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

Aug 17, 2023 - The bonds will be repaid over time using MH SA funds. NPLH has supported 247 projects and 7,852 housing units are anticipated. As of August 2022, 119 projects are under construction, 30 projects have been completed, and 498 units have units have been completed and are occupied.
https://lao.ca.gov/Publications/Report/4790

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - Lacking robust data on DDS program dynamics, the state in previous periods of budget challenges often enacted budget solutions that were blunt and not targeted well to minimize adverse programmatic impacts.
https://lao.ca.gov/Publications/Report/5157

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - At  the same time, the administration has stated that verifying compliance for UIS adults using existing income data sources may be more challenging and that it would rely on information provided by the individual when available data are insufficient.
https://lao.ca.gov/Publications/Report/5146

Building California’s Behavioral Health Infrastructure: Progress Update and Opportunities for the Proposition 1 Bond

Feb 5, 2025 - Given that Medi ‑Cal enrollees disproportionately experience serious mental health and SUD challenges, the program has been well targeted in this respect. Also, at least $540  million will go to projects focused on children and youth, who data show to face particularly great behavioral health challenges.
https://lao.ca.gov/Publications/Report/4954

The 2025-26 Budget: MCO Tax and Proposition 35

Feb 26, 2025 - As the nearby box explains, however, these payments can raise a number of challenges. The Legislature likely will want to learn more about the department ’s plans as they become more concrete. What Are the Challenges With Directing Provider Payments in the Medi-Cal Managed Care System?
https://lao.ca.gov/Publications/Report/4992

An Update on the Public Health Laboratory System After the Pandemic

Jun 12, 2025 - COVID-19 Pandemic Highlighted Testing Gaps Public Health Laboratories Faced Challenges Prior to COVID-19 Pandemic Overall State and Federal Funding for Public Health Remained Flat for Decade Prior to COVID-19.
https://lao.ca.gov/Publications/Report/5056

The 2021-22 Budget: CalAIM: Equity Considerations

Mar 12, 2021 - The following bullets highlight several of the challenges that existing programs have faced and why, in our assessment, the e valuations do not conclusively show improved outcomes. Challenges Developing Population Health and Service Delivery Infrastructure in Programs.
https://lao.ca.gov/Publications/Report/4402

The 2021-22 Budget: Department of Developmental Services (DDS) May Revision Budget Proposal

May 24, 2021 - DDS System Still Faces Challenges Today That Could Affect the Success of a Performance Incentives Program. While the pandemic demonstrated that the DDS system could be somewhat nimble in responding to consumers ’ needs, some of the same challenges facing the department in 2020 exist today.
https://lao.ca.gov/Publications/Report/4438

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

Oct 24, 2025 - Estimates of Net Costs Are Imprecise … The  above fiscal impacts are challenging to precisely estimate. They depend in part on forthcoming federal guidance and state implementation decisions that are currently unknown.
https://lao.ca.gov/Publications/Report/5083

The 2025-26 Budget: CalAIM Enhanced Care Management and Community Supports Implementation Update

Mar 6, 2025 - However, many plans have cited challenges in working with providers who are unfamiliar with how services are reimbursed within a MCP network. Providers Have Less Familiarity Working With MCPs. CHCF conducted a survey of MCPs and providers on CalAIM implementation in 2023 and again in 2024.
https://lao.ca.gov/Publications/Report/5003