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The 2025-26 Budget: CalAIM Enhanced Care Management and Community Supports Implementation Update

Mar 6, 2025 - The Governor ’s 2025 ‑26 budget proposes ECM spending at $956  million (total funds) and Community Supports spending at $231  million (total funds), a $67  million (7.5  percent) and $11  million (5  percent) increase over revised 2024 ‑25 levels, respectively.
https://lao.ca.gov/Publications/Report/5003

The 2025-26 Budget: Medi-Cal Pharmacy Spending

Apr 3, 2025 - As   Figure  5 shows, at the start of 2018, antipsychotics (drugs that treat certain mental health conditions) and insulin (drugs that help regulate blood sugar for diabetics) represented around one ‑quarter of gross spending.
https://lao.ca.gov/Publications/Report/5026

The 2025-26 Budget: Health Care Access and Information

Feb 20, 2025 - As Figure  5 shows, however, as measured by the consumer price index, prescription drug cost inflation has slowed over the past 50 years. While drug inflation has tended to exceed overall inflation, this trend reversed in the last few years.
https://lao.ca.gov/Publications/Report/4979

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

Mar 6, 2025 - Largely as a result of these policies, Medi ‑Cal caseload increased by over 3  million enrollees (25  percent) between March  2020 and June 2023, as shown in Figure  5 . Counties resumed eligibility processing in April 2023, which resulted in overall Medi ‑Cal caseload beginning to decline starting in July 2023.
https://lao.ca.gov/Publications/Report/5010

The 2025-26 Budget: Overview of the Governor's Budget

Jan 13, 2025 - School and Community College Spending Higher by $5   Billion. Reflecting these higher revenue estimates, the administration ’s estimates of constitutionally required General Fund spending on K ‑14 education is $4.7  billion higher than our November estimates.
https://lao.ca.gov/Publications/Report/4951

The 2025-26 Budget: Medi-Cal Fiscal Outlook

Nov 20, 2024 - The largest driver pertains to increases in “baseline costs ” —related to increases in the utilization of services and provider rates (which grow between 3  percent and 5  percent a year) that are partially offset by declines in overall caseload.
https://lao.ca.gov/Publications/Report/4941

The 2024-25 California Spending Plan: Health

Sep 17, 2024 - Withdrawing the scheduled end of the deferral in 2024-25, thereby allowing it to continue, provides $5 33  million one-time General Fund savings in 2024-25. Reduces Equity and Practice Transformation Payments .
https://lao.ca.gov/Publications/Report/4930

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

May 22, 2024 - These augmentations were expected to cost $2.7  billion MCO tax funds at full implementation (when the tax was estimated at the time to raise between $5  billion and $5.4  billion annually in net revenue).
https://lao.ca.gov/Publications/Report/4905

The 2024-25 Budget: Future of Public Health Budget Solution

May 21, 2024 - Historically, the General Fund —a flexible funding source —has been a very small source of support (3  percent to 5  percent of the department ’s total budget) that actually declined between a pre-Great Recession peak ($361  million) and the onset of the COVID-19 pandemic ($167  million in 2018 ‑19).
https://lao.ca.gov/Publications/Report/4904

Mental Health Services Act: Revenue Volatility and the Governor’s Proposal to Reduce Allowable County Reserves

Jul 13, 2023 - Up to 5  Percent of Revenue Available for State Purposes. The MHSA allows up to 5  percent of overall revenues to be used for state administration of MHSA. The 5  percent is often referred to as the “state cap. ” Under current legislative practice, funding within the state cap that is not needed for direct MHSA administration is available for the Legislature to appropriate to various mental health programs.
https://lao.ca.gov/Publications/Report/4780