The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - Additionally, loss of Medi ‑Cal coverage could require RCs to pay for health care services for consumers at full cost to the state if no other source of care is available. Continuing legislative oversight will help ensure that exemptions for DDS consumers are implemented as intended.
https://lao.ca.gov/Publications/Report/5157

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

Mar 6, 2025 - Prior to December 2020, seniors and persons with disabilities whose incomes were between roughly 122  percent and 138  percent of the FPL had to pay a share of cost in order to receive Medi ‑Cal coverage.
https://lao.ca.gov/Publications/Report/5010

Enhancing Federal Financial Participation for Consumers Served by the Department of Developmental Services—An Interim Update

Apr 19, 2021 - All of the General Fund costs associated with these Medi-Cal benefits would be an added cost to the state since these consumers would be new to the Medi-Cal program. In our final report, we will provide an estimate of the fiscal implications to the state budget of increasing the Medi-Cal uptake of DDS consumers that accounts for these added costs outside of the DDS system.
https://lao.ca.gov/Publications/Report/4415

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - With no further loan planned under current law in 2026 ‑27, the General Fund will need to cover costs moving forward (the current state spending plan envisions gradually paying off this loan over more than a decade).
https://lao.ca.gov/Publications/Report/5092

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - Health plans that participate in Covered California must use these accounts so that federal subsidies do not pay for abortion services. The fund is continuously appropriated through the 2028-29 fiscal year.
https://lao.ca.gov/Publications/Report/5075

Enhancing Federal Financial Participation for Consumers Served by the Department of Developmental Services

Nov 9, 2021 - Added State Costs Outside the DDS System Although DDS likely could achieve some savings by drawing down federal funding for children who are currently 100 p ercent state funded, there would be added Medi ‑Cal costs outside the DDS system for services such as IHSS and for regular Medi ‑Cal health insurance costs.
https://lao.ca.gov/Publications/Report/4471

Mental Health Services Act: Proposed Bond to Fund Behavioral Health Facilities and Veterans Housing

Aug 17, 2023 - State Infrastructure Financing Two Ways the State Usually Pays for Infrastructure Projects. The state ’s infrastructure spending relies on various financing approaches and funding sources. Pay-As-You-Go.
https://lao.ca.gov/Publications/Report/4790

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

Feb 5, 2025 - Strategies to do so have included expanding the behavioral health workforce; adding benefits and increasing rates in Medi ‑Cal; and increasing capacity through managed care plans, schools, and in other  settings.
https://lao.ca.gov/Publications/Report/4954