Staff
Mark Newton
(916) 319-8323
Deputy Legislative Analyst: Health, Developmental Services, and Technology
Jason Constantouros
(916) 319-8322
Medi-Cal/Managed Care/Family Health/Health Care Affordability and Workforce Development
Brian Metzker
(916) 319-8354
Privacy, Security, and Technology
Ryan Miller
(916) 319-8356
Medi-Cal/Behavioral Health/Covered California/CalHHS Agency Issues
Angela Short
(916) 319-8309
Child Welfare, Child Support, Community Services and Development, Community Care Licensing, CalSTRS
Karina Hendren
(916) 319-8352
Medi-Cal/Long-Term Care/Developmental Services
Will Owens
(916) 319-8341
Public Health/Behavioral Health/State Hospitals
Sonia Schrager Russo
(916) 319-8361
CalWORKs/CalFresh
Juwan Trotter
(916) 319-8358
In-Home Supportive Services/Aging Programs
Ginni Bella Navarre
(916) 319-8342
Deputy Legislative Analyst: Human Services and Governance


Publications

Health and Human Services

To browse all LAO publications, visit our Publications page.



Report

Try Before You Buy: Expanding Multi–Stage Procurements for Large IT Systems

November 11, 2009 - The state's traditional approach for IT procurement, called the firm fixed price (FFP) procurement, creates a prescriptive process that gives equal footing to all vendors to help ensure open competition and reduce the state’s exposure to protests and potential lawsuits due to perceived vendor bias. As an alternative the state is beginning to look to so-called multi–stage procurement because it creates a collaborative environment for state and vendor staff. Our analysis indicates that an earlier evaluation of procurement strategy can reduce the risks of cost overruns and schedule delays, so we recommend that the Legislature require state entities to include procurement strategies in project documents when they submit them for approval.

(Short video summary)


Handout

Overview of Recent Changes in the In-Home Supportive Services Program

October 28, 2009 - Presented to: Assembly Budget Committee and Senate Budget Subcommittee No. 3 on Health and Human Services


Handout

SSI/SSP Maximum Monthly Grants Under Current Law and May Revision

June 9, 2009 - Presented to Budget Conference Committee


Handout

IHSS—Comparison of Governor’s and LAO May Revision Reductions

June 9, 2009 - Presented to Budget Conference Committee


Handout

Department of Aging—Comparison of Governor’s May Revision and LAO Alternative

June 9, 2009 - Presented to Budget Conference Committee


Report

Education of Foster Youth in California

May 28, 2009 - Seventy-five percent of California foster youth perform below grade level standards, and by third grade 83 percent of foster youth have had to repeat a grade. We believe the state and local programs must reprioritize the way existing funds are spent in order to improve educational opportunities for foster youth. We recommend changing guidelines to provide certain services to all current and recent foster youth, expanding programs to include academic counseling and completion of education passports, and consolidating programs at County Offices of Educations. We also suggest convening a workgroup to address the transportation needs of K-12 and postsecondary foster youth.


Handout

Health and Human Services Overview

May 27, 2009 - Presented to Budget Conference Committee


Report

Family Cost Participation Program Expansion

April 27, 2009 - Assembly Member De La Torre requested our assistance in determining the savings that could be achieved by expanding the Family Cost Participation Program (FCPP) to all services purchased by Regional Centers (RC) for consumers. We estimate that this expansion (excluding RC operations and 24-hour care) when fully implemented after about three years could yield ongoing, net annual General Fund savings ranging between about $11 million and $19 million depending on the number of participating consumers.


Handout

SSI/SSP Maximum Montly Grants

April 1, 2009 - Presented to Assembly Budget Subcommittee No. 1 on Health and Human Services


Handout

In-Home Supportive Services: Background and Caseload Components

March 24, 2009 - Presented to: Senate Human Services Committee


Handout

Federal Economic Stimulus Package: Fiscal Effect on California Health Programs

March 17, 2009 - Presented to Assembly Health Committee


Handout

Labor and Workforce Development Programs: Overview of the American Recovery and Reinvestment Act

March 17, 2009 - Presented to: Senate Committee on Labor and Industrial Relations Assembly Committee on Labor and Employment


Letter

Governor's Reorganization Plan to Consolidate Information Technology Functions

March 13, 2009 - Governor's Reorganization Plan to Consolidate Information Technology Functions


Handout

Overview of Housing Programs Administered by the California Department of Veterans Affairs

March 3, 2009 - Presented to Assembly Veterans Affairs Committee


Report

2009-10 Budget Analysis Series: Health

February 6, 2009 - The Governor's budget for 2008‑09 proposes to hold General Fund spending on health programs virtually flat compared to the current-year spending level. However, based on our review of the available draft legislation, it appears that the federal stimulus package will provide substantial fiscal relief to California in the form of enhanced contributions to the state’s Medi-Cal Program. At the time this analysis was prepared, Congress also appeared to be close to agreement on federal legislation that would reauthorize the State Children’s Health Insurance Program (SCHIP). We recommend that the state forego at this time an option available under the new federal legislation to expand children’s coverage up to 300 percent of the federal poverty level because of the state’s current fiscal condition. We also propose seeking voter approval for modifications to Proposition 99, a 1988 initiative approved by voters, to “unlock” spending now earmarked for certain Proposition 99 programs, a step that could allow the Legislature to achieve substantial General Fund savings in the budget year.