Analysis of California’s Physician-Supervision Requirement for Certified Nurse Midwives

Mar 11, 2020 - In our view, they are likely to be more cost ‑effective than physician supervision since they do not lead to similarly direct anti ‑competitive effects as does physician supervision. Alternative Requirements Could Ensure Safety and Quality In the absence of a physician ‑supervision requirement for nurse midwives, the Legislature might want to consider alternative requirements for
https://lao.ca.gov/Publications/Report/4197

The 2023-24 Budget: Overview of the Governor's Budget

Jan 13, 2023 - (That is, in our view, these costs would not have occurred absent legislative action and as a result do not contribute to the budget problem the Legislature faces today.) Comparison to LAO November Outlook.
https://lao.ca.gov/Publications/Report/4662

The 2024-25 Budget: Department of Developmental Services

Feb 13, 2024 - Although the administration views the provider directory as a valuable and necessary starting point for quality incentives, we have heard concerns from stakeholders that two other components of the infrastructure needed to fully implement quality incentive payments by 2025 ‑26 is lagging.
https://lao.ca.gov/Publications/Report/4837

The 2021-22 Budget: LAO Preliminary Comments on the May Revision Medi-Cal Budget

May 21, 2021 - Potential users and uses of the service include Medi ‑Cal beneficiaries, who could access the portal to view their own clinical service records; Medi ‑Cal providers, who could view patients ’ prior responses to standard medical assessments; and state policymakers, who could use the data and associated analytics to identify and serve members with elevated risk and generally inform care quality and needs.
https://lao.ca.gov/Publications/Report/4436

Mental Health Services Act: Proposed Bond to Fund Behavioral Health Facilities and Veterans Housing

Aug 17, 2023 - In our view, these elements of the Governor ’s proposed bond are broadly reasonable. …But Also Raises Questions for Legislative Consideration How Would Local Governments Fund Ongoing Costs to Support Permanent Housing?
https://lao.ca.gov/Publications/Report/4790

The 2021-22 Budget: Assessment of CalHEERS Dashboard

Mar 25, 2021 - The administration and stakeholders emphasize the iterative nature of the dashboard, which they view as a benefit of its design. Moreover, the current version of the dashboard appears comprehensive and suggests progress towards improved identification and prioritization of Medi ‑Cal eligibility functionality issues in CalHEERS.
https://lao.ca.gov/Publications/Report/4408

Update on COVID-19 Spending in California

Nov 5, 2020 - Does the spending on these different purposes align with the Legislature ’s view of the state ’s needs? Are there any gaps in the current spending approach? Has COVID-19 spending allocated to date been effective?
https://lao.ca.gov/Publications/Report/4292

The 2021-22 Budget: Behavioral Health: Continuum Infrastructure Funding Proposal

Feb 17, 2021 - The budget also includes a number of proposals in various other policy areas that can be viewed as having some overlap with efforts directly addressing the state ’s homelessness issues. The administration has indicated that the behavioral health continuum funding proposal can be thought of as one component of the state ’s broader efforts in this area.
https://lao.ca.gov/Publications/Report/4379

The 2020-21 Budget: Re-Envisioning Medi-Cal—The CalAIM Proposal

Feb 28, 2020 - Throughout this report, we have identified a number of questions we view as critical to the Legislature ’s consideration of the proposal prior to approval of any CalAIM components. These questions are summarized in Figure  8 .
https://lao.ca.gov/Publications/Report/4185

The 2020-21 Budget: Analysis of the Medi-Cal Budget

Feb 14, 2020 - In our view, the current statutory requirement that DHCS develop a new budgeting methodology no sooner than in 2015 ‑ 16 p rovides too much discretion to the administration and limits legislative oversight of this process.
https://lao.ca.gov/Publications/Report/4161