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 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - The department stated that its budget projections for 2026 ‑27 do not incorporate any potential added costs due to the changes in H.R 1. Will the department be able to determine whether its costs increase in the future due to H.R. 1?
https://lao.ca.gov/Publications/Report/5157

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

Mental Health Services Act: Impact of Governor's Proposal on Funding for Children and Youth

Aug 10, 2023 - While CYBHI added significant ongoing resources, most of the package was one time or temporary in nature, whereas MHSA provides ongoing funds to counties. There are also important differences, relative to MHSA-funded county programs, in the reach and focus of CYBHI programs.
https://lao.ca.gov/Publications/Report/4786

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - The amount rises to $47.3  billion in 2026 ‑27, ultimately reaching $51.6  billion by 2029 ‑30. The Medi ‑Cal growth rate over the outlook period (averaging 3.5  percent annually) is lower than the average annual growth rate for the overall state budget.
https://lao.ca.gov/Publications/Report/5092

The 2025-26 Budget: Understanding Recent Increases in the Medi-Cal Senior Caseload

Mar 6, 2025 - In the paragraphs that follow, we provide our analysis that results in ou r estimate of at least 165,000 seniors being added due to eligibility expansions since 2020. (As a consequence of this estimate, it follows naturally that we estimate up to 60,000  seniors being added due to the effects of continuous coverage, the unwinding, and unwinding flexibilities, for a total increase of 225,000 seniors due to policy changes.)
https://lao.ca.gov/Publications/Report/5010

Mental Health Services Act: Proposed Bond to Fund Behavioral Health Facilities and Veterans Housing

Aug 17, 2023 - Grant recipients would be required to operate the facilities and units added by the bond for at least 30 years. The proposal is silent on the types of entities that would be eligible to receive grants.
https://lao.ca.gov/Publications/Report/4790

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

Feb 5, 2025 - Strategies to do so have included expanding the behavioral health workforce; adding benefits and increasing rates in Medi ‑Cal; and increasing capacity through managed care plans, schools, and in other  settings.
https://lao.ca.gov/Publications/Report/4954

The 2021-22 Budget: Analysis of the Medi-Cal Budget

Feb 16, 2021 - CalAIM is a far ‑reaching set of reforms to expand, transform, and streamline Medi ‑Cal service delivery and financing. To implement CalAIM, the Governor proposes $ 532  m illion General Fund ($1. 1  b illion total funds) in 2021 ‑22.
https://lao.ca.gov/Publications/Report/4373

The 2021-22 Budget: Behavioral Health: Community Care Demonstration Project

Feb 19, 2021 - Felony IST Waitlist Has Reached New High, in Part Due to COVID ‑19 Restrictions. Prior to the ongoing coronavirus disease 2019 (COVID ‑1 9) p andemic, the number of felony ISTs on the waitlist for competency restoration was typically around 800 i ndividuals (with an average wait time exceeding 100 days).
https://lao.ca.gov/Publications/Report/4382