The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - The department stated that its budget projections for 2026 ‑27 do not incorporate any potential added costs due to the changes in H.R 1. Will the department be able to determine whether its costs increase in the future due to H.R. 1?
https://lao.ca.gov/Publications/Report/5157

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - One possible reason for our higher estimate is that our model reflects not only disenrollment among current enrollees, but also reduced enrollment flows over time and a persistent risk of disenrollment among eligible individuals due to added administrative burden.
https://lao.ca.gov/Publications/Report/5146

Climate Change Impacts Across California - Crosscutting Issues

Apr 5, 2022 - A significant decrease in agricultural production could have considerable employment impacts in that region, such as fewer jobs overall and unpredictable changes to the nature of remaining jobs. Loss of Biodiversity and Natural Resources Increasing Temperatures and Severe Weather Events Threaten State ’s Fish and Wildlife, Ecosystems, and Native Plants.
https://lao.ca.gov/Publications/Report/4575

The 2018-19 Budget: Meeting Workforce Demand for Certified Nursing Assistants in Skilled Nursing Facilities

Apr 27, 2018 - The 2017 ‑18 budget package raised this requirement to 3.5 nursing hours per day, and added a new requirement that CNAs provide at least 2.4 of the minimum 3.5 nursing hours per day. Both of the new requirements become effective July 1, 2018.
https://lao.ca.gov/Publications/Report/3815

Impact of COVID-19 on Health Care Access

May 7, 2021 - Because nearly half of Californians have job-based health care coverage, the unprecedented job losses under the pandemic were expected to result in the widespread loss of health care coverage. However, losses in job-based coverage appear to be far smaller than losses in jobs.
https://lao.ca.gov/Publications/Report/4426

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

Oct 24, 2025 - …But Potentially With Added Complexity. Adding more flexibilities also could come with the potential downside of more complexity for beneficiaries and counties. For example, exempting high unemployment counties from work requirements could create more volatility.
https://lao.ca.gov/Publications/Report/5083

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

Mar 6, 2025 - In the paragraphs that follow, we provide our analysis that results in ou r estimate of at least 165,000 seniors being added due to eligibility expansions since 2020. (As a consequence of this estimate, it follows naturally that we estimate up to 60,000  seniors being added due to the effects of continuous coverage, the unwinding, and unwinding flexibilities, for a total increase of 225,000 seniors due to policy changes.)
https://lao.ca.gov/Publications/Report/5010

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

Feb 5, 2025 - Strategies to do so have included expanding the behavioral health workforce; adding benefits and increasing rates in Medi ‑Cal; and increasing capacity through managed care plans, schools, and in other  settings.
https://lao.ca.gov/Publications/Report/4954

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

Jan 13, 2025 - The  administration appears to share some of these concerns, noting recent job losses among high ‑wage workers and the risks posed by the inherent volatility of tax receipts tied to stock market gains.
https://lao.ca.gov/Publications/Report/4951

Update on COVID-19 Spending in California

Nov 5, 2020 - While the pandemic is ongoing, some workers, often called essential workers, cannot do their jobs remotely and work in sectors of the economy that are necessary for the needs of society. These workers have continued to do their jobs, so the state has undertaken some activities to mitigate their risk of contracting or spreading COVID-19 or to provide other support that allows them to continue working.
https://lao.ca.gov/Publications/Report/4292