The 2025-26 California Spending Plan: Health

Oct 16, 2025 - Under the spending plan, General Fund spending for the Department of State Hospitals (DSH) is $2.9  billion in 2025-26, a decrease of $166  million (about 6  percent) from the revised 2024-25 expenditure estimate.
https://lao.ca.gov/Publications/Report/5075

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

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 - The second is an increase in the frequency of required eligibility determinations from every 12 months to every 6 months. Both changes likely will notably reduce the number of childless adults enrolled in Medi ‑Cal.
https://lao.ca.gov/Publications/Report/5092

The 2023-24 California Spending Plan: Health

Oct 23, 2023 - As a budget solution in 2006-07, the state implemented a hold in processing fee-for-service provider payments for the last two weeks of the fiscal year —a practice that remains in effect today. Because Medi-Cal is budgeted based on when cash payments are made, the hold generated one-time savings in 2006-07 by shifting payments into the next fiscal year.
https://lao.ca.gov/Publications/Report/4810

The 2024-25 California Spending Plan: Health

Sep 17, 2024 - As Figure  6 shows, these reductions primarily affect one-time spending. Figure 6 General Fund Spending on HCAI Workforce Programs Appropriations (In Millions)
https://lao.ca.gov/Publications/Report/4930

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

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

Oct 24, 2025 - The current limit —set at 6  percent of a taxed provider group ’s overall net patient revenue —is intended to prevent states from adopting very large taxes and imposing high costs on the federal government.
https://lao.ca.gov/Publications/Report/5083

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 2023-24 Budget: Analysis of the Medi-Cal Budget

Feb 10, 2023 - As a budget solution in 2006 ‑07, the state implemented a hold in processing fee ‑for ‑service provider payments for the last two weeks of the fiscal year —a practice which remains in effect today. Because Medi ‑Cal is budgeted based on when payments are made, the hold generated one ‑time savings in 2006 ‑07 by shifting payments into the next fiscal year.
https://lao.ca.gov/Publications/Report/4675