The 2025-26 Budget: Medi-Cal Pharmacy Spending

Apr 3, 2025 - These drugs do not come with rebates, because federally require d price reductions already occurred at the front end when the pharmacy purchased the drugs. Federal guidance also directs states to exclude claims that do not come with a federal share of cost.
https://lao.ca.gov/Publications/Report/5026

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

The 2025-26 Budget: Health Care Access and Information

Feb 20, 2025 - One key issue is rebates —negotiated discounts that drug makers pay to health plans after drugs are purchased. Rebates help health plans mitigate the high cost of drugs, and brand drugs likely come with higher rebates than generic drugs.
https://lao.ca.gov/Publications/Report/4979

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

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

Climate Change Impacts Across California - Health

Apr 5, 2022 - For example, low ‑income households have less money to purchase and operate air conditioning units during extreme heat events, air filters to moderate wildfire smoke, or back ‑up electricity generators to provide electricity during PSPS events.
https://lao.ca.gov/Publications/Report/4580

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

COVID-19: American Rescue Plan’s Major Health-Related Funding Provisions

May 6, 2021 - Where possible, based on currently available information, we provide an estimate of the funding allocations to California governments and other entities in the state. While this post reflects our best understanding of the high-level content and implications of this legislation as of late April, we will update the post as new information and clarifications become available.
https://lao.ca.gov/Publications/Report/4425

Update on COVID-19 Spending in California

Nov 5, 2020 - Where the Legislature does have flexibility in allocating funding, is it satisfied with the distribution of funding? Appendix Major Categories of COVID ‑19 Spending in California (In Millions)
https://lao.ca.gov/Publications/Report/4292