The 2024-25 Budget: Department of Health Care Access and Information

Feb 27, 2024 - MCO Tax Package Augmented Support for Hospital Relief Programs. As noted in the “Health Care Workforce Proposals ” section of this post, last year ’s budget enacted a multiyear plan for the MCO tax. As part of this plan, the Legislature designated $200  million one-time MCO tax funds for HCAI hospital relief programs in 2023 ‑24.
https://lao.ca.gov/Publications/Report/4860

The 2024-25 Budget: Medi-Cal Analysis [Publication Details]

Feb 14, 2024 - The 2024-25 Budget: Medi-Cal Analysis [Publication Details] Description: This brief provides an overview of the Governor’s proposed budget for Medi-Cal; describes key trends in Medi-Cal caseload; and analyzes proposals around the managed care organization tax, provider payment increases, and other budget solutions.
https://lao.ca.gov/Publications/Detail/4838

The 2024-25 Budget: Medi-Cal Analysis

Feb 14, 2024 - As we noted in the “MCO Tax Budget Solution ” section of this report, there is an expected, though not certain, shortfall in the proposed MCO tax package, estimated by the administration to begin mid ‑2028.
https://lao.ca.gov/Publications/Report/4838

The 2024-25 Budget: Department of Developmental Services

Feb 13, 2024 - The  expenditure deadline for all HCBS ARPA activities is December  31, 2024. Department Stated Intent to Collect Data on Pilot. The department stated in 2023 that regional center service coordinators are responsible for distributing an experience questionnaire to consumers and families receiving Coordinated Family Support.
https://lao.ca.gov/Publications/Report/4837

The 2024-25 Budget: Medi-Cal Fiscal Outlook

Dec 7, 2023 - In addition, the 2023-24 budget package includes a number of reductions, delays, and other solutions intended to help balance General Fund revenues and expenditures. A few of these solutions are in Medi-Cal, including a renewed tax on health insurance plans (described below).
https://lao.ca.gov/Publications/Report/4820

The 2024-25 Budget: Medi-Cal Fiscal Outlook [Publication Details]

Dec 7, 2023 - This post 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 key uncertainties.
https://lao.ca.gov/Publications/Detail/4820

The 2023-24 California Spending Plan: Health

Oct 23, 2023 - Generally, the state in past years used the MCO tax solely to offset General Fund spending on Medi-Cal ’s existing budget. The new version of the MCO tax, by contrast, includes an expenditure plan for the funds with mixed uses.
https://lao.ca.gov/Publications/Report/4810

Mental Health Services Act: LAO Update: The Governor's Revised Behavioral Health Modernization Proposal

Aug 21, 2023 - County spending flexibility was reduced in two ways: (1) by creating only one category, Behavioral Health Services and Supports (BHSS), with just 30 percent of MHSA funding that could accommodate flexible program expenditures and (2) by including a wide variety of programs that counties would need to spend funds on in the BHSS category (early intervention, capital facilities,
https://lao.ca.gov/Publications/Report/4792

Mental Health Services Act: Proposed Bond to Fund Behavioral Health Facilities and Veterans Housing

Aug 17, 2023 - These sources include (1)  dedicated vehicle license fee and sales tax revenue streams known as “realignment ” funds, (2)  revenues from the Mental Health Services Fund (MHSF) —established by the MHSA and funded through a 1  percent tax on incomes over $1  million, and (3)  federal funding accessed through Medi-Cal.
https://lao.ca.gov/Publications/Report/4790

Mental Health Services Act: Impact of Governor's Proposal on Funding for Children and Youth

Aug 10, 2023 - Approved by voters in 2004, the MHSA places a 1  percent tax on personal income over $1  million and dedicates the associated revenues to mental health services. The vast majority ­ of MHSA revenues —at least 95   percent —goes directly to counties, ­ ­ ­ ­which use it to support a variety of services for individuals with or at risk of mental illness.
https://lao.ca.gov/Publications/Report/4786