The 2022-23 Budget: Public Health Foundational Support

Feb 16, 2022 - While the plan enhances state lab activities, it does not include a clear strategy for integrating the 28 local public health labs and the state lab into a cohesive network. CDPH noted that LHJs would have the option to use their new flexible funding to hire lab staff.
https://lao.ca.gov/Publications/Report/4544

The 2021-22 Budget: California Department of Public Health's COVID‑19 Response [Publication Details]

Feb 5, 2021 - This publication describes how coronavirus disease 2019 (COVID-19) spending is reflected in the California Department of Public Health’s budget.
https://lao.ca.gov/Publications/Detail/4347

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - The department stated that its budget projections for 2026 ‑27 do not incorporate any potential added costs due to the changes in H.R 1. Will the department be able to determine whether its costs increase in the future due to H.R. 1?
https://lao.ca.gov/Publications/Report/5157

Climate Change Impacts Across California - Health

Apr 5, 2022 - The Legislature could consider adding new data submission requirements on measures related to the health impacts of climate change to facilitate statewide tracking of impact trends and guide state ‑level responses.
https://lao.ca.gov/Publications/Report/4580

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - One possible reason for our higher estimate is that our model reflects not only disenrollment among current enrollees, but also reduced enrollment flows over time and a persistent risk of disenrollment among eligible individuals due to added administrative burden.
https://lao.ca.gov/Publications/Report/5146

The 2023-24 Budget: Health Workforce Budget Solutions

Feb 21, 2023 - For example, under the CDPH Lab Aspire Program, cohorts of professionals are expected to receive leadership training over multiple years in preparation to direct local public health labs. The Governor ’s proposed solution, however, would only leave funding for the first year of training for one cohort, creating uncertainty as to how the cohort ’s remaining years of training would be supported.
https://lao.ca.gov/Publications/Report/4691

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

May 6, 2021 - Funding for COVID-19 Testing, Treatment, and Vaccine Distribution/Administration Funding to State and Local Governments for Testing, Contact Tracing, Lab Capacity, and Related Activities. The ARP Act includes $47.8  billion for COVID-19 testing, contact tracing, lab capacity, and related activities conducted at the national level and by state, local, and territorial governments.
https://lao.ca.gov/Publications/Report/4425

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

Oct 24, 2025 - …But Potentially With Added Complexity. Adding more flexibilities also could come with the potential downside of more complexity for beneficiaries and counties. For example, exempting high unemployment counties from work requirements could create more volatility.
https://lao.ca.gov/Publications/Report/5083

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

Mar 6, 2025 - In the paragraphs that follow, we provide our analysis that results in ou r estimate of at least 165,000 seniors being added due to eligibility expansions since 2020. (As a consequence of this estimate, it follows naturally that we estimate up to 60,000  seniors being added due to the effects of continuous coverage, the unwinding, and unwinding flexibilities, for a total increase of 225,000 seniors due to policy changes.)
https://lao.ca.gov/Publications/Report/5010

An Update on the Public Health Laboratory System After the Pandemic

Jun 12, 2025 - CDPH and LHJs did not have enough staff to respond and the demands placed on information technology (IT) systems and public health lab testing quickly exceeded their capacity. Outdated laboratory IT systems made it difficult for the state public health laboratory to collect laboratory results necessary to track COVID-19 outbr eaks across the state and limited its ability to manage testing inventory.
https://lao.ca.gov/Publications/Report/5056