The 2025-26 Budget: MCO Tax and Proposition 35 [Publication Details]

Feb 26, 2025 - The 2025-26 Budget: MCO Tax and Proposition 35 [Publication Details] Translate Our Website This Google ™ translation feature provided on the Legislative Analyst's Office (LAO) website is for informational purposes only.
https://lao.ca.gov/Publications/Detail/4992

The 2025-26 Budget: MCO Tax and Proposition 35

Feb 26, 2025 - The 2025-26 Budget: MCO Tax and Proposition 35 3.6 MCO = managed care organization. Continues Funding 2024 Rate Increase … Though the MCO tax spending plan has changed over time, a few augmentations have remained throughout each plan.
https://lao.ca.gov/Publications/Report/4992

The 2023-24 California Spending Plan: Health

Oct 23, 2023 - Generally, the state in past years used the MCO tax solely to offset General Fund spending on Medi-Cal ’s existing budget. The new version of the MCO tax, by contrast, includes an expenditure plan for the funds with mixed uses.
https://lao.ca.gov/Publications/Report/4810

The 2020-21 Budget: Medi-Cal Fiscal Outlook

Nov 20, 2019 - Were the federal government to either deny approval of the MCO tax or delay a decision on approving the MCO tax past 2019 ‑20, General Fund expenditures in Medi-Cal would be around $860  million higher in 2019 ‑20 than we have estimated.
https://lao.ca.gov/Publications/Report/4116

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

Jul 13, 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/4782

Fiscal Outlook: In-Home Supportive Services (IHSS)

Nov 14, 2018 - It is important to note that the small net growth in state IHSS expenditures in 2019 ‑20 masks a number of cost increases and expected savings. Specifically, in 2019 ‑20, most of the estimated growth in state IHSS costs is expected to be offset by General Fund savings resulting from the statutorily scheduled 7  percent reduction of IHSS service hours triggered by the expiration of the current managed care organization (MCO) tax at the end of 2018 ‑19.
https://lao.ca.gov/Publications/Report/3899

The 2024-25 California Spending Plan: Health

Sep 17, 2024 - The CCR is funded primarily by federal funds and Proposition  99 tobacco tax revenues, the latter of which has been declining in recent years. The spending plan includes $800,000 of one-time funding in 2024-25 and $2  million ongoing General Fund to support CCR and maintain data system integrity.
https://lao.ca.gov/Publications/Report/4930

The 2024-25 Budget: Medi-Cal Fiscal Outlook

Dec 7, 2023 - In addition, the 2023-24 budget package includes a number of reductions, delays, and other solutions intended to help balance General Fund revenues and expenditures. A few of these solutions are in Medi-Cal, including a renewed tax on health insurance plans (described below).
https://lao.ca.gov/Publications/Report/4820

The 2025-26 Budget: Medi-Cal Fiscal Outlook

Nov 20, 2024 - MCO Tax Federal Approval of Recent MCO Tax Increases Is Pending. To go into effect, the MCO tax must receive federal approval, conditioned on meeting certain rules. The federal government approved the current version of the MCO tax in December 2023.
https://lao.ca.gov/Publications/Report/4941

The 2019-20 Budget: Analysis of the Medi-Cal Budget

Feb 13, 2019 - This represents a significant reduction from the $ 711  m illion in Proposition  56 funding that offset General Fund expenditures in Medi ‑Cal in 2017 ‑18. Establish a Physician and Dentist Student Loan Repayment Program.
https://lao.ca.gov/Publications/Report/3935