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

Mar 6, 2025 - The 2019 ‑20 budget package eliminated this share of cost for seniors and persons with disabilities up to 138  percent of FPL, consistent with the eligibility rules for children and adults through age 64.
https://lao.ca.gov/Publications/Report/5010

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 California Spending Plan: Health

Sep 17, 2024 - The 2019-20 Budget Act provided a $15  million one-time General Fund to support the Networking California Sickle Cell Care Initiative which established a number of sickle cell disease centers across the state.
https://lao.ca.gov/Publications/Report/4930

The 2024-25 Budget: Future of Public Health Budget Solution

May 21, 2024 - This increase was greatest among Latino and Native Hawaiian/Pacific Islander populations, whose death rates more than doubled between 2019 and 2022. American Indian/Alaskan Native populations had the highest death rate due to drug overdoses prior to the pandemic and this has persisted with the recent rise.
https://lao.ca.gov/Publications/Report/4904

The 2024-25 Budget: Department of Developmental Services

Feb 13, 2024 - The concept of a master plan has a recent precedent in the state, as California developed a Master Plan for Aging throughout 2019 and 2020. The Governor issued an executive order in June 2019 calling for the Master Plan for Aging in response to anticipated demographic shifts in the state ’s aging population.
https://lao.ca.gov/Publications/Report/4837

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

Jul 13, 2023 - We estimate that this withdrawal policy would have allowed counties to access prudent reserves three times since 2011-12: in 2011-12 (revenues declined 26  percent year over year), 2019-20 (revenues declined 9  percent), and 2022-23 (revenues declined 35  percent).
https://lao.ca.gov/Publications/Report/4780

Impact of COVID-19 on Health Care Access

May 7, 2021 - Coronavirus disease 2019 (COVID-19) has significantly disrupted children ’s preventive services in Medi-Cal. As the figure in this box shows, utilization of children ’s preventive services is down significantly in 2020 relative to 2019 for a range of Medi-Cal services.
https://lao.ca.gov/Publications/Report/4426

The 2023-24 California Spending Plan: Health

Oct 23, 2023 - As part of the 2019-20 budget package, the state established the Medi-Cal Drug Rebate Fund to collect a portion of federal and state drug rebate revenues in Medi-Cal. Previously, drug rebates were not collected in a special fund but rather directly offset General Fund spending on drug costs.
https://lao.ca.gov/Publications/Report/4810

The 2020-21 Spending Plan: Health Budget and Policy

Oct 15, 2020 - Covered California State Established New Individual Market Insurance Subsidies in 2019 ‑20. In 2019 ‑20, the Legislature enacted a new state subsidy program to supplement the federal subsidies already offered to most households that purchase health insurance coverage through Covered California.
https://lao.ca.gov/Publications/Report/4281

The 2021-22 Budget: Medi-Cal Fiscal Outlook

Nov 18, 2020 - …Saving an Estimated $1.2   Billion General Fund Across 2019 ‑20 and 2020 ‑21. We estimate that our revised caseload projections save $ 320  m illion General Fund in 2019 ‑20 and nearly $ 870  m illion General Fund in 2020 ‑ 21 r elative to budget act assumptions .
https://lao.ca.gov/Publications/Report/4299