vania-janet/multiturn-rag-retrieval-data huggingface dataset:
LAO Health and Human Services
We include analyses of the Governor’s proposals to (1) provide funding for behavioral health bridge housing, (2) provide funding to implement certain solutions developed by the felony incompetent to stand trial solutions workgroup, and (3) add mobile crisis intervention services as a new Medi-Cal benefit.
 

Post 


 The 2022-23 Budget: CalHR California Leads Proposal
 

Format:
PDF
HTML

February 28, 2022 - 
 In this post, we analyze the Governor’s proposal to provide resources to the Department of Human Resources (CalHR) to implement specific proposals recommended by a taskforce established by the Governor aimed at finding ways to make the state a better employer. In addition, the proposal would seek to improve statewide data on the workforce to inform a statewide diversity, equity, and inclusion strategy. We recommend that the Legislature approve the proposal and encourage the Legislature to exercise legislative oversight of the process to ensure that the administration’s policies meet legislative objectives and priorities. 
 

Report 


 The 2022-23 Budget: Health Care Access and Affordability
 

Format:
PDF
HTML

February 23, 2022 - 
 This brief focuses on access to health insurance coverage and the affordability of health care costs. We (1) assess various Governor’s proposals intended to improve health care access and/or affordability—including expanding Medi-Cal eligibility to undocumented residents between ages 26, reducing Medi-Cal premiums to zero cost, establishing the Office of Health Care Affordability, and reducing the cost of insulin through a state partnership; (2) discuss options to improve affordability of health plans purchased through Covered California; and (3) highlight some key access and affordability challenges that remain to address.
Correction (2/24/22): Figure 2 - Number of undocumented residents has been corrected.

Post 


 The 2022-23 Budget: Analysis of Child Welfare Proposals and Program Implementation Updates
 

Format:
PDF
HTML

February 22, 2022 - 
 California’s children and family programs include an array of services to protect children from abuse and neglect and to keep families safely together when possible.
The 2024-25 Budget: Department of Health Care Access and Information
would need to identify a like amount of General Fund support elsewhere
in the budget to reduce or delay. Also, considering additional solutions
beyond those proposed by the Governor—such as reducing or delaying
remaining one-time workforce funding in 2024‑25—would be prudent in
light of the state’s deteriorating budget situation. In tandem, we
recommend the Legislature adjust HCAI’s staffing levels to reflect its
expected workload needs over the coming years, after accounting for
enacted budget solutions.
Adopt Mental Health Services Fund Delays.
We recommend the Legislature adopt the proposed delays in Mental Health
Services Fund support for behavioral health initiatives, given the
fund’s capacity constraints. That said, the Legislature likely will want
to keep apprised of the fund’s condition in the future and, if capacity
for behavioral health workforce initiatives remains limited, take
further actions as needed.
Withhold Action on MCO Tax-Funded Initiative Until More
Information Provided. Though the administration states
that the Governor’s budget includes MCO tax funds for a new
HCAI-administered workforce program, it has not released basic
information about the proposal. In discussions with our office, the
administration has stated that more information will be available at a
later date. Until this time, the Legislature cannot assess the extent to
which the proposed program would meet the stated goal of the MCO tax
package of improving access, quality, and equity in the Medi-Cal
program. Therefore, we recommend the Legislature withhold action on the
proposed MCO tax-funded program until the administration provides more
information on which to assess its merits. To the extent more
information is not forthcoming, we recommend the Legislature use the
funds to support workforce programs of its choosing, support other
high-priority areas, or offset General Fund spending in Medi-Cal.
Hospital Relief
Program Implementation Update
In this section, we provide an implementation update to two hospital
relief programs enacted in last year’s budget. We first provide
background on hospitals in California and the two relief programs. We
Bill Text - AB-132 Postsecondary education trailer bill.
for the 2021–22 award year, commission staff may waive the requirement to submit a test score in lieu of a qualifying grade point average for a student who does not have a grade point average and is unable to submit a test score due to unavailability of designated testing due to the COVID-19 pandemic. The commission shall require a student seeking a waiver under this subparagraph to submit a signed certification verifying they were prevented from taking and submitting a test score in lieu of a qualifying grade point average due to the COVID-19 pandemic. For purposes of consideration for a Cal Grant A or B Entitlement award when applying with a waiver under this subparagraph for the 2021–22 award year, students shall have until May 16, 2021, to complete and submit their financial aid application and signed certification verifying they were prevented from taking and submitting a test score in lieu of a qualifying grade point average.(iv) The requirements of this subparagraph shall become inoperative upon the submission by the commission of any required grade point average through the Cradle-to-Career Data System pursuant to subparagraph (A).(3) It is the intent of the Legislature that high schools and institutions of higher education certify the grade point averages of their students in time to meet the application deadlines imposed by this chapter.(4) (A) It is the intent of the Legislature that the commission make available to each high school and school district a report identifying all grade 12 pupils within the high school or school district, respectively, who have and have not completed the Free Application for Federal Student Aid or the California Dream Act application.(B) (i) It is the intent of the Legislature that the commission make available to each high school and school district a
	report identifying all grade 12 pupils within the high school or school district, respectively, who have and have not completed the Free Application for Federal Student Aid or the California Dream Act application.(ii) The requirements of this subparagraph shall become inoperative upon the submission by the commission of any required grade point average through the Cradle-to-Career Data System pursuant to subparagraph (A).
The 2024-25 Budget: Department of Health Care Access and Information
account for the volume of outpatient services provided). This reflects
that private insurance plans tend to pay more for services than public
programs. These statewide amounts also mask substantial variation among
hospitals. For example, some hospitals have a greater share of patients
and payments from Medi-Cal, whereas others primarily serve patients with
private insurance.

