Overview of Proposition 1 and Assessment of Behavioral Health Continuum Infrastructure Program [Publication Details]

Apr 7, 2025 - Overview of Proposition 1 and Assessment of Behavioral Health Continuum Infrastructure Program [Publication Details] Translate Our Website This Google ™ translation feature provided on the Legislative Analyst's Office (LAO) website is for informational purposes only.
https://lao.ca.gov/Publications/Detail/5027

Considering Medi-Cal in the Midst of a Changing Fiscal and Policy Landscape [Publication Details]

Oct 24, 2025 - We describe the changing fiscal and policy landscape for Medi-Cal resulting from Congressional enactment of H.R. 1 and the key issues facing the Legislature.  See our companion infographic
https://lao.ca.gov/Publications/Detail/5083

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

Oct 24, 2025 - This population is estimated to comprise around 5  million people, or around one ‑third of Medi ‑Cal ’s total caseload. A  portion of this population could be exempt from some of the new policies as specified in H.R.  1.
https://lao.ca.gov/Publications/Report/5083

Overview of Major Impacts of H.R. 1—One Big Beautiful Bill Act on CalFresh [Publication Details]

Nov 13, 2025 - Overview of Major Impacts of H.R. 1—One Big Beautiful Bill Act on CalFresh [Publication Details] Translate Our Website This Google ™ translation feature provided on the Legislative Analyst's Office (LAO) website is for informational purposes only.
https://lao.ca.gov/Publications/Detail/5090

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Under H.R. 1, this limit will be gradually reduced beginning in Federal Fiscal Year 2028, reaching 3.5  percent by Federal Fiscal Year 2032. Our understanding is that California ’s hospital fee, which is pending federal approval for 2025, is at around 5  percent.
https://lao.ca.gov/Publications/Report/5092

The 2026-27 Budget: Medi-Cal Fiscal Outlook [Publication Details]

Nov 19, 2025 - This brief summarizes our annual outlook for General Fund spending on Medi-Cal.
https://lao.ca.gov/Publications/Detail/5092

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - This section focuses on (1)  new community engagement requirements, (2)  the new six ‑month renewal requirement, and (3)  changes that eliminate federally funded full ‑scope (comprehensive) Medi ‑Cal coverage for certain immigrant groups.
https://lao.ca.gov/Publications/Report/5146

The 2026-27 Budget: Medi-Cal Analysis [Publication Details]

Mar 2, 2026 - In this report, we analyze the Governor’s budget for Medi-Cal, with a focus on base spending trends, changes to provider taxes, implementation of new H.R. 1 rules, oversight over enacted budget solutions, and considerations for identifying additional savings in Medi-Cal.
https://lao.ca.gov/Publications/Detail/5146

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

Feb 5, 2025 - Proposition  1 (2024) changed how revenue from the BHSA is spent by the state and counties. 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.
https://lao.ca.gov/Publications/Report/4954

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - In recent years, the cumulative cost of annual minimum wage increases under S B  3 have represented about 5  percent to 10  percent of General Fund spending on services purchased for DDS consumers. Legislature Has Some Discretion Over Rates, But Faces Trade ‑Offs With Service Access Impacts.
https://lao.ca.gov/Publications/Report/5157