The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - In such cases, the consumer would likely need to wait until a provider is available before they can receive the authorized service. Actual utilization can therefore be lower than authorized utilization.
https://lao.ca.gov/Publications/Report/5157

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - H.R. 1 also requires eligibility to be redetermined every six months rather than every year (as currently is the case) for many nonelderly childless adults beginning January  1, 2027. More frequent renewals will likely increase the risk of disenrollment even among otherwise eligible individuals, due to the increased frequency of needing to submit required documentation.
https://lao.ca.gov/Publications/Report/5146

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

Oct 24, 2025 - In other cases, DHCS may have sufficient authority to act without changes to statute. For example, DHCS has a fair amount of flexibility to adjust the private hospital fee, pursuant to Proposition  52.
https://lao.ca.gov/Publications/Report/5083

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - This  reflects the fact that the childless adult population is a relatively inexpensive population for the state, as the federal match is much higher for childless adults (90  percent) relative to most other groups (50  percent in most cases).
https://lao.ca.gov/Publications/Report/5092

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

Mar 11, 2020 - Other key factors, such as OB ‑GYNs ’ ability to provide care in complex cases —which derives from their more extensive training —also likely contribute to their higher incomes. (While OB ‑GYNs ’ extra competencies are critical in complex cases of pregnancy, labor, and delivery, they are not necessarily needed in the case of normal childbirths —the type of births which nurse midwives are authorized to solely attend.)
https://lao.ca.gov/Publications/Report/4197

An Update on the Public Health Laboratory System After the Pandemic

Jun 12, 2025 - In some cases, once a pathogen is detected, local public health laboratories may supplement their testing services with assistance from other laboratories or the state public health laboratory, particularly in cases where there is an unexpectedly high volume of tests needed or an outbreak of a novel disease.
https://lao.ca.gov/Publications/Report/5056

The 2025-26 Budget: Medi-Cal Pharmacy Spending

Apr 3, 2025 - On the other hand, the state generally pays for the full cost of drugs for undocumented beneficiaries (as is the case for many other services to this population). Drugs to undocumented beneficiaries also generally are not eligible for rebates.
https://lao.ca.gov/Publications/Report/5026

The 2025-26 Budget: MCO Tax and Proposition 35

Feb 26, 2025 - Still in other cases, health plans contract with other plans to arrange for the care of enrollees, creating several levels of different payments. As a result of this diversity, state directed payments in the managed care system can be difficult to implement.
https://lao.ca.gov/Publications/Report/4992

The 2023-24 Budget: Whole Child Model Expansion

May 5, 2023 - In some cases, the evaluation noted that services became more fragmented. For example, families experienced more fragmented CCS case management ser vices under the Whole Child Model, in some cases resulting in a longer time to authorize certain services.
https://lao.ca.gov/Publications/Report/4767

The 2024-25 Budget: Medi-Cal Analysis

Feb 14, 2024 - In Many Cases, Assessment of Proposal Depends on Details. In many cases, more information likely will be critical to fully weigh the administration ’s proposed approach. For example, in contrast to other areas of the proposal, the administration has not clarified how abortion rates would be adjusted following the increase in January  2025.
https://lao.ca.gov/Publications/Report/4838