http://www.lahealthaction.org/index.php/library/index en vcalderon@lahealthaction.org Copyright 2012 2012-05-16T22:04:34-08:00 http://lahealthaction.org/index.php/library/full_entry/3952/ Report providing a funding breakdown of Health and Human Service programs as proposed in the 2012-13 May budget revision by Governor Brown. State Budget, Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Health Care Reform and Expansion, Health Care Financing, Costs of Health Care 2012-05-14T18:08:26-08:00 http://lahealthaction.org/index.php/library/full_entry/3951/ Policy brief addressing the May Revision of Governor Jerry Brown's proposed 2012-2013 budget proposal. The May Revision estimates a two-year budget gap of $15.7 billion, up from a $9.2 billion gap as estimated in January. The Governor outlines $16.7 billion in “solutions” to close the budget gap and provide a $1.0 billion reserve. The May Revision assumes that voters pass a tax measure that the Governor is attempting to place on the November 2012 ballot. The measure would temporarily increase personal income tax rates on very-high-income Californians and boost the sales tax rate by one-quarter cent, raising an estimated $8.5 billion in 2011-12 and 2012-13 combined. Regardless of whether voters pass the tax measure, the May Revision proposes $8.3 billion in spending reductions; a $1.2 billion cut to Medi-Cal, an $879.9 million reduction to the California Work Opportunity and Responsibility to Kids (CalWORKs) Program, and deep cuts to IHSS, child care, the courts, and the Cal Grant college financial aid program. State Budget 2012-05-14T17:17:14-08:00 http://lahealthaction.org/index.php/library/full_entry/3941/ Policy brief designed to help voters reach an informed decision based on the merits of the Proposition 29 issues. The brief presents an overview of the Poposition, describes existing tobacco tax revenues, provides a comparison to other state tobacco tax laws, describes the impact the new tobacco tax would have on California residents, and presents policy issues raised, and cases argued by both the proponents and opponents of the initiative. State Budget, Health Status and Issues, Health Behaviors 2012-05-02T21:11:35-08:00 http://lahealthaction.org/index.php/library/full_entry/3942/ Memorandum providing pursuits of County position on legislation related to funding for local ombudsman programs and creation of the Basic Health Program State option; a report on legislation of County interest regarding the definition of a safety net care provider for purpose of determining default enrollment into a Medi-Cal managed care provider; and the status of realignment budget trailer bill language. State Budget, Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Health Care Reform and Expansion, Health Care Delivery Systems, Hospitals, Ambulatory Care 2012-05-01T23:21:41-08:00 http://lahealthaction.org/index.php/library/full_entry/3929/ Memorandum to the board of supervisors providing County positions on IHSS workers' compensation and the Safety Net Care Pool (SNCP) funding. The Assembly Budget Subcommittee No. 1 on Health and Human Services rejected the IHSS Trailer Bill language to define criteria for pre-approval of the exceptions to the 20 percent trigger reductions in IHSS hours and rejected the proposal to eliminate IHSS domestic and related services to persons living in shared living arrangements. The remaining IHSS issues were held open until the May Budget Revision. DHS and CEO recommend an oppose position on AB 2096, legislation which would allow non-designated public hospitals to submit claims to receive reimbursement from SNCP, because it is counter to existing Board policy to support legislation that promotes the fair and equitable distribution of SNCP dollars between public and private hospitals. State Budget, Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Health Care Delivery Systems, Hospitals, Health Professionals, Section 1115 Medicaid Waiver 2012-04-17T23:48:35-08:00 http://lahealthaction.org/index.php/library/full_entry/3924/ Memorandum to the Board of Supervisors providing an update on the Governor's FY 2012-13 Budget proposal to provide coordinated care for persons receiving both Medicaid and Medi-Cal. On March 26, 2012, the Administration released draft trailer bill language providing specifics on the expansion of the dual eligibles pilot. On April 4, 2012 the State announced that Los Angeles is one of the four counties selected to participate in the SB 208 dual eligibles pilot. Therefore, the trailer bill language is of importance to the County, because it addresses key aspects of the pilot. State Budget, Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Section 1115 Medicaid Waiver 2012-04-11T16:42:12-08:00 http://lahealthaction.org/index.php/library/full_entry/3920/ Fact sheet describing total number of IHSS participants to be affected and loss of funds to be incurred by county due to the Governor's proposed budget cuts to IHSS Program. An estimated 254,000 low-income seniors and people with disabilities will lose their support services, with 101,170 individuals residing in L.A. County. Assembly Budget Subcommittee #1 on Health and Human Services will discuss the Governor's proposed reduction to the IHSS Program as part of a hearing on Wednesday, April 11, 2012. State Budget, Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs 2012-04-09T23:21:28-08:00 http://lahealthaction.org/index.php/library/full_entry/3884/ Policy brief commissioned by the 100% Campaign providing four possible scenarios concerning implementation and budget issues of the Healthy Families Program (HFP) upon full ACA implementation in 2014. Possible scenarios include remaining at status quo, full Medi-Cal shift, HFP administration shifts to the California Health Benefit Exchange or coverage plans in the Exchange provide HFP coverage to HFP children. The report identifies advantages and disadvantages of each scenario for low-income children. State Budget, Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Health Care Reform and Expansion, Children's Health and Coverage 2012-02-29T21:16:50-08:00 http://lahealthaction.org/index.php/library/full_entry/3838/ Presentation providing an overview of the Governor's proposed spending plan and the social and economic context that will shape this year's budget debate. The presentation shows how the economic downturn has contributed to the $9.2 billion budget shortfall now facing California, how the Governor's proposed budget aims to close the budget gap and what the Governor's proposed budget would mean for state support for education, health and human services, and other key areas. State Budget 2012-02-01T19:16:42-08:00 http://lahealthaction.org/index.php/library/full_entry/3826/ Memorandum to the Board of Supervisors providing information on issues regarding the State Department of Health Care Services' (DHCS') plan to implement a 20-percent reduction to In-Home Supportive Services (IHHS) authorized hours effective January 1,2012. A temporary restraining order delaying implementation of the 20-percent reduction has been issued. State Budget, Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs 2012-01-24T23:51:34-08:00 http://lahealthaction.org/index.php/library/full_entry/3822/ Memorandum from the L.A. County CEO to the Board of Supervisors on L.A. County's 2012 federal legislative outlook and major priorities, including issues such as Medicaid, federal health reform and human service entitlements. State Budget, Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs 2012-01-18T16:14:16-08:00 http://lahealthaction.org/index.php/library/full_entry/3829/ Memorandum to the Board of Supervisors providing a report on the Legislative Analyst's Office (LAO) overview of the Governor's FY 2012-13 proposed budget. The LAO's revenue projection for FY 2012-13 is $3.1 billion, with the proposed social service reductions and recommendations on trigger cuts described. State Budget 2012-01-13T19:28:25-08:00 http://lahealthaction.org/index.php/library/full_entry/3824/ Issue brief providing a summary of the key provisions of the Governor's proposed 2012-13 state budget, which includes deep cuts to health and human services programs. The Governor proposes $10.3 billion in “solutions” to close the identified budget gap and provide a $1.1 billion budget reserve. The Governor’s proposal assumes that voters approve a measure that would be placed on the November 2012 ballot that would raise $6.9 billion in 2011-12 and 2012-13. His proposed spending plan also includes $5.4 billion of additional spending cuts that would be triggered on if voters fail to approve the proposed tax measure. State Budget, Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs 2012-01-10T23:11:49-08:00 http://lahealthaction.org/index.php/library/full_entry/3831/ Memorandum to the Board of Supervisors providing information regarding the Governor's FY 2012-13 proposed State Budget and potential impacts on L.A. County including details on promoting coordinated care and enhancing the quality of home-based and community services for dual eligibles, Healthy Families shift to Medi-Cal, and other pertinent budgetary information related to the Department of Health Services, Mental Health and Public Social Services. State Budget, Health Insurance and Coverage Programs, Health Care Reform and Expansion, Health Care Financing, Costs of Health Care, Medi-Cal Redesign 2012-01-10T19:39:59-08:00 http://lahealthaction.org/index.php/library/full_entry/3833/ Memorandum to all L.A. County department heads providing