The 2021-22 Budget: Analysis of CalAIM Financing Issues

Feb 16, 2021 - …But Also Would Produce Different Winners and Losers … Moving to regional rates very likely would result in different winners and losers than under today ’s system. Under the current system, plans can be penalized if their costs are higher than other plans operating within their county .
https://lao.ca.gov/Publications/Report/4374

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

The 2021-22 Budget: CalAIM: The Overarching Issues

Feb 9, 2021 - Today, such services generally are accessible through other systems of care, but in many cases outside of Medi ‑Cal. Moreover, under CalAIM, additional Medi ‑Cal services would become accessible primarily through managed care.
https://lao.ca.gov/Publications/Report/4357

The 2020-21 May Revision: Recommend Reduction to Medi-Cal Caseload Costs

May 22, 2020 - We would expect childless adult enrollees to grow relatively proportionally to their current share of today ’s Medi-Cal caseload. We would expect that around 30  percent of new entrants into Medi-Cal be either childless adults or children in higher-income families, rather than the roughly 18  percent that the administration assumes.
https://lao.ca.gov/Publications/Report/4245

The 2017-18 Budget: The Governor's May Revision In-Home Supportive Services Cost-Sharing Proposal

May 16, 2017 - How 1991 Realignment Funds Flow Today and Effects of the May Revision Proposal How Funds Flow Today. Figure 3 shows how funds flow under 1991 realignment today: Step One: Fund the Base. Sales tax and vehicle license fee (VLF) revenues dedicated to 1991 realignment fund the “base. ” Generally, the base reflects the funding the realigned programs received in the prior year.
https://lao.ca.gov/Publications/Report/3671

The 2017-18 Budget: The Coordinated Care Initiative: A Critical Juncture

Feb 27, 2017 - How the Funds Flow Today. Figure  1 shows how funds flow under 1991 realignment today: Step One: Fund the Base. Sales tax and VLF revenues dedicated to 1991 realignment fund the “base. ” Generally, the base reflects the funding the realigned programs received in the prior year.
https://lao.ca.gov/Publications/Report/3585

The 2025-26 Budget: MCO Tax and Proposition 35

Feb 26, 2025 - For example, were the MCO tax to generate about as much net revenue in 2027 as it does today, we estimate only around one-third of the net revenue (rather than more than half under the Governor ’s budget) would be available for the General Fund offset.
https://lao.ca.gov/Publications/Report/4992

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - These effects, however, depend on the way that the state and counties will implement the new requirements, which is unknown  today. Spending on Emergency Care for Immigrants Has Fluctuated Notably. As part of a broader reporting requirement, the state annually reports to the federal government on the cost of covering emergency care for undocumented immigrants.
https://lao.ca.gov/Publications/Report/5092

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 2023-24 Budget: Overview of the Governor's Budget

Jan 13, 2023 - (That is, in our view, these costs would not have occurred absent legislative action and as a result do not contribute to the budget problem the Legislature faces today.) Comparison to LAO November Outlook.
https://lao.ca.gov/Publications/Report/4662