Mental Health Services Act: Proposed Bond to Fund Behavioral Health Facilities and Veterans Housing

Aug 17, 2023 - (The recent funding for behavioral health infrastructure noted above is funded on a pay-as-you-go basis.) General Fund-Supported Bonds. The state traditionally has sold two types of bonds that are typically paid off from the General Fund: voter-approved general obligation bonds and lease revenue bonds approved by the Legislature.
https://lao.ca.gov/Publications/Report/4790

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

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - Federal rules include an overall limit on how much revenue provider taxes can generate. California historically has set its provider taxes and fees well below this revenue limit. In recent years, however, California pursued notably larger taxes, getting much closer to the federal limit.
https://lao.ca.gov/Publications/Report/5146

The 2021-22 Budget: Analysis of CalAIM Financing Issues

Feb 16, 2021 - As a result of this adjustment, known as “county averaging, ” the higher ‑cost plan(s) in a county are paid capitated rates that do not fully reflect their reported costs, while the lower ‑cost plan(s) in that same county are paid at capitated rates above their reported costs.
https://lao.ca.gov/Publications/Report/4374

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

Apr 5, 2019 - Because 340B discounts are applied to 340B drugs ’ acquisition cost, 340B discounts get passed onto the Medi ‑Cal program at the time Medi ‑Cal pays for the drugs. This is not necessarily true in Medi ‑Cal managed care since plans pay pharmacies at negotiated prices for all the drugs paid for by the plan.
https://lao.ca.gov/Publications/Report/3997

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

Oct 24, 2025 - This is because of the required gradual reduction in managed care payments to the level paid in Medicare. At the time of this analysis, the Department of Health Care Services (DHCS) had not provided estimates of how Medi ‑Cal hospital payments compare to Medicare.
https://lao.ca.gov/Publications/Report/5083

The 2018-19 Budget: Meeting Workforce Demand for Certified Nursing Assistants in Skilled Nursing Facilities

Apr 27, 2018 - As part of this restructuring, adult schools and community colleges formed AEBG consortia and developed regional plans for how they would coordinate their adult programs. These plans are intended to specify how training programs, such as the CNA program, are to be delivered within a region.
https://lao.ca.gov/Publications/Report/3815

The 2025-26 Budget: Medi-Cal Pharmacy Spending

Apr 3, 2025 - The nearby box provides more information on how rebates work in the Medi ‑Cal program. How Do Drug Rebates Work in Medi‑Cal? Federal Rebates Are Mandatory and Determined by Formula. Created in 1990 and revised over time, the federal Medicaid Drug Rebate Program determines federal rebates for drugs in the Medicaid program.
https://lao.ca.gov/Publications/Report/5026

The 2025-26 Budget: MCO Tax and Proposition 35

Feb 26, 2025 - Such an approach is likely inefficient and arbitrary, as plans that pay considerably more for services (arguably already providing a more adequate payment) get the same boost in rates as a plan with notably lower payment s.
https://lao.ca.gov/Publications/Report/4992

The 2016-17 Budget: Analysis of the Medi-Cal Budget

Feb 11, 2016 - Imperial and San Benito Counties have managed care plans that are not run by the county, and that do not fit into one of these four models. In Imperial County, there are two commercial health plans available to beneficiaries and in San Benito, there is one commercial health plan available to beneficiaries.
https://lao.ca.gov/Publications/Report/3350