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

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: 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

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

Apr 19, 2021 - The fees associated with at least two of the three family fee programs —the Family Cost Participation Program and the Annual Family Fee Program —are waived when the consumer is enrolled in Medi-Cal. We currently are working with DDS to learn more about the extent to which these programs (which were implemented in 2005 and 2011, respectively) led
https://lao.ca.gov/Publications/Report/4415

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

Mar 6, 2025 - In the paragraphs that follow, we provide our analysis that results in ou r estimate of at least 165,000 seniors being added due to eligibility expansions since 2020. (As a consequence of this estimate, it follows naturally that we estimate up to 60,000  seniors being added due to the effects of continuous coverage, the unwinding, and unwinding flexibilities, for a total increase of 225,000 seniors due to policy changes.)
https://lao.ca.gov/Publications/Report/5010

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

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

Nov 9, 2021 - The fees associated with two of three family fee programs —the Family Cost Participation Program and the Annual Family Program Fee —are waived when the minor consumer is enrolled in Medi ‑Cal. The extent to which these programs (which were implemented in 2005 and 2011, respectively) led to increased enrollment in Medi ‑Cal (because families wished to avoid paying the fees) is unclear.
https://lao.ca.gov/Publications/Report/4471

Mental Health Services Act: Impact of Governor's Proposal on Funding for Children and Youth

Aug 10, 2023 - As discussed above, adding a funding requirement to the FSP category may increase funding for an effective approach to providing children and youth mental health services with a limited impact on current service levels.
https://lao.ca.gov/Publications/Report/4786

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - …And Private Hospital Fee. The second key factor is a reduction to another sizable state provider tax —a fee on private hospitals (known as the Hospital Quality Assurance Fee). Similar to the health plan tax, we assume H.R. 1 ’s relevant policies also begin to affect this fee in January  2027.
https://lao.ca.gov/Publications/Report/5092

The 2021-22 Budget: Assessment of CalHEERS Dashboard

Mar 25, 2021 - The report also could describe how the fixes and functionalities are designed to address known Medi ‑Cal eligibility functionality issues in CalHEERS, and whether any new issues have been added to the dashboard because of the CalHEERS releases.
https://lao.ca.gov/Publications/Report/4408