February 8, 2021 - Presented to: Assembly Budget Subcommittee No.1 On Health and Human Services Hon. Dr. Joaquin Arambula, Chair
February 5, 2021 - This publication describes how coronavirus disease 2019 (COVID-19) spending is reflected in the California Department of Public Health’s budget. It offers options for how the Legislature can express its COVID-19-related goals and priorities in light of the administration’s reliance on midyear budget adjustments, provides an evaluative framework for assessing the administration’s proposals, and recommends an after-action review of the state’s public health response.
May 21, 2024 - The proposed elimination to the Future of Public Health funding very likely would adversely impact the ability of the California Department of Public Health and local health jurisdictions to maintain the effort to improve public health made since the pandemic. The Legislature might consider whether there is a middle ground between fully eliminating and fully maintaining the Future of Public Health funding. We note that any reduction to the size of the public health budget solution would however require a budget solution of an equivalent amount elsewhere in the budget.
February 22, 2010 - In this report, we identify significant problems in the state’s ability to accurately track AIDS–related cases. These gaps in the surveillance database weaken the state’s ability to use it as an effective tool to track and respond to trends in the disease. These problems also affect the state’s ability to collect additional federal funding that could otherwise be available to offset the cost of state AIDS programs. We recommend two actions that the state could take: First, have the state Office of AIDS (OA) take steps to ensure that persons receiving services through state–supported programs are reflected in the HIV surveillance database. Second, require electronic reporting by laboratories that must provide HIV data to local health departments. These changes, our analysis indicates, would make the state’s surveillance database more complete, improve the state’s knowledge of disease trends, and make the state more competitive for federal AIDS funding.
February 21, 2023 - This post analyzes the Governor's proposed delays and reductions to certain health workforce initiatives adopted in the 2022-23 budget.
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.
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).
March 23, 2020 - This initial post highlights key federal actions in response to the coronavirus disease 2019 (COVID-19)—through March 19, 2020—relating to public health broadly and individual health care. We discuss three sets of federal actions—(1) a federal legislative package focused on public health infrastructure, (2) a declaration of national emergency that opened the door for the state to apply for increased flexibility in the delivery of Medicaid services, and (3) a federal legislative package that provides for increased federal Medicaid funding and universal coverage of COVID-19 testing without cost sharing.
October 22, 2021 - The spending plan provides $33.7 billion General Fund for health programs. This is an increase of $6.7 billion, or 25 percent, compared to the revised 2020‑21 spending level. This year-over-year increase primarily is due to significant growth in projected General Fund spending in Medi-Cal. About two-thirds of the increase in General Fund Medi-Cal spending reflects technical budget adjustments (for example, adjustments due to projected caseload increases), while the remaining one-third reflects a large number of discretionary policy augmentations.
October 15, 2020 - From the General Fund, the 2020-21 spending plan provides $26.7 billion for health programs—an increase of 3 percent over estimated 2019-20 General Fund spending for these programs. The year-over-year net increase in General Fund spending is largely due to the projected COVID-19-related increase in the Medi-Cal caseload. The post describes major health-related actions (both policy actions and various budget adjustments) adopted by the Legislature as part of its 2020-21 spending plan. These actions include the offsetting of what would otherwise be General Fund costs with (1) revenues from the federally approved reauthorized tax on managed care organizations and (2) federal Medicaid funds that are being provided to the state at an enhanced level during the term of the public health emergency.
May 16, 2019 - In January, the Governor proposed a $50 million one-time General Fund augmentation for existing mental health workforce programs that are administered by OSHPD. In the May Revision, the Governor proposes an additional $100 million in MHSA funding for mental health workforce. This post (1) provides background on the state’s mental health workforce, (2) gives an overview of existing programs and funding aimed at improving the state’s mental health workforce, (3) summarizes and assesses the Governor’s proposals, and (4) provides options for legislative consideration.
December 13, 2021 - In recent years, as wildfires have increased in severity and damage, the Legislature has shown growing interest in state support of wildfire prevention efforts, including regional planning for forest health activities. The Regional Forest and Fire Capacity program (RFFC)—created in 2018—provides non‑competitive block grants to state conservancies, resource conservation districts, and other entities to facilitate regional coordination for forest health and wildfire resilience. These grants are intended to support regional planning, project development, demonstration projects, and community outreach. To implement these activities, grant recipients coordinate with and distribute funds to partnering entities within their regions. We prepared this report to provide an early review of RFFC’s implementation.
May 6, 2021 - On March 11, 2021, the President signed into law the American Rescue Plan Act of 2021 (ARP Act)—a $1.9 trillion coronavirus disease 2019 relief package. This post highlights the health-related provisions of the ARP Act that provide significant funding directly to state/local health care and public health agencies, rural hospitals, home- and community-based services programs, subsidized individual market health coverage programs, and public behavioral health services. Where possible, based on currently available information, we provide an estimate of the funding allocations to California governments and other entities in the state. While this post reflects our best understanding of the high-level content and implications of this legislation as of late April, we will update the post as new information and clarifications become available.
February 18, 2015 - The Governor's budget includes $7.8 billion in Proposition 98 funding increases for schools and community colleges, including $5 billion for programmatic increases and $2.8 billion for retiring outstanding obligations. In this report, we recommend the Legislature improve some of the Governor's specific Proposition 98 proposals and reject others. Most notably, though we recommend the Legislature adopt the Governor's proposal to provide $500 million for adult education consortia, we recommend making various programmatic improvements, folding some of the Governor's other proposed workforce funding into the adult education program, and rejecting a couple of the Governor's career technical education proposals. We also recommend rethinking the Governor's Internet infrastructure proposal. Additionally, we have various recommendations relating to the Local Control Funding Formula, county offices of education, and education mandates.
February 9, 2022 - This budget post describes the Governor’s 2022-23 budget proposals for the Office of Planning and Research and provides comments and recommendations to the Legislature.