The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - One possible reason for our higher estimate is that our model reflects not only disenrollment among current enrollees, but also reduced enrollment flows over time and a persistent risk of disenrollment among eligible individuals due to added administrative burden.
https://lao.ca.gov/Publications/Report/5146

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - The department stated that its budget projections for 2026 ‑27 do not incorporate any potential added costs due to the changes in H.R 1. Will the department be able to determine whether its costs increase in the future due to H.R. 1?
https://lao.ca.gov/Publications/Report/5157

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

Oct 24, 2025 - …But Potentially With Added Complexity. Adding more flexibilities also could come with the potential downside of more complexity for beneficiaries and counties. For example, exempting high unemployment counties from work requirements could create more volatility.
https://lao.ca.gov/Publications/Report/5083

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Seniors are costlier to cover than most other groups (for example, coverage for seniors is around three times the cost of families and children). As a result, the cost from increased senior caseload more than offsets savings from other declining groups, resulting in net General Fund costs over the multiyear ($3.1  billion).
https://lao.ca.gov/Publications/Report/5092

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

Mar 6, 2025 - From July 2022 through September 2024, the caseload in the expansion to individuals age 50 and older —a group that is notably not limited to those age 65 and over —increased by about 120,000  individuals.
https://lao.ca.gov/Publications/Report/5010

Enhancing Federal Financial Participation for Consumers Served by the Department of Developmental Services—An Interim Update

Apr 19, 2021 - How would the option affect different groups of consumers —would it maintain or improve equity or could it negatively affect a particular group? Fiscal Implications of Increasing Medi-Cal Uptake Among DDS Consumers State Savings in the DDS System Likely.
https://lao.ca.gov/Publications/Report/4415

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - Whereas previous law generally required providers, schools, and other groups to follow current federal recommendations, the legislation creates a new baseline. Specifically, the legislation establishes the federal recommendations in place in January 1, 2025 as the starting point.
https://lao.ca.gov/Publications/Report/5075

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

Feb 5, 2025 - Strategies to do so have included expanding the behavioral health workforce; adding benefits and increasing rates in Medi ‑Cal; and increasing capacity through managed care plans, schools, and in other  settings.
https://lao.ca.gov/Publications/Report/4954

Analysis of California’s Physician-Supervision Requirement for Certified Nurse Midwives

Mar 11, 2020 - We understand that physicians sometimes ask for payment in return for agreeing to supervise nurse midwives (particularly in the case of nurse midwives who practice independently from major hospital systems and/or medical groups).
https://lao.ca.gov/Publications/Report/4197

Enhancing Federal Financial Participation for Consumers Served by the Department of Developmental Services

Nov 9, 2021 - How would the option affect different groups and consumers? How does the option impact consumers ’ access to services? Require Enrollment Among Those Who Are Eligible Requiring Enrollment Was Proposed in 2020.
https://lao.ca.gov/Publications/Report/4471