Overview of Major Impacts of H.R. 1 – One Big Beautiful Bill Act [Publication Details]

Aug 20, 2025 - Assembly Budget Subcommittee No. 7 on Accountability and Oversight
https://lao.ca.gov/Publications/Detail/5067

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - For example, we estimated that a more proportionate tax netting around $7 billion in revenue could cost around $30 per member, per month—about a 5 percent increase on average to commercial health plan premiums.
https://lao.ca.gov/Publications/Report/5146

Fiscal Outlook: In-Home Supportive Services (IHSS)

Nov 14, 2018 - Under Current Law, Expiration of the MCO Tax Triggers 7  Percent Reduction of IHSS Service Hours in 2019 ‑20. As previously mentioned, the reason the net increase in IHSS costs in 2019 ‑20 is more modest is mainly due to the estimated savings from the triggering of the 7  percent reduction in IHSS service hours.
https://lao.ca.gov/Publications/Report/3899

Fiscal Outlook: In-Home Supportive Services (IHSS)

Nov 15, 2017 - For example, in years that realignment growth revenues increase by more than 2  percent, the IHSS county MOE will increase by 7  percent. We anticipate that the IHSS county MOE will grow by 7  percent beginning in 2019 ‑20 through at least 2021 ‑22.
https://lao.ca.gov/Publications/Report/3712

The 2024-25 Budget: Department of Health Care Access and Information

Feb 27, 2024 - Also, some previously enacted one-time funds —such as the loan repayment initiative for county psychiatrists ($7  million General Fund and $7  million Mental Health Services Fund) —have not yet been spent.
https://lao.ca.gov/Publications/Report/4860

Mental Health Services Act: LAO Update: The Governor's Revised Behavioral Health Modernization Proposal

Aug 21, 2023 - For example, during the initial three-year planning period a county could shift 7  percentage points from the FSP category and 7  percentage points from the Housing Interventions category, which would result in an increase of 14  percentage points of funding in the BHSS category.
https://lao.ca.gov/Publications/Report/4792

The 2025-26 Budget: Understanding Recent Increases in the Medi-Cal Senior Caseload

Mar 6, 2025 - As shown earlier in Figure  7, during the continuous coverage period, the average monthly increase in the senior caseload was about 6,200. This was during a time in which counties were not conducting any eligibility redeterminations.
https://lao.ca.gov/Publications/Report/5010

The 2015-16 Budget: Major Features of the Adopted Plan (Health and Human Services)

Jun 19, 2015 - Restores In –Home Supportive Services (IHSS) Service Hours From Prior –Year 7  Percent Reduction. The budget package includes $226  million General Fund, on a one –time basis, to restore IHSS services hours that had been reduced by 7  percent in a prior –year budget action.
https://lao.ca.gov/Publications/Report/3277

The 2025-26 Budget: CalAIM Enhanced Care Management and Community Supports Implementation Update

Mar 6, 2025 - Figure  7 shows Community Supports utilization has grown in recent years, though the majority of growth is concentrated in a handful of services. Medically Tailored Meals is the most utilized Community Support by a fairly large margin.
https://lao.ca.gov/Publications/Report/5003

The 2017-18 Budget: The Governor's May Revision In-Home Supportive Services Cost-Sharing Proposal

May 16, 2017 - Adjustment Factor Likely to Be 7 Percent in Most Years. We anticipate that the MOE adjustment factor would be 7 percent in most years as realignment revenues likely will grow by more than 2 percent most of the time.
https://lao.ca.gov/Publications/Report/3671