The 2025-26 California Spending Plan: Health

Oct 16, 2025 - Accordingly, as a budget solution, the spending plan elimi nates $45  million unspent carryover construction funds in 2024-25. Supports New Diaper Access Initiative. The spending plan includes General Fund spending of $7.4  million in 2025-26 and $12.5  million in 2026-27 for a new two-year diaper access initiative.
https://lao.ca.gov/Publications/Report/5075

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - This federal HCBS funding has historically supported about 35  percent to 45  percent of total costs in DDS. Of the DDS consumers enrolled in Medi ‑Cal, the majority (about 60  percent based on the most recent available data) qualify automatically because they receive Supplemental Security Income/State Supplementary Payment (SSI/SSP).
https://lao.ca.gov/Publications/Report/5157

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - This section focuses on (1)  new community engagement requirements, (2)  the new six ‑month renewal requirement, and (3)  changes that eliminate federally funded full ‑scope (comprehensive) Medi ‑Cal coverage for certain immigrant groups.
https://lao.ca.gov/Publications/Report/5146

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: 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 Fiscal Outlook

Nov 19, 2025 - On the other hand, the freeze could incentivize some undocumented adults to pay the premium t o avoid being permanently locked out of comprehensive coverage. The interplay between these two budget solutions is challenging to predict.
https://lao.ca.gov/Publications/Report/5092

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

Feb 16, 2021 - Proposition   56 r evenues provided about $1. 3  b illion in 2019 ‑ 20 t o Medi ‑Cal. Because tobacco use is projected to continue to decline on an ongoing   basis —partially  as a result of the new taxes put in place under Proposition   56 —revenues  from Proposition  56 for Medi ‑Cal are expected to gradually decline on a year ‑over ‑year basis.
https://lao.ca.gov/Publications/Report/4373

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

Feb 19, 2021 - Counties would need to weigh this potential benefit against ( 1)  t he added responsibility of treating all felony ISTs and ( 2)  t he premium they would have to pay to send select felony ISTs to DSH.
https://lao.ca.gov/Publications/Report/4382

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

Oct 24, 2025 - Impact to Medi‑Cal Beneficiaries and Caseload Millions of Medi ‑Cal Enrollees Likely Would Be Subject to New Eligibility and Cost ‑Sharing Rules. Most of the new Medicaid rules primarily apply to childless adults.
https://lao.ca.gov/Publications/Report/5083

The 2022-23 Budget: Department of Developmental Services

Mar 29, 2022 - It recommended maximum Early Start caseloads of 45 per RC service coordinator (but noted additional research may be needed). The  Governor ’s budget in 2020 also proposed caseload ratios of 1:45 for ages 3, 4, and 5, but the proposal was withdrawn once the pandemic hit.
https://lao.ca.gov/Publications/Report/4577