The 2021-22 Budget: Analysis of the Governor’s Medi-Cal Telehealth Proposal

May 13, 2021 - Below, we highlight several outstanding questions we have about the fiscal impact of telehealt h expansions. How Do Provider Expenses for Delivering Telehealth Services Differ From In ‑Person Services?
https://lao.ca.gov/Publications/Report/4430

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - Residential services, which include independent and supported living services either in a consumer ’s home or in licensed facilities that provide 24 ‑hour nonmedical residential care, typically have a relatively higher cost per person due to the comprehensiveness of the service provided (including personal services, supervision, and/or assistance essential for self ‑protection or completing the activities of daily living).
https://lao.ca.gov/Publications/Report/5157

The 2023-24 Budget: Department of Developmental Services

Feb 15, 2023 - This  is most evident in the rate for Independent Living Services, which assumes staffing costs equivalent to Supported Living Services despite the former being a much more intensive service model. In addition, we have heard concerns about the lack of ongoing inflation adjustments.
https://lao.ca.gov/Publications/Report/4683

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

Mar 6, 2025 - Nursing facility transition to a home Services provided to assist beneficiaries transitioning from nursing facility care to home settings in which they are responsible for living expenses. Personal care and homemaker services Services provided to assist beneficiaries with daily living activities, such as bathing, dressing, housecleaning, and grocery shopping.
https://lao.ca.gov/Publications/Report/5003

Mental Health Services Act: Proposed Bond to Fund Behavioral Health Facilities and Veterans Housing

Aug 17, 2023 - Other details that are missing from the statutory proposal include the methodology for allocating grant funds, the anticipated implementation time line, the extent to which a portion of the bond proceeds would be set aside for veterans housing, and the prioritization of bond proceeds for various types of behavioral h ealth facilities.
https://lao.ca.gov/Publications/Report/4790

The 2022-23 Budget: Department of Developmental Services

Mar 29, 2022 - For example, in 2020 ‑21, all but one RC spent more (on average, 23  percent more) on white consumers living with their parents than on Latinos consumers living with their parents. Every RC spent more (on average, 61  percent more) on independent or supported living services for white consumers living on their own relative to Latino consumers in similar situations.
https://lao.ca.gov/Publications/Report/4577

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

Feb 5, 2025 - The state has a clear interest in building out behavioral h ealth infrastructure in California to avoid these consequences. Program Overview and Budget BHCIP a Key Component of Overall State Strategy to Increase Supply of Behavioral Health Services.
https://lao.ca.gov/Publications/Report/4954

Enhancing Federal Financial Participation for Consumers Served by the Department of Developmental Services—An Interim Update

Apr 19, 2021 - This eligibility pathway identifies children in the DDS system whose families are not income-eligible for Medi-Cal, but who could benefit from enrolling in the waiver because they live in a community setting and require an ICF level of care.
https://lao.ca.gov/Publications/Report/4415

The 2024-25 Budget: Department of Developmental Services

Feb 13, 2024 - DDS reports that adult Hispanic/Latino consumers are more likely than white consumers to live at home and thus consume fewer residential services. While  this could be one contributing factor to lower spending levels for Hispanic/Latino consumers, the circumstances of living at home could mask service needs that are not being met.
https://lao.ca.gov/Publications/Report/4837

Climate Change Impacts Across California - Crosscutting Issues

Apr 5, 2022 - Low ‑income residents also are more likely to live in older housing that requires modifications —such as air conditioning or more fire ‑resistant exteriors —to adapt to increased risks. Notably, low ‑income residents also are more likely to live in rental housing, and thus more likely to be reliant on landlords to conduct modifications to their homes to mitigate the effects of climate change.
https://lao.ca.gov/Publications/Report/4575