The report, released by the oversight body on Tuesday, is the second in two years faulting the state for inadequately accounting for a program that has raised more than $13 billion.
Bureaucratic and technological shortcomings, the Little Hoover Commission said, make it difficult, if not impossible, to analyze the measure’s effect.
In a letter accompanying the report, commission Chairman Pedro Nava pointed to “overlapping and sometimes unaccountable bureaucracies” and to a panel – the Mental Health Services Oversight and Accountability Commission – that “still lacks teeth.”