Major Potential State Fiscal Risk Averted Following Withdrawal of Proposed Federal Medicaid Financing Regulation

Sep 21, 2020 - Rather than materializing immediately, the fiscal impact of MFAR on Medi-Cal likely would have fully materialized over the course of several years since the regulation gave states time to come into compliance with the rule changes.
https://lao.ca.gov/Publications/Report/4269

The 2016-17 Budget: Analysis of the Department of Developmental Services Budget

Mar 4, 2016 - Proposed Spending for New Federal HCBS Regulation Compliance Background. In March  2014, new regulations issued by CMS became effective that significantly change what it means for services to be provided in a HCBS setting for Medicaid reimbursement.
https://lao.ca.gov/Publications/Report/3382

Upcoming Changes in Medi-Cal Create Fiscal and Policy Uncertainty

Oct 9, 2015 - The federal government has indicated that the state ’s existing tax structure —which sunsets in June 2016 —is inconsistent with federal Medicaid law and regulations and has advised California to bring its MCO tax structure into compliance by August 30, 2016.
https://lao.ca.gov/Publications/Report/3300

The 2018-19 Budget: Meeting Workforce Demand for Certified Nursing Assistants in Skilled Nursing Facilities

Apr 27, 2018 - State Regulations Set Time Frames for DPH to Process Applications. Current state regulations require DPH to respond to applicants for new CNA training programs and new CNA certifications within set time frames.
https://lao.ca.gov/Publications/Report/3815

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

Oct 24, 2025 - Allows Changes to Tax to Meet Federal Requirements … Federal regulators have periodically changed rules around approving provider taxes, sometimes requiring the state to restructure the health plan tax.
https://lao.ca.gov/Publications/Report/5083

The 2017-18 Budget: Analysis of the Department of Developmental Services Budget

Feb 24, 2017 - Although California has been using a person ‑centered approach since the 1990s, DDS must implement recently enacted federal and state regulations and policies that further advance person ‑centered objectives.
https://lao.ca.gov/Publications/Report/3581

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - While states are expected to use available administrative data to determine compliance and exemptions, otherwise eligible individuals could lose coverage if they fail to document or report required information.
https://lao.ca.gov/Publications/Report/5146

Fiscal Outlook: In-Home Supportive Services (IHSS)

Nov 15, 2017 - Compliance Costs of Federally Required Electronic Visit Verification (EVV) System Uncertain. Recent federal law requires states to use an EVV system for Medicaid personal care services by January 1, 2019, and for home health care services by January 1, 2023.
https://lao.ca.gov/Publications/Report/3712

The 2023-24 Budget: Department of Developmental Services

Feb 15, 2023 - (The figure also shows that almost all service providers required by DDS to have an assessment of their level of compliance with the federal HCBS requirements have done  so.) Although a large number of providers remain out of compliance, DDS indicates that they are providing outreach and technical assistance to these providers and are seeing compliance rates consistently improve.
https://lao.ca.gov/Publications/Report/4683

An Update on the Public Health Laboratory System After the Pandemic

Jun 12, 2025 - Public health laboratory directors and public health microbiologists are als o regulated occupations and make up the core of public health laboratory staff. All laboratories must also report certain diseases of public health significance to state and local public health laboratories, a list of which is laid out in California regulations.
https://lao.ca.gov/Publications/Report/5056