The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - The APD process allows the state to request a 90  percent match in federal funding (rather than California ’s standard 50  percent match) to design, develop, and install IT systems that enable the state to more efficiently administer Medicaid benefits.
https://lao.ca.gov/Publications/Report/5157

Upcoming Changes in Medi-Cal Create Fiscal and Policy Uncertainty

Oct 9, 2015 - Upcoming Changes in Medi-Cal Create Fiscal and Policy Uncertainty October 9, 2015 Upcoming Changes in Medi-Cal Create Fiscal and Policy Uncertainty The state ’s Medi-Cal program is a complex and dynamic program that at any given time is subject to potential changes resulting from economic or policy shifts.
https://lao.ca.gov/Publications/Report/3300

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Beyond baseline spending trends, Medi ‑Cal is facing a series of upcoming policy changes. The state enacted many of these changes in the 2025 ‑26 Budget Act in June 2025 as budget solutions intended to slow growth in Medi ‑Cal spending.
https://lao.ca.gov/Publications/Report/5092

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

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

Oct 24, 2025 - As Figure  8 shows, however, states have the option under federal law to serve more populations and receive federal matching funds for services provided to them. Some of these populations, such as childless adults and children from higher ‑income households, come with larger federal matches to encourage state coverage.
https://lao.ca.gov/Publications/Report/5083

The 2020-21 Budget: Medi-Cal Fiscal Outlook

Nov 20, 2019 - Between 2019 ‑20 and 2020 ‑21, we project increased General Fund costs in Medi-Cal of around $580  million due to the upcoming fiscal year ’s scheduled declines in the federal share of cost for these populations.
https://lao.ca.gov/Publications/Report/4116

The 2023-24 Budget: Analysis of the Governor’s Major Behavioral Health Proposals

Feb 16, 2023 - We therefore recommend that the Legislature use upcoming budget hearings as an opportunity to request more information from the administration on the demonstration waiver proposal. The Legislature might want to seek clarity on the administration ’s multiyear spending plan as well as the likely net fiscal impact to the state and counties if this proposal is approved.
https://lao.ca.gov/Publications/Report/4689

The 2018-19 Budget: The Administration's Proposition 55 Estimates in the May Revision

May 22, 2018 - First, the measure directs DOF to estimate the upcoming year ’s available revenues. Second, it subtracts from this total the constitutional minimum funding level for schools and community colleges. Third, the formula then subtracts an estimate of the “workload budget ” costs of government services that were “currently authorized ” as of January 1, 2016.
https://lao.ca.gov/Publications/Report/3844

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

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