An Update on the Public Health Laboratory System After the Pandemic

Jun 12, 2025 - Since the passage of the 2022-23 budget, there have been 58 graduates of this program. In the Governor ’s proposed May Revision, approximately $3.4  million for these programs is proposed for reversion.
https://lao.ca.gov/Publications/Report/5056

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - The National Center for Health Statistics found that the prevalence of any diagnosed developmental disability in children aged 3 ‑17 years in the United States increased by about a full percentage point (from 7.40  percent to 8.56  percent) between 2019 and 2021 —a significant change in a short period of time.
https://lao.ca.gov/Publications/Report/5157

The 2024-25 Budget: Department of Health Care Access and Information

Feb 27, 2024 - Figure 2 Overall Spending Varies Year to Year HCAI Funding (In Millions) -58% HCAI = Department of Health Care Access and Information. In Current Year, Deferred One-Time Funds Drive Down General Fund Spending.
https://lao.ca.gov/Publications/Report/4860

The 2019-20 Budget: California Spending Plan—Health and Human Services

Oct 17, 2019 - A number of major HHS programs, such as CalFresh and CalWORKs, are locally administered by the state ’s 58 counties. To determine eligibility for these programs and perform other administrative functions, counties use one of three automated welfare systems.
https://lao.ca.gov/Publications/Report/4104

The 2023-24 Budget: Whole Child Model Expansion

May 5, 2023 - Figure 1 More Counties Will Have Medi ‑Cal Managed Care Model With Only One Public Health Plan Number of California Counties in Each Model Counties With … Models With One Public Health Plan COHS model Models with private plans only b 22 58 — a In January 2024, two counties will switch from other models to a Two ‑Plan model, offset by two counties switching from a Two ‑Plan to a Single ‑Plan model. b Consists of the Regional, Geographic, San Benito, and Imperial models.
https://lao.ca.gov/Publications/Report/4767

Considering Medi-Cal in the Midst of a Changing Fiscal and Policy Landscape

Oct 24, 2025 - The  2026 ‑27 deficit, projected to be $17  billion as of June  2025, was estimated before Congress passed H.R.  1. While  our  assessment of the state ’s budget condition will be updated in November, recent state tax collections have improved since budget enactment.
https://lao.ca.gov/Publications/Report/5083

Climate Change Impacts Across California - Crosscutting Issues

Apr 5, 2022 - As shown in Figure  6 , from 2017 ‑18 through 2019 ‑20, the state averaged more than 1,600 schools closed due to wildfires annually, compared to an annual average of about 70 schools from 2008‑09 to 2016‑17.
https://lao.ca.gov/Publications/Report/4575

The 2021-22 Budget: CalAIM: Equity Considerations

Mar 12, 2021 - First, by requiring managed care plans to establish population health management programs and provide ECM on a statewide basis, CalAIM would expand certain service components of Whole Person Care and Health Homes to all 58 c ounties.
https://lao.ca.gov/Publications/Report/4402

The 2025-26 Budget: Understanding Recent Increases in the Medi-Cal Senior Caseload

Mar 6, 2025 - Based on data on the restricted scope population prior to the expansions to adults and older adults, 17  percent of the individuals in the older adult expansion were aged 65 and older in 2021 ‑22. (See Figure  1 of our May 2021 publication , Estimated Cost of Expanding Full‑Scope Medi‑Cal Coverage to All Otherwise‑Eligible Californians Regardless of Immigration Status.)
https://lao.ca.gov/Publications/Report/5010

The 2017-18 Budget: Overview of the Governor's May Revision Medi-Cal Budget Proposal

May 17, 2017 - Lower General Fund spending in Medi-Cal in 2016 ‑17 is attributable to many different factors, including lower caseload estimates, higher than anticipated prescription drug rebates, and managed care capitated rate adjustments resulting in greater General Fund savings. 2016 ‑17 Estimated Medi-Cal General Fund Spending Remains Over $1  Billion Higher Than the 2016
https://lao.ca.gov/Publications/Report/3674