Health and Human Services Publications

The 2023-24 Budget: Medi-Cal Fiscal Outlook

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November 16, 2022 - This brief provides our annual fiscal outlook for General Fund spending in Medi-Cal. It summarizes our projections, describes the major factors driving our projections, and highlights several uncertainties.

The 2022-23 California Spending Plan: Health

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October 24, 2022 - This post summarizes overall spending in the 2022-23 budget package for health programs. It is part of our Spending Plan series, which contains posts focused on each major sector of the state budget.

The 2022-23 Budget: California Spending Plan Series

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September 29, 2022 - Each year, our office publishes California Spending Plan, a series of publications that summarize the annual state budget. The Overview of the California Spending Plan is presented here along with short online posts that focus on major areas and features of the 2022-23 budget package. As more of these posts become available, we will add them below.

Proposition 31: Referendum on 2020 Law That Would Prohibit the Retail Sale of Certain Flavored Tobacco Products

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August 2, 2022 - Presented to: Senate Committee on Health Assembly Committee on Health

Climate Change Impacts Across California - Health

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April 5, 2022 - This report focuses on how a changing climate is affecting the health of Californians and key issues the Legislature faces in responding to those impacts. This is one of a series of reports summarizing how climate change will impact different sectors across California.

Climate Change Impacts Across California - Crosscutting Issues

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April 5, 2022 - This report contains four primary sections: (1) a description of the five key climate hazards affecting California, (2) the major ways those hazards impact sectors across the state, (3) significant existing state‑level efforts underway to address climate change impacts, and (4) key issues for the Legislature to consider in response to these impacts. This is one of a series of reports summarizing how climate change will impact different sectors across California.

The 2022-23 Budget: Department of Developmental Services

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March 29, 2022 - In this post, we provide an overview of the proposed 2022-23 Department of Developmental Services (DDS) budget and assess the three main new discretionary proposals. We then raise oversight issues for legislative consideration.

Letter to Honorable Ken Cooley and Honorable Jordan Cunningham Regarding Financing and Other Considerations Related to AB 1400 (Kalra) and ACA 11 (Kalra)

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March 17, 2022 - This letter responds to the Assembly Rules Committee request for the LAO to analyze financing and other considerations related to AB 1400 (Kalra), which would create a single-payer health care delivery system known as “CalCare,” and ACA 11 (Kalra), which includes tax provisions related to the financing of CalCare.

The 2022-23 Budget: Analysis of the Care Economy Workforce Development Package

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March 10, 2022 - This post analyzes the Governor’s proposed Care Economy Workforce Development Package. We provide an assessment and recommendations for both the package as a whole and for two specific components of the package.

The 2022-23 Budget: Analysis of the Governor’s Major Behavioral Health Proposals

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March 3, 2022 - This brief analyzes the Governor’s three major behavioral health budget proposals. We include analyses of the Governor’s proposals to (1) provide funding for behavioral health bridge housing, (2) provide funding to implement certain solutions developed by the felony incompetent to stand trial solutions workgroup, and (3) add mobile crisis intervention services as a new Medi-Cal benefit.

The 2022-23 Budget: Health Care Access and Affordability

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February 23, 2022 - This brief focuses on access to health insurance coverage and the affordability of health care costs. We (1) assess various Governor’s proposals intended to improve health care access and/or affordability—including expanding Medi-Cal eligibility to undocumented residents between ages 26, reducing Medi-Cal premiums to zero cost, establishing the Office of Health Care Affordability, and reducing the cost of insulin through a state partnership; (2) discuss options to improve affordability of health plans purchased through Covered California; and (3) highlight some key access and affordability challenges that remain to address.

Correction (2/24/22): Figure 2 - Number of undocumented residents has been corrected.

The 2022-23 Budget: Public Health Foundational Support

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February 16, 2022 - This brief analyzes the Governor’s proposed spending plan for a $300 million ongoing General Fund augmentation for the California Department of Public Health, describes merits of the proposed plan and identifies ways it could be strengthened, and offers issues for legislative consideration.

The 2022-23 Budget: Update on Home- and Community- Based Services Spending Plan

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February 10, 2022 - This post provides an update on the state's home- and community-based services spending plan, which was conditionally approved by the federal government in January 2022. We describe the quarterly updates the state will need to provide the federal government and ways to ensure legislative oversight over implementation of HCBS spending plan.

The 2022-23 Budget: Analysis of the Medi-Cal Budget

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February 9, 2022 - This brief analyzes the Governor’s budget proposal for Medi-Cal. We include an analysis of the administration’s caseload projections, provide options for renewing the managed care organization tax (that the Governor proposes to let expire), and provide our assessment of the discretionary budget proposals to provide equity and practice transformation payments and eliminate certain existing provider payment reductions.

The 2022-23 Budget: Overview of the Governor's Budget

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January 13, 2022 - On January 10, 2022, Governor Newsom presented his proposed state budget to the Legislature. In this report, we provide a brief summary of the proposed budget based on our initial review. In the coming weeks, we will analyze the plan in more detail and release several additional budget analyses.

Update (1/21/22): Includes a corrected estimate of Governor’s Budget proposals that are excludable under the State Appropriations Limit (SAL).