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

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

The 2021-22 Budget: Initial Comments on the Governor’s May Revision

May 17, 2021 - We only plan to update this figure for very significant changes (that is, those greater than $500 million). CDPH = California Department of Public Health; COVID ‑19 = coronavirus disease 2019; CHHS = California Health and Human Services Agency; HHS = Health and Human Services; GARE = Government Alliance on Race and Equity; EMSA = Emergency Medical Services Authority; CalAIM =
https://lao.ca.gov/Publications/Report/4432/2

The 2021-22 Budget: Initial Comments on the Governor’s May Revision

May 17, 2021 - We only plan to update this figure for very significant changes (that is, those greater than $500 million). ADRC = Aging and Disability Resources Centers; Cal ‑OAR = CalWORKs Outcomes and Accountability Review; IT = information technology; FFPSA = Federal Family First Prevention Services Act; DCSD = Department of Community Services and Development; DDS = Department of
https://lao.ca.gov/Publications/Report/4432/5

The 2021-22 Budget: Initial Comments on the Governor’s May Revision

May 17, 2021 - We only plan to update this figure for very significant changes (that is, those greater than $500 million). CalEPA = California Environmental Protection Agency; CalFire = California Department of Forestry and Fire Protection; CalRecycle = California Department of Resources Recycling and Recovery; CARB = California Air Resources Board; ZEV = zero ‑emission vehicle; CCC =
https://lao.ca.gov/Publications/Report/4432/7

The 2021-22 Budget: Initial Comments on the Governor’s May Revision

May 17, 2021 - We only plan to update this figure for very significant changes (that is, those greater than $500 million). CAC = California Arts Council; CalVet = California Department of Veterans Affairs; CDE = California Department of Education; CDFA = California Department of Food and Agriculture; CDI = California Department of Insurance; CDT = California Department of Technology; SOC =
https://lao.ca.gov/Publications/Report/4432/6

The 2024-25 Budget: Medi-Cal Fiscal Outlook

Dec 7, 2023 - We estimate that Medi-Cal General Fund spending will be $37  billion in 2023-24, a decrease of about $500  million (1.3  percent) compared to the enacted level. This adjustment largely is driven by lower levels of caseload than was projected in the budget act.
https://lao.ca.gov/Publications/Report/4820