The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - These recent changes in reporting resulted in much higher estimates compared to past years. Our outlook is based on the more recent, higher estimates of emergency care spending. While this higher level likely is more indicative of future spending, there is a chance that utilization of emergency services might also be somewhat volatile in the future, part icularly
https://lao.ca.gov/Publications/Report/5092

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - The funding to implement the rate study ’s recommended rate models was phased in beginning in 2021 ‑22, ramping up to current levels by 2024 ‑25. The increased funding was intended to support a sufficient supply of quality service providers by raising funding levels for providers via increased rates.
https://lao.ca.gov/Publications/Report/5157

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - For example, we estimated that a more proportionate tax netting around $7 billion in revenue could cost around $30 per member, per month—about a 5 percent increase on average to commercial health plan premiums.
https://lao.ca.gov/Publications/Report/5146

Section 1115 Waiver Renewal: Key Medi-Cal Financing Issues Remain Outstanding

Oct 13, 2015 - Next, we describe the methods and assumptions proposed by DHCS to justify this level of funding to CMS. Room Under FFS Per-Capita Limit. Some states, including California, have recently incorporated their Medicaid managed programs into their Section 1115 waivers.
https://lao.ca.gov/Publications/Report/3301

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

Oct 24, 2025 - As Figure  7 shows, California ’s unemployment rate tends to have larger rises and falls than the national rate. At the county level, trends are considerably more volatile, with some counties consistently higher than the national rate but others quite varied month to month.
https://lao.ca.gov/Publications/Report/5083

Overview of Major Impacts of H.R. 1 – One Big Beautiful Bill Act [Publication Details]

Aug 20, 2025 - Assembly Budget Subcommittee No. 7 on Accountability and Oversight
https://lao.ca.gov/Publications/Detail/5067

The 2019-20 Budget: Overview of the Governor's Budget

Jan 14, 2019 - Continues Funding for 7   Percent IHSS Service ‑Hour Restoration. Since 2016 ‑17, the General Fund has supported the restoration of IHSS service hours, which were previously reduced by 7  p ercent, as long as the MCO tax is in place.
https://lao.ca.gov/Publications/Report/3916

Promoting Health Information Technology in California: A State Policy Approach [Publication Details]

Feb 12, 2007 - Promoting Health Information Technology in California: A State Policy Approach [Publication Details] Promoting Health Information Technology in California: A State Policy Approach Format: HTML Description: Persistent increases in health care spending and deficiencies in health care quality are attributable in part to the continued reliance by many health care providers on archaic, paper-based methods of storing and communicating health information.
https://lao.ca.gov/Publications/Detail/1550

The 2025-26 Budget: CalAIM Enhanced Care Management and Community Supports Implementation Update

Mar 6, 2025 - Figure  7 shows Community Supports utilization has grown in recent years, though the majority of growth is concentrated in a handful of services. Medically Tailored Meals is the most utilized Community Support by a fairly large margin.
https://lao.ca.gov/Publications/Report/5003

Fiscal Outlook: In-Home Supportive Services (IHSS)

Nov 14, 2018 - Similarly, over the past five years, IHSS hours per case has steadily increased annually by 4  percent on average. We note that this recent growth in IHSS service hours is higher than historical growth trends.
https://lao.ca.gov/Publications/Report/3899