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 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - The department stated that, although more time is still needed for planning and that a fully operational LOIS IT system is still a few years out, it intends to begin early preparations with RCs to make the eventual transition process smoother.
https://lao.ca.gov/Publications/Report/5157

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - The two provider taxes are not permanent in federal law, however—periodic federal approval is still required to draw down federal funds. The two measures also include rules around how to structure the taxes and spend their associated revenues.
https://lao.ca.gov/Publications/Report/5146

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

Oct 24, 2025 - Magnitude of Costs Is Still Emerging. Though county costs from H.R.  1 are likely, the total effect across the state is uncertain. Counties and other stakeholders were still reviewing H.R.  1 ’s provisions and potential effects when we spoke to them earlier this year.
https://lao.ca.gov/Publications/Report/5083

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

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - Moving forward, CDPH can modify these recommendati ons, in consultation with certain medical organizations. CDPH ’s modifications can include changes to federal recommendations since January 2025, but only if the department determines them to be consistent with promoting public health.
https://lao.ca.gov/Publications/Report/5075

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Compounding this uncertainty, the full fiscal and programmatic implications of H.R. 1 are still emerging as the federal government releases its guidance. With so many moving pieces, and the s tate ’s overall fiscal situation still heading in the wrong direction, the Legislature may need to continue considering its Medi ‑Cal priorities in the coming years.
https://lao.ca.gov/Publications/Report/5092

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

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: 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