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

Nov 28, 2016 - Seniors turning 65 between 2015 and 2019 who have greater than a high school education spend fewer years on average with one or more ADL limitations than seniors with a high school degree or GED credential and seniors with less than a high school education (4.2 years vs. 4.8 years and 5.8  years, respectively).
https://lao.ca.gov/Publications/Report/3509

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - Proposed Funding to Implement Recent Federal Rule The Governor ’s budget proposes $2.1  million General Fund ongoing to implement the federal Home ‑ and Community ‑Based Services Access Rule, which was finalized in 2024.
https://lao.ca.gov/Publications/Report/5157

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - More recent final guidance released earlier this year, however, suggests California can keep its existing health plan tax in place until its current waiver expires at the end of December 2026. Revenue Limit.
https://lao.ca.gov/Publications/Report/5146

The 2024-25 Budget: Department of Developmental Services

Feb 13, 2024 - We note that delaying the final phase of rate reform is only a one ‑year budget solution. That is, the ongoing costs of the final phase of rate reform are reflected in the administration ’s multiyear estimates beginning in 2025 ‑26 (when the state continues to face budget  deficits).
https://lao.ca.gov/Publications/Report/4837

The 2019-20 Budget: Undoing California’s Outstanding Budgetary Deferrals

Mar 26, 2019 - The state has had budgetary deferrals in Medi-Cal since 2003 ‑04 as described below: Accrual to Cash Budget. In 2003 ‑04, the Medi-Cal budget transitioned from an accrual basis, in which funds are appropriated based on when health care services are rendered, to a cash basis, in which funds are appropriated based on when the bill for such services is actually paid.
https://lao.ca.gov/Publications/Report/3988

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

Oct 24, 2025 - The first rule (finalized in 2023) applied to people dually enrolled in Medicare and Medicaid, while the second rule (finalized in 2024) applied to the rest of the Medicaid population. H.R.  1 prohibits federal administrators from enforcing the elements of these rules that have not yet gone into effect, giving states greater flexibility to decide whether to implement the streamlined processes.
https://lao.ca.gov/Publications/Report/5083

The 2025-26 Budget: Overview of the Governor's Budget

Jan 13, 2025 - Finally, the Governor sets the balance of the Special Fund for Economic Uncertainties to $4.5   billion —somewhat higher than the level enacted by recent budgets. Revenue Estimates Reasonable, but Risks Must Be Kept in Focus.
https://lao.ca.gov/Publications/Report/4951

The 2023-24 Budget: Department of Developmental Services

Feb 15, 2023 - Figure 3 Many Services Providers Not Yet in Full Compliance With Home ‑ and Community ‑Based Services Final Rule As of December 29, 2022 Service Type
https://lao.ca.gov/Publications/Report/4683

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

Feb 13, 2019 - As part of the 2003 ‑ 04 b udget package, the state shifted the Medi ‑Cal budget to a “cash basis ” for budgeting, which means that spending is accounted for in the fiscal year in which it leaves the state ’s cash accounts.
https://lao.ca.gov/Publications/Report/3935

The 2022-23 Budget: Department of Developmental Services

Mar 29, 2022 - Figure 4 Many Service Providers Not Yet in Full Compliance With HCBS Final Rule As of October 1, 2021 Service Type
https://lao.ca.gov/Publications/Report/4577