Overview of Proposition 1 and Assessment of Behavioral Health Continuum Infrastructure Program [Publication Details]

Apr 7, 2025 - Overview of Proposition 1 and Assessment of Behavioral Health Continuum Infrastructure Program [Publication Details] Translate Our Website This Google ™ translation feature provided on the Legislative Analyst's Office (LAO) website is for informational purposes only.
https://lao.ca.gov/Publications/Detail/5027

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

Oct 24, 2025 - H.R.  1 also scales back states ’ use of provider taxes by ratcheting down an existing revenue limit. The current limit —set at 6  percent of a taxed provider group ’s overall net patient revenue —is intended to prevent states from adopting very large taxes and imposing high costs on the federal government.
https://lao.ca.gov/Publications/Report/5083

Considering Medi-Cal in the Midst of a Changing Fiscal and Policy Landscape [Publication Details]

Oct 24, 2025 - We describe the changing fiscal and policy landscape for Medi-Cal resulting from Congressional enactment of H.R. 1 and the key issues facing the Legislature.  See our companion infographic
https://lao.ca.gov/Publications/Detail/5083

Overview of Major Impacts of H.R. 1—One Big Beautiful Bill Act on CalFresh [Publication Details]

Nov 13, 2025 - Overview of Major Impacts of H.R. 1—One Big Beautiful Bill Act on CalFresh [Publication Details] Translate Our Website This Google ™ translation feature provided on the Legislative Analyst's Office (LAO) website is for informational purposes only.
https://lao.ca.gov/Publications/Detail/5090

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Federal Policy Changes Will Impact Medi ‑Cal ’s Budget, Reducing Funding to the State . After the state ’s enactment of the 2025 ‑26 Budget Act in June 2025, Congress enacted H.R. 1 in July. Among other areas, H.R. 1 makes several significant changes to federal Medicaid policy with the aim of reducing federal costs.
https://lao.ca.gov/Publications/Report/5092

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

Nov 19, 2025 - This brief summarizes our annual outlook for General Fund spending on Medi-Cal.
https://lao.ca.gov/Publications/Detail/5092

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

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - The reduction to the state ’s health plan tax revenue is not necessarily required by H.R. 1 in the short term. Rather, the lower revenues are due to the interaction of H.R.  1 ’s new proportionality rules with Proposition  35 ’s limit on taxing commercial enrollment.
https://lao.ca.gov/Publications/Report/5146

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

Feb 5, 2025 - This approach may create a significant challenge for small and disadvantaged applicants and may be limiting the program ’s success in siting the hardest ‑to ‑build facilities. Oversight of BHCIP Needed to Maximize Success of Proposition  1 Bond.
https://lao.ca.gov/Publications/Report/4954

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - To maintain licensure, these entities must (1)  act in a payor ’s best interests; (2)  submit financial statements to DMHC; and (3)  submit drug pricing data to HCAI, among other requirements. Pharmacy benefit managers are to pay annual fees to support DMHC ’s and HCAI ’s ongoing regulatory costs.
https://lao.ca.gov/Publications/Report/5075