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.
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.
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.
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.
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.
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.
April 23, 2021 - On March 5, 2021, the Governor signed Chapter 10 (AB 86, Committee on Budget), which provides additional one-time Proposition 98 funding to schools for providing in-person instruction and addressing student learning loss due to the coronavirus disease 2019 pandemic. This post describes the major components of the legislation.
November 5, 2020 - This post provides a high-level summary of state and federal funds provided to date to respond to the coronavirus disease 2019 (COVID-19). In this post we discuss: (1) the authorities, at both the state and federal levels, for COVID-19 spending; (2) the state, federal, and other funding sources for COVID-19 spending; and (3) the amounts of COVID-19 spending authorized so far, organized by different purposes and program areas.
Updated 11/12/20: State and federal government spending on certain activities to control the spread of COVID-19 revised upward to $8.6 billion.
September 17, 2024 - This post summarizes spending on health programs in the 2024-25 budget package.
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.