vania-janet/multiturn-rag-retrieval-data huggingface dataset:
The 2023-24 Budget: Overview of the Spending Plan (Final Version)
The main solution in this area is a renewal and increase in a tax on health insurance plans known as the managed care organization (MCO) tax. Under the new policy, the tax would last from April 2023 through December 2026 and primarily be used to maintain and augment support for Medi‑Cal, the state’s Medicaid program. The tax also requires approval from the federal government to be used to draw down federal funding to support Medi‑Cal. (We describe the reauthorized MCO tax in more detail in the “Major Features” section of this report.) The budget package assumes that, in 2023‑24 specifically, the renewed MCO tax provides $3.4 billion to address the budget problem. 
Budget Condition
In this section, we describe the overall condition of the General Fund budget under the spending plan. We also describe the condition of the school and community college budget. As is the case in the previous section, all of the figures here use the administration’s budget estimates as of June 2023.
General Fund Budget
Figure 2 summarizes the condition of the General Fund under the revenue and spending assumptions in the June 2023 budget package, as estimated by the administration. The state would end 2023‑24 with $3.8 billion in the Special Fund for Economic Uncertainties (SFEU). (The SFEU is the state’s operating reserve and essentially functions like an end‑of‑year balance.)

Figure 2
General Fund Condition Summary
(In Millions)

2021‑22 Revised

2022‑23 Revised

2023‑24 Enacted

Prior‑year fund balance

$40,057

$55,810

$26,352

Revenues and transfers

232,537

205,134

208,688

Expenditures

216,785

234,592

225,928

 Ending fund balance

$55,810

$26,352

$9,112

Encumbrances

$5,272

$5,272

$5,272

 SFEU balance

$50,538
Complaints and IMRs

Enrollment
Health Plan Customer Service
Provider Customer Service

From Year

2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000

To Year

2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000

Please choose a start year that is less than the ending year


 Consumers can apply for an IMR if their health plan denies, modifies or delays a request
 for medical services, denies payment for emergency treatment or refuses to cover
 experimental or investigational treatment.
 

68


 Approximately
 
68%
 of enrollees
 
 that submitted IMR requests to the DMHC received the service or treatment they requested.
 

Independent Medical Reviews (IMR)


 For
 
 Health plan type
 

All Health Plan Types
Full Service
Specialty


 in
 
 Year
 

2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000

1,743
Medical Necessity
 IMRs
 

875
  
 

 Overturned
 

50.20%

487
  
 

 Upheld
 

27.94%

381
  
 

 Reversed
 

21.86%

1743
Total

436
Experimental / Investigational
 IMRs
 

223
  
 

 Upheld
 

51.15%

184
  
 

 Overturned
 

42.20%

29
  
 

 Reversed
 

6.65%

436
Total

11
ER Reimbursement
 IMRs
 

6
  
 

