The 2021-22 Budget: Analysis of CalAIM Financing Issues

Feb 16, 2021 - Combining the new costs to build upon and replace Whole Person Care and the Dental Transformation Initiative, the funding plan would replace what are currently hundreds of millions of dollars of non ‑General Fund expenditures with around $ 400  m illion of General Fund expenditures on an ongoing basis.
https://lao.ca.gov/Publications/Report/4374

The 2021-22 Budget: Overview of the Governor's Budget

Jan 10, 2021 - The administration estimates direct COVID-19 expenditures, which we do not consider discretionary, are higher by $4.4  billion compared to the budget act assumption. (We define direct COVID-19 expenditures to include expenses for testing, contact tracing, and vaccine distribution.)
https://lao.ca.gov/Publications/Report/4309

The 2021-22 Budget: Medi-Cal Fiscal Outlook

Nov 18, 2020 - To relieve state budgetary pressure caused by the impacts of COVID ‑ 19 o n state tax revenues and Medicaid expenditures, Congress enacted legislation that provides for a temporary 6. 2  p ercentage point increase in the federal government ’s share of cost for state Medicaid programs.
https://lao.ca.gov/Publications/Report/4299

Update on COVID-19 Spending in California

Nov 5, 2020 - Figure  6 shows each individual expenditure that we have included in our estimates. The figure is organized by the six different types of COVID-19 spending identified in the previous section. The Appendix also provides more detail on the major individual COVID-19-related expenditures.
https://lao.ca.gov/Publications/Report/4292

The 2020-21 Spending Plan: Health Budget and Policy

Oct 15, 2020 - The 2020-21 Spending Plan: Health Budget and Policy ‑$252 ‑$2,114 a Original proposal refers to the MCO tax as reauthorized and proposed to the federal government for consideration in 2019. b The MCO tax is only authorized for a half year in 2022 ‑23. c Approved tax refers to the MCO tax as modified by the administration and approved by the federal government in April 2020.
https://lao.ca.gov/Publications/Report/4281

The 2020-21 Spending Plan: Health Budget and Policy [Publication Details]

Oct 15, 2020 - These actions include the offsetting of what would otherwise be General Fund costs with (1) revenues from the federally approved reauthorized tax on managed care organizations and (2) federal Medicaid funds that are being provided to the state at an enhanced level during the term of the public health emergency.
https://lao.ca.gov/Publications/Detail/4281

Major Potential State Fiscal Risk Averted Following Withdrawal of Proposed Federal Medicaid Financing Regulation

Sep 21, 2020 - For example, MFAR effectively would have prohibited health care-related taxes that place different tax rates on taxpayers based on their levels of Medicaid (versus non-Medicaid) activity. In their current forms, both the hospital quality assurance fee and the MCO tax likely would have run afoul of these rule changes.
https://lao.ca.gov/Publications/Report/4269

Federal COVID-19 Response Actions Affecting Older Adults and Persons with Disabilities

Apr 16, 2020 - Eligibility will be determined primarily through an individual ’s most recent tax filing (2019 for those who have already filed, 2018 otherwise). Initially, the Internal Revenue Service (IRS) released guidance stating that people who typically do not file a tax return, including low-income, older adults and individuals with disabilities, will need to file a tax return or register through an online tool to receive the one-time cash assistan ce.
https://lao.ca.gov/Publications/Report/4221

COVID-19: Federal Health-Related Response

Mar 23, 2020 - To relieve state budgetary pressure caused by COVID-19 ’s likely impacts on state Medicaid expenditures and tax revenues, Congress approved a temporary 6.2  percentage point increase in the federal government ’s share of cost for state Medicaid programs.
https://lao.ca.gov/Publications/Report/4209

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

Mar 11, 2020 - In an effort to ensure safety and quality, California state law places occupational licensing restrictions on who may provide childbirth and reproductive-related health care services to women. These restrictions include a requirement that nurse midwives may only practice under the supervision of a licensed physician.
https://lao.ca.gov/Publications/Report/4197