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End-of-Life Choices

Trends in end-of-life care show that not only does the care given vary widely from region to region and hospital to hospital, but also patients often don't get the care they prefer. What can be done?

Care Management Puzzle

Chronic diseases and the cost of care are rising. Are disease management programs improving outcomes for patients with complex, chronic conditions?

No Middleman

Under the "direct primary care" model, patients pay a monthly fee for basic medical services. Learn about the history and current landscape of physician practices offering this arrangement.

Tuesday, May 01, 2012

Income Tax Revenue in April Falls More Than $2B Short of Projections

California's personal income tax revenue in April was more than $2 billion below Gov. Jerry Brown's (D) budget expectations, according to data published by State Controller John Chiang (D), Bloomberg reports.

Revenue Details

According to a daily tally on the state controller's website, California has received $6.74 billion in personal income tax revenue since April 1.

Brown had projected that the state would receive $9.13 billion.

The governor plans to release a revised spending plan later this month based on newer revenue data (Marois, Bloomberg, 4/27).

Brown's Initial Spending Plan

Brown's initial $92.6 billion budget plan for the 2012-2013 fiscal year includes cuts to several health programs:

  • $946.2 million from CalWORKs -- the state's welfare-to-work program -- by limiting the amount of time most adults could be on the program from four years to two years;
  • $842.3 million from Medi-Cal -- California's Medicaid program -- by merging services for beneficiaries eligible for both Medi-Cal and Medicare;
  • $163.8 million from In-Home Supportive Services -- which provides services for the elderly and people who are blind or have disabilities -- by eliminating domestic assistance for beneficiaries in shared living environments; and
  • $64 million from Healthy Families, California's Children's Health Insurance Program, by moving children out of the program (California Healthline, 4/11).

Brown also is pushing a compromise tax hike proposal that he developed along with supporters of the "Millionaires Tax" that would increase the state's sales tax, as well as boost income taxes for high-income individuals (Bloomberg, 4/27).

Broadcast Coverage

Headlines and links to broadcast coverage of April revenue earnings are provided below:



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