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.



Post

The 2019-20 Budget: California Spending Plan—Health and Human Services

October 17, 2019 - From the General Fund, the 2019-20 spending plan provides $26.4 billion for health programs and $15.5 billion for human services programs—an increase of 18 percent and 12.6 percent, respectively, over estimated 2018-19 General Fund spending in these two policy areas. Major health-related policy actions include the reauthorization of a tax on managed care organizations (which will reduce the above-noted General Fund health spending by $1 billion, pending federal approval) and over $400 million General Fund for state-funded subsidies for health insurance purchased on the individual market through Covered California. Major human services-related policy actions include General Fund support to increase CalWORKS cash grants and most developmental services provider rates, and to restore previously reduced service hours in the In-Home Supportive Services program. The spending plan also reflects the deposit of $700 million into a safety net reserve (bringing its balance to $900 million) that can be used for future CalWORKs and/or Medi-Cal expenditures.


Post

The 2019-20 Budget: California Spending Plan—Other Provisions

October 17, 2019 - The 2019-20 budget included significant augmentations and statutory changes in various other programs, including to support emergency services, the regulation of cannabis and alcoholic beverages, and construction and maintenance of state infrastructure.


Handout

The Financial Information System for California (FI$Cal)

June 27, 2019 - Assembly Accountability and Administrative Review and Assembly Budget Subcommittee No. 6 on Budget Process, Oversight and Program Evaluation


Handout

Item 7100-001-0588—Employment Development Department Paid Family Leave (PFL)

June 4, 2019 - Presented to: Budget Conference Committee


Post

The 2019-20 May Revision: Update to Governor's 1991 Realignment Proposals

May 29, 2019 - In this web post, we describe the update to the Governor’s 1991 realignment proposal introduced in January. Additionally, we assess whether the changes included in the Governor’s May Revision align with our realignment principles and address the issues we raised for Legislative consideration in January.


Handout

Options and Considerations for Implementing the DDS Rate Study

May 9, 2019 - Senate Budget Subcommittee No. 3 on Health and Human Services


Letter

Letter to Honorable Reyes on Service Provider Rates in the Department of Developmental Services System

May 2, 2019 - Letter to the Honorable Eloise Gómez Reyes on actions that could be taken by the Legislature in the 2019-20 budget based on a contracted study of service provider rates in the Department of Developmental Services (DDS) system.


Report

The 2019-20 Budget: Analysis of Proposed Increase in State Funding for Local Child Support Agencies

March 26, 2019 - In this report, we provide background on the current child support program. We then describe and assess the Governor’s 2019 20 proposal to create a new budgeting methodology that would increase funding for certain LCSAs by nearly $60 million General Fund. We recommend that the Legislature withhold action on the funding proposal until the administration submits the statutorily required report identifying potential state and local operational efficiencies.


Post

Housing and Homelessness Funding Impacting Children

March 25, 2019 - These materials were prepared for an informational hearing about housing challenges and their impact on the well-being of children by the Senate Select Committee on the Social Determinants of Children’s Well-Being.


Post

The 2019-20 Budget: The Governor's Proposal for a New Office of Digital Innovation

March 22, 2019 - In this post, we describe the Governor’s 2019-20 budget proposal to create a new office within California’s Government Operations Agency—the Office of Digital Innovation. We then provide issues for legislative consideration, including key questions about the office’s implementation and legislative oversight of its activities.


Report

Older Youth Access to Foster Care

March 22, 2019 - The Supplemental Report of the 2018-19 Budget Act directed our office to submit a report to the Legislature reviewing data on the reporting of child abuse or neglect incidents among children who are aged 14 to 17 compared to younger children. In this report, we (1) describe how the state’s Child Welfare Services (CWS) system processes child abuse and neglect reports, (2) discuss observed similarities and differences in reporting outcomes between older and younger youth based on available data, (3) specify limitations in our ability to come to definitive conclusions regarding the treatment of reports for older youth compared to younger youth in the CWS system based on available data, and (4) provide recommendations for the collection of additional data to better understand the potential reasons for differences in outcomes between older and younger youth accessing foster care and determine whether policy interventions are appropriate.


Post

The 2019-20 Budget: Aligning the State’s IT Project Approval Process With the Annual Budget Process

March 14, 2019 - In this post, we describe how the California Department of Technology’s (CDT) information technology (IT) project approval process—known as the Project Approval Lifecycle (PAL)—does not always align with the state’s annual budget process. We identify seven funding requests in the Governor’s 2019-20 proposed budget for IT project proposals that are currently in various stages of the PAL process. We then describe how these requests for project funding prior to the completion of the PAL planning process may inhibit the Legislature from fully realizing the anticipated benefits of the PAL process, discuss how some project-specific factors can cause misalignment of the budget cycle and PAL, and provide issues for legislative consideration.


Report

The 2019-20 Budget: Assessing the Governor's 1991 Realignment Proposals

March 8, 2019 - This report evaluates the changes the Governor proposes and assesses whether the changes better position 1991 realignment to achieve its intended benefits and meet the principles of a successful state-county fiscal partnership we identified in our October report.


Handout

Considering Options to Expand Paid Family Leave in California

March 7, 2019 - California's current paid family leave program, implemented in 2004, provides up to six weeks of partial wage replacement to workers who take time off to bond with a new child or care for an ill family member. In the 2019-20 Governor's Budget, the Governor included a conceptual proposal to expand paid family leave and make the program more flexible. In this handout, we describe the major features of the state's current paid family leave program and compare it to programs in other states and countries. We then outline potential options to expand paid family leave. Finally, we provide a preliminary assessment of the potential effects of such expansions.


Report

The 2019-20 Budget: Governor's Proposals for Infants and Toddlers With Special Needs

February 28, 2019 - In this report, we evaluate three Governor's budget proposals related to early intervention services for infants and toddlers with special needs. These include: (1) $60 million ongoing (split between Proposition 56 tobacco tax revenues and federal Medicaid funding) to provide supplemental payments to physicians who screen children covered by Medi-Cal for developmental delays, (2) four new positions (at a cost of $446,000 General Fund) to increase state oversight of Regional Center early intervention services, and (3) possible forthcoming trailer bill language to improve transitions for children aging out of early intervention services and into preschool special education. We recommend rejecting the proposed supplemental payments and approving the other two proposals and further recommend the Legislature consider broader reforms to address longstanding weaknesses in the state's early intervention system.

Update (3/4/19): Figure 3 totals adjusted.