Stakeholders Recently Raised Concerns Around Financial
Health of Hospitals. During last year’s budget process,
hospital stakeholders raised a number of concerns about the financial
position of certain hospitals. While hospitals, on average, remained
profitable during the pandemic, in 2022, average profits fell
considerably. According to HCAI data, hospital margins (that is, the
share of revenues available as profits, after netting out expenses) were
1 percent in 2022, considerably below the level in 2021 (9 percent). The
fall in profits was due to expenses growing faster than revenues. News
articles around this time also reported that some hospitals had filed
for bankruptcy and that several others were in financial distress. In
response to the above concerns, the Legislature enacted a few new
programs to provide financial relief to hospitals, described further
below.
State Recently Established Grant Program to Support Cost
of Seismic Upgrades. As part of Chapter 489 of 2021
(SB 395, Caballero), which increased taxes on electronic cigarette
products, the state created the Small and Rural Hospital Relief Program.
The program provides qualifying hospitals grants to support the cost of
seismic upgrades to their facilities. The program specifically is
targeted to a hospital that is small, located in a rural area, or is a
critical access hospital. Applicants must show that the cost of seismic
safety compliance imposes a financial burden that may result in the
hospital’s closure, and that such closure would substantially impact
access to care in the surrounding community. Funds from the tax increase
are continuously appropriated and deposited into the California
Electronic Cigarette Excise Tax Fund, of which 10 percent is designated
for this program.
State Also Recently Established Loan Program for
Financially Distressed Hospitals.
California Health Plans Compared to Health Plans Nationwide

Follow-up Visit Within 30 Days After Mental Illness Hospital Stay

70%

70%

80%

Follow-up Visit Within 7 Days After Mental Illness Hospital Stay

48%

48%

62%

Breast Cancer Screening

74%

73%

80%

Cervical Cancer Screening

75%

74%

81%

Chlamydia Screening 

51%

47%

62%

Colorectal Cancer Screening

57%

57%

67%

Doctor Advises Patient to Quit Smoking

72%

75%

78%

Flu Shots for Adults

56%

54%

66%

Immunizations for Early Teens

37%

33%

46%

Ongoing Care for Attention Deficit Disorder

49%

48%

59%

Starting Care for Attention Deficit Hyperactivity Disorder

44%

42%

51%

Checking if Teen’s Weight Could Cause Health Problems

68%

68%

87%

Checking if Children’s Weight Could Cause Health Problems

72%

70%

88%

Immunizations for Children

52%

54%

71%

Treating Children with Throat Infections

71%

81%

89%


 352.100a

  

