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

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

Oct 24, 2025 - From a fiscal perspective, childless adults are among the most expensive population for the federal government because of the relatively high federal share of cost (90  percent). Below, we describe some of the key H.R.  1 changes affecting adults.
https://lao.ca.gov/Publications/Report/5083

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 2025-26 California Spending Plan: Health

Oct 16, 2025 - The 2025-26 California Spending Plan: Health 100 100 a The spending plan assumes a portion of funds designated for this service ($88 million) cannot be allocated due to implementation issues and instead will be spent in 2027.
https://lao.ca.gov/Publications/Report/5075

The 2025-26 Budget: Health Care Access and Information

Feb 20, 2025 - The 2022 ‑23 budget provided $100  million one ‑time General Fund for a partnership to manufacture a biosimilar insulin product. (Diabetics take insulin to help regulate their blood sugar. Insulin is among the costliest drugs for health insurance plans and consumers.)
https://lao.ca.gov/Publications/Report/4979

The 2024-25 California Spending Plan: Health

Sep 17, 2024 - In 2025-26, the spending plan reduces General Fund for BHBH by $118  million and shifts $90  million of General Fund for BHBH to the MHSF. After these reductions, remaining funding for BHBH totals $1.3  billion ($1.2  million General Fund and $90  million MHSF).
https://lao.ca.gov/Publications/Report/4930

The 2024-25 Budget: Medi-Cal Analysis

Feb 14, 2024 - Abortion 90 90 Increase existing rates to a minimum of $1,150, with higher rates for certain geographic areas. Also sustain support for existing limited ‑term supplemental payment for abortion services at non ‑hospital clinics.
https://lao.ca.gov/Publications/Report/4838

The 2021-22 Budget: Medi-Cal Enterprise System Modernization Effort

Feb 17, 2021 - States that redesign their IT systems to align with MITA generally are eligible for enhanced federal financial participation at 90  p ercent of total costs for planning, development, and implementation of a new system, and 75  p ercent of total costs for maintenance and operations of the system (once certified as aligned with MITA).
https://lao.ca.gov/Publications/Report/4375

The 2025-26 Budget: Medi-Cal Pharmacy Spending

Apr 3, 2025 - For example, drugs associated with childless, nondisabled adults (as well as most other services for this population) come with a 90 percent federal share. On the other hand, the state generally pays for the full cost of drugs for undocumented beneficiaries (as is the case for many other services to this population).
https://lao.ca.gov/Publications/Report/5026

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

Feb 5, 2025 - DHCS also estimated that over 100 facilities provided inpatient care. Behavioral health facilities are operated by various entity types, including public, private nonprofit, and private for‑profit entities.
https://lao.ca.gov/Publications/Report/4954