Overview of Proposition 1 and Assessment of Behavioral Health Continuum Infrastructure Program [Publication Details]

Apr 7, 2025 - Overview of Proposition 1 and Assessment of Behavioral Health Continuum Infrastructure Program [Publication Details] Translate Our Website This Google ™ translation feature provided on the Legislative Analyst's Office (LAO) website is for informational purposes only.
https://lao.ca.gov/Publications/Detail/5027

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

Feb 5, 2025 - Oversight of BHCIP Needed to Maximize Success of Proposition  1 Bond. Proposition  1 adds another $4.4  billion to the BHCIP program, or about three times the amount of funding provided to BHCIP so far.
https://lao.ca.gov/Publications/Report/4954

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - Proposition 52 (2016) made the private hospital fee permanent, while Proposition 35 (2024) made the health plan tax permanent. The two provider taxes are not permanent in federal law, however—periodic federal approval is still required to draw down federal funds.
https://lao.ca.gov/Publications/Report/5146

The 2024-25 California Spending Plan: Health

Sep 17, 2024 - Evidence-Based and Community-Defined Behavioral Health Program Grants ($47  Million). The spending plan reduces funding for the grant program by $47  million in 2024-25, leaving $382  million allocated for the program.
https://lao.ca.gov/Publications/Report/4930

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

Oct 24, 2025 - How Proposition 52 Works Makes Private Hospital Fee Permanent. Similar to Proposition  35 (2024) and the health plan tax, Proposition  52 (2016) made a pre ‑existing fee on private hospitals (known as the Hospital Quality Assurance Fee) permanent in state law.
https://lao.ca.gov/Publications/Report/5083

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - General Fund Backfill Needed Due to Proposition   35 (2024). Our baseline outlook also projects costs to rise due to Proposition  35. The measure made a longstanding provider tax on health plans (known as the Managed Care Organization [MCO] Tax) permanent in state law.
https://lao.ca.gov/Publications/Report/5092

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - As Figure  6 shows, the largest activity supported by the Proposition  35 spending plan is underlying growth in managed care costs. According to DHCS, managed care plans have increased rates for certain services (such as primary care) in the last few years.
https://lao.ca.gov/Publications/Report/5075

The 2025-26 Budget: MCO Tax and Proposition 35

Feb 26, 2025 - For example, in recent years, the General Fund has backfilled parts of Proposition  56 (2016) —another ballot measure that funds Medi-Cal provider rate increases (see nearby box for more detail). With so many fiscal uncertainties at play, it will be important for DHCS to structure MCO tax-funded augmentations in ways that preserve fiscal flexibility.
https://lao.ca.gov/Publications/Report/4992

The 2022-23 California Spending Plan: Health

Oct 24, 2022 - Backfill Provider Payments Funded by Proposition  56 With General Fund. The spending plan includes $148  million General Fund to transition various provider payments that were supported by Proposition  56 revenues to General Fund support instead.
https://lao.ca.gov/Publications/Report/4642

The 2025-26 Budget: Medi-Cal Fiscal Outlook

Nov 20, 2024 - Under current law, previously planned MCO tax-supported augmentations cannot go into effect if voters pass Proposition  35. Instead, Proposition  35 will determine which services and areas receive increased funding.
https://lao.ca.gov/Publications/Report/4941