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

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

Apr 19, 2021 - This process likely cannot be changed easily however, given that the Medi-Cal application form (which is also the Covered California form) and process for determining eligibility follows federal guidelines and has federal approval.
https://lao.ca.gov/Publications/Report/4415

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

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

Nov 9, 2021 - This process likely cannot be changed easily, however, given that the Medi ‑Cal application form (which is also the Covered California form) and process for determining eligibility follows federal guidelines and has federal approval.
https://lao.ca.gov/Publications/Report/4471

The 2021-22 Budget: Medi-Cal Enterprise System Modernization Effort

Feb 17, 2021 - Many of the Medi ‑Cal program ’s IT systems do not meet the updated guidelines and standards in the federal government ’s recommended framework for state Medicaid IT systems, known as the Medicaid Information Technology Architecture (MITA).
https://lao.ca.gov/Publications/Report/4375

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

Climate Change Impacts Across California - Health

Apr 5, 2022 - As  more agencies begin to implement programs meant to reduce adverse health effects from climate change, the Legislature could consider adding a requirement that the administering department consult with CDPH when developing those programs ’ regulations or guidelines.
https://lao.ca.gov/Publications/Report/4580