The 2025-26 California Spending Plan: Health

Oct 16, 2025 - In accordance with a court ruling in 2021, DSH was required to provide substantive treatment services to restore competency to an IST individual within 28 days from the transfer of responsibility to DSH by March  2025.
https://lao.ca.gov/Publications/Report/5075

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

Aug 17, 2023 - Most relevant to AB  531, the proposals include $25  billion for home ownership and construction (SB  834 [Portantino]), $10  billion for affordable rental housing and home ownership programs (AB  1657 [Wicks]), and $5.2  billion for substance use treatment and other behavioral health programs (AB  1510 [Jones-Sawyer]).
https://lao.ca.gov/Publications/Report/4790

An Update on the Public Health Laboratory System After the Pandemic

Jun 12, 2025 - The state and several local health jurisdictions (LHJs) —mostly counties and a few cities —have laboratories that provide public health laboratory testing services. (When referring to counties and LHJs, we are also referring to these city LHJs.)
https://lao.ca.gov/Publications/Report/5056

The 2024-25 California Spending Plan: Health

Sep 17, 2024 - This year ’s health trailer bill legislation allows DHCS to charge an administrative fee for processing certain public hospital intergovernmental transfers. These transfers support the nonfederal share of supplemental Medi-Cal payments to hospitals.
https://lao.ca.gov/Publications/Report/4930

The 2023-24 Budget: Analysis of the Governor’s Major Behavioral Health Proposals

Feb 16, 2023 - Under the new intergovernmental transfer (IGT) process, counties will transfer funds covering their nonfederal share of cost into a state account, which will be used to draw down the associated federal funds.
https://lao.ca.gov/Publications/Report/4689

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

Feb 5, 2025 - For example, RAND found that the shortage in adult inpatient mental health beds results in occupancy rates that are higher than generally accepted levels, long wait lists, facilities unable to transfer patients to settings of more appropriate levels of care, and excessive patient stays in hospital emergency departments.
https://lao.ca.gov/Publications/Report/4954

The 2023-24 California Spending Plan: Health

Oct 23, 2023 - The budget also makes a number of smaller modifications to CalRx, including by transferring associated staffing and resources from CalHHS to HCAI and by enacting technical statutory changes in trailer bill legislation (Chapter  42 of 2023 [AB  118, Committee on Budget]).
https://lao.ca.gov/Publications/Report/4810

The 2023-24 Budget: Overview of the Governor's Budget

Jan 13, 2023 - The  administration ’s estimates of revenues (excluding transfers, both between state funds and from the federal government) are $13.6  billion higher across the three ‑year budget window compared to our estimates in November.
https://lao.ca.gov/Publications/Report/4662

The 2024-25 Budget: Medi-Cal Analysis

Feb 14, 2024 - Under  current law, any unspent funds would transfer to the Department of Health Care Access and Information for workforce initiatives. The administration instead proposes to revert the unspent funds, which total $15  million.
https://lao.ca.gov/Publications/Report/4838

The 2021-22 Spending Plan: Health

Oct 22, 2021 - The spending plan includes $12.7  million General Fund in 2021 ‑22 —ramping down to $9.2  million General Fund in 2023 ‑24 and ongoing —to re-evaluate felony ISTs who have been waiting in county jail for 60 days or more for transfer to DSH.
https://lao.ca.gov/Publications/Report/4465