The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - Governor’s Policy Choices Affecting UIS Population UIS ‑Related Proposals Come Amid a Challenging Fiscal Backdrop, but Some Fiscal Effects Rem ain Unclear. The proposals to extend the H.R. 1 requirements to adults with UIS and to transition newly UIS groups to restricted ‑scope coverage are policy choices.
https://lao.ca.gov/Publications/Report/5146

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - The Lanterman Act Grants Access to Services According to Each Consumer ’s Choices. The Lanterman Act guides the availability and delivery of services in DDS. The act states: “An array of services and supports should be established which is sufficiently complete to meet the needs and choices of each person with developmental disabilities, regardless of age or
https://lao.ca.gov/Publications/Report/5157

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

Oct 24, 2025 - Backfilling this lost federal funding, such as by creating a new state ‑only program for people disenrolled from Medi ‑Cal, would be a discretionary choice and a substantial change in existing state policy.
https://lao.ca.gov/Publications/Report/5083

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

May 17, 2021 - More importantly, the Legislature ’s time to deliberate over choices made in this budget is extremely limited. We recommend the Legislature delay some of those decisions and offer options for doing so.
https://lao.ca.gov/Publications/Report/4432

The 2025-26 Budget: Overview of the Governor's Budget

Jan 13, 2025 - Before accounting for discretionary choices, the budget position under the administration ’s estimates is similar to what it was under our November estimates. That is, both of our offices have assessed that the budget is roughly balanced.
https://lao.ca.gov/Publications/Report/4951

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

Nov 9, 2021 - To enroll, the consumer, parent, guardian, or legal representative must complete a DDS form called the “ Medicaid Waiver Consumer Choice of Services/Living Arrangement ” (which we refer to as the “DDS choice form”) indicating that they have chosen a community‑based residence for the consumer, rather than an ICF. 1915(i) SPA Eligibility: Consumers must be a legal resident, enrolled in Medi ‑Cal, and live in a community ‑based residence.
https://lao.ca.gov/Publications/Report/4471

The 2023-24 Budget: Department of Developmental Services

Feb 15, 2023 - The federal Centers for Medicare and Medicaid Services approved a new rule in 2014 that requires states to ensure that any Medicaid ‑funded HCBS services promote person ‑centered planning, individual choice, and increased independence and are provided in the most integrated setting possible.
https://lao.ca.gov/Publications/Report/4683

The 2022-23 California Spending Plan: Health

Oct 24, 2022 - The new policy will maintain the rates currently paid for telehealth services, include various changes to protect patient consent and choices, and reduce the use of audio-only visits in favor of in-person or video-only visits.
https://lao.ca.gov/Publications/Report/4642

The 2022-23 Budget: Overview of the Governor's Budget

Jan 13, 2022 - On January 10, 2022, Governor Newsom presented his proposed state budget to the Legislature. In this report, we provide a brief summary of the proposed budget based on our initial review. In the coming weeks, we will analyze the plan in more detail and release several additional budget analyses.
https://lao.ca.gov/Publications/Report/4492

The 2023-24 Budget: Analysis of the Governor’s Major Behavioral Health Proposals

Feb 16, 2023 - Supporters are volunteers who assist the respondent in all aspects of the CARE  program, help to develop a CARE plan, and ensure that respondents can make informed choices and maintain autonomy. Additionally, the Governor ’s budget includes $1.1  million in ongoing funding to DHCS that was approved in the 2022 ‑23 budget to provide technical assistance and oversight for counties on the implementation of the CARE program.
https://lao.ca.gov/Publications/Report/4689