The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - The department stated that its budget projections for 2026 ‑27 do not incorporate any potential added costs due to the changes in H.R 1. Will the department be able to determine whether its costs increase in the future due to H.R. 1?
https://lao.ca.gov/Publications/Report/5157

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - One possible reason for our higher estimate is that our model reflects not only disenrollment among current enrollees, but also reduced enrollment flows over time and a persistent risk of disenrollment among eligible individuals due to added administrative burden.
https://lao.ca.gov/Publications/Report/5146

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

Feb 5, 2025 - Ideally, behavioral health services would be provided in the righ t settings and offered in sufficient supply to allow for individuals to move through this continuum as their needs change. Otherwise, individuals may receive care at a higher or lower level of acuity than they need.
https://lao.ca.gov/Publications/Report/4954

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

Feb 19, 2021 - Counties would need to weigh this potential benefit against ( 1)  t he added responsibility of treating all felony ISTs and ( 2)  t he premium they would have to pay to send select felony ISTs to DSH.
https://lao.ca.gov/Publications/Report/4382

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

Oct 24, 2025 - …But Potentially With Added Complexity. Adding more flexibilities also could come with the potential downside of more complexity for beneficiaries and counties. For example, exempting high unemployment counties from work requirements could create more volatility.
https://lao.ca.gov/Publications/Report/5083

The 2025-26 Budget: Understanding Recent Increases in the Medi-Cal Senior Caseload

Mar 6, 2025 - In the paragraphs that follow, we provide our analysis that results in ou r estimate of at least 165,000 seniors being added due to eligibility expansions since 2020. (As a consequence of this estimate, it follows naturally that we estimate up to 60,000  seniors being added due to the effects of continuous coverage, the unwinding, and unwinding flexibilities, for a total increase of 225,000 seniors due to policy changes.)
https://lao.ca.gov/Publications/Report/5010

The 2021-22 Budget: Analysis of the Medi-Cal Budget

Feb 16, 2021 - The administration assumes this growth rate increases to 200,000 additional enrollees per month in January 2021, and that new enrollees will be added to the Medi ‑Cal caseload at that higher rate for the duration of 2021, with caseload peaking at more than 16  m illion in December 2021.
https://lao.ca.gov/Publications/Report/4373

The 2020-21 Budget: Analysis of the Department of Developmental Services Budget

Feb 7, 2020 - Arguably, consumers in this transitional age range and their families also could use added attention from their service coordinators. Given that more than 90  p ercent of DDS consumers are served by RCs that are out of compliance with caseload ratios, we to question why the proposal is limited to ages   3 t hrough 5.
https://lao.ca.gov/Publications/Report/4147

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - On the other hand, the freeze could incentivize some undocumented adults to pay the premium t o avoid being permanently locked out of comprehensive coverage. The interplay between these two budget solutions is challenging to predict.
https://lao.ca.gov/Publications/Report/5092

The 2025-26 Budget: CalAIM Enhanced Care Management and Community Supports Implementation Update

Mar 6, 2025 - The difficulty MCPs have in adding ECM and Community Supports providers may be keeping utilization rates lower than expected. Systemic Constraints Limit Utilization. Lower ‑than ‑expected utilization of certain benefits may be driven more by systemic constraints across different regions of the state rather than a low demand for those benefits.
https://lao.ca.gov/Publications/Report/5003