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

Feb 5, 2025 - Similarly, in 2021 ‑2022, 22  percent of California adults had a mental illness. In 2022, fewer than 80  percent of those with a mental illness received mental health treatment. The shortage of mental health services is more severe for young adults, with 34  percent of individuals aged 18 through 25 having a mental illness in 2021 ‑2022 and less than two ‑thirds of young adults with mental illness receiving services  in 2022.
https://lao.ca.gov/Publications/Report/4954

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

The 2022-23 California Spending Plan: Health

Oct 24, 2022 - Beginning January 1, 2023, Doula services will be added as a preventative service in Medi-Cal. The spending plan includes $377,000 General Fund ($974,000 total funds) for this benefit. Reduce Medi-Cal Premiums to Zero.
https://lao.ca.gov/Publications/Report/4642

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 2024-25 Budget: Medi-Cal Fiscal Outlook

Dec 7, 2023 - We estimate that Medi-Cal General Fund spending will be $37  billion in 2023-24, a decrease of about $500  million (1.3  percent) compared to the enacted level. This adjustment largely is driven by lower levels of caseload than was projected in the budget act.
https://lao.ca.gov/Publications/Report/4820

The 2022-23 Budget: Update on Home- and Community- Based Services Spending Plan

Feb 10, 2022 - Provide one ‑time $500 payments to non ‑IHSS HCBS care providers that worked at least two months between March 2020 to March 2021. 13 Traumatic Brain Injury (TBI) Program. Expand the capacity of existing TBI sites and stand up new TBI sites. 5 HCBS Navigation Language Access and Cultural Competencies Orientations and Translations.
https://lao.ca.gov/Publications/Report/4524

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

The 2022-23 Budget: Medi-Cal Fiscal Outlook

Nov 17, 2021 - Second, we assume the MCO tax expires halfway through 2022 ‑23 and is not reauthorized, raising General Fund costs by $500  million. Third, we back out the 2021 ‑22 increase in federal funding for Medi ‑Cal HCBS programs, which raises General Fund costs in 2022 ‑23 by $280 million.
https://lao.ca.gov/Publications/Report/4474

The 2019-20 Budget: Overview of the Governor's Budget

Jan 14, 2019 - Note: Excludes spending on  K ‑14  education, reserves, and debt (required by the California Constitution), and added costs to maintain existing policies. Figure also excludes some smaller spending proposals.
https://lao.ca.gov/Publications/Report/3916

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - The department also reverts $233  million General Fund from 2022-23 that was available until 2026-27 (the department is reappropriating $3.4  million for the Judicial Council to carry out training related to IST evaluations).
https://lao.ca.gov/Publications/Report/5075