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 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 2024-25 Budget: Department of Health Care Access and Information

Feb 27, 2024 - MCO Tax Package Augmented Support for Hospital Relief Programs. As noted in the “Health Care Workforce Proposals ” section of this post, last year ’s budget enacted a multiyear plan for the MCO tax. As part of this plan, the Legislature designated $200  million one-time MCO tax funds for HCAI hospital relief programs in 2023 ‑24.
https://lao.ca.gov/Publications/Report/4860

The 2024-25 Budget: Medi-Cal Analysis [Publication Details]

Feb 14, 2024 - The 2024-25 Budget: Medi-Cal Analysis [Publication Details] Description: This brief provides an overview of the Governor’s proposed budget for Medi-Cal; describes key trends in Medi-Cal caseload; and analyzes proposals around the managed care organization tax, provider payment increases, and other budget solutions.
https://lao.ca.gov/Publications/Detail/4838

The 2024-25 Budget: Medi-Cal Analysis

Feb 14, 2024 - As we noted in the “MCO Tax Budget Solution ” section of this report, there is an expected, though not certain, shortfall in the proposed MCO tax package, estimated by the administration to begin mid ‑2028.
https://lao.ca.gov/Publications/Report/4838

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

Mental Health Services Act: Impact of Governor's Proposal on Funding for Children and Youth

Aug 10, 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/4786

Mental Health Services Act: Revenue Volatility and the Governor’s Proposal to Reduce Allowable County Reserves

Jul 13, 2023 - While the degree to which expenditures on these other activities would squeeze out potential reserve deposits under the Governor ’s proposal is unclear, we think imposing caps on both reserve deposits and cumulative reserve balances may be overly constraining.
https://lao.ca.gov/Publications/Report/4780

Mental Health Services Act: Proposed Change in Mental Health Services Oversight and Accountability Commission’s Role

Jul 13, 2023 - The department collects MHSA revenue and expenditure data, reviews prudent reserve levels, and monitors whether county expenditures match county planning documen ts. DHCS also oversees the Mental Health Service Fund (the special fund into which MHSA revenues are deposited) and calculates whether any county MHSA fund balances are subject to reversion.
https://lao.ca.gov/Publications/Report/4781

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

Jan 13, 2023 - We define a delay as an expenditure reduction that occurs in the budget window (2021 ‑22 through 2023 ‑24), but has an associated expenditure increase in a future year of the multiyear window (2024 ‑25 through 2026 ‑27).
https://lao.ca.gov/Publications/Report/4662