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

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

Oct 24, 2025 - Changes for Adults Affects Adults, Particularly Those Without Children, in a Number of Ways. Another key area of focus for H.R.  1 is adults enrolled in Medicaid, especially those without children. From a fiscal perspective, childless adults are among the most expensive population for the federal government because of the relatively high federal share of cost (90  percent).
https://lao.ca.gov/Publications/Report/5083

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

May 22, 2024 - The administration has not provided further detail on how the proposed payment would work. Backfills Declining Proposition  56 Funds. Proposition  56 (2016) increased taxes on tobacco products. The state uses most of the associated revenue to fund supplemental payments to certain Medi-Cal providers.
https://lao.ca.gov/Publications/Report/4905

The 2022-23 Budget: Analysis of the Care Economy Workforce Development Package

Mar 10, 2022 - However, how the proposed package would build upon —and not duplicate —these efforts is unclear. In  addition, how any evaluation of the proposed package would be coordinated with the required evaluation  components of prior state investments also is unclear.
https://lao.ca.gov/Publications/Report/4572

The 2021-22 Budget: LAO Preliminary Comments on the Governor’s Major May Revision Behavioral Health Proposals

May 24, 2021 - Behavioral Health Workforce Investments What specific outcome measures would be used to evaluate OSHPD ’s new workforce programs under the initiative? How would OSHPD ’s existing workforce programs be refined to provide a clearer picture of the effectiveness of these workforce investments?
https://lao.ca.gov/Publications/Report/4439

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

Feb 17, 2021 - Without authorizing legislation, the Legislature ’s ability to effectively oversee the program and hold local governments accountable would be significantly constrained. Available Data Indicate Expanding Capacity for Behavioral Health Services Likely Has Merit.
https://lao.ca.gov/Publications/Report/4379

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

Jan 13, 2025 - The reason for the reduction is the recent voter approval of Proposition  35 (2024), which requires the state to spend less MCO tax money on offsetting General Fund spending and more money on provider rate increases.
https://lao.ca.gov/Publications/Report/4951

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

Mar 3, 2022 - Bridge Housing and Recent State Investments. The majority of the state ’s recent major homelessness investments supported programs that are intended to provide permanent housing, rather than temporary bridge housing.
https://lao.ca.gov/Publications/Report/4569

The 2025-26 Budget: Medi-Cal Pharmacy Spending

Apr 3, 2025 - These rebates provide money back to the Medi ‑Cal program, effectively helping to offset some of the cost of the drugs. Most of the savings come from federally negotiated rebates. In addition, the state also negotiates supplemental rebates.
https://lao.ca.gov/Publications/Report/5026

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - In our outlook, the state budget solutions mostly save money by reducing per ‑enrollee costs. This is because, other than the asset limit reinstatement, the solutions generally are utilization management strategies, benefit reductions, and provider rate reductions —all ways to curtail spending without directly affecting caseload.
https://lao.ca.gov/Publications/Report/5092