 Overturned
 

54.55%

4
Bill Text - SB-225 Health care coverage: timely access to care.
(c) Notwithstanding subdivision (b), a specialized health insurance policy, as defined in subdivision (c) of Section 106, other than a specialized mental health insurance policy, is exempt from this section, except as specified in this subdivision. A specialized health insurance policy that provides coverage for dental care expenses only shall comply with paragraphs (1), (3), (4), (6), (7), (9), and (10) of
	subdivision (b).(d) An insurer shall incorporate the standards set forth in the insurer’s quality assurance systems and processes, as set forth in subdivision (b), and the processes as set forth in Title 10 of the California Code of Regulations, including Sections 2240.1, 2240.15, and 2240.16. An insurer shall not prevent, discourage, or discipline a contracting provider or employee for informing an insured or policyholder about the timely access standards.(e) For purposes of this section:(1) “Appointment waiting time” means the time from the
	initial request for health care services by an insured or the insured’s treating provider to the earliest date offered for the appointment for services inclusive of time for obtaining authorization from the insurer or completing any other condition or requirement of the insurer or its contracting providers.(2) “Preventive care” means health care provided for prevention and early detection of disease, illness, injury, or other health condition and includes, but is not limited to, all of the services required by all of the following laws:(A) Section 146.130 of Title 45 of the Code of Federal Regulations.(B) Section 10112.2 (incorporating the requirements of Section 2713 of the federal Public Health Service Act (42 U.S.C.
	Sec. 300gg-13)).(C) Clause (ii) of subparagraph (A) of paragraph (2) of subdivision (a) of Section 10112.27.(3) “Provider group” has the meaning set forth in subdivision (v) of Section 10133.15.
Bill Text - SB-225 Health care coverage: timely access to care.
(7) “Urgent care” means health care for a condition that requires prompt attention, consistent with paragraph (2) of subdivision (h) of Section 1367.01.(f) (1) Contracts between health care service plans and health care providers shall ensure compliance with the standards developed under this chapter. These contracts shall require reporting by health care providers to health care service plans and by health care service plans to the department to ensure compliance with the standards.(2) Health care service plans shall report annually to the
	department on compliance with the standards in a manner specified by the department. The reported information shall allow consumers to compare the performance of plans and their network providers in complying with the standards, as well as changes in the compliance of plans with these standards.(3) The department shall develop standardized methodologies for reporting that shall be used by health care service plans to demonstrate compliance with this section and any regulations adopted pursuant to it, including demonstration of the average waiting time for each class of appointment regulated under this section, except the department may develop methodologies to demonstrate compliance with, and the average appointment wait time for, each class of appointments regulated under paragraph (6) of subdivision (a). The methodologies
	shall be sufficient to determine compliance with the standards developed under this section for different networks of providers if a health care service plan uses a different network for Medi-Cal managed care products than for other products or if a health care service plan uses a different network for individual market products than for small group market products. The development and adoption of these methodologies shall not be subject to the Administrative Procedure Act (Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code) until December 31, 2025. The department shall consult with stakeholders in developing standardized methodologies under this paragraph.(4) Notwithstanding paragraph (3), the department may take compliance or disciplinary action, including assessment of administrative
	penalties, on the basis of noncompliance with any of the provisions of this section, including, but not limited to, timeframes for appointments and followup appointments.
Unemployment Insurance – Forms and Publications
Notice of Required Retroactive CertificationDue a historically high number of unemployment claims, the EDD automatically processed Unemployment Insurance and Pandemic Unemployment Assistance benefits early in the pandemic through the week ending May 9, 2020. Claimants are now required to certify for those weeks known as retroactive certification. The UI Branch will be referencing this form in other forms once the retroactive certification period has ended.DE 4581RETRO – English and Spanish
Notification of Unemployment Insurance Benefits Eligibility InterviewA notice sent to claimants containing the date and time of their telephone interview regarding their eligibility for unemployment insurance benefits.DE 4800 - English | DE 4800/AR - Arabic | DE 4800/A - Armenian | DE 4800/CC - Traditional Chinese (Cantonese) | DE 4800/CM - Simplified Chinese (Mandarin) | DE 4800/F - Farsi | DE 4800/HI - Hindi | DE 4800/H - Hmong | DE 4800/J - Japanese | DE 4800/K - Korean | DE 4800/L - Laotian | DE 4800/CA – Mon-Khmer (Cambodian) | DE 4800/P - Punjabi | DE 4800/R - Russian | DE 4800/S - Spanish | DE 4800/T - Tagalog | DE 4800/TH - Thai | DE 4800/V - Vietnamese
Important: Information about your Unemployment Insurance BenefitsHelpful information about the phone interview processDE 4800I – English/Spanish
The 2024-25 Budget: Department of Health Care Access and Information
required to execute a series of closing documents prior to receiving
funds. As Figure 6 shows, while most hospitals have finalized these
documents and received their loans, four have not yet completed this
process. According to HCAI, some hospitals are involved in bankruptcy
court, delaying the timing of when they can approve closing documents.
In other cases, HCAI states hospitals are still working with their legal
counsel to review the documents. Also, one hospital—Beverly
Hospital—declined its loan offer after it was acquired by another
private entity.

