The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - For example, the spending share of residential services has decreased from 46  percent to 38  percent, while the spending share of support and training services has increased from 8  percent to 15  percent.
https://lao.ca.gov/Publications/Report/5157

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

Oct 24, 2025 - Previous Medicaid law allowed, but did not require, states to impose cost ‑sharing requirements on select populations. The new requirement will only apply to childless adults earning more than 100  percent of the federal poverty limit.
https://lao.ca.gov/Publications/Report/5083

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

May 22, 2024 - Some money would remain in the reserve after this version of the MCO tax ends in 2026 to help sustain the augmentations in the future. This year ’s early action shifted $3.1  billion out of the reserve to help address the budget problem.
https://lao.ca.gov/Publications/Report/4905

Fiscal Outlook: In-Home Supportive Services (IHSS)

Nov 15, 2017 - The administration has conducted a number of stakeholder meetings to develop the policies for when an IHSS provider will be eligible to earn and use paid sick leave. We note that actual costs associated with paid sick leave will depend on the number of providers who earn and utilize paid sick leave.
https://lao.ca.gov/Publications/Report/3712

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Pursuant to state law, most of the decline in revenue will affect supplemental payments to private hospitals, with only a portion (around 25  percent) resulting in less money for existing Medi ‑Cal costs.
https://lao.ca.gov/Publications/Report/5092

The 2019-20 Budget: Undoing California’s Outstanding Budgetary Deferrals

Mar 26, 2019 - Depositing Money Into Reserves Generates Interest Payments. Money held in the state ’s cash reserves is not idle. The State Treasurer ’s Office (STO) invests state funds, including reserves, in the Pooled Money Investment Account (PMIA), generating an investment return.
https://lao.ca.gov/Publications/Report/3988

The 2025-26 Budget: Medi-Cal Pharmacy Spending

Apr 3, 2025 - These rebates provide money back to the Medi ‑Cal program, effectively helping to offset some of the cost of the drugs. Most of the savings come from federally negotiated rebates. In addition, the state also negotiates supplemental rebates.
https://lao.ca.gov/Publications/Report/5026

Update on COVID-19 Spending in California

Nov 5, 2020 - Medicaid is an entitlement program whose costs generally are shared between the federal government and states based on a set formula. In March, Congress approved a temporary 6.2  percentage point increase in the federal government ’s share of cost for state Medicaid programs.
https://lao.ca.gov/Publications/Report/4292

The Uncertain Affordable Care Act Landscape: What It Means for California

Feb 17, 2017 - Accrued interest and earnings in an HSA are also tax ‑free under current federal law. Current state law differs from federal law in that HSA contributions, interest, and earnings (but not distributions) are subject to the state income tax.
https://lao.ca.gov/Publications/Report/3569

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - Individuals must generally work, study, or volunteer at least 80  hours per month, or meet an earnings threshold (about $580 per month, equivalent to 80 hours at the federal minimum wage) unless they qualify for certain exemptions (such as having young children or being medically frail).
https://lao.ca.gov/Publications/Report/5146