The 2020-21 May Revision: Recommend Reduction to Medi-Cal Caseload Costs

May 22, 2020 - We would expect childless adult enrollees to grow relatively proportionally to their current share of today ’s Medi-Cal caseload. We would expect that around 30  percent of new entrants into Medi-Cal be either childless adults or children in higher-income families, rather than the roughly 18  percent that the administration assumes.
https://lao.ca.gov/Publications/Report/4245

The 2021-22 Budget: Department of Developmental Services (DDS) May Revision Budget Proposal

May 24, 2021 - DDS System Still Faces Challenges Today That Could Affect the Success of a Performance Incentives Program. While the pandemic demonstrated that the DDS system could be somewhat nimble in responding to consumers ’ needs, some of the same challenges facing the department in 2020 exist today.
https://lao.ca.gov/Publications/Report/4438

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

May 16, 2017 - As a result, the historical IHSS cost-sharing ratios may no longer be appropriate. The proposal from the administration, however, does not appear to have considered what cost-sharing relationship would reflect the levels of control over the program today.
https://lao.ca.gov/Publications/Report/3671

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

Oct 24, 2025 - Though current law generally will require this new tax to be much smaller, there is a way the state could maintain a similar level of revenue as today (before the required reduction in the revenue limit under federal law).
https://lao.ca.gov/Publications/Report/5083

The 2021-22 Budget: CalAIM: The Overarching Issues

Feb 9, 2021 - Gaps in the coordination and availability of supportive services likely impede access to such services, impair health and social outcomes, and result in costs throughout the safety net that might be averted through better and more timely support.
https://lao.ca.gov/Publications/Report/4357

The 2021-22 Budget: Analysis of CalAIM Financing Issues

Feb 16, 2021 - Unlike today, as long as the payment rates are above counties ’ costs, counties would be able to retain payment amounts above their costs. This methodology also is expected to result in more timely payment and reduce counties ’ administrative burden and multiyear fiscal uncertainty.
https://lao.ca.gov/Publications/Report/4374

The 2017-18 Budget: The Coordinated Care Initiative: A Critical Juncture

Feb 27, 2017 - How the Funds Flow Today. Figure  1 shows how funds flow under 1991 realignment today: Step One: Fund the Base. Sales tax and VLF revenues dedicated to 1991 realignment fund the “base. ” Generally, the base reflects the funding the realigned programs received in the prior year.
https://lao.ca.gov/Publications/Report/3585

The 2025-26 Budget: MCO Tax and Proposition 35

Feb 26, 2025 - For example, were the MCO tax to generate about as much net revenue in 2027 as it does today, we estimate only around one-third of the net revenue (rather than more than half under the Governor ’s budget) would be available for the General Fund offset.
https://lao.ca.gov/Publications/Report/4992

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - These effects, however, depend on the way that the state and counties will implement the new requirements, which is unknown  today. Spending on Emergency Care for Immigrants Has Fluctuated Notably. As part of a broader reporting requirement, the state annually reports to the federal government on the cost of covering emergency care for undocumented immigrants.
https://lao.ca.gov/Publications/Report/5092

The 2020-21 Budget: Re-Envisioning Medi-Cal—The CalAIM Proposal

Feb 28, 2020 - While preliminary evaluations of the Dental Transformation Initiative appear to show some promising results, preliminary evaluations of Whole Person Care have shown some positive but also some mixed results.
https://lao.ca.gov/Publications/Report/4185