The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - Total caseload (of Early Start and Lanterman caseload, excluding presumptive eligibility) has increased from about 280,000  individuals served in 2015 to about 460,000 individuals served in 2025. This represents about a 60  percent increase.
https://lao.ca.gov/Publications/Report/5157

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

Mar 6, 2025 - As shown in the figure, between 2015 and 2019, the share of seniors statewide who were enrolled in Medi ‑Cal ranged between about 18  percent and 18.5  percent. We estimate that there were 6.5  million individuals age 65 and over as of January 1, 2025 in California.
https://lao.ca.gov/Publications/Report/5010

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

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

Jul 13, 2023 - For example, county MHSA revenue declined by 18  percent in 2015-16, a fiscal year that was solidly in the middle of an economic expansion. During a recession, MHSA revenue should be expected to decline sharply —for example, in 2010-11 and 2011-12 combined, revenues declined by 39  percent.
https://lao.ca.gov/Publications/Report/4780

The 2021-22 Budget: Medi-Cal Enterprise System Modernization Effort

Feb 17, 2021 - To better align some Medi ‑Cal IT systems with MITA and benefit from the available enhanced federal funding, DHCS started a number of Medi ‑Cal IT system modernization initiatives, including CA ‑MMIS Modernization in 2010, the Comprehensive Behavioral Health Data System in 2015, and MEDS Modernization in 2016.
https://lao.ca.gov/Publications/Report/4375

Climate Change Impacts Across California - Crosscutting Issues

Apr 5, 2022 - For example, lower and warmer water levels in the Sacramento River in the summers of 2014 and 2015 resulted in the death  of 95  p ercent of the river ’s juvenile winter ‑run Chinook salmon in those years —practically  eliminating two out of three existing cohorts of this endangered species.  
https://lao.ca.gov/Publications/Report/4575

The 2023-24 Budget: Department of Developmental Services

Feb 15, 2023 - In fact, Figure  2 shows the disparity in average spending per Hispanic/Latino consumer as a share of the average spending per white consumer has actually widened since 2015 ‑16. State Lacks Insight Into Drivers of These Disparities in Spending.
https://lao.ca.gov/Publications/Report/4683

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

Feb 19, 2021 - The average number of felony ISTs referred per month increased by roughly 20  p ercent between 2015 ‑16 and 2018 ‑19. However, in response to the COVID ‑ 19 p andemic, DSH imposed a suspension of all admissions into state hospitals in the initial months of the pandemic.
https://lao.ca.gov/Publications/Report/4382

The 2021-22 Budget: Behavioral Health: Continuum Infrastructure Funding Proposal

Feb 17, 2021 - Recent DHCS projections (based on historical utilization trends) expect mental health crisis stabilization service hours in the Medi ‑Cal program to be 20  p ercent above their 2015 ‑ 16 l evel by 2021 ‑22.
https://lao.ca.gov/Publications/Report/4379

The 2022-23 Budget: Analysis of the Governor’s Major Behavioral Health Proposals

Mar 3, 2022 - The  average number of felony ISTs referred per month increased by roughly  20  percent between 2015 ‑16 and 2018 ‑19. However, in response to the COVID ‑19 pandemic, DSH imposed a suspension of all admissions into state hospitals in the initial months of the pandemic.
https://lao.ca.gov/Publications/Report/4569