About OPA 
 


 Staff


 Strategic Plan


 News and Media


 Research and Reports


 Contact Us

Health Care Quality


 Health Plan Report Card


 Commercial Medical Group Report Card


 Medicare Medical Group Report Card


 Complaint Data Reports

Other Resources


 How to File a Complaint


 Know Your Rights


 Health Insurance and Public Coverage


 Local Assistance Resources


 Statewide Assistance Resources

 

Back to Top    
 Accessibility Certification    
 
 Conditions of Use    
 Privacy Policy    
 Website Help    
 Copyright © 2024 State of California
See How Many of You Switched Health Plans for 2024 - CalPERS PERSpective
Significant premium increases in the preferred provider organization (PPO) plans likely led 11,700 of you in PERS Platinum to change plans, with most moving to PERS Gold and Blue Shield Access+ and Trio.
We increased communication outreach with emails, articles, the website, and myCalPERS to encourage members to shop and compare health plans.

Overall, the health plans that experienced the largest net gain of members were Blue Shield Access+, Blue Shield Trio, and UHC Alliance. Kaiser Permanente, PERS Platinum, and Anthem Select experienced the largest net loss. The Open Enrollment results (PDF) are updated every year for transparency around enrollment changes.
You can search for CalPERS health plans available in your area any time using the Health Plan Search by ZIP Code tool on our website, or by logging into your myCalPERS account and using the Search Health Plans feature. The next opportunity to consider your health plan choice and make a change (outside of special enrollment events) is Open Enrollment this fall, from September 16 through October 11, 2024.

Related Posts
 

Active Members Health Care Health Plans myCalPERS Open Enrollment Retirees 

FacebookXLinkedInEmail 

CalPERS Social Networks

Most Viewed Articles

Get Ready for myCalPERS Improvements

Your COLA Is Here — Top 5 Facts to Know About Your...

How to Report the Death of a CalPERS Member

We’ve Got New Classes to Help Fund Your Retirement...

Popular TopicsHealth Care
Pensions
Health Plans
Health Benefits
Member Education
myCalPERS
Retirement Planning
Retirement Benefits
Retirees
Active Members

Featured CalPERS Video 

About PERSpective PERSpective provides information for members of the retirement and health programs of the California Public Employees’ Retirement System. If you would like to give us feedback or suggest future topics, send us an email.

Get Answers to Your Questions Use our online form for Questions, Comments, & Complaints about CalPERS programs and services.
For personal account questions, log in to myCalPERS and send your questions through our secure Message Center.

 

@CalPERS Instagram 

We support ongoing career development by hosting C
 

We support the career growth of our team members.
The 2024-25 Budget: Medi-Cal Analysis
(Figure 4 summarizes the Governor’s proposed budget solutions.) The net result of these changes is a slight reduction in General Fund spending.

Figure 2
Current‑Year Spending Is Down Slightly
General Fund Changes in Medi‑Cal (In Billions)

Item

Amount

2023‑24 Enacted

$37.5

Adjustments, Before Applying Budget Solutions

Increased limited‑term spending

$0.7

Higher caseload

0.6

Other adjustments (net)

‑0.3

Total Adjustments

$1.0

Budget Solutions

‑$1.2

Total Changes

‑$0.2

2023‑24 Revised

$37.3

 Two Factors Largely Drive Increase in Spending Under Current Law. We estimate two key factors primarily drive the upward revision in spending under current law. First, the administration anticipates limited‑term spending to be higher in the current year than originally assumed in the 2023‑24 budget. Some of this increase is the result of higher costs associated with a one‑time retroactive repayment to the federal government. The timing of some one‑time spending also shifts from 2022‑23 to 2023‑24, further contributing to the upward revision. Second, the administration estimates caseload to be higher than assumed when the budget was enacted, resulting in increased General Fund spending.
Budget‑Year General Fund Changes
Budget Solutions Also Offset Growth in Budget Year. As Figure 3 shows, prior to accounting for proposed budget solutions, the Governor’s budget anticipates General Fund spending in Medi‑Cal to grow in 2024‑25. The growth is the net result of several factors. After including the proposed solutions, General Fund spending decreases in the budget year. 

