The 2025-26 California Spending Plan: Health

Oct 16, 2025 - The spending plan eliminates supplemental payments for specific dental services, which were originally established in the 2017-18 Budget Act as part of the Proposition  56 (2016) spending plan. Since 2017, the Legislature has continued funding these supplemental payments in subsequent budget acts.
https://lao.ca.gov/Publications/Report/5075

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - The department has stated that its goal is to have as many providers as possible earn the quality payments, but it has not yet discussed how it might approach circumstances in which providers do not achieve them.
https://lao.ca.gov/Publications/Report/5157

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

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 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - Although H.R. 1 does not require states to apply the community engagement requirement and six ‑month renewals to adults with UIS (whose Medi ‑Cal full scope coverage is entirely state ‑funded), the administration proposes to do so.  
https://lao.ca.gov/Publications/Report/5146

The 2025-26 Budget: Medi-Cal Pharmacy Spending

Apr 3, 2025 - These drugs do not come with rebates, because federally require d price reductions already occurred at the front end when the pharmacy purchased the drugs. Federal guidance also directs states to exclude claims that do not come with a federal share of cost.
https://lao.ca.gov/Publications/Report/5026

The 2021-22 Budget: CalAIM: New Directions for Services for Seniors and Persons With Disabilities

Mar 15, 2021 - Then, in 2017 ‑18, IHSS funding was removed from managed care. MSSP generally never transitioned to becoming a managed care benefit. Many Dually Eligible Beneficiaries Chose Not to Participate in Cal MediConnect.
https://lao.ca.gov/Publications/Report/4404

The 2021-22 Budget: Behavioral Health: Continuum Infrastructure Funding Proposal

Feb 17, 2021 - Chapter   33 o f 2016 (S B  843 , Committee on Budget and Fiscal Review) established the Community Services Infrastructure Grant Program, providing $65. 8  m illion General Fund one ‑time as part of the 2017 ‑ 18 b udget.
https://lao.ca.gov/Publications/Report/4379

Considering Medi-Cal in the Midst of a Changing Fiscal and Policy Landscape

Oct 24, 2025 - While considerably lower than in the existing disproportionate tax, this matching rate is far higher than what the state accomplishes with most other taxes, which do not generally directly draw down more federal funds.
https://lao.ca.gov/Publications/Report/5083

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

Nov 9, 2021 - Reasons Offered for Not Enrolling in Medi ‑Cal or the Waiver or Being Hesitant to Do So. Some themes emerged about reasons certain families either do not want to enroll their consumer family member in Medi ‑Cal or the waiver or that made them hesitant in the process of doing so.
https://lao.ca.gov/Publications/Report/4471