Figure 6
Most Hospital Loans Have Been Fully Executed
Loan Awarded in Distressed Hospital Loan Program (In Millions)

Hospital

Type

County

Loan

Loans Fully Executed

Tri-city Medical Center

District

San Diego

$33.2

Dameron Hospital Association

Private

San Joaquin

29.0

El Centro Regional Medical Center

County

Imperial

28.0

Pioneers Memorial Healthcare District

District

Imperial

28.0

St. Rose Hospital

Private

Alameda

17.7

Martin Luther King, Jr. Community Hospital 

Private

Los Angeles

14.0

Chinese Hospital

Private

San Francisco

10.4

San Gorgonio Memorial Healthcare District

District

Riverside

9.8

John C. Fremont Healthcare District

District

Mariposa

9.4

Palo Verde Hospital

District

Riverside

8.5

Watsonville Community Hospital

Districta

Santa Cruz

8.3

Ridgecrest Regional Hospital

Private

Kern

5.5

Totals

$201.7

Loans Still in Progress

Madera Community Hospital

Private

Madera

$57.0

Kaweah Delta Health Care District

District

Tulare

20.8

Hazel Hawkins Memorial

District

San Benito

10.0

Sonoma Valley Hospital

District

Sonoma

3.1

Totals

$90.9
LAO Economy and Taxes
March 15, 2018 - 
 In this report, we explain how the existing credit works and why so few taxpayers are claiming it. Then we describe and comment on the administration’s California Hiring Credit proposal, which would improve upon the existing credit in some respects. We conclude with some options for making more fundamental changes to the credit.
 

Report 


 Building Reserves to Prepare for a Recession
 

Format:
PDF
HTML

March 7, 2018 - 
 Reserves are of critical importance to the health of the state's budget. These funds help cushion the impact of a budget problem that emerges during a recession. In this report, our office provides an overview of revenue losses that have occurred in past recessions to consider the magnitude of a budget problem that could emerge in the future. Then, we describe the Governor's reserve proposal for 2018-19 and compare this level to past reserves and other states. Next, to aid the Legislature as it evaluates the Governor’s proposal, we present a framework that the Legislature can use to plan for a recession and determine a target level of reserves. Finally, we conclude with our office’s comments on the Governor’s proposed level of reserves in light of this framework and present some alternatives for legislative consideration.
 

Report 


 The 2018-19 Budget: The Administration’s Proposition 55 Estimates
 

Format:
PDF
HTML

March 1, 2018 - 
 Proposition 55 (2016) aimed to increase funding for Medi-Cal under a formula administered by the Department of Finance. In 2018-19, the first year of implementation of this calculation, the administration’s interpretations and estimates result in no additional funds to Medi-Cal. Two key choices lead to this result. First, the administration’s decision to subtract $3.5 billion from available revenues to account for its proposed optional reserve deposit significantly reduces the calculation’s starting point, eliminating a surplus that would have directed funds to Medi-Cal. Second, the administration’s workload budget approach is based on a broad definition of currently authorized services, which also has the effect of reducing the amount of potential funds for Medi-Cal under the measure.
Testing


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 <span style="font-size:18px;">​​<a href="tel:1-833-4CA-4ALL (1-833-422-4255)"><span style="text-decoration:underline;">1-833-4CA-4ALL</span><span style="text-decoration:underline;"> (</span><span style="text-decoration:underline;">1-833-422-4255)</span></a><br></span></p>
Bill Text - SB-225 Health care coverage: timely access to care.
This subdivision does not modify the requirements established in Sections 10133.8 and 10133.9 of this code and Section 2538.6 of Title 10 of the California Code of Regulations, or approved by the department pursuant to Section 2538.6 of Title 10 of the California Code of Regulations for an insurer’s language assistance program.(5) In addition to ensuring compliance with the clinical appropriateness standard set forth in paragraph (1), a health insurer shall ensure that its contracted provider network has adequate capacity and availability of licensed health care providers to offer insureds appointments that meet the following timeframes:(A) Urgent care appointments for services that do not require prior authorization: within 48 hours of the request for appointment, except as provided in subparagraph (H).(B) Urgent care appointments for services that require prior authorization: within 96 hours of the request for appointment, except as provided in subparagraph (H).(C) Nonurgent appointments for primary care: within 10 business days of the request for appointment, except as provided in subparagraphs (H) and (I).(D) Nonurgent appointments with specialist physicians: within 15 business days of the request for appointment, except as provided in subparagraphs (H) and (I).(E) Nonurgent appointments with a nonphysician mental health care or substance use disorder provider: within 10 business days of the request for appointment, except as provided in subparagraphs (H) and (I).(F) Commencing July 1, 2022, nonurgent followup appointments with a nonphysician mental health care or substance use disorder provider: within 10 business days of the prior appointment for
	those undergoing a course of treatment for an ongoing mental health or substance use disorder condition, except as provided in subparagraph (H). This subparagraph does not limit coverage for nonurgent followup appointments with a nonphysician mental health care or substance use disorder provider to once every 10 business days.(G) Nonurgent appointments for ancillary services for the diagnosis or treatment of injury, illness, or other health condition: within 15 business days of the request for appointment, except as provided in subparagraphs (H) and (I).
Office of the Patient Advocate - State of California


(Released April 2018) – This third-year, multi-departmental report provides information on health care complaints resolved in 2016.

