The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - Individuals must generally work, study, or volunteer at least 80  hours per month, or meet an earnings threshold (about $580 per month, equivalent to 80 hours at the federal minimum wage) unless they qualify for certain exemptions (such as having young children or being medically frail).
https://lao.ca.gov/Publications/Report/5146

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - Specifically, H.R.  1 requires these adults to (1)  verify that they have completed at least 80 hours per month of work, education, or community service, and (2)  verify eligibility every six months, rather than every 12  months.
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

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 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 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - The first is a new community engagement requirement, which conditions Medi ‑Cal eligibility on completing 80 hours of work, school, or community service each month. The second is an increase in the frequency of required eligibility determinations from every 12 months to every 6 months.
https://lao.ca.gov/Publications/Report/5092

The 2024-25 Budget: Medi-Cal Analysis

Feb 14, 2024 - Such an approach could have the added benefit of spreading the fiscal risks of the proposed package over a longer period of time, including by delaying the timing of when the provider payment reserve is depleted.
https://lao.ca.gov/Publications/Report/4838

The 2024-25 Budget: Future of Public Health Budget Solution

May 21, 2024 - There are about 400 state positions and 1,300 local positions supported by Future of Public Health funding, and approximately 80  percent of hires have been made to date. Given the limited flexibility of the CDPH ’s funding and the number of state hires made, the state likely would be unable to use existing vacancies in other programs to fully mitigate the elimination of the Future of Public Health funding.
https://lao.ca.gov/Publications/Report/4904

Mental Health Services Act: Revenue Volatility and the Governor’s Proposal to Reduce Allowable County Reserves

Jul 13, 2023 - One way to measure the variability in a data series is average deviation (AD). AD summarizes —for a given time period —how many percentage points the data in a series deviate from the average growth rate.
https://lao.ca.gov/Publications/Report/4780

The 2024-25 Budget: Department of Health Care Access and Information

Feb 27, 2024 - In 2023 ‑24, the department has a budget of $1.2  billion, of which $992  million (80  percent) comes from General Fund support. General Fund Support Has Expanded in Recent Years. Prior to 2017 ‑18, the department (then known as OSHPD) did not receive General Fund support.
https://lao.ca.gov/Publications/Report/4860