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

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 2025-26 California Spending Plan: Health

Oct 16, 2025 - This budget solution provides General Fund savings of $45  million in 2025-26, $ 343  million in 2026-27, and $ 510  million in 2027-28 and ongoing. Includes Savings From Operational Efficiencies. The spending plan includes General Fund savings of $737  million in 2027-28 and $ 503  million in 2028-29 from operational improvements at DHCS.
https://lao.ca.gov/Publications/Report/5075

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - Aside from this short‑term option, any changes over the long term may need to comply with the gradual reduction to the federal revenue limit, generally beginning 2027‑28. State ’s Options on Private Hospital Fee, by Contrast, May Be More Limited.
https://lao.ca.gov/Publications/Report/5146

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 2024-25 Budget: Medi-Cal Fiscal Outlook

Dec 7, 2023 - Outyears (Through 2027-28) Anticipates Spending to Grow Each Year. We project Medi-Cal General Fund spending to increase in the remaining years of the outlook period, rising to more than $43  billion in 2027-28 (17  percent of total state General Fund spending).
https://lao.ca.gov/Publications/Report/4820

The 2024-25 California Spending Plan: Health

Sep 17, 2024 - The spending plan pauses these increases through 2027-28, for a savings of $20.4  million General Fund in 2024-25, growing to a projected $88.8  million in 2027-28. Health Enrollment Navigators Reduction.
https://lao.ca.gov/Publications/Report/4930

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

Climate Change Impacts Across California - Crosscutting Issues

Apr 5, 2022 - In contrast, Sacramento County is projected to experience 20 days per year of extreme heat by mid‑century and 28 days annually by the end of the century. These trends will be even more severe in some inland counties.
https://lao.ca.gov/Publications/Report/4575

The 2025-26 Budget: Overview of the Governor's Budget

Jan 13, 2025 - The  June 2024 budget package committed to a total of $28  billion in budget solutions for 2025 ‑26, which included, $12  billion in spending ‑related solutions and nearly $16  billion in all other solutions, including $5.5  billion in temporary revenue increases and a $7  billion withdrawal from the state ’s rainy day fund, the Budget Stabilization Account (BSA).
https://lao.ca.gov/Publications/Report/4951