The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - The department released a Request for Information (RFI) in November 2025 with the goal of understanding industry best practices and vendor capacity for implementation. Responses to the RFI closed on January 23, 2026.
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

Enhancing Federal Financial Participation for Consumers Served by the Department of Developmental Services

Nov 9, 2021 - About 67,000 DDS consumers (or 21  p ercent) were not enrolled in Medi ‑Cal, but importantly, more than half of these consumers (about 37,00 0) d id not receive an RC ‑coordinated service and would not be eligible for waiver enrollment or would not receive 1915(i) SPA reimbursement.
https://lao.ca.gov/Publications/Report/4471

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - To maintain licensure, these entities must (1)  act in a payor ’s best interests; (2)  submit financial statements to DMHC; and (3)  submit drug pricing data to HCAI, among other requirements. Pharmacy benefit managers are to pay annual fees to support DMHC ’s and HCAI ’s ongoing regulatory costs.
https://lao.ca.gov/Publications/Report/5075

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 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 - 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

Climate Change Impacts Across California - Health

Apr 5, 2022 - The Legislature could consider adding new data submission requirements on measures related to the health impacts of climate change to facilitate statewide tracking of impact trends and guide state ‑level responses.
https://lao.ca.gov/Publications/Report/4580

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 2023-24 Budget: Whole Child Model Expansion

May 5, 2023 - Absent this proposal, these plans would administer the Whole Child Model in some of their counties and not in others, potentially adding to the complexity of administering services to their beneficiaries.
https://lao.ca.gov/Publications/Report/4767