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

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

Oct 13, 2015 - For the last set of projects, the state has asked CMS to waive the nonfederal matching requirement altogether. (We return to this point when we discuss the state’s proposed waiver financing in the next section.)
https://lao.ca.gov/Publications/Report/3301

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

Oct 24, 2025 - In the last several years, the Legislature has sought to cover as many low ‑income people as possible in Medi ‑Cal, while also expanding services and certain reimbursement rates. In light of the state ’s tight fiscal situation and the federal government ’s changing policies, it is unlikely that the state can continue meeting all of these objectives at current service levels.
https://lao.ca.gov/Publications/Report/5083

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 2021-22 Budget: Department of Developmental Services (DDS) May Revision Budget Proposal

May 24, 2021 - LAO Comments LAO Raised Concerns With Performance Incentives Program Originally Proposed in Last Year ’s Governor ’s Budget. The administration proposed a similar program in 2020, but chose to withdraw the proposal as the pandemic took hold.
https://lao.ca.gov/Publications/Report/4438

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Last Year ’s Budget Adopted Many Policy Changes in Medi ‑Cal as Budget Solutions . To slow growth in Medi ‑Cal spending and help address a structural deficit in the state budget, the Legislature enacted several policy changes to Medi ‑Cal in June 2025.
https://lao.ca.gov/Publications/Report/5092

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

Feb 17, 2021 - Funds could be used on ( 1)  s hort ‑term treatment beds such as those found in CSUs, ( 2)  r esidential treatment facilities that typically last for a few months, or ( 3)  l onger ‑term facilities such as permanent supportive housing for individuals with behavioral health needs.
https://lao.ca.gov/Publications/Report/4379

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 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

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