California - cost and budget
An analysis of the annual cost of implementing “Free PGS for All” in California, compared to the state’s overall budget: --- 1. 🧠 California’s Annual Budget (2025–26) Total State Spending (general fund + special funds): ≈ $322 billion Health & Human Services (HHS) budget alone: ≈ $283.9 billion total (includes federal funds) Behavioral Health (mental health): MHSA “state‑directed” spending: ~$153 million Plus new $6.38 billion bond for behavioral health infrastructure (Prop 1; spread over years) --- 2. 💵 Estimated Annual Cost for Free PGS Let’s run a plausible pilot model: IVF cycles/year in CA: ~30,000 Cost per PGS + counseling: $10,000 Annual cost: 30,000 × $10,000 = $300 million Expanding to broader prevention (including non-IVF early risk screening) might double it: Estimated total annual program cost: $500 million–$1 billion --- 3. ⚖️ Comparison to Existing Budgets Category Annual Cost (approx.) PGS for IVF (state‑wide) $300 mil...