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 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Experience in other states suggests —much like for the asset limit —that the new requirement will disenroll some working adults due to administrative burden. As such, our outlook includes disenrollment effects from lack of employment as well as administrative burden.
https://lao.ca.gov/Publications/Report/5092

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - The LAO ’s 2021 report, Enhancing Federal Financial Participation for Consumers Served by the Department of Developmental Services , provides more background on how Medicaid works in the DDS system. Medi ‑Cal Provides Health Care Coverage for Many DDS Consumers.
https://lao.ca.gov/Publications/Report/5157

The 2026-27 Budget: Medi-Cal Fiscal Outlook [Publication Details]

Nov 19, 2025 - This brief summarizes our annual outlook for General Fund spending on Medi-Cal.
https://lao.ca.gov/Publications/Detail/5092

The 2026-27 Budget: Medi-Cal Analysis [Publication Details]

Mar 2, 2026 - In this report, we analyze the Governor’s budget for Medi-Cal, with a focus on base spending trends, changes to provider taxes, implementation of new H.R. 1 rules, oversight over enacted budget solutions, and considerations for identifying additional savings in Medi-Cal.
https://lao.ca.gov/Publications/Detail/5146

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

Oct 24, 2025 - Given the low cost ‑effectiveness of imposing work requirements, maximizing the use of H.R.  1 ’s flexibilities to minimize the policy ’s disenrolling effects would be reasonable. …But Potentially With Added Complexity.
https://lao.ca.gov/Publications/Report/5083

The 2026-27 Budget: Department of Developmental Services [Publication Details]

Mar 13, 2026 - Analyzes the Governor’s budget for the Department of Developmental Services (DDS), with a focus on a budget proposal to continue planning the proposed Life Outcomes Improvement System (LOIS) information technology project, implementation of new H.R.
https://lao.ca.gov/Publications/Detail/5157

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

Feb 5, 2025 - Proposition  1 (2024) changed how revenue from the BHSA is spent by the state and counties. The BHSA requires that up to 3  percent of annual revenue (up to about $100  million) is spent on statewide behavioral health workforce initiatives administered by HCAI.
https://lao.ca.gov/Publications/Report/4954

Climate Change Impacts Across California - Crosscutting Issues

Apr 5, 2022 - One key question will be what role state programs and policies can and should play in adapting to climate change, including how they interact with local adaptation activities, and how they should be funded.
https://lao.ca.gov/Publications/Report/4575

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

Nov 9, 2021 - (Currently, DDS is working on the details of how to implement this new policy.) Under the new SDP policy, Medi ‑Cal ‑eligible DDS consumers who do not wish to enroll in Medi ‑Cal could not participate in Self ‑Determination.
https://lao.ca.gov/Publications/Report/4471