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: 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

Managed Care Organization Tax: Background and Issues for Consideration on Administration’s Proposal [Publication Details]

May 30, 2023 - Managed Care Organization Tax: Background and Issues for Consideration on Administration’s Proposal [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/4774

The 2023-24 Budget: Whole Child Model Expansion

May 5, 2023 - The state sets these rates based on plans ’ past expenditures, as well as adjustments for inflation and other factors determined by actuaries. Currently, the state contracts with 24 managed care plans, with several plans serving beneficiaries in more than one county.
https://lao.ca.gov/Publications/Report/4767

The 2023-24 Budget: Analysis of the Governor’s Major Behavioral Health Proposals

Feb 16, 2023 - As  currently structured, however, this proposal is a one ‑time expenditure and would not be repaid by counties. As such, the Governor chose to delay or reduce an additional $375  million General Fund elsewhere in the budget in order to prioritize this proposal.
https://lao.ca.gov/Publications/Report/4689

The 2023-24 Budget: Analysis of the Medi-Cal Budget [Publication Details]

Feb 10, 2023 - The 2023-24 Budget: Analysis of the Medi-Cal Budget [Publication Details] Description: This brief provides an overview of the Governor’s proposed budget for Medi-Cal, assesses the administration’s assumptions on caseload and COVID-19-related policies, and analyzes the Governor’s managed care organization tax proposal.
https://lao.ca.gov/Publications/Detail/4675

The 2023-24 Budget: Analysis of the Medi-Cal Budget

Feb 10, 2023 - New MCO Tax Proposal. The Governor proposes implementing a new MCO tax from January 2024 through December 2026. Similar to previous versions of the tax, a portion of the resulting revenues would help offset Medi ‑Cal General Fund costs.
https://lao.ca.gov/Publications/Report/4675

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

Issues That Could Impact Californians' Health Care Coverage in 2023 and Beyond

Dec 16, 2022 - As part of the federal Tax Cuts and Jobs Act of 2017, Congress effectively eliminated the federal individual mandate by setting the penalty for violating the coverage requirement to zero beginning in 2019.
https://lao.ca.gov/Publications/Report/4654