The 2025-26 Budget: Medi-Cal Pharmacy Spending

Apr 3, 2025 - As   Figure  5 shows, at the start of 2018, antipsychotics (drugs that treat certain mental health conditions) and insulin (drugs that help regulate blood sugar for diabetics) represented around one ‑quarter of gross spending.
https://lao.ca.gov/Publications/Report/5026

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 Budget: Future of Public Health Budget Solution

May 21, 2024 - Historically, the General Fund —a flexible funding source —has been a very small source of support (3  percent to 5  percent of the department ’s total budget) that actually declined between a pre-Great Recession peak ($361  million) and the onset of the COVID-19 pandemic ($167  million in 2018 ‑19).
https://lao.ca.gov/Publications/Report/4904

Mental Health Services Act: Proposed Bond to Fund Behavioral Health Facilities and Veterans Housing

Aug 17, 2023 - The Veterans and Affordable Housing Bond Act of 2018. The Veterans and Affordable Housing Bond Act of 2018 (Proposition  1) authorized $4  billion in general obligation bonds for various housing programs.
https://lao.ca.gov/Publications/Report/4790

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

Jul 13, 2023 - Legislature Set Caps on Reserves in 2018. Chapter  328 of 2018 (SB  192, Beall), caps the allowable cumulative balance of county prudent reserves at 33  percent of the average CSS revenue the county received in the prior five fiscal years.
https://lao.ca.gov/Publications/Report/4780

The 2020-21 Budget: Analysis of the Department of State Hospitals Budget

Feb 11, 2020 - The benchmark reduction goals increase over time but would be consistently measured against counties ’ total 2018 ‑19 felony IST referrals as the baseline. We describe how counties could make progress toward these goals below.
https://lao.ca.gov/Publications/Report/4154

The 2020-21 Budget: Analysis of the Medi-Cal Budget

Feb 14, 2020 - In the meantime, the 2018 ‑ 19 b udget reset counties ’ administrative base funding to be roughly equivalent to the total amounts provided during the ACA expansion. The 2018 ‑ 19 b udget also returned to the practice of providing an annual COLA.
https://lao.ca.gov/Publications/Report/4161

The 2021-22 Budget: Behavioral Health: Community Care Demonstration Project

Feb 19, 2021 - There is significant variation by county in the rate of felony IST referrals for competency restoration, as shown in figure  2 in 2018 ‑19. (We use 2018 ‑19 data because this is the most recent full year of data that precedes any pandemic ‑related changes to the process of referring felony ISTs to treatment.)
https://lao.ca.gov/Publications/Report/4382

The 2023-24 Budget: Whole Child Model Expansion

May 5, 2023 - (DHCS enacted a second CCS demonstration project in 2018 and extended it through 2021, piloting an integrated care model at Rady Childre n ’s Hospital-San Diego.) In 2016, State Established Whole Child Model in Most COHS-Model Counties.
https://lao.ca.gov/Publications/Report/4767

Climate Change Impacts Across California - Crosscutting Issues

Apr 5, 2022 - A 2018 state report estimated that under current GHG emissions levels, between 45 percent to 56 percent of the natural vegetation in California will be climatically stressed by 2100. Some of these impacts already are evident.
https://lao.ca.gov/Publications/Report/4575