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

Oct 24, 2025 - The new requirement will only apply to childless adults earning more than 100  percent of the federal poverty limit. Certain services, such as primary care and behavioral health care, are excluded from the  requirement.
https://lao.ca.gov/Publications/Report/5083

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - The current rate on Medi ‑Cal enrollment ($274 per month in 2025) is more than 100 times larger than the rate on commercial enrollment ($2 per month in 2025). This rate structure is intended to draw down substantial federal funds while imposing a small cost on the taxpayers themselves.
https://lao.ca.gov/Publications/Report/5092

The 2021-22 Budget: Behavioral Health: Continuum Infrastructure Funding Proposal

Feb 17, 2021 - Counties Would Be Required to Provide Matching Funds. Under this proposal, counties would be required to provide matching funds —in the amount of 25  p ercent of grant funds —in order to receive grant funding.
https://lao.ca.gov/Publications/Report/4379

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - The APD process allows the state to request a 90  percent match in federal funding (rather than California ’s standard 50  percent match) to design, develop, and install IT systems that enable the state to more efficiently administer Medicaid benefits.
https://lao.ca.gov/Publications/Report/5157

The 2017-18 Budget: The Governor's May Revision In-Home Supportive Services Cost-Sharing Proposal

May 16, 2017 - When considering the appropriate levels of state and county cost shares for programs, fiscal responsibility for a program should be matched with the level of control over that program. Matching fiscal responsibility with the level of control gives both the state and counties an incentive to manage costs to the extent possible.
https://lao.ca.gov/Publications/Report/3671

The 2022-23 Budget: Update on Home- and Community- Based Services Spending Plan

Feb 10, 2022 - Expand homeless system of care and create an effective pre ‑release care for justice ‑involved populations. 100 Increasing Home ‑ and Community ‑Based Clinical Workforce. Increase the number of home ‑ and community ‑based clinical care providers for individuals with disabilities and aging adults. 75 Non ‑IHSS HCBS Care Economy Payments.
https://lao.ca.gov/Publications/Report/4524

The 2019-20 Budget: Analysis of the Medi-Cal Budget

Feb 13, 2019 - Additionally, switching back to an accrual budget would involve a significant one ‑time cost as large payments, deferred in previous years to achieve savings, would be accelerated to match with the year in which the services and activities they fund occur.
https://lao.ca.gov/Publications/Report/3935

Enhancing Federal Financial Participation for Consumers Served by the Department of Developmental Services

Nov 9, 2021 - (The state also operates a 100  p ercent state ‑funded Medi ‑Cal program for certain individuals who are not eligible for the federally matched program due to immigration status.) If a consumer is not eligible for federally matched Medi ‑Cal, the state funds the total cost of RC ‑coordinated services.
https://lao.ca.gov/Publications/Report/4471

Building California’s Behavioral Health Infrastructure: Progress Update and Opportunities for the Proposition 1 Bond

Feb 5, 2025 - These conditions include providing matching funds or real property, supplementing and not supplanting existing funds for facility expansion, certain reporting requirements, and a commitment to operate services in the financed facility for the intend ed purpose for at least 30 years.
https://lao.ca.gov/Publications/Report/4954

Climate Change Impacts Across California - Crosscutting Issues

Apr 5, 2022 - A recent scientific  study  by United States Geological Survey researchers predicted that under scenarios of three feet to six feet of sea‑level rise, up to two‑thirds of Southern California beaches may become completely eroded by 2100.
https://lao.ca.gov/Publications/Report/4575