The 2025-26 Budget: Medi-Cal Fiscal Outlook

Nov 20, 2024 - Just as these flexibilities appear to have been successful in minimizing the impacts of r edeterminations on Medi-Cal enrollees, the extent to which caseload will return to more normal historical levels if they are allowed to expire will be a key issue to watch.
https://lao.ca.gov/Publications/Report/4941

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

Nov 28, 2016 - These projections provide a useful starting point in understanding how California ’s changing population demographics will impact the LTSS delivery system. Population of California Seniors With Disabilities Projected to Grow Faster Than Overall California Senior Population.
https://lao.ca.gov/Publications/Report/3509

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - If so, how would DDS oversee this effort? How will DDS collaborate with DHCS in the coming months to ensure its planned processes are successful in exempting all eligible DDS consumers from the H.R. 1 eligibility requirements?
https://lao.ca.gov/Publications/Report/5157

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - The two measures also include rules around how to structure the taxes and spend their associated revenues. For example, Proposition 35 generally limits the tax rate on commercial enrollment at roughly its current levels.
https://lao.ca.gov/Publications/Report/5146

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

Oct 24, 2025 - Issues for Legislative Consideration In this section, we raise three key issues for the Legislature to consider: (1) how to implement the changes to Medi‑Cal under H.R. 1, (2) how to consider the Medi‑Cal program in light of these changes and state fiscal constraints, and (3) how disenrollments from Medi‑Cal might affect other sources of health care coverage.
https://lao.ca.gov/Publications/Report/5083

An Update on the Public Health Laboratory System After the Pandemic

Jun 12, 2025 - The state has not required counties to report on most public health spending or how much is provided to public laboratories, which limits the ability of the Legislature to assess how much total funding is used to support laboratory services.
https://lao.ca.gov/Publications/Report/5056

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - How much of these savings accru e to California, however, is uncertain. California could choose to continue streamlining eligibility policies, even absent federal enforcement of the new rules. Recoupments for Excess Payments.
https://lao.ca.gov/Publications/Report/5092

The 2025-26 Budget: Medi-Cal Pharmacy Spending

Apr 3, 2025 - These classifications generally categorize drugs based on how they work, how they are used, and other factors. There are over 1,000 such classifications in the federal directory. Analysis Likely Omits Some Key Kinds of Drug Claims.
https://lao.ca.gov/Publications/Report/5026

The 2025-26 Budget: MCO Tax and Proposition 35

Feb 26, 2025 - How Has Proposition  56 Impacted General Fund Spending? Enacted by voters in 2016, Proposition 56 increased taxes on tobacco-related products. The measure requires most of the resulting revenue to go to Medi-Cal.
https://lao.ca.gov/Publications/Report/4992

Mental Health Services Act: Proposed Restructuring of the MHSA Funding Categories and Impacts on County Spending

Jul 13, 2023 - There are differences among counties in both how expenditures are allocated within current categories and how expenditures are likely to align with the proposed categories. We discuss the importance of understanding these county-level differences later in this post.
https://lao.ca.gov/Publications/Report/4782