The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - For example, one consumer might receive five hours of respite in a given month, while another consumer might receive 20 hours of respite in the same month. Accordingly, using available data to calculate an average cost per consumer ($21,000 General Fund in 2025 ‑26, for example) or a growth rate in the average cost per consumer (8.6  percent between 2021 ‑22 and
https://lao.ca.gov/Publications/Report/5157

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - For example, we estimated that a more proportionate tax netting around $7 billion in revenue could cost around $30 per member, per month—about a 5 percent increase on average to commercial health plan premiums.
https://lao.ca.gov/Publications/Report/5146

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

Oct 24, 2025 - Figure 8 Some Medi ‑Cal Populations Are Optional Under Federal Law Examples of Key Medi ‑Cal Populations Mandatory
https://lao.ca.gov/Publications/Report/5083

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - For example, states can choose to exempt additional groups from certain eligibility changes, such as the community engagement requirement. Adopting these exemptions could mitigate some disenrollments and associated savings.
https://lao.ca.gov/Publications/Report/5092

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - For example, DHCS plans to end an existing policy providing automatic coverage of drugs for existing users when the drugs are removed from Medi-Cal ’s contract drug list. Moving forward, users will need to receive prior authorization to continue using the drugs.
https://lao.ca.gov/Publications/Report/5075

The 2025-26 Budget: MCO Tax and Proposition 35

Feb 26, 2025 - For example, some health plans use fee-for-service approaches to pay for services. Others enter into managed care contracts with certain providers, paying monthly rates in exchange for overseeing the care of beneficiaries.
https://lao.ca.gov/Publications/Report/4992

The 2025-26 Budget: Medi-Cal Pharmacy Spending

Apr 3, 2025 - For example, states are to exclude drugs that come with federal price discounts (known as 340B discounts). These drugs do not come with rebates, because federally require d price reductions already occurred at the front end when the pharmacy purchased the drugs.
https://lao.ca.gov/Publications/Report/5026

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

Mar 6, 2025 - For example, for an individual to receive the Medically Tailored Meals benefit they must have a chronic condition and have been discharged or be at risk of placement in a hospital or skilled nursing facility.
https://lao.ca.gov/Publications/Report/5003

An Update on the Public Health Laboratory System After the Pandemic

Jun 12, 2025 - For example, a local public health laboratory may identify an influenza outbreak, but depending on its capacity, m ay require the state public health laboratory to test what specific strain is the source of the outbreak to better identify the appropriate response.
https://lao.ca.gov/Publications/Report/5056

The 2025-26 Budget: Health Care Access and Information

Feb 20, 2025 - For example, in a 2023 report to the Legislature , HCAI projected commercial health plans could save 43 percent on per‑enrollee spending on insulin glargine as a result of the new product, even after factoring rebates.
https://lao.ca.gov/Publications/Report/4979