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

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

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

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 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

The 2022-23 Budget: Health Care Access and Affordability

Feb 23, 2022 - Cost ‑Sharing Reductions. While the APTC offsets premium costs, cost ‑sharing reductions are subsidies that reduce households ’ out ‑of ‑pocket costs such as co ‑pays, deductibles, and annual out ‑of ‑pocket maximums.
https://lao.ca.gov/Publications/Report/4560

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - These new costs come from financing policies that result in less provider tax revenue and federal cost sharing ($5.1  billion). Our outlook also estimates that eligibility changes in H.R. 1 will reduce Medi ‑Cal caseload by 1.6  million people by 2029 ‑30, partially offsetting costs ($1.9  billion).
https://lao.ca.gov/Publications/Report/5092

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - These rate increases reflect higher costs in the Medi-Cal program. Accordingly, the administration ’s Proposition  35 spending plan treats this cost growth as an augmentation in 2025 and 2026. Because the General Fund would have otherwise covered these costs, the spending plan also scores these amounts as budget solutions.
https://lao.ca.gov/Publications/Report/5075

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

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

Nov 9, 2021 - Added State Costs Outside the DDS System Although DDS likely could achieve some savings by drawing down federal funding for children who are currently 100 p ercent state funded, there would be added Medi ‑Cal costs outside the DDS system for services such as IHSS and for regular Medi ‑Cal health insurance costs.
https://lao.ca.gov/Publications/Report/4471