The 2026-27 Budget: County Administration and H.R. 1 Implementation

Mar 5, 2026 - This is largely due to other competing policy priorities —for example ACA implementation and COVID ‑19 response efforts. H.R.  1 will likely continue to strain the department ’s ability to develop a revised methodology in the near  term.
https://lao.ca.gov/Publications/Report/5149

Rethinking the 1991 Realignment

Oct 15, 2018 - Some counties have noted, however, that the increased enrollment in Medi ‑Cal as a result of the ACA has increased demand for county behavioral health services. Effect of Patient Protection and Affordable Care Act (ACA) On Medi‑Cal Eligibility Under the ACA, states had the option to expand eligibility for their Medicaid program.
https://lao.ca.gov/Publications/Report/3886

The 2019-20 Budget: Assessing the Governor's 1991 Realignment Proposals

Mar 8, 2019 - These freed ‑up revenues directly offset state costs for CalWORKs grants and county administration thereby making resources available for the new state costs associated with the ACA. 1991 Realignment No Longer Meets Many LAO Principles.
https://lao.ca.gov/Publications/Report/3962

The 2019-20 May Revision: Update to Governor's 1991 Realignment Proposals

May 29, 2019 - Following the implementation of the federal Patient Protection and Affordable Care Act (ACA) in 2014, the number of low-income Californians without health coverage decreased dramatically. This reduced counties ’ costs for health care services for this population and increased state costs.
https://lao.ca.gov/Publications/Report/4077

The 2021-22 Spending Plan: Human Services

Nov 22, 2021 - During the first year of FFPSA implementation, a county may elect to begin providing prevention services by providing written notice to DSS prior to fully completing its com prehensive prevention plan.
https://lao.ca.gov/Publications/Report/4476/3

Evaluation of the Statewide Project Management Office

Dec 7, 2017 - This allowed the PMO to test the potential of the centralized project management approach and build the reputation and capacity of the office gradually, with the intention of scaling up to larger, more com plex projects once the office was more established.
https://lao.ca.gov/Publications/Report/3723