The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - In response, the department released guidance on February 11, 2026 indicating that providers will have the opportunity to earn a partial year of quality payments if they come into compliance after the February 27 deadline.
https://lao.ca.gov/Publications/Report/5157

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - In 2025, the state also submitted a one ‑year private hospital fee, generating around $11  billion in revenue, for federal approval. The federal government has not yet approved this higher fee. Voters Have Made Largest Provider Taxes Permanent in State Law.
https://lao.ca.gov/Publications/Report/5146

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - The database, created as part of the 2018-19 budget, includes data from most health care payors in California (including private insurance, Medi-Cal, and Medicare) around health care utilization and costs.
https://lao.ca.gov/Publications/Report/5075

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

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - As Figure  11 shows, however, the trend in spending has been quite volatile. Most of this trend is likely due to federally required changes to the state ’s reporting processes. These recent changes in reporting resulted in much higher estimates compared to past years.
https://lao.ca.gov/Publications/Report/5092

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

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

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