The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - Proposed Funding to Implement Recent Federal Rule The Governor ’s budget proposes $2.1  million General Fund ongoing to implement the federal Home ‑ and Community ‑Based Services Access Rule, which was finalized in 2024.
https://lao.ca.gov/Publications/Report/5157

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - More recent final guidance released earlier this year, however, suggests California can keep its existing health plan tax in place until its current waiver expires at the end of December 2026. Revenue Limit.
https://lao.ca.gov/Publications/Report/5146

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

Oct 24, 2025 - The first rule (finalized in 2023) applied to people dually enrolled in Medicare and Medicaid, while the second rule (finalized in 2024) applied to the rest of the Medicaid population. H.R.  1 prohibits federal administrators from enforcing the elements of these rules that have not yet gone into effect, giving states greater flexibility to decide whether to implement the streamlined processes.
https://lao.ca.gov/Publications/Report/5083

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - H.R.1 places a ten ‑year enforcement moratorium on two recently finalized federal rules aimed at streamlining Medicaid eligibility practices and policies. This moratorium comprises a substantial portion of the estimated federal savings in Congressional fiscal scoring sheets.
https://lao.ca.gov/Publications/Report/5092

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

Jan 13, 2025 - Finally, the Governor sets the balance of the Special Fund for Economic Uncertainties to $4.5   billion —somewhat higher than the level enacted by recent budgets. Revenue Estimates Reasonable, but Risks Must Be Kept in Focus.
https://lao.ca.gov/Publications/Report/4951

The 2024-25 Budget: Department of Developmental Services

Feb 13, 2024 - We note that delaying the final phase of rate reform is only a one ‑year budget solution. That is, the ongoing costs of the final phase of rate reform are reflected in the administration ’s multiyear estimates beginning in 2025 ‑26 (when the state continues to face budget  deficits).
https://lao.ca.gov/Publications/Report/4837

The 2025-26 Budget: Health Care Access and Information

Feb 20, 2025 - HCAI recently reported to our office that manufacturing has started, though the partner has not received final federal approval of the new product. HCAI also indicates that it has reviewed data from the partner on initial tests and studies.
https://lao.ca.gov/Publications/Report/4979

An Update on the Public Health Laboratory System After the Pandemic

Jun 12, 2025 - CDPH is in the process of developing and t esting a number of components for the project, but a final time line for completion is unknown. Revamp of the California Reportable Disease Information Exchange (CalREDIE) in Early Stages.
https://lao.ca.gov/Publications/Report/5056

The 2025-26 Budget: Understanding Recent Increases in the Medi-Cal Senior Caseload

Mar 6, 2025 - Figure  10 shows the average number of Medi ‑Cal enrollees over 65 who are enrolled in Medi ‑Cal for the first time in their lives in four selected time periods —before the continuous coverage period, during continuous coverage but before the asset test phase out, the asset test phase ‑out period, and finally after elimination of the asset test.
https://lao.ca.gov/Publications/Report/5010

The 2023-24 Budget: Department of Developmental Services

Feb 15, 2023 - Figure 3 Many Services Providers Not Yet in Full Compliance With Home ‑ and Community ‑Based Services Final Rule As of December 29, 2022 Service Type
https://lao.ca.gov/Publications/Report/4683