The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - As Figure  2 shows, DDS caseload has increased notably over the last ten years, with an average annual growth rate of about 5  percent in total caseload from 2015 through 2025. This is faster than the population growth in the state over this period.
https://lao.ca.gov/Publications/Report/5157

Climate Change Impacts Across California - Crosscutting Issues

Apr 5, 2022 - Moreover, 5 of the  20 most destructive wildfires in the state ’s history occurred in 2020 alone, with an additional two in 2021. Not only do high ‑severity wildfires take lives and level homes, businesses, and community infrastructure, they also destroy fish and wildlife habitats.
https://lao.ca.gov/Publications/Report/4575

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 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - As a result, as Figure  2 shows, Medi ‑Cal comprises 19  percent of overall General Fund spending by the end of our outlook period —slightly lower than the 20  percent share in the 2025 ‑26 enacted  budget.
https://lao.ca.gov/Publications/Report/5092

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - For example, we estimated that a more proportionate tax netting around $7 billion in revenue could cost around $30 per member, per month—about a 5 percent increase on average to commercial health plan premiums.
https://lao.ca.gov/Publications/Report/5146

The 2023-24 Budget: Whole Child Model Expansion

May 5, 2023 - One hospital —Children ’s Hospital of Orange County —has estimated to our office that it will begin incurring a reduction in funding of around $20  million annually beginning in 2025 as a result of this redistribution.
https://lao.ca.gov/Publications/Report/4767

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

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

Jul 13, 2023 - As Figure  5 shows, historical revenue performance suggests that counties could likely cover a 20  percent revenue decline, but would have a less than 10  percent chance of covering a 30  percent revenue decline.
https://lao.ca.gov/Publications/Report/4780

Considering Medi-Cal in the Midst of a Changing Fiscal and Policy Landscape

Oct 24, 2025 - Based on July 2025 unemployment data, about 20 counties in California currently meet the criteria, and several more are close. We estimate that this additional exemption alone could exclude at least a few hundred thousand individuals.
https://lao.ca.gov/Publications/Report/5083

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - Moreover, the spending plan includes General Fund reductions for operational efficiencies of $5  million in 2025-26, $6  million in 2026-27, and $2  million in 2027-28 and ongoing and for modified reporting requirements of $1.5  million in 2025-26 and ongoing.
https://lao.ca.gov/Publications/Report/5075