The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - In response, the department released guidance on February 11, 2026 indicating that providers will have the opportunity to earn a partial year of quality payments if they come into compliance after the February 27 deadline.
https://lao.ca.gov/Publications/Report/5157

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - In 2025, the state also submitted a one ‑year private hospital fee, generating around $11  billion in revenue, for federal approval. The federal government has not yet approved this higher fee. Voters Have Made Largest Provider Taxes Permanent in State Law.
https://lao.ca.gov/Publications/Report/5146

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

Mar 6, 2025 - As shown in Figure 11, this growth in first‑time‑enrolling Medi‑Cal enrollees is unique to seniors. From the third quarter of 2022 through the fourth quarter of 2024, we estimate that about 115,000 first‑time‑enrolling seniors enrolled in Medi‑Cal over the historical average new enrollment.
https://lao.ca.gov/Publications/Report/5010

The 2025-26 Budget: CalAIM Enhanced Care Management and Community Supports Implementation Update

Mar 6, 2025 - Figure 10 Top Reasons Providers Did Not Participate in ECM or Community Supports Reasons Given By Providers
https://lao.ca.gov/Publications/Report/5003

The 2021-22 Budget: Initial Comments on the Governor’s May Revision

May 17, 2021 - (We also include links to Appendix tables at the end of this post and the top left of this page. These appendix tables itemize select proposals by policy area based on our understanding at this time.)
https://lao.ca.gov/Publications/Report/4432

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

Feb 5, 2025 - The $4.4  billion comes on top of $1.8  billion in state and federal funds that have already been dedicated to this purpose in a multiyear spending initiative begun in 2021 ‑ 22 —the Behavioral Health Continuum Infrastructure Program (BHCIP).
https://lao.ca.gov/Publications/Report/4954

The 2025-26 Budget: Medi-Cal Pharmacy Spending

Apr 3, 2025 - As Figure  4 shows, the top 30 drugs in terms of spending (out of about 950 drug categories) represented less than 20  percent of all prescriptions (left column) but more than 50  percent of gross spending (right column).
https://lao.ca.gov/Publications/Report/5026

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - As Figure  11 shows, however, the trend in spending has been quite volatile. Most of this trend is likely due to federally required changes to the state ’s reporting processes. These recent changes in reporting resulted in much higher estimates compared to past years.
https://lao.ca.gov/Publications/Report/5092

The 2023-24 Budget: Department of Developmental Services

Feb 15, 2023 - (Prior to the full implementation of the quality incentive payment as 10  percent of the total rate, the state began providing some smaller quality incentive payments on top of providers ’ typical rates in 2022 ‑23.)
https://lao.ca.gov/Publications/Report/4683

The 2024-25 Budget: Department of Developmental Services

Feb 13, 2024 - The average annual growth rate in total funds over the past ten years is about 11  percent. Primary drivers of the year ‑over ‑year General Fund growth include rising caseload and increased utilization of services.
https://lao.ca.gov/Publications/Report/4837