FROM THE FOUNDATION

Redefining the Safety Net

Should California establish a Basic Health Program for certain low-income residents? CHCF's Marian Mulkey captures a recent policy conversation in a Health Affairs blog.

Accountable Care in Action

A new post on the Health Affairs blog details how CalPERS kept costs down in Sacramento through a "virtual" ACO with insurers and providers.

Career Opportunity: Senior Program Officer

This position will play a major role in furthering the goals and objectives of the foundation's Better Chronic Disease Care program.

Tuesday, May 24, 2011

Health Care Expected To Contribute to Growth in California's General Fund

California's general fund budget is expected to grow from $88.8 billion to $112.5 billion over the next four years, partially as a result of rising health care spending, the San Francisco Chronicle reports.

The projected growth would bring the general fund to its highest level in state history.

General Fund Projections

The state's general fund budget has declined in recent years as a result of the economic downturn. Cuts in state spending also have contributed to a contracted general fund budget.

However, state expenses are expected to grow over the next few years as the economy recovers. For fiscal year 2012-2013, Gov. Jerry Brown (D) has proposed increasing the general fund budget by nearly $12 billion, which would be the largest single-year general fund increase in state history.

Health Care Costs

More than half of the increase in California's general fund budget will be spent on education because of requirements under Proposition 98. Most of the remaining growth is expected to cover higher costs for health care, prisons and addressing the state's debt.

Medi-Cal, California's Medicaid program, is expected to grow by 8% annually over the next few years. The state's overall health and human services budget is expected to grow by $4 billion, or a 16% increase over four years.

H.D. Palmer, spokesperson for the state Department of Finance, said, "The two biggest drivers of growth in the coming years ... will be schools and health care. Virtually every other aspect of state government is in a slow-growth mode."

Concerns Over Continued Cuts

Jean Ross, executive director of the California Budget Project, said the increased general fund budget does not mean that the state will restore previous cuts to health care programs, such as dental services for low-income adults.

Ross said, "All they are doing is saying, 'Here is what it costs in that year to do exactly what we're doing now'" (Buchanan, San Francisco Chronicle, 5/24).



Readers are invited to send feedback to: chl@chcf.org