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

Oct 24, 2025 - H.R.  1 also reduces the federal matching rate for emergency services provided to childless adults with UIS. As with childless adults who have satisfactory immigration status, the federal government currently pays 90  percent of emergency care costs.
https://lao.ca.gov/Publications/Report/5083

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 - At a minimum, the new policy will disenroll affected beneficiaries who possess assets in excess of the new limit. The administrative requirements of demonstrating compliance with the new limit also could discourage participation among those who would otherwise still qua lify.
https://lao.ca.gov/Publications/Report/5092

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - H.R. 1 imposes new eligibility requirements on nondisabled childless adults who qualify for Medi ‑Cal via their income (that is, excluding individuals who qualify automatically because they receive SSI/SSP).
https://lao.ca.gov/Publications/Report/5157

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

May 16, 2017 - When considering the appropriate levels of state and county cost shares for programs, fiscal responsibility for a program should be matched with the level of control over that program. Matching fiscal responsibility with the level of control gives both the state and counties an incentive to manage costs to the extent possible.
https://lao.ca.gov/Publications/Report/3671

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

May 22, 2020 - Administration ’s Caseload Cost Projections Are Based on Questionable Assumptions About the Mix of Californians Who Are Likely to Join Medi-Cal … The administration ’s cost projections for new COVID-19-related caseload are based on assumptions about the characteristics of new enrollees as well as enrollees who remain on the program due to a pause in disenrollments (as shorthand, we describe both populations as new entrants into the program).
https://lao.ca.gov/Publications/Report/4245

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

Nov 9, 2021 - (The state also operates a 100  p ercent state ‑funded Medi ‑Cal program for certain individuals who are not eligible for the federally matched program due to immigration status.) If a consumer is not eligible for federally matched Medi ‑Cal, the state funds the total cost of RC ‑coordinated services.
https://lao.ca.gov/Publications/Report/4471

The 2023-24 Budget: Analysis of the Medi-Cal Budget

Feb 10, 2023 - Federal Match for Designated State Health Programs. In late January 2023, the Department of Health Care Services received federal waiver approval allowing the state to claim federal matching funds for certain existing programs that would otherwise be funded solely with state funds.
https://lao.ca.gov/Publications/Report/4675

The 2021-22 Budget: CalAIM: The Overarching Issues

Feb 9, 2021 - For example, CalAIM involves a broad array of new requirements on county partners (who play a key role in administering and delivering various services available through Medi ‑Cal). Specifically, CalAIM would make various changes that affect county responsibilities, such as ( 1)  t he transfer of responsibility for covering specialty mental health services in two counties where
https://lao.ca.gov/Publications/Report/4357

The 2021-22 Budget: Behavioral Health: Continuum Infrastructure Funding Proposal

Feb 17, 2021 - Counties Would Be Required to Provide Matching Funds. Under this proposal, counties would be required to provide matching funds —in the amount of 25  p ercent of grant funds —in order to receive grant funding.
https://lao.ca.gov/Publications/Report/4379