The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - Where relevant, this section notes where there are potential levers available if the Legislature wishes to adjust spending. The Legislature could have greater insight into these spending drivers, as well as potential spending adjustments, if the department were to provide richer data.
https://lao.ca.gov/Publications/Report/5157

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

Oct 24, 2025 - Recommend Legislature Set Goals in Statute, Where Possible. Some of the implementation actions under H.R.  1 will require the Legislature to adopt conforming legislation. In other cases, DHCS may have sufficient authority to act without changes to statute.
https://lao.ca.gov/Publications/Report/5083

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - The administration has stated that it intends to hire one or multiple contractors to identify areas where operations could be improved to achieve savings, as well as to identify new ways to improve processes.
https://lao.ca.gov/Publications/Report/5075

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: Overview of the Governor's Budget

Jan 13, 2025 - Two key areas where these savings have eroded are in the managed care organization (MCO) tax package and reductions to state operations. These are described in the box below. The forthcoming Appendix 1 will also provide a full list of the solutions from the 2024 ‑25 budget package that generate savings in 2025 ‑26.
https://lao.ca.gov/Publications/Report/4951

An Update on the Public Health Laboratory System After the Pandemic

Jun 12, 2025 - In some cases, once a pathogen is detected, local public health laboratories may supplement their testing services with assistance from other laboratories or the state public health laboratory, particularly in cases where there is an unexpectedly high volume of tests needed or an outbreak of a novel disease.
https://lao.ca.gov/Publications/Report/5056

The 2025-26 Budget: MCO Tax and Proposition 35

Feb 26, 2025 - These steps include: (1)  forming the stakeholder advisory committee; (2)  consulting with the newly formed committee; (3)  structuring the new augmentations; and (4)  where necessary, obtaining federal approval (such as by submitting permanent state plan amendments or limited-term waivers).
https://lao.ca.gov/Publications/Report/4992

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 2023-24 Budget: Health Workforce Budget Solutions

Feb 21, 2023 - In particular, the Legislature could prioritize areas where there is a clear probl em definition of the workforce issue, there is a particularly acute need, and where proposed solutions have a proven track record.
https://lao.ca.gov/Publications/Report/4691

The 2021-22 Budget: CalAIM: The Overarching Issues

Feb 9, 2021 - Explore Where Delays in Implementation May Be Possible and Advisable. The scope and speed of CalAIM implementation under the Governor ’s plan create two significant challenges. First, many important policy decisions on which CalAIM components to adopt would have to be made by the summer of 2021.
https://lao.ca.gov/Publications/Report/4357