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

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - In recent years, however, California pursued notably larger taxes, getting much closer to the federal limit. The current health plan tax, enacted in 2023 and expanded in 2024, generates more than three times the revenue of previous versions.
https://lao.ca.gov/Publications/Report/5146

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

Oct 24, 2025 - Most hospitals get more money back from this arrangement than they pay in fees. That said, some hospitals, particularly those that primarily provide care to non ‑Medi ‑Cal patients, incur net costs as a result of the fee program.
https://lao.ca.gov/Publications/Report/5083

The 2025-26 Budget: MCO Tax and Proposition 35

Feb 26, 2025 - Such an approach is likely inefficient and arbitrary, as plans that pay considerably more for services (arguably already providing a more adequate payment) get the same boost in rates as a plan with notably lower payment s.
https://lao.ca.gov/Publications/Report/4992

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 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

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

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

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

Impact of COVID-19 on Health Care Access

May 7, 2021 - The proportion of Household Pulse survey respondents who reported that they delayed getting medical care or did not receive medical care declined in August 2020 —to just under one-third and slightly more than one-fifth, respectively.
https://lao.ca.gov/Publications/Report/4426