Figure 3
Spending Declines in Budget Year
General Fund Changes in Medi‑Cal (In Billions)

Item

Amount

2023‑24 Revised

$37.3

Adjustments, Before Applying Budget Solutions

Backfill of declines in other fund sourcesa

$3.0

Per‑enrollee cost growth

1.8
Member Education - CalPERS
Virtual

2024 Pathways for Women Conference 
Join us this summer for a dynamic forum to inspire career growth and advance women of all backgrounds.
The event is on August 26-27, 2024 at the Hilton Anaheim, California.

View Event Details
Conference

Classes
The earlier you develop an understanding of your CalPERS benefits and other retirement income sources, the more prepared you’ll be to make informed career and life decisions.
How to Enroll
Log in to myCalPERS and select the Education tab to view class offerings and register. For virtual classes, you can enroll at any of our eight Regional Offices, regardless of your location.
Still have questions after taking a class? Select the Appointment tab in myCalPERS to schedule a one-on-one appointment with one of our specialists. Learn about available appointment types by visiting our Make an Appointment page.
Available Classes
Our virtual and in-person instructor-led, and self-paced online classes are based on your career stages. Select the class that best suits your needs.

Available Classes for Enhancing Member Education

Class Descriptions
Format

Funding Your Retirement Future
CalPERS retirement benefits play a pivotal role in funding your financial future once you decide to retire, but have you explored additional ways to build towards long-term financial security? Learn the basics of how your future CalPERS pension, Social Security benefit, and monies from additional sources can work together to support your optimal retirement plan.

Virtual instructor-led

Your CalPERS and You
For members who are new or midway through their career
Get a basic understanding of your CalPERS benefits. Learn about how your retirement benefit is calculated, the options you have to set aside money for retirement in addition to your pension, what happens if you pass away or leave your employer before you retire, the importance of having a power of attorney on file, what you can find and do in your myCalPERS account and more.

Virtual or in-person instructor-led, and self-paced online

Planning Your Retirement
For members within 10 years of retirement
This is our most comprehensive benefits education class that provides a deeper understanding of your benefits as you begin to prepare for retirement.
CalCareers

CalCareers

Skip to Main Content

×

Default

High Contrast

Reset

Increase Font Size
Font 

Decrease Font Size
Font 


 CalCareers Informational Message:
 

 Learn how to get a state job with our step-by-step guide. https://workforcalifornia.ca.gov
 


 CalHR Job Center:
 

 The CalHR Job Center, located at 1810 16th Street, Sacramento, CA 95811, will be open on the 1st and 3rd Tuesdays of the month. Our hours are 9:00 AM - 12:00 PM and 1:00 PM - 3:00 PM. A staff member will be available to assist you in navigating our CalCareer website for job opportunities. This is not a job fair event.
 

×

Site Search: 


 Site Search
 

 Help/Tutorials


  Settings


  Messages

Menu

Search

Home

Get a State Job


 State Employees
 


 Veterans
 

Persons with Disabilities

State Retirees

Create Account / Log In
 

Job Title/Keyword:

Search

×


 Advanced Job Search
 


 Geographic Job Search
 


 Exam / Assessment Search
 

Seeking a State Job? Start here. 


 Get a State Job
 


 State Employees
 


 Veterans
 


 Persons with Disabilities
 


 State Retirees
 

Why work for the State of California?

Many Opportunities


 The State of California offers a wide variety of careers and jobs, ranging from accounting to zoology. 
 The services our employees provide are truly essential to the people of California. 
 In public service, you will spend every day doing work that is vital to your state and your community.
 

Generous Benefits


 The State of California offers its employees generous benefits that include retirement and savings plans, 
 health and dental insurance, and access to long-term disability and long-term care insurance. 
 You will also earn vacation and sick leave, and may be able to create a flexible schedule that fits 
 the demands of your life.
 

