The 2020-21 Budget: Analysis of the Department of State Hospitals Budget

Feb 11, 2020 - The overall trend in felony IST designations and referrals is increasing. DSH proposes to use counties ’ level of felony IST referrals in 2018 ‑19 as the baseline year for measuring progress. Given the underlying trend in felony IST referrals, counties could have difficulty achieving their benchmark reduction goals in felony IST referrals in the later years of the proposal.
https://lao.ca.gov/Publications/Report/4154

The 2021-22 Budget: Behavioral Health: Community Care Demonstration Project

Feb 19, 2021 - Some County Contracts in Place in Regions Where Referral Rates Are Highest. There is significant variation by county in the rate of felony IST referrals for competency restoration, as shown in figure  2 in 2018 ‑19.
https://lao.ca.gov/Publications/Report/4382

Analysis of California’s Physician-Supervision Requirement for Certified Nurse Midwives

Mar 11, 2020 - In California, average annual salaries for nurse midwives are $135,000, whereas OB ‑GYNs earn $225,000 annually. Thus, nurse midwives earn about 60  p ercent of what OB ‑GYNs earn. One likely reason that nurse midwives ’ salaries are lower is the significantly lower cost of their training.
https://lao.ca.gov/Publications/Report/4197

The 2019-20 Budget: Governor's Proposals for Infants and Toddlers With Special Needs

Feb 28, 2019 - Fourth, some parents do not follow through on physicians ’ referrals (in some instances because they hope their children will grow out of their developmental challenges). Fifth, some parents who try to follow through on referrals become discouraged before their children receive services.
https://lao.ca.gov/Publications/Report/3954

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - For the period spanning from January 1, 2025 through June  30,  2026, providers could earn the quality incentive portion of rate models by enrolling in DDS ’s Provider Directory. As a budget solution, the 2025 ‑26 Budget Act added three criteria that providers must satisfy to be eligible to earn a quality payment equal to 10   percent of the rate model beginning
https://lao.ca.gov/Publications/Report/5157

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

Mar 3, 2022 - After Brief Dip Due to COVID ‑19, Monthly Felony IST Referrals Generally Have Risen to Above Pre ‑Pandemic Levels. In prior years, DSH experienced gradually rising felony IST referrals for competency restoration treatment.
https://lao.ca.gov/Publications/Report/4569

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

Mar 15, 2021 - What would be the fiscal impact of transitioning SNFs to managed care statewide, including both increased costs associated with newly paying for managed care plan overhead and earnings, as well as potential savings from reduced SNF utilization?
https://lao.ca.gov/Publications/Report/4404

Enhancing Federal Financial Participation for Consumers Served by the Department of Developmental Services

Nov 9, 2021 - If a family has been referred for institutional deeming, they have 30 days after receiving the Medi ‑Cal application to submit it, along with required documentation, back to the county before the referral expires.
https://lao.ca.gov/Publications/Report/4471

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - As of the Governor ’s May Revision, the IST waitlist was 278 individuals, which is less than the average monthly referrals (469 individuals) in 2024-25. The reductions to ongoing IST waitlist solutions funding include savings in early access and stabilization services, community-based restoration and diversion, and the county collaborative workgroup grant.
https://lao.ca.gov/Publications/Report/5075

The 2024-25 Budget: Department of Developmental Services

Feb 13, 2024 - Providers indicate that a continuing shortage of direct care staff could delay service provision to DDS consumers, as providers might have to decline referrals from regional centers due to lack of available staff.
https://lao.ca.gov/Publications/Report/4837