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The 2025-26 Budget: Medi-Cal Pharmacy Spending

Apr 3, 2025 - These drugs do not come with rebates, because federally require d price reductions already occurred at the front end when the pharmacy purchased the drugs. Federal guidance also directs states to exclude claims that do not come with a federal share of cost.
https://lao.ca.gov/Publications/Report/5026

The 2025-26 Budget: CalAIM Enhanced Care Management and Community Supports Implementation Update

Mar 6, 2025 - (The ECM program changes made in 2025 will not be reflected in our assessment and coul d increase utilization of the ECM benefit.) Community Supports Services MCPs Have Expanded the Number of Community Supports Available Over Time.
https://lao.ca.gov/Publications/Report/5003

The 2025-26 Budget: Health Care Access and Information

Feb 20, 2025 - Moreover, the partner an d HCAI are engaging with wholesalers and patients to determine distribution. As of our analysis, however, HCAI indicated that it could not provide an estimated time line to receive federal approval to sell  the product.
https://lao.ca.gov/Publications/Report/4979

The 2021-22 Budget: CalAIM: New Directions for Services for Seniors and Persons With Disabilities

Mar 15, 2021 - In the meantime, under CalAIM, the state would permit plans in CCI counties to transition beneficiaries enrolled in D ‑SNP look ‑alikes to existing D ‑SNPs.) Additionally, D ‑SNPs that are not affiliated with Medi ‑Cal managed care plans ( “non ‑aligned ” D ‑SNPs) would no longer be able to accept new enrollees, although current enrollees could remain in those D ‑SNPs if they chose to do so.
https://lao.ca.gov/Publications/Report/4404

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

Feb 27, 2024 - According to HCAI, manufacturing instead initially will occur at an existing facility in Virginia, with construction of a California facility occurring at a later d ate. In contrast to one-time spending, ongoing General Fund spending is up slightly over the enacted level due to technical compensation-related adjustments.
https://lao.ca.gov/Publications/Report/4860

Mental Health Services Act: Proposed Restructuring of the MHSA Funding Categories and Impacts on County Spending

Jul 13, 2023 - We assume that all PEI programs would fall under the BHSS category, while Innovation programs would fall under Housing Interventions an d BHSS. A number of current CSS and PEI programs, that make up the majority of current spending that would fit within the new BHSS category, would likely see reductions in MHSA funding.
https://lao.ca.gov/Publications/Report/4782

Mental Health Services Act: Proposed Change in Mental Health Services Oversight and Accountability Commission’s Role

Jul 13, 2023 - While funding for early intervention services and innovative projects would be available under the newly propose d BHSS category, the Governor ’s proposal gives DHCS the authority to set funding priorities for these programs.
https://lao.ca.gov/Publications/Report/4781

Medi-Cal Budget Should Be Adjusted for Effects of Medicare Drug Benefit [Publication Details]

Feb 23, 2006 - Medi-Cal Budget Should Be Adjusted for Effects of Medicare Drug Benefit [Publication Details] Description: We review the state’s response to problems in the rollout of the new federal Medicare Part D prescription drug benefit and recommend Medi-Cal reductions of almost $335 million over two years to adjust for this rapidly changing situation.
https://lao.ca.gov/Publications/Detail/1414

LAO Recommended Legislation [Publication Details]

Dec 1, 2008 - Recommendations in this report include, among many others: (a) Simplify and Consolidate K-12 General Purpose Funding, (b) Promote the Adoption of Health Information Technology in California, (c) Fund Inmate Education Programs Based on Actual Attendance, and (d) Increase and Index the State Gas Tax.
https://lao.ca.gov/Publications/Detail/1897

Part "D" Stands for "Deficit": How the Medicare Drug Benefit Affects Medi-Cal [Publication Details]

Mar 15, 2005 - Part "D" Stands for "Deficit": How the Medicare Drug Benefit Affects Medi-Cal [Publication Details] Translate Our Website This Google ™ translation feature provided on the Legislative Analyst's Office (LAO) website is for informational purposes only.
https://lao.ca.gov/Publications/Detail/1282