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

Oct 24, 2025 - The legislation sets out a schedule for the remaining changes to be implemented over the next few years. For many changes, their full effects will depend in part on forthcoming guidance from federal regulators, as well as state implementation decisions.
https://lao.ca.gov/Publications/Report/5083

The 2020-21 Budget: Medi-Cal Fiscal Outlook

Nov 20, 2019 - These payments are funded with federal funds (which we refer to as federal DSH funding) that are matched with state and local funds. As part of the ACA, federal DSH funding was scheduled to be reduced, in light of coverage expansions that reduced the number of uninsured.
https://lao.ca.gov/Publications/Report/4116

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

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

Feb 10, 2023 - Federal Match for Designated State Health Programs. In late January 2023, the Department of Health Care Services received federal waiver approval allowing the state to claim federal matching funds for certain existing programs that would otherwise be funded solely with state funds.
https://lao.ca.gov/Publications/Report/4675

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 2023-24 California Spending Plan: Health

Oct 23, 2023 - The waiver —which is contingent on federal approval —is for a five-year demonstration that will, if approved, allow the state to receive federal matching funds for short-term stays in institutions for mental disease.
https://lao.ca.gov/Publications/Report/4810

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Much like the state budget solutions, many changes are scheduled to become effective in the near future. As a result, as Figure 1 shows, Medi‑Cal faces a steady flow of major state and federal policy changes over the coming years.
https://lao.ca.gov/Publications/Report/5092

Mental Health Services Act: Proposed Bond to Fund Behavioral Health Facilities and Veterans Housing

Aug 17, 2023 - The bonds will be repaid over time using MH SA funds. NPLH has supported 247 projects and 7,852 housing units are anticipated. As of August 2022, 119 projects are under construction, 30 projects have been completed, and 498 units have units have been completed and are occupied.
https://lao.ca.gov/Publications/Report/4790

The 2022-23 Budget: Analysis of the Governor’s Major Behavioral Health Proposals

Mar 3, 2022 - Local Match Requirement. The amounts that local entities will be required to provide as the match for BH ‑CIP funding vary by applicant type. Specifically, (1)  tribal entities will be required to provide a 5  percent match; (2)  counties, cities, and nonprofits will be required to provide a 10  percent match; and (3)  for
https://lao.ca.gov/Publications/Report/4569

Mental Health Services Act: Impact of Governor's Proposal on Funding for Children and Youth

Aug 10, 2023 - The increased spending associated with the services provided via the fee schedule is unknown but could be significant. Governor ’s Proposal Proposed Funding Categories Shift Mental Health Services Priorities.
https://lao.ca.gov/Publications/Report/4786