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2001 Budget Analysis:California Spending on Long-Term Care Services
facilities, both of which are licensed health facilities. Community-based services include nonmedical residential care, adult day health care, transportation, and
nutrition. The in-home category, including such programs as In-Home Supportive Services (IHSS), provides personal care services in the home and case
management aimed at coordinating a variety of services that allow a person to remain in his/her own home.


 Figure 1

Summary of Long-Term Care Programs


 2000-01
 (In Millions)

Program

Department

Total
 Cost

Service

Clients


 Institutional Care

Nursing Facilities—Fee-for Service

Medi-Cal/Health Services

$2,634

Private, licensed skilled nursing facilities.

Medi-Cal eligible elderly, disabled, or needy.

Nursing Facilities/Intermediate Care
 Facilities—Managed Care

Medi-Cal/Health Services

236

Long-term care provided by County
 Organized Health Systems, usually in an institutional setting.

Medi-Cal eligible elderly, disabled, or needy.

Developmental Centers

Developmental Services

656

State institutions.

Developmentally disabled.

State Hospitals-Lanterman-Petris-Short

Mental Health

110

State institutions.

Mental health patients.

State Hospitals-Forensic

Mental Health

407

State institutions.

Mental health patients.

Intermediate Care Facilities-
 Developmentally Disabled

Medi-Cal/
 Developmental Services

326

Private, licensed health facilities.

Developmentally disabled.

Veterans' Homes-Nursing Facilities and
 Intermediate Care Facilities

Veterans Affairs

60

State institutions, with licensed skilled nursing and intermediate care
 facilities.

Elderly or disabled veterans.

Veterans' Homes-Residential

Veterans Affairs

20

State institutions, with residential and domiciliary care.

Elderly or disabled veterans.


 Community-Based Care

Regional Centers/Nonresidential

Developmental Services

$1,120

Services provided to clients residing in own home or home of a
 relative.

Developmentally disabled.

Regional Centers/Residential
Analysis TOC




	Analysis TOC

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LAO 2001-02 Budget Analysis: Health and Social Services TOC

Analysis of the 2001-02 Budget Bill
Health and Social Services Table of Contents
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Issue-By-Issue
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Overview
Health
                        Insurance Portability and Accountability Act (HIPAA)
Implementation
                        of Proposition 36
California
                        Spending on Long-Term Care Services
New
                        Tobacco Settlement Fund
Child
                        Health and Disability Prevention Program
California
                        Medical Assistance Program (Medi-Cal) (4260)
Public
                        Health
Managed
                        Risk Medical Insurance Board (4280)
Department
                        of Developmental Services (4300)
Department
                        of Mental Health (4440)
Employment
                        Development Department (5100)
Department
                        of Child Support Services (5175)
Department
                        of Social Services State Operations (5180)
Department
                        of Social Services CalWORKs Program
Foster
                        Care
Food
                        Stamps Program
Supplemental
                        Security Income/State Supplementary Program
In-Home
                        Supportive Services
Child
                        Welfare Services
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2001 Budget Analysis:California Spending on Long-Term Care Services
Later in this Analysis, we also provide a summary of the Governor's 2001-02
proposals to strengthen long-term care.
State's Efforts to Improve Long-Term Care. Both the Governor and the Legislature have demonstrated an interest in improving the quality and availability of
long-term care services in California. The Governor's Aging With Dignity Initiative and the Legislature's subsequent budget actions in 2000 provided for
enhancements in the state's long-term care services. The Legislature also passed additional long-term care measures which were subsequently approved by the
Governor. For example, in addition to mandating this report, Chapter 895 established a state Long-Term Care Council through the year 2006. Comprised of
directors from selected departments within the California Health and Human Services Agency (HHSA), the council is charged with the task of developing
strategies for long-term care. As an initial effort to coordinate long-term care services, the council submitted state long-term care budget proposals for the
2001-02 Governor's Budget.
Efforts to improve long-term care in California have focused primarily upon expanding long-term care services that prevent or delay institutional care,
maximize a person's independence, and offer consumer choice. Changes in long-term care services that have occurred have resulted not only from state policy
initiatives, but also from federal incentives. In particular, the federal government provides matching funds for qualifying state programs that offer home- and
community-based care as an alternative to institutional care. In addition, a recent U.S. Supreme Court decision, L.C. & E.W. vs. Olmstead, is likely to shape
continued state efforts to improve long-term care. The June 1999 court ruling means that states must provide alternatives to institutions for persons with
disabilities who could transition to a community setting, notwithstanding available resources and consumer preference.
Characteristics of Long-Term Care 
Long-Term Care Encompasses a Wide Array of Services. In general, California law defines long-term care as a coordinated continuum of services that:

