The 2025-26 Budget: Medi-Cal Fiscal Outlook

Nov 20, 2024 - This is because the measure requires the state to use more MCO tax money to increase Medi-Cal services, rather than to offset General Fund spending. The exact fiscal impact depends on how the state implements the measure ’s complex rules.
https://lao.ca.gov/Publications/Report/4941

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
https://lao.ca.gov/Publications/Report/5157

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

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

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

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

Nov 9, 2021 - Added State Costs Outside the DDS System Although DDS likely could achieve some savings by drawing down federal funding for children who are currently 100 p ercent state funded, there would be added Medi ‑Cal costs outside the DDS system for services such as IHSS and for regular Medi ‑Cal health insurance costs.
https://lao.ca.gov/Publications/Report/4471

Update on COVID-19 Spending in California

Nov 5, 2020 - Within the physical distancing category, most money has been spent on schools and community colleges to help local educational agencies shift to remote learning. The state also has spent money on housing and homelessness to facilitate physical distancing.
https://lao.ca.gov/Publications/Report/4292

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

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

Climate Change Impacts Across California - Crosscutting Issues

Apr 5, 2022 - Similarly, rural communities that are at greater risk of experiencing water shortages due to droughts tend to be home to large proportions of households with residents of color and who earn lower incomes.
https://lao.ca.gov/Publications/Report/4575