The 2025-26 California Spending Plan: Health

Oct 16, 2025 - The spending plan eliminates supplemental payments for specific dental services, which were originally established in the 2017-18 Budget Act as part of the Proposition  56 (2016) spending plan. Since 2017, the Legislature has continued funding these supplemental payments in subsequent budget acts.
https://lao.ca.gov/Publications/Report/5075

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

Feb 5, 2025 - The share of Californians aged 12 and over having an SUD in the past year rose nearly 10  percent between 2015 ‑2017 and 2018 ‑2019. The consequences of these behavioral health challenges have also grown more severe.
https://lao.ca.gov/Publications/Report/4954

The 2024-25 Budget: Department of Health Care Access and Information

Feb 27, 2024 - Prior to 2017 ‑18, the department (then known as OSHPD) did not receive General Fund support. Instead, special funds supported its various activities. Since 2017 ‑18, the state has provided General Fund support for certain limited-term initiatives.
https://lao.ca.gov/Publications/Report/4860

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

Feb 17, 2021 - (For a comprehensive description of the PAL process, please see our February 17, 2017 r eport — The 2017‑18 Budget: The New IT Project Approval and Funding Process .) Some of the IT projects within DHCS’s Medi‑Cal IT system modernization initiatives completed the PAL process and started development and implementation, including the Federal Draw and Reporting IT project within CA‑MMIS Modernization.
https://lao.ca.gov/Publications/Report/4375

Climate Change Impacts Across California - Crosscutting Issues

Apr 5, 2022 - As shown in Figure  6 , from 2017 ‑18 through 2019 ‑20, the state averaged more than 1,600 schools closed due to wildfires annually, compared to an annual average of about 70 schools from 2008‑09 to 2016‑17.
https://lao.ca.gov/Publications/Report/4575

The 2024-25 Budget: Medi-Cal Analysis

Feb 14, 2024 - The program was established in the 2017 ‑18 Budget Act and originally supported entirely by Proposition  56 (2016) revenues. Since then, Proposition  56 revenues have declined, resulting in the General Fund backfilling a portion of the program ’s costs.
https://lao.ca.gov/Publications/Report/4838

The 2021-22 Budget: Behavioral Health: Continuum Infrastructure Funding Proposal

Feb 17, 2021 - Chapter   33 o f 2016 (S B  843 , Committee on Budget and Fiscal Review) established the Community Services Infrastructure Grant Program, providing $65. 8  m illion General Fund one ‑time as part of the 2017 ‑ 18 b udget.
https://lao.ca.gov/Publications/Report/4379

Issues That Could Impact Californians' Health Care Coverage in 2023 and Beyond

Dec 16, 2022 - As part of the federal Tax Cuts and Jobs Act of 2017, Congress effectively eliminated the federal individual mandate by setting the penalty for violating the coverage requirement to zero beginning in 2019.
https://lao.ca.gov/Publications/Report/4654

Mental Health Services Act: Revenue Volatility and the Governor’s Proposal to Reduce Allowable County Reserves

Jul 13, 2023 - See “Measuring Volatility ” in our February 2017 report, Volatility of the Personal Income Tax Base , for a detailed description and hypothetical calculation of AD. MHSA Tax Three Times More Volatile Than PIT.
https://lao.ca.gov/Publications/Report/4780

The 2021-22 Budget: CalAIM: New Directions for Services for Seniors and Persons With Disabilities

Mar 15, 2021 - Then, in 2017 ‑18, IHSS funding was removed from managed care. MSSP generally never transitioned to becoming a managed care benefit. Many Dually Eligible Beneficiaries Chose Not to Participate in Cal MediConnect.
https://lao.ca.gov/Publications/Report/4404