1991 and 2011 Realignment

California has gone through two major programmatic shifts, also known as Realignments, impacting the administration and funding of health and human services programs between the state and counties. Both in reaction to serious statewide budget shortfalls, the 1991 and 2011 Realignments shifted the responsibility and share of costs for certain social services, health, mental health, and public safety programs to counties in exchange for a dedicated revenue source and some flexibility to design programs to meet the needs of their communities.

1991 Realignment Distributions  

• 2023-2024 Caseload Growth
  
• 2022-2023 Caseload Growth
  
• 2021-2022 Caseload Growth

• 2020-2021 Caseload Growth

• 2019-2020 Caseload Growth

• 2018-2019 Caseload Growth
  

AB 85 County Diversion 

AB 85 (Chapter 24, Statutes of 2013) specifies changes to the 1991 realignment structure and redirects county health realignment funding for CalWORKs grant increases. 

Statute

• AB 85 (Chapter 24, Statutes of 2013)

• SB 98 (Chapter 358, Statutes of 2013) Technical clean-up language

County Diversion Estimates

(Provided by the Department of Finance)

• May 2017 County Diversion Estimates

• January 2016 County Diversion Estimates

• May 2015 County Diversion Estimates

• May 2015 Health Realignment Projections (pre-AB 85 diversions)

• May 2013 Estimated County Impacts

State Controller – AB 85 Redirections

• FY 2017-18

• FY 2016-17

• FY 2015-16

• FY 2014-15

• FY 2013-14

Reference Materials

• Protect the Safety Net Coalition Legislative Leadership Letter (May 2013)

• Protect the Safety Net Coalition Letter (May 2013)

• Key Principles

• Formula Side-by-Side

• Readers Guide (June 2013)

Resources

• Final FY 2017-18 Determinations Joint Memo (July 2020)

• Final FY 2017-18 Determination Letter (July 2020)

• Final Determination Letter (July 2017)

• Final Determinations Joint Memo (August 2017)

• Final FY 2014-15 Redirection Summary

• DHCS AB 85 Website

• County Historical Determinations

• 60/40 vs. Formula Counties

2011 Realignment 

Resources

• 2021-22 BHA Growth Letter to SCO

• 2022-23 BHS Base Letter to SCO

• 2022-23 Behavioral Health Subaccount Base Allocation Schedule Letter

• Revised FY 2016-17 Behavioral Health Subaccount Allocation Letter

• Anticipated Phase 2 Realignment

• CSAC, CWDA, CMHDA and CADPAAC Letter to the Legislature on 2011 Realignment Trailer Bills (May 15, 2012)

For additional information on public safety programs under 2011 Realignment, please visit Administration of Justice page.