Fiscal Outlook: Medi-Cal [Publication Details]

Nov 14, 2018 - In addition to this report, you can find the main California's Fiscal Outlook report along with a collection of other fiscal outlook material on our fiscal outlook budget page . Reports by Policy Area
https://lao.ca.gov/Publications/Detail/3898

Mental Health Services Act: Proposed Bond to Fund Behavioral Health Facilities and Veterans Housing

Aug 17, 2023 - Bonds can therefore promote intergenerational equity by spreading costs across generations of taxpayers ro ughly proportionate to the benefits that they receive. Another advantage to bond financing over pay-as-you-go financing is the full access to funding up front to complete a project rather than in stages over a longer period of time based on funding availability.
https://lao.ca.gov/Publications/Report/4790

The 2025-26 Budget: MCO Tax and Proposition 35

Feb 26, 2025 - Recent experience has shown that, once structured and enacted, rate increases can still take time to make their way to providers. This is particularly true for provider payments directed through the managed care system.
https://lao.ca.gov/Publications/Report/4992

Mental Health Services Act: Proposed Change in Mental Health Services Oversight and Accountability Commission’s Role

Jul 13, 2023 - The administration did not include, as a part of their updated proposal, whether improved coordination can be achieved by, or is even still the primary rationale for, shifting the majority of general oversight and program implementation authority to DHCS.
https://lao.ca.gov/Publications/Report/4781

The 2025-26 Budget: Health Care Access and Information

Feb 20, 2025 - For example, generic drugs can struggle to compete with brand drugs, despite being substantially lower cost. This is because brand dru gs can come with large rebates that, on net, benefit health plans and their contracted pharmacy benefit managers.
https://lao.ca.gov/Publications/Report/4979

An Update on the Public Health Laboratory System After the Pandemic

Jun 12, 2025 - The project is still in the early stages of the IT project approval process and no cost estimate exists. Issues for Legislative Consideration What Are the Resource Requirements for Public Health Laboratories?
https://lao.ca.gov/Publications/Report/5056

Federal COVID-19 Response Actions Affecting Older Adults and Persons with Disabilities

Apr 16, 2020 - While federal approval for some waiver requests is still pending, the state h as implemented key program flexibilities in the following HCBS programs: IHSS. While county social workers must still perform initial assessments to determine IHSS eligibility, they may do so using a telehealth option in lieu of face-to-face visits.
https://lao.ca.gov/Publications/Report/4221

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

Mar 6, 2025 - Recuperative Services Recuperative care (medical respite) Short ‑term residential care for beneficiaries who no longer require hospitalization, but still need to recover from injury or illness. Respite services Short ‑term relief provided to caregivers of beneficiaries who require intermittent temporary supervision.
https://lao.ca.gov/Publications/Report/5003

The 2025-26 Budget: Understanding Recent Increases in the Medi-Cal Senior Caseload

Mar 6, 2025 - With regard to income, seniors and persons with disabilities still must have countable income below 138  percent of the FPL —$20,783 for an individual in 2025. In general, seniors and persons with disabilities with income over this threshold still can be eligible for Medi ‑Cal but must pay a share of cost.
https://lao.ca.gov/Publications/Report/5010

Mental Health Services Act: Proposed Restructuring of the MHSA Funding Categories and Impacts on County Spending

Jul 13, 2023 - Despite these limitations, however, our estimate still provides a baseline for evaluating how current expenditures may align with the proposed categories. As data are reported individually by each county, we are required to make assumptions about the nature of services provided under programs, the titles of which can vary county by county.
https://lao.ca.gov/Publications/Report/4782