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.



Handout

Proposition 64 Youth Account: Issues for Legislative Consideration

February 13, 2019 - Presented to: Senate Committee on Health and Senate Committee on Education


Report

The 2019-20 Budget: Overview of the Governor's Budget

January 14, 2019 - This report presents our office’s initial assessment of the Governor’s Budget. The budget’s position continues to be positive. With $20.6 billion in discretionary resources available, the Governor’s budget proposal reflects a budget situation that is even better than the one our office estimated in the November Fiscal Outlook. The Governor’s Budget allocates nearly half of these discretionary resources to repaying state liabilities. Then, the Governor allocates $5.1 billion to one-time programmatic spending, $3 billion to reserves, and $2.7 billion to ongoing spending. Although the Governor’s allocation to discretionary reserves represents a smaller share of resources than recent budgets, the Governor’s decision to use a significant share of resources to pay down state debts is prudent. The Governor’s ongoing spending proposal is roughly in line with our November estimate of the ongoing capacity of the budget under an economic growth scenario. This was just one scenario, however. Recent financial market volatility indicates revenues could be somewhat lower than either we or the administration estimated.


Report

Cal Facts 2018

December 6, 2018 - With a state as big, as populous, and as complex as California, quickly summarizing how its economy or state budget works is impossible. Instead, Cal Facts is a visual guide—using a variety of different charts—to the state's economy, revenues, and major program trends.


Handout

Overview of Mental Health Services and Funding for Foster Children

October 23, 2018 - Assembly Committee on Human Services and Assembly Select Committee on Foster Care


Report

Rethinking the 1991 Realignment

October 15, 2018 - California has shifted programmatic and funding responsibility between the state and counties for various programs over the last 40 years. Historically, these shifts—or realignments—aimed to benefit both the state and counties by providing greater local flexibility over services, allowing counties opportunities to innovate and improve program outcomes, and encouraging cost savings by requiring counties to share in program costs. To achieve these benefits, we believe there are certain principles any realignment needs to follow. This report evaluates the extent to which one of California’s more notable realignments undertaken in 1991 achieves the intended benefits and meets these principles.


Handout

Department of Developmental Services: Budget Trends and Recent Budget Actions

August 7, 2018 - Assembly Select Committee on Intellectual and Developmental Disabilities


Handout

Annual SSP COLA

May 31, 2018 - To be presented to: Budget Conference Committee


Handout

CalWORKs Grants and COLA

May 31, 2018 - To be presented to: Budget Conference Committee


Handout

Health and Human Services Overview

May 31, 2018 - To be present to: 2018-19 Budget Conference Committee


Post

The 2018-19 Budget: The May Revision—Health and Human Services (HHS)‑Related Funding to Address Homelessness

May 17, 2018 - The Governor’s 2018 19 May Revision proposes a package of actions and funding augmentations aimed at alleviating homelessness. Several of the major elements of the proposal are in the HHS area of the budget. Specifically, the proposals would: (1) create the Senior Home Safe program at the Department of Social Services (DSS), (2) augment the current California Work Opportunity and Responsibility to Kids (CalWORKs) Housing Support Program and CalWORKs Homeless Assistance Program at DSS, and (3) provide one-time funding to the Department of Health Care Services (DHCS) for county mental health services. In this post, we describe these proposals and raise issues and questions for the Legislature to consider.


Post

The 2018-19 Budget: Child Care Programs—Analysis of Governor’s Hold Harmless Rate Proposal

March 19, 2018 - In this post, we first provide background on the reimbursement rate used for certain child care providers. We then describe and assess the Governor’s related hold harmless provision and end by making associated recommendations.


Post

The 2018-19 Budget: Evaluating FI$Cal

March 2, 2018 - In this analysis, we describe the Financial Information System for California (FI$Cal) Project and the major changes to the project based on the newly released Special Project Report (SPR). We also describe the Governor’s 2018-19 budget proposal to fund activities associated with the new SPR at the State Controller’s Office. Finally, we make associated findings and recommendations.


Report

The 2018-19 Budget: Analysis of the Health and Human Services Budget

February 16, 2018 - In this report we provide a broad overview of the Governor's health and human services budget, highlighting major year-over-year changes. We then provide a more in-depth analysis of select programmatic areas.


Handout

Overview of Select Safety Net Programs: SSI/SSP, CalFresh, and CalWORKs

February 14, 2018 - Presented to: Senate Budget and Fiscal Review Committee


Report

Sequestering Savings From the Closure of Developmental Centers

January 31, 2018 - In this report, we (1) provide brief background information about Developmental Center (DC) closures and the Department of Developmental Services budget, (2) discuss potential savings in terms of net operational savings and increased revenues from the sale or repurposing (specifically leasing) of DC properties, and (3) address other practical implications and trade‑offs of the proposal.