The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - For example, the spending share of residential services has decreased from 46  percent to 38  percent, while the spending share of support and training services has increased from 8  percent to 15  percent.
https://lao.ca.gov/Publications/Report/5157

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - This increase, however, is slower than the growth rate in the rest of the state budget, with Medi ‑Cal ’s share of overall General Fund spending at 19  percent by 2029 ‑30 (slightly lower than the share in the 2025 ‑26 enacted budget).
https://lao.ca.gov/Publications/Report/5092

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

Oct 24, 2025 - State Could Consider Many Ways to Structure Cost ‑Sharing Requirements. The state also has some flexibility to structure the new cost ‑sharing requirements. While H.R .1 requires states to have cost sharing on certain services up to $35, lower amounts are allowable.
https://lao.ca.gov/Publications/Report/5083

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - Medi ‑Cal ’s share of General Fund expenditures was increasing, contributing to the budget problem that had emerged between the Governor ’s budget and  May  Revision. 2025 ‑26 Enacted Budget Included Several Solutions in Medi ‑Cal Program.
https://lao.ca.gov/Publications/Report/5146

The 2025-26 Budget: Medi-Cal Pharmacy Spending

Apr 3, 2025 - State and Federal Government Share Pharmacy Costs and Rebate Savings. As a joint federal‑state program, Medi‑Cal’s costs are shared between federal and state funds. The federal share of cost in each state generally is determined by a formula, with the share in California at 50 percent.
https://lao.ca.gov/Publications/Report/5026

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

Mar 6, 2025 - Individuals who are enrolled in share ‑of ‑cost Medi ‑Cal, but who have not met their share of cost in a given month, are not reflected in the caseload data. By eliminating the share ‑of ‑cost requirement for these individuals, we estimate that this expansion brought around 30,000 new Medi ‑Cal members into the program in a single  month.
https://lao.ca.gov/Publications/Report/5010

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

Feb 5, 2025 - According to national survey data, the share of Californians experiencing serious mental illness (SMI) and SUD increased during the 2010s at alarming rates. From the three ‑year period of 2008 ‑2010 to three ‑year period of 2017 ‑2019, the share of California adults with SMI increased by around 50  percent, with the share of California young adults with SMI nearly doubling over the period.
https://lao.ca.gov/Publications/Report/4954

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

Mar 6, 2025 - For example, while two members may share similar economic and health conditions, if one is transitioning from incarceration they may be eligible and have needs for a different set of Community Supports than another who is trying to remain in their home instead of being placed in a nursing facility.
https://lao.ca.gov/Publications/Report/5003

The 2025-26 Budget: Health Care Access and Information

Feb 20, 2025 - A substantial share of spending on brand drugs was concentrated among a handful of relatively expensive drugs. …Though Data Limitations Complicate Comparisons. The prescription drug market involves a complex and opaque system of payments and players, complicating assessments of drug prices.
https://lao.ca.gov/Publications/Report/4979

Recent Changes to State and County IHSS Wage and Benefit Costs

Dec 14, 2018 - Recent Changes to IHSS Cost-Sharing Structure. Historically, the IHSS cost-sharing structure was based on a share-of-cost model. Counties were responsible for 35  percent of the nonfederal share of IHSS service costs and 30  percent of the nonfederal share of IHSS administrative costs.
https://lao.ca.gov/Publications/Report/3913