Building California’s Behavioral Health Infrastructure: Progress Update and Opportunities for the Proposition 1 Bond

Feb 5, 2025 - This report assesses the allocation of the $1.8 billion in awards already made to give the Legislature the tools to conduct oversight of the Proposition 1 funding that will be provided by way of BHCIP beginning May 2025.
https://lao.ca.gov/Publications/Report/4954

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - Looking at the combined effects of the two policy changes over time, we estimate total coverage losses could reach about 2.1  million by June 2028, compared to the administration ’s estimate of about 1.8  million.
https://lao.ca.gov/Publications/Report/5146

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 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

The 2024-25 Budget: The MCO Tax Package at May Revision

May 22, 2024 - Of this amount, $1.8  billion would be in the budget window (through 2024-25). The remainder would be realized in the out-years. Figure 1 May Revision MCO Tax Package Provides Notable Budget Solution (In Millions)
https://lao.ca.gov/Publications/Report/4905

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 2024-25 California Spending Plan: Health

Sep 17, 2024 - These reductions result in $30  million remaining for the sixth round of BHCIP grants and $1.8  billion overall from the original allocation in the 2021-22 budget package. In addition (but continuously appropriated and thus not included in the budget), Proposition  1 (2024) allocates $4.4  billion in bond funding to the BHCIP program.
https://lao.ca.gov/Publications/Report/4930

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 2024-25 Budget: Medi-Cal Fiscal Outlook

Dec 7, 2023 - Under our outlook, we assume per-enrollee costs increase by $1.8  billion (around 5  percent). This projection assumes Medi-Cal utilization and costs, as well as their underlying drivers (such as inflation), generally continue to follow past trends.
https://lao.ca.gov/Publications/Report/4820

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