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

Feb 5, 2025 - The $4.4  billion comes on top of $1.8  billion in state and federal funds that have already been dedicated to this purpose in a multiyear spending initiative begun in 2021 ‑ 22 —the Behavioral Health Continuum Infrastructure Program (BHCIP).
https://lao.ca.gov/Publications/Report/4954

The 2025-26 Budget: Medi-Cal Pharmacy Spending

Apr 3, 2025 - As Figure  4 shows, the top 30 drugs in terms of spending (out of about 950 drug categories) represented less than 20  percent of all prescriptions (left column) but more than 50  percent of gross spending (right column).
https://lao.ca.gov/Publications/Report/5026

The 2025-26 Budget: Understanding Recent Increases in the Medi-Cal Senior Caseload

Mar 6, 2025 - To be eligible for this increased funding, states were required to comply with several requirements on top of standard Medicaid rules, the most important being the “continuous coverage requirement. ” This requirement prohibited states from terminating eligibility for existing beneficiaries except in limited circumstances.
https://lao.ca.gov/Publications/Report/5010

The 2015-16 Budget: Major Features of the Adopted Plan (Health and Human Services)

Jun 19, 2015 - The budget package increases funding for high –cost drugs in the Department of Health Care Services by $61  million General Fund (on top of a base budget of $65  million General Fund) and the Department of State Hospitals by $6  million General Fund.
https://lao.ca.gov/Publications/Report/3277

The 2025-26 Budget: CalAIM Enhanced Care Management and Community Supports Implementation Update

Mar 6, 2025 - Figure 10 Top Reasons Providers Did Not Participate in ECM or Community Supports Reasons Given By Providers
https://lao.ca.gov/Publications/Report/5003

The 2021-22 Budget: Initial Comments on the Governor’s May Revision

May 17, 2021 - (We also include links to Appendix tables at the end of this post and the top left of this page. These appendix tables itemize select proposals by policy area based on our understanding at this time.)
https://lao.ca.gov/Publications/Report/4432

The 2020-21 May Revision: Recommend Reduction to Medi-Cal Caseload Costs

May 22, 2020 - As can be seen at in the top half of Figure  1, we recommend moving 60,000 new entrants from the seniors and persons with disabilities group into the childless adult group. This movement of new entrants from one caseload group to another is responsible for the majority of the General Fund cost adjustment that we recommend.
https://lao.ca.gov/Publications/Report/4245

The 2023-24 Budget: Department of Developmental Services

Feb 15, 2023 - (Prior to the full implementation of the quality incentive payment as 10  percent of the total rate, the state began providing some smaller quality incentive payments on top of providers ’ typical rates in 2022 ‑23.)
https://lao.ca.gov/Publications/Report/4683

The 2019-20 Budget: Analysis of the Carve Out of Medi-Cal Pharmacy Services From Managed Care

Apr 5, 2019 - State Negotiates “Supplemental Rebates ” on Top of Federal Rebates, But Only for Prescription Drugs Paid for Through FFS. As previously discussed, DHCS has a preferred drug list that steers utilization toward preferred drugs within Medi ‑Cal FFS.
https://lao.ca.gov/Publications/Report/3997

Mental Health Services Act: Proposed Restructuring of the MHSA Funding Categories and Impacts on County Spending

Jul 13, 2023 - Additionally, the Legislature should consider whether the shift towards a top-down approach in the use of MHSA funds aligns with the Legislature ’s vision of the program. How Does the Proposal Complement Recent Initiatives to Serve Individuals Experiencing Homelessness and Behavioral Health Conditions?
https://lao.ca.gov/Publications/Report/4782