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

Oct 24, 2025 - How Proposition 52 Works Makes Private Hospital Fee Permanent. Similar to Proposition  35 (2024) and the health plan tax, Proposition  52 (2016) made a pre ‑existing fee on private hospitals (known as the Hospital Quality Assurance Fee) permanent in state law.
https://lao.ca.gov/Publications/Report/5083

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - Proposition 52 (2016) made the private hospital fee permanent, while Proposition 35 (2024) made the health plan tax permanent. The two provider taxes are not permanent in federal law, however—periodic federal approval is still required to draw down federal funds.
https://lao.ca.gov/Publications/Report/5146

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - There is significant variability in the average annual growth rate by individual service (many individual services are captured in “Other ” in the figure), ranging from a low of 3  percent (employment services) to a high of 52  percent (social recreation).
https://lao.ca.gov/Publications/Report/5157

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

Nov 9, 2021 - Of the 254, 000 e nrolled in Medi ‑Cal, a total of 187,000 (or 74 p ercent) received at least one RC ‑coordinated service, a prerequisite for waiver or 1915(i) SPA eligibility; about 132, 000 o f these consumers (or 52 p ercent of those enrolled in Medi ‑Cal) were enrolled in the waiver, while about 48,000 (or 19 p ercent of those enrolled in Medi ‑Cal) received 1915(i) SPA reimbursement.
https://lao.ca.gov/Publications/Report/4471

The 2017-18 Budget: Analysis of the Department of Developmental Services Budget

Feb 24, 2017 - Headquarters Budget Proposal The Governor ’s budget proposes $52  million ($35  million General Fund) for headquarters operations expenditures, a 2.2  percent increase over estimated expenditures in 2016 ‑17.
https://lao.ca.gov/Publications/Report/3581