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The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - Governor’s Policy Choices Affecting UIS Population UIS ‑Related Proposals Come Amid a Challenging Fiscal Backdrop, but Some Fiscal Effects Rem ain Unclear. The proposals to extend the H.R. 1 requirements to adults with UIS and to transition newly UIS groups to restricted ‑scope coverage are policy choices.
https://lao.ca.gov/Publications/Report/5146

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - The Lanterman Act Grants Access to Services According to Each Consumer ’s Choices. The Lanterman Act guides the availability and delivery of services in DDS. The act states: “An array of services and supports should be established which is sufficiently complete to meet the needs and choices of each person with developmental disabilities, regardless of age or
https://lao.ca.gov/Publications/Report/5157

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

Oct 24, 2025 - Backfilling this lost federal funding, such as by creating a new state ‑only program for people disenrolled from Medi ‑Cal, would be a discretionary choice and a substantial change in existing state policy.
https://lao.ca.gov/Publications/Report/5083

The 2021-22 Budget: Initial Comments on the Governor’s May Revision

May 17, 2021 - More importantly, the Legislature ’s time to deliberate over choices made in this budget is extremely limited. We recommend the Legislature delay some of those decisions and offer options for doing so.
https://lao.ca.gov/Publications/Report/4432

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

Feb 14, 2019 - As illustrated by the examples, the choice between the year-over-year method and the base year method could have substantial fiscal effects as soon as 2020 ‑21. These effects likely would grow over time.
https://lao.ca.gov/Publications/Report/3939

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

Jan 13, 2025 - Before accounting for discretionary choices, the budget position under the administration ’s estimates is similar to what it was under our November estimates. That is, both of our offices have assessed that the budget is roughly balanced.
https://lao.ca.gov/Publications/Report/4951

The Uncertain Affordable Care Act Landscape: What It Means for California

Feb 17, 2017 - None of the five states, however, entered into a health care choice compact. Plans Sold Through ACA Health Care Choice Compacts Must Comply With Federal and State Regulations on Health Insurance Coverage.
https://lao.ca.gov/Publications/Report/3569

The 2020-21 Budget: Analysis of the Medi-Cal Budget

Feb 14, 2020 - Additionally, the rationale for some policy choices the administration made in crafting its proposal are not clear. We recommend that the Legislature withhold action on this proposal until more details on how the proposal would be structured and why the administration made the policy choices it did in structuring its proposal.
https://lao.ca.gov/Publications/Report/4161

The 2018-19 Budget: The Administration’s Proposition 55 Estimates

Mar 1, 2018 - In administering the calculation, the administration makes a variety of choices that result in less funding for Medi ‑Cal (relative to an alternative approach). In particular, the administration ( 1)  r educes the amount of available revenues by all BSA deposits, rather than just required deposits, reducing the amount of available revenues, and ( 2)  m akes a variety of
https://lao.ca.gov/Publications/Report/3765

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

Feb 24, 2017 - Another state policy —Chapter  683 of 2013 (SB 468, Emmerson) —that will promote consumer choice and independence is the creation of the SDP. SDP will give interested consumers greater choice in selecting the services and supports they prefer.
https://lao.ca.gov/Publications/Report/3581