The 2019-20 May Revision: Update to Governor's 1991 Realignment Proposals

May 29, 2019 - In the Near Term, Continues to Stop All Revenues Flowing to the CMSP Board. The Governor ’s January proposal to increase the redirection percentage for CMSP counties in practice would have stopped all revenues that otherwise would have flowed to the CMSP board in 2019 ‑20.
https://lao.ca.gov/Publications/Report/4077

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

The 2019-20 Budget: Analysis of the Medi-Cal Budget

Feb 13, 2019 - Improved Monitoring of Cash Flows. Under the Governor ’s proposal, four of the positions would be dedicated to improving and centralizing the department ’s cash flow monitoring functions. These positions would be tasked with coordinating among various units at DHCS that separately track different components of the department ’s cash flow.
https://lao.ca.gov/Publications/Report/3935

The 2025-26 Budget: Medi-Cal Pharmacy Spending

Apr 3, 2025 - Our imprecise estimates also suggest that state supplemental rebates have ebbed and flowed somewhat over time, but generally in the upward direction. In 2023 ‑24, we estimate these rebates comprised 3  percent of gross spending, up from as low as 1  percent in some years.
https://lao.ca.gov/Publications/Report/5026

The 2017-18 Budget: The Governor's May Revision In-Home Supportive Services Cost-Sharing Proposal

May 16, 2017 - How 1991 Realignment Funds Flow Today and Effects of the May Revision Proposal How Funds Flow Today. Figure 3 shows how funds flow under 1991 realignment today: Step One: Fund the Base. Sales tax and vehicle license fee (VLF) revenues dedicated to 1991 realignment fund the “base. ” Generally, the base reflects the funding the realigned programs received in the prior year.
https://lao.ca.gov/Publications/Report/3671

The 2023-24 Budget: Analysis of the Governor’s Major Behavioral Health Proposals

Feb 16, 2023 - This new process could create cash ‑flow issues as counties will be paying the full cost of services in addition to paying their nonfederal share of costs to the state prior to federal reimbursement.
https://lao.ca.gov/Publications/Report/4689

The 2024-25 Budget: Future of Public Health Budget Solution

May 21, 2024 - General Fund support typically ebbed and flowed year-over-year based on one-time appropriations for specific activities. Majority of CDPH Budget Supports LHJs. The majority of CDPH ’s budget goes to LHJs —mostly county health departments that carry out many of the state ’s public health programs.
https://lao.ca.gov/Publications/Report/4904

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - As a result, as Figure 1 shows, Medi‑Cal faces a steady flow of major state and federal policy changes over the coming years. LAO Fiscal Outlook In the coming years, Medi ‑Cal ’s budget will be driven by baseline changes (underlying trends before the impacts of policy changes), the effects of the state ’s budget solutions, and the effects of the federal H.R. 1 legislation.
https://lao.ca.gov/Publications/Report/5092

The 2019-20 May Revision: Governor's May Revision Medi-Cal Budget

May 14, 2019 - In the near term, regular updates on cash flows that would compare actual spending to estimated budget amounts would be a reasonable first step. Require DHCS to Begin Inclusive Process to Plan for Longer-Term Structural Changes to Promote Sound Estimates and Budget Transparency.
https://lao.ca.gov/Publications/Report/4046

Update on COVID-19 Spending in California

Nov 5, 2020 - Funding Sources for COVID-19 Spending This section describes the major state, federal, and other sources of funding for COVID-19 spending that flows through the state budget. This section, like the rest of the post, excludes funding from local governments and funding from the federal government directly to local governments and other nonstate entities.
https://lao.ca.gov/Publications/Report/4292