Realignment and County Indigent Health Care Programs [Publication Details]

Mar 19, 2026 - Presented to: Senate Budget Subcommittee No. 3 on Health and Human Services
https://lao.ca.gov/Publications/Detail/5164

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 2024-25 Budget: Department of Health Care Access and Information

Feb 27, 2024 - Figure 2 Overall Spending Varies Year to Year HCAI Funding (In Millions) -58% HCAI = Department of Health Care Access and Information. In Current Year, Deferred One-Time Funds Drive Down General Fund Spending.
https://lao.ca.gov/Publications/Report/4860

An Update on the Public Health Laboratory System After the Pandemic

Jun 12, 2025 - Since the passage of the 2022-23 budget, there have been 58 graduates of this program. In the Governor ’s proposed May Revision, approximately $3.4  million for these programs is proposed for reversion.
https://lao.ca.gov/Publications/Report/5056

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

Climate Change Impacts Across California - Crosscutting Issues

Apr 5, 2022 - A  2018   report  by the State Coastal Conservancy and The Nature Conservancy found that 55 percent of California’s existing coastal habitats are highly vulnerable to five feet of sea‑level rise, including 60 percent of the state’s iconic beaches and 58 percent of its marshes. 
https://lao.ca.gov/Publications/Report/4575

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 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

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