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

Nov 28, 2016 - These results reflect only this cohort as compared to the results presented in the prior section which reflect the full population of seniors in California in each year from 2015 through 2060. We focus on this cohort because we can generally observe their entire remaining life in our projections through 2060.
https://lao.ca.gov/Publications/Report/3509

The 2019-20 Budget: Assessing the Governor’s Primary Care Physician Residency Proposals

May 9, 2019 - The state also can channel grant funding toward hospitals located in shortage areas of the state that do not yet have residency programs. We are also concerned about the inefficiency of the state operating two very similar grant programs.
https://lao.ca.gov/Publications/Report/4034

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - Service coordinators at RCs follow the RC ’s purchase of service policies, which must be approved by DDS, to determine which services are appropriate to help a person meet their goals in accordance with the Lanterman Act.
https://lao.ca.gov/Publications/Report/5157

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - The Legislature also will want to keep in mind the changes in the revenue limit, which may constrain the state ’s ability to rely on these taxes in the coming years. Background H.R. 1 Will Affect Medi ‑Cal Beyond Provider Taxes.
https://lao.ca.gov/Publications/Report/5146

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

Oct 24, 2025 - H.R.  1 creates the Rural Health Transformation Fund, which will allocate $50  billion in state grants over five years (beginning in Federal Fiscal Year 2026) generally to support rural health providers.
https://lao.ca.gov/Publications/Report/5083

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - (These savings are distinct from state operations budget solutions enacted as part of the 2024-25 Budget Act , which directed DOF to identify efficiencies to reduce state costs without diminishing service levels.)
https://lao.ca.gov/Publications/Report/5075

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Some solutions also rely on the state’s ability to negotiate higher rebates, which could be more or less successful than assumed in our outlook. Community Engagement Requirement Will Be New to Medi ‑Cal.
https://lao.ca.gov/Publications/Report/5092

An Update on the Public Health Laboratory System After the Pandemic

Jun 12, 2025 - LHJs receive the remaining $184  million for which they submit spending plans to CDPH detailing how the funds will be used to support public health and of which at least 70  percent of which must be used on staffing.
https://lao.ca.gov/Publications/Report/5056

The 2025-26 Budget: Medi-Cal Pharmacy Spending

Apr 3, 2025 - Consequently, older drugs (which have tended to have price increases over time in excess of inflation) can come with much higher rebates. Drug makers pay their rebates to states, which then submit the federal share of savings to the federal government.
https://lao.ca.gov/Publications/Report/5026

The 2025-26 Budget: Understanding Recent Increases in the Medi-Cal Senior Caseload

Mar 6, 2025 - This was during a time in which counties were not conducting any eligibility redeterminations. Even with federal flexibilities, we would not expect average monthly growth in the senior caseload during the unwinding period to exceed this 6,200 figure.
https://lao.ca.gov/Publications/Report/5010