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

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 - 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

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

Feb 5, 2025 - The Behavioral Health Continuum Infrastructure Program (BHCIP) was created in the 2021 budget to help address the shortage of services. So far, BHCIP has awarded $1.8 billion in grants to build facilities meant to expand mental health and substance use disorder (SUD) treatment in California.
https://lao.ca.gov/Publications/Report/4954

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Specifically, both the timing and size of effects from state budget solutions and H.R. 1 will help shape Medi‑Cal spending in the coming years. Below, we describe each area of uncertainty. When Will Federal Policy Changes Take Effect?
https://lao.ca.gov/Publications/Report/5092

The 2021-22 Budget: Assessment of CalHEERS Dashboard

Mar 25, 2021 - In response to CWDA and SEIU ’s concerns, DHCS began to develop a “dashboard ” that would help catalog each defect and new functionality related to Medi ‑Cal eligibility identified by stakeholders in CalHEERS.
https://lao.ca.gov/Publications/Report/4408

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 2025-26 California Spending Plan: Health

Oct 16, 2025 - Half of the funds supported a contract with a private partner, and the other half was to help construct a new manufacturing facility in California. Since this time, the private partner has started initial manufacturing in a facility in Virginia.
https://lao.ca.gov/Publications/Report/5075

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

Apr 19, 2021 - This approach could come with added costs for RC operations. For example, RC staff likely would have to spend more time helping families through the process and likely would need more training to ensure they fully understand the Medi-Cal application process.
https://lao.ca.gov/Publications/Report/4415

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

Mar 6, 2025 - In order to support the implementation of ECM and Community Supports, the state implemented the PATH initiative and the Incentive Payment Program (IPP) to help create and expand program infrastructure.
https://lao.ca.gov/Publications/Report/5003