The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - The APD process allows the state to request a 90  percent match in federal funding (rather than California ’s standard 50  percent match) to design, develop, and install IT systems that enable the state to more efficiently administer Medicaid benefits.
https://lao.ca.gov/Publications/Report/5157

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - The spending plan implements prior authorization requirements for hospice services starting July 1, 2026, providing $50  million in General Fund savings in 2026-27 and ongoing. State Hospitals Reduces General Fund Spending.
https://lao.ca.gov/Publications/Report/5075

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Under H.R. 1, the federal match for these services will decrease from 90  percent to 50  percent for certain undocumented adults, requiring a backfill from the General Fund to maintain existing services.
https://lao.ca.gov/Publications/Report/5092

The 2025-26 Budget: Medi-Cal Pharmacy Spending

Apr 3, 2025 - The federal share of cost in each state generally is determined by a formula, with the share in California at 50 percent. Each state’s specific federal share (in California’s case, 50 percent) also applies to gross pharmacy costs and drug rebate savings, with some exceptions.
https://lao.ca.gov/Publications/Report/5026

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

Oct 24, 2025 - H.R.  1 creates the Rural Health Transformation Fund, which will allocate $50  billion in state grants over five years (beginning in Federal Fiscal Year 2026) generally to support rural health providers.
https://lao.ca.gov/Publications/Report/5083

The 2025-26 Budget: Health Care Access and Information

Feb 20, 2025 - As Figure  5 shows, however, as measured by the consumer price index, prescription drug cost inflation has slowed over the past 50 years. While drug inflation has tended to exceed overall inflation, this trend reversed in the last few years.
https://lao.ca.gov/Publications/Report/4979

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

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

Feb 5, 2025 - From the three ‑year period of 2008 ‑2010 to three ‑year period of 2017 ‑2019, the share of California adults with SMI increased by around 50  percent, with the share of California young adults with SMI nearly doubling over the period.
https://lao.ca.gov/Publications/Report/4954

The 2024-25 California Spending Plan: Health

Sep 17, 2024 - The spending plan eliminates General Find for grants to the California Community Colleges ($30  million in 2023-24 and $70  million in 2024-25) and to the California State University and University of California ($50  million in 2024-25).
https://lao.ca.gov/Publications/Report/4930

Mental Health Services Act: Proposed Restructuring of the MHSA Funding Categories and Impacts on County Spending

Jul 13, 2023 - While not required by MHSA, state regulations currently require counties to use 50  percent of CSS funding for FSPs. FSPs provide mental health and wraparound services —such as housing and employment support —for individuals with the greatest mental health needs.
https://lao.ca.gov/Publications/Report/4782