The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - If a consumer disagrees with their RC ’s decision to change, reduce, or stop a service in the IPP, the consumer can appeal the decision. Individual Utilization Varies Widely According to Consumers ’ Needs.
https://lao.ca.gov/Publications/Report/5157

The 2019-20 May Revision: Update to Governor's 1991 Realignment Proposals

May 29, 2019 - These costs would be added to the IHSS MOE similar to county costs from locally established wage and health benefit increases. Maintains All Other IHSS-Related Realignment Changes Proposed in January.
https://lao.ca.gov/Publications/Report/4077

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 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

The 2021-22 Budget: Initial Comments on the Governor’s May Revision

May 17, 2021 - First, the administration will stop counting vehicle registration fees as proceeds of taxes. Second, the administration is making an administrative correction of its treatment of school-related deferrals.
https://lao.ca.gov/Publications/Report/4432

Mental Health Services Act: Proposed Bond to Fund Behavioral Health Facilities and Veterans Housing

Aug 17, 2023 - Figure  2 displays RAND ’s estimates of the regional shortfall by facility type. In the South San Joaquin Valley, Inland Empire, Central Coast, and San Francisco Bay Area, RAND estimates a general shortfall across all categories.
https://lao.ca.gov/Publications/Report/4790

The 2021-22 Budget: Analysis of the Medi-Cal Budget

Feb 16, 2021 - Figure  3 displays the difference between the administration ’s projections and caseload actuals. Administration ’s Caseload Projections Are Likely Overstated, Particularly in 2021 ‑22. Caseload likely will rise significantly over the course of 2021 ‑22 as a result of the COVID ‑ 19 p andemic.
https://lao.ca.gov/Publications/Report/4373

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