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The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - Service coordinators at RCs follow the RC ’s purchase of service policies, which must be approved by DDS, to determine which services are appropriate to help a person meet their goals in accordance with the Lanterman Act.
https://lao.ca.gov/Publications/Report/5157

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - The Legislature also will want to keep in mind the changes in the revenue limit, which may constrain the state ’s ability to rely on these taxes in the coming years. Background H.R. 1 Will Affect Medi ‑Cal Beyond Provider Taxes.
https://lao.ca.gov/Publications/Report/5146

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Some solutions also rely on the state’s ability to negotiate higher rebates, which could be more or less successful than assumed in our outlook. Community Engagement Requirement Will Be New to Medi ‑Cal.
https://lao.ca.gov/Publications/Report/5092

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

Oct 24, 2025 - H.R.  1 creates the Rural Health Transformation Fund, which will allocate $50  billion in state grants over five years (beginning in Federal Fiscal Year 2026) generally to support rural health providers.
https://lao.ca.gov/Publications/Report/5083

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - (These savings are distinct from state operations budget solutions enacted as part of the 2024-25 Budget Act , which directed DOF to identify efficiencies to reduce state costs without diminishing service levels.)
https://lao.ca.gov/Publications/Report/5075

An Update on the Public Health Laboratory System After the Pandemic

Jun 12, 2025 - LHJs receive the remaining $184  million for which they submit spending plans to CDPH detailing how the funds will be used to support public health and of which at least 70  percent of which must be used on staffing.
https://lao.ca.gov/Publications/Report/5056

The 2025-26 Budget: Medi-Cal Pharmacy Spending

Apr 3, 2025 - Consequently, older drugs (which have tended to have price increases over time in excess of inflation) can come with much higher rebates. Drug makers pay their rebates to states, which then submit the federal share of savings to the federal government.
https://lao.ca.gov/Publications/Report/5026

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

Mar 6, 2025 - This was during a time in which counties were not conducting any eligibility redeterminations. Even with federal flexibilities, we would not expect average monthly growth in the senior caseload during the unwinding period to exceed this 6,200 figure.
https://lao.ca.gov/Publications/Report/5010

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

Feb 5, 2025 - Next, we assess outcomes achieved with the $1.8  billion, examining the types of facilities being built, regional distribution of awards, potential barriers for small and disadvantaged applicants, the extent to which the program is benefitting populations of concern, and the extent to which workforce shortages could pose challenges for BHCIP ’s success.
https://lao.ca.gov/Publications/Report/4954

The 2025-26 Budget: Overview of the Governor's Budget

Jan 13, 2025 - Some of the largest spending augmentations proposed include: (1) $60  million to provide additional grants under the Cal Competes program; (2)  the intent to partially restore an ongoing reduction to the trial courts, which, if enacted, would cost $42  million ongoing; and (3)  the Governor ’s proposed expansion to College Corps, which would cost $5  million in 2025 ‑26, but grow to $84  million  ongoing.
https://lao.ca.gov/Publications/Report/4951