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

Recent Congressional Action on the Children’s Health Insurance Program (CHIP)

January 23, 2018 - Recent Congressional action appropriates funding for the Children’s Health Insurance Program (CHIP) through federal fiscal year 2022-23. The federal cost share authorized by Congress for the program is higher than what was assumed in the Governor’s budget. These actions reduce estimated General Fund Medi-Cal costs by about $300 million in 2017-18 and about $600 million in 2018-19. As a result, we anticipate the May Revision will reflect $900 million in lower General Fund expenditures, and an equal amount of resources available for any purpose.

Updated 2/9/18: On Friday, February 9, 2018, Congress appropriated additional funding for CHIP through FFY 2026-27 at states' traditional cost share which, in California, is 35 percent. No changes were made to the previous reauthorization of CHIP funding through FFY 2022-23, discussed in this post.

Updated 2/9/18: Figure 1 updated to include Governor's funding assumptions through 2021‑22.


Report

The Potential Effects of Ending the SSI Cash-Out

January 8, 2018 - The Supplemental Report of the 2017-18 Budget Act directed our office to report on the programmatic and fiscal implications of ending a long-standing state policy that provides Supplemental Security Income/State Supplementary Payment (SSI/SSP) recipients an extra $10 payment in lieu of their being eligible to receive federal food benefits through California’s CalFresh program. This is known as the SSI cash-out (or the CalFresh cash-out). In this report, we (1) describe how ending the SSI cash-out would affect households differently, (2) discuss the estimated statewide net effect of ending the SSI cash-out on federal food benefits drawn down by the state and how any variation in the underlying assumptions can create significantly different estimates, (3) provide examples of how ending the SSI cash-out would affect the poverty status of certain households, and (4) as directed by the Supplemental Report, discuss potential options the Legislature could consider to hold households negatively affected by the elimination of the SSI cash-out harmless and present additional issues that merit legislative consideration.


Report

Evaluation of the Statewide Project Management Office

December 7, 2017 - In this report, we provide background regarding the objectives and operations of the Project Management Office (PMO), detail our findings in evaluating the PMO, introduce two significant recent developments and their impacts on the PMO, and make associated recommendations on how the Legislature should proceed to better align the office with the original legislative intent.


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Fiscal Outlook: Developmental Services

November 15, 2017 - This web post provides information about the fiscal outlook for the Department of Developmental Services from 2017-18 through 2021-22. It also considers the fiscal impact of the closure of state-run Developmental Centers, which will occur over the outlook period.

This is part of a collection of material for The 2018-19 Budget: California’s Fiscal Outlook. See a complete list of this year's fiscal outlook material on our fiscal outlook budget page.


Handout

State Efforts to Address Youth Homelessness

October 10, 2017 - Presented to: Senate Human Services Committee and Assembly Human Services Committee.


Report

Measuring CalWORKs Performance

September 6, 2017 - Currently, performance measurement in the California Work Opportunity and Responsibility to Kids (CalWORKs) program is relatively limited and largely focuses on processes involved with the program's operation—particular emphasis is given to a federal performance measure known as the "work participation rate" (WPR)—rather than on the program's end results, or outcomes. As part of the 2017-18 budget package, the Legislature adopted a new framework for performance measurement in CalWORKs that will be known as the CalWORKs Outcomes and Accountability Review (Cal-OAR). In this report, we outline the rationales for measuring program performance and outline why, ideally, performance measurement should focus on outcomes. We then raise several issues to be considered as the Cal-OAR system is further developed and implemented in the coming years.


Handout

Major Issues Facing the Unemployment Insurance Program

May 10, 2017 - Presented to: Senate Labor and Industrial Relations Committee


Handout

Highlights of LAO Analysis of the Developmental Services Budget

March 1, 2017 - Assembly Budget Subcommittee No. 1 on Health and Human Services


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The 2017-18 Budget: Governor’s Proposal to Strengthen Information Security

February 28, 2017 - The Governor's budget proposes $14 million total funds across various departments to strengthen information security. In this analysis, we discuss our findings and recommendations regarding the state's approach towards strengthening information security.


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The 2017-18 Budget: Analysis of the Human Services Budget

February 28, 2017 -

In this set of budget posts, we provide an overview of the Governor's 2017-18 budget for human services programs. We also describe the budget proposal in detail for the In-Home Supportive Services, Supplemental Security Income/State Supplementary Payment, and CalWORKs programs.


Report

The 2017-18 Budget: The New IT Project Approval and Funding Process

February 17, 2017 - In recent years, the California Department of Technology has begun implementing a new IT project approval process—known as the Project Approval Lifecycle (PAL)—with the goal of helping to bolster project planning and reducing the likelihood of project challenges or failure. Although the PAL process has the potential to improve the quality of IT project implementation in theory, we raise a number of issues for the Legislature to consider as it exercises oversight of this new process. First, the merits of providing funding for IT project planning proposals should be determined on a case-by-case basis, and we note a few issues the Legislature may want to consider when determining whether to support a request for IT project planning funds. Additionally, we identify these funding requests for PAL-related planning activities as an early opportunity for the Legislature to weigh in on the potential project. Finally, we find that the Legislature could increase its oversight of the PAL process by (1) building in additional oversight methods when approving budget requests and (2) considering an evaluation of the actual benefits of the new project approval process.


Handout

The Financial Information System for California (FI$Cal)

February 9, 2017 - Presented to Senate Budget and Fiscal Review Committee


Handout

IHSS Timesheet Processing

November 1, 2016 - Presented to Senate Human Services Committee


Handout

Background on the California EITC

March 29, 2016 - Presented to: Assembly Budget Subcommittee No. 4 on State Administration


Handout

CalWORKS Grants: Relation to Poverty Measures and Recent Changes

March 10, 2016 - Senate Budget and Fiscal Review Subcommittee No. 3 on Health and Human Services