The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - The new rules are already technically in effect, though the federal Department of Health and Human Services can grant states additional time to comply with the new rules. Initial federal guidance released late last year suggested that California might have to restructure its health plan tax in June 2026, with potentially more time available for other kinds of provider taxes.
https://lao.ca.gov/Publications/Report/5146

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - The final rule imposes a series of new requirements on states with staggered deadlines over the next several years. These requirements include establishing grievance systems for home ‑ and community ‑based services, reporting on service delivery timeliness, and establishing an advisory group on rates paid to direct care workers, among other items.
https://lao.ca.gov/Publications/Report/5157

The 2026-27 Budget: Department of Developmental Services [Publication Details]

Mar 13, 2026 - Analyzes the Governor’s budget for the Department of Developmental Services (DDS), with a focus on a budget proposal to continue planning the proposed Life Outcomes Improvement System (LOIS) information technology project, implementation of new H.R.
https://lao.ca.gov/Publications/Detail/5157

The 2026-27 Budget: Medi-Cal Analysis [Publication Details]

Mar 2, 2026 - In this report, we analyze the Governor’s budget for Medi-Cal, with a focus on base spending trends, changes to provider taxes, implementation of new H.R. 1 rules, oversight over enacted budget solutions, and considerations for identifying additional savings in Medi-Cal.
https://lao.ca.gov/Publications/Detail/5146