Climate Change Impacts Across California - Crosscutting Issues

Apr 5, 2022 - California’s Five Major Climate Hazards As a result of human activities that warm the planet, the global climate is changing. While efforts are underway —across the state, country, and internationally —to limit the extent of this warming, some degree of climate change already is occurring, and therefore some impacts are inevitable.
https://lao.ca.gov/Publications/Report/4575

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

Oct 24, 2025 - As Figure  8 shows, however, states have the option under federal law to serve more populations and receive federal matching funds for services provided to them. Some of these populations, such as childless adults and children from higher ‑income households, come with larger federal matches to encourage state coverage.
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

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

Nov 28, 2016 - For example, Medicare covers up to 100 days of long –term care in a SNF for individuals receiving skilled care, such as physical therapy, following a recent hospital stay of at least three days. Medi –Cal Covers a Broader Range of LTSS.
https://lao.ca.gov/Publications/Report/3509

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

Feb 10, 2022 - The total cost of the HCBS enhancements is estimated to be $4.6  billion ($3  billion increased FMAP funds and $1.6  billion additional federal funds for enhancements that are also eligible to draw down the standard federal Medicaid match).
https://lao.ca.gov/Publications/Report/4524

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

Feb 17, 2021 - In November 2018, voters approved Proposition  2, authorizing the sale of up to $ 2  b illion of revenue bonds (and the use of a portion of revenues from the MHSF to repay the bonds) for the NPLH program.
https://lao.ca.gov/Publications/Report/4379

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

Oct 13, 2015 - Nonfederal Matching Requirement Generally, Section 1115 waivers permit states to receive federal matching funds for expenditures that are not otherwise allowable under the Medicaid statute. Standard Medicaid funding rules —which require states to pay the nonfederal share of costs at applicable matching rates, using appropriate state and local funding sources —usually apply to waiver expenditures.
https://lao.ca.gov/Publications/Report/3301

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Under H.R. 1, the federal match for these services will decrease from 90  percent to 50  percent for certain undocumented adults, requiring a backfill from the General Fund to maintain existing services.
https://lao.ca.gov/Publications/Report/5092

The 2025-26 Budget: CalAIM Enhanced Care Management and Community Supports Implementation Update

Mar 6, 2025 - The state received approval under the waiver to provide $1.85  billion in total funds (incorporating the federal match) for the PATH initiative. PATH consists of multiple initiatives intended to build up the capacity and infrastructure of CalAIM providers.
https://lao.ca.gov/Publications/Report/5003

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