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

Nov 28, 2016 - As discussed later in this report, rates of disability vary by race; therefore, this projected shift in demographics is likely to have an impact on the number of seniors with disabilities in California.
https://lao.ca.gov/Publications/Report/3509

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

Mar 6, 2025 - While not first ‑time Medi ‑Cal members, we assume that these individuals would have lost coverage absent changes like the asset test elimination. Combined with the 30,000 increase in seniors due to the elimination of a Medi ‑Cal share of cost for certain seniors and 115,000 first ‑time ‑enrolling seniors in Medi ‑Cal, we arrive at a total of at least 165,000  seniors who we estimate are in the program due to eligibility changes.
https://lao.ca.gov/Publications/Report/5010

Fiscal Outlook: Medi-Cal

Nov 15, 2017 - Without federal reauthorization of CHIP funding, the state would likely exhaust its remaining unspent federal funds for CHIP by the end of 2017. Under the ACA MOE requirement, which under current federal law continues until September 30, 2019, California would likely have to maintain its CHIP eligibility levels and receive its traditional Medicaid FMAP of 50  percent to cover these children.
https://lao.ca.gov/Publications/Report/3715

Issues That Could Impact Californians' Health Care Coverage in 2023 and Beyond

Dec 16, 2022 - The American Rescue Plan Act, which Congress passed in 2021, temporarily increased the level of federal support for premium subsidies for coverage purchased on health benefit exchanges like Covered California.
https://lao.ca.gov/Publications/Report/4654

Estimated Cost of Expanding Full-Scope Medi-Cal Coverage to All Otherwise-Eligible Californians Regardless of Immigration Status

May 5, 2021 - Because this expansion would increase Medi-Cal caseload, it likely would have the effect of increasing the amount of General Fund needed to fund future policy changes in Medi-Cal that increase service costs.
https://lao.ca.gov/Publications/Report/4423

Recent Changes to State and County IHSS Wage and Benefit Costs

Dec 14, 2018 - Specifically, the state will pay for 65  percent of the nonfederal costs of county IHSS wages and benefits up to the state participation cap, while counties are responsible for the remaining 35  percent.
https://lao.ca.gov/Publications/Report/3913

The 2017-18 Budget: Analysis of the Medi-Cal Budget

Mar 9, 2017 - (This 2  percent annual growth is in line with historical Medi ‑Cal caseload growth predating the ACA.) Of the 14.3  million beneficiaries, 4.1  million enrollees are projected to have gained eligibility through the ACA optional expansion.
https://lao.ca.gov/Publications/Report/3612

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

May 22, 2020 - Second, even if a higher proportion of new enrollees under age 65 were to have disabilities, many would nevertheless likely qualify through the childless adult caseload group, which would result in significantly lower costs to the state relative to the administration ’s assumption.
https://lao.ca.gov/Publications/Report/4245

Mental Health Services Act: Impact of Governor's Proposal on Funding for Children and Youth

Aug 10, 2023 - Over two-thirds of the funding —$2.9   billion —is for limited-term programs, such as school-linked behavioral health partnerships and capacity grants that provide schools and institutions of higher education resources as they begin implementing a school-linked Medi-Cal fee schedule.
https://lao.ca.gov/Publications/Report/4786

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

May 16, 2017 - Adjustment Factor Likely to Be 7 Percent in Most Years. We anticipate that the MOE adjustment factor would be 7 percent in most years as realignment revenues likely will grow by more than 2 percent most of the time.
https://lao.ca.gov/Publications/Report/3671