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

Oct 24, 2025 - Below, we provide a more detailed description of each category, as well as some additional changes falling outside these  categories. Changes to Provider Tax Rules Notably Scales Back Use of Provider Taxes.
https://lao.ca.gov/Publications/Report/5083

The 2025-26 Budget: Medi-Cal Pharmacy Spending

Apr 3, 2025 - Federal guidance directs states to exclude reporting certain drug claims outside of the rebate system. For example, states are to exclude drugs that come with federal price discounts (known as 340B discounts).
https://lao.ca.gov/Publications/Report/5026

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

Apr 19, 2021 - Added State Costs Outside the DDS System. We are in the process of collecting information from DHCS about Medi-Cal costs —outside the DDS system —associated with DDS consumers. Some families may use Medi-Cal as the consumer ’s primary insurance.
https://lao.ca.gov/Publications/Report/4415

The 2025-26 Budget: Overview of the Governor's Budget

Jan 13, 2025 - These gains are not tied to improvements in the state ’s broader economy, which has been lackluster, with elevated unemployment, a stagnant job market outside of government and healthcare, and sluggish consumer spending.
https://lao.ca.gov/Publications/Report/4951

The 2023-24 Budget: Whole Child Model Expansion

May 5, 2023 - Historically, CCS Generally Was Administered Outside of Managed Care. Historically, the CCS program has existed as a “carved out ” benefit in Medi-Cal. That is, counties and the state have paid for and delivered CCS benefits outside of the managed care system.
https://lao.ca.gov/Publications/Report/4767

The 2021-22 Budget: Behavioral Health: Community Care Demonstration Project

Feb 19, 2021 - The Governor ’s budget includes several major behavioral health proposals outside of the DSH budget that relate directly to the provision, or expansion of capacity, of community behavioral health services.
https://lao.ca.gov/Publications/Report/4382

The 2024-25 Budget: Medi-Cal Analysis

Feb 14, 2024 - Outside of physician and hospital services, the administration proposes various approaches to increase payments. For example, the administration also proposes to tie ground emergency transportation rates to a percent of Medicare.
https://lao.ca.gov/Publications/Report/4838

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

Mar 11, 2020 - On Balance, Uncertain but Likely Limited Impact on Safety and Quality Outside of Hospital Settings. There is greater uncertainty regarding the impact on safety and quality that removing the requirement would have on care provided by nurse midwives outside of the hospital —including labor and delivery care in nonhospital settings and women ’s primary care.
https://lao.ca.gov/Publications/Report/4197

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

Nov 9, 2021 - Added State Costs Outside the DDS System Although DDS likely could achieve some savings by drawing down federal funding for children who are currently 100 p ercent state funded, there would be added Medi ‑Cal costs outside the DDS system for services such as IHSS and for regular Medi ‑Cal health insurance costs.
https://lao.ca.gov/Publications/Report/4471

Climate Change Impacts Across California - Health

Apr 5, 2022 - These populations might not have an opportunity to go outside for days at a time because they are only allowed to spend time outside during specific hours of the day. Climate Impacts Will Have a Wide Variety of Effects on Health Care Delivery Systems.
https://lao.ca.gov/Publications/Report/4580