The 2022-23 Budget: Overview of the Governor's Budget

Jan 13, 2022 - For the budget year, as the Legislature considers the Governor ’s budget proposals, those proposals that currently count as excludable expenditures —such as spending on capital outlay —for the most part can only be reallocated to other SAL ‑related purposes, such as tax reductions or an alternative excluded  expenditure.
https://lao.ca.gov/Publications/Report/4492

The 2022-23 Budget: Medi-Cal Fiscal Outlook

Nov 17, 2021 - Assumed Expiration of the MCO Tax Reauthorization of the MCO Tax Would Generate Billions of Dollars in General Fund Savings Beginning in 2023 ‑24. The MCO tax generates annual General Fund savings in Medi ‑Cal of $1.5 billion or more for each year it is in effect.
https://lao.ca.gov/Publications/Report/4474

The 2021-22 Spending Plan: Health

Oct 22, 2021 - Additionally, budget-related language approved alongside the spending plan ensures that the ongoing rates paid to these long-term care facilities include the supplemental payments that have been provided since 2017 with funding from the Proposition  56 (2016) tobacco tax increase.
https://lao.ca.gov/Publications/Report/4465

The 2021-22 Budget: Initial Comments on the Governor’s May Revision

May 17, 2021 - CAC = California Arts Council; CalVet = California Department of Veterans Affairs; CDE = California Department of Education; CDFA = California Department of Food and Agriculture; CDI = California Department of Insurance; CDT = California Department of Technology; SOC = Security Operations Center; IT = information technology; CMD = California Military Department; CPUC = California Public Utilities
https://lao.ca.gov/Publications/Report/4432/6

The 2021-22 Budget: Initial Comments on the Governor’s May Revision

May 17, 2021 - (In addition to the amounts shown, the Governor proposes using $1.5  billion of ARP fiscal relief funds to pay for the sate share of direct coronavirus disease 2019 expenditures, resulting in lower General Fund costs by that amount.)
https://lao.ca.gov/Publications/Report/4432

COVID-19: American Rescue Plan’s Major Health-Related Funding Provisions

May 6, 2021 - Our outstanding questions include: (1)  how states should calculate the potential amount of additional federal funding; (2)  what the state ’s share of cost would be for new HCBS spending; (3)  whether there would be any flexibility associated with the non-supplantation clause; (4)  what would be considered an allowable expenditure to expand, enhance, or strengthen HCBS services; and (5)  whether funds would have to be appropriated, encumbered, or spent by March  31, 2022.
https://lao.ca.gov/Publications/Report/4425

The 2021-22 Budget: CalAIM: New Directions for Services for Seniors and Persons With Disabilities

Mar 15, 2021 - Because the impacts are not borne by the entity taking action, that entity has limited financial incentive to limit overall costs or maximize overall benefits for a particular total level of expenditure.
https://lao.ca.gov/Publications/Report/4404

The 2021-22 Budget: Medi-Cal Enterprise System Modernization Effort

Feb 17, 2021 - To operate the program, DHCS manages many IT systems enabling payment of over $ 100  b illion in expenditures annually. (Other entities also manage IT systems that support the Medi ‑Cal program.) This post refers to some of the Medi ‑Cal IT systems DHCS manages that are relevant to this modernization effort, including the California Medicaid Management Information System (CA
https://lao.ca.gov/Publications/Report/4375

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

Feb 17, 2021 - These sources include ( 1)  d edicated vehicle license fee and sales tax revenue streams known as “realignment ” funds, ( 2)  r evenues from the Mental Health Services Fund (MHSF) —funded through a 1  p ercent tax on incomes over $ 1  m illion, and ( 3)  f ederal funding accessed through Medi ‑Cal (California ’s state Medicaid program).
https://lao.ca.gov/Publications/Report/4379

The 2021-22 Budget: Analysis of the Medi-Cal Budget

Feb 16, 2021 - This prohibition —slated to implement January 1, 2021 —was expected to substantially reduce Proposition   56 r evenues in both 2020 ‑21 and 2021 ‑22, since it would result in fewer transactions involving tobacco products for the state to tax.
https://lao.ca.gov/Publications/Report/4373