Addresses the individual's health, social, and personal needs.
Maximizes the individual's ability to function independently outside of an institution.
Analysis TOC

(2720) Highway Patrol, 
 California, Capital Outlay 

 (2240) Housing 
 and Community Development 

 (2260) Housing 
 Finance Agency, California  

 (5180) In-Home Supportive 
 Services 

 (8350) Industrial 
 Relations, Department of 

 (0505) Information 
 Technology, Department of 

 (0552) Inspector 
 General, Office of the 

 (3910) Integrated 
 Waste Management Board, California 

 (9908) Janitorial/Contract 
 Services 

 
 (0250) Judicial 

 (0250) Judicial 
 Council, Capital Outlay 

 (0820) Justice, 
 Department of 

 (0820) Justice, Department 
 of, Capital Outlay 

 (9210) Local 
 Government Financing 

 (2400) Managed 
 Health Care, Department of 

 (4280) Managed Risk 
 Medical Insurance Board 

 (4260) Medi-Cal— 
 California Medical Assistance Program 

 (4440) Mental Health, 
 Department of 

 (4440) Mental Health, 
 Department of, Capital Outlay 

 (8940) Military 
 Department 

 (8940) Military 
 Department, Capital Outlay 

 (2740) Motor 
 Vehicles, Department of 

 (2740) Motor Vehicles, 
 Department of, Capital Outlay 

 (3790) Parks and 
 Recreation 

 (3790) Parks and 
 Recreation, Department of, Capital Outlay 

 (8380) Personnel 
 Administration, Department of 

 (3930) Pesticide 
 Regulation, Department of 

 (0650) Planning and Research, Office of  

 (1900) Public 
 Employees' Retirement System 

 (4260) Public 
 Health 

 (8660) Public 
 Utilities Commission 

 (0540) Resources 
 Agency 

 (1100) Science Center, 
 California, Capital Outlay 

 (0555) Secretary 
 for Environmental Protection 

 (0890) Secretary 
 of State 

 (5180) Social Services 
 CalWORKs Program, Department of 

 (5180) Social Services 
 State Operations, Department of 

 (3560) State Lands 
 Commission
LAO Other Government Areas
Rather, our hope is that Key Issues can serve as a helpful resource to the Legislature as it evaluates fiscal and policy solutions aimed at tackling some of the state's most challenging, but critical, long-term issues.
 

Report 


 State Assistance to Businesses in Response to COVID-19
 

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January 4, 2024 - 
 This report provides an analysis of state assistance given to businesses in response to COVID-19. It includes: (1) background information on the state and federal programs that provided both broad and targeted relief to businesses; (2) a description of the industries that received the most public assistance; and (3) a description of the types of communities, defined using zip codes, that received more state and federal assistance. The report concludes with some findings and comments for the Legislature.


 

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 The 2023-24 California Spending Plan: Housing and Homelessness
 

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October 19, 2023 - 
 The 2023-24 budget provides $3.3 billion for various housing and homelessness programs within the Department of Housing and Community Development (HCD), the California Interagency Council on Homelessness (CalICH), and the California Tax Credit Allocation Committee. 
 

Report 


 The 2023-24 Budget: California Spending Plan Series
 

Format:
HTML

October 2, 2023 - 
 Each year, our office publishes California Spending Plan, a series of publications that summarize the annual state budget. The final version of Overview of the California Spending Plan is presented here along with short online posts that focus on major areas and features of the 2023-24 budget package. As these posts become available, we will add them below.
 

Post 


 MOU Fiscal Analysis: Bargaining Unit 7 (Public Safety)
 

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September 7, 2023 - 
 We reviewed the proposed memorandum of understanding (MOU) for Bargaining Unit 7 (Protective Services and Public Safety). This review is pursuant to Section 19829.5 of the Government Code.
 

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 MOU Fiscal Analysis: Bargaining Unit 16 (Physicians)
 

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September 7, 2023 -