A Long-Term Outlook: Disability Among California’s Seniors

Nov 28, 2016 - California ’s seniors in this cohort are also projected to spend a larger share of life after turning 65 with two or more ADL limitations than seniors nationally (11.9  percent vs. 9.6  percent). Back to the Top California–Specific Projections Are a Necessary First Step in LTSS System Planning This analysis demonstrates the need for California –specific projections to inform the
https://lao.ca.gov/Publications/Report/3509

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

Oct 24, 2025 - Given the complexity of these questions, we recommend the Legislature begin early conversations about its priorities during next year ’s hearings, even before all of the H.R.  1 changes have gone into effect.
https://lao.ca.gov/Publications/Report/5083

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

Section 1115 Waiver Renewal: Key Medi-Cal Financing Issues Remain Outstanding

Oct 13, 2015 - For the last set of projects, the state has asked CMS to waive the nonfederal matching requirement altogether. (We return to this point when we discuss the state’s proposed waiver financing in the next section.)
https://lao.ca.gov/Publications/Report/3301

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

Feb 10, 2022 - Given that the next quarterly report is due on April 2022, the administration will be required to provide updated funding and expenditure estimates and implementation updates to the federal government prior to the completion of the 2022 ‑23 budget.
https://lao.ca.gov/Publications/Report/4524

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Next, we summarize the key drivers of our outlook. We then conclude with risks and uncertainties to our outlook estimates. Background Medi ‑Cal Is a Key Part of State Budget. Medi ‑Cal is a sizable federal ‑state program, covering health care for nearly 15  million low ‑income people .
https://lao.ca.gov/Publications/Report/5092

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 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 2023-24 Budget: Analysis of the Medi-Cal Budget

Feb 10, 2023 - Federal Match for Designated State Health Programs. In late January 2023, the Department of Health Care Services received federal waiver approval allowing the state to claim federal matching funds for certain existing programs that would otherwise be funded solely with state funds.
https://lao.ca.gov/Publications/Report/4675

The 2023-24 California Spending Plan: Health

Oct 23, 2023 - The waiver —which is contingent on federal approval —is for a five-year demonstration that will, if approved, allow the state to receive federal matching funds for short-term stays in institutions for mental disease.
https://lao.ca.gov/Publications/Report/4810