Report to the Legislature for Measurement Year 2016 (PDF) 
Data Tables from the Measurement Year 2016 Report (PDF)
Methodology from the Measurement Year 2016 Report (PDF)

Measurement Year 2015
(Released January 2017) – This second-year, multi-departmental report provides information on health care complaints resolved in 2015.

Report to the Legislature for Measurement Year 2015 (PDF)
Data Tables from the Measurement Year 2015 Report

Measurement Year 2014
(Released May 2016) – This baseline report is the first time in the state’s history that a multi-departmental report on health care complaint data has been issued.

Baseline Report to the Legislature for Measurement Year 2014 (PDF)
Data Tables from the Measurement Year 2014 Report

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Department of Health Care Services Archives - California Grants Portal
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DeadlineThe date by which the grant application must be submitted to the grantmaking agency.Sort by: Deadline Grant TitleSort by: Grant Title Open DateThe date that a grant’s information was made available on the portal. If the grant is Active (i.e. not Forecasted), the Open Date also marks the start of the application period.Sort by: Open Date State Agency / Department Match Funding?Certain grants require that the recipient(s) be able to fully or partially match the grant award amount with another funding source. Estimated Total FundingThe total projected dollar amount of the grant.Sort by: Estimated Total Funding Estimated Low/HighA range indicating the smallest dollar amount that a grant award might be and the highest dollar amount that a grant award might be. Funds DisbursementThe manner in which the grant funding will be delivered to the awardee. Disbursement methods include reimbursements (where the recipient spends out-of-pocket and is reimbursed by the grantor) and advances (where the recipient spends received grant funds directly). 

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Round 3: COVID-19 MITIGATION PROJECT

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Reimbursement(s)

 

	Current as of:
Bill Text - SB-225 Health care coverage: timely access to care.
(a) A health care service plan that provides or arranges for the provision of hospital or physician services, including a specialized mental health plan that provides physician or hospital services, or that provides mental health services pursuant to a contract with a full service plan, shall comply with the following timely access requirements:(1) A health care service plan shall provide or arrange for the provision of covered health care services in a timely manner appropriate for the nature of the enrollee’s condition consistent with good professional practice. A plan shall establish and maintain networks, policies, procedures, and quality assurance monitoring systems and
	processes sufficient to ensure compliance with this clinical appropriateness standard. A health care service plan that uses a tiered network shall demonstrate compliance with the standards established by this section based on providers available at the lowest cost-sharing tier.(2) A health care service plan shall ensure that all plan and provider processes necessary to obtain covered health care services, including, but not limited to, prior authorization processes, are completed in a manner that assures the provision of covered health care services to an enrollee in a timely manner appropriate for the enrollee’s condition and in compliance with this section.(3) If it is necessary for a provider or an enrollee to reschedule an appointment, the appointment shall be promptly rescheduled
	in a manner that is appropriate for the enrollee’s health care needs, and ensures continuity of care consistent with good professional practice, and consistent with this section and the regulations adopted thereunder.(4) Interpreter services required by Section 1367.04 of this code and Section 1300.67.04 of Title 28 of the California Code of Regulations shall be coordinated with scheduled appointments for health care services in a manner that ensures the provision of interpreter services at the time of the appointment without imposing delay on the scheduling of the appointment. This subdivision does not modify the requirements established in Section 1300.67.04 of Title 28 of the California Code of Regulations, or approved by the department pursuant to Section 1300.67.04 of Title 28 of the California Code of Regulations for
	a plan’s language assistance program.
State Postpones Deadlines for Filing Tax Protests, Appeals, and Refund Claims Due to COVID-19 | FTB.ca.gov
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