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Health and Human Services Publications

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The 2021-22 Budget: Preliminary Comments on the Governor’s May Revision Proposal for Broadband Infrastructure

May 24, 2021 - The administration’s 2021-22 May Revision proposes up to $7 billion (federal and state funds) over two fiscal years to fund state broadband infrastructure projects and programs. In this post, we provide our preliminary comments on this proposal, reflecting our understanding of the proposal as of Sunday, May 23, and provide options for legislative consideration.

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The 2021-22 Budget: Initial Comments on the Governor’s May Revision

May 17, 2021 - On May 14, 2021, Governor Newsom presented a revised state budget proposal to the Legislature. (This annual proposed revised budget is called the “May Revision.”) In this post, we provide a summary of the Governor’s revised budget, focusing on the overall condition and structure of the state General Fund—the budget’s main operating account. In the coming days, we will analyze the plan in more detail and provide additional comments in hearing testimony and online.

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The 2021-22 Budget: Assessment of CalHEERS Dashboard

March 25, 2021 - Supplemental report language adopted by the Legislature in 2020-21 directed our office to provide an assessment of a new dashboard developed by the administration for Medi-Cal eligibility functionality issues in the California Healthcare Eligibility, Enrollment, and Retention System—an information technology system. This post provides our assessment of the dashboard and associated process changes, and identifies opportunities for legislative oversight going forward.

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The 2021-22 Budget: In-Home Supportive Services

February 26, 2021 - Analyzes the Governor’s 2021-22 budget proposals related to the In-Home Supportive Services program; assesses recent growth trends in caseload, hourly wages, and hours per case; and provides some recommendations and issues for consideration.

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The 2021-22 Budget: Supplemental Security Income/State Supplementary Payment (SSI/SSP) Program

February 23, 2021 - This handout provides our comments on the Governor's budget proposals related to the Supplemental Security Income/State Supplementary Payment program.

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The 2021-22 Budget: Medi-Cal Enterprise System Modernization Effort

February 17, 2021 - This post analyzes, and provides recommendations to the Legislature on, the 2021-22 Governor’s Budget proposal for the Department of Health Care Services to continue the replacement of several Medi-Cal information technology systems and to plan the modernization of the remaining systems under a new effort called the Medi-Cal Enterprise System Modernization.

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The 2021-22 Budget: Department of Child Support Services

February 12, 2021 - Analyzes the Governor’s 2021-22 budget proposals related to the child support program, provides background on recent program developments and state review process of child support guidelines, and provides issues for the Legislature to consider.

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The 2021-22 Budget: Analysis of Child Welfare Proposals

February 11, 2021 - In this analysis of the Governor’s 2021-22 budget proposal for child welfare programs, we: (1) provide program background; (2) outline the Governor’s proposed budget for child welfare services and foster care programs; and (3) provide key questions and issues for the Legislature to consider related to the administration’s proposals for continued pandemic response, implementation of the federal Family First Prevention Services Act, and ongoing implementation of Continuum of Care Reform.

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The 2021-22 Budget: California Department of Technology

February 8, 2021 - This post discusses 2021-22 Governor’s Budget proposals for the California Department of Technology to use General Fund to pay the costs of some existing information security programs and services, and to create new programs and services that are intended to improve the delivery of critical state services using information technology (IT) systems and the stability of the state’s legacy IT infrastructure.

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The 2021-22 Budget: Nutrition Access Programs

February 4, 2021 - This handout highlights California's major nutrition access programs, related federal and state actions in response to COVID-19, and the Governor's CalFresh-related proposals in the 2021-22 budget.

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The 2021-22 Budget: Analysis of the Governor’s CalWORKs Proposals

February 3, 2021 - In this post, we provide important background on California Work Opportunity and Responsibility to Kids (CalWORKs), updates on how caseload has been affected by the coronavirus disease 2019 (COVID-19) pandemic, and analyze the Governor’s proposed CalWORKs budget. In short, caseload has declined precipitously in the most recent data, reaching a new all-time low in November 2020 (the most recent month for which there are data). This runs contrary to both the Governor’s budget (which assumes a fairly rapid rate of caseload growth from 2020 through 2022) and the historic relationship between caseload and economic data (which suggests caseload should increase following increased unemployment). In line with other efforts the administration is proposing to support low-income individuals during the COVID-19 pandemic, we suggest the Legislature work with the administration to understand the factors leading to the lower than expected caseload and explore options for ensuring CalWORKs assistance reaches eligible families.

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Estimating the CalWORKs Take-Up Rate

February 2, 2021 - This is the first in a series of several posts estimating the percentage of California Work Opportunity and Responsibility to Kids (CalWORKs)-eligible individuals who actually enroll in the program—otherwise known as the CalWORKs take-up rate. In this post, we introduce our methodology for estimating the number of families eligible for CalWORKs since 2005 and compare this to the number who actually enrolled. In future posts, we plan to examine how this take-up rate varies between different regions in the state, as well as possible reasons why it varies regionally and has changed over time.

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The 2021-22 Budget: California State Payroll System IT Project

February 2, 2021 - This post discusses 2021-22 Governor’s Budget proposals for the State Controller’s Office and the California Department of Human Resources to continue planning a replacement for the state’s current payroll system—the proposed California State Payroll System information technology project.

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The 2021-22 Budget: Overview of the Governor's Budget

January 10, 2021 - This report provides a brief summary and initial assessment of the proposed 2021-22 Governor’s Budget.

Correction 1/11/21: Totals for immediate and early action proposals have been corrected.

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The 2021-22 Budget: CalWORKs Fiscal Outlook

December 8, 2020 - In this post, we describe our most recent forecast for California Work Opportunity and Responsibility to Kids (CalWORKs) program costs and discuss recent caseload trends. With this post we intend to provide information but do not include any explicit recommendations to the Legislature. This post is part of our 2021-2022 Fiscal Outlook series of publications.

Health and Human Services 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