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The 2025-26 Budget: Health Care Access and Information

Feb 20, 2025 - Whether or not CalRx has broader impacts to consumers, however, will depend on how available these new drugs are to consumers, as well as utilization. How Will the Products Compare to Other Competitors?
https://lao.ca.gov/Publications/Report/4979

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - The goals of individual consumers can vary widely and span from short to long term. Such goals could include living in an apartment, getting and maintaining a job, and participating in music or art classes.
https://lao.ca.gov/Publications/Report/5157

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

Oct 24, 2025 - 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. However, it is our understanding from discussions with stakeholders that some Medi ‑Cal hospital payments are higher.
https://lao.ca.gov/Publications/Report/5083

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 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 2020-21 Budget: Analysis of the Department of State Hospitals Budget

Feb 11, 2020 - The plans also would be required to outline how counties plan to use their incentive payments to invest in community mental health services, and describe how other funding sources would be used to support the pilot.
https://lao.ca.gov/Publications/Report/4154

The 2018-19 Budget: Governor's May Revision Medi-Cal Budget

May 14, 2018 - LAO Comments Governor ’s January Proposal —Continued in the May Revision —to Extend the Currently Authorized Provider Payment Increases Into 2018-19 Has Merit. Implementation of the currently authorized provider payment increases is just getting underway following initial delays and challenges.
https://lao.ca.gov/Publications/Report/3839

The 2019-20 Budget: Using Proposition 56 Funding in Medi-Cal to Improve Access to Quality Care

Feb 22, 2019 - In the FFS system, a health care provider receives an individual payment from DHCS for each medical service delivered to a beneficiary. Beneficiaries in Medi ‑Cal FFS may generally obtain services from any provider who has agreed to accept Medi ‑Cal FFS payments.
https://lao.ca.gov/Publications/Report/3949

The 2021-22 Budget: Analysis of CalAIM Financing Issues

Feb 16, 2021 - Although no direct funding for these new managed care plan requirements is provided under the funding plan, in the long run at least, some of these costs could get built into the payments the state makes to managed care plans, which are set in part based on plans ’ reported costs.
https://lao.ca.gov/Publications/Report/4374

The 2019-20 Budget: Analysis of the Medi-Cal Budget

Feb 13, 2019 - Using the upcoming budget process to gather additional information from the administration on how the new proposed supplemental payment programs will be structured and how they will ultimately improve access and care within the Medi ‑Cal program could help the Legislature in its decision on whether to approve these new payment programs.
https://lao.ca.gov/Publications/Report/3935