The 2020-21 Budget: Re-Envisioning Medi-Cal—The CalAIM Proposal

Feb 28, 2020 - Moreover, tracking Medi ‑Cal expenditure data would not capture all the ways in which an ILOS benefit potentially could result in savings or costs to government (potentially outside of health care services) or others.
https://lao.ca.gov/Publications/Report/4185

The 2024-25 Budget: Department of Health Care Access and Information

Feb 27, 2024 - It also included funds for an initiative called “Workforce for a Healthy California for All, ” which supports activities to expand the statewide supply of community health workers, nurses, and social workers.
https://lao.ca.gov/Publications/Report/4860

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - DDS indicated that it has already been working with DHCS to match information across each department ’s records with the goal of automatically exempting all 15,000 adult DDS consumers in the income eligibility pathway from the new requirements.
https://lao.ca.gov/Publications/Report/5157

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

Oct 24, 2025 - All else equal, an increase in caseload results in higher Medi ‑Cal spending. Certain populations are also costlier to serve than others, owing to their higher utilization of relatively expensive services and differences in federal fund  matches.
https://lao.ca.gov/Publications/Report/5083

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

Nov 28, 2016 - An analysis by the Kaiser Family Foundation found that 42  percent of all LTSS spending in 2010 was for the senior population. Informal, Unpaid Care Also an Important Part of LTSS. In addition to paid LTSS, a large amount of LTSS is provided through informal, unpaid care.
https://lao.ca.gov/Publications/Report/3509

The 2021-22 Budget: Behavioral Health: Continuum Infrastructure Funding Proposal

Feb 17, 2021 - Counties Would Be Required to Provide Matching Funds. Under this proposal, counties would be required to provide matching funds —in the amount of 25  p ercent of grant funds —in order to receive grant funding.
https://lao.ca.gov/Publications/Report/4379

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Under H.R. 1, the federal match for these services will decrease from 90  percent to 50  percent for certain undocumented adults, requiring a backfill from the General Fund to maintain existing services.
https://lao.ca.gov/Publications/Report/5092

Section 1115 Waiver Renewal: Key Medi-Cal Financing Issues Remain Outstanding

Oct 13, 2015 - Nonfederal Matching Requirement Generally, Section 1115 waivers permit states to receive federal matching funds for expenditures that are not otherwise allowable under the Medicaid statute. Standard Medicaid funding rules —which require states to pay the nonfederal share of costs at applicable matching rates, using appropriate state and local funding sources —usually apply to waiver expenditures.
https://lao.ca.gov/Publications/Report/3301

The 2022-23 Budget: Update on Home- and Community- Based Services Spending Plan

Feb 10, 2022 - On January 4, 2022, the federal government notified the state that it conditionally approved all of the state ’s proposed HCBS enhancements, which are summarized in Figure  1 . The total cost of the HCBS enhancements is estimated to be $4.6  billion ($3  billion increased FMAP funds and $1.6  billion additional federal funds for enhancements that are also eligible to draw down the standard federal Medicaid match).
https://lao.ca.gov/Publications/Report/4524

The 2025-26 Budget: CalAIM Enhanced Care Management and Community Supports Implementation Update

Mar 6, 2025 - The state received approval under the waiver to provide $1.85  billion in total funds (incorporating the federal match) for the PATH initiative. PATH consists of multiple initiatives intended to build up the capacity and infrastructure of CalAIM providers.
https://lao.ca.gov/Publications/Report/5003