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

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

Apr 19, 2021 - Instead, we are exploring ways that RCs could assist families to help guide them through the process. In addition, we are exploring the extent to which federal rules could allow DDS to change some of the language in the application for waiver programs, which reportedly concerns some families because they do not fully understand what the terms and phrases mean.
https://lao.ca.gov/Publications/Report/4415

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

Mar 6, 2025 - In the paragraphs that follow, we provide our analysis that results in ou r estimate of at least 165,000 seniors being added due to eligibility expansions since 2020. (As a consequence of this estimate, it follows naturally that we estimate up to 60,000  seniors being added due to the effects of continuous coverage, the unwinding, and unwinding flexibilities, for a total increase of 225,000 seniors due to policy changes.)
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 - This approach may create a significant challenge for small and disadvantaged applicants and may be limiting the program ’s success in siting the hardest ‑to ‑build facilities. Oversight of BHCIP Needed to Maximize Success of Proposition  1 Bond.
https://lao.ca.gov/Publications/Report/4954

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - The administration also indicates it plans to explore various other utilizat ion management methods. These combined efforts are estimated to generate $175  million General Fund savings in 2025-26, rising to $350  million General Fund savings in subsequent years.
https://lao.ca.gov/Publications/Report/5075

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - The department stated that its budget projections for 2026 ‑27 do not incorporate any potential added costs due to the changes in H.R 1. Will the department be able to determine whether its costs increase in the future due to H.R. 1?
https://lao.ca.gov/Publications/Report/5157

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

Nov 9, 2021 - Based on the current cost of a county eligibility worker, adding at least one new full ‑time eligibility worker in each of the state ’s 58 c ounties (for example) to act as a dedicated liaison or to work on ‑site at RCs would cost approximately $ 10 m illion.
https://lao.ca.gov/Publications/Report/4471

The 2021-22 Budget: Behavioral Health: Medi-Cal Student Services Funding Proposal

Feb 17, 2021 - For example, schools can ( 1)  d irectly hire behavioral health professionals to provide services; ( 2)  c ontract with other entities, including county behavioral health departments, to provide behavioral health services on ‑site; or ( 3)  e lect to establish a health center or clinic on ‑site, at which behavioral health services may be provided.
https://lao.ca.gov/Publications/Report/4377

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 2021-22 Budget: Behavioral Health: Community Care Demonstration Project

Feb 19, 2021 - Explore Alternative Options for Investment in Community Behavioral Health Treatment Focused on “at ‑Risk ‑of ‑IST ” Population. As discussed earlier, there are several major Governor ’s budget proposals outside of DSH for behavioral health.
https://lao.ca.gov/Publications/Report/4382