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

The 2021-22 Budget: CalAIM: Equity Considerations

Mar 12, 2021 - Any improved health outcomes that result from CalAIM could improve health equity insofar as the improved outcomes are concentrated among groups that disproportionately suffer poor health outcomes today.
https://lao.ca.gov/Publications/Report/4402

The 2025-26 Budget: Overview of the Governor's Budget

Jan 13, 2025 - The underlying budget dynamics today are particularly challenging for three reasons. First, revenues have not caught up with expenditures. Second, under our estimates, expenditure growth exceeds estimated revenue growth.
https://lao.ca.gov/Publications/Report/4951

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 2021-22 Budget: CalAIM: The Overarching Issues

Feb 9, 2021 - For example, the ILOS benefits available to a beneficiary would vary depending on where they live in the state and what managed care plan they are enrolled in. Additionally, the CalAIM proposal represents a significant increase in the role of managed care plans to provide nonmedical supportive services to individuals with complex needs, including individuals experiencing homelessness.
https://lao.ca.gov/Publications/Report/4357

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

The 2021-22 Budget: Analysis of CalAIM Financing Issues

Feb 16, 2021 - Today, managed care plans may offer such services but would not be reimbursed for the associated costs. As one final example, CalAIM would require that all counties implement pre ‑release Medi ‑Cal application processes for inmates.
https://lao.ca.gov/Publications/Report/4374

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - This moratorium comprises a substantial portion of the estimated federal savings in Congressional fiscal scoring sheets. These savings occur because not implementing the new rules limits Medicaid caseload growth.
https://lao.ca.gov/Publications/Report/5092

The 2021-22 Budget: CalAIM: New Directions for Services for Seniors and Persons With Disabilities

Mar 15, 2021 - The proposal to require all Medi ‑Cal managed care plans to offer a D ‑SNP for their Medi ‑Cal beneficiaries would expand opportunities for at least some level of integration and coordination between Medi ‑Cal and Medicare more widely than it is available today.
https://lao.ca.gov/Publications/Report/4404

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

May 24, 2021 - DDS System Still Faces Challenges Today That Could Affect the Success of a Performance Incentives Program. While the pandemic demonstrated that the DDS system could be somewhat nimble in responding to consumers ’ needs, some of the same challenges facing the department in 2020 exist today.
https://lao.ca.gov/Publications/Report/4438