The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - At the time of this report, DDS was working to complete Stage 2 of the PAL process, or the Alternatives Analysis. Stage 2 requires the department to conduct market research on which IT solution could meet the project ’s desired outcomes, as well as develop a financial analysis for the recommended solution.
https://lao.ca.gov/Publications/Report/5157

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - The spending plan includes $5.5  million one-time General Fund for three external entities: (1)  the Northeast Valley Health Corporation ($3  million), (2)  the Youth Mental Health Academy ($2  million), and (3)  the American Reproductive Centers fertility clinic ($500,000).
https://lao.ca.gov/Publications/Report/5075

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - This section focuses on (1)  new community engagement requirements, (2)  the new six ‑month renewal requirement, and (3)  changes that eliminate federally funded full ‑scope (comprehensive) Medi ‑Cal coverage for certain immigrant groups.
https://lao.ca.gov/Publications/Report/5146

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

Oct 24, 2025 - In revisiting the Medi ‑Cal program, the Legislature faces three key questions: (1)  who should Medi ‑Cal serve, (2)  what per ‑enrollee service level should Medi ‑Cal provide, and (3)  what non ‑General Fund financing options are available?
https://lao.ca.gov/Publications/Report/5083

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

Jan 13, 2025 - Specifically, the Governor ’s budget assumes (1)  a $620  million ($230  million General Fund) reduction through the permanent elimination of 6,500 vacant positions and associated funding and (2)  a $1.5  billion ($820  million General Fund) in 2024 ‑25 and $2  billion ($1.2  billion General Fund) in 2025 ‑26 and ongoing reduction to state operations expenditures.
https://lao.ca.gov/Publications/Report/4951

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - As a result, as Figure  2 shows, Medi ‑Cal comprises 19  percent of overall General Fund spending by the end of our outlook period —slightly lower than the 20  percent share in the 2025 ‑26 enacted  budget.
https://lao.ca.gov/Publications/Report/5092

The 2025-26 Budget: Medi-Cal Pharmacy Spending

Apr 3, 2025 - Somewhat less notably, spending also has increased for drugs that help control blood sugar, kidney disease, and heart disease among diabetics (known as Sodium ‑Glucose Cotransporter  2, or SGLT2, inhibitors).
https://lao.ca.gov/Publications/Report/5026

An Update on the Public Health Laboratory System After the Pandemic

Jun 12, 2025 - Figure  2 shows these pre-pandemic funding trends, as well as funding trends during and after the pandemic (discussed later). Many Local Public Health Laboratories Had Closed in Years Prior to the COVID-19 Pandemic.
https://lao.ca.gov/Publications/Report/5056

The 2025-26 Budget: Medi-Cal Fiscal Outlook

Nov 20, 2024 - In line with this risk, our outlook assumes future rule changes result in a much smaller MCO tax in 2 027 (around the size of the version that existed from 2020 through 2022). That said, other effects also are possible.
https://lao.ca.gov/Publications/Report/4941

The 2023-24 Budget: Overview of the Governor's Budget

Jan 13, 2023 - (Recent budgets have enacted SFEU balances around $2  billion to $4  billion. The SFEU is used to cover costs of unanticipated expenditures.) Relative to our November estimates, this set ‑aside increases the size of the budget problem. $2   Billion in Discretionary Spending.
https://lao.ca.gov/Publications/Report/4662