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

Aug 17, 2023 - (The recent funding for behavioral health infrastructure noted above is funded on a pay-as-you-go basis.) General Fund-Supported Bonds. The state traditionally has sold two types of bonds that are typically paid off from the General Fund: voter-approved general obligation bonds and lease revenue bonds approved by the Legislature.
https://lao.ca.gov/Publications/Report/4790

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - The department has stated that its goal is to have as many providers as possible earn the quality payments, but it has not yet discussed how it might approach circumstances in which providers do not achieve them.
https://lao.ca.gov/Publications/Report/5157

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - Federal rules include an overall limit on how much revenue provider taxes can generate. California historically has set its provider taxes and fees well below this revenue limit. In recent years, however, California pursued notably larger taxes, getting much closer to the federal limit.
https://lao.ca.gov/Publications/Report/5146

The 2021-22 Budget: Analysis of CalAIM Financing Issues

Feb 16, 2021 - As a result of this adjustment, known as “county averaging, ” the higher ‑cost plan(s) in a county are paid capitated rates that do not fully reflect their reported costs, while the lower ‑cost plan(s) in that same county are paid at capitated rates above their reported costs.
https://lao.ca.gov/Publications/Report/4374

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

Oct 24, 2025 - This is because of the required gradual reduction in managed care payments to the level paid in Medicare. At the time of this analysis, the Department of Health Care Services (DHCS) had not provided estimates of how Medi ‑Cal hospital payments compare to Medicare.
https://lao.ca.gov/Publications/Report/5083

The 2025-26 Budget: Medi-Cal Pharmacy Spending

Apr 3, 2025 - The nearby box provides more information on how rebates work in the Medi ‑Cal program. How Do Drug Rebates Work in Medi‑Cal? Federal Rebates Are Mandatory and Determined by Formula. Created in 1990 and revised over time, the federal Medicaid Drug Rebate Program determines federal rebates for drugs in the Medicaid program.
https://lao.ca.gov/Publications/Report/5026

The 2025-26 Budget: MCO Tax and Proposition 35

Feb 26, 2025 - Such an approach is likely inefficient and arbitrary, as plans that pay considerably more for services (arguably already providing a more adequate payment) get the same boost in rates as a plan with notably lower payment s.
https://lao.ca.gov/Publications/Report/4992

The 2023-24 Budget: Whole Child Model Expansion

May 5, 2023 - By contrast, the model changes in the three Single-Plan model counties ( Alameda, Contra Costa, and Imperial) do not create this complexity, as the affected managed care plans currently do not administer the Whole Child Model.
https://lao.ca.gov/Publications/Report/4767

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

Feb 17, 2021 - How Proposal Would Be Targeted at Individuals Experiencing Homelessness Is Unclear. This proposal is specifically intended to increase counties ’ capacity to provide behavioral health services. While there are many individuals experiencing homelessness who also have significant behavioral health needs, these populations do not fully overlap.
https://lao.ca.gov/Publications/Report/4379

The 2021-22 Budget: Overview of the Governor's Budget

Jan 10, 2021 - Doing so, however, would not give the Legislature a chance to determine how much demand actually exists for this brand new program. Should the grants be approved, the administration should report regularly on their distribution.
https://lao.ca.gov/Publications/Report/4309