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

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: 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

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

Mar 6, 2025 - Some of these flexibilities helped seniors stay enrolled in Medi ‑ Cal —for example, one policy allowed counties to more easily renew eligibility for individuals who derive income from stable sources, such as social security and pensions.
https://lao.ca.gov/Publications/Report/5010

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

Jul 13, 2023 - For example, in 2016-17, PIT revenue grew by almost 6  percent while MHSA revenue declined by 6  percent. Measuring Revenue Volatility. In assessing the volatility of a data series, looking at the year-to-year changes in the data is important.
https://lao.ca.gov/Publications/Report/4780

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - For example, DHCS plans to end an existing policy providing automatic coverage of drugs for existing users when the drugs are removed from Medi-Cal ’s contract drug list. Moving forward, users will need to receive prior authorization to continue using the drugs.
https://lao.ca.gov/Publications/Report/5075

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - The second is an increase in the frequency of required eligibility determinations from every 12 months to every 6 months. Both changes likely will notably reduce the number of childless adults enrolled in Medi ‑Cal.
https://lao.ca.gov/Publications/Report/5092

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

Feb 5, 2025 - For example, the administration has provided scoring preferences for launch ‑ready projects throughout BHCIP, and continues to prioritize launch ‑ready projects for awards made using Proposition  1 bond dollars.
https://lao.ca.gov/Publications/Report/4954

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

Mar 6, 2025 - MCP members may be eligible for ECM under multiple POFs, but as shown in Figure  6 , the three most common POFs that members have qualified under are individuals experiencing homelessness, individuals at risk for hospitalization, and individuals with a serious mental illness or substance use disorder.
https://lao.ca.gov/Publications/Report/5003

Climate Change Impacts Across California - Crosscutting Issues

Apr 5, 2022 - For example, a  2015   economic assessment  by the Risky Business Project estimated that if current global GHG emission trends continue, between $8 billion and $10 billion of existing property in California is likely to be underwater by 2050, with an additional $6 billion to $10 billion at risk during high tide.
https://lao.ca.gov/Publications/Report/4575