How Will the Changing Landscape Affect California’s Health Care System?

May 4, 2026 - Medi ‑Cal pays safety net clinics for each visit from a Medi ‑Cal beneficiary. Each clinic ’s rate is set based on its reported costs. As a budget solution, the state will reduce these rates for visits from adult Medi ‑Cal enrollees with UIS beginning in July 2026.
https://lao.ca.gov/Publications/Report/5180

Fiscal Outlook: In-Home Supportive Services (IHSS)

Nov 15, 2017 - For further discussion of the MCO tax, please reference the “Medi-Cal” online post. Subscribe | California State Legislature | Online Voter Registration | Privacy Policy | Accessibility Legislative Analyst's Office | The California Legislature's Nonpartisan Fiscal and Policy Advisor 925 L Street, Suite 1000 Sacramento, CA 95814 | (916) 445-4656
https://lao.ca.gov/Publications/Report/3712

Federal COVID-19 Response Actions Affecting Older Adults and Persons with Disabilities

Apr 16, 2020 - While county social workers must still perform initial assessments to determine IHSS eligibility, they may do so using a telehealth option in lieu of face-to-face visits. Additionally, counties may suspend recipient annual reassessments through June 30, 2020.
https://lao.ca.gov/Publications/Report/4221

The 2020-21 Spending Plan: Health Budget and Policy

Oct 15, 2020 - LRC Program Funding Increased to Support Online Certification System and Other Activities. The spending plan includes $415,000 ongoing from the LRC Fund to support CDPH ’s new online certification and payment system and other program activities.
https://lao.ca.gov/Publications/Report/4281

The 2022-23 California Spending Plan: Health

Oct 24, 2022 - The new policy will maintain the rates currently paid for telehealth services, include various changes to protect patient consent and choices, and reduce the use of audio-only visits in favor of in-person or video-only visits.
https://lao.ca.gov/Publications/Report/4642

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - Specifically, in order to be eligible, providers must (1)  comply with Electronic Visit Verification, (2)  comply with the federal HCBS Settings Rule, and (3)  complete independent audits or reviews if total payments from RCs are above a certain threshold.
https://lao.ca.gov/Publications/Report/5157

The 2021-22 Budget: Analysis of the Governor’s Medi-Cal Telehealth Proposal

May 13, 2021 - Under PPS, health centers receive an all‑inclusive payment for each patient visit, generally regardless of what individual services were provided during that visit. Medi‑Cal payment rates for health centers range from as low as $64 per visit to as high as $719 per visit, depending on the health center and their services.
https://lao.ca.gov/Publications/Report/4430

Impact of COVID-19 on Health Care Access

May 7, 2021 - Children ’s vaccinations and mental health services are down by over 10  percent, while outpatient visits (which include well-child visits, where vaccinations and developmental screenings often take place) and dental visits are down by 30  percent to 40  percent.
https://lao.ca.gov/Publications/Report/4426

The 2025-26 Budget: Health Care Access and Information

Feb 20, 2025 - Subscribe | California State Legislature | Online Voter Registration | Privacy Policy | Accessibility Legislative Analyst's Office | The California Legislature's Nonpartisan Fiscal and Policy Advisor 925 L Street, Suite 1000 Sacramento, CA 95814 | (916) 445-4656
https://lao.ca.gov/Publications/Report/4979

Estimated Cost of Expanding Full-Scope Medi-Cal Coverage to All Otherwise-Eligible Californians Regardless of Immigration Status

May 5, 2021 - Medi-Cal —as directly administered by DHCS —covers most but not all health care services used by Medi-Cal enrollees, including, but not limited to, hospitalizations, doctor visits, prescription drugs, and nursing home care.
https://lao.ca.gov/Publications/Report/4423