The 2023-24 Budget: Assessment of Covered California Budget Solution

Feb 13, 2023 - Notably, the ACA provided for the establishment of state health benefit exchanges, such as Covered California. The ACA also included provisions intended to encourage individuals to enroll in health coverage and improve affordability.
https://lao.ca.gov/Publications/Report/4681

Issues That Could Impact Californians' Health Care Coverage in 2023 and Beyond

Dec 16, 2022 - Impacts of the ACA As noted earlier, the ACA brought about significant changes to the provision of health care coverage in California. Notably, the ACA gave states the option to expand Medicaid eligibility and establish health benefit exchanges.
https://lao.ca.gov/Publications/Report/4654

The 2026-27 Budget: County Administration and H.R. 1 Implementation

Mar 5, 2026 - This is largely due to other competing policy priorities —for example ACA implementation and COVID ‑19 response efforts. H.R.  1 will likely continue to strain the department ’s ability to develop a revised methodology in the near  term.
https://lao.ca.gov/Publications/Report/5149

The 2022-23 Budget: Health Care Access and Affordability

Feb 23, 2022 - ACA Created Individual Mandate That Was Subsequently Set to Zero. As originally enacted, the ACA imposed a requirement, referred to as the individual mandate, that most individuals obtain specified minimum health insurance coverage or pay a penalty.
https://lao.ca.gov/Publications/Report/4560

How Have Past Stock Market Downturns Affected Income Tax Revenue? [EconTax Blog]

Mar 9, 2026 - By most measures, the global financial crisis was more severe than the dot-com crash. The state 's unemployment rate, for example, peaked at 7 percent following the dot-com crash but reached nearly double that during the financial crisis and remained elevated for much longer.
https://lao.ca.gov/LAOEconTax/Article/Detail/852

How Have Past Stock Market Downturns Affected Income Tax Revenue? [EconTax Blog]

Mar 9, 2026 - By most measures, the global financial crisis was more severe than the dot-com crash. The state 's unemployment rate, for example, peaked at 7 percent following the dot-com crash but reached nearly double that during the financial crisis and remained elevated for much longer.
https://lao.ca.gov/LAOEconTax/article/Detail/852

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

Feb 10, 2023 - The ACA optional expansion population and families, by contrast, tend to have lower per ‑enrollee costs. In addition, the federal government currently pays 90  percent of Medi ‑Cal costs for individuals enrolled as part of the ACA optional expansion, as opposed to 50  percent for most other beneficiary populations.
https://lao.ca.gov/Publications/Report/4675

California’s Strong Revenue Trends Mask Looming Budget Risk

Jan 23, 2026 - After the dot-com bust and the Great Recession, it took four and five years, respectively, for revenues to recover. Incorporating revenue risk into the budget now, therefore, reflects prudence, not pessimism.
https://lao.ca.gov/Publications/Report/5104

COVID-19: American Rescue Plan’s Major Health-Related Funding Provisions

May 6, 2021 - Since 2014, under the Patient Protection and Affordable Care Act (ACA), the federal government has provided subsidies to individuals who purchase coverage through the health benefit exchanges provided they meet income-eligibility rules.
https://lao.ca.gov/Publications/Report/4425

The 2023-24 Budget: Medi-Cal Fiscal Outlook

Nov 16, 2022 - We  also estimate a decrease in what is commonly referred to as the Patient Protection and Affordable Care Act (ACA) optional expansion population (which typically has lower per ‑enrollee General  Fund  costs).
https://lao.ca.gov/Publications/Report/4649