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State Budget

California’s health system is funded through several income streams, from individual premiums to federal tax income. ITUP focuses on financing for public health programs, the most relevant funder being the California State Budget.


Delivery Systems and Financing Care for the Remaining Uninsured in Fresno, Imperial, Merced, Stanislaus and Tulare Counties

This paper provides an overview of the transitions that have taken place and the opportunities available throughout the health care system and insurance coverage landscape in California’s Central Valley, specifically Fresno, Merced, Stanislaus and Tulare. The paper also includes findings on Imperial County whose community demographics and health care access […] more

Governor’s Proposed Budget 2015-16 – ITUP Summary

Download the Full Summary Here: ITUP Summary of Governor’s Proposed Budget 2015-16   The Governor’s Budget proposes to spend $113.3 billion General Fund, a small increase from the prior year’s $111.7 billion General Fund. General Fund spending will grow by 1.7% or $1.6 billion. General Fund Revenues will grow by 4.5%. […] more

Updated – Better Coordinating Coverage for Pregnant Women: Putting Families First

Covered California plans and nearly all individual and employer-based health insurance plans offer maternity care.  California covers care for pregnant women through Medi-Cal (up to 200% of FPL), Access for Infants and Mothers (AIM) (up to 300% of FPL) and now Covered California covers maternity care (with premium subsidies up […] more

Overview of Governor Brown’s Proposed Health Budget for 2014-2015

Download the full report here: The state budget expects to spend $155 billion in State Funds next year. Roughly $106 billion is from the state General Fund, $44 billion from Special Fund Programs and $4 billion from bond expenditures. The state’s revenue comes from personal income taxes, sales taxes, corporation […] more

On the Eve of Reform: Hospitals, Clinics and the Safety Net (2008-2011)

These reports are analyses of the Office of Statewide Health Planning & Development’s hospital and community clinic data that examines utilization and financing during the height of the Great Recession.  It looks into inpatient and outpatient care (hospitals), Medi-Cal utilization trends, county indigent care, as well as hospital utilization/financing trends […] more

Summary of California Assembly Bill 85

Summary of AB 85: The Budget Trailer Bill Governing County Health Realignment This bill transfers realignment  funds from county health to social services with a 5% CalWorks increase in aid payments on March 1, 2014. It reduces county health realignment funds by an average of 60% beginning in January 1, […] more

Redefining the Relationship between California’s State and County Governments: Creating Healthier Communities through Innovative Collaboration and Financing

California is the most populous and perhaps the most diverse state in the nation. To accommodate the needs of its different communities, the state relies on its 58 counties to administer many public and social services. The State formally realigned responsibility for administering certain public programs from the state to […] more

Notes from Conference Call with CHHS Secretary Dooley and Medi-Cal Director Douglas about Governor’s 2013-14 Budget Proposal

Secretary of the California Health and Human Services Agency Diana Dooley hosted a stakeholder conference call on January 10, 2013 to discuss the Governor’s budget proposal for Fiscal Year 2013-14. She was accompanied by Medi-Cal Director Toby Douglas, as well as officials from other departments. Secretary Dooley began by announcing […] more

Governor Brown Announces 2013-14 California Budget Proposal

Governor Brown released his budget proposal for the 2013-14 Fiscal Year and announced that the State’s budget would be balanced for the first time since the Great Recession began in 2008. Brown also announced that California will implement the Medicaid eligibility expansion in the ACA, which the Supreme Court made […] more

UC Study Finds Medi-Cal Expansion Would Have Minimal Cost to State while Greatly Expanding Coverage

The results of a new study from the UC Berkeley Labor Center and the UCLA Health Policy Center estimate that the Medi-Cal expansion to 138% of federal poverty through the Affordable Care Act (ACA) would be at minimal cost to the State of California. In addition, the expansion would extend […] more