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

Feb 5, 2025 - In one area where a robust needs assessment has been performed (inpatient mental health facilities), however, we found that a majority of new capacity is being added in four (out of ten) regions of the state estimated to have the least need.
https://lao.ca.gov/Publications/Report/4954

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

Mar 6, 2025 - As shown in Figure  3 , all counties have at least eight Community Supports offered by at least one MCP and there are 19 counties where all Community Supports are available from at least one MCP. Unlike with ECM, there is no statewide estimate of potential eligibility for each Community Support.
https://lao.ca.gov/Publications/Report/5003

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

The 2025-26 Budget: MCO Tax and Proposition 35

Feb 26, 2025 - Recent experience has shown that, once structured and enacted, rate increases can still take time to make their way to providers. This is particularly true for provider payments directed through the managed care system.
https://lao.ca.gov/Publications/Report/4992

Climate Change Impacts Across California - Crosscutting Issues

Apr 5, 2022 - Costs for cities and counties might include adding drainage to roads to manage more intense rain events, or modifying water treatment plants located along the coast to accommodate higher sea levels. …And Private Residents and Businesses.
https://lao.ca.gov/Publications/Report/4575

Climate Change Impacts Across California - Health

Apr 5, 2022 - There also are significant differences in the projected number of heat‑related deaths within a particular region or city. For example, urban areas with a large percentage of impervious surfaces and relatively little shade—also known as urban heat islands—tend to be hotter than surrounding areas.
https://lao.ca.gov/Publications/Report/4580

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

Mar 6, 2025 - Based on our review of the legislative history, the elimination of the asset test was meant to remove a barrier to enrollment, encourage continuity of coverage, and make eligibility determinations between MAGI and non ‑MAGI populations more equitable, among other goals.
https://lao.ca.gov/Publications/Report/5010

The 2020-21 Budget: Re-Envisioning Medi-Cal—The CalAIM Proposal

Feb 28, 2020 - Researchers recently published a high ‑quality study of a program in Camden, Massachusetts that delivered intensive clinical, social supportive, and case management services to “super ‑utilizers ” of health care services —a population comprising less than 0. 5  p ercent of the city ’s population but that accounted for 11  p ercent of the city ’s hospital ’s expenditures.
https://lao.ca.gov/Publications/Report/4185

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

Aug 17, 2023 - As such, the bond itself seemingly would do comparatively little for the North San Joaquin Valley and North Coast regions where the acute bed shortfall is greatest but where the need for other bed types is relatively small.
https://lao.ca.gov/Publications/Report/4790

The 2024-25 Budget: Medi-Cal Analysis

Feb 14, 2024 - Focus on Changes That Make Medi ‑Cal Payment Methodologies More Rational. To  the extent the Legislature would like to use these increases to also change the way Medi ‑Cal pays providers, we recommend it focus on approaches that make the existing methodology more rational.
https://lao.ca.gov/Publications/Report/4838