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

Nov 28, 2016 - However, this report focuses on seniors, and where possible in this section, we present data specific to the senior population. Defining Disability and LTSS Disability Is Measured by Limitations in Daily Activities.
https://lao.ca.gov/Publications/Report/3509

The 2025-26 Budget: Medi-Cal Fiscal Outlook

Nov 20, 2024 - Just as these flexibilities appear to have been successful in minimizing the impacts of r edeterminations on Medi-Cal enrollees, the extent to which caseload will return to more normal historical levels if they are allowed to expire will be a key issue to watch.
https://lao.ca.gov/Publications/Report/4941

The 2022-23 Budget: Analysis of the Medi-Cal Budget

Feb 9, 2022 - To assess the reasonableness of the Governor ’s projections, we model two scenarios —one where the PHE  expires in April 2022 and another where the PHE is extended until July 2022. In both scenarios, we project lower caseload than the administration and hundreds of millions of dollars in General Fund savings across 2021 ‑22 and 2022 ‑23 compared to the Governor ’s January  budget.
https://lao.ca.gov/Publications/Report/4522

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - Where relevant, this section notes where there are potential levers available if the Legislature wishes to adjust spending. The Legislature could have greater insight into these spending drivers, as well as potential spending adjustments, if the department were to provide richer data.
https://lao.ca.gov/Publications/Report/5157

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

Feb 5, 2025 - In one area where a robust needs assessment has been performed (inpatient mental health facilities), however, we found that a majority of new capacity is being added in four (out of ten) regions of the state estimated to have the least need.
https://lao.ca.gov/Publications/Report/4954

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

Oct 24, 2025 - Recommend Legislature Set Goals in Statute, Where Possible. Some of the implementation actions under H.R.  1 will require the Legislature to adopt conforming legislation. In other cases, DHCS may have sufficient authority to act without changes to statute.
https://lao.ca.gov/Publications/Report/5083

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - The administration has stated that it intends to hire one or multiple contractors to identify areas where operations could be improved to achieve savings, as well as to identify new ways to improve processes.
https://lao.ca.gov/Publications/Report/5075

The 2025-26 Budget: Overview of the Governor's Budget

Jan 13, 2025 - Two key areas where these savings have eroded are in the managed care organization (MCO) tax package and reductions to state operations. These are described in the box below. The forthcoming Appendix 1 will also provide a full list of the solutions from the 2024 ‑25 budget package that generate savings in 2025 ‑26.
https://lao.ca.gov/Publications/Report/4951

The 2021-22 Budget: CalAIM: The Overarching Issues

Feb 9, 2021 - Explore Where Delays in Implementation May Be Possible and Advisable. The scope and speed of CalAIM implementation under the Governor ’s plan create two significant challenges. First, many important policy decisions on which CalAIM components to adopt would have to be made by the summer of 2021.
https://lao.ca.gov/Publications/Report/4357

The 2023-24 Budget: Health Workforce Budget Solutions

Feb 21, 2023 - In particular, the Legislature could prioritize areas where there is a clear probl em definition of the workforce issue, there is a particularly acute need, and where proposed solutions have a proven track record.
https://lao.ca.gov/Publications/Report/4691