The 2019-20 Budget: Proposition 56 Revenues: Reductions in Fixed Allocations [Publication Details]

Feb 14, 2019 - In this post, we review the administration’s reductions to certain allocations of Proposition 56 tobacco tax revenue. In our view, the administration’s approach for 2019-20 is reasonable. However, the administration has not yet decided how these adjustments will be determined in 2020-21 and beyond.
https://lao.ca.gov/Publications/Detail/3939

The 2023-24 Budget: Medi-Cal Fiscal Outlook [Publication Details]

Nov 16, 2022 - This brief provides our annual fiscal outlook for General Fund spending in Medi-Cal. It summarizes our projections, describes the major factors driving our projections, and highlights several uncertainties.
https://lao.ca.gov/Publications/Detail/4649

The 2019-20 Budget: Overview of the Governor's Budget

Jan 14, 2019 - From 2017 ‑ 18 t o 2019 ‑20, its estimates of baseline Medi ‑Cal expenditures (before accounting for policy changes) is $3. 8  b illion lower than we estimated in November. This difference includes a roughly $ 2  b illion downward revision to current ‑year expenditures.
https://lao.ca.gov/Publications/Report/3916

Fiscal Outlook: Medi-Cal

Nov 14, 2018 - In 2018-19, revenues from the MCO tax will offset almost $1.9  billion in General Fund expenditures. Under state law, the MCO tax expires at the end of 2018-19. (In its statutory authorization, the MCO tax was tied to a 7  percent service-hour restoration in In-Home Supportive Services (IHSS), at a General Fund cost of roughly $300  million in 2017-18.
https://lao.ca.gov/Publications/Report/3898

The 2019-20 May Revision: Governor's May Revision Medi-Cal Budget

May 14, 2019 - Considering the Medi-Cal program is a major General Fund expenditure, large, unanticipated budget adjustments in Medi-Cal can interfere with the Legislature ’s ability to formulate and pursue longer-term fiscal plans in alignment with its priorities.
https://lao.ca.gov/Publications/Report/4046

The 2019-20 May Revision: Governor's May Revision Medi-Cal Budget

May 14, 2019 - Considering the Medi-Cal program is a major General Fund expenditure, large, unanticipated budget adjustments in Medi-Cal can interfere with the Legislature ’s ability to formulate and pursue longer-term fiscal plans in alignment with its priorities.
https://lao.ca.gov/publications/report/4046

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 2022-23 Budget: Health Care Access and Affordability

Feb 23, 2022 - Advance Premium Tax Credit (APTC). The APTC —as structured under the ACA —offsets the cost of health insurance premiums for households with incomes between 100  percent and 400  percent of the FPL. This  tax credit effectively limits a household ’s net premium for a silver plan (after accounting for the tax credit) to between 2  percent and 10  percent of annual income.
https://lao.ca.gov/Publications/Report/4560

The 2017-18 Budget: Analysis of the Medi-Cal Budget

Mar 9, 2017 - The three major sources of higher special fund spending in Medi ‑Cal in 2017 ‑18 are (1)  Proposition  56 tobacco excise tax revenues dedicated to Medi ‑Cal, (2)  managed care organization tax revenues, and (3)  hospital quality assurance fee revenues.
https://lao.ca.gov/Publications/Report/3612

The 2018-19 Budget: The Administration’s Proposition 55 Estimates

Mar 1, 2018 - Proposition 55 (2016) aimed to increase funding for Medi-Cal under a formula administered by the Department of Finance. In 2018-19, the first year of implementation of this calculation, the administration’s interpretations and estimates result in no additional funds to Medi-Cal. Two key choices lead to this result. First, the administration’s decision to subtract $3.
https://lao.ca.gov/Publications/Report/3765