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

Oct 24, 2025 - Starting in January 2028, H.R.  1 requires people who qualify for Medicaid under certain rules and use long ‑term care to prove that their home equity is no greater than $1  million to remain eligible.
https://lao.ca.gov/Publications/Report/5083

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - Beginning January 1, 2027, H.R.1 requires states to implement a community engagement requirement for certain able ‑bodied adults between ages 19 and 64 (mostly childless adults). Individuals must generally work, study, or volunteer at least 80  hours per month, or meet an earnings threshold (about $580 per month, equivalent to 80
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 - These facilities provide nonhospital ‑level care that offers consistent monitoring and support for up to 23 hours to individuals experiencing a mental health crisis. Residential Substance Use Disorder (SUD) Treatment.
https://lao.ca.gov/Publications/Report/4954

The 2026-27 Budget: County Administration and H.R. 1 Implementation

Mar 5, 2026 - The new date should take into account that it may take time to fully und erstand and incorporate the impacts of HR 1 into an administrative funding methodology. Additionally, in taking this task on, the administration will be adding to the many competing priorities that are underway.
https://lao.ca.gov/Publications/Report/5149

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - The department stated that its budget projections for 2026 ‑27 do not incorporate any potential added costs due to the changes in H.R 1. Will the department be able to determine whether its costs increase in the future due to H.R. 1?
https://lao.ca.gov/Publications/Report/5157

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Under H.R. 1, California will now need to include a home equity limit of $1  million for certain members accessing long ‑term care beginning January 2028. Our outlook does not incorporate the effects of this new policy.
https://lao.ca.gov/Publications/Report/5092

The 2026-27 Budget: In-Home Supportive Services

Mar 18, 2026 - Realignments are intended to have long ‑term benefits for counties by providing (1)  greater local flexibility over programs and services based on local needs and (2)  incentives to encourage counties to innovate to achieve better program outcomes.
https://lao.ca.gov/Publications/Report/5166

The 2026-27 Budget: Office of Emergency Services Next Generation 911 System

Feb 27, 2026 - In November 2025, OES released an updated 2025 Next Generation 9 ‑1 ‑1 Transition Plan . Under the updated transition plan, the state will switch from the regional approach to a statewide approach with two statewide network providers —one prime network service provider and a back ‑up.
https://lao.ca.gov/Publications/Report/5145

The 2017-18 Budget: The Coordinated Care Initiative: A Critical Juncture

Feb 27, 2017 - Second, we lay out options for long ‑term changes to the cost ‑sharing ratios. Each of these options —both in the short and long term —can be phased  in in different ways depending on the Legislature ’s priorities and counties ’ ability to adjust to a new structure.
https://lao.ca.gov/Publications/Report/3585

Addressing Chronic Vacancies in Prison Mental Health Care

Feb 23, 2026 - For example, CDCR psychologists, according to the state Auditor, earn between $56 and $85 per hour —well above the average hourly rate paid in other states. According to 2023 data from the Bureau of Labor Statistics, California is the highest paying state for psychologists with the average hourly wage at $64 per hour, whereas psychologists nationwide earned a median of $53 per hour (21  percent less).
https://lao.ca.gov/Publications/Report/5134