The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - Even under the premise that budgetary actions should focus on UIS populations whose coverage does not draw federal funding, other approaches may be available. For example, the income threshold for state ‑funded full ‑scope coverage could be reduced to better target higher ‑need populations while applying a more consistent rule across immigrant groups.
https://lao.ca.gov/Publications/Report/5146

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - Over the past several years, the Legislature has taken actions intended to mitigate barriers to service access and utilization. In 2016, the Legislature appropriated ongoing funding for the Disparity Funds Program, which awards grants to RCs and community ‑based organizations for strategies to reduce disparities in service authorizations, utilization, and spending.
https://lao.ca.gov/Publications/Report/5157

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - Other Actions Creates New Abortion Fund Program. The August session health trailer bill (Chapter  105) creates the Abortion Access Fund. Administered by HCAI, the fund is to support abortion services through grants and contracts.
https://lao.ca.gov/Publications/Report/5075

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

Oct 24, 2025 - Nonetheless, in addition to conducting oversight, we recommend the Legislature adopt as many changes as possible into statute —even for those cases where such action is not legally required. Taking such action will better ensure that the administration, counties, and providers implement H.R 1 ’s provisions according to legislative intent.
https://lao.ca.gov/Publications/Report/5083

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Effects of State Budget Solutions Most Savings Come From Solutions Based on Immigration Status … The net multiyear savings from state budget solutions ($9.3  billion) reflect the combined effect of ongoing and one ‑time actions.
https://lao.ca.gov/Publications/Report/5092

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

Feb 13, 2023 - The ACA —most of the provisions of which became effective in 2014 —brought about significant changes to the way that health insurance coverage is provided in California. Notably, the ACA provided for the establishment of state health benefit exchanges, such as Covered California.
https://lao.ca.gov/Publications/Report/4681

An Update on the Public Health Laboratory System After the Pandemic

Jun 12, 2025 - We also provide a framework for the Legislature to use to assess the capacity of the laboratory system and whether any capacity gaps warrant further action. Background The Public Health System What Is the Public Health System?
https://lao.ca.gov/Publications/Report/5056

An Update on the Public Health Laboratory System After the Pandemic [Publication Details]

Jun 12, 2025 - This post provides background on the role of the public health laboratory system and changes that occurred during and in response to the COVID-19 pandemic. We also provide a framework for the Legislature to use to assess the capacity of the laboratory system and whether any capacity gaps warrant further action.
https://lao.ca.gov/Publications/Detail/5056

The 2024-25 California Spending Plan: Health

Sep 17, 2024 - This action expands the fee to other transfers, li mited to 5  percent of the total amount. The spending plan assumes this action will provide a $37  million budget solution in 2024-25, with the ongoing amount rising to $74  million in subsequent years.
https://lao.ca.gov/Publications/Report/4930

The 2025-26 Budget: Overview of the Governor's Budget

Jan 13, 2025 - Moreover, specific budgetary conditions occurring this year —including legislative action taken last year to withdraw more in reserves this year —make interpretation of the budget position more complex.
https://lao.ca.gov/Publications/Report/4951