The 2025-26 California Spending Plan: Health

Oct 16, 2025 - The spending plan includes one-time General Fund support for a number of public health IT systems in 2025-26, including the state ’s vaccine management system ($31.4  million), public health laboratory reporting system ($27  million), disease investigation and contact tracing system ($18  million), and immunization registry ($5  million).
https://lao.ca.gov/Publications/Report/5075

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

Mar 6, 2025 - Largely as a result of these policies, Medi ‑Cal caseload increased by over 3  million enrollees (25  percent) between March  2020 and June 2023, as shown in Figure  5 . Counties resumed eligibility processing in April 2023, which resulted in overall Medi ‑Cal caseload beginning to decline starting in July 2023.
https://lao.ca.gov/Publications/Report/5010

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

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - DHCS also states that complying with this federal request may qualify California for an up to three ‑year transition period to make the fee more proportionate. Federal Rules Continue to Emerge, Creating Some Uncertainty for Structuring Provider Taxes.
https://lao.ca.gov/Publications/Report/5146

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

Jul 13, 2023 - Up to 5  Percent of Revenue Available for State Purposes. The MHSA allows up to 5  percent of overall revenues to be used for state administration of MHSA. The 5  percent is often referred to as the “state cap. ” Under current legislative practice, funding within the state cap that is not needed for direct MHSA administration is available for the Legislature to appropriate to various mental health programs.
https://lao.ca.gov/Publications/Report/4780

Mental Health Services Act: Impact of Governor's Proposal on Funding for Children and Youth

Aug 10, 2023 - Due to limitations of available data on current county spending, differentiating between services for individuals under 18 years of age and services for individuals under 25 years of age is di fficult.
https://lao.ca.gov/Publications/Report/4786

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

Oct 24, 2025 - In July 2025, Congress passed and the President signed H.R. 1 —titled the One Big Beautiful Bill Act. This legislation includes about $1  trillion in federal Medicaid reductions over ten years, representing the most significant changes to federal Medicaid policy since the ACA.
https://lao.ca.gov/Publications/Report/5083

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Pursuant to state law, most of the decline in revenue will affect supplemental payments to private hospitals, with only a portion (around 25  percent) resulting in less money for existing Medi ‑Cal costs.
https://lao.ca.gov/Publications/Report/5092

Climate Change Impacts Across California - Crosscutting Issues

Apr 5, 2022 - For example, low ‑income households have less money to purchase and operate air conditioning units during extreme heat events, air filters to moderate wildfire smoke, or back ‑up electricity generators to provide electricity during Public Safety Power Shutoff events.
https://lao.ca.gov/Publications/Report/4575

The 2023-24 Budget: Overview of the Governor's Budget

Jan 13, 2023 - We Estimate the Governor Solved an $18   Billion Budget Problem. We estimate the Governor ’s budget addressed an $18  billion budget problem. This is somewhat lower than the $22  billion budget problem the administration has referenced.
https://lao.ca.gov/Publications/Report/4662