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

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

An Update on the Public Health Laboratory System After the Pandemic

Jun 12, 2025 - In response to the COVID-19 pandemic, the federal government enhanced this grant program to bolster public health agencies as well as public health laboratories in California and across the country. Local public he alth laboratories used this temporary supplemental funding to upgrade equipment and hire staff to bolster laboratory capacity during the pandemic.
https://lao.ca.gov/Publications/Report/5056

Climate Change Impacts Across California - Crosscutting Issues

Apr 5, 2022 - While efforts are underway —across the state, country, and internationally —to limit the extent of this warming, some degree of climate change already is occurring, and therefore some impacts are inevitable.
https://lao.ca.gov/Publications/Report/4575

Analysis of California’s Physician-Supervision Requirement for Certified Nurse Midwives

Mar 11, 2020 - While this development would be positive from a patient ‑choice perspective, it could come with added risks for mothers and their infants relative to the care that otherwise would have been provided in a hospital setting.
https://lao.ca.gov/Publications/Report/4197

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

Jul 13, 2023 - One way to measure the variability in a data series is average deviation (AD). AD summarizes —for a given time period —how many percentage points the data in a series deviate from the average growth rate.
https://lao.ca.gov/Publications/Report/4780

Climate Change Impacts Across California - Health

Apr 5, 2022 - California already has some of the most significant air quality challenges in the country, largely related to human activities (such as driving gasoline ‑ and diesel ‑powered vehicles) and the geography of certain regions that trap air pollutants.
https://lao.ca.gov/Publications/Report/4580