Federal Approval of a Reauthorized Managed Care Organization Tax Now Appears More Likely

Dec 21, 2018 - MCO Tax Package Included Changes to Other Taxes Paid by Some MCOs. The MCO tax package cut other taxes paid by some MCOs and certain affiliated health insurance companies. Specifically, certain types of income currently subject to the corporation tax is exempted from taxation and certain premium revenue is
https://lao.ca.gov/Publications/Report/3915

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

Fiscal Outlook: In-Home Supportive Services (IHSS)

Nov 14, 2018 - It is important to note that the small net growth in state IHSS expenditures in 2019 ‑20 masks a number of cost increases and expected savings. Specifically, in 2019 ‑20, most of the estimated growth in state IHSS costs is expected to be offset by General Fund savings resulting from the statutorily scheduled 7  percent reduction of IHSS service hours triggered by the expiration of the current managed care organization (MCO) tax at the end of 2018 ‑19.
https://lao.ca.gov/Publications/Report/3899

Improving Access to Dental Services for Individuals With Developmental Disabilities

Sep 27, 2018 - In 2016 ‑17, RCs spent $3. 7  m illion for the dental services of 6, 000 c onsumers (about 2. 3  p ercent of consumers), for an average per ‑person expenditure of $613. In addition, RCs spent some POS funding in a service category called “specialized therapeutic services ” ($ 10  m illion in POS expenditures on about 3, 500 c onsumers in 2016 ‑17).
https://lao.ca.gov/Publications/Report/3884

The 2018-19 Budget: The Administration's Proposition 55 Estimates in the May Revision

May 22, 2018 - Proposition  55 (2016) extended tax rate increases on high ‑income earners from 2018 until 2030 (which voters originally passed on a temporary basis in 2012 as part of Proposition  30). Revenues raised by the measure benefit the General Fund.
https://lao.ca.gov/Publications/Report/3844

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

Estimating the Cost of Expanding Full-Scope Medi-Cal Coverage to Undocumented Adults

May 10, 2018 - We estimated the total costs of coverage for each of the six age bands first based on the number of undocumented adults in each of the age bands and their associated expenditures, generally assuming a per member, per month cost that reflects this cost for each age band in the overall Medi-Cal population.
https://lao.ca.gov/Publications/Report/3827

The 2018-19 Budget: Meeting Workforce Demand for Certified Nursing Assistants in Skilled Nursing Facilities

Apr 27, 2018 - Reimbursements are funded by the Employment Training Tax, which is a special tax paid by California employers. Members of ETP decide which businesses to award these training funds. To receive reimbursement for training costs, a business must pay trainees an ETP-determined minimum wage after the training is completed and must retain employees for at least three months after the training.
https://lao.ca.gov/Publications/Report/3815

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

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