The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - The department has stated that its goal is to have as many providers as possible earn the quality payments, but it has not yet discussed how it might approach circumstances in which providers do not achieve them.
https://lao.ca.gov/Publications/Report/5157

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

Nov 9, 2021 - These are the services that can draw down federal Medicaid funds in the DDS system. Background How Medicaid Works in the DDS System Nearly All of DDS ’ Service Categories Are Eligible for Federal Medicaid HCBS Reimbursement.
https://lao.ca.gov/Publications/Report/4471

The 2024-25 Budget: The MCO Tax Package at May Revision

May 22, 2024 - The federal government must approve the MCO tax before it can go into effect. Federal approval is conditioned on a number of rules. For example, one rule limits the total amount of revenue the MCO tax can generate to 6  percent of the total revenue earned by MCOs.
https://lao.ca.gov/Publications/Report/4905

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

Oct 24, 2025 - Most notably, states can determine compliance via employment using an income ‑based approach, rather than a work ‑hour approach. Under the income ‑based approach, enrollees will be required to earn at least $580 each month —the federal minimum wage ($7.25 per hour) multiplied by 80 hours.
https://lao.ca.gov/Publications/Report/5083

The 2019-20 Budget: Analysis of the Carve Out of Medi-Cal Pharmacy Services From Managed Care

Apr 5, 2019 - An analysis of the benefits and trade ‑offs of feasible alternatives to the Governor ’s plan to reduce prescription drug spending in Medi ‑Cal, and how these compare to those of the carve out. Subscribe | California State Legislature | Online Voter Registration | Privacy Policy | Accessibility Legislative Analyst's Office | The California Legislature's Nonpartisan Fiscal and Policy Advisor 925 L Street, Suite 1000 Sacramento, CA 95814 | (916) 445-4656
https://lao.ca.gov/Publications/Report/3997

The 2021-22 Budget: Initial Comments on the Governor’s May Revision

May 17, 2021 - How Can These Monies Be Used? In a normal budget year, General Fund surplus monies are available to use for any public purposes. This is not necessarily the case in this May Revision. That is because the SAL, which limits how the state can use revenues that exceed a specified threshold, is salient to the state budget process this year.
https://lao.ca.gov/Publications/Report/4432

Update on COVID-19 Spending in California

Nov 5, 2020 - For example, school closures disrupted how students would traditionally receive free or reduced price meals during the school day. Both the federal and state government provided additional money so local educational agencies could continue providing meals to students who are now learning remotely.
https://lao.ca.gov/Publications/Report/4292

Federal COVID-19 Response Actions Affecting Older Adults and Persons with Disabilities

Apr 16, 2020 - (The state has also issued guidance to health and long-term care facilities, including how to prepare for the continued admission of individuals with suspected or confirmed COVID-19 infection in skilled nursing facilities, which can be found on the California Department of Public Health’s website .)
https://lao.ca.gov/Publications/Report/4221

Analysis of California’s Physician-Supervision Requirement for Certified Nurse Midwives

Mar 11, 2020 - …Resulting in Significant Variation in How Supervision Is Carried Out in Practice … Since the state ’s requirement is not well defined, physician supervision can vary widely in how it is carried out in practice.
https://lao.ca.gov/Publications/Report/4197

The 2025-26 Budget: MCO Tax and Proposition 35

Feb 26, 2025 - How Will the Department Structure the Augmentations? Proposition  35 defers many key questions around the structure of the augmentations to DHCS. The structure of Medi-Cal rates can impact provider incentives, in turn affecting access and quality for beneficiaries.
https://lao.ca.gov/Publications/Report/4992