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State Budget

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

California’s Economy Continues to Improve, According to October Jobs Report

According to the Center for Continuing Study of the California Economy, the October jobs report from California’s Employment Development Department indicates that the California labor market regained momentum in October, with an increase of 45,800 jobs, and an upward revision to 32,000 jobs gained for September. The unemployment rate fell to 10.1%,… more

2012 Health Care Financing Report

The Health Care Financing Report examines the state’s budget, health expenditure trends, fiscal future, Proposition 30, and the state of public programs (Medi-Cal, Healthy Families, the Major Risk Medical Insurance Plan, Access for Infants and Mothers, Family PACT, Genetically Handicapped Persons Program).  The full report can be downloaded below. The State… more

Survey of State Medicaid Programs Finds Program Spending at Near-Record Low, Slowing Enrollment and Provider Payment Cuts Cited As Causes

A Kaiser Family Foundation survey of Medicaid programs in all 50 states and the District of Columbia found that overall Medicaid program spending is nearly at a record low in 2012. State Medicaid programs also expect similar spending figures in 2013. The survey cites two chief reasons for the reduced overall… more

Final Week of 2012 California Legislative Session: Votes Scheduled on ACA Implementation Legislation; New Bills Arise to Halt Healthy Families Transition to Medi-Cal

This week, the California Legislature is scheduled to vote on key pieces of legislation that will implement the Affordable Care Act (ACA) in California. Bills under consideration would enact key health insurance market reforms, including prohibiting denials of coverage for preexisting conditions and establishing an essential health benefits package for… more

Proposition 30: Options and Consequences

Proposition 30 (Prop. 30) would raise approximately $6 billion in annual revenue by implementing temporary increases in sales taxes for all taxpayers in California and in marginal personal income tax rates for high-income earners. This piece outlines the elements of Prop. 30 and discusses the consequences for taxpayers and public… more

2010 Health Care Financing Report

This report examines the state budget, as well as financing, utilization and budget impacts of public programs, including Medi-Cal, Healthy Families, Family PACT, Access for Infants and Mothers (AIM), children’s programs. more