The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - Our estimate of total coverage losses by June 2027 is higher than the administration ’s by about 280,000, largely because we assume most disenrollment among existing enrollees would occur within roughly 12 months of implementation rather than 18 months.
https://lao.ca.gov/Publications/Report/5146

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

The 2024-25 California Spending Plan: Health

Sep 17, 2024 - The spending plan reduces funding for health enrollment navigators by $18  million one-time General Fund ($36  million total funds) in 2024-25. The program provides funding to counties and community-based organizations for outreach, enrollment, and retention activities.
https://lao.ca.gov/Publications/Report/4930

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

Feb 5, 2025 - The shortage of mental health services is more severe for young adults, with 34  percent of individuals aged 18 through 25 having a mental illness in 2021 ‑2022 and less than two ‑thirds of young adults with mental illness receiving services  in 2022.
https://lao.ca.gov/Publications/Report/4954

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

Feb 17, 2021 - The Legislature may wish to ask the administration ( 1)  h ow long counties would have to submit their applications for grant funding, and ( 2)  h ow the administration would work with counties to ensure they are able to meet any deadlines outlined under the grant program.
https://lao.ca.gov/Publications/Report/4379

An Update on the Public Health Laboratory System After the Pandemic

Jun 12, 2025 - Some of the systems developed during the pandemic, such as SaPHIRE, h ave had a major impact on how public health laboratories report laboratory results to the state and has the potential to significantly improve this function.
https://lao.ca.gov/Publications/Report/5056

The 2023-24 Budget: Department of Developmental Services

Feb 15, 2023 - To qualify, an individual must h ave a disability that is substantial, expected to continue indefinitely, and which began before the age of 18. There are no income ‑related eligibility criteria. As of December 2022, DDS serves about 330,000 Lanterman ‑eligible individuals and  another 2,900 children ages three and four who are provisionally eligible.
https://lao.ca.gov/Publications/Report/4683

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

Mar 6, 2025 - As shown in the figure, between 2015 and 2019, the share of seniors statewide who were enrolled in Medi ‑Cal ranged between about 18  percent and 18.5  percent. We estimate that there were 6.5  million individuals age 65 and over as of January 1, 2025 in California.
https://lao.ca.gov/Publications/Report/5010

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

Jul 13, 2023 - While we h ave not assessed past MHSA spending and outcomes, conceptually we think that an overreliance on temporary, rather than ongoing, commitments could lead to suboptimal programmatic outcomes. This underscores the need for a robust reserve policy that can withstand a reasonable range of potential future revenue declines.
https://lao.ca.gov/Publications/Report/4780

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