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

Oct 24, 2025 - Given the complexity of these questions, we recommend the Legislature begin early conversations about its priorities during next year ’s hearings, even before all of the H.R.  1 changes have gone into effect.
https://lao.ca.gov/Publications/Report/5083

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 - Given that the next quarterly report is due on April 2022, the administration will be required to provide updated funding and expenditure estimates and implementation updates to the federal government prior to the completion of the 2022 ‑23 budget.
https://lao.ca.gov/Publications/Report/4524

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Next, we summarize the key drivers of our outlook. We then conclude with risks and uncertainties to our outlook estimates. Background Medi ‑Cal Is a Key Part of State Budget. Medi ‑Cal is a sizable federal ‑state program, covering health care for nearly 15  million low ‑income people .
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 2023-24 Budget: Analysis of the Medi-Cal Budget

Feb 10, 2023 - Federal Match for Designated State Health Programs. In late January 2023, the Department of Health Care Services received federal waiver approval allowing the state to claim federal matching funds for certain existing programs that would otherwise be funded solely with state funds.
https://lao.ca.gov/Publications/Report/4675

The 2023-24 California Spending Plan: Health

Oct 23, 2023 - The waiver —which is contingent on federal approval —is for a five-year demonstration that will, if approved, allow the state to receive federal matching funds for short-term stays in institutions for mental disease.
https://lao.ca.gov/Publications/Report/4810

The 2021-22 Budget: Department of Developmental Services (DDS) May Revision Budget Proposal

May 24, 2021 - The recently passed ARP Act provided one-time Medicaid funding to “enhance, expand, or strengthen ” home- and community-based services (HCBS) by increasing the federal matching rate by 10  percentage points for a one-year period.
https://lao.ca.gov/Publications/Report/4438

The 2022-23 Budget: Analysis of the Governor’s Major Behavioral Health Proposals

Mar 3, 2022 - Local Match Requirement. The amounts that local entities will be required to provide as the match for BH ‑CIP funding vary by applicant type. Specifically, (1)  tribal entities will be required to provide a 5  percent match; (2)  counties, cities, and nonprofits will be required to provide a 10  percent match; and (3)  for
https://lao.ca.gov/Publications/Report/4569

Mental Health Services Act: Proposed Bond to Fund Behavioral Health Facilities and Veterans Housing

Aug 17, 2023 - The statutory proposal defers to the administration key decisions such as whether matching funds or real property should be required as a condition of receiving grants for behavioral health facilities.
https://lao.ca.gov/Publications/Report/4790