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

Oct 24, 2025 - How Proposition 52 Works Makes Private Hospital Fee Permanent. Similar to Proposition  35 (2024) and the health plan tax, Proposition  52 (2016) made a pre ‑existing fee on private hospitals (known as the Hospital Quality Assurance Fee) permanent in state law.
https://lao.ca.gov/Publications/Report/5083

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - Proposition 52 (2016) made the private hospital fee permanent, while Proposition 35 (2024) made the health plan tax permanent. The two provider taxes are not permanent in federal law, however—periodic federal approval is still required to draw down federal funds.
https://lao.ca.gov/Publications/Report/5146

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - There is significant variability in the average annual growth rate by individual service (many individual services are captured in “Other ” in the figure), ranging from a low of 3  percent (employment services) to a high of 52  percent (social recreation).
https://lao.ca.gov/Publications/Report/5157

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 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: 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

The 2021-22 Budget: CalAIM: Equity Considerations

Mar 12, 2021 - First, by requiring managed care plans to establish population health management programs and provide ECM on a statewide basis, CalAIM would expand certain service components of Whole Person Care and Health Homes to all 58 c ounties.
https://lao.ca.gov/Publications/Report/4402

Enhancing Federal Financial Participation for Consumers Served by the Department of Developmental Services

Nov 9, 2021 - Based on the current cost of a county eligibility worker, adding at least one new full ‑time eligibility worker in each of the state ’s 58 c ounties (for example) to act as a dedicated liaison or to work on ‑site at RCs would cost approximately $ 10 m illion.
https://lao.ca.gov/Publications/Report/4471

Climate Change Impacts Across California - Crosscutting Issues

Apr 5, 2022 - A  2018   report  by the State Coastal Conservancy and The Nature Conservancy found that 55 percent of California’s existing coastal habitats are highly vulnerable to five feet of sea‑level rise, including 60 percent of the state’s iconic beaches and 58 percent of its marshes. 
https://lao.ca.gov/Publications/Report/4575

The 2022-23 Budget: Overview of the Governor's Budget

Jan 13, 2022 - The remaining $200  million would be allocated to the state ’s 61 local health jurisdictions (LHJs) (58 counties and 3 cities), with funding allocated based in part on each LHJ ’s population share, level of poverty, and racial/ethnic make ‑up.
https://lao.ca.gov/Publications/Report/4492