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 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

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - DHCS also states that complying with this federal request may qualify California for an up to three ‑year transition period to make the fee more proportionate. Federal Rules Continue to Emerge, Creating Some Uncertainty for Structuring Provider Taxes.
https://lao.ca.gov/Publications/Report/5146

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

Feb 5, 2025 - The BHSA requires that up to 3  percent of annual revenue (up to about $100  million) is spent on statewide behavioral health workforce initiatives administered by HCAI. BHCIP Created in 2021 ‑22 Budget.
https://lao.ca.gov/Publications/Report/4954

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

Apr 19, 2021 - This could occur because those uncomfortable with signing up for Medi-Cal may not have the ability to pay what would have been the federal portion of the cost of the RC-coordinated services. This approach would be more punitive in nature than the three alternative approaches discussed below, given that a family would have to pay for or forgo services if they did not want to enroll the consumer in Medi-Cal.
https://lao.ca.gov/Publications/Report/4415

Mental Health Services Act: Revenue Volatility and the Governor’s Proposal to Reduce Allowable County Reserves

Jul 13, 2023 - One way to measure the variability in a data series is average deviation (AD). AD summarizes —for a given time period —how many percentage points the data in a series deviate from the average growth rate.
https://lao.ca.gov/Publications/Report/4780

COVID-19: Federal Health-Related Response

Mar 23, 2020 - Up to $1  Billion Nationwide for COVID-19 Testing for the Uninsured. Up to $1  billion will be distributed nationwide for COVID-19 testing for the uninsured (as defined under FFCRA). The amount of this funding that would be allocated to California is unknown.
https://lao.ca.gov/Publications/Report/4209

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - …But Up in Multiyear. After the current year, General Fund spending increases steadily each subsequent year. The amount rises to $47.3  billion in 2026 ‑27, ultimately reaching $51.6  billion by 2029 ‑30.
https://lao.ca.gov/Publications/Report/5092

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

Nov 9, 2021 - Moreover, some individuals and families uncomfortable with signing up for Medi ‑Cal may not be able to afford what would have been the federal portion of the cost of the RC ‑coordinated services. Consequently, this approach could be more punitive in nature than the three alternative approaches discussed below, given that a family would have to pay for or forgo services if they did not want to enroll the consumer in Medi ‑Cal.
https://lao.ca.gov/Publications/Report/4471