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

A Long-Term Outlook: Disability Among California’s Seniors

Nov 28, 2016 - Seniors turning 65 between 2015 and 2019 who have greater than a high school education spend fewer years on average with one or more ADL limitations than seniors with a high school degree or GED credential and seniors with less than a high school education (4.2 years vs. 4.8 years and 5.8  years, respectively).
https://lao.ca.gov/Publications/Report/3509

The 2021-22 Budget: CalAIM: Equity Considerations

Mar 12, 2021 - Any improved health outcomes that result from CalAIM could improve health equity insofar as the improved outcomes are concentrated among groups that disproportionately suffer poor health outcomes today.
https://lao.ca.gov/Publications/Report/4402

The 2020-21 Budget: Re-Envisioning Medi-Cal—The CalAIM Proposal

Feb 28, 2020 - The assessment showed that plan performance was below the state ’s longstanding, low minimum performance standard for nearly one ‑quarter of the HEDIS measures and that plan quality scores have declined or remained stagnant about as often as they have improved.
https://lao.ca.gov/Publications/Report/4185

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 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - This moratorium comprises a substantial portion of the estimated federal savings in Congressional fiscal scoring sheets. These savings occur because not implementing the new rules limits Medicaid caseload growth.
https://lao.ca.gov/Publications/Report/5092

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 2021-22 Budget: Analysis of CalAIM Financing Issues

Feb 16, 2021 - Today, managed care plans may offer such services but would not be reimbursed for the associated costs. As one final example, CalAIM would require that all counties implement pre ‑release Medi ‑Cal application processes for inmates.
https://lao.ca.gov/Publications/Report/4374