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

Oct 24, 2025 - The new requirement will only apply to childless adults earning more than 100  percent of the federal poverty limit. Certain services, such as primary care and behavioral health care, are excluded from the  requirement.
https://lao.ca.gov/Publications/Report/5083

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - The current rate on Medi ‑Cal enrollment ($274 per month in 2025) is more than 100 times larger than the rate on commercial enrollment ($2 per month in 2025). This rate structure is intended to draw down substantial federal funds while imposing a small cost on the taxpayers themselves.
https://lao.ca.gov/Publications/Report/5092

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

Feb 17, 2021 - Counties Would Be Required to Provide Matching Funds. Under this proposal, counties would be required to provide matching funds —in the amount of 25  p ercent of grant funds —in order to receive grant funding.
https://lao.ca.gov/Publications/Report/4379

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - The APD process allows the state to request a 90  percent match in federal funding (rather than California ’s standard 50  percent match) to design, develop, and install IT systems that enable the state to more efficiently administer Medicaid benefits.
https://lao.ca.gov/Publications/Report/5157

The 2022-23 Budget: Update on Home- and Community- Based Services Spending Plan

Feb 10, 2022 - Expand homeless system of care and create an effective pre ‑release care for justice ‑involved populations. 100 Increasing Home ‑ and Community ‑Based Clinical Workforce. Increase the number of home ‑ and community ‑based clinical care providers for individuals with disabilities and aging adults. 75 Non ‑IHSS HCBS Care Economy Payments.
https://lao.ca.gov/Publications/Report/4524

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

Nov 9, 2021 - (The state also operates a 100  p ercent state ‑funded Medi ‑Cal program for certain individuals who are not eligible for the federally matched program due to immigration status.) If a consumer is not eligible for federally matched Medi ‑Cal, the state funds the total cost of RC ‑coordinated services.
https://lao.ca.gov/Publications/Report/4471

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

Feb 5, 2025 - These conditions include providing matching funds or real property, supplementing and not supplanting existing funds for facility expansion, certain reporting requirements, and a commitment to operate services in the financed facility for the intend ed purpose for at least 30 years.
https://lao.ca.gov/Publications/Report/4954

Climate Change Impacts Across California - Crosscutting Issues

Apr 5, 2022 - A recent scientific  study  by United States Geological Survey researchers predicted that under scenarios of three feet to six feet of sea‑level rise, up to two‑thirds of Southern California beaches may become completely eroded by 2100.
https://lao.ca.gov/Publications/Report/4575

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

Apr 19, 2021 - (The state also operates a 100  percent state-funded Medi-Cal program for certain individuals who are not eligible for the federally funded program due to immigration status.) If a consumer is not eligible for federally matched Medi-Cal, the state funds the total cost of RC-coordinated services.
https://lao.ca.gov/Publications/Report/4415

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - The 2025-26 California Spending Plan: Health 100 100 a The spending plan assumes a portion of funds designated for this service ($88 million) cannot be allocated due to implementation issues and instead will be spent in 2027.
https://lao.ca.gov/Publications/Report/5075