the Board-approved state legislature agenda for the second year of the 2011-12 session, and includes procedures for the development of County policies and positions on legislation and state budget issues, and advocacy of County interest.. The County's priorities include implementing federal health care reform which will: 1) provide for the seamless transition of existing delivery systems, provider network and patient services; 2) maintain and/or expand the County's long-term funding as a safety net provider; 3) establish an integrated, accessible, high-quality health care service delivery system; 4) establish a patient-centered, team-focused medical home model; and 5) promote the retention of covered members in the County health care delivery system. State Budget, Health Insurance and Coverage Programs, Health Care Reform and Expansion, Health Care Delivery Systems 2011-12-22T22:34:47-08:00 http://lahealthaction.org/index.php/library/full_entry/3811/ Memorandum from the L.A. County CEO to the Board of Supervisors providing an update on the triggered budget reductions and the estimated county impact. As a result of the $2.2 billion State General Fund revenue shortfall, $980.8 million of the triggered reductions outlined in the FY 2011-12 State Budget will be enacted beginning January 1, 2012 with an overall L.A. County impact of $380,000. The Medi-Cal Managed Care Plan will have a reduction of $8.6 million statewide with L.A. County's Department of Health Services receiving a loss of $1.0 million in FY 2011-12. State Budget, Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Health Care Financing, Costs of Health Care 2011-12-15T23:20:14-08:00 http://lahealthaction.org/index.php/library/full_entry/3795/ Policy brief examining how federal dollars were spent in California in federal fiscal year (FFY) 2010. Californians received $333.8 billion in federal dollars both through and outside of the state budget in FFY 2010. More than 50 cents out of every federal dollar spent through the state budget supports health and human services for children, seniors, and many other Californians. Nearly three-quarters of federal funds that go toward health and human services pay for health care through the Medi-Cal Program – the single largest federal expenditure in the state budget. State Budget, Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Outreach, Enrollment, Retention and Utilization, Health Care Reform and Expansion 2011-11-15T19:28:32-08:00 http://lahealthaction.org/index.php/library/full_entry/3719/ Memorandum from the L.A. County Department of Public Health (DPH) to the Board of Supervisors following up on the Board approved DPH recommendation to prepare the execute sole-source agreements with certified and/or licensed alcohol and drug providers for Assembly Bill 109 under the Public Safety Realignment Act. This memorandum contains a list of the agencies that will be funded at $1 million for FY 2011-12. State Budget, Health Care Delivery Systems, Health Care Financing, Costs of Health Care, Health Status and Issues 2011-10-12T18:13:12-08:00 http://lahealthaction.org/index.php/library/full_entry/3696/ Memorandum from the L.A. County CEO to the Board of Supervisors providing an update on L.A. County impact from possible trigger budget cuts. Based on a preliminary analysis, if the trigger cuts are enacted, the impact to the County would be approximately $380,000 resulting in a total estimated County loss of $363.7 billion in FY 2011-12. The Department of Health Services estimates that the proposed trigger cut would result in a County loss of $1.0 million in FY 2011-12. State Budget, Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs 2011-09-30T18:14:22-08:00 http://lahealthaction.org/index.php/library/full_entry/3673/ Memorandum from L.A. County DHS to the Board of Supervisors proposing a reduction in the PSIP reimbursement rate from 18% to 12% for all outstanding claims for FY 2010-11, and reduce the rate for FY 2011-12 to 14% of the Official County Fee Schedule (OCFS) due to the FY 2009-10 State Budget funding reductions to the PSIP, the continued increase in claim volume, and a slight increase in payment per claim. Continuing reimbursement at the current 18% of OCFS would result in a projected shortfall of $1.2 million for FY 2010-11 and $3.3M for FY 2011-12. If there is a significant decrease in the number of PSIP claims, and a significant funding balance remains after all claims are paid at reduced rates, a supplemental payment may be made, not to exceed 35% of OCFS. State Budget, Health Insurance and Coverage Programs, Outreach, Enrollment, Retention and Utilization, Health Care Financing, Costs of Health Care, Health Status and Issues, Vulnerable Populations and Health Disparities 2011-09-20T18:08:35-08:00