The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - For example, the spending share of residential services has decreased from 46  percent to 38  percent, while the spending share of support and training services has increased from 8  percent to 15  percent.
https://lao.ca.gov/Publications/Report/5157

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

Feb 13, 2019 - Increase DHCS Staffing to Improve Fiscal Estimates and Cash Monitoring To address concerns about DHCS ’s ability to estimate Medi ‑Cal spending and monitor cash flow, the Governor proposes to provide 25 p ermanent positions and $3. 8  m illion total funds ($1. 8  m illion General Fund) in 2019 ‑20 and ongoing.
https://lao.ca.gov/Publications/Report/3935

An Alternative Approach: Treating the Incompetent to Stand Trial [Publication Details]

Jan 3, 2012 - This report finds that the pilot program has greater flexibility to hold down costs and has been able to restore ISTs to competency in a shorter amount of time than state hospitals. We find that if the pilot program is expanded, it has the potential to significantly reduce the waitlist, as well as reduce costs to the public sector.
https://lao.ca.gov/Publications/Detail/2549

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - For existing payments, H.R. 1 allows states to gradually ramp down to the new limit beginning in January 202 8. Much of the hospital fee program supports additional managed care payments to private hospitals, and some of these payments were anticipated to exceed the Medicare limit in the 2025 fee program.
https://lao.ca.gov/Publications/Report/5092

The 2023-24 Budget: Analysis of the Medi-Cal Budget

Feb 10, 2023 - Delay of Funding for Elimination of End ‑of ‑Year Provider Payment Processing Hold. As a budget solution in 2006 ‑07, the state implemented a hold in processing fee ‑for ‑service provider payments for the last two weeks of the fiscal year —a practice which remains in effect today.
https://lao.ca.gov/Publications/Report/4675

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

Oct 24, 2025 - Figure 8 Some Medi ‑Cal Populations Are Optional Under Federal Law Examples of Key Medi ‑Cal Populations Mandatory
https://lao.ca.gov/Publications/Report/5083

Mental Health Services Act: Revenue Volatility and the Governor’s Proposal to Reduce Allowable County Reserves

Jul 13, 2023 - In the first few years of experience, counties received a surge in revenue during 2020-21 (60  percent), followed by healthy growth in 2021-22 (8  percent), and a large decline in revenue in 2022-23 (35  percent).
https://lao.ca.gov/Publications/Report/4780

The 2023-24 California Spending Plan: Health

Oct 23, 2023 - Delays Elimination of End-of-Year Provider Payment Processing Hold. As a budget solution in 2006-07, the state implemented a hold in processing fee-for-service provider payments for the last two weeks of the fiscal year —a practice that remains in effect today.
https://lao.ca.gov/Publications/Report/4810

The 2024-25 California Spending Plan: Health

Sep 17, 2024 - Under the spending plan, General Fund spending for the Department of State Hospitals (DSH) is $3.3  billion in 2024-25, a decrease of $276  million, or about 8  percent, from the revised 2023-24 expenditure estimate.
https://lao.ca.gov/Publications/Report/4930

The 2021-22 Budget: Medi-Cal Fiscal Outlook

Nov 18, 2020 - We project that average monthly Medi ‑Cal caseload will be 13. 8  m illion enrollees in 2020 ‑21, which is 9  p ercent higher than the revised estimate for 2019 ‑ 20 c aseload. Between 2020 ‑21 and 2021 ‑22, we project the caseload to grow from 13. 8  m illion enrollees to 14. 9  m illion —an increase of 8  p ercent, or 1. 1  m illion beneficiaries.
https://lao.ca.gov/Publications/Report/4299