The 2025-26 California Spending Plan: Health

Oct 16, 2025 - Under the spending plan, General Fund spending for the Department of State Hospitals (DSH) is $2.9  billion in 2025-26, a decrease of $166  million (about 6  percent) from the revised 2024-25 expenditure estimate.
https://lao.ca.gov/Publications/Report/5075

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

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: Medi-Cal Fiscal Outlook

Nov 19, 2025 - The second is an increase in the frequency of required eligibility determinations from every 12 months to every 6 months. Both changes likely will notably reduce the number of childless adults enrolled in Medi ‑Cal.
https://lao.ca.gov/Publications/Report/5092

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

Oct 24, 2025 - The current limit —set at 6  percent of a taxed provider group ’s overall net patient revenue —is intended to prevent states from adopting very large taxes and imposing high costs on the federal government.
https://lao.ca.gov/Publications/Report/5083

Climate Change Impacts Across California - Crosscutting Issues

Apr 5, 2022 - A  2018   report  by the State Coastal Conservancy and The Nature Conservancy found that 55 percent of California’s existing coastal habitats are highly vulnerable to five feet of sea‑level rise, including 60 percent of the state’s iconic beaches and 58 percent of its marshes. 
https://lao.ca.gov/Publications/Report/4575

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

The 2025-26 Budget: MCO Tax and Proposition 35

Feb 26, 2025 - Figure 6 Legislature Faces Two Key Sets of Oversight Issues Implementation of Augmentations When will the department begin implementing augmentations? How will the department structure the augmentations?
https://lao.ca.gov/Publications/Report/4992

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

Mar 6, 2025 - Figure  6 shows the cumulative percentage change for each category of Medi ‑Cal enrollees from April 2020 (when the continuous coverage period began) through December 2024 (a year and a half after the beginning of the unwinding of the continuous coverage requirement).
https://lao.ca.gov/Publications/Report/5010