The 2021-22 Budget: LAO Preliminary Comments on the May Revision Medi-Cal Budget

May 21, 2021 - Available budget documents do not indicate ( 1)  w hat kinds of agencies would be eligible to receive this funding, ( 2)  h ow the funding would be distributed, ( 3)  w hat capacity ‑building activities would be funded, and ( 4)  w hat the rationale for the proposed funding amount of $ 200  m illion total funds is.
https://lao.ca.gov/Publications/Report/4436

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

Nov 28, 2016 - Not only do seniors with more than a high school education live longer on average than their counterparts with less education, they are projected to spend a smaller share of their life after turning 65 with one or more ADL limitations on average than seniors with a high school degree or GED credential and seniors with less than a high school education (17.1  percent vs. 21.1  percent and 26.2  percent, respectively).
https://lao.ca.gov/Publications/Report/3509

Fiscal Outlook: In-Home Supportive Services (IHSS)

Nov 14, 2018 - Taking into account historical trends, w e assume that overall IHSS caseload will increase by 5.8  percent annually and hours per case will increase by 2.5  percent annually through 2022 ‑23. Rising Statewide Minimum Wage Increases Hourly Cost of Care.
https://lao.ca.gov/Publications/Report/3899

Proposition 29: Imposes Additional Tax on Cigarettes for Cancer Research [Publication Details]

May 1, 2012 - Presented to: Assembly Health Committee, Hon. William W. Monning, Chair and Assembly Revenue and Taxation Committee, Hon. Henry T. Perea, Chair
https://lao.ca.gov/Publications/Detail/2625

The 2021-22 Budget: CalAIM: The Overarching Issues

Feb 9, 2021 - To afford itself more time to scrutinize the many reforms under CalAIM and grant the state ’s currently stressed health care infrastructure more time to implement CalAIM ’s major changes, the Legislature could explore ( 1)  w hich decisions can be deferred and ( 2)  w hich implementation dates can be delayed.
https://lao.ca.gov/Publications/Report/4357

The 2021-22 Budget: Assessment of CalHEERS Dashboard

Mar 25, 2021 - More specifically, the Legislature tasked our office with assessing ( 1)  w hether the dashboard comprehensively captures issues known to stakeholders and the administration that cause delays or errors in eligibility processing, ( 2)  h ow the dashboard is being used as part of a process to set a time line for fixing the identified issues, and ( 3)  o pportunities for legislative oversight.
https://lao.ca.gov/Publications/Report/4408

The 2025-26 Budget: Medi-Cal Fiscal Outlook

Nov 20, 2024 - While we project overall caseload to continue to decline, the senior caseload has been increasing for reasons w e discuss below. Recent Surge in Senior Caseload Driving Increase in Costs. From January 2024 through July 2024, we have observed a sharp increase in Medi-Cal enrollment among the senior population.
https://lao.ca.gov/Publications/Report/4941

The 2020-21 Budget: Re-Envisioning Medi-Cal—The CalAIM Proposal

Feb 28, 2020 - The assessment showed that plan performance was below the state ’s longstanding, low minimum performance standard for nearly one ‑quarter of the HEDIS measures and that plan quality scores have declined or remained stagnant about as often as they have improved.
https://lao.ca.gov/Publications/Report/4185

The 2025-26 Budget: MCO Tax and Proposition 35

Feb 26, 2025 - These rules required states (including California) to change ho w they pass funds through health plans to providers, tying funds more closely to service delivery and improved health outcomes. In 2024 , more federal rules were enacted on directed payments, including new limits for certain kinds of services.
https://lao.ca.gov/Publications/Report/4992

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - Residential services, which include independent and supported living services either in a consumer ’s home or in licensed facilities that provide 24 ‑hour nonmedical residential care, typically have a relatively higher cost per person due to the comprehensiveness of the service provided (including personal services, supervision, and/or assistance essential for self ‑protection or completing the activities of daily living).
https://lao.ca.gov/Publications/Report/5157