An Update on the Public Health Laboratory System After the Pandemic

Jun 12, 2025 - California statute requires all public health laboratories to receive a specified federal certification, and the state public health laboratory is responsible for ensuring that local public health laboratories meet this certification and enforce other regulations related to public health laboratories.
https://lao.ca.gov/Publications/Report/5056

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - While the language of H.R.  1 indicates that states should exempt individuals with an intellectual or developmental disability and their family caregivers from new Medicaid eligibility requirements, the degree to which these exemptions are successfully implemented in California will depend on the administration ’s approach.
https://lao.ca.gov/Publications/Report/5157

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - The spending plan est imates this action saves $370  million General Fund in 2025-26, rising to $600  million General Fund in subsequent years. In addition, this year ’s health trailer bill adjusts the statutory formula for state rebates on HIV and cancer drugs, estimated to save $75  million General Fund in 2025-26 and $150  million General Fund ongoing in subsequent years.
https://lao.ca.gov/Publications/Report/5075

The 2021-22 Budget: Medi-Cal Enterprise System Modernization Effort

Feb 17, 2021 - Many of the Medi ‑Cal program ’s IT systems do not meet the updated guidelines and standards in the federal government ’s recommended framework for state Medicaid IT systems, known as the Medicaid Information Technology Architecture (MITA).
https://lao.ca.gov/Publications/Report/4375

The 2018-19 Budget: Meeting Workforce Demand for Certified Nursing Assistants in Skilled Nursing Facilities

Apr 27, 2018 - This is because DPH reports a 30  percent attrition rate from application for CNA certification to issuance of a CNA certificate (due to program attrition, exam failures, and other factors). Also, some CNA graduates get jobs in other health care settings.
https://lao.ca.gov/Publications/Report/3815

Improving Access to Dental Services for Individuals With Developmental Disabilities

Sep 27, 2018 - RDHAPs are RDHs who also hold a Bachelor of Science degree, complete a certificate program, pass a written exam, and have about one or more years of experience. The license allows RDHAPs to practice in community settings —such as schools, skilled nursing facilities (SNFs), Intermediate Care Facilities for the Developmentally Disabled (ICF/DDs), patient homes,
https://lao.ca.gov/Publications/Report/3884

The 2024-25 Budget: Future of Public Health Budget Solution

May 21, 2024 - For example, federal grants fund health facility certification for Medicare and Medi-Cal or prevention and response for specific diseases (like HIV/AIDS). Historically, the General Fund —a flexible funding source —has been a very small source of support (3  percent to 5  percent of the department ’s total budget) that actually declined between a pre-Great Recession peak ($361  million) and the onset of the COVID-19 pandemic ($167  million in 2018 ‑19).
https://lao.ca.gov/Publications/Report/4904

The 2021-22 Budget: Behavioral Health: Medi-Cal Student Services Funding Proposal

Feb 17, 2021 - Although schools (and counties who currently have partnerships with schools) may already provide similar services as those that managed care plans can provide, the degree to which they do is unclear.
https://lao.ca.gov/Publications/Report/4377

The 2017-18 Budget: Analysis of the Department of Developmental Services Budget

Feb 24, 2017 - Although DDS has successfully extended the termination date of Fairview and Porterville ICF/DD certification, CMS reserves the right to revoke certification at any time. If certification is revoked, DDS estimates the monthly loss of funds at $6.7  million in 2016 ‑17 and $4  million in 2017 ‑18 ($48  million in annual terms).
https://lao.ca.gov/Publications/Report/3581

Climate Change Impacts Across California - Crosscutting Issues

Apr 5, 2022 - Temperature Increases and Periods of Extreme Heat As shown in Figure  2 , a moderate global emissions climate model projects increases in annual average maximum temperatures in California throughout the 21st century compared to historical baseline averages —ranging from an average of roughly 4 degrees Fahrenheit between 2035 to 2064 to roughly 6 degrees Fahrenheit throughout the last 30 years of the century.
https://lao.ca.gov/Publications/Report/4575