May 17, 2013: The nonprofit, Sacramento-based California Budget Project has released its breakdown of the May Revise announced by Governor Brown on Tuesday. Among the issues highlighted by CBP are programs affected by shifts in Brown's position on county/state realignment of social programs [emphases ours]:
...[The '13-'14 proposed budget] drops the Governor’s county-based approach and commits to a state-led Medi-Cal expansion. Newly eligible Californians would enroll in Medi-Cal and receive the same benefits available to other Medi-Cal enrollees. Health advocates, counties, and the nonpartisan Legislative Analyst’s Office have strongly supported the state-based approach.
[The May Revise] maintains – and provides new details about – [Brown's] proposal to link the Medi-Cal expansion to a major realignment of responsibilities for human services from the state to the counties.
The Governor proposes that counties “assume greater financial responsibility” for CalWORKs, CalWORKs child care, and operation of the CalFresh food assistance program, thereby generating substantial state savings.
Under the Governor’s proposal, these new county costs would be funded with county savings attributable to health care reform. The state would determine county savings by comparing counties’ available health care revenues to their costs for providing health care to the remaining uninsured. Savings would be “redirected” to the human services programs, with this shift beginning in 2013-14 as the state implements the Medi-Cal expansion.
The Administration suggests that the redirected dollars – that is, funding shifted from counties’ health care infrastructure – could total $300 million in 2013-14, rising to $1.3 billion by 2015-16. On a May 14 briefing call, Administration officials indicated that the proposal would amount to a “fiscal transfer” for all programs during 2013-14, after which counties would have increased flexibility with respect to CalWORKs and related child care programs. County flexibility would be balanced with beneficiary protections, and “the state would continue to provide funding for above-average costs that result from economic downturns or policy changes outside counties’ control,” according to the Administration...