Career Development


 We want to help you build a career from the ground up. The state provides on-the-job training and 
 professional development, and many positions do not require previous experience or a degree.
Employers - CalPERS
Employers - CalPERS

Skip to main content
	

California Public Employees' Retirement System (CalPERS) logo
California Public Employees' Retirement System (CalPERS) logo

Menu

Contact
About

Log in to myCalPERS

Log in to myCalPERS 

Search

Search 
	

Home


	Members

Retirement Benefits
Health Benefits
Death Benefits

 

Retirees

Cost of Living
Health & Medicare
Retirement Checks
Taxes
Working After Retirement

 

Employers

Actuarial Resources
Benefit Programs
Contracts
myCalPERS Technical Requirements
Policies & Procedures

 

Investments

About Investments

Corporate Governance

Investment Manager Opportunities

Sustainable Investments Program

Newsroom
Blog
Contact
About

Search

Search 

Actuarial Resources
Benefit Programs
Contracts
myCalPERS Technical Requirements
Policies & Procedures

Employers

Early Bird Registration Opens Soon
Starting June 6, you can register for the 25th CalPERS Educational Forum and receive $50 off standard pricing.
Learn About the Forum

 I Want To . . . 

Access myCalPERS Student Guides
Attend Training & Events
Contract with CalPERS for Health & Retirement
Learn About Health Plan Open Enrollment
Search Actuarial Reports
Stay Up to Date on Policies & Procedures
View Employer Contributions
 

 Resources 

2025 Health Plan Changes
CalPERS 457 Plan
California Employers' Pension Prefunding Trust (CEPPT) Fund
California Employers' Retiree Benefit Trust (CERBT) Fund
Circular Letters
Governmental Accounting Standards Board (GASB)
Health Plan ZIP Codes
myCalPERS Employer Reports (Cognos)
Social Security & Medicare Services
 

 Forms & Publications 

Health Benefits Plan Enrollment for Active Employees (HBD-12) (PDF)
Public Agency & Schools Reference Guide (PDF, 2.9 MB)
State Reference Guide (PDF, 2.8 MB)
Summary of PEPRA (PDF)
Workplace Wellness Guide (PDF)

 View All

News 

CalPERS to Lead Committee Governing Climate Action 100+
CalPERS and Stanford Engineering Collaborate to Train the Next Generation of Institutional Investors
The 2024-25 Budget: Medi-Cal Analysis
This is around the same time our office typically finalizes Medi‑Cal caseload projections for our Fiscal Outlook report. At this time, enrollment data were only available through July 2023, reflecting only one month of redeterminations. In addition to enrollment data, DHCS has published a monthly dashboard and posted its monthly reports to the Centers for Medicare and Medicaid Services (CMS) that detail initial redeterminations data. The administration indicates that they were able to factor these early redetermination results into their Governor’s budget caseload projections. Our estimates, on the other hand, were based upon projections of caseload given economic and demographic factors rather than incorporating early redeterminations data, which were of limited use for projecting caseload principally because of the large number of redeterminations still shown as pending. 
Wide Gap Between Projections Illustrates Extent of Uncertainty of Continuous Coverage Unwinding. Historically, most categories of Medi‑Cal caseload have tended to follow long‑term trends, meaning they can typically be projected in the near term within a relatively small margin of error. (Exceptions to this have occurred historically, such as with uncertainty surrounding the ACA optional expansion.) In the years immediately preceding the pandemic, our office and the administration had differing assessments of caseload from time to time, but generally those differences—and the resulting impacts on the budget—were relatively minor. The wide gap between recent projections truly is a notable occurrence. That said, it is illustrative of the extraordinary circumstance in which the state finds itself after three years of continuous coverage. 
A Clearer Picture of Redeterminations Is Now Emerging. Since our office and the administration each produced our most recent projections of Medi‑Cal caseload, DHCS has released additional months of initial redeterminations data and updates to the June 2023 through August 2023 reports that reveal the outcome of most previously pending redeterminations. These recently released data show enrollees being retained in the program at a higher rate than was the case in previous reports. In addition, we now have caseload data through January 2024.