The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - H.R. 1 tightens the existing rules around proportionality, generally prohibiting states from charging higher rates on Medicaid services than non ‑Medicaid services. This notably limits states ’ ability to obtain a waiver from proportionality rules.
https://lao.ca.gov/Publications/Report/5146

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - Proposed Funding to Implement Recent Federal Rule The Governor ’s budget proposes $2.1  million General Fund ongoing to implement the federal Home ‑ and Community ‑Based Services Access Rule, which was finalized in 2024.
https://lao.ca.gov/Publications/Report/5157

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

Oct 24, 2025 - Impact to Medi‑Cal Beneficiaries and Caseload Millions of Medi ‑Cal Enrollees Likely Would Be Subject to New Eligibility and Cost ‑Sharing Rules. Most of the new Medicaid rules primarily apply to childless adults.
https://lao.ca.gov/Publications/Report/5083

Climate Change Impacts Across California - Crosscutting Issues

Apr 5, 2022 - Significant declines—or potential permanent extinctions—of the state’s native fish species represent not just a loss of public trust natural resources, but also impair the state’s fishing industry and economy, as well as dispossess some of California’s Native American communities of essential elements of their tribal culture.
https://lao.ca.gov/Publications/Report/4575

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - These savings occur because not implementing the new rules limits Medicaid caseload growth. How much of these savings accru e to California, however, is uncertain. California could choose to continue streamlining eligibility policies, even absent federal enforcement of the new rules.
https://lao.ca.gov/Publications/Report/5092

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

May 17, 2021 - 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 = California Conservation Corps; CEC = California Energy Commission; CNRA = California Natural Resources Agency; DFW = Department of
https://lao.ca.gov/Publications/Report/4432/7

The 2026-27 Budget: Medi-Cal Analysis [Publication Details]

Mar 2, 2026 - In this report, we analyze the Governor’s budget for Medi-Cal, with a focus on base spending trends, changes to provider taxes, implementation of new H.R. 1 rules, oversight over enacted budget solutions, and considerations for identifying additional savings in Medi-Cal.
https://lao.ca.gov/Publications/Detail/5146

The 2024-25 Budget: The MCO Tax Package at May Revision

May 22, 2024 - Federal Government Signaled Intent to Change Rules for Approving Tax in the Future. As we noted in our February analysis , the federal government has signaled that it intends to change rules around approving the MCO tax.
https://lao.ca.gov/Publications/Report/4905

The 2025-26 Budget: Medi-Cal Fiscal Outlook

Nov 20, 2024 - Potential Federal Rule Changes Could Affect MCO Tax in Future. In recent years, federal officials have indicated plans to change the rules around structuring health care-related taxes, including the MCO tax.
https://lao.ca.gov/Publications/Report/4941

The 2026-27 Budget: Department of Developmental Services [Publication Details]

Mar 13, 2026 - Analyzes the Governor’s budget for the Department of Developmental Services (DDS), with a focus on a budget proposal to continue planning the proposed Life Outcomes Improvement System (LOIS) information technology project, implementation of new H.R.
https://lao.ca.gov/Publications/Detail/5157