The 2018-19 Budget: Analysis of the Health and Human Services Budget

Feb 16, 2018 - Traditionally, each RC has required service providers in its catchment area to observe a certain number of holidays each year, meaning service providers cannot bill for services on those days (in practice, most do not provide services on those days, and if they do, they go uncompensated).
https://lao.ca.gov/Publications/Report/3757

The 2025-26 Budget: Medi-Cal Pharmacy Spending

Apr 3, 2025 - 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. Federal guidance also directs states to exclude claims that do not come with a federal share of cost.
https://lao.ca.gov/Publications/Report/5026

The 2018-19 Budget: Analysis of the Governor's 340B Medi-Cal Proposal

Mar 21, 2018 - The 2018-19 Budget: Analysis of the Governor's 340B Medi-Cal Proposal Summary This budget report analyzes the Governor ’s 2018 ‑ 19 b udget proposal to eliminate the use of the 340B Drug Pricing Program in Medi ‑Cal.
https://lao.ca.gov/Publications/Report/3790

The 2021-22 Budget: LAO Preliminary Comments on the May Revision Medi-Cal Budget

May 21, 2021 - The service, which would be provided by a contracted vendor, would serve as a centralized data repository and portal whereby users could obtain administrative and clinical services data on Medi ‑Cal recipients (de ‑identified, as necessary).
https://lao.ca.gov/Publications/Report/4436

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - The database, created as part of the 2018-19 budget, includes data from most health care payors in California (including private insurance, Medi-Cal, and Medicare) around health care utilization and costs.
https://lao.ca.gov/Publications/Report/5075

Federal Approval of a Reauthorized Managed Care Organization Tax Now Appears More Likely

Dec 21, 2018 - They do not include health insurance products regulated by the California Department of Insurance. The MCO tax is imposed on most of the state ’s MCOs, and applies to their Medi-Cal and non-Medi-Cal lines of business.
https://lao.ca.gov/Publications/Report/3915

The 2022-23 Budget: Analysis of the Care Economy Workforce Development Package

Mar 10, 2022 - In  2020 ‑21, AEP providers enrolled about one ‑third fewer students in their programs compared with 2018 ‑ 19 —a loss of about 50,000 full ‑time equivalent students. This significant decline was due to the effects of the pandemic.
https://lao.ca.gov/Publications/Report/4572

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

Apr 27, 2018 - But Many SNFs Do Not. SNFs, however, vary notably in the number of nursing hours they provide to each patient per day. Of the approximately 1,100 SNFs statewide, 465 SNFs (42  percent) do not meet the minimum CNA hours requirement.
https://lao.ca.gov/Publications/Report/3815

The 2019-20 Budget: Proposition 56 Revenues: Reductions in Fixed Allocations

Feb 14, 2019 - At this time, we do not know how the administration will determine reductions to the fixed allocations in 2020 ‑21 and beyond. However, some future choices would be more logically consistent with the administration ’s current approach than others. . . .
https://lao.ca.gov/Publications/Report/3939

Recent Changes to State and County IHSS Wage and Benefit Costs

Dec 14, 2018 - For this example, we assume that neither County A nor County B provide benefits and all of the modeled wage increases occur in 2018. (We note that these examples are for illustrative purposes only and do not reflect any county in particular.)
https://lao.ca.gov/Publications/Report/3913