The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - The department released a Request for Information (RFI) in November 2025 with the goal of understanding industry best practices and vendor capacity for implementation. Responses to the RFI closed on January 23, 2026.
https://lao.ca.gov/Publications/Report/5157

The 2019-20 Budget: Analysis of the Carve Out of Medi-Cal Pharmacy Services From Managed Care

Apr 5, 2019 - Medi‑Cal Discounts on Prescription Drugs Federal Law Directs Drug Manufacturers to Provide Best Prices to Medicaid Programs. For a drug to be covered by Medicaid, federal law requires its manufacturer to make it available to Medicaid programs for at least the best price paid by almost any other public or private payer.
https://lao.ca.gov/Publications/Report/3997

The 2020-21 Spending Plan: Health Budget and Policy

Oct 15, 2020 - The 2020-21 Spending Plan: Health Budget and Policy ‑$252 ‑$2,114 a Original proposal refers to the MCO tax as reauthorized and proposed to the federal government for consideration in 2019. b The MCO tax is only authorized for a half year in 2022 ‑23. c Approved tax refers to the MCO tax as modified by the administration and approved by the federal government in April 2020.
https://lao.ca.gov/Publications/Report/4281

Fiscal Outlook: In-Home Supportive Services (IHSS)

Nov 15, 2017 - The administration has conducted a number of stakeholder meetings to develop the policies for when an IHSS provider will be eligible to earn and use paid sick leave. We note that actual costs associated with paid sick leave will depend on the number of providers who earn and utilize paid sick leave.
https://lao.ca.gov/Publications/Report/3712

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - To maintain licensure, these entities must (1)  act in a payor ’s best interests; (2)  submit financial statements to DMHC; and (3)  submit drug pricing data to HCAI, among other requirements. Pharmacy benefit managers are to pay annual fees to support DMHC ’s and HCAI ’s ongoing regulatory costs.
https://lao.ca.gov/Publications/Report/5075

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

Feb 17, 2021 - …But Administration Needs to Clarify What Service Gaps Managed Care Plans Are Best Able to Fill. Although behavioral health service gaps likely exist across the state for students, the exact nature and extent of this problem is unclear.
https://lao.ca.gov/Publications/Report/4377

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - Individuals must generally work, study, or volunteer at least 80  hours per month, or meet an earnings threshold (about $580 per month, equivalent to 80 hours at the federal minimum wage) unless they qualify for certain exemptions (such as having young children or being medically frail).
https://lao.ca.gov/Publications/Report/5146

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

Mar 10, 2022 - While the administration references these workforce needs as part of its proposal, the administration does not provide a comprehensive assessment of statewide workforce needs across the care economy.
https://lao.ca.gov/Publications/Report/4572

Analysis of California’s Physician-Supervision Requirement for Certified Nurse Midwives

Mar 11, 2020 - In California, average annual salaries for nurse midwives are $135,000, whereas OB ‑GYNs earn $225,000 annually. Thus, nurse midwives earn about 60  p ercent of what OB ‑GYNs earn. One likely reason that nurse midwives ’ salaries are lower is the significantly lower cost of their training.
https://lao.ca.gov/Publications/Report/4197

The 2024-25 Budget: Department of Developmental Services

Feb 13, 2024 - For decades, the state paid DDS direct care staff (sometimes referred to as direct service professionals) according to a rate structure deemed by the Legislature to be outdated and overly complicated.
https://lao.ca.gov/Publications/Report/4837