The 2018-19 Budget: The Administration’s Proposition 55 Estimates [Publication Details]

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/Detail/3765

The 2020-21 Budget: Medi-Cal Fiscal Outlook [Publication Details]

Nov 20, 2019 - This web post provides detail on our projections and assumptions related to General Fund spending in Medi-Cal for the years 2019-20 through 2023-24. In the near term, we project Medi-Cal spending to grow to $23.5 billion in 2020-21. Over the long term, we project General Fund spending in Medi-Cal to grow to up to $27.6 billion.
https://lao.ca.gov/Publications/Detail/4116

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 2017-18 Budget: The Governor's May Revision In-Home Supportive Services Cost-Sharing Proposal

May 16, 2017 - Effective July  1, 2012,  IHSS county costs were set at 2011 ‑12 expenditure levels, with an annual growth factor of 3.5  percent plus any additional costs associated with locally negotiated IHSS wage increases.
https://lao.ca.gov/Publications/Report/3671

The 2018-19 Budget: Governor's May Revision Medi-Cal Budget

May 14, 2018 - General Fund savings from the MCO tax are offset by increases in plans ’ capitation payments owing to the tax. The May Revision estimates that net General Fund savings associated with the MCO tax are lower by $428  million over 2017 ‑18 and 2018 ‑19 as compared to the Governor ’s January budget.
https://lao.ca.gov/Publications/Report/3839

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 2022-23 Budget: Public Health Foundational Support

Feb 16, 2022 - (Nonprofit hospitals, in exchange for their tax ‑exempt status, are required to use some of their resources for community benefits, such as charity care, based on a community needs assessment.) Assessment of Spending Plan Providing more sustained, flexible General Fund support for public health was an important priority for the Legislature in reaching the 2021 ‑22 budget agreement.
https://lao.ca.gov/Publications/Report/4544

The 2022-23 Budget: Analysis of the Medi-Cal Budget [Publication Details]

Feb 9, 2022 - This brief analyzes the Governor’s budget proposal for Medi-Cal.
https://lao.ca.gov/Publications/Detail/4522

The 2019-20 Budget: Analysis of the Medi-Cal Budget [Publication Details]

Feb 13, 2019 - Specifically, we advise the Legislature to seriously consider renewing the managed care organization tax, despite the Governor not proposing to do so; present issues for consideration related to the Governor's proposed expansion of comprehensive Medi-Cal coverage for young adults regardless of immigration status; and provide an initial assessment of the Governor's proposals to use Proposition 56 funding in Medi-Cal to extend and expand provider payment increases.
https://lao.ca.gov/Publications/Detail/3935

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