The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - Finally, federal guidance provides states discretion in setting the number of months over which enrollees are required to document compliance with qualifying activities (such as working 80 hours per month) at application and renewal.
https://lao.ca.gov/Publications/Report/5146

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

Oct 24, 2025 - Private Hospital Fee Also Could Decline Over Time … Federal policy changes also likely will result in a smaller private hospital fee, though for different reasons. Relative to the health plan tax, the private hospital fee is less disproportionately levied on Medi ‑Cal services and has fewer constraints on the tax rates.
https://lao.ca.gov/Publications/Report/5083

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - What H.R. 1 Policies Will Affect the Private Hospital Fee? Proportionality Rule. Similar to the tax on health plans, the private hospital fee (also known as the Hospital Quality Assurance Fee) charges higher rates on Medicaid services than on non‑Medicaid services.
https://lao.ca.gov/Publications/Report/5092

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - Half of the funds supported a contract with a private partner, and the other half was to help construct a new manufacturing facility in California. Since this time, the private partner has started initial manufacturing in a facility in Virginia.
https://lao.ca.gov/Publications/Report/5075

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - Caseload DDS Caseload Determined by Number of Individuals Identified as Eligible for the Lanterman Act ’s Entitlement. The Lanterman Act requires DDS to serve all individuals determined eligible by an RC.
https://lao.ca.gov/Publications/Report/5157

The 2025-26 Budget: Health Care Access and Information

Feb 20, 2025 - Implementation Update Insulin Initiative Has Private Partner. In  February 2023, HCAI executed a contract with a nonprofit drug maker (Civica Rx) to produce a biosimilar insulin product. Adopting a public‑private partnership, HCAI is committed to pay the partner up to $50 million for meeting specified project milestones.
https://lao.ca.gov/Publications/Report/4979

The 2024-25 Budget: Department of Health Care Access and Information

Feb 27, 2024 - As Figure  5 shows, more than half of funding comes from Medi-Cal and Medicare, with the remainder primarily coming from private insurance. Relative to their share of hospital revenue, Medi-Cal and Medicare comprise a smaller share of adjusted patient days (the number of inpatient days, adjusted also to account for the volume of outpatient services provided).
https://lao.ca.gov/Publications/Report/4860

The 2024-25 Budget: The MCO Tax Package at May Revision

May 22, 2024 - It intends to change these rules so that the tax is more equal between Medi-Cal and private insurance in the future. This is of concern to the federal government because nearly all of the cost of the tax currently falls on the Medi-Cal program—which is partly supported by federal funds—rather than more proportionately between Medi-Cal and private insurance.
https://lao.ca.gov/Publications/Report/4905

An Update on the Public Health Laboratory System After the Pandemic

Jun 12, 2025 - An Update on the Public Health Laboratory System After the Pandemic An Update on the Public Health Laboratory System After the Pandemic Introduction The public health system in California includes multiple public and private entities, and a key component is the public health laboratories.
https://lao.ca.gov/Publications/Report/5056

Building California’s Behavioral Health Infrastructure: Progress Update and Opportunities for the Proposition 1 Bond

Feb 5, 2025 - Behavioral health facilities are operated by various entity types, including public, private nonprofit, and private for‑profit entities. The nearby box details the types of services provided in the behavioral health facilities that are of particular relevance to this report.
https://lao.ca.gov/Publications/Report/4954