The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - The funding to implement the rate study ’s recommended rate models was phased in beginning in 2021 ‑22, ramping up to current levels by 2024 ‑25. The increased funding was intended to support a sufficient supply of quality service providers by raising funding levels for providers via increased rates.
https://lao.ca.gov/Publications/Report/5157

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - The Governor ’s budget assumes the state receives retroactive approval for a private hospital fee for 2025, but that the fee is about equal to its level in 2024, rather than the much larger level originally submitted for approval.
https://lao.ca.gov/Publications/Report/5146

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - H.R. 1 requires states to impose cost sharing, not to exceed $35 per service, on most benefits to childless adults with incomes above the federal poverty level. The new requirement becomes effective October 2028.
https://lao.ca.gov/Publications/Report/5092

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

Oct 24, 2025 - Total Level of Disenrollment Is Uncertain. While it is likely that the new eligibility policies will result in some level of disenrollment, the magnitude of this effect is uncertain. Much of the impact will depend on how the state implements the new rules.
https://lao.ca.gov/Publications/Report/5083

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - (These savings are distinct from state operations budget solutions enacted as part of the 2024-25 Budget Act , which directed DOF to identify efficiencies to reduce state costs without diminishing service levels.)
https://lao.ca.gov/Publications/Report/5075

An Update on the Public Health Laboratory System After the Pandemic

Jun 12, 2025 - That is, whether the public laboratory system is able to meet its core responsibilities at its existing funding level. To the extent there are gaps, the Legislature could determine what resource level might be required to addr ess them.
https://lao.ca.gov/Publications/Report/5056

Building California’s Behavioral Health Infrastructure: Progress Update and Opportunities for the Proposition 1 Bond

Feb 5, 2025 - The RAND researchers estimated that the shortage of adult beds totals about 2,000  beds at the acute level, 2,800 beds at the subacute level, and about 3,000 beds at the community residential level. As  shown  in   Figure  1 ,  particularly severe at the community residential level.
https://lao.ca.gov/Publications/Report/4954

The 2025-26 Budget: Medi-Cal Pharmacy Spending

Apr 3, 2025 - For Drug ‑Level Spending, Federal Drug Classifications. We also used drug utilization data to track which drugs have driven changes in pharmacy spending. However, the data on their own are not conducive to effective trend analysis.
https://lao.ca.gov/Publications/Report/5026

The 2025-26 Budget: MCO Tax and Proposition 35

Feb 26, 2025 - Health Plans Likely Pay at Different Levels for Services. Public data on provider rates in the managed care system are not available, as these rates tend to reflect confidential negotiations between health plans and providers.
https://lao.ca.gov/Publications/Report/4992

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

Jan 13, 2025 - This  would result in maintaining prior funding levels for these activities but would preclude this amount of Proposition  4 funds from supporting expanded service levels or additional projects. Spending and Tax Expenditure Proposals New Spending Proposals of Nearly $600   Million.
https://lao.ca.gov/Publications/Report/4951