The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - As a budget solution, the 2025 ‑26 Budget Act added three criteria that providers must satisfy to be eligible to earn a quality payment equal to 10   percent of the rate model beginning in July  2026 (in addition, providers would still need to meet quality benchmarks to earn the additional payment, as described next).
https://lao.ca.gov/Publications/Report/5157

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

Oct 24, 2025 - …But Potentially With Added Complexity. Adding more flexibilities also could come with the potential downside of more complexity for beneficiaries and counties. For example, exempting high unemployment counties from work requirements could create more volatility.
https://lao.ca.gov/Publications/Report/5083

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - One possible reason for our higher estimate is that our model reflects not only disenrollment among current enrollees, but also reduced enrollment flows over time and a persistent risk of disenrollment among eligible individuals due to added administrative burden.
https://lao.ca.gov/Publications/Report/5146

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

Feb 5, 2025 - Next, we assess outcomes achieved with the $1.8  billion, examining the types of facilities being built, regional distribution of awards, potential barriers for small and disadvantaged applicants, the extent to which the program is benefitting populations of concern, and the extent to which workforce shortages could pose challenges for BHCIP ’s success.
https://lao.ca.gov/Publications/Report/4954

The 2021-22 Budget: Assessment of CalHEERS Dashboard

Mar 25, 2021 - Any additional issues that arise because of a CalHEERS release (such as a system defect caused by the addition of a new functionality) are added to the dashboard. While the majority of issues are targeted to be addressed in CalHEERS releases over the next 24 m onths (informing the 24 ‑month CalHEERS roadmap), some issues are scheduled to be addressed in a 2024 r elease once the state migrates from its current SAWS to a single system called the CalSAWS.
https://lao.ca.gov/Publications/Report/4408

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

Mar 6, 2025 - In the paragraphs that follow, we provide our analysis that results in ou r estimate of at least 165,000 seniors being added due to eligibility expansions since 2020. (As a consequence of this estimate, it follows naturally that we estimate up to 60,000  seniors being added due to the effects of continuous coverage, the unwinding, and unwinding flexibilities, for a total increase of 225,000 seniors due to policy changes.)
https://lao.ca.gov/Publications/Report/5010

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Next, we summarize the key drivers of our outlook. We then conclude with risks and uncertainties to our outlook estimates. Background Medi ‑Cal Is a Key Part of State Budget. Medi ‑Cal is a sizable federal ‑state program, covering health care for nearly 15  million low ‑income people .
https://lao.ca.gov/Publications/Report/5092

The 2025-26 Budget: Medi-Cal Fiscal Outlook

Nov 20, 2024 - The next largest driver is a General Fund backfill of declining other fund sources, particularly the MCO tax. Below, we briefly discuss our estimate for Medi-Cal General Fund spending in the current year (2024 ‑25) and our spending projection for the budget year (2025 ‑26).
https://lao.ca.gov/Publications/Report/4941

The 2024-25 Budget: Medi-Cal Analysis

Feb 14, 2024 - Such an approach could have the added benefit of spreading the fiscal risks of the proposed package over a longer period of time, including by delaying the timing of when the provider payment reserve is depleted.
https://lao.ca.gov/Publications/Report/4838

The 2019-20 Budget: Overview of the Governor's Budget

Jan 14, 2019 - Note: Excludes spending on  K ‑14  education, reserves, and debt (required by the California Constitution), and added costs to maintain existing policies. Figure also excludes some smaller spending proposals.
https://lao.ca.gov/Publications/Report/3916