/4221