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 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 - BHCIP Created in 2021 ‑22 Budget. The  2021 ‑22 budget plan included $2.2  billion (later reduced, as described below) to create BHCIP. (This amount was originally the sum of $1.7  billion General Fund and $530  million in federal funding, but the federal funding was shifted to the General  Fund in December 2024, making the General Fund the sole funding source for BHCIP.)
https://lao.ca.gov/Publications/Report/4954

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 2025-26 California Spending Plan: Health

Oct 16, 2025 - Other Actions Creates New Abortion Fund Program. The August session health trailer bill (Chapter  105) creates the Abortion Access Fund. Administered by HCAI, the fund is to support abortion services through grants and contracts.
https://lao.ca.gov/Publications/Report/5075

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

Mental Health Services Act: Revenue Volatility and the Governor’s Proposal to Reduce Allowable County Reserves

Jul 13, 2023 - Proposition  63 Created True-Up Mechanism to Help Deal With Unpredictability of Revenues. Due to the volatility surrounding high-earners ’ tax payments, Proposition  63 created a complex process by which a portion of PIT receipts are initially deposited into the MHSF monthly and later “trued up ” based on actual MHSA tax revenue.
https://lao.ca.gov/Publications/Report/4780

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

Mar 6, 2025 - In order to support the implementation of ECM and Community Supports, the state implemented the PATH initiative and the Incentive Payment Program (IPP) to help create and expand program infrastructure.
https://lao.ca.gov/Publications/Report/5003

The 2021-22 Budget: Assessment of CalHEERS Dashboard

Mar 25, 2021 - In Response, DHCS Created New Dashboard to Track CalHEERS Issues. In response to CWDA and SEIU ’s concerns, DHCS began to develop a “dashboard ” that would help catalog each defect and new functionality related to Medi ‑Cal eligibility identified by stakeholders in CalHEERS.
https://lao.ca.gov/Publications/Report/4408

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - For example, bu dget ‑related legislation in August 2025 (Chapter  105 of 2025 [A B  144 , Committee on Budget]) created a new Abortion Access Fund to support abortion providers, with funds coming from certain excess monies in Covered California plan accounts.
https://lao.ca.gov/Publications/Report/5092