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

Feb 5, 2025 - RAND used three approaches for estimating the shortage of beds: (1) surveying psychiatric facilities to gather data on bed occupancy, wait list volume, and other information; (2) convening an expert panel to estimate bed need based on available research; and (3) assessing national and state survey data concerning the prevalence of SMI to determine the regional variation in the need for beds.
https://lao.ca.gov/Publications/Report/4954

The 2025-26 Budget: Medi-Cal Pharmacy Spending

Apr 3, 2025 - To better simplify these data, we used each drug ’s classification as identified under the Food and Drug Administration ’s National Drug Code Directory . These classifications generally categorize drugs based on how they work, how they are used, and other factors.
https://lao.ca.gov/Publications/Report/5026

Climate Change Impacts Across California - Crosscutting Issues

Apr 5, 2022 - Although uncertainty remains about the timing and magnitude of when and how these hazards and their resulting impacts will manifest, the science is conclusive that they will be part of California ’s future.
https://lao.ca.gov/Publications/Report/4575

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

Mar 6, 2025 - Once the asset test was fully eliminated, first‑time‑enrolling seniors were more than twice the level as prior to the policy change. As shown in Figure 11, this growth in first‑time‑enrolling Medi‑Cal enrollees is unique to seniors.
https://lao.ca.gov/Publications/Report/5010

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

Mar 6, 2025 - In order to support the implementation of ECM and Community Supports, the state implemented the PATH initiative and the Incentive Payment Program (IPP) to help create and expand program infrastructure.
https://lao.ca.gov/Publications/Report/5003

Update on COVID-19 Spending in California

Nov 5, 2020 - Due to stay at home orders and ongoing concerns about virus transmission, unemployment in California has reached record levels. High unemployment has significant negative consequences for the personal economic situations of many Californians.
https://lao.ca.gov/Publications/Report/4292

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

Jan 13, 2025 - This  would result in maintaining prior funding levels for these activities but would preclude this amount of Proposition  4 funds from supporting expanded service levels or additional projects. Spending and Tax Expenditure Proposals New Spending Proposals of Nearly $600   Million.
https://lao.ca.gov/Publications/Report/4951

The 2021-22 Budget: Analysis of the Medi-Cal Budget

Feb 16, 2021 - The administration projects that General Fund costs associated with caseload increases will be $4. 3  b illion above what they would have been absent the COVID ‑ 19 p andemic in 2021 ‑22. Assessment At a high level, Medi ‑Cal costs are driven by two factors, caseload, or the number of people enrolled in the program, and cost per enrollee.
https://lao.ca.gov/Publications/Report/4373

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

Issues That Could Impact Californians' Health Care Coverage in 2023 and Beyond

Dec 16, 2022 - Many of these policy changes are tied to the COVID ‑19 national public health emergency (PHE). The PHE was first declared in early 2020 and has subsequently been extended for numerous 90 ‑day periods.
https://lao.ca.gov/